kje
VA
003192
Points
This Game
Cards

Played

Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
The rising costs of healthcare for an aging population. #TeamAging
played over 7 years ago by kje
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Working with cities/communities to improve all aspects of wellness - health and quality of life is more than biomedical disease management.
played over 7 years ago by kje
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Every trainee in every profession graduating from UCSF knows how to give the highest level of care for the aging population. #TeamAging
played over 7 years ago by kje
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Every patient cared for by teams representing best of health science from exceptional bedside care to the latest bio innovations. #TeamAging
played over 7 years ago by kje
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
Changing medicine's focus from just treating disease to improving population health and quality of life. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
What if UCSF became a leader in health care and patient/person care as well as in medical care and science? #TeamAging
What if instead of trying to make hospitals safer, we move acute care out of the hospitals and do most acute care at home? #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Make promoting health of our community the key design principle for everything we do.(services, products,work place, infrastructure, IT...)
Yes! Move from a disease model to a health model! #TeamAging
played over 7 years ago by kje
Adaptation in response to:
The general population will be inundated with information. UCSF will have to strive to keep our knowledge and information at the forefront.
Or... help the population make use of, prioritize, manage the tsunami of information. Be the trusted source. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
All specialties impacted by aging. Older adults need to be addressed beyond medicine clerkship. Surgery! Radiology! All courses! #TeamAging
And all professions will be impacted by aging - nursing, social work, dentistry, pharm, NPs, PAs, aides, rehab therapists... #TeamAging
played over 7 years ago by kje
Adaptation in response to:
UCSF needs to be the Precision Medicine Data Center. People will consider UCSF as the expert for the education and treatment of a disease.
Precision Medicine and patient centered care - treating the WHOLE person/multimorbidity - most diseases don't occur in isolation #TeamAging
played over 7 years ago by kje
Adaptation in response to:
UCSF can lead the way in 2025 by continuing to focus on the greatest areas of need in healthcare and setting the stage for research.
One urgent need is how to deal with rapidly aging population! How to deliver high-quality, up-to-the-date, patient-centered care? #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Rethink professional education. experiment with learning models. eg yr 1 for all disciplines is common, patient relationship mgmt focus.
Interprofessional Year 1 for all schools? The best patient care is team care. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
UCSF will lead in health care if it leads in care of, systems for, & research about the highest utilizers - the elderly #TeamAging
Stop applying bandaids to a broken system! Reimagine healthcare in a way that is truly patient-centered! #TeamAging
played over 7 years ago by kje
Adaptation in response to:
The barrier between primary care and public health disappear and we treat patients where they live, work, and play. Prevention is paramount.
Not just prevention... this should apply to healthcare in general. "Treat patients where they live, work, and play" YES! #TeamAging
played over 7 years ago by kje
Adaptation in response to:
UCSF would lead in clinical care if we offered coordinated care among specialties in one to two visits #TeamAging
Coordinated visits AND coordinated plans of care where patients' providers develop joint, realistic, noncontradictory, plans. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
We'll have a new hospital, or we'll change the way we do things now? Majority of Moffitt pts are already elderly.
Agree - adult hospitals are already in fact hospitals for older adults and they are failing our elders. We can do better. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
"Senior" means so many things, from healthy working 65 y.o. to bedbound 105 y.o. Need to define the sub-stages of old age #TeamAging
or the bedbound 65 yo and the healthy 105 year old
played over 7 years ago by kje
Adaptation in response to:
Like the parsing of childhood sinceIndustrial Revolution: infant, toddler, child, preteen, tween, teen, YA - senior equivalents? #TeamAging
Peds defines those using age. Geri would need different paradigm using function, comorbidities... as chrono age is uninformative #TeamAging
played over 7 years ago by kje
Investigation in response to:
Having words to define elders by what matters, not just age but functional status would greatly help medical decision making\care #TeamAging
How to define such a heterogeneic group... hard one. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
How can we utilize the experience and knowledge that seniors have to partner with them to find innovative solutions?
Experience Corp may be a good starting point. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Use biosensors and smart homes to ship health data back and forth from doctors to patients, allowing the environment to change
Great TED talk on this technology... it can be done! #TeamAging
played over 7 years ago by kje
Adaptation in response to:
how to turn around the Increase in chronic conditions resulting from obesity, sedentary work environments and stress
Obesity and its associated diseases + an aging population with its challenges... combined equals great healthcare challenges. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Dental/oral health often overlooked. Effects infections and nutrition among others. Need focus in IPE on these needs #education
Needs recognition and coverage by Medicare - how can oral health be ignored and think it won't affect the rest of the body? #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Create new health care provider licensed to provide basic health care and information to increasing population of pour and aged.
Rather, let's make these fields attractive career choices for current pathways - how do we increase choosing careers in geri? #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Share the link to the ted talk please!
Social Pulse gives info on patient a doc doesn't see in clinic visit: http://www.tedmed.com/talks/show?id=17762 #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Are the elderly "entitled" to health care as part of a social contract? Or distribute resources equally across lifespan?
Resources used early in lifespan clearly help later in life, but still need increased resources with age. But how do we use them smarter?
played over 7 years ago by kje
Momentum in response to:
How might uncertainties in Social Security and Medicare hinder this vision and how can we overcome this?
Maybe the answer is losing SS and MC - can we fix the broken system, or is it time to start over and build something that makes sense?
played over 7 years ago by kje
Adaptation in response to:
Calendars of all 5 UCSF schools are the same! Basic & cross-disciplinary classes easily taught - improved efficiency in many ways.#Education
This should be doable! Why can't the calendars be the same? Improving interprofessional education will improve patient care. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Need to consider the entire age spectrum- cradle to grave
Early life interventions have long impact! But huge portion of HC costs occur in later years - how can we bend the curve without rationing?
played over 7 years ago by kje
Momentum in response to:
Are the elderly "entitled" to health care as part of a social contract? Or distribute resources equally across lifespan?
Entitled may not be the best word... but what ethical/moral obligations do we have as a nation to care for our elders? #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Good elder care take lots of time. Few procedures. Low pay. How do we incentivize
We change reimbursement to reflect complexity of patient and complexity of care rather than procedures. #TeamAging
played over 7 years ago by kje
Momentum in response to:
Incentivize student participation in aging-related fields. Other fields too lucrative when students have to pay off med school debt. #CPC.
Level the playing field - examine huge pay discrepancies created by value unit setting by AMA special interests. Time for a new paradigm!
played over 7 years ago by kje
Adaptation in response to:
No institution can lead in health care in the 21st century without dealing with the aging population -- highest HC utilizers #TeamAging
UCSF could lead by creating a new paradigm of care for older adults - decreasing cost by creating efficient delivery systems. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Population aging also affects non-health professionals who interact with older adults and need education in aging-related health #TeamAging
Indeed - thus why community partnerships will be vital if trying to improve the health of this population. #TeamAging
played over 7 years ago by kje
Momentum in response to:
Population aging also affects non-health professionals who interact with older adults and need education in aging-related health #TeamAging
Create partnerships with SF - make SF the best city to age in place! Involves all parts of city life. #TeamAging
played over 7 years ago by kje
Momentum in response to:
1 out of every 4 elderly in California will be Lation by 2030, up from 1 in 9 in 2000. UCSF needs to focus on this population. #teamaging
Latino Health Access in Santa Ana may be a good role model: uses lay people to impact health in their own communities. #TeamAging
played over 7 years ago by kje
Momentum in response to:
Latino Health Access in Santa Ana may be a good role model: uses lay people to impact health in their own communities. #TeamAging
Community leaders who check in with elders, assure medication adherence, note when a neighbor hasn't been seen/is struggling. #TeamAging
played over 7 years ago by kje
Momentum in response to:
Community leaders who check in with elders, assure medication adherence, note when a neighbor hasn't been seen/is struggling. #TeamAging
Neighborhood Senior Watch! Worked for obesity and child health in Santa Ana! #TeamAging
played over 7 years ago by kje
Adaptation in response to:
imagine a meeting of urban planners, dept aging svcs, clinicians, banks, police, transit officials... to make SF age-friendly #TeamAging
City wide aging conference! Addressing all aspects of aging in place - challenges, barriers, opportunities! #TeamAging
played over 7 years ago by kje
Adaptation in response to:
and UCSF is positioned to integrate perspectives of nonhealth professionals in SF into better systems of care for older adults #TeamAging
Truly coordinated care focusing on maintaining health rather than defined by specific diseases. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
How to open health care career paths for those who would make excellent care givers but for whatever reason cannot become MDs, RNs or PAs.
great need for health aides/assistants nationwide - takes little training to be licensed/certified but has a HUGE impact on patient care
played over 7 years ago by kje
Adaptation in response to:
Massive wave of #people reaching retirement age and needing unknown services & UCSF leads the way with whole person care #wellness #TeamCLS
UCSF will only be relevant in 2025 if they address the aging population. We can develop the models that will become the standard. #TeamAging
played over 7 years ago by kje
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Headline: Due to UCSF's work with community leaders San Francisco leads US News and World Report list of best cities to age well. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Get them on day one to see teams that are not organizing in a hierarchical physician on top approach #teamaging
Team leader varies according to patient need at any given time enhancing true patient-centered care. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Agree - but do the TRAIN/LEARN together? Or do they train separately, then learn to practice together? #teamaging
Combine training only if makes sense, but def learn to practice together while still trainees. Do clinical rotations as IP teams? #TeamAging
played over 7 years ago by kje
Adaptation in response to:
No institution can lead in health care in the 21st century without dealing with the aging population -- highest HC utilizers #TeamAging
Older adults have a choice in care sites/services. As highest healthcare utilizers, can we afford to have them choose elsewhere? #TeamAging
played over 7 years ago by kje
Adaptation in response to:
I enjoyed this as a trainee...med, podiatry, pa, pharm students all together on an IP team, learn each others strengths.
Could continuity IP teams be created that stay together and learn clinical care, systems issues, QI, research approaches, etc? #TeamAging
played over 7 years ago by kje
Investigation in response to:
Interprofessional learning is woven through curriculum,, they learn together in real clinical settings and competence assessed#teamaging
One strength is that bc of their varied training, each profession approaches problems differently. Is this strength lost by too much IP ed?
played over 7 years ago by kje
Adaptation in response to:
Elderly patients need a Geri Clinic. Which clinic do we direct aging patients to right now? Not UCSF bc there isn't one!
Kaiser leads the way in comprehensive gericare in the Bay area currently - great opportunity for UCSF to build a new model and excel!
played over 7 years ago by kje
Adaptation in response to:
re: hospice centers linked to UC. Is there a model where this is already happening elsewhere from which we can learn? What are the barriers?
would be helpful to learn from other models, but if not out there, all the ore reason to do it! Lead!
played over 7 years ago by kje
Adaptation in response to:
If build around students, maybe separate advisor. Too much rotation of residents & attendings but students could be a continuous subteam.
Students as a continuous subteam is an excellent idea! Think what a better world they could create for patients when they get out.
played over 7 years ago by kje
Momentum in response to:
If build around students, maybe separate advisor. Too much rotation of residents & attendings but students could be a continuous subteam.
First step would be getting all UCSF professional schools on the same schedule. Must happen.
played over 7 years ago by kje
Momentum in response to:
What if establishing patient goals became a core part of the H & P and medical record? Would improve ALL care,not just eldercare #TeamAging
Like the S added to SOAPS notes for "Safety" issues (preventing iatrogenesis or complications in the hospital) - SOGAPS? with G being goals?
played over 7 years ago by kje
Adaptation in response to:
Would be great to build a medical home for the elderly population of San Francisco who are not veterans.
especially if could get comprehensive care on one visit while there. Multiple visits at multiple sites are burden for caregivers/patients
played over 7 years ago by kje
Adaptation in response to:
Yes. Comprehensive care at one location. It's too hard to get around. Even for younger people. It's a web of care now.
Web is an optimistic term ; ) The IOM calls it silos - multiple sites, no communication across them = poor patient outcomes and high cost!
played over 7 years ago by kje
Momentum in response to:
Yes. Comprehensive care at one location. It's too hard to get around. Even for younger people. It's a web of care now.
This is why team care is the future for all ages. Fragmented care should become extinct. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Yes. Kaiser model comes closest now. Making pts go all over very burdensome esp for elderly
If they can do it, why can't we? And why not better? True medical homes requiring minimal transitioning between sites/providers. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Instead of comprehensive care in one visit, use sensors and smart homes to get data during all phases of life. Easier to be comprehensive
Agree- valuable info outside of clinic data. But if must go in, why is the system set so all visits are different sites & different days?
played over 7 years ago by kje
Adaptation in response to:
In other words, if we don't start building now, we can eat Kaiser's dust! #teamaging
Kaiser is one model... UCSF has a track record of innovation and leadership. We could do it better! But must get in the game. #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Yes. When will we get there?
When we get serious about it. There is no reason that UCSF cannot lead the way in creating patient-centered systems of care! #TeamAging
played over 7 years ago by kje
Adaptation in response to:
Definitely an infrastructure problem. What if doctor visits were sched'ed and routed like smart taxi systems? You opt for "drivers" closest
Even using smarter system within current? One clinic in TX showed #1 reason for noshows: appt within same clinical system at same/close time
played over 7 years ago by kje
Adaptation in response to:
For this kind of training to be effective, learners must be part of REAL and effective interprofessional teams in REAL settings #TeamAging
Where are the REAL interprofessional teams in the system currently? How can trainees train there is they don't exist? #teamaging
played over 7 years ago by kje
Investigation in response to:
what is the ideal role of the medical student in the interprofessional team? #TeamAging
the role of the medical student may change less (at least initially) than the housestaff's roles. What is the ideal role of a resident?
played over 7 years ago by kje
Adaptation in response to:
And not just clinical training--training for researchers and administrators
True bench to bedside capability
played over 7 years ago by kje
Adaptation in response to:
Nursing home patients are a good example of patients at risk for social isolation. Using tech to reconnect! #TeamAging
could partner with tech company to increase use of tech by isolated adults - both for socialization as well as clinical care possibilities
played over 7 years ago by kje
Adaptation in response to:
Nursing home patients are a good example of patients at risk for social isolation. Using tech to reconnect! #TeamAging
bc iPad is so easy to use, I've had family members age 80+ pick it up and use it that wouldn't use a traditional computer =lots of potential
played over 7 years ago by kje
Adaptation in response to:
This can be a positive thing - age/health appropriate care - rather than a restriction. #TeamAging
appropriate care rather than more care. For older adults, more care can often lead to poorer outcomes. Smarter care, not more! #teamaging
played over 7 years ago by kje
Adaptation in response to:
Care for older adults doesn't mean more care...or maybe it means more palliative care?
smarter care which may include palli, maybe not. Should embrace patient goals, which may not be the same as the clinician's. #teamaging
played over 7 years ago by kje
Momentum in response to:
Mandatory self-care curriculum for all UCSF students that included reflection on emotions #TeamAging
reflect within peer support groups - person to person, not written reflections. Med training is full of trauma that leads to cynicism
played over 7 years ago by kje
Adaptation in response to:
Could even be longitudinal subteams, see pt in hosp, then transitional home visit, then clinic. See diff skill sets in diff settings.
Good idea! should teams be assigned a panel of patients they follow for duration, redefine team/rotations around patient care? #teamaging
played over 7 years ago by kje
Adaptation in response to:
True of all health science training I'd say. Good 4 all our students.
another opportunity for interprofessional collaboration in training? refelction maybe done around a shared patient/experience? #teamaging
played over 7 years ago by kje
Adaptation in response to:
True of all health science training I'd say. Good 4 all our students.
another opportunity for interprofessional collaboration in training? refelction maybe done around a shared patient/experience? #teamaging
played over 7 years ago by kje
Adaptation in response to:
Dont bring the patient to the doctor but the doctor to the patient. Especially helpful for vulnerable older adults #teamaging
helpful for many patients. What's best for the older patient is generally best for all? it's just that elderly have more to lose #teamaging
played over 7 years ago by kje
Adaptation in response to:
UCSF could commit itself to achieve best possible health for all San Franciscans & end #disparities in health status across neighborhoods
partner with city agencies/officials to achieve healthy san francisco 2025 #teamaging
played over 7 years ago by kje
Adaptation in response to:
How great would it be if elders from Bayview to Pacific Heights told each other to go to UCSF - best geriatrics care in SF #TeamAging
how would it be if San Francisco was recognized as best integrated services and best outcomes in healthcare bc of UCSF leadership #teamaging
played over 7 years ago by kje
Adaptation in response to:
Agree! UCSF should be a world class innovator in care of the aging #teamaging
if we build it they will come! Patients/caregivers/policy makers long for a more efficient/cost effective/patient-centered model #teamaging
played over 7 years ago by kje
Adaptation in response to:
What about learning how to run an interprofessional team? Should MDs be running teams? Or does that just enforce hierarchy and status?
Learning how to lead and when to leave the leading to a better qualified professional depending on patient need - both are needed #teamaging
played over 7 years ago by kje
Investigation in response to:
Just what the Laret/Hawgood plan proposes: A UCSF "health system" ... better yet, one that worked, coordinated, met pt's needs! #TeamAging
thought: does needing to be the best hinder UCSF ability to collaborate & provide best healthcare practice for all San Franciscans?
played over 7 years ago by kje
Adaptation in response to:
Isn't some amount of hierarchy and status necessary? Everyone's not equal.
There must be clear lines of responsibilities, but does that imply a hierarchy? is the hierarchy fixed or flexible depending on pt needs?
played over 7 years ago by kje
Antagonism in response to:
Flexibility is important, but having someone in charge is more effective and efficient than a mob of "equals."
efficient? maybe... effective? show me the data ; )
played over 7 years ago by kje
Investigation in response to:
Flexibility is important, but having someone in charge is more effective and efficient than a mob of "equals."
can a team of different professionals be equal in status yet still have a leader?
played over 7 years ago by kje
Adaptation in response to:
Or it's linked to your Google calendar: When you create and appointment you can see open time slots and available doctors by place #cpc
for a profession that embraces the latest technology so quickly in some arenas, we are pathetically slow in doing so in others
played over 7 years ago by kje
Adaptation in response to:
Agreed, let's do it better and 1 up Kaiser! #teamaging
what could we learn from the existing effective HMO models? #teamaging
played over 7 years ago by kje
Adaptation in response to:
USe it as a model for how we should care for an aging population. Rapid cycle innovation that brings in concepts to PCP clinics #teamaging
absolutely - since starting fresh, build research endeavor into every facet from the outset - excellence requires innovation #teamaging
played over 7 years ago by kje
Momentum in response to:
What is the role for the generalist physician in improving care for the elderly? #teamaging
all generalists, specialists as well, need increased understanding about aging and how to care for complex older adults #teamaging
played over 7 years ago by kje
Adaptation in response to:
We need primary geriatrics delivered by generalists and tertiary geriatrics by specialists for complex case
expand the reach of fellowship-trained geraitricians through telemedicine and conferencing with our GIM/FP colleagues #teamaging
played over 7 years ago by kje
Adaptation in response to:
expand the reach of fellowship-trained geraitricians through telemedicine and conferencing with our GIM/FP colleagues #teamaging
new definition of "most difficult case conference" #teamaging
played over 7 years ago by kje
Adaptation in response to:
Definitely. Provides a terrific opp 2 share the unique view of a pt scenario present in each discipline. #IPE
as well as to understand how we all feel/experience it similarly also #teamaging
played over 7 years ago by kje
Investigation in response to:
If FCM cares for all patients & internists for all adults, this is essential. Needs to be much greater part of training. #TeamAging
where do we find the time with the demands expanding exponentially on our trainees? #teamaging
played over 7 years ago by kje
Adaptation in response to:
UCSF sponsors a "Keep an Open Mind" study where patients allow their brains to be studies for research during their hospital stay #cpc
Could be a way to gain more insight on delirium, a poorly understood syndrome that affects appr 1/4-1/3 of all med-surg patients #teamaging
played over 7 years ago by kje
Adaptation in response to:
Geriatrics most difficult case conference a good example of bringing together multiple programs from across west coast to teach geriatrics
could it be used to teach geri to practicing physicians and not just fellows - nationwide call-in CPC style discussion, earn CME #teamaging
played over 7 years ago by kje
Adaptation in response to:
The dominant issue for training future healthcare workforce has to be the aging patient. Demographic imperative. #teamaging
we aren't training the clinicians America needs if we aren't training in the care of older adults - it's a matter of public trust #teamaging
played over 7 years ago by kje
Adaptation in response to:
Partner with US Postal Service to checkin on aging and at risk patients. Postal workers carry quick diagnostic devices for updates
training lay people to become community health leaders can impact many populations/diseases/risk factor in ways clinicians never will
played over 7 years ago by kje
Adaptation in response to:
I could also see this happening during cab rides #cpc
not far fetched. van drivers for programs like PACE are often the 1st that note a patient may be struggling, then communicate this to team
played over 7 years ago by kje
Adaptation in response to:
not far fetched. van drivers for programs like PACE are often the 1st that note a patient may be struggling, then communicate this to team
PACE = Progressive All-inclusive Care of Elders. A successful CMS demonstration project for helping frail elders stay at home #team aging
played over 7 years ago by kje
Adaptation in response to:
Since non-medical people are already community health leaders, expand on the infrastructure they already have and provide formal training.
there are many successful models, especially in marginalized communities - Latino Health Access in Santa Ana is a successful CA one
played over 7 years ago by kje
Adaptation in response to:
Many new retirees should be qualified and able to perform that role.
great idea! many want to be give back. Fed program called Experience Corp may be one way to organize, or UCSF creates a local one #teamaging
played over 7 years ago by kje
Adaptation in response to:
Great! We should promote more of these types of ideas. Knowledge is so often spread through unofficial channels.
It was started by 1 passionate primary care doc - I'm sure UCSF has lots of passionate people who could do the same and more! #teamaging
played over 7 years ago by kje
Adaptation in response to:
If people can become emotionally attached to a machine (e.g., a program that mimics human conversation) can that be helpful for them?
becoming attached to a pet has been shown to improve health... so, maybe it can - test it! One way to prevent loneliness? #teamaging
played over 7 years ago by kje
Adaptation in response to:
We need to negotiate and advocate at the state and federal level to ensure that caring for vulnerable populations sustains UCSF financially.
agreed - and one vulnerable population that is exploding is the old and poor. How to provide cost-efficient sustainable care? #teamaging
played over 7 years ago by kje
Adaptation in response to:
Much of what is happening in the bay area uses tech for social connections. Also is a good answer to social isolation facing vulnerable pts
# of older adults on social media platforms like FB are skyrocketing - could it be used to check in on vulnerable elders and monitor health?
played over 7 years ago by kje
Adaptation in response to:
Spend less money in aggressive ICU care and more in high touch care for people at the end of life,practical help and respite for caregivers
learn to target aggressive care to those most likely to benefit, and avoid it in those likely to decline despite of or because of that care
played over 7 years ago by kje
Momentum in response to:
Spend less money in aggressive ICU care and more in high touch care for people at the end of life,practical help and respite for caregivers
for this to happen, clinicians must become more adept at prognosticating and having honest discussions with patients/families #teamaging
played over 7 years ago by kje
Adaptation in response to:
get funders to think beyond the next election year, next press release- and think more about long term credit/fame for progress! #chc
if only!
played over 7 years ago by kje
Momentum in response to:
And act as support groups for caregivers of patients with advanced illnesses like dementia #TeamAging
Skype support groups for caregivers who cannot get away #teamaging
played over 7 years ago by kje
Adaptation in response to:
Integrate video into it to do a virtual home visit and do things like medication reconciliation. #TeamAging
or wound care, home safety eval, gait eval for fall risk - intervene early #teamaging
played over 7 years ago by kje
Adaptation in response to:
Yes, but patients often know when it is time to choose less aggressive care. We don't offer attractive alternatives and in home support.
we have the capability to offer alternatives, but sometimes clinicians don't know how to bring it up, or just don't think of it #teamaging
played over 7 years ago by kje
Adaptation in response to:
Massive google hangouts for caregivers and UCSF experts on caregiving issues. Support from google X
embraces a fuller spectrum of patient care outside of the clinic and could inspire philanthropic support #teamaging
played over 7 years ago by kje
Adaptation in response to:
Consultants like dermatology and vascular surgery can use it for eConsults on wounds #TeamAging
maybe a way to extend interprofessional training also - teams of students providing geri assessment virtually #teamaging
played over 7 years ago by kje
Adaptation in response to:
aging population --> need for much better end-of-life planning and care #team fcm #team chc
all trainees in all UCSF professional schools need training in care of the older patient which includes end of life care #teamaging
played over 7 years ago by kje
Investigation in response to:
I think our students do a lot of service now. I hope. Do they?
of my 8 medical student mentees, 7 are participating in some type of service, free clinic, health awareness outreach. many if not most do
played over 7 years ago by kje
Adaptation in response to:
addressing/promoting the role of the aging in society #teamaging
increasing opportunities for older adults to give back and remain active in their communities #teamaging
played over 7 years ago by kje
Adaptation in response to:
US Mail service will be gone by 2025. what other home service can fill this role?
neighbors! community activists! Neighborhood Health Watch!
played over 7 years ago by kje
Investigation in response to:
By the way, reflects on your great leadership kje.
not at all - reflects on the ability of UCSF to attract smart, motivated, caring students!
played over 7 years ago by kje
Adaptation in response to:
So you're saying this isn't an issue to address?
can always encourage students to stay involved in the big issues, search out opportunities, be good citizens, AND acknowledge when they do
played over 7 years ago by kje
Adaptation in response to:
This type of service exists here, and makes UCSF *awesome*. My question, and it is a challenging one, is: Do we feel that this is enough?
how do we balance service with time demands of study? work service into their studies, learning while giving? (1 aspect of the free clinic)
played over 7 years ago by kje
Adaptation in response to:
Integrate it more purposefully into the curriculum. Require a service component, of the student's choosing, to graduate.
if required, should relate to their studies? make them better clinicians, researchers, teachers, administrators?
played over 7 years ago by kje
Adaptation in response to:
Encourage student's to commit to service after they leave UCSF, a la National Health Service Corps.
many have lots of debt, so committing time to NHSC would be tough the way it is set up now...needs to be flexible to students' interest/need
played over 7 years ago by kje
Adaptation in response to:
often this is what most older adults want - is to stay connected to their community and feel #valued
exactly! would be great to raise visibility of way Sr's already give back - would improve image of aging #teamaging
played over 7 years ago by kje
Adaptation in response to:
Good Q, we should invest time in looking at effective models to see what we can imitate and what we can change for the better #teamaging
yes, no reason to make same mistakes others have. like all science, we must build from other's successes and failures to advance the field
played over 7 years ago by kje
Adaptation in response to:
And then going out on real houscalls if necessary
yes, some discoveries during virtual visits will require inperson follow up. new field of research - what can be done from afar vs in person
played over 7 years ago by kje
Adaptation in response to:
You raise an important point. I do think that some sort of service obligation could be a great thing for UCSF, though.
could fit with part of med sch curricular reform: interprofessional education in real clinic settings doing QI. make settings underserved?
played over 7 years ago by kje
Adaptation in response to:
Love this. We don't get exposed to QI in medicine until residency, but it challenges you to think about the complexity of the issues we face
and taps into a great resource - the students from the various schools with loads of ideas yet no cynicism yet to believe it is undoable ; )
played over 7 years ago by kje
Adaptation in response to:
What about palliative care - another major area of expertise at UCSF. #teamaging
only if palli care of the complex older adult ; ) jk... clearly could be used for many things
played over 7 years ago by kje
Adaptation in response to:
Utility workers! #cpc
fire stations are all strategically located across cities... how to use them?
played over 7 years ago by kje
Adaptation in response to:
Oh, unbridled optimism sure has it's benefits. But this is precisely the kind of energy needed to solve the tough problems.
exactly! Sometimes people are too bogged down in the system to see the solution. Students bring fresh eyes
played over 7 years ago by kje
Adaptation in response to:
UCSF seen as aloof & not patient friendly: asking for input - & using it - could make a huge difference #TeamAging
very unfriendly for mobility challenged - think of what it takes to get to Parnassus, navigate the campus, and get into a clinic #teamaging
played over 7 years ago by kje
Adaptation in response to:
UCSF2025 - Hospitals reverse the trend of consolidation, as care moves back to the patients instead of patients moving to the hospital
care where you work, live, play #teamaging
played over 7 years ago by kje
Adaptation in response to:
mobile shipping container stationed on street with walk-up window with elders giving free advice #wisdom #teamaging
group in Canada (Life Line Booths) uses phone booths there to reach out to reach out to underserved - could be a model! #teamaging
played over 7 years ago by kje
Adaptation in response to:
I like the shipping container idea - maybe even better if it involves #green materials. #Elderwisdom for the ages.
too big - think smaller size, easier to approach, and doesn't take too much parking space. ala Peanut's Lucy? advice stand #teamaging
played over 7 years ago by kje
Adaptation in response to:
Google Age: new technology for integrated one stop shopping for patients, families & providers w/links to resources/services/info #TeamAging
how to ensure quality information and protect seniors from predatory practices? #teamaging
played over 7 years ago by kje
Adaptation in response to:
Despite amazing progress with virtual visits, patients rebel and demand high touch care that can only be delivered in person. #teamaging
use high tech or high touch as needed. Many would be just as happy to have you listen via web as inperson if it means they can reach you
played over 7 years ago by kje
Momentum in response to:
How can UCSF be the leader in both high tech and high touch care #teamaging
Use one to expand and target the other - use tech when tech will do, and touch when touch is needed. Doesn't have to be either/or #teamaging
played over 7 years ago by kje
Adaptation in response to:
We can create our own trustworhty online portal --a go-to website with information and resources for seniors! #TeamAging
if adequately funded, besides being an info portal, can draw people into UCSF for care...as long as we have a geri clinic to accept them
played over 7 years ago by kje
Adaptation in response to:
UCSF Hospital for Seniors with majority of it being based on the hospital at home concept #TeamAging
thus avoiding most of the complications associated with hospitalization. Europe does it! Why not us? #teamaging
played over 7 years ago by kje
Adaptation in response to:
thus avoiding most of the complications associated with hospitalization. Europe does it! Why not us? #teamaging
costs are significantly lower for hospital at home in clinical trials here in US. Good way to lower costs for caring for elders #teamaging
played over 7 years ago by kje
Adaptation in response to:
Which is UCSF needs to build a geriatrics center of *clinical* excellence!
UCSF can't be a world class medical center and fail to address the aging of America with good clinical care sites: falling behind #teamaging
played over 7 years ago by kje
Adaptation in response to:
this could be #intergenerational too... soon kids won't know what a phone booth is!
that's because it will be called a medical advice booth for older adults ; ) #teamaging
played over 7 years ago by kje
Cards

Tracked

Level
Beyond Extreme Genius
Occupation
Geriatric Hospitalist
Achievements
Strengths
Positive Imagination
Critical Imagination
Momentum
Antagonism
Adaptation
Investigation