Health care systems face significant challenges to improving the level of care patients receive measured against limitations of available providers, organization capacity and technological capabilities. While many facilities can identify opportunities for improvement, they may lack the resources of a dedicated simulation center to create immersive experiences and specialized learning materials providing clinical staff with risk awareness and education that targets improving patient outcomes.
Funded through a federal grant, the Illinois Health and Hospital Association (IHA), in collaboration with the Michigan and Wisconsin Hospital Associations, selected Jump Simulation based on its proposal to develop a scalable curriculum paired with deployable educational resources that equip clinical teams to identify opportunities related to hospital-acquired conditions and readmissions.
Jump developed adaptable, low cost simulation modules enabling key team members to facilitate SDENA needs assessments using simulation at their own hospitals. The collaborative, simulation-based partnership between Jump Simulation, hospital associations and health care systems across state lines is the first of its kind in the country.
Jump Simulation trained more than 300 learners in their 2017-18 programs to take the resources and curriculum back to their own hospitals and engage others, benefiting patient outcomes in multiple facilities across the Hospital Improvement Innovation Network (HIIN). Ultimately the training is creating opportunities for clinical professionals to discuss challenges and solutions to administering the best care possible for patients.
This ongoing partnership represents the foundational work of OSF Innovation and Jump Simulation to extend the greatest level of care and love to individuals across a broader community.
"We are able to expand beyond simple training to have a focused conversation around all the safety issues that occur in the clinical space. We're equipping learners to look for resiliencies and vulnerabilities inside their health care systems through simulation."
- John Vozenilek, MD, Vice President and Chief Medical Officer for Innovation & Digital Health
Hospital acquired conditions (HAC) and readmissions pose a significant challenge to the health care industry. Simulation-based training programming has been shown to effectively explore latent threats affecting clinical teams, however many systems lack the resources or expertise to implement a program of their own. Based on these factors, the Centers for Medicare & Medicaid Services (CMS) have introduced initiatives to support reducing preventable harm resulting from HAC's.
The vision of Jump Simulation is to benefit patient outcomes and reduce overall health care costs through the innovative use of simulation. Recognizing an opportunity to benefit systems across the region, Jump developed a concept that would go beyond "train the trainer" models to implement immersive experiences and facilitate deep discussion with clinical teams toward improving patient outcomes. Each course provides learners with a Durable Learning Object ‚Äî educational resources developed by Jump that use app-based or physical models to engage and disseminate learning objectives beyond the course.
Funded through a federal CMS grant, the Illinois Health and Hospital Association (IHA) in collaboration with the Michigan and Wisconsin Hospital Associations selected Jump Simulation to develop curriculum equipping key team members with the tools and expertise to facilitate these programs at their own facility. This tri-state collaboration has resulted in a Hospital Improvement Innovation Network (HIIN) that is truly the first of its kind with a goal to disseminate learning outcomes to other CMS partnerships impacting patients on a national scale.
"Our challenge to OSF was to create a low to medium curriculum that a critical access hospital three hours away that's under-resourced and doesn't have a simulation facility can be trained in these techniques and take them back to their units and spread."
- Adam Kohlrus, director of Performance Improvement for the IHA
Launched in 2017, Jump created curriculum paired with learning objects around four HAC's identified by the IHA where Illinois hospitals face the highest risk for complications of care: catheter-associated urinary tract infections (CAUTI), development of blood clots (DVT), life-threatening infections (C. Diff) and readmissions. In 2018 the curriculum shifted to focus on fall prevention, sepsis and heart failure readmissions.
Urinary Tract Infections
Life Threatening Infections
Hope for Heart Failure
|DVT- Development of Blood Clots||
Employing simulation as a vehicle for conversation, Jump developed the Simulation Debriefing Enhanced Needs Assessment (SDENA), a platform to gain deeper insights around the barriers and enablers associated with preventing hospital acquired conditions. Focusing on the six factors that influence individual performance, learners are taught to facilitate SDENA with clinical teams discussing insights gathered from the simulation experience.
The discussion-based format enables teams to engage in rich conversations about clinical or process issues that would not be discovered in a traditional lecture-based format. Pairing the SDENA experience with each durable learning object equips learners of many facilities to better explore the unique to their teams and adapt future interventions to meet the specific needs affecting readmissions and patient outcomes.
Through a partnership with the Memorial Learning and Innovation Center in Springfield as well as Rush University Medical Center in Chicago, training sessions are being offered at multiple locations to learners across the region impacting patients far beyond the Ministry of OSF HealthCare.
Jump has trained more than 300 leaders from Illinois, Michigan and Wisconsin to take the curriculum and resources back to their own hospitals to support their work on improving patient outcomes. Learners have been equipped to engage clinical teams to identify factors leading to patient harm from CAUTI, CVT, C. Diff, Fall Prevention, Sepsis, Heart Failure, and Readmissions.
This simulation-based training is now available to more than 315 hospitals in Illinois, equipping numerous facilities to deploy tools and resources developed by Jump. This ongoing partnership represents the work of OSF Innovation and Jump Simulation to extend the highest level of care and love to all individuals across a broader community.