California Health Care Improvement Projects (CHIPs)

Ako Jacinto presents his CHIP

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.

Search CHIPs

Racial Equity in the Workplace

Kimberlee Pitters

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 the project was to continue the A3 process to advance racial equity by increasing staff awareness and comfortability (staff feeling safe) in discussing and addressing racism in the workplace. The target was 100% of staff would have comfort discussing racism in the workplace by December 2021.

June 1, 2022
View/Download PDF

Improving the Quality of Applied Behavior Analysis Service with a Pay For Value Program

Edwin Poon

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 and the need to restart treatment. The goal of my CHIP is to improve the quality of ABA service with a PayFor-Value (P4V) program. Two metrics were used as lead indicators: 1) percentage of supervision conducted by board certified clinicians and 2) utilization rate of approved treatment hours. Providers will have the opportunity the earn up to 4% of their annual total claims amount if they meet preset quality benchmarks.

June 1, 2022
View/Download PDF

Leadership and Advocacy for Black Maternal Health Outcomes

Aline Armstrong

Black birthing mothers and their babies are dying in one of the most progressive and wealthiest cities of the country. I engaged San Francisco’s city officials and the Department of Public Health leadership to do something about health inequities and improve disparities impacting Black/African American birthing people. I had the opportunity to present data on preterm birth, infant mortality and poor maternal health outcomes, address social determinates of health, and advocate for new funds with recommendations to close the gaps. This was important to me because I was a new Director during historical events with a pandemic, Black Lives Matter protests, and racism happening across the country. The goal of the project was how to advocate and receive funds to improve health outcomes for vulnerable population.

May 31, 2022
View/Download PDF

Birth-Centered Outcomes Research Engagement (B-CORE) in Medi-Cal

Priya Batra

Objective: The project will use deliberative democracy methods to engage stakeholders most impacted by pregnancy-related death in Medi-Cal to generate solutions and design interventions to support equity in maternal health outcomes for Medi-Cal-covered births.

May 31, 2022
View/Download PDF

Managing Mental Health Crises on the Telephone (an interim report from my leadership journey)

Anh Thu Bui

The CHIP was a focal point of the CHCF program, but my true CHIP came through learning about myself as a leader during challenging times. Fueled by burning questions and supported by mentors, friends and family, I managed to thrive during the past two years. Given all the crises in the world, and given my personal and professional investment in mental health, what could I do to contribute? How might we improve our communities’ health and wellbeing? (In the face of problems that pre-dated but exacerbated by the pandemic, from health disparities, to social inequities and structural racism.)

May 31, 2022
View/Download PDF

Amplifying Health Care Workforce Diversity through Community Empowerment: Capacity Building for Alliance in Mentorship/MiMentor

Consuelo (Connie) Casillas

My project aims to address the six-fold disparity in the California Latinx physician workforce to the populations they serve. This workforce mismatch contributes to health care disparities by diminishing access to care for marginalized populations as well as the delivery of culturally and linguistically sensitive care. This issue hits at the heart of why I pursued medicine over 20 years ago; a desire to provide service to our most vulnerable populations.

May 31, 2022
View/Download PDF

Overcoming Financial Barriers to Medication Access with Drug Manufacturer Copay Coupon Programs

Karen Chin

Remove barriers to medication access, improve a patient’s therapeutic outcomes by preventing under treatment, and increase overall patient care affordability by implementing KP approved drug manufacturer copay coupons electronic claims processing at KP National Specialty Pharmacy (KPNSP).

May 31, 2022
View/Download PDF