In a joint effort between the National Academy of Engineering and the Institute of Medicine, this books attempts to bridge the knowledge/awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers et. al.) into a high performance "system" in which every participating unit recognizes its dependence and influence on every other unit. By providing both a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals, Building a Better Delivery System describes opportunities and challenges to harness the power of systems-engineering tools, information technologies and complementary knowledge in social sciences, cognitive sciences and business/management to advance the U.S. health care system.
- FrontMatter
- Preface
- Acknowledgment of Reviewers
- Contents
- Executive Summary
- PART I CONSENSUS REPORT
- 1 A New Partnership between Systems Engineering and Health Care
- 2 A Framework for a Systems Approach to Health Care Delivery
- 3 The Tools of Systems Engineering
- 4 Information and Communications Systems: The Backbone of the Health Care Delivery System
- 5 A Strategy to Accelerate Change
- PART II WORKSHOP PRESENTATIONS
- Framing the Health Care Challenge
- Crossing the Quality Chasm --Janet Corrigan
- Bridging the Quality Chasm--David Lawrence
- Envisioning the Future--Jeff Goldsmith
- Improving Health and Health Care--Lewis G. Sandy
- Engineering and the Health Care System--Richard J. Coffey
- Engineering and the Health Care Organization--Vinod K. Sahney
- Equipping the Patient and the Care Team
- Evidence-Based Medicine--Brian Haynes
- The Context of Care and the Patient Care Team: The Safety Attitudes Questionnaire--J. Bryan Sexton and Eric J. Thomas and Peter Pronovost
- Engineering the Patient and Family into the Patient Care Team--David Gustafson
- Connecting Patients, Providers, and Payers--John D. Halamka
- New Paradigms for Working and Learning--Richard Bohmer
- Designing Caregiver- and Patient-Centered Health Care Systems--H. Kent Bowen
- Engineering Tools and Procedures for Meeting the Challenges
- Systems Engineering: Opportunities for Health Care--Jennifer K. Ryan
- Supply-Chain Management and Health Care Delivery: Pursuing a System-Level Understanding--Reha Uzsoy
- The Human Factor in Health Care Systems Design--Kim J. Vicente
- Changing Health Care Delivery Enterprises--Seth Bonder
- Transforming Current Hospital Design: Engineering Concepts Applied to the Patient Care Team and Hospital Design--Ann Hendrich
- Discrete-Event Simulation Modeling of the Content, Processes, and Structures of Health Care--Robert S. Dittus
- Measuring and Reporting on Health Care Quality--Dana Gelb Safran
- Archimedes: An Analytical Tool for Improving the Quality and Efficiency of Health Care--David M. Eddy and Leonard Schlessinger
- Applying Financial Engineering to the Health Services Industry--John M. Mulvey
- Engineering Tools and Methods in the Delivery of Cancer Care Services--Molla S. Donaldson
- Patient Trajectory Risk Management--Charles Denham
- Deploying Resources for an Idealized Office Practice: Access, Interactions, Reliability, and Vitality--Thomas W. Nolan
- Information Technology for Clinical Applications and Microsystems
- Engineering and the System Environment--Paul C. Tang
- Challenges in Informatics--William W. Stead
- A National Standard for Medication Use--David Classen
- Obstacles to the Implementation and Acceptance of Electronic Medical Record Systems--Paul D. Clayton
- Automation of the Clinical Practice: Cost-Effective and Efficient Health Care--Prince K. Zachariah
- The eICU® Solution: A Technology-Enabled Care Paradigm for ICU Performance--Michael J. Breslow
- Wireless Biomonitoring for Health Care--Thomas F. Budinger
- Rehabilitation Redefined--Mindy L. Aisen
- Evaluating the Potential of New Technologies--Carolyn M. Clancy
- Barriers and Incentives to Change
- Political Barriers to Change--Nancy-Ann DeParle
- Lessons from Financial Services--Ralph Kimball
- Can Purchasers Leverage Engineering Principles to Improve Health Care?--Arnold Milstein
- Shibboleths in Modeling Public Policy--Richard P. O’Neill
- Matching and Allocation in Medicine and Health Care Alvin E. Roth Harvard University
- Appendixes
- Appendix A Agenda for First Workshop
- Appendix B Participants in First Workshop
- Appendix C Agenda for Second Workshop
- Appendix D Participants in Second Workshop
- Appendix E Agenda for Third Workshop
- Appendix F Participants in Third Workshop
- Appendix G Biographical information
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