California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities in health care.
Browse CHIPs to leverage the work of CHCF alumni and find opportunities to collaborate in order to improve health for Californians.
California Health Care Improvement Projects (CHIP)
CHIP: Autism: Breaking the Cycle of Health Disparity in Los Angeles County
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Improving Access to Nutrition Super-powers in the Era of Obesity and Chronic Diseases
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
A Medical Group to Serve California’s Federally Qualified Health Centers (FQHCs)
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: A Response to the Infant Victims of the Opioid Epidemic: Neonatal Abstinence Syndrome (NAS) Care Resource Toolkit
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Improving linkage of patients with severe mental health illness to primary care providers with clinical pharmacist intervention
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Creating a County-Wide Group Therapy Network (MCBH)
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Evaluating the impact of social services integrated care for people experiencing homelessness
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Integrating Behavioral Health and Autism Services into a Medical Health Plan
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Increasing Employee and Dependent Engagement with Recommended Cancer Screenings
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
Pursuing Certification as a Certified Community Behavioral Health Center (CCBHC)
Due to the aftermath of COVID-19 and the global pandemic, we are experiencing an unprecedented demand for behavioral health (BH) services. As a Federally Qualified Health Center (FQHC), whole-person care has only been available to patients within the mild to moderate level of impairment,...
CHIP: Five Health Maintenance Screenings as Initial Street Medicine Core Metrics
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
Time to ACT: Reducing Mortality and Readmissions for Hospitalized Patients seen by the Addiction Care Team (ACT)
We face an escalating addiction epidemic, with more than 100,000 people dying of drug-related overdoses in the US in 2021—the highest number of deaths ever recorded. San Francisco has the highest overdose death rate in California. At SFGH, more than 1/3 of hospitalized patients have a substance...
CHIP: Unionize the Physicians at Alameda Health System (AHS)
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
Simplifying Access to Behavioral Health Services Through Integrated Care
In the United States, 25% of adults are living with a behavioral health concern, yet more than half do not receive treatment. For those seeking out services, their Primary Care Providers deliver about 70% of all behavioral health treatments. Integrated care models provide primary care and...
CHIP: Developing a Physician Leadership Program at AltaMed Health Services; Impact on Retention
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
Creating A3 (Anyone, Anywhere, at Anytime): A Community-Inspired, Behavioral Health Crisis Response for Contra Costa County
When someone experiences a crisis – a fire, crime, or medical emergency – they call 911 with the expectation of getting immediate emergency services. However, when that emergency is a behavioral health crisis, there is currently no timely and clinically appropriate response, which too often...
CHIP: Affordability Accelerator: Developing a Road Map to Improve Patient Out-of-Pocket Costs and Trustworthiness
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
Implementation of Documentation Reform in Medi-Cal Behavioral Health
The California Advancing and Innovating Medi-Cal initiative created a once-in-a-generation opportunity to reform Behavioral Health documentation. As the Chief of Medi-Cal Behavioral Health with the California Department of Health Care Services, my CHIP focused first on removing complex and...
CHIP: Decreasing Decay Rate in Children under Three by Introducing Early Oral Health Education in Pregnant Mothers in Safety Net Clinics
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Building a One-Stop Low-Vision Rehabilitation Center
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Build a Public Health Infrastructure for Prevention of Oral Health Disease: School-Based Dental Programs
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Cultivating Outcomes through Equity in Behavioral Telehealth
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: It takes a village – promoting health equity domestically and globally
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Healing the Streets: Integrated, Person-centered, Street-based Care for People Experiencing Homelessness and Severe Mental Illness
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Team-based Care to Reduce Burnout
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: GAIN Project: Digital Rewards-Based Treatment for Justice-involved Dually Diagnosed Clients
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Decreasing Iron Deficiency Anemia in Pregnancy
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: A Digital Safety Net Engaging Patients through Automation to Drive Outcomes
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Leadership through a Staffing Crisis
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
CHIP: Envisioning a Post-pandemic Digital Behavioral Health Department
California Health Care Improvement Projects (CHIPs) are designed by CHCF Health Care Leadership Program participants with the goal of addressing meaningful challenges or opportunities ...
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...
Meeting Clients Behavioral Needs During a Global Pandemic
How do we continue to provide high quality behavioral health services to clients during a global pandemic? Research suggests that the interventions most essential for pandemics necessarily disrupt the very social processes that facilitate mental health, including social support availability, day...
The Road to COVID-19 Immunity: Building Trust while Combating Misinformation
The politicization and circulating misinformation on the COVID-19 pandemic and vaccine has led to increased vaccine hesitancy. In particular, Black and Latino communities have suffered the burden of infections and death, yet lag in their vaccination rates. Based on experience, and research done...
“Is this going to be on the test?” Dismantling racism in medicine– an animated short
Yousef "Dr. Yo-Yo" Turshani, witnessed the protests of summer 2020 and sensed an opportunity. He leveraged his role on the Pediatrics Exam committee of the American Board of Pediatrics to make a change that could have national implications. What is on the Board exam directly influences what...
A Telehealth Journey: From Emergency Response to Sustainable Operations
Telehealth has always interested me as a model of care to decrease barriers and increase access to care, but prior to the pandemic state of emergency there wasn’t a reimbursement model for FQHCs in primary care. We were doing some telehealth with remote specialists, bringing patients to the...
Maximizing the PPE Available for Los Angeles County Workforce during COVID-19
My CHIP project focuses on conservation of personal protective equipment (PPE) for the 23,000 workforce members in the Los Angeles County Department of Health Services throughout the COVID-19 pandemic. The objective was to find new ways to extend our existing supply of PPE, identify safe and...
Designing a Mobile Primary Care Clinical Model for Clinicians rather than patients
I wanted to design a care model that was focused on delivering on the needs of clinicians as a primary intention. Too often I’ve found that in order to meet the patient needs sacrifices and compromises are made regarding the needs of clinicians in clinical program design. The common thinking is...
Racial Equity in the Workplace
I was working on a A3 to address racial equity in the workplace. Through the A3 process it was ascertained that 35% of staff did not feel comfortable discussing race and racism in the workplace, resulting in an organizational culture and environment unable to advance racial equity. The goal of...
Improving the Quality of Applied Behavior Analysis Service with a Pay For Value Program
Applied Behavior Analysis (ABA) is a type of behavioral therapy commonly used to treat children diagnosed with Autism Spectrum Disorder (ASD). The treatment is long-term, intensive, and highly individualized. If the service is poorly designed or implemented, it may lead to behavioral regression...
Implicit Bias Training, Just the Beginning
I wanted to respond to the social climate of our world after the murder of George Floyd resulting in protests globally. In the midst of these protests, the COVID-19 pandemic ravaged the countries around the globe, highlighting health care disparities in its wake, including marginalized...
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...
CHIP: Building New Pathways to Address GI Procedure Critical Backlogs after COVID-19
Los Angeles County Department of Health Services (LAC-DHS) is a huge organization comprised of multiple large complex facilities with their own unique culture, leadership, policies, and procedures. It can be extremely difficult to implement a system-wide operational approach within the...
Advocacy for Pharmacoequity in Medi-Cal Rx
Governor Gavin Newson issued an Executive order (N-01-19) in 2019 to transition the pharmacy services from Managed Care Plans (MCPs) and Fee for Service to Medi-Cal Rx. It is to be administered by Magellan Medicaid Administration under Department of Health Care Services (DHCS) guidance. MCPs...
Leveraging the Lessons of the Pandemic to Advance Population Health
The SARS-CoV-2 pandemic has shone a bright light on the need to screen for and address preventive and population health needs in a systematic manner. During the pandemic, declines nationally of up to 80- 90% in submitted claims were seen for most preventive services. Patients experienced...
Representation and Inclusion in a Community Health Center
I knew I wanted to improve diversity, equity and inclusion (DEI) at CommuniCare Health Centers (CCHC) shortly after I became CMO. I have been passionately committed to cultural humility and DEI efforts throughout my career, and I brought this passion with me when I joined CCHC. This particular...
Voting is Health: Increasing Civic Engagement Through Health Care Delivery Systems
If voting is a sign of a healthy democracy, we are in need of serious interventions. Voting is a health “thing”. It is the one power citizens have a right to holding democracy accountable. It ensures a right to a healthier life for people and their loved ones. The impact of voting and political...
Hail underdogs! (My commitment to gender equality in healthcare leadership)
As a woman leader, I felt lonely. Other leaders looked nothing like me and I did not know if I belonged. Moreover, I was not alone; women leaders all across the United States felt this way. Of course, I decided to do something about it and founded an organization ‘PWL’ where women physician...
CHIP: Building a System of Care Between Prison and Community Health Systems
People returning from incarceration face a myriad of health inequities, including increased emergency department utilization, hospitalization and death. In the first two weeks post release, people are 12 times more likely to die than their community counterparts from health conditions that could...
Meeting Overwhelming COVID-19 Testing Need in Marginalized Communities in Los Angeles County
Marginalized communities were disproportionately affected by the COVID-19 pandemic with increased cases, hospitalizations, and deaths. As the County COVID-19 testing lead, I worked to ensure equitable access to COVID-19 testing in marginalized communities across Los Angeles County. We partnered...
Provider Accountability for Clinical Performance Metrics by Race
While it’s clear that racism and not race has been determined the driver for racial healthcare disparities, it can be frustrating and feel merely theoretical for providers to realize impactful mitigating efforts. My plan is to provide Provider Scorecards reflecting individualized performance...