Regenstrief Center for Healthcare Engineering

May/June/July 2008
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Regenstrief Center for Healthcare Engineering


HealthcareTAP

PharmaTAP

Center for Health Outcomes Research and Policy

Discovery Park

Purdue University


In early May, the Mayo Clinic
Board of Trustees welcomed
Purdue University President
France Córdova, Ph.D., as a
new member. Dr. Córdova
became the 11th president
of Purdue University in July
2007, having previously
served as chancellor and
Distinguished Professor of
Physics and Astronomy at
the University of California
(UC) Riverside. An inter-
nationally recognized
astrophysicist, Córdova has
served as professor of
physics and vice-chancellor
for research at UC Santa
Barbara. Before join ing UC
Santa Barbara, she was chief
scientist at NASA, where she
was the primary scientific
adviser to the NASA admin-
istrator and the principal
interface between NASA head-
quarters and the broader
scientific community.
Mayo Clinic News Release,
http://www.mayoclinic.org/
news2008-rst/4793.html

People
 > Regenstrief Center welcomes new staff and students. More

 > Student ambassadors graduate this spring. More

Projects
 > Center research group designs web-based self-care     management and e-learning portals for chronic diseases.     More

 > Research team wins funding for medication safety research.     More

 Partners
 > Conference in Indianapolis focuses on healthcare     innovation. More

 > International operational research conference to be held in     North America. More

Progress
 > Researchers aim to strengthen community within healthcare     engineering signature area. More

 > Spring conference attracts healthcare leaders, faculty and     students. More

 > Regenstrief Center leadership participate in national     healthcare roundtable. More

 > Schwarz explores healthcare supply chain at recent VHA     conference. More

 > McGlothlin, Leonard and Bidassie teach Lean Six Sigma for     Healthcare at public health symposium. More

 > Musselman presides over Institute of Industrial Engineers     annual conference. More

Publicity
 > HealthcareTAP project manager receives award from State     Health Commissioner. More

Regenstrief Center welcomes new staff and students

Ping Huang

Ping
Huang

Karen Studebaker

Karen
Studebaker

Lindsay
Morgeson

Dalsu Choi

Dalsu
Choi

The Regenstrief Center is pleased to announce the addition of two staff members to its team. Ping Huang joined the center on April 22 as the center’s first research scientist. She will be responsible for all phases of large-scale research efforts, including developing research topics, assembling and coordinating multidisciplinary teams, authoring and coordinating technical content, and conducting significant portions of grant research. Huang earned her doctorate in Quantitative Methods and Management Sciences from Purdue University in 2008, and previously worked at TRW Automotive as a programmer/business analyst.

Karen Studebaker is the newest member of the Regenstrief Center team, serving as the front office receptionist in Mann Hall 225 as of May 14. She has worked at Purdue since 1994, most recently providing faculty support in Biological Sciences. In her new position, Studebaker will provide clerical support for Regenstrief Center leadership, coordinate the use of the center’s conference room and serve as the initial contact for center guests and visitors.

The Regenstrief Center also welcomes two full-time Discovery Park Undergraduate Research Interns. Lindsay Morgeson, a junior in the School of Pharmacy, is continuing the rural health project begun by graduating senior Jillian Jweinat in the town of Kewanna, IN (see March/April newsletter). This summer, Morgeson is working closely with Kewanna leaders to apply for state and federal funds to establish community-based health services.

Dalsu Choi, a sophmore in chemical and mechanical engineering, is collecting data on the current usage of assistive technologies across Indiana. This information will be used to populate a database as a part of a Regenstrief Center project with Indiana’s Family and Social Services Administration.

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Student ambassadors graduate this spring

2008 Senior Ambassadors
Jillian Jweinat (front row left); Aksay Thomas (back row center);
Christina Jackson (front row center); Stephanie Lindsmeyer
(front row, second from right); Megan Wilkerson (front row right)

The Regenstrief Center congratulates the accomplishments of five RCHE Student Ambassadors who graduated this year. “These ambassadors represent the finest students that Purdue has to offer,” said Steven M. Witz, Regenstrief Center director. “We have been continually impressed by their enthusiasm, professionalism and intelligence. Their work for the center has been invaluable, and we wish them every success.”

Future plans among the ambassadors include:

Jillian Jwienat (B.S., Occupational Health Honors; B.S., Environmental Health Science). This summer, Jweinat is working in Salvador, Brazil, with Cross Cultural Solutions. She will volunteer in orphanages, teach English to elementary students and work in an AIDs clinic. This fall, she will begin a joint master’s program, pursuing a master’s degree in health systems management from Rush Medical Center and a master’s degree in business administration from DePaul University.

Aksay Thomas (B.S., Health Sciences). This fall, Thomas will pursue the dual M.D./M.S. Applied Anatomy degree at Case Western Reserve University.

Christina Jackson (B.S., Health Sciences). Jackson is currently a research associate for the Purdue Homeland Security Institute in Discovery Park. She has accepted a one-year educational position with the U.S. Army Center for Health Promotion and Preventive Medicine as a health educator in Landstuhl, Germany.

Stephanie Linsenmeyer (B.S., Health Sciences). Linsenmeyer has started an accelerated program toward a master's of science in administration. She will apply to medical school in North Carolina for Fall 2009.

Megan Wilkerson (B.N.S., Nursing). Beginning this summer, Wilkerson will work at Riley Children's Hospital in the Pediatric Intensive Care Unit (PICU). In February 2009, she will leave for two years to volunteer with the Peace Corps in Africa.

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Center research group designs web-based self-care management and e-learning portals for chronic diseases

A Regenstrief Center research unit, Healthcare Informatics and Learning Technologies (HILT) is a new effort to coordinate research activity with center partners around the use of information, collaboration, and learning technologies to expand and enhance healthcare delivery options. Bart Collins, professor of communication, and Scott Schaffer, professor of educational technology, oversee a variety of projects related to provider-patient interaction through telehealth systems, online patient learning environments, and health information web portals. Current projects are focused on primary and specialty care provision, chronic disease education and management, and assistive technologies.

E-learning and Self-Care
Management Portal Structure

This summer, HILT is concentrating on research and development of web-based environments to support self-care and education needs of patients with chronic diseases, such as heart failure and diabetes. Diabetes is particularly relevant because it is one of the fastest growing medical chronic conditions in the United States.

To design a self-care and e-learning framework for chronic care patients, HILT is advancing research in chronic disease self-care models, patients’ web information-seeking behaviors and media preferences.

“E-learning frameworks provide patients with key resources to improve health literacy, track behavioral changes over time, and report patient progress so providers can fill missing gaps in the healthcare delivery system,” said Schaffer, principal investigator of a Regenstrief Center seed grant on e-learning. “Our goal is to determine how web-based technologies can be leveraged to meet the self-care and educational needs of chronic care patients.”

Researchers are now working on a number of different project components:

   > Developing a research instrument to assess patients’ self-care ability and motivation, health       information-seeking strategies, and related factors that inform how best to design effective       e-learning strategies for supporting self-care.

   > Evaluating commercial and non-commercial web-based technologies, including learning and       course management systems, content management environments, and related collaboration       environments (e.g., wikis and social networking applications.)

   > Establishing a unified structure for a diabetes e-learning portal to connect chronic disease       self-care model requirements and patients’ self-care management and education needs.

Faculty  
Bart Collins, Ph.D.,
Communication
Scott Schaffer, Ph.D.,
Educational Technology
   
Research Assistants  
Lisette Reyes Paulino,
Educational Technology
Hannah Kim,
Educational Technology
Robert Yale,
Communication
Rebecca Ivic,
Communication
Lalatendu Acharya,
Communication
Alicia Bergman,
Communication

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Research team wins funding for medication safety research

Vince Duffy

Steve Abel

Steven Abel, Bucke Professor of Pharmacy Practice, and Vince Duffy, Regenstrief Center faculty and professor of industrial engineering, are the co-recipients of two research grants to advance their project, “Work Process Design Strategy to Reduce Barcode Medication Administration (BCMA) Workarounds for Improved Patient Safety.” The research team was awarded a $40,000 ASHP Foundation Medication Safety Team Grant, which supports research related to the use of barcode scanning technology at the point of medication administration. The ASHP Foundation is the philanthropic arm of the American Society of Health-System Pharmacists (ASHP), the national professional organization representing pharmacists practicing in hospitals and health systems.

The researchers also will receive $50,000 from the Lilly Seed Grant Program through the Purdue College of Pharmacy, Nursing and Health Sciences. The grant program is part of a $25 million award in 2007 from Lilly Endowment Inc. to promote pharmacy education, outreach and research.

The research project aims to enhance the efficacy of bar code medication administration (BCMA), a method proven to decrease medication errors. BCMA technology allows for real-time confirmation of patient identification, medication, dose, time, and route of administration. Although BCMA reduces errors when used appropriately, barriers exist that inhibit its use. The emergence of “workarounds,” or ways to circumvent the system, compromises its effectiveness and may introduce further medication errors. The researchers will develop a strategy to aid in the design and development of a new BCMA system that reduces barriers and error-prone workarounds.

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Conference in Indianapolis focuses on healthcare innovation 

The Indiana Health Industry Forum’s (IHIF) annual Innovention conference will be held on July 28-29 at the Indianapolis Convention Center. The conference will feature a number of panel discussions exploring the ways Indiana is helping to reduce the costs of healthcare delivery through innovation, cutting-edge business practices, and smart growth. The keynote address, "Perception vs. Reality: Understanding the Economics of the Cost of Healthcare," will be given by Dr. Peter Neumann, Director of the Center for the Evaluation of Value and Risk in Health at the Institute for Clinical Research and Health Policy Studies at Tufts Medical Center.

IHIF is a not-for-profit, private sector organization with members that represent a private/public alliance of manufacturers, suppliers, educational institutions, healthcare providers, service providers and government.

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International operational research conference to be held in North America

For the first time in its history, the EURO Working Group on Operational Research Applied to Health Services (ORAHS) will hold its annual conference, International Perspectives on Operations Research and Healthcare, in North America at the University of Toronto from July 28 to Aug. 1. Michael Carter, professor of mechanical and industrial engineering at the University of Toronoto and member of the Regenstrief Center Advisory Council, is serving as conference chair.

Meetings are open to anyone with a quantitative background and those who have interest in the subject area. Along with the meetings, study tours of healthcare facilities will offered.

ORAHS was formed in Europe in 1975 as a special interest group for researchers involved in applying systematic and quantitative analysis to support planning and management in the health services sector. Traditionally, the group meets for one week every summer in a different European host country.

To register, visit www.ORAHS2008.com.

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Researchers aim to strengthen community within healthcare engineering signature area

Researchers from the Regenstrief Center and e-Enterprise Center were recently awarded a Signature Area Community Building Grant from the Purdue College of Engineering to fund new initiatives aimed at increasing student involvement, developing new educational opportunities and enhancing collaboration within the college’s healthcare engineering signature area.  

The proposal, submitted by Seza Orcun (e-Enterprise Center), Nan Kong (Biomedical Engineering), Vincent Duffy (Industrial Engineering), Mark Lawley (Biomedical Engineering), Mimi Arighi (Veterinary Teaching Hospital), Christopher Stines (Veterinary Teaching Hospital), Sandra Amass (Veterinary Clinical Sciences, Purdue Homeland Security Institute) and Stephen B. Hooser (Comparative Pathobiology, Animal Disease Diagnostic Laboratory) includes the development of a web-based library of complex healthcare-engineering "challenges" and case studies. All interested faculty, students, Regenstrief Center healthcare partners and other researchers are invited to access and contribute to the library, which will serve as a foundation for research and collaboration throughout the signature area.  A blog associated with each challenge will facilitate cyber discussions among faculty, students and other researchers.   

Seza Orcun

To promote student use of healthcare-engineering challenges in their coursework, a three-tier student competition will be piloted in spring 2009. “We decided to provide incentives directly to students to tackle the challenge problems as a part of their course work in a creative and self-motivated fashion,” said Orcun.  “In this way, fellow students and faculty who may not be aware of the healthcare engineering signature area will hear about it in a context related to their course.”

The first 50 project teams to register and successfully complete a course project using one of the healthcare challenges will be awarded $50.  An additional $50 may be awarded to projects that rank among the top 10% of all projects submitted in respective courses.  Project teams also will have the opportunity to give a ten-minute presentation on the economical and cultural feasibility of their solution for the chance to win an additional $500.  

The Purdue Veterinary Teaching Hospital will serve as an on-campus proxy for human healthcare environments. “Veterinary medicine utilizes the same technologies, same treatment modalities and same drugs as human medicine which leads to similar healthcare delivery and engineering problems,” said Orcun.  “The less fragmented nature of veterinary medicine, loyalty and compliance of pet owners to providers and care protocols, and the less regulated nature of veterinary clinics provide additional opportunities to conduct comprehensive studies focusing on the dynamics of healthcare.”

Informal community gatherings, called “Coffee & Chat,” also are planned to bring together students, healthcare engineering researchers and faculty for brainstorming and collaboration. 

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Spring conference attracts healthcare leaders, faculty and students

More than 100 faculty, students and healthcare professionals attended the Regenstrief Center’s fourth annual spring conference, Research Solutions in Healthcare: Successes, Challenges and Lessons Learned, on April 22 in Discovery Park. Conference sessions included presentations from both academics and healthcare professionals, highlighting the advances made in collaborative research and opportunities to strengthen interdisciplinary relationships. PowerPoint presentations are available for viewing at www.purdue.edu/rche/spring2008.

“Some of the challenges we face in delivering healthcare seem too complicated to address,” said Deanna Willis, M.D., M.B.A., Medical Director of Quality and Medical Management for the Indiana University Medical Group and a conference presenter on her collaboration with Purdue researchers to improve patient scheduling. “Working with Purdue engineers and statisticians has changed that perception. It’s been liberating to tackle a complex and significant issue like patient scheduling. Strong communication between the research team and site personnel has been, and will continue to be, key to successfully translating our research findings into practice.”

Michael
Hindmarsh

The conference’s keynote address was given by Michael Hindmarsh, former Associate Director of Clinical Improvement of the MacColl Institute. During his 15 years with Group Health's Center for Health Studies, Hindmarsh has managed federally-funded research studies and various internal clinical improvement efforts. He also has directed the design and implementation of two of Group Health's population-based clinical improvement efforts: the Diabetes Roadmap and the Depression Roadmap. As part of that work, Mike and his colleagues created one of the country’s first registries of patients with diabetes. His current work involves design and development of a national dissemination strategy for implementing the Chronic Care Model.

The Regenstrief Center’s next conference is this fall on Sept. 16 in the Burton D. Morgan Center. The conference, Transforming Healthcare Delivery: Advancing Multidisciplinary Research at Purdue University, is an annual opportunity for Purdue researchers to learn about the progress of multidisciplinary healthcare research on campus, network with colleagues and students with similar research interests and establish multidisciplinary partnerships to pursue new healthcare research directions. More information and registration will be available later this summer.

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Regenstrief Center leadership participate in national healthcare roundtable

Steven Witz, Regenstrief Center director, and Kenneth Musselman, strategic collaboration director, participated in the Institute of Medicine/National Academy of Engineering Roundtable on Evidence Based Medicine, April 29-30 in Washington, D.C. This workshop of key leaders, titled Engineering a Learning Healthcare System: A Look at the Future, explored potential strategies for achieving a “learning healthcare system,” in which evidence is applied and developed as a natural product of patient care. Dale Compton, chair of the RCHE Advisory Council and Lillian M. Gilbreth Distinguished Professor Emeritus of Industrial Engineering, gave a keynote address highlighting how systems engineering can foster a healthcare system that delivers effective care and learns from the care delivered.

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Schwarz explores healthcare supply chain at recent VHA conference

Leroy Schwarz

Leroy Schwarz, RCHE academic director and the Louis A. Weil, Jr., Professor of Management at Purdue, presented the session, “What Can Health Care Supply Management Learn from Consumer Product Supply Chains?”, at the VHA, Inc. Leadership Conference in Philadelphia, May 4-7. The conference, which is VHA’s showcase educational event, was exclusively for finance, materials, nursing, operations, pharmacy and physician leaders and other healthcare professionals that are members of the VHA alliance of more than 1,400 not-for-profit hospitals and 21,000+ non-acute care organizations nationwide.

Schwarz’s session covered the findings of a Regenstrief Center research study that explored the differences and commonalities of the healthcare supply chain and the consumer products supply chain.

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McGlothlin, Leonard and Bidassie teach Lean Six Sigma for Healthcare at public health symposium

Jim McGlothlin, RCHE technical director and associate professor of health sciences, Brian Leonard, HealthcareTAP’s performance improvement projects manager, and Balmatee Bidassie, doctoral student and certified Lean Six Sigma Black Belt, presented a pre-symposium workshop on "Lean Six Sigma for Healthcare Professionals" at the U.S. Public Health Service Scientific and Training Symposium in Tucson, Arizona, June 6-12.

The 30 participants who attended the day long session as a part of the symposium learned the basics of Lean Six Sigma and guidelines to apply in their own organizations. “Lean Six Sigma is one of today’s leading techniques to maximize efficiency and maintain control over each step in managing healthcare systems,” said McGlothlin. “With this workshop, we wanted to show participants how they could reduce complexity and achieve major cost reductions within each of their unique organizations.”

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Musselman presides over Institute of Industrial Engineers annual conference

Kenneth
Musselman

Kenneth Musselman, the Regenstrief Center's strategic collaboration director, presided as president over the Institute of Industrial Engineers Annual Conference, May 17-21 in Vancouver, British Columbia. More than 40 presentations were offered in the health and service systems research track, which included the following presentations from Regenstrief Center-affiliated researchers:

   > "Characterizing Inpatient Hospital Flow from Information Systems Messaging"
      Renata Konrad, Mark Lawley & Yuehwern Yih, Purdue University
      Scott Lambert, Ascension Health

   > "Patient Assignment and Scheduling in a Physicians' Network"
      Mark Lawley, Ayten Turkcan & Bo Zeng, Purdue University

   > "A Hybrid Method for Sequential Clinical Scheduling"
      Ji Lin & Mark Lawley, Purdue University
      Kumar Muthuraman, The University of Texas at Austin

   > "Batch-order Preparation at a Central Inpatient Pharmacy"
      Paul Intrevado, McGill University
      Steven R. Abel, Purdue University
      Reha Uzsoy, North Carolina State University

   > "A Game Theoretical Approach for Hospital Stockpile in Preparation for Pandemics"
      Po-Ching DeLaurentis & Mark Lawley, Purdue University
      Elodie Adida, University of Illinois at Chicago

   > "Determine Optimal Policy for Community Mitigation Strategies During Influenza Pandemic"
      Feng Lin & Mark Lawley, Purdue University
      Kumar Muthuraman, University of Texas at Austin

   > "Optimal Time of Intervention for Hemodialysis Patients with Arterio-Venous Fistula or Graft"
      Santanu Chakraborty & Mark Lawley, Purdue University
      Kumar Muthuraman, University of Texas at Austin

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HealthcareTAP project manager receives award from State Health Commissioner

Deborah Koester, project manager for the Indiana State Department of Health’s quality improvement initiative, received the State Health Commissioner award on May 12. The award was presented by Dr. Judy Monroe, state health commissioner, in recognition of ”outstanding contributions in promoting, protecting and providing for the health of the people in Indiana.”

Koester has worked with the state through HealthcareTAP on a number of projects. She is currently managing the $852,500 state initiative to strengthen local public health capacity, infrastructure and performance. The project has included 20 counties to date. In Aug., she is expected to graduate with a doctorate in nursing practice from Purdue.

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Regenstrief Center for Healthcare Engineering at Purdue University
(765) 494-1531 • www.purdue.edu/rcherche@purdue.edu

Editor: Phillip Fiorini, pfiorini@purdue.edu
Co-Editor: Erin Moore, eemoore@purdue.edu