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)
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.
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.
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.
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.
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...
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.
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.
Electronic Patient Data Collection
Project Goal: To improve patient data collection, capture revenue, and health outcomes over time.
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.
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.
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.
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.
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.
Evaluation of the Effectiveness of a Highly Engaged Multi-Disciplinary Team’s Impact on Inpatient and Emergency Department Utilization
Project Goal: To decrease emergency department utilization and inpatient admissions.
Improving Coordination of Care for Medi-Cal Patients in the Sacramento Valley
Project Goal: To reduce avoidable utilization for Medi-Cal and Medicare patients without adequate connection to outpatient and specialty care by working with outside payors and medical groups.
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.
Utilizing an Electronic Scantron Form to Optimize Clinical Quality Measures
Project Goal: To implement a process utilizing an electronic scantron form that will achieve satisfying Clinical Quality Measures while decreasing staff/provider manual input.
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.
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.
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.
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.
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.
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...
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.
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...
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.
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.
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.
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.
IMPACT: A Palliative Care Education Initiative for Acute Care Bedside Nurses
Project Goal: To equip bedside nurses on acute care units at UCSF Medical Center with communication tools to lead palliative care communication.
Improving Adolescent Knowledge and Utilization of Reproductive Health Services Using a Youth-Driven “Literacy” Project
Project Goal: To improve knowledge and utilization of reproductive health services in our health center through education of adolescents in our service area using an intervention developed by youth.
Project Quest: Improving Quality of Life in Epilepsy through Supporting Therapies
Project Goal: To improve receipt of whole person wrap-around services and therefore the quality of life of people with epilepsy in western Los Angeles county by increasing knowledge of epilepsy, referrals to Westside Regional Center, and offer of epilepsy-specific services.
Improving Linkage to Care at HIV Diagnosis
Project Goal: To improve linkage-to-care for persons newly diagnosed with human immunodeficiency virus in Alameda County as part of a treatment-as-prevention strategy.
Community Pharmacy Pay-For-Performance Program
Project Goal: To demonstrate a cost-effective clinical model in the community pharmacy setting which promotes pharmacy quality and achieves measurable outcomes.
Impact of Standardized Community Education on Advance Care Planning
Project Goal: To increase interest and awareness on the importance of end of life (EOL) care planning by using standardized education programs (Being Mortal screening with a Conversation Café™ discussion and/or an Advance Care Planning workshop), measuring participants’ behaviors and attitudes...
Nursing Led Care Coordination Optimization
Project Goal: To improve employee engagement within the care coordination department and reduce average length of stay through coordinated team efforts to reduce inefficiencies.
An Electronically Supported Colorectal Cancer Screening Program for the Safety Net
Project Goal: To decrease colorectal cancer (CRC) rates in patients evaluated at Department of Health Services medical centers by increasing CRC screening rates.
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...