Excerpt

Engineering a Learning Healthcare System: A Look at the Future offers important insights to the field of medicine from the field of engineering concerning the development of a learning healthcare system. It also provides an example of how collaboration across diverse disciplines can lead to vast improvements in healthcare delivery. The hope is that, by making major stakeholders more aware of the importance of the delivery system, it will prompt the development of strategies for applying the insights from this workshop to health system improvements and that these strategies will ultimately transform the current healthcare system into one that smoothly operates to both generate and apply evidence to improve the health of Americans.

Contents

• The National Academies
• Roundtable on Value & Science-Driven Health Care
• Reviewers
• Foreword
• Preface
• Summary
  • THE ROUNDTABLE AND THE LEARNING HEALTHCARE SYSTEM
  • COMMON THEMES
  • PRESENTATION AND DISCUSSION SUMMARIES
  • AREAS FOR INNOVATION AND COLLABORATIVE ACTION
  • REFERENCES
• 1. Engineering a Learning Healthcare System
  • INTRODUCTION
  • LEARNING OPPORTUNITIES FOR HEALTH CARE
  • TEACHING OPPORTUNITIES FROM ENGINEERING: LEARNING BY EXAMPLE
  • OBSERVATIONS ON INITIATING SYSTEMS CHANGE IN HEALTH CARE: CHALLENGES TO OVERCOME
  • REFERENCES
• 2. Engaging Complex Systems Through Engineering Concepts
  • INTRODUCTION
  • CAN WE AFFORD TECHNOLOGICAL INNOVATION IN HEALTH CARE?
  • OPERATIONS RESEARCH FOR THE OPERATING ROOM AND MUCH MORE!
  • ON DESIGNING AN INTEGRATED AND ADAPTIVE HEALTHCARE SYSTEM
  • ENGAGING COMPLEX SYSTEMS THROUGH ENGINEERING CONCEPTS: A METHODOLOGY FOR ENGINEERING COMPLEX SYSTEMS
  • REFERENCES
• 3. Healthcare System Complexities, Impediments, and Failures
  • INTRODUCTION
  • HEALTHCARE CULTURE IN THE UNITED STATES
  • DIAGNOSTIC AND TREATMENT TECHNOLOGIES
  • A LOOK AT THE FUTURE OF CLINICAL DATA SYSTEMS AND CLINICAL DECISION SUPPORT
  • CARE COORDINATION AND LINKAGE
  • TRANSFORMING HOSPITALS THROUGH REFORM OF THE CARE PROCESS
  • A PERSPECTIVE ON PATIENT-CENTRIC, FEED-FORWARD “COLLABORATORIES”
  • REFERENCES
• 4. Case Studies in Transformation Through Systems Engineering
  • INTRODUCTION
  • AIRLINE SAFETY
  • ALCOA'S REORIENTATION: STREAMLINING THE FINANCIAL CLOSE PROCESS
  • VETERANS HEALTH AFFAIRS: TRANSFORMING THE VETERANS HEALTH ADMINISTRATION
  • THE CLINICAL TRANSFORMATION OF ASCENSION HEALTH
  • REFERENCES
• 5. Fostering Systems Change to Drive Continuous Learning in Health Care
  • INTRODUCTION
  • CHASING THE RABBIT: WHAT HEALTHCARE ORGANIZATIONS CAN LEARN FROM THE WORLD'S GREATEST ORGANIZATIONS
  • KNOWLEDGE MANAGEMENT FOR CLINICAL CARE
  • TECHNOLOGY MANAGEMENT
  • A LEARNING SYSTEM FOR IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS
  • BREAKOUT SESSION: CAPTURING MORE VALUE IN HEALTH CARE
  • REFERENCES
• 6. Next Steps: Aligning Policies with Leadership Opportunities
  • INTRODUCTION
  • PROCESS STANDARDIZATION AND IMPROVEMENT
  • LEVERAGING PEOPLE FOR HEALTHCARE IMPROVEMENT
  • RECURRING THEMES FOR ROUNDTABLE ATTENTION
  • AREAS FOR INNOVATION AND COLLABORATIVE ACTION
  • REFERENCE
• Appendixes
  • Appendix A Workshop Agenda
  • Appendix B Biographical Sketches of Workshop Participants
  • Appendix C Workshop Attendee List

Rapporteurs: Claudia Grossmann, W. Alexander Goolsby, LeighAnne Olsen, and J. Michael McGinnis

This project was supported by the Agency for Healthcare Research and Quality, America's Health Insurance Plans, AstraZeneca, Blue Shield of California Foundation, Burroughs Wellcome Fund, California Health Care Foundation, Centers for Medicare & Medicaid Services, Charina Endowment Fund, Department of Veterans Affairs, Food and Drug Administration, Johnson & Johnson, Gordon and Betty Moore Foundation, National Institutes of Health, the Peter G. Peterson Foundation, sanofi-aventis, and Stryker.

Suggested citation:

IOM (Institute of Medicine). 2011. Engineering a learning healthcare system: A look at the future: Workshop summary. Washington, DC: The National Academies Press.

Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.