Pediatric Housestaff

Quality and Performance Improvement

The goal of the Quality and Performance Improvement Scholarly Concentration is to inspire and support residents who are interested in pursuing quality and/or process improvement projects that support care delivery and improve patient health. The ultimate aim of the concentration is to provide residents with the knowledge and skills to improve the care of patients with a focus on quality, affordability and service.

Program Overview and Objectives

As members of Lucile Packard Children’s Hospital, residents are expected to be committed to quality, safety, affordability, innovation and respect for people with the goal of “nurturing care” and “extraordinary outcomes for healthier happier lives.” This is represented in the house below.

Residents are integral to the systems within the hospital and the outpatient clinics that provide this “nurturing care.” Those choosing to participate in the Quality and Performance Improvement Scholarly Concentration are introduced to the principles of quality improvement and are supported in developing and leading their own improvement project. Specifically, participation in this track should prepare residents to:


Required for All Quality and Performance Improvement Residents:

Required for All Pediatrics Residents:

All Pediatrics residents participate in:


Resident Projects

Residents in the Quality and Performance Improvement Scholarly Concentration are working on the following projects:

Contact Information

Lauren Destino, MD is a Clinical Assistant Professor in the Department of Pediatrics at Stanford University and pediatric hospitalist at Lucile Packard Children’s Hospital (LPCH).  She is a co-Investigator for IPASS at LPCH, a participant in the CHCA handoff collaborative and is actively involved in improving handoffs throughout the institution. Lauren is the director for the resident quality improvement rotation leading residents in analysis of events that have affected or have the potential to affect patient safety and guides the residents through quality improvement projects. She has training in Lean methodology, quality improvement, and helps direct process improvement on the acute care floors. Email:
Nivedita (Nita) Srinivas, MD is a Clinical Instructor with dual appointments in the Divisions of Pediatric Hospitalist Medicine and Pediatric Infectious Diseases. She completed her fellowship training in Pediatric Infectious Diseases at LPCH in 2013. She is interested in resident education and training future leaders within the field of Quality Improvement. She is currently the site lead for the ICAP (Improving Community Acquired Pneumonia management) quality improvement project through the AAP's Value in Inpatient Pediatrics (VIP) Network and has a strong interest in improving the management of other common pediatric infections such as bronchiolitis and urinary tract infections.
Terry Platchek, MD Terry Platchek, MD is a Clinical Instructor of Pediatrics at Stanford University and a Pediatric Hospitalist at Lucile Packard Children’s Hospital (LPCH). Terry serves as the Fellowship Director for Stanford’s Clinical Excellence Research Center and the LPCH Medical Director for Performance Improvement. Terry’s work focuses on engaging clinicians in Packard Quality Management System (PQMS) based improvements. Terry’s research focuses on using continuous quality improvement and Lean Thinking to improve quality, safety, efficiency, appropriateness, and service in healthcare delivery. He is specifically interested in the education and engagement of physicians in improving healthcare delivery systems and the use of structured abstracts for problem solving. Email:





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