Dossabhoy et al Receive SHC QPI Award

June 11, 2024

The project “Reducing Hospital Length of Stay (LOS) after Carotid Endarterectomy (CEA) and Endovascular Aneurysm Repair (EVAR) has been selected as the inaugural winner of the Quality & Performance Improvement (QPI) Award. Vascular Surgery Resident Dr. Shernaz Dossabhoy and her team were presented with the award at the Stanford Health Care (SHC) Monthly Managers Meeting on Tuesday, June 11th.

According to Quality, Patient Safety and Effectiveness Manager David Crichton, “the QPI Award recognizes exceptional achievements in enhancing and maintaining healthcare quality and operational efficiency within SHC.”

Dossabhoy said she learned of SHC’s higher than average LOS during her weekly division meeting and didn’t see why “we shouldn’t be a leader in the field.” She aggregated a team of quality improvement specialists and clinic coordinators who made changes in the preop clinic, on the morning of surgery, and in the inpatient unit

“By implementing interventions at multiple points across the care continuum and engaging all patient stakeholders, we were able to successfully reduce LOS for vascular surgery patients undergoing elective CEA and EVAR procedures to below VQI targets,” said Dossabhoy.

Average LOS for CEA decreased from 2.2 to 1.2 days while EVAR patients, average LOS decreased from 2.3 to 1.7 days.

“We also increased the percentage of patients discharged within one day after surgery from 50% to 79% for CEA and 45% to 69% for EVAR,” said Dosabhoy.

This has been associated with increased patient satisfaction and likelihood to recommend the hospital to others while decreasing hospital accommodation costs of approximately $30,000 annually.

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