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.
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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.
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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:
Improving PrimAry Care Through Industrial and Systems Engineering.
I-PrACTISE was founded in 2013 to accelerate the development and application of using ISyE approaches and methods to study and improve the quality and efficiency of primary care, the National Collaborative to Improve Primary Care through Industrial and Systems Engineering sponsored an invitational conference in April 2013 which brought together experts in primary care and ISyE.
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Ideas from that conference aligned along two dimensions: System Design Factors and Problems and Issues in Primary Care. The three general categories of System Design Issues were: Teams and Workload Distribution, Technology, and Policy. The five general categories of Problems and Issues in Primary Care for research were: Cognitive Needs, Patient Engagement, Care of Community, Integration of Care, and Care Transitions.
In 2019, researchers traveled from across the United States and Canada to attend I-PrACTISE:
Motivation:
The Institute of Medicine (IOM), the National Academy of Engineering, The National Research Council, the National Science Foundation, and the Agency for Health Care Quality and Research (AHRQ) have funded workshops intended to address healthcare concerns. These groups have all recommended collaborations between Industrial and Systems Engineering (ISyE) and healthcare professionals as one way to develop the science base to inform the effective development of teams; technology; and policies to improve care, practice efficiency, and the primary care workforce.
Mission:
Create a home for scholars and clinicians with interest and expertise in industrial engineering and/or primary care to conduct funded projects directed at improving the quality of primary care for patients, clinicians, and staff.
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Vision:
The care of patients will be improved and the practice of primary care medicine will become more efficient through new knowledge and techniques created by the collaboration between Industrial Engineering and the primary care specialties.