Problem Statement: Millions of older adults and their families will face complex medical decisions over the course of advanced illness, yet most are unprepared. Lack of preparation can lead to uninformed choices, receipt of care inconsistent with personal goals, and lack of empowerment during clinical encounters, especially for individuals with limited health literacy.
New Uses of Information Technology to Advance the Missions of the Department of Medicine
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Creation of a learner driven GME EPA assessment system for internal medicine residency and fellowship programs.
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.
Pagers Begone: A Proposal For a Secure, Modern, Mobile Hospital Messaging System
There are two big problems with intra-team communication on the inpatient medicine service at UCSF hospital:
Protecting Patients from Unnecessary Emergency Room Visits and Hospitalizations: Harnessing Big Data to Directly Improve Clinical Care at UCSF
Authors: Alvin Rajkomar, MD and Sara Murray, MD
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).
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.
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.