Fellowships at IHI

1
Fellowships at IHI

• Sharon I. Eloranta, MD
• Qualis Health
• George W. Merck Fellow, IHI

2
Types of Fellowships

• George W. Merck (Merck family)
• National Health Service
• Harkness (Commonwealth Fund and Health Foundation)

3
Fellows

• David Stevens, MD, AAMC (2003-2004)
• David Calkins, MD (2004-2005)
• Laura Botwinick, MA, JCAHO (04-05)
• Gail Nielsen, Iowa Health Systems (04-05)
• Sharon Eloranta, MD, Qualis Health (04-05)
• Charlie Tomson, MD, England (04-05)
• Noeleen Devaney, MD, Northern Ireland (04-05)
• Jonathon Gray, MD, Wales (04-05)
• Peter Sprivulis, MD, Australia (04-05)

4
Some Facts

• Fellowship Coordination
• Don Goldmann, MD
• Sharon Muret-Wagstaff, PhD, RN
• Program
• 30 structured learning
• 30 innovation community assignment
• 30 individual project
• 10 other duties as assigned!

5
Requirements

• Must be in Boston area for the year
• Must be guaranteed a leadership position in the
  sponsoring organization upon return

6
Examples

• Perinatal Innovation Community
• Developing and testing bundles
• Augmented delivery
• Working with Key Customers
• Patient Safety Officer training program
  Dartmouth etc.
• Campaign SSI and SCIP
• SSI BTS Faculty
• Spread Initiative for QIOs

7
Innovations

• Bundles
• Spread as its own science
• Flow and operations management
• Reliability as its own science
• Leadership
• Moving the big dots what leaders must do to
  achieve system-level improvement

8
Leading Whole-System Improvement

• Seven Leverage Points
• Establish, oversee and communicate measured
  system-level aims for improvement
• Align system measures, strategy and projects in a
  leadership learning system
• Channel leadership attention to improvement
• Engage and effective and committed executive team
• Engage the CFO in this work
• Engage with physicians
• Build deep improvement capability

9
The Big Dots

• Third-available appointment
• Cost per admission/cost per capita
• Lost work days
• Mortality rate
• Adverse drug events
• Functional outcomes
• Patient satisfaction/ dying at home

10
QIOsbig dots?

• QIOs and contracts
• felt impetus to work only in microsystems
• This may change with 8th SOW
• real need to expand beyond one payer
• Most QIOs already do more than Medicare
• Ideas?
• Questions?