We established a Patient Safety Learning Laboratory comprising 2 core and 3 individual project teams to introduce a suite of digital health tools integrated with our electronic health record to identify, assess, and mitigate threats to patient safety in real time. One of the core teams employed systems engineering (SE) and human factors (HF) methods to analyze problems, design and develop improvements to intervention components, support implementation, and evaluate the system of systems as an integrated whole. Of the 29 participants, 19 and 16 participated in surveys and focus groups, respectively, about their perception of SE and HF. We identified 7 themes regarding use of the 12 SE and HF methods over the 4-year project. Qualitative methods (interviews, focus, groups, observations, usability testing) were most frequently used, typically by individual project teams, and generated the most insight. Quantitative methods (failure mode and effects analysis, simulation modeling) typically were used by the SE and HF core team but generated variable insight. A decentralized project structure led to challenges using these SE and HF methods at the project and systems level. We offer recommendations and insights for using SE and HF to support digital health patient safety initiatives.
is a member of Northeastern University's Gateway Team, a select group of full-time faculty devoted to the First-year Engineering Program at Northeastern University (NU). While she concentrates on first-year engineering courses and instructs across all engineering disciplines, Dr. Jaeger also teaches specialty courses in the Department of Mechanical and Industrial Engineering at NU in Digital Simulation, Facilities Planning, and Human-Machine Systems. Corey Balint, Northeastern UniversityCorey Balint is a junior Industrial Engineering major at Northeastern University who volunteered to assist with this research project after experiencing it first hand. He has been active in FIRST Robotics since his freshman year of high school as both a student and mentor. He also has served on the Executive Board of the Institute of Industrial Engineers since 2007, as well as serving as a peer mentor for the College of Engineering.
Corey Balint, holds both a BS and MS in Industrial Engineering from Northeastern University and currently is a staff healthcare system engineer in the HSyE institute. Current responsibilities include: serving as day-to-day project manager of our AHRQ patient safety center, leading a portfolio of roughly 10 projects at any time, and assisting with senior team projects. Balint has expertise in quality, medical staff services, change management, Lean, Six Sigma, and other performance improvement methodologies and has extensive experience working with numerous healthcare organizations and culture. This report to President Obama recommends that, aggressive mechanisms must be developed in order to rapidly increase the visibility and application, of systems engineering in healthcare and in tandem increase the demand for an experienced workforce. As healthcare begins to transition towards modernized systems engineering methods that are used in manufacturing and in agriculture, academic and applied programs are necessary in order to fulfill the demand. This paper describes an experiential learning program which trains students in the methods and applications of healthcare systems engineering. Additionally this paper will verify that the programs under this model are scalable and are easily replicated nationwide.
Corey Balint, holds both a BS and MS in Industrial Engineering from Northeastern University and currently is a staff healthcare system engineer in the HSyE institute. Current responsibilities include: serving as day-to-day project manager of our AHRQ patient safety center, leading a portfolio of roughly 10 projects at any time, and assisting with senior team projects. Balint has expertise in quality, medical staff services, change management, Lean, Six Sigma, and other performance improvement methodologies and has extensive experience working with numerous healthcare organizations and culture.c American Society for Engineering Education, 2015 Page 26.919.1 Improving Healthcare by Teaming Industrial Engineers with Clinicians IntroductionThe Center for Medicare and Medicaid Innovation funded an academic institution to conduct a national demonstration project that illustrates the value of creating an industrial and healthcare systems engineering (ISyE) regional extension center that is scalable and spreadable 1 . The extension center model was first heavily used in agriculture to spread improvement methods and ideas between different regions and systems 2 . Our regional extension center incorporates the same functions and structure, but it involves a collaboration with local hospitals. . Similar to the agricultural model, engineers apply systems engineering improvement methods, such as quality improvement, human factors, optimization, and statistical data analysis towards significant systematic problems in healthcare. The projects under the grant are guided by the "Triple Aim" and strive for improvements that help sustain better care and better health at a lower cost. The CMMI grant allows for the institution to fund students who support healthcare improvement projects with health systems. The intention is to apply methods and tools from successful projects to similar problems in healthcare systems across the country. This paper provides an overview of progress to-date and the approach towards replicating ISyE-Triple Aim projects in other health systems. Several examples highlight our success and the typical methods that are prevalent in most projects (in which there are over 60 in the past 2 years).As espoused in the President's Council of Advisors on Science and Technology (PCAST) report sent to the President last year, the healthcare system in its present form is in need of systems engineering improvements in order to meet the demands of the future 3 . Recommendation #4 in this report states that we should "increase technical assistance (for a defined period-3-5 years) to health-care professionals and communities in applying systems approaches,"-with the foundation of the CMMI grant, our institute has answered this call for action with multiple projects that save money, provide better care, and better health.
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