Stanford Medicine Community of Improvement Professionals (SCIP)

October 5th 2021 Lecture

SCIP, A place where you could discuss improvement concepts with like-minded professionals, in a nonthreatening, fun environment

Jakaria Stewart

Jakaria Stewart is a Principal Consultant with the Stanford Healthcare Improvement Team. Her current book of business includes supporting teams with improvement efforts in both the inpatient and ambulatory settings, coaching improvement projects, teaching improvement systems and tactics to departments and small teams and serving as a thought partner to healthcare leaders. Prior to joining Stanford Health Care, Jakaria spent over 10 years at Kaiser Permanente transforming operations in both clinical and operational spaces driving increased quality and efficiency through improvement impacting the mission of high-quality affordable health care. At Kaiser Permanente and in the community (Delta Sigma Theta Sorority, Inc, The Links Incorporated, Jack and Jill of America, ATD, and many other organizations), Jakaria has been a force driving outcomes through her impact in leadership roles, mentoring, and setting an environment ripe with a desire to collaborate and achieve.

Ryan Darke

Ryan Darke began at Stanford Health Care as a Principal Improvement Consultant in November 2020, where he coaches, teaches, and facilitates teams across all levels and entities within the organization. Prior to his current position, he served for 12 years as Performance Improvement Director/Area Portfolio Leader for Kaiser Foundation Hospital/Health Plan. In that role, he had responsibility for the local portfolio management office, overseeing performance improvement, project management, strategy, Medicare operations and frontline, unit-based teams. Ryan received a Bachelor of Science Degree in Physiology from UC Davis, a master’s degree in Health Administration from University of Missouri, and two Lean certificates (Lean Healthcare and Lean Leadership) from University of Michigan. He is a Fellow of the American College of Healthcare Executives, and he is a certified Lean Six Sigma Black Belt from Juran Institute. Ryan was a contributor to Kaiser Permanente’s CoDesign and Video Ethnography methods of incorporating voice of the patient. He has acted as faculty or presenter at local, national and international conferences and trainings. Ryan is a published author in multiple journals and was selected to represent Kaiser Permanente as the Black Belt Lead for two Joint Commission Center for Transforming Healthcare projects: Reducing Sepsis Mortality and Reducing C. difficile Infections (the latter project won the 2017 National Lawrence Award for Patient Safety).

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 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.