Welcome!

The Quality Improvement Program in the Department of Pathology and Laboratory Medicine at the David Geffen School of Medicine at UCLA is excited to present the 2023 Quality Improvement Day and Daljit S. and Elaine Sarkaria Keynote Lecture on Quality Improvement to the Bruin community. This year's theme is "Building Capacity with Clinician Wellness."  We will be hosting virtual events from 8:00 a.m. - 1:00 p.m. on 2/10/2023 via Zoom.

Please see below for an overview of our agenda, and click on links in the table of contents for additional information about the events and speakers.  

8:00 a.m. - 9:00 a.m. 2023 Daljit S. and Elaine Sarkaria Keynote Lecture on Quality Improvement 

9:00 a.m. - 9:30 a.m. Break

9:30 a.m. - 11:00 a.m. Workshops

11:00 a.m. - 12:00 p.m. Break

12:00 p.m. - 1:00 p.m. UCLA Pathology and Laboratory Medicine QI Project Presentations

Thank you for joining us!


Table of Contents

2023 Daljit S. and Elaine Sarkaria Keynote Lecture on Quality Improvement

Time: 8:00 a.m. to 9:00 a.m. 

Title: "From Burnout to Joy in Work"

Description: This interactive keynote explores actionable ideas to promote and implement joy at work. It features implementation stories and offers participants the opportunity to discuss what makes (and gets in the way of) a great day at work. 

Speaker: Kate Hilton, JD, MTS | Leadership Faculty at the Institute for Healthcare Improvement and the Atlantic Fellows for Health Equity program at The George Washington University

Additional Resources:

Kate Hilton, JD, MTS, is Leadership Faculty at the Institute for Healthcare Improvement and the Atlantic Fellows for Health Equity program at The George Washington University. For over a decade, Kate has taught and coached people around the globe to build individual and organizational capacity to address the adaptive, human-side of change to achieve health equity, quality improvement, patient safety, population health and joy in work. 

Kate is Faculty and Lead Coach of the IHI Joy in Work Results-Oriented Learning Network, supporting health care organizations to boost joy in work, increase staff engagement and productivity, and improve overall quality of care and experience for staff and patients. She serves as Lead Faculty in an IHI collaboration to improve staff wellbeing and leadership with Newcastle upon Tyne Hospitals NHS Foundation Trust in England and supports Safer Care Victoria’s joy in work learning network in Australia. 

Kate also coaches health care teams in the Workplace Change Collaborative, a HRSA-funded center that supports the Health and Public Safety Workforce Resiliency Training Program and Promoting Resilience and Mental Health among the Health Professional Workforce grantees on their efforts to promote wellness and reduce burnout among health and public safety workers and trainees and create better working and learning environments.

Kate is also Faculty at the American Health Care Association, where she leads the development of a trust-building course funded by the Centers for Disease Control. Kate also contributes to the American Society of Health-System Pharmacists' Wellbeing Ambassadors program and the Rockefeller Leadership Fellows and Management and Leadership Development Programs at Dartmouth College. 

Workshops

Time: 9:30 a.m. to 10:00 a.m. 

Title: "Peer to Peer Coaching"

Description: UCLA Health has many ways to help its physicians in their careers, and leadership uses multiple mechanisms to evaluate and support each individual physician.  The Department of Medicine through DOM Quality has created a unique innovative program that directly improves efficiency, burnout, and quality of care.  The Peer Coaching Program trains a select group of physicians to conduct one-on-one confidential sessions with their peer physicians in ambulatory practices through a minimum of three sessions on Zoom.  As the coaches are peers of the physicians, they have detailed knowledge of the workflows and pressures of providing care within the department, and the confidential nature of the sessions enables meaningful discussion.  The topics can vary, with the agenda set by a combination of feedback from the participating physician, leadership, and objective metrics learned from CareConnect utilization.  This program currently has seven coaches, and starting this year it will conduct a randomized controlled trial to determine its impact on early career physicians.

Speakers: 

Yaroslav Gofnung, MD, is an endocrinologist based out of UCLA's Calabasas office.  He attended medical school at the University of Soutern California.  Both his internal medicine residency and endocrinology subspecialty training were completed at USC as well at the Los Angeles County Hospital.  He is a coach within the Peer Coaching program and member of DOM Quality. 

Nathan Samras, MD, MPH, is a primary care physician at UCLA's Beverly Hills location where he practices Internal Medicine and Pediatrics.  He attended medical school at Rutgers in NJ and residency at Georgetown in Washington DC.  He is the Director of Peer Coaching, and a member of DOM Quality.  

Time: 10:00 a.m. to 10:30 a.m. 

Title: Successful Improvement is a Path Toward the Joy of Work

Description: Improving complex systems such as health care, where the product is human interaction, requires the engagement of all. Meaningfully engaged teams have insights to discover what works and learn continually, with lasting effects. Participating in the process of understanding and addressing problems, supported by data, provides the sense of camaraderie and purpose that transforms feelings of being controlled and overwhelmed into optimism and self-efficacy within a vibrant, evolving health system. We look at a case study of this process in action.

Speaker: Vladimir G. Manuel, MD | Family Medicine at UCLA DGSOM

Vladimir Manuel, MD, is a board-certified family medicine physician. He provides preventive and acute healthcare services for family members of all ages. Dr. Manuel received his medical degree from University of Pittsburgh School of Medicine and completed his residency at Santa Monica UCLA Medical Center.

Time: 10:30 a.m. to 11:00 a.m. 

Title: "Building Trust for Quality & Joy"

Description: Trust between staff and leaders has eroded in light of COVID-19 mandates, changing guidance, short staffing, burnout and trauma. When trust is absent between health care leaders and staff, research shows that patient safety, quality of care, and staff wellbeing are negatively impacted; and when trust erodes between health care systems and communities, health disparities widen. As leaders, we have the ability to build a foundation of trust with staff and communities to improve outcomes. Staff trust leaders when they believe they care about them, have faith in their judgment and competence, and think they are acting with the real person. Based on the science and art of trust-building, this workshop provides participants for participants to assess trust in their setting and adopt innovative methods to develop a culture of trust, safety and wellbeing.

Speaker: Kate Hilton, JD, MTS | Leadership Faculty at the Institute for Healthcare Improvement and the Atlantic Fellows for Health Equity program at The George Washington University

Additional Resources:


Kate Hilton, JD, MTS, is Leadership Faculty at the Institute for Healthcare Improvement and the Atlantic Fellows for Health Equity program at The George Washington University. For over a decade, Kate has taught and coached people around the globe to build individual and organizational capacity to address the adaptive, human-side of change to achieve health equity, quality improvement, patient safety, population health and joy in work. 

Kate is Faculty and Lead Coach of the IHI Joy in Work Results-Oriented Learning Network, supporting health care organizations to boost joy in work, increase staff engagement and productivity, and improve overall quality of care and experience for staff and patients. She serves as Lead Faculty in an IHI collaboration to improve staff wellbeing and leadership with Newcastle upon Tyne Hospitals NHS Foundation Trust in England and supports Safer Care Victoria’s joy in work learning network in Australia. 

Kate also coaches health care teams in the Workplace Change Collaborative, a HRSA-funded center that supports the Health and Public Safety Workforce Resiliency Training Program and Promoting Resilience and Mental Health among the Health Professional Workforce grantees on their efforts to promote wellness and reduce burnout among health and public safety workers and trainees and create better working and learning environments.

Kate is also Faculty at the American Health Care Association, where she leads the development of a trust-building course funded by the Centers for Disease Control. Kate also contributes to the American Society of Health-System Pharmacists' Wellbeing Ambassadors program and the Rockefeller Leadership Fellows and Management and Leadership Development Programs at Dartmouth College. 

UCLA Pathology and Laboratory Medicine 

QI Project Presentations

Time: 12:00 p.m. to 12:20 p.m. 

Title: "Dermatopathology, Melanoma Sentinel Lymph Node Immunopanel"

Description: The current Sentinel Lymph node protocol for the evaluation of metastatic melanoma was devised a number of years ago in an effort to provide high sensitivity and specificity. Using the stains and understanding at that time a robust protocol was developed utilizing a large number of slides with H&E and immunohistochemical stains. As information regarding the utility of various stains has evolved over the last decade the protocol remained in place despite the arduous nature of its evaluation and the suspected superfluous nature of certain tests. For this reason a truncated protocol was tested and compared to the current method as a gold standard. The modified method, which requires fewer slides and requires much less time for evaluation, was revealed to be as sensitive and specific as the existing test.

Speaker: Joshua Pierce, MD, PhD| Pathology and Laboratory Medicine at UCLA DGSOM 

Joshua Pierce, MD, PhD, was born in Lubbock, Texas where he attended Texas Tech University and received a bachelor’s degree in Cell and Molecular Biology. He then joined the UT Southwestern graduate school of biomedical sciences and obtained a PhD in cancer biology. He subsequently began medical school at UT Southwestern medical center, graduating in 2021. Now, he is a second year Anatomical and Clinical Pathology resident at UCLA with interests in Dermatopathology and Bone and Soft tissue pathology.

Time: 12:20 p.m. to 12:40 p.m. 

Title: "Creation of a Transfusion Medicine User Interface - Development and Implementation of a Resident Transfusion Medicine Dashboard"

Description: Discuss the development and implementation of the resident transfusion dashboard and next steps in evaluation.

Speakers: 

Precious Ann Fortes, MD, is a third-year resident in the Department of Pathology at the University of California, Los Angeles (UCLA). She received her MD from the David Geffen School of Medicine at UCLA. Her interests in pathology include health disparities focused work, cytopathology, transfusion medicine, hematopathology, informatics and placenta research. Outside of medicine she enjoys spending time with her partner and their three children.  

Jamar Uzzell, MD, is a Dermatopathology fellow in the Department of Pathology at the University of California, Los Angeles (UCLA). He received his Doctorate from Ross University School of Medicine and a masters degree from Virginia Commonwealth University. His academic interests are Dermatopathology, Hematopathology and Informatics. Outside of work he enjoys community outreach, mentoring, binge watching shows and gaming.

Time: 12:40 p.m. to 1:00 p.m. 

Title: "Educational Cost-Effective Intervention to Reduce Pathologist's Peripheral Blood Smears Reviews with Non-Contributory Findings: An Academic Institution Experience"

Description: This study reviewed ordering practices at UCLA in order to improve utilization of pathologist peripheral blood smear review and assess the effectiveness of laboratory consultation in hematopathology. In addition, this study addresses the challenges of navigating different electronic medical records/laboratory information systems due to factors such as hospital expansion and having different electronic systems for our outpatient and inpatient populations.

Speaker: Trang Lollie, MD | Pathology and Laboratory Medicine at UCLA DGSOM 

Dr. Trang Lollie graduated magna cum laude at University of California Irvine, where she earned a Bachelor of Science in Developmental and Cell Biology and a minor in Management. She attended medical school at Tulane University School of Medicine. She went on to complete residency training in Anatomic and Clinical Pathology and fellowship training in Gastrointestinal and Liver Pathology from University of California in Los Angeles. She served as chief resident during the first year of the COVID19 pandemic, where she spearheaded UCLA’s first conference curriculum and developed a database platform for recorded lectures. Prior to her medical training, she worked as a senior biologist at Eli Lilly in San Diego and lab manager/research technician at UCI.

Dr. Lollie is dedicated to quality and education, having initiated various quality improvement projects such as optimizing workflows and authoring subspecialty service guides and manuals. She has presented at various presentations and conferences, including United States and Canadian Academy of Pathology, College of American Pathologists, and UCLA. She has co-authored articles in Journal of Clinical Pathology, Modern Pathology, Laboratory Medicine, Digestive Medicine Research, and Acta Cytologica. Dr. Lollie has received numerous honors including Louisiana Pathology Society Award, Alpha Omega Alpha, and was a finalist at UCLA’s resident informaticist symposium.