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:
Melissa Cyr, MSN, ANP, FNP
Email: cyr.m@husky.neu.edu
Joined HSyE: December 2015
Hometown: Van Buren, Maine
Education: M.S, Nursing, Northeastern University (2009); B.S., Nursing, University of Maine (2005)
Research Interests: Access to care, health disparities, melanoma screening, interdisciplinary research methodology
Hobbies: Grant proposal and creative writing, travel, drawing, cooking, old home restoration, medical relief work
Melissa is a PhD candidate using systems science methodology to study access barriers to dermatology care, and is a graduate research assistant at HSyE. She has over 14 years of clinical nursing experience in both urban and rural healthcare settings. Beyond her Masters degree, in 2014 she completed fellowship-training as a dermatology nurse practitioner, and continues to work part time in collaborative private dermatology practice with a dermatology surgeon. Her research interests arose both from growing up in a poor and medically underserved rural area of Northern Maine, recognizing the need to increase dermatology accessibility to improve skin cancer outcomes, and through clinical practice, augmented with volunteerism in disparaged regions of Peru, Honduras, and India.
Project Involvement at HSyE
Selected Publications
Cyr, M. E. (2017). The psychosocial, economic, and occupational impacts of psoriasis: A review. The Journal of the Dermatology Nurses’ Association, 9(2), 75-77.
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Cyr, M. E. (2014). Chapter 13: Infestations, stings, & bites. In: Bobonich, M. & Nolen, M. ed. Dermatology for the advanced practice clinician. Philadelphia: Lipincott.