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)
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...
Improving Latent Tuberculosis Treatment Rate
Project Goal: To reduce case rates of active tuberculosis in San Francisco.
Improving Employee Satisfaction at the Psychiatric Health Facility
Project Goal: To improve employee satisfaction which will result in a stable workforce with less turnover and increased competence.
Diabetes Care Program
Project Goal: To study and better understand cost-effective interventions leading to improved outcomes for a sub-group of Riverside Family Physicians' diabetics from May 2014 to May 2015.
Improved Care Coordination to Reduce Length of Stay
Project Goal: To reduce the adjusted length of stay (LOS) to below the national average by improving care coordination, bringing the hospital into alignment with requirements of the Patient Protection and Affordable Care Act, without increasing the readmission rate.
Medical-Legal Partnership for High Utilizer Patients in the Veterans Administration
Project Goal: To improve value of care and outcomes for high utilizer, high-need homeless Veterans in the VA Greater Los Angeles Healthcare System through a Medical-Legal Partnership.
Improving Patient Satisfaction Outcomes through Better Hearing
Project Goal: To improve communication between providers and hearing-impaired adults in clinical settings.
Improving Continuity of Care Through Health Information Exchange
Project Goal: To improve care team access to patient information by implementing health information exchange.
Clinical Effectiveness Leadership Training Course
Project Goal: To provide participants the understanding and tools necessary to conduct state-of-the-art clinical practice improvement projects, use quality improvement methods to manage and integrate non-clinical processes, implement quality improvement programs, and conduct internal quality...
Integrative Pain Management: Transforming Care for Chronic Pain in the San Francisco Health Network
Project Goals: To improve the functional status and well-being of patients with chronic pain, and improve staff experience with managing chronic pain.
Optimizing Physician Use of the Electronic Health Record
Project Goal: To develop a learning ecosystem to improve physicians’ achievement and maintenance of electronic health record (EHR) skill competency in a sustainable way and improve physician satisfaction with the EHR support we deliver to them.
Empowering High Risk American Indian Diabetic Patients through Individualized Case Management
Project Goal: To improve glycemic control of American Indian Diabetic patients of our health center and thereby reducing associated mortality and morbidity.
Integrative Medicine and Safety Net Clinic Transformation
Project Goal: To become the provider of choice and improve patient experience by implementing an integrative medicine model of care at Hayward Wellness.
Telephone Appointments, an Access to Care Alternative
Project Goal: To provide an alternative for immediate, convenient, effective and, for now, free of charge access to medical care through telephone appointments.
Palliative Care Integration Into The Clinical Care of Advanced Congestive Heart Failure
Project Goal: To improve quality of care and outcomes for advanced heart failure patients by integration of Palliative Care specialty service into routine treatment.
Implementation of Teach Flu a Lesson – School-Based Vaccination Clinics
Project Goal: To increase the number of vaccinated children in southland elementary schools, thus creating herd immunity in a vulnerable population and closing health disparity gaps in our membership and/or communities in which we live and serve.
On-Site Tuberculosis Clinic in Los Angeles Skid Row Homeless Shelter
Project Goal: To reduce and eliminate transmission of Tuberculosis in the Pathways to Home Homeless shelter by 2020.
High Value Care in the Safety Net: Implementation of Clinical Decision Support for High Cost Diagnostic Imaging in a Large Public Health System
Project Goal: To reduce inappropriate orders of high cost diagnostic and imaging tests performed in the Los Angeles County Department of Health Services system.
Registry to Improve Depression Management
Project Goal: To provide patients with evidence-based treatments to treat their depression "to target": a 50% reduction in their baseline PHQ-9 score.
OBGYN Surgery Dollars Recovery Project
Project Goal: To improve overall efficiency of Surgery Department at Ventura County Medical Center.
eTouché – Moving Away from Referral Silos
Project Goal: To institute a seamless model for electronic eReferral at Stanford Health Care to eliminate extra visits and delays in care.
Reducing Readmissions with Improved Transitions of Care
Project Goal: To reduce overall cost of care by reducing hospital readmissions while improving healthcare outcomes.
Improving Patient Experience through Empanelment
Project Goal: To improve access and patient experience by implementing a system-wide, standardized approach to empanelment and panel size management.
Reducing Opiate Overdoses Through Safe Opiate Prescribing Support
Project Goal: To reduce opiate overdoses in Contra Costa County by 10% by the end of 2016.
The California Health and Human Services Open Data Portal
Project Goal: To increase the usability of publicly available data by launching an Open Data portal at the California Department of Public Health.
Decreasing Decline in Condition and Acute Hospitalization Through Effective Care Planning
Project Goal: To improve appropriate care & reduce decline in residents’ condition and acute hospitalization.
Strategic Guide for Free Clinics to Navigate Affordable Care Act
Project Goal: To develop a strategic framework that will serve as a comprehensive tool for free clinics to apply to their organizations to ensure financial sustainability, patient population management and service delivery over the next three years.
Technology Coordinating Group Redesign – A Value Proposition
Project Goal: To improve the value of capital equipment purchases, especially new technology, in Kaiser Permanente Northern California.
Expanding Opioid Use Disorder Treatment in Primary Care
Project Goal: To treat qualified opioid addicted patients with buprenorphine/naloxone combination while engaging them in primary care and screening.
Building a Business Intelligence and Data Governance Strategy
Project Goal: To create a business intelligence strategy with a data governance ecosystem that is sustainable, accountable, and foundational to building a data-driven organization.
Development of a Patient Advisory Board in a Community Health Center
Project Goal: To develop and sustain a Patient Advisory Board by September of 2014.
Family Information Navigation Desk
Project Goal: To improve the health of families we serve by enhancing their connections to basic community resources through increased navigation services.
Designing a Learning Health Organization for Collective Impact using REACH
Project Goal: A high performing, learning health organization that successfully implements "collective impact" approaches to complex community health problems.
Getting to the Heart of Patient-Centered Health Home
Project Goal: To improve staff and patient experience of care by enhancing communication between medical assistants and providers.
Together We Grow: Developing a New Nurse Home Visiting Program
Project Goal: To improve health, optimize child development, and strengthen resilience and self-sufficiency for high-risk families by providing public health nurse home visiting.
Shoo the Flu – Vaccinate at School
Project Goal: To decrease the burden of influenza in Alameda County by improving vaccination rates in 5 – 11 year-old children.
Outpatient Specialty Care Improvements
Project Goal: To provide timely and quality outpatient specialty care services to all Olive View–UCLA Medical Center patients and improve our overall customer satisfaction.
Volunteer Scribes
Project Goal: To reduce provider burnout by reducing the burden of data entry into the electronic medical record, allowing them more undivided time with the patients.
Reducing ICU Length of Stay with Proactive Care Conferences
Project Goal: To improve end-of-life experience for patients who are expected to die in the Intensive Care Unit (ICU), through systematic, multi-disciplinary support, and transition from aggressive ICU care to high-quality comfort measures in the appropriate setting.
Web Based Rehabilitation for the Connected Surgical Patient
Project Goal: To determine to what extent asynchronous video tools can replace in-person outpatient visits such as physical therapy following total knee replacement while lowering costs, optimizing resource allocation, and maintaining quality outcomes.
NEURO-NET: A Continuum Partnership for Catastrophic Care
Project Goal: To improve the overall health and quality of life of individuals diagnosed with acquired brain injury and spinal cord injury, while also reducing lifetime medical costs through the provision of continuous, coordinated, rehabilitation through all levels of treatment.
Autism Assessment Center of Excellence
Project Goal: To maximize the quality of life for Autism Spectrum Disorder children in the Inland Empire and their families by providing every child with access to a collaborative, organized, integrated and Trans-Disciplinary Assessment/Treatment resource for Autism.