Training

Chief Quality Officer Professional Development Program: United States

Format:

In-Person & Online

Began:

Dec 09, 2024

Jan 17, 2025

Duration:

6 Months

Fee:

$9,995

Group Fee:

$8,496

Notify Me

Did you miss out? Listen here & Download the slides from our last informational call

Not receiving IHI emails? Please ask your IT department to add the ihi.org domain to your organization's Safe Senders list.

Please review our Cancellation Policy

*Prices are listed in USD

Overview

This program helps quality leaders adopt a framework to guide their work and gives them an opportunity to build peer connections for ongoing growth and development. If you’re ready to be responsible for quality at the highest levels of your US-based organization, the Institute for Healthcare Improvement (IHI)’s Chief Quality Officer Professional Development Program will help you develop and refine the skills you need. Whether you’re a Chief Quality Officer (CQO) already or in a quality role with aims to advance, this professional development program will enable you to develop the executive leadership skills required to put quality and safety at the top of the priority list for your organization.

Did you miss the last informational call? Listen Now & Review Slides.

Why It Matters

You already know that as a CQO, you need to engage your board and senior leadership. You must also measure and report on quality and safety indicators, achieve high-quality person-centered care, reduce waste and costs, and monitor accreditation and compliance.

This program will help you make progress in all of these areas. Our expert faculty will:

Lead you through a framework to help your organization focus on quality as a system
Coach you on how to plan for quality and execute rigorous system-wide improvement initiatives strategically
Advise you on how to sustain and manage gains while engaging your people
Help you to create the infrastructure that enables it all to happen

What You Will Learn

Establish an effective quality management system built on quality planning, quality control, and quality improvement
Identify real-world examples of best practices, approaches, and methods to apply in clinical, nursing, administrative, and various other settings
Apply best practices from case studies and advice from today's CQOs about how they are leading this work across diverse organizations
Develop a grounding in improvement science and the latest approaches to leading quality across an organization

Who Should Attend

Consider registering for this program if you are a:

Current CQO looking for a best-practice framework for leading quality
A quality leader who would like to prepare to become a CQO in the future
C-suite leader responsible for quality

*Please note that while this program is mostly region-agnostic, it has some US-centric governance and reimbursement aspects.

Looking to apply these learnings globally?

Apply global best practices to quality management with international experts during IHI's sister CQO program, Chief Quality Officer Professional Development Programme: United Kingdom

Faculty

Leslie Jurecko, MD, MBA, serves as SVP and Chief Medical Officer for MCIC, a captive insurer that supports top-tier academic medical centers in reducing preventable harm. Dr. Jurecko was the past Chief Safety, Quality, and Patient Experience Officer of Cleveland Clinic Health System. Prior to joining Cleveland Clinic, Dr. Jurecko served as Senior Vice President for Quality, Safety and Experience for Spectrum Health (now Corewell Health), a nonprofit integrated health system with 15 hospitals, multiple ambulatory sites and a health plan. Dr. Jurecko earned her MBA from Grand Valley State University, Seidman College of Business, and a bachelor’s degree from the University of Michigan. She received her medical degree from Wayne State University and completed her pediatric residency at Northwestern University, Children’s Memorial Hospital. Dr. Jurecko also completed the Patient Safety Executive Development Program and the Chief Quality Officer Program IHI. Dr. Jurecko now serves as core faculty for IHI. Becker’s Hospital has named Dr. Jurecko one of the top patient safety experts to know. Driven to reduce preventable suffering of patients and share any learnings broadly, Dr. Jurecko is frequently invited to speak at national conferences.

Abraham Jacob, MD, MHA, Chief Quality Officer, M Health Fairview, joined the Department of Pediatrics in 2005 to start and direct the Division of Pediatric Hospital Medicine. The Division has grown substantially since 2005 and has become the largest service for admissions at M Health Fairview Masonic Children's Hospital (UMMCH). The program currently provides inpatient pediatric services at UMMCH, Fairview Ridges Hospital, Maple Grove Hospital, and Shriners. Dr. Jacob served as Chief Medical Officer for UMMCH from 2012-2019 with a focus on patient safety, quality, and patient experience. He is now the Chief Quality Officer for M Health Fairview and a staff attending on the General Pediatrics service at UMMCH and on the Internal Medicine service at UMMC. A graduate of the University of Notre Dame, Dr. Jacob went on to medical school at the University of Toledo College of Medicine where he graduated in 1994. He went on to complete his Internal Medicine/ Pediatrics residency at the University of Minnesota in 1998. After completing residency, he helped to start the first combined Internal Medicine/ Pediatrics practice in the Twin Cities with five of his residency classmates and served as medical director of the clinic. Since coming to the University of MN as faculty, Dr. Jacob's main interests have included resident education, family-centered care, quality improvement, and patient safety. He helped lead an UMMCH initiative that recently won the MN Hospital Association 2015 Patient Safety Improvement Award. He is board-certified in Pediatrics and Internal Medicine.

Amy Lu, MD, Chief Quality Officer, University of California San Francisco Health, is focused on high-value, patient-centered clinical redesign and pathways across the continuum of care. In her role as the Chief Quality Officer for University of California San Francisco Health and the Physician Advisor for Utilization Management for Stanford Health Care, she works on clinical pathways and improvement initiatives that reduce inappropriate utilization and unwarranted clinical variation. In the School of Medicine, Dr. Lu is the Vice Chair of Quality, Safety and Improvement in the Anesthesiology, Perioperative and Pain Medicine department at Stanford, where she mentors and works with faculty and residents on quality and safety projects that improve perioperative care. Dr. Lu is also the Chair for the Vizient Quality Executive Advisory Committee. Dr. Lu is passionate about health equity and social justice, and she founded and co-chairs the Stanford Medicine Health Equity Committee.  Dr. Lu received her BA in cultural anthropology and molecular biology from UC Berkeley, MD from UC San Francisco, and MPH from the Harvard School of Public Health. She completed her residency training at Massachusetts General Hospital and practices anesthesiology and perioperative medicine at Stanford. 

Guest Presenters

Kedar Mate, MD
Mike Woodruff, MD
Tait Shanafelt, MD
Tejal Gandhi, MPH, CPPS
Beth Daley Ullem, MBA
Karin Larson-Pollock, MD, MBA, FACHE
Chris Dale, MPH, MD
Ronald Wyatt, MD, MHA
Donald M. Berwick, MD, MPP, FRCP

Resources for Quality Leaders

View the program brochure and share it with colleagues
Download the IHI White Paper, Whole System Quality, for a unified approach to building responsive, resilient health care systems
Read The Secret to Becoming a Nurse Quality Leader, a blog post by Petrina McGrath, RN, Executive Transition Lead for People, Practice, and Quality for the Saskatchewan Health Authority.

Agenda

This program consists of 10 live online sessions, two in-person sessions, and self-paced activities to be completed outside of the live sessions. Self-paced activities between sessions are required and should take no longer than one hour to complete.

Chief Quality Officer Agenda

The IHI Chief Quality Officer Professional Development Program aims to demonstrate how to lead quality at a system level. Several elements need to be in place for that to happen.

At a foundational level, we will teach you how to:

Develop Infrastructure: To establish the systems and structures to support strategic quality
Create a Culture that Enables and Activates People: Create the activities and environment that support people to act

Once those support structures are in place, the emphasis turns to quality management. You’ll learn how to continuously:

Plan: Design a comprehensive approach to understanding and meeting customer needs across populations
Improve: Charter and execute improvement breakthroughs with measurable results
Sustain: Develop management systems to maintain a predictable and reliable process

Materials

If you are registered for this program and would like to access the available materials, please follow these steps:

Visit Education.ihi.org and log in with your MyIHI credentials.

Click "Go to Learning Center" and click "Launch" next to your course name.
Use the left-hand navigation to find the relevant course materials.

Visit the IHI Education Platform Orientation for video instructions on finding your course materials.

PLEASE NOTE: Not all session materials may be available for viewing. Only materials that have been submitted previously by presenters before a program will be made accessible to attendees.

Continuing Education

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.

This program is approved to provide 31 credits for physicians, nurses, pharmacy, and Certified Professional in Patient Safety (CPPS) recertification.

The Institute for Healthcare Improvement designates this blended learning activity for a maximum of 31 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity may also be applicable for other professions that accept AMA PRA Category 1 Credits™.

After attending this program, attendees will be able to:

Establish an effective quality management system built on quality planning, quality control, and quality improvement
Identify real-world examples of best practices, approaches, and methods to apply in clinical, nursing, administrative, and various other settings
Create a grounding in improvement science and the latest methodologies for leading quality across an organization especially health systems and other health related organizations.
Apply best practices from case studies and advice from today's CQOs about how they are leading this work across diverse organizations

CE Instructions

To be eligible for a continuing education certificate, attendees must complete the online evaluation within 30 days of the continuing education activity. After this period, you will be unable to receive a certificate.

Continuing education credits will not be awarded for non-educational activities, including (but not limited to) meals, breaks, and receptions.

To view your continuing education (CE) credits:

Click on the "My IHI" link on the top of this page.
After you've logged in, click on the "Credits" tab to see CE information.

Disclosure: None of the planners, presenters, or staff for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Fees

IHI may, at its discretion, cancel, postpone, or otherwise modify in-person programs at any time, with or without notice. If IHI does so and as a result, a registrant is unable to participate in the program, IHI will refund the registration fee. The registrant, however, will remain responsible for other costs (such as travel and lodging) the registrant incurs in connection with the program, and IHI will not refund the registrant, nor otherwise be responsible for, such costs. Registrants should proceed accordingly and consider travel/lodging cancellation policies — as well as purchasing travel insurance — when incurring such costs. IHI asks registrants to take into consideration the currently evolving situation and advisories related to COVID-19 before incurring travel, lodging, and other costs related to this event.

Regular Rate: $9,995 per person

Group Rate: $8,496 per person | Organizations sending three or more people are eligible to receive a 15% Group Discount

Organizations sending three or more participants are eligible to receive the group rate. To register a group, please complete the Group Enrollment form.

Once you register, we will send you information about attending the IHI Forum for the first workshop (in-person or online).

Scholarships

IHI is pleased to offer a limited number of free and 25% scholarships to assist with program registration costs for those working in:

Independent, United States Federally Qualified Health Centers (FQHCs) that are not affiliated with a hospital or health system
Critical Access Hospitals
Independent practices with fewer than 20 physicians
Hospitals with fewer than 50 beds
Members of America's Essential Hospitals
501(c)(3) organization with a defined operating budget of less than $5 million, serving community-based populations
Ministries of Health
Faith-based health institutions
Skilled Nursing Facilities

All Scholarships are reviewed on an individual basis. If multiple individuals from the same organization wish to apply for a scholarship, everyone must submit an application. Group discounts are also available, see information above.

To ensure equal distribution of funds, all scholarships applications are reviewed using the same scoring criteria. All awarded amounts are final.

To apply for a scholarship, please complete the online Scholarship Application by January 10, 2025. IHI will not consider applications submitted after this date. IHI will notify all applicants of their scholarship status by January 13, 2025.

Cancellations, Refunds, Substitutions

Registration Fee of $2,950 or more

Payments: Full payment is due 60 days before the start of the program. If payment in full is not received within 60 days prior to the program start date, IHI will notify you and cancel your registration.
- Credit card payments: Enter your credit card information online during the registration process or call the IHI Customer Experience Department to process payment over the phone.
- Check payments: Please mail a copy of the invoice with your check made payable to IHI.
Cancellations: For cancelations made within 45 days before the start of a program: Registration fees are fully refundable if a written request is received by info@ihi.org on or before 45 days before the start of the program.
Refunds: IHI will issue all refunds in the original payment type (credit card or check) within 30 days. Registrations received after 45 days or less before the start of the program are not refundable.
Substitutions: One attendee may be substituted for another at any time by calling the IHI Customer Experience Department or emailing info@ihi.org.

Review our full cancellation policy

Our Guarantee to You

If for any reason you are not completely satisfied that your attendance in an IHI educational program is a valuable experience, IHI will gladly refund your registration fee per the policies noted above. Please note that due to unforeseeable circumstances, last-minute changes in program titles, speakers, or presentations may be unavoidable.

Need Help?

info@ihi.org

Training

IHI Moving Quality Improvement from Theory to Action

Attendance:

Online

Fee :

$549 per person*

Duration:

9 Weeks

Interest List

Registration for this offering is now closed. Please fill out the form above to be notified when registration for the next offering opens.

Not receiving IHI emails? Please ask your IT department to add the ihi.org domain to your organization's Safe Senders list.

Please review our Cancellation Policy

*Prices are listed in USD

On a global scale, the challenges facing health and health care can seem daunting. But every day, people all over the world are making a difference on a local level. The Moving Quality Improvement from Theory to Action online course provides the tools and skills needed to make positive change through improvement projects.

Did you miss the last info call? Watch the Recording & Review the Slides

What You Will Learn

During this online course, you will:

Explore the components of the Model for Improvement
Build an improvement team with clearly defined roles
Apply equity principals to the process of improvement
Write an effective aim statement for a quality improvement (QI) project
Establish a family of measures, including outcome, process, and balancing measures. Create a data collection plan
Use tools to develop changes to test including Driver Diagrams, Process Mapping, and Cause and Effect Diagrams 
Use PDSAs (Plan-Do-Study-Act) to plan and run multiple tests
Plot your data over time by drawing a run chart
Identify strategies to sustain and spread improvements

Who Should Attend

Faculty

Jesse McCall, MBA, Senior Director and Improvement Advisor, Institute for Healthcare Improvement (IHI), coaches individuals and organizations through the process of improvement. This includes the data-driven identification of strategic improvement priorities, the development of operational systems to support improvement, and the building of practical improvement capability necessary for staff to get results that matter. Jesse also has extensive experience coaching organizations to engage clinical staff to reduce burnout and foster joy in work. Jesse joined IHI in 2007 and over his tenure has designed, executed, and evaluated programs and projects around the world. Jesse is also a Teaching Fellow at The Harvard T.H. Chan School of Public Health. Jesse has expertise in practical application of the science of improvement, staff engagement and wellbeing, program and product development, marketing and communications, customer relationship management, and large-scale initiative operations. He received his undergraduate degree in Business Administration from Northeastern University in Boston and his MBA at the UMASS Amherst Isenberg School of Management.

Angela G. Zambeaux, Director, Institute for Healthcare Improvement, has managed a wide variety of IHI projects and programs. Since 2013 Angela has managed the Always Events program and contributed to the spread of Always Events across NHS England through the publication of a toolkit and coaching of improvement teams. Angela has worked with The Conversation Project and Conversation Ready projects to help make sure people’s end of life care wishes are expressed and respected. As a Project Director her role includes project design, delivery, and evaluation. Prior to joining IHI, Ms. Zambeaux provided project management support to a small accounting firm and spent a year in France teaching English to elementary school students.

Additional Resources

Do you have a stalled improvement project you want to push forward? Looking to develop a formal process and engage a team to support an improvement idea? Identified a health disparity and want to close it? Tasked by your supervisor or leader to solve a problem? If you've identified an opportunity for improvement, this course will help you put your ideas into practice.

Join this fast-paced experience to learn how to apply the right tools to your quality improvement efforts with the guidance of our expert faculty. Online lessons will teach the process of improvement and when to use specific improvement tools, assignments will direct you to apply those tools to an ongoing project, and live calls will provide additional examples, case studies, and coaching to drive your improvement project towards results that matter. Calls also provide opportunities to network with and learn from your peers.

This active learning opportunity will extend beyond the virtual experience. As you gain experience with new improvement tools and skills, you will manage your improvement project, apply your learning, and run your own tests of change, from start to sustainability.

This course expands upon these IHI Open School courses, though they are not prerequisites to enroll in the program:

QI 101: Introduction to Health Care Improvement
QI 102: How to Improve with the Model for Improvement
QI 103: Testing and Measuring Changes with PDSA Cycles
QI 104: Interpreting Data: Run Charts, Control Charts, and Other Measurement Tools
QI 105: Leading Quality Improvement

Join us for this project-based learning experience.

Making the Case: Download the Justification Letter to provide high-level information on the Leading Quality Improvement: Essentials for Managers program to your leadership.

Session Agenda

The agenda for the February 2025 offering is available to download:

Download the High-Level Agenda

Course Design

The design of the Moving Quality Improvement from Theory to Action online course with coaching consists of All Learner Calls (live, synchronous calls), and Lessons (asynchronous online assignments). Each lesson will be released 2 weeks ahead of each All Learner Call.

Continuing Education

The Moving Quality Improvement from Theory to Action program is approved for a maximum of 10 credits for physicians, nurses, pharmacists, and the Certified Professionals in Patient Safety (CPPS) recertification. This program is approved by NAHQ for a maximum of 10 Certified Professional in Healthcare Quality (CPHQ) continuing education credits.

The Institute for Healthcare Improvement designates this blended learning activity for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity may also be applicable for other professions that accept AMA PRA Category 1 Credits™.

Planning Committee

Kedar Mate, MD, President and Chief Executive Officer, IHI
Jesse McCall, MBA, Senior Director, IHI
Patricia McGaffigan, RN, MS, CPPS, Vice President, IHI
Samantha L. Thompson, PharmD, CPh, Assistant Professor of Pharmacy, Florida A&M University, College of Pharmacy and Pharmaceutical Sciences, Institute of Public Health, Northeast Florida Pharmacy Practice Center
Catherine Warchal, Program Manager, IHI

Disclosure: None of the planners, presenters, or staff for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

CE Instructions

To be eligible for a continuing education certificate, attendees must complete the online evaluation within 30 days of the continuing education activity. After this period, you will be unable to receive a certificate.

Continuing education credits will not be awarded for non-educational activities, including (but not limited to) meals, breaks and receptions.

Already attended?

To view continuing education (CE) credits and session materials:

Click on the "My IHI" link on the top of this page
Once you are logged in, click on the "Credits" tab to see CE information.
Click on the "My Participation" tab and then the button that says "My Materials" to see course materials.

Fees & Scholarships

Registration Rates

Regular Rate: $549 per person

This rate includes all video modules released throughout the online course, three all-learner calls, and the use of all tools and resources.

Scholarships

IHI is pleased to offer a limited number of free and 25% scholarships to assist with program registration costs for those working in:

Independent, United States Federally Qualified Health Centers (FQHCs) that are not affiliated with a hospital or health system
Critical Access Hospitals
Independent practices with fewer than 20 physicians
Hospitals with fewer than 50 beds
Members of America's Essential Hospitals
501(c)(3) organization with a defined operating budget of less than $5 million, serving community-based populations
Ministries of Health
Faith-based health institutions

To apply for a scholarship, please complete the online Scholarship Application.

Scholarship applications are due by January 10, 2025. Scholarship decisions will be announced by January 17, 2025.

All Scholarships are reviewed on an individual basis. If multiple individuals from the same organization wish to apply for a scholarship, each individual must submit an application.

To ensure equal distribution of funds, all scholarships applications are reviewed using the same scoring criteria. All awarded amounts are final.

Review IHI Cancellation Policy

Logistics

Start Today

Click on the Register button to login or create an account.
Visit the IHI Education Platform to view program details and complete your registration for the training.
Invoices can be found and paid through your My Account section.

Need Help?

Email

info@ihi.org

Jennifer Wilson

Clinical Nurse Consultant of Safety and Quality

“Comprehensive and easy to understand overview of key principles of quality improvement, including the use of supportive tools to implement activities your practice setting.”

Margaret Alfaro

Senior Manager, Evaluation and Compliance

“Very helpful resources and insights. Course is flexible/quick enough for professionals to add into busy schedules. Can implement concepts/ideas immediately rather than after course is completed.”

Carol Smith

Quality Assurance Coordinator

“Very well put together course for the beginner, intermediate, or seasoned performance improvement professional. Interesting examples, clear directions, and easy to follow projects make for a worthwhile endeavor.”

Training

IHI Redesigning Event Review with Root Cause Analyses and Actions (RCA2)

Format:

Online

Begins:

Sep 09, 2025

Sep 23, 2025

Duration:

16 Weeks

Fee:

$549

To register a group of 2+, fill out the form above

Want to learn more? Join our informational call on July 22, 2025, 11:00 AM – 12:00 PM ET.

Program includes self-paced online content, three live All-Learner Calls, social learning with your peers, and access to one-on-one coaching with expert faculty.

Not receiving IHI emails? Please ask your IT department to add the ihi.org domain to your organization's Safe Senders list.

Learn to improve your event review process with a unique approach — endorsed by leaders in patient safety across the United States and abroad — that expands upon traditional root cause analysis.

Want to learn more? Join our informational call on July 22, 2025, 11:00 AM – 12:00 PM ET.

What You Will Learn

During this online course, you will:

Explore the type of culture it takes to support RCA²
Learn to prioritize events for RCA² review
Assemble an effective RCA² team
Explore strategies to engage patients in the RCA² process
Gain tools and techniques for conducting interviews after an adverse event occurs
Use flowcharting after an adverse event to understand what happened and why
Learn to identify actions that will protect patients and staff from future harm
Apply goal-setting and measurement techniques to facilitate sustained improvement
Implement approaches for evaluating the success of RCA²
Explore creative possibilities for future applications of RCA²

Who Should Attend

This online course is open to participants who are interested in applying the RCA² methodology to improve safety and quality in their organization.

Patient safety and quality managers
Risk managers
Senior leaders
Point-of-care staff involved in or new to event review
Anyone involved in developing, facilitating, approving, and/or participating in event review processes within health care organizations
Anyone responsible for organizational outcomes in quality, safety, patient experience, staff satisfaction, and financial results

Faculty

Jessica Behrhorst, MPH, CPPS, CPQH, CPHRM, Quality, Safety and HRO Consultant, Aptive Resources, works in the areas of patient safety, workforce safety, and high reliability. She is faculty for the IHI Patient Safety Executive Development Program and on Redesigning Event Review with Root Cause Analysis and Action (RCA2). Prior to Joining Aptive Resources she served as the Senior Director at the Institute for Healthcare Improvement (IHI). She has also served as the Assistant Vice President of Quality & Patient Safety at Ochsner Health System where she helped set the strategic priorities in quality and patient safety and oversaw various projects involving patient safety, performance improvement, regulatory readiness, ambulatory nursing, and quality outcomes. She has presented her work on RCA2 and Improving the Culture of Safety at various regional and national meetings. She has also worked on research projects involving reduction in Sepsis mortality and access to healthcare for underserved populations. Jessica received her bachelor’s degree from Tulane University and her Master of Public Health Degree from the Louisiana State University School of Public Health. She is a Certified Professional in Patient Safety (CPPS), a Certified Professional in Healthcare Quality (CPHQ) and a Certified Professional in Healthcare Risk Management (CPHRM).

Rollin J. “Terry” Fairbanks MD, MS, CPPS, is Senior Vice President and Chief Quality & Safety Officer at MedStar Health, Executive Director of the MedStar Institute for Quality and Safety, and Professor Of Emergency Medicine at Georgetown University. Dr. Fairbanks started his career as a safety scientist focused on human factors engineering in the transportation industry, and later became a physician. He has become an expert in the application of safety science in health care. In 2010 he founded MedStar Health’s National Center for Human Factors in Healthcare, now one of the largest embedded health care human factors centers in the world. He has authored more than 200 publications and edited a book on health care safety and human factors engineering. He has served in safety advisory roles for several national organizations and for the United States, British, Spanish, and Australian governments, and serves in several national advisory roles in addition to his role as IHI faculty. Dr. Fairbanks is a former paramedic, EMS medical director, and general aviation pilot. He practices emergency medicine at the MedStar Washington Hospital Center in Washington DC.

Tejal K. Gandhi, MD, MPH, CPPS, is the Chief Safety and Transformation Officer at Press Ganey. In this role, Dr. Gandhi is responsible for advancing the Zero Harm movement, improving patient and workforce safety, and developing innovative health care transformation strategies. Before joining Press Ganey, Dr. Gandhi served as Chief Clinical and Safety Officer at the Institute for Healthcare Improvement (IHI), where she led IHI programs focusing on improving patient and workforce safety. Prior to this, Dr. Gandhi was President and Chief Executive Officer of the National Patient Safety Foundation (NPSF) from 2013 until 2017, when NPSF merged with IHI. She has also served as President of the Lucian Leape Institute, a think tank founded by NPSF that now operates within the IHI Safety portfolio and was a board member of the Certification Board for Professionals in Patient Safety which administers the Certified Professional in Patient Safety credential.

Richard D. Guthrie, Jr., MD, CPE, is the System Chief Quality Officer of Ochsner Health. As the Chief Quality Officer, Guthrie oversees the development and implementation of strategies and programs aimed at improving patient safety and quality for the health system. Dr. Guthrie previously served as the Regional Medical Director — Ochsner Medical Center from 1999–2014. As Medical Director, Guthrie oversaw the physician group and was responsible for physician recruitment, clinical program development, and professional affairs. Dr. Guthrie earned his Bachelor of Science degree from the University of New Orleans, summa cum laude, and graduated from Louisiana State University Medical School, Alpha Omega Alpha, in 1986. Dr. Guthrie received his internal medicine training, including residency and chief residency, at Alton Ochsner Medical Foundation.

Lauge Sokol-Hessner, MD, CPPS, is a practicing clinician, educator, researcher, innovator, and leader in patient safety & quality improvement. He’s an Associate Professor of Medicine and an attending hospitalist at the University of Washington (UW) & Harborview Medical Centers, and a Quality Improvement Mentor at the UW Medicine Center for Scholarship in Patient Care Quality and Safety. As the Associate Director for the UW Collaborative for Accountability and Improvement and a Faculty Coach for the PACT Collaborative, he helps lead national work to sustain and spread more proactive, ethical, person-centered responses after harm events. He has operational quality & safety experience as a former Senior Medical Director of Patient Safety at Beth Israel Deaconess Medical Center in Boston. As IHI Faculty, and as a former quality and safety fellowship program director and masters program course director at Harvard Medical School, he's passionate about helping develop the next generation of leaders in quality and safety, and he regularly teaches about patient safety, quality improvement, and leadership. He completed his medical degree and internal medicine residency at the University of Pennsylvania.

Additional Resources

When accidents occur in health care, providers and health systems have an urgent responsibility to respond to prevent future harm.

In this online course, you'll learn to improve your event review process with a unique approach — endorsed by leaders in patient safety across the United States and abroad — that expands upon traditional root cause analysis.

Moving swiftly after a safety incident occurs, you'll learn to establish a small team to conduct interviews, develop a flowchart, and pinpoint vulnerabilities in your system: poor equipment design, inadequate training, or insufficient resources.

Most importantly, by the end of the course, you'll gain tools and strategies to address these vulnerabilities with sustainable actions that really work to prevent future harm. This is the focus of Root Cause Analyses and Actions — or RCA2.

Session Agenda

This program consists of 3 live online sessions and self-paced activities to be completed outside of the live sessions. Self-paced activities between sessions are required and should take no longer than one hour to complete per session.

The agenda for the September 2025 offering is available to download:

Redesigning Event Review with Root Cause Analyses and Actions (RCA2) Agenda

Continuing Education

Continuing education credits for this program are still being finalized and will be updated shortly.

After attending this course, attendees will be able to:

Define an improved event review process with a unique approach that expands upon traditional root cause analysis.
Identify how to form a multidisciplinary team to collect data and evaluate current state.
Apply evidence-based tools and techniques to address vulnerabilities with sustainable actions to prevent future harm.

Planning Committee

Jessica Behrhorst, MPH, CPPS, CPQH, CPHRM, Quality, Safety and HRO Consultant

Britney Pierre, RN, MAS, BSN, Senior Project Manager, Institute for Healthcare Improvement

Lauge Sokol-Hessner, MD, CPPS, Clinical Associate Professor, Medicine, University of Washington

CE Instructions

In order to be eligible for a continuing education certificate, attendees must complete the online evaluation within 30 days of the continuing education activity. After this period, you will be unable to receive a certificate.

Continuing education credits will not be awarded for non-educational activities, including (and not limited to) meals, breaks and receptions.

Already attended?

To view continuing education (CE) credits and session materials:

Click on the "My IHI" link on the top of this page
Once you are logged in, click on the "Credits" tab to see CE information.
Click on the "My Participation" tab and then the button that says "My Materials" to see course materials.

Fees & Scholarships

Fee: $549 per person

Includes self-paced online content, three live All-Learner Calls, social learning with your peers, and access to one-on-one coaching with expert faculty.

Scholarships

IHI is pleased to offer a limited number of free and 25% scholarships to assist with program registration costs for those working in:

Independent, United States Federally Qualified Health Centers (FQHCs) that are not affiliated with a hospital or health system
Critical Access Hospitals
Independent practices with fewer than 20 physicians
Hospitals with fewer than 50 beds
Members of America's Essential Hospitals
501(c)(3) organization with a defined operating budget of less than $5 million, serving community-based populations
Ministries of Health
Faith-based health institutions
Skilled Nursing Facilities

Scholarship applications are due August 22, 2025. Scholarship decisions will be announced on August 29, 2025.

All Scholarships are reviewed on an individual basis. If multiple individuals from the same organization wish to apply for a scholarship, each individual must submit an application. Group discounts are also available, see information above.

To ensure equal distribution of funds, all scholarships applications are reviewed using the same scoring criteria. All awarded amounts are final.

Review IHI Cancellation Policy

Logistics

Start Today

Click on the Register button to login or create an account.
Visit the IHI Education Platform to view program details and complete your registration for the training.
Invoices can be found and paid through your My Account section.

Maricia Silvera-Batson, RN

Scarborough Health Network

"This course is great for the novice to the expert in regards to RCA knowledge. It can be completed while working a full-time job. The content is very relevant to anyone responsible for conducting RCAs and is jammed packed with exceptional resources and examples."

James Laughton, MD

Hamad Medical Corporation

"Excellent course, as usual, from IHI. The quality of content and learning continues to be inspiring."

Missy Polito

West Virginia University Medicine

"This course was the 'icing on the cake' for me. I have been performing RCAs for over 5 years and was able to relate easily to each of the lessons. These lessons confirmed what I already knew, but also provided additional details and learning to expand upon my knowledge of the RCA process."

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Chief Quality Officer Professional Development Program: United States

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