August 10th 2021 Lecture

Packard Clinical Pathways Program- A story of program building and lessons learned

Given the constant influx of new clinical literature and evidence, it can be difficult for clinicians to provide vetted, evidence-based, and locally tailored care to patients, especially in the acute setting. This can lead to variable, potentially lower quality care. Clinical pathways are multidisciplinary plans for the clinical care of a group of patients with a shared condition. Pathways detail recommended steps in care based on scientific evidence and locally agreed best practices, and have been shown to decrease: hospital complications, length of stay, and hospital costs. In this lecture we describe the development and iteration of the Packard Clinical Pathways Program, discuss pitfalls and lessons learned, and highlight opportunities for growth.

Whitney Chadwick

Whitney Chadwick, MD is a Clinical Assistant Professor of Pediatrics (Hospital Medicine), Associate Chief Medical Information Officer at Lucile Packard Children’s Hospital Stanford, and Co Director of the Packard Clinical Pathways Program. Her academic interests are around understanding the intersection of human behavior and complex health care systems, or more simply put, how to make ‘the right thing to do, the easy thing to do’ to optimize the quality and safety of pediatric hospital care. She completed her pediatric residency and chief residency at Lucile Packard Children’s Hospital Stanford and is board certified in clinical informatics.

Hannah Bassett

Hannah Bassett, MD is a Clinical Assistant Professor of Pediatrics (Hospital Medicine) and Co Director of the Packard Clinical Pathways Program. Her academic work focuses on decreasing unnecessary variation in clinical care for hospitalized patients, and making it easier for clinicians to provide evidence-based, high-value care to their patients. She also researches aspects of patient affordability and financial impacts of care. She completed her pediatric residency and pediatric hospital medicine fellowship at Lucile Packard Children’s Hospital Stanford.

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.