Stanford Medicine Center for improvement guidelines for formal affiliation

Why join SMCI?

Join a community of like-minded healthcare workers interested in improvement science – both here at Stanford and around the world – so that we can all accelerate our ability to improve

Email notifications of upcoming events such as improvement science lectures or discussions of works-in-progress of both administrative and clinical problems

Access to:

  • Library of Video Lectures on Improvement Science
  • Resources such as Tools that help Improvers launch their initiatives, navigate requirements, as well as publish their results
  • Office hours / mentoring from experts in improvement science
  • List SMCI Affiliate or Fellow credential on resume / CV


Opportunity to:

  • Help coach and mentor other improvers
  • Have your improvement publications highlighted and shared on the SMCI website
  • Keep up with breakthroughs in improvement science
  • Participate in SMCI activities such as lecturing, facilitating an improvement initiative, or participating in the Work Group activities

SMCI Membership Benefits Summary


  • SMCI Lecture Series
  • SMCI Monthly Newsletter
  • Advanced Notice to SMCI Events
  • Awareness of SMCI Website Tools
  • List SMCI Affiliation on CV


  • SMCI Lecture Series
  • SMCI Monthly Newsletter
  • Advanced Notice to SMCI Events
  • Awareness of SMCI Website Tools
  • List SMCI Fellow Status on CV
  • Participate in and /or Lead SMCI Work Groups or Committees
  • Inform the strategic direction of SMCI

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

Alice R. Georgitso, MPH, joins the SMCI Advisory Committee as our first Patient Partner. Alice has served as a Patient Partner with the Stanford Health Care (SHC) Patient & Family Partner Program for over 4 years and was appointed Chairperson of the Adult Congenital Heart Program Patient & Family Advisory Council in January 2020. She assisted in developing the Stanford Adult Congenital Heart Program’s Peer-to-Peer Program and serves as a Mentor to ACHD patients pre-and-post-organ transplantation. Alice has presented Stanford Health Care’s C-I-CARE framework for structuring best practice communications and developing relationship-based care approaches with patients and colleagues to 500+ Stanford Medicine Directors, Managers and Clinical Staff.

Alice is a Patient Relations Manager at Stanford Health Care. Within her role, she provides a channel for problem resolution to promote the highest quality of care and service excellence. Alice has also worked as an Unrelated Donor Search Coordinator with the Blood & Marrow Transplant at Stanford Health Care to coordinate allogeneic hematopoietic stem cell transplants through collaborative planning and partnership with the National Marrow Donor Program and SHC clinicians. Prior to her work with SHC, she was the Community Service Foundation Director at San Mateo County Medical Association where she partnered with local stakeholders and clinicians to expand county-wide community health programs to diverse populations. She has also delivered invaluable community health services through her work with the American Heart Association.

Alice earned her Bachelor of Arts in Sociology and Biology at Saint Bonaventure University in Olean, NY and her Master of Public Health from SUNY Buffalo in Buffalo, NY. Alice is a member of The Beryl Institute and Adult Congenital Heart Association professional associations, Donor Network West partner advocating for organ, eye, tissue, and blood donation, and remains an active volunteer with SHC. Alice continues to promote patient-and-family-centered care in both hospital and community settings to support precision health and improve the healthcare experience for patients, families, and clinicians.

John Shook learned about lean management while working for Toyota for 11 years in Japan and the U.S., helping it transfer production, engineering, and management systems from Japan to NUMMI and other operations around the world. While at Toyota's headquarters, he became the company's first American kacho (manager) in Japan. In the U.S., Shook joined Toyota’s North American engineering, research and development center in Ann Arbor, Michigan as general manager of administration and planning. His last position with Toyota was as senior American manager with the Toyota Supplier Support Center in Lexington, Kentucky, assisting North American companies adopt the Toyota Production System. Shook co-authored Learning to See, the book that introduced the world to value-stream mapping. He also co-authored Kaizen Express, a bi-lingual manual of the essential concepts and tools of the Toyota Production System. With Managing to Learn, Shook revealed the deeper workings of the A3 management process that is at the heart of Toyota’s management and leadership.
Shook is an industrial anthropologist with a master’s degree from the University of Hawaii, a bachelor’s degree from the University of Tennessee, and is a graduate of the Japan-America Institute of Management Science. At the University of Michigan, he was director of the Japan Technological Management Program and faculty member of the Department of Industrial and Operations Engineering.
Shook is the author of numerous articles, including "How to Change a Culture: Lessons from NUMMI"; Sloan Management Review, January 2010, which won Sloan’s Richard Beckhard Memorial Prize for outstanding article in the field of organizational development.

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 the Chief Quality Officer of Stanford Health Care. Prior to being appointed the SHC CQO, he was 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.