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Clinical Systems Innovation (CSI)

MAKING PATIENT CARE SAFER, MORE ACCESSIBLE, MORE EFFICIENT,
AND LESS COSTLY ACROSS THE ENTIRE CONTINUUM OF CARE

Clinical healthcare environments are demanding, fast-paced, and complex. The barriers to innovation are significant, including the need to avoid disrupting ongoing day-to-day activities.

CIMIT’s model of developing clinical innovation “learning laboratories” across the continuum of care—from the hospital to the home—provides venues for technology and process innovation to address these challenges in realistic settings. It also provides a controlled environment to measure the impact of change.

The Clinical Systems Innovation (CSI) Program is CIMIT’s on-the-ground initiative to improve and advance the systems that support clinical care in real-world healthcare settings. CIMIT helps clinicians and institutions craft novel approaches to implementing a complex new care pathway or designing a new facility or better process, usually incorporating new technology.

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  • Projects
  • Publications
  • Forum/Events
  • In The News
  • Multimedia
FY 2010 - 2008
Clinical Systems Innovation Projects
YEAR PRINCIPAL INVESTIGATOR INSTITUTION PROJECT TITLE
2010 Meghan Dierks, MD Beth Israel Deaconess Medical Center Reshaping systems, processes and controls to optimize outcomes in sepsis
2010 Debra Weiner, MD, PhD Children's Hospital Boston Handheld simulation procedure training device
2009 Ronald Dixon, MD
           
           
Massachusetts General Hospital Healthcare 360:  A technology-enabled model for general medical care
2009 Ronald Dixon, MD
           
           
Massachusetts General Hospital Primary Care Kiosks: Making Solutions Affordable and Scalable
2009 Ronald Newbower, PhD Massachusetts General Hospital Handwashing Compliance Reminder and Documentation
2008 Walter Dzik, MD
           
           
Massachusetts General Hospital RFID for Prevention of Bedside Errors
2008 Julian Goldman, MD
           
           
Massachusetts General Hospital Medical Device Mobile Plug-and-Play Platform (MD MP3) for Medication Safety
2008 Robert Insoft, MD
Brigham and Women’s Hospital Improving the Care of Neonates During Inter-hospital Transport
2008 David Judge, MD
           
           
Massachusetts General Hospital Designing the Ambulatory Practice of the Future Systems Integration Hub
2008 Bruce Levy, MD Brigham and Women’s Hospital Remotely Monitored Inhaler to Predict and Prevent Asthmas Attacks
2008 Adam Wolfberg, MD, MPH

Children’s Hospital Boston The Safe Fetus Project: Develop a new non-invasive monitor of fetal health
       
Recent Publications by CIMIT Investigators
INVESTIGATOR/AUTHOR PUBLICATION ARTICLE DATE
Bamberg, S. J. M., Picard, R., Paradiso, J. A. Gait & Posture Pattern Recognition of Normal and Healthy Gait Using a Shoe-Integrated Wireless Sensor System 2007
Bamberg, S. J. M., Benbasat, A. Y., Scarborough, D. M., Krebs, D. E., Paradiso, J. A. IEEE Transactions on Information Technology in Biomedicine Gait Analysis Using a Shoe-Integrated Wireless Sensor System 2007
Carleton PF, Lugn N, et al. R Wootton, S Dimmick, J Kvedar. London: Royal Society of Medicine. Congestive Heart Failure Home Telehealth: Connecting Care Within the Community 2007
Egan MT, Sandberg WS Surg Innov. 14(1):41-50; discussion 51 Auto identification technology and its impact on patient safety in the Operating Room of the Future.  2007
Forde RE, DeBros FM, Guimaraes EL, Sandberg WS Anesthesiology. 107(6):1038-9; discussion 1039-40 Misleading behavior of Masimo pulse oximeter tone during profound bradycardia.  2007
Seim AR, Dahl DM, Sandberg WS J Endourol. 21(7):703-8 Small changes in operative time can yield discrete increases in operating room throughput.  2007
Sokal SM, Chang Y, Craft DL, Sandberg WS, Dunn PF, Berger DL Arch Surg. 142(4):365-70 Surgeon profiling: a key to optimum operating room use.  2007
Stahl JE, Goldman JM, Rattner DW, Gazelle GS  J Surg Res 139(1):61-7 Adapting to a new system of surgical technologies and perioperative processes among clinicians.  2007
       
Clinical Systems Innovation at the
CIMIT Forum and Past Events
EVENT DATE SPEAKERS DETAIL
The FDA Center for Devices and Radiological Health (CDRH)
Workshop on Medical Device Interoperability
Jan. 25-27, 2010

Charles P. Friedman, PhD., Chief Scientific Officer, Office of the National Coordinator for Health Information Technology

Jeffrey Shuren, MD, JD, Acting Director, FDA/CDRH

Donna-Bea Tillman, PhD, Director, Office of Device Evaluation, FDA/CDRH

Doug Rosendale, D.O. F.A.C.O.S, Veterans Health Administration, Office of Health Information, Joint Interoperability Ventures

The Food and Drug Administration (FDA) Center for Devices and Radiological Health, in co-sponsorship with Continua Health Alliance and the Center for Integration of Medicine & Innovative Technology (CIMIT) held a public workshop entitled ‘‘Medical Device Interoperability: achieving safety and effectiveness.’’ The purpose of the workshop is to facilitate discussion among FDA, industry, academia, professional societies, clinical investigators and other interested parties on issues related to safe and effective interoperable medical devices. 
Forum: Retail-based Healthcare Clinics Sept. 9, 2008

Peter Markell, Vice President, Finance, Partners HealthCare System, Inc.

Ahmed Albaiti, CEO, Medullan, Inc.

• Retail Clinics -The View from an Academic Integrated Delivery System

• Increasing Health Care Value via Technology: Enabled Simplification

Forum Jun. 24, 2008

Jeanine Wiener-Kronish, MD, MGH

Douglas Raines, MD, MGH

Emery Brown, MD, PhD, MGH

Keith Miller, DPhil, MGH

Developments for the Future of Anesthesia and Critical Care
Forum: Planning for the Neonatal Intensive Care Unit Nov. 27, 2007 Stella Kourembanas, MD; CHB, HMS

Anne Hansen, MD, MPH; CHB, HMS

Jonathan Kemp, PhD; Cambridge Sound Mgmt
Technology Requirements in the NICU of the Future: A First Look at Sight and Sound

• NICU of the Future Project, CHB: Current Challenges and Future Goals

• NICU of the Future, Sound and Light

• Noise in the Clinical Environment: Sources, Effects, Solutions
Forum: Assessing Health of Older Adults
Nov. 6, 2007 Alan M. Jette, PT, PhD, FAPTA; BU, BUMC

Jonathan Bean, MD, MS, MPH; Spaulding Cambridge Outpatient Center, HMS   
• How Are You Really Doing? Innovations in Functional Outcomes Measurement in Rehabilitation

• Three Big Risks for Older Adults: Walking, Climbing Stairs and Rising from a Chair: Evidence-based Rehabilitative Care for Older Adults
Forum: Improving Quality and Patient Safety
Oct. 30, 2007 Ronald Newbower, PhD; CIMIT

Gregg S. Meyer, MD, MSc; MGH/MGPO

Jeffrey Cooper, PhD; MGH    
• How to Protect Oneself From Injury by Human Error in a Hospital

• An Untapped Role for Patients: Online Reconciliation of Meds and Monitoring Care Transitions

• New Hazards of Medical Technology
Forum: Challenges and Opportunities in Office-Based Medicine Oct. 9, 2007 Keith Isaacson, MD; HMS, BWH, BWH

Fred Shapiro, DO; HMS, BIDMC

Beverly Philip, MD; HMS, BWH

Lisa Warren, MD; MGH

• Office-based Gynecologic Procedures

• Office-based Anesthesia 

• Technology Implications of Office-based Anesthesia Safety

• Regional Anesthesia in the Office Based Setting

Clinical System Innovation News
ARTICLE TITLE PUBLICATION DATE
iPhone Apps for the Clinic Gosh, that's neat! Blog Feb. 16, 2010
Oct. 9, 2009
Healthcare IT News Oct. 6, 2009
Five emerging sectors offer promise with new technologies Mass High Tech Jul. 31, 2009
Dr. Ronald Dixon Featured 'Healthcare Revolution' Expert:

VIDEO: Making Primary Care The Primary Focus

VIDEO: Fulfilling Healthcare’s Digital Promise

VIDEO: Downloading Health: Why Don’t Doctors Use Text Messaging and Email?

VIDEO: Tough Medicine: A Big Think Interview With Ron Dixon About Reinventing Healthcare
BigThink.com Jul. 16, 2009
$150,000 Engineering Prize awarded to CollaboRhythm Team.
CIMIT Prize competition recognizes student research using novel technologies to address major diagnostic and therapeutic challenges in primary healthcare.
CIMIT Press Release Jun. 25, 2009
Boston Globe Jun. 1, 2009
The Doctor Kiosk. An automated health-care interface aims to streamline preventative screening Technology Review Feb. 25, 2009
Health data kiosk replaces in-person doctor visits Mass High Tech Feb. 6, 2009
Medical devices lag in iPod age. Patients' safety is at risk, experts say Boston Globe Dec. 29, 2008
Model Contract Gives Momentum To Interoperability Movement
Anesthesiology News Dec. 2008
"Plug and Play" Hospitals, Medical devices that exchange data could make hospitals safer. MIT Tech Review July 9, 2008
Doc: Plug-and-play med devices could save lives Mass High Tech Jan. 18, 2008
Scientific and Educational Exhibit: First-place tie winners from Massachusetts General Hospital/Harvard Medical School American Society of Anesthesiologists Jan. 8, 2008
How to Improve It?
Ask Those Who Use It
New York Times Mar. 25, 2007
Personalized Medical Monitors: John Guttag says using computers to automate some diagnostics could make medicine more personal
Technology Review Mar. 12, 2007
ASA Panel on Medical Device Interoperability Anesthesiology News Feb. 1, 2007
Once a Tech Fantasy, Plug-and-Play OR Edges Closer to Reality Anesthesiology News Jan. 2007
OR of Future Reports Improved Throughput OR Manager Jan. 2006
BWH Achieves World First in Thoracic Surgery BWH Pike Notes Dev. 9, 2005
Automatic Detection and Notification of 'Wrong Patient-Wrong Location' Errors in the Operating Room Surgical Innovation Sept. 2005
 

David Judge, MDProgram Leaders

David Judge, MD
djudge@partners.org

617-724-1602

CIMIT RESPONSIBILITIES
Co-Program Leader,
Clinical Systems Innovation



Penny Ford Carleton, RNPenny Ford Carleton,
RN, MS, MPA, MSc

pcarleton@partners.org
617-643-0665

CIMIT RESPONSIBILITIES
Co-Program Leader,
Clinical Systems Innovation

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Related Links

Connected Health
Partners Home Care
Medical Device Plug-and-Play

BROCHURE:
Shaping the Future of Healthcare

INTERACTIVE GRAPHIC:
"Connected Care" Interactive Graphic.


CSI Program Alliance

European Connected Health Campus

 

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