Grant: Improving Access for Ostomy Supplies in Surgical Oncology and General Surgery Outpatient Clinics
At Bellevue Hospital, Jyoti Narang, MBA, MS, PA-C, Ashley Irving, MS, PA-C; Moyosore Alade, MPH, PA-C; and interprofessional partner Ann Lee, MD, FACS, DABS, FSSO are addressing gaps in ostomy care.
What started as a quality improvement project focused on readmission rates after colorectal resections became an opportunity to raise awareness about screenings and to provide ostomy supplies and education to those who might not otherwise have access to these resources.
“Public health awareness of ostomy care is important but often an overlooked aspect of medicine,” said Narang. “As a PA leader, this program presented with opportunities to assist, protect the health of the communities via education, promotion of healthy lifestyles, and awareness and research.”
The grant and resulting partnerships have already provided resources for more than 100 patients, who acknowledge that they feel more empowered in caring for their own health.
Increased collaboration among attendings, surgical residents, nurses, PAs, and PA and medical students to offer ostomy supplies to patients was another key outcome. The project also strengthened the connection to the hospital’s social work team, a model both teams hope to use in fostering continued engagement and better care coordination for patients.
Narang shared, “Our providers have also felt empowered to have a sense of giving back to the community [as] the road to recovery seemed manageable through the generous Kathy J. Pedersen Grant to Promote Equitable Care.”
Grantees presented outcomes from the quality improvement project at the American College of Surgeons Quality and Safety Conference in July 2024. Additional efforts shared the impact of the grant across the Bellevue system. Together, the quality improvement project and grant demonstrated the need for a dedicated ostomy care provider; and a new ostomy nurse started in February 2025.
In reflecting on the experience, Narang added, “We can change the health ecosystem to reduce systemic barriers of healthcare, strive to augment services to those impacted by barriers, and take a deeper dive to view the social determinants affecting minority populations.”
The Health Foundation is glad to have supported this initiative that addresses an important need for a vulnerable population.