Nisha Basu, MD, MPH
Instructor in Medicine
Director of Population Management, Healthcare Associates
BIDCO Pod Leader, Healthcare Associates
Dr. Nisha Basu, a graduate of Tulane University and the Tufts School of Medicine trained in primary care internal medicine at BIDMC. She has been an primary care physician in the Atrium clinic since 2008. As a two year fellow the HMS Center for Primary Care Innovation Fellows Program, she directed a registry based outreach pilot and started a program with our Pulmonary Division to screen our patients with diabetes for obstructive sleep apnea. This year, she served as the faculty advisor for a nurse practitioner led Diabetes Intensive Management and Education (DIME) clinic in HCA. This multidisciplinary clinic, aimed at those patients with poorly controlled diabetes, demonstrated an average 1.1% reduction in A1C. Recently, Dr. Basu was named the clinic’s first Director of Population Management. Her role as the BIDCO Pod leader dovetails with these goals.
Dr. Basu’s Linde Family Fellowship project is to design a system that balances the tension inherent in the Triple Aim - improving the health of the HCA patient population, improving the experience of care, and promoting high-value care. There are six areas she will focus interventions for quality goals: comprehensive visit-based care; integrated between-visit care; patient engagement; physician, team, resident engagement; information technology tools and infrastructure; and actionable data. Her success will be measured by the development of infrastructure and interventions to impact pre-defined quality and cost metrics.
Ethan Brackett, MD, MPA
Instructor in Medicine
Site Medical Director of Fenway: South End
Dr. Ethan Brackett studied at the University of Massachusetts Medical School then helped bring family medicine to Boston Medical Center as a member of the first residency class in 1999. While in residency, Dr. Brackett headed up the residents’ union and improved his knowledge of Boston’s immigrant populations by working in Brazil, Haiti, and Cape Verde. He worked for 10 years at Codman Square Health Center in Dorchester, MA, where he supervised residents and students, pioneered group prenatal and well-child visits, championed PCMH transformation, and managed the Family Medicine Department. In 2008, Dr. Brackett attended the Kennedy School of Government at Harvard University with a Zuckerman Fellowship from the Center for Public Leadership and earned a Master of Public Administration with a concentration in health policy. He came to Fenway Health in 2013 with the aim of expanding the breadth of LGBT healthcare through community outreach, added services, and new levels of advocacy.
During the Linde Family Fellowship Dr. Brackett seeks to continue leading Fenway Health’s transition into a full-service family health center. Fenway is an FQHC that has functioned as an adult-only, LGBT-focused practice. Fenway leadership has identified expansion to pediatrics as a logical and necessary next step for 2015-2016. Dr. Brackett has already facilitated cross-departmental coordination and planning to lay the groundwork for this transformation. He will spend his fellowship year focusing on staff training, new protocol implementation/refinement, and the roll-out of new clinical services. To guide this work, he intends to follow patient and staff satisfaction, service delivery supply and demand, and pediatric clinical outcome measures. Dr. Brackett is eager to do this within the existing structure of Fenway’s Patient-Centered Medical Home (PCMH) initiative, and its behavioral health integration in the primary care setting.
Arshiya Seth, MD
Instructor in Medicine
Primary Care Physician, Cambridge Health Alliance
Dr. Arshiya Seth trained in primary care internal medicine at Cambridge Health Alliance (CHA), Harvard University. After completing her internal medicine residency, Dr. Seth joined the faculty at Cambridge Health Alliance, Somerville Hospital Primary Care. Dr. Seth is also an Innovations Fellow, Center for Primary Care. She is leading Patient Experience of Care and Staff Experience of Care project at her site, conducting workshops for staff focused on "AIDET (Acknowledge—Introduce—Duration—Explanation—Thank you), "keywords at key times," techniques for reducing patient anxiety and implementing Service Recovery. She has had several institutional leadership roles at CHA including Principal Investigator for Academic Innovations Collaborative HMS Grant, Physician Lead Practice Improvement Team, Tobacco Cessation group, Diabetes shared medical appointments, and organizing Weight Watchers for hospital staff.
Dr. Seth’s Linde Family Fellowship project seeks to scale up and introduce the workshops at other sites within CHA, creating a sustainable and replicable model of improving Patient Experience of Care and Staff Experience of Care. The first phase of project involved designing and conducting 14 hours of workshops on “Patient Experience of Care” and “Staff Experience of Care” at Somerville Hospital Primary Care. In the next year workshops will spread across Cambridge Health Alliance and will be part of an ongoing training for new as well as old employees of CHA including medical students who rotate at CHA. Gradually, this workshop will take the form of a “Service Academy” at Cambridge Health Alliance thus creating customer loyalty, patient retention, satisfied employees and improvement in financial stability of the institution.
Amy R. Weinstein, MD, MPH
Assistant Professor in Medicine
Clerkship Director, BIDMC Core I Medicine
Faculty Director, BIDMC Crimson Care Collaborative
Dr. Weinstein is a general internist at Healthcare Associates (HCA), the BIDMC academic faculty practice. She is a leader in medical student education in the Division of General Medicine at BIDMC. Through her role as the BIDMC Core I Medicine Clerkship Director she leads Harvard medical students’ education in internal medicine during their core clinical year. Guiding a core group of faculty and Harvard Medical School students, Dr. Weinstein led efforts to develop the BIDMC-Crimson Care Collaborative Student-Faculty Practice based at Healthcare Associates, where she now serves as Faculty Director. As the Interprofessional Education faculty lead for the HMS-wide Crimson Care Collaborative organization, she coordinates efforts to bring and advance interprofessional teams in the student-faculty practices. She is a member of the HMS Academy of Medical Educators and a senior member of the BIDMC Academy of Medical Educators. Dr. Weinstein received formal training in medical education through the selective Rabkin Fellowship for Medical Education in 2007-2008.
Dr. Weinstein has also played a role in primary care innovation at BIDMC and HCA. She developed and led a Shared Medical Appointment Program with the pharmacy team and medical residents. Through her work on shared medical appointments she was selected to be a HMS Center for Primary Care Innovation Fellow (2011-2012). She led efforts to integrate students into the HCA patient centered medical home primary care redesign, including a summer internship program, as a part of the Center for Primary Care’s Academic Innovations Collaborative. Based on Dr. Weinstein’s work with medical students on primary care redesign and through the Crimson Care Collaborative, she was awarded the HMS Center for Primary Care Excellence in Mentoring Award in 2013.
Dr. Weinstein’s Linde Family Fellowship project will focus on engaging medical students to improve transitions in care. Through this project students will help patients transition from the inpatient to the outpatient setting, easing the process for patients and facilitating communication among providers. Success of the project will be measured by patient follow-up rates, and the quality of communication and patient follow-up. The process will be developed and evaluated and successes will be shared across the network.