Stanford Medicine Center for improvement guidelines for formal affiliation

Formal Affiliation to the SMCI is defined into the following categories:

  • Affiliate
  • Fellow



  • Applicants must apply for an formal affiliation
  • Application for the Affiliate position will be through the website and will be processed by SMCI staff
  • Application for Fellow must include online application together with a cover letter as to why the applicant meets the criteria described below and a CV
  • Applications for Fellow will be reviewed by the SMCI Executive Committee or group designated by the Executive Committee


  • Completion of the online application process.
  • Employment in Stanford Medicine: SHC, SCH, SOM, Valley Care, PCHA, and UHA
  • For Non-Stanford Medicine employees: Attendance at a SMCI related course or activity such as: CELT, RITE, Stanford Academic Lean Conference, SMCI Advanced Course in Improvement, etc. Course is sited on application process.
  • SMCI Affiliate status application will be offered during SMCI activities
  1. Applicants for Fellow status must meet two criteria:
    • Significant voluntary involvement in SMCI activities
    • Demonstration of active & voluntary contributions to improvement activities at the local / regional level of greater (national / international)
    • 3- year renewable term
  2. Significant involvement in SMCI center activities includes:
    • Teaching in SMCI related courses
    • Participation in SMCI committees, workgroups, or leadership positions
    • Providing mentorship to SMCI-related improvement projects
    • Reviewing SMCI-related grant applications
    • Other significant SMCI involvement
  3. Demonstration of active & voluntary contributions in improvement activities at the local / regional level or greater (national / international) is demonstrated by demonstrating several items listed below:
    • Leadership role in at least one large or multiple smaller successful local Improvement projects
    • Administrative/Leadership positions in local improvement departments/teams
    • Presentations at local, regional, national, or international conferences
    • Teaching in local, regional, and national QI courses
    • Multiple publications in the areas of quality, safety, experience, or improvement
    • Participation on QI-related committees in regional or national societies
    • Visiting professorships and other speaking engagements
    • QI-related grant funding 

For any questions, contact Lisa Freeman at

SMCI Membership Request

The Stanford Medicine Center for Improvement benefits from the diversity of its members and the richness of the experiences that they bring. Although the program continues to evolve from when it first launched in October 2019, we continue to reach out to improvers across Stanford Medicine in the School of Medicine, Stanford Health Care, Stanford Children’s Health, Stanford ValleyCare, UHA and PCHA. We welcome everyone from every discipline and recognize that we are stronger together as we value the contributions of every member of our teams.

Dr. Paul Maggio is Vice Chair of Surgery for Clinical Affairs, Associate Chief Medical Officer of Operational Effectiveness, and Associate Director of the Adult Intensive Care Unit. He trained in General Surgery at Brown University and obtained advanced training in Adult Surgical Critical Care and Trauma at the University of Michigan. He holds a Masters of Business Administration from the University of Michigan and is triple board certified in General Surgery, Critical Care, and Medical Informatics. In addition to being a clinician and surgeon, Dr. Maggio participates in the National Committee on Healthcare Engineering for the American College of Surgeons, and his research interests are focused on the delivery of high-value care.

Dr. Maggio received the SHC Board of Hospital Director’s Denise O’Leary Award for Clinical Excellence in 2013

Micah Duchesne joined Stanford Medicine in 2020 as a Principal Consultant project managing the deployment and operations of the Hospital Incident Command System (HICS) for COVID-19. He is now the Administrative Director of Performance Improvement at Stanford Health Care where he leads annual operations planning, improvement consulting, and capability development. Micah is also a Fellow at the Stanford Medicine Center for Improvement.

Before joining Stanford, Micah was an independent consultant for his company Silicon Valley Strategy Group, which partnered with Novartis and the Perelman School of Medicine at the University of Pennsylvania to commercialize cellular therapies. He led a team of clinicians from Europe, Japan, and Australia in designing a global logistics model and quality management system for Kymriah, the world's first approved CAR-T therapy, and helped create an international advisory board aimed at improving global capacity.

Prior to independent consulting, Micah was the Director of Performance Improvement at Kaiser's Santa Clara Medical Center, and he previously held improvement roles of increasing complexity within other health systems. Micah has both a Bachelor of Science in Accounting and Master of Health Services Administration from Mississippi College. He also holds certifications as a Lean Six Sigma Master Black Belt and Project Management Professional.

As a professional, Micah enjoys organizing complex stakeholder ecosystems, clarifying ambiguous goals, aligning visions, and driving high-stakes change. As a human, Micah just enjoys breaking a sweat. While he's not at work, he's at his very own gym in San Jose, CrossFit Moxie. You can find him there coaching olympic weightlifting or working out with his wife. He has a daughter in elementary school and two gym dogs.