January 2021 Lecture

Practical real-life examples of applying implementation science outcomes to quality improvement endeavors

Implementation science, as applied to health care, is the systematic development and application of methods that enable evaluators to understand how and why different strategies are successful (or not) in implementing change into health care practices. Implementation science outcomes are a critical set of tools to use in conducting such evaluations. In this talk, you will be introduced to implementation science outcomes and how they were applied in evaluating the implementation of three unique health care interventions: 1) a new health care role; 2) a new care model; and 3) a new method of patient visits. You will hear how different types of data were used in each setting to address different implementation outcomes, why they were chosen, and how the data were obtained and analyzed. Our goal is that these examples will help you identify similar or parallel strategies for selecting appropriate outcomes and measurement strategies in your current and future quality improvement projects.

Marcy Winget

Marcy Winget is the Director of the Evaluation Sciences Unit in the Division of Primary Care and Population Health, Stanford School of Medicine. She has a PhD in epidemiology and an MHS in biostatistics, both from Johns Hopkins Bloomberg School of Public Health. She has 20+ years’ experience in healthcare-related research, just over 6 of which have been at Stanford. Her passion is conducting research aimed at improving the quality of the health care delivery system. At Stanford, Marcy has led many projects evaluating a wide-range of improvement efforts, both within and external to Stanford Health Care applying Implementation Science methods.

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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.