Foresight Engine

Adaptation in response to:

No more time spent by MDs on documentation!!! Have medical transcriptionists participate on rounds to document daily notes in real time.

Could that person be more than a transcriptionist? Could that person be a team member that could help coordinate care?

played about 7 years ago by JessicaEng

Adaptation in response to:

To lead 21st century health care, UCSF must lead in care of older adults - highest HC utilizers & fastest growing segment of the population.

Yes! Care for these patients is often complex and can't be done in a 15-minute visit. What is the ideal care team for these patients?

played about 7 years ago by JessicaEng

Adaptation in response to:

We ALREADY are the leaders locally and nationally, AND we are excited to continue to grow and lead as the population ages.

We have excellent experts in geriatrics and palliative care at UCSF. How would that expertise be best utilized across UCSF?

played about 7 years ago by JessicaEng

Momentum in response to:

What if each course and clerkship addresses different issues/ presentations in pediatric, adult, & elderly patients? #TeamAging

All specialties impacted by aging. Older adults need to be addressed beyond medicine clerkship. Surgery! Radiology! All courses! #TeamAging

played about 7 years ago by JessicaEng

Momentum in response to:

yes! facilitate follow up appts/ referrals etc?

Premed students have been trained to document and coordinate care in primary care. Could they also do this in inpatient setting?

played about 7 years ago by JessicaEng

Adaptation in response to:

The rising costs of healthcare for an aging population. #TeamAging

Yes, nursing home care is expensive. How do we provide care that will keep older adults in their homes? #TeamAging

played about 7 years ago by JessicaEng

Adaptation in response to:

With an aging population and the unprecedented changes in the #Affordable Care Act, we need innovative models of healthcare delivery.

Many innovative models exist for older adults but don't easily translate to new settings. Need more implementation research #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Faculty required to do mini-sabbatticals outside of their area of expertise. #Education #Finance

Yes! Healthcare has a lot to learn from other industries. How do we cross pollinate?

played about 7 years ago by JessicaEng

Adaptation in response to:

Continuing to break down the current silos that have been present in science for decades.

Yes, how do we encourage departments to talk with each other to meet common institutional goals? Share best practices?

played about 7 years ago by JessicaEng

Adaptation in response to:

Interdisciplinary courses evaluating complex patients with role play for each discipline to see who contributes what to pt care

Yes, interprofessional #education needs to extend beyond our students. Even seasoned clinicians and staff could use more team training.

played about 7 years ago by JessicaEng

Adaptation in response to:

Improved funding of Adult day programs could allow more working children of elderly adults to keep parents home with them.#TeamAging

What would happen if employers had adult day health for dependents as a benefit similar to a child care benefit? #TeamAging

played about 7 years ago by JessicaEng

Adaptation in response to:

Guarantee trainees are prepared for the future of primary care: familiarity w/Patient Centered Medical Home & Chronic Care Model.

Yes, trainees need to see that primary care is a team sport, not a recipe for burnout.

played about 7 years ago by JessicaEng

Momentum in response to:

So smart & this will be of interest to Silicon Valley too! #TeamAging

Defense sector already has the tech needed for secure teleconference, but healthcare sector needs to invest, implement #TeamAging

played about 7 years ago by JessicaEng

Momentum in response to:

Is UCSF limited by only having areas of study in Medicine, Dentistry, Nursing and Pharmacy? What is missing?

UCSF is missing a School of Public Health at which all professions can learn together about improving the health of our communities!

played about 7 years ago by JessicaEng

Momentum in response to:

Anyone know what the current amount of time UCSF students spend in nursing homes? 0%?

With high % of patients discharged to skilled nursing facilities, every student should spend time in a SNF to improve transitions #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Major issue is at UCSF the centers of aging are "balkanized." #teamaging

How do we unite centers of aging across UCSF? #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

You mean including Division of Geriatrics, IOA, CADC, SFVAMC centers? #teamaging

Yes, need to have academic-community partnerships #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

absolutely! SON SOP SOD #teamaging

You're right. Need to start integrating aging into early trainee curricula across all health care professions #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

..And clear outreach to community health clinics and senior centers that provide the bulk of care and support to older SFers. #TeamAging

Yes, this is key to older adults aging in the community #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Also home-based services, like palliative care, house calls, and home based primary (as at the SFVAMC). Good examples. #teamaging

Yes, trainees need to learn home-based care. If only trained in hospitals, they won't know how to care for outside the hospital #teamaging

played about 7 years ago by JessicaEng

Antagonism in response to:

Although, I thought the data on successful interprofessinoal learning was not so rosy. #teamaging

Data on teams outside healthcare industry is over 30 years old and strong! #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

can we use standardized instruments accessible internationally as a starting point? #global #teamaging

Absolutely. More research needed on geri standardized instruments in other languages. #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

This is actually a terrific idea. If UCSF led an effort to create an international dataset of older adults by 2025 we would lead the world.

Yes! most aging studies focus on one country. We need a global Health and Retirement study! #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

and direct dissemination and testing of aging-related discoveries to senior centers in real time! #TeamAging

How can we foster more academic-community partnerships in aging? #teamaging

played about 7 years ago by JessicaEng

Antagonism in response to:

Not sure if data from outside healthcare industry is directly translatable to the healthcare setting. #teamaging

Too much hierarchy in healthcare! Tenets of team training can translate, including knowledge of each person's role and responsibiliities.

played about 7 years ago by JessicaEng

Momentum in response to:

Agree - example - those open space office spaces for start ups. Not clear they work well for clinician-researchers, but they're being built!

Open working space good for creativity and collaboration, not good when dealing with HIPAA! #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Is this feasible though? Would need massive coordination across institutions and countries. #teamaging

Cancer researchers manage to coordinate across continents. Why can't we? #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Love this idea! Every med student admits a pt to hospital, and every med student should admit pt from hosp to nursing home. #TeamAging

Agree, this is key for their understanding about transitions of care #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Love this idea! Every med student admits a pt to hospital, and every med student should admit pt from hosp to nursing home. #TeamAging

Agree, this is key for their understanding about transitions of care #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

UCSF and Berkeley have complementary strengths that could be leveraged for an innovative new type of School (of Global Health)

How do we encourage more collaboration between UCSF and Berkeley to build on these complementary strengths?

played about 7 years ago by JessicaEng

Momentum in response to:

Access to patients at the UCSF Medical Center & Clinics is focused on medical education--very difficult to place APRN students at UCSF.

Medical trainees should be learning how to work with APRN students. Medical practices of future will be built on interprofessional teams.

played about 7 years ago by JessicaEng

Momentum in response to:

Build regular reflection in curriculum on self and others communication and collaboration skills in different clinical settings #teamaging

Need trainees to reflect on their experiences, learning needs beyond med knowledge. Are faculty prepared to do this? #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

And research too. NH patients are the most vulnerable of older adults. If UCSF care about its community, we need 2 be in the NH #Teamaging

How do we help create community NH collaborative so we can better understand this patient population? #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Reflection must include how to MINIMIZE time spent engaging with healthcare system and MAXIMIZE QOL outside of healthcare #TeamAging

Best healthcare providers have interests outside healthcare. Well-rounded people are able to relate to patients and families #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Good start, but would be great to expand with multidisciplinary clinics so that geriatrics is not silo'ed. #TeamAging

How do we integrate geriatric principles into subspecialty care across campuses? Gerioncology successful in other cities #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Have the service provided on-site or near the place of employment. Could help reduce caregiver burden & missed work. #TeamAging

Yes, care for parents and other aging family members will become an increasing cause of absenteeism. UCSF needs to plan ahead. #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

how is it that 16% of the US will be 65+ and this isn't required curriculum? #underprepared #teamaging

Needs to be addressed in all specialties. Age is a risk factor for many diseases--HTN, arthritis, volvulus, fractures. #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Where are the REAL interprofessional teams in the system currently? How can trainees train there is they don't exist? #teamaging

Geriatrics is based on interprofessional teams--clinics, home care, & NH, but it's only an elective! Geri needs to lead the way. #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Combine training only if makes sense, but def learn to practice together while still trainees. Do clinical rotations as IP teams? #TeamAging

Yes, VA primary care is great example: medicine residents are team members with NP fellows and huddle in clinic. #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Train/assess all students to achieve competence in interprofessional approaches for complex older patient care with focus on function/QOL

Yes, need to incorporate competencies in interprofessionalism into all training programs #teamaging

played about 7 years ago by JessicaEng

Momentum in response to:

Select training experiences that are interprofessional work well. #teamaging

Need to incorporate reflection on why some teams didn't work well and how to improve. #teamaging

played about 7 years ago by JessicaEng

Played

Tracked