|December 18, 2014:
The UM Institute of Health Policy and Innovation and the Provost’s Office for Digital Education and Innovation are sponsoring a new learning opportunity!
UM students have a UM-only opportunity to participate in the University’s first campus-wide, massive open online course (MOOC) on U.S. health policy. The course is led Matthew Davis, MD, MAPP, professor of pediatrics and internal medicine/public policy/health management & policy at UM Medical School, School of Public Policy, and School of Public Health. Dr. Davis is also Chief Medical Executive for the State of Michigan.
ALL UM students are welcome, at all learning levels (professional, graduate, undergraduate). This course will bring principles and challenges of the U.S. healthcare system to learners in an accessible way, and will encourage them to examine their own assumptions and experiences as they learn-through-innovation.
The course launches on January 12 and lasts for 6 weeks. It is designed for full-time students to be co-curricular, to take ALONG WITH their UM course load. The MOOC format allows for asynchronous learning, so that students can view the content and participate in online discussions at times convenient to them. There’s no cost to participate. And for students who participate, a Statement of Accomplishment will be available.
Visit umich.learnushealthcare.org for more information.
|December 14, 2014:
A big congratulations to our graduate students on their well-deserved master’s degrees! They have worked extremely hard over the past couple of years.
Our graduating students shared their thoughts on leaving CHEPS and what they are excited about next.
“Leaving CHEPS is definitely bittersweet. My involvement with CHEPS defined my graduate career and allowed me the opportunity to have a meaningful impact applying my engineering skills in real healthcare environments. I know my experiences with CHEPS have well prepared me for a future in healthcare engineering and I am so excited to see where my CHEPS classmates and I end up in the coming years. I know I will always to continue to be a part of and learn from the CHEPS community even as I begin my new adventure at the Mayo Clinic!” – Sarah Bach, Healthcare Engineering and Patient Safety Master’s graduate. She will be starting a fellowship at Mayo Clinic in January.
“The idea of leaving CHEPS sounds strange…I am staying at CHEPS for a little longer!” – Moses Chan, Industrial & Operations Engineering Master’s graduate. He will be staying at CHEPS a little bit longer!
“After “Go Blue!” the most notable mantra at Michigan is perhaps “The team, the team, the team.” Whether declared by a coach, professor, administrator, or student, this call contains the force of history and promise of the future. It is the sense of this call that draws so many to the Center for Healthcare Engineering and Patient Safety. With varied backgrounds and high aspirations, professors and clinicians, students and administrators join the team with a common drive to improve the safety and quality of healthcare delivery. As I graduate and look toward the future I am energized. We who have spent the last years at CHEPS have learned how apply engineering tools to drive meaningful and measurable change in healthcare. We have also begun to learn how to successfully create what is even more vital: the team. I am excited to celebrate all our accomplishments, and learn from each of our setbacks as we disperse across the country. Though we will no longer all be in Ann Arbor, we will always be the team, the team, the team.” – Joe East, Healthcare Engineering and Patient Safety Master’s graduate and Health Management and Policy Master’s graduate. He will be doing an administrative fellowship at Maine Medical Center.
“I am grateful for all that I learned during my time at CHEPS. Congratulations and good luck to all of my fellow graduates!” – Dan Hazlett, Healthcare Engineering and Patient Safety Master’s graduate. He accepted a position at Altarum Institute in Ann Arbor.
“We were in such a unique environment while at CHEPS. Students got to lead high profile projects at the Health System while collaborating with incredibly talented clinicians and IOE faculty. During that year and some change I grew immensely and left with an empowering sense of accomplishment. My work in healthcare is just beginning and I’m excited for what’s to come next!” – Vanessa Morales, Healthcare Engineering and Patient Safety Master’s graduate.
“I won’t be leaving CHEPS quite yet, but my role is certainly going to be changing. I’m incredibly excited about the opportunities that I will get to pursue in the coming year. My time as a student in the program has been unparalleled, and I know that it has prepared me to make high impact in our community. As the other members of my cohort move away to equally wonderful opportunities, I will miss them tremendously, wish them the very best success in their personal and professional lives within their new communities, and remind them that the University of Michigan and CHEPS will always be hoMe. I cannot wait to visit them and see the awesome things they’ll do, as well as to host them back in Ann Arbor soon!” – Billy Pozehl, Healthcare Engineering and Patient Safety Master’s graduate. He will be staying at CHEPS doing a 1-year fellowship.
Joanna Fleming and Vera Lo also graduated with a MSE in IOE.
It is exciting to see the impact they will have on the world and make a difference in even more people’s lives. Congratulations graduates!
|December 8, 2014:
Dr. Jeanne M. Huddleston was the final featured speaker in the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Huddleston, MD, MS, FACP, FHM is a past President of the Society of Hospital Medicine and the founder of Hospital Medicine at the Mayo Clinic, Rochester, MN. She is the Medical Director of Mayo Clinic’s Healthcare Systems Engineering Program. She founded and led the Mayo Clinic 100% Mortality Review System for nearly 12 years. She received her MD degree in 1993 from Michigan State University and internal medicine residency at Mayo Clinic. Dr. Huddleston is a Harvard Macy Scholar (Physician Educator and Leadership Programs) and alumnus of the first class of the Health Forum/NPSF Patient Safety Leadership Fellowship. As a Mayo Clinic Scholar in the Science of Health Care Delivery, she completed a certificate program in clinical research (Mayo Clinic), a masters degree in industrial engineering, and certificate of statistics (Arizona State University). She most recently obtained a Lean Six Sigma Black Belt. Dr. Huddleston’s focus is the translation of industrial and systems engineering principles to health care delivery in an effort to improve the safety, efficiency and reliability of the healthcare experience for patients, their families and all providers.
Dr. Huddleston’s seminar, titled “The Science of Health Care Delivery,” highlighted recent work at the Mayo Clinic. As our population ages and an increased number of people are requiring care for complex conditions, it is critical that patients are receiving the best care in a timely manner. Numerous obstacles make healthcare today unreliable, inefficient, and wasteful, threating patient safety and causing deadly mistakes. Dr. Huddleston emphasized the importance of communication between all specialties: engineers, physicians, nurses, pharmacists, and more. There is no one discipline that can solve the problems of health care. To meet the needs of patients today and transition to new value-based payment models, we must combine analytics, decision support, lean systems, quantitative process analysis, stakeholder engagement, innovative solution design and human factors.
Thank you to all of our speakers and guests who were able to attend the seminar series this semester! It has been encouraging to hear about the innovative and cutting-edge work engineers and healthcare professionals are accomplishing together. We are looking forward to next year’s seminar series!
|December 1, 2014:
Dr. Jennifer Mason Lobo was the tenth featured speaker at the December 1st seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Mason is an Assistant Professor of Biomedical Informatics in the Department of Public Health Sciences in the School of Medicine at the University of Virginia. She received her Ph.D. in Industrial & Systems Engineering in 2012 from North Carolina State University (NCSU), her M.Sc. in Operations Research from NCSU in 2009, and her B.Sc. in Mathematics from the University of South Carolina in 2007. She is the recipient of an AHRQ Dissertation Grant and received third place in the 2013 IIE Pritsker Doctoral Dissertation Award. Her research interests include building mathematical models that describe the natural course of disease for patients with chronic conditions, and optimizing treatment and screening decisions. Her current research involves optimizing clinical decision making for patients with type 2 diabetes, prostate cancer, and renal cell carcinoma.
Dr. Mason’s seminar, titled “Markov Decision Processes for Optimal Treatment Design for Patients with Type 2 Diabetes,” focused on the use of a Markov decision process to optimize treatment for diabetic patients. The goal of the MDP is to maximize the patient’s quality of life by preventing complications such as heart attacks and strokes while minimizing healthcare costs by determining the optimal timing of prescribing medications over a patient’s lifetime. Her talk led to great discussion about the current guideline for managing diabetic patients and how the MDP model optimizes patient’s quality of life at a lower cost. Two extensions of the model were also presented for alternative assumptions about medication use. In the first extension considers constraints on medication use to reduce multiple medications, and the second extension considers the use of aspirin therapy to reduce the risk of a heart attack or stroke.
Join us next week for our last seminar and discussion of the semester! See our full schedule here.
|November 24, 2014:
Dr. James P. Bagian and Dr. Paul P. Lee were the ninth featured speakers at the November 24th seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Bagian is the Director of the Center for Healthcare Engineering and Patient Safety and is a Professor in the Department of Anesthesiology in the Medical School and in the Department of Industrial and Operations Engineering in the College of Engineering at the University of Michigan. Previously, he served as the first Director of the VA National Center for Patient Safety (NCPS) and the first Chief Patient Safety Officer for the Department of Veterans Affairs from 1999 to 2010 where he developed numerous patient safety related tools and programs that have been adopted nationally and internationally. Presently, he is applying systems engineering approaches to the analysis of medical adverse events and the development and implementation of systems-based corrective actions that will enhance patient safety primarily through preventive means. He received his B.S. in mechanical engineering from Drexel University and his M.D. from Jefferson Medical College at Thomas Jefferson University.
Dr. Lee, M.D., J.D., is the F. Bruce Fralick Professor and Chair of the Department of Ophthalmology and Visual Sciences at the University of Michigan; and Director of the W.K. Kellogg Eye Center. Dr. Lee is a glaucoma specialist and an active clinician, surgeon, and teacher. He has published over 200 papers on glaucoma and eye care delivery, particularly on understanding and improving eye care. His research interests include improving access to and the quality of health care, and exploring the impact of health policy and financing on patients and populations. Dr. Lee also serves as consultant to the Centers for Disease Control and Prevention, on the Board of Directors of the American Board of Ophthalmology, on the Advisory Committee of the Hoskins Center for Patient Safety and Quality of the American Academy of Ophthalmology Foundation, and member of the Board of Governors and Chair of the Foundation of the Association of Research in Vision and Ophthalmology.
Dr. Bagian and Dr. Lee’s seminar, titled “Provision of Consistently Safe and High Quality Patient Care: Challenges and Solutions,” focused on interventions to prevent wrong-site surgery and developing system-based policies to promote patient safety. Surgery involving the eyes has the highest incidence for wrong-site surgery. Patients may be scheduled for cataract surgery on their right eye, but due to a number of preventable factors, their left eye may be operated on. Interventions to prevent this from occurring include thoroughly completing consent forms, marking the operating site, identifying the correct patient, taking a time out in the operating room before the procedure, and checking imaging data such as x-rays. A checklist with the previous interventions was developed and implemented throughout the VA in 2001 and an abbreviated version of the checklist was implemented at UMHS in 2011. A checklist example can be viewed here. The culture and leadership of the organization play into a successful system. In conclusion, a systems based approach to preventable problems is very effective. However, there is more that can be improved to further protect patients from harm.
Join us next week for another great seminar and discussion! See our full schedule here.
|November 17, 2014:
Krishna Ramachandran and Dawn Tilbury were the eighth featured speakers at the November 17th seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Ramachandran’s target condition of interest is obstructive sleep apnea. Through retrospective and prospective study methods, his research focuses on the effect of anesthesia on state changes in patients’ physiology. He has also developed screening tools for sleep apnea and postoperative respiratory complications. His work with Dr. Tilbury involves studies into changes in respiratory physiology occurring during sleep and anesthesia.
Dr. Dawn M. Tilbury is currently the Associate Dean for Research in the College of Engineering, University of Michigan. She received the B.S. degree in Electrical Engineering, summa cum laude, from the University of Minnesota in 1989, and the M.S. and Ph.D. degrees in Electrical Engineering and Computer Sciences from the University of California, Berkeley, in 1992 and 1994, respectively. In 1995, she joined the Mechanical Engineering Department at the University of Michigan, Ann Arbor, where she is currently Professor, with a joint appointment as Professor of EECS. Her research interests include distributed control of mechanical systems with network communication, logic control of manufacturing systems, reliability of ground robotics, and dynamic systems modeling of physiological systems. She was elected Fellow of the IEEE in 2008 and Fellow of the ASME in 2012, and is a Life Member of SWE.
Dr. Ramachandran and Dr. Tilbury’s seminar, titled “Prediction of Impending Desaturation: Using Signal Analysis for Building Novel Phenotype State Concepts,” focused on a new approach for evaluating predictions of oxygen saturation levels in blood (SpO2). Using linear auto-regressive models built using oxygen saturation (Sp02) data, they can predict a patient’s future Sp02 readings. The combination of predictive models with frequent pulse oximetry measurements can be used as a warning of critical oxygen desaturations that may have adverse effects on the health of patients.
Join us next week for another great seminar and discussion! See our full schedule here.
|November 14, 2014:
Hundreds of engineering graduate students gathered to present posters at the Engineering Graduate Symposium held November 14th. Divided into nineteen engineering sub-categories, each group had first and second place winners. Within the Industrial, Operations, and Financial Engineering category, IOE PhD students Jeremy Castaing and Christine Barnett received first and second place respectively.
Jeremy’s research focuses on optimizing patients’ appointment schedules in a Cancer Infusion Center that can reduce patient wait times and the total length of operation of the center, providing high quality patient care in a timely manner.
Christine’s research focuses on optimizing the use of prostate cancer biomarker tests and analyzing the benefits and harms of this screening to cancer patients and their overall health outcomes.
Congratulations to the students on their innovative healthcare engineering research!
|November 13, 2014:
A big congratulations to CHEPS affiliate, Dr. Michelle Macy, on her recent Institute for Healthcare Policy and Innovation (IHPI) Impact Accelerator Award for Junior Faculty. The award was presented at the November 13th IHPI Member Forum. Dr. Macy is an advocate for child safety seats, evident in her research, and determined to work for policy reform to modify the current Michigan Child Passenger Safety Law to better protect Michigan’s children. To learn more about Dr. Macy’s work and her passion for safety, check out this editorial she wrote for the Detroit Free Press.
|November 12, 2014:
The 2014 Institute for Operations Research and the Management Sciences (INFORMS) Conference took place in San Francisco, November 9th thru November 12th. Over six thousand attendees from around the world gathered to discover and share past, present, and future research that will transform operations and management sciences. The packed hotel and hundreds of presentations occurring at once demonstrated the significance and vastness of the INFORMS conference. Presentations focused on healthcare engineering from the University of Michigan were well attended and had fantastic discussion and feedback.
University of Michigan Reception
The University of Michigan College of Engineering hosted a reception for the College’s INFORMS attendees on Monday, November 10th. Current faculty, staff, and students as well as alumni and other guests enjoyed great food, refreshments, and company! It was fantastic to connect and reconnect with people in the engineering community, especially at a conference dedicated to improving operations through engineering methods and research. We are looking forward to INFORMS 2015!
|November 10, 2014:
CHEPS students Elizabeth Olin and Peter Mayoros are featured in a blog post on the INFORMS 2014 Annual Meeting blog, “INFORMS: Perspectives – Peter Mayoros and Elizabeth Olin on Healthcare Scheduling.” The post focuses on their experience attending INFORMS as undergraduate students and their research on healthcare scheduling. Elizabeth will deliver a talk titled “Predicting Disposition for Pediatric Asthma Patients” on Wednesday, November 12th. Peter presented “Block Scheduling for a Pediatric Residency Program” on Monday, November 10th.
|November 3, 2014:
Sarah Kadish was the seventh featured speaker at the November 3rd seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Ms. Kadish has a Masters of Industrial Engineering from Northwestern University and a Bachelors in Industrial and Operations Engineering from The University of Michigan. She launched the Industrial Engineering and Resource Planning Departments at JetBlue Airways in 2003. In 2008, she joined the Dana-Farber Cancer Institute, a Harvard affiliated academic medical center focusing on oncology. Sarah has led the Process Improvement team to support various efforts throughout the organization. She utilizes methods such as Lean, Six Sigma, computer simulations, time studies, and data analytics to drive process improvement. Her efforts have supported projects such as planning new facilities, improving patient flow, and the Epic implementation.
Ms. Kadish’s seminar, titled “Engineering Problems in an Ambulatory Cancer Center,” focused on how industrial engineering techniques and methods can fully optimize the operations of ambulatory oncology care. She provided project examples of engineering improvement in ambulatory cancer care from the Dana-Farber Cancer Institute in Boston, Massachusetts including improving timeliness of breast cancer care, chemotherapy and radiation treatment, and patient flow utilizing real time locating systems (RTLS).
Her seminar drove great discussion, particularly about the use of the RTLS and how patients and providers have adopted this tracking system. This tracking system has allowed patients to know where they are in the process of receiving cancer treatments. Additionally, healthcare providers are able to see how long a patient has been waiting or where a provider is located so he or she can be consulted. As technology becomes more advanced, health systems can utilize these devices to better care for patients. It is exciting to see the use of operations engineering in healthcare settings!
CHEPS is going to INFORMS so there is no seminar next week. We will resume session on November 17. See our full Fall 2014 schedule here.
|October 31, 2014:
Boo! The first annual CHEPS Halloween Costume Party was Friday afternoon. Students and others were treated to a multitude of sweets including five different types of cakes, brownies and cookies, and of course tons of candy! Everybody dressed up whether they had costumes or unique handmade hats. Decorations and spooky music put everybody in the Halloween spirit.
The best part of the party was the costume catwalk competition when everybody walked down the hall showing off his or her costumes and was judged by Peter. Nate Janes, dressed as a police officer, won the best costume competition and was rewarded with a dozen donuts. We are looking forward to next year’s Halloween celebration!
|October 27, 2014:
Dr. Vineet Chopra was the sixth featured speaker at the October 27th seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Chopra is an Assistant Professor of Medicine and Research Scientist at the University of Michigan School of Medicine and the Ann Arbor VA Medical Center. A career hospitalist, Dr. Chopra’s research is dedicated to improving the safety of hospitalized patients through prevention of hospital-acquired complications. Recently, Dr. Chopra has focused on identification and prevention of complications associated with vascular catheters including infection and thrombosis, with a keen eye to develop risk prediction tools to avert such events. Dr. Chopra is funded by an AHRQ Career Development Award and has received grant support from the National Institute of Aging and the Blue Cross/Blue Shield Foundation of Michigan. He is the recipient of numerous awards including the 2014 McDevitt Award for Research Excellence and the 2014 Society of Hospital Medicine Young Investigator Award, given to a single investigator whose work stands to most impact the field of hospital medicine.
Dr. Chopra’s seminar, titled “Why We Should Be Piccy: The Problem with Peripherally Inserted Central Catheters,” focused on the growth of peripherally inserted central catheter (PICC) use in hospitals and how PICCs can be dangerous to patients. Over the last decade, the use of PICCs have increased because it allows patients to administer their own medications in the comfort of their homes, nurses are able to be specially trained to insert the catheter which decreases physician and hospital costs, it allows incompatible drugs to be administered at the same time, and patients can have these catheters for extensive periods of time. However, having a PICC can increase a patient’s risk of infection and other complications. Dr. Chopra’s work led to a partnership with biomedical engineering and the development of novel technology to improve the use of PICCs in hospitalized patients.
Collaborations between engineers and healthcare professionals lead to innovative technology that can be used to better care for patients. Dr. Chopra’s talk led to great discussion about the use of this technology and how it will impact not only the patient, but also the hospital system as a whole.
We are looking forward to next week’s seminar and discussion! See our full Fall 2014 schedule here.
|October 23, 2014:
Professor Wallace Hopp, a CHEPS affiliate, discusses Ebola in a recent MconneX video. “This isn’t just a public health issue,” he says. “The same principles we use to design safe aircraft and nuclear reactors can be used to design safe healthcare delivery systems and we need those right now.”
Hopp is a professor of Industrial and Operations Engineering at the University of Michigan, the Herrick Professor of Business and a Professor of Technology and Operations in the U-M Ross School of Business, and Senior Associate Dean for Faculty and Research. His research focuses on the design, control and management of operations systems, with emphasis on manufacturing and supply chain systems, innovation processes, and health care systems.
Watch the video to learn more about how engineering can help in high-risk health situations including the treatment of Ebola.
|October 20, 2014:
Dr. Benjamin Bassin and Dr. Cemal Sozener were the fourth featured speakers at the October 20th seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Drs. Ben Bassin and Cemal Sozener are Assistant Professors and faculty members in the Department of Emergency Medicine at the University of Michigan Medical School. Dr. Bassin received his B.S. and M.D. degrees from the University of Michigan and completed residency training in Emergency Medicine at the University of Cincinnati. Dr. Sozener received his B.S., M.Eng. and M.D. degrees from the University of Michigan and completed training in Emergency Medicine at Michigan. Both served as chief residents at their respective training programs. Their work has focused on incorporating lean-based design to optimize patient flow and increase the efficiency and utilization of clinical space through process improvement.
Dr. Bassin’s and Dr. Sozener’s seminar, titled “Emergency Department Based Critical Care – Design, Development and Operational Considerations,” focused on the complexities of patient care in the Emergency Department (ED) at the University of Michigan (UMHS). The number of critically ill patients being treated in the emergency department at UMHS has grown over the years as a result of advanced diseases and the aging population. Dr. Bassin and Dr. Sozener discussed challenges a hospital faces that impact patient care, including having limited resources (i.e. staff, equipment, beds, and physical space). After careful considerations of the limitations with the current state of critical care provision in the ED, as well as operational optimization of existing processes to mitigate impact, a decision was reached to build a dedicated critical care space in the adult ED. This is the first dedicated and specifically designed unit in the country for specialized Emergency Critical Care and is likely to establish the precedent on which all subsequent units within peer institutions across the country will be designed.
Their talk motivated great discussion regarding the complexities of a health system. Many different factors and variables influence the flow of the hospital. If part of the system is experiencing difficulties, other areas may also be facing similar challenges. Multidisciplinary teams can work together to find optimal solutions that will ultimately provide the best care to patients.
A big thank you to Mark Van Oyen for hosting the seminar today! We are looking forward to next week’s seminar and discussion!
|October 10, 2014:
CHEPS and other engineering students were treated to a Lunch and Learn with University of Michigan College of Engineering alumnus, Ross Miller. Ross discussed his experience since graduating, provided a brief description of BUMED, explained a few of his projects.
Ross Miller graduated in 2011 with a B.S.E. in IOE. After graduating, he worked at Tefen, a small consulting firm focused on process improvement projects in the Healthcare, Manufacturing, and Semiconductor industries. During his time there he worked on a project in the Cardiac Surgery department at a major teaching hospital in Boston, and project pertaining to bed utilization at a large hospital in Dallas, and a project at a Semiconductor fabrication facility in southern California. He has since transitioned to a new company, the Johns Hopkins University – Applied Physics Lab (JHUAPL), that performs process improvement projects in Navy medical facilities across the country. In his time at JHUAPL, he has worked on Main Operating Room (MOR) projects at a medical facilities in San Diego and Camp Pendleton, and is currently working on a project involving Family Practice clinics in Norfolk, VA.
When asked about the challenges he faces working in healthcare, Ross discussed the communication with healthcare professionals, stating “that’s been the hardest thing for me – telling the story…” Showing the hospital different interventions the engineering team would like to implement may require convincing presentations and speaking in healthcare terms. It is about discussing suggestions they have to improve certain processes with the hospital and working as a team.
Vanessa Morales, a HEPS master’s student who attended the Lunch and Learn said, “It was great seeing an old IOE student working in what I want to work in. So often students get disillusioned with their first jobs after graduation, but the line of work Ross shared with us excited me for future professional endeavors.”
Follow this link to see slides from Ross’ talk. Thank you, Ross!
|October 6, 2014:
Dr. Timothy Chan was the fourth featured speaker in the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Chan is an Associate Professor in the Department of Mechanical and Industrial Engineering at the University of Toronto and Director of the Centre for Research in Healthcare Engineering. He received his BSc in Applied Mathematics from the University of British Columbia (2002), and his PhD in Operations Research from the Massachusetts Institute of Technology (2007). Professor Chan was an Associate in the Chicago office of McKinsey and Company, a global management consulting firm (2007-2009). During that time, he advised leading companies in the fields of medical device technology, travel and hospitality, telecommunications, and energy on issues of strategy, organization, technology and operations.
Dr. Chan’s seminar, titled “Inverse Optimization and Applications to Knowledge-based Radiation Therapy Treatment Planning,” included two parts: the first about inverse optimization broadly and the second about using inverse optimization to improve the planning process of radiation therapy treatment planning for cancer. His generalized inverse optimization model specializes to the standard model when the given solution is weakly efficient and retains the complexity of the underlying forward problem. Using a statistical model that predicts objective function weights from patient anatomy for prostate Intensity-modulated radiation therapy (IMRT) planning.
Victor Wu, a PhD student who attended the seminar said, “Professor Chan gave an excellent seminar. He did a great job of explaining both the operations research and clinical perspectives of his research, which catered to the diverse audience in attendance. Furthermore, the clinical implications are really exciting: his work will both advance knowledge-based treatment planning and improve the quality of patient-personalized treatments. “
What a great seminar! Due to fall break, we will resume seminar sessions on October 20. Follow this link to a full list of this semester’s seminar speakers.
|October 1, 2014:
CHEPS Associate Director Amy Cohn is the recipient of a 2014 MICHR Distinguished Clinical and Translational Research Mentor Award. The awardees were recognized at the 2014 MICHR Symposium titled “Coloring Outside the Lines: Innovating and Collaborating in the Changing World of Health Research” on October 1, 2014.
The award honors the efforts and accomplishments of faculty who demonstrate consistent, high quality research and career mentoring in areas of clinical and translational and health research. It recognizes the important role mentoring plays in ensuring the personal and professional development of a mentee.
“We wanted to nominate Amy as a way to express our gratitude for the tremendous opportunities she has made available to us. She has been a role model for so many of us that we felt obligated to recognize that and honor her for her tireless effort. When I read the qualifications for the award, it was clear to me that Amy exceeded the requirements in every way and so I am so glad that the award committee was able to see that as well. No one is more deserving!” said Billy Pozehl, one of the students behind the nomination.
|September 29, 2014:
On September 29th, 2014 CHEPS hosted the Second Annual Symposium on Healthcare Engineering & Patient Safety. The approximately 150 attendees came from a variety of University of Michigan departments including Engineering, the School of Public Health, the Health System, the Medical School, the School of Nursing, and the Institute for Healthcare Policy and Innovation. Several attendees also came from outside the university.
Those in attendance had the opportunity to view six presentations on collaborative research in healthcare engineering and patient safety and view over 30 posters which highlighted research projects and various healthcare engineering related units throughout the university.
“I was impressed with all of the work by the students and the interdisciplinary approach to solving our healthcare problems,” said Lucy Young, Director of Quality & Performance Excellence for the Henry Ford Health System.
The student presentations were:
Several students who attended the event shared their thoughts on the experience.
“I really enjoyed the posters and presentations by attendees outside of CHEPS. It was interesting to learn about other applications of industrial engineering in healthcare, share ideas, and identify methods that could be applied to our CHEPS projects. Specifically, I got to spend some time with Rob Mersereau from Dana Farber. Learning about Dana Farber’s operations and comparing them to the Cancer Center at UMHS provided me with new perspectives on cancer center operations and many ideas for improvement.” – Sarah Bach, Healthcare Engineering & Patient Safety Master’s Student
“I thought that the Symposium was very well put together and attended. I thoroughly enjoyed seeing the wide variety of posters and presentations that were put together by my peers and work colleges. It was great seeing them present their work and for the community to be so supportive of and interested in it.” – Nathan Janes, Undergraduate Industrial & Operations Engineering Student
“As an undergraduate who is just beginning my involvement in research, the Symposium was an enriching and inspiring experience that opened my eyes to the possibilities ahead. The dedication of the current students to their various projects was obvious through their comprehensive posters and passionate presentations. The Symposium is a magnificent opportunity for everyone to see the progress and success of CHEPS from the previous year, and to get a glimpse of the promises for the future.” – Brittany Lopez, Undergraduate Industrial & Operations Engineering Student
“It was exciting to be part of the symposium! Presenting my research, being surrounded by a plethora of healthcare professionals and eager students from an array of disciplines was a truly unique experience.” – Vanessa Morales, Healthcare Engineering & Patient Safety Master’s Student
“The Symposium was a terrific opportunity to reconnect with both old friends and people that have played an important role in mentoring me along the way to become a more effective engineer working in healthcare.” – William Pozehl, Healthcare Engineering & Patient Safety Master’s Student
“I found the Symposium to be an incredible experience of people coming together to discuss how we can make healthcare better. The multidisciplinary aspect, as well as all the incredible research being done, was profoundly inspiring.” – Matthew Rouhana, Undergraduate Industrial & Operations Engineering Student
“I was really impressed by all the cross-discipline networking that I saw, and I think that matches CHEPS mission perfectly.” – Zachary Verschure, Undergraduate Industrial & Operations Engineering Student
“The CHEPS symposium was an informative and inspirational event. Learning about the different efforts engineers put into providing better healthcare is exciting. Moreover, it was very motivating to hear the success stories of recent HEPS graduates!” -Pamela Martinez Villarreal, Healthcare Engineering & Patient Safety Master’s Student
Tweets from the event can be viewed at the #chepssymposium hashtag.
|September 26, 2014:
Members of the CHEPS community gathered at Conor O’Neill’s in downtown Ann Arbor on Friday, September 26th. The get-together was part of a series of events centered around the 2nd Annual Symposium on Healthcare Engineering & Patient Safety which took place the following Monday, September 29th. The group included CHEPS undergraduate and graduate students, faculty members, returning CHEPS alumni, and other CHEPS associates.
Merrill Bonder of the Bonder Foundation was in attendance and made brief remarks highlighting how happy she was to be attending the weekend events and how proud she was of what CHEPS has accomplished and of the CHEPS students The Bonder Foundation supports.
It was a lively evening with lots of great conversations and catching up with recent CHEPS graduates who returned to town for the dinner and symposium. “It felt like a family,” said Stephanie See, a CHEPS alumnus who attended the event.
Hassan Abbas, a nursing undergraduate who works with CHEPS said, “The CHEPS reunion was truly a great night. Being together in a room full of healthcare engineering professionals, former students, and professors was really a great opportunity to network and learn. Having the opportunity to speak to other students about their past projects, and comparing them to what the projects look like now was awesome! The food was wonderful and being dressed up with everyone in CHEPS made it a special night!”
|September 22, 2014:
Dr. Gabriel Zayas-Caban was the third featured speaker at the September 22nd seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Zayas-Caban is a post-doctorate at the Center for Healthcare Engineering and Patient Safety (CHEPS). He completed his PhD at Cornell University. He has been awarded the 2013 Zellman Warhaft Commitment to Diversity Graduate Student Award from Cornell’s Diversity Program in Engineering; Cornell/Sloan Fellowship, 2011-2014; and National Defense Science and Engineering Graduate Fellowship, 2008-2011. Recent research projects include “Emergency Medical Service Allocation in response to Large Scale Events” and “Optimal Control of an Emergency Room Triage and Treatment Process.”
Dr. Zayas-Caban’s seminar, titled “Optimal Control of an Emergency Room Triage and Treatment Process,” focused on assessment and treatment of patients in the emergency department. His work considered the question of how to prioritize the work by the medical providers to balance initial delays for care with the need to discharge patients in a timely fashion. He looked at a multi-server two-stage tandem queueing model. With this model, we assume that patients receive the first phase of service (triage). Afterwards, patients go to the second service (treatment). However, patients may leave the system before receiving treatment. Dr. Zayas-Caban used a Markov decision process formulation and sample path arguments to determine the optimal dynamic policy for the medical service provider.
His seminar led to great discussion about the prioritization of the two phases and patient rewards. Emergency departments face many complexities and variability in terms of patients and providers, making this a complicated problem to solve. Future directions include looking at other challenges relevant to healthcare and further optimize the process.
|September 18, 2014:
On September 18th a CQI Brown Bag took place on the topic of “Securing Our Devices: Protecting Our Data.” For those who were unable to attend, the information presented is available at http://www.med.umich.edu/u/compliance/training.htm.
|September 15, 2014:
Dr. Brian Denton was the second featured speaker at the September 15th seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Denton is an Associate Professor in the Department of Industrial and Operations Engineering at University of Michigan, in Ann Arbor, MI. Previously, he has been an Associate Professor in the Department of Industrial & Systems Engineering at NC State University, a Senior Associate Consultant at Mayo Clinic, and a Senior Engineer at IBM. He is past president of the INFORMS Health Applications Section and he is currently serving as Secretary of INFORMS. His primary research interests are in optimization under uncertainty and applications to health care delivery and medical decision making. He completed his Ph.D. in Management Sciences at McMaster University, his M.Sc. in Physics at York University, and his B.Sc. in Chemistry and Physics at McMaster University in Hamilton, Ontario, Canada.
Dr. Denton’s seminar, titled “Operations Research in Medicine: Past, Present, and Future,” focused on the history of operations research in healthcare. He described a number of healthcare engineering applications including cancer screening, diabetes treatment, glaucoma monitoring, organ transplants, and more. Operations research has had an impact in the past. For example, engineers looked at using discrete event simulation to optimize the number and quality of kidney transplants back in the 1980s. Because of these optimization models, paired kidney transplants are growing, saving lives around the country. Check out the video below for more information about kidney exchanges today and see the complexities of optimizing these transplants.
Operations research is evolving. Future directions include personalized medicine, new biomarkers for early detection of diseases, and the development of artificial and regenerated organs. In conclusion, “Operations Research is improving medical decision making and vice versa.”
We are looking forward to more great seminars and discussions! See our full schedule here.
|September 13, 2014:
HEPS master’s student Sarah Bach presented “Improving Patient Flow in an Outpatient Infusion Center” at the Health Systems Optimization Workshop hosted by Northwestern University. The workshop, sponsored by the National Science Foundation (NSF), was intended to accelerate the exchange of research ideas in a cross-disciplinary setting. The focus was on policies, operations, and delivery of care.
“Attending and presenting at the Health Systems Optimization Workshop was a great experience which allowed me to learn about new and exciting applications of industrial engineering to healthcare, interact with professionals in the field, and present the work CHEPS has been collaborating on with the Cancer Center. I especially enjoyed the healthcare focus of the conference which allowed for discussion of the unique opportunities and challenges of working in this complex field. I hope conferences of this nature continue to grow in the future and that CHEPS students continue to attend!” Sarah said of the experience.
|September 12, 2014:
CHEPS student Ji Wang was recognized with an award from The Wang Chu Chien-Wen Summer Research Fund. The fund was established by Tony K. Wang (BSE ’73, MSE ’75) in memory of his mother, Wang Chu Chien-Wen, and is intended to encourage motivated undergraduates to conduct faculty-mentored research projects during the summer, to write a formal report on their findings, and to present their work to their faculty advisor and peers. Ji presented the results of his summer research on both the CHEPS Pediatric Residency Scheduling project as well as on an aviation project. Both projects were advised by CHEPS Associate Director, Professor Amy Cohn.
|September 8, 2014:
Dr. Ruben A. Proano was the first featured speaker at the September 8th seminar of the “Providing Better Healthcare through Systems Engineering” series presented by the Center for Healthcare Engineering and Patient Safety (CHEPS). Attendees came from the HEPS master’s program, the Department of Industrial and Operations Engineering, the University of Michigan Health System, CHEPS, and the School of Public Health.
Dr. Proano is an Assistant Professor in the Department of Industrial and Systems Engineering at the Rochester Institute of Technology. He received his M.S. and Ph.D degrees in Industrial Engineering from the University of Illinois at Urbana-Champaign. His research work has focused on the application of optimization models to the solution of problems affecting the supply of pediatric vaccines, and the implementation of isolation requirements for preventing HAIs. He is currently interested on data mining approaches for episode-of-care characterization and for early detection dementia.
Dr. Proano’s seminar, titled “Mitigating the Impact of Applying Isolation Requirements in Hospital Bed Assignments,” focused on the challenges of transferring patients who are already admitted to different rooms in the hospital unit (i.e. internal movements). The limited number of beds, nursing time availability, and the need to implement isolation guidelines that prevent healthcare associated infections complicate these transfer decisions. Dr. Proano discussed the use of an optimization model integrated into a Monte Carlo simulation to evaluate how the hospital unit’s configuration affects the number of internal movements.
The seminar led to great discussion from attendees. One student asked, “What was the hospital’s perception of the simulation results? Were they surprised; did they agree?” Dr. Proano discussed the importance of collaborating with the hospital, working with the nurses, physicians, and other members of the healthcare team. Maintaining an open line of communication allows for system changes, which in turn improves patient care.
This is just the beginning of the series. We are looking forward to more great seminars and discussions this semester! See the entire series schedule here.
|September 2, 2014:
Members of the CHEPS community accompanied by Associate Dean for Research and Graduate Education Alec D. Gallimore from the College of Engineering completed the ALS ice bucket challenge raising nearly $400. The purpose of the ice bucket challenge is to raise funds to fight amyotrophic lateral sclerosis (ALS), a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Both CHEPS and Dean Gallimore were challenged by University of Michigan’s Department of Industrial and Operations Engineering.
George Tam, the highest student bidder, got the honor of dousing CHEPS Associate Director Amy Cohn with ice water during the challenge. “I’m personally very excited to be here. My favorite aunt, Rita Burlingame, died from ALS. Her husband, Arthur Burlingame, took care of her to the very end so the idea of raising funds for research for ALS is very important to me and I’m grateful to all of our students who are here sharing in this moment,” said Professor Cohn at the start of the challenge.
CHEPS challenged The Institute for Healthcare Policy and Innovation (IHPI), the attendings from U of M’s pediatric emergency department, and CHEPS collaborators at The University of Colorado Hospital.
|August 21, 2014:
Congrats to CHEPS affiliate Valerie Chase for the recent publication of her work on “Using A3 thinking to improve the STAT medication process” in the Journal of Hospital Medicine.
|August 15, 2014:
CHEPS students were treated to a Lunch and Learn courtesy of Dr. Jim Bagian. Dr. Bagian hosted a discussion titled “How Do You Eat An Elephant? – Taking Complex Initiatives From Concept to Reality.”
Dr. Bagian’s discussion centered around the themes of teamwork, how to effectively lead and communicate in team settings, how to break down complex problems into smaller ones, and how to use teamwork and everyone’s abilities to achieve set goals.
Dr. Bagian created an interesting and lively discussion about these topics by incorporating stories from his time at NASA. As one student described it, “(Dr. Bagian) has great stories that apply directly to the topic he is discussing and emphasizes the point he is making.” Dr. Bagian’s talk centered around his experiences while he was the project lead for the space shuttle crew escape development program and his time developing crew survival equipment for NASA’s space shuttle missions.
The students in attendance very much enjoyed and appreciated Dr. Bagian’s discussion at the Lunch and Learn. They would like to thank him for his time and invite him to host another one whenever he would like. As said by the students in attendance, “I thoroughly enjoyed the second Lunch and Learn with Dr. Bagian today. I find them incredibly insightful and extremely interesting!” and “We look forward to many more of these in the future, they are so much fun!”
Thank you Dr. Bagian!
For those intrigued by the subject, Dr. Bagian also tackled the “How do you eat an elephant?” question in his TEDxUofM talk which can be viewed below.
|August 6, 2014:
It’s not exactly brain surgery or rocket science but we think it’s equally amazing. Proving the value of cross-discipline collaboration, CHEPS students Jeremy Castaing and Brian Lemay were recognized for their work on a collaborative satellite scheduling project which was informed by their experience on a CHEPS resident scheduling project. For the project, Jeremy and Brian teamed up with Professor Amy Cohn, CHEPS’s Associate Director, and Professor Jamie Cutler from Michigan’s Aerospace Engineering Department.
The satellite project received honorable mention in the 22nd Annual Frank J. Redd Student Competition at the Small Satellite Conference which was held from August 2 -7, 2014 at Utah State University. Jeremy took the lead in sharing the work at the conference with a presentation titled “Optimal Download Scheduling for Satellite Missions” and paper titled “Scheduling Downloads for Multi-Satellite, Multi-Ground Station Missions.”
|June 28, 2014:
CHEPS research student Stephanie See is officially a registered nurse! The final hurdle of her nursing education was a four hour and 265 question exam which she has now passed. “It was the most stressful test I have ever taken, but with that completed, I am looking forward to caring for patients and their families,” says Stephanie.
|June 13, 2014:
Today, CHEPS bid farewell to Dr. Jenny Zank, Chief Resident in Pediatrics. Dr. Zank spent the past year working closely with CHEPS to build monthly shift schedules for the Mott Pediatric Emergency Department. She also helped the team develop a new tool for block scheduling incoming pediatric residents. Dr. Zank will be starting Fellowship at the University of Pittsburg but will collaborate from afar with the team to complete and publish their work together. You’ll be missed at CHEPS, Jenny!
|June 9, 2014:
CHEPS students Hassan Abbas, Brian Lemay, Elizabeth Olin, and Billy Pozehl along with Professor Amy Cohn joined University of Colorado practitioners Emily Poritt (Project Management & Outcomes Reporting Manager) and Luciana Smith (Director of Innovation, Ambulatory Services) to tour the operating rooms at The University of Colorado Hospital. Poritt is a University of Michigan alumnus who graduated with an MHSA in Health Management and Policy in 2012. This visit was part of a new operating room and ambulatory clinic scheduling project.
|June 8, 2014:
CHEPS Associate Director Amy Cohn and nursing student Hass Abbas took a few hours out from a research trip to the University of Colorado Hospital to enjoy the beauty of the Rocky Mountains.
|June 6, 2014:
CHEPS students met with the Center’s director Dr. Jim Bagian for “Lunch and Learn.” The group discussed three articles:
“I thoroughly enjoyed the lunch and learn with Dr. Bagian on Friday. REALLY cool stuff. Experiences like that make me really glad to be working at CHEPS!” said IOE undergraduate Matt Rouhana.
|June 1, 2014:
Several students from CHEPS traveled to Montreal for the Industrial and Systems Engineering Research Conference (ISERC), part of the IIE Annual Conference and Expo, presenting the following 6 talks:
They also enjoyed the French cuisine, the Botanical Gardens, and more during their time in Montreal.
|May 29, 2014:
Merrill Bonder, head of The Seth Bonder Foundation, recently visited The Center for Healthcare Engineering and Patient Safety (CHEPS) and shared a lunch with some of the students who have received funding from The Seth Bonder Foundation.CHEPS students and students in the Department of Industrial and Operations Engineering (IOE) have benefited greatly from the support of The Seth Bonder Foundation. “I’m extremely grateful and honored to have received support from The Bonder Foundation. The fellowship made it possible for me to focus completely on my studies and research this past semester and it has truly been a blessing in this pursuit for higher education,” said Vanessa Morales, a recipient of the Bonder Master’s Program Fellowship in Healthcare Engineering and Patient Safety (HEPS).The Seth Bonder Foundation was founded in memory of the late Dr. Seth Bonder, a former IOE faculty member as well as the founder and former chairman/CEO of Vector Research, Inc. Much of his career was focused on improving the planning and operations of healthcare delivery enterprises. He was also an expert in national security and defense enterprises, with an international reputation for his work developing new procedures and directing analyses for planning and operations analysis of military forces. He was particularly passionate about supporting and mentoring students.
|May 28, 2014:
CHEPS research student Joanna Fleming was named to the 2014 Academic All-Big Ten Team for women’s track and field. To be eligible for Academic All-Big Ten selection, student-athletes must be letter-winners in at least their second academic year at their institution and carry a cumulative grade-point average of 3.0 or higher. Congratulations, Joanna!
|May 24, 2014:
CHEPS research student Zachary Verschure ran the Traverse City Track Club Bayshore Marathon on May 24th, 2014. This was his first marathon and he trained for about 3 months to prepare. Zachary’s official time was 3:30:13 and he finished in 328th place overall and 24th within his age group (Male 20-24).
|May 14, 2014:
Dr. Brent C. James presented a lecture titled “The Learning Healthcare System: We Count Our Successes in Lives” as part of the Wilbert Steffy Distinguished Lecture Series. The event was hosted by The Department of Industrial and Operations Engineering and The Center for Healthcare Engineering and Patient Safety. You may view the full lecture below.
It is easy to demonstrate that today’s health care delivery, and peoples’ health, is the best the world has ever seen. Within that context, about 50 years ago some clinicians began to apply the rigorous measurement tools of clinical research to health care delivery performance. They found a series of areas where the healing profession falls far short of its theoretic potential. With time and experimentation, that led to proven methods for consistently producing far better clinical outcomes – a field now called clinical quality (or process) improvement.
Usually better care was also much cheaper care, making state-of-the-art health services more widely available to those in need. Some care delivery groups have invested heavily in the data systems and professional management structures necessary to achieve such care delivery excellence. More recently those groups are using the resulting data systems to embed clinical research into routine care delivery operations, dramatically increasing the ability of clinical scientists to conduct and publish clinical investigations, and more fully realizing our shared professional mandate to “learn from every patient.”
(video by MConnex)
|March 24, 2014:
“I like this Lunch and Learn. This is fantastic!” said Dr. Harriet B. Nembhard, after attendees at her “Lunch and Learn” event had listened to her brief presentation and then began to ask questions and offer up ideas about her research. Dr. Nembhard was the featured guest at the March 26th meeting of the Health Engineering and Patient Safety (HEPS) master’s program “Lunch and Learn” series which provides students and other interested parties with the chance to interact with and learn from healthcare professionals.Attendees for the March 26th meeting came to the event from the HEPS master’s program, the Center for Healthcare Engineering and Patient Safety, the Department of Industrial and Operations Engineering, the University of Michigan Health System, the College of Pharmacy, and the Institute for Healthcare Policy and Innovation.Dr. Nembhard is a professor in the Marcus Department of Industrial and Manufacturing Engineering at Penn State. She is also a University of Michigan alumnus who received her Ph.D. from the Department of Industrial and Operations Engineering in 1994. Her research employs methods of statistics, quality, and productivity to develop relevant approaches to improve healthcare delivery. Her recent work has included the visualization methods for communicating healthcare data, a patented manufacturing process for small-scale medical devices, statistical methods for the early detection of influenza outbreak, and modeling patient adherence to treatment. Dr. Nembhard is also a Certified Six Sigma Black Belt and a Fellow of the American Society for Quality.Her topic for “Lunch and Learn” was “A System Dynamics Approach to Support Implementation of Evidence-based Medicine Guidelines for Chronic Kidney Disease.” With the aging of the US population and the increase in obesity, hypertension and diabetes mellitus, the prevalence of chronic kidney disease (CKD) is increasing. The National Kidney Foundation has produced evidence-based medicine guidelines known as the Kidney Disease Outcomes Quality Initiative (KDOQI). These guidelines underscore the need for a strong primary care system to deliver high quality CKD care. However, multiple barriers exist that hamper the provision of optimal care for patients with CKD. Dr. Nembhard’s research investigates a system dynamics approach to care redesign for CKD for 13 practice sites affiliated with Penn State Hershey Medical Center.Dr. Nembhard discussed conceptual and quantitative models built upon system dynamics to enhance the ability to understand dynamic interactions among patients, care providers, process, and policy in the system, to highlight areas of improvement, and to anticipate evolvement of the system over time in response to proposed interventions. Her work is in collaboration with Hyojung Kang; William Curry, MD; Nasrollah Ghahramani, MD; and Wenke Hwang, PhD.
|March 13, 2014:|
|March 4, 2014:
Brian Denton, CHEPS affiliate and co-advisor on the Chemotherapy Infusion Scheduling Project, is working with a multidisciplinary team to develop a quicker and less expensive way to evaluate biomarkers, using computational models, to aid in diagnosing prostate cancer. The research is supported by the National Science Foundation (NSF). The team’s work was recently highlighted an article and video titled “Engineering a more efficient way to diagnose prostate cancer”in the NSF’s Science Nation.
|February 26, 2014:
Healthcare Engineering and Patient Safety (HEPS) master’s students along with students from engineering, nursing, and public health, and members of the University of Michigan Health System (UMHS) community attended a discussion led by Dr. Patti Abbott on February 26. The talk was part of the HEPS master’s program “Lunch and Learn” series which provides students with the chance to interact with and learn from healthcare professionals.Dr. Abbott, an associate professor at the University of Michigan in the Division of Systems Leadership & Effectiveness Science in the School of Nursing, led a roundtable on “Sensor Technology and Telehealth: Taking Healthcare Off the Mainframe.”Dr. Abbott is a formally trained informatician with specific interest and research experience in eHealth and the use of information and communication technologies (ICT) in global health. In addition to her position at the University of Michigan, she is a member of the NIH Biomedical Computing and Health Informatics standing study section and was recently appointed by the World Health Organization (WHO) to serve as a Technical Advisor to a newly formed “eHealth Technical Advisory Group.”Prior to arriving at the University of Michigan, Dr. Abbott was an Associate Professor at the Johns Hopkins Schools of Nursing and Medicine. She completed a 2-year post-doctoral NIH funded research fellowship in the Department of Computer Science in the Human Computer Interaction Laboratory (HCIL) at the University of Maryland College Park where she focused on the design of usable and error-mitigating Health IT. Dr. Abbott extended her research background in knowledge discovery in large datasets (data analytics) at the HCIL by also focusing upon visualization (making sense of huge collections of healthcare data in a way that provides value), human computer interaction, and user-centered design.
|February 10, 2014:
“Improving Clinical Learning Environments for Tomorrow’s Physicians,”an article co-authored by James Bagian, Director of the Center for Healthcare Engineering and Patient Safety (CHEPS), is featured in The New England Journal of Medicine.The New England Journal of Medicine publishes peer-reviewed research and clinical content for physicians, educators and the global medical community. It is one of the most prestigious medical journals and is considered a go-to resource for keeping practicing physicians aware of developments of importance to their patients and for training medical students and residents.In addition to his position at CHEPS, Bagian is a Clinical Professor of Engineering, Research Professor of Anesthesiology, and Chief Patient Safety and Systems Innovation Officer at the Medical School.
|January 31, 2014:
CHEPS Research Student, Joanna Fleming, in the “Wolverine Athlete Spotlight” on mgoblue.com. Read the article here.
December 19, 2013:
On November 18, 2013 friends of the Center for Healthcare Engineering and Patient Safety (CHEPS) gathered for the first Healthcare Engineering and Patient Safety Symposium. Attendees came from a variety of University of Michigan departments including Engineering, the School of Public Health, the Health System, the Medical School, the School of Nursing, and the Institute for Healthcare Policy and Innovation.
|December 9, 2013:
George Miller, an Institute Fellow at Altarum Institute and a member of Altarum’s Center for Sustainable Health Spending (CSHS), spoke about “Investments in Prevention: Countering Myths and Resolving Paradoxes” at the final CHEPS seminar of the semester, December 9th. Dr. Miller spoke about the belief that the US health care system needs to transition from a culture of treatment of disease to one of disease prevention. Although it is commonly argued that US under-invests in prevention because only 3% of US healthcare spending is on prevention vs. treatment, the reality is that spending on prevention is closer to 9% and that spending may be better utilized by focusing on different types of prevention. Dr. Miller then discussed a high-level framework into the impacts of primary prevention intervention, including discussing the health care costs, health and health disparities and other non-health impacts.
|December 2, 2013:
Dr. Julie Ivy, an Associate Professor in the Edward P. Fitts Department of Industrial and Systems Engineering and Fitts Faculty Fellow in Health Systems Engineering at North Carolina State University, spoke to students, faculty, and the Ann Arbor community at the CHEPS seminar series on Monday, December 2nd. Dr. Ivy spoke about “Individualizing and optimizing the use of early warning score systems in the acute medical care setting”. She began by defining acute physiological deterioration (APD), which is the primary cause of preventable deaths reported in leading hospitals in the US, as a continuous disturbance in physiological measures. Dr. Ivy then went on to explain her research of integrating electronic medical records, clinical expertise, and Markovian modeling to develop personalized rules for the use of early warning scoring (EWS) systems to decrease these preventable deaths.
|November 25, 2013:
Susan Hawkins and Julia Swanson visited today from the Henry Ford Health System and presented at the IOE813 seminar series. Both Susan and Julia are IOE alums themselves, and they gave a lively and interesting talk on “Strategic Changes to Drive Performance Excellence.” This was an excellent opportunity for our IOE students to see an up-close example of a career path for IEs in healthcare.
|November 15, 2013:
Congratulations to CHEPS Affiliate Spyros Potiris for being recognized in the Engineering Graduate Symposium. His research project titled, “Computer simulation and mathematical optimization to reduce patient wait times in an out patient infusion center” received first place in Operations Research.
|November 11, 2013:
Dr. Ayca Erdogan, a postdoctoral research fellow at Stanford University School of Medicine, spoke about “Estimating the Long Term Benefits and Harms of CT Screening for Lung Cancer” to 30 students and faculty members at the CHEPS seminar series on Monday, November 11th. Working with the Cancer Intervention Surveillance Modeling Network (CISNET), Dr. Erdogan used a lung cancer micro-simulation model and a simulation-based optimization approach to simulate mortality reduction due to CT screening, confirming expected results. Dr. Erdogan also detailed her analysis of the cost-effectiveness of CT screening.
|November 4, 2013:
Dr. Blake Roessler, Professor Mark Van Oyen, and PhD Candidate Jivan Deglise-Hawkinson spoke about “Novel Operational Planning and Scheduling Methods for Improved Access with Service Pathways” on Monday, November 4th, as part of the CHEPS seminar series. Dr. Roessler first set up the problem, establishing the protocol, phases, places, and people required for clinical research. Utilizing an analogy to a manufacturing process, the team maximizes the manufacturing of units of new knowledge created while performing human subjects research within a tight margin. Professor Van Oyen then discussed conceptualizing the operations research and systems engineering approach. Finally Deglise-Hawkinson walked the class through their Capacity Planning Tool and INformatics (CAPTAIN) to enhance utilization and decrease waiting time for the clinical trials.
|November 1, 2013:
CHEPS Affiliates Spyros Potiris from the HEPS masters program and Autumn Heiney from the School of Nursing presented a poster on their research at the ASCO Quality Care Symposium in San Diego. The poster was entitled “Computer simulation and mathematical optimization to reduce patient wait times in an outpatient infusion center”.
|October 28, 2013:
Dr. Mariel Lavieri, an Assistant Professor in the Department of Industrial and Operations Engineering at the University of Michigan and Dr. Wyndy Wiitala, a Research Health Science Specialist at the US Department of Veteran Affairs spoke about “Data-driven Medical Decision Making of Chronic Disease Patients” on Monday, October 28th to the CHEPS seminar series students and members of the healthcare community. The team of researchers use Markov decision processes and state transition probabilities to model the treatments of a patient with coronary heart disease over time and then use data from the VA to test these theories.
|October 9, 2013:
Students Young-Chae Hong, Bill Pozehl, and Spyros Potiris celebrate with CHEPS Associate Director Amy Cohn at the end of their successful presentations at the annual INFORMS meeting today.
|October 8, 2013:
Amy Cohn, Associate Director of CHEPS, and Merrill Bonder of the Bonder Foundation enjoyed an early morning together at the INFORMS annual meeting in Minneapolis, running together in a 5k Fun Run in honor of Saul Gass. Here, they are pictures before (still dark), after (sun is finally up!), and celebrating at breakfast.
|October 7, 2013:
CHEPS masters student Jason Card, seen here with classmates George Tam and Jeremy Castaing, presented his research on improving the delivery of care to pediatric asthma patients at the 2013 INFORMS annual meeting. Among those present in the audience were Mrs. Merrill Bonder of the Bonder Foundation, which has generously supported Jason’s research (and the research of many others in the program).
|September 30, 2013:
Dr. Salal Humair, a Research Scientist at the Department of Global Health and Poulation at the Harvard School of Public Health, spoke about “Better use of resources in global HIV programs: Informing policy through evidence-based modeling” on Monday, September 30th at the CHEPS IOE813 Fall Seminar Series. Dr. Humair and his partners designed a schematic model with transition states, representing circumcised and uncircumcised males and ART treated and non-treated people, reproducing the epidemic trajectory for South Africa in the last decade.
|September 29, 2013:
CHEPS Affiliate Valerie Chase completed her first 5k today, in the Leaders and Best fund raiser. Also running were CHEPS Associate Director Amy Cohn and her family. They were fund raising in honor of Amy’s favorite aunt, Rita Burlingame, who passed away from ALS two years ago this week. Significant research advances are being made at UM to fight this dreadful disease.
|September 23, 2013:
CHEPS Affiliate Michelle Macy was published today in The Detroit News, with an editorial on child seat safety. Dr. Macy works in the Pediatric Emergency Department at C.S. Mott Children’s Hospital where she treats children for a wide range of illnesses and injuries. Her experiences taking care of children after car crashes have motivated her to find ways to increase child safety seat use. Michigan Child Passenger Safety Law is one opportunity for improvement. She is a mother of two booster seat users and a car seat user.
|September 23, 2013:
Dr. Kai Yang, the Director of the Healthcare System Engineering Group of Wayne State University as well as a Professor of Industrial and Systems Engineering, spoke about “An Analytical Framework to Reducing Hospital Readmission: Descriptive, Predictive, and Prescriptive Analytics” on Monday, September 23rd. Dr. Yang and his graduate student, Isaac Shams, highlighted the ability to develop a customized readmission intervention approach for high risk disease types and patients groups as well as a risk prediction model to capture the timing of readmission based on a Continuous-Time Markov Process.
|September 16, 2013:
Dr. Craig Froehle, an Associate Professor of Operations and Business Analytics at the Carl H. Lindner College of Business at the University of Cincinnati, discussed “Improving Care and Efficiency through Analytics: Automating Patient Triage in Radiology” with students, faculty, and others from the Ann Arbor community this past Monday, 9/16, as part of the Center for Healthcare Engineering and Patient Safety (CHEPS) seminar series.
|September 9, 2013:
Jeremy Castaing, a CHEPS research student involved in the infusion center scheduling project, has won the 2013 Bonder Fellowship. This funding will support additional research including this scheduling project for the University of Michigan Comprehensive Cancer Center.
|September 9, 2013:
Dr. James Bagian, Director of the Center for Healthcare Engineering and Patient Safety, professor in the Department of Anesthesiology in the Medical School, and professor in the Department of Industrial and Operations Engineering in the College of Engineering, spoke today about “Addressing Challenges in Patient Safety – Implementing Systems Based Approaches” to an audience of roughly 30 people affiliated with the U of M Health System, School of Public Health, and College of Engineering.
|August 7, 2013:
The IOE Department held an end-of-summer celebration for the undergraduate researchers in the department. Some of the CHEPS summer researchers pose for a group photo after enjoying the drinks and desserts while visiting with staff. Thanks to all involved for putting the event together!
|June 24-26, 2013:
CHEPS Associate Director Amy Cohn and a group of CHEPS summer research students attended the INFORMS Healthcare conference in Chicago. The group had a tremendous time presenting their own work, attending other presentation sessions, networking with representatives of other universities, and exploring the city. It was an exciting and educational week for all!
|June 24-26, 2013:
IOE Department representing at INFORMS Healthcare Engineering Conference 2013.
|June 24-26, 2013:
Ryan Chen presented on “Scheduling Residents to Achieve Adequate Training on Procedures with Random Occurrences” to an audience of engineers, students and healthcare professionals.
|June 24-26, 2013:
Spyros Potiris and Autumn Heiney connecting before their first presentation at a conference. They presented on “Using Simulation and Stochastic Programming to Improve Service Quality in an Outpatient Oncology Infusion Center” and did amazing!
|June 24-26, 2013:
Jason Card presented on the “Analysis of Treatment Location for Pediatric Asthma Patients,” engaging his audience and delivering a compelling talk.
|June 24-26, 2013:
Young-Chae Hong gave an excellent talk on “Using Mathematical Programming to Improve Scheduling for Medical Residents.” His presentation generated a lot of discussion amongst the audience!
|June 24-26, 2013:
IOE students and faculty were treated to a wonderful breakfast with Merrill Bonder on the first day of the conference.
|June 24-26, 2013:
The four students in the Healthcare Engineering and Patient Safety concentration of the IOE Master’s program (Spyros Potiris, Joe East, Jason Card, and Billy Pozehl from left to right) enjoyed themselves at a networking event sponsored by CHEPS during the conference.
|June 20, 2013:
Zak VerShure, George Tam, and Mark Grum are among the group of CHEPS summer research students who went to Tiger Stadium tonight to cheer on the Boston Red Sox.
|June 18, 2013:
Alison Cator, a fellow in pediatric Emergency Medicine, transported a patient via helicopter with our Survival Flight team to the University of Michigan Emergency Department.
|June 4, 2013:
Ryan Chen and Billy Pozehl standing next to their poster on “Scheduling Fellows to Achieve Adequate Training on Procedures with Random Occurrences.” Ryan, Billy and several other summer researchers presented the poster at Medical Education Day and garnered interest in the Transplant project from several attendees.
|June 4, 2013:
The summer Pediatric Residency Scheduling research students. The entire team worked tirelessly before Medical Education Day to ensure that the posters were flawless! A huge thank you to all for your hard work on the project!
|June 4, 2013:
Young-Chae Hong and Elizabeth Perelstein presented the recent efforts of the Pediatric Residency Scheduling team at the 2013 University of Michigan Medical Education Day. The poster was well-received, including compliments and gratitude expressed by some of the high-level officers at the University of Michigan Health System.
|May 28, 2013:
Mrs. Merrill Bonder of the Bonder Foundation, support of many CHEPS activities, joined us for lunch today. Celebrating with her are summer research students Jason Card, Mary Smiley, Billy Pozehl, Joe East, Autumn Heiney, and Spyros Potiris.
|May 9th-11th, 2013:
Daniel Madwed, CHEPS Affiliate and a member of Michigan’s Club Wolverine Swim Team, placed 3rd in the 200 meter butterfly and 5th in the 100 meter butterfly while competing at the 2013 Arena Grand Prix in Charlotte, North Carolina. When not swimming, Daniel is a summer research assistant working on projects in scheduling medical residents and improving the operations of the outpatient infusion center.
|May 10, 2013:
As recently discovered, Dr. Christopher Friese, Assistant Professor at the School of Nursing, is a man of many talents. In addition to his ground breaking work in oncology nursing and partnership with CHEPS, Dr. Friese is a member of the UMS Choral Union. Performing alongside the Detroit Symphony Orchestra (DSO), Dr. Friese will help celebrate the return of Spring at Carnegie Hall, New York, NY. Under the direction of Leonard Slatkin, UMS Choral Union and DSO will enchant spectators with Ives’ Symphony No. 4. Save the date for May 10th 2013. Break a leg Dr. Friese!
|April 22, 2013:
IOE Professor and HEPS Advisory Board member Mark Van Oyen, hosted a dinner and discussion led by invited speakers James Jinshuai Guo, MS (IOE), and Mike Harvey, PhD candidate (SPH), who discussed their experiences on creating a stochastic mathematical model to simulate patient flow dynamics in our health system.
|February 18, 2013:
Katherine Pearce and Diane Mansoor from Beaumont Hospitals discussed their experiences in EMR (electronic medical record) implementation, focusing on a tool developed to facilitate work flow standardizations and best practices. The dinner meeting, held in the CHEPS offices, was also attended by CHEPS Associate Director Amy Cohn, our HEPS concentration candidates, CHEPS affiliates, and students in IOE, SPH and the medical community.
|February 8, 2013:
CHEPS Affiliate and IOE professor Mark Van Oyen chats with Mark Hayward of the Mayo Clinic Center for the Science of Health Care Delivery at a workshop on improving the value of healthcare delivery. The meeting, held in Phoenix AZ, was also attended by CHEPS Associate Director Amy Cohn.
|February 4, 2013:
Lonny Hurwitz and Ann Nguyen from Southwest Airlines spoke with CHEPS Associate Director Amy Cohn’s research group and others today. Among those in attendance were a number of CHEPS affiliates interested in how innovations in the aviation industry could be applied in healthcare delivery.
|January 26, 2013:
Professor Mariel Lavieri and UM engineering students Amanda Bayagich, Emily Burns, Jason Card, Valerie Chase, Joseph East, Spyros Potiris, and Greggory Schell led teams of fourth through sixth grade local girls in an “Emergency Room Simulation” exercise designed to help young women gain interest in math and science. This was the second year that Professor Lavieri led this program as part of the FEMMES 2013 event.
|December 3, 2012:
Bringing together the true theme of collaboration between engineering and medicine, both practice and education, this week’s seminar was entitled: “Evaluating and Resolving Conflicts Between Deterministic Call Schedules and Stochastic Arrival Rates when Training Heart and Lung Transplant Surgeons.” This presentation included Dr. Rishi Reddy, Dr. Andrea Obi, Professor Jacob Seagull, and IOE student Ryan Chen. Professors Mark Daskin and Amy Cohn and medical student Jennifer Chung have also participated in this project.
|December 10, 2012:
Professors Larry An, John Piette, and Satinder Baveja closed out this semester’s IOE691 seminar series with a perfect example of multi-disciplinary work bringing together engineering and medicine. They presented their joint research on “Adaptive Health Communication to Improve Hypertension Medication Adherence.” We look forward to another lively and informative seminar series next year!
|November 26, 2012:
Professor David Mendez from the School of Public Health was today’s IOE691 seminar speaker. He presented his research on “The Impact of Declining Smoking on Radon Related Lung Cancer in the U.S.”
|November 12, 2012:
Professor Brian Denton, who recently joined the IOE Department from NC State, presented his research on “Optimal Design of Prostate Cancer Screening Policies” at today’s IOE691 seminar.
|November 5, 2012:
The topic of today’s IOE691 seminar was “Supporting Attention and Interruption Management in Healthcare.” Our speaker was Professor Nadine Sarter from the IOE department.
|October 30, 2012:
Thanks to a very generous gift of $100,000 from The Seth Bonder Foundation, students in the IOE Concentration in Healthcare Engineering and Patient Safety will be eligible to apply for a fellowship to help support their studies. Fellowships will be offered on a competitive basis to help cover tuition costs during this three-semester masters program. The Seth Bonder Foundation was founded in memory of the late Dr. Seth Bonder, a former IOE faculty member as well as the founder and former chairman/CEO of Vector Research, Incorporated. Much of his career was focused on improving the planning and operations of healthcare delivery enterprises. He was also an expert in national security and defense enterprises, with an international reputation for his work developing new procedures and directing analyses for planning and operations analysis of military forces. He was particularly passionate about supporting and mentoring students.
|October 29, 2012:
Mr. Jonathan Cohn, journalist for The New Republic and author of “Sick: The Untold Story of America’s Health Care Crisis—and the People Who Pay the Price,” spoke at this month’s informal gathering for the IOE masters concentration in Healthcare Engineering and Patient Safety (HEPS).
|October 29, 2012:
Professor Richard Hughes at the IOE691 seminar series, presenting “Quality Improvement in Hip and Knee Arthroplasty: Development of a Patient Registry in Michigan.”
|October 22, 2012:
This week’s IOE691 seminar, “Evolving Understanding of Lean in Healthcare: A Perspective from the VA Ann Arbor Hospital System,” was presented today by Mr. Tom Kerr and Ms. Valerie Chase. Both speakers are affiliates of CHEPS, and Valerie is an alum of the IOE department and former research assistant to Professors Amy Cohn and Mariel Lavieri.
|October 11, 2012:
CHEPS Associate Director Amy Cohn interviewed in Institute for Healthcare Policy and Innovation newsletter. Read more here…
|October 8, 2012:
Professor Hari Balasubramanian from the University of Massachusetts was our visitor today for the IOE691 seminar series. He spoke about “Balancing Timely Access and Patient Physician Continuity in Primary Care.”
|October 7, 2012:
CHEPS research assistant and undergrad double major (IOE and music) Ryan Chen (pictured here with his advisor, CHEPS Associate Director Amy Cohn) gave an extraordinary senior recital today on the euphonium in the School of Music.
|October 5, 2012:
Please join us in congratulating Jivan Deglise-Hawkinson and Elliot Lee on their selection as 2012 Bonder Fellows!The one year Seth Bonder Fellowship is awarded on a competitive basis to a superior IOE graduate student who wishes to study and do research in the field of applied operations research.
|October 1, 2012:
Professor Patti Abbott, UM School of Nursing, presented her research on “Building a Digital Ecosystem for Vulnerable Populations” at the IOE691 seminar series today.
|October 1, 2012:
Attendees of today’s seminar in IOE691 chat before the start of the seminar.
|September 24, 2012:
Professor Diana Prieto, of Western Michigan University, spoke today in the IOE691 seminar series. Her talk was entitled: “Operational Modeling of Emerging Viral Infectious Diseases.”
|September 17, 2012:
Please join us in congratulating Dr. Jim Bagian, Director of the Center for Healthcare Engineering and Patient Safety, presented the first seminar of the Fall 2012 IOE691 series today, entitled “Patient Safety: Putting Medical Team Training Into Action.”
|July 17, 2012:
Valerie Chase (pictured seated, second from left), a recent graduate of IOE, co-authored an article which was recently published in the Journal of the Society for Academic Emergency Medicine for a research project she participated in at the University of Michigan Hospital. Co-authors Mariel Lavieri, PhD and Amy Cohn, PhD and Dr. Tim Peterson are CHEPS affiliates.
|July 13, 2012:
Students Tara Lynn O’Gara, Mindy Alberty, and Young-Chae Hong work with Dr. Micah Long, Chief Resident, to build the September schedule for residents at the Pediatric Emergency Department at Motts Children’s Hospital.
|June 20, 2012:
High school students from the WISE (Women in Science and Engineering) Summer Camp participated in an activity simulating and improving the performance of an emergency department to learn about how industrial engineers work in the field of healthcare. Professor Mariel Lavieri led this activity, along with Professor Amy Cohn and several IOE students.
|June 19, 2012:
Amy Cohn, Thurnau Professor and Associate Director of CHEPS, was honored as the Alpha Pi Mu Professor of the Year. Among those joining her at the annual APM banquet was Matthew Friedman (second from right), one of the 2012 CHEPS summer research students.
|June 12, 2012:
The Summer 2012 CHEPS students taking a well deserved break from work to check out one of the things Ann Arbor does best…EAT! Sava’s was the restaurant of choice, as it was a participant in Ann Arbors annual Restaurant Week and known for it’s delicious food and hip atmosphere. Starting in the front left of the table and moving clockwise: Ryan Chen, Ishan Mukherjee, Mark Grum, Ali Jardaly, Matthew Friedman, Joe East, Antonio Menendez, Emily Burns, and Linnea Johnson.
|June 10, 2012:
CHEPS undergraduate summer student Ryan Chen had a rare opportunity to let his creative side shine during a jazz performance. In his words: “I’m gonna tell you, it’s pretty cool. I got to jam with the trumpet player from Beyoncé’s band, Kiku Collins. The lady with her back turned is Ginger Turner, trumpet player in the US Coast Guard Concert Band… The bassist (obscured) is Tom Knific, jazz bass professor at WMU, and the pianist (not pictured) is his son. Overall, awesome (or, in jazz lingo, killin’) experience and a cool shot captured by Mark Cox, low brass professor at Central Michigan.”
|April 19, 2012:
Jennifer Chung, a fourth-year medical student at the University of Michigan, presented her research today at the Moses Gunn Annual Conference. This is joint work with Drs. Rishindra Reddy and Andrea Obi, Professors Mark Daskin and Amy Cohn, and students Siyuan Sun and Wandi Lin.