In 2019, AHRQ reported errors occurring in 1 of 112,000 surgeries in the OR, but higher in ambulatory and IR. There were 300 million surgeries around the world in 2020. Calculating the ratio, there were 3000 never events in that year alone. From my experience and literature research, poor surgical outcomes and errors are correlated to high turnover rates of perioperative leaders due to deficit in standardized training and competencies and lack of formal mentorship and coaching programs when they already have a demanding, high-pressure, and fast paced job.
The life span of these leaders are less than 1-2 years, resulting in a lack of team and safety culture, ineffective communication, and practice drift. The average malpractice lawsuit related to surgical error starts at 250k up to millions. Additionally, inefficiencies, waste, redundancies, increased length of stay, and readmission rates are other indicators of poor patient outcomes that financially impact healthcare systems.
Over the last 10 years, poor surgical outcomes and surgical errors are trending up.
We, at Operation: INSPIRE, have the solution for you. We are a community of diverse and inclusive subject matter experts who live and breathe perioperative services. Some of us started from very humble beginnings - as housekeeper, frontline staff, clinician, to leaders. We will resonate with your team, leaders, and patients. We are passion- and purpose-driven, team-based, and lifelong partners. Working with INSPIRE is a proactive solution (unfortunately, sometimes can be reactive) in fostering a safe environment for your team with competent leaders, resulting in better patient outcomes and bottom line.
Relocated to California.
Worked at Kaiser Permanente (KP) and Lucile Packard as
Surgical Tech. Nursing school
2000-2003
Relocated to Texas at UTSW and Texas Health – robotics surgery and supervisor roles. ADN to MSN program
2010-2013
2003-2010
RN degree – Main OR at KP. Exploration of coach/mentor– kidney transplant, charge RN
1997-1999
Surgical Tech Program EVS, CNA, diet clerk, transporter, medical record clerk. Group Health – OB Tech
Migrated to US (Seattle) from Philippines. Computer and ESL classes
My Journey
1994
DNP graduate. Promotion as AMGA. COVID-19 pandemic. PKE MBA Pepperdine. Formalization of O:I
2019-2022
Expand perioperative
consulting in west region. Access to Dream initiatives.
Surgical mission 2024.
Partner with community leaders
Future Plans
2023
Adjunct Faculty at SMU.
Resigned from KP to focus on O:I with 3 business units to launch 10/23
2015-2019
Promotion as Periop Director at KP. DEI, search for mentor, coaching youth. DNP
program
Relocated to California at KP as OR Manager, mentored by traveler director. MSN graduate.
2013-2015
create an inclusive community of resilient, emotionally intelligent, and transformational leaders who will empower organizations in developing high performing and cohesive teams.
Our vision is to improve surgical outcomes while building a life-long trusting relationships within our community and the organizations that we serve.
The mission of INSPIRE is to...
Our Mission
Our Team
Ms. Pannell is a registered nurse bearing 20 years of experience in a vast realm of in-patient critical care areas including 15 years in surgical intensive care (SICU), cardiovascular intensive care (CVICU), cardiopulmonary (CPU), ambulatory surgery (ASU), and post anesthesia care units (PACU). Ms. Pannell have 10 years of ambulatory and outpatient clinic experience in Adult Primary Care and outpatient surgery centers with adult and pediatric population.
Ms. Pannell is a dedicated service department manager with undeniable service, employee development, and interpersonal skills. She boasts more that 5 years of experience overseeing complex department-management tasks. She always ensure high standards of culturally competent care for a wide variety of patients with diverse needs. Ms. Pannell's skill highlights are as follows: strong clinical judgement, astute critical thinker, high level of autonomy, conflict resolution capability, labor relations, metric and initiative driver, LEAN methodology proficient, thorough throughput, excellent communicator, and patient and family advocate.
Mia Pannell
Mr. Bucoy is passionate, dedicated and goal-oriented who deliver success and innovation while meeting priorities and deadlines. With two decades of experiences from the Philippines, United Kingdom, and United States of America, his skills and expertise are in various applications, systems, and SaaS.
He managed multi-million-dollar inventories within health systems and multi-site facilities. Furthermore, he had experience in annual inventory audit, procurement, account payables and receivables, national contract agreements, and LEAN methodology.
Mr. Bucoy’s personal mission is to provide transparency, to execute cost savings, and to influence for supply chain standardization and par level optimization. He is an inspirational leader who promote collaborative and team environment. He is enthusiastic to serve through Operation: INSPIRE to share his expertise and experiences in achieving the highest possible level of success for the organization and its clients.
Rolando Eltanal Jr
Mr. Lim is a highly experienced and dedicated nurse with over 15 years of experience in the healthcare industry. He began his nursing career in 2007 and has since held various roles, such as operating room staff, charge nurse, nurse informatics, and nurse management. With his impressive background, Mr. Lim has proven himself to be a versatile and dynamic healthcare professional. He has gained extensive knowledge in different areas of nursing, including clinical care, information technology, and management. His expertise in nurse informatics has given him a unique perspective on how to optimize the use of technology to improve patient outcomes and streamline healthcare operations.
Randy Lim is an accomplished nurse who has made significant contributions to the healthcare industry. His expertise and commitment to patient care make him a respected and valuable member of the nursing community. His commitment to providing the highest level of care to his patients has earned him a reputation as a reliable and compassionate healthcare provider. His attention to detail and ability to work under pressure make him an asset to any healthcare team. Outside of his work as a nurse, Randy Lim enjoys staying active through swimming and bicycling. He finds these activities to be a great way to clear his mind and recharge his energy for work. He is a lifelong learner who is constantly seeking new opportunities to expand his knowledge and skills in nursing and healthcare.
Randy Lim
Mr. Arcala is an innovative, calm, and well-respected leader. He has over 17 years of sterile processing experience. He started his career as a sterile processing technician. Due to his dedication and hard work, he was promoted as an endoscope reprocessing coordinator after three years. Mr. Arcala was the key player and instrumental in overseeing the first centralized endoscope and ultrasound probe reprocessing area in one of the largest integrated healthcare systems in United States. He helped pioneered the new state of the art instrument tracking system to document all aspects of reprocessing, infection control parameters, and patient safety protocol required by The Joint Commission. This innovative reprocessing area became one of the organization's beta testing sites for new nonproprietary consumable products and implementation of new compliance protocols.
Russell Arcala began his leadership role as a sterile processing manager. He led his team for multiple years of no findings from The Joint Commission and state inspections. His departments were noted during surveys as “Best practice – most pristine sterile processing department”. Mr. Arcala’s core values include authenticity, intentional, and inclusive. He brings the best out of his team and foster a safe culture. To diversify his operational and innovative skills, he took on a role as a medical equipment planner. His current responsibilities are related to planning and developing equipment plan and associated infrastructure requirements to support all medical equipment for hospital construction projects from concept design to activation.
Russell Arcala
Tawny La Rosa is a Business Consultant and Financial Advisor based in San Francisco, CA. Her areas of focus are ethical business standards and practices, fraud prevention, streamlined processes that optimize cash flow management and revenue growth for small to mid-market businesses. She has worked in healthcare and financial industry for over 20 years. She held various positions with Wells Fargo Bank N.A., and current partnerships with Citibank, PNC, and Mechanics bank. Ms. La Rosa was awarded top 10% in business lending and growth partnerships in Northern California.
Tawny’s top core values are transparency and authenticity. Hand in hand, trust develops between internal and external partnerships helping both succeed. Outside of business endeavors, Tawny travels all over the country with her daughter.
Tawny La Rosa
