
LAGREW CONSULTING LLC
Professional Consultant in Clinical Informatics and Healthcare Quality Improvement
ABOUT
Consulting from Experience
Finding expertise in healthcare to address the major challenges of value based care requires finding someone with the experience and knowledge to achieve your goals. My areas of expertise involve quality improvement, data/analytics, provider engagement and informatics. My clinical expertise, based on 3 decades of practice in high risk obstetrics, is blended with a wide range of medical knowledge obtained by working with multiple fields as part of clinical informatics. Having served in multiple leadership roles which required developing skills in quality/process improvement, data analysis and presentation to achieve meaningful change and multidisciplinary provider engagement allows me to understand the dynamics of achieving success in healthcare. I strongly believe that those who practice in healthcare have a genuine desire to help their patients and families. By collaborating together I have witnessed amazing change but realize that with the new technologies and advancements available we can truly make a healthcare system which is effective, efficient and affordable.
CONSULTING SERVICES
Multidisciplinary Collaboration

HEALTHCARE SOFTWARE
Designing to Fit the Workflow
Do you have a project or app which you want to create or redesign? By understanding from the 50,000 foot level to the point of care you can design applications which really can improve clinical outcomes and improve efficiency of healthcare delivery. The secret is the understanding of the workflow and processes and converting those into digital routines which enrich the experience of receiving and providing care. Understanding the clinical task, the details of the workflow and what metrics are required to analyze the process are critical components. Lastly, success depends on almost always tailoring your solution to the existing workflow or creating a workflow which is simpler, intuitive and streamlined using the maximum power of software design/cloud computing to relieve the users of mindless tasks.
QUALITY AND PROCESS IMPROVEMENT
Expert Guidance/ Maximum Engagement
With over 25 years of involvement in healthcare quality improvement and patient safety I have learned that the key ingredient to success is collaborations between physicians, nurses, nurse midwives, healthcare executives and other providers in our complex system of providing services. Patient outcomes are affected by everyone in the path of receiving care and the experience dramatically shaped by all participants. Projects such as Cesarean Section Rate Reduction, Obstetrical Hemorrhage, Emergency Response to Obstetrical Emergencies and multiple other projects have taught me to facilitate and engage on a wide scale. With the addition of electronic records I have learned that almost all quality improvement must involve the EMR and have sufficiently designed data collection/analysis to succeed. Finally, sustaining the gains requires thoughtful planning and on-going metrics for long term success.

CONSULTING REVIEWS
Great Feedback
Dr. Lagrew has been instrumental in lowering our cesarean section rate and getting staff involvement and buy-in