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HUMAN PATIENT

SIMULATION NETWORK

S u m m e r 2 0 1 0 | H P S N . c o m

PLuS> Müse™ now available for ECS® | 3

> HPSN 2011 | 6-7

Meti acquires Lionis and

LauNcHeS SoLutioN for SimuLatioN ceNter operation and management | 4

2 | HPSN | summer 2010

C E O ’ S L E T T E R

It gives me great pleasure to be writing you as the new CEO of METI. As I am sure most of you are aware, I formally took over the role of CEO and the day-to-day operation of METI from Lou Oberndorf on July 1. As former CEO and founder of METI since its inception in 1996, Lou leaves an indelible and immeasurable mark on the company that can never be overestimated. We look forward to his ongoing contributions, imagina-tion and passion in his role as Chairman of the Board and I am extremely honored to be following in his footsteps.

A year ago, Lou and I put in place a deliberate and purposeful transition of leadership for the company. Having first “matriculated” under Lou for a year in order to fully learn the high-fidelity simulation business, I am now ready to focus on the important work of fine tuning and improving the company operationally. METI has established a leader-ship position in the industry as a developer of disruptive, bleeding-edge technology and my priority going forward will be to build on that legacy by making sure we also focus on how we operate and the service we provide to our customer.

The last 12 months have been an important and exciting time for METI. We have brought in a new opera-tional leadership team to oversee the manufacturing, supply chain and customer support functions of the company. This new team is focused on a program of “Operational Excellence” aimed at adopting the best practices of Six Sigma business management and Lean Manufacturing techniques in our purchasing, manufacturing and support efforts. I believe this radical change in our management strategy will directly translate into a better user experience for our customers.

This year has also seen a number of important strategic developments for METI. In July, we announced the acquisition of Lionis Software, Inc., an extremely talented software company based in Hungary. Lionis has been an important partner in the development of existing products such as METIVision® and will now propel METI into the market with our own Center and Learning Management System, LearningSpace™.

We also continue to develop new products and services such as the Nurse Optimization Program™, providing a subscription-based, experiential learning program for the hospital market, while also tap-ping into new markets both home and abroad. In 2010, we won significant multi-million dollar contracts in new areas of healthcare education, including Education Affiliates, a leader in the proprietary education sector and CHART, a medical malpractice insurance group looking to place simulation programs in hospitals to help improve patient safety.

METI is one of the most exciting companies in healthcare today and I’m thrilled to be able to help lead its future. Our technology and educational content is unsurpassed in the industry and I believe, without a doubt, that we are well positioned for success in the years ahead.

Mike Bernstein, President and CEO

Operational excellence

METI is one of the most exciting

companies in healthcare today and I’m thrilled

to be able to help lead its future.

summer 2010 | HPSN | 3

C E O ’ S L E T T E R

METI unveils a new logoFrom the beginning, METI has always been syn-onymous with learning and over the years the company has continued to expand its product line beyond simulators to a full range of experiential learning programs and learning management tools.

This summer, METI un-veiled a new corporate branding and logo – METI Learning – for its

entire commercial operations in order to better represent the company’s evolution into a global learning company. The logo is currently being in-corporated into METI’s product branding, corporate identity materials, website and marketing materials.

METI launches Müse for ECSThis May, the Emergency Care Simulator (ECS®) joined iStan® and METIman® as METI simula-tors that now ship standard with Müse, the new web-based, touch-screen-capable user interface. Existing ECS users who have the HPS6 interface can upgrade to the new software and take advantage of all the powerful new features that come with Müse. In August, METI released a new update for Müse users that provides faster performance and improved METIVision connectivity. The update is available for download on METI’s website in the MyMETI section.

Union University names Oberndorf Senior FellowTennessee’s Union University held a ribbon-cutting ceremony this August in honor of a new 57,000-square-foot facility, Providence Hall, which includes the Center of Excellence in Health Care Practice, featuring the latest state-of-the-art human patient simulation technology. As part of the ceremony, Union’s President, David Dockery, recognized METI Chairman of the Board, Lou Oberndorf, who he described as a “guiding force” in Union’s development of healthcare education through simulation and who was installed as the first senior fellow of the Center.

METI customers score high on US News Best Hospitals ReportHPSN News would like to congratulate all the METI customers who were recog-nized in the annual U.S. News & World Report Best Hospitals in America rank-ings. Ten out of the 14 hospitals that qualified for the “Best Hospitals Honor Roll” are METI users as are four out of the eight Best Children’s Hospitals selected.

meTI “Honor roll” Customers:

Operational excellence

METI announces the Rapid Response and Intervention Learning ModuleMETI recently announced the completion of a new Learning Module that was developed in partnership with the Community Hospital Alternative for Risk Transfer (CHART) to help support hospital personnel with early intervention in adult patients demonstrating acute changes or progressive deterioration. The Rapid Response and Intervention Learning Module will be invaluable to non-critical health professionals in addressing the early warning signs of physiological instability, preventing further deterioration, reducing cardiopulmonary arrest episodes and improving patient and family satisfaction and hospital mortality. The Rapid Response and Intervention Module will be available in October.

• Johns Hopkins Hospital

• Mayo Clinic

• Massachusetts General Hospital

• Cleveland Clinic

• Ronald Reagan UCLA Medical Center

• Barnes-Jewish Hospital Washington University

• Duke University Medical Center

• Brigham and Women’s Hospital

• University of Washington Medical Center

• University of Michigan Hospitals and Health Centers

The full report can be found online at: health.usnews.com/best-hospitals.


It was a case of two great medical education companies thinking alike – and managing to find each other in the global marketplace. Since that initial spark nearly four years ago, the two have become one, and the result of their union is a revolutionary learning management system on a constant path of refinement and discovery.

According to Balazs Moldovanyi, owner of the Hungarian technology firm Lionis Software LLC, it almost didn’t happen. When Carlos Moreno, METI’s vice president of engineering, first tried to contact him, the exploratory e-mail escaped his notice. Fortunately, Moreno persevered. He was on the trail of a new audiovisual component to the patient simulation experi-ence – what would become known as METIVision – and all his research had convinced him that Lionis’ existing technology was the best of its kind in the world.

“Five years ago, METI started trying to bring the connection between audiovisual information together with simulation,” Moreno said. “I was

very intrigued by the technology of Lionis, because it was based on software, not on hardware. With a software solution, you always have the ability to go above and beyond, and it reduces the final price.”

Where healthcare comes to learn


According to Moldovanyi, the collaboration that followed was almost seamless. Using Lionis soft-ware to power METIVision, he said, “we practically developed everything visible to the user almost from scratch. Working with the METI engineering team to integrate our system with the METI data flow, we developed the product in a little more than six months.”

Such a rapid meeting of engineering minds impressed Mike Bernstein, the recently named CEO of METI. With a professional background that involved steering “approaching 20 mergers and acquisitions,” he said, he was aware of the two primary barriers to a successful corporate blend: culture and execution risk – in other words, whether the two workforces can relate to and respect one another, and whether their combination can actually deliver desired outcomes.

The METIVision project, Bernstein said, “proved the ability of Lionis technology to integrate with the METI platform. This took that entire element of mystery out of the question of whether the two companies belonged together. The Lionis deal became very attractive because the execution risk was almost nonexistent.”

When METI acquired Lionis in June and Moldovanyi

took on new duties as the top executive of METI Europe, the stage was set for a global rollout of LearningSpace. This sophisticated learning management system is already in use at some 50 leading medical schools, including the Univer-sity of Virginia at Charlottesville, the University of California at Los Angeles, and the U.S. Military’s Uniformed Services University of the Health Sciences in Bethesda, Maryland.

Moldovanyi described LearningSpace as “pretty much a complex system that helps learning centers do their jobs.” This entails a smooth integra-tion of functions such as lab and classroom sched-uling, student evaluation and the copious amounts of multimedia data collection and record keeping that provide reliable feedback for both faculties and learners.

With Lionis’ unique system software and METI’s comprehensive user network, Bernstein said, the potential for LearningSpace has become limitless.

“The merger of the companies allowed us to take a product that already existed, that was the best of its kind in the world already, and accelerate improvements,” he explained. “We took our aligned interests and meaningfully accelerated the ability to get this to the marketplace.”

LearningSpace has tremendously increased the productivity of our center by providing an efficient, flexible and user-friendly means for collecting, managing and analyzing performance data.RACHEL YudkOwSkY, Md MHPEDirector, Clinical Performance Center, University of Illinois at Chicago College of Medicine

Photo courtesy of Maine Medical Center

What’s very cool about this

conference is you not only have

researchers and practitioners

but all kinds of educators who

come together in a spirit of sharing.

dR. VICkY ELfRInkThe Ohio State University

ceLebratiNg 15 yearS of LearNiNg

Every year, for the last 15 years, a spectacular group of people from all over the world and

from every area of healthcare have come together to exchange ideas on how to push

the envelope of medical simulation to improve learning, competency and ultimately, save lives.

HPSN is where the brightest and best leaders, educators, innovators and thinkers

in healthcare education gather each year to make meaningful connections, for

hands-on learning, to share tales of innovation, and to preview the latest

simulation technology in an intimate, immersive setting.

At HPSN2011, you’ll find yourself in the company of the doers, makers and thinkers

of medical simulation. Let your mind travel a world of ideas in a variety of learning opportunities, whether it’s specialized training courses, immersive sessions, round-table

discussions or lectures. After the sessions, engage with other passionate attendees in critical

discussion and problem solving. Here, you’ll meet people like you – people who share your

vision of integrating medical simulation to enhance learning and patient care.

And best of all - it’s fREE

February 22-24, 2011 | Marriott Waterside Hotel & Marina | Tampa, Florida


Book Your Hotel Room

Why is HPSN2011 the premier event of the year for the meti community?

• FreeMiniTrainingCourses

• KeynoteSpeaker

• AcademicPosterSessions

• TheMETICupStudent-FacultyCompetition

• TheMETI’sSimulationUserAwards

Call for Workshopsdeadline for Abstracts: October 15, 2010

TheHPSNEducationCommitteeisstillacceptingsubmissionsfortheHPSN2011ConcurrentSessionsprogram.Allsessionsareexpectedtobehighlyinteractive,provideevidencetosupportclaimsofsuccessandconveyinformationandtipsthatwillhelpothersapplylessonslearned.

Go to hpsn.comformoredetails.

And…HPSN2011willalsobefeaturinganexhibitor’sarea.Ifyouwouldliketodemonstrateyourproducttoover1,000medicalsimulationprofessionals,askusaboutbeingaHPSNexhibitor.

Tosubmitaproposalvisit hpsn.com

Proposals should cover one of the following categories:

• ImmersiveSessionswithSimulator

• ExpertPanelPresentation

• RoundTableDiscussion

• PodiumPresentation

• PosterSession

HPSN will be returning once again to the Marriott Waterside Hotel and Marina in downtown Tampa, Florida on February 22-24, 2011. Book your room early to take advantage of the special HPSN rate.

NeW at HPSN2011!

• Over 100 hands-on workshops covering all levels of healthcare

• Free mini training courses to advance your knowledge and expertise

• Keynote Sessions by industry leaders

• Preview the latest innovations in the product and technology showcase

• Regional and Special Interest Group meetings

• Earn Continuing Education Units (CEUs)

Whether you’re a nurse or physician, military or civilian medic or respiratory therapist - if you have an interest in medical simulation and want to learn more or share your experiences, HPSN is the best conference for you to attend this year. And, you don’t need to be a METI simulation user. HPSN is for everyone who believes that simulation is the future of health-care education.

This year, HPSn will feature a number of new and exciting events for attendees to take advantage of, including:


4th Annual UK Simulation in Nursing Education ConferenceEvery year METI attracts hundreds of nurses, allied health professionals and medical simulation experts from around the UK and Europe to attend METI’s UK Simulation in Nursing Education Conference. This year was no different. This highly acclaimed event took place at the University of Huddersfield, June 9 – 10. The conference theme was “Simulation: Re-creating Reality – The Learners’ Stories.”

Educators from around the world presented on topics from Dental Emergencies to Using iStan to Teach in the Mental Healthcare Environment. “What an invaluable event this is,” said one attendee. “I can’t wait to get back to the classroom to implement what I have learned here.”

With two full days of hands-on workshops, poster sessions, keynote pre-sentations and ongoing demonstrations of METI’s new user interface, Müse, the event measured up to everyone’s expectations of excellence. To view a full wrap up of the event and to download workshop presentations, visit hpsn.com.

Mark your calendar for next year’s UK Simulation in Nursing Education Conference being held June 8 - 9, 2011 at the University of Surrey.

Midwest Regional HPSN 2010Riverside Methodist Hospital, the Nursing Institute of West Central Ohio and METI hosted this year’s Midwest Regional HPSN. Riverside’s Center for Medical Education and Innovation was the perfect venue for more than 100 attendees who gathered to learn about the latest innovations in medical education and network with other users in their area.

There were plenty of user-facilitated workshops as well as METI hosted workshops featuring products such as Müse, eDose® and METI’s new Nurse Optimization Program™.

For the full wrap up of the Midwest Regional HPSN, including workshop presentations, visit hpsn.com.

HPSN Around the World in 2010

Very educational

and very inspirational!

dR. PO-Yu Lu Taichung Veteran’s

General Hospital


Ireland SimDaySeptember 28 • Ulster, Northern Ireland

Hosted by METI and the University of Ulster, this free event will include hands-on demonstrations of iStan, METIman and METIVision and offers the perfect opportunity to network with other educators in the region.

The METI CupOctober 10-12 • Ft. Lauderdale, Florida

The METI Cup is an annual critical care skills competition host-ed by METI at the Air Medical Transport Conference (AMTC). Ten teams consisting of flight nurses, paramedics and/or phy-sicians will go head-to-head at showing off their real time, real situation response skills on METI’s state-of-the-art patient simulators. The winning team will receive a $600 cash prize, the second place team will receive a $250 cash prize and third place will receive $150. All the slots have already been filled for 2010 and it is sure to be an intense competition.

2010 METI Cup Participating Teams:

HPSN Asia/Pacific October 15-16 • Sinjhuang City, Taipei, Taiwan

The third Annual HPSN Asia/Pacific Conference: Medical Revolution Through Simulation is being hosted by METI, Fu Jen Catholic University and Kuo Yang Scientific Corporation and will feature plenary lectures by leading figures in medical simulation and education from around the world, hands-on workshops and presentations. The conference will also include METI Cup Taiwan – a critical care skills competition and a mock Disaster Drill demonstrating the processes for EMTs in the field.

HPSN Europe November 11-13 • Mainz, GermanyHPSN Europe is a two-day medical simulation and education conference that provides an invaluable opportunity to enhance your medical simulation experience while networking with healthcare professionals from all over Europe and the world.

Every year, HPSN Europe offers pre-conference courses, keynotes, seminars and workshops designed to further the advancement of simulation training in all walks of healthcare with a progres-sive and hands-on approach.

HPSN Western Regional December 10 • Los Angeles, California

This year’s Western Regional HPSN is being hosted by Los Angeles County + University of Southern California (LAC+USC) Medical Center and METI and will feature interactive workshops, plenary sessions and networking opportunities. Proposals for workshops are still being accepted.

UpCOMING EvENTS

HPSN Around the World in 2010

• Wake Forest University Baptist Medical Center

• University of Mississippi Medical Center

• Native Air Services (Omniflight)

• STARS • MedFlight of Ohio

• University of Michigan’s Survival Flight

• University of Cincinnati Air Care

• Bayflite • Cleveland Metro Life Flight • Carilion Clinic Life-Guard

ToregisterforanyHPSNeventlogontoHPSn.com.


Q. You were a VP in an aerospace company when you first saw the human patient simulator at uf. was it love at first sight?

A. Well, yes and no. We were given a presentation of the technology by Dr. Michael Good, Professor Gravenstein and the development team. It was truly impressive, however, our first inclination was to not pursue licensing the technology as we were an aerospace firm with

little experience in the commercial world, especially medical.

Q. You were responsible for negotiating the license with uf in the early 90s. what were the early days like for METI?

A. We began the transfer of the simulator technology from UF to our division in Sarasota in May 1994 and delivered our first Human Patient Simulator to Mt. Sinai in New York City in September of 1994. Being a new and revolutionary technology, we faced a lot of headwind in establishing an industry that did not exist prior to our involvement. The early adopters, Mt. Sinai, the University of Rochester, Penn State, the University of North Carolina and others were truly pioneers in incorporating patient simulation technology in their educational programs. It was slow in the beginning but we knew that we had a diamond in the rough.

Q. during your tenure at METI, was there a defining moment? A moment you look back on and know you were making history?

A. I believe there were two defining moments. The first, of course, was when Lou founded METI in September of 1996. This allowed us to forego the aerospace way of thinking and place our entire focus on one thing. The second defining moment was the development and introduction of iStan, which was the first wireless, tetherless medical simulator in the world. That technology breakthrough changed the way patient simulators will be designed forever.

Q. what would you say is the highlight of your career at METI?

A. Being able to say that through METI, we helped to create an indus-try that did not exist prior to 1994 and the fact that this industry has had a profoundly positive impact on medical education worldwide.

Q. what do you think patient simulation will look like in 5-10 years?

A. As technology develops and advances simulators will change. The biggest change that I see will be further integration of the simulator

technology into the overall learning space by incorporating student performance, curricula and knowledge into the science of learning.

Q. what do you see as the biggest challenge facing the medical simulation industry today?

A. Development of new technologies and methodologies to continue to enhance the student’s educational experience. Expectations of stu-dents today are totally different than students of 15 years ago. Given the explosion of the Internet, social networking, etc., students 15 years in the future have different educational expectations. The industry will need to accept and adapt to that.

Q. what did you want to be when you were a child?

A. I always loved science. Having said that, I wanted to be an engineer.

Q. Is there a motto that has motivated your work?

A. Always give your best effort, 100+ percent. Success doesn’t happen on its own.

Q. As you embark on this next phase of your career, what will you miss the most about METI?

A. The day-to-day interactions with the people, the METI family. I have been extremely fortunate to have met and been able to establish relationships with truly great people around the world, both inside and outside of METI.

Ray Shuford, former Meti VP of Operations retiresThis June, one of the principal players in the founding of METI in 1996, Ray Shuford, retired. Shuford was based at the Sarasota division of Loral Corporation at the time that the technology for the first human patient simulator was licensed from its inventors at the University of Florida (UF). Soon after, METI was born and he became Employee #2, following Lou Oberndorf, METI’s first employee.

METI circa 1997. Ray Shuford, middle row, second from left.


Simulation education will be indispensible for building bridges and sharing knowledge.COLETTE fOISY-dOLLUniversity of Calgary, Qatar

When Colette Foisy-Doll arrived in Qatar last year to develop a simulation and clinical laboratory on a fast track for the University of Calgary’s School of Nurs-ing there, she ordered equipment and expected it to arrive within a typical four-to-six-week period.

That was her first surprise.

While she waited six months for lab equipment to be shipped and clear customs, Foisy-Doll negoti-ated a complex and fascinating cultural frontier to cultivate trust in both her new business partners and her nursing students.

“The faculty of the school were all ex-patriots, and as such we arrive with our own cultural egocentrism,” she said. “As Westerners, we go right for the dot in the middle. In the Arab world, you start at the outside and work in. It’s all about getting to know people, and you have to build in time for that.”

While she forged relationships with local suppliers, Foisy-Doll also taught a health assessment course to beginning nursing students. She learned instantly that for many of these Muslim women, disrobing to

give each other physical exams violated principles of Islam and, for some, strict codes of family honor.

“So I decided to take that first half-hour of class and call it ‘coffee time,’ ” she said, “where we talked about things relevant to education and nursing.” They asked each other questions and built up trust, and after a while, most of her students felt ready to begin examining their partners.

In such a highly charged social context, she antici-pates that simulation education will be indispensible for building bridges and sharing knowledge.

“In Islam there are many cultural norms and expec-tations around touch, exposure of the body and gender contact,” Foisy-Doll explained. “Modesty and the dignity of the body are very important. Simula-tion is perfect because I can have all of these stu-dents engaging together in an environment where person-to-person contact is no longer an issue. The simulator is neutral ground, and we can disrobe the simulator.”

e d u c A t O R : i N N O V A t O R

university of calgary, QatarSchool of Nursing

Ray Shuford, former Meti VP of Operations retires

E v E N T S C A L E N D A R

6300 Edgelake Drive Sarasota, FL 34240 USA

tel 941-377-5562US toll free 866-233-6384

meti.comhpsn.com

© 2010 METI 323-0910

SEPTEMBER 2010College of Emergency Medicine (CEM)Sept. 13-15Birmingham, UK

EMS ExpoSept. 27-Oct. 1 Dallas, TX

National League for Nursing (NLN)Sept. 29-Oct. 2 Las Vegas, NV

OCTOBER 2010The METI Cup at the Air Medical Transport Conference (AMTC)Oct. 11-13 Ft. Lauderdale, FL

International Interdisciplinary German Speaking Simulation Symposium (InSiM)Oct. 15-16Basel, Switzerland

HPSN Asia PacificOct. 16-17 Taipei, Taiwan

The American College of Chest Physicians (CHEST)Oct. 30-Nov. 4 Vancouver, Canada

Announcing the first ever Meti AwArds for siMulAtion.Doesyourschoolorinstitution havewhatittakestobevoted “BestSimulatorUserVideo”in thenewMETIAwards?

Go to hpsn.comformoreinformation.

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