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.
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.
Partners:
Sunday, June 2, 2019
Sunday, June 2, 2019
Approach:
Sunday, June 2, 2019
Results to Date:
Research >> EAGER
EAGER
Development and Validation of Analytic Spatial-Temporal Models to Help Study and Mitigate the National Opioid-Heroin Co-Epidemic
The US is in the midst of a serious epidemic of opioid drug misuse and abuse. According to the Surgeon General's 2016 report, "Facing Addiction in America", in 2014, 28,647 people died from drug overdoses involving some type of opioid, including prescription pain relievers, heroin, and fentanyl. The report states that the "accumulated costs to the individual, the family, and the community are staggering and arise as a consequence of many direct and indirect effects, including compromised physical and mental health, increased spread of infectious disease, loss of productivity, reduced quality of life, increased crime and violence, increased motor vehicle crashes, abuse and neglect of children, and health care costs." The report also recognizes the potential for advances in clinical, operational, and informational technologies, coupled with health care and criminal justice reform efforts, to drive improvements in prevention and treatment services.
This NSF-funded project addresses operational methods to understand and mitigate multiple interrelated opioid addiction epidemics. The methods will be developed and evaluated with ongoing feedback from an advisory group of policy makers, including state health departments, serving multiple urban and rural populations. The potential impact of these new methods includes improved prevention strategies and support for effective allocation of resources between treatment and interdiction. The project will also educate several graduate and undergraduate engineering students who will be in a position to help provide solutions to current public sector issues that threaten the nation's health and security.