Clinical Leadership Fellowship | NYC Health + Hospitals

Clinical Leadership Fellowship

Announcement: The 2020 – 2021 Clinical Leadership Fellowship application deadline has been extended to December 13, 2019. Applications will be reviewed and interviews will be conducted on a rolling basis.

The NYC Health + Hospitals Clinical Leadership Fellowship is a 12-month program designed to develop the next generation of clinical leaders in quality, population health, and health care administration. This is a unique program for post-residency physicians (any graduate of an ACGME-accredited residency program or current resident on track to graduate from an ACGME-accredited residency program by June 2020) that combines both academic and practical learnings and hands-on experiences.

Each participant will be placed in one of NYC Health + Hospitals’ Central Office locations to acquire hands-on, practical work experience, supplemented by participating in leadership meetings and developing and leading a substantial quality improvement or population health-oriented project.

The fellowship teaches the skills necessary to advance hospital system quality improvement and strategic leadership initiatives. Participants will learn from a wide variety of clinical and administrative leaders from across NYC Health + Hospitals, providing a unique opportunity to work with current decision makers and assist in implementing various hospital operations-oriented projects and improvements.

The faculty includes well-recognized and respected clinical and administrative leaders from NYC Health + Hospitals’ facilities and Central Office. The program leaders include:

Eric Wei, MD, MBA
Vice President and Chief Quality Officer
Fellowship Director

Dave Chokshi, MD, MSc
Vice President and Chief Population Health Officer
Fellowship Co-Director

Theodore Long, MD, MHS
Vice President for Ambulatory Care
Fellowship Co-Director

Machelle Allen, MD
Senior Vice President and Chief Medical Officer

Donnie Bell, MD
Deputy Chief Medical Officer

Andrew Wallach, MD
Clinical Chief for Ambulatory Care and Ambulatory Care Chief for NYC Health + Hospitals/Bellevue

Justin List, MD, MAR, MSc
Assistant Vice President and Chief Quality Officer for Gotham Health

Nichola Davis, MD, MS
Assistant Vice President for Chronic Diseases and Prevention

Hillary Jalon, MS
Assistant Vice President for Quality and Safety

Hyung (Harry) Cho, MD
Assistant Vice President and Chief Value Officer

Other administrative and clinical leaders throughout NYC Health + Hospitals will be part of the program design and delivery.

Each participant will be based in any of the NYC Health + Hospitals acute care facilities, Gotham facilities, or in Central Office. The participant will be required to design and lead a quality improvement or population health-oriented project at the sponsoring facility. Through leading an interdisciplinary team of clinicians and administrative staff, the participant will help advance a goal that is consistent with that facility’s priorities and aligned to NYC Health + Hospitals’ strategic pillars. The aim is for the project to be sustainable after graduation.

Leadership at the NYC Health + Hospital’s facility sponsoring the participant must endorse this project, and the fellow will be expected to present the project and results to the facility and system leadership. The participant will report project progress during relevant hospital quality assurance/ performance improvement (QA/PI), population health, and other leadership committees, and provide a manuscript or poster, suitable for publication at the conclusion of the program.

Examples of these types of improvement or population health-oriented initiatives include:

  • Improving cycle time in clinic, emergency room or operating room
  • Improving timeliness and appropriateness of care using e-consult and telehealth
  • Improving care transitions between settings in an effort to reduce preventable readmission rates for patients with congestive heart failure
  • Improving uptake of interventions addressing the social determinants of health (e.g., housing and food insecurity)
  • Improving performance in recommended primary care screening tests

The fellowship uses a variety of methods to help participants learn about healthcare administration and quality improvement, including tools and approaches to effectively implement quality improvement, as well as population health-oriented initiatives.

Mentorship
Participants will work with experienced clinical mentors as they progress through the program. They will be given the opportunity to work with facility and system leadership.

Leadership Meetings
Participants will be given the opportunity to participate in local and system level leadership meetings focusing on quality improvement and also strategic topics in the leadership realm. These will expose participants to senior level NYC Health + Hospitals executives who have expertise in operations, population health, quality, patient safety, and finance, among other areas. Participants will become familiar with the use of quality initiatives within a value-based payment environment. Participants may also be involved in root cause analysis, medical/legal conferences, and system-wide Quality Assurance/ Performance Improvement Committee meetings.

In-person Didactic Sessions and Webinars
Participants will be exposed to didactic sessions that will serve as opportunities for structured educational experiences, one-to-one mentoring meetings with faculty and mentors, and reflective learning. Participants will attend NYC Health + Hospitals’ quality assurance/ performance improvement meetings, as well as specific meetings through Ambulatory Care and the Office of Population Health, to gain a depth and breadth of knowledge about a variety of topics that span across health care systems. Regularly scheduled webinars will also include quality improvement and healthcare leadership topics. Participants will review webinars individually or in groups, followed by reflective learning and discussion.

Learning Activities
Participants will be responsible for completing practical learning activities on specific quality improvement and healthcare leadership topics, either alone or in teams, which are presented during in-person meetings. Reading assignments will be expected as well as literature reviews and preparation for didactic sessions and reflective learning. These learning activities are intended to be the practical application of the didactic sessions.

Clinical Experience
Participants will be expected to maintain clinical excellence by providing clinical care outside the scope of their fellowship project and other learning activities. While they will be expected to spend 70% of their time on fellowship activities, they will also allot 30% to delivering care in their clinical specialty. Specific hours and schedules will be individualized to ensure that each participant is able to attend required meetings and didactic sessions.

Fundamentals of Leadership and Administration
Learn fundamentals of healthcare leadership and administration, including financial analysis, management skills, resource management, and strategic thinking.

Population Health Approach to Improve Outcomes
Learn essential components of a population health-oriented approach, including a focus on proactive delivery of care, social determinants of health, innovative uses of technology and data, and effective interventions for high-risk, high-need patients.

Team Facilitation and Change Management
Garner didactic and practical experience using change management techniques and engagement tools, working with interdisciplinary teams, and facilitating teams.

Fundamentals of Quality Improvement and Science of Quality Measurement
Review quality improvement essentials, with a focus on how this science has been translated and used in health care. During these teachings, policy and regulatory developments that may impact health care quality and patient safety in the future will be discussed.

Methods and Tools For Quality Improvement
Discuss approaches to selecting measures for quality improvement initiatives across inpatient and outpatient settings. Learn how to effectively use data in planning quality improvement and population health-oriented projects and how to use several quality improvement tools. During these teachings, participants will learn the basics of run and control charts, planned experimentation, using small tests of change, and engaging in other tools for measuring and improving. Use of health information technology in measuring and improving quality will also be discussed.

Developing and Implementing Quality Improvement Initiatives
Learn strategies for launching comprehensive quality improvement initiatives and engaging key leadership and stakeholders throughout the hospital while implementing, sustaining, and spreading improvements across the organization.

Designing Safe Systems and Building a “Just” Culture
Review the evidence of how patient safety has emerged as a critical focus issue in health care and explain concepts and tools used to achieve optimal outcomes. Explore how to create a “Just” culture that values patient safety and transparency.

Alexander (Alex) Bryan

Alex Bryan, MD, MPH is a 2019-2020 NYC Health + Hospitals Clinical Leadership Fellow in the Office of Population Health. He will conduct his clinical practice at NYC Health + Hospitals\Gouveneur. Prior to fellowship, Dr. Bryan completed his residency at Montefiore’s Primary Care and Social Internal Medicine program, with an emphasis on providing care to underserved populations with complex medical and psychosocial needs. Dr. Bryan’s main area of interest is focused on diet-related chronic disease in low-income communities. His research includes peer-reviewed publications on nutrition and emergency food resources in the South Bronx. During his training, he also served on the executive board of the American Public Health Association (APHA) as Chair of APHA’s Student Assembly.

Dr. Bryan earned his MD and MPH at Thomas Jefferson University, and graduated Phi Beta Kappa with a BA in Architecture from the University of Minnesota.

Ross Kristal

Ross Kristal, MD, is a 2019-2020 NYC Health + Hospitals Clinical Leadership Fellow in the Office of Ambulatory Care. He will conduct his clinical practice at NYC Health + Hospitals\Belvis. Dr. Kristal received his medical degree from Albert Einstein College of Medicine and was the recipient of the Isadore Rossman Memorial Award for Commitment to Community Health. He completed his internship and residency training at the Yale Primary Care Residency Program and was awarded the Yale University School of Medicine Primary Care Recognition Award. Subsequently, Dr. Kristal, served as the Chief Medicine Resident for Advocacy and Community Health for the Yale Primary Care Residency Program. During this time, he was selected to be a National Physicians Alliance Copello Fellow. Dr. Kristal is a general internist, who works with his patients to promote physical, mental and emotional wellbeing.

Jillian Diuguid-Gerber

Jillian Diuguid-Gerber, MD is a 2019-2020 NYC Health + Hospitals Clinical Leadership Fellow in the Office of Population Health. She and will conduct her clinical practice at NYC Health + Hospitals\Bellevue. Dr. Diuguid-Gerber attended medical school at Columbia University College of Physicians and Surgeons, where she was inducted into the Gold Humanism Honor Society and received the Leonard Tow Humanism in Medicine award. She recently completed her residency in New York University’s Primary Care Internal Medicine program, working at Bellevue and Gouverneur, facilitating quality improvement and care transitions projects.

As a clinician, she plans to work in comprehensive primary care for high-risk, high-need, high-cost patients. Beyond the clinic, her interests lie in understanding structural determinants of health, specifically in transforming the structures that worsen people’s health and prevent people from receiving health care.

Dr. Diuguid-Gerber graduated magna cum laude from the University of Pennsylvania and the Wharton School, studying International Studies and Business and completed a post baccalaureate program at Columbia University.

Madden Rowell

Madden Rowell, MD is a 2019 -2020 NYC Health + Hospitals Clinical Leadership Fellow in the Office of Ambulatory Cace. She completed her medical school training at the George Washington University School of Medicine and Health Sciences in Washington, D.C. While there, Madden oversaw a nutrition education and counseling program at the student run free clinic. Madden completed residency in internal medicine at the Yale Primary Care program. As a resident, she participated in the Quality Improvement and Physician Leadership distinction and created an electronic referral system that enabled patient participation in a community-based nutrition program. In addition to nutrition and community health, Madden is interested in primary care innovation and medical humanities.

Louis Hart

Louis Hart III, MD is a 2019-2020 NYC Health + Hospitals Clinical Leadership Fellow in the Office of Quality and Safety. He will conduct his clinical practice at NYC Health + Hospitals\Bellevue. Prior to fellowship, Dr. Hart completed his residency in Pediatrics at NYU Langone Health / Bellevue Hospital Center. He has a keen interest in business management and health policy, having worked in the Office of the Chair of the Senate Health Committee in California, and as a business solutions expert at Apple, Inc., prior to his residency.

Dr. Hart’s career passions include pediatric hospital medicine, value based healthcare, physician lead patient advocacy, and quality. He was a founding member of the Clinical Quality Improvement – NYU Langone Health High Reliability Organization (HRO) House Staff Committee.

Dr. Hart earned his doctor of medicine at University of California, San Diego and his BA from Vanderbilt University.

For the application, click here. Applications will be reviewed and interviews conducted on a rolling basis. All materials must be received by December 13, 2019. Please send all materials to clf@nychhc.org.

For general questions about the Fellowship, please contact:
Marlee Ickowicz, Director, Quality & Safety
Fellowship Coordinator
email: ickowicm@nychhc.org
phone: 646-694-7086

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