Episode 10: Clinical Leader Profile – Carilion Clinic’s crusade to tackle low-value pre-operative testing


In this episode, Smarter Care Virginia team member Steve Horan, PhD, CEO of Community Health Solutions, chats with Dr. T.A. Lucktong and Jane Colwell at Carilion Clinic about their approach to reducing low-value pre-0perative testing. They share detailed insights into what has and hasn’t worked for their team.

Our Guests:

Jane Colwell

Jane is currently serving as the Quality Improvement Facilitator Team Leader with Carilion Clinical Advancement and Patient Safety where her role includes organizing continuous improvement initiatives, managing high profile improvement projects, facilitating IA² and RCA² patient safety work and coordinating organizational reporting for national hospital rating surveys.

Prior to this role, Jane served as the first practice RN for the Carilion Clinic Plastic Surgery Cosmetic Center where she advanced to perioperative quality specialist. In this role, she facilitated the inaugural work of preparation, application, and successful survey for the AAAASF accreditation. 

In addition to her 10 years with Carilion, Jane has also worked at the Salem Veteran’s Affair Medical Center and Medical University of South Carolina where her clinical experiences included Medical/Surgical Trauma, Outpatient Surgery, Pre-anesthesia, and Post-anesthesia care for adult and pediatric populations.

Jane’s professional highlights include Carilion SHINE Award Program winner 2016, 2021, Carilion Clinic lead reporter for FDA MedSun, and Virginia Tech College of Medicine co-presenter for Patient Safety Event Management lecture.

Jane graduated from Furman University with a BA in Political Science and attained her BSN from Medical University of South Carolina. She completed her MSN with a focus on Leadership in Healthcare Systems from Grand Canyon University.  As a member of the Sigma Theta Tau Nursing Honor Society, Jane as served on the Tau Phi Chapter Board of Directors.

Dr. T.A. Lucktong

Dr. Lucktong earned his medical degree from the University of Virginia and completed general surgery residency at Allegheny General Hospital in Pittsburgh. Afterwards, he completed a fellowship in Advanced Gastrointestinal Surgery and Laparoscopy at the University of North Carolina, Chapel Hill. Dr. Lucktong joined Carilion in 2002 and developed a practice specializing in complex laparoscopic and robotic surgery. From 2005 to 2016, he served as Medical Director of Bariatric Surgery. In this role, he led Carilions Bariatric Surgery program through initial Center of Excellence certification in 2006 and subsequent recertifications in 2010, 2013, and 2016. For his work in Bariatric Surgery, Dr. Lucktong has been recognized multiple times in The Roanoker magazine Top Docs Issue and in Our Health magazine for Best Bedside Manner. Dr. Lucktong has had a longstanding interest in medical education and joined Carilion in part to be involved with medical student and resident education. In 2004, he became the surgery student Clerkship Director and continued in this role from early development of the Virginia Tech Carilion School of Medicine (VTCSOM) through the schools first decade. In 2014, Dr. Lucktong received the Leonard Tow Humanism in Medicine Faculty Award and was the VTCSOM nominee for the Gold Foundation Humanism in Medicine Award. He was also honored then as a faculty inductee into the Alpha Omega Alpha and Gold Humanism Honor Societies. In 2015, he was named Clinical Educator of the Year-Roanoke Region by the Edward Via College of Osteopathic Medicine. He was recognized by the Carilion Surgery Residents as 2007 Teacher of the Year and 2019 Faculty Mentor of the Year. Over the span of his career, his scholarly activity has included multiple peer-reviewed publications, book chapters, and academic presentations. In 2019, Dr. Lucktong transitioned to a new role as Co-Director of Surgical Quality where he is working to make a positive impact on patient care quality and safety at Carilion Clinic.


Smarter Care Virginia

Carilion Clinic

Cariliion Clinic Pre-Op Testing Flyer [pdf]

Carilion Low-Value Surgical Pre-Op Testing – Smarter Care Instructions [pdf]