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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 signiicant, 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
Current Clinical System Innovation Projects
PRINCIPAL INVESTIGATOR INSTITUTION PROJECT TITLE
Ronald Dixon
           
           
Massachusetts General Hospital Healthcare 360:  A technology-enabled model for general medical care
Ronald Dixon
           
           
Massachusetts General Hospital Primary Care Kiosks: Making Solutions Affordable and Scalable
Walter Dzik
           
           
Massachusetts General Hospital RFID for Prevention of Bedside Errors
Julian Goldman
           
           
Massachusetts General Hospital Medical Device Mobile Plug-and-Play Platform (MD MP3) for Medication Safety
Robert Insoft
Brigham and Women’s Hospital Improving the Care of Neonates During Inter-hospital Transport
David Judge
           
           
Massachusetts General Hospital Designing the Ambulatory Practice of the Future Systems Integration Hub
Ronald Newbower Massachusetts General Hospital Handwashing Compliance Reminder and Documentation
Adam Wolfberg

Children’s Hospital Boston The Safe Fetus Project
     
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
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

Video.
 

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

CIMIT Prize for
Primary Healthcare

Request for Applications Letters of intent accepted
Dec. 1 - Jan. 15

Dr. Ron Dixon with Patient

CIMIT has announced a dynamic new national engineering prize competition: the CIMIT Prize for Primary Healthcare. The top three entrants will receive $150,000, $100,000 and $50,000, respectively, to help advance their winning clinically-relevant, primary care solutions.

Learn more.        

Of The Futures -
Learning Laboratories

Operating Room
Ambulatory Practice
Neontal Intensive Care Unit
Emergency Department

Related Links

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

BROCHURE:
Shaping the Future of Healthcare

INTERACTIVE GRAPHIC:
"Connect Care" Interactive Graphic.