Medical Fellowship & Resident Elective
Population health management is a recognized solution to improving quality of care and reducing health care costs. Currently, there are limited pathways for training clinical and administrative leaders in population health management. To address this, Mass General Brigham created the Population Health Fellowship and Resident Elective Rotation. These comprehensive learning and educational programs provide direct experience and leadership development opportunities to spark innovation for the next generation of Population health leaders in this rapidly changing area of medicine.
Apply now for the Population Health Fellowship! Applications are due by October 1st, 2021.
The 2022 PHM Fellowship Application is Now Open! Important Dates to Keep in Mind:
The next fellowship will begin in July 2022
- Applications Are Now Open!
- Applications Due: October 1, 2021
- Fellow Decision Notifications: November 1, 2021
- Fellowship Begins: July 2022
Information Regarding the application:
- Applicants must be graduates from an ACGME accredited residency program. Fellows will be chosen based on their level of understanding and interest in population health management, their commitment to principles of value based care, as well as demonstration of leadership capabilities and potential.
- Application must include CV, two letters of recommendation and a letter of interest.
FELLOWSHIP PROGRAM (Continued)
This one- to two-year program is offered to graduating residents who are board- eligible. In this program, each Fellow spends roughly 30% of their time doing clinical work, with the remainder of the time spent focusing on operational framework, programmatic infrastructure, didactic training and working closely with Population Health clinical leaders. The objective is for each Fellow to gain an understanding of the context for population health and an expertise in developing, implementing, and analyzing population health management strategies.
Additional fellowship information is highlighted below;
- This fellowship includes participation in the Harvard Program in Clinical Effectiveness. The clinical effectiveness field of study prepares students for clinical research responsibilities and for leadership roles in evaluating and improving all aspects of health care delivery. The field of study is focused on identifying the most appropriate, ethical, and cost-effective means of providing health care through prevention, early-detection, and treatment. Each fellow applicant must meet Harvard’s requirements for participation in the program; this is a separate application process.
- The first year will consist of managing and presenting short term population health projects as well as beginning a longer-term project that can potentially be scaled during the second year. During the first year, fellows without a prior advanced degree will have the optional opportunity to begin a part-time MPH program at the Harvard T. H. Chan School of Public Health (HSPH), fully funded by Mass General Brigham Population Health.
During the second year, each fellow will lead the scaling of projects from their first year, as well as have opportunities to experience other areas of population health. For fellows who choose to enroll in HSPH in Year 1, this second year is necessary for them to complete their MPH.
What you will learn during your fellowship:
Following completion of the Population Health Leadership Fellowship, the Fellow will be able to:
- Describe the structure and resources needed for the administration of a successful population health management program
- Understand the socioeconomic and political context for population health management
- Describe financial and operational considerations for an Accountable Care Organization
- Describe appropriate population health strategies based on patient populations and needs
- Analyze outcomes of population health strategies, make recommendations regarding program scale and scope, and work collaboratively with the Mongan Institute research team
- Experience leading a team and managing large scale operations and projects
- Gain knowledge and skills through direct strategy, development, and implementation of programs
In addition, Fellows will be expected to enhance their presentation, facilitation, and leadership skills by successfully completing the following:
- Poster presentation at the Population Health Research Symposium
- Lead a regularly scheduled journal club discussion, identifying the article, providing a synopsis and facilitating discussion
- Implementation of strategies in own clinical practice
Perks of the Population Health Leadership Fellowship Program:
- Fully funded MPH
- Competitive PGY4 salary as well as clinical salary
- 30% Clinical time
- Funding for conferences, research publications, and supporting analytic software
- Exposure to the Value Based Care strategy development at Mass General Brigham
- Appointment to Harvard Medical School Faculty
- Unique opportunity to be mentored by leading Population Health clinical and administrative leaders at Mass General Brigham
RESIDENT ELECTIVE ROTATION FOR MEDICAL RESIDENTS
This two or four week program provides residents with an introduction to population health. During the rotation, each resident spends time shadowing clinical leaders to learn about the context for and, the development and implementation of, population health management programs. The resident will be immersed in a Core Program of their choosing, developing a foundational knowledge of population health and leaving with a strong understanding of systematic approaches to program operations. Population Health accepts up to ten residents for this program each year.
A resident working with Population Health Care Continuum (CC) Programs would learn about our focus on transformative care redesign innovation in Skilled Nursing Facilities (SNF), Post-Acute and Home-Based Medical Care, where we provide program offerings that help us deliver true ‘right patient, right place at the right time.’ Our PHM CC programs include (but are not limited to) the Mass General Brigham Home Hospital, Home-Based Urgent Care-Mobile Integrated Health (MIH), Advanced Home Infusion services, CHF-Telemonitoring program, MGB Preferred SNF Collaborative Network, SNF Transitional Care Management and the SNF 3Day Waiver program. These provide the scaffolding to support Mass General Brigham’s site-of-care strategy and they allow for innovative development and effective implementation of effective higher value alternative care pathways for our patients.
In the Population Health Performance Program rotation, a resident could expect to: expand their understanding of government and commercial risk contracts; learn about strategies aimed at managing performance in these contracts as part of Mass General Brigham’s Value-based Care strategy, and; to become knowledgeable in the development and implementation of the Internal Performance Framework (IPF), an integral strategy in creating Mass General Brigham-wide goals and metrics to improve total medical expense trend and quality performance in risk contracts. Another key area of exposure for the resident is the Physician Variation initiative, which aims to ensure the most appropriate use of clinical resources such as imaging, labs, medications, and ED visits.
In a Risk Capture Core Program rotation, a resident can expect to learn what it means to be effective at risk capture and why risk adjustment is important to the clinical and financial success of our health system. A resident would learn about our multi-pillared strategy that incorporates tactics that involve provider engagement, technology and tools, coding, data, incentives, and contract performance. The resident will be exposed to how the team is using data to lead changes in physician behavior and system recapture performance, and how the system is innovating in the risk capture space to improve the identification of the illness burden of our population so that patients can be better connected to quality initiatives and resources.
The Risk Contract rotation will encompass the Medicaid Accountable Care Organization (ACO), the Medicare ACO and the Employee Health programs. During this rotation the resident will gain a deeper understanding of different risk contracts, Medicaid and Medicare ACO models, state and federal programming, contract performance, and future state of the Medicaid and Medicare ACOs. Residents will also have an opportunity to learn more about specific programs that support performance in risk contracts, for example, the Community Partners program. Additionally, residents will have opportunities to support employee health initiatives designed to manage total medical expense (TME), address well-being, and improve access to Mass General Brigham’s self-insured employee plan.
The Population Health Care Management rotation, the resident will have the ability to learn more about the day to day work of the care management programs and understand the strategies to connect patients with a team-based, patient centered approaches to support the patients in managing their medical condition more effectively which leads to a better quality of life. The Population Health Care Management programs include; integrated care management program (iCMP) for adults and children, iCMP Plus for our top 1% high utilizers, Emergency Department Navigator Program, Community Partners, Home Based Palliative Care, and the End Stage Renal Disease (ESRD) program. The resident will develop a deeper understanding of how these programs impact a patient’s health and outcomes, how these programs are run at the central level, and insight into future work that team is pursuing.