Healthcare Working Group
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1 Healthcare Working Group We believe in bettering society now for future generations through applying system engineering principles to the healthcare system Page 1 The Healthcare Working Group of INCOSE Contact [email protected]
2 Healthcare WG Structure Bringing together systems engineers and systems thinkers in the biomedical and healthcare industries to identify, develop, and tailor best practices for application to improve healthcare delivery. HWG-Europe * Gary Robert Smith AD Mike Celentano HWG Leaders * Chris Unger Bob Malins IOB T. Strandberg HWG-Asia * Future IT/Communications Director * Bob Malins Education Director * Rachel LeBlanc Technical Director * Chris Unger/ Ammon Wright Webinars B. Malins Regional HC WGs Midwest (US) M. Celentano West (US) S. Badelt East (US) T. Srivastava Capitol Region (US) Open Future: South (US) - Open Outreach Director * Steve Badelt Workstreams Bob Malins Healthcare MBSE Challenge A. Thukral / B. Malins MBSE and Regulatory SE Applications to HC * - C. Unger Healthcare SE lexicon TBD Safety Cases J. Stein / A. Thukral Healthcare SE problem database Celentano / D. Vickery Healthcare SE practices library PCAST Response Director * - S. Badelt Asia Pacific E. Kienast Academic Projects Open Future: Healthcare for Micro-Enterprises 2015 Industry Ambassdors: Steve Badelt, Gary Robert Smith, Meaghan O Neill. Red is a priority open position * Steering Committee Page 2
3 Healthcare WG System Design Sensing Solutions Deploying Challenges Problem Solution Database Identifying high value problems & solutions Technical Director Webinars, publications Academic Grand Challenges Solutions Academic teams delivering solutions to our challenges Applications of SE to Healthcare Theory and Examples MBSE Challenge Team Model Based Approaches Supported By IT/Communications Director IT/communication enablers Healthcare SE Education Academic and Continuing Education Solutions Regional WGs Local deployment of HWG initiatives Outreach Director Brand awareness, engagement Page 3
4 Healthcare WG Priorities Grow the HWG capabilities for output Increase the number of active (1 hr/wk) contributors from ~15 to ~30 Establish Academic Grand Challenge process to get projects executed to our priorities and our problem statements Stretch: Establish Washington Area Healthcare Regional WG Increase the Brand Awareness of INCOSE in Healthcare Hold (and publicize) INCOSE branded Healthcare Systems Engineering conferences Deliver Value Added Products Fall L.A. Healthcare Improvement Conference (priority: ER, OR, Lab) partner with Bo, Kaiser Pilot an MBSE approach to hospital department level modelling (priority: OR,??? priorities TBC at Reston) partner with Julian, Partners? Pilot a Healthcare Problem/Solution Database infrastructure Page 4
5 Project Charters
6 HWG SE Applications WS Charter Goals/Benefits to INCOSE and BHWG Systems Engineering has a reputation of being more applicable to Traditional industries (defense and aero) There is a high barrier to entry in terms of strange language and lack of motivating examples. A clear explanation of how SE principles apply to Healthcare together with a glossary will help adoption and increase the perceived value of INCOSE in Healthcare A motivation of why something new is needed Deliverables / Products: A definition of SE into a context that is more familiar to Healthcare personnel High-Level diagram of SE process-steps White paper on the application of SE principles to Healthcare (linked to BHWG marketing themes) Glossary of SE terms for Healthcare Set of user personas and use cases (example applications) Assistance in application / aid in marketing the product to healthcare provider systems Interdependencies Trace upward to marketing materials (Steve Badelt) Trace downward to SE best practice library (Tom Fairlie) Link to Healthcare SE competency models (Competency WG) and Adult Education strategy (Education Director) Link to Regional BHWGs for deployment Link glossary to BkCASE (Rick Adcock) Other organizations: AHRQ, PCORI Team / Resources Needed Core Team: Chris Unger, Bill King, Yue Dong, Mike Appel, Bob Malins, Bo Oppenheim, Nargis Hossain, J. Wood, T. Walsh Extended team (review): S Badelt, M. Celentano, A. Madni (USC), W. Pruett (UMC), Z Scott (Vitech), A. Pysters (SERC), A Ravitz (JHU) Risks / Issues / Help Needed Risk: no single definition of SE for all Healthcare apps Searching for existing work (glossary) Proposed 2014 Tasks: Draft White Paper of SE principles for Healthcare B. King, October Draft definition of SE for Healthcare and its related terms G. Campeau, October Draft high level diagram of SE process G. Campeau, Dec 14 Review of SE terms for Healthcare, White Paper IW 2015 Deployment strategy to regional BHWGs Q1 15 Market/audience analysis Page 6
7 BHWG MBSE Challenge Team GOALS: Forum for applied MBSE to medical device & healthcare Build generic domain models for family of device products & healthcare delivery processes Develop risk management and safety assurance case guideline Develop healthcare specific MBSE guideline STRATEGY Evaluate current standards, technology and policies Engage thought leaders & organizations to partner Engage SE students BENEFITS: Awareness & use of MBSE based approaches within healthcare industry Attract participation and involvement of clinical engineers administrators and physicians (healthcare leadership) Publish products of value to share with SE and healthcare community at large Provide opportunities for SE to work with healthcare industries DELIVERABLES / PRODUCTS 2015: Stakeholder requirements for healthcare delivery system Report Present at GLRC9 conference Guidance manual for pump reference model CORE TEAM Ajay Thukral Jack Stein Steve Corns Robert Malins Vijay Thukral Christophe Waterplas Mike Robkins EXTENDED TEAM Michelle Lott Chris Unger Sandy Friedenthal Mike Celentano QTR BREAKUP TASKS** 1 IW MBSE Healthcare sessions, Model the requirements, Review Risk & Safety analysis in delivery. 2 Guidance manual for pump reference model, Publications, 3 TBD 4 TBD Printing 500 FUNDS Student support 4000 Support Guests 1000 **Assumes continued participation of its active members Page 7
8 HWG Education Strategy Strategic Goals: Develop a clear value proposition for SE in healthcare and healthcare education Gain wider adoption of SE in Healthcare Education Partner with recognized organizations to build credibility Pilot initiative to build momentum Longer term Develop a suite of healthcare education products for use by industry Deliverables / Products: Define the current and future state of SE Healthcare Education Develop marketing plan/materials to demonstrate value proposition for SE in HC and HC education. Start HC Education Community to share information, ideas, experiences. Partner with HHS and NIST to develop a Baldrigelike challenge for SE in Healthcare Pilot education partnerships with RECs, Academia and Industry. Clearly define goals, process, and measure outcomes. Team / Resources Needed Universities interested in pilot BOD connection with Gov t agencies Competency working group - HC expertise needed Link to Case Studies and Problem/Solution Dbase Risks / Issues / Help Needed Risk: not clear on immediate need from industry to address SE in HC Help identifying potential industrial contacts for pilot Help identifying stakeholders for input gathering Proposed 2015 Tasks: Define clear value proposition Define stakeholders, certifications necessary for each stakeholder group, and available alternatives Conduct stakeholder focus group/survey Develop marketing plan/materials to demonstrate value proposition for SE in HC and HC education Build SE HC Education group Connect with HHS and NIST re: partnership on Baldrige-like challenge for SE in HC Secure pilot for work with REC, Academia, and Industry Page 8
9 US Healthcare System Problem Resolution Process 27 January 2015 Reasons for Problem Resolution Process Problems are more numerous than the PCAST list Problems need to be collected to determine if they are systemic Solutions to problems exist in pockets Problems are not static, but are dynamic & emerging Healthcare providers do not have an existing tool to report and manage problems (besides FDA incidents reporting) Systems Engineering expertise that can help today is to focus on interactions in complex systems A dynamic set of emerging problems from a complex enterprise would benefit from a common problem reporting and management process Others??? Providers
10 US Healthcare System Problem Resolution Process 27 January 2015 INPUT Persona Type of Org Problem & problem classes Solutions tried if Any & solution classes Status of Problem (eg: Open, In Process, Resolved) Pattern Analysis Inputs Others?? OUTPUT Pattern Analysis Outputs Monthly Report to Initiators & Stakeholders Relevant links to others Promotion of Collaboration Others?? US Healthcare Problem Resolution Process Find Interested Organizations (ongoing) Collect the Problems (ongoing) Collect any Solutions (ongoing) Analyze Patterns (monthly) Report to Initiators & Stakeholders (monthly) Others??
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