Systems Engineering to Improve Traumatic Brain Injury Care in the Military Health System: Workshop Summary

195 Pages·2009·1.08 MB·English

by  Workshop Steering Commitee on Systems Engineering Health Care: Tools and Technologies to Maximize the Effectiveness of medical Mission Support to DOD

Systems Engineering to Improve
Traumatic Brain Injury Care in
the Military Health System
W o r k S H o p S u M M a r y
David Butler, Jessica Buono, Frederick Erdtmann,
and Proctor Reid, Editors
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001
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 Science, the National Academy of Engineering, and the
Institute of Medicine.
Support for this project was provided by the U.S. Army (Award No. W81XWH-07-P-
0979). Any opinions, fndings, or conclusions expressed in this publication are those
of the workshop participants and do not necessarily refect the view of the organization
that provided support for the project.
International Standard Book Number-13: 978-0-309-12758-5
International Standard Book Number-10: 0-309-12758-0
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WORkSHOP STEERINg COMMITTEE ON SySTEMS
ENgINEERINg HEALTH CARE: TOOLS AND
TECHNOLOgIES TO MAxIMIzE THE EFFECTIvENESS OF
MEDICAL MISSION SuPPORT TO DOD
NORMAN R. AUGUSTINE (NAE) co-chair, Lockheed Martin
Corporation (retired), Bethesda, Maryland
JEROME H. GROSSMAN (IOM) co-chair, Harvard University/
Kennedy School Health Care Delivery Project, Cambridge,
Massachusetts (until April 2008)
DENIS CORTESE (IOM) co-chair, Mayo Clinic, Rochester,
Minnesota (from April 2008)
SETH BONDER (NAE), The Bonder Group, Ann Arbor, Michigan
PATRICIA F. BRENNAN (IOM), College of Engineering, University
of Wisconsin-Madison
THOMAS F. BUDINGER (NAE), University of California,
Berkeley, and E.O. Lawrence Berkeley National Laboratory,
Berkeley, California
BARRETT S. CALDWELL, Purdue University, West
Lafayette, Indiana
MICHAEL P. DINNEEN, Military Health System, Washington, D.C.
PAUL M. HORN (NAE), New York University, New York City
MICHAEL S. JAFFEE, COL (s), Defense and Veterans Brain Injury
Center, U.S. Air Force, Washington, D.C.
WILLIAM P. NASH, CAPT, U.S. Navy (ret), USMC/USN Liaison
to the Defense Center of Excellence for Psychological Health and
TBI, Burke, Virginia
ALEXANDER K. OMMAYA, Department of Veterans Affairs,
Washington, D.C.
DAVID T. ORMAN, COL (ret), U.S. Army MEDCOM, Fort Sam
Houston, Texas
RONALD POROPATICH, COL, Medical Corps, U.S. Army, Fort
Detrick, Maryland
WILLIAM B. ROUSE (NAE), Georgia Institute of Technology,
Atlanta, Georgia
NINA A. SAYER, Center for Chronic Disease Outcomes Research,
Minneapolis, Minnesota
Project Staff
PROCTOR P. REID, director, Program Offce, National Academy of
Engineering
FREDERICK (RICK) ERDTMANN, director, Board on Military
and Veterans Health, Institute of Medicine
DAVID BUTLER, senior program offcer, Board on Military and
Veterans Health, Institute of Medicine
JESSICA BUONO, research associate, Program Offce, National
Academy of Engineering
CAROL R. ARENBERG, managing editor, National Academy of
Engineering
PENELOPE J. GIBBS, senior program associate, Program Offce,
National Academy of Engineering
PRISCILLA ARRIAGA, Anderson & Commonweal Intern, Program
Offce, National Academy of Engineering
i
This workshop summary is dedicated to the memory of
Jerome H. grossman, M.D., a long-time member, friend,
and leader in the National Academies and the primary
motivator and intellectual compass for this workshop.
ii
Preface
This workshop was the outcome of a sequence of events made pos-
sible by Dr. Jerry Grossman, who co-chaired a study in 2005 by the
National Academy of Engineering (NAE) and Institute of Medicine
(IOM) that culminated in the publication of Building a Better Deliery
System: A New Engineering/Health Care Partnership. That report makes a
strong case for taking advantage of the best of both disciplines—health
care and operational systems engineering (a combination of science and
mathematics to describe, analyze, plan, design, and integrate systems
with complex interactions among people, processes, materials, equip-
ment, and facilities)—to improve the effciency and quality of health
care delivery, as well as health care outcomes.
There is widespread agreement that the overall quality of health care
delivered in the United States is not commensurate with the nation’s
high health care expenditures or its global leadership in advanced bio-
medical technologies, and reform of the nation’s health care system is
a high priority of government offcials, caregivers, and patients. The
premise of the NAE/IOM report is that there are lessons to be learned
from the experiences of industries that have used operational systems
engineering tools to make higher quality, less expensive products more
effciently. Dr. Grossman mounted a personal campaign to apply these
ideas to move our health care system to a higher plane. Among those
most interested in pursuing this approach are leaders in the U.S. Depart-
ment of Defense (DOD) and Department of Veterans Affairs, who are
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