TheraSim : CPM for Global Health

Clinicians: 52,000 Patient Case Sims: 73,000 Countries: 120

Overview

Clinical Performance
Management
for Clinical Trials

Clinical Performance
Management
for Continuing Medical
Education

Clinical Performance
Management
for Global Health

Clinical Performance
Management
for Hospitals &
Managed Care

TheraSim works in partnership with major funders and care providers in the developing world to provide vital capacity building and assessment services using the unique TheraSim CPM software.

TheraSim's Global Health division has developed an innovative simulation enabled learning management system specifically for chronic and infectious diseases called TheraSim Online. TheraSim Online is the first simulation trainer for chronic and infectious disease. By applying the same proven concepts of simulation used in flight training programs as well as trauma medicine, TheraSim has introduced a significant transformational solution for educating and training more healthcare professionals faster-better-cheaper than any other method. TheraSim Online

combines simulation and didactic learning modules, providing both the theory and practice of medicine. The technology is culturally sensitive, accessible in the developing world and vitally needed. It is also simple to use and has enjoyed greater than 97% positive feedback in assessment from physicians around the world.

TheraSim CPM has been deployed in Africa, India and Russia to private and public healthcare organizations and universiies delivering capacity building and care and treatment services for HIV, TB and other infectious and chronic diseases. TheraSim CPM meets a pressing need to improve clinical quality in these developing managed care settings by establishing adequate performance levels, ensuring that the sites follow published guidelines and gathering behavioral metrics for quality assurance, training and research.

These graphs illustrate the ability of TheraSim CPM to measure and improve the clinical quality and performance of participating clinicians. This data consisted of a cohort of 170 physicians from 60 CDC supported hospitals managing over 20,000 patients with HIV/AIDS in East Africa. Each of the red dots in the graphs indicate a clinical interaction between a physician and a simulated patient. The patient simulations were drawn from patients charts that are typical of the ranges of cases they would typically face. Over 2000 simulations were conducted. The distance the red dot is from the center indicates the cumulate errors that occurred in the simulation. Dots that are within the green bullseye indicate technical errors that would not adversely impact patient outcomes. The further the dot is from the center, the more severe the deviation from treatment guidelines and/or cumulative errors such as drug interactions, misdiagnosis or dosing errors.

The left graph shows the baseline performance of the cohort at installation of TheraSim CPM. After working with TheraSim Health Tracks and it’s e-mentoring system for 5 months, the cohort was measured again using different simulations that test the same competencies. That performance and the dramatic improvement it represents is shown on the right.

Research suggests that TheraSim CPM yields improved Quality Adjusted Life Years (QALY)

The outcomes data from TheraSim deployments in Africa in support of the massive CDC scale up of HIV therapy have shown that TheraSim CPM can have a profound impact on the quality of care. Data from these deployments showing that TheraSim CPM can move the performance of physicians closer to evidence based standards has been published multiple scientific organizations.

The quality of care for tens of thousands of patients has been impacted by the performance advancing effects of TheraSim CPM. A recent study, conducted by TheraSim for the non-profit organization The Acumen Fund, has shown that small investments in TheraSim CPM could yield huge dividends in terms of Quality Adjusted Life Years (QALY) for patients being treated by physicians using the TheraSim CPM system. QALY is a common metric used to measure the impact of health interventions on human life by showing the additional high quality years (not years spent in a coma or on a respirator) added to patient lives through the use of the intervention. By improving the treatment behavior of clinicians delivering ART care, patient stand to benefit from reduced adverse events, lower rates of resitsance and therefore,longer and more productive lives.

TheraSim Health Track simulation courses are designed with notable experts in the field and certificates of completion are awarded to course graduates. In countries where it is offered, these courses carry CE (continuing education) accreditation. In the photo above, Dr. John Bartlett of the John’s Hopkins AIDS Service and TheraSim CEO, David Hadden proudly award one of many certificates to Ethiopian physicians that complete the program.