#TEAMCHC
UCSF-Laurel Heights
009722
Points
This Game
Cards

Played

Positive Imagination in response to:
How can UCSF lead the way in 2025?
Rather than placing technology only in the hands of doctors, what if patients could monitor their health,new research, and be empowered?
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Creating sophisticated community health care and neighborhood health leaders, trained at UCSF, to provide tailored treatment and prevention
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Leverage technology and resources to identify the upstream determinants of health and disease. #healthySF
played over 7 years ago by #TEAMCHC
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?
UCSF could be a world leader in the assessment and integration of the social determinants that drive health disparities
played over 7 years ago by #TEAMCHC
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
How do we use technology and big data effectively but at the same time maintain focus on the individual?
played over 7 years ago by #TEAMCHC
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
How does UCSF serve the substantial population that refuse to or are unable to visit a doctor?? #healthySF
played over 7 years ago by #TEAMCHC
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
How can UCSF be a leader in overturning the pervasive stigma of mental or physical health conditions?
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
What if UCSF launched a medical/health care system curriculum at all levels of education (K through college)?
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
What if the patient owned his or her medical record, to be used anywhere? What if it was on a driver license or electronic key card?
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Right. And we can do that right here with our rich resources in population sciences (psychology, sociology, epidemiology, anthro etc.).
Agreed. This is only possible if more resources are placed in the populations sciences and a more prominent seat at the table.
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
UCSF could lead the nation in early life development. The evidence is clear- early life stress has a critical impact of later disease risk
played over 7 years ago by #TEAMCHC
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
Integration between medical and psychiatric records. No longer can we leave mind and body separate- they're not.
played over 7 years ago by #TEAMCHC
Momentum in response to:
How do we identify and effectively engage with community-based leaders?
Identify how we meet the needs of stakeholders in the community, UCSF as a bridge to health, not just healthcare.
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
What if UCSF partnered with Apple or Google to develop a worldwide health monitoring and prevention system?
played over 7 years ago by #TEAMCHC
Momentum in response to:
also include "data" on #socialcontext #neighborhood
Integration of social factors at the neighborhood, community, county, state level into medical data would be a big step #socialcontext
played over 7 years ago by #TEAMCHC
Adaptation in response to:
In order to make good on the promise of precision medicine, we need to share data globally and crowd source micro experiments.
Precision medicine is also an opportunity to integrate social data and identify upstream determinants. #socialdeterminants
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Precision medicine will expand to include precision prevention as its major focus. SF model city. UCSF world leader.
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Peer counseling as a community health intervention- moving from the doctors office to neighborhood. UCSF trained counselors.
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Target high risk populations in SF, monitor risks (passive, active, biosensors) for discovery, implement prevention solutions.
Biosensor monitors not only to track health info and interface health care but also influence social services. From society to cells!
played over 7 years ago by #TEAMCHC
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
A concern is that the bulk of resources is for cleaning up a mess not preventing it. In the long term $ should be devoted to early life.
played over 7 years ago by #TEAMCHC
Momentum in response to:
promote social determinants social policy connections #social
A focus on social engagement, empowering individuals to interface with the health system and move toward prevention.
played over 7 years ago by #TEAMCHC
Momentum in response to:
team these community leaders & care settings w/ our learners from day1; links w/ learning "precision care", IP teams & narrowing disparities
Not only will these partnerships strengthen the ties between UCSF and SF, it will shift towards a focus on prevention for future generations
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Patients incentivized for using a 24-hour health monitoring system= reduced SF city taxes. #care
played over 7 years ago by #TEAMCHC
Momentum in response to:
Intervene on upstream risks at individual, family, community & systems levels to reduce #healthdisparities in>1 health condition #TeamCHC
UCSF could be a leader in disease prevention by using technology to assess upstream determinants in even the lowest income neighborhoods
played over 7 years ago by #TEAMCHC
Adaptation in response to:
it could be afirst stop/ less intimidating place to ask questions; as well as a place for mentorship on pt advocacy
It could also establish a "fabric of care" within the community, reduce the mystery of medicine and empower patients to be proactive. #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Yes, full an accurate record at your fingertips. Any provider has access to complete record.
I wonder what the likelihood is that such open access will become a reality. A world where the patient truly has choice
played over 7 years ago by #TEAMCHC
Momentum in response to:
Community service is essential to education. It creates well-rounded individuals who have a greater sense of purpose than just oneself.
What about a world where health care is delivered primarily in communities and neighborhoods, where social factors shape behaviors and risk
played over 7 years ago by #TEAMCHC
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
A focus on social determinants- i.e., upstream factors- is our only hope for reducing health disparities. UCSF can lead the charge.
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Greater focus on social determinants of health in medical education. From MS1 to residency- changing the lens through which we see health
played over 7 years ago by #TEAMCHC
Adaptation in response to:
need quantitative and qualitative research approaches #social
The addition of qualitative research provides an important richness to understanding how and for whom social factors drive health
played over 7 years ago by #TEAMCHC
Momentum in response to:
The need to discern what to keep and use of technology and how to best retain harmony with natural processes.
use of technology can be socially isolating but when integrated appropriately, it may enhance interactions worldwide
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
How does the changing funding structure affect investment in social determinants?
played over 7 years ago by #TEAMCHC
Momentum in response to:
Disease Prevention research should be seen as urgent as finding a cure.
Absolutely! Investment in early predictors, especially in children, is an urgent matter for health and healthcare #chc
played over 7 years ago by #TEAMCHC
Momentum in response to:
Opportunities to partner with companies to make sense of all the health self-monitoring consumer data from apps and devices?#CHC
Open source data for innovation and application. On the user side, maybe incentives for tracking health- reduced phone bill? #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
And do we need to provide incentives so that they will use the sensors? Maybe it's as simple as signing something when you get a new phone?
Exactly! Partnership between health sector and technology- perhaps reduced phone bill for use, subsidized by employer? #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Yes! And UCSF could also lead in training health professionals to understand social determinants and include them in providing care #chc
How could we ensure appropriate training? How can social determinants be better employed within the medical curriculum? A new approach?#CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Can use of technology also help eliminate barriers for those who are already socially isolated in society? (e.g. physically disability) #CHC
Yes! Technology at the individual but also community, county level and beyond. Leveraging the tech to empower individuals #CHC
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
IOM reports a US health disadvantage compared to European nations. By 2025, UCSF will erase this gap. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
This means supporting parents! UCSF can be a leader in maternity leave standards (i.e. 1 yr leave instead of 6 wks) #teamchc
Increased leave standards but also a focus on disparities in health and wealth that will disproportionally affect those most vulnerable #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
UCSF hosts first Health Olympics. Challenges issued and at the end of a year hospitals meet to compare approaches and results. #global #cpc
Medical errors continues to account for as much as 10% of deaths nationally, UCSF can lead
played over 7 years ago by #TEAMCHC
Adaptation in response to:
What do you mean, exactly?
After accounting for socioeconomic factors, those in the US are still dying younger than other westernized countries #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Imagine what could be next? How do we handle energy conservation? With CHEU closing and helium issues...resource limits are stretched. #CPC
Investigating the extremes could tell a lot mechanisms of action. What about upstream factors, social conditions? Interactions? #CHC #CPC
played over 7 years ago by #TEAMCHC
Investigation in response to:
good behavioral science research on factors that affect health #CHC
But what factors can we target? Limited resources- where can we leverage UCSF's strengths? #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
UCSF could lead efforts to reduce health behaviors that contribute most to the disparities #teamCHC
Which health behaviors? Nutrition, exercise, sleep? Does UCSF have a particular strength?
played over 7 years ago by #TEAMCHC
Investigation in response to:
A life-course approach is not just for ob/gyn or peds. All specialties need to understand the early determinants of disease. #CHC#EDUCATION
If there were limited resources and time- 2025 is not that far off- which specialties should we target first? #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
IOM reports a US health disadvantage compared to European nations. By 2025, UCSF will erase this gap. #CHC
US continues to have earlier mortality compared to other westernized countries. UCSF could uncover the reason and fix it. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
we have amazing sleep researchers who understand the health and cognitive impact of poor sleep and its predictors #chc
Sleep is a clear predictor, affected by social disparities and influential in increasing risk of disease #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Interactions and conditions emerge at the limit of extremes. We must be prepared for future scarcity. Next challenge should be #inequality.
Exactly! And those most vulnerable, socially, biologically etc are also those at greatest need for social services in time of scarcity #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Faculty climate survey = faculty need for funding security (% hard support) as project future at UCSF. Important goal over next decade #CHC
What is needed FTE's? From the State or perhaps an new economic model-- funding from industry? #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
IOM reports a US health disadvantage compared to European nations. By 2025, UCSF will erase this gap. #CHC
Motivating people to be proactive in health is an open question. Years of research in behavior change has illuminated the challenges. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Consider urban density with disease prevention. Understand geographic issues locally and beyond for epidemiological containment. #Esther
Structural factors that contribute to density too! Built environment issues the structure communities and stratify risk #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Don't think state. But UCSF could make commitment to x % (even small %) and potential for many creative fundraising ideas #CHC
A combination of large donor, micro donations, and industry could offset some lack of state investment. Moving beyond traditional FTE #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Exactly. UCSF should plan to develop redefined forms and structures of the built environment, even from existing uses/spaces/buildings. #CPC
Built environment as intervention for behavior (green spaces, stair placement) and increasing social connection- critical to risk #CHC #CPC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Less likely that hospitals and providers would get sued for malpractice, etc. Could we save costs by decreasing liability coverage? #chc
Interesting idea. How do we get patients invested? How do we make health prevention a focus? #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Yes! Built environment around ADA considerations/patient conditions - AND green workplace/wellness design would all revitalize space. #CPC
In 2025 the challenge may be how to use space more efficiently but still improve conditions. How will UCSF facilitate this in SF? #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
UCSF sitcom about doctors? :-p. TV can convince people of a lot of things.
Interesting. A clear opportunity to shape a message, bring health and health care into homes, web, reach disenfranchised SF residents #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Host yearly international conferences that focus on social determinants of health disparities. #teamchc
UCSF could be the hub for a movement, partner with UC Berkeley, Stanford #CPC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Market "Your Life, Your Choices" or "I am MD (My Doctor)" focusing on accurate, personalized care. Faster care = better health. #teamchc
Yes! Not just patients but pre symptoms. Personalized, precision prevention. Big data per individual and a way to make sense of it #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
UCSF partners with FitBit and national retirement homes to create custom monitors for seniors to gamify their exercise #cpc
Fitbit or other that integrates exercise, sleep, sensors for heart rate other bio, and relational so retirees see how data connects #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Once established, could branch out to all UC.
YES! Webcasts, trainings, out of universities, to communities. integrate demography, social service data, targeted and tailored #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
What is Precision Prevention and how is it linked to Precision Medicine? This big idea merits more discussion
Is precision prevention about identifying unique challenges upstream? while things like poverty affect health, not all get disease #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
YES: The idea one provider can change another's behavior has proven wishful thinking. BIG DATA must help, PRECISION PREVENTION!
Yes! integrated data, early markers of risk- especially in EARLY LIFE- is the future of health. No longer can focus be treatment alone #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
K-12-ers experience virtual environments from point of view of doctors, researchers, business people etc who wear cameras and do interviews
Yes! Grows future doctors & shifts that paradigm, individuals as own doctor, empowers people to make health part of daily conversation #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
I think that is great. Studying machine learning, AI mechanisms, and psych/cogsci is so pertinent to the health needs of the future. #CPC
Transdisciplinary science and new forms of scientists are the future of medicine and health care. How can UCSF lead? #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
YES, if we can figure out how to reduce social isolation and increase connection, we will see huge changes in health.
Decreasing social isolation is great but not if there is not greater engagement in health and well-being at individual, community level #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
cultivate more cross-disciplinary work w/urban planners to truly understand the health impact of policies and improve health in communities
Yes! Urban planners, demography, sociology, policy, transdisciplinary science #CHC
played over 7 years ago by #TEAMCHC
Antagonism in response to:
No institution can lead in health care in the 21st century without dealing with the aging population -- highest HC utilizers #TeamAging
Resources are scarce, and there is clear evidence that early life insults unfold into later life risk. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
This will need to be done with organic material; maybe even through biomimicry? Refer to natural sources for space efficiency. #Esther #CPC
Interesting! This could spawn a new division at UCSF, a partnership with industry- moving from UCSF as leader in healthcare to health #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
UCSF should lead via a CS collaboration with Berkeley or an in-house formation of a CS researcher group with students, profs, etc. #CPC
CS and neuroscience, as well as experts in macro factors (demography, sociology, epi) that shape much of these underlying cog mechanism #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
If we truly believe the developing fetus is a critical period shaping health, it's urgent, that NOW that we focus healthy early life. #CHC
YES!!! Not just on fetus but mother, family structure, community, and social factors that contribute to risk URGENT indeed! #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
not just #Personalized #Precision #Prevention but #PrecisionHealth = preventive + curative in all health areas #CHC
What is the first step? If upstream factors are critical, how can UCSF make the first move towards precisionhealth? #CHC
played over 7 years ago by #TEAMCHC
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
If we need to focus on one social factor in improving healthcare in 2025, which would it be #precisionprevention #chc
played over 7 years ago by #TEAMCHC
Momentum in response to:
Neighborhood health leaders could address the unique challenges of specific communities, which may go unaddressed in larger medical system
Exactly! But more than that, it would be about bring the medical system to the people, not just place but readiness. #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
How to make sure that pts don't become overwhelmed? Many already experience information overload and resulting doubt, uncertainty, etc.
A challenge indeed. Expertise from psychology, and new fields of human decision making may help. Integration early in life too! #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
It definitely could do that. Or to leadership in health service management/medical const./development with industry partners. #CPC #Esther
Agreed. A UCSF MD/MBA program would be well suited for these coming challenges of navigating industry/medicine/health management #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Totally agree. The macro factor professionals will be crucial in years to come. Exploring mind/brain computing mechanisms, etc. #CPC #Esther
I would almost see it as a new type of scientist, like a social epidemiologist-neuroscientist. Fellowships exist (RWJ-HSS)- still need #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Of course we should consider a life course approach. But we must stop the mythology that all problems of aging are preventable #teamaging
Agreed. And like in early life, resources focused on the social needs for aging populations are sorely needed! #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Why do we always go to most expensive MD as default? Why not NP/MBA, PhD/MBA, PharmD/MBA?
I love it! I would even go for an RN/MBA, MSW/MBA probably get a much more realistic and dynamic perspective from those on the ground #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Our over-focus on technology may squeeze out the most healing resource we have...LOVE! Meta-analyses: large effect 4 socialconnection #CHC
Focus on the simple ways to foster relationships and leverage technology to increase social connection rather than promote isolation #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Of course we should consider a life course approach. But we must stop the mythology that all problems of aging are preventable #teamaging
What percent would you guess of health care utilization is on unpreventable problems? #myth?
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Lots of data available for regional health issues (e.g. flu outbreak, famine from drought) and individual medical problems
And ways to track spreading of disease, habits, ideas on a population level. Transcending health care to health and prevention. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Fellowships and recognition of benefits of diverse background are needed. Emphasis on multi-skilled versus lacking focus in hiring POV. #CPC
Yes! There needs to be a strive towards creating scholars who can speak across disciplines, see the connections and gaps #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
How to even out the playing field so that even pts with less education, less tech fluency, can effectively access these new tools?
That is an incredible challenge. How can we incorporate other disciplines from the social sciences to engage those most in need?
played over 7 years ago by #TEAMCHC
Adaptation in response to:
doesn't technology often separate us, rather than encourage connection?
It can- this is our mission- empowering through technology, building it into communities, providing outlets to others via tech #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
creating community based health centers that are interconnected through networking or gaming
Yes, with neighborhood health leaders providing integration through tech and improving self-efficacy in the health care and prevention #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Sociologists work on inequalities (incl health literacy) and on digital divide issues. Pair w/ clever IT designers for more accessible tech.
Absolutely! Sociologists, demographers, epidemiologists, historians..health policy..paired with cognitive science/neuroscientists #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Fascinating - so right off the bat the docs feel superior to nurses and pharmacists? How to break down heirarchies to make effective teams.
Status, as a construct, and as it unfolds in health care should be discussed upfront. Status hierarchies impact health and decision making
played over 7 years ago by #TEAMCHC
Adaptation in response to:
use the tech/networking to promote social activities like group walks, local farmers market trips, etc. bringing people together.
Structural changes- built environment- can also facilitate change in behavior and social relationships #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
V exciting possibilities. Could also use strategies from Facebook, etc., for making tech accessible/appealing to widest audience possible.
There is still a question of engagement. We can identify who is most vulnerable but how can we tailor strategies?
played over 7 years ago by #TEAMCHC
Adaptation in response to:
GREAT! so Who are these health leaders? Are they just a volunteer from the neighborhood or someone trained coming in?
They could be volunteer but UCSF could be a hub for training MDs to be deployed and live in neighborhoods. Start in SF then beyond #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Protocols could also evolve based on needs, communities, infrastructure, social resources. #Esther #CPC
A theme of this game has been tailoring.. through tech, medicine. Why not global disaster response, right? Who is on the front line?
played over 7 years ago by #TEAMCHC
Antagonism in response to:
Mentorship awards are bunk. There are thousands of mentors at UCSF who work really hard at it. Why single anyone out? No one is so superior
Mentorship awards not only reward the mentor, they incentivize other mentors, they highlight that mentorship is important.
played over 7 years ago by #TEAMCHC
Momentum in response to:
Exactly...tailored vitamins, tailored solutions, tailored tools/home kits, tailored cog-neuro stimulators. What are your ideas? #Esther #CPC
Beyond pharmaceuticals, tailored exercise regimens, sleep plans, behavior change approaches..#CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
There could be a new degree offered, something like a PA, but with training in community outreach and cultural sensitivity
An important piece is that it accounts for challenges unique to the neighborhood and fostering interconnection for health in the group #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
If the health leader belongs to the neighborhood,they will be able to identify the challenges proactively and perhaps curtail health issues
Yes! This is an important move toward early treatment, prevention, and affecting otherwise disenfranchised patients #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
How do we change this construct? Is this just a result of the difference in amount of training and salary?
A better integration of social determinants of health in the medical curriculum, from MS1 beyond is a start. This has begun but early #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
All this over-tailoring may lead to creative shutdown or inability to independently manage one's life. There must be a balance. #Esther #CPC
Yes but individual differences play an important role. Where do we draw the line? How do we assess balance?
played over 7 years ago by #TEAMCHC
Momentum in response to:
How do we make sure that they understand the information that they receive? Health literacy is so important.
Agreed! Literacy can cluster, creating further health disparities. Community involvement, partnership with UCSF must be addressed. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Rather than placing technology only in the hands of doctors, what if patients could monitor their health,new research, and be empowered?
It will be a tough transition but a move towards precision medicine and prevention must include greater self-efficacy in patients #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
ironically, UCSF employees don't sleep that much--too busy chasing soft money or clinic dollars. How do we support staff in selfcare? #chc
Education, flex time, nap rooms, adequate child care, increased perceived control -- all of which will improve sleep #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
The portability of medical information is what patients want, and will improve care coordination with other providers and entire systems
But the concern may be about privacy, universal standards across institutions, possible fraud. How do we address these?
played over 7 years ago by #TEAMCHC
Momentum in response to:
These are what drive major health issues we face -- addressing them could truly make UCSF the leader in "advancing health worldwide."
Agreed! But how doe we get there? What are the first steps? Education? Policy? Community? #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
like. much of this exists, but isn't accessible in the soft-money rat-race. More internal dollars or job security to allow for this? #chc
job security would help as well as a greater priority in work life balance. Stress and sleep are linked. Treat one helps the other. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
How would this start and what community partners would we need? City of SF? School system?
Yes and yes! It starts with recognizing the everything is health- education, social services, city planning. Start with SF then expand #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
It does. We can test it now. So... in 2025, people stress test continuously and shape their experiences for calm
A tailored stress reduction protocol, encompassing individual triggers, unique responses? Also an change to build RESILIENCE #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Education and health promotion brought to community members by community members. Break down barriers, system hierarchies. #chc
YES!!! Each community has its own challenges and barriers. Addressing the hierarchies- access to information, services, is critical. How?
played over 7 years ago by #TEAMCHC
Adaptation in response to:
No ailments = research has to focus on HEALTH. (i.e. how to feed an exploding population...)
No ailments doesn't mean no suffering or no disparities. UCSF can be a leader beyond biomedical innovation and clinical care #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Does our prevailing professional culture value these self-care measures we know support health? How do we practice what we preach? #chc
Exactly. Varies by department but a good example is maternity leave. We know it matters but the support is not always clear #early life
played over 7 years ago by #TEAMCHC
Momentum in response to:
BUT, individual behavior change is difficult if not impossible without attention to #social context. #CHC
Social determinants have to be a core mission of UCSF2025. Top down- Society to Cells. #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Is a "health leader" a paid job or a community position? What benefits could we offer to health leaders (e.g., training)? #CHC
Could be paid, UCSF trained, advocate and primary care position. The goal would be to better account for community factors lost in system
played over 7 years ago by #TEAMCHC
Adaptation in response to:
This means we need more vacation time! That's what they do in Europe... #CHC
Could mean a lot of things. UCSF has the opportunity to be a leader, applying it to SF then worldwide #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Partner for Impact? Set up free student clinic in SFO international terminal.
Who are we targeting- vacationers? A good place to treat people but a select type of patient. Many underserved will be missed #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
LPPI needs to re-join the medical center. Desegregation of mental health care from other health care services is not OK. #chc
Integration of records as well. Most importantly recognition- FINALLY- that mind and body are not separate!! #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Precision medicine is also an opportunity to integrate social data and identify upstream determinants. #socialdeterminants
Yes! Layered data- GIS, social service utilization, crime, pollution, city planning data, all in service of identifying how to chart health
played over 7 years ago by #TEAMCHC
Investigation in response to:
The research has to include de-stigmatizing mental illness/stress and encouraging mind-body-environment research programs. #jentag #CHC
Exactly, but what are the first steps? What department should this start in? #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Too often community workers are under-valued compared to counterparts in the silos. But THIS is where healing, connection happens. #chc
A reorientation to how community health can reduce care costs and movement of experts to community settings may alleviate some of this #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Begin to acknowledge non-binary gender identities in mainstream medicine, not just lgbt specific care. #lgbt #transgender
How does healthcare change after this acknowledgment? #CHC #LGBT
played over 7 years ago by #TEAMCHC
Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
What constitutes a "health leader" in 2025?
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Instead of having to check off Male or Female, there could be a more trans- and non-binary inclusive option or set of options. #lgbt
Agreed. What is needed is greater flexibility in understanding how identity, experiences, etc play out in health care and shape health #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Inclusive options are a must to promote medical tolerance. #Esther #CPC
Including additional boxes is not sufficient- it really speaks to how identity and other social factors impact health and care #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
More culturally appropriate care means patients will feel more comfortable seeking healthcare. #lgbt #transgender
Absolutely! This principle transcends #lgbt #transgender care. UCSF can be a leader in culturally appropriate care #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Mixed methods research where we combine strong epi data with rich qualitative data= more nuanced understanding of each community #chc
Who are the academic stakeholders at UCSF that could facilitate this process? #CHC
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
What if UCSF had mobile prevention pods in every neighborhood? #realcommunityhealth #CHC
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Using social network analysis to track spread of healthy habits
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
What if happiness was the primary health outcome of interest? #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
But the concern may be about privacy, universal standards across institutions, possible fraud. How do we address these?
Concern may be unfounded but variability in decision making and tech ability requires assured security of records in cyberspace
played over 7 years ago by #TEAMCHC
Adaptation in response to:
But the concern may be about privacy, universal standards across institutions, possible fraud. How do we address these?
Concern may be unfounded but variability in decision making and tech ability requires assured security of records in cyberspace
played over 7 years ago by #TEAMCHC
Momentum in response to:
Could use this data to predict best ways to influence positive health behaviors
Yes! It could move beyond tracking disease spreading and towards health improvements.
played over 7 years ago by #TEAMCHC
Adaptation in response to:
By studying resilient children, we may be able to reduce early life stress for all young people (with lifelong consequences) #CHC
yes! Not all who experience stress/trauma do poorly. Identify factors that buffer stress and promote resilience is critical #CHC
played over 7 years ago by #TEAMCHC
Positive Imagination in response to:
How can UCSF lead the way in 2025?
How can the #publichealth sector change what it means to be "healthy"? #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
interesting! what metrics are factored in? Could it include happiness of environment by leading the way in #green health, too?
Green health is definitely an avenue, and an amazing unaccounted for macro factor driving individual health. What would it look like? #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Happiness requires mental AND physical health. Agreed. But would economic and environmental variables be factored in and addressed as well?
Absolutely! A focus on when and for whom social enviornment, economic, and other factors contribute to happiness is a must. What else?
played over 7 years ago by #TEAMCHC
Momentum in response to:
Happiness and Health are intertwined. Social media use and mental health are negatively related. Where will we be in 2025?
How do we reconcile this? A inevitable expansion in technology with the pursuit of happiness? Where is UCSF's role as innovator?
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Partner PdD and Med students while they are "under the same roof" - bring together research and practice to uncover health disparities #CHC
Absolutely! Cross pollination to improve population health #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Community health workers can bridge between community and the health care system. Some investigators here have/are using this model
How are they trained? Are they neighborhood specific? How do we assess the unique challenges of a neighborhood? #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Why stay focused on the individual when new emphasis is on population health? #TEAMCHC
The emphasis SHOULD be on population health but how do we reconcile the movement towards technology at the individual level? #quandary #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
abolish Sleepy Hollow healthcare - 'no mental, no dental, no vision' (Segal). Integrate all aspects of preventive & curative health #CHC
Catchy! How do we make this transition? Who are the state holder? #progress #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Useful not only for research but, if publicized, can also inspire pts to take on more healthy habits, themselves. Good social contagion.
Exactly! It can help with delivering information, intervention, and displaying how healthy habits can spread. #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
interesting! what metrics are factored in? Could it include happiness of environment by leading the way in #green health, too?
What would be the ideal measures of green health? Environmental pollutants? Amount of green space? Access to outdoorsy activities? #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
agree! we should look at the whole person and their #goalsofcare #education #teamaging
What are the measures of a whole person and how can this be scaled up given the time this would require? #paradigmshift? #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Could use this data to predict best ways to influence positive health behaviors
Absolutely, and the data could be lined to social services to initiate deployment in areas at risk. #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
# green Kinetic sidewalks and hallways for free power http://tinyurl.com/m6gv337
Genius! Another reason for city planners and built environment to be health topics. #CHC
played over 7 years ago by #TEAMCHC
Adaptation in response to:
Whole person, yes, but the whole person doesn't exist in isolation. What about whole family? Healthy families, healthy persons. #chc
Agreed. How do we address these interactions? The role of family, community, culture? A real challenge in integrative care in 2025. #CHC
played over 7 years ago by #TEAMCHC
Investigation in response to:
Better - how can we use information from international data to break down groups and then only need to make small changes for individuals.
Are there unique aspects to US populations, or even SF city residents that would not or should not be answered using international data?
played over 7 years ago by #TEAMCHC
Investigation in response to:
Develop a global currency for health care. Contributions to care, scientific discovery reimbursed with global health currency. #social
What do you mean by currency? Money? Health points? Data access?
played over 7 years ago by #TEAMCHC
Momentum in response to:
"HEALTH" is not yet measured (except absence of disease). Measure health, empower young people to boost health (vs. wait for disease)
A paradigm shift. Realizing that everything affects health- education is health, social position is health, etc. UCSF can lead #CHC
played over 7 years ago by #TEAMCHC
Momentum in response to:
Everyone has different wants, but perhaps a sense of agency in one's life is universal and important for health and happiness? #chc
Perceived control- lab research supports this, epi data supports this, and it helps explain health disparities- when will we act? #CHC
played over 7 years ago by #TEAMCHC
Cards

Tracked

Level
Legend
Occupation
Assistant Professor of Psychiatry
Achievements
Strengths
Positive Imagination
Critical Imagination
Momentum
Antagonism
Adaptation
Investigation