MED 279 Syllabus Fall 2019 PDF

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MED 279, Fall 2019: Stanford Health Consulting Group

Overview Welcome to the Stanford Health Consulting Group (SHCG) course. The mission of SHCG is to improve the delivery of care at Stanford Health Care by providing high impact solutions for significant health care challenges, while supporting the training and development of future health care leaders. You will work within multidisciplinary teams to analyze health care delivery and service challenges, build new working relationships with Stanford Health Care, and develop recommendations, which you will present at the conclusion of the quarter. Through this experiential learning process encompassing problem solving, innovation, partnership development, influence, and leadership, your work will have the potential to directly improve multiple domains of health system performance including the quality, efficiency, and value of care, as well as the experience of patients and care providers. Over the years, SHCG teams have worked on major challenges across the Stanford health system that have made substantial contributions to Stanford Health Care, yielding concrete improvements to patient care. As new SHCG team members, you will now contribute to and become part of this history of impact. We expect that every student will enter this course with varied levels of consulting and health care leadership experience. You each have unique perspectives, skills, talents, experience, and passion to positively impact health care. We encourage you to share these with your classmates, learn from, and support each other. It is this collective team effort that yields the best results. We are here to help support your individual paths. Enrollment in Med 278 (Leadership section) will be considered for students with prior SHCG, consulting, or other relevant leadership experience.

Projects: Projects are pre-determined by faculty and stakeholders; however, we are always open to input from students. If you have a project you would like to conduct in MED279, please reach out to the head TA. Project assignments occur at the Kick Off and are based as much as feasible on student preference; you will rank projects by your preferences, and we will do our best to assign students their top choices.

Requirements: Five required classes per quarter with weekly team meetings. All classes are held at Alway Building M218. 1. Fall Quarter Kickoff (Wednesday, 9/25, 5-7PM) Course introductions, project assignments, and team breakout sessions, intro to A3 thinking with Stanford Healthcare internal consultant.

2. Gaining influence as consultant (Wednesday, 10/9, 5-6PM) Hard and soft skills for health care consulting Instructor: Margaret Smith - Senior Value Improvement Consultant, Office of the Chief Quality Officer, Stanford Health Care 3. Mid-quarter Presentation (20 minutes per group) and Giving Effective QI Presentations (Wednesday, 10/30, 5-6:30PM) Your mid-quarter presentations will allow you to meet with faculty to report on your progress and receive feedback. Focus on your research and work to date, ideas, questions, challenges you are encountering, and goals for the second half of the quarter. Learn presentation techniques to deliver your findings in the most effective way possible. Instructor: Hurley Smith - Senior Value Improvement Consultant, Office of the Chief Quality Officer, Stanford Health Care

4. Final Presentation (20 minutes per group) (Wednesday, 12/4, 5-6:30PM) The final presentation allows you to synthesize and organize your learning and findings and deliver recommendations for addressing the health care challenges you have identified 5. Weekly Project Team Meeting Teams will independently determine their own weekly meeting schedules. *University policy requires approximately 3 hours of work / week for each unit of credit earned

Course Materials You are required to watch the following instructional videos. They are relatively short (5-15 minutes) but recently delivered by Stanford faculty RITE Videos: Concept

Video Link

Life of QI Project

https://youtu.be/tcdTPq6U_t0

Introduction to A3 Thinking

https://youtu.be/rtyia0ci12I

Current State

https://youtu.be/QFgCREYyPKs

Waste: what is it and how to find it.

https://youtu.be/Z7peOjeb7dk

SMART Goals

https://youtu.be/Qm0jY3wYtMQ

Communicating Progress and Results

https://youtu.be/A0EL-qz1U7o

Statistical Process Control

https://youtu.be/0JGNYb9YfSU

Key Driver Concept

https://youtu.be/kVT7fXa7r-g

Intervention Reliability

https://youtu.be/AZCCGbyaa9M

Key Driver Concept Continued

https://youtu.be/82ykBpVD7zY

Psychological Aspects of Change

https://youtu.be/dDkw-nWcQ-I

Systems

https://youtu.be/hu3CuzseoPE

Reviewing Performance Data

https://youtu.be/oPyhjovj4iI

Sustain Plans

https://youtu.be/YG9xzQEIEsw

Spreading Improvement

https://youtu.be/oWCIDY67Yio

Leadership Opportunities: All students enter as consultants with no previous experience required. If desired, students may lead teams as a Project Manager. To do so, please indicate this on the Project Preference Survey. Below are brief descriptions of each role and expected weekly commitment: 1. Consultants: Responsibilities will vary depending on team needs and personal preferences, but usually involve interviewing health systems stakeholders, observing workflows, data analysis, synthesizing information, designing solutions, and development recommendations.

Average weekly hours: 2-3hrs/week/unit of credit 2. Project Managers: Set strategic direction, lead team building and organization, run meetings, support stakeholder alignment, deliver final products, and engage with Senior Partners. Ideally attend all stakeholder meetings and serve as primary point of contact for the team. a. Average Weekly Hours: 3-4hrs/week/unit of credit

Publications: Nearly all projects yield novel knowledge with potential for publication. If you are interested in publishing work, reach out to the course team.

Grading: Satisfactory/No Credit; You will have the option to sign up for 1-3 credits/quarter. Teams will have a very high level of autonomy and freedom to lead and manage their projects. Our primary expectation is active learning and participation, professionalism, integrity, good citizenship, and supporting fellow team members.

Office Hours Contact TAs or faculty individually for office hours Office of the Chief Quality Officer at Stanford Healthcare will offer weekly office hours to answer team questions and offer assistance on Friday from 10-11AM. Contact Margaret Smith ([email protected]) to confirm attendance.

Compliance Requirements Compliance requirements are essential and must be completed before teams may access any project data. No exceptions can be made. All compliance requirements are listed below:

● All projects will be designed with Stanford faculty members and performed under their supervision

● All projects will be internal to Stanford and conducted free of charge

● This course will be open to both MD and non-MD Stanford students; all students are required to be matriculated Stanford University students

● All students will complete Healthstream training including HPIAA and CITI requirements All students must complete HIPAA and CITI training. Please upload your completion certificates to the quiz titled Compliance Requirement Uploads. 1. HIPAA: a. The Stanford University HIPAA training course, “Protecting Patient Privacy” is available in the Stanford University STARS training system. b. Search for the course in STARS under the title “HIPAA/Protecting Patient Privacy” in the course catalog or use the following link to enroll in the course c. HIPAA Module 2. CITI - Group 9 a. Use the link to access the CITI module, following the in-page directions b. CITI Module

Teaching Assistants Jon Sole, MD Candidate, e: [email protected] Siyu Shi, MD Candidate, e: [email protected] Charles K. Lee, MD Candidate, e: [email protected] Ripal Shah, MD, e: [email protected]

Course Faculty Jason Hom, MD – Clinical Assistant Professor of Medicine and Medical Director of Quality Documentation and Outcomes Integrity, Stanford Health Care e: [email protected] Edward Sheen, MD, MPH, MBA – Adjunct Professor of Medicine, former associate CMO of Stanford Health Care - University Health Alliance e: [email protected] Lisa Shieh, MD, PhD – Clinical Professor of Medicine and Medical Director of Quality, Dept. of Medicine, Stanford University School of Medicine

e: [email protected] David Svec, MD, MBA – Clinical Assistant Professor of Medicine and Chief Medical Officer, Stanford ValleyCare e: [email protected] Margaret Smith, MBA – Senior Value Improvement Consultant, Office of the Chief Quality Officer, Stanford Health Care e: [email protected]

Honor Code The Stanford University Honor Code applies to this course and is copied below. While your projects should be collaborative, please maintain expected high standards of academic integrity by citing all work appropriately. Please abide by all compliance requirements. 1. The Honor Code is an undertaking of the students, individually and collectively:

● that they will not give or receive aid in examinations; that they will not give or receive unpermitted aid in class work, in the preparation of reports, or in any other work that is to be used by the instructor as the basis of grading;

● that they will do their share and take an active part in seeing to it that others as well as themselves uphold the spirit and letter of the Honor Code. 2. The faculty on its part manifests its confidence in the honor of its students by refraining from proctoring examinations and from taking unusual and unreasonable precautions to prevent the forms of dishonesty mentioned above. The faculty will also avoid, as far as practicable, academic procedures that create temptations to violate the Honor Code. 3. While the faculty alone has the right and obligation to set academic requirements, the students and faculty will work together to establish optimal conditions for honorable academic work. Students with Documented Disabilities Students who may need an academic accommodation based on the impact of a disability must initiate the request with the Office of Accessible Education (OAE). Professional staff will evaluate the request with required documentation, recommend reasonable accommodations, and prepare an Accommodation Letter for faculty dated in the current quarter in which the request is being made. Students should contact the OAE as soon as possible since timely notice is needed to coordinate accommodations. The OAE is located at 563 Salvatierra Walk (phone: 723-1066, URL: http://studentaffairs.stanford.edu/oae)....