It is a common perception on campus that "Epic is closed and doesn't want to talk to outside systems."
New Uses of Information Technology to Advance the Missions of the Department of Medicine
Ideas on Review Complete
Co Authors: Kara Bischoff & Sirisha Naranaya
Advanced care planning documentation is recognized as an important tool allowing patients to direct the type and intensity of medical care they receive. Systematic and educational innovations over the past decade have been effective at increasing the conversations around advanced care planning as well as the numbers of completed advanced care planning documents such as advanced directives (AD) and Physician Orders for Life Sustaining Treatments (POLSTs).
A multidisciplinary mobile health superuser team to assist in adoption and implementation of mobile health apps in clinical care
There are over 165,000 mobile health (mhealth) applications available which can help patients with medication management, mental health, exercise, weight loss, symptom tracking, etc. However, these apps are being underutilized and physicians know very little about the full spectrum of apps available for patients. This is a tremendous underutilized resource that can empower patients to better manage their care, especially when they have complex medical conditions and treatment plans.
Co-authors: Michelle Mourad and Kara Bischoff
Adverse drug events are important preventable causes of hospitalization in older adults, however compliance with a complex medication regimen after discharge home is known to be challenging for patients and particularly for the elderly.
Key team members:
Sirisha Narayana, MD, Alvin Rajkomar, MD, Victoria Valencia, MPH, James Harrison, PhD MPH, Sumant Ranji, MD, Division of Hospital Medicine, UCSF.
Gurpreet Dhaliwal, MD, Department of Medicine, SF Veterans Affairs Hospital.
Time is money and timesheets are an essential procedure to appropriately calculate the number of hours employees have worked. Accurate and updated timesheets are legal documents and essential for protection in the event of potential litigation over unpaid wages or missed meal breaks. If there is an issue with
Patients with serious illness and their families face difficult decisions when diseases progress, or when complications and hospitalizations occur. Patients’ wishes closer to the end of their life are not often known, communicated through the health system continuum or honored. This proposal is aimed at creating an electronic decision making tool that will help patients and families with planning for treatments and procedures related to advanced illnesses. It will also help in identifying surrogate decision makers and will develop an interface with Apex.
The Apex interface to find information on advance directives and POLST forms is very basic and deficient when searching for surrogate decision makers. In several instances the information is inaccurate or incomplete, leaving providers in the very difficult position of trying to implement the best interventions for each patient. This effort usually requires a substantial investment of time and resources in the attempt to clarify important directives with the patients or to search for decision makers.
1) To reduce redundant and unnecessary specimen collection from patients with a new order entry strategy
Efforts to improve physician education and patient safety often start by gathering data about when and where housestaff are engaging in direct patient care, administrative work, and learning activities. But the information from these self- or observer-reporting surveys is inherently unreliable, meaning that any conclusions based on its interpretation are faulty, and interventions to improve housestaff experience are unlikely to succeed.