Brazilian Academic Simulation Awards Given in Honor of Rob Bateman

ProModel friends and associates, last October 12 we lost a dear friend, Rob Bateman and it is very hard to believe that a year has already passed.  Coincidentally, just a few days before the loss of our colleague, on October 6, 2015, the first ever ‘Rob Bateman’ award was delivered in the city of Joao Pessoa (north east coast of Brazil).  Here is the web site of the event:  http://www.abepro.org.br/enegep/2016/index.asp.  The Simula Brazil is a national award for simulation systems, organized and hosted by the portal “www.simulacao.net” which is sponsored by the Belge Consulting (www.belge.com.br). The award has institutional support of ABEPRO (www.abepro.org.br) and SOBRAPO (www.sobrapo.org.br) and is linked to the National Production Engineering Meeting (ENEGEP).

This award aims to encourage young students to use more simulation technology to develop projects and analyze real or fictitious situations through the use of the ProModel modeling and simulation technology (ProModel® or MedModel®) as well as assisting teachers with simulation education. The hope is that this practice will allow for better industrial engineering courses using ProModel and more simulation use in local companies, as well.  This year the award was given to the following recipients:

originalityaward

Marcelo Fugihara of Belge presenting the award for originality to Jacyszyn Bachega of Universidade Federa de Goias

 

complexityaward

Marcelo Fugihara of Belge presenting the award for complexity to Thiago Fernando Rosa Tedoro and Professor Jose Lazaro Ferraz of Universidade FACENS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

all-students

Here is a photo of all of the students in attendance at the event, called Enegep –  Encontro Nacional de Engenharia de Produção

We hope that this award in some small way pays tribute to our friend Rob Bateman.

Your friend in Simulation,

Alain de Norman & Belge team.

Healthcare IT: Top Trends and Innovations in 2016

This post was originally published by Christine Slocumb on the Clarity Quest Marketing blog and has been re-posted with permission. 

As the President of one of the top healthcare marketing agencies, I’m continually fascinated at the wide array of technologies emerging in the space. Every week we get lead calls from companies with new products or services addressing pressing healthcare technology issues.

Here are some of the trends we hear lots of buzz around in 2016.

Prescriptive Analytics

Health systems are getting more sophisticated at understanding their current state using descriptive analytics of their data, however, knowing what’s going right or wrong is only a small step in fixing the issues. Now companies offer predictive and even prescriptive analytics to forecast the future and to offer corrective suggestions.

One example is FutureFlow Rx by ProModel, which not only predicts patient flow across a health system, but also gives corrective actions and likely outcomes for each.

Prescriptive Analytics versus Predictive Analytics versus Diagnostic Analytics graphic from FutureFlowRx
The move from descriptive to prescriptive analytics. Courtesy: ProModel Corporation

Data Migration Tools

Whether it’s moving DICOM images from one system to another or migrating from one EHR system to another, tools to transfer data are here to stay.

Interconnectivity

Connecting records and information systems is still in its infancy. We’re seeing more and more demand for tools that provide interfaces, such as eMedApps’ Care Connectivity Platform™, which maintains continuity and uptime while establishing bridges.

eMedApps CareBridge Interoperability Platform Diagram

Niche Practice Systems by Specialty

Epic, Allscripts, and the other big EHR dogs have trouble breaking into specialty areas such as dermatology, ENT and more notably behavioral health. Smaller companies, such as Logik Solutions, which sells billing software for behavioral health, are growing by selling into practices in specialty areas.

Consolidation in Imaging IT

IBM bought Merge; Fuji acquired TeraMedica; and Hitachi left the VNA business. PACS is a tough replacement sale and vendor neutral archives are often seen as a “nice to have” versus a “must have”. Expect to see more shakeout and consolidation in this area.

More Data Integration Between Payers, Providers and Pharmaceutical Companies

Clinicians need a better way to understand which drugs are covered under specific payer plans, at what levels, and if policies and restrictions are attached to a drug. Payers need to keep costs under control. Pharmaceutical companies want to promote their drugs as quickly and efficiently as possible. Expect to see systems such as MMIT’s Mobile Search Formulary App that offer an accurate display of drug coverage to all parties by validating data from multiple payer and pharma sources.

No doubt these are exciting times for health IT. Stay tuned for our next post on this topic after HIMSS 2017.

About the Author:
Chris is the founder and president of Clarity Quest Marketing, where she leads a talented group of marketers and designers helping healthcare and technology companies achieve marketing and business goals. To learn more about Chris’ experiences and qualifications, visit our Meet Our Executive Team page.

Happy Holidays

Keith Vadas

Keith Vadas President & CEO 

The ProModel family would like to wish everyone a very joyous holiday season!  We thank you for all your support and business this past year and we look forward to helping you meet or exceed your performance goals in 2016!

As most of you know, we have an extraordinary team of consultants, software developers, and technical support always available to help your organization meet the next business challenge. Looking ahead to 2016, we anticipate another exciting year as we plan to launch new products and expand our current solutions.

Thank you, and I wish you and your families a Happy Holiday and a joyful New Year.

Keith Vadas

President & CEO
ProModel Corporation

In the OR with Dale Schroyer

Dale%20Schroyer

Dale Schroyer – Sr. Consultant & Project Manager

I generally find that in healthcare, WHEN something needs to happen is more important than WHAT needs to happen.  It’s a field that is rife with variation, but with simulation, I firmly believe that it can be properly managed.  Patient flow and staffing are always a top concern for hospitals, but it’s important to remember that utilization levels that are too high are just as bad as levels that are too low, and one of the benefits of simulation in healthcare is the ability to staff to demand.

Check out Dale’s work with Robert Wood Johnson University Hospital where they successfully used simulation to manage increased OR patient volume: 

About Dale

Since joining ProModel in 2000, Dale has been developing simulation models used by businesses to perform operational improvement and strategic planning. Prior to joining ProModel Dale spent seven years as a Sr. Corporate Management Engineering Consultant for Baystate Health System in Springfield, MA where he facilitated quality improvement efforts system wide including setting standards and facilitating business re-engineering teams. Earlier he worked as a Project Engineer at the Hamilton Standard Division of United Technologies.

Dale has a BS in Mechanical Engineering from the University of Michigan and a Masters of Management Science from Lesley University. He is a certified Six Sigma Green Belt and is Lean Bronze certified.

NEW! ProModel’s Patient Flow Solution:

http://patientflowstudio.com/

ProModel Healthcare Solutions:

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

Teaching Process Management Using ProModel

ProModel Guest Blogger:  Scott Metlen, Ph.D. – Business Department Head and Associate Professor at University of Idaho

Scott Metlen, Ph.D.

Scott Metlen, Ph.D.

Understanding process management, the design, implementation, management and control, and continuous improvement of the enterprise wide set of an organizations processes is the key to well deployed strategies. It was not until Tim Cook made Apple’s total set of processes world class including all supply chain linked processes (Brownlee, 2012) that Apple hit its amazing climb to become the world’s highest valued company; even though the company had cutting edge products before his arrival. Gaining effective understanding of process management is not easy due to the strategic variability inherent in the portfolio of products that companies sell, and in markets they service. This strategic variability (Rajan, 2011) in turn drives variability in many processes that an organization uses to operate. For instance, different markets require different marketing plans supported by different processes.  Order processes often vary by product and target market. Employee skill sets differ by product requiring different hiring and training processes. Different products, whether it be services or goods that have a slight variation require, at the very least, an adjustment to the production process. Adding to, and often caused by the variability just mentioned, are multiple process steps, each with different duration times and human resource skills.  Depending on what product is currently being produced, process steps, process step order and duration time, interdependency between the process steps, and business rules all vary. Where a product is in its life cycle will drive the experience curve, again creating variation across products. In addition, the numerous interfaces with other processes all vary depending on the product being produced. All of these sources of variability can make process management hard to do, teach, and learn. One tool that helps with process management in the face of variance is discrete event simulation and one of the best software suites to use is ProModel. ProModel is a flexible program with excellent product support from the company.

Effective process management is a multi-step process. The first step of process management is to determine the process flow while at the same time determining the value and non-value added process steps. Included in the process flow diagram for each step are the duration times by product and resources needed at each step, and product routes. Also needed at this time are business rules governing the process such as working hours, safety envelopes, quality control, queueing rules, and many others. Capturing this complex interrelated system begins by visiting the process and talking with the process owner and operators. Drawing the diagram and listing other information is a good second step, but actually building and operating the process is when a person truly understands the process and its complexities.  Of course many of the processes we want to improve are already built and are in use. In most cases, students will not be able to do either of these. However, building a verified and validated simulation model is a good proxy for doing the real thing, as the model will never validate against the actual process output unless all of the complexity is included or represented in the model. In the ‘Systems and Simulation’ course at the University of Idaho students first learn fundamentals of process management including lean terms and tools. Then they are given the opportunity to visit a company in the third week of class as a member of a team to conduct a process improvement project. In this visit students meet the process owner and operators. If the process is a production process, they walk the floor and discuss the process and the delta between expected and actual output. If the process is an information flow process, such as much of an order process, the students discuss the process and, again, the delta between expected and realized output. Over the next six weeks students take the preliminary data and begin to build a simulation model of the current state of the process. During this time period students discover that they do not have all the data and information they need to replicate the actual process. In many cases they do not have the data and/or information because the company does not have that information or how the model is operated is not the same as designed. Students then have to contact the process owner and operators throughout the six weeks to determine the actual business rules used and/or make informed assumptions to complete their model.

Once the model has been validated and the students have a deep understanding of the process, students start modeling process changes that will eliminate waste in the system, increase output, and decrease cost. Examples of methods used to improve the process include changing business rules, adding strategically placed buffers and resources, and reallocating resources. To determine the most effective way to improve the process, a cost benefit analysis in the form of an NPV analysis is completed. The students use the distribution of outputs from the original model to generate appropriate output and then compare that output to output pulled from the distributions of each improvement scenario. This comparison is then used to determine a 95% confidence interval for the NPV and the probability of the NPV being zero or less. Finally, several weeks before the semester is finished, students travel to the company to present their findings and recommendations.

Student learning on these projects is multifaceted. Learning how to use ProModel is the level that the students are most aware of during the semester, as it takes much of their time. However, by the end of the semester they talk about improving their ability to manage processes, work in teams, deal with ambiguity, manage multiple projects, present to high level managers, and maintain steady communication with project owners.

Utilizing external projects and discrete event simulation to teach process management has been used in the College of Business and Economics at the University of Idaho for the past six years. As a result, the Production and Operation area has grown from 40 to 150 students and from five to 20 projects per semester. More importantly, students who complete this course are being sought out and hired by firms based on the transformational learning and skill sets students acquired through the program.

References:

Rajan Suri. Beyond Lean: It’s About Time. 2011 Technical Report, Center for Quick Response Manufacturing, University of Wisconsin-Madison.

Brownlee, John. Apples’s Secret Weapon 06/13/2012. http://www.cnn.com/2012/06/12/opinion/brownlee-apple-secret/index.html?hpt=hp_t2. 12/301/2014.

Scott Metlen Bio:

http://www.uidaho.edu/cbe/business/scottmetlen

 

Happy Holidays!

President & CEO ProModel Corporation

Keith Vadas – President & CEO ProModel Corporation

The ProModel family would like to wish everyone a very joyous holiday season and a prosperous 2015!  We thank you for all your support and business this past year.  As always, our goal is to help you meet or exceed your performance goals.  We hope that our people and solutions were able to assist you in that endeavor this past year.

2014 was a busy year for ProModel filled with exciting new products like Process Simulator Pro, revamped new releases of ProModel, MedModel and Enterprise Portfolio Simulator, and of course our custom solutions designed for a host of clients across all industries. As most of you know, we have an extraordinary team of consultants and software developers always available to help your organization meet the next business challenge. Looking ahead, 2015 is shaping up to be another BIG year here at ProModel as we continue to develop new products including Healthcare solutions and other business improvement tools. 

Thank you, and I wish you and your families a happy holiday and a joyful New Year.

 

Team ProModel Conquers Ragnar Once Again!

Team ProModel at the Finish Line

Team ProModel at the Finish Line

The 2014 Ragnar Relay Recap…according to Jay Wisnosky, Tim Shelton, and Pat Sullivan

So there’s this event  where 12 people team together, split up runners into two separate vans and then run a 200 mile relay. It’s called the Ragnar Relay.  Yes, that’s how it first gets explained to you…

Then you get more information like, “you’ll have to run about 15-18 miles tops. It’s tough and there’s a lot of hills, but it’s a lot of fun.”  Fun?

https://www.ragnarrelay.com/

“12 friends, 2 vans, 2 days, 1 night, 200 mile relay…unforgettable stories.”  This is Ragnar. Pat Sullivan’s blog about Ragnar began with this quote last year, and I think it summarizes the event for the rest of us still.

But to get a true picture of Ragnar, you really have to put yourself in a white, 15 person passenger van with 5 other people. It’s close quarters in there. It goes from clean one minute to trashed the next and never smells good or is quiet enough to sleep. Some people are your co-workers, some are friends, and some are complete strangers. You then have to imagine you are about run anywhere from 4 to 8 miles – it’s now YOUR turn. Whatever routine you had to get ready to run at home is gone…replace that with stretching in a van surrounded by running shoes and gym bags. This is when you start to get nervous because you’re in unfamiliar territory, you’re excited, but also tired, and there’s a good chance you have to go to the bathroom from all that water you’ve been drinking. This is when you hope you trained enough. This is when you tell yourself that after this leg, you still have two more to go…and you probably won’t be sleeping between them. This is when you say, “what did I get myself….” and then one of your teammates asks, “what do you need? Some water? Something to eat.” And you relax, knowing that the collection of people in that van are with you -they have your back and will help you through it, even if you are wishing you trained for this a lot harder than you actually did.

Kelly handing off to Jason

Kelly handing off to Jason

Another year, another ProModel Ragnar team built on commitment, dedicated teamwork and a great mixture of veteran leadership and new, eager faces.  From October  24-26, Team ProModel meshed as a team in one of America’s most grueling endurance races. The Chattanooga to Nashville Ragnar Relay undoubtedly demanded an often extraordinary level of dedication and sacrifice.  The twelve person 2014 team consisted of team captain Tim Shelton, (ProModel Sr Army Program Manager), Pat Sullivan (ProModel VP for Army Programs),  Dan Hickman (ProModel CTO), Clay Gifford (ProModel Developer for DST), Jay Wisnosky (ProModel Technical Writer for DST) Brian Brown, Susan Whitehead, Sheri Shamwell, Mickelle Penn, Kelly Parker,  Lisa Reyes and Jason Mcormick.  And of course, with a great deal of support and commitment from Keith Vadas and Carl Napoletano…and the incredible effort of Christine Bunker (ProModel marketing) and                                                         our awesome driver (Chief Reyes).

Lisa Reyes kicked off Race day at 07:30 Friday morning at a beautiful waterfront setting on the Tennessee River in Chattanooga.  Each runner was scheduled to follow for three legs during the estimated 34 hours to complete the race.  We planned for each of our 12 runners to complete 16-19 miles each.  The two vans of Team ProModel met briefly through the race, with 5 intersection points where the baton was handed over from one van to the next.

Lisa Reyes going uphill

Lisa Reyes going uphill

Miles and miles passed with each runner facing his or her own set of obstacles. Some ran steep hills (Brian Brown climbed 1300 feet in elevation over 8+ miles with his first leg), or through the wee hours of the night with the sounds of dogs barking (and growling sound machines coming from another van) as Mike Penn would come to experience. Others came down the other side of those steep hills and endured the bright autumn mid afternoon sun – which Pat Sullivan can now vouch that 9 miles of beautiful Tennessee countryside is sometimes blurred by surprising heat.  However, Team ProModel banded together to support each other, as well as other runners from other teams.

 

 

Dan Hickman feeling strong...on his first leg

Dan Hickman feeling strong…on his first leg

There were plenty of laughs in between – often times over snack choices, foot odor, getting passed on the course by 12 year olds, bathroom strategies, sore muscles that make you walk funny, and delusions caused by lack of sleep. We spotted the little known Ragnasaurus, our vans were “branded” with magnets and paint from other teams, some people gained nicknames, and we all learned the value of fast restaurant service and having a bed instead of a gym floor to rest.

Team ProModel made it 198 miles through the mountains, into the rolling hills of Tennessee and eventually to the Music City that is, Nashville. This group grew to become teammates and friends, after starting out with one common goal in mind – just run and have fun! Thanks again for the great support and allowing us to represent ProModel…know you would have been proud.

Susan Whitehead with the Ragnar Bear

Susan Whitehead with the Ragnar Bear

Tim Shelton running his last leg

Tim Shelton running his last leg

 

 

 

 

Lisa Reyes, Brian Brown, Dan Hickman, Tim Shelton, Kelly Parker

Lisa Reyes, Brian Brown, Dan Hickman, Tim Shelton, Kelly Parker  

Knight Runner

Knight Runner

Dan Hickman, Clay Gifford, Pat Sullivan, Tim Shelton, Jay Wisnosky

Dan Hickman, Clay Gifford, Pat Sullivan, Tim Shelton, Jay Wisnosky

Dan Hickman hands off to Tim Shelton

Dan Hickman hands off to Tim Shelton

Team ProModel 2014

Demystifying System Complexity

Charles Harrell, Founder ProModel Corporation

Charles Harrell, Founder ProModel Corporation

One can’t help but be awe struck, and sometimes even a little annoyed, by the complexity of modern society. This complexity spills over into everyday business systems making them extraordinarily challenging to plan and operate. Enter any factory or healthcare facility and you can sense the confusion and lack of coordination that often seems to prevail. Much of what is intended to be a coordinated effort to get a job done ends up being little more than random commotion resulting in chance outcomes. Welcome to the world of complex systems!

A “complex system” is defined as “a functional whole, consisting of interdependent and variable parts.” (Chris Lucas, Quantifying Complexity Theory, 1999, http://www.calresco.org/lucas/quantify.htm) System complexity, therefore, is a function of both the interdependencies and variability in a system. Interdependencies occur when activities depend on other activities or conditions for their execution. For example, an inspection activity can’t occur until the object being inspected is present and the resources needed for the inspection are available. Variability occurs when there is variation in activity times, arrivals, resource interruptions, etc. As shown below, the performance and predictability of a system is inversely proportional to the degree of interdependency and variability in the system.

Untitled-1

Suppose, for example, you are designing a small work cell or outpatient facility that has five sequential stations with variable activity times and limited buffers or waiting capacity in between. Suppose further that the resources needed for this process experience random interruptions. How does one begin to estimate the output capacity of such a system? More importantly, how does one know what improvements to make to best meet performance objectives?

Obviously, the larger the process and greater the complexity, the more difficult it is to predict how a system will perform and what impact design decisions and operating policies will have. The one thing most systems experts agree on, however, is that increasing complexity tends to have an adverse effect on all aspects of system performance including throughput, resource utilization, time in system and product or service quality.

For Charleys new blog

ProModel and Medmodel are powerful analytic tools that are able to account for the complex relationships in a system and eliminate the guesswork in systems planning. Because these simulation tools imitate the actual operation of a system, they provides valuable insights into system behavior with quantitative measures of system performance.

To help introduce process novices to the way interdependencies and variability impact system performance, ProModel has developed a set of training exercises using an Excel interface to either ProModel or MedModel. Each exercise exposes the initiate to increasingly greater system complexity and how system performance is affected. Additionally, these exercises demonstrate the fundamental ways system complexity can be mitigated and effectively managed.

ProModel is offering these exercises to students and practitioners who are seeking an introduction to simulation and systems dynamics.

 

For more information please contact ProModel Academic

Sandra Petty, Academic Coordinator  spetty@promodel.com

Designing Better Care For Your OR

JCowden Profile Pic

Jennifer Cowden – Sr. Consultant

Earlier this year, my family and I took a vacation to a certain kid-friendly theme park.  As we wandered from ride to ride, we couldn’t help but note that, even at the peak times on the more popular rides, you rarely saw crowds standing outside waiting. The long lines were all contained within a succession of fairly climate-controlled rooms that obviously took some thought to plan. This particular company is big into predictive analytics, so I would hazard to say that they didn’t just guess at the maximum size of the line at peak time; they are probably not going to go live with a new attraction or other big change unless they simulate it first.  An interesting dynamic that we observed was that when a wait time for an attraction was lowered on their new mobile app, we could literally see the “flash mob” of patrons converge on that ride, causing the line to go from a 10-minute wait to a 30-minute wait in the blink of an eye.  I turned to my husband, who is also an engineer and a geek, and said “I wondered if their model predicted that.”

Theme parks obviously need to be concerned about a positive overall  visitor experience; after all, they are always competing for discretionary funds with other sources of entertainment.  Now, more and more hospitals are developing that same mindset: being cognizant of the overall patient experience to the point of modeling new spaces before they go live.  How many OR rooms should they outfit for opening day, and how many can wait?  How can they make the best use of the spare rooms?    Is there enough space in the corridors that the patients won’t feel too crowded?  Is there enough space in the waiting areas for the families of the outpatients?  How many staff members do they need for each department to minimize patient wait time?  Are there any unforeseen bottlenecks due to sudden dynamic shifts?  These are just a few of the questions that simulation can answer.

Check out Jennifer’s Ambulatory Care/OR Suite Model:

About Jennifer

Before joining ProModel in 2013, Jennifer spent 15 years in the automation industry working for a custom turnkey integrator. As an Applications Engineer she built simulation models (primarily using ProModel) to demonstrate throughput capacity of proposed equipment solutions for a variety of customers. Jennifer’s experience covers a wide range of industrial solutions – from power-and-free conveyor systems to overhead gantries and robotic storage and retrieval systems. She has also created applications in the pharmaceutical, medical device, automotive, and consumer appliance industries.

Jennifer has a BS in Mechanical Engineering and a Master of Science in Mechanical Engineering from the Georgia Institute of Technology.

Busy Season at ProModel

Keith Vadas

Keith Vadas – ProModel President & CEO

I am pleased to report ProModel’s second quarter was very positive.  Like many businesses in the US we find ourselves on a serious upswing this Summer of 2014.  Our consultants are working on several projects in a variety of industries, including ship building, power management, retail, manufacturing, food processing, and government contracting.  In all of these projects our experienced team of consultants is working to improve efficiency, save money, and make better decisions for their clients.

ProModel’s DOD projects continue to thrive.  It is hard to believe it has been eight years since we started working with FORSCOM (US Army Forces Command)   on AST (ARFORGEN SYNCHRONIZATION TOOL).  LMI-DST (Lead Materiel Integrator – Decision Support Tool) with the LOGSA Team (US Army Logistics Support Activity) is also going strong.  Our agile team of software developers keeps improving the development process within ProModel and it shows. Just recently the NST Airframe Inventory Management Module was Granted Full Accreditation by the Commander, Naval Air Systems Command.

The time is also ripe for opportunities in Healthcare.  Our patient flow optimization capabilities are perfect for helping hospitals and outpatient clinics improve efficiencies.  Now that the Affordable Care Act has been around for a couple of years, its impact is being felt by healthcare organizations around the country.  The expanded insured-base, and the need for improved processes and different care models is making it absolutely necessary to consider the value of modeling and simulation.  ProModel continues to work with several facilities including Presbyterian Homes and Services, and Array Architects who enhance the flow in Healthcare Facilities design by using MedModel simulation in their design processes.

To better support our base of existing customers, we just released ProModel/MedModel 2014 in July and PCS Pro 2014 at the end of Q1.  EPS 2014 (Enterprise Portfolio Simulator) was released in Q2  and includes a new easy to use, web-based rapid scenario planning tool – Portfolio Scheduler.  You can check this tool out online at – http://portfoliostud.io/#.

There continue to be lots of exciting things happening at ProModel.  We have an outstanding team of consultants and software developers-designers just looking for an opportunity to PARTNER with you to help you meet the next business challenge, or solve the next unexpected problem.

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