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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MEDICATIONS

Medications typically have 2 names...a pharmaceutical company-owned BRAND name (and a GENERIC name). Even our typical over-the-counter meds are the same.
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💊Examples include Tylenol (acetaminophen), Advil (Ibuprofen), Benadryl (diphenhydramine). And the list goes on.
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☝️In the OR, it's not that different. However, it is important that they be communicated in a standard fashion between doctors and nurses as the patient goes between the OR, recovery room, and the hospital ward. .
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🛑Consequences include missed (or doubled) medications and can have consequences for patient safety. This often times happens in areas where different systems, medical records turnover of personnel introduce variation in medication reporting.

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