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Programs in Education

PAICE Global: Promoting Access, Innovation, and Clinical Effectiveness

PAICE Global (Promoting Access, Innovation, and Clinical Effectiveness) is partnering with medical systems in low-resource environments to grow their knowledge and skills to transform local care delivery processes to deliver efficient, equitable, high quality care.

Executive Summary

Stanford Medicine’s PAICE Global: Promoting Access, Innovation, and Clinical Effectiveness is a unique collaborative program that teaches quality improvement (QI) methodology to medical teams in order to empower them to transform local health care delivery. Using evidence-based QI methods, PAICE Global assembles diverse, cross-disciplinary teams to address inefficiencies and unique problems in complex healthcare environments around the world.

PAICE Global was started after a multi-year global learning collaborative led by Stanford Medicine in India from 2017-2020. After a few years of learning with institutions across the US, Australia, and India, India was able to build local quality improvement capacity in 10+ hospitals, enhancing patient care delivery for thousands of patients. They now function under a country-wide improvement hub called EQuIP India.

It is our intent to work with global partners to grow their own local improvement capability. We have discovered effective methods for applying quality improvement tools and creating a learning environment where clinical leaders can redesign how care is delivered in their local areas. With over 3-years of case study examples spanning the globe, we have developed a proven model that delivers quantifiable results in improving patient outcomes and engaging local leaders.

Contact PAICE

Our Impact

Healthcare centers across India, Kenya, Australia, and the United States have participated in the collaboratives
Physician and administrative leaders have completed quality improvement projects for their local institutions.
Publications accepted or in review in US based and international medical journals

Our Offerings for Improving Patient Care Delivery

Learning Collaboratives for Teams

An eight-month, eight-session project based collaborative for teams. Learning topics may include:

  • Why Improvement Science in Healthcare?
  • Understanding System Complexity
  • Bringing a Structure to Problem Solving
  • Understanding the Current State
  • Identifying the Most Impactful Root Causes
  • Testing Ideas using Iterative Problem Solving
  • Effective Project and Team Management
  • Using Measures to Drive Improvement


Learning Collaboratives for Leaders

A six-month, twelve-session, individual based collaborative. Learning topics may include:

  • Creating an adaptive, learning culture in a complex system
  • Understanding data and variation (statistical analysis)
  • Developing an institution-based improvement structure
  • Managing the psychological aspects of change
  • Managing a large improvement project portfolio
  • Improving presentation and teaching skills
  • The role of evidence in quality improvement
  • Publishing QI projects and leading QI research activities

Our Research

PAICE and its partners have produced many publications based on their quality improvement efforts. Click the link below to access the publications.

Learn More

Contact Us

Karl Lorenz

Karl Lorenz

Dr. Karl Lorenz, MD MSHS is a general internal medicine and palliative care physician, and Section chief of the VA Palo Alto-Stanford Palliative Care Program. Formerly at the VA Greater Los Angeles, Dr. Lorenz directed palliative care research at the VA Center for Innovation to Implementation and served on the faculty at the UCLA School of Medicine. Dr. Lorenz is a member of the VA’s national Hospice and Palliative Care Program (HPC) leadership team, director of the operational palliative care Quality Improvement Resource Center (QuIRC), and adjunct facility staff member at RAND. Dr. Lorenz’s work and leadership has been influential to the field of palliative care research. Under Dr. Lorenz’s leadership, since 2009 the Quality Improvement Resource Center (QuIRC) has served as one of three national leadership Centers responsible for strategic and operational support of the VA’s national hospice and palliative care programs. QuIRC develops and implements provider facing electronic tools for the VA’s national electronic medical record to improve the quality of palliative care. In that role, Dr. Lorenz participates with the national leadership team in strategic planning, policy development, and providing resources to support operational efforts. Dr. Lorenz has contributed to the field of global palliative care, serving the World Health Organization in its development of Palliative Care for Older People and leading methods for Palliative Care Essential Medications.