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)
You say “Data”, I say “Data”…
Project Goal: To improve patient outcomes and team satisfaction by getting accurate, consistent, and timely data into the hands of the care teams with the proper data support.
An Ounce of Prevention: The LADHS Journey to Improve Quality through Efficient Patient Outreach and Engagement
Project Goal: To create a more efficient patient outreach process around common healthcare quality goals. This will improve patient experience and increase clinic staff direct patient care and engagement.
Overcoming the Behavioral Health Workforce Shortage
Project Goal: To increase access to behavioral health services by: (1) expanding the behavioral health provider (BHP) network, (2) using virtual behavioral health (BH) visits, and (3) adding mobile health (m-health) tools through a partnership with a health service technology vendor that...
Primary Care for the Mind: Improving Mental Health Access for Children
Project Goal: 1.To create a program to increase the knowledge and efficacy of UCSF Health Pediatric Network PCPs to diagnose and manage children with mild to moderate ADHD, Depression and Anxiety and to partner in a consultative model of care with Child Psychiatry. 2. Increase access for...
Multi-Division High-Utilizer Case Management Pilot
Project Goal: To analyze Contra Costa County’s 175,708 Medi-Cal eligible county residents as of June 2018 and run models to identify the predictors of avoidable hospital utilization over a 13 month period. Predictors considered are insurance status, race/ethnicity, age, history of detention,...
Maximizing Operating Room Availability for Trauma Patients
Project Goal: To maximize operating room (OR) space and decrease OR backlog for adult upper extremity trauma patients.
Launching a Scalable Collaborative Care Model for Depression in UCSF Primary Care
Project Description: To develop and implement a Collaborative Care Model (CoCM) pilot that increases access to mental health services, improves patient outcomes for depression, increases patient and provider satisfaction, and is financially sustainable.
Integrating Quality & Safety Across Two Children’s Hospitals
Project Goal: To design a strategy to integrate the quality and safety programs at Benioff Children’s Hospital-San Francisco and Benioff Children’s Hospital-Oakland.
Primary Care Virtual Multi-Disciplinary Support Team (MIST)
Project Goal: To establish a multi-disciplinary team doing virtual care to improve physician access, growth and joy of medicine in clinic.
Improving Operating Room Utilization at a Level I Trauma Center
Project Goal: To increase the number of elective and emergency surgical cases completed daily at a Level I Trauma Center.
Improving Access to Behavioral Health Services: Care When You Need It
Project Goal: To improve access to behavioral health services by providing educational outreach to primary care teams and implementing consistent use of screening tools.
Child and Teen Outpatient Psychiatry –Tackling Our Youth Mental Health Crisis
Project Goal: To offer comprehensive and accessible outpatient mental health treatments to the children and families receiving their medical care at UC San Diego Health.
A Multifaced Approach to Improving Quality Measures in the San Diego Veteran's Affairs Community Living Center
Project Goal: To improve the Quality Measure (QM) score in the San Diego Veteran's Affairs Community Living Center by advocating for improved score calculus, which would better reflect the care provided.
Applying New Technologies to Revolutionize STD Prevention and Control
Project Goal: To decrease the rate of gonorrhea (GC) and chlamydia (CT) in San Francisco, by increasing the proportion of men who have sex with men (MSM) and trans women who are screened for STDs every 3 months, and decreasing the time from diagnosis to treatment, thereby decreasing secondary...
Implementing a Population Health Approach to Patient Identification and Treatment of Depression in Primary Care
Project Goal: To pilot a payer-agnostic Collaborative Care program for depression in three UCSF Primary Care Clinics that utilizes patient identification for enrollment, systematic tracking with the use of a registry, brief psychotherapy, and psychiatric consultation.
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.
Integrating Health Plan Quality Workforce in the local healthcare System: Kinetic Quality Improvement (QI) External Program
Project Goal: By 9/30/19, to demonstrate progress towards the quadruple aim by establishing a Kinetic QI external program through Practice Coaching, Learning Collaboratives, and developing a Practice Transformation Academy.
Improved Access to Mental Health and Substance Use Disorder Care
Project Goal: To clarify and standardize intake process to improve patient experience at Santa Cruz County Specialty Mental Health.
Improving the Value of Care for Comprehensive Joint Replacement: Implementing Bundled Payments in San Francisco Health Network
Project Goal: To improve the value of care provided for hip and knee joint replacements through increased coordination of care, preoperative planning, and reduced use of unnecessary post-acute care.
Tokoni: Peer and Culture-Based Interventions to Improve Behavioral Health Outcomes of Pacific Islanders in San Mateo County
Project Goal: Leverage health navigators to reduce barriers for Pacific Islanders seeking behavioral health services.
Mindfulness-Based Medication Assisted Treatment
Project Goal: To increase access to Medication Assisted Treatment resulting in decreased relapse.
Testing a Digital Health Coaching Model to Support Growing Families
Project Goal: To test a virtual coaching model that increases parents’ confidence and access to support from pregnancy through baby’s first year.
Increasing Access to Naloxone to High Risk Patients from Emergency Department
Project Goals: To increase the percentage of patients at the Los Angeles County Department of Health Services Emergency Departments who receive a prescription for naloxone; and improve communication regarding use of naloxone to patients, family and friends.
Identifying a Digital Platform to Improve Access to Psychiatry Consultation in Primary Care
Project Goal: To improve access to psychiatry consultation and to increase the competency and comfort level of Psychiatry Consultation Programs and Behavioral Health Providers in Alameda County’s Federally Qualified Health Centers in delivering behavioral health care to their patients.
Public Health and Correctional Health Collaboration to Prevent Congenital Syphilis in Los Angeles County
Project Goal: To prevent congenital syphilis cases by screening women whose circumstances put them at higher risk of no or late prenatal care and elevated risk of syphilis by conducting the first national pilot of newly Food and Drug Administration approved rapid point-of-care syphilis test in...
Act Together: Increase Employee Engagement with a New Model of Forum Theater Case Conferencing
Project Goal: To develop a sustainable and scalable program that can improve survey measures of employee engagement for all health care staff everywhere.
Texting Members to Bridge Gaps in Care
Project Goal: To improve timely preventative care and chronic condition management using texting to help health plan members get care when they need it.
Promoting Evidence Based Nursing Practice
Project Goal: To improve patient outcomes by initiating and adopting evidence based nursing practice.
Building Data Infrastructure to Address Social Determinants of Health in San Francisco Health Network
Project Goal: To develop Social Determinants of Health data governance infrastructure and an unifying informatics strategy in San Francisco Health Network and Department of Public Health to promote greater organizational alignment in addressing social determinants of health for our patients and...
Transitioning the Emergency Medical Services Agency to the Department of Public Health: New Beginnings
Project Goal: To ensure that emergency medical services staff transition and acculturate successfully so that the current work of the agency is maintained.
Scaling Existing and Designing New Population Health Management Strategies for Success in a New Alternative Payment Model
Project Goal: UCSF health will decrease the total cost of care for attributed medicare beneficiaries by scaling outpatient care management services and care at home programs, adding new skilled nursing facility transitions and End Stage Renal Disease programs, and leverage new Center for...
Reducing Emergency Department Overuse and Improving Access to Primary Care Through Use of Emergency Department Navigator
Project Goal: Reduce emergency department (ED) crowding and avoidable ED visits for patients without a primary care partnership and improve emergency throughput times.
Removing Transportation Barriers to Health Care
Project Goals: To reduce transportation barriers for patients at Marin Community Clinics to decrease the number of missed appointments, and demonstrate return on investment of the program to ensure sustained funding.
My Health Tag – Addressing A1c and Blood Pressure Goal Awareness
Project Goal: To improve metabolic outcomes in our patient population through increased hemoglobin A1c and blood pressure goal awareness by using a simple take-home tool.
Physician – Allied Health Professional Panel Co-Management
Project Goal: To utilize an allied health professional in adult primary care practice to reduce panel size of primary care patients, help to reduce after-hour shifts and indirect work load of primary care physicians.
Ensuring Faster Access to Effective Multiple Sclerosis Medications
Project Goal: To ensure that Multiple Sclerosis patients receive the most effective medication with in a month of diagnosis to reduce relapses and disease progression leading to inpatient utilization.
Keeping Patients Out of the Emergency Department After Acute Hospitalization
Project Goal: Implement discharge bundle to improve patient experience with discharge process and reduce post discharge emergency department return.
Cost Savings and a Better Patient Experience: A Win-Win; How 340B Pricing Saved Over $1,000,000/Year
Project Goal: To reduce costs by decreasing the number of patients using outside pharmacies by making it easier for patients to procure their anti-Tumor Necrosis Factor medications at our 340B pharmacies.
Walk with Me: A Patient-Engaged Health Systems Curriculum for Early MD and PA Students
Project Goal: To create a structured course to engage Medical Doctors and Physical Assistants students directly with patients, caregivers, and the health care system. Students will understand patients’ and caregivers’ lived experiences and therefore be more compassionate clinicians and leaders...
Decreasing End-Stage Renal Disease Cost of Care with an End-Stage Renal Disease Specialty Nurse Practitioner Program
Project Goal: To decrease overall cost of care for Landmark End Stage Renal Disease patients and reduce avoidable utilization.
StreetHealth: Improving The Medical Outreach Model to Homeless Encampments
Project Goal: To develop a sustainable model of psychiatric outreach to individuals experiencing homelessness through the provision of psychiatric and substance use medications (medication-assisted treatment) in encampments and improved linkage to community health centers.
Enhanced Staff Training For Challenging Clients In FQHC Settings
Project Goal: Increase clinic staff self efficacy in dealing with disruptive clients, while reducing disruptions and outbursts in the clinic environment by training staff on "Managing Challenging Behaviors".
Decreasing Patient Rooming Time Using a Pre-Visit Telephone Encounter
Project Goal: To decrease the amount of time to room a patient, leading to an increase in provider/patient time spent.
Expanding Access to Medical Nutrition Therapy.
Project Goal: To increase access to Medical Nutrition Therapy.
Sonoma County Hub for Innovation
Project Goal: To investigate gaps in Sonoma County Mental Health services with to create a more stable infrastructure for quality mental health services across the spectrum of care.
Supporting Undocumented Immigrant Families Through Medical Legal Partnerships
Project Goal: Undocumented families will have access to legal support from attorneys to remove barriers to health care, education, housing, and unemployment at all of La Clinica’s School Based Health Centers in Oakland.
Awesome First Impressions For New Patients
Project Goal: To deploy workflows that lower operating costs for a new patient visit and achieve high satisfaction from patients, staff, and providers.
Creating a One-Stop, All Inclusive, Onboarding Center For New Kaiser Permanente Members at The South Sacramento Medical Center
Project Goal: To deliver an exceptional care experience for new members while simultaneously increasing our physicians professional fulfillment with a new member onboarding center that provides personalized and high quality care at a member’s initial visit to our medical center.
Pathways to Workforce Diversity
Project Goal: Building a public-private partnership between the Department of Public Health (DPH) and local youth workforce agencies to increase the diversity of applicants to DPH jobs, and improve economic conditions in San Francisco.
Kaiser Medi-Cal Communication Pathway for Eating Disorder Care Planning Options
Project Goals: To develop optimal communication pathway between any California agency or provider and county mental health caring for a Medi-Cal member with a severe eating disorders, and Kaiser leadership to utilize new understanding of data to become advocates to activate positive change at...