The Stoeckle Center coordinates this program which dissects cases where patient care or outcome was negatively impacted by failures of process, communication, or operations in an effort to highlight, address, and eventually prevent the types of system-related hazards that are often encountered during routine care.
In 2010, a new type of Mortality & Morbidity (M & M) Conference was initiated in the General Medicine Division. In cooperation with CRICO-RMF and the Mass General Primary Care Administration, the Stoeckle Center developed and facilitated the initial series of “Ambulatory” M & M conferences—the first to highlight the important challenges in patient safety in the outpatient setting. Conferences are open to generalists in both the inpatient and outpatient arena, as well as all other members of the care team.
Unlike traditional M & M conferences, where the objective is to discuss disease states, the Ambulatory M & Ms dissect cases where patient care or outcome was negatively impacted by failures of process, communication, or operations.
The Stoeckle Center continues to support these conferences, which are now part of the Ambulatory Risk Management and Patient Safety Program, led by Elizabeth Allen, RN, and Blair Fosburgh, MD. Stoeckle Center leaders Bill Kormos, MD, and Susan Edgman-Levitan serve on the steering committee. These conferences are multidisciplinary and will help us prevent the types of system-related hazards that are often encountered during routine care.
March 29, 2013. "Frequent Fliers: We Are All Responsible." Rushika Fernandopulle, M.D., M.P.P., Cofounder and CEO, Iora Health
January 25, 2013."Opioids: Transparency Is The Best Policy." Sarah Wakeman, MD, Chief Resident, Charlestown Healthcare Center; Amy Fogelman, MD, MGH, Beacon Hill Health Associates; Michael F. Bierer, MD, MGH, Internal Medicine Associates
November 30, 2012. "You're Back Again? Redesigning Care to Reduce Hospital Readmissions." Ryan W. Thompson, MD, Associate Director of Quality Improvement, Department of Medicine; Jeffrey L. Greenwald, MD, Associate Professor Medicine, Harvard Medical School In Patient Clinician Educator
October 5, 2012. “How Many Times Do I Have to Tell You?” Alexa Kimball, MD, MPH, Senior Vice President, Practice Improvement, MGPO; Vice Chair, Department of Dermatology
May 25, 2012: “No News is Not Good News.” Elizabeth M. Allen, RN, MSN, Quality and Safety Specialist. Discussant: Valerie E. Stone, MD, MPH, Director, Primary Care Residency Program; Associate Chief, General Medicine Division, MGH
January 27, 2012: “Wafarin: It Ain’t Only Rats that Need to Worry.” William Kormos, MD, Director of Education, Stoeckle Center