Clinical Microsystems

TDI is fortunate to have the geographic proximity and the support from leaders at Dartmouth-Hitchcock Medical Center. We have the option of taking a Clinical Microsystems class in the Spring which I was told by several alumni and former professors was one of the electives not to miss. Taught by some of the leaders in quality improvement, Paul Batalden and Gene Nelson, we learn the fundamentals to create and redesign health care microsystems in the efforts to improve delivery of care to the patients, patient's satisfaction, and attain better outcomes for the patients.

Even better, we are given the opportunity to work with a "site" that gives us the chance to apply some of the skills we are learning in the classroom and apply them to a real microsystem. Building on our communication, research, and quality improvement skills, we enter our designated site with the guidance of committed leaders in that field that share the same vision for improvement and better patient care. In the past recent weeks, my partner and I have visited the Ultrasound department right across the street at DHMC and spoken to the director, the head sonographer, and an Ultrasound scheduler to better understand the wait times in this microsystem. We soon will be able to follow patients to get a first-hand look at how we can make a patient's visit to an Ultrasound a delight every time (the Kano Model)! Working side-by-side with the staff of the microsystem and getting the opinions of those that interact with this department from the mesosystem and macrosystem gives us an incredible insight into make every step of the process patient-centered, and efficient, and effective. 

We are really lucky here at TDI to get these opportunities. 

-Shaili