Faculty

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Keynote Speakers

 

James B. Conway, MS
Former Senior Vice President
Institute for Healthcare Improvement
Former Chief Operating Officer and Executive Vice President
Dana-Farber Cancer Institute

Jim Conway served as an adjunct lecturer at the Harvard School of Public Health in Boston from 2006-2016. From 2006-2009 he was Senior Vice President of the Institute for Healthcare Improvement (IHI) and from 2005-2011, Senior Fellow. During 1995-2005, he was Chief Operating Officer and Executive Vice President of Dana-Farber Cancer Institute, Boston. Prior to joining DFCI, he had a 27-year career at Children’s Hospital, Boston in Radiology Administration, Finance, and as Assistant Hospital Director. A frequent lecturer and writer, his areas of expertise and interest include governance and executive leadership, patient safety, change management, crisis management, and patient-/ family-centered care.

He holds a Master of Science degree from Lesley College, Cambridge, MA. Jim is the winner of numerous awards including the 1999 ACHE Mass. Regents Award, the 2001 first Individual Leadership Award in Patient Safety by the Joint Commission on Accreditation of Healthcare Organizations and the National Committee for Quality Assurance. In 2008, he received the Picker Award for Excellence in the Advancement of Patient Centered Care, in 2009 the Mary Davis Barber Heart of Hospice Award from the Massachusetts Hospice and Palliative Care Federation, and in 2012, the Institute for Patient and Family Centered Care Leadership Award, the first Honorary Fellowship of the National Association for Healthcare Quality, the Honorary Fellowship [First], National Association for Healthcare Quality and the Massachusetts Health Council Award for Contributions. The Mass Health and Hospital Association in 2016 presented him their MHA Trustee Excellence in Leadership Award.

A Lifetime Fellow of the American College of Healthcare Executives, he has served as a Distinguished Advisor to the Lucian Leape Institute for the National Patient Safety Foundation. IOM Committee service has included Identifying and Preventing Medication Errors, a Learning Healthcare System, and Optimizing Access and Scheduling. Current Board service includes: board member, Winchester Hospital/Lahey Health; and board member & chair of the Quality of Care Committee, Lahey Health System.

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Thomas H. Lee, MD, MSc 
Chief Medical Officer
Press Ganey Associates, Inc.
Professor of Medicine, Part-time, Harvard Medical School
Professor of Health Policy and Management, Harvard T.H. Chan School of Public Health

Dr. Lee is Chief Medical Officer for Press Ganey Associates, Inc. As CMO, Tom is responsible for developing clinical and operational strategies to help providers across the nation measure and improve the patient experience, with an overarching goal of reducing the suffering of patients as they undergo care, and improving the value of that care. In addition to his role with Press Ganey, Tom, an internist and cardiologist, continues to practice primary care at Brigham and Women’s Hospital in Boston. Prior to assuming his role at Press Ganey, he was Network President for Partners Healthcare System, the integrated delivery system founded by Brigham and Women’s Hospital and Massachusetts General Hospital. He is a graduate of Harvard College, Cornell University Medical College, and Harvard School of Public Health. Dr. Lee is also a Professor (Part Time) of Medicine at Harvard Medical School and Professor of Health Policy and Management at Harvard T.H. Chan School of Public Health.

Tom is Chairman of the Board of Geisinger Health Plan, and a Director of Geisinger Health System; a member of the board of directors at Health Leads; the Board of Overseers of Weill Cornell Medical College; the Special Medical Advisory Group (SMAG) of the Veterans Administration; and the Panel of Health Advisors of the Congressional Budget Office. He also serves as a member of the Editorial Board of The New England Journal of Medicine, and the leader of its new initiative on health care delivery, NEJM Catalyst.

Tom frequently lectures on the patient experience and strategies for improving the value of health care, and has authored more than 260 academic articles and three books, including Chaos and Organization in Health Care and Eugene Braunwald and the Rise of Modern Medicine. In November 2015, Tom released his third book, An Epidemic of Empathy in Healthcare: How to Deliver Compassionate, Connected Patient Care That Creates a Competitive Advantage, published by McGraw-Hill.

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Patricia McGaffigan, RN, MS, CPPS
Chief Operating Officer and Senior VP of Programs 
National Patient Safety Foundation

Patricia McGaffigan is the Chief Operating Officer and Senior VP of Programs at the National Patient Safety Foundation, where she previously served as Interim President. Her prior experience includes clinical practice, academia, and leadership roles in education and marketing positions for several start-up and established medical device companies focused on improving patient safety.

Patricia is a Certified Professional in Patient Safety, a graduate of the AHA-NPSF Patient Safety Leadership Fellowship Program, and a member of the American Society for Professionals in Patient Safety. She was awarded the distinguished Lifetime Member Award from the American Association of Critical Care Nurses. She serves on a wide range of national committees related to safety and is a Board of Director for Medically Induced Trauma Support Services. Patricia received her BS with a major in Nursing from Boston College, and her MS with a major in Nursing from Boston University.

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Ellen M. Zane, MA
Former President and Chief Executive Officer
Tufts Medical Center and Floating Hospital for Children
Assistant Professor in the Department of Medicine, Division of Clinical Care Research, and Assistant Professor of Public Health & Community Medicine
Tufts University School of Medicine

Ellen Zane is a nationally renowned health care leader who retired as President & Chief Executive Officer of Tufts Medical Center and the Floating Hospital for Children in late 2011. She was the first woman to run the hospital in its 221-year history. The hospital employs more 5,000 doctors, nurses, researchers, and other healthcare workers, includes Floating Hospital for Children, and has 450 beds. Ellen remains involved at Tufts Medical Center as a vice chair of the Board of Trustees. Ellen holds two faculty appointments at Tufts University School of Medicine including: Assistant Professor in the Department of Medicine, Division of Clinical Care Research and Assistant Professor of Public Health & Community Medicine. Additionally, Ellen holds a faculty appointment as Adjunct Assistant Professor of Health Policy and Management at the Harvard T.H. Chan School of Public Health. For the period of 2011 to 2013, Ellen was a Distinguished Guest Lecturer in Healthcare Administration at the Sawyer Business School at Suffolk University.

From 1994 to 2004, Ellen held the position of Network President for Partners HealthCare System, Inc. In this capacity, she was responsible for the development of a provider network featuring the Harvard affiliated Massachusetts General Hospital and Brigham & Women's Hospital. The network encompassed 5600 physicians and represented $800+ million of managed care revenue. Today, this entity represents one of the largest physician networks in America. Prior to that, Ellen was the Chief Executive Officer at Quincy Hospital in Quincy, Massachusetts. In this capacity, Ellen was an employee of HCA and then Quorum Health Resources.

Ellen holds an Advanced Professional Director Certification from the American College of Corporate Directors, has a Bachelor of Arts degree from the George Washington University in Washington, D.C. and has a Master of Arts degree from the Catholic University of America in Washington. She holds the following honorary degrees: Doctorate of Commercial Science from Bentley University, Doctorate of Business Administration from Stonehill College; and Doctorate of Humane Letters from Curry College. Ellen is currently a Director of Boston Scientific Corporation (NYSE: BSX); Brooks Automation (NASDAQ-BRKS); and Parexel International (NASDAQ-PRXL). She is a Director of AgNovos Healthcare, LLC in New York, NY; a Director of the National Association of Corporate Directors New England Chapter and Vice Chair of the Board of Trustees at George Washington University, Washington, DC. Ellen is also the current Chair of the Board of Wellforce (Parent Board of Tufts Medical Center) and Chair of the Board of Minuteman Health (a health plan focused on individual and small group health insurance in Massachusetts and New Hampshire. Ellen is a former Director of Haemonetics Corporation (NYSE: HAE); a former Director of Lincare Holdings, Inc. (NASDAQ-LNCR); former Director of Press Ganey (NYSE-PGND); a former Director of Variagenics, Inc. (NASDAQ-VGNX), a Cambridge, Massachusetts biotech public company focused on pharmacogenomics; a former member of the Board of Overseers at the Tufts University School of Medicine; a former Chair of the Board of the Massachusetts Hospital Association; a former Trustee of Northeastern University; and also a former Director of the John F. Kennedy Library Foundation. From 1996 to 2001, Ellen was a member of the Board of Governors at the Warren Grant Magnuson Clinical Center (national hospital) at the National Institutes of Health in Washington, DC.

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Session Faculty

  • Shelly Anderson, MPM, Senior Vice President, Strategy and Operations, Brigham Health

    Shelly has combined a 14-year consulting record serving top-rated academic, pediatric and system-based healthcare delivery clients with over five years as an executive in strategy and operations at Brigham and Women’s Hospital where she has effectively led significant program developments, like successfully implementing the full-suite Epic health record in a single day go live, and improving hospital operations efficiency. Shelly was a Partner at Stockamp & Associates, Inc., now a division of Huron Consulting Group, where she led teams in implementing comprehensive revenue cycle and patient flow solutions.  Shelly played a fundamental leadership role in developing the company from approximately 30 members when she joined to over 400 members and $140 million annual revenue at the time of the Huron transaction. During her transition from consulting to healthcare administration, Shelly augmented her consulting experience with a policy management degree from Georgetown University, concentrating her focus on health policy and healthcare reform. Shelly took a strong track record consulting in healthcare reform policy and large-scale solution implementations with multi-million dollar financial returns to Brigham where she continues to advance strategies in active asset management, service line development, network and business development, and structural and focused cost reduction, while overseeing teams skilled in performance improvement, analysis and planning, program management, and data management.

  • Christi Barney, RN, MSN, Director of Patient Safety, Quality, Infection Control and Accreditation, Brigham and Women’s Faulkner Hospital

    Christi Clark Barney RN, MSN is the Director of Patient Safety, Quality, Infection Control and Accreditation at Brigham and Women’s Faulkner Hospital in Boston, MA. She graduated from Purdue University School of Nursing in 1987 and completed her Masters in Psychiatric Nursing at Yale University in 1989. Following graduation from Yale, she moved to Boston and worked at Brigham and Women’s Faulkner Hospital (BWFH) within the Psychiatry Service starting in 1989 as a Clinical Nurse Specialist and then served as the Director of the Psychiatric Partial Hospital Program until 2011. In 2011 she was appointed as the Director of Patient Safety, Quality, Infection Control and Accreditation for BWFH. She credits her background in Psychiatry as foundational in understanding system issues, building working teams to address problems, and in promoting Just Culture principles to evaluate Patient Safety events. She was awarded the BWFH Leadership Award in 2015.

  • Jonathan Baum, MBA, Lead Process Improvement Consultant, Brigham and Women's Hospital

    Jonathan Baum is a Lead Consultant with the Process Improvement Team at Brigham & Women’s Hospital (BWH).  He was in the department from 2007-2011 and rejoined in 2014 after serving as Director of Phlebotomy (Operations) at BWH. He supports the organizations’ quality goals by facilitating, teaching and coaching process improvement. Jonathan has supported quality initiatives in Clinical Lab, Phlebotomy, Inpatient MRI, Outpatient Radiology and Preoperative Testing.

    Prior to Brigham & Women’s Hospital, Jonathan held positions in process improvement and operations management at Johnson & Johnson, EMC Corporation, and Harvard Pilgrim Healthcare. In 2009 he co-founded the Massachusetts Hospital Lean Network which continues to bring together healthcare quality improvement professionals for learning and networking.

  • Jennifer Beloff, RN, MSN, APN, Executive Director of Quality, Department of Quality and Safety, Brigham and Women's Hospital

    Jennifer Beloff is the Executive Director of Quality in the Department of Quality and Safety at Brigham and Women’s Hospital. She is an advanced practice nurse with 16 years of experience in healthcare quality improvement and patient safety. She joined Brigham and Women’s Hospital in August 2008 and is responsible for providing comprehensive direction, project management, and oversight for multiple quality measurement and reporting programs. Particular areas of focus include infection control, disease management, surgical management, and outcomes reporting. Prior to joining Brigham and Women's Hospital, Jennifer worked at Valley Hospital in Ridgewood, NJ (just outside of NY City) as a nurse, nurse practitioner, and clinical quality specialist.

  • Asaf Bitton, MD, MPH, Director of Primary Health Care, Ariadne Labs; Harvard Medical School Faculty
  • Ronald Bleday, MD, Chief of Colon and Rectal Surgery, Brigham and Women’s Hospital; Harvard Medical School Faculty

    Dr. Bleday received his MD degree from McGill University in Montreal. After receiving his degree he completed his general surgery residency at Brown University in Providence, RI before doing colon cancer research at the Dana-Farber Cancer Institute in Boston. His initial research focused on non-CEA markers for colon cancer. Dr. Bleday then continued his specialization by completing a colon and rectal surgery fellowship at the University of Minnesota.  During his career Dr. Bleday has been the principal investigator or contributor to various clinical trials on the use of local excision for the treatment of early rectal cancer and the use of laparoscopy versus open surgery for the treatment of colon cancer. Currently he is collaborating with scientists at Harvard Medical School looking into the basic molecular mechanisms of colon cancer biology and immunology. He has also implemented new protocols for “Enhanced Recovery after Surgery” or “ERAS” and infection reduction for gastrointestinal surgery patients at the Brigham and Women’s Hospital. Dr. Bleday is board certified in both general and colon and rectal surgery. He is a Fellow of the American College of Surgeons and the American Society of Colon and Rectal Surgery. He currently serves on the Board of the Research Foundation of the American Society of Colon and Rectal Surgery. 

  • Kathryn Britton, MD, MPH, Associate Chief Medical Officer; Associate Physician, Cardiology Division, Brigham and Women’s Hospital; Harvard Medical School Faculty

    Kathryn A. Britton, MD, MPH, is Associate Chief Medical Officer at Brigham and Women’s Hospital, a position she assumed in 2016. She specializes in vascular medicine, general cardiology, and sees patients as an Associate Physician within the Cardiovascular Division as well as teaching in the Developing Physician Course at Harvard Medical School. Previously, she served as the Medical Director of Care Transitions within the BWH Department of Quality and Safety. Dr. Britton is charged with improving the quality and experience of clinical care across the care continuum.  

    Dr. Britton is a graduate of Harvard College, Columbia University College of Physicians and Surgeons and Harvard School of Public Health.  She completed internal medicine training at Brigham and Women’s Hospital followed by cardiovascular fellowship at Boston Medical Center and vascular medicine fellowship at Brigham and Women’s Hospital.  

  • Laura Salamone Carr, PharmD, Senior Attending Pharmacist, Transitional Care, Massachusetts General Hospital

    Laura Carr, PharmD, is a Senior Attending Pharmacist specializing in Transitions of Care at Massachusetts General Hospital. Dr. Carr earned her Doctorate of Pharmacy degree from the Massachusetts College of Pharmacy in Boston. She completed her PGY1 pharmacy practice residency at Mass. General Hospital and her PGY2 residency in Ambulatory Care at Coastal Medical in Rhode Island. Dr. Carr’s work has focused on improving the quality and safety of patient care across the healthcare system. She has given presentations at the local and national level on topics including reducing readmissions and improving care transitions. She is a member of the inpatient and outpatient medication reconciliation team and has been involved in several quality improvement, process improvement and care redesign initiatives. In 2014, Dr. Carr was awarded the Practitioners’ Excellence Award by the Massachusetts Society of Health System Pharmacists for recognition of her innovative work in the area of care transitions. Currently, Dr. Carr is leading the implementation of a discharge prescription bedside delivery service and efforts to expand the role of pharmacists and technicians in the discharge process throughout the institution.

  • Amrita Chabria, PharmD, MS, Manager of Ambulatory Pharmacies, Brigham and Women's Hospital

    Amrita Chabria, PharmD, MS is the Manager of the Ambulatory Pharmacies at Brigham and Women’s Hospital. Dr. Chabria received her Doctorate of Pharmacy degree from Northeastern University and her Masters in Pharmacy Administration from the University of Houston. She completed her PGY1 pharmacy practice residency and her PGY2 residency in Pharmacy Administration at St. Luke’s Episcopal Hospital in Houston, TX. Her practice goals are to improve patients’ medication adherence and improve patient outcomes. She is interested in ways to streamline operations in order to optimize both pharmacist and technician roles in Ambulatory Pharmacy. During her time at Brigham and Women’s, Amrita has implemented a Bedside Medication Delivery program, a medication synchronization service, a Zostavax clinic and glucometer teaching service for inpatients at the bedside. 

  • Sree Chaguturu, MD, Vice President, Center for Population Health, Partners HealthCare; Harvard Medical School Faculty

    Sree Chaguturu, MD is Vice President of Population Health Management at Partners HealthCare. Dr. Chaguturu is part of the leadership team focused on insuring that Partners meets its aspirations of improving quality and reducing costs for the populations they serve. He provides oversight to the system’s population health management programs as well as for Partners’ self-insured health plan, which provides health benefits for more than 90,000 beneficiaries. 

    Prior to joining Partners, Dr. Chaguturu was a healthcare consultant at McKinsey and Company and Vice President of the McKinsey Hospital Institute. He is a practicing internal medicine physician at Massachusetts General Hospital. Dr. Chaguturu received his internal medicine and primary care training at Massachusetts General Hospital and received his undergraduate and medical degree from Brown University.

  • Brian Cummings, MD, Associate Chief Quality Officer, Massachusetts General Hospital; Intensivist, Pediatric Medical Services, MassGeneral Hospital for Children; Course Director, Partners’ Clinical Process Improvement Leadership Program, Partners HealthCare

     

    Brian Cummings, MD, is the Course Director for the Partners’ Clinical Process Improvement Leadership Program (CPIP) and a 2013 graduate of the program. His clinical interests and expertise revolve around critically ill infants and children, and he is an attending physician in the Pediatric Intensive Care Unit (PICU) at MassGeneral Hospital for Children (MGHfC). His work in quality and safety has included work as director of Pediatric Inpatient Quality and Safety for MGHfC; director of pediatric transport; medication safety on the MGH pediatric medication safety committee and Partners Pharmacy and Therapeutics Committee; co-chair of the MGH Critical Care Quality and Safety Committee; chair of the pediatric code committee; and medical director of pediatric advanced life support, as well as chair of the pediatric ethics committee.  Dr. Cummings has been recognized twice as Outstanding Teacher of the Year by the pediatric residents. Brian’s current role is as Associate Chief Quality Officer for MGH, working on various process improvement and safety projects and the training of staff in quality improvement.

  • Christian Dankers, MD, MBA, Associate Chief Quality Officer, Brigham and Women's Hospital; Harvard Medical School Faculty

    Dr. Dankers grew up in Monroe, WA and attended Williams College where he studied Philosophy and played soccer. After college, he worked for three years at the Advisory Board Company in Washington D.C., which provides business strategy research and consulting services for hospitals. He then attended the University of Pennsylvania, where he obtained his MD and MBA. He completed internal medicine residency at the Massachusetts General Hospital and remained at the MGH for three years following residency, splitting his time between clinical work as a hospitalist and quality and safety work as a member of the Edward P. Lawrence Center for Quality and Safety. In 2013, Dr. Dankers joined the Department of Quality and Safety at Brigham and Women’s Hospital and currently serves as the Associate Chief Quality Officer. He continues to practice as a hospitalist and is particularly interested in Hospital Acquired Condition reduction and in strengthening safety culture through the application of Just Culture principles.

  • Akshay Desai, MD, MPH, Heart Failure Disease Management Program Director, Cardiovascular Division, Brigham and Women’s Hospital; Associate Professor of Medicine, Harvard Medical School

    Akshay Desai, MD, MPH is the Director of Heart Failure Disease Management in the Advanced Heart Disease Section of the Cardiovascular Division, Brigham and Women’s Hospital and an Associate Professor of Medicine at Harvard Medical School (both in Boston, Massachusetts). He received his undergraduate education at Princeton University, where he graduated Summa Cum Laude in 1992 with an AB in Public and International Affairs. He was subsequently awarded a Rhodes Scholarship for study at Oxford University, where he completed an MPhil in European Politics and Society at Balliol College in 1994. Following on this, he began his medical training at Harvard Medical School where he was awarded the MD degree in 1998. He completed his internship and residency in Internal Medicine at Brigham and Women’s Hospital in 2001 and subsequently elected to pursue fellowship training in Cardiovascular Medicine at the same institution. During the final years of subspecialty training in cardiology, he completed additional fellowship training in Heart Failure and Transplantation under the direction of Dr. Lynne Stevenson. Concurrently, he conducted translational research in vascular medicine and diastolic heart failure under the supervision of Dr. Mark Creager. He was awarded an MPH in 2004 from the Harvard School of Public Health. He currently divides his time between clinical care of patients with advanced heart disease and clinical research in cardiovascular clinical trials, with an emphasis on the pathophysiology, pharmacologic treatment, and ambulatory management of patients with heart failure.

  • Sonali Desai, MD, MPH, Rheumatologist, Medical Director of Ambulatory Patient Safety, and Medical Director of Quality in the Department of Medicine, Brigham and Women's Hospital; Harvard Medical School Faculty

    Dr. Desai is an Assistant Professor of Medicine at Harvard Medical School (HMS) and her contributions at Brigham and Women’s hospital (BWH) include clinical care, research, administrative, and teaching roles. She sees complex rheumatology patients at the BWH Arthritis Center, a busy, tertiary care referral practice with both local and regional referrals, and at the BWH Fish Center for Women’s Health. Investigation is also a significant activity for Dr. Desai, with 16 peer-reviewed and 5 other publications, supported through her MPH degree from the Harvard School of Public Health. Dr. Desai serves as the Director of Quality for the Department of Medicine (DOM) with five years of practical experience working directly with all 11 divisions within the DOM to select, measure, and improve performance on quality metrics. She is the Director of Ambulatory Patient Safety at BWH, working with the Patient Safety team to: 1) enhance the safety culture; 2) improve feedback to staff who file safety reports; 3) increase rates of medication reconciliation; and 4) develop a closed-loop framework for key cancer-related test results. An executive education course at Harvard Business School (2011-2012) designed for clinicians at BWH has provided Dr. Desai with additional leadership skills. Lastly, Dr. Desai is the Program Director for the Safety, Quality, Informatics and Leadership (SQIL) Program at Harvard Medical School, an innovative blended-learning, master’s level certificate course for global students with the goal of preparing the next generation of leaders in healthcare.

  • John Fanikos, RPH, MBA, Executive Director of Pharmacy Services, Brigham and Women’s Hospital

    John Fanikos, MBA, RPh, is the Executive Director of Pharmacy Services at Brigham and Women's Hospital (BWH) in Boston, Massachusetts. Mr. Fanikos also serves as Adjunct Professor of Clinical Pharmacy Practice at the Massachusetts College of Pharmacy and Health Sciences University (MCPHS--formerly MCP). He earned his Bachelor of Science degree in pharmacy at MCP and his Master of Business Administration degree at Northeastern University. He completed an American Society of Health-System Pharmacists (ASHP)-accredited residency at BWH.

    Mr. Fanikos has served in a number of different roles at BWH, including investigational drug pharmacist, inpatient and outpatient pharmacy supervisor, clinical preceptor, and pharmacy administrator. While fulfilling these roles, he has worked with patients on orthopedic, oncology, cardiology, and general medicine units. For the past 20 years, he has worked closely with the BWH Thromboembolism Research Group, and he has authored and co-authored many articles and textbook chapters on anticoagulant and antiplatelet medications. His research focus has been identifying and avoiding the problems and pitfalls of their use. John is a member of the National Comprehensive Network (NCCN) panel that crafts guidelines for the treatment and prevention of thromboembolic disease. He serves as the treasurer and sits on the Board of Directors for the North American Thrombosis Forum (NATF), a non-profit organization that provides a platform for those interested in thrombotic disorders to enhance disease education, awareness, advocacy, research, and prevention. He also serves on the Board of Directors for the Hospital Quality Foundation (HQF). Similarly, the HQF is a 50C3 charitable organization dedicated to improving the quality of healthcare by supporting the development and delivery of education related to medical practice.

    Mr. Fanikos is Past President of the Massachusetts Society of Health-System Pharmacists. Both his father and brother are pharmacists, which makes him aware of many of the issues challenging the medical professions today.  

  • Karen Fiumara, PharmD, BCPS, CPPS, Executive Director of Patient Safety, Department of Quality and Safety, Brigham and Women's Hospital

    Karen Fiumara is the Executive Director of Patient Safety at Brigham and Women’s Hospital (BWH), in Boston, Massachusetts. She received her PharmD from Massachusetts College of Pharmacy in 2002, and completed her residency in pharmacy practice at Brigham and Women’s Hospital in 2003. She held the position of Medication Safety Officer and managed the Anticoagulation Management Service at Brigham and Women’s Hospital, overseeing the care of 3,000 patients. She works as Clinical Pharmacy Consultant for the New England Journal of Medicine and has authored papers in the fields of medication safety, adverse drug events, and anticoagulation.

  • Patricia Folcarelli, RN, PhD, MA, Interim Vice President for Health Care Quality, Beth Israel Deaconess Medical Center

    Patricia H. Folcarelli is the Interim Vice President for Health Care Quality at Beth Israel Deaconess Hospital. In this role she is responsible for the oversight of Patient Safety, Risk Management, Patient Relations, Performance Assessment and Regulatory Compliance, Credentialing, Ethics Services, Infection Control and Hospital Epidemiology, Emergency Management and the Professional Staff Office. Pat received her BS in Nursing from Hunter College of the City University of New York, and an MA. and PhD from New York University. Pat serves on the board of the Massachusetts Coalition for the Prevention of Medical Errors, the Massachusetts Society for Healthcare Risk Management and on the quality and safety board for Mercy, a health system in St. Louis. Pat is the board chair for Medically Induced Trauma Support Services (MITSS).  

  • Rob Forsberg, MBA, Director of Decision Support Systems, Brigham and Women’s Hospital

    Rob Forsberg is the Director of Decision Support Systems in the Analytics, Planning and Process Improvement at Brigham and Women’s Hospital. He has been working in the field of data warehousing and business analytics for over 15 years in both the retail and healthcare industries. Rob led the development of Dana-Farber Cancer Institute’s integrated clinical and operational data warehouse, which reports on hospital operations, quality, safety, and outcomes measures and remains broadly used across Dana-Farber today. He has been with Brigham and Women’s Hospital for four years and is currently working to reshape Brigham and Women’s analytical platform to streamline data accessibility and increase adoption and usage across BWH. Rob has an MBA from Boston University and is passionate about leveraging data to improve hospital performance for operations, quality and patient satisfaction. 

  • Sarah Gardent, MBA, Director of Service Excellence and Special Projects, Brigham and Women’s Faulkner Hospital

    Sarah Gardent is the Executive Director of Patient Experience at Brigham and Women’s Hospital where she is responsible for developing, leading, and modifying the organizational approach to excellence in patient, family, and guest services. She has spent eight years in the Brigham Health family, including five years as the Director of Service Excellence and Special Projects at Brigham and Women’s Faulkner Hospital. She received her MBA from Cornell University and BA in Psychology from the University of New Hampshire. 

  • Tayla Hough, Patient Safety Consultant, Brigham and Women’s Faulkner Hospital

    Tayla Hough is the Patient Safety Consultant for Brigham and Women’s Faulkner Hospital (BWFH). Hough graduated from Providence College in 2014, where she received her Bachelor of Science Degree in Health Policy and Management, and since has been a member of the Patient Safety Department at BWFH. Hough plays a key role in managing the hospital’s safety event reporting system, RL Solutions. She is responsible for any system improvements, data integrity issues, as well as analyzing any safety trends. Hough also co-develops BWFH’s weekly patient safety newsletter, Last Week in Patient Safety, which highlights events from the previous week and any good catches made by staff members. Hough is also a part of various other quality and patient safety initiatives.

  • McGuire Kelly, Process Improvement Consultant, Brigham and Women's Faulkner Hospital

    McGuire Kelly is a Consultant in Process Improvement (PI) at Brigham and Women's Faulkner Hospital (BWFH). She joined the PI team in May 2016 to support the organization in maximizing operational efficiencies and assist in process improvement projects. Prior to joining BWFH, she worked for ProHealth Physicians as a Process Improvement Coach, where she led, facilitated and supported cross-functional teams to redesign and improve operational processes using Lean and Six Sigma methodologies.

    McGuire earned her Green Belt in Lean and Six Sigma through an initiative that aimed to improve compliance rates to enable participation in shared savings programs and better manage population health. She graduated from the University of Connecticut with a degree in Health Systems Communications.

  • Michael Klompas, MD, MPH, FIDSA, FSHEA, Associate Hospital Epidemiologist, Brigham and Women’s Hospital; Harvard Medical School Faculty

    Dr. Michael Klompas is an Associate Professor at Harvard Medical School and Associate Hospital Epidemiologist at Brigham and Women’s Hospital in Boston. He attends on the infectious disease and internal medicine services. He has published widely on ventilator-associated pneumonia, sepsis, and public health surveillance using electronic health record data. 

  • Adam Landman, MD, MS, MIS, MHS, Chief Information Officer, Brigham Health; Harvard Medical School Faculty

    Adam Landman, MD, MS, MIS, MHS is Chief Information Officer at Brigham Health, Assistant Professor of Emergency Medicine at Harvard Medical School, and an attending emergency physician at Brigham and Women’s Hospital (BWH). He is an expert in information systems development and implementation. He led a three-year, $7 million custom software development project to move BWH Emergency Department clinicians from paper-based to electronic documentation. Recently, he helped oversee the implementation of Epic and several critical laboratory information systems. Dr. Landman also created the BWH Digital Health Innovation Group to spur hospital use of digital technology as well as facilitate appropriate use of digital tools by clinicians, innovators, and researchers. As CIO, he is currently responsible for the stabilization and optimization of the EHR, all other hospital information systems, and digital health innovation.

  • Susan Langill, RN, LDN, Senior Area General Manager, Sodexo Food Services, Brigham Health

    Susan Langill oversees Food Services at Brigham and Women’s Hospital and Food & Nutrition Services at Brigham and Women’s Faulkner Hospital. Langill, a Registered Dietitian, graduated from Cornell University with a degree in Nutritional Sciences and has 25+ years experience managing nutrition and food services in healthcare organizations. She earned a Green Belt in Lean in 2010, is a Lean instructor, and incorporates Lean practices in her department operations to enhance quality, drive satisfaction and improve financial performance.

  • Karl Laskowski, MD, MBA, Associate Medical Director, Brigham and Women’s Physicians Organization; Harvard Medical School Faculty

    Karl Laskowski, MD, MBA, is Associate Medical Director at the Brigham and Women’s Physicians Organization (BWPO) and Instructor in Medicine at Harvard Medical School. In his leadership role at the Physicians Organization, Dr. Laskowski focuses on engaging clinicians in innovation, care redesign, and value improvement. Among other efforts, he created and continues to lead a grassroots incubator to support and evaluate local care redesign efforts (BCRISP), co-directs the BWPO process improvement training course, and leads efforts engaging in novel bundled contracting arrangements.

    Dr. Laskowski is a graduate of Yale University School of Medicine and Harvard Business School, and trained in Internal Medicine at Brigham and Women’s Hospital where he continues to have an active clinical practice.

  • Ed Liston-Kraft, PhD, LICSW, Vice President of Professional and Clinical Services, Brigham and Women’s Faulkner Hospital

    Edward Liston-Kraft, PhD, LICSW, has served as Vice President of Professional and Clinical Services at Brigham and Women’s Faulkner Hospital since 2003. In this role, he oversees Psychiatry; Addiction; Neurology; Pathology/Laboratory; Emergency Department/Emergency Preparedness; Social Work; Interpreter Services; Case Management; Chaplains; Performance Improvement; Quality, Patient Safety, Infection Control, and Clinical Compliance; Risk Management/Credentialing; and Community Health and Wellness. Liston-Kraft’s recent projects have included overseeing the PHS Pay-for-Performance program, the Cultural Competency Committee and its educational initiative, the Just Culture training program and the Young Professionals group. He has also focused on completing the BWHC credentialing integration, an addiction inpatient and ambulatory restructuring plan, and an ambulatory behavioral health renovation and expansion. Liston-Kraft has been with Brigham and Women’s Faulkner Hospital since 1985 in various roles. He has been Assistant Vice President of Behavioral Health Services, Director of Behavioral Health Services, Director of Social Work and Psychiatric Support Services, Director of the Department of Social Work, and Chief Psychiatric Social Worker. He earned his BSW in social work from Salem State College and his MSW in social work from Simmons College. Liston-Kraft later completed his PhD in social work at Boston College. He is a member of the National Association of Social Workers.

  • Claire Massero, MS, Senior Consultant, Process Improvement, Brigham and Women's Faulkner Hospital

    Claire joined the Process Improvement Team in 2014 to aid in the Organizational Readiness activities for Partners eCare as well as various PI projects. She helped with the Super User program development and organization during pre and post go-live of Partners eCare. Prior to joining Brigham and Women's Hospital, she worked for UMass Memorial Health Care as a Process Improvement Specialist, where she coached, trained, and facilitated numerous PI projects using Lean methodologies throughout the organization. Her background is in Industrial Engineering, with her Master of Science earned from Northeastern University.

  • Casey McGrath, RN, MSN, Lead Quality Program Manager, Department of Quality and Safety, Brigham and Women's Hospital

    Casey earned her Bachelor of Science in Nursing and Masters of Science in Nursing degrees from Endicott College. Prior to joining the Department of Quality and Safety in 2013, she worked as a Staff Nurse on the Intermediate Neuroscience Unit at Brigham and Women’s Hospital (BWH). Casey has worked closely with the Institute for Healthcare Improvement (IHI) Open School as well as Sigma Theta Tau Chi Epsilon members on quality improvement projects. At BWH, Casey currently oversees the newly created Clinical Care Pathways Department, project manages the Brigham Surgical Quality Redesign (BSQUARED) Program, and chairs the Catheter Associated Urinary Tract Infection Prevention (CAUTI) Task Force.  Casey also focuses on improving perinatal care, acute myocardial infarction care, and chest pain care as well as preventing neonatal bloodstream infections.  Additionally, Casey works on many Partners HealthCare quality improvement initiatives.

  • Mallika Mendu, MD, MBA, Attending Physician and Director of Quality and Process Improvement, Renal Division, Brigham and Women’s Hospital; Assistant Medical Director of Quality and Patient Safety, Brigham and Women’s Hospital; Assistant Medical Director of Partners Population Health Management-Specialty Care

    Mallika Mendu is Assistant Medical Director for Quality and Safety at Brigham and Women's Hospital. Dr. Mendu is also a practicing nephrologist and part of the Partners Population Health Management Team. She received her MD and MBA degrees from the Yale School of Medicine and Yale School of Management. During her internal medicine residency at Brigham and Women’s Hospital, she was involved in the Medicine Management Leadership Track and developed an interest in addressing system-level deficiencies in quality and care delivery by implementing innovative interventions. She pursued nephrology fellowship at Brigham and Women’s and Massachusetts General Hospital, and conducted research related to quality improvement. Dr. Mendu’s responsibilities are focused on mortality review and transitions of care.

  • Lisa Morrissey, PhD, DNP, MBA, RN, NEA-BC, Interim Chief Nursing Officer and Senior Vice President, Patient Care Services, Brigham and Women's Hospital

    Lisa Morrissey, DNP, MBA, RN, NEA-BC has been serving as interim chief nursing officer and senior vice president of Patient Care Services since October 2016. Morrissey joined Brigham and Women’s Hospital in 2013 as associate chief nurse of Peri-Procedural Areas at BWH, Foxborough, and 850 Boylston St.   She has overseen nursing practice in Perioperative Services, Cardiovascular Diagnostic Interventional Center, Interventional Radiology, and the Pain Clinic, Endoscopy, and Ambulatory Day Surgery at multiple BWH sites. Prior to joining BWH, she served as director of Nursing for the Operating Rooms at MGH,preceded by a decade at Beth Israel Deaconess Hospital.

  • Elizabeth Mort, MD, MPH, Senior Vice President of Quality and Safety, Chief Quality Officer, and Internist, Massachusetts General Hospital and Massachusetts General Physicians Organization; Harvard Medical School Faculty

    Dr. Mort has over fifteen years of experience in executive administrative roles in the academic medical center and integrated delivery setting. Her areas of expertise include healthcare quality measurement, quality and safety improvement, managed care medical management strategies, pay for performance contracting, and hospital operations. At Massachusetts General Hospital (MGH) she oversees the Center for Quality & Safety and is responsible for high-stakes quality and safety measurement and improvement work across a broad range of initiatives for MGH/Massachusetts General Physicians Organization (MGPO) and plays a leadership role in Q&S across the MGH family of hospitals. In her recent role at Partners HealthCare as Senior Medical Director, she played leadership roles on system-wide initiatives related to quality, safety, contracting and pay for performance.

    Dr. Mort completed her residency in primary care internal medicine at MGH in 1986 followed by two fellowship years at the Department of Health Care Policy at Harvard Medical School. She also completed a Masters in Public Health at the University of Michigan in 1982, which focused on Health Planning and Administration as well as Population Planning. Dr. Mort is currently an Assistant Professor in both the Departments of Medicine and Health Care Policy at Harvard Medical School.

  • Caitlin Murphy, MPH, Clinical Pathways Program Manager, Department of Quality and Safety, Brigham and Women’s Hospital

    Caitlin is the Program Manager of the newly created Clinical Pathways program at Brigham and Women’s Hospital (BWH). She is responsible for working with surgical specialties to develop, implement, and sustain clinical pathways based on the best known practices in order to reduce length of stay, infection rates, and readmissions. Caitlin first joined BWH as a process improvement consultant in 2015 after completing her Master’s degree in Public Health at Boston University where she concentrated in Healthcare Policy and Management with a focus on management. Caitlin earned her Green Belt in Lean management through an initiative to improve hand washing compliance in an ICU setting and completed the Institute for Healthcare Improvement Practicum Certificate through a quality improvement project focused on reducing length of stay for newborns. Caitlin earned her BS in chemistry at Boston College.

  • Keith Murphy, Director of Process Improvement, Brigham and Women’s Hospital

    Keith Murphy is the Director of Process Improvement at Brigham and Women’s Hospital.  In this role, Murphy is developing and implementing BWHC process improvement strategies, in addition to overseeing multidepartment improvement projects in the areas of service excellence, quality and safety, operational efficiency, cost management and clinical care redesign. He also leads efforts to train and coach BWHC staff about the role of process improvement and the tools for implementing it.  Before coming to the Brigham, Murphy served as the director of Lean Thinking at South Shore Hospital. He and his team partnered with managers, directors and senior leaders to implement process changes that drove improvements in quality, safety, service and financial performance.

  • Peter Najjar, MD, MBA, General Surgery Resident, Harvard Medical School; Senior Quality Consultant, Department of Quality and Safety, Brigham and Women's Hospital

    Peter Najjar is a Senior Quality Consultant in the Department of Quality and Safety at Brigham and Women's Hospital. He plays an active role in hospital operations through the Departments of Surgery and Quality and Safety. His academic focus is around the measurement and improvement of healthcare value at the hospital level – encompassing both the cost and quality of clinical care. Peter is also clinically active as a Resident in Surgery. He attended the University of California, Davis before completing his MD at the University of Chicago and MBA at Harvard Business School.

  • Stuart Pollack, MD, Medical Director, South Huntington Primary Care, Brigham and Women's Hospital; Harvard Medical School Faculty

    Stuart Pollack has been medical director at Brigham and Women’s Advanced Primary Care Associates, South Huntington since its creation in 2011. Designed around a culture of a patient-engaging, continuous-learning, truly integrated multidisciplinary team, the practice is a Level 3 NCQA (National Committee for Quality Assurance) Patient-Centered Medical Home, was awarded the 2014 Society of General Internal Medicine Quality and Practice Innovation Award, and was featured in “In Search of Joy in Practice: A Report of 23 High-Functioning Primary Care Practices.”

    A practicing general internist for 25 years, Dr. Pollack spent most of his early career at the Fallon Clinic (now Reliant Healthcare) where he was regional medical director and chair of general internal medicine. With a background in process improvement, he became interested in the future of primary care—what it will look like in the trenches, and what it will take to return it to its status as the healthcare career of choice—which brought him to Brigham and Women’s in 2008.

  • John Rossi, MBA, Lead Process Improvement Consultant, Brigham and Women's Hospital

    John Rossi is a Lead Consultant with the Process Improvement Team at Brigham and Women’s Hospital. He joined the team in 2007. He supports the organization in maximizing operational efficiency and achieving service excellence. In doing so, he uses expertise in the art and science of improvement and change management, acting as advisor, facilitator, instructor and coach. He helped to develop the Lean Practitioner program, which is designed to teach leaders how to engage frontline staff in process improvement initiatives within their own local areas.

    Prior to his current position, John developed his skills in process improvement with New England Medical Center, Miriam Hospital, Haricomp (consulting service to Rhode Island hospitals), Harvard Community Health Plan and finally Neighborhood Health Plan, where he founded and led the Performance Improvement Team for Community Health to bring consulting services to Massachusetts health centers.

  • Kristen Sampson, MBA, MEd, Senior Process Improvement Consultant, Brigham and Women’s Hospital

     
    Kristen Sampson, MBA, MEd, is a Senior Consultant with the Process Improvement team at Brigham and Women’s Hospital (BWH) in Boston. Kristen works with clinical and operational leaders on strategy deployment and management system implementation, and coaches leaders and staff to apply lean principles to identify and solve performance gaps. Prior to BWH, Kristen led process improvement projects at Atrius Health, based in Newton, MA, and Providence (RI) Public Schools, as part of a 2-year “residency” program with The Broad Center, based in Los Angeles, CA.

    Kristen’s background covers health care economics, financial analysis and operations in the healthcare field, with positions at Oxford Health Plans / United Healthcare, Harvard Pilgrim Health Care and Atrius Health. Kristen’s interests include strategy implementation, management system design and working with teams to achieve transformative financial and operational goals through lean process improvement.

  • Katherine Santos, Director of Service Excellence and Performance Improvement, Brigham and Women's Faulkner Hospital

    Katherine S. Santos is the Director of Service Excellence and Performance Improvement (PI) at Brigham and Women’s Faulkner Hospital (BWFH). She is charged with overseeing the organizational strategies for improving the patient/family experience and clinical and operational excellence at BWFH. A key focus is leading and facilitating efforts that enhance and support a culture and environment of service excellence, patient- and family-centered care, and continuous improvement. Working with senior leadership, she supports the establishment, facilitation, tracking, and achievement of annual strategic goals. She also develops and teaches courses on Lean, process improvement, and change management for leaders and employees of Brigham Health.

    Prior to joining BWFH in 2012, Katherine worked for nine years in PI at Brigham and Women’s Hospital. Katherine earned her Bachelor of Arts in Chemistry from Harvard. She is trained in Lean, Kaizen, Work-Out, and Change Acceleration Process by GE Healthcare Performance Solutions.

  • Jo Shapiro, MD, FACS, Director of the Center for Professionalism and Peer Support; Surgeon, Department of Surgery, Brigham and Women's Hospital; Harvard Medical School Faculty

    Dr. Shapiro is the director of the Center for Professionalism and Peer Support and a surgeon in the Department of Surgery at the Brigham and Women’s Hospital (BWH) in Boston and an Associate Professor of Otolaryngology at Harvard Medical School. Dr. Shapiro launched the BWH Center for Professionalism and Peer Support in 2008. Since that time the Center has become a model for institutions seeking methods to enhance teamwork and respect and looking to help mitigate the epidemic of burnout that is plaguing the medical profession. She was recently appointed Honorary Professor of Professional Behavior and Peer Support in Medicine through the academic track at Groningen University Medical Center in The Netherlands. She serves on the Ethics and Professionalism Committee of the American Board of Medical Specialties and was invited to serve as Committee Chairperson.

    As a clinician leader Dr. Shapiro served as Chief of the Division of Otolaryngology at BWH from 1999 through March of 2016; she continues to maintain a surgical practice in the Division, specializing in oropharyngeal swallowing disorders. She is involved in global health medical education and training, serving as Visiting Professor and Otolaryngology Residency Program Advisor for Mbarara University of Science and Technology in Uganda. Dr. Shapiro received her BA from Cornell University and her MD from George Washington University Medical School. Her general surgery training was at University of California, San Diego and then UCLA. She did her otolaryngology training at Harvard followed by a year of a National Institute of Health Training Grant Fellowship in swallowing physiology. She has been a faculty member in the Department of Surgery at BWH since 1987. She is married to an internist, and they have three children. 

  • Katelyn Sylvester, PharmD, CACP, BCPS, Anticoagulation Services Pharmacy Manager, PGY1 Pharmacy Residency Coordinator, Department of Pharmacy, Brigham and Women’s Hospital

    Katelyn W. Sylvester, PharmD, CACP, BCPS, is a Pharmacy Manager at Brigham and Women’s Hospital in Boston, Massachusetts. Katelyn is responsible for managing the outpatient anticoagulation management service, inpatient hemostatic and antithrombotic stewardship program, ambulatory advance practice pharmacists and PGY1 residency program. Previously Katelyn was a clinical specialist focusing in emergency medicine, cardiology and anticoagulation management. Katelyn continues to have an active role in clinical research, multi-disciplinary education and guideline development. Katelyn is an Adjunct Associate Professor of Pharmacy at Northeastern University and the Massachusetts General Hospital Institute of Health Professionals Physicians Assistant program. She serves on several hospital and department committees and has an active role as a mentor and preceptor with the pharmacy department. Katelyn received her Doctor of Pharmacy degree at Northeastern University and completed post graduate residency training at Brigham and Women’s Hospital. 

  • Catherine Ulbricht, PharmD, MBA, CPPS, Director of Clinical and Academic Programs, Patient Safety, Brigham and Women's Hospital

    Catherine (Kate) Ulbricht, PharmD, MBA, CPPS received a Bachelor of Science degree from University of Connecticut, Doctorate of Pharmacy from Massachusetts College of Pharmacy and Allied Health Sciences, and Master in Business Administration from Northeastern University. Kate has served as a Senior Attending Clinical Pharmacist at Massachusetts General Hospital and Assistant Professor at multiple universities since 1996. She founded an international research collaboration providing evidence-based decision support tools promoting patient safety. Her publications include hundreds of peer-reviewed scientific articles, book chapters and texts. Kate helps propel Brigham and Women's Hospital Joint Commission/National Patient Safety Goals, transparency, and related educational efforts forward.

  • Neil Wagle, MD, MBA, Associate Chief Quality Officer, Partners HealthCare; Harvard Medical School Faculty

    Dr. Wagle is the Associate Chief Quality Officer at Partners HealthCare, leading the system’s efforts on Ambulatory Quality within the Division of Quality Safety and Value and the Center for Population Health. He is an international expert on Partners' Patient Reported Outcomes Measurement program, and has led the Partners program through hundreds of thousands of data collections across dozens of specialties throughout the Partners network. He is a leading voice for the transition to more clinically relevant quality measures including the use of clinical registries, working to transform quality measurement to something that enhances rather than distracts from the essence of clinical care.

    He earned his bachelor’s degree in biochemistry magna cum laude from Harvard University and received his MD from Harvard Medical School cum laude in the Harvard/MIT Division of Health Sciences and Technology, where he was awarded a Howard Hughes Fellowship. After his experience in two startup ventures, he earned an MBA with High Distinction from Harvard Business School as a Baker Scholar, where he focused on healthcare management. Dr. Wagle practices primary care at Brigham and Women’s Primary Physicians.

  • Scott Weiner, MD, MPH, FACEP, FAAEM, Attending Physician and Assistant Clinical Director, Department of Emergency Medicine; Program Director, Brigham Comprehensive Opioid Response and Education (B-CORE), Brigham and Women’s Hospital; Harvard Medical School Faculty

    Scott G. Weiner is an Attending Emergency Physician and Assistant Clinical Director in the Department of Emergency Medicine at Brigham and Women’s Hospital in Boston. He is the Director of B-CORE:The Brigham Comprehensive Opioid Approach and Education Program. Dr. Weiner completed his residency training at the Harvard-Affiliated Emergency Medicine Program at Beth Israel Deaconess Medical Center and his MPH degree at Harvard School of Public Health.  He is President-Elect of the Massachusetts College of Emergency Physicians. His research focuses on technological innovations that improve the care of ED patients presenting with pain, including usage and optimization of online prescription drug monitoring programs (PDMPs) and tablet-based screening tools.

  • Adam Wright, PhD, Senior Scientist, Brigham and Women’s Hospital; Harvard Medical School Faculty
  • Deborah Yokoe, MD, MPH, Hospital Epidemiologist and Medical Director of Infection Control, Brigham and Women's Hospital and Dana-Farber Cancer Institute; Harvard Medical School Faculty

    Dr. Yokoe is a member of the Infectious Diseases division of the Brigham and Women’s Hospital (BWH) Department of Medicine, the Hospital Epidemiologist and Medical Director of Infection Control at BWH and Dana-Farber Cancer Institute (DFCI), and an Associate Professor of Medicine at Harvard Medical School. Her research has focused on the development and evaluation of streamlined and reliable methods for performing surveillance for healthcare-associated infections, particularly surgical site infections (SSI), and she is an investigator in the CDC’s Prevention Epicenters research program.

    She is a member of the U.S. Department of Health and Human Services’ Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Massachusetts Department of Public Health Technical Advisory Group that provides oversight for the statewide mandatory reporting and healthcare-associated infection prevention program. Dr. Yokoe co-led the creation of the Society for Healthcare Epidemiology of America (SHEA)- and Infectious Disease Society of America (IDSA)-sponsored documents titled “A compendium of strategies to prevent healthcare-associated infections in acute care facilities,” which were published in October of 2008 and updated in 2014. The Compendium has been promoted by the IDSA, SHEA, the CDC, the Joint Commission, the Institute for Healthcare Improvement (IHI), and the American Hospital Association as a tool to assist acute care hospitals in translating evidence-based recommendations for prevention of healthcare-associated infections into practice.