Some CHP Grads Go Through Pilot Workforce Accountability Program

Contact: Heather Woolwine
843-792-7669
woolwinh@musc.edu

May 24, 2017

CHARLESTON, SC – Health care administration professionals, who must carefully consider how they evaluate human errors and at-risk behaviors in health care practice by those they manage, often struggle with knowing the best way to encourage transparency and accountability for those errors. To address this knowledge gap in training for health administrators about to hit the workforce, the MUSC College of Health Professions (CHP) piloted a new curriculum approach for this year’s Master in Health Administration (MHA) graduating class that incorporated the Just Culture system of workplace accountability for high-consequence industries. It is the only program in the country to date to offer this additional training and research opportunity to its MHA students.

“Over the years, I have asked former graduate students what they felt unprepared for when they got into the real world of leading individuals within a health care entity,” said Tom Crawford, Ph.D., MHA program assistant professor. “The answer was the delicate interaction with their employees when things did not go as planned.” To that end, Crawford and his colleagues constructed a curriculum using “Dave’s Subs: A Novel Story About Workplace Accountability” and partnered with the book’s author and Outcome Engenuity principal, David Marx, for a research and education project to develop and refine academic materials and testing related to Just Culture.

Recognized by industry leaders as the “father of the Just Culture movement,” Marx said that Just Culture is about differentiating human errors and at-risk behaviors from more culpable and reckless choices that providers may make in the course of caring for patients. “It works to move away from judging employees based upon an unfortunate outcome, putting more emphasis on the quality of their choices. In doing this, we create a more accountable, open, learning culture within an organization – which in turn leads to better outcomes,” he said.

MHA students were provided an opportunity to take the Just Culture Certification exam, and provided feedback on the exam and curriculum throughout the educational partnership. Student Parker Rhoden, who recently passed the exam, said, “The Just Culture certification provided me with a framework to effectively handle difficult human resources decisions, and will be extremely valuable to my career in health administration. This really is an immediate benefit for those of us entering the workplace.”

Jami DelliFraine, Ph.D., CHP Department of Health care Leadership and Management chairwoman, echoed Rhoden’s comments. “We see this as an opportunity to bring the incredibly important message of Just Culture to tomorrow’s health care leaders, and through our continuing education program to leaders within the broader community,” she said.

About MUSC

Founded in 1824 in Charleston, MUSC is the state's only comprehensive academic health system, with a unique mission to preserve and optimize human life in South Carolina through education, research and patient care. Each year, MUSC educates more than 3,200 students in six colleges – Dental Medicine, Graduate Studies, Health Professions, Medicine, Nursing, and Pharmacy – and trains more than 900 residents and fellows in its health system. MUSC brought in more than $300 million in research funds in fiscal year 2023, leading the state overall in research funding. MUSC also leads the state in federal and National Institutes of Health funding. Learn more about our academic programs.

As the health care system of the Medical University of South Carolina, MUSC Health is dedicated to delivering the highest-quality and safest patient care while educating and training generations of outstanding health care providers and leaders to serve the people of South Carolina and beyond. Patient care is provided at 16 hospitals (includes owned or governing interest), with approximately 2,700 beds and four additional hospital locations in development, more than 350 telehealth sites and nearly 750 care locations situated in all regions of South Carolina. In 2023, for the ninth consecutive year, U.S. News & World Report named MUSC Health University Medical Center in Charleston the Number 1 hospital in South Carolina. Learn more about our patient services.

MUSC has a total enterprise annual operating budget of $5.9 billion. The nearly 26,000 MUSC family members include world-class faculty, physicians, specialty providers, scientists, students, affiliates and care team members who deliver groundbreaking education, research, and patient care.