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HSS Quality and Value Fellowship

Center for the Advancement of Value in Musculoskeletal Care

Duration: 1 year (August 1–July 31)
Stipend: Based on PGY-level of the applicant with benefits (subsidized housing also available)
Positions: 1 Non-accredited
Location: Hospital for Special Surgery
Contact: Catherine MacLean, MD, PhD at macleanc@hss.edu

2020-2021 and 2021-2022 Academic Year

HSS is the world leader in providing the highest quality, highest value care for patients with musculoskeletal conditions and diseases. This is the result of a highly organized system HSS designed specifically to measure, improve and report on quality and value. Beyond the patient-centered imperative to deliver high quality/value care, evolving payment and transparency models link performance to financial success. As such, an understanding of the science, operations and policies related to quality/value measurement is important for practicing physicians who are the most influential facilitators of care quality and the targets of its measurement; for physicians in hospital or practice administrative roles, this understanding is critical.

The HSS Quality and Value Fellowship is designed to provide aspiring or current musculoskeletal physicians, including orthopedic surgeons, rheumatologists, physiatrists, anesthesiologists/pain management physicians and primary care sports physicians, with the unique opportunity to participate in a one-year unaccredited fellowship program at Hospital for Special Surgery in New York City, one of the highest quality musculoskeletal health systems in the world. Fellows will learn how HSS produces high-value care.

Program Overview

During this one-year program, fellows will participate in didactic, research and operational programs.

Seminars in quality/value: During this seminar, fellows along with other trainees/faculty will review and discuss key readings in quality/value broadly and also relevant to musculoskeletal disease.

Quality measurement: Fellows will gain an understanding of how quality including patient safety is measured, improved and reported by working directly with the HSS quality team. Fellows will learn about physician peer-review as a quality monitoring process. Quality measures: Fellows will be introduced to the key quality assessment entities in the US and abroad. Fellows will gain familiarity with musculoskeletal performance measures including their associated benchmarks, strengths and limitations.

Quality/value measurement at scale: Fellows will work directly with the HSS analytics team to measure quality and value using one or more large administrative databases. Measurement activities may replicate existing measures and/or evaluate the impact of various factors on quality and efficiency scores. Fellows will also have the opportunity to evaluate and test novel quality/value measures.

Health policy: Fellows will be introduced to current and evolving health policies from payers and regulators. Fellows will gain an understanding of how various payment models and delivery systems impact the value of health care.

Research: Fellows will complete one research project that measures or evaluates an aspect of quality or value. Depending on interests and skill set, this project could focus on defining best measures/measurement of patient outcomes; modeling/predicting future health states given different treatment paths; evaluating the effects of care structures on health outcomes and utilization; the identification of quality gaps; or a policy analysis. Fellows are expected to describe findings in a manuscript that will be submitted to a peer-reviewed journal.

Clinical observations & education: Fellows will rotate as observers through outpatient clinics that span the continuum of care delivered across musculoskeletal episodes with the aims to expose and teach fellows about 1) the clinical contributions of different musculoskeletal specialists within care episodes, and 2) the importance of care coordination in patient care. Depending on the fellow’s interests, they will have access to dedicated time at the HSS Bioskills Education Laboratory.

Fellowship Eligibility Criteria

The fellowship will be offered to a physician who has completed  a residency in the following:  orthopedic surgery, physiatry, anesthesiology/pain management, or internal medicine with interests in rheumatology or primary care sports medicine. Foreign medical graduates will be considered and a visa offered if needed.

The fellowship will be one year in duration and combine research and quality/value operations.

Additional Information

Prospective fellows may contact:

Catherine MacLean, MD, PhD
Chief Value Medical Officer
Center for the Advancement of Value in Musculoskeletal Care
HSS | Hospital for Special Surgery
535 East 70th Street, New York, NY 10021

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