SIGB]O Newsletter page 6 reproducibility of results. Simulation Game for Managing the Laboratory Sevice: A Preproposal Andrew Hogan Health Service Research and Development Veterans Administration Medical Center 2215 Fuller Road Ann Arbor. MI 48105 (Editor's note: The following contains the Abstract and Objectives of Hogan's preproposal for funding to the VA. If you would like. we can carry more of the preproposal in the next edition). Abstract f this research is to develop, Bnt a simulation game capable of laboratory decision makers in changes, altering systems and â¢mining staffing levels based on for service, rearranging space evaluating possible equipment secondary goal is to teach ~gement skills to supervisory simulation game will be designed kinds of information generated by ~mputer based management (MIS). It is expected that lame at this time will aid in laboratory MIS. re of the model will be its VA Medical Center. To this simulation game will be erent sites. Upon completion, these parts will be joined into a single model and tested in a third medical center. Personnel from Medical District 14 and the Laboratory Management Consultation Program at the Centers for Disease Control will evaluate the transferability of the game among VAMCs. the Research improve three specific areas of laboratory management: personnel scheduling and staffing levels, equipment acquisition and program/organizational design. Examples of specific applications include: scheduling vacations to maintain proper staffing levels: evaluating the impact on work ftow and staffing levels of automated equipment: and assessing the effects of expanding the blood collection responsibilities of the phlebotomy section on lab turnaround and nursing functions. Simulation models are widely used in industry and private sector health care programs (Society for Computer Simulations 1981. Reisman 1979), They allow managers and planners to ask "what if" questions about the impact of new technology and different patterns of organizational design and resource utilization. Special attention will be paid to the lack of computer sophistication by most VA service chiefs. The simulation game will also play a useful role in the training of VA laboratory managers and administrative officers, particularly in the associate director's training program. References Reisman. A (1979] Systems Ana/ysis in Hea/th Care Oe/ivery Lexington Books: Lexington, MA. Society for Computer Simulation 1981. Survey of the App/ications to Hea/th Care. SIGNAL PROCESSING "X" EVOKED RESPONSE AUDIOMETRY: NEW METHODS FOR DETERMINING HEARING THRESHOLDS David R. Hampton, Ph.D. Director of Clinical Research Cadwell Laboratories. Inc. 1021 N. Kellogg Street Kennewick, WA 99336
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