Executive Master's in Clinical Quality, Safety, and Leadership Annual Report 2024

Executive Master’s in Clinical Quality, Safety & Leadership

ANNUAL REPORT 2024

TABLE OF CONTENTS LETTER FROM THE DIRECTOR

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CLASS OF 2024

4

COMMENCEMENT

8

STUDENT HIGHLIGHTS

9

FACULTY AND STAFF

ONSITE

10

WELCOME NEW FACULTY

ALUMNI NEWS

12

DEPARTMENT NEWS

15

PUBLICATIONS, PRESENTATIONS, MEDIA, RESEARCH & GRANTS

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SERVICE & ACCOMPLISHMENTS

29

SAVE THE DATE

31

CONTACT US

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MAKE A GIFT

LETTER FROM THE PROGRAM DIRECTOR This past year has seen exciting change for the Executive Master’s in Clinical Quality, Safety and Leadership (EM-CQSL). The program started in Biomedical Graduate Education (BGE) in 2017, and recently moved to the School of Health in July of 2024. Our program aligns with the mission, vision and values of the School of Health. Through this alignment, faculty, students and alumni can flourish in an academic community, fostering an environment of collaboration, learning, and personal and professional growth.

This report highlights the achievements of our students, alums, and faculty.

Here are a few I want to call out:

Carole Hemmelgarn

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Program Director

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In 2024 we proudly graduated 18 master’s and 6 certificate students that are now part of our growing alumni community.

We added three faculty members this year: Chris Bonk, MSN, RN, CNL, Kelly Haynie, DHA, MPA, FACHE, and Barb Pelletreau, RN, MPH. They bring diverse experience in human factors, healthcare leadership and operational management, patient safety, communication after harm events, and High Reliability Organizations (HRO’s).

Our faculty and alumni continue to publish and present nationally and internationally sharing their knowledge to improve patient safety and quality.

On the promotion side, Raj Ratwani become a full Professor and Jackie Stark was promoted to Associate Director of Graduate Studies.

The EM-CQSL program is part of the Georgetown University and MedStar Health strategic partnership to collaborate on premier educational opportunities.

We are excited to be part of the School of Health and looking forward to our first full academic year.

Gratefully, Carole Carole Hemmelgarn, MS, MS Program Director, Executive Master’s in Clinical Quality, Safety, and Leadership, Georgetown University Senior Director, Education, MedStar Institute for Quality & Safety

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CLASS OF 2024 MASTER’S DEGREE RECIPIENTS Dave Holson Kareen Jones Garrett Lawhorn Amanda Mason Margot McCloskey Germeia McKoy Chelsea Midtvedt Maria Scumpia Stephanie VerNooy

TaLiah Ames Shane Berry Mark Bisanzo Liziwe Chebani MaryBeth Davis Wendy Ford Marbelia Gonzalez Celia Goodson Adrienne Harris

CERTIFICATE RECIPIENTS Jennifer Callear Anthony Guerrero Alex Herzog Susmita Nesargi Gisell Rasool Gerry Rodriguez 4

Executive Master’s in Clinical Quality, Safety, and Leadership Class of May 2024

In 2022 & 2023, 11 professionals with diverse backgrounds in healthcare joined the EMCQSL program. After 16 months of learning, the students graduated in May 2024!

Shane Berry, MS

Liziwe Chebani, BS

Mary Beth Davis, MSN, APRN, FNP-BC

Wendy Ford, BSN, RN

Celia Goodson, MD

Garrett Lawhorn, BSN, RNC-OB, C-EFM, CPHQ

Amanda Mason, BSN, RN

Margot McCloskey, BA

Germeia McKoy, BS

Chelsea Midtvedt, BSN, RNC-NIC

Maria Scumpia, BSN, RN

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Executive Master’s in Clinical Quality, Safety, and Leadership Class of December 2024 In 2023, 7 professionals with diverse backgrounds in healthcare joined the EM-CQSL program. After 16 months of learning, the students graduated in December 2024!

TaLiah Ames, BA

Mark Bisanzo, MD

Marbelia Gonzalez, MD

Adrienne Harris, BSN, ASN

Dave Holson, MD, MPH

Kareen Jones, MD

Stephanie VerNooy, RN, BSN, CPN, CPPS 6

Executive Certificate in Clinical Quality, Safety & Leadership Class of 2024 In 2024, 6 professionals with diverse backgrounds in healthcare graduated from the Executive Certificate program.

Jennifer Callear, MSN, RN, CCRN,

Susmita Nesargi, MD

Anthony Guerrero, MHA, CPHQ

Gisell Rasool, MPH, RRT, CIC

Alex Herzog, MHA

Gerry Rodriguez, MD

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COMMENCEMENT The Executive Master’s program was part of the Graduate School commencement on May 17, 2024. Students,family,friends,and loved ones gathered on the HealeyLawnto celebrate.

The Graduate School of Arts and Scienceswashonored to welcome Imani Perry,PhD,JD, as the commencement speakerfor the graduating class of 2024. Imani Perry,is a professor at Harvard University,and Georgetown alumna.

The class of 2024 included 18 graduate students and 5 certificate students. Read more about the 2024 commencement here.

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STUDENT HIGHLIGHTS

Maria Stidham has been promoted to Director of Quality and Patient Safety at MedStar National Rehabilitation Hospital.

Berhanu Dugasa has been awarded The National Institutes of Health Superstar Award for the second year in a row in August 2024.

Trashawn Britt Jr. has joined the Patients for Patient Safety US as a patient safety champion.

Marbelia Gonzalez, C’24, became the Associate Director of Anesthesia Quality and Safety at DartmouthHitchcock Medical Center and Assistant Professor of Anesthesiology at Geisel School of Medicine at Dartmouth.

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Summer 2024 Executive Master’s Onsite What did you learn in the onsite that you will apply in your professional career?

“Skills to positively influence others and to have courageous conversations, but most importantly I learned that I am capable to make change occur.”

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What did you enjoy most about the onsite?

“Meeting everyone and being able to learn the topics among friends. I enjoyed the presence of the two coaches, they were very helpful and professional.”

How I show up in my career how to influence others by connecting with what already motivates them changing the language we use how to give feedback and communicate with patients and families changing our perspectives and the power of the stories we tell

“The time spent on emotions, introspection and mindfulness were invaluable to me. I so appreciate the cohort for being so open that we can learn from each other. This has been a life changing journey for me being in this 10 class.”

Fall 2024 Executive Master’s Onsite What did you enjoy most about the onsite?

“Everything. It was absolutely wonderful. I have never attended a live course over 3 days in which I have not lost attention or focus until this one. I really enjoyed all the simulations and the active engagement of everyone involved. The face-to-face interactions with the coaches, instructors and my fellow students was very rewarding. We have been working with our fellow students for almost a year so it was wonderful to get to know them better. The instructors were so knowledgeable and so kind demonstrating what great leadership is all about. I also really enjoyed how everyone was able to be present in the learning without the distractions of phones or computers. It made a big difference in my ability to attend. The care and attention put into making the onsite is evident.”

What did you learn in the onsite that you will apply in your professional career?

“Pretty much every aspect of the onsite I will be able to apply in my career. The breadth of topics covered was large but they all wove together which was extremely helpful. I realized how far I have come in my knowledge of many topics but at the same time how far I still have to go.”

“Active listening, self-reflection, setting and establishing a safe space, feedback from presentations was very motivating, how to communicate with patients and support persons.”

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ALUMNI NEWS

Olivia Lounsbury, C’ 22, has been promoted to Associate Course Director at the University of Oxford’s Surgical Science & Practice Master's Program and Postgraduate Certificate in Patient Safety & Quality Improvement.

Margot Giannetti McCloskey, C’24, was part of MedStar Health's Q1 SPIRIT Award Team Winner: Spinal Cord Injury Research Team.

Steven Coffee, C’20, was the keynote speaker at the Leapfrog Group’s annual meeting in December.

In September, Steven was invited to the White House as a panelist to discuss Empowering the Patient Voice in Safety.

In September, Erin Conroy, C’21, spoke at the Society of OBGYN Hospitalists Annual Clinical Meeting. Her talk was called "It's Complicated: Navigating the Relationship between Hospitalists and MFMs.” 12

ALUMNI NEWS

Michelle Townsend Day, C 23, was interviewed for an article on CNET News titled ‘What is Breast Density, and why do you need to know yours?’ in October 2024. She was also featured in The List: Inside Meghan McCain’s Big Health Scare in Jan 2025.

Alex Herzog, NDCT-CQSL C’24, became the Clinical Quality Leader at Northwestern Medicine, Lake Forest Hospital.

EM-CQSL Alum C'24 Chelsea Midtvedt, and EM-CQSL alum C'19, and faculty member Mary Herold presented their posters at the District of Columbia Hospital Association's Healthcare Care & Innovation Summit in October. Chelsea’s poster was based on her capstone project, and Mary’s was on preventing venous thromboembolism (VTE) in hospitalized patients.

Anthony Guerrero, NDCT-CQSL C’24 is now a teaching assistant at Northwestern University.

Anthony passed the CPHQ exam in October 2024.

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ALUMNI NEWS

Chelsea Midtvedt, C’24, has been promoted to Assistant Nursing Director, NICU, Washington Hospital Center in April.

Johanna Lerma, C’23, has taken on a new role as a Quality Manager at MedStar Montgomery Medical Center in June.

Megan Walling, PA-C, C’23, became the Patient Safety Lead for MedStar Ambulatory Services in January 2024.

Wendy Post, C’22, had an article published in Birth Issues in Perinatal Care in April2 2024. Black women should not die giving life”: The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. W. Post, A. Thomas, & K. Sutton.

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FACULTY AND STAFF

Carole Hemmelgarn, MS, MS

Program Director, Executive Master’s Program

Gerard Castro, PhD, MPH

Assistant Professor, School of Medicine

Kelly Haynie, DHA, MPA FACHE

Assistant Professor, School of Medicine

Christopher Bonk, MSN, RN, CNL

Instructor, School of Health

Bryan Buckley, DrPH, MPH, MBA, ACC

Assistant Professor, School of Medicine

David Dull, M.D., MMM, CPE, FAAPL

Associate Professor, School of Medicine

Richard “Tony” Calabria, MA, CPHQ, CSSBB

Instructor, School of Medicine

Rollin “Terry” Fairbanks, MD, MS

Professor, Emergency Medicine

Mary Herold, EMCQSL, BSN, RN, CPPS, PROSCI

John Hopper, MD, FAAP, FACP, DFASAM, CPPS

Instructor, School of Medicine

Professor, School of Medicine 15

FACULTY AND STAFF

Sadaf Kazi, PhD

Assistant Professor, School of Medicine

Barbara Pelletreau, RN, MPH

Instructor, School of Health

Judit Szolnoki, MD, MS

Instructor, School of Medicine

Kristen Miller, DrPH, MSPH, MSL, CPPS

Associate Professor, Emergency Medicine

Raj Ratwani, PhD

Professor, School of Medicine

Edmund Tori, DO, FACP, CHT

Assistant Professor, School of Medicine

Douglas Paull, MD, MS, FACS, FCCP, CHSE, CPPS

Associate Professor, School of Medicine

Jackie Stark, MSM-PM

Director of Graduate Studies

Eskandar “Alex” Yazaji, MD, FACP

Assistant Professor, School of Medicine

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DEPARTMENT NEWS

Raj Ratwani Raj Ratwani, PhD, has been promoted to Full Professor at Georgetown University School of Medicine as of September 2024.

Gerry Castro

Gerry Castro, PhD, became the managing director of Research, Policy and Quality Improvement at ATW Health Solutions in April 2024.

John Hopper Hour Detroit Magazine named John Hopper, MD, as a Top Doc in Addiction Medicine in 2024. The nominations are made by peer physicians.

Jackie Stark

In July 2024, Jackie Stark was promoted from program coordinator to Associate Director of Graduate Studies at Georgetown University.

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DEPARTMENT NEWS

Bryan Buckley

Carole Hemmelgarn

Bryan O. Buckley, DrPH, MPH, MBA, became the Head of Public Health at CareFirst BlueCross BlueShield in August 2024

Carole Hemmelgarn, MS, MS, was elected to the Leapfrog Group’s board of Directors in September 2024.

Terry Fairbanks

"Terry Fairbanks, MD, MS, was invited to speak at the White House Healthcare Safety Forum and discussed leadership in safety innovation, just culture, human factors, and well-being during World Patient Safety Day in September 2024.

Kristen Miller Kristen Miller,DrPh, MSPH, MSL, CPPS, was named co-director of MedStar Health’s new Center for Diagnostic Systems Safety in May 2024 .

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WELCOME NEW FACULTY We are excited to share that the Executive Master’s program has welcomed 3 new faculty members! Read their full bios here: Executive Master's Faculty

Christopher Bonk, MSN, RN, CNL

Instructor, School of Health Chris is a research scientist and clinical human factors specialist within the MedStar Health National Center for Human Factors in Healthcare, and an adjunct instructor at the University of Maryland, College of Information Studies. He holds a Master of Science in human - computer interaction from the University of Maryland, College Park, and a Master of Science in nursing from the University of Maryland School of Nursing.

Kelly Haynie, DHA, MPA, FACHE Assistant Professor, School of Medicine

Kelly is an accomplished healthcare executive, educator, and veteran dedicated to advancing operational excellence and promoting health equity. As Vice President of Operations at MedStar Health, Dr. Hayni leads strategic initiatives to enhance patient experience, optimize resource utilization, and foster equity, inclusion, and diversity across the organization. Kelly has extensive experience in healthcare leadership, operational management, and quality improvement.

Barbara Pelletreau, RN, MPH Instructor, School of Health

Barb recently retired as the Patient Safety Officer at CommonSpirit Health, one of the largest nonprofit healthcare systems, where she was responsible for regulatory readiness, medication safety, management of controlled substances, reduction of hospital acquired conditions, voluntary events reporting, and loss control/prevention. Under her leadership, High Reliability (HRO), CANDOR (Communications AND Optimal Resolution), and Just Culture were spread system -wide.

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PUBLICATIONS Bryan Buckley

Sadaf Kazi

• Hatef, E., Scholle, S. H., Buckley, B., Weiner, J. P., & Austin, J. M. (2024). Development of an evidence- and consensus-based Digital Healthcare Equity Framework. JAMIA Open, 7(4), ooae136.

• Starling, C. M., Smith, M., Kazi, S., Milicia, A., Grisham, R., Gruber, E., ... & Arem, H. (2024).

Understanding social needs screening and demographic data collection in primary care practices serving Maryland Medicare patients. BMC Health Services Research, 24(1), 448.

• Brown R, Petersen B, Buckley B, Kyle MA, Glenn J. (2024). How do Cancer Patients in Economically Marginalized Neighborhoods Decide Where to Seek Care: Perspectives From Cancer Patients and Healthcare Professionals.

Cancer Control. 31.

• Nervi, L., Jacobson, H. E., Buckley, B., & Soto Mas, F. (2024). Health equity, social justice, and population health. In J. C. Gan (Ed.), Health promotion moving forward (1st ed., pp. 18-45).

Springer Publishing Company. ISBN: 9780826145024.

• Hatef E, Austin M, Scholle SH, Buckley B. Evidence- and Consensus-Based Digital Healthcare Equity Framework. (2024). Prepared

by Johns Hopkins University under Contract No. 75Q80120D00015. AHRQ Publication No. 240020-1-EF. Rockville, MD: Agency for Healthcare Research and Quality.

Carole Hemmelgarn •

Kachalia, A., Hemmelgarn, C., & Gallagher, T. H. (2024). Communication After Medical Error: The Need to Measure the Patient Experience. Joint Commission Journal on Quality and Patient Safety.

John Hopper

• Shaughnessy, S. A., Hankes, K. C., Garrow, V., Hopper, J. A., & Dahlem, C. H. (2024). The Lookout Project: A StudentRun Mail-Based Overdose Response Kit Distribution Program Through Social Media During COVID-19. Substance use & addiction journal, 29767342241288985.

Advance online publication • Orozco-Bersoza L, Henley E, Hopper JA: Massive Hemoptysis Following COVID-19 Infection. J. Hosp. Med., 19:S831-833, 2024.

Kristen Miller • Baker K, Brahier M, Mara P, Hill M, Davis S, Gallagher W, Miller K, Smith K. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. Journal of Patient Safety. 2024 Sept 17: 10.1097.

• Hill M, Coppinger T, Sedig K, Gallagher W, Baker K, Miller K, Smith K. Asking questions to improve diagnostic safety: a scoping review. Joint Commission Journal of Quality and Safety. ():10.1097. 2024 Sept 11: 10.1097.

• Ivy J, Miller K. A COVID-19 communications Story: a comparison of COVID-19 communications in two US hospital systems. Medical Care: Official Journal of the Medical Care Section, American Public Health Association. In Press.

• Suvamakar A, Hose BZ, Busog DN, McCloud Sm, Chao G, Miller K, Pardo I, Alimi Y. Falling short in bariatric surgery: an exploration of key barriers and motivators of attrition. The American Journal of Surgery. 2024 Jul 6:115827.

• Williams R, Whealan J, Taylor K, Adams-Campbell L, Miller K, Foley K, Luta G, Brandt H, Glassmeyer K, Sangradula A, Yee P, Camidge K, Blumenthal J, Modi S, Kratz H. Multilevel approaches to address disparities in lung cancer screening: a study protocol. Implementation Science Communications 5, 15 (2024 Feb).

• Stephenson J, Mete M, Miller K, Knauff K, Beaty, Kverno K, Shaya E. Assessment of a unit-level acuity tool in inpatient psychiatry. Journal of Psychosocial Nursing and Mental Health Services.

2024 Jan;62(1):13-18.

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PUBLICATIONS Douglas Paull • Headrick L, Paull DE, Weiss K: Patient safety and quality of care. In Dent JA, Harden RM, Hunt D, Hodges BD (Eds.). A Practical Guide for Medical Teachers, 7th Edition. London, England: Elsevier, Submitted, September 2024.

• Paull DE. CLER Evaluation Committee. CLER Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, Version 3.0. Chicago, IL: Accreditation Council for Graduate Medical Education; 2024.

• Paull DE, Newton RC, Tess AV, Bagian JP, Kelz RR, Weiss KB. The Pursuing Excellence Collaborative: Engaging FirstYear Residents and Fellows in Patient Safety Event Investigations. Journal of Patient Safety 2023;19: 484-492.

Raj Ratwani • Biro JM, Handley JL, Cobb NK, Kottamasu V, Collins JM, Krevat S, Ratwani R.M. (2024) Accuracy and Safety of AI Enabled Scribe Technology. Journal of Medical Internet Research.

• Hose, B. Z., Handley, J. L., Biro, J., Reddy, S., Krevat, S., Hettinger, A. Z., & Ratwani, R. M. (2024). Development of a preliminary patient safety classification system for generative AI. BMJ Quality & Safety.

• Handley, J.H., Krevat, S.A., Fong, A. & Ratwani, R.M. (2024). Artificial Intelligence Related Safety Issues Associated with FDA Medica Device Reports. npj Digital Medicine, 7, (351).

• Fong, A., Adams, K. T., Boxley, C., Revoir, J. A., Krevat, S., & Ratwani, R. M. (2024). Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. JAMIA open, 7(4), ooae128.

Raj Ratwani • Ratwani, R. M., Sutton, K., & Galarraga, J. E. (2024). Addressing AI Algorithmic Bias in Health Care. JAMA. • Ratwani, R. M., Classen, D., & Longhurst, C. (2024). The Compelling Need for Shared Responsibility of AI Oversight: Lessons From Health IT Certification. JAMA, 332(10), 787-788.

• Apathy, NC; Hartman-Hall, H; Tran, A; Kim, D; Ratwani, R.M.; Marchalik, D. (2024). Accounting for taste: preferences mediate the relationship between documentation time and physician burnout. Journal of the American Medical Informatics Association.

• Handley, J.L., Lehman, C.U, & Ratwani, R.M. (2024). Safe and Equitable Pediatric Use of AI. JAMA Pediatrics.

• Gomes, K., Apathy, N., Krevat, S., Booker, E., & Ratwani, R.M. (2024). Telehealth Safety Framework: Addressing a New Frontier in Patient Safety. Journal of Patient Safety.

• Apathy, NC; Zabala, G; Gomes, KS; Spaar, P; Krevat, S; Ratwani, R.M. (2024) Telemedicine Mix and Electronic Health Record Use in Primary Care.

JAMA Network Open.

• Gomes, K., Handley, J.L., Pruitt, Z. M., Krevat, S., Fong, A., & Ratwani, R.M. (2024) Development and Evaluation of Patient Safety Interventions: Perspectives of Operational Safety Leaders and Patient Safety Organizations. Journal of Patient Safety.

• Ratwani, R.M., Bates, D.W. & Classen, D.C. (2024).

Patient Safety and Artificial Intelligence in Clinical Care. JAMA Health Forum.

• Ratwani, R.M., Bates, D.W, & Gold, J. (2024).

Addressing Electronic Health Record Contributions to Diagnostic Error. Health Affairs Forefront.

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PUBLICATIONS Faculty Collaborations • Kazi S, Starling CM, Milicia A, Buckley B, Grisham R, Gruber E, Miller K, Arem H. Barriers and facilitators to screen for and address social needs in primary care practices in Maryland: a qualitative study.

Frontiers in Health Services. 2024 Jun 17;4:1380589.

• Graber, M., Castro, G., Danforth, M., Tily, JL., Croskerry, P., El-Kareh, R., Hemmelgarn, C., Ryan, R., Tozier, M., Trowbridge, B., Wright, J., Zwaan Root, L. (2024). Root cause analysis of cases involving diagnosis. Diagnosis.

• Miller K, Ratwani R, Hose B-Z, Biro J, Gold JA, Singh H. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. Rockville, MD: Agency for Healthcare Research and Quality; 2024 August.

AHRQ Publication No. 24-0010-4-EF. • Kazi, S., Handley, J.L., Milicia, A.P., Ratwani, R.M., Adams, K.T., Jones, R., & Krevat, S. (2024).

Free text as part of electronic health records orders: Context or concern? Patient Safety, 6(1): 118587.

• Tabaie, A., Tran, A.,Calabria, T., Bennett, S., Milicia, A., Weintraub, W., Gallagher, W., Yosaitis J., Schubel, L., Hill, M., Smith, K., Miller, K.. Evaluation of a Natural Language Processing Approach to Identify Diagnostic Errors and Analysis of Safety Learning System Case Review Data: Retrospective Cohort Study. J Med Internet Res 2024;26:e50935 •

Epstein HM, Haskell H, Hemmelgarn C, Coffee S, Burrows S, Burrows M, Corina I, Giardina T, Hose BZ, Smith KM, Gallagher W, Miller K. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design.

Rockville, MD: Agency for Healthcare Research and Quality; September 2024.

AHRQ Publication No. 24-0010-8-EF.

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PRESENTATIONS Bryan Buckley • Buckley, B. O. (November 2024). Advancing health equity: Don't take your foot off the gas.

Keynote presented at the State of Metro Atlanta Health Symposium.

• Ebekozien, O., Wiggins, T., Gavin, J. R. III, Peek, M., & Buckley, B. (November 2024). Achieving Diabetes Equity: Are We There Yet? Panel discussion at the Achieving Diabetes Equity in Practice Today (ADEPT) conference hosted by the American Diabetes Association and T1D Exchange.

• Cruz, A., Crawford, C., Buckley, B., Gerdes, C., Mahmoud, H., & Parikh, A. ( November 2024).

Solutioning for the societal and economic consequences of mental health inequities.

Behavioral Health Tech Conference.

• Boyo, T., Buckley, B., Burnett, C., Dawes, D., & McIver, L. (October 2024). Keynote: HealthEquity Trailblazers: Equity Across the Care Continuum.

NCQA Health Innovation Summit.

• Dawes, D., Wathington, D., Buckley, B., Guest, A., & Smith, D. (October 2024). Dr. Paigton Mayes Memorial CHEQ Education Health Equity Session. APHA Annual Meeting.

• Buckley, B. O., Bullock, P., & Kimble, B. (September 2024). Champions, Heroes & Survivors: Stories of Bravery & CPR. Nation of Lifesavers Pavilion, American Heart Association.

• Buckley, B.O. (June 2024) “Bridging the Gap: Building Trust Through Cultural Humility and Community Engagement.” MedStar Georgetown University Hospital’s Patient and Family Advisory Council for Quality and Safety (PFACQS).

• Buckley, B.O., Phicil, S., Moon, T.M. (May 2024) “Identifying and overcoming the Barriers to Implementing Health Equity and Social Determinants of Health “Health Equity & SDOH Implementation Congress. Kosaco Research.

Bryan Buckley • Buckley, B.O., Payne, P., and Wear, J. (may 2024). “Digital strategies to advance health equity.” League Connect Digital Summit.

• Buckley, B.O. & Wear, J. (March 2024). “We Are All Owners: Advancing Health Equity by Design.” League Connect 2024.

• Buckley, B.O., Williams, M.Y., Matthews, T., Amarnath, A. (March 2024). “The Critical Role of Hospitals in Identifying and Addressing Health Inequities.” NCQA Health Equity Forum.

• Buckley, B.O., Moy, E., Cordts, P., and Grissom, J. (February 2024). “Measuring and Moving the Dots on Health Equity.”

2024 AMSUS Annual Conference.

• Buckley, B.O., Wirtenberg, J., Redmond, T.L., Anderson-Benjamin, M., Scipione, F., and Jackson, T. (January 2024).

“Compassionomics: Improving the doctor/patient dynamic for positive outcomes in health and business.”

"Community Voices in Health Equity" Summit. BlackDoctors.org.

Terry Fairbanks •

Intentional Harm vs Unintentional Harm & Deploying Progressive Risk Management, (Keynote Panel). NAHQ Next. September 10, 2024 (virtual).

•

White House Healthcare Safety Forum panelist, September 17, 2024

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Human Factors Opportunities and Challenges in our Future Healthcare System (Opening Keynote). 2024 International Symposium on Human Factors and Ergonomics in Health Care, March 25, 2024; Chicago IL.

• Buckley, B.O.(May 2024). “Working Across the Continuum: NCQA’s Vison for Aligned and Equitable Care.” Accelerating Health Equity Conference. American Hospital Association.

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PRESENTATIONS Carole Hemmelgarn • Hemmelgarn, C. (October 2024) Running from Failure to Hope. Leading 2 Excellence Summit – Methodist Health System. Dallas, TX • Hemmelgarn, C. (October 2024). Patient Involvement Strategies for Preventing Diagnostic Errors - Lessons for Safety, Quality and Equity Leaders. HAP Patient Safety, Quality, and Equity Symposium.

Harrisburg, PA • Hemmelgarn, C. (September 2024).

Engaging Patients and Family Members.

Patient Safety Movement Foundation.

Irvine, CA • Hemmelgarn, C. (September 2024).

Embracing Patient Advocacy and Transparency in Healthcare. Optima Owner’s Retreat. Carlsbad, CA. • Hemmelgarn, C. (May 2024).Putting the Patient Back in Patient Safety: Reflections and Solutions For “Whole Person” Harm.

Institute for Healthcare Improvement Patient Safety Congress. Orlando, FL • Hemmelgarn, C. (May 2024). Panel: New National Initiatives to Accelerate Diagnostic Excellence In US Hospitals. Institute for Healthcare Improvement Patient Safety Congress. Orlando, FL • Hemmelgarn, C. (May 2024). Workshop: Improving Safety, Trust, and Equity through Communication and Resolution Programs: Lessons Learned. Institute for Healthcare Improvement Patient Safety Congress.

Orlando, FL

John Hopper • Hopper JA (January 2024). Managing Pain Without Opioids. Department of Internal Medicine Grand Rounds, Detroit Medical Center. Detroit, MI

Sadaf Kazi • Kazi, S., (May 2024). Training to Optimize Substance Use Screening in Pregnant and Parenting Individuals in Washington, DC. Howard University’s Perinatal Quality Collaborative.

• Kazi, S. (January 2024). Improving screening and treatment for substance use disorders for pregnant patients in Washington, DC. Georgetown School of Medicine Department of Obstetrics and Gynecology • Paquette, R., Scott, R., Ye, P., Kazi, S., Schubel, L.A., Lotke, P., Londono-Tobon, A., Reeves, M., & Rubin, S. (September 2024). The Behavioral Health Repercussions of Accessing Abortions in a PostRoe World: A Cross-Sectional Study. International Federation of Abortion and Contraception Professionals 15th Conference, Brussels, Belgium.

• Barg-Walkow, L., Barnes, J., Bruni, S., Kazi, S., Rogers, W.A., Wanta, C.L. (March 2024). Pitch Perfect: Adapting Human Factors Elevator Pitches to Various Healthcare Stakeholders. Panel discussion at the International Symposium on Human Factors and Ergonomics Society in Health Care, Chicago, IL.

• Hemmelgarn, C. (April 2024).Safety Culture MVP: Engaging patients and families in our quality and safety strategies. Maryland Patient Safety Conference. Baltimore, Maryland • Hemmelgarn, C. (March 2024). Keynote: The Power of Patients. Palooza RL Datix.

Orlando, FL

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PRESENTATIONS Kristen Miller • Miller K, Gillam M. Washington, DC. (December 2024). Addressing Health Equity with the Leading Edge Acceleration Projects. Assistant Secretary for Technology Policy/ Office of the National Coordinator for Health Information Technology (ASTP/ONC). 2024 ASTP Annual Meeting. Washington DC.

• Miller, K. (March 2024). Keynote: Family Centered Patient Advocacy Training. Pulse Center for Patient Safety, Education, and Advocacy. Plainview, NY.

• Miller K, Giardina T, Smith T, Schiff G, Gallagher T. (October 2024). Patient Engagement in Research. Agency for Healthcare Research and Quality (AHRQ) Inaugural Annual Meeting of the Diagnostic Safety Community of Learning.

Rockville, MD. • Kathuria Y, Capan M, Bennett S, Miller K, Selden E, Gallagher W. October 2024. INFORMS. Analysis of Social Determinants of Health to Risk-Stratify Type 2 Diabetes Pathways. October 2024.

• Miller K, Abbott A, Mann D, Sheon A. (September 2024). Leveraging Technological and Diagnostic Innovations to Improve Access and Mitigate Diagnostic Disparities. Advancing Equity in Diagnostic Excellence to Reduce Health Disparities Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC. • Miller, K. (September 2024). Improving Diagnosis for Patient Safety. Peshawar Institute of Cardiology. Quality Improvement and Patient Safety Conference 2024. Virtual.

• Binder L, Tang P, Miller K. (August 2024).

Anticipating and Preventing Harm with Modern Solutions: The State of Patient Safety in the US. Congressional Briefing on Patient Safety.

• Coffee S, Miller K. (June 2024). Bringing Patients and Family Members into the Fold with AI. Jewish Healthcare Foundation 2024 Patient Safety Fellowship. Virtual.

• Miller, K. (May 2024). A Practical Workshop for Codesigning Diagnostic Excellence with Patients and Partners. Institute for Healthcare Improvement Patient Safety Congress. Orlando, FL.

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PRESENTATIONS Doug Paull • Paull, DE (August 2024). How can we kick start patient safety education? Practical tools generated from successful experiences. Association Medical Education Europe (AMEE) International Conference. Basel, Switzerland.

• Paull, DE.(October 2024). Engaging residents and fellows in real, interprofessional patient safety event analyses: Strategies for success. National Learning Conference (NLC), ACGME. Chicago, Illinois.

Raj Ratwani • Ratwani, R. ( September 2024). Improving Patient and Healthcare Worker Safety with Artificial Intelligence. American College of Healthcare.

Executives, (virtual) • Ratwani, R. (September 2024). From Bytes to Bedside: Preparing for AI in Healthcare. BETA Healthcare Board Roundtable, Newport, CA, September, 2024.

• Ratwani, R. ( September 2024). Code to Cure: The AI Revolution in Medicine. BETA Healthcare Symposium. Huntington Beach, CA. • Ratwani, R. (April 2024). Seeing Through a New Lens: Human Factors in Healthcare. 2024 Advanced Quality Education Series, University of Pittsburgh Medical Center. (virtual).

• Ratwani, R. (April 2024). Double Edged Sword: AI to Support Safety Report Analysis and Collecting AI-Related Safety Issues. 16th Annual Meeting for Patient Safety Organizations. Rockville, MD. • Ratwani, R. (September 2024). Congressional Briefing. Policy Changes for a Safer Healthcare System. Rayburn House Office Building.

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MEDIA Kristen Miller • How Researchers are using FHIR Factories to Study EHR Data at Scale. HealthIT Answers. 17 Feb 2024.

• Designing for Health: Interview with Mark Townsend, MD [Podcast]. NORDIC. 20 Feb 2024.

Raj Ratwani • “The Pitch: Patient Safety’s Next Generation”, Film by TallTale Productions.

Featured human factors and patient safety expert. (2024) • Select National News Coverage “Oh dear?

Baby gear! Why are the manuals so unclear?” National Public Radio, May, 2024.

Quoted safety expert.

• Select Trade News Coverage - Bipartisan task force sets health AI oversight priorities for the next Congress. December, 2024.

• STAT News (quoted researcher)- Regulating health care AI. STAT News. October, 2024 (featured researcher) • Hybrid care ups HER-based work by 6% for primary physicians. mHealth Intelligence.

May, 2024 (featured researcher).

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RESEARCH & GRANTS Bryan Buckley Active • Agency for Healthcare Research and Quality R18HS029345 Gold, Bates & Ratwani (PIs) Diagnostic Accuracy through Advancing EHR Display, Education and Surveillance 9/30/20229/29/2026. Develop a diagnostic center of excellence focused on EHR improvements. Role: Co-PI. • Agency for Healthcare Research and Quality R18HS029117 Ratwani & Booker (PIs). Safe and Equitable Telehealth for Chronic Conditions (SafE-T C2) Learning Laboratory. 9/30/20220/29-2026. Develop a patient safety learning laboratory focused on telehealth. Role: PI. • Agency for Healthcare Research and Quality R01HS026481 Ratwani (PI). Transforming Patient Safety Event Data into Actionable Insights through Advanced Analytics. 9/1/2020-9/1/2024.

Develop computation algorithms and analytic software to improve safety report insights and action. Role: PI. Completed • Agency for Healthcare research and Quality 1 R18 HS027119-01 Ratwani & Gold (PIs).

9/1/2019-9/1/2024. A Turn-Key EHR Simulation Program to Reduce Diagnostic Error in Ambulatory Care. Develop shareable EHR-based clinical scenarios to improve diagnostic errors.

Role: Co-PI.

Sadaf Kazi Active • Centers for Disease Control and Prevention. Kazi, S. (PI) 9/30/23 – 9/29/27. Assessing health outcomes of polysubstance use during pregnancy through EHR data Role: PI •

R18 HS029291, Agency for Healthcare Research and Quality. Kazi, S (PI). 4/1/2023-3/31/2026 A Systems Engineering Approach to Improve Pediatric Medication Safety. Role: PI.

Sadaf Kazi • Agency for Healthcare Research and Quality.

The Patient-Partnered Diagnostic Centers for Excellence. 10/1/2022 – 9/29/2026. Role: Co-PI. Completed • Office of the National Coordinator for Health Information Technology. Miller, K.E. (PI).

9/22/2022 – 9/21/2024. Leveraging Human-inthe-Loop Patient-Generated Health Data with Automation to Optimize Equity Enhanced Care.

Role: Co-PI.

Kristen Miller Active • National Institute for Nursing Research.

9/24/2024 – 11/1/2026. Barriers to Screen for Domestic Violence among Women in Emergency Department. Role: Advisor.

• SBAS Intuitive Career Development Award Alimi (PI). 9/15/2024 – 9/14/2026. The Society of Black Academic Surgeons Uncovering Inequities in Access to Bariatric Surgery in America’s Capital: A Mixed Methods Study. Role: Mentor.

• National Institutes of Health National Institutes of Aging. Improving the Delivery and Equity of Inpatient Palliative Care: A Hybrid Type I Pragmatic Cluster Trial. 04/15/202403/31/2029. Role: Co-PI. • National Institutes of Health National Heart, Lung, and Blood Institute. Investigating Mechanisms of Disparities for Critically Ill Patients with Acute Respiratory Failure and Sepsis. 1/30/2024 – 1/29/2027. Role: Mentor.

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SERVICE & ACCOMPLISHMENTS Terry Fairbanks • Georgetown University Center for Health Equity Advisory Committee, 2022-present

John Hopper • Hour Detroit Magazine “Top Docs”: Addiction Medicine

• Georgetown-MedStar Education Council, 2024-present • Georgetown University Library Oversight Committee, 2023-present • Patient Experience Executive Steering Committee, 2023-present

Sadaf Kazi • Key Advisor, District of Columbia Perinatal Quality Collaborative (2024)

• Equity, Inclusion & Diversity Steering Committee 2021-present • Wellness Steering Committee, 2020- present

Carole Hemmelgarn • Board of Directors, Leapfrog Group • Board of Directors, Solutions for Patient Safety

Mary Herold • MedStar Georgetown Patient and Family Council for Quality and Safety, Member • Patient representative on implementation of “Guiding an Improved Dementia Experience (GUIDE) Model, ”MedStar Health • Medical Advisory Board for the Student Health Center, Georgetown University • Nurse of the year for Quality and Safety at MedStar Georgetown University Hospital.

• Equity , Inclusion, and Diversity Council member at MedStar Georgetown University Hospital.

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SERVICE & ACCOMPLISHMENTS Kristen Miller • Diagnostic Safety Measures Expert Workgroup, Agency for Healthcare Research and Quality Indicators (QI) Program, Work Group.

• Pulse Patient Safety, Education, and Advocacy Member.

• American Medical Informatics Association (AMIA) Member.

• Human Factors and Ergonomics Society (HFES) Member.

• Georgetown-MedStar Scientific Council (GMSC). Member.

• Texas A&M University School of Public Health, Industrial Advisory Board, Member.

Raj Ratwani • MedStar Health Wellness Committee (2020present) • MedStar Institute for Quality and Safety Advisory Board (2018-present) • MedStar Health & Georgetown Research Symposium Organizing Committee (2018present) • Georgetown-MedStar Scientific Council (2018present)

Alex Yazaji • Chair. Multidisciplinary risk management committee. MedStar Union Memorial Hospital & MedStar Good Samaritan Hospital.

• MedStar Health-Georgetown University Research Symposium. Executive Planning Committee.

• MedStar Health Research Scholars, CoDirector.

• MedStar Health Sepsis Advisory Council, Advisory Member.

• National Academy of Medicine (NAM) Forum on Advancing Diagnostic Excellence, Technical Expert.

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SAVE THE DATE CommencementWeekend: May 17, 2025 For more news and events from the School of Health: go here.

MAKE A GIFT Gifts to the School of Health support transformativeteaching, research and scholarship, meaningfully advancing our work dedicated to improving health and the human condition. We invite you to explore the waysin which you may have a direct impact on our community and the next generation of leaders capable of driving positive and effective change for populations acrossthe nations – and around the globe.

To makea gift, pleaseaccessthe following donation form.

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2024 ANNUAL REPORT

WRITERS Jackie Stark

Carole Hemmelgarn

EDITORS Jackie Stark

Angel Phan (Executive Assistant,School of Health)

DESIGNERS Jackie Stark

Angel Phan (Executive Assistant,School of Health)

PHOTOGRAPHER

Phil Humnicky (Georgetown University)

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CONTACT US SCHOOL OF HEALTH 3700 ReservoirRd NW St. Mary’sHall Washington,D.C. 20057

Executive Master’s in Clinical Quality, Safety & Leadership Phone/

+1 410-772-6686 Email/

emcqsl@georgetown.edu Website/

www.emcqsl.Georgetown.edu georgetown-university-emcqsl

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