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Tuesday, December 1, 2009
From the Archives... Center for eHealth Innovation Simulation Lab Tour in April 2009
Stay informed for new, exciting IHI Open School at U of T chapter events in 2010! Get on our email list : uoftihichapter@gmail.com
Get involved in our executive team!
Follow us on Twitter! @uoftihichapter
Get involved in our executive team!
Follow us on Twitter! @uoftihichapter
Sean Clarke's Patient Safety Speaker Series Talk: Opening the Black Box
Dr. Sean Clarke, who is a trained nurse and health services researcher gave a wide-ranging talk on his research yesterday at the Department of Health Policy, Management & Evaluation as part of the Bridging the Quality Chasm Health Services Research seminar series, which is focused on patient safety.
Dr. Clarke's research is focused on understanding organizational influenceson clinical judgement in hospital nursing care.
Dr. Clarke openned the talk with a discussion on outcomes research, and how outcomes research can illuminate how endpoints of clinical care relate to context. The goal of outcomes research is to provide data for improving the quality of health care to a broad audience, including : clinicians, management and stakeholders (including patients). A number of theoretical models are used to explore the black box which include variables such as : leadership, practice environment, nurse staff, nurse job outcomes, processes of care and patient outcomes.
Dr. Clarke has applied this framework to the analysis of key processes related to patient safety:
- Needlestick injuries
- Failure to rescue
- Relationship between volumes and outcomes
- Processes of care measures
For upcoming Health Services Research Seminars on Bridging the Quality Chasm, please visit: http://www.hpme.utoronto.ca/about/events/hsrseminar0910.htm
To learn more about Dr. Clarkes' research, visit his website ( http://bloomberg.nursing.utoronto.ca/staff/AcademicStaff/Sean_Clarke.htm )or contact him directly at sean.clarke@utoronto.ca
Dr. Clarke's research is focused on understanding organizational influenceson clinical judgement in hospital nursing care.
Dr. Clarke openned the talk with a discussion on outcomes research, and how outcomes research can illuminate how endpoints of clinical care relate to context. The goal of outcomes research is to provide data for improving the quality of health care to a broad audience, including : clinicians, management and stakeholders (including patients). A number of theoretical models are used to explore the black box which include variables such as : leadership, practice environment, nurse staff, nurse job outcomes, processes of care and patient outcomes.
Dr. Clarke has applied this framework to the analysis of key processes related to patient safety:
- Needlestick injuries
- Failure to rescue
- Relationship between volumes and outcomes
- Processes of care measures
For upcoming Health Services Research Seminars on Bridging the Quality Chasm, please visit: http://www.hpme.utoronto.ca/about/events/hsrseminar0910.htm
To learn more about Dr. Clarkes' research, visit his website ( http://bloomberg.nursing.utoronto.ca/staff/AcademicStaff/Sean_Clarke.htm )or contact him directly at sean.clarke@utoronto.ca
Monday, November 2, 2009
IHI National Forum December 6-9 in Orlando, FL
From the IHI Open School Blog.
Check out these student-centered events!
•Apply for a student or faculty scholarship (50-75% scholarships).
•Apply for a Student Travel Stipend ($250).
•Follow the Student Track to choose your sessions.
•Submit one of the three types of Student Posters.
•Join the Forum Students Facebook Group!
•Is this your first conference? Review Student Forum Survival Guide!
•Listen to the Student Audio Advice to hear what other students say about the Forum.
Dec. 6-9 in Orlando, Florida. Join us to Re-Form Health Care.
November 30 Health Services Research Seminar Featuring Dr. Sean Clarke
Topic: Opening the Black Box: Understanding Organizational Influences on Clinical Judgement in Hospital and Nursing Care
Where: Room 208
Health Sciences Building
155 College Street
University of Toronto
When: Monday, November 30, 2009 4-5:30 pm
To learn more about Dr. Clarke : http://bloomberg.nursing.utoronto.ca/staff/AcademicStaff/Sean_Clarke.htm
Friday, October 23, 2009
Updates to the Lakeview ED Simulation
Event: Competitive Emergency Department Improvement Simulation
Purpose: to learn about:
1) Inter-professional collaboration
2) Change management
3) Lean improvement techniques
When: Saturday Nov. 7, starting around 10 or 11am... aiming to finish about 3 or 4pm
Where: Toronto General Hospital (details TDB) (near College St. & University Ave - very close to campus)
Cost: $10
Food: bring your own, or you can buy from Toronto General's extensive food court
Restrictions:
1) Apologies to our professional members, but only full-time students can participate
2) 1st and 2nd year medical students may NOT participate - this is because the simulation will soon become a graded component of your curriculum. This is unfortunate, but you will have the chance to participate soon enough.
Teams: You do NOT need to form teams (but you can show up with people you want to be on a team with). Just sign up now, and the teams will be formed the day of the event. Team size is TBD.
How to Sign-up: Email uoftihichapter@gmail.com with your name and program of study. There may be a maximum number of participants allowed, in which case we will use first-come, first-served - so email soon.
About the Event: A brief educational session on change management and lean principles will start off the day. This is facilitated by staff from the Centre for Innovation in Complex Care (CICC) at Toronto General. Teams will be formed and introduced to the interface for the simulation, then the simulation will begin. In the simulation, you are the VP of a hospital with excessively long ED wait times and lots of bad press, and you are charged with "fixing" the ED. Change efforts aren't easy, however, and you must be tactful and strategic about what you do.
Depending on the teams, the simulation can last from 2-3 hours (a deadline may be imposed to keep us on schedule). Afterwards, everyone comes together for a debrief (again handled by CICC staff) and a scoreboard is shown of how all the teams did. This is a great time to discuss what we learned during the day.
Wednesday, October 21, 2009
Join Us for the Lakeview Emergency Dept Simulation!
Event: Competitive Emergency Department Improvement Simulation
When: Saturday Nov. 7, starting around 10 or 11am... aiming to finish about 3 or 4pm
Where: Toronto General Hospital (details TDB) (near College St. & University Ave - very close to campus)
Cost: $10-20 (to be finalized)
Food: bring your own, or you can buy from Toronto General's extensive food court
Restrictions:
1) Apologies to our professional members, but only full-time students can participate
2) 1st and 2nd year medical students may NOT participate - this is because the simulation will soon become a graded component of your curriculum. This is unfortunate, but you will have the chance to participate soon enough.
Teams: You do NOT need to form teams (but you can show up with people you want to be on a team with). Just sign up now, and the teams will be formed the day of the event. Team size is TBD.
How to Sign-up: Email uoftihichapter@gmail.com with your name and program of study. There may be a maximum number of participants allowed, in which case we will use first-come, first-served - so email soon.
Deadline: Please respond by Thursday October 22.
About the Event: A brief educational session on change management and lean principles will start off the day. This is facilitated by staff from the Centre for Innovation in Complex Care (CICC) at Toronto General. Teams will be formed and introduced to the interface for the simulation, then the simulation will begin. In the simulation, you are the VP of a hospital with excessively long ED wait times and lots of bad press, and you are charged with "fixing" the ED. Change efforts aren't easy, however, and you must be tactful and strategic about what you do.
Depending on the teams, the simulation can last from 2-3 hours (a deadline may be imposed to keep us on schedule). Afterwards, everyone comes together for a debrief (again handled by CICC staff) and a scoreboard is shown of how all the teams did. This is a great time to discuss what we learned during the day.
Friday, October 2, 2009
Win a full scholarship to the IHI National Forum!
Win a full scholarship to the Forum: Are you a full-time health professions student with a strong interest in improvement?
Write an essay about a health care quality improvement project (either one you’ve done or one you plan to do) and apply for the David Calkins Memorial Scholarship. The scholarship covers the entire cost of General Conference fees and includes a stipend for travel and lodging. To learn more, download the Calkins Scholarship information sheet. The application deadline is Friday, October 16.
For more info check out:
http://www.ihi.org/IHI/Programs/ConferencesAndSeminars/NationalForumStudents2009.htm?TabId=10
About Dr. Calkins (from the Boston Globe, April 16, 2006)
Dr. David Calkins, worked in medicine, public policy
By Bryan Marquard, Globe Staff | April 16, 2006
In life, and particularly when facing death, David Calkins just didn't break his stride.
''He really lived more in his 57 years than most people do in 87 years," said his sister, Kathy Calkins Horne of Tulsa, Okla. ''He went at a pace that many people couldn't keep up with. Even when you walked down the street with him you couldn't keep up. He was just full speed ahead all the time."
He kept up the pace during the final 2 1/2 years of his life, after receiving a terminal diagnosis. In some ways, he preferred to live with cancer as if were a chronic illness.
''This guy would have brain surgery and be back at his desk in seven days," said Dr. Donald Berwick, president and CEO of the Institute of Healthcare Improvement in Cambridge. ''I'd say, 'David, what are you doing here?' And he'd say, 'Well, it was time to get back.' "
Dr. Calkins, a former associate dean at Harvard Medical School who helped the healthcare institute design and implement a campaign to prevent 100,000 avoidable deaths in hospitals, died April 7 at his Concord home. Last fall, he had run the last of more than 20 New York City Marathons -- the final two after his diagnosis.
A devoted physician, educator, husband, and father, Dr. Calkins traveled in a wide array of professional circles in which his respect for colleagues made him a favorite.
''There was a way he could share his ideas and be in the presence of others and be ever so humble," said his wife, Susan Rice of Concord.
''I can never remember him having a cross word with anyone," said his younger brother, John, a physician in Kansas City, Mo.
Said Berwick, ''Everyone comments on this: When he was with you, he was with you completely."
The oldest of three children, David Ross Calkins was born in Kansas City, Kan. His father, a physician, had chaired the obstetrics and gynecology department at the University of Kansas. As a youth, he embraced the passions for medicine and public policy that would define his career, often becoming so deeply engrossed in the newspaper over breakfast that it was a challenge to engage him in conversation.
He graduated from Princeton University in 1970 and went to Harvard Medical School. He graduated in 1975 and simultaneously received a master's degree in public policy from the Kennedy School of Government.
In 1978 he joined the Carter administration. More than two decades before it became a hot-button issue in the Clinton administration, Dr. Calkins was trying to figure out how to bring healthcare to everyone in the country.
''Growing up, he was a major Democrat," his wife said. ''He'd always been interested in not just the day-to-day patient-care issues, but the long-term patient-care issues."
When Jimmy Carter lost his reelection bid, Dr. Calkins returned to Boston. During various periods over the next 15 years he was head of the internal medicine division at Beth Israel Deaconess Hospital, taught at Harvard's medical school and school of public health, and directed the university's master's program in health policy management.
Diana Walsh, president of Wellesley College, was a Kellogg national fellow with Dr. Calkins in the late 1980s.
''He was a man of deep and enduring values," she said. ''He loved learning new things. He had an insatiable appetite for knowledge."
Dr. Calkins returned to Kansas in 1996 as associate dean and then senior associate dean at the University of Kansas Medical School. Then it was back to Harvard Medical School in 1999, where he was associate dean for clinical programs. The flag at the school flew at half-staff Friday, a week after his death.
He joined the Institute for Healthcare Improvement in 2003 as a George W. Merck fellow. The following year, the Society of General Internal Medicine awarded him its outstanding achievement award.
''One of the things that mattered most to him was mentoring medical students," Rice said.
She and her husband met at Beth Israel, where she was a clinical social worker. They shared a deep commitment to patient care.
But Dr. Calkins was also deeply committed to the kinds of things that don't show up on a resume.
''He had these great passions," Walsh said. ''He had a passion for dancing. He loved '60s music, fishing, running."
''All the women in all the groups he was involved with knew that he was a major person on the dance floor until 2 in the morning," his wife said, ''but to first meet him you would never know that."
An avid Red Sox fan, Dr. Calkins would keep the team's website tiled on his computer screen at work whenever a game was in progress. Diagnosed in late 2003 with a type of brain cancer that is always terminal, Dr. Calkins pushed the statistical envelope. The team's victories the following year seemed like a metaphor for his success as a patient.
''When the Red Sox won the pennant, it was like some sort of message from the baseball gods," Walsh said.
Meanwhile, he ramped up his already deep involvement in life, staying up late in the nights before surgery to finish work for the institute and devoting himself to his son, Christopher, with whom he traveled to games and fished the Yellowstone River in Montana.
''He was focused on creating lots of wonderful memories for his son," his sister said.
''As his own life was slipping through his fingers, it was so clear who he was and what he cared about and what he stood for," Walsh said. ''He taught us how to live and he taught us how to face our deaths, with courage and with hope and with his commitment to how to make the most of every remaining day."
In addition to his wife, son, and siblings, Dr. Calkins leaves his mother, Emily, of Kansas City.
Write an essay about a health care quality improvement project (either one you’ve done or one you plan to do) and apply for the David Calkins Memorial Scholarship. The scholarship covers the entire cost of General Conference fees and includes a stipend for travel and lodging. To learn more, download the Calkins Scholarship information sheet. The application deadline is Friday, October 16.
For more info check out:
http://www.ihi.org/IHI/Programs/ConferencesAndSeminars/NationalForumStudents2009.htm?TabId=10
About Dr. Calkins (from the Boston Globe, April 16, 2006)
Dr. David Calkins, worked in medicine, public policy
By Bryan Marquard, Globe Staff | April 16, 2006
In life, and particularly when facing death, David Calkins just didn't break his stride.
''He really lived more in his 57 years than most people do in 87 years," said his sister, Kathy Calkins Horne of Tulsa, Okla. ''He went at a pace that many people couldn't keep up with. Even when you walked down the street with him you couldn't keep up. He was just full speed ahead all the time."
He kept up the pace during the final 2 1/2 years of his life, after receiving a terminal diagnosis. In some ways, he preferred to live with cancer as if were a chronic illness.
''This guy would have brain surgery and be back at his desk in seven days," said Dr. Donald Berwick, president and CEO of the Institute of Healthcare Improvement in Cambridge. ''I'd say, 'David, what are you doing here?' And he'd say, 'Well, it was time to get back.' "
Dr. Calkins, a former associate dean at Harvard Medical School who helped the healthcare institute design and implement a campaign to prevent 100,000 avoidable deaths in hospitals, died April 7 at his Concord home. Last fall, he had run the last of more than 20 New York City Marathons -- the final two after his diagnosis.
A devoted physician, educator, husband, and father, Dr. Calkins traveled in a wide array of professional circles in which his respect for colleagues made him a favorite.
''There was a way he could share his ideas and be in the presence of others and be ever so humble," said his wife, Susan Rice of Concord.
''I can never remember him having a cross word with anyone," said his younger brother, John, a physician in Kansas City, Mo.
Said Berwick, ''Everyone comments on this: When he was with you, he was with you completely."
The oldest of three children, David Ross Calkins was born in Kansas City, Kan. His father, a physician, had chaired the obstetrics and gynecology department at the University of Kansas. As a youth, he embraced the passions for medicine and public policy that would define his career, often becoming so deeply engrossed in the newspaper over breakfast that it was a challenge to engage him in conversation.
He graduated from Princeton University in 1970 and went to Harvard Medical School. He graduated in 1975 and simultaneously received a master's degree in public policy from the Kennedy School of Government.
In 1978 he joined the Carter administration. More than two decades before it became a hot-button issue in the Clinton administration, Dr. Calkins was trying to figure out how to bring healthcare to everyone in the country.
''Growing up, he was a major Democrat," his wife said. ''He'd always been interested in not just the day-to-day patient-care issues, but the long-term patient-care issues."
When Jimmy Carter lost his reelection bid, Dr. Calkins returned to Boston. During various periods over the next 15 years he was head of the internal medicine division at Beth Israel Deaconess Hospital, taught at Harvard's medical school and school of public health, and directed the university's master's program in health policy management.
Diana Walsh, president of Wellesley College, was a Kellogg national fellow with Dr. Calkins in the late 1980s.
''He was a man of deep and enduring values," she said. ''He loved learning new things. He had an insatiable appetite for knowledge."
Dr. Calkins returned to Kansas in 1996 as associate dean and then senior associate dean at the University of Kansas Medical School. Then it was back to Harvard Medical School in 1999, where he was associate dean for clinical programs. The flag at the school flew at half-staff Friday, a week after his death.
He joined the Institute for Healthcare Improvement in 2003 as a George W. Merck fellow. The following year, the Society of General Internal Medicine awarded him its outstanding achievement award.
''One of the things that mattered most to him was mentoring medical students," Rice said.
She and her husband met at Beth Israel, where she was a clinical social worker. They shared a deep commitment to patient care.
But Dr. Calkins was also deeply committed to the kinds of things that don't show up on a resume.
''He had these great passions," Walsh said. ''He had a passion for dancing. He loved '60s music, fishing, running."
''All the women in all the groups he was involved with knew that he was a major person on the dance floor until 2 in the morning," his wife said, ''but to first meet him you would never know that."
An avid Red Sox fan, Dr. Calkins would keep the team's website tiled on his computer screen at work whenever a game was in progress. Diagnosed in late 2003 with a type of brain cancer that is always terminal, Dr. Calkins pushed the statistical envelope. The team's victories the following year seemed like a metaphor for his success as a patient.
''When the Red Sox won the pennant, it was like some sort of message from the baseball gods," Walsh said.
Meanwhile, he ramped up his already deep involvement in life, staying up late in the nights before surgery to finish work for the institute and devoting himself to his son, Christopher, with whom he traveled to games and fished the Yellowstone River in Montana.
''He was focused on creating lots of wonderful memories for his son," his sister said.
''As his own life was slipping through his fingers, it was so clear who he was and what he cared about and what he stood for," Walsh said. ''He taught us how to live and he taught us how to face our deaths, with courage and with hope and with his commitment to how to make the most of every remaining day."
In addition to his wife, son, and siblings, Dr. Calkins leaves his mother, Emily, of Kansas City.
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