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About this Webcast

​Health care systems in the US are expanding in size and services by way of mergers, acquisitions, and affiliations. These expansions are a response to market forces and new payment and care models such as Accountable Care Organizations (ACOs).

While newly expanded systems all have the good intention of delivering better care to more patients at better value, the primary focus during such organizational challenges is often on financial and operational integration and stability. 

Recently, more health care leaders are placing greater emphasis on prioritizing clinical services and ensuring that clinical leaders and teams are meaningfully engaged in their transitions. Why the enhanced focus?  Evidence from such transitions and change has revealed that when clinicians are asked to practice in new settings, often with new leaders, infrastructure and patient populations, and without adequate orientation and planning, patients may be at increased risk of harm.

Join expert panelists from Ariadne Labs and CRICO/Risk Management Foundation of Harvard Medical Institutions for this 1-hour Webcast as they discuss their recent analysis of patient safety risks due to system expansion. Throughout the hour panelists will discuss a patient safety toolkit they’ve developed to support the planning that’s necessary ahead of time among merging institutions.

What you'll learn

By the end of this Webcast you will be able to:

  • Explain the ways in which health system expansion can lead to patient harm
  • Describe two approaches to mitigate the risk of patient harm from system expansion
  • Examine two newly recognized areas of patient safety risk from system expansion

This IHI/NPSF webcast is approved for a total of 1 continuing education credit for nurses, physicians, risk managers, and quality professionals. It is also approved for 1 hour toward Certified Professional in Patient Safety recertification.


Susan Haas Susan Haas, MD, MSc, is an obstetrician-gynecologist and co-PI for Ariadne Labs’ CRICO-funded work focused on reducing health care system expansion risks to patient safety. She brings extensive experience in the realm of health system affiliation and expansion. Dr. Haas has led the incorporation of Harvard University Health Services Ob/Gyn department into Harvard Vanguard Medical Associates (HVMA) ObGyn services, managed the ongoing relationship of HVMA ObGyn services with Dedham Medical Ob/Gyn, and planned for the redeployment of physicians, midwives, nurses and other members of the health care team out of BWH and into four other Boston hospitals in 2014. As co-PI , Dr. Haas oversees the planning and execution of the expansion risks work. In addition to serving as vice chair of the Quality and Patient Safety Committee of the MA Board of Registration in Medicine, Dr. Haas serves on the Massachusetts Health Quality Partners PPVA combined leaders group. When not at Ariadne Labs, she serves as Medical Subject Matter Expert for the Open Health Services division at MITRE, Corp.

Luke Sato Luke Sato, MD, is Chief Medical Officer (CMO) and Senior Vice President for CRICO/RMF (Risk Management Foundation of the Harvard Medical Institutions) and Assistant Professor of Medicine at Harvard Medical School (HMS). His current responsibilities include overseeing development of all Patient Safety and Risk Management programs for CRICO/RMF and coordinating these initiatives across the Harvard medical system. Dr Sato’s clinical training is in neurology as well as in computer science/medical informatics through the Division of Health Sciences and Technology at HMS and Massachusetts Institute of Technology, a National Library of Medicine sponsored post-doctoral fellowship program. Prior to becoming CMO, Dr. Sato was the Chief Information Officer for RMF where he oversaw all system application development at CRICO/RMF. Prior to CRICO/RMF, he was staff at the Brigham and Women’s Hospital (BWH) and held the position of Associate Director of a medical informatics research and development laboratory at BWH and Harvard Medical School.


Madge Kaplan Madge Kaplan, IHI’s Director of Communications, is responsible for developing new and innovative means for IHI to communicate the stories, leading examples of change, and policy implications emerging from the world of quality improvement ― both in the U.S. and internationally. Prior to joining IHI in July 2004, Ms. Kaplan spent 20 years as a broadcast journalist for public radio – most recently working as a health correspondent for National Public Radio. Ms. Kaplan was the creator and Senior Editor of Marketplace Radio's Health Desk at WGBH in Boston, and was a 1989/99 Kaiser Media Fellow in Health. She has produced numerous documentaries, and her reporting has been recognized by American Women in Radio and Television, Pew Charitable Trusts, American Academy of Nursing and Massachusetts Broadcasters Association.