Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System Workshop Summary (2009) / Chapter Skim
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1 Introduction
1 Introduction
Pages 11-20
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From page 11... ...
Yet engineers and engineering techniques have remained on the periphery of efforts to understand, assess, and manage or redress the challenges involved in health care delivery. Even information and communications technologies, which have been widely applied to the administrative and financial aspects of the health care industry, have had relatively little impact on the core business of health care -- clinical operations.
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From page 12... ...
However, although OSE seems a natural partner for addressing some of the challenges facing the health care system, practitioners of the two disciplines are still largely ignorant of each other's methods, metrics, values, and mindsets. Most clinicians and health care administrators have had little exposure to the problem-solving methodologies and vocabulary of engineers, and few engineers are knowledgeable about the complex sociotechnical fabric of health care processes and systems.
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From page 13... ...
MHS delivers health care services to 9.2 million eligible beneficiaries through TRICARE direct and managed care programs and directly controls an extensive integrated health care delivery system encompassing salaried health care personnel, facilities, infrastructure, research, education and training capabilities, and other assets. Roughly 70 percent of all care received by TRICARE beneficiaries is purchased by participating private-sector health care providers.
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From page 14... ...
MHS has also been more aggressive than most other health care providers in adopting proven business planning and quality
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From page 15... ...
Even though MHS has laid a foundation for addressing the massive health care quality and cost challenges ahead, there has been a growing awareness in DOD that building on this foundation and bringing about a sustainable transformation in the quality and productivity of its operations will require that MHS draw on a wide array of tools, techniques, technology, and knowledge developed in the disciplines of systems engineering, industrial engineering, operations research, human factors, computer science and engineering, and the social and behavioral sciences for the design, analysis, and control of complex processes and systems. These tools and techniques have also been improved through experience in their applications to many engineering-intensive manufacturing and service industries.
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From page 16... ...
As the initial activity, USAMRMC asked the National Academies to undertake a workshop using a case-study approach to identify promising areas for the near-, medium-, and long-term appli cation of OSE tools and IT to the modeling, analysis, design, and improvement of the care of patients with traumatic brain injury (TBI) across the military health care continuum -- from battlefield to field hospital and U.S.-based military health care facilities to TRICARE networks (defense/civilian health care interfaces)
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From page 17... ...
Between January 2003 and March 2008, more than 6,600 patients with TBIs were seen at MHS, VA, and civilian hospitals responsible for providing care under the aegis of the Defense and Veterans Brain Injury Center (DVBIC, 2008)
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From page 18... ...
Organization of the Workshop Summary The remainder of this workshop summary provides a discussion of the problems and challenges of TBI for MHS, the promise of OSE analysis as a tool for improving the understanding of TBI and the delivery of care, and the results of the NAE/IOM workshop. Chapters 2 through 5 summarize the presentations and discussion during the opening plenary session, which provided background on the medical aspects of TBI and major clinical and logistical challenges to TBI care and included illustrative examples of applications of OSE tools and Defense for Health Affairs; the medical departments of the Army, Navy, Marine Corps, Air Force, Coast Guard, and Joint Chiefs of Staff; the Combatant Command surgeons; and T RICARE providers (including private sector health care providers, hospitals, and pharmacies)
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From page 19... ...
2008. VA Health Care: Mild Traumatic Brain Injury Screening and Evaluation Implemented for OEF/OIF Veterans, but Challenges Remain.
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From page 20... ...
2006. Sustaining Your Military Health Care Home Page.
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