Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System Workshop Summary (2009) / Chapter Skim
Currently Skimming:
Summary
Summary
Pages 1-10
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 1... ...
vision for providing health care to the military and their families, spelled out in the Roadmap for Medical Transformation, is based on three "pillars" -- high-quality health care delivery, in-house medical education, and research (MHS, 2006)
|
From page 2... ...
OSE concepts have also been used to design health care systems, estimate future r esource needs, optimize the allocation of resources, and optimize capacity, plan facilities, and design emergency services in health care systems. In medical decision making, OSE techniques have been used to plan and implement appointment systems to reduce waiting time for both outpatients and inpatients, optimize staff levels and scheduling, conduct inventories, plan material requirements, optimize supply chains, forecast demand, plan auxiliary services, and evaluate medical technologies.
|
From page 3... ...
OSE tools could also be used to improve tracking and navigating of patients through critical transition points, such as from a health care organization in one military service to a facility in another, or to the VA or a civilian health care facility. Transition points, or handoffs, also o ccur when patients are moved from acute TBI care in a hospital to more chronic long-term management in a community clinic, or when
|
From page 4... ...
During the planning phase of the workshop, a steering committee of experts in TBI, military and veterans health care delivery, and OSE, supported by NAE and IOM professional staff, compiled a list of issues raised by stakeholders in the MHS community related to the care of mild, moderate, and severe TBI cases. From that list, they identified issues that could potentially benefit from OSE approaches and categorized them into five major challenge areas for TBI care: (A) the development of new TBI knowledge (B)
|
From page 5... ...
The complex military health care delivery system includes facilities, logistical support, and personnel in the MHS, VA, and civilian health care systems, as well as the families of soldiers suffering from TBI and the soldiers themselves. One of the basic challenges associated with the delivery of care is patient tracking and case management.
|
From page 6... ...
(D) Improved screening processes Patient stream Burden of disease Disease history of patient stream Information on Model episode of care Develop database on natural history Develop disease model and allocation of civilian events Impacts on scarce resources (A)
|
From page 7... ...
Working Group B participants outlined the development of a series of models to quantitatively describe and evaluate current practices and to then optimize the screening process based on an analysis of data obtained from data mining and a survey. The group noted that Markov decision theory, Bayesian networks, influence diagrams, and simulations would be viable approaches to evaluating and designing TBI diagnostic and screening processes.
|
From page 8... ...
The group also addressed the challenge of assessing the value of TBI prevention efforts, enlisting methods of estimating which specific investments in prevention strategies might yield reductions in TBI incidence, as well as cost savings to the health care system and reduction in the burden on soldiers and their families. Given a quantitative disease model and an understanding of the effectiveness, availability, and costs of various treatments, it is possible to design and evaluate care delivery from the perspective of individual patients, a patient population, and the entire health care enterprise.
|
From page 9... ...
2005. Building a B etter Delivery System: A New Engineering/Health Care Partnership, edited by P.P.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.