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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System: Workshop Summary
Appendix E
Workshop Agenda
Harnessing Operational Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System
June 11–12, 2008
Keck Center of the National Academies, Room 201
500 Fifth Street, N.W.
Washington, DC 20001
Workshop Goal: To demonstrate the potential value of operational systems engineering (OSE) to improve the care of traumatic brain injury (TBI) in the Military Health System (MHS).
DAY 1
8:00
Welcome and Introductions
Norman Augustine, M.S.E., Lockheed Martin Corp (ret.) and Planning Committee Co-Chair (NAE)
Judith Salerno, M.D., M.P.H., Executive Officer, Institute of Medicine
S. Ward Casscells, M.D., Assistant Secretary of Defense for Health Affairs
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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System: Workshop Summary
SESSION I:
BACKGROUND AND OVERVIEW
Session Objective: To provide a general background on the goals of the workshop, the current system of care for traumatic brain injury in the military, and general utility of operational systems engineering tools and techniques in other health care areas.
Session Moderator: Norman Augustine
8:20
Traumatic Brain Injury Case Histories from the Military: “Survive, Thrive, Alive” Video
9:00
Medical Aspects of Traumatic Brain Injury
Robert Labutta, COL, M.D., Medical Corps, US Army, TBI Senior Executive (Interim) Defense Center of Excellence for Psychological Health & Traumatic Brain Injury
10:15
The “As Is” System for TBI Management in the Military Health System
Michael S. Jaffee, COL. (s), M.D., (USAF) National Director, Defense and Veterans Brain Injury Center
11:15
Operational Systems Engineering Examples from Other Health Areas
William P. Pierskalla, Ph.D., Anderson Graduate School of Management University of California, Los Angeles (NAE)
SESSION II:
WORKING GROUPS FORMULATE ANALYSIS PLANS FOR IDENTIFIED MHS TBI CARE SYSTEM ANALYSIS ISSUES
Session Objective: To demonstrate the kinds of approaches, methods, and information that can be developed by OSE practitioners to assist TBI care providers and managers.
After receiving guidance from the planning committee, five multidisciplinary working groups will convene to develop analysis plans for future OSE studies that could advance understanding of selected major challenges facing the TBI care delivery system.
11:45
Target TBI Care System Analysis Issues for Working Groups
Seth Bonder, Ph.D., The Bonder Group (NAE)
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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System: Workshop Summary
1:15
Working Groups Session 1
Each working group will be asked to develop brief analysis plans for future operational systems engineering studies that could be used to assist providers and managers address important challenges facing the TBI care delivery system. Each working group will work on pre-selected challenges in one of five major categories of TBI care analysis issues identified by the planning committee: (A) new TBI knowledge; (B) detection and screening of TBI conditions; (C) TBI care coordination and communication; (D) TBI care demand; and (E) TBI care system capacity, organization, and resource allocation.
Working Group Meeting Rooms:
Working Group A: Developing New TBI Knowledge [Keck 206]
Working Group B: Detection and Screening of TBI Conditions [Keck 207]
Working Group C: TBI Care Coordination and Communication [Keck 208]
Working Group D: TBI Care Demand [Keck 213]
Working Group E: TBI Care System Capacity, Organization, and Resource Allocation [Keck 201]
4:30
Working Group Interim Reports and Discussion
Moderator: Norman Augustine
5:30
Adjourn to Reception and Working Dinner
5:45
Reception and Working Dinner
Keck Center Atrium
Keynote: Insights from Vanderbilt’s Journey toward System-Supported Practice
William Stead, M.D., Associate Vice Chancellor for Strategy/Transformation and Director of the Informatics Center at Vanderbilt University Medical Center (IOM)
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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System: Workshop Summary
DAY 2
8:00
Welcome and Recap of the First Day
Denis Cortese, M.D., Mayo Clinic and Planning Committee Co-Chair (IOM)
Norman Augustine, M.S.E., Lockheed Martin Corp (ret. ) and Planning Committee Co-Chair (NAE)
SESSION II:
WORKING GROUPS FORMULATE ANALYSIS PLANS FOR IDENTIFIED MHS TBI CARE SYSTEM ANALYSIS ISSUES
Session Objective: The five multidisciplinary working groups will reconvene to formulate “analysis plans” for two or more identified TBI care system analysis issues.
8:15
Working Groups Session 2 (in Breakout Rooms)
Working Group Meeting Rooms:
Working Group A:
Developing New TBI Knowledge [Keck 206]
Working Group B:
Detection and Screening of TBI Conditions [Keck 205]
Working Group C:
TBI Care Coordination and Communication [Keck 208]
Working Group D:
TBI Care Demand [Keck 213]
Working Group E:
TBI Care System Capacity, Organization, and Resource Allocation [Keck 201]
SESSION III:
REPORT OUT OF BREAKOUT GROUP DISCUSSIONS
1:00
Working Group Reports and Discussion
[Convene in Keck 201]
Moderator: Denis Cortese
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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System: Workshop Summary
SESSION IV:
PANEL DISCUSSION ISSUES, OPPORTUNITIES, AND POTENTIAL NEXT STEPS
Session Objective: To identify the most valuable analysis plans set forth by the working groups that would, if implemented, significantly improve the care of TBI in the military.
Session Moderator: Denis Cortese
3:30
Provider/Policy-Maker Perspectives on Working Group Outcomes: Panel and Moderated Discussion
Michael S. Jaffee, COL. (s), M.D., (USAF) National Director, Defense and Veterans Brain Injury Center
Michael Dinneen, Director, Office of Strategy Management, Military Health System
4:30
Concluding Summary Remarks and Adjournment
Norman Augustine and Denis Cortese
Planning Committee:
Norman R. Augustine, M.S.E. (NAE/NAS), Co-Chair, Lockheed Martin Corporation (ret.)
Jerome H. Grossman, M.D. (IOM), Co-Chair (November 2007 to April 2008)
Denis Cortese, M.D. (IOM), Co-Chair, Mayo Clinic (Beginning April 2008)
Seth Bonder, Ph.D. (NAE), The Bonder Group
Patricia Flatley Brennan, Ph.D. (IOM), University of Wisconsin-Madison
Thomas F. Budinger, M.D., Ph.D. (IOM/NAE), University of California, Berkeley
Barrett S. Caldwell, Ph.D., Purdue University
Michael P. Dinneen, M.D., Ph.D., Military Health System
Paul M. Horn, Ph.D. (NAE), New York University
Michael S. Jaffee, COL (s), M.D., USAF, National Director, Defense and Veterans Brain Injury Center
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Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System: Workshop Summary
William P. Nash, M.D., CAPT, Medical Corps, USN (ret.), USMC/USN Liaison to the Defense Center of Excellence for Psychological Health and TBI
Alexander K. Ommaya, Sc.D., Department of Veterans Affairs
David T. Orman, M.D., COL (ret.), HQ, U.S. Army MEDCOM
Ronald Poropatich, M.D., COL, Medical Corps, U.S. Army, Telemedicine and Advanced Technology Research Center (TATRC)
William B. Rouse, Ph.D. (NAE), Georgia Institute of Technology
Nina A. Sayer, Ph.D., LP, Department of Veterans Affairs Health Services Research & Development Center for Excellence
This workshop is dedicated to Jerome H. Grossman, M.D., a long-time member, friend, and leader in the work of the National Academies. By nature and profession, Jerry was a bridge builder. He was the liaison between the Institute of Medicine and the National Academy of Engineering and the primary motivator and intellectual compass for this workshop and its focus on harnessing systems engineering tools, techniques, and knowledge to improve the quality of traumatic brain injury care in the Military Health System. He passed away suddenly on April 1, 2008.
