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导航ROI讨论的7个步骤

Making the Case for Medical Simulation

你不必成为一个CFO来说ROI

想象一下,自己坐在你的机构外部的执行委员会之外。您正在等待被呼吁进行投资的案例。你相信模拟的好处。而且,你对它可以做的事情充满热情。但在某些时候,你知道你会被问到,“投资回报率是什么?”

为了使您在讨论中索赔,专家建议您找到共同点。这涉及在理解对高级管理层对高级管理层重要的事情之间进行平衡,清楚地清楚你打算提供什么,以及剩下对解决手掌问题的指标的努力。

要查找共同的地面并导航ROI讨论,请按照以下简单步骤操作。

1.拥有你的数学部分,而不是所有的

You don’t have to be a CFO to engage in the ROI discussion. What’s important is that you appreciate how a CFO thinks. A CFO’s job is to maximize investment outcomes for the benefit of the organization. The hallmark for how they approach this is the formula for ROI.

专家建议,避免将您的首席财务官和高级管理人员视为守门人。是的,他们抓住了你想要的东西:金钱。但是,您持有他们想要的东西的关键:组织绩效上涨。现在比以往任何时候都更多,高级管理层正在寻求解决方案以实现更好的表现。如果您正确定义了您的收益,您将增加您的投资回报员讨论一个协作的机会。

对模拟的投资回报并不一定是关于带来金钱......它所做的是省钱。

尼尔和Elise华莱士斯蒂拉图斯医学主任Charles Pozner博士,Brigham和女式医院医学仿真中心

2.真实地了解你的问题

As you focus on gains, help your CFO and senior management understand the problem as you see it. What pain point are you trying to solve with simulation? Why do you need to solve that pain point now? What happens if you don’t? Why should anybody care? Communicate the problem that your organization faces in real-world terms.

回答上述问题将允许您创建一个有说服力的问题声明,即您可以用来激发项目的兴趣。以下是一位主治负责劳工和交付部门的产科医生的模拟示例:

我们的员工并没有充分回应作为肩部紧急情况的团队。我们现在需要解决这个问题,因为我们在过去一个月已经经历过三种情况。在每种情况下,婴儿受到严重损害。如果我们忽略这个问题,我们将使这个问题系统化,让我们的患者处于可预测的风险。我们的组织需要解决这个问题优先考虑,因为我们不能承担责任,对我们的声誉的影响或患者伤害的潜力。

优化这一陈述以反映自己的临床领域和情况,但不要失去你在真实世界中所经历的本质,其他人可能很少看到。

39percent_stat.jpg.

3.呈现简单且专注的仿真解决方案

仿真设计越复杂,可以依赖一切连接到您所识别的增益越困难。大多数专家都建议您应将您的项目保持简单 - 特别是如果您是新的模拟。首先考虑您的指标,并确保您的仿真设计适合如何定义成功。

如果您让它,以下列表可能会变得非常复杂:

  • Simulation equipment
  • 教练培训
  • 支持服务(如有必要)
  • 辅助设备支持模拟,如医疗用品和耗材
  • 时间工作人员需要致力于培训,而不是在他们的常规工作中

“模拟的理由是目标and the metrics you’re using to measure your day-to-day success,” explains Dr. Amar P. Patel, Director of the Center for Innovative Learning at WakeMed Health & Hospitals. At the end of the day, we’re here to help learners be more competent and confident in their skills. And we’re here to keep our patients safe.”

模拟不必复杂以实现这一目标。将您的设计与您的指标相匹配。

4.现在获得具体收益

你理解并可以解释这个问题。您已创建了解决方案。现在,您可以回答您的组织能够获得的内容。它会降低风险吗?改善患者满意度?任务成就?更好的护士保留?更好的员工订婚?

美国医师领导®和HFMA协会的联合报告表明,根据帮助建立高可靠性组织的一般主题,许多收益均下降。3.Drawing on their recommendations, consider outlining your gains in terms of patient safety, quality, patient satisfaction, and financial margin. If your solution leads to positive gains in any of these categories, you’ve now touched on areas where senior management is likely to focus. The good news for you is that you may be the first ever to introduce them to simulation as a solution.

5. Create advocates in the boardroom before you even get there

继续保持您的首席财务官,并拓宽您的支持基地。联系决策者并要求他们的帮助。邀请他们看到并体验您寻求解决的问题。安排他们参加模拟并向他们展示模拟如何以其他解决方案可以的方式解决问题。

根据HFMA的Joe Filed,“作为医院CFO,我每天都看到了伟大的想法。真正得到了我的注意力和承诺的人由让我积极参与的人赞助,所以我可以先体验这个问题,有时甚至在病人的床边。“

让关键利益相关者来,然后将他们的手放在一个人体模型上,并在他们做胸部按压(或)递送婴儿时的肾上腺素匆忙。

Dr. Komal Bajaj, Assistant Professor, NYC Health & Hospitals Simulation Center

通过让您的高级管理层涉及的成员,您将介绍已经感受到一些问题的所有权,并且更有可能将您的努力视为解决问题的会议而不是出价提供资金。

6.展示短期收益

时间就是金钱。到高层管理,较长的人必须等待ROI,涉及的风险越多。

Experts in simulation turn to the Kirkpatrick model4 to demonstrate gains as learners go deeper into simulation. This model is based on a four-step progression that allows you to show how simulation training is worth the investment:

  • 1级:反应- 学生在多大程度上拥抱学习活动?这对成人教育中的一个问题发言:参与。让参与者订婚增添了巨大的价值。
  • 2级:学习– To what degree did students acquire the intended knowledge, skills, and attitudes based on participation? This is an opportunity to compare simulation to passive learning. You’ll see the immediate benefits of engagement while not involving true patients.
  • Level 3: Behavior– To what degree do participants apply what they learned on the job? You can show decision-makers how simulation accelerates this process.
  • Level 4: Results– To what degree do the targeted outcomes occur as a result of the learning and subsequent reinforcement? Imagine the power in telling your senior management, “Using simulation we will measure this, we will report on this, and we will correct things if there is a problem.”
90percent_stat.jpg.

大多数高级管理层面临的最大挑战之一是员工参与。准备展示它们如何仿真迎接挑战(参见3种方式模拟可以帮助加速您的学习努力].

KirkPatrick模型的整个基础是员工的接触方式如何等同于ROI - 表明,实际情况无意义,如何模拟如何提供立即价值。

7.站在门里。去!这是你在哪里把它放在一起,并为投资的强大案例

这是您将它放在一起的地方,并对投资模拟进行强大的案例。

  • 引领痛点。解释为什么它现在需要解决,如果你没有,未来看起来像什么
  • Explain why simulation is the best solution
  • 提出费用,但根据具体,可测量和重要的收益,为未来创造更好的愿景
  • 通过更好的参与来展示如何,您可以以其他解决方案不能提供短期增量增益

通过在此过程中提前参与您的CFO和其他关键利益相关者,您将对他们可以理解和欣赏的术语绘制讨论。

Summary

您的高级管理层的最终目标是实施解决方案,以推进您所在机构的功能 - 同时给予他们最伟大的投资回报率。你知道模拟训练的优势。现在,您有背景有效地呈现您的案例。

References

1. Cohen, E., Feinglass, J., Barsuk, J., Barnard, C., O’Donnell, A., McGaghie, W., Wayne, D. Cost Savings From Reduced Catheter-Related Bloodstream Infection After Simulation-Based Education for Residents in a Medical Intensive Care Unit, Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: April 2010 - Volume 5 - Issue 2 - pp 98-102
2. Reducing preventable birth injuries and liability claims through evidence-based care, enhanced teamwork, Premier Perinatal Safety Initiative, Results Summary 2008-2013, Released May 2014
3.. Angood, P., Fifer, J. Designing the New Healthcare System: The Need for CMO and CFO Collaboration, A Joint Report from the American Association for Physician Leadership® and Healthcare Financial Management Association, May 2015
4. Kirkpatrick,J.和Kirkpatrick,W.,新工作kirkpatrick模型介绍。(2015)唯一的Kirkpatrick,www.kirkpatrickpartners.com.
5. Gardner, R., Walzer, T., Simon, R., Raemer, D. Obstetric Simulation as a Risk Control Strategy: Course Design and Evaluation. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: Summer 2008 - Volume 3 - Issue 2 - pp 119-127

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