This presentation familiarized the audience with the recently released report to the President of the United States developed by the President’s Council of Advisors on Science and Technology (PCAST). Per Presidential request, this study was performed by the 21 PCAST members appointed from industry, academia, research institutions, and other non-governmental organizations. The presentation covered the role of PCAST, the organization of the report, the six defined goals, and the identified barriers to implementation.- Dr. John Wood: Operations Director, responsible for GCorp Consulting’s six divisions
Following are notes from my research following the meeting of INCOSE San Diego Chapter.
PCAST Documents & Reports | The White House
New PCAST Report Says “Systems Engineering” Can Improve Health Care | The White House
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| Box 1: Overview of Systems Engineering |
Members of the primary PCAST advisers are executives listed at PCAST Members | The White House. Most of the members of the working group who generated the report are medical administrators and academics. The members with some system engineering expertise in the working group which generated this report are:The President’s Council of Advisors on Science and Technology (PCAST) released a report to the President, Better Health Care and Lower Costs: Accelerating Improvement through Systems Engineering.
Table 1: Stakeholders & Challenges
The report comes at a critical time for the United States and for the health-care system in particular, with millions of Americans recently gaining health-care coverage due to the Affordable Care Act (ACA).
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PCAST also finds that the benefits of systems engineering can be realized at the community level and that—since people live the majority of their lives and experience their health outside of traditional health-care settings—engaging public and private community entities in improving the delivery of care and/or promoting health can enhance the quality of care and the health of communities.
Finally, the report speaks to the need for the United States to build a health-care workforce that has the necessary “know-how,” recommending that systems engineering concepts should be embedded in education and training for a wide variety of people involved in health care, from clinicians to administrators to public-health officials.
PCAST believes that implementation of these strategies bears great potential to transform the Nation’s health-care system in positive ways, and hopes this new report will provide a framework to help the Administration achieve these aims as it proceeds with implementation of the Affordable Care Act.
Rouse has written hundreds of articles and book chapters, and has authored many books, including most recently Essential Challenges of Strategic Management (Wiley, 2001) and the award-winning Don't Jump to Solutions (Jossey-Bass, 1998).
He is co-editor of the best-selling Handbook of Systems Engineering and Management (Wiley, 1999) and edited the eight-volume series Human/Technology Interaction in Complex Systems (Elsevier). Among many advisory roles, he has served as Chair of the Committee on Human Factors of the National Research Council and as a member of the U.S. Air Force Scientific Advisory Board.
Rouse is a member of the National Academy of Engineering, as well as a fellow of four professional societies -- the Institute of Electrical and Electronics Engineers (IEEE), the International Council on Systems Engineering, the Institute for Operations Research and Management Science, and the Human Factors and Ergonomics Society
Systems Engineering Research Center Rouse is a member of SERC which has a long relationship with INCOSE - Stevens Signs Memorandum of Understanding with INCOSE for Collaborative Research on Systems Engineering Professional Certification Data | Stevens News
Bagian worked as a process engineer for the 3M Company in Bristol, Pennsylvania, in 1973, and later as a mechanical engineer at the U.S. Naval Air Test Center at Patuxent River, Maryland, from 1976 to 1978, and at the same time pursued studies for a doctorate in medicine. Upon graduating from Thomas Jefferson University in 1977, he completed one year of general surgery residency with the Geisinger Medical Center in Danville, Pennsylvania. Dr. Bagian subsequently went to work as a flight surgeon and research medical officer at the Lyndon B. Johnson Space Center in 1978, while concurrently completing studies at the USAF Flight Surgeons School and USAF School of Aerospace Medicine in San Antonio, Texas. He was completing a residency in anesthesiology at the University of Pennsylvania when notified of his selection by NASA for the astronaut candidate program. Dr. Bagian received his Professional Engineers Certification in 1986, and was board-certified in aerospace medicine by the American College of Preventive Medicine in 1987.
Reactions to the report from the SE community
David Long, INCOSE President and Mary Logan, President and CEO of AAMI have sent comments to President Obama supporting the backbone of the report that systems engineering will improve healthcare delivery in the United States and offering the expertise and experience of both organizations. Please see the entire PCAST report here; and, the INCOSE/AAMI response here.
Little in PCAST report is new -Previously:
INCOSE - Biomedical / Healthcare Working GroupHealth Systems Engineering or Health Engineering (often also called Healthcare Systems Engineering or Healthcare Engineering) is an academic discipline that approaches the health care industry and other constructs affecting health and safety as complex systems, and identifies and applies engineering design and analysis principles in such areas. This can overlap with biomedical engineering which focuses on design and development of various medical products; industrial engineering and operations management which involve optimizing organizational operations; and various healthcare practice fields like medicine, pharmacy, dentistry, nursing, etc. Other fields participating in this interdisciplinary area include public health, information technology, management studies, and regulatory law.
Co-Chairs: Tom Fairlie (Medtronic)Chris Unger (GE Healthcare)Our Purpose: Bring
together systems engineers and systems thinkers from within the
biomedical and healthcare industries to identify, develop, and tailor
best practices for application in the improvement of healthcare deliveryOur Goals:• Aggregate information (via INCOSE and external sources) that articulates the value and application of SE to healthcare• Provide an infrastructure for members (and interested non-members) to share informationOur Scope: Medical devices, pharmaceuticals, biomedical engineers, healthcare providers, academic institutions, regulatory agencies, and advocacy groups
Applying Systems Engineering to Healthcare -FAIRLIE.pdf
OMG Overview Presentation - MBSE_in_HC_Intro_Slides.pdf
NAE Website - Engineering and the Health Care Delivery System (editorial, 2008)
OMG Overview Presentation - MBSE_in_HC_Intro_Slides.pdf
NAE Website - Engineering and the Health Care Delivery System (editorial, 2008)
The suggestion that engineers join in the struggle to improve the health care system almost always elicits surprise, even though engineers have been actively involved in bioengineering and biomaterials engineering for years. In addition, publications on using operations-research techniques to model hospital operating rooms and schedule personnel and materials in various medical facilities date back more than three decades. Today, however, the participation of engineers is more important than ever before.
Health care delivery today is in turmoil. Despite rapid advances in medical procedures and the understanding of diseases and their treatment, the efficiency, safety, and cost-effectiveness of the delivery of health care have not kept pace. Improvements in the
delivery of services in other industries have simply not been transferred to health care.
The question is why not. Here are a few of the most obvious reasons.
For one thing, the third-party reimbursement system is not conducive to a competitive environment in which customers (i.e., patients) can seek out the most cost-effective treatment or provider.
Second, health care delivery is still a “cottage industry.”
Third, very little has been invested in information technology.
Fourth, the quality of care delivery and benefits are difficult to quantify.
Finally, the annual cost of health care is increasing by double digits.
The five papers in this issue, which are based on presentations at the Symposium on Health Care as an Adaptive Enterprise: An Engineering Challenge, at the 2007 NAE Annual Meeting, address several of these issues.
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