The Harvard Medical School Safety, Quality and Informatics Leadership Program
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1 The Safety, Quality and Informatics Leadership Program SQIL The Safety, Quality and Informatics Leadership (SQIL) Program
2 HMS MISSION To create and nurture a diverse community of the best people committed to leadership in alleviating human suffering caused by disease.
3 DEAN S MESSAGE Photo credit Lipofsky.com David H. Roberts, MD Dean for External Education The Safety, Quality and Informatics Leadership (SQIL) program is a tremendous opportunity to explore the cornerstone of high-quality healthcare. SQIL is an intensive one-year certificate program is designed to develop knowledge and skills in patient safety, quality, informatics and leadership. A deep understanding of patient safety is inextricably linked to the delivery of quality healthcare, and SQIL s students will develop the skills and knowledge in the science and implementation of safety and quality programs in a hospital setting. This is the fundamental premise of the Institute of Medicine s Learning Health System concept -a common thread in SQIL. The program consists of three in-person 3-day workshops at the program s beginning, mid-point and conclusion, with online courses, webinars and instruction during the 12-month period. The blended learning approach to this one-year program enables clinicians from around the world to participate. SQIL utilizes an innovative, blended-learning approach. The workshops flank its core curriculum components, combining traditional live teaching methods with online instruction, team projects and interactive webinars. This unique mix of individual and cooperative learning provides each student with strong critical thinking skills. SQIL aims to encourage career development by bringing this unique training to the next generation of leaders, providing an unparalleled foundational program from which participants can launch or further advance an exciting and rewarding career in healthcare.
4 ABOUT THE PROGRAM SQIL s blended-learning style harnesses the immense power of interactive web-based learning and combines it with face-to-face, team- and individual-based teaching methods. All instructional materials are prerecorded and available online, making this a truly global and continuously available virtual classroom. During each workshop, which complement the online learning activities, students will interact Harvard-based faculty and instructors from other leading institutions and learn the art of critical thinking, team building and problem-solving. Ajay K. Singh, MBBS, FRCP (UK), MBA Co-Director, SQIL Program Associate Dean for Global Education The program curriculum is comprised of approximately 20 interactive webinar lectures and 30 recorded online lectures of 45 minutes each, in three core areas: Leadership and Effective Change Management, Information Technology, and the Principles of Patient Safety and Quality Improvement. The webinars and lectures are supported by the three workshops, involving case discussions around the Learning Health System, implementing change in the skills development setting of a Simulation Center, and learning how to integrate Quality, Safety and Informatics into the healthcare delivery environment. During the program s final phase, students will be expected to develop and present a project, the Capstone Project, which will demonstrate a strategy for measurable improvement in an area that addresses either safety, clinical outcomes, efficiency (waste and cost reduction), patient satisfaction or healthcare process design. All participants who achieve the program objectives are granted a Certificate of Completion, and will be eligible to become Associate Members of the and Harvard University Alumni Association. Charles Safran, MD Co-Director, SQIL Program Chief, Division of Informatics Beth Israel Deaconess Medical Center Associate Professor of Medicine Sonali Desia, MD MPH Co-Director, SQIL Program Director, Patient Quality Department of Medicine Attending Rheumatologist Brigham and Women s Hospital Assistant Professor of Medicine The SQIL curriculum will enable students to: Undeerstand the scientific underpinnings of safety, quality, and clinical informatics Develop leadership skills, focused on effecting change, negotiation and conflict resolution Address quality and safety issues in a clinical context using a case based approach Organize, write and, potentially, implement a proposal for a safety/quality/informatics project relevant to their clinical setting Learn more about the SQIL program on the Web at Aziz Sheikh, MBBS Co-Director, SQIL Program Professor of Primary Care Research & Development Co-Director of the Centre for Population Health Studies University of Edinburgh College of Medicine and Veterinary Medicine 2 HARVARD MEDICAL SCHOOL
5 KEY FEATURES OVERALL STRUCTURE HMS FACULTY GUEST FACULTY Senior faculty from Harvard Medical School and other leading academic institutions Blended approach of online and interactive teaching Team-based learning 24/7 access to online learning materials Approximately 50 online webinars and lectures designed to expand lecture topics and to promote critical thinking and problem-solving Three skills-based workshops. The workshops offer a mix of didactic and practical exercises and are designed to promote collaborations and team approaches to solving research problems Capstone Project, designed to demonstrate a strategy for measurable improvement in an area that addresses either safety, clinical outcomes, efficiency, patient satisfaction or healthcare process design Heather Baer Mujeeb Basset David Bates Jennifer Beloff Alexander Carbo Rebecca Cunningham Christian Dankers Sonali Desai Jessica Dudley Patricia Folcarelli Karen Fiumara Dorothy Goulart Jeffrey Greenberg Allen Kachalia Ashish Jha John Meara Sean Murphy John Pawlowski, Yuri Quintana Sandhya K. Rao John Rossi Kenneth Sands Jo Shapiro Ajay Singh Daniel Solomon Robert Sutfin Jonathan Teich Thomas Tsai Neil Wagle John Wright Julia Adler-Milstein University of Michigan School of Public Health Sir Liam Donaldson Imperial College Charles Friedman University of Michigan, School of Public Health Andrew Morris Chief Scientist for Health, Government of Scotland Mike Pringle, President RCGP, and University of Nottingham Aziz Sheikh, University of Edinburgh Hardeep Singh University of Texas, Health Science Center Dean Sittig University of Texas, Health Science Center Jonathan Weiner Johns Hopkins Bloomberg School of Public Health Safety, Quality and Informatics Leadership (SQIL) Program 3
6 SQIL CURRICULUM AND PROGRAM CONTENT SQIL s core curriculum is divided into four components: Quality Improvement, Patient Safety, Health Informatics and Statistical Measurement and Analysis. In addition, SQIL participants choose an elective course in either Clinical Effectiveness (with topics around health policy, economics and the disciplines if clinical effectiveness) or Leadership (which will focus on leadership that effects change in patient safety, implements new processes and examines organizational structure). The curriculum is delivered through the live webinars and recorded online lectures, and is anchored by the three workshops in London, Dubai and Boston which will concentrate on elements of the Learning Health System. Throughout the twelve month program participants work on individual and team assignments, completing the program with an individual Capstone Project with input from a faculty mentor, "The SQIL Program will bring together current or to-be-leaders in health care with top faculty from Harvard. The goal of SQIL is to make physicians, nurses and administrators better leaders. This program is acquiring knowledge and skills that will make you more effective, but it's also about developing your global network of like-minded people who work in health care." Dr. Ajay K. Singh Associate Dean for Global Education 4 HARVARD MEDICAL SCHOOL
7 THE LEARNING HEALTH SYSTEM The Learning Health System A common thread in the SQIL Program is emphasis on the Institute of Medicine s concept of the Learning Health System designed to generate and apply the best evidence for the collaborative healthcare choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and to ensure innovation, quality, safety, and value in health care in which science, informatics, incentives, and culture are aligned for continuous improvement and innovation, with best practices seamlessly embedded in the delivery process and new knowledge captured as an integral by-product of the delivery experience... Core Learning Principles of Patient Safety Epidemiology of Errors in Health Care Complexity and Human Error Adverse Events Principles of Quality Improvement High Reliability Theory Models for Performance Improvement Understanding the relationship between quality and patient safety activities and education. Introduction to Performance Measurement and Analytics Clinical Informatics Overview of role of informatics in quality and safety Use data to effect change Measuring adverse events and errors Decision support Publishing Leadership Effecting change in the health care setting Review best strategies for engaging stakeholders in change, How to lead a quality program and it s elements: utilization, peer review, adverse event analysis How to bring evidence to point of care and implement technology into clinical environments. Understand departmental leadership structures, medical, nursing and administrative staff functions, How to manage key interactions between quality and patient safety Safety, Quality and Informatics Leadership (SQIL) Program 5
8 SQIL CURRICULUM AND PROGRAM Overview WORKSHOP 1 LONDON April WORKSHOP 2 DUBAI Sept CORE CURRICULUM WORKSHOP 3 BOSTON April Capstone Project Longitudinal Seminar Series by Webinar Team Presentation Team Presentation Team Presentation 6 HARVARD MEDICAL SCHOOL
9 SQIL is uniquely tailored to the needs of the physician, nurse and administrative leaders who either work or seek to work in safety, quality and informatics. The blended educational approach allows students to access state-of-the-art instruction anywhere in the world at a time and location convenient to their individual needs. The blended learning methods of SQIL provide a unique opportunity to begin developing these capabilities and to forge collaborations around the world. Working in teams throughout the program promotes collaborative effort, and access to program faculty throughout the year for methodologic guidance and support make this program unique and exciting. SQIL will allow students to critically assess the needs of their local research environment, pose clinically-relevant research questions, formulate testable hypotheses and design robust clinical studies. Similarly, those who devote the majority of their time to caring for patients will benefit immensely from learning how to dissect and interpret the medical literature most relevant to their individual patients. Ajay K. Singh, MBBS, FRCP (UK), MBA Associate Dean for Global Education Heather J. Baer, ScD Assistant Professor of Medicine, Assistant Professor of Epidemiology, Harvard School of Public Health Salmaan Keshavjee, MD, PhD Associate Professor of Global Health and Social Medicine Safety, Quality and Informatics Leadership (SQIL) Program 7
10 SQIL WORKSHOP dates April 24 26, 2015 The first workshop takes place at Imperial College London, UK, and includes sessions on the principles of patient safety, potential errors and corrective action, performance improvement models, performance measurement and analytics, and choosing targets for quality improvement intervention. During this workshop, SQIL participants will be organized into their working teams for the entire 12-month program. September 19 21, 2015 The second workshop takes place at the Maktoum Academic Medical Centre, located at Dubai Healthcare City, UAE, and focuses on the principles of quality improvement and safety, and importance of team work and team leadership. The workshop will include sessions in a simulation centre to replicate operating room, emergency room and ward-based situations. April 8 10, 2016 The third and final workshop takes place at, Boston, USA. Sessions will focus on examples of learning health systems, and long-term sustainment and feasibility. At the workshop s conclusion, each student receives a Certificate of Completion. 8 HARVARD MEDICAL SCHOOL
11 APPLICATION INFORMATION Who should apply? The Harvard Medical Safety, Quality and Informatics Leadership program is designed for physicians, clinicians, senior level emergency department staff and nurse practitioners, and administrators in leadership roles in clinical quality and/or patient safety. Candidates for the program should indicate any doctoral-level degree (for example: MD, PhD, MBBS, MBChB, DNP, MSN, DMD, DDC, PharmD), or master s level degree (for example: MBA, MPH, MSc). Applications are accepted from November 1, 2014 to March 27, EARLY REGISTRATION: The early registration payment for accepted applications of $13,900 (USD) must be received by Friday, January 14, FINAL REGISTRATION: The final registration payment for accepted applications of $14,900 (USD) must be received by Friday, March 27, The online application form is available at: To qualify for early registration tuition, all application materials must be received by the early registration dates. All applications will be reviewed by a Faculty Admissions panel. Tuition includes fees for the three workshops and all four modules (summer, fall, winter, and spring). Fees do not include books, supplies, statistics software, or travel expenses. CONTACT INFORMATION SQIL Program Office of Global Education Gordon Hall, Suite Shattuck Street Boston, MA Telephone: sqil@hms.harvard.edu Web: hms.harvard.edu/sqil SAFETY, QUALITY AND INFORMATICS LEADERSHIP (SQIL) PROGRAM 9
12 The Safety, Quality and Informatics Leadership Program SQIL Program Office of Global Education Gordon Hall, Suite Shattuck Street Boston, MA Telephone: Web: hms.harvard.edu/sqil 2014 by the President and Fellows of Harvard College
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