Tag Archives: ARCHES
Written on December 15, 2016 at 9:10 am, by John Vozenilek, MD, FACEP
Simulation in health care has powerful potential. For years, it’s been utilized to educate and train those seeking a career in medicine. It’s also been leveraged as a way to provide insights into latent health system flaws such as communication issues among clinicians or whether a medical facility has all the essential tools it needs to provide the best care possible.
OSF HealthCare, through Jump Simulation and the University of Illinois, is expanding its use of simulation even further by leveraging it to design novel solutions in health care. The idea is to simulate problems discovered throughout the health care system so that engineers and clinicians can observe and brainstorm ways to fix these issues.
Using simulation as a design tool is still fairly new to health care systems around the U.S. But Jump Simulation and U of I have been collaborating on this type of work since the opening of Jump Trading Simulation & Education Center, so much so that there are now dedicated labs for these collaborative efforts in the newly minted space within Jump called OSF Innovation.
Four Labs, One Purpose
All four labs are located on the fourth floor of the Jump facility. Two will be dedicated to the ongoing work Jump Sim has established with the University of Illinois’ Colleges of Medicine and Engineering through Jump Applied Research for Community Health through Engineering and Simulation (ARCHES). The other two rooms are committed to projects in Advanced Imaging and Modeling.
All four assignments pair clinicians and engineers to develop medical education technology that will advance the clinical agenda at OSF. This is part of a larger effort by the University of Illinois re-thinking how it innovates around curriculum.
Two of the projects utilizing innovation lab space were recently awarded a continuation of Jump ARCHES funding. One team of individuals from OSF HealthCare, U of I, Illinois Neurological Institute, and Bradley University is creating a device to teach young health care professionals to practice feeling and identifying abnormal muscle behaviors in patients with brain lesions. The goal is to expand training to more than just neurologists so that OSF can increase the number of patients served.
The second development is focused on producing an avatar-based system to communicate with patients at the time of discharge so they fully understand their medical instructions before going home. The system could also be used to train medical students to communicate with patients in a simulated environment. The
ultimate goal of the project led by clinicians and engineers from U of I and OSF is to reduce readmission rates at area hospitals.
The two labs devoted to work in Advanced Imaging and Modeling are leveraging virtual and augmented reality technologies like the Oculus Rift and HTC Vive to revolutionize how clinicians and radiologists view anatomy and advance how human anatomy is taught to medical students.
Nurture, Validate and Disseminate
The intention of committing space for collaborative work among clinicians and engineers is to support teams with great ideas and provide technical and clinical expertise to advance their projects. Each of the teams selected to use the lab space within Jump will get to do so for up to a year. From there, these ventures can be validated within the simulation space at Jump and throughout the OSF Healthcare System.
Completed projects could eventually find a home within the University of Illinois’ curriculum and disseminated to its various medical campuses. It’s this ongoing collaboration between OSF and U of I that makes Jump Simulation a one-of-a-kind facility.
Written on September 10, 2015 at 7:26 am, by John Vozenilek, MD, FACEP
We’ve known from day one that closing gaps in health care requires diverse sets of employees working together to come up with innovative ideas. One pioneering way we’re doing this is through the Jump ARCHES program where we pair clinicians with engineers to solve ongoing health care problems.
That project is already leading to the development of technologies and devices that can transform health care delivery in the future and improve outcomes. We want to expand on that work to tackle one of the top ten leading causes of disease-related death.
Jump is part of an effort to convene a think-tank, called Resilience Engineering in Sepsis Care, charged with mapping out a futuristic plan to treat those with sepsis. Sepsis is the body’s overwhelming response to infection that can quickly become life-threatening. It’s challenging to predict, diagnose and treat.
According to the National Institute of General Medical Sciences, sepsis impacts more than one million Americans a year and has a fatality rate of up to 50 percent. That’s far more than the number of U.S. deaths from prostate cancer, breast cancer, and AIDS combined.
Bringing Great Minds Together to Solve Problems
The collaborative’s first meeting will take place September 28th during Sepsis Awareness Month, and be made up of the brightest people from OSF HealthCare, Carle Foundation Hospital, University of Illinois College of Medicine at Peoria, and University of Illinois College of Engineering at Urbana-Champaign.
Medical simulation experts, doctors, and engineers will put their heads together to consider the future of sepsis care. It’s important to note that clinical centers across the country, including OSF, are working to provide current-day solutions for treating this overwhelming reaction to infection.
The sepsis collaborative will focus on solutions five to ten years down the road – what kind of technologies, devices and data could be available, what new processes would be useful, and what could we begin to develop today to have better outcomes for patients in the future.
Focus of the Sepsis Collaborative
There are four pillars that will be used as a guideline to develop this plan for sepsis treatment. The first is using concepts in genetics and precision medicine to come up with devices that can better detect the disease.
The second pillar will delve into data analytics and computer science. Here we’re going to leverage the power of the National Center for Supercomputing Applications at U of I to determine how to best use data analytics and multi-dimensional modeling for problem-solving.
We’ll also discuss using sensors and instrumentation to detect sepsis remotely. This could mean using a sensor on a patient who is perhaps 150 miles away to detect a change in condition and then provide input to medical professionals who could save that person’s life.
The fourth pillar is where Jump lives every day—and that’s coming up with best practices in education, and using human factors and industrial engineering to understand futuristic employee workflow around such technologies.
Conference on Sepsis
The sepsis think-tank meeting this month will serve as a steering committee for a larger, invitational conference in the spring. We’ll be bringing in speakers who are experts in the field and convening a broader audience to discuss new solutions for sepsis. The products of that conference will guide our pursuit of future funding for treatment.
If we can create a concept map of what transformational research can be done and funded today in anticipation of these technologies five to ten years from now, we’re looking at a future clinical state where we can improve outcomes considerably.
Written on April 21, 2015 at 8:15 am, by Denise Molina-Weiger
In January, Jump announced two projects that would receive ARCHES funding. ARCHES brings together engineers and clinicians to create new tools and technologies to be used in clinical simulation, education, and health care. The overall goal is to solve problems in health care delivery.
One of the projects that received funding aims to develop 3D avatars that can deliver medical information to patients. We chatted with Dr. Ann Willemsen-Dunlap, a Co-Investigator, for the project. Willemsen-Dunlap is also the Director of Interprofessional Education at Jump.
Dr. Thomas Huang is the Principal Investigator for the avatar project. Dr. Huang is a research professor in electrical and computer engineering at the University of Illinois College of Engineering.
Can you give us a brief overview and history of the 3D Avatar project?
Willemsen-Dunlap: A couple of graduate students at UIUC working in Dr. Thomas Huang’s lab thought perhaps there would be application for 3D avatars in relaying clinical information to patients, maybe in explaining the meaning of general lab results, or in being an additional point of reference for discharge instructions after patients leave the hospital. Patients are typically tired and a little overwhelmed when they leave the hospital, so I think that there’s probably a role for avatars in that situation.
I think there’s also a role for 3D avatars in some complex patient teaching environments, and the one that the graduate students are going to be working in is the Juvenile Diabetic Management Clinic. When a patient is first diagnosed with juvenile diabetes, they are very sick and typically fairly young. It’s the parents who are operating on information overload, so we will be working on an avatar that will deliver some basic teaching modules to parents.
What are some of the challenges associated with this project?
The students are working on refining the realism of 3D avatars. What they’re typically doing is using a web cam, so that a physician could take a quick picture of themselves and become the avatar for their patient. Part of the problem though, is that there is very poor linkage between some of the things that happen with the lips, tongue and other mechanisms for speech articulation. So, they’re trying to refine the way the mouth moves and the way everything looks when the avatar is talking. They are also working on speech delivery.
The other thing the students are investigating is using cartoon-like characters that are more appropriate for young school-aged children to deliver some self-management information to that group. We’ll also be working with the clinicians in that environment to see what they think of it.
What are the long-term goals of this project?
Willemsen-Dunlap: We certainly haven’t opted to try and get this into the realm of discharge teaching yet. I think a step toward that longer-term goal would be to create 3D avatars that are driven by a modest neural network, capable of delivering discharge instructions, and able to answer some basic questions that the patient or a caregiver may direct to them about post-discharge care.
I can imagine a future state where a patient who is going home after a total hip receives a secured tablet where they can access their discharge instructions delivered via avatar. The nurse comes back later and verifies the patient’s understanding, and ensures that the patient has access to a mobile app that provides access to the same avatar-delivered information.
What would you say is the importance of clinicians working with engineers on projects like this?
Willemsen-Dunlap: Pairing health care clinicians with engineers allows us to systemically address problems. An example would be a patient going home who is at risk for another flare-up of chronic lung disease after an initial admission for that problem.
Chronic lung disease is one of the leading causes of readmission to the hospital in this country. That costs money in this pay-for-performance environment. If there is better teaching, and the patients can have access to important discharge instructions after they go home– in a way that is acceptable to them, it would be beneficial to both patients and to the health care system.