Closing the Loop by Operationalizing Systems Engineering and Design (CLOSED)
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.
Organizations can join CHER at any of several participation levels (and move between levels annually) based on needs, internal priorities, and budgets. For example, some organizations may want to start as an associate member initially to gauge "fit", or to graduate down from full member after building internal systems engineering capacity. A smaller health system may just want to participate as an affiliate member.
Budget levels thus have been created to maximize participation and accommodate a range of needs, with the University allowing reduced overhead to help further stretch membership contributions. All members can participate proportionally in CHER activities, projects, workshops, and meetings (full members serve as more direct test, have more input to projects, and greater access to student projects.
We encourage you to join at whatever level fits best and believe the value will be clear.