Foresight Engine

Momentum in response to:

#care: Learn from behavioral economics. Create incentives to engage patients, providers, students, and faculty.

Make the healthy choice the default one whenever possible.

played over 7 years ago by Kirsten

Momentum in response to:

Education initiatives on data management/curation so open data is actually findable and re-useable.

Create standards for #metadata related to shared data

played over 7 years ago by Kirsten

Momentum in response to:

Very true. Storage and disto is mostly $. How do you find the right data? How are you sure of the quality?The field needs a lot of work...

Include a line item in all sponsored research for #distribution after the primary investigation is complete; at least by the time CHR closes

played over 7 years ago by Kirsten

Adaptation in response to:

What if UCSF was at the forefront of focusing on the biological and social mechanisms that resolve MULTIPLE health outcomes at once?

Work in partnership with Bay Area social entrepreneurs and funders (e.g. Full Circle Fund) to accomplish this

played over 7 years ago by Kirsten

Adaptation in response to:

Recommit to tackling the health needs of the global poor with investments in health services training and research

Use our expertise in randomized controlled trials to find out what really works in aid policies and programs, partner with J-PAL

played over 7 years ago by Kirsten

Investigation in response to:

UCSF will be a workplace that promotes collaborative work at all levels - faculty, staff, and students.

Can we create cross-cutting interest groups that allow us to share information across all HR categories and schools/depts?

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

For high-utilization patients, create a UCSF position whose primary role is to listen--being heard can improve health

played over 7 years ago by Kirsten

Critical Imagination in response to:

What urgent challenges will UCSF face in 2025?

Technology is an important care/research tool, but quality of care will always require excellent human interaction

played over 7 years ago by Kirsten

Momentum in response to:

Eliminate the distinction between academic & staff positions. That caste system divides us as a workforce & requires duplicative processes.

Create a process whereby staff can be the direct recipients of grants

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Work with the X-Prize Foundation to design incentives for the most needed life sciences innovations

played over 7 years ago by Kirsten

Momentum in response to:

Finding ways to improve communication and increase collaboration across multiple campus sites

Yes--make virtual meetings possible at all campuses with screens, cameras and microphones on desktops and in meeting spaces

played over 7 years ago by Kirsten

Critical Imagination in response to:

What urgent challenges will UCSF face in 2025?

Making #preventive care the default

played over 7 years ago by Kirsten

Adaptation in response to:

enough research funding better science communication and talk

Like #OpenScience, make a central repository for our presentations (video and decks) and talks

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Foster expertise in #ImplementationScience across all areas. Lead the way in taking findings to scale and diffusion of innovation.

played over 7 years ago by Kirsten

Momentum in response to:

How do we use technology in a way to create more time & space for human interaction?

Automated scheduling systems may free front desk time. What else?

played over 7 years ago by Kirsten

Momentum in response to:

What does preventative care look like to you?

Nutrition, exercise, and stress management, but not just providing education about them--making them an inherent part of every interaction

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Pioneer a #single-payer healthcare system for our community and share the results with other universities and gov'ts

played over 7 years ago by Kirsten

Momentum in response to:

How can UCSF create a internal network of innovators, salespeople, etc. to create and promote new ideas and thier implementation?

We should ask CTSI and QB3 this question... They are already doing it!

played over 7 years ago by Kirsten

Momentum in response to:

And evaluate it to get hard data to show whether it works or not.

Absolutely, from the perspective of patients, providers and administrators

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Implement 360-degree review processes to keep staff and faculty in dialogue about shared goals

played over 7 years ago by Kirsten

Adaptation in response to:

Forum for visiting faculty from engineering, computer science, etc. on sabbatical to bring their skill set into bio & biomed research.

Yes, and use #Profiles to match visitors to team of UCSF collaborators

played over 7 years ago by Kirsten

Momentum in response to:

Who would be the payer?

Individuals. Interested philanthropies could support the research work. Also like John's idea about partnering with Healthy SF.

played over 7 years ago by Kirsten

Momentum in response to:

How do we solve world poverty? Poverty is the ultimate oppression and fuel of disease and social unrest. #TeamCLS

Work with #GlobalHealth to conduct randomized controlled trials of what works in poverty alleviation.

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Grow our focus on cancer *prevention* rather than racing for a cure, like #PRHE

played over 7 years ago by Kirsten

Adaptation in response to:

How would individuals pay? Would they purchase city sponsored insurance? How would we incentivize this plan over employer sponsored plans?

Depends on structure of program and partners. Set prices carefully to incentivize participation. Advertise to unemployed + un/underinsured.

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Design an optional residency track that is 40/wk, encouraging more adults with families consider beginning a medical education

played over 7 years ago by Kirsten

Momentum in response to:

Yes, but if it is going to be single payer, then by definition, everyone must participate in the same program.

We have to start somewhere to investigate whether it can work in the US context-- pilot single-payer

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Partner with the Ministry of Health in the world's least healthy country and document what it takes to turn it around, one step at a time

played over 7 years ago by Kirsten

Adaptation in response to:

Build medical facilities in shipping containers, that can be dropped in neighborhoods where needs are high and then moved. #cpc

They have their own power source (solar?) and water filtration for use in disaster areas

played over 7 years ago by Kirsten

Adaptation in response to:

Create apps for wearable technology like smart watches to track patient vitals at home.

Or test the use of the product that wins the Medical Tricorder X-Prize

played over 7 years ago by Kirsten

Investigation in response to:

Future patients will face greater challenges of sorting through DTC pharma messaging and misinformation from web self diagnosis.

Remember when DTC pharma advertising was illegal? What would it take to make that the case again?

played over 7 years ago by Kirsten

Momentum in response to:

Precisely what I am saying. To pilot, we have to select an entire population (city, county, etc) and administer the same program to all.

So perhaps we start with a small (visionary) community and then grow from there...

played over 7 years ago by Kirsten

Momentum in response to:

Spark continual interdisciplinary innovation: have faculty across schools comment on research proposals that arent from their school

Have faculty from other schools on your feasibility/scientific review panel http://hub.ucsf.edu/feasibility-analysis-scientific-review

played over 7 years ago by Kirsten

Momentum in response to:

UCSF, UCMerced and UCDavis buy and operate a farm - students love hands on learning, UCSF staff love affordable organic produce #TeamCLS

The hospital in Willits, CA, has a garden that provides produce for its cafeteria.

played over 7 years ago by Kirsten

Momentum in response to:

Use opensource style model to get altruistic top nerds in pajamas ANYWHERE to unlock the knowledge in our big data

Partner with Kaggle to make this a reality, www.kaggle.com

played over 7 years ago by Kirsten

Adaptation in response to:

work with young people, as early as possible, to teach them, empower them,show them opportunities in medicine and research fields

Partner with existing channels that reach and inspire young people, like the local Myth Busters

played over 7 years ago by Kirsten

Adaptation in response to:

Room to grow. Growth is inevitable, but space is limited and by 2025 there will be no more, at least within the city limits.

Partner with a developer to integrate health and medical care access into the inevitable new (and vertical) residential construction

played over 7 years ago by Kirsten

Momentum in response to:

couldn't we teach evidence-based decision making (evidence-based medicine, etc) inter-professionally too? #TeamCHC

And how to evaluate research literature for relevance/applicability

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Solar hot water is a #green technology that pays for itself within a year

played over 7 years ago by Kirsten

Momentum in response to:

Water will become an increasing issue. UCSF needs to recylce more water from its operations to serve the research and campus community #CPC

Yes, >80% of reverse osmosis water is discarded at dialysis center--find a way to reuse it

played over 7 years ago by Kirsten

Momentum in response to:

Oil shortages make reusable plastic instruments more expensive driving up costs and making medical care less accessible. #green.

Whether cost increases or not in short term, we should invest in #green alternatives that can be composted/ reused/ converted to energy

played over 7 years ago by Kirsten

Momentum in response to:

What are simple needs out there that would help you in accomplishing your work at UCSF? #CPC

A campus-supported e-newsletter service for better #communication

played over 7 years ago by Kirsten

Momentum in response to:

How can UCSF lead the way in worklife balance? Research in the area? WE can revolutionize health and work! #people #TeamCLS

Work can be a healthy part of life when it is engaging, challenging, rewarding and has growth opportunities. What retains/loses our stars?

played over 7 years ago by Kirsten

Momentum in response to:

I like it! Stategic communication can drive campus goals and culture. Maybe this should be a strategic website? #CPC

Given the way communications are going, push channels may be more widely read

played over 7 years ago by Kirsten

Adaptation in response to:

How do we make K-12 or college science education a respected career path for scientists with PhDs?

Provide teaching fellowships, loan-reduction programs, or pay these teachers a living wage (which is unfortunately beyond UCSF's scope)

played over 7 years ago by Kirsten

Critical Imagination in response to:

What urgent challenges will UCSF face in 2025?

Continuing to recreate the wheel between groups, dept's and schools. How to efficiently share resources and tools?

played over 7 years ago by Kirsten

Adaptation in response to:

People are competing to be employed by UCSF in unprecedented #s bc of the happiness & health of our staff. #workplace future

Measure happiness or satisfaction systematically, randomly. Follow up with "Why?" to dive deeper.

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

All our lights have simple motion sensors #green

played over 7 years ago by Kirsten

Adaptation in response to:

Find out what makes UCSF the employer of choice and amplify what works and phase out what hurts. #worklife #TeamCLS

We could even use it to pilot a SF gross national happiness index, share with other businesses + city www.grossnationalhappiness.com

played over 7 years ago by Kirsten

Adaptation in response to:

Renewed focus on philanthropy from the baby boomer generation that will receive the greatest wealth transfer in history: $41 trillion

Or specific focus on philanthropy from Bay Area tech millionaires--they may support innovation and value learning from quick failures

played over 7 years ago by Kirsten

Investigation in response to:

I never understood that structure. esp since we have evidence that lack of sleep leads to poor decisions. why is that the way it is?

It seems like hazing for joining a cult--once you've survived it, you believe the next generation needs it to join?

played over 7 years ago by Kirsten

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Go beyond conventional #green buildings of LEED, design the first living health center or hospital: living-future.org/lbc

played over 7 years ago by Kirsten

Momentum in response to:

That's what I assumed, but thought there MIGHT b a "reason" beyond that...it's bad all around & data proves it, why is it still the model?

May also be pressure to complete residency fast enough to start practicing. Fewer hours/week = more time before licensure.

played over 7 years ago by Kirsten

Momentum in response to:

Climate change driving tropical diseases hitherto confined to emerging nations into populations never before subjected to terrible maladies.

Making "travel medicine" increasingly obsolete. Possibly inspiring real advances in preventing/treating once-neglected tropical diseases

played over 7 years ago by Kirsten

Investigation in response to:

Philanthropy Catalyst: engage non-traditional, young, high-tech donors in innovative, catalytic giving strategies for health sciences

Prizes? Tech in health? Conditions or diseases that they care about personally?

played over 7 years ago by Kirsten

Momentum in response to:

true, but wouldn't the change increase the quality of that time for the clinician and quality of care 4 pts?

Yes--totally agree. Think it would also attract older med students who wouldn't otherwise trade education for quality of life.

played over 7 years ago by Kirsten

Momentum in response to:

Is there anything else they value and would support?

Perhaps research on particular social issues or diseases/conditions they care about or use of tech to improve health?

played over 7 years ago by Kirsten

Momentum in response to:

Ideas are not prototypes, prototypes are not solutions. Lets traverse this chain as fast as possible. #cpc

Yes, we can learn from professional design processes here. May also need in-house expertise-for-hire or flexible contracting.

played over 7 years ago by Kirsten

Investigation in response to:

UCSF would benefit from moving evidence to action by partnering with new multi/bilateral donors and the private sector.

Do we have the capacity to go beyond teaching what we know? Or should we leave large-scale implementation to NGOs?

played over 7 years ago by Kirsten

Momentum in response to:

Lower research/academic staff costs by partner w/ undergrad schools to supply (and we pay) students studying the same discipline. WIN-WIN.

Had a great experience working with a Cal undergrad this summer... Wish she could have worked with us for class credit during the year

played over 7 years ago by Kirsten

Adaptation in response to:

Determine what the PI wants to see on the financial reports and standardize it so there is not a constant need to provide another report.

Or provide a real-time financial dashboard that PIs and staff can access anytime--reports only for donors!

played over 7 years ago by Kirsten

Investigation in response to:

In a 2013 study, only 51% of physicians said they'd chose that path again, given the chance. How can UCSF improve this frustration level?

Depends on what was causing the frustration... Are they factors that medical education has control over?

played over 7 years ago by Kirsten

Adaptation in response to:

Everything so high tech and computerized that clinicians are able to communicate with or to only computers, not patients.

Teach empathy, humility, cultural competence, and excellent patient interaction skills.

played over 7 years ago by Kirsten

Momentum in response to:

Teach empathy, humility, cultural competence, and excellent patient interaction skills.

And reward docs with high patient satisfaction scores

played over 7 years ago by Kirsten

Adaptation in response to:

Having advanced computer programmers & technologists in each department now working with us to streamline our research and be cutting edge

And an out-of-the-box MHealth app/survey design for tablets and mobile, with additional help as needed

played over 7 years ago by Kirsten

Momentum in response to:

Poverty is certainly correlated with poor health. What are things that we can do to combat poverty in our society?

Test the Give Directly model in SF? Google Foundation recently challenged them to think on a much larger scale: givedirectly.org

played over 7 years ago by Kirsten

Investigation in response to:

"If humanity does not opt 4 integrity we r through completely.It is absolutely touch & go. Each 1 of us could make the difference" B Fuller

Can UCSF partner with the B. Fuller Institute or Challenge? The President just moved to the Bay Area... challenge.bfi.org/

played over 7 years ago by Kirsten

Adaptation in response to:

Health stats in inner city America look like the Global South. Help close the health gaps in the US-medical/social collaborations

Or creating and sustaining a vital mechanism for community participation... Haven't seen that yet in my Dept.

played over 7 years ago by Kirsten

Momentum in response to:

Direct giving is an interesting idea, for sure, but is that a sustainable solution?

Not sure we can answer that for US--only research I know is in inter'l settings. Various programs had lasting impact.

played over 7 years ago by Kirsten

Investigation in response to:

How can we make UCSF more green in 2025?

How to overcome compliance barriers? e.g. "We can't install low-flow faucets b/c if we work in any bathroom, we must make it ADA-compliant"

played over 7 years ago by Kirsten

Momentum in response to:

Awesome! I don't know this research at all. I'd be curious to learn more.

There's a good reference list here: www.givedirectly.org/evidence.php

played over 7 years ago by Kirsten

Momentum in response to:

So how does this come about? Is it the residents that lead this change?

Not sure. Think the Accreditation Council for Graduate Medical Education (ACGME) would have final say, but resident voices should have sway

played over 7 years ago by Kirsten

Played

Tracked