UCSF Center for Healthcare Value - Caring Wisely 2.0

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

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The UCSF Center for Healthcare Value (CHV) called for the best ideas to reduce inefficiencies and health care costs as Phase 1 of the Caring Wisely initiative. The top 10 ideas at each site were selected as "Hot Spots" for Phase 2, which will be a call for proposals from within the UCSF and SFGH communities to address the areas of interest identified from the winning ideas in Phase 1.

Ideas (172 total)

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ECW lab req's - Reducing paper consumption

Idea Status: 

Print all ECW lab req's with ALL  tests on 1 page (when possible) and double sided printing (when needed)....often only 1 test appears on each page (8-10 pages could be reduced to 1 page).

 

This will reduce our paper consumption and save $ (and trees) and with less paper used, less paper will be trucked in and save $ on shipping and fuel costs.

 

Thank you!

Vincent Morrone

415-206-8672

Standardization of flexible endoscopes

Idea Status: 

Flexible endoscopes such as bronchoscopes and sigmoidoscopes are extremely expensive (10k-50k a piece) to purchase and to maintain. Specificalized equipment must be purchased to properly high-level disinfect these scopes to meet regulatory standards. Additionally, the individuals who process these scopes must have significant training in order to perform the tasks properly. Proper cleaning of flexible endoscopes is complicated and, if not done correctly, can put a patient at serious risk of infection.

 

Scribes

Idea Status: 

Using scribes in clinic setting to increase efficiency and thus improve speed with which referring physicians receive consultation reports as well as increase volume of patients seen. 

Common EHR

Idea Status: 

Working as a pharmacist at SFGH requires me to know how to login and utilize 7 different computer systems.  PLEASE find a way to fix this - UCSF has it down to ONE!  (I understand the budget constraints, but it is ludicrous to think this is not dangerous).

Use of SFGH pharmacy by Medicare patients

Idea Status: 

I would suggest to provide some additional training to  SFGH Pharmacy staff snd  Billing Departement in order to start providing services to our Medicare population. Currently those patients are being re-directed to private pharmacies. I am sure that revenues  from Medicare could find a good use at SFGH and UCSF.

Reduce standing costs for paper storage

Idea Status: 

For years we have all had to box up paper forms of one kind or another. Then we ship them off to Lone Mountain or someother company and then pay a monthly fee for them to store them.

 

Do we need to be spending the money we are on the storage of all this paper? I don't think so.

 

So why are we? We don't know what is there, what we can get rid of or how to get rid of it.

 

Provide Better Transportation to UCSF Locations

Idea Status: 

Public transportation is the best way to get around San Francisco and is what most of our patients use.  Although we have the UCSF shuttle service that could be used between locations, there are only 2 routes that stops at a BART station, and neither one goes to Parnassus or Mt. Zion.  Therefore, our patients have to rely on Muni, which unfortunately is very unreliable.  If we could provide shuttle service from the BART station to Parnassus and Mt.

Shifting Healthcare to a focus on preventative medicine and early identification of problems

Idea Status: 

Too many times we are addressing problems in a healthcare setting that are far too advanced for minimal or non life altering treatment because they simply were not caught early enough. My idea is to implement a reward system that encourages rountine checkups with your healthcare provider insead of only when there is a "problem" this system would also reward healthy behavior. In doing this we would substaintially save in healthcare costs overall and greatly reduce rescources needed. This would apply to the UCSF Health sysrtem and its Clinics. 

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