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:
Pursuing Excellence in Clinical Learning Environments
About
The Maine Medical Center and Healthcare Systems Engineering Institute (HSyE) at Northeastern have received one of eight “Pursuing Excellence in Clinical Learning Environments” awards from the Accreditation Council for Graduate Medical Education (ACGME) to collaborate on a 4-year $4.8 million initiative to innovate and redesign graduate medical education in the U.S., along with some of the most prestigious academic medical centers in the country. With matching funding from the participating academic medical centers, this initiative addresses the growing need that, given medicine has significantly changed and become more complex, how care providers are trained needs to be redesigned as well.
HSyE’s contribution will be to provide systems engineering and design expertise, initially prototyping ideas at Maine Medical Center and later spreading useful results to other awardees. This work will build on pilot work in HSyE’s Center for Health Organization Transformation.
Sub Projects
Systems Analysis of Graduate Medical Education
Comparative Workflow Analysis of Interdisciplinary and Non-Interdisciplinary Units
Resident Interruptions and Informal Learning Opportunites
Partners & Research Team
From Maine Medical Center:
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Peter Bates, MD, Senior Vice President of Academic Affairs and Chief Academic Officer
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Robert Bing-You, MD, Med, MBA, Vice President of Medical Education
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Paul Han, MD, MA, MPH, Director, Center for Outcomes Research and Evaluation
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Tom Van Der Kloot, MD, Physician Leader, CLER Program
From the Healthcare Systems Engineering Institute:
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Professors: James Benneyan, PhD, Awatef Ergai, PhD
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Undergraduate Students: Catarina Smith, Malcolm Lord, Nathan Holler, Nicole Nehls, Adam Schleis
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Project Manager: Margo Jacobsen
Results
Maine Medical Center implemented an interdisciplinary internal medicine unit in July 2017. Since implementation, HSyE has collaborated with Maine Medical Center to compare workflows between the interdisciplinary unit and non-interdisciplinary unit, with emphasis on resident interruptions and informal learning opportunities.
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Poster presented at RISE:2017 at Northeastern University
Poster accepted to the 2018 International Symposium of Human Factors and Ergonomics in Health Care