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Welcome to the On Record Podcast.
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This is a podcast where we talk with professionals and subject matter experts from diverse markets that are using video and audio in innovative ways to support their organization's objectives.
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My name is Mike Anzalone, and my co-host is Carmen Hawk.
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And today our guest is Lance Bailey.
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Lance is the founder and CEO of Healthysimulation.com.
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Thanks for joining us today, Lance.
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Thanks so much for having me.
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Really excited to be uh diving deeper here on AV.
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Before we get started, um, why don't you tell us a little bit about yourself, your origin story, how you got started, and how you ended up uh creating healthy simulation.
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Sure, thanks for that.
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Yeah.
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So um actually uh grew up in Los Angeles and so got uh bitten by the film bug very early on and started making little movies in backyards with friends with uh VHS camcorders and more.
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And so um prior to that, actually, my my father was uh working at NASA and Houston as the one of the first doctors to take occupational medicine of astronauts.
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And so I actually learned to fly on a computer game before I ever learned how to drive.
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So I had just a background of of healthcare there from my dad and actually was going to uh whenever I was homesick from school, my mom was going through nursing when she was when I was a kid.
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And so had it kind of a grew up with uh both a doctor and a nurse as parents, but with a background kind of in aviation and simulation and computer games-based training.
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So kind of had, you know, really a lot of uh experience with those kind of just just in the household uh overall.
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And then when I grew up mostly in Los Angeles, got, like I said, bit by the film book.
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So uh spent a lot of time studying audio, video, and media production in high school, um, had some films actually entered into the LA Film Festival and uh went to UC Santa Cruz to pursue a degree in film and digital media technology, um, which at that point, you know, by then we were still mostly using computers and digital-based uh recording platforms.
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And so we kind of mostly moved away from film uh at that point in education, at least in school, and was working more with digital-based technologies.
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Worked in Hollywood for a couple of years, uh, small productions, um, everything uh from uh uh you know chasing Farah Fawcett's reality TV shows to interviews, MTV, small commercials and production.
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Then and then um went and worked for Tom Hanks' production company, Playtone, and focused more on big big budget films, which was really a lot of fun.
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But at the end of the day, I didn't really feel like I was helping people uh with my film and digital media kind of experience.
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And so I went back to school, kind of did a bit of a uh 90-degree turn and uh went myself into healthcare with EMS and firefighting.
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Although I was much more a fan of uh putting the wet stuff on the red stuff and firefighting um than um particularly medical calls, but uh had a lot of enjoyment and experience.
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And while I was going through that, my mom was the director of nursing at El Camino College where I was doing my fire academy.
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And so she um said, Hey, I want you to come check out this new thing that we just got.
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And this was 2008, I want to say.
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And what it was was a one of the Sim Man Classic uh mannequins with the ones of the old uh uh pumps for the the uh the you know making the uh pulses work and everything.
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So it's very noisy, but uh very cool.
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And it had a bunch of camera systems around it.
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So all of a sudden, like it was like a tidal wave of like, whoa, there was like a little aura around this thing.
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And uh I was just really amazed because it was filming, you know, it was digital media technologies with cameras, it was server systems, it was EMS, you know, healthcare, it was uh experiential learning, um, it was unique technologies.
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And so within a couple of minutes, I had the thing working with programming it.
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And so I quickly became a simulation technology specialist um and uh found uh multiple roles in the LA Community College District for that.
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And then uh found eventually the role as director of the clinical simulation center for the Nevada System of Higher Education.
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And I started that in about 2009, and that was a shared multidisciplinary, multi-institutional facility shared amongst the UNLV and Nevada State College, their schools of nursing, and as well the University of Nevada out of uh school of medicine.
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And so they were all kind of sharing this new space.
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And I was the director of this new program.
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And so there then I had gone from, you know, being a technical supervisor to an administrator, and now had to not only kind of understand the challenge of training and educating simulation technology specialists or simulation team members, but bringing them all together and getting them to uh work well and effectively in the program where we were, you know, basically deploying simulation for interprofessional education opportunities and business revenue generation and more.
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So during that time, I noticed that there was around 2009 that there was just kind of a gap with regards to online resources or community-specific support within the space.
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And so I founded two things, one of which was healthysimulation.com, um, which is a for-profit, you know, basically kind of in a sense, trade publication, how to resource guide, and has become a leading data platform for the industry.
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And then at the same time, I also founded SimGhost or the Gathering of Healthcare Simulation Technology Specialists, which is a 501 nonprofit organization that's since put on about 25 events around the world in healthcare simulation technology operations, both supporting clinical educators and and technical specialists.
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And I'm no longer on the board, but I serve as an advisor to them and continue to obviously support the organization there.
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And so um, you know, I left the role of director in 2012 and been focusing on those projects for a while.
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And then in 2018, basically left the board as we had really established a really awesome team there, and I felt really confident that I could step back and enable that organization to continue to grow and succeed without my my presence.
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And then I've been focusing on healthy simulation.com or ever since.
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So yeah, it's been kind of a whirlwind, but uh it makes sense when I look back, you know, about the simulation-based training, the aviation kind of training, the audiovisual, the healthcare, experiential learning, the digital technology integration, and and then the media background to help to create uh tools and resources for community to come together and and and share and learn from one another.
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Wow.
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That was a short list, you know, Lance.
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I don't know.
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Do you check all those boxes?
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It's like incredible.
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In two years' time, how much progress and how much um very happenstantial, you know, exciting things happened in that small amount of time.
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Sorry, that's very impressive.
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I didn't know all of those aspects.
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And your dad did that research with the astronauts, that's fascinating.
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And you couldn't be an astronaut, yeah.
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Yeah, so he was trying to also become an astronaut, but at the same time, he was just doing occupational medicine.
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So basically, how do you care for astronauts?
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You know, as most occupational medicine um specialists focus on different types of um professions, and so this was the first cohort that was uh training in that capacity.
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So um I I'm also a scuba diver, and I've gone all the way up through rescue diving because it was very similar to uh putting on the uh SCBAs for um firefighting, except that underwater there's not a Vietnam War vet that yelling in your ear that you're moving too slowly.
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Well that's it's a very peaceful version of the same type of uh kind of uh gear and experience.
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Um, and so you know, I have a dream one day that I might be able to participate in the NASA training facility where they do the underwater scuba training for with astronauts and volunteer some time there.
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So um it's kind of in the back of my mind is something that I'd love to do one day.
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That's awesome.
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So last thing I want to say, Mike, is that um for Lance to reflect though and connect all of those dots back to the foundation of where that passion came from and have it tie right through back to where he is today?
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That's a lot of reflection involved in that.
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So that's very cool.
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I don't know if you remember, Lance.
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I I I believe it was one of the first or second Sim Ghost conferences you had at UNLV.
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And it was in a hallway.
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And I know, remember the exhibited her in the hallway on tables and everything?
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And so I've I've kind of seen that organization grow, and now it's grown into a worldwide organization really focusing in on training simulation uh technologists on on how to master their craft.
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And uh through that experience, I'm kind of curious like what AV and and video infrastructure challenges do simulation technologists most commonly struggle with and and how are they solving them?
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Yeah, certainly.
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So I think um, you know, it's it's a multifaceted uh kind of uh challenge because it's not just so much about the technology, but it's also about the necessity to educate uh about the technology and uh at every um kind of uh instance of the interaction because you know a lot of clinical educators will just see that audio video systems are happening at other institutions and they say, oh, well, we want to do that too.
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Or, you know, they'll they'll be excited about the prospect of bringing that technology in, but don't have the uh technical background or understanding to realize that that is a quite can be quite a big lift, and um, that there's a lot to be considered with regards to the technology deployment, right?
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So I think as much as it is about you know which type of camera analog or digital and you know, PTZ versus uh um cloud-based versus you know server rack and what do we mean with regards to storage and and throughput and frames per second and you know all the different various technical components necessary with AV that the specialists have to kind of better and really stay up to date with and continue to evolve with, but also about how do you educate about these technologies.
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And so, you know, whenever I was hiring a simulation technology specialist um for any of our programs, I would not only ask them technical questions and if they were, you know, beyond even my technical understanding to have an expert there who could make sure that the answers were accurate from the IT department, but also um, you know, now explain that to me as if I was your clinical faculty partner next to you and who had no idea what you were talking about.
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So that I could better understand, you know, how will this technical specialist not only know the technology, but train others on it and have a passion for that, right?
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Because I think so much of this role is not just to be, you know, sequestered away in an IT room all by yourself, but working with healthcare professionals that do not have the same level of technical uh knowledge or acumen and helping to convey and relate about potential technologies and the needs of those technologies to be deployable and maintainable at scale, right?
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So I think in that sense, it's a unique requirement for our space because we're more embedded, the technology is more embedded within the program as opposed to just being a separate department that lives in a different building somewhere on campus, right?
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We we need to be able to have those integrations with those team members, but also with administrators and also with clinical educators all at the same time.
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So it takes a, I think, a wider um skill set for technology specialists and in healthcare simulation to be successful within the field.
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It's key to have collaboration between those departments.
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And it is important to set realistic expectations and see where trends are going.
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And I think that ties into trends have changed since you entered into this space and since you started um making recommendations and advising teams on AV solutions.
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What are the trends you're seeing today?
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And where do you think the next five or 10 years will take us?
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Like what does that projection look like to you?
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Yeah, so certainly, you know, I think we have um always and often with any type of technology a reduction in size and an increase in quality.
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So, you know, a funny story that I like to relay is that from for the Clinical Simulation Center of Las Vegas, they had budgeted a certain amount of dollars for on televisions.
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And by the time that the purchasing order and the building was ready and they actually, you know, got around to making that order, they could get TV screens that were, you know, 15 inches bigger because just the cost of reduction in terms of screen size and quality was comparable, but it took two years later, and so there was just better stuff out there.
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So um I think you know, the continued trend that we see, you know, macro level in any kind of technology is this continued reduction of physical presence and expansion of digital capability.
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Um, certain XR technologies have become a much larger and virtual patients uh, you know, as a as a component of that, much larger industry segment.
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Prior to COVID, we were seeing that the two number uh the the two leading sales lead requests were mannequins and audio video systems.
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And during COVID and ever since then, we have seen that digital-based learning technologies like virtual patients has been uh uh tied with them or even exceeded them at times with regards to um requests to use our our fine vendor forms on healthysimulation.com.
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So I think, you know, um that in and of itself represents kind of a need to better understand, okay, how do we take those kind of technologies and bring them into the learning ecosystem with regards to capturing what's happening in the system as opposed to maybe a physical event?
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We can have you know um more information that needs to be imported into the system and how to relay that.
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And how do we do more cloud-based content that allows for decentralization of the hardware necessary to perform simulation at scale?
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So a lot of um programs have kind of now further deployments that are cloud-based and so less kind of infrastructure necessary in specific locations outside of the capture materials themselves, but then that's being directly kind of connected to a digital-based server.
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And so I think, you know, there's an evolution of the technology, and that will continue, right?
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I think we will now see um what AI is going to be bringing into spaces, and so you know, I definitely think that's gonna have huge implications with regards to a lot of these technologies and how they're managed and maintained and the types of reports that we can receive, um, not only in terms of the operational utilization, but the the operational challenges or or or or issues that might be occurring and how can we kind of look at those at scale.
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So um I think those are the primary things that the technology specialist has has had to focus on.
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And then just a wider kind of audience overall in terms of um clinical educators and and institutions understanding about the benefits of audiovisual.
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Lastly, on that point, you know, I think it's kind of really important for us to be comparing the healthcare industry and space to the aviation industry.
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And um, they have three things that are mandated and regulated that we do not have um in the aviation space that we do not have in healthcare.
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The first of which is uh crew resource management or team-based communication protocols, which would be in a sense, most likely team steps here in in healthcare, but it's not mandated or regulated in terms of its required use.
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Um, black box technology in aviation so that we can learn from disasters.
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There's no kind of real recording of patient engagements at scale using audiovisual systems, which I think is a huge uh issue and is something that uh, you know, I think has huge opportunity and potential for.
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And then finally, the required and regulated use of simulator-based technologies to educate and train and recertify.
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Right?
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We're not flying new 747 pilots up in an airplane and giving them a three-engine failure of 35,000 feet.
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Too costly, too dangerous.
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But yet we're doing that with you know, uh, C1, D1, teach one with minus the simulate one in healthcare still.
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And there's no regulated required use.
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So much so in aviation, they mandate and regulate the simulators themselves because they're so realistic that you can learn how to fly on them without actually being inside of a cockpit.
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So I think there's an even greater role for audiovisual systems in healthcare, not only in education and training, but also um patient oversight and patient um management and review for both uh patient safety issues, but also for patient safety learning and medical error reduction overall.
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So I think it's a really exciting time for audio and visual within healthcare overall as we learn and incorporate those technologies, which I worked on in other instances, like not only aviation, but policing, right?
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A lot of body cameras and uh cities are requiring their police forces to utilize those and in fact finding that that is leading to better outcomes and uh reduction in litigation cases overall.
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You're not a pilot yet?
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You're not a pilot yet.
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I feel like you're going to give it a lot of next stop.
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You know, it's it's funny because when I was going for life insurance after I started having kids, one of the key questions they had was are you do you have a a uh you know an individual pilot license, or are you going to get one in the next two years, attempt one?
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And so it's certainly one that elevates the uh the insurance cost just because of all the dangers of of of flying, you know, with those uh small pilot planes.
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So I think my wife would have me wait.
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I think a computer simulated version would probably be a better bet for me now with the three kids, and we'll wait and see if we want to actually translate that into real world.
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Fair, fair enough.
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Fair enough.
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Hey Lance, you you mentioned uh a number of different applications of video.
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I'm kind of curious from your experience, as it pertains specifically to simulation and maybe even more specifically, like nursing simulation, medical simulation.
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What do you see are the top use cases for using video?
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And and then how are instructors, simulation professionals using that video to again uh achieve their educational objectives?
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Sure.
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So the first one is the the most uh you know obvious one, I think, which is using audio video systems to record simulation experiences as they happen and then play those back for debriefing-based purposes, either through remote, you know, pipe ends of individuals who are not on scene uh or in that insight to or in that simulation uh center at that time to be able to participate, or just in a sim center and then also kind of replaying those experiences.
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The methodology behind all of that is to um basically allow the playback of the experience with a facilitator as opposed to really an educator, right?
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And not lean into those things as just like, okay, gotcha.
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Let me show you what you did wrong and then tell you about what you did wrong so that you learn from it.
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No, the the methodology really in the most successful um you know research demonstrates that if we allow for a facilitation where we play back key moments and then ask people in the room what they saw, what they were experiencing at that time, and let the learners self-reflect from being able to watch, in a sense, third party to their own selves, where they can see their own face when they remove that uh bandage and the leg is uh, you know, has a dramatic infection, or they can see their interactions in terms of the communication that they're providing the patient for or the care providers, or they can see themselves um making a mistake with regards to medication administration or or anything else, right?
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It's to give that learner that perspective to allow them to basically relive that moment from kind of a safe psychologically safe space where then the facilitator allows that uh learner group to you know work together to kind of come to an understanding of ways to improve, what went right, what what could be better, and go from there.
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So that's the first one.
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Then I do think, you know, just with my film and digital media background and having used it for so many different marketing purposes, I think there's a really powerful way that uh simulation programs can utilize video for two key areas.
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One, promotion of the program, creating video content that demonstrates what the simulators do, what the program's about, what the outcomes are for, and then leveraging that and using it not only on the website to attract new learners, but also to donors and to the community to promote the types of technologies and methodologies and the success of this technology at scale.
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Certainly we have seen that those types of videos can convert in a lot of different ways.
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And so, you know, it's certainly something that we recommend and and and and uh encourage the use of.
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And then another way that the audiovisual can be uh systems can be used that I've used them before in the past is for orientations to learners, right?
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And so before they actually physically come into the sim lab, where it's quite, in a sense, costly and expensive for anyone to be in that room at that time, just in terms of the equipment, the staff that are necessary to be there, the learners, right?
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Or professionals that are in that environment.
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Um, you know, do a head-to-toe uh demonstration of the simulator with a patient mannequin prior to um orient the learners to the room.
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Where is the O2 mask?
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How does this work?
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How does that work?
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So that by the time those learners have seen that video, maybe taken a little quiz, they come in and then they do their own physical orientation where they get the you know the tactile feel, they've already known where the O2 mask is because they watch the video, right?
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So now you're getting faster kind of usability um and scalability of operational kind of processes that are necessary to be successful with simulation and orientation by using audio video production to kind of um improve those outcomes.
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And so in those both of those two last cases, I I did that for one of my small sim programs that I was at with um LA Harbor College.
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And the orientation video I think has been watched over 5,000 times since that uh that point.
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And it must have been 15 years ago now, and the promotional video is like 50,000 times.
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So, you know, that those both of those, I think took me about a week of my time.
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So one week's worth of effort and compensation, some video production uh equipment to be able to uh achieve that.
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Um, great and significant outcomes, I think, in terms of the number of basically virtual tours that we provided and uh orientations that helped to kind of further move the learners faster through the uh the orientation process.
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So let me ask you this you know, video systems are are becoming Or represent somewhat of a significant investment for institutions.
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How do you translate those use cases into real value that those institutions can justify that that investment in the video system?
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Yeah, so um I think it it's it's it's one more hat that the simulation program coordinator slash administrator needs to wear.
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Um, you know, there are certainly plenty of one-woman armies or one-man armies out there that are, you know, kind of doing everything from operating the technology to coordinating the faculty to running the simulations themselves and managing the program at a programmatic scale, you know, either rural programs or small, you know, institutional community colleges or EMS programs and beyond.
00:22:48.799 --> 00:22:49.599
So there's that.
00:22:49.680 --> 00:22:59.519
And then there are multi-you know personnel SIM centers with huge budgets that have been around for 10, 15 years and and have those, you know, 30,000 plus square foot facilities and spaces.
00:22:59.680 --> 00:23:05.440
Um, in either case, we need to also add in that that hat that I mentioned about marketing and promotion.
00:23:05.599 --> 00:23:11.039
Um, education about the outcomes is really important.
00:23:11.279 --> 00:23:13.359
And how do we get to the best outcomes?
00:23:13.519 --> 00:23:14.799
By showing data, right?
00:23:14.960 --> 00:23:23.920
And so by working with audiovisual systems that enable um operational users to gain data insights over at scale is crucial.
00:23:24.160 --> 00:23:38.079
You never know what kind of data you're gonna need and when when you're running a simulation program, but I can guarantee you that you the more access you have to data at the longer uh uh time view, the long-term view, the better you will be.
00:23:38.400 --> 00:23:52.880
Because when someone comes knocking on your door and they say, Well, we want to do X, Y, and Z, you can say, Well, here's the data to support that decision or not support that decision in any kind of capacity that would enable for a better kind of evolution of the program at scale.
00:23:53.200 --> 00:24:03.279
Quick example of that is we at the UN UNLB, Nevada State College and School of Medicine, one of those institutions said that we wanted to expand into nights and weekends with regards to our learning.
00:24:03.359 --> 00:24:13.839
And all I had to do was slide across the desk at the next meeting, said, okay, here's the staff log of time in terms of what it takes for us to accomplish the simulation exercises that we currently have.
00:24:14.000 --> 00:24:17.359
What do you want me to cut from this so that we can do nights and weekends?
00:24:17.440 --> 00:24:20.960
And the other two deans were like, uh, we're not cutting anything.
00:24:21.119 --> 00:24:26.559
So that then immediately just said, okay, well, you know, let's we need to bring in another staff member.
00:24:26.640 --> 00:24:36.319
And that's when it happened somehow magically 48 hours later, we had$50,000 for a new team member to be able to support that specific kind of you know, after hours weekends program.
00:24:36.400 --> 00:24:47.200
But if I didn't have that data to kind of support, you know, an easy decision-making process by, you know, forward-thinking deans who, you know, were utilizing that data to make that better decision.
00:24:47.359 --> 00:24:53.759
I don't know where we would have been with regards to like the stress that would have put on my team members to get to that kind of level of accomplishment.
00:24:53.920 --> 00:25:16.079
So both in terms of utilization of space, optimization of space, accountability for budgeting of space from multi-institution to multi-institutional simulation programs, um, a promotional work or kind of just data of uh clinical outcomes, all of that information can be gathered and kind of promoted, marketed, um, but also explained.
00:25:16.160 --> 00:25:43.599
And I think that that's really, really crucial because at some point the bean counters and the higher level administrators are gonna say, okay, well, we spent a lot of money to buy X, Y, and Z, you know, and the next time that money comes around, have you made consistent demonstrations of the way that you have not only started from a place of getting to better outcomes, but optimized that over time to get to even better outcomes and be able to show trend lines with regards to performance of the program at scale?
00:25:43.920 --> 00:25:52.559
And so audio video systems really kind of become this key linchpin area where they are also usually helping to also kind of facilitate data of performance.
00:25:52.720 --> 00:26:11.759
And so, you know, a really important kind of caveat and thing to be thinking about there with regards to like um not only just getting started, but like how should you set up the infrastructure from the get-go in order to have this long-term mentality that like you are going to need to continue to demonstrate value.
00:26:12.000 --> 00:26:19.039
And we hear this from every institution in the world that has continued to be successful with simulation, because you never know when that top administrator leaps.
00:26:19.119 --> 00:26:23.440
And then in walks a new person who's never heard of simulation before, and you're like, uh oh, right.
00:26:23.519 --> 00:26:33.759
And they might be not so keen about the idea of like, well, this is a lot of costs, and like I wasn't here for the last 10 years of all the effort and stress and trials and tribulations to get to this point.
00:26:34.079 --> 00:26:47.759
So having that legacy of information and being able to quickly pull things up and reshare that content and that information is going to be absolutely crucial for programs to succeed uh long term, regardless of who is here right now, right?
00:26:47.920 --> 00:26:59.519
And and and where do we need to take uh the conversation for the future so that no matter who ends up coming here, they'll they'll have that insight and that availability to get caught up and not have to slow things down.
00:26:59.839 --> 00:27:09.279
To your point just now about having the right foundation and the right solution in place from the get-go to make your to maximize your investment on the front end.
00:27:09.440 --> 00:27:14.960
What kind of recommendations or advice do you have for either redesigning or designing new spaces?
00:27:15.039 --> 00:27:18.319
It can be a really broad stroke, it can be like three specific things.
00:27:18.559 --> 00:27:25.440
I know you have a ton of resources on your website, but what are some areas where you can shine a light maybe in the dark?
00:27:25.759 --> 00:27:26.000
Yeah.
00:27:26.240 --> 00:27:28.559
So absolutely you gotta start with healthysimulation.com.
00:27:28.720 --> 00:27:30.160
I can't go wrong there.
00:27:30.400 --> 00:27:37.119
Um, but you know, they there's an adage in in healthcare simulation that if you've seen one sim center, you've seen one sim center.
00:27:37.440 --> 00:27:42.079
Um, and so the point being there is that you should go and tour other simulation programs.
00:27:42.240 --> 00:27:45.680
You should understand like ones that are comparable in size and scope to your own.
00:27:45.759 --> 00:27:52.720
You know, if you're a small EMS rural program, don't go to a large city multi-interdisciplinary program because it's not apples to apples.
00:27:52.799 --> 00:27:57.039
You want to try to get the apples to apples and understand, like, okay, what kind of technologies do they have?
00:27:57.200 --> 00:27:58.880
What kind of methodologies do they believe in?
00:27:58.960 --> 00:27:59.599
Are they supporting?
00:27:59.680 --> 00:28:01.279
What kind of administrative support do they have?
00:28:01.359 --> 00:28:07.440
What kind of team members and operational budgets do they have to maintain this program so that you can, and not just from one, but you know, a couple.
00:28:07.599 --> 00:28:14.000
And then that way you're pulling that information from multiple sources to be able to provide that information to your administrators.
00:28:14.160 --> 00:28:30.319
I'd also say very early and very often, starting with the IT department and getting that leadership involved in the process of decision making with regards to technology utilization, uh, rollout plans, implementation, installation, and maintenance over time.
00:28:30.559 --> 00:28:38.799
And this is why, again, it's so important to then have those administrative kind of conversations and support at the highest level of the institution.
00:28:38.960 --> 00:28:46.079
Because now you're cross, you're talking cross-departmental or maybe multiple different institutions all kind of deciding to collaborate at the same time.
00:28:46.160 --> 00:28:48.480
All those IT departments are going to need to be connected.
00:28:48.640 --> 00:29:02.079
And if that leadership is not bought in and a part of the ongoing process because they're not being asked to or they don't want to, then having higher level administrative support is really crucial for those kind of um stories to continue to succeed.
00:29:02.319 --> 00:29:10.960
So, you know, I think um having those pieces in place early and often really will then save you a lot of headaches.
00:29:11.119 --> 00:29:20.079
Um, and then working with, you know, we obviously have a lot of, you know, uh webinars and content on like how do you design a Simpson or what is the important things to think about.
00:29:20.160 --> 00:29:30.480
And I highly, highly, highly recommend any group that is very new to the space that is trying to get into this kind of um, into this kind of a program to work with a consultant.
00:29:30.640 --> 00:29:35.519
Work with someone who's built 10 simulation programs, 5, 10, 15, 20, right?
00:29:35.680 --> 00:29:41.200
They've seen a lot of challenges be overcome and will bring that experience to bear.
00:29:41.279 --> 00:29:54.319
And so even with a kind of a a very um minimal engagement, you know, focused to specific outcomes, obviously there's gonna be a cost involved there, but it's that ounce of prevention saving you that pound of cure.
00:29:54.480 --> 00:30:02.319
Um, we've heard of multiple horror stories of simulation centers being designed where, uh oh, the clinical bed doesn't fit in the standard sized door.
00:30:02.559 --> 00:30:07.200
Now you have to knock the wall and get a crane and like lift them from the outside of the building in.
00:30:07.440 --> 00:30:25.920
Or um nobody thought about having uh nobody thought that uh converting the laundry room to a to a server room would be a problem until we realized that servers get hot and there's no HVAC system to that particular room that we just magically converted from laundry to you know server room.
00:30:26.079 --> 00:30:30.079
So um that's gonna cost a huge amount of money to fix, you know, late in the game.
00:30:30.319 --> 00:30:52.720
So um and plenty of stories like that where nobody thought about the sound issues or um, you know, uh please, you know, if nothing else, take away that we cannot be using um, you know, uh sound um anti-sound foam, you know, uh egg cartons um in areas where there's little you know fire hazards.
00:30:52.880 --> 00:31:07.200
Um we learned that from a white horse fire, I think it was, and now from you know uh Europe recently, and and and so you know, safety issues with regards to soundproofing specific specific safe uh areas and not doing that after the fact, right?
00:31:07.359 --> 00:31:12.160
Thinking acoustically is really important when we're trying to capture specific sound moments.
00:31:12.319 --> 00:31:13.359
And that's the thing, right?
00:31:13.519 --> 00:31:27.920
When we're out in the field with an audio video team and we're trying to capture an interview, the a the boom operator is very keenly aware that airplanes screw up a production, maybe a little bit less so now that we have AI that you just push a button and magically that goes away.
00:31:28.240 --> 00:31:33.200
But a clinical educator doesn't have that experience, right, of working with audio video technologies before.
00:31:33.279 --> 00:31:51.279
And so, you know, I think the wisest and the most successful simulation programs um start with clinical educators that understand that they do not know all everything about you know these types of technologies and they reach out and try to learn more, not only for themselves, but bring in those key partners that are going to help others on the team to understand.
00:31:51.359 --> 00:32:09.200
And that way you're kind of building from a place uh uh uh that will have to do less band-aids later that end up costing a lot more just because we decided to go it along alone and we know have all the answers when in fact, you know, this is a very new kind of thing that we're dealing with here.
00:32:09.359 --> 00:32:26.480
So I think that open-mindedness to to understanding that this is something that is gonna be a long-term team-based effort and that those problem, those technical problems don't really ever go away, that there's gonna be a need to kind of deal with them like other technologies on a regular basis, and and how do we move forward with that understanding?
00:32:26.640 --> 00:32:32.240
Um, that I think provides for a longer, um longer success overall.
00:32:32.640 --> 00:32:40.720
So, Lance, before we wrap up, I know you've you founded SimGos, it's become an international phenomenon.
00:32:40.960 --> 00:32:47.200
You've started healthy simulation.com, which is now the world's most popular healthcare simulation resource.
00:32:47.599 --> 00:32:59.200
You've uh you've co-written a book called Comprehensive Health Simulation Operations Technology in Innovative Practice, which has become the Bible for simulationists.
00:32:59.359 --> 00:33:01.759
I won't give away the ending for our listeners.
00:33:02.480 --> 00:33:14.640
So all of that experience, what what can you what more can you share with our clients to help them with their simulation journey?
00:33:15.200 --> 00:33:30.400
You know, I think um one of the most important things to do is is to connect with community because there are very few educational degree pathways um, you know, for this space, right?
00:33:30.480 --> 00:33:38.799
There's a handful of master's degree programs, and primarily those are geared towards clinical educational components, but but not so much the administrative or the operation side of things.
00:33:38.960 --> 00:33:51.680
And that's why we you know built healthysimulation.com, that's why we built Symghost and wrote the book and and these types of things, is because you know, I felt like okay, well, SynTech and Mumbai, Indiana, SynTech in Los Angeles, California, they're doing the same job.
00:33:51.759 --> 00:33:58.240
So if we can create a resource for them to be able to network and share, then then then they'll both walk away with so much more.
00:33:58.319 --> 00:33:59.599
And and same thing with SimGhost.
00:33:59.680 --> 00:34:04.319
It's it's like, well, next to me is a par you know, a paramedic with 20 years of experience.
00:34:04.480 --> 00:34:12.079
Uh, and and next to me is uh a former former uh army um uh technician, and she's got 20 years of experience.
00:34:12.159 --> 00:34:14.719
And my experience is an audio video background, right?
00:34:14.880 --> 00:34:17.840
And so we all walk, you know, throw two cents into the hat.
00:34:17.920 --> 00:34:19.760
We all walk away with a dollar's worth of knowledge.
00:34:19.920 --> 00:34:29.360
And so I think connecting with network and networking with community, you know, one of the cool things that we did um that I saw out of Texas that we've duplicated again here in Vegas.
00:34:29.440 --> 00:34:37.280
So the simulation professionals of Texas, they have a regional collaborative and they go to different sim centers like every quarter and they just share about their program.
00:34:37.360 --> 00:34:44.960
It's about a half day, they do a couple of you know presentations, a couple of vendors show up, and then networking opportunities, and you get to see how that program works.
00:34:45.039 --> 00:34:54.800
And we're doing the same thing here in Vegas with uh Bonnie and Casey um here in Vegas, where we just go to different sim centers and we get to network and we get to connect.
00:34:54.880 --> 00:35:08.000
And so you can do that locally, you can do that online through us, you can do that at conferences like SimGos or Anaxel, the International Nursing Association for Clinical Simulation and Learning, or IPSS for Pediatrics, or if you're in Europe at CESAM, and there's so many more.
00:35:08.079 --> 00:35:21.280
So, you know, look at our media partners page list, look at the events page, look at the conferences that are coming up, and then realize that, you know, there are people out there that are super passionate about this and um they're really excited to support you.
00:35:21.440 --> 00:35:26.719
And then I would say, you know, as quickly as possible, there's going to be a champion and a program.
00:35:26.880 --> 00:35:31.599
But if that person does not find the support that they need, that person will get burnt out and they will leave.
00:35:31.840 --> 00:35:39.119
And if the systems are not in place, then all the knowledge that that individual has will leave with that individual.
00:35:39.360 --> 00:35:43.039
So creating, you know, a program is so, so important.
00:35:43.119 --> 00:35:46.719
And that's why, again, we keep talking about like having that administrative level support.
00:35:46.880 --> 00:35:56.880
We're gonna need policies and procedures to make sure that we don't have faculty just changing their minds about what the setup is gonna be that morning, um, even though we've already moved 12 mannequins into the room and set them up for you, right?
00:35:56.960 --> 00:35:57.440
We need that.
00:35:57.599 --> 00:36:15.360
We need to be able to have standard operating procedures guides so that if a staff member leaves or is sick, somebody else can come in and help to, you know, run those programs or get caught up faster with all the knowledge that's already been gained for that particular, you know, uh position and how we can kind of transfer that knowledge along.
00:36:15.519 --> 00:36:31.440
And then we need, you know, to understand about the long-term metrics of what's necessary with data to be able to help us to demonstrate the value of the program, learn and improve ourselves, and be a model for basically the entire clinical institution that we are there to support.
00:36:31.840 --> 00:36:58.239
So many programs during COVID got requested by the top leaderships of institutions to support things like um um vaccination um sites and uh COVID testing sites because they looked at the simulation program and said, Well, you guys regularly deal with chaos and um uh needs to do things very quickly and technology integrations and how do we throughput people through a program?
00:36:58.480 --> 00:37:13.119
And so, you know, I think COVID really kind of demonstrated to top leaders of healthcare programs that simulation centers are are really at the cutting edge of bringing in new technologies and capabilities to improve outcomes.
00:37:13.360 --> 00:37:25.039
And so I think, you know, there's just so much potential within this particular profession for people that are not only excited about helping and healing through healthcare, but improving the lives of healthcare providers as well.
00:37:25.280 --> 00:37:40.000
And so it's just a really, you know, it's an honor for us to be supporting such a such a really, you know, um fantastic community of people that are that are driven to um help not only, you know, patients, but other healthcare providers.
00:37:40.159 --> 00:37:48.320
So it takes a special person to want to, you know, know that the as they say in moneyball that that first person through the door gets their nose bloodied on the on the way through.
00:37:48.400 --> 00:38:03.280
And so sometimes we we take a little bit of extra stress and um challenge by by asking healthcare professionals that have been doing things the way they've been doing them for the last 15, 20 years, saying, hey, we're gonna try to do something a little bit differently.
00:38:03.440 --> 00:38:09.119
And so there's a strength there that I, you know, I really am uh um in honor of that we're able to support and and and grow.
00:38:09.199 --> 00:38:27.760
And of course, if if if if nothing else, folks can always reach out to myself and to our team to try to find those resources, those organizations, those those job opportunities, those books, that you know, um, those technologies that will help them to further along their their journey um as as effectively as possible.
00:38:28.400 --> 00:38:28.719
Great.
00:38:28.800 --> 00:38:31.360
And how how can our listeners get in touch with you, Lance?
00:38:31.519 --> 00:38:42.960
Yeah, so best way would be to go to healthysimulation.com um and connect uh through our resources there, uh, or directly to myself if there's anything that you think we can help you with, Lance at healthysimulation.com.
00:38:43.039 --> 00:39:04.159
Um, or if it's a more general request, um, then support at healthysimulation.com can easily get you to the right team, whether that be the clinical um, you know, uh content team, the sales team for advertising, or or the community team or or any of our other team members with regards to uh um support that's necessary to take advantage of our tool sets and uh our resources.
00:39:04.880 --> 00:39:05.440
Very good.
00:39:05.599 --> 00:39:14.719
Well, Lance, it's obvious that your submission experience in AV goes deep and very wide, and we really appreciate your time this afternoon.
00:39:14.880 --> 00:39:17.119
Thanks for joining the the podcast.
00:39:18.079 --> 00:39:18.719
Absolutely.
00:39:18.800 --> 00:39:26.880
You know, I I think about audiovisual, and I think in a sense, what we're doing in healthcare is we're making like little scenes for healthcare professionals to go through.
00:39:26.960 --> 00:39:31.840
And it's it's a very much like a combination of documentary filmmaking where you never know what's gonna happen.
00:39:32.000 --> 00:39:41.360
And so you're just there trying to capture, but narrative where you've you've got a script and an agenda, and and our healthcare professionals are going into this environment and they're basically role-playing.
00:39:41.440 --> 00:39:45.840
They're they're doing little improv scenes with you know hopeful intended outcomes.
00:39:45.920 --> 00:39:58.559
And so it's such a great thing to think that you know video technology can make such an impact, um, not only in this industry, but in so many industries, because of the way that uh digital technologies is is kind of out there.
00:39:58.639 --> 00:40:04.559
And I'm really uh um excited about what intent intelligent video solutions is bringing to this space.
00:40:04.639 --> 00:40:15.360
And so really want to thank you two for um the opportunity to share about myself, and I look forward to uh uh um supporting uh the uh podcast and y'all as well in the future.
00:40:16.159 --> 00:40:23.760
OnRecord is a podcast presented by Intelligent Video Solutions, hosted by Mike Anzolone and Carmen Hawk and produced by Kyle Shellstead.
00:40:23.840 --> 00:40:31.039
Find us online at ipivs.com/slash on record and on social media at Intelligent Video Solutions.