Healthcare service delivery is transforming.  Paradigms are shifting:

  • from a mandate to deliver high volumes of care to a mandate to create high value in care
  • from individual providers to team-based care
  • from the care of individual patients to the care of populations and communities
  • from care provided in professional silos and discrete venues to care integrated across the continuum
  • from a focus on processes controlled by healthcare providers to a focus on outcomes that matter to patients
  • from healthcare providers doing TO and FOR patients to healthcare teams partnering WITH people seeking to improve their health and well-being

Healthcare systems need a new generation of clinical leaders with new knowledge, skills, and dispositions.  The CHA Center for Professional Development (in partnership with the Arnold P. Gold Foundation) announces a continuing education opportunity for emerging CHA leaders engaged in institutional transformation.  The Innovation Fellowship is a one-year experience designed to introduce fellows to the art and science of healthcare quality improvement and to help leaders cultivate the necessary knowledge, skills, dispositions to partner with patients and communities to co-produce good healthcare outcomes. Fellows will be invited to extend their fellowship into a second year with more limited financial support and an expanded focus on teaching and mentoring of others. A recently published paper (included as an attachment with this invitation) written by the fellowship directors describes a framework for co-producing healthcare services that shapes the fellowship curriculum. 

The fellowship is co-directed by Dr. Maren Batalden and her father, Dr. Paul Batalden.  Maren Batalden has been a practicing hospitalist physician at CHA for 14 years.  She is well-regarded by students and residents as a committed and creative educator and currently serves as CHA’s Associate Director for Graduate Medical Education.  She is also an institutional leader in quality improvement at CHA and holds the position of Associate Chief Quality Officer and Director of Medical Management for the Accountable Care Organization.  Paul Batalden is an emeritus Professor of Pediatrics, Community and Family Medicine at The Dartmouth Institute for Health Policy and Clinical Practice and Professor of Quality Improvement and Health and Welfare Leadership at Jönköping University in Sweden.  Paul was a founding member of the Institute for Health Care Improvement (IHI) and has a long track record of developing educational initiatives for health professionals in the United States Veterans Administration, with the ACGME, and for the United Kingdom’s National Health Service.

Who is eligible to apply? 

All health professionals from medicine, nursing, and other clinical disciplines who have finished their primary professional preparation and are employed as clinicians and/or administrative leaders at the Cambridge Health Alliance are welcome to apply.  Competitive applicants will have designated leadership responsibility for an initiative aligned with our CHA institutional strategic direction and will likely have been in the institution for at least 3 years. Ideal fellowship projects will not be new initiatives, but rather initiatives already commissioned by the institution.  We are committed to cultivating a maximally diverse cohort from across the institution.

What will the fellowship provide?

  • A monthly half-day seminar with relevant readings including theory and case study which explore the knowledge, skill and dispositions necessary for co-produced healthcare services, including improvement science, design theory, leadership, patient engagement, and relationship-centered care.
  • Mentored leadership of a healthcare delivery system improvement project in which fellows will:
    • Use improvement science to plan, implement and evaluate a change project including serial small tests of change and reflection necessary for real-world learning
    • Develop and apply the principles of “service co-production” in four key areas:
      • the roles and necessary capacities of patients and professionals
      • the design of the clinical microsystem
      • reconsideration at the boundaries of the health care system
      • implications for the measurement of value
    • Work with patients as partners in design and implementation of the change project
  • Participation – aided by electronic connectivity platforms - in an emerging network of healthcare professionals interested in exploring the idea of co-production
  • Learning through primary data collection (field trips and interviews) about exemplar health systems that have developed advanced practices in co-creating good care

What will fellows produce?

  • Leadership of a successful change project aligned with the institution’s strategic direction that enhances the ability of our healthcare system to co-produce good care with patients and families
  • A publication for the peer reviewed literature and/or additional scholarly work to be distributed via social media or other means, including posters for presentation at the annual CHA Academic Poster Session and an Arnold P. Gold Foundation Forum
  • As fellows in the second year of pilot program at CHA, fellows will work to co-produce and improve the fellowship program for subsequent years

What support will fellows receive?

  • Faculty mentorship
  • Up to $20,000 to be used in partnership with departmental and division funds to offset clinical release time for those fellows who need release time to participate fully in fellowship activities
  • A small amount of financial support for travel, conference attendance and small project expenses
  • Access to technical assistance from the Institute for Community Health