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Imagine this. You're at the Hyatt Regency Chicago

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Welcome to Becker's 12th annual CEO

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That's the beckershospitalreview.com

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events page. See you in Chicago.

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Welcome to Becker's Health Care Podcast. I'm Mariah

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Taylor, assistant editor, and I'm thrilled to be

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interviewing Whitney Smith, simulation program manager at Children's

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Hospital Colorado on the podcast today. Whitney, thank

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you so much for joining me. I'm so

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for this conversation because what a fun initiative

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The Sims Wars is. So I can't wait

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to get into everything you're doing there. But

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before we dive in, I'm gonna turn it

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over to you to introduce yourself and tell

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us a little bit more about your background.

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Thank you so much, Mariah. My name is

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Whitney Smith, as you said. You so eloquently

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introduced me and I appreciate that.

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Happy to be here to talk about just

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one of the many initiatives that we have

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going on at Children's Hospital Colorado

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to increase the engagement of our staff, to

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celebrate all of the hard work that they

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constantly do,

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to be prepared for the patients that they

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take care of on a daily basis.

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And, I I'm just really glad glad to

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be here and to celebrate our staff.

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Amazing.

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Let's dive into

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what are the sim wars. Can you tell

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me a little bit about what happens at

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these events and who participates?

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Happy to. So my first sim wars

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was in 2017.

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I actually saw something like this

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at a conference at the International

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Healthcare Simulation

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Conference in Los Angeles. And it was a

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demonstration of how sim wars

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can be used to,

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have a competition

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but also have a little bit of an

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edutainment

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is what they use. And we sort of

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stole that

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term from the

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first people that did this. And we modeled

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this after something

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that Doctor. Haru

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Okuda did and some of his colleagues. He

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actually published a book on how to incorporate

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sim wars

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in mostly residential or residents, pediatric residents, emergency

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residents, that sort of thing in the academic

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center

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where they could hone in on their, their

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simulation skills in a competitive environment and make

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it fun at the same time. But we

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thought we could take this to a whole

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new level at Children's Colorado

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and

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we incorporated,

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themes and costumes, children's friendly

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type,

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themes. In fact, this year we actually did

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fairy tales and it it really allows our

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teams to be creative and innovative in how

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they're approaching

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teamwork and,

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creativity when they're bringing it to the stage.

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So it's a lot of fun. So we

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thought, you know, there's so many things that

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we could do with this as an organization.

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And originally we wanted to use this to

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socialize our program.

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So many of us know that simulation is

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a valuable tool and it has a very

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direct impact on

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improving our patient outcomes. In fact, it translates

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directly

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what we see at the clinical level,

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but how can we make sure that on

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an organizational

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level,

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our executives,

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our,

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our team members that may not have

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access,

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maybe we're spread out because we're at a,

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a very small center within Children's Colorado. Maybe

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they just don't know all of the different

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things that simulation can offer them to help

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improve patient care.

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So that was the original intent to, to

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bring people together

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to highlight some of the great work that

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our team members are already doing and preparing

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all throughout the year to do a good

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job with patient care. How can we do

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that even better? And so we brought people

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together. We made it an event

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and we wanted it to be fun. We

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wanted to

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encourage innovation

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and creativity,

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and we wanted to to celebrate and have

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an opportunity for people to,

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just to relax,

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laugh, be

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together for once. It's just been a very

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difficult post pandemic for all of our team

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members in healthcare. And we thought this could

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be a great celebration of what we're we're

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doing so well. And it turned into so

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much more than that.

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We are using it now to

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increase our program recognition,

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the recognition

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of our program in the hospital.

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We're even seeing that our team members are,

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getting even more engaged early on all throughout

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the year because they're looking forward to this

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event.

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And, we're seeing just a really high level

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increase in our organizational support. And it's been

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very surprising. We

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are using this to

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really look at all of these different tangible

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and intangible benefits

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that an event like this

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could have for a simulation program and also

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for the organization.

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Amazing.

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Now if I understand correctly, you just completed

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this year's SIM wars. Correct?

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That is right. This was our 3rd event

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that we've we've hosted and it just went

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smashingly. We had an auditorium

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full of

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team members, members from our wonderful foundation and

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our donors. We had members from the quality

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board. We even had the president of our

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hospital

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serve as one of our actors and our

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CMO

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and CNO. It's just

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it's been,

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very, very rewarding to see everybody come together.

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And there's goosebumps had by all. I promise

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you.

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And I understand that, there's teams in these

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Sims events, and there's some kind of a

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prize they can win. So can you talk

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a little bit more about

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what like, how that functioned

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and what that prize was?

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I sure can. So

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this event that we that we host is

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approximately an hour and a half long. So

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we had to really think hard about

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the number of teams that could compete.

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And we weren't quite sure how that was

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going to happen when we first pulled off

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this event when we did it for the

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first time in 2019.

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But it's worked out really well. And initially

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it was our critical care teams from

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our pediatric intensive care, our cardiac intensive care.

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We had members from our emergency department and

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our pediatric emergency department.

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And,

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our flight team was also highlighted

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originally.

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And this year it's grown even more to

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include people that haven't done simulation on an

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organized level

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that we knew about until now. And that

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was our neonatal intensive cares. And so we

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had

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our neonatal intensive care from our Ann Chutes

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Medical Campus

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and we had representatives from our neonatal intensive

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care at our Colorado Springs Campus. And this

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was really huge for us because

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we really wanted to use this,

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as I said before, to socialize the program

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but also to improve and increase the access

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all throughout the organization. So Colorado Springs is

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part of our organization but it's 45 minutes

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away from the Denver metro area. And it's

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always been a challenge

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in anything you do to make sure

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different areas are included. So this was monumental

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for us. So this year in 20,

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24, our organization

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had or our sim wars had representatives from

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the CICU as I said before,

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the PICU who was our returning champions this

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year

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and 2 of our neonatal intensive care units.

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And so that was really great and it

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worked out great because

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our guest moderator

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was, a neonatologist

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herself from immersive designs from Boston Children's Hospital,

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Doctor. Jennifer Arnold, and she was our guest

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moderator who just helped keep the party going.

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And as a simulationist herself,

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she understood how important it was that simulation

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was really highlighted as an impactful tool for

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clinical education and for patient outcomes improvement.

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Amazing. Let's dive a little bit more into

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that. What are some of the patient and

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staff outcomes from this event?

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This,

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this is a great question and it's something

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that I I love to highlight for people

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who may not understand

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that it's more than just

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an event where people are having fun. So

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I mentioned before the intangible and the tangible.

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Right off the bat, the, team member engagement

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was one of the biggest,

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things that we could measure. We went from

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maybe 75

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people filling our auditorium

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to over 250

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people attending this event in person and also

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virtually. So a virtual

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option for folks who are all throughout the

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region in our organization

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was pretty key to make this successful.

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And,

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having the increased engagement

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showed itself in different

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ways following the event. So we had, people

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communicating to me following the event, wanting to

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get involved, folks who are part of multidisciplinary

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team

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that really want to use simulation to improve

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what they're doing as a team and to

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help their patient outcomes.

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For example, I was contacted for

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more simulation,

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experience

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for our south campus,

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our north campus,

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our perioperative

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environment, this is huge because,

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this is groups that,

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really

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love simulation and they value simulation, but they

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just really didn't know how to go about

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doing it in an organized way. So that

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was great.

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The very first year that we did this

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when we had someone in the audience from

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our foundation,

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just by chance someone was there. And it

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resulted after a few more meetings in a

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$550,000

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grant from the from a donor through our

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foundation, through the Society 2221 Society.

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And, that went so far into helping expand

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our program

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and it has really helped us,

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pave the way for

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looking into

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expanding our physical center where we're looking now

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into,

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having a new learning center built and designed,

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which is helping our whole program

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itself in expanding. So,

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as our program expands, we know that we

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need a more

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physical capacity to expand with that, and that

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just led right into

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the pathway that we're looking at. So that

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was really exciting.

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The engagement from our C suite. So that's

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kind of a big thing too because one

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of the things that socializing

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our program has led to is an increased

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partnership in patient safety initiatives

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where we're doing more operational readiness simulations

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and, in situ simulations where we're doing simulations

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in the clinical environment.

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And,

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just having people know that the simulation program

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exists

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leads directly to some of those projects where

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if there's

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new, program expansions

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throughout the organization

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or

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if there's new

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process and policies that are being implemented,

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people now know about us not just because

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of simulation

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and sym wars, but because somebody might have

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known someone that attended sym wars and they

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knew about our program because we do highlight

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some of those,

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initiatives that we're doing during sym wars. So

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it's sort of like a PR event for

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us really. And that's what we use this,

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use this for in the end is really

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highlighting those patient safety initiatives that can be

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impacted

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by simulation.

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Cool. Now

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it sounds like a super fun event. You've

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talked about some of the great outcomes that

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come from it. So if there are systems

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out there that would like to try something

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like this in their own facilities, what advice

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do you have about getting started?

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Well, I would definitely say don't reinvent the

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wheel. So a version of SIM wars

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is being conducted

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in different areas all throughout the nation. But

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if you want to do something like Children's

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Colorado did with SIM wars and take it

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to a whole new level,

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then feel free to reach out to me.

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There's so there's so many things that I

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and our team could offer so that you

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don't have to do this

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on your own. And it really is a

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stepwise process.

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The first thing would say that helped us

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be successful is bringing

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a team of partners that already do things

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simulation wise with you, but making sure that

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those partners,

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are willing to be engaged and think outside

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the box, be creative, be innovative,

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and really push the limits of what could

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be done

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when it comes to simulation

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and a production.

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And, we put those people together in a

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steering committee. So we had about

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15 or 20 people as part of the

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steering committee that started planning well

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into

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maybe

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6 months to 9 months

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prior to the event. And so

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part of that steering committee are people that

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are gonna talk this up and be creative

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and help design scenarios that work with the

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teams on stage

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with the mannequins that we have and how

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the theme

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works with costumes

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and incorporate music and all different types of

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things that we could do. But making sure

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that you have a large team

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that really wants to do that. So having

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a steering committee is really,

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my first

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piece of advice. There is a published book

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that Doctor. Acuda

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has out there on sim wars. So if

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you're interested in looking at the

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the the structure of sim wars when it

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comes to how do you have a grading

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rubric or

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how do you utilize

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judges

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and,

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balance that with an,

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master of ceremonies,

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a moderator

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and judges, and engage the audience at the

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same time. There's an art to that, and

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you can get a lot of that information

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from a lot of different things that are

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published.

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But feel free to reach out to me

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and, you could even see some of the

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ways that we did that on the videos

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that we've put on LinkedIn and on our

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Facebook page through Children's Colorado.

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Amazing. Well, thank you so much for joining

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me on the podcast today, Whitney. This is

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such a fun initiative, and I hope to

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see more from Sim Wars in the coming

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years.

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If you are looking to catch more,

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interesting initiatives, then consider coming to our clinical

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leadership forum at the Becker CEO and CFO

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roundtable, November 11th through 14th in Chicago. We

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have limited space available for attendees and sponsors,

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so contact us at agenda team atbeckershealthcare.com

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to learn more.