Quality, Safety, Value Improvement

Quality, Safety, Value Improvement (QSVI) projects are important aspects of medical care that need to be considered to ensure the best care possible for patients. Through QVSI projects, we can create care maps which serve as easy to follow, quickly accessible treatment plans to which care providers can refer. Care maps are generated from a team of physicians, nurses, ATC, physical therapists, and many other care providers conducting an extensive review of medical literature regarding a single topic and compiling evidence-based guidelines along with clinical experience to identify the best treatment choices to produce the best outcomes for patients in a particular circumstance. The purpose of these care maps is to reduce the variation in health care, although some necessary case by case variation will remain. This standardization of care will reduce cost and improve patient outcomes. We are currently underway with care map creation for ACL injuries and Spine Deformities and look to apply this process to the following areas in the future: trauma, Developmental Dysplasia of the Hip (DDH), fracture care, and more.


Highlighted Work:

McFarlane KH, Cahan EM, Chawla A, Lee J, Nguyen L, Rajagopalan V, Hu SS, Ratliff JK, Vorhies JS, Imrie MN, Rinksy LA, Frick SL, Wall JK, Shea KG. Using Data-Driven, Principled Negotiation with a Clinician-Integrated Approach to Achieve Best Values on Spinal Implants. JPOSNA. 2021;3(2).

Perl JR, Sheth KR, Shea KG, Wall J. Hospital Value Committees: The Role of the Surgeon in New Technology Adoption. Surgical Innovation. 2021;28(4):401-402. doi:10.1177/15533506211031094.

Cahan EM, Chawla A, Shea KG. Supply Chain Optimization and Waste Reduction. JAMA. 2020;323(6):572–573. doi:10.1001/jama.2019.20854

Taylor IK, Burlile JF, Schaeffer EK, Geng X, Habib E, Mulpuri K, Shea KG. Developmental Dysplasia of the Hip: An Examination of Care Practices of Pediatric Orthopaedic Surgeons in North America. J Pediatr Orthop. 2020 Apr;40(4):e248-e255. doi: 10.1097/BPO.0000000000001505. PMID: 31904613.

Iobst CA, Stillwagon M, Ryan D, Shirley E, Frick SL. Assessing quality and safety in pediatric supracondylar humerus fracture care. Journal of Pediatric Orthopaedics. 2017 Jul 1;37(5):e303-7.

Jackson III JB, Huntington WP, Frick SL. Assessing the value of work done by an orthopedic resident during call. Journal of graduate medical education. 2014 Sep;6(3):567-70.

Faculty

Dr Kevin Shea

Research Contact

Matthew Rohde

rohdem@stanford.edu