A Clinician-led Governance model for real-time Predictive Models for Patient Care

April 25th 2023

We will share an implemented governance structure and processes for evaluating, approving, and managing predictive models for patient care. Evaluations for bias, predictive value, provider experience and patient care are included. This clinically led approach promotes transparency around model performance and impact and provides a clear path for researchers and clinicians to propose and implement new models.

Bethene Britt

Bethene Britt

Dr. Bethene Britt is the Director of Analytics for UW Medicine, reporting to both School of Medicine BIME Department and UW Medicine IT Services. The Analytics group at UW Medicine is comprised of approximately
50 architects, analysts, developers and administrators managing a set of business intelligence solutions and warehouses. Since joining UW Medicine in May of 2015, Dr. Britt has led efforts to create a predictive analytics function and governance model for the implementation of real-time clinical predictive models. She has also led efforts to develop a new analytics data platform, implement a new enterprise wide data governance model, create analytics intake and prioritization processes, deploy a new data access policy and training, prototype new self-service technologies, begin data management work and support Epic business intelligence and cognitive computing implementations.

Dr. Britt holds a PhD in Machine Learning from Washington State University, a Certificate in Data Science from UW, a Lean Six Sigma Green Belt and is a Certified Data Management Professional (CDMP). She has served on Advisory Councils at UW, Microsoft, published in various journals/books and spoken at a variety of conferences and seminars, including recently at Epic UGM.

Dr. Britt has been in leadership roles for business and program management, strategic practice/consulting and data analytics. Most recently, she was the Director of Platform services at Intellectual Ventures, a private innovation development firm, with responsibility for analytics and business intelligence. In prior roles, she led analytic efforts, created business intelligence and knowledge management practices, standardizing processes, data, taxonomies, and enterprise ontologies. She has built and managed multiple teams of data and business analysts responsible for day-to-day management of enterprise data and tools.

Sean Mooney

Dr. Sean Mooney is the Chief Research Information Officer (CRIO) of UW Medicine, the Interim Director of the UW Institute for Medical Data Science, the Director of Informatics for the Institute of Translational Health Sciences, an Associate Director of the National Alzheimer’s Coordinating Center
(NACC), and a Professor in the Department of Biomedical Informatics and Medical Education at the University of Washington. As CRIO, he leads the growing Research Information Technology team that contributes to a number of national research networks the National Kidney Precision Medicine Project, the National Alzheimer’s Coordinating Center, the UW Clear Center and others. Some notable efforts include leading the team that developed the open source Leaf application for clinical data querying and extraction, managed a REDCap instance with >25k projects and >10k active users, managing the Fred Hutch Cancer Center and UW joint Clinical Trials Management System application, and enhancing the UW Medicine EDW with advanced analytics including NLP. Currently he is focusing on developing an Epic EHR Research team for supporting research in the EHR at UW Medicine and leading the newly founded UW Institute for Medical Data Science.

His research interests focus on data science applications in biomedicine, particularly in understanding the underlying molecular causes of inherited genetic diseases and cancer. Over his career he has been on the faculty at Indiana University, the University of Washington and the Buck Institute and has taught at Stanford University, UCSF, and the University of California Berkeley. He is an expert in a wide range of STEM fields, having been trained in chemistry and computer science, and appointed at different times in his career as a faculty member in many areas including genetics, microbial biology, informatics, and gerontology. A prolific speaker, he has given more than 150 invited seminars throughout the world.

Dr. Mooney is a 4th generation Seattleite and in his spare time he is found in the outdoors having climbed Mt. Rainier and Mt. Baker and he has bicycled across the United States twice

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.