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.

Human Trafficking: Ready to Respond

Project Goal: By September 2020, providers at SMMC would demonstrate a 50% improvement in their collective knowledge, attitudes, and behaviors for recognizing and responding appropriately to patients who may be trafficked. 

Team-Based Advance Care Planning

Project Goal: To increase the total number of quality advance care planning conversations documented by a variety of disciplines on the team, including physicians, medical trainees, advanced practice providers, social workers, dieticians, nurses and rehab specialists (PT/OT/SLP).

Patient-Reported Outcomes in Oncology (PROMOnc)

Project Goal: Survey adult patients with primary chemotherapy for stage I-III breast cancer, stage II-III colon cancer, or stage II-IIIA lung cancer immediately before, during, and after chemotherapy to determine pain, fatigue, and quality of life. Engage appropriate resources based on the answers to the questions.

Addressing Barriers to Care in Medi-Cal

Project Goal: To decrease the number of new beneficiaries that are food insecure by 10% in 1 year, and link > 50% of members that are positive for food insecurity to an appropriate resource. 

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. 

The Safe Haven Clinic Initiative: Tackling the Seemingly Intractable Co-Occurring Epidemics of Homelessness and Addiction in California

Project Goal: Support the launch of the first Safe Haven Clinic with Mendocino County in 2021 in a SNF commandeered by the County as a COVID Alternate Care Site (ACS) and purchased with CARES act funds – Whitmore Lane, Ukiah CA.   

Improving Health Through Social Connectedness

Project Goal: Identify, screen and refer 15 adult, hospitalized patients by Feb. 28, 2020.

CRIS CONNECT Bridging the Gap After a Behavioral Health Crisis

Project Goal: To decrease the repeat utilization of high cost services and poor outcomes for patients using the behavioral health crisis system.