May 2021 Lecture

In this lecture, we will discuss the approach to improving a culture of quality and safety (high reliability) by discussing both the technical and social domains that contribute. By focusing on both your technical domain, the task processes or how the work is done, as well as your social domain, how those doing the work interact, a path to optimal execution can be outlined. Challenges related to high complexity of complex care will also be discussed.

Lane F. Donnelly

Lane F. Donnelly MD is currently Chief Quality Officer and Christopher G. Dawes Endowed Director of Quality at Lucile Packard Children’s Hospital and Stanford Children’s Health. He is also a Professor of Radiology and Pediatrics and the Associate Dean, Maternal and Child Health (Quality and Safety) in the School of Medicine at Stanford University. He also serves as the Co-Executive Director of Stanford Medicine Center for Improvement.

Dr. Donnelly has been an NIH funded researcher, has published 270 peer review manuscripts that have been cited over 10,000 times and has authored multiple textbooks, including Pediatric Imaging: The Fundamentals, a lead selling textbook on pediatric imaging. Many improvement projects for which he was a contributor have
received multiple national recognitions including International Quality Radiology Network’s Quality-Improvement in Radiology Practices Paper Competition: Annual Award 2008 (Paper of the Year); Caffey Award –for Outstanding Presented Paper, Society for Pediatric Radiology (2001, 2009, 2011); 2012 British Medical Association Book Awards; Singleton–Taybi Award for Lifetime Achievements in Education, Society for Pediatric Radiology (2009); Journal of the AmericaCollege of Radiology 2018 Paper of the Year Award; and the 2009 Best Scientific Paper Award -Institute for Healthcare Improvement (IHI) and the RSNA Honored Educator Award (2019).Dr. Donnelly has served on the Board of Trustees for both the American Board of Radiology and the Society for Pediatric Radiology Stanford University School of Medicine.

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.