A rubric for assessing conformance to the Ten Rules for credible practice of modeling and simulation in healthcare

Abstract

The power of computational modeling and simulation (M&S) is realized when the results are credible, and the workflow generates evidence that supports credibility for the context of use. The Committee on Credible Practice of Modeling & Simulation in Healthcare was established to help address the need for processes and procedures to support the credible use of M&S in healthcare and biomedical research. Our community efforts have led to the Ten Rules (TR) for Credible Practice of M&S in life sciences and healthcare. This framework is an outcome of a multidisciplinary investigation from a wide range of stakeholders beginning in 2012. Here, we present a pragmatic rubric for assessing the conformance of an M&S activity to the TR. This rubric considers the ability of the M&S to facilitate outreach of the results to a wide range of stakeholders from context-specific M&S practitioners to policymakers. It uses an ordinal scale ranging from Insufficient (zero) to Comprehensive (four) that is applicable to each rule, providing a uniform approach for comparing assessments across different reviewers and different models. We used the rubric to evaluate the conformance of two computational modeling activities: 1. six viral disease (COVID-19) propagation models, and 2. a model of hepatic glycogenolysis with neural innervation and calcium signaling. These examples were used to evaluate the applicability of the rubric and illustrate rubric usage in real-world M&S scenarios including those that bridge scientific M&S with policymaking. The COVID-19 M&S studies were of particular interest because they needed to be quickly operationalized by government and private decision-makers early in the COVID-19 pandemic and were accessible as open-source tools. Our findings demonstrate that the TR rubric represents a systematic tool for assessing the conformance of an M&S activity to codified good practices and enhances the value of the TR for supporting real-world decision-making.

Competing Interest Statement

I have read the journal's policy and the authors of this manuscript have the following competing interests: Ahmet Erdemir owns and operates innodof, LLC, a consulting company for modeling and simulation. Lealem Mulugeta owns and operates InSilico Labs LLC and Medalist Performance. InSilico Labs provides computational modeling and simulation products and services, and Medalist Performance applies computational and biomedical approaches to provide peak performance coaching services to tactical professionals, athletes, astronauts, and executives. Marc Horner is employed by ANSYS, Inc., a company that develops commercial off-the-shelf computational modeling software. The remaining authors have declared that no competing interests exist.

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