Closing the Loop by Operationalizing Systems Engineering and Design (CLOSED)
Motivation:
Specific Aims :
Aim 1:Use systems engineering and patient engagement to design, develop, and refine a highly reliable “closed loop” system for diagnostic tests and referrals that ensures diagnostic orders and follow-up occur reliably within clinically- and patient-important time-frames.
Aim 2: Use systems engineering and patient engagement to design, develop, and refine a highly reliable “closed loop” system for symptoms that ensures clinicians receive and act on feedback about evolving symptoms and physical findings of concern to patients or clinicians.
Aim 3: Design for generalizability across health systems more broadly so that the processes created in Aims 1 and 2 are effective in (1) a practice in an underserved community, (2) a large tele-medicine system, and (3) a representative range of simulated other health system settings and populations.
Partners:
Sunday, June 2, 2019
Sunday, June 2, 2019
Approach:
Sunday, June 2, 2019
Results to Date:
About Us
About HSyE
The Healthcare Systems Engineering (HSyE) institute has focused for over 30 years on improving healthcare quality, logistics, safety, efficiency, flow, and access. We have a simple ‘triple aim’ mission – to broadly impact healthcare improvement through workforce development, research, and application of systems engineering methods to important healthcare problems. We accomplish and balance this mission through diverse healthcare partnerships, undergraduate through post-doctoral programs, four sponsored healthcare industrial engineering centers, and external grants and contracts – to-date totaling over $178 million in funding, 200 publications, and 900 students trained. Please browse our pages to see the breadth of our work and impact and please contact us to explore how to become involved.
Why Health Care
Health care is the largest industry in the world, outpacing the rate of inflation, and riddled with system problems in almost every setting that result in poor efficiency, effectiveness, safety, access, equity, and patient-centeredness. An 30% of total U.S. healthcare costs are attributable to poorly designed processes and estimated impacts of medical errors due to poor processes are staggering (~1.4 million injured patients, millions of hospital days, 100,000 deaths, $9 billion annually), prompting the National Academy of Sciences to advocate much greater application of systems engineering methods as used in other industries…. read more
What is Systems Engineering
Systems engineering (SE) is two things: (1) a general approach, framework, and way of thinking to address and solve problems and (2) a set methods to help understand, model, and design more efficient, reliable, and safe processes (and systems of systems), ranging from basic process improvement, human factors, mathematical/computer modeling, and advanced analytic methods used in many other industries to study, improve, and optimize process quality, delays, cost, efficiency, and effectiveness - national healthcare priorities also identified by the National Academy of Medicine…. read more
Mission
Broad regional and national impact on healthcare improvement through education, research, and application in systems engineering methods.
News
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New HSyE publication (JGIM): Re-engineering closing symptom monitoring loops
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HSyE receives new $2 million grant to continue their research on epidemic healthcare surge modeling
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HSyE and the Beth Israel Bowdoin Street Community Health Center receives new CRICO grant to improve diagnostic symptom monitoring processes.
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New HSyE publication (eClinicalMedicine): A randomized trial of statistical control charts
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New HSyE publication (Mathematics): A new statistical control chart method based on truncated cumulants