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:
Publications
Invited Workshops, Seminars, and Plenary Talks
International
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Benneyan JC (2000), "Applying Statistical Process Control (SPC) in Health Care: Understanding and Managing Variation", 5th European Forum on Quality Improvement in Health Care, invited full-day workshop, Amsterdam, The Netherlands.
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Benneyan JC (1998), "Measuring Performance and Improvement from a Statistical Quality Management Perspective", 15th International Society for Quality in Health Care Conference, invited, Budapest, Hungary.
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Research Seminars
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Benneyan JC (2009), "Exact Risk-Adjusted Healthcare Spatial-Temporal Surveillance via a Family of New Sequential Probability Ratio Tests", invited, Dartmouth College Jones Lecture, Dartmouth College, January 2010, Hanover, NH.
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Benneyan JC (2009), "Healthcare Process Simulation", invited, University of Massachusetts Medical Center, August 2009, Worcester, MA.
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Benneyan JC (2009), "Industrial and Quality Engineering Methods in Healthcare Process Improvement", invited, Dartmouth College, March 2009, Hanover, NH.
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Benneyan JC (2008), "The Quality, Safety, and Reliability Imperative", invited plenary, First Annual Healthcare Engineering Symposium of the Healthcare Engineering Alliance, North Carolina State University, June 2008.
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Benneyan JC (2007), "Risk-adjusted sequential probability ratio tests for heterogeneous adverse healthcare events", invited, University of Michigan, April 2007, Ann Arbor, MI.
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Benneyan JC (2006), "Statistical Monitoring and Control of Patient-Level Data", invited, NIH-NSF Point of Care Technologies Workshop, April 2006, Washington DC.
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Benneyan JC (2006), "Statistical surveillance and control of healthcare processes", invited, Mayo Clinic, December 2006.
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Benneyan JC (2006), "Statistical Surveillance of Healthcare Reliability and Risk-Adjusted Adverse Events", invited, University of Massachusetts, October 2006, Amherst, MA.
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Benneyan JC (2006), "Signal Detection Models for Core Measure Bundles and Risk-Adjusted Adverse Events", invited, Purdue University, May 2006, West Lafayette, IN.
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Benneyan JC (2006), "Healthcare Quality and Reliability Models", Spring Research Colloquia, Mechanical and Industrial Engineering Department, Northeastern University, January 2006.
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Benneyan JC (2001), "The Role of Industrial Engineering in Health Care", invited, University of Central Florida and IIE student chapter, September 2001.
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Benneyan JC (1999), "Some Discrete Modeling Problems in Industrial Quality Control", Spring Research Colloquia, Mechanical, Industrial, and Manufacturing Engineering Dept, Northeastern University, March 1999.
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Workshops, Lectures, and Webinars
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Benneyan JC (2017), "Systems Engineering in the Hospital: What is in Your Toolkit?", Society for Hospital Medicine Conference, Las Vegas, NV.
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Benneyan JC (2009), "Measurement Strategies for Hospital Acquired Infections", California Hospital Associated Infection Prevention Initiative (CHAIPI), July 16 2009 (50 participating hospitals)
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Benneyan JC (2009), "HAI Measurement Approaches: Measuring Improvement, Rare Events, and Reaching Goals", American Arab Israeli International Collaboration Healthcare Associated Infections Network, March 19 2009 (12 participating US and Israel hospitals).
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Benneyan JC (2002), "Process Improvement Methods and the PDSA Improvement Model", Harvard University Health Services, training workshop, May 2002, Cambridge MA.
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Benneyan JC (2002), "The QMN Safety Campaign and A Model for Improvement", Quality Management Network, Fall 2001 Meeting, October 7-8, 2001.
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Benneyan JC (2001), "A Training Exercise for the PDSA Model for Improvement", Bureau of Primary Health Care Asthma Collaborative, Project conference faculty, 3-day workshop (part 1 of 3), August 16-18, 2001, Washington DC.
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Benneyan JC (2000), "Effective Use of Statistical Process Control in Infection Control and Epidemiology", Association for Professionals in Infection Control and Epidemiology, full-day workshop, annual conference, Minneapolis, MN.
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Benneyan JC (1999), "The Application of Industrial Quality Control Methods to Hospital Infections and Adverse Events", Boston Children’s Hospital, multi-day workshop, Boston, MA.
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Benneyan JC (1999), "Using Control Charts in Epidemiology and Infection Control", Society of Healthcare Epidemiology of America, workshop at the Annual Conference, San Francisco, CA.
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Benneyan JC (1998), "Using Data and SPC to Measure and Improve Healthcare Quality, IIE Society of Health Systems Annual Conference, half-day workshop, Memphis, TN.
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Benneyan JC (1998), "Use of Statistical Quality Control in Healthcare", Mercy Health Systems and Clark Hospital, Two-day workshop, January 1998, Des Moines, Iowa.
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Benneyan JC (1995), "An Introduction to Using Statistical Process Control (SPC) Within Health Care", International Applied Statistics in Medicine Conference, Dallas, TX.
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Institute for Healthcare Improvement workshops, 3-day training sessions, webinars
[ × ] … "Measuring Improvement, Rare Events, and Goal Attainment", Hospital Acquired Infections Collaborative, webinar, September 2008.
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… "Reliability Design in Clinical Care Processes", Atlanta, June 2005.
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… "Measuring Rare Surgical Site Infections and Time-Between Measures", Atlanta, June 2005.
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… "Specialty Access and Flow: Engineering Concepts and Tests of Change", September 2005.
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… "Stochastic Scheduling Rules for Specialty Access Clinics", February 2005.
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… "Improving Access and Efficiency in Clinical Office Practices I", February 6-8, 2002. (26 hospitals)
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… "Improving Access and Efficiency in Clinical Office Practices II", October 1-2, 2001. (26 hospitals)
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… "Quantum Leaps in Patient Safety", June 2001. (42 hospitals)
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… "Improving Patient Safety in High Hazard Areas III", May 10-11, 2001. (44 hospitals)
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… "Improving Patient Safety in High Hazard Areas II", January 17-18, 2001. (44 hospitals)
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… "Improving Patient Safety in High Hazard Areas I", September 14-15, 2000. (44 hospitals)
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Healthcare Information and Management Systems Society workshops
[ × ] … "Introduction to Continuous Quality Improvement and Statistical Process Control" half-day workshop, annual conference, February 2002, Dallas, TX.
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… "Engineering Project Management and Statistical Process Control Workshop", half-day workshop at annual conference, February 1998, Orlando, FL.
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… "The Role of Management Engineering in Improving Process Quality", half-day workshop at annual conference, February 1997, San Diego, CA.
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… "SPC (Statistical Process Control) Workshop", half-day workshop at annual conference, February 1997, San Diego, CA.