ON RECORD

00:00:01:19 - 00:00:26:11
Unknown
Welcome to the On Record podcast. 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. My name is Mike Anzalone and my co-host is Carmen Haak. And today our guest is Lance Baily. Lance is the founder and CEO of HealthySimulation.com

00:00:26:13 - 00:00:56:21
Unknown
Thanks for joining us today, Lance. Thanks so much for having me. Really excited to be diving deeper here on on AV. Before we get started, why don't you tell us a little bit about yourself, your origin story, how you got started and how you ended up. Creating Healthy Simulation? Sure. Thanks for that. Yeah. So, actually, grew up in Los Angeles and so got, bitten by the film bug very early on and started making little movies in backyards with friends with, VHS camcorders and more.

00:00:56:21 - 00:01:18:21
Unknown
And so, prior to that, actually, my, my father was, working at NASA in Houston as one of the first doctors to take occupational medicine of, of astronauts. And so I actually learned to fly well on a computer game before I ever learned how to drive. So I had just a background of, of of of health care there for my dad.

00:01:19:01 - 00:01:35:10
Unknown
And actually was going to, whenever I was home sick from school. My mom was going through nursing when she was, when I was a kid, and so had it kind of I grew up with, both a doctor and a nurse as parents, but with a background kind of in aviation, in simulation and computer games based training.

00:01:35:12 - 00:02:05:13
Unknown
So kind of had you know, really a lot of experience with those kind of just just in the household, overall. And then when I grew up mostly in Los Angeles, got, like I said, bit by the film bug. So I spent a lot of time studying audio video media production in high school. Had some films actually entered into the LA Film Festival and, went to UC Santa Cruz to pursue a degree in film and digital media technology, which at that point, you know, by then we were still mostly using computers and digital based recording platforms.

00:02:05:13 - 00:02:34:09
Unknown
And so we were kind of mostly moved away from film, at that point in education, at least in school, and was working more digital based technologies. Worked in Hollywood for a couple of years, a small productions, everything studio from you know, chasing Farrah Fawcett to reality TV shows to interviews, MTV, small commercials in production then and then, when worked for Tom Hanks, his production company platoon, and focus more on big budget films, which was really a lot of fun.

00:02:34:11 - 00:02:56:14
Unknown
But at the end of the day, I didn't really feel like I was helping people, with my film and digital media kind of experience. And so I went back to school, kind of did a bit of a 90 degree turn and, went myself into health care with EMS and firefighting, although I was much more of a fan of, putting the white stuff on the red stuff in firefighting, than particularly medical calls.

00:02:56:14 - 00:03:16:16
Unknown
But, had a lot of enjoyment and experience. 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. And so she, said, hey, I want you to come check out this new thing that we just got. And this was 2008. I want to say, yeah, what it was was a lot of the same man.

00:03:16:16 - 00:03:35:00
Unknown
Classic. The mannequins, the ones of the old, pumps for the the, the, you know, making the impulses work and everything was very noisy, but, very cool. And it had a bunch of camera systems around. So all of a sudden, like, feels like a tidal wave of, like what? It was like a little aura around this thing.

00:03:35:01 - 00:03:59:13
Unknown
And, I was just really amazed because it was film and, you know, it was digital media technologies of the cameras. It was server systems, it was EMS, you know, healthcare. It was, experiential learning, and it was unique technologies. And so within a couple minutes, I had the thing working with programing. And so I quickly became a simulation technology specialist, and, founded, multiple roles and now the community college district for that.

00:03:59:15 - 00:04:21:10
Unknown
And then found eventually the role as director of the Clinical Simulation Center for the Nevada System for Higher Education. I started that in about 2009, and that was a shared, multidisciplinary, multi-institutional facility shared amongst Unlv and Nevada State College, their schools of nursing, and as well the university. And then I had a school medicine. And so they were all kind of sharing this new space.

00:04:21:10 - 00:04:56:09
Unknown
And I was the director of this new program. 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 that challenge of training and educating simulation technology specialists or simulation team members, but bringing them all together and getting them to, work well, and in fact, in program where we were, you know, basically deploying simulation for interprofessional education opportunities and business revenue generation and more 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.

00:04:56:09 - 00:05:27:20
Unknown
And so I founded two things, one of which was Healthy Simulation.com, 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. And then at the same time, I also founded SIM ghost or the Gathering of Healthcare Simulation Technology Specialist, which is a 501 C3 nonprofit organization has since put on about 25 events around the world in health care simulation technology operations, both supporting clinical educators and technical specialists.

00:05:28:00 - 00:05:48:15
Unknown
And I'm no longer on the board, but I serve as an advisor to them and continue to obviously support them. The organization. Yeah, and so, you know, I left the role of director in 2012 and, and focusing on those projects for a while. Then in 2018 basically left the board, as we had really established some really awesome team there.

00:05:48:15 - 00:06:21:20
Unknown
And I felt really confident that I could step back and enable that organization to continue to succeed without my, my presence. And then I've been focusing on health simulation.com or ever since. So yeah, it's been kind of a whirlwind, but it makes sense when I look back, you know, about the the simulation based training, the aviation kind of training, the audiovisual, the health care, experiential learning, the digital technology integration, and and then the media background to help to create tools and resources for community to come together and and share and learn from from one another.

00:06:21:21 - 00:06:41:17
Unknown
Wow. That was a short list. You know, Lance, I don't know how you check all those boxes. That's like incredible in two years time, how much progress and how much, very happenstance. You know, exciting things happen to that small amount of time. Sorry. That's very impressive. I didn't know all of those aspects. And you're dead. Did that research with the astronauts?

00:06:41:17 - 00:07:03:09
Unknown
That's fascinating. And you couldn't be an astronaut. Yeah. Yeah. So he was trying also becoming an astronaut, but at the same time was just doing it was occupational medicine. So basically, how do you care for astronauts? You know, as most occupational medicine, specialists focus on different types of, professions. And so this was the first cohort that was, training in that capacity.

00:07:03:09 - 00:07:25:10
Unknown
So, I, I, I'm also a scuba diver, and I've gone all the way up through rescue diving because it was very similar to, putting on the Sherpas for, firefighting, except that underwater, there's not a Vietnam War vet yelling in your ear that you're moving to. So it's very peaceful version of us. The same type of, kind of, gear and experience.

00:07:25:12 - 00:07:51:17
Unknown
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 with astronauts and volunteer some time there. So it's kind of in the back of my mind is something that I'd love to do one day. That's awesome. So lastly, I want to say, Mike, is that, 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.

00:07:52:00 - 00:08:29:11
Unknown
That's a lot of reflection involved in that sounds very cool. I don't know if you remember Lance. I believe it was one of the first or second same ghost conferences you had at Unlv. And it was in a hallway. And I know, remember the exhibitor in the hallway on tables and everything. And so I've kind of seen that organization grow, and now it's grown into a worldwide organization really focusing in on training simulation, technologists on on how to master their craft.

00:08:29:13 - 00:09:11:21
Unknown
And, through that experience, I'm kind of curious, like what AV and in video infrastructure challenges do simulation technologists most commonly struggle with and and how are they solving them? Yeah, certainly. So I think, you know, it's it's a multifaceted, kind of, challenge because it's not just so much about the technology, but it's also about the necessity to educate, about the technology and, and every, kind of, 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.

00:09:12:01 - 00:09:44:15
Unknown
Or, you know, they'll they'll be excited about the prospect of bringing that technology in, but don't have the, technical background or understanding to, to realize that that is it quite can be quite a big lift and, that there's a lot to be considered with regards to the technology deployment. Right. So I think as much as it is about, you know, which type of camera and lawyer are digital and, you know, PTZ versus, cloud based versus, you know, server rack and what do we mean with regards to storage and throughput and frames per second.

00:09:44:15 - 00:10:07:03
Unknown
And you know, all the different various technical components necessary with a, B 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. And so, you know, whenever I was hiring a simulation technology specialist, for any of our programs, I would not only ask them technical questions.

00:10:07:03 - 00:10:31:16
Unknown
And if there were, you know, beyond even my technical understanding to have an expert there who could make sure that once there's where I hear it from the IT department, but also, 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 so that I could better understand, you know, how will this technical specialist not only know the technology, but.

00:10:31:17 - 00:10:58:02
Unknown
And train others on it and have a passion for that? Right. 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 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.

00:10:58:02 - 00:11:19:04
Unknown
Right. 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. 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.

00:11:19:04 - 00:11:47:10
Unknown
So it takes a, I think, a wider, skillset for technology specialists in healthcare simulation to be successful within the field is key to have collaboration between those departments. And it is important to, you know, realistic expectations and see where trends are going. And I think that ties into trends have changed since you entered into this space and since you started, making recommendations and advising teams on web solutions.

00:11:47:12 - 00:12:15:14
Unknown
What are the trends you're seeing today, and where do you think the next 5 or 10 years will take us? Like, what does that projection look like to you? Yeah. So certainly, you know, I think we have always and often with any type of technology, a reduction in size and an increase in quality. So, you know, a funny story that I like to realize is that the firm for the Clinical Simulation Center of Las Vegas, they had budgeted a certain amount of dollars for on televisions.

00:12:15:14 - 00:12:32:00
Unknown
And by the time that the purchasing order in the building was ready, and they actually, you know, got around to making that, or they could get TV screens that were, you know, 15in bigger because just the cost, the reduction in screen size and quality was comparable. But it took two years later. And so there was just better stuff out there.

00:12:32:00 - 00:13:02:02
Unknown
So, 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 of digital capability. I'm certainly XR technologies have become a much larger and virtual patients, you know, as a, as a component of that much larger industry segment. Prior to Covid, we were seeing that the two number, the the two leading sales lead requests were mannequins and audio video systems.

00:13:02:03 - 00:13:40:04
Unknown
And during Covid and ever since then, we have seen that digital based learning technologies like virtual patients has been, tied with them or even exceeded them at times with regards to requests. Wants to use our our find vendor forms on Healthy Simulation.com. So I think, you know 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, the, the learning ecosystem with regards to capturing what's happening in system as opposed to maybe a physical event, we can have, you know, more information that needs to be imported into the system and how to relay that.

00:13:40:04 - 00:14:07:09
Unknown
And how do we do more cloud based content that allows for decentralization of the hardware necessary to perform simulation at scale. So a lot of, 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 service.

00:14:07:09 - 00:14:36:03
Unknown
And so I think, you know, there's an evolution of the technology and that will continue. Right. And I think we will now see, what AI is going to be bringing into the spaces. And so you know, I definitely think that's going to 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, not only in terms of the operational utilization, but certainly the operational challenges or issues that might be occurring.

00:14:36:03 - 00:15:02:02
Unknown
And how can we kind of look at those at scale. So, I think those are the primary things that the technology specialist has had to focus on. And then just a wider kind of audience overall in terms of, clinical educators in, in institutions understanding about the benefits of audio visual. Lastly, on that point, you know, I think it's kind of really important front comparing the healthcare industry and space to the aviation industry.

00:15:02:04 - 00:15:25:03
Unknown
And, they have three things that are mandated and regulated that we do not have. In the aviation space that we do not have in healthcare, of the first of which is, true resource management or team based communication protocols, which would be likely team steps here in, in health care. But it's not mandated or regulated in terms of its required use, black box technology in aviation so that we can learn from disasters.

00:15:25:03 - 00:15:52:16
Unknown
There's no kind of real recording of patient engagements at scale, using audio visual systems, which I think is a huge issue and is something that, you know, I think has huge opportunity and, and, and potential for and then finally, the required and regulated use of simulator based technologies to educate and train and recertify. All right. We're not flying new seven, 47 pilots up in an airplane and giving them a three engine failure, 35,000ft.

00:15:52:18 - 00:16:10:17
Unknown
Too costly, too dangerous. But yeah, we're doing that with, you know, I see one do one teach one with minus the simulate one in healthcare still. And there's no regulated required use social in aviation mandate and regulate the simulators themselves because they're so realistic that you can't learn how to fly on them without actually meaning to have a cockpit.

00:16:10:17 - 00:16:40:09
Unknown
So I think there's an even greater role for audio visual systems in healthcare, not only in education and training, but also, patient oversight and patient management and review, for both the patient safety issues, but also for open safety learning, medical error reduction overall. So I think it's a really exciting time for audio and visual within healthcare overall as we learn and incorporate those technologies which are working in other instances, like not only aviation but policing.

00:16:40:09 - 00:17:12:07
Unknown
Right now, a lot of body cameras and cities are requiring their police forces to utilize those. And in fact, finding that that is leading to better outcomes and, reduction in litigation cases overall, you're not a pilot yet. You're not a pilot yet. I feel like you're going. All right, next up, you know, it's it's funny because when I was going for life insurance after I started having kids, one of the questions they had are, you know, do you have a, a a, you know, an individual pilot license or are you going to get one in the next two years?

00:17:12:07 - 00:17:31:00
Unknown
A 10th one. And so it's certainly one that elevates the, the insurance cost just because of all the dangers of, of flying, you know, with those, small pilot points. So I think my wife would have me wait, I think a computer related version would probably be a better bet for me now, with the three kids and, oh, wait and see if we want to actually translate that into real world.

00:17:31:00 - 00:18:04:02
Unknown
That's fair, fair enough, fair enough. Hey, Lance, you you mentioned a number of different applications of video. I'm kind of curious from your experience as it pertains specifically to simulation and maybe even more specifically like nursing simulation, medical simulation. What do you see are the top use cases for using video and and then how are instructors, simulation professionals using that video to again, achieve their educational objectives?

00:18:04:04 - 00:18:29:14
Unknown
Sure. So the first one is the, the most, 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 base purposes, either through remote, you know, pipe ends of individuals who are not on scene, or in that's inside do or in that simulation, center at that time to be able to participate or just in a SIM center and then also kind of replaying those experiences.

00:18:29:15 - 00:19:06:06
Unknown
The methodology behind all of that is to, basically allow the playback of the experience with a facilitator as opposed to really an educator, right? And not lean into those things. It's just like, okay, gotcha. Let me show you what you did wrong and then tell you about what you did wrong so that you learn from it. Now, the methodology really in the most successful, you know, research demonstrates that if we allow for a facilitation where we playback 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 themselves, where

00:19:06:06 - 00:19:28:21
Unknown
they can see their own face when they remove that, bandage and the leg is, you know, it has a dramatic infection, or they can see their interactions in terms of the communication that they providing the patient for or the care providers, or they can see themselves, making a mistake with regards to medication administration or anything else.

00:19:29:00 - 00:19:51:15
Unknown
Right? It's to give that learner that perspective, to allow them to basically relive that moment from kind of a safe space, like a psychologically safe space where then the facilitator allows that, 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.

00:19:51:15 - 00:20:26:06
Unknown
So that's the first one. Then I do think you know, I'm 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 that, simulation programs can utilize video for two key areas. One, promotion of the program on 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 the success of this technology and scale.

00:20:26:08 - 00:20:59:15
Unknown
Certainly, we have seen that those types of videos can convert in a lot of different ways. And so, you know, certainly something that we recommend and and encourage the use of. And then another way that the audio visual can be systems can be used. That I've used them before in the past is for orientations to learners range. 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 that are necessary to be there, the learners right work or professionals that are in that environment, you know, doing a

00:20:59:15 - 00:21:22:09
Unknown
head to toe, demonstration of the simulator with the application mannequin prior to Orientale, or is to the room where is the O2 mask? How does this work? How does that work? So that by the time those learners have seen the video, maybe taking a little quiz, they come in and then they do their own physical orientation where they get to, you know, the tactile feel if already know where the O2 mask is because they watched the video.

00:21:22:11 - 00:21:42:17
Unknown
Right. So now you're getting faster kind of usability, 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, improve those outcomes. 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 some L.A.

00:21:42:17 - 00:22:04:04
Unknown
Harbor College. And the orientation video, I think has been watched over 5000 times since that, that point and must have been 15 years ago now, and that the promotional video was like 50,000 times. So you know that those both of those, I think, took me about a week of my time. So one week's worth of effort and compensation, some video production, equipment to be able to achieve that.

00:22:04:06 - 00:22:43:15
Unknown
Well, great and significant outcomes, I think in terms of the number of basically virtual tours that we provided and orientations that helped to kind of further move the learners faster through the the orientation process. So let me ask you this. You know, video systems are, are becoming or represent someone of a significant investment for institutions. How how do you translate those use cases into real value that those institutions can justify that that investment in the video system?

00:22:43:17 - 00:23:07:10
Unknown
Yeah. So, I think it's it's one more hat that the simulation program coordinator slash administrator needs to wear. 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.

00:23:07:10 - 00:23:35:16
Unknown
You know, either the world programs or small, you know, institutional community colleges or EMS programs and beyond. So there's that. And and there are multiple, you know, personnel, SIM centers with huge budgets that have been around for ten, 15 years and, and have those, you know, 30,000 plus square foot facilities in spaces. In either case, we need to also add in that that hat that I mentioned about marketing and promotion, education, about the outcomes, is really important.

00:23:35:20 - 00:24:13:06
Unknown
And how do we get to the best outcomes by showing data. Right. And so by working with audio visual systems that enable operational users to gain data insights or at scale is crucial. You never know what kind of data you're going to need and when when you're running a simulation program, but I can guarantee you that you the more access you have the data hit, the longer, time view, the long term view, the better you will be, because when someone comes knocking on your door and they said, 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.

00:24:13:08 - 00:24:39:16
Unknown
In any kind of capacity that would enable for a better kind of evolution of the program. And again, quick example of that is we at the, you know, in Iowa, in psychology and in School of medicine, one of those institutions said that we wanted to expand in the nights and weekends with regards to our learning. And all I had to do is 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.

00:24:39,18 - 00:25:02:14
Unknown
What do you want me to cut from this so we can do nights and weekends? And the other two deans were like, we're not cutting anything. So that then immediately just said, okay, well, you know, let's we need to bring in another staff member. And that's going to happen 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 and weekends program.

00:25:02:14 - 00:25:20:06
Unknown
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 their data to make that better decision. I don't know where we would have been with regards to, like, the stress that would have put on all my team members to get to that kind of level of accomplishment.

00:25:20:06 - 00:26:01:09
Unknown
So both in terms of utilization of space, optimization of space, accountability for budgeting of space from multi-institutional to multi institutional simulation programs, a promotional work or kind of just data of, clinical outcomes. All of that information can be gathered and kind of promoted, marketed, but also explained. And I think that that's really, really crucial because at some point, the bean counters and the higher level administrators are going to 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

00:26:01:09 - 00:26:39:20
Unknown
better outcomes, but optimize that over time to get to even better outcomes and be able to show trend lines with regards to performance of of the program at scale. And so audio video systems really kind of become this, this key linchpin area where they are also usually helping to also kind of facilitate data of performance. And so, you know, a really important kind of caveat and thing to be thinking about there with regards to like, not only just getting started, but like how should you, you know, 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.

00:26:40:00 - 00:26:55:19
Unknown
And we hear this from every institution in the world that is continued to be successful with simulation, because you never know when that top administrator leaves. And then in walks a new person who's never heard of simulation before, you know. Yeah, right. And they might not so key about the idea of like, well, this is a lot of costs.

00:26:55:19 - 00:27:15:21
Unknown
And like I wasn't here for the last ten years of all the effort and stress and trials and tribulations to get to this point. 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, long term, regardless of who is here right now.

00:27:15:21 - 00:27:38:08
Unknown
Right. And where do we need to take the conversation for the future so that no matter who ends up coming here, they'll they'll have that that insight and that they'll need to get caught up and not have to slow things down. To your point just now about having the right foundation and the right solution in place from the get go to make you to maximize your investment on the front end.

00:27:38:10 - 00:27:57:18
Unknown
What kind of recommendations or advice do you have for either redesigning or designing new spaces? It can be a really broad stroke. It can be like three specific things. 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? Yeah. So absolutely. Just start with health simulation.com.

00:27:57:18 - 00:28:22:08
Unknown
You can't can't go wrong there. But you know, there's an analogy in healthcare simulation that if you've seen one Simcenter, you've seen one Simcenter. And so the point being there is, is that you should go into your other simulation programs. You should understand, like ones that are comparable in size and scope to your own. 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.

00:28:22:08 - 00:28:37:07
Unknown
You want to try to get the apples to apples and understand like, okay, what kind of technologies do they have? What kind of methodologies do they believe in and are they supporting. What kind of administrative support do they have? 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.

00:28:37:12 - 00:29:16:16
Unknown
And then that way you're pulling out information from multiple sources to be able to provide that information to your administrators. 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, rollout plans, implementation, installation and maintenance over time. 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, because now you're you're talking cross departmental or maybe multiple different institutions, all kind of deciding to collaborate at the same time.

00:29:16:16 - 00:29:42:08
Unknown
All those IT departments are going to need to be connected. And if that leadership is not bought in in 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, stories to continue to succeed. So, you know, I think, having those pieces in place and early and often really will then save you a lot of headaches.

00:29:42:09 - 00:30:05:00
Unknown
And then working with, you know, we obviously have a lot of, you know, webinars and content on, like, how do you design a SIM center, what is the important things to think about? And I highly, highly, highly recommend any group that is very new to the space that is trying to get into this kind of, you know, there's kind of a program to work with, the consultant work with someone who has built ten simulation programs.

00:30:05:00 - 00:30:34:10
Unknown
510 1520 right. They've seen a lot of challenges be overcome and will bring that experience to bear. And so even with the kind of a, a very, minimal engagement, you know, focus to specific outcomes, obviously there's going to be a cost involved there, but it's that ounce of prevention and seemingly that pound of cure. We've heard multiple horror stories of simulation centers being designed where, oh, the clinical bear doesn't fit in the standard size door.

00:30:34:12 - 00:30:58:05
Unknown
Now you have to knock a wall and get a crane and, like, lift them from the outside of the building in or, nobody's thought about having, nobody thought that converting the laundry room to a a to a server room would be a problem. Until we realize that servers get hot and there's no fax system to that particular room that we just magically converted from laundry to, you know, server room.

00:30:58:05 - 00:31:26:01
Unknown
So, we that's going to cost a huge amount of money to fix, you know, late in the game. So, and plenty of stories like that where nobody thought about the sound issues or, you know, please, you know, if nothing else, take away that we cannot be using, you know, sound, anti sound foam, you know, egg cartons, in areas where there's, well, you know, fire hazards.

00:31:26:03 - 00:31:46:09
Unknown
We learned that from a white horse fire. I think it was. And then from, you know, Europe recently and, and and so, you know, safety issues with regards to soundproofing specifics, specific safe areas and not doing that after the fact. Right. Thinking acoustically is really important when we're trying to capture specific sound moments. And that's the thing, right?

00:31:46:14 - 00:32:06:15
Unknown
When we're out in the field and with an audio video team and we're trying to capture you interview the the boom operator is very keenly aware that airplanes screw up a production maybe a little bit less. So now that we have an AI that you just push a button and magically that goes away. But a client educator doesn't have that experience, right, of working with audio video technologies before.

00:32:06:15 - 00:32:25:06
Unknown
And so, you know, I think the wisest and the most successful simulation programs, start with clinical educators and understand that they do not know, everything about, you know, these types of technologies. And they reach out and try to learn more, not only for themselves, but bringing those key partners that are going to help others on the team to understand.

00:32:25:08 - 00:32:58:11
Unknown
And that way, you're kind of building from a place, that will have to do less Band-Aids later that end up costing a lot more just because we say to go too long 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. So I think that open mindedness to to understanding that this is something that is going to be a long term team based effort, and then those those technical problems don't really ever go away, that there's going to be a need to kind of deal with them like other technologies, on a regular basis.

00:32:58:11 - 00:33:34:01
Unknown
And how do we move forward with that understanding that I think provides for a longer, longer success? Well, overall. So, Lance, before we wrap up, I know you've you founded SIM goes it's become a international phenomenon. You've started Healthy Simulation.com, which is now the world's most popular health care simulation resource. You've you've written a book called Comprehensive Health Simulation Operations Technology in Innovative Practice, which has become the Bible for simulation.

00:33:34:01 - 00:34:03:09
Unknown
This I won't give away the ending for our listeners. Okay. So all of that experience, what what can you what more can you share with our clients to help them with their simulation journey? You know, I think, one of the most important things to do is, is to connect with community, because there are very few educational degree pathways.

00:34:03:11 - 00:34:27:16
Unknown
You know, for this space, right? 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 operations side of things. And that's why we, you know, built Healthy Simulation.com. And so what we built SIM goals and wrote the book and, and these types of things is because, you know, I felt like okay, well sin tech in Mumbai, Indiana, Sin tech and Los Angeles, California, they're doing the same job.

00:34:27:16 - 00:34:48:07
Unknown
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 and same thing with SIM. And so it's like, well, next to me as a parent, you know, a paramedic with 20 years of experience, and next to me is a former former Army bomb technician, and she's got 20 years of training.

00:34:48:08 - 00:35:06:03
Unknown
So my experience is an audio video background. Right. And so we all walk, you know, throw $0.02 into the have we all walk away with a dollars worth of knowledge. And so I think connecting with, you know, and networking with community, you know, one of the cool things that we did, that I saw out of Texas that we've duplicated again here in Vegas.

00:35:06:03 - 00:35:31:20
Unknown
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 programs about half day. They do a couple of, you know, presentations, a couple vendors show up and that networking opportunities, and you get to see how that program works. And we're doing the same thing here in Vegas, with, Bonnie and Casey here in, in Vegas, where we just go to different SIM centers and we get to network and we get to connect.

00:35:06:03 - 00:35:31:20
Unknown
And so you can do that locally. You can do that online through us. You can do that at conferences like SIM ghost or an actual. The International Nursing Association for Global Simulation Learning or IPS for Pediatrics. Or if you're in Europe, it says, and and there's so many more. So, you know, look at our media partners page list.

00:35:47:20 - 00:36:09:10
Unknown
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, they're really excited to support you. And then I would say, you know, as quickly as possible, there's going to be a champion in a program. But if that person does not find the support that they need, that person will get burnt out and they will leave.

00:36:09:12 - 00:36:32:00
Unknown
And if the systems are not in place, then all the knowledge that that individual has will leave with that individual. So creating, you know, a program is so, so important. And that's why again we keep talking about like having that administrative level support, we're going to need policies and procedures to make sure that we don't have faculty just changing their minds about what the setup is going to be that morning.

00:36:32:02 - 00:36:54:01
Unknown
We've we've already moved 12 mannequins into the room and set them up for you. Right. We need that. We need to be able to have standard operating procedures guide 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, position in how we can kind of transfer that knowledge along.

00:36:54:01 - 00:37:32:20
Unknown
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. So many programs during Covid got requested by the top leadership of institutions to support things like, on vaccination, sites and, Covid testing sites because they looked at the simulation program and said, well, you guys regularly deal with chaos and, needs to do things very quickly.

00:37:32:20 - 00:38:05:00
Unknown
And technology integrations and how do we throughput people through a program. And so, you know, I think Covid really kind of demonstrated to you, top leaders, of, of health care programs that simulation centers are really at the cutting edge of bringing in new technologies and capabilities to improve outcomes. 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.

00:38:05:02 - 00:38:28:12
Unknown
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, fantastic community of people that are, that are driven to, help not only, you know, patients, but other health care providers. So it takes a special person to want to, you know, know that that, as I say, Moneyball, that that first person through the door gets their nose bloodied on local on the way through.

00:38:28:12 - 00:38:47:03
Unknown
And so sometimes we, we take a little bit of extra stress and, 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 going to try to do something a little bit differently. And so there's a strength there that, you know, I really am.

00:38:47:05 - 00:39:09:08
Unknown
In honor of that, we're able to support and grow. And of course, 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, those technologies that will help them to further along their, their journey, as, as effectively as possible.

00:39:09:10 - 00:39:38:19
Unknown
Great. And how can our listeners get in touch with you, Lance. Yeah. So best way would be to to go to the Healthy Simulation.com, and connect, through our resources there or directly to myself. If there's anything that you think we can help you with. Lance at Healthy Simulation.com. Or if it's a more general request, then supported Healthy Simulation.com can easily get you to the right team, whether that be the clinical, you know, a content team, the sales team for advertising or on the community team or any of our other team members.

00:39:38:19 - 00:40:08:19
Unknown
On with regards to, support that's necessary to take advantage of our tool sets and our resources. Very good. Well, Lance, it's obvious that your submission, Reince, and AV goes deep and very wide. And we really appreciate your time this afternoon. Thanks for joining the the podcast. Absolutely. You know, I think about audio visual, 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.

00:40:08:19 - 00:40:28:01
Unknown
And it's it's a very much like a combination of documentary filmmaking where you never know what's going to happen. And so you're just they're trying to capture but narrative where you you've got a script and an agenda and, and our health healthcare professionals are going into this environment and they're basically role playing. They're, they're doing little improv scenes with, you know, hopeful, intended outcomes.

00:40:28:01 - 00:40:51:02
Unknown
And so it's such a great thing to think that, you know, video technology can make such an impact, not only in this industry but in so many industries because of the way that digital technologies is, is kind of out there. And I'm really, excited about what an Intelligent Video Solutions is bringing into this space. And so really want to thank you to, for, the opportunity to share about myself.

00:40:51:02 - 00:40:59:02
Unknown
And I look forward to, from supporting, the podcast and y'all as well in the future.

00:40:59:04 - 00:41:13:15
Unknown
On Record is a podcast presented by Intelligent Video Solutions, hosted by Mike Anzalone and Carmen Haak and produced by Kyle Shelstad. Find us online at IPIVS.com/onrecord and on social media at Intelligent Video Solutions.