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)
Transforming Care by Engaging Patients as Palliative Care Advocates
Project Goal: To increase consumer awareness of key palliative principles to drive transformation in end-of-life care.
Behavioral Health Acculturation in Primary Care: Removing barriers to integration through multi-disciplinary teams
Project Goal: To develop and deploy a behavioral health triage quality improvement strategy.
The Silent Forgotten Killer: Blood Pressure Control Eliminating Disparities by 2020
Project Goal: To improve blood pressure control and eliminate disparities through a team-based blood pressure control program.
A 4-Quadrant Risk Stratification Tool for Full Integration Care Management
Project Goal: To develop and deploy a tool to guide a comprehensive assessment and integration of services for complex dual eligible patients.
Identification of a Behavioral Health Screening Workflow in Primary Care
Project Goal: To identify the most efficient workflow in implementing universal behavioral health screening in primary care and provide three thirty- minute behavioral health trainings to support successful integration.
Social Interventions Research and Evaluation Network
Project Goal: To increase the capacity of the health care system to implement and sustain the most effective strategies to care for low income populations by catalyzing and disseminating high quality research on how to identify and address patients’ social needs in the context of clinical care...
Improved Pediatric Provider Job Satisfaction Through Standardized Group Medical Visits
Project Goal: To reduce provider burnout by increasing job satisfaction in the delivery patient care and education for overweight/obesity.
A Model for Integrating Behavioral Health Services into LA County’s Public Safety Net Primary Care Clinics
Project Goal: To increase Los Angeles County primary care patients’ access to broad range behavioral health (BH) services by integrating BH providers into primary care medical homes.
Planned Parenthood as Primary Care Provider: Tracking Women's Health Needs
Project Goal: To develop an improved tracking system for delivery of high quality health care for women in their reproductive years, and have begun to use data to demonstrate and improve performance.
The Galileo Project: The Global Risk Playbook for Transformative Population Health
Project Goal: To build, validate, and implement a replicable high-risk/utilizer care management program focused on upstream health risk reduction – for payors and providers approaching global financial risk.
The Expected Practice: Standardizing Specialty Consultation
Project Goal: To increase utilization of existing clinical pathways (expected practices) by primary care physicians through improved integration into daily workflow.
Efficient Delivery of Palliative Care Across a Safety Net System
Project Goal: To enhance access to supportive services to patients with serious illness requiring complex psychological needs by developing a palliative care resource directory.
Addressing Opioid Use Disorder in Rural Communities
Project Goal: To increase access to medication-assisted therapy in Shasta County by increasing the number of providers waivered to prescribe buprenorphine.
A Model for Home Based Palliative Care
Project Goal: To increase access to ambulatory palliative care by establishing a financially sustainable service line within MemorialCare’s hospice program.
Using Telemedicine to Integrate Service Coordination within the Northern California Adventist Healthcare System
Project Goal: To complete setup of a Northern California Adventist Healthcare System telemedecine program by the end of 2017 and to expand the program out of state by mid 2018.
Medical Innovation Incubator
Project Goal: To build a physical clinical unit and a process for the incubator that would serve to bridge the gap between ideas and real-life county clinical environments.
Strengthening the Physician-Administrator Relationship to Improve Healthcare Value
Project Goal: To implement a program to provide the medical director-clinic manager dyad role clarity and improve communication to better execute daily management of the clinic.
Advanced Behavioral Connection Model
Project Goal: To increase patients connecting to Behavioral Health (BH) and ultimately improve their overall health using the Advanced Behavioral Connection model which enhances the warm handoff between primary care provider and BH staff.
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...
Electronic Patient Data Collection
Project Goal: To improve patient data collection, capture revenue, and health outcomes over time.
Stanford Health Care’s Transformation for High Value Care: Primary Care 2.0
Project Goal: To transform Stanford Health Care’s primary care practices to promote the quadruple aim.
Inpatient Wellbeing Can Reduce Length of Stay and Increase Hospital Capacity
Project Goal: To reduce excess bed days and increase patient satisfaction through the standard delivery of an inpatient wellbeing bundle comprised of five (5) domains: comfort, nutrition, mobility, hygiene and sleep.
Readmission Reduction Initiative
Project Goal: To reduce inpatient readmissions for high-risk members at Fresno Community Regional Medical Center by implementing face to face registered nurse/social worker case management to bridge transitions of care.
Healthcare Workforce Development for Behavioral Health Consumers
Project Goal: To provide a supported pathway for Behavioral Health Peer Specialists to obtain training as Medical Assistants and to successfully obtain and maintain employment in various healthcare settings.
Midwives in the Mainstream: From Practice Sustainability to Transforming Maternity Care in California
Project Goals: To develop a replicable sustainable midwifery business case and increase number of private insurance clients delivering at Marin General Hospital.
Achieving Alignment: Integrating Complex Care Programs Under a Population Management Strategy
Project Goal: To improve the quality of care for medically & socially complex patients receiving primary care through Alameda Health System by deploying a standardized model of complex care management as part of a cogent population management strategy.
Paddling Upstream: Addressing Social Determinants in Community Health Centers
Project Goal: To assist at least 50% of eligible Alameda County Federally Qualified Health Centers clients attending a clinic visit to enroll in CalFresh.
Integrating an Opioid Treatment Program with Primary Care
Project Goal: To increase care coordination and the number of doors for a patient with substance use disorder to access "whole person care" by creating and integrated system of care between and opioid treatment program and primary care setting. Increased access will improve utilization and...
Can Care Integration Improve Clinical Outcomes for Diabetics?
Project Goal: To improve the health outcomes of uncontrolled diabetics through a coordinated multidisciplinary approach to education and care.
Improving Cycle Times in Ear Nose and Throat Clinic at Zuckerberg San Francisco General Hospital
Project Goal: To decrease cycle time (check-in to check-out) in Otolaryngology clinic at Zuckerberg San Francisco General Hospital.
Building Specialty Care Leadership Teams in a Safety-Net Hospital System
Project Goal: To develop a standardized Quality Improvement (QI) curriculum and implement a structured QI learning academy. The project will identify and improve specialty care management teamwork skills, refine leadership abilities of the management team, provide support to specialty care teams...
Supporting Primary Care Leaders to Thrive in an Era of Transformation
Project Goal: To support primary care leaders and managers in the San Francisco Health Network by enhancing well-being and vibrancy in four key areas: Mind, Body, Emotions, and Spirit.
Bringing Hepatitis C Cure into Primary Care for the Urban Underserved
Project Goal: To develop a sustainable and replicable model to treat and cure Hepatitis C within the community clinic setting, which increases Hepatitis C treatment access for vulnerable populations through both internal and external collaboration.
Creating Care Teams at the Women’s Community Clinic
Project Goal: To build a sustainable visit model that ensures high quality clinical care, increases visit numbers, enhances client access and clinic efficiency, and maintains client and staff satisfaction.
Collaborating with Health Plans to Improve Care for Homeless High Utilizers
Project Goal: To enroll, house, and track healthcare costs for 20 people who are homeless and high utilizers of emergency healthcare.
Building A Better Discharge Pathway
Project Goal: To improve hospital flow to better accommodate incoming admissions, eliminate upstream delays in the emergency department, and improve the experience for new patients waiting for beds by decreasing the time between discharge order to discharge and moving the median patient...
Leveraging an Integrated Health Care System to Improve Quality of Care by Reducing Catheter Associated Urinary Tract Infections
Project Goal: To adopt and share regional best practices on Catheter Associated Urinary Tract Infections (CAUTI) prevention, minimize clinical care variation across the Kaiser Permanente facilities, and decrease the volume of CAUTI cases per year by 20% while improving patient care experience....
Leveraging Physician – Coder Dyads to Improve Electronic Health Record Problem List Quality
Project Goal: To improve medical record quality and study project clinical benefit for our Medicare Advantage patients.
Buprenorphine Treatment Program for Chronic Pain Patients
Project Goal: To save and improve the lives of patients with chronic pain in Humboldt County by creating a formalized Buprenorphine treatment program.
Redefining Usual Care in the Gynecology Clinic: A Collaborative Care Depression Intervention Model
Project Goal: To improve outcomes of women with depression who obtain care in the Gynecology Clinic through an integrated Collaborative Care model that will immediately engage the patient in her depression care, promote patient input into care treatment options, track care, and step care to...
Impacting Safety & Quality in Chronic Pain Management
Project Goal: To reduce the number of patients at risk for overdose by enhancing infrastructure that tracks and facilitates safe, appropriate opioid prescribing in three primary care clinics.
Reducing Patient Harm by Increasing Physician Integration
Project Goal: To design and implement a replicable and innovative graduate medical education curriculum which improves physician engagement and integration in patient safety reporting while reducing serious patient harm events.
Together we SOAR – Improving Specialty Screening Opportunities for Cancers and Retinopathy
Project Goal: To improve the health of the members at Kaiser Permanente by screening for four (4) major illnesses at all outpatient specialty clinic visits at the South Bay Medical Center.
Rural Health Telemedicine Dermatology Specialty Service
Project Goal: To advance the use of telemedicine technology to improve access and quality for dermatology specialty care services for the rural health community by June 2017.
Decreasing Barriers to Sharing Medical Records
Project Goal: To secure Sutterlink access for 25 nurses and nurse practitioners to provide comprehensive and timely evaluation of the pediatric surgical patient’s outside medical records to avoid delays in surgical clearance.
Implementing a Pre-Operative Screening Pathway to Identify Mild Cognitive Impairment
Project Goal: To utilize a standardized care path to identify patients and minimize the deleterious impacts of the surgical episode of care for patients over age 65, with identified mild cognitive impairment.
Developing an Insourcing Strategy for Telepsychiatry Services in a Consortium of Native American Health Centers
Project Goal: To provide a California Rural Indian Health Board based telepsychiatry service to rural Native American communities which more effectively achieves Triple Aim goals of providing excellent care and enhanced patient experience due to provider cultural fluency while improving access...
Integrating Oral Health into Pediatric Care for 0-2 Year Olds
Project Goal: To support Alameda Health System sites to offer preventive dental services where young children receive primary care.
Developing a Whole Person Health Score
Project Goal: To improve whole person care for individuals and populations by creating a universal "whole person health score" that aligns all stakeholders in a common vision and goal.