Grail Learning combines advanced risk analytics and cutting-edge adaptive learning technology

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About Grail Learning

Data harmonization and intelligence for risk managers

Grail Learning, a proud member of the Symphony Risk Solutions family, offers innovative risk management education tailored for healthcare providers. Our comprehensive, proactive approach identifies key organizational risks, formulates actionable strategies for improvement, and supports your ongoing development in risk management.

Grail iD review score of 80 displayed in a circular chart with financial, risk, operational, and litigation geography data points, showing dollars incurred $65,844,052, total claims 2,748, litigated claims 366, and closed with payment 51. Below is a curriculum prescription recommending courses in Obstetrics & Gynecology, General Surgery, and Radiology to lower risk with learn more links.

About BluePrint

Adaptive risk management education for healthcare providers

Grail Learning – a wholly-owned subsidiary of Symphony Risk Solutions– delivers adaptive risk management education to healthcare providers through an integrated, pre-emptive system that identifies organizational risk factors, creates a blueprint for change, and guides your continual path forward.

Driving innovation in risk management education

Our mission is to revolutionize the analytics and technology framework around risk management education for healthcare providers, directly target knowledge gaps, and meaningfully partner with our clients to achieve their competitive and financial goals tied to risk management and patient safety.

Reduce clinical risk

Enhance patient safety

Improve risk profile

Meet the team

Get to know the dedicated experts shaping the future of risk education. Empowering clinical progress through expert leadership.

Rick Fiscina

Rick Fiscina

President

Steve Pelletier

Steve Pelletier

Business Development

Michelle Smoljan

Michelle Smoljan

Strategy & Innovation

Join our mission today

Connect with us to explore how Grail Learning can transform your healthcare education experience.

Rick Fiscina

President

Rick Fiscina is a recognized pioneer in the field of medical-legal education and risk management. In 1997, he founded ELM Exchange, Inc., which became the gold standard in online Continuing Medical Education (CME) and medico-legal education.

For more than two decades, ELM Exchange was the seminal influence that defined excellence in the space, setting the dominant model for risk management education for physicians, hospitals, and insurers nationwide.

At Grail Learning, Rick continues this legacy of innovation by harnessing the expertise of leading physicians, legal scholars, and risk specialists to create the industry’s most sophisticated and authoritative platforms for risk detection, physician education, and professional liability mitigation. His leadership has elevated both awareness and standards across the MPL industry, ensuring Grail remains at the forefront of next-generation physician learning and risk intelligence.

Rick Fiscina

Rick Fiscina

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Steve Pelletier

Business Development

Steve brings decades of experience as one of the leading business development executives in the medical-legal education and MPL space. At ELM Exchange, Inc., he played a pivotal role in building the company into the dominant provider of online CME and medico-legal education, shaping how risk management education was delivered and adopted across the industry.

As Chief Business Development Officer at Grail Learning, Steve applies that unmatched expertise to driving adoption and growth, forging strategic relationships with health systems, insurers, and risk pools. His ability to translate complex educational and risk-management solutions into measurable value for clients has made him the most trusted business development leader in the space.

Steve Pelletier

Steve Pelletier

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Michelle Smoljan

Strategy & Innovation

Michelle has been a driving force in the advancement of medical-legal education since her leadership at ELM Exchange, Inc., where she was instrumental in establishing the company’s reputation as the industry’s gold standard. With deep expertise in curriculum design, physician learning, and risk mitigation strategy, she ensured that ELM’s offerings consistently met the highest standards of excellence and relevance.

At Grail Learning, Michelle leads strategy and innovation, steering the development of breakthrough platforms that integrate medical expertise, legal insight, and technology to elevate physician performance and reduce liability. Her vision and leadership have made her the key architect of Grail’s ongoing mission to transform the future of MPL risk education.

Michelle Smoljan

Michelle Smoljan

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