Banner Health

We exist to make a difference in people's

lives through excellent patient care.

Marshall (Mark) Smith, MD, PhD

Carol Cheney, MS

• One of largest, nonprofit healthcare systems in US

• Over 30,000 employees and 3060 licensed beds

• One hospitalized patient in 200 in US at Banner

in the US is in a Banner facility

Banner Health

Banner Simulation

System

Improving patient care through

simulation, learning and education

“The current care system cannot do

the job. Trying harder will not work.

Changing systems of care will.”

– Crossing the Quality Chasm, IOM, 2001

Simulation Training

— Ability to practice, and make

mistakes, in a consequence free

environment

— Ability to objectively measure

psychomotor and cognitive skills

Banner Simulation Medical Center

Improving patient care through

simulation, learning and research…

Doctor and PatientPracticing on Patients, Real and Otherwise

By PAULINE W. CHEN, M.D.Published: January 28, 2010

Banner Health, a nonprofit system that just opened a 55,000-square-foot simulation

training center in Arizona, the largest of its kind in the United States.

Skill Simulator Training in Aviation

C VC Placement

EVERY entering new resident since 2006 has passed the CVC course before seeing a patient

• 92% decrease in pneumothorax

• 83% decrease in infections

ACLS Training

Revision of Traditional ACLS Training Course

• Weighted Checklists

• Train to errors

• High fidelity simulation

increases learning by 300%

Evaluation Systems

Evaluation Systems

Warm Up in Surgery

Nintendo Wii

• Gaming extensions to Wii can be modified for surgical instruments.

Wii Mote

Full System in Action

Wii and Rehabilitation

Nursing Onboarding

• Highest rate of attrition is in 1st yr

• New nurses are overwhelmed

when placed into patient care

Standardized simulation curricula with:

• Validated adult learning techniques

• Objective measurements of competencies!

Our Mission

Goals

• Standardize training across Banner

• Competency based rather than time

• Decrease onboarding time required

• Increase retention of new nurses

• Reduce errors in patient care

On-BoardingPathway

NEO

ClinicalNew

Employee Orientation

Clinical Academies

Professional Development

Unit Preceptorship

1 day at facility

3-4 days at facility

Up to 3 months if new to service

(Peri-Op 6 months)

Started at month 3 after hire

10 (4) hour sessions Completed at 1 year

2 days to 11 total weeks DOE

Simulation New

Employee Orientation (Skills and Scenarios

→5 days over 2 weeks if new grad→4 days if new to

service→1.5 days if experienced

Ongoing continuing education, CE direct, BLC, Learning and Development, etc…

Teamwork

Research and Learning Initiatives

• Communication

• Leadership

• Mutual Support

• Situation Monitoring

Qualities of Teamwork

Clinical Excellence

• Clinical education and simulation technologies • Cognitive learning and critical decision making• Team training and communication skills• Maintenance of provider clinical proficiencies • Errors reduction in delivery of patient care• Peer review (OPPE) and evaluation of

competencies• Evaluation of new delivery models for clinical care

Banner Simulation Medical Center

Thank you for visiting us…