Maureen Bisognano, President Emerita and Senior Fellow, Institute for Healthcare Improvement (IHI), previously served as IHI’s President and CEO from 2010 to 2015, and as Executive Vice President and COO from 1995 to 2010. She is a prominent authority on improving health care systems, advises leaders around the world, and is a frequent speaker at major health care conferences. Ms. Bisognano is an elected member of the National Academy of Medicine, an Instructor of Medicine at Harvard Medical School, and a Research Associate in the Brigham and Women's Hospital Division of Social Medicine and Health Inequalities. She currently serves on the boards of The Commonwealth Fund, Cincinnati Children’s Hospital Medical Center, ThedaCare Center for Healthcare Value, and on the Advisory Board of County Health Rankings and Roadmaps. Prior to joining IHI, she was CEO of the Massachusetts Respiratory Hospital and Senior Vice President of The Juran Institute.
Stephanie Calcasola, MSN, RN-BC, CPHQ, is Vice President of Quality and Safety at Hartford Healthcare. She has held a variety of clinical and leadership positions over the last twenty-five years including staff nurse, educator, nurse manager, and clinical nurse specialist. In her current role, she is accountable for the strategic planning, program development, and operations for quality and safety for the Hartford Healthcare system. She is a nationally recognized leader in hospital quality. Ms. Calcasola speaks nationally on issues of healthcare quality and is published in peer-reviewed journals. Ms. Calcasola received her BSN in nursing from Southern CT State University, New Haven, CT and her Masters of Science in Nursing at Yale University, School of Nursing, New Haven, CT. She is trained as an improvement advisor from the Institute for Healthcare Improvement.
Maureen Carroll, RN, CHFN, was support faculty for the Institute of Healthcare Improvement (IHI) STAAR Transitions Home collaborative, and a clinical nurse on the cardiovascular unit at the University of California San Francisco since 1997. Maureen has been the Heart Failure Program Coordinator at UCSF since October 2008, leads the multidisciplinary Heart Failure team with a focus on improving the quality of care and reducing 30-day readmissions. Maureen is now the UCSF Transitional Care Manager in Innovations in Population Health and working with high risk medically complex patients, as well as collaborative with six Bay Area skilled nursing facilities.
Mary O. Cramer, MBA, CPHQ, Executive Director, Organizational Effectiveness & Chief Experience Officer at the Massachusetts General Hospital (MGH) and the Massachusetts General Physicians Organization (MGPO). Ms. Cramer’s responsibilities include strategic planning and programmatic oversight of the Process Improvement and Ambulatory Management and Performance consulting groups, including program design, project prioritization and execution, staff recruitment and development, and organization-wide training and mentoring. Her current priorities include support of the MGH/MGPO Care Redesign program, capacity management, and efforts to improve ambulatory patient access. Previously, Ms. Cramer was Director of Performance Excellence at New York-Presbyterian Hospital. She has also provided administrative oversight to departments of health care quality and safety, patient experience, infection control, and social work, among others. A Certified Professional in Healthcare Quality and a Six Sigma Master Black Belt, Ms. Cramer lectures nationally and internationally on topics related to quality in health care.
Lauren Doctoroff, MD, is a hospitalist at the Beth Israel Deaconess Medical Center (BIDMC) in Boston, Massachusetts. She completed medical school at the University of California at San Francisco in 2003, and a primary care internal medicine internship and residency at Massachusetts General Hospital in 2006. Her clinical responsibilities include hospitalist work on a teaching and a non-teaching service at the BIDMC. In addition, she was the founding medical director of the Healthcare Associates Post-Discharge Clinic, a hospitalist-staffed, primary care-based post-hospitalization clinic, from 2009-2015. She also serves as the medical director of the PACT Transitional Care Program, a Center for Medicare & Medicaid Innovation grant-funded transitional care program. As of 2015, she serves as the Medical Director for Utilization Management for the BIDMC, chairs the Utilization Review Committee, and leads multiple initiatives on hospital utilization and complex patient management. She is a fellow of the Society of Hospital Medicine and serves on the SHM Public Policy Committee. Dr. Doctoroff is an assistant professor at Harvard Medical School. Her academic interests include transitions in care and post-discharge care, and prolonged hospitalizations. She has published on post-discharge care and prolonged hospitalizations and has spoken locally and nationally on topics of transitions of care and post-discharge care.
Bonnie Geld, MSW, Vice President, The Center for Case Management, brings over 20 years’ experience in the area of Case Management with a focus on design of longitudinal case management programs, strategic design and development of transition programs, process improvement, team building, and successful integration of social work and RN roles. She has been the System Director for Case Management Services for a five hospital system in Western Massachusetts, Director of Care Management in Minneapolis and Houston, and has developed and implemented successful Care Management programs in other states, both in Large Adult Systems in Oklahoma and Children’s Health Systems in Texas. She has launched a variety of educational programs and workshops on promoting lean actions, team interventions, rapid cycle assessments, and integrated care planning.
Uma R. Kotagal, MBBS, MSc, is Executive Leader of Cincinnati Children’s Hospital Medical Center’s community and population health efforts. In this role, she collaborates internally across teams, and externally with local partners, to improve the health of children in the Greater Cincinnati region. She also serves as a Senior Fellow at Cincinnati Children’s, and formerly served as Senior Vice President of Quality, Safety and Transformation and Executive Director of the James M. Anderson Center for Health Systems Excellence, also at Cincinnati Children’s. As director of the Anderson Center, Dr. Kotagal oversaw the transformation of the health care system in Cincinnati and supported the development of learning networks. An IHI Senior Fellow, Dr. Kotagal serves on the Board of Directors of the Ohio Children’s Hospital Association, and chairs the Quality Improvement Committee of the Children’s Hospital Association.
PhD, President and CEO, Institute for Healthcare Optimization, is also an Adjunct Professor of Operations Management at the Harvard School of Public Health. He was the editor of The Joint Commission’s book, Managing Patient Flow in Hospitals: Strategies and Solutions (2nd edition), and the leader of the organization’s first patient flow seminars. He was a member of the Institute of Medicine Committees on The Future of Emergency Care in the United States Health System, The Learning Health Care System in America, and Optimizing Scheduling in Health Care. Dr. Litvak also served as a member of the National Advisory Committee to the American Hospital Association for Improving Quality, Patient Safety, and Performance. Currently, he serves on the Executive Leadership Council, Strategic Innovation Engine, to advise CMS on quality improvement efforts. He is also Principal Investigator in many hospital and hospital systems operations improvement projects, including the CMS-sponsored initiative, Partnership for Patients, in New Jersey, and a nationwide patient flow initiative in Scotland.
Katharine Luther, RN, MPM, is Director of Quality at the UTHealth McGovern Medical School, Houston, TX. Prior to that she was Vice President, Institute for Healthcare Improvement (IHI), responsible for furthering IHI's work assisting healthcare leaders achieve bold aims and developing strategic partnerships that leverage innovation, pilot testing, implementation, and continuous learning across the organization. Previously, she served as Executive Director at IHI, designing new programs to impact cost and health care quality. Ms. Luther has more than 30 years of experience in clinical and process improvement, large-scale change projects, program development, rapid cycle change, developing and managing a portfolio of projects, and working with all levels of health care staff and leaders. Her clinical experience includes critical care, emergency room, trauma, and psychiatry. She has held quality and safety leadership positions at the University of Pittsburgh Medical Center, MD Anderson Cancer Center, and Memorial Hermann Hospital, Texas Medical Center. She is certified in Lean and is a Six Sigma Master Black Belt.
Kedar Mate, MD, Chief Innovation and Education Officer, Institute for Healthcare Improvement (IHI), oversees the development of innovative new systems designs to implement high-quality, low-cost health care both in the US and in international settings. An internal medicine physician, Dr. Mate is also an Assistant Professor of Medicine at Weill-Cornell Medical College and a Research Associate at Harvard Medical School’s Division of Global Health Equity. His current research activities include improving population management, behavioral health integration, health equity, addressing complex needs patients, and ambulatory patient safety. Dr. Mate serves as a senior advisor to IHI’s programs in the US, Asia, and the Middle East and he serves as an IHI principal investigator on multiple research awards. Previously he worked with Partners In Health, served as a special assistant to the Director of the HIV/AIDS Department at the World Health Organization, and led IHI’s national program in South Africa. Dr. Mate has published numerous peer-reviewed articles, book chapters, and white papers and he has delivered keynote speeches in forums all over the world. He graduated from Brown University with a degree in American History and from Harvard Medical School with a medical degree.
Sarah Moravick, MBA, Director, Office of Improvement and Innovation, Beth Israel Deaconess Medical Center, has worked on numerous initiatives designed to improve patient flow, transitions of care and reduce re-admissions. She led the implementation of a $4.9 million CMS challenge grant aimed at preventing avoidable re-hospitalizations through the Post-Acute Care Transitions (PACT) Program. Sarah and her team support and facilitate large-scale improvement projects and also work to build an infrastructure for improvement across the organization.
Karen Murrell, MD, MBA, Assistant Physician in Chief for Process Improvement and Optimization, Kaiser South Sacramento, is also Chief of Emergency Medicine. She has extensive experience in hospital and emergency department management and practice, with more than 30 years of experience in a variety of roles. In her current role, Dr. Murrell has focused on innovative approaches to patient flow in both the emergency department and inpatient hospital, using Lean methodology to improve departmental flow that resulted in markedly decreased time to physician and length of stay, with decreased “left without being s een rates.” She is also a leader on the Hospital Throughput Committee, where queueing methodology is being used to impact the patient length of stay and to reliably predict staffing needs. She is a frequent presenter on her work and co-author of a paper on flow.
Bela Patel, MD, Vice Dean of Healthcare Quality, University of Texas Health Science Center, is also Regional Chief Medical Officer at Memorial Hermann Hospital Texas Medical Center. She attended the UT Health Medical School in Houston, completing her Internal Medicine training in 1996 and subsequently a fellowship in Pulmonary, Critical Care, and Sleep Medicine in 1999. Dr. Patel became Chief of Pulmonary and Critical Care Medicine and Director of Critical Care Unit in 2002. She served as the Vice-Chief of the Department of Medicine and was appointed the Chief of Medicine at L.B.J General Hospital and Vice Chair of the Department of Medicine in 2007. Dr. Patel was appointed the Division Director of Critical Care in 2008 and continues to serve in that capacity. Prior to her current role at Memorial Hermann Hospital Texas Medical Center, she served as Assistant Chief and Executive Medical Director of Critical Care in 2009. Through her work in quality and patient safety in the UT Clinical Safety and Effectiveness Program, she was inducted as a Fellow in Clinical Safety and Effectiveness by the University of Texas System. She supports the Vice Chairs of Quality in 17 academic departments at UT Health. Dr. Patel’s research interests include pulmonary hypertension, cognitive complexity and error reduction in critical care, and quality improvement implementation science.
Lloyd P. Provost, Statistician and Senior Improvement Advisor at Associates in Process Improvement, helps individuals and organizations learn the science of improvement in order to improve their processes and systems. Mr. Provost's experience is in applications of statistical process control and in designing research and quality improvement studies. For the past 16 years, he has worked as an IHI Senior Fellow as an improvement advisor. He also serves on the IHI faculty for the Improvement Advisor Development Program, provides improvement advisor support for IHI's developing countries programs, and coordinates the development and work of other improvement advisors that support IHI. He provides support for the QI curriculum for the IHI Open School. Mr. Provost co-authored the books Quality Improvement Through Planned Experimentation, The Improvement Guide, and The Health Care Data Guide.
Patricia Rutherford, RN, MS, Vice President, Institute for Healthcare Improvement (IHI), is responsible for developing and testing innovations and new models of care in innovations in patient- and family-centered care; improving access to the right care, in the right place, at the right time; Transforming Care at the Bedside; optimizing care coordination and transitions in care; and clinical office practice redesign (in primary care and specialty practices). She was Project Director for the Transforming Care at the Bedside initiative, funded by the Robert Wood Johnson Foundation, and she served as Co-Investigator for the STate Action on Avoidable Rehospitalizations (STAAR) initiative, funded by the Commonwealth Fund. Her skills include knowledge of process improvement, innovation, and idealized design; coaching clinicians, staff, and senior leaders in organizations on process improvement; and management of all aspects of large-scale performance improvement initiatives.
Frederick C. Ryckman, MD, recently retired Senior Vice President for Medical Operations, Cincinnati Children's Hospital Medical Center, worked to implement the safest and most reliable health care for children. He directed Medical Operations from 2000-2017 and served as the interim Chief Operating Officer in 2015. In addition, as the Peri-Operative Service Director, he led the OR management team, infection prevention, and safety initiatives. The primary focus of his work is patient flow and capacity management throughout the Children's Hospital inpatient and outpatient environment. He is also Professor Emeritus of Surgery at the University of Cincinnati, specializing in Pediatric Multi-Organ Transplantation. He now resides on Sanibel Island, Florida
Assaad Sayah, MD, FACEP, is Senior Vice President and Chief Medical Officer at Cambridge Health Alliance (CHA), where he is also President of the Physicians Organization. Prior to joining CHA, Dr. Sayah served as Director of Emergency Medical Service (EMS) at Brigham and Women’s Hospital, Associate Chief of the Department of Emergency Medicine at St. Elizabeth’s Medical Center, and most recently as Chairman of the Department of Emergency Medicine at the Caritas Good Samaritan Medical Center. Dr. Sayah’s research focuses on Emergency Department (ED) operation, improving the ED patient experience, design of the EMS system, advance directives, violence and weapons, disaster planning, and acute cardiac care. He also currently serves as Assistant Professor of Medicine at Harvard Medical School. Dr. Sayah has received numerous awards, including the President’s Award from the Massachusetts College of Emergency Physicians and the EMS Physician of the Year Award from the Metropolitan Boston EMS Council.
Eliza “Pippa” Shulman, DO, MPH is the Senior Chief Innovation Engineer at the Atrius Health Innovation Center, charged with identifying, testing and implementing novel care delivery solutions as part of the largest independent multi-specialty medical group in the Northeast. In addition, she is a practicing primary care physician with a small geriatrics and palliative medicine consultation service. Her current work is focused on bringing urgent and acute care to patients’ homes to avoid unnecessary hospitalization. Prior to being named to the Innovation Center Pippa was the Chief of Geriatrics and Palliative Care at Harvard Vanguard Medical Associates; tasked with leading improvement efforts in home care, extended care facilities, outpatient geriatrics and palliative care services. As chief and as part of the ACO geriatric care model workgroup she led numerous initiatives to redesign care for frail elderly patients, including implementation of an organization wide strategy for improving advance care planning. Dr. Shulman is board certified in family medicine, preventive medicine, and hospice and palliative medicine. She is a graduate of the combined NH-Dartmouth Family Medicine Residency and the Dartmouth Hitchcock Leadership Preventive Medicine Residency, which is focused on developing physicians to lead change and improve systems of care.
Lauge Sokol-Hessner, MD, is a hospitalist and the Associate Director of Inpatient Quality at Beth Israel Deaconess Medical Center (BIDMC). His work includes collaborating as a member of interdisciplinary teams; coaching medical students and residents on communication skills, and caring for a wide variety of patients and their families. In his QI role, he leads several projects, including Conversation Ready. Dr. Sokol-Hessner has worked in southern Africa, completed medical school and residency at the University of Pennsylvania, and worked as an attending physician at the University of Washington Medical Center in Seattle.
Christine White, MD, MAT, is Associate Professor of Pediatrics, Associate Chief of Staff, and Medical Director, Destination Excellence at Cincinnati Children’s Hospital Medical Center. Dr. White has led efforts on patient safety, including initiatives to raise rates of medication reconciliation completion, to improve communication at night, and to improve discharge efficiency through standardization of discharge criteria. This last project, which significantly decreased length of stay without increasing readmission rates, earned the Children’s Hospital Association Pediatric Quality Award in 2013.
Denise L. White, PhD, is Assistant Professor and Director of Quality and Transformation Analytics at the James M. Anderson Center for Health Systems Excellence at Cincinnati Children’s Hospital Medical Center. In this role, she oversees staff members supporting hospital-wide improvement efforts by providing managerial support and coaching on the application of data analytics. Dr. White also partners with hospital staff and analytic experts to promote and publish research on the application of improvement methodologies, operations management, and data analytics. Previously, she served as Senior Decision Support Analyst of Quality and Transformation Analytics at the Anderson Center. She is also Adjunct Professor at Lindner College of Business at the University of Cincinnati. Dr. White has won numerous awards and has published and presented widely.
Disclaimer: Consistent with the IHI’s policy, faculty for this program are expected to disclose at the beginning of their presentation(s) any economic or other personal interests that create, or may be perceived as creating, a conflict related to the material discussed. The intent of this disclosure is not to prevent a speaker with a significant financial or other relationship from making a presentation, but rather to provide listeners with information on which they can make their own judgments.
Unless otherwise noted below, each presenter provided full disclosure information, does not intend to discuss an unapproved/investigative use of a commercial product/device, and has no significant financial relationship(s) to disclose. If unapproved uses of products are discussed, presenters are expected to disclose this to participants.