Harvard University Shield

Contact Information:
Grace Bommarito
- Administrative Manager
HMS Fellowship in Patient Safety & Quality
Harvard Medical School

Fellows will participate in 2 years of dedicated study comprised of didactic lectures in the essentials of quality and patient safety, hospital-based process improvement, shadowing of hospital quality and patient safety leaders, attendance at hospital quality and patient safety operational meetings and workgroups, attendance at state and national quality and safety conferences, and mentoring to produce scholarly publications.

Harvard School of Public Health (HSPH) - didactic lectures will include coursework at the HSPH as follows:

These will be offered through the Clinical Effectiveness Program at HSPH

Didactic Sessions - throughout the remainder of the 2-year period, fellows will participate in weekly didactic sessions that cover the following topics:

Fellows will also participate in up to 8 hours per week of clinical activity within their own medical specialty, and will seek opportunities for process improvement electives that arise during their clinical work.

Core Learning – Content will be conceptually grouped into four content areas: patient safety theory, quality improvement, hospital operations, and effective change management. Additionally, there are site-based rotations to assure educational opportunities across the continuum of health care setting, such as inpatient, ambulatory, and skilled nursing facility.

  1. Patient safety theory:
    • Fellows will be familiar with principles of system design, human factors, and high reliability.
    • Fellows will be able to demonstrate coaching methods for disclosure and apology after an adverse event.
    • Fellows will be able to articulate the essentials of root cause analysis, and identify actionable improvements from a standardized adverse event.
    • Fellows will be able to perform a Failure Modes and Effects Analysis.
    • Fellows will be expected to participate in resident educational efforts and develop safety teaching skills (e.g. the PHS Centers of Expertise).
  2. Quality improvement:
    • Fellows will be able to demonstrate measureable improvement in an area of health care process design, clinical outcomes, or waste/cost reduction. These results will result from quality improvement electives selected and approved within the first six months of the fellowship.
  3. Effective change management:
    • Fellows will be able to articulate the challenges of effective change in health care setting, and specific strategies for managing each of the challenges. Fellows will be familiar with best strategies for engaging caregivers in change, engaging front line staff, assuring leadership engagement, and identifying methods to assure effectiveness of change.
  4. Hospital operations:
    • Fellows will be familiar with the core elements quality program design, utilization, peer review, adverse event analysis, departmental leadership structures, medical staff functions, bringing evidence to point of care, and implementing technology into clinical environments.
    • Fellows will be able to articulate the key interactions between quality and patient safety, medical staff leadership, hospital operations, and senior leadership.
    • Fellows will be able to demonstrate knowledge of the optimum relationship between quality and patient safety activities and education.
Teaching and learning methods:

A minimum of three opportunities to participate in patient safety and quality activities within ambulatory and/or skilled nursing sites will be available to fellows throughout the two year period.

Assessment of goals and objectives:
HPSH didactic objectives will be assessed by HSPH coursework and examination results. Materials delivered in didactic and workshop format will be measured by pre and post evaluations of specific content.

Performance Improvement achievement will be assessed by a team of core Faculty at the conclusion of each Fellows’ project.

Behavior assessments of fellows’ ability to model and coach disclosure approach caregivers after an adverse event will be assessed by videotaped simulations evaluated by core faculty.

Other Learning Sessions
Opportunities to interact with local leading patient safety organizations such as the Institute for Healthcare Improvement, National Patient Safety Foundation, and the National Initiative for Children’s Healthcare Quality will be provided (including attendance at national meetings).

Supervision Policy
Fellows will be directly supervised by an Attending level Program Director at each institution or by his/her Attending level designee. No independent responsibility for assuring hospital quality and patient safety is accorded during the fellowship.

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