Standardizing of “5150” Training Across Counties

I wanted to leverage resources to support standardization for county behavioral health plans. County behavioral health plans are responsible for the provision of behavioral health services to person with severe and persistent mental illness and services for substance use disorders to Medi-Cal beneficiaries in their counties. There are 58 counties in California ranging in size from smallrural to extra-large with much variation in how services are delivered.

Improving Job Satisfaction and Preventing Provider Burnout by Creating an Educational Program for Improved Communication Using Dialectical Behavioral Therapy Principles

An educational program was delivered that led to improved confidence handling difficult interactions involving resident trainees (and faculty) with patient (and others). The prototype was developed and tested in 2020, feedback was incorporated and a 2nd prototype was tested in 2021. A survey of participants showed trends of improvement in communication and facilitation, increased effectiveness with implementation of new skills, and increased self-awareness.

Reimagining Hospital Case Management: Separating Care Transitions and Utilization Management at Sutter Health

The goal of the project was to separate the RN case manager role into two separate roles of care transition case managers and utilization case managers to achieve: • Improved care transitions across the continuum • Increased medical management • Increased efficiency in workflows and joy of work

Overcoming Financial Barriers to Medication Access with Drug Manufacturer Copay Coupon Programs

Remove barriers to medication access, improve a patient’s therapeutic outcomes by preventing under treatment, and increase overall patient care affordability by implementing KP approved drug manufacturer copay coupons electronic claims processing at KP National Specialty Pharmacy (KPNSP).

DisasterCrash Cart and IsoCare

Project Goal: To turn my experience providing medical care in evacuation centers during the fires into a virtual toolbox for other doctors to do the same when disaster comes to their town and to address the lack of education and support given to low income people likely to have COVID-19 at the time of testing in order to slow the spread of COVID-19.
 

Meeting Acute Care Patients’ Behavioral Health and Social Needs through Multi-Disciplinary Partnership

Project Goal: Sustain and expand the ZSFG Social Medicine program by September 2020 via a) Securing $2M in financial support to grow team; b) Investing in staff engagement and professional development, and assessing measures of teamwork and engagement; c) Developing new internal and external cross-sector partners to expand service delivery – e.g., housing + substance use linkage; d) Scaling this team-based model of care to ZSFG inpatient and psychiatric units, and 1 outside hospital; e) Tracking # patients served, # admissions/readmissions averted, % reduction in return ED visits, % reducti

Doing More with the Same: Improving Specialty Access and Communication in the Safety Net

Project Goal: Implement eConsult in at least 20 specialties by December 2019, leverage eConsult mechanism for at least 25% of all referrals by August 2020, and reduce backlog to specialty care by 50% by August 2020. 

Surgical Backlog Reduction via Scheduling Improvements and Use of an Outpatient Procedure Suite

Project Goal: To reduce operating room backlog for elective cases by implementing surgery scheduling efficiencies, enhancing monitoring capabilities and expanding an outpatient procedure suite to improve surgical access.

Increasing Cost Transparency in Health Care

Project Goal: To provide clinicians with cost information at point of ordering treatment so they are empowered to make the best decision for their patients.

Redesigning Primary Care Clinic to Address Drivers of Clinician Burnout

Project Goal: To use enhanced support staff roles, team communication tools, and user-oriented electronic medical record systems (EMR) design to improve the clinician experience.