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Leadership Highlights

I am excited to showcase my contributions to Stanford Health Care, which have prepared me with the essential skills for a leadership role. My experience encompasses a diverse range of projects and publications related to patient education and safety, regulatory compliance, quality improvement, programmatic change, and healthcare innovation. 

CMS Team-Based Care Documentation & Training Workgroup

Leading a cross-functional CMS Documentation and Training Workgroup for implementation of the 2024 split/shared billing changes. Team includes advanced practice provider (APP) and physician leadership, members from Compliance, Revenue Cycle and Billing Integrity, Coding, Technology and Digital Services (TDS). Instrumental in developing new organizational-wide guidelines and documentation attestations, training materials, as well as facilitation of training sessions to socialize this organization-wide change, while partnering with subject matter expert groups to problem solve or escalate issues to the steering committee.

CMS Workgroup

APP Student Preceptor Taskforce Chair

Leading a cross departmental multidisciplinary group of APPs and nurses using evidenced based change theory practice and Lean Six Sigma principles to improve the process of graduate student-APP matching, to facilitate precepting the next generation of the APP workforce. Key drivers include influencing leadership support of the preceptor process, developing a tool to ensure routine updating of a preceptor registry, to include APP preceptor availability, and redesign of the preceptor intranet portal to ensure up to date resources are available to support the preceptorship experience.   

Preceptor A3

Acting Manager - APP Clinical Fellows

Responsible for supervision of 5 new graduate APP clinical fellows during their one-year transition to practice fellowship program. Responsible for scheduling and timecards according to labor laws, identifying areas of risk and liability, meetings to establish and review goals and metrics, support of clinical competency development through recognition, coaching and mentorship; evaluation of performance to include improvement and corrective action where needed; distilling complex strategies into understandable concepts.

Group photo

APP Leadership Development

Collaboration on quarterly APP New Leader Onboarding events for clinical APPs transitioning to leadership roles. This team was created by the Center for Advanced Practice in response to a lack of formal leadership training for a growing APP-to-APP leadership structure, born from the initiative to mitigate APP turnover. The APP Leadership Development team strives to provide structured onboarding and job specific training to APP leaders, instilling confidence in their operational role and contributing to the engagement and retention of APP leaders and their teams. 

team photo

Workforce Planning Committee

Facilitation of weekly Workforce Planning Committee meetings, leveraging my understanding of team-based care and business models to ensure proactive management of new and replacement Advanced Practice Providers (APP) full-time equivalent (FTE) requests. This optimization and standardization of the APP role at SHC align with national benchmarks.

CMS Workgroup

Facilitator - Monthly APP Onboarding

In collaboration with multidisciplinary stakeholders, serving as lead facilitator for a 2-day monthly structured APP onboarding session, to introduce new hire Advanced Practice Providers to their roles within an academic healthcare organization, and ensure they are equipped with the necessary tools for a successful start, with the goal to promote recruitment, retention, and job satisfaction of this workforce. 

CMS Workgroup

Stanford Inaugural Norouz "New Year" Celebration 

A true experience in transformational leadership, I spearheaded the first Norouz celebration at Stanford Health Care in partnership with the Asian Pacific Islander and Allies employee resource group (ERG), co-chair, Gisso Oreo, Director of Professional Development at the Center for Education and Professional Development, and many Persian and Central Asian colleagues across the organization.

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Norouz, translating to “New Day”, is a cherished celebration of the Persian New Year and heralds the onset of Spring on the vernal equinox throughout the Middle East and Asia. This occasion embodies the ethos of embracing fresh starts, purifying our homes, minds, and souls, rekindling our relationship with nature, and expressing our respect to family, neighbors, and friends. This event fostered a much-needed sense of community and belonging, with eager anticipation to uphold this tradition annually.
 

Click here to view footage from the event.

CMS Workgroup

Cystic fibrosis Telemedicine in the Era of COVID-19

This descriptive paper on the implementation of Telemedicine at the start of the COVID-19 pandemic outlines the transition of care model for outpatient cystic fibrosis (CF) patients and the multidisciplinary team at the Stanford Health Care Adult CF center, from in-person visits to the telemedicine platform, highlighting telemedicine's utilization and deficiencies with incorporation of patient and staff feedback via survey.

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Abstract

The coronavirus disease 2019 pandemic has resulted in large-scale changes to incorporate telemedicine for the delivery of care. People with cystic fibrosis (CF) have care considerations that pose challenges to telemedicine; they include frequent visits for pulmonary disease progression, medication management, and evaluation by a multidisciplinary team of providers. We share our center’s experience with video visits replacing in-person clinic evaluation, using quality improvement strategies to create a replicable workflow. Key considerations include incorporation of the multidisciplinary team into the visit, limitations of remote delivery of care, as well as patient and staff perceptions of this care model. Results revealed that video visits were convenient, efficacious, and comparable to in-person visits, with interest for its continued incorporation into the traditional CF care model.

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Rad EJ, Mirza AA, Chhatwani L, Purington N, Mohabir PK. Cystic fibrosis telemedicine in the era of COVID-19. JAMIA Open, Volume 5, Issue 1, April 2022, ooac005, https://doi.org/10.1093/jamiaopen/ooac005.

CMS Workgroup

Book Chapter in "Facing Cystic Fibrosis: A Guide for Patients and Their Families"

With the ongoing transition of care of cystic fibrosis (CF) patients from pediatric to adult care, as well continued late/adult-diagnosis of cystic fibrosis, there was a need for a comprehensive book for patients to reference their ongoing health care needs. Project deadlines included first draft submission, final edits, and submission of glossary terms.

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Written by leading physicians and multidisciplinary CF care team members in collaboration with individuals with CF, Facing Cystic Fibrosis combines top-tier medical information and compassionate counsel on the management of CF, with a caring and sensible approach to the emotional aspects of living with CF and its complications. This book is for anyone whose life is affected by this diagnosis.


Chapter Author: Rad E., Stroebe M., Mohabir P.  Which Tests and Procedures Assess, Monitor and Treat My CF? Facing Cystic Fibrosis: A Guide for Patients and Their Families. The Massachusetts General Hospital Psychiatry Academy. 2019: 29–44.

 

The book was published on Feb 1, 2020 and is available for purchase at bookstores, and several online stores such as Amazon: Facing Cystic Fibrosis: A Guide for Patients and Their Families. Sher MD, Yelizaveta, Georgiopoulos MD, Anna M.

CMS Workgroup

Cystic Fibrosis Bone Disease (CFBD) Screening & Management Algorithm

Different guidelines for assessing bone disease in patients with cystic fibrosis (pwCF), as well as the complexity in treatment, result in discordant diagnoses between providers and subsequent varying treatment of the disease.  By implementing a screening and treatment algorithm for CF-related bone disease (CFBD), we hope to improve diagnosis and management of CFBD. A combined team of endocrinologists and Adult CF specialist participated in the Primary Care Project Engagement Platform (PC-PEP), an 8-week rapid-cycle quality improvement (QI) program using the A3 model, to help identify a solution for our CF bone disease project in a structured way.

 

Our team's efforts resulted in the creation of a standardized institutional algorithm and SmartPhrase, incorporating current guidelines and treatments for CFBD. Utilizing the Plan, Do, Study, Act (PDSA) cycle of the A3 model, we focused on usability and simplification of the algorithm and SmartPhrase. A pre- and post-intervention survey for needs assessment & provider understanding was administered at the start and completion of project, with improved provider comfort level in diagnosis and treatment of CFBD.

CMS Workgroup

RITE Project Contributor: SIBR Rounding Tool

In an effort to decrease the length of stay (LOS) of lung transplant patients during their index admission, as part of the Realizing Improvement through Team Empowerment (RITE) project, I collaborated with the entire multidisciplinary team to identify lack of standard work as a root cause contributor to prolonged hospital stays. The result was development of a Structured Interdisciplinary Bedside Rounding (SIBR) tool that was customized for adaptive use within the electronic health record. Through team accountability of barriers to discharge and active participation in the plan of care, along with other interventions, we were successful in decreasing the average LOS in the hospital for patients undergoing lung transplant surgery from 22 days to 18 days.  

CMS Workgroup
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