Physician note-writing is an opportunity to teach, share ideas, and solidify clinical decision-making. Yet as billing requirements and copy-paste functionality have increased in recent years, the utility of writing and reading these notes has declined steeply. In addition to the dehumanizing "tyranny of clicks and auto-populated fields," (Rosenbaum, "Transitional Chaos or Enduring Harm?
New Uses of Information Technology to Advance the Missions of the Department of Medicine
Ideas on Review Complete
We propose a notification system via the APeX staff message/ADT interface to give Resident Physician PCPs information regarding their patients' appointments with covering providers in DGIM.
Background of the Proposal
There is increasing interest in the use of telehealth initiatives nationally. Simultaneously, Medicare and other payors are increasingly recognizing that home-based care can be effective, cost-saving, and more person and family centered. To date, opportunities for trainees to learn about home-based care are limited by current funding mechanisms. For example, the primary care exception that allows residents to see patients in clinic and bill medicare, does not apply to the home setting.
Video-based simulation to enhance communication between generalist and specialist providers for specialty care consultations
Technology is increasingly proposed as a more efficient conduit to facilitate communication between generalist and specialist providers. However, little is understood about how to use these technologies to improve provider-to-provider collaboration and communication regarding specialist consultations. Electronic portals (e.g., EPIC, CPRS) serve an important role in enhancing connectivity between providers across service lines, but greater connectivity does not necessarily translate into greater collaboration.
We propose the use of activity trackers (such as 'Fitbits') in an inpatient center to encourage patient mobility and more precisely measure the amount and types of activities patients are performing. De-identified data from these activity trackers would be presented electronically both to providers/staff and to patients in order to motivate patients and to allow staff to see patients that were due for a mobilization session.
Do we have the technology to develop a beeper/device that has the capability to text back to nurses voalte phones? It would obviate the need to reach out for a phone or a computer every time a doctor is paged, and would improve communication among team members.
The Problem. Ambulatory physicians utilize many different types of standardized assessments, ranging from depression screening, to functional pain assessments for patients on opiates, to incontinence and benign prostatic hypertrophy screening for older women and men. Many of these assessments are used in both primary care and specialty practice.
Among the most important components of the hospital discharge summary is the section titled "Follow-up Needs for the Primary Care Physician." This contains specific "to-do's" such as "follow up blood culture results" or "check potassium level in 1 week." These items are often crucial continuations of care needed to close the loop on productive and high-quality hospitalizations. However, they are buried in the bottom of a several page-long discharge summary, making them less likely to be seen and acted on by PCP's.
Create a program to allow investigators to directly solicit crowdfunding support for their research projects. Similar to Indiegogo and Kickstarter but for UCSF vetted scientific research.
There is a disconnect between the Academic and Clinic Patient Calendaring.
Currently Admin's don't have access to the Clinic Schedules and while some clinic schedulers have general access to faculty calendars, they cannot see up to minute changes in availability entered by Admins or Faculty.
I'm suggesting a system that will: