UCSF Center for Healthcare Value - Caring Wisely 2.0

Crowd-sourcing innovative cost savings ideas from the front lines of care delivery systems

Summary of Proposals

  • Total proposals:172
  • Total comments:23
  • Most comments on a proposal:4
  • Withdrawn proposals:0
  • Total revised proposals:172
  • Total commenters:19
Author Proposal Title Status Createdsort ascending Com- ments Revi- sions
1 Erika Gray Transferring medications with floor/unit transfers Selected as Phase 2 Hot Spot 03/12/2014 - 17:05 0 2
2 Bryanna Lamberjack PT position to save on ICU stays Selected as Phase 2 Hot Spot 03/12/2014 - 16:59 0 2
3 Winnie Tan Waste disposal Selected as Phase 2 Hot Spot 03/12/2014 - 16:54 0 2
4 Shannon Thyne Eliminating or Reducing Albuterol Nebs in PUC and Asthma Clinic Selected as Phase 2 Hot Spot 03/12/2014 - 16:47 0 4
5 Andrew Lai Expedited appropriate transfers back to Laguna Honda Review Complete 02/11/2014 - 00:08 0 3
6 Maurice Garcia Scheduled Foley catheter removal to minimize un-necessary catheter re-insertion, to lower CAUTI rates Review Complete 02/10/2014 - 15:46 0 3
7 Maurice Garcia A Smartphone based App for actual length, width and area measurements of decubitus ulcers and burns to assess dimensions and track response to treatment Review Complete 02/10/2014 - 15:31 0 3
8 Jing-Yu Pan Consolidate the paging system Review Complete 02/10/2014 - 14:50 0 3
9 Ana Delgado Reducing Redundancy in Lab and Ultrasound Ordering Review Complete 02/10/2014 - 14:47 0 3
10 Eliseo Perez-Stable Standing Orders for Lab Tests Review Complete 02/10/2014 - 11:33 0 3
11 Kent Soo Hoo Preference Card Review in Surgery Selected as Phase 2 Hot Spot 02/10/2014 - 11:16 0 3
12 Jeffrey Critchfield Streamline Social Services - UM Referral Process at SFGH Review Complete 02/10/2014 - 08:13 0 3
13 Lisa Pascual Providing an Integrated Approach for Back Pain Care Review Complete 02/10/2014 - 07:45 0 3
14 Rita Nguyen More Efficient Use of 4A at SFGH Review Complete 02/09/2014 - 21:46 0 3
15 Rita Nguyen Reducing Waste and Inefficiency in the SFGH Discharge Pharmacy Review Complete 02/09/2014 - 21:38 0 3
16 Tiffany Lentz Handwashing Surveillance Review Complete 02/09/2014 - 02:16 0 3
17 Radhika Ramachandran Centralized Scheduling desk: Outpatient practices Review Complete 02/08/2014 - 23:13 0 3
18 Sundeep Kasi Reduce inpatient wastage of ophthalmic drops for dilation Review Complete 02/08/2014 - 10:46 0 3
19 Lai Hun Chan reduce wastage of pain medication Review Complete 02/08/2014 - 09:23 0 3
20 Steven Wong Better medication and related supplies inventory management Review Complete 02/08/2014 - 04:13 0 11
21 Steven Wong purified protein derivative (PPD) vial should be fully utilized Review Complete 02/08/2014 - 00:59 0 6
22 Cynthia Valentine Saving fluid in the OR at Mt Zion Review Complete 02/07/2014 - 16:24 0 4
23 Tammy Rodvelt Fix the Drip Review Complete 02/07/2014 - 15:04 0 3
24 Kent Soo Hoo Instantly Organize Outlook email Review Complete 02/07/2014 - 13:59 4 4
25 Lilianne Cooper Code Blue Lab bags Review Complete 02/07/2014 - 03:41 0 3
26 Thearith Seng Generating more revenue for SFGH Review Complete 02/06/2014 - 23:52 0 3
27 Jordan Chase Communicating Wisely for Care Transitions Review Complete 02/06/2014 - 20:55 1 3
28 Jordan Chase Ordering Wisely at SFGH Selected as Phase 2 Hot Spot 02/06/2014 - 20:25 0 3
29 Katherine Padaoan Re: Prevent Pressure Ulcers Review Complete 02/06/2014 - 17:48 0 3
30 Freya Magnusson UCSF MD's to Receive Regular Psychological-Emotional Support Services as Part of the Progression of Self-Care in Medicine Review Complete 02/06/2014 - 17:04 0 3
31 Lawrence Haber Hip Fracture Care Pathway Review Complete 02/06/2014 - 15:29 0 4
32 Lawrence Haber Decreasing Overuse of Continuous Pulse Oximetry Selected as Phase 2 Hot Spot 02/06/2014 - 14:56 0 3
33 Kathleen Kushner Decrease Paper Use in the Clinical Laboratory Review Complete 02/06/2014 - 13:45 0 3
34 Lisa Winston Reduce unnecessary blood cultures Selected as Phase 2 Hot Spot 02/06/2014 - 13:23 0 3
35 Eileen Laberge Recycling Review Complete 02/06/2014 - 12:19 0 3
36 Leslie Lane Improving/Maximizing use of RN Blood Pressure Checks in the Family Health Center Review Complete 02/06/2014 - 10:36 0 3
37 Jocelyn Chapman Decrease duplicate Type&Screen or Check Specimen in the OR Review Complete 02/06/2014 - 10:33 1 3
38 Daniel Gordon Code Blue Light Covers Review Complete 02/06/2014 - 10:26 0 3
39 Daniel Gordon Automatic Paper Towel Dispensers Review Complete 02/06/2014 - 10:20 0 3
40 Neha Amin Radiology/EM " verbal time stamp" on verbal wet reads Review Complete 02/06/2014 - 10:00 0 3
41 Daniel Wlodarczyk better communication between admitting services at SFGH and primary care providers Review Complete 02/06/2014 - 09:27 1 3
42 Ingrid Scozzafava Discharge Teaching Channel Review Complete 02/06/2014 - 08:19 0 4
43 Hallam Gugelmann Reduce or Eliminate Diversion Times - SFGH ER Review Complete 02/06/2014 - 06:15 0 3
44 Dylan Carney Post average waiting times in the ED Review Complete 02/05/2014 - 23:32 0 3
45 Kimberly Chow Changing linens to every other day or PRN soiled Review Complete 02/05/2014 - 23:05 0 3
46 Jennifer Delaroderie Respiratory Care Services: Patient-Driven Protocols (PDP) Review Complete 02/05/2014 - 22:56 0 3
47 Lindsey Wu Decrease Electrolyte Labs and Supplementation Selected as Phase 2 Hot Spot 02/05/2014 - 22:34 0 3
48 Paul PO-YI Su "Lytes Check" Option Review Complete 02/05/2014 - 20:25 0 3
49 Annou Davi Code Sepsis Bundle - point of care Lactates Review Complete 02/05/2014 - 17:35 0 3
50 Molly Killion Utilize the Electonic Medical Record for Billing Purposes Review Complete 02/05/2014 - 17:17 0 3
51 Carla Kuon Reduce inefficiencies in paperwork, streamline blood transfusions Review Complete 02/05/2014 - 17:01 0 4
52 Yasmeen Khan Save time needed to identify difficult organisms in Microbiology Review Complete 02/05/2014 - 15:56 0 3
53 Carl Solomon Leveraged Purchasing Decisions Across Medical Centers Review Complete 02/05/2014 - 15:35 0 3
54 Nicole Ureda Increase energy efficiency in SFGH buildings Review Complete 02/05/2014 - 15:08 0 4
55 David Margolius Oral repletion of electrolytes instead of IV Selected as Phase 2 Hot Spot 02/05/2014 - 13:06 0 3
56 Gangadhar Puravant Using BIG DATA for patient care and waste reduction Review Complete 02/05/2014 - 12:43 0 3
57 Lindsey Wu RN-to-MD communication (via phone number sharing) Review Complete 01/31/2014 - 23:33 0 6
58 Lindsey Wu Reduce duplicate labs Review Complete 01/31/2014 - 23:01 0 5
59 Lora Sells Nurse Mentoring Program Review Complete 01/31/2014 - 20:59 0 5
60 Traci Hoiting Specimen Labeling Error Reduction Project Review Complete 01/31/2014 - 19:45 0 5
61 Robin Kobayashi Cost Reduction Initiatives in QT Monitoring Review Complete 01/31/2014 - 19:03 0 5
62 Josue Zapata Integrated Skilled Nursing Facility at UCSF Review Complete 01/31/2014 - 15:00 0 5
63 Josue Zapata Geographic Admitting Review Complete 01/31/2014 - 14:48 0 5
64 Heather Harris Standardizing Location of Advance Care Planning Documentation in the EMR Review Complete 01/31/2014 - 14:01 0 5
65 Heather Harris Reducing multiple medical record number being assigned to a patient Review Complete 01/31/2014 - 13:50 0 5
66 Heather Harris High Value Care Committee at SFGH Review Complete 01/31/2014 - 13:42 0 5
67 Veronica Phipps Redesigning the workqueue to increase efficiency Review Complete 01/31/2014 - 11:01 0 6
68 Andrew Lai Tasking Admissions to collect PMD/preferred pharmacy information and enter into APEX Review Complete 01/31/2014 - 10:58 0 5
69 Paul Pratt Eliminate the requirement for non scrubbed staff in the OR to wear masks Selected as Phase 2 Hot Spot 01/31/2014 - 10:53 0 6
70 Andrew Lai Reducing unnecessary/excess culture processing for ascites Review Complete 01/31/2014 - 10:47 0 5
71 Veronica Phipps Reducing paper waste and more efficient time use Review Complete 01/31/2014 - 10:36 0 5
72 Andrew Lai Re-designing bedside procedural kits Review Complete 01/31/2014 - 10:32 0 5
73 Andrew Lai Liberalizing scanning of OSH records into APEX to unit clerks Review Complete 01/31/2014 - 10:11 0 5
74 Jennifer Schwarz Complete Our Wisdom Review Complete 01/31/2014 - 03:57 0 5
75 Jeanne Lam Smaller Blood Tubes Reduce Amount of Blood Drawn for Lab Tests Without Affecting Results Review Complete 01/31/2014 - 00:49 0 5
76 Nader Najafi Reduce Wasteful Telemetry Monitoring Selected as Phase 2 Hot Spot 01/30/2014 - 21:37 2 5
77 Annou Davi Reducing CLABSIs and improving patient satisfaction Review Complete 01/30/2014 - 19:05 0 5
78 Elizabeth Stewart Brown bag lunch to go on the day of discharge Review Complete 01/30/2014 - 17:41 0 5
79 Lisa Schoonerman Office Supply Drop-off Review Complete 01/30/2014 - 16:46 0 5
80 James Mancusi Cutting laundry costs Review Complete 01/30/2014 - 15:13 0 5
81 Chitra Akileswaran Creating a Perioperative Surgical Home within SFGH's Gynecology Service Review Complete 01/30/2014 - 15:04 0 6
82 Kathleen Jo Corbin MyChart sign-up stations Review Complete 01/30/2014 - 14:24 0 5
83 Annou Davi Early identification and treatment of central line occlusion to reduce treatment delays and risk for CLABSI Review Complete 01/30/2014 - 12:05 0 5
84 Sarah Blaschko Outpatient Clinic Reduction in Appointment Calls Review Complete 01/30/2014 - 08:37 0 5
85 Sarah Blaschko Surgical Waste Reduction - SFGH and UCSF Review Complete 01/30/2014 - 08:29 3 5
86 Freya Magnusson UC sponsored health insurance program for per diem employees Review Complete 01/29/2014 - 22:08 0 5
87 Ruth Manongdo TAKE CARE OF MOTHER EARTH Review Complete 01/29/2014 - 13:06 0 5
88 Guy Shochat Test cost awareness on ordering screen Review Complete 01/29/2014 - 12:05 0 5
89 Jessica Morton Clean Up Our Reputation- Patient Navigators Review Complete 01/29/2014 - 10:49 0 5
90 Carolyn Amstadt Healy Patient Discharges Before Noon Review Complete 01/29/2014 - 09:54 0 5
91 Sandra Kistler Connecting during life cycle of pregnancy, childbirth, and post child birth Review Complete 01/29/2014 - 09:32 0 5
92 Emily Fauquet Save the environment Review Complete 01/29/2014 - 07:00 0 5
93 Eric Mcclain Waste reduction through cost transparency and personal accountability Review Complete 01/29/2014 - 06:41 0 5
94 Christine Hui Elevator Efficiency Review Complete 01/29/2014 - 04:26 0 5
95 Zlatan Coralic Reducing the Cost of Unnecessary IV Medications Review Complete 01/29/2014 - 03:30 0 6
96 Michael Heggli Podcast for Nursing policy and procedures with CEs Review Complete 01/28/2014 - 21:10 0 5
97 Rieve Rockwell Cost Effective Expired Items Inventory Control Review Complete 01/28/2014 - 20:43 1 6
98 Sharan Nicola-Smith Handwashing compliance Review Complete 01/28/2014 - 15:31 0 6
99 Laurel Poole consent signing via ipad Review Complete 01/28/2014 - 14:51 0 5
100 Cynthia Gardner No shows at outreach clinics Review Complete 01/28/2014 - 12:00 0 5
101 Meghan Mullen Donate instead of Discard Review Complete 01/28/2014 - 09:23 2 5
102 Brian Herriot Make early morning Phlebotomy draws ordered, not defaulted Review Complete 01/28/2014 - 09:22 0 5
103 Gerald Arriola Employees parking availability Review Complete 01/27/2014 - 19:02 0 6
104 Kimberly Jablon Utilizing SFGH Advice Line Review Complete 01/27/2014 - 18:53 1 5
105 Robert Tamblin FOOD Review Complete 01/27/2014 - 18:27 0 5
106 Denise Kuri Saving medications Review Complete 01/27/2014 - 18:20 0 5
107 Anne Kinderman Patient Preferred Language Identification Review Complete 01/27/2014 - 16:31 0 5
108 Freya Magnusson A JCAHO-like entity to oversee and ensure ethical financial management of UCSF and UC wide Review Complete 01/27/2014 - 16:29 0 5
109 Paula Chung Equipment and Office Supplies Swap Review Complete 01/27/2014 - 15:41 0 5
110 Paula Chung Water Systems Savings Review Complete 01/27/2014 - 15:29 0 5
111 Alvin Rajkomar Reduction of Low-value Laboratory Testing for Inpatients Selected as Phase 2 Hot Spot 01/27/2014 - 13:36 0 5
112 Jennifer Della-Santina Create a culture of conservation in UCSF Health system Review Complete 01/27/2014 - 11:18 0 5
113 Laura Cantino Time-Out Telemetry Review Complete 01/27/2014 - 11:08 0 5
114 Matthew Swisher Operation All-Show Review Complete 01/27/2014 - 10:23 0 5
115 Corinna Zygourakis Reducing UCSF Operating Room Costs through a Live OR Cost Tally Review Complete 01/27/2014 - 10:22 0 6
116 Lindsay Hampson Post-Discharge Patient Calls Review Complete 01/27/2014 - 10:13 0 5
117 Lindsay Hampson Starting OR Cases On Time Review Complete 01/27/2014 - 09:58 0 5
118 Lindsay Hampson Reducing Turnover Times in the Operating Room Selected as Phase 2 Hot Spot 01/27/2014 - 09:47 0 6
119 Lindsay Hampson Update Attending Surgeon Operating Room Preference Lists Selected as Phase 2 Hot Spot 01/27/2014 - 09:30 0 5
120 Justin Mak ScheduleME Review Complete 01/27/2014 - 08:15 0 5
121 Praveen Panguluri Expand view only pulse check access to all admitting providers Review Complete 01/26/2014 - 18:03 0 5
122 Emily Lee Patient-Centered Welcome to SFGH Review Complete 01/25/2014 - 07:31 0 6
123 Marilyn Hurst Are We Accessible by Phone? Review Complete 01/25/2014 - 00:23 0 5
124 Adam Collins Simulation for process improvement Review Complete 01/24/2014 - 21:00 0 5
125 Siew-Keng Tomczak Taking Half Hour For Down Time As A Group During Lunch Hour Review Complete 01/24/2014 - 19:24 0 7
126 Keith Ackerson rethink how we help patients that call the wrong dept. Review Complete 01/24/2014 - 17:21 0 5
127 John Davis Reducing Unnecessary Respiratory Isolation through Point-of-Care TB Testing Selected as Phase 2 Hot Spot 01/24/2014 - 16:23 0 5
128 April Andrews why not open a lab on Sat for the working people Review Complete 01/24/2014 - 16:18 0 5
129 Paul Brakeman Automated Data Acquisition and Analysis Review Complete 01/24/2014 - 15:10 0 5
130 Andrea Chao Insurance Authorizations for Routine Appointments Review Complete 01/24/2014 - 14:30 0 5
131 Ellen Weber D-dimer before PE study Review Complete 01/24/2014 - 14:16 0 5
132 Ellen Weber Radiation and Past Imaging Information in Order Selected as Phase 2 Hot Spot 01/24/2014 - 14:12 0 5
133 Melisa Chandradijaya Reducing the number of Test Not Done Review Complete 01/24/2014 - 13:46 0 5
134 Lisa Hannegan Reduce waste by "opting out" of paper radiology reports Review Complete 01/24/2014 - 13:43 0 5
135 Lisa Marchi Bedcontrol inquiry for patients to be admitted into semi-private rooms Review Complete 01/24/2014 - 13:38 0 5
136 Ramana Naidu Transparency in Medication Costs Review Complete 01/24/2014 - 13:17 0 5
137 Keri Gailloux Medical Scribe Review Complete 01/24/2014 - 12:53 0 5
138 Lupe Galvan Consolidation Efficiencies & Economies of Scale (C.E.E.F) Review Complete 01/24/2014 - 12:49 0 5
139 Alexa Bisinger Empowering Smart Medications Choices Review Complete 01/24/2014 - 12:49 0 5
140 Nader Hammoud Inhouse Maintenance Review Complete 01/24/2014 - 12:48 0 5
141 Tracy Peng Charge for late cancellations Review Complete 01/24/2014 - 12:39 0 5
142 Heather Frawley Reduce No-Show Visits in OP Clinics Review Complete 01/24/2014 - 12:28 0 5
143 Thaomy Beltran No-show rates in Outpatient Clinics Review Complete 01/24/2014 - 12:11 0 5
144 Maria Bracamonte Integration of Pediatric Specialty Services Review Complete 01/24/2014 - 12:09 0 5
145 Seva Cuevas Be Happy Review Complete 01/24/2014 - 12:08 0 5
146 Gordon Cohen Reducing OR Waste Review Complete 01/24/2014 - 12:07 0 5
147 Allison Pollock Increased formulary medication educatio Review Complete 01/24/2014 - 12:07 0 5
148 Ariana Amidi Supplies and Demand Review Complete 01/24/2014 - 12:06 0 5
149 Richard Fechter Wasted Oxygen Review Complete 01/24/2014 - 11:57 2 5
150 David Odato Clinical Labs Consolidation Review Complete 01/24/2014 - 11:40 0 5
151 Faith Rees SFGH Invision issues Review Complete 01/24/2014 - 11:33 0 5
152 Nathaniel Robbins Language based hospital units Review Complete 01/23/2014 - 12:56 0 5
153 Min Zhu Risk scores for patients who are high risk for readmission before they are discharged Review Complete 01/22/2014 - 17:07 0 5
154 Manu Hegde APEX intergration of Confidential Morbidity Reporting Review Complete 01/21/2014 - 15:56 0 5
155 Ignacio Becerra-Licha integrating healthcare systems Review Complete 01/19/2014 - 22:13 0 5
156 Aparajita Singh Send AVS ( After visit summary) to some patients via MyChart instead of printing it Review Complete 01/18/2014 - 13:00 0 6
157 Amy Lin Mechanism of commenting/signing off on APEX Scanned Documents in Media Manager without having to print out on paper Review Complete 01/18/2014 - 12:52 0 5
158 vincent morrone Cost cutting ideas Review Complete 01/17/2014 - 15:54 0 5
159 vincent morrone ECW lab req's - Reducing paper consumption Review Complete 01/17/2014 - 15:15 0 5
160 Manu Hegde Eliminate Outpatient Lab Requisitions - WITHDRAW FROM CONTEST Review Complete 01/17/2014 - 13:07 0 6
161 Erika Grace Standardization of flexible endoscopes Review Complete 01/17/2014 - 09:40 0 5
162 Jessica Litwin Scribes Review Complete 01/16/2014 - 21:35 0 5
163 Michael Cabana Judicious Use of Blood Bank Tests in the Newborn Nursery Selected as Phase 2 Hot Spot 01/16/2014 - 19:22 3 5
164 Elena Tinloy Eye drops during surgery will be used post-op and for discharge as appropriate Selected as Phase 2 Hot Spot 01/16/2014 - 16:59 1 5
165 Patrick Edsall Common EHR Review Complete 01/16/2014 - 16:51 0 5
166 igor berman Use of SFGH pharmacy by Medicare patients Review Complete 01/16/2014 - 16:33 0 5
167 Christopher Holland Reduce standing costs for paper storage Review Complete 01/16/2014 - 16:29 0 5
168 Dulce Sendaydiego Provide Better Transportation to UCSF Locations Review Complete 01/16/2014 - 15:55 0 6
169 Sarah Colvario Texting for Show Rates Selected as Phase 2 Hot Spot 01/16/2014 - 15:22 0 5
170 Nicholas Magnusson Shifting Healthcare to a focus on preventative medicine and early identification of problems Review Complete 01/16/2014 - 13:16 0 5
171 Philip Rosenthal Improving Outpatient Laboratory Patient Flow Review Complete 01/16/2014 - 12:57 1 5
172 Jacqueline Leung Reducing paper reports of radiological imaging Review Complete 01/16/2014 - 12:53 0 5

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