mrussell978
UCSF Parnassus
00642
Points
This Game
Cards

Played

Adaptation in response to:
Achieve the scope, synergies, & possibilities inherent in a complete University by re-merging with UC Berkeley. Health doesn't advance alone
What form does this merger take? Does an administrative merger provide improved collaboration in the absence of physical proximity?
played over 7 years ago by mrussell978
Adaptation in response to:
UCSF should not only train primary care doctors. Despite there being a high demand, they should also have the best surgeons as well
This underscores a divide in our educational imperatives as a State Univ. and a large Tertiary/Quaternary Medical system. Achieve Balance.
played over 7 years ago by mrussell978
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
Decrease internal turf battles. Foster collaborative clinical care. As a team, we can better compete in the larger health care market.
played over 7 years ago by mrussell978
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
Improve employee satisfaction. Make UCSF the best place to work as well as the best place to receive care.
A game runner marked this card Common Knowledge.
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Use telemedicine to expand our clinical outreach and improve access to specialty care. #medtech
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Engage patient's families. Many are lost and confused. Volunteers of prior visitors can engage and guide newcomers. #patientsatisfaction
played over 7 years ago by mrussell978
Adaptation in response to:
What incentives can be put in place to promote telemedicine across the board?
Clinicians would have to see the positive financial benefit with reimbursement structure. For surgeons, this could generate actual cases.
played over 7 years ago by mrussell978
Adaptation in response to:
What incentives can be put in place to promote telemedicine across the board?
With reimbursement its a win-win-win. Easier acces to UCSF MDs for patients and referring MDs. Increased actual referrals for UCSF.
played over 7 years ago by mrussell978
Adaptation in response to:
Where would you start rolling out telemedicine for clinical outreach?
Start with Junior Faculty. Technology is integral in all other aspects of our lives already, and we are most likely to embrace change.
played over 7 years ago by mrussell978
Momentum in response to:
Improve employee satisfaction. Make UCSF the best place to work as well as the best place to receive care.
That this card was marked as "common knowledge" is a sad, sad commentary on the current state of employment at UCSF.
played over 7 years ago by mrussell978
Adaptation in response to:
What if leadership/faculty launched a "why I appreciate XX staff person" video campaign? or "why my staff is excellent" blurb in HR Digest
Broadly speaking, yes. people want recognition. They want respent. And, they want to be heard.
played over 7 years ago by mrussell978
Adaptation in response to:
Improve employee satisfaction. Make UCSF the best place to work as well as the best place to receive care.
Can UCSF partner with the Unions to achieve improvement at the local level
played over 7 years ago by mrussell978
Adaptation in response to:
Truly coordinated care will require a rethink of how we organize our system. #teamaging
Absolutely. We are hindered by our federalist system in this regard.
played over 7 years ago by mrussell978
Adaptation in response to:
Common knowledge means that improving employee satisfaction is a given goal. How can we push this toward 2025? What is needed?
Exactly the conversation I am trying to stimulate
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Imagine a vast UCSF health/wellness outreach where people seek "health"- Fitness centers, yoga studio, helath food stores, etc., #wellness
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Incentivize patients (discounted insurance rates) for using biometric monitoring and achieving activity, health, wellness goals.
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Re-consolidate all hospitals at Mission Bay by 2030..
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Seek revenue streams other than pro-fees and NIH grants. Internat'l core data facility, mobile health apps, innovative bioengineering...
played over 7 years ago by mrussell978
Momentum in response to:
Have a computer doctor that will provide analysis of symptoms to provide complimentary diagnosis + avoid human patient bias.
They are doing this with Watson. Won't replace docs, But could help identify problems early and improve patient outcomes.
played over 7 years ago by mrussell978
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
Huge inefficiencies for inpatient flow of care. Partner with systems engineers to reorganize patient care transitions in the hospital.
played over 7 years ago by mrussell978
Antagonism in response to:
Then watch them sink into the bay when the whole area liquifies during the big earthquake. hahaha
How then are we justifying our massive investment in this campus? Fragmentation of campuses has high time costs for us traveling btwn them
played over 7 years ago by mrussell978
Momentum in response to:
Common knowledge means that improving employee satisfaction is a given goal. How can we push this toward 2025? What is needed?
Engage Unions to look at employee happiness at work, not just compensation and benefits.
played over 7 years ago by mrussell978
Momentum in response to:
Common knowledge means that improving employee satisfaction is a given goal. How can we push this toward 2025? What is needed?
Start with a survey at the local level and see what people are frustrated with
played over 7 years ago by mrussell978
Momentum in response to:
Common knowledge means that improving employee satisfaction is a given goal. How can we push this toward 2025? What is needed?
People basically want 3 things while at work: Respect, acknowledgment, and an outlet to voice concerns.
played over 7 years ago by mrussell978
Momentum in response to:
Cooperative efforts instead of Darwinian competition between similar units/faculty/staff are better for achieving common UCSF goals.
Agreed. We are all "UCSF". We shouldn't be competing against ourselves. We are competing in a global market.
played over 7 years ago by mrussell978
Momentum in response to:
How do you think #environment will change the patient-doctor interaction?
We might actually start seeing and treating each other as human beings rather than objects.
played over 7 years ago by mrussell978
Momentum in response to:
We need to find creative ways to deal with conflict in the workplace.
Absolutely.
played over 7 years ago by mrussell978
Momentum in response to:
please explain more. what would this be used for? what is missing from current search capabilities? How will this increase impact?
Currently, There are no search capabilities unless you're in the "inner circle of IT" or have preferential access
played over 7 years ago by mrussell978
Momentum in response to:
We need to find creative ways to deal with conflict in the workplace.
How about we start by learning each others names. First-name basis for all UCSF staff, students, faculty.
played over 7 years ago by mrussell978
Momentum in response to:
'Jargon' to laymen is 'terminology' to specialists. We need clarity and well-defined terms to organise our ideas and observations.
Agreed. The challenge is then being able to reverse-translate when speaking to people not in our fields.
played over 7 years ago by mrussell978
Antagonism in response to:
I agree that some words are useful but some words are really not. I don't see the value add of erythema versus reddening. Do you?
Specific terminology is critical. Take "vertigo". A very specific type of dizziness that is different from "orthostasis", "disequillibrium"
played over 7 years ago by mrussell978
Antagonism in response to:
I agree that some words are useful but some words are really not. I don't see the value add of erythema versus reddening. Do you?
Doctors do need to know how to communicate with people who don't know the terminology. Reverse-translation to lay terminology. Challenging
played over 7 years ago by mrussell978
Momentum in response to:
Create greater accessibillity to health care through increased telemedicine and phone consultations as a model for healthcare delivery.
Build a community consortium of primary care by giving access to UCSF specialists via #telemedicine.
played over 7 years ago by mrussell978
Momentum in response to:
Yes, but can't UCSF in cleaning up medical jargon that is not useful like erythema, ecchymosis, etc.?
to use your example, erythema and ecchymosis can be two forms of reddish discoloration of the skin. How do you communicate the difference?
played over 7 years ago by mrussell978
Momentum in response to:
Yes, but can't UCSF in cleaning up medical jargon that is not useful like erythema, ecchymosis, etc.?
The problem is that "Medical-ese" is a different language from english, but superimposed on it. Doctors forget that. But they shouldn't.
played over 7 years ago by mrussell978
Momentum in response to:
Yes, but can't UCSF in cleaning up medical jargon that is not useful like erythema, ecchymosis, etc.?
The problem is that "Medical-ese" is a different language from english, but superimposed on it. Doctors forget that. But they shouldn't.
played over 7 years ago by mrussell978
Momentum in response to:
We need to learn and respect others beliefs and cultures.
Respect is the operative word. Many people at UCSF have forgotten common human courtesy and respect. Diversity adds richness to experience
played over 7 years ago by mrussell978
Investigation in response to:
APEX is a tool for improving our plain language communication. The tools we give people will be used. Improve their quality and clarity.
Where is the APEX team? You folks on here? Would love the help.
played over 7 years ago by mrussell978
Adaptation in response to:
Yes, it is different so I am thinking that UCSF can be to medical-ese as L'Academie Francaise is to French. We could get rid of epynoms too
Epynoms... we are in agreement on this one.
played over 7 years ago by mrussell978
Adaptation in response to:
Yes, it is different so I am thinking that UCSF can be to medical-ese as L'Academie Francaise is to French. We could get rid of epynoms too
Can we partner with Berkeley Linguistics to make this happen?
played over 7 years ago by mrussell978
Momentum in response to:
What if we tried to limit medical jargon, which is a form of power imposition and creating asymmetry in information.
UCSF Paper on patient understanding of medical instructions. bit.ly/1g6d5gs English patients understand only 50-60%. ESL 30-40%.
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Engage patient's families. Many are lost and confused. Volunteers of prior visitors can engage and guide newcomers. #patientsatisfaction
played over 7 years ago by mrussell978
Momentum in response to:
Not sure how UCSF could get the buy-in, but Oxford did it with the English language with its dictionary. UCSF could do the same?
Gallaudet is doing it for American Sign Language and Cancer terminology
played over 7 years ago by mrussell978
Momentum in response to:
And the APEX team has not been instructed to prioritize the needs of primary care or even good patient care.
UCSF. Please invest in more computer scientists, data scientists, mathematicians to help us understand our treasure-trove of new data!
played over 7 years ago by mrussell978
Momentum in response to:
couldn't access link even w/vpn. what's the title & author?
Leah Karliner. Language Barriers and Understanding of Hospital Discharge Instructions
played over 7 years ago by mrussell978
Momentum in response to:
Thank you goes a long way. Healthy Communication as well.
Bingo
played over 7 years ago by mrussell978
Momentum in response to:
Reverse-translation need not be as specific as communication between doctors.
Agreed. It needs to convey the meaning in an understandable way.
played over 7 years ago by mrussell978
Adaptation in response to:
There is also the issue beyond what is said, of 'how' it is said. Most medical curricula gloss over counselling skills as being innate.
We should roll this into our med ctr focus on using interpreters. Whether patients speak English or not, there's a huge communication gap
played over 7 years ago by mrussell978
Investigation in response to:
UCSF partners with FitBit and national retirement homes to create custom monitors for seniors to gamify their exercise #cpc
Can we find a way to upload and integrate personal biometric data, like FitBit or Garmin fitness products, into the medical records?
played over 7 years ago by mrussell978
Investigation in response to:
Shouldn't ucsf have its own version of the Ronald McDonald housing for families with kids in our hospitals?
For that matter, how can we extend this to ALL patient families? Cleveland Clinic is connected to a hotel with *affordable* rates
played over 7 years ago by mrussell978
Momentum in response to:
There must be a closer relationship between gadgets like FitBit and a person's health, or health outcomes.
A ripe area of investigation with tremendous data potential
played over 7 years ago by mrussell978
Momentum in response to:
How do we extend our reach without expanding our footprint?
Partnership with the community. Build alliances.
played over 7 years ago by mrussell978
Momentum in response to:
art & music should be more available to all at UCSF
Whoever decided to hire a professional harpist for Moffitt was brilliant.
played over 7 years ago by mrussell978
Adaptation in response to:
Patient navigators to guide patients through the system..meetings in person and through technology.
Engage patient's families also. Many are lost and confused. Prior visitors volunteers can engage and guide. #patientsatisfaction
played over 7 years ago by mrussell978
Investigation in response to:
Perhaps establishing career paths in different functional areas may aid in employee satisfaction.
Can you give a specific example of how this would work?
played over 7 years ago by mrussell978
Adaptation in response to:
How could incentives be leveraged? How could knowledge work be re-engineered?
Opt-in program for UCSF employees to wear FitBit or similar and discount individual insurance premiums for #wellness
played over 7 years ago by mrussell978
Momentum in response to:
Lead the revolution in rethinking workplace balance and happiness. New efficiency metrics include mental health, wellness scores. #TeamCLS
Several threads on this topic. Employee happiness is a major issue here. leads to poor morale and poor retention. Let's do it!
played over 7 years ago by mrussell978
Momentum in response to:
What make YOU happy? Pay? Gym? Parking? #TeamCLS
I like the people I work with. I like my patients. I love working in a collaborative environment where I learn every day.
played over 7 years ago by mrussell978
Adaptation in response to:
What make YOU happy? Pay? Gym? Parking? #TeamCLS
For CLS, I would recommend overhauling your administrative fee structure. $50 to change a gym account is ridiculous.
played over 7 years ago by mrussell978
Adaptation in response to:
What make YOU happy? Pay? Gym? Parking? #TeamCLS
On a positive note, your valet services people in the staff garage are fantastic. great service. They really need an appreciation party.
played over 7 years ago by mrussell978
Adaptation in response to:
Coordinate with all UC campuses and develop online adult learning degree programs.
MIT has a nice platform for virtually auditing their courses. Could be used as a model. Also, Kahn Academy, Coursera, Udacity, etc.
played over 7 years ago by mrussell978
Momentum in response to:
Move all clinical care to Mission Bay
Second that.
played over 7 years ago by mrussell978
Adaptation in response to:
What make YOU happy? Pay? Gym? Parking? #TeamCLS
How about a small fitness center for busy people in scrubs
played over 7 years ago by mrussell978
Adaptation in response to:
What if leadership/faculty launched a "why I appreciate XX staff person" video campaign? or "why my staff is excellent" blurb in HR Digest
sic* Respect
played over 7 years ago by mrussell978
Momentum in response to:
serving undocumented members of our UCSF family
"like"
played over 7 years ago by mrussell978
Momentum in response to:
This was not supported by faculty at all. How would you convince them?
Just do it. Some will come, others won't. Let the idea grow. Many of the junior people do this anyway. My office is my laptop bag.
played over 7 years ago by mrussell978
Momentum in response to:
This was not supported by faculty at all. How would you convince them?
Charge for private offices. Make communal access free. Hit them at the bottom line.
played over 7 years ago by mrussell978
Momentum in response to:
Open floorplans for all- no more private offices
Put it next to a Starbucks. People will go there.
played over 7 years ago by mrussell978
Adaptation in response to:
Care of complex seriously ill patients is a team sport. We need all discipines available to homebound patients.
Can we do this remotely? May be a great use of telemedicine. Home visits with telemed equipment, connects with specialists in clinic.
played over 7 years ago by mrussell978
Antagonism in response to:
Who really benefits from UCSF2025? The man on the street or big corporations?
This will hopefully give the UCSF leadership insight into future goals but also current on the ground needs of "the people". It is hope.
played over 7 years ago by mrussell978
Adaptation in response to:
Telemed equipment is expensive. But having specialists available via phone/computer/video for home interaction is great!
I'm OK with encrypted FaceTime. If there is a reimbursement structure that benefits everyone, this could work
played over 7 years ago by mrussell978
Momentum in response to:
Fantastic! THAT keeps UCSF excellent. We need to support your work environment and replicate it. #people #TeamCLS
I work in every floor and every room in Moffitt-Long Hospital. The people here are amazing. They just need to know it and live it!
played over 7 years ago by mrussell978
Momentum in response to:
That would be fabulous! Portable telemed equipment with specialists available to consult for our home pts. #teamaging
UCSF/SFGH has a telemed group. See if there are grants to support equipment costs. I've got an ENT doc at SFGH and UCSF to get you started!
played over 7 years ago by mrussell978
Momentum in response to:
Is Coursera the medical school of the future? What are your experiences with Coursera?
Great experience. Very easy to navigate. Can take course for credit at a cost or audit a course for free.
played over 7 years ago by mrussell978
Momentum in response to:
EXACTLY my thinking. With all the communication challenges on campus, how do we seek engagement like this at UCSF more frequently?
Elevator Yoga...
played over 7 years ago by mrussell978
Momentum in response to:
Wonderful. Are all Coursera courses available for free auditing?
I took a health policy course from UPenn by Ezekial Emanuel. It was. Can't speak to all of them. MIT also has a nice open platform.
played over 7 years ago by mrussell978
Momentum in response to:
By seriously discussing and responding to some of these ideas, to show that engagement matters!
Correct!
played over 7 years ago by mrussell978
Adaptation in response to:
Is the MIT platform separate from Coursera?
Yes. http://ocw.mit.edu/index.htm
played over 7 years ago by mrussell978
Antagonism in response to:
UC was founded on shared decision making. You can't just "do it". If it is to be done, it should be done in collab way. Otherwise failure.
Then start small. Test the concept. Build support. The theoretical concept is scarier than a real place to see and try.
played over 7 years ago by mrussell978
Adaptation in response to:
Maybe have a system to update patients families with information and specific ways that they can support their loved one.
Having spoken with families. The family waiting rooms are engines of information exchange btwn new and experienced families. Harness this
played over 7 years ago by mrussell978
Momentum in response to:
Thank you. Do you prefer the MIT platform, or Coursera?
Different content. And I have no need for credit, so I have just chosen based on need. MIT for science/math/stats. Coursera user friendly
played over 7 years ago by mrussell978
Adaptation in response to:
Use data to predict. Based on vitals and people like you, UCSF2025 can anticipate a heart attack before it happens and act proactively #cpc
Engage computer scientists, Data Scientists and Mathematicians to develop the models.
played over 7 years ago by mrussell978
Momentum in response to:
How do we tackle the "death panel" fear-mongering around this important topic?
Palliative care is not "death panels". It's about symptom management, understanding the process, and being supported even though no "cure"
played over 7 years ago by mrussell978
Investigation in response to:
Jane Gross has noted that we spend massive $$ on elder health, but not on what elders need? How can UCSF make this better? #teamaging
so, what do they need?
played over 7 years ago by mrussell978
Momentum in response to:
Yes, but how do we speak this above the din of right-wing politicians?
Many, if not most, people want to die with dignity, at home, with loved ones close by, and not in pain. This touches all of us. myexperience
played over 7 years ago by mrussell978
Antagonism in response to:
Who are we targeting- vacationers? A good place to treat people but a select type of patient. Many underserved will be missed #CHC
This is not mutually exclusive with underserved care. Why do we need to reject people with means? Perhaps, they subsidize a free clinic
played over 7 years ago by mrussell978
Antagonism in response to:
UC was founded on shared decision making. You can't just "do it". If it is to be done, it should be done in collab way. Otherwise failure.
Use the library as an example. Small Private rooms, group study rooms, quiet study cubicles. people without offices use this frequently.
played over 7 years ago by mrussell978
Adaptation in response to:
Agree completely. But often complicated by "Do not go gently into that good night." Need to have a louder conversation of choice=power.
Choice is power. And there are many rational people in both red states and blue states.
played over 7 years ago by mrussell978
Adaptation in response to:
Yes, but we will need much more of these rooms if everyone is to use them as their primary source of private meetings spaces.
so do an analysis of how many rooms without private offices vs with private offices. i'd bet the former would be more efficient
played over 7 years ago by mrussell978
Antagonism in response to:
We have new APEX data, but not the resources to analyze and use it to improve care. Prioritize primary care needs.
Support all specialties. Too often small specialities are forgotten. We cannot elevate a few and isolate the many, and still be world class
played over 7 years ago by mrussell978
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Fully integrated patient-centric biometric health service system with Bayesian modeling engine to maintain health and give personalized care
played over 7 years ago by mrussell978
Level
Extreme Genius
Occupation
MD
Achievements
Strengths
Positive Imagination
Critical Imagination
Momentum
Antagonism
Adaptation
Investigation