Continuous Quality Improvement
David Leach Award
Our multidisciplinary group at University of Washington Medical Center received the ACGME David Leach Award for our coordinated project focusing on enhancing vigilance for post-operative patients through standardized post-operative checklist.

Highest Quality Care

Regardless of where we practice medicine, it is up to us as individual physicians to ensure the highest quality of care that we can deliver to our patients. At each location, the demography and cultural composition of our patients have revealed different approaches to language barriers, self-understanding of disease, and even the perception of pain.

As a physician, I wrote a recent essay that describes the obstacles I believe most significantly impede the adoption of standards of healthcare delivery in these diverse settings.

I have obtained Six Sigma and LEAN certification and patient safety curricula, and published work on outcomes-based research studies and clinical trials on informatics tools in peer-reviewed journals.

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Medical Device Consulting
I also work with a network of interventional pain specialists to evaluate and provide non-opioid treatments for patients with long-standing pain due to accidental injury.

Workflow

Perioperative Workflow Optimization with Lean management system

  • Workspace organization for perioperative areas, including operating room (OR), pre-operative and post-anesthesia care unit (PACU).
  • Collaborative efforts with sugical services, materials maangement & engineering, and pharmacy
  • JCAHO site visit readiness optimization

Continuous Practice Improvement with Six Sigma DMAIC

  • Best practices (e.g. evidence-based) evaluation and implementation to improve perioperative management of patients.
  • Cataloging and direct comparison of practices in the Los Angeles area
  • Patient safety measures assessment and interventions
  • Billing and Compliance measures (e.g. AQI NACOR, CMMS, MACRA MIPS)
  • Shared mental model implementation
  • Cost-Effectiveness Analyses
  • Secondary Data Use & Data Extraction
  • Research design, statistical methods, and manuscript preparation
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SURGERY

Robotic-assisted repair of an inguinal hernia. Indeed, robots are taking over everywhere, even in surgery, where they are used to assist in urology, gynecology, abdominal and liver surgeries, and even ENT procedures.
The robot gives the surgeon an extra degree of freedom with the rotation of multiple instruments in the abdominal cavity, while maintaining superior visualization of all the surrounding structures.
The anesthesiologist must ensure adequate ventilation and blood pressure parameters, which change significantly with this procedure.

Vigilance as always.

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