Healthcare’s Evolution

Jacqueline Hodge - ProModel Director of Healthcare Initiatives

Jacqueline Hodge – ProModel Director of Healthcare Initiatives

Ever heard the phrase:  “Keep doing what you’re doing and you’ll keep getting what you’re getting”?  My Mom used to say that to me all the time and I still think about it today.  I’ve been in the healthcare industry my entire life and, needless to say, a career that has never had a dull moment.  Change is the only constant in healthcare today.

 Healthcare is a place for those who don’t shy away from change and can embrace new ideas even when they are not popular.  Many of the decisions made in healthcare are based on intuition, gut feelings, experience, and consensus. I’ve been a part of those think tanks and times have changed… information resources have changed…                                                           technology has changed… expectations have changed!

Our hospitals have been tasked to do more with less – who hasn’t heard that right?  Through innovative technologies like simulation, we can use predictive analytics to visualize, analyze, and optimize processes.  We have to identify the bottlenecks in our systems that are affecting patient outcomes, patient wait times, correct bed placement and optimal staffing.  Variability in patient flow through our healthcare systems is an impediment to the cost reductions and improvement of patient safety and quality of care (Litvak et al).

Systems have been slowly adopting the principles learned through lean and six sigma but have slow to adapt to the tools available.  Hospitals have shifted from revenue generating to cost reduction.  Simulation tools are the next step in healthcare’s evolution to impact costs due to healthcare’s unique challenges caused by variability due to competition for patient beds, resources, and patient throughput — all are a part of the ongoing challenge we face to meet expectations for ‘doing more with less”

About Jacqueline Hodge

Jacqueline has had the privilege of being part of the healthcare industry for the past 25 years in Arizona after moving from Nashville, TN.  She has served in numerous roles throughout her healthcare career including medical technologist, business development executive and hospital CEO.

Prior to joining ProModel, Jacqueline was the CEO of Promise Hospital Phoenix where she provided strategic leadership to all clinical operations.  She established and executed goals that directly impacted hospital operations, patient care, physician development and business growth.  Having been a CEO, Jacqueline knows the immeasurable value that simulation technology brings to hospital operations. She was able to make leadership decisions quickly by analyzing internal data in its virtual environment with the ability to focus on both high level strategic initiatives and day to day operational tactics.

At Promise Hospital Jacqueline previously served as their VP of Business Development where she led physician development, contracting, and sales/marketing.  Before her time at Promise, she was the Area Business Director for Kindred Healthcare responsible for 4 hospitals within the Arizona market. Jacqueline also has global pharmaceutical experience in Scientific Affairs and Business Development leadership roles including Bayer Healthcare and Astellas Pharma US.

Jacqueline holds a Master’s Degree in Business Administration from the University of Phoenix and a Bachelor of Science Degree in Biology from Murray State University.  She also holds an ASCP Medical Technology Certification from St. Mary’s Hospital, and has worked as a Medical Technologist at Vanderbilt University Medical Center at the start of her career.

NEW! ProModel’s Patient Flow Solution:

http://patientflowstudio.com/

ProModel Healthcare Solutions:

http://www.promodel.com/Industries/Healthcare

ProModel at the 2015 AUSA Global Force Symposium

Pat Sullivan - VP Army Programs

Pat Sullivan – VP Army Programs

The 2015 AUSA Global Force Symposium in Huntsville AL proved once again to be an incredible opportunity for ProModel to learn and share.  With over 5,500 people from around the world, including key leaders from the Army, DoD and Congress, ProModel conducted office calls and provided demonstrations for senior executives from Fortune 500 companies and senior General Officer’s and Senior Executive Service members from the Department of the Army, Assistant Secretary of the Army for Acquisition, Logistics and Technology, Army Materiel Command, and Training and Doctrine Command.

The theme primary for the symposium was “Win in a Complex World.”  ProModel was on point for sharing how our tools and capabilities can assist the Army with the ominous task.  The complexity of achieving defined and desired levels of readiness at the best value served as ProModel’s mantle for discussions.

With the proven success of the Lead Materiel Integrator Decision Support Tool, that supports the BCT reorganization, the European Equipment Set establishment, and the dynamic equipping requirements in the Pacific theater; the ARFORGEN Synchronization Tool (AST) that is preparing to transition to support a new readiness model; and the Naval Synchronization Tool that assists the Navy with generating and sustaining F/A-18 readiness, ProModel already has a stronghold in the market of defense complexity.

The addition of the Logistics Readiness Center maintenance optimization capability, leaps the concept of cost wise readiness to new levels.  Attendees had an opportunity to understand how ProModel solutions can uniquely assist in solving challenges related to producing the maximum readiness at the best value.  The LRC Proof of Concept demonstrates how AMC at the enterprise levels and LRCs at the tactical level can best plan and manage capabilities, optimize resources, and maximize efficiencies within and among LRCs.

Another highlight was the demonstration of, and interest in, our COTS products like Process Simulator and Enterprise Portfolio Simulator (EPS). DOD organizations and industry are seeking ways to gain greater efficiency and to stretch their limited resources. While force structure is being reduced, missions and the need for continual modernization are not. The expectation of those funding DOD is that the military will be increasingly efficient in the execution of prescribed tasks. Therefore, an understanding of how to generate efficiency through Lean practices and events, and of how to predict equipment life-cycle costs in a very complex environment, is paramount. Additionally, leaders in DOD expressed how they must apply Lean principles to their processes, identify trade-offs, and understand the downstream impacts of change.

Process and portfolio management are significant across the government sector, and they will become even more necessary during this time of decreasing budgets. EPS and Process Simulator, coupled with ProModel’s customized solutions (AST, LMI DST, and NST), provide the foundation for rapid process improvement, budget estimation, and program management. Thanks to the exceptional hospitality of the Tennessee Valley and the great response by our AUSA hosts, ProModel continues to find new and exciting ways to assist the Army in meeting it’s motto of The Strength of the Nation.

Teaching Simulation to Graduate Students Using ProModel Products and Real-World Problems

ProModel Guest Blogger:  Larry Fulton, Ph.D. & MSStat – Assistant Professor of Health Organization Management at Texas Tech University Rawls College of Business.  After serving 25 years in military medicine, Dr. Fulton began a second career in teaching and research.

Larry Fulton, Ph.D. & MSStat

Larry Fulton, Ph.D. & MSStat

Teaching introductory Monte Carlo, Discrete Event, and Continuous simulation to business graduate students requires at least two components beyond a good set of reference materials:   realistic or real-world problems and an excellent modeling platform allowing for relatively rapid development.  In the case discussed here, the real-world scenarios derived from interests and background of the professor and students (portfolio analysis, sustainability, and military medicine), while ProModel products addressed the platform requirements. Each of the case study  scenarios served to underscore various simulation building elements, while ProModel supported rapid  product development for a 14-week, lab-intensive course that included some  reviews of probability, statistics, queuing, and                                                    stochastic processes.

Scenario 1:  Monte Carlo Simulation (Portfolio Analysis)

Business students generally have an affinity for portfolio analysis, and I do as well. Using ProModel  features, one of the earliest student projects involves fitting univariate distributions to return rates to several funds and simulating results of investment decisions of various time horizons.  Students discuss methods that might account for covariance as well as autoregressive components in these simulations.  While developing the simulations, students also determine sample size requirements to bracket mean return on investment within a specified margin of error and confidence interval and use random numbers seeds.

Scenario 2:  Continuous Simulation using Rainwater Harvesting

Students in this course are generally from a semi-arid region (Central Texas), which has significant water shortages (so much so that desalinization is being considered.)  I rely 100% on rainwater harvesting for my home water supply, so extending this to each student’s particular home location is trivial. The “Tank Submodule” provides an easy mechanism for developing the simulations.  Students develop conceptual models of rainwater mechanism as well as flowcharts.  They gather rainfall data from the National Oceanic and Atmospheric Administration regarding rainfall and evaluate various roof sizes (capture space), demand figures based on occupants, and tank sizes. They also learn about the importance of order statistics (the distribution of the minimum in the tank) versus measures of central tendency that often dominate discussions of simulation. Finally, they incorporate tools and techniques to improve and assess V&V.

­­­Scenario 3:  Discrete Event Simulation using Military Scenarios

While serving as the Chief of Operations Research Branch for the Center for Army Medical Department Strategic Studies, I encouraged the use of MedModel for multiple DES projects.  The team built strategic models (resource constrained and unconstrained) for analyzing medical requirements for strategic operations. These same models serve as a basis for a team-based MedModel student capstone project.  The primary entity for these models was the patient with attributes of severity, injury type, and evacuation type.  The primary processes involved collection, treatment and evacuation. Resources included ground ambulances, air ambulances, medics, intensive care units, and operating rooms.   Locations were geographic locations throughout the entire of Afghanistan.  Evacuation paths were built, and treatment logic (triage, ground evacuation, air evacuation, etc.) provided the flow.

Bottom Line:  The ProModel products are outstanding for use in both teaching and industry.

 Larry Fulton Bio:

http://www.depts.ttu.edu/rawlsbusiness/people/faculty/hom/larry-fulton/

ProModel Customized Solutions: Hogistics

There are times when the best solution is a customized solution. For those situations ProModel has a highly skilled and agile development team ready to work with you to develop the one of a kind predictive analytic solution that meets your needs.

We have created unique custom predictive analytic technology applications and training programs for the Army, Navy, and Government Agencies, as well as companies in the Aerospace & Defense Manufacturing, Pharmaceutical, Healthcare and Services Industries.

Here is just one of our latest custom solutions:

Hogistics, created in partnership with Zoetis, a global animal health company that delivers medicines and vaccines, complemented by diagnostic products and genetic tests and supported by a range of services.

Zoetis, in conjunction with ProModel, created an analytics tool to help farmers predict barn and system pig growth, mortality, and sales volume over time. This helps them achieve an optimal pound per pig as prescribed by the packing companies to which they sell.

Pork production is a highly variable process due to many factors including, genetics, environment, and disease. Other events, such as vaccine protocols, weather and individual animal care can also have an effect. Hogistics will help swine producers with the following:

  • Marketing weight and weight distribution projections weeks ahead of time
  • Data to optimize animals per sale
  • Scenario analysis capabilities to evaluate animal heath, vaccines, husbandry education
  • Pig placement, marketing and transportation schedule data
  • An inventory management tool for placement and planning of multiple pig flows

If you are interested in Hogistics view the Hogistics page on Zoetis website

Contact saleshelp@promodel.com to find out how ProModel can help your organization make better decisions – faster.

Power of Predictive Analytics for Healthcare System Improvement and Patient Flow

Hospitals are currently under intense pressure to simultaneously improve the effectiveness and efficiency of healthcare delivery in an environment where operating costs are being reduced, downsizing and consolidation is the norm, and cost for care is increasing while revenue is decreasing.  At the same time the systemic effects of peak census and varying demand on patient LOS are creating capacity issues and unacceptable patient wait times…leading to a major decline in patient satisfaction.

The amount of proposals to enhance a hospitals quality care are as numerous as the healthcare professionals dedicated to the cause.  What hospitals need however is the ability to quickly and accurately evaluate the impact of those various operational proposals and to experiment with system behavior without disrupting the actual system – and ProModel’s simulation technology is allowing them to do just that.

The predictive analytic capability of ProModel simulation will allow healthcare professionals to test assumptions and answer those patient flow “what if” questions in a matter of minutes and days, not weeks and months.  Simply put, it’s providing a decision support system to assist healthcare leaders in making critical decisions quickly with a higher degree of accuracy and confidence.

Simulation will also help healthcare staff quickly identify room availability and recognize high risk patient flow bottlenecks before extreme problems occur.  This invaluable knowledge will then lead to reductions in patient wait times and LOS, avoid unnecessary re-admissions and costly expansions, and most importantly – increase the overall quality of service and patient satisfaction.