fcmoptimusprime
UCSF and SFGH
00596
Points
This Game
Cards

Played

Positive Imagination in response to:
How can UCSF lead the way in 2025?
Make San Francisco the healthiest city in the US. Demonstrate how a great health sciences campus achieves optimal health for all at home.
played over 7 years ago by fcmoptimusprime
Momentum in response to:
Financial invest in community academic partnerships and support for those activities
UCSF research, ed and clinical practice has more impact and wins greater community support
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
UCSF research, ed and clinical practice has more impact and wins greater community support
community fully engaged as partners with UCSF
played over 7 years ago by fcmoptimusprime
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Commit to a fully #patient-centered vision for all patient care, focusing on comprehensive, integrated, whole-person care.
played over 7 years ago by fcmoptimusprime
Positive Imagination in response to:
How can UCSF lead the way in 2025?
Racial-ethnic #diversity of UCSF faculty, trainees and staff reflects that of California's population.
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Let's start at home and focus on our faculty, staff, and students and take action to make UCSF the healthiest campus in the world.
And not limit to just campus but model for entire SF community and transform entire City's conditions for promoting heath
played over 7 years ago by fcmoptimusprime
Momentum in response to:
Prioritizing primary care in health professions education in order to produce leaders in healthcare.
Agree #primarycare essential to transformed health care and entire system will benefit from more integrated, high-value care.
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
We already have a huge shortage of primary care doctors--can biosensors and tech really fill that gap?
Tech should enhance relationship-centered care and #primarycare humanistic approach, no way it can supplant it
played over 7 years ago by fcmoptimusprime
Momentum in response to:
Good point re: import of racial-ethnic #diversity. Already essential today.How will the context around this change/develop by the year 2025?
Diversity will continue to grow in California and UCSF will fall further behind and out of touch with population if not addressed
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Make San Francisco the healthiest city in the US. Demonstrate how a great health sciences campus achieves optimal health for all at home.
Track this theme using #community
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Imagine that UCSF is ranked #1 for patient experience in the world
Start with patients' needs and design care models accordingly. High touch #patientcentered care delivered by cohesive care teams
played over 7 years ago by fcmoptimusprime
Momentum in response to:
Staying in the game as a health care provider while maintaining our excellent track record as an educational institution.
Integrate learners as agents of health systems improvement--working on QI teams and #patientcentered innovations
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Ex: CA has areas with some of the worst maternal-fetal outcomes in the nation; the knowledge exists, but delivery systems have failed.
We should start with population health focus and emphasize translational work to target evidence-based efforts to greatest #community need
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Build team of consultants, researchers, patient care providers, investors. Design evaluation commission for filtering ideas.
Totally agree-need to engage patients as partners every step of the way
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Interesting. I have never thought of medicine as the art of caring for communities. How can UCSF handle this big task?
Health system moving to ACO models where clinicians will need to be accountable for health of enrolled population, practice #community med
played over 7 years ago by fcmoptimusprime
Momentum in response to:
already exists! just not optimized. UC health wants primary and sec market share; UCSF "pioneering" itself into a high performance niche.
Agree we have innovative pioneers across entire spectrum of care (primary to quartenary) and need to support broad notion of pioneering care
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Guarantee trainees are prepared for the future of primary care: familiarity w/Patient Centered Medical Home & Chronic Care Model.
Agree -UCSF is a thought leader in these innovative #primarycare models and challenge is to implement them systematically at UCSF
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
We have to think beyond a "doctor's" visit. UCSF needs to build community capacity so patients can manage their own health.
Integrate understanding of fundamental social and environmental health determinants into all UCSF mission areas (ed, research, practice)
played over 7 years ago by fcmoptimusprime
Antagonism in response to:
Are the elderly "entitled" to health care as part of a social contract? Or distribute resources equally across lifespan?
Avoid distracting us vs them frameworks. At $2.5T per year and counting, more than enough $ in US health care to care for all if done right
played over 7 years ago by fcmoptimusprime
Antagonism in response to:
This is a pipe dream, not a way to lead forward. HOW?
No, it is actually very realistic. Good evidence that #community interventions around food access, built envir, etc can lower BMI
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
In order to take care of the whole person, we also need to focus on social determinants of health.
Agree. Whole person in context of community. Build links between clinical team and social service agencies, schools, etc to Rx determinants
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Will we need more doctors for that to work? Seems pretty intensive
Takes a team, including clinicians, social workers, health coaches, etc. Many examples of comprehensive #primarycare team models that work
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Can we incentivize more people into primary care positions?
Clear on what it takes: close pay gap between #PCPs & specialists, support advanced PC practice model, honor PC in health prof education
played over 7 years ago by fcmoptimusprime
Investigation in response to:
No, it is actually very realistic. Good evidence that #community interventions around food access, built envir, etc can lower BMI
http://game.ucsf2025.org/card_plays/6698#scrolltop
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Great idea - what do you think gets in the way of this happening more often? Are there internal barriers we need to overcome? Incentives?
Totally agree we should embrace the think global act local concept-so many common themes in addressing health inequities (eg, food security)
played over 7 years ago by fcmoptimusprime
Investigation in response to:
Great idea - what do you think gets in the way of this happening more often? Are there internal barriers we need to overcome? Incentives?
Should make global-local theme central in UCSF global health ed and research and link with local community initiatives (eg, SFHIP)
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
How can UCSF be a leader in overturning the pervasive stigma of mental or physical health conditions?
UCSF should revamp health insurance benefits for employees to integrate beh health and medical benefit plans into a single plan
played over 7 years ago by fcmoptimusprime
Investigation in response to:
Create an ACO, be part of an ACO, train leaders who can run an ACO
#Primarycare very much present at all UCSF health systems (UCSF Med Ctr, SFGH, VA) but undervalued. Cannot flourish with TQ care alone.
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Agree :) Perhaps as medicine shifts from acute care to #prevention / #wellness, #primarycare the compensation structure will change?
Need to catch up with organizations like Kaiser that have jumped ahead in compensation for #primarycare physicians. UCSF needs to own this.
played over 7 years ago by fcmoptimusprime
Investigation in response to:
Find a way to keep our smartest medical students and residents in primary care.
UCSF has a nascent primary care leadership academy for learners.Support it big time-move #primarycare from fringe to cutting edge
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
Perhaps a strategic partnership between a large 'payer' and UCSF focused on #primarycare enabling technologies ?
Strategic partnerships yes, but focused on more than just technology--include innovations in team care, patient-centeredness, access, etc
played over 7 years ago by fcmoptimusprime
Investigation in response to:
The future is global. By establishing a 5th school for Global Health, UCSF can bring its innovative power to truly advance health worldwide.
How could this embrace a global-local consciousness and connect with health equity work in our local communities in Bay Area and CA?
played over 7 years ago by fcmoptimusprime
Adaptation in response to:
How about getting more recognition for helping people achieve desirable health outcomes?
I endorse bunnyhop comment with enthusiasm
played over 7 years ago by fcmoptimusprime
Antagonism in response to:
What way? UCSF should produce more Nobel prizes or similar to get recognized. It still has a long way to go to get truly recognized globally
I endorse bunnyhop comment with enthusiasm
played over 7 years ago by fcmoptimusprime
Investigation in response to:
UCSF will help SF be the healthiest city in the US -- leading by example.
See http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=5025 for info on SFHIP collaboration and #community health metrics
played over 7 years ago by fcmoptimusprime
Investigation in response to:
Teach all med/dent students how to BE with and touch people, and to know surface anatomy and topography thru ancient healing art of massage
Love this focus on healing relationships. How do we change the culture at UCSF to value and promote high touch and not just hi-tech care?
played over 7 years ago by fcmoptimusprime
Investigation in response to:
Teach medical students #personalized medicine by giving them a personalized education #education
Need a holistic model of #personalized medicine including biomedical #precision medicine AND notion of caring for the whole individual
played over 7 years ago by fcmoptimusprime
Momentum in response to:
What if UCSF drove change that redefined "office visit" as care being delivered at one's workplace, much like how "home visit" is used now?
Care that is truly patient-centered and accessible at home and work settings, with #primarycare as first portal of entry to integrated care
played over 7 years ago by fcmoptimusprime
Investigation in response to:
That tech already exists in some form too.
WOuldn't some people find continuous stress testing stressful?
played over 7 years ago by fcmoptimusprime
Investigation in response to:
How can the work of a primary care physician be restructured to justify paying more? Not just at UCSF, but also in the wider society
We need to move from paying based on widgets produced to paying for optimizing health.
played over 7 years ago by fcmoptimusprime
Investigation in response to:
Prevention, come over and check out my other posts. Let me know what you think of the #green, #publichealth, #inequality ideas. #Esther #CPC
also should check out #community for thematically related cards
played over 7 years ago by fcmoptimusprime
Cards

Tracked

Critical Imagination in response to:
What urgent challenges will UCSF face in 2025?
Teach medical students #personalized medicine by giving them a personalized education #education
A game runner marked this card Super Interesting.
played over 7 years ago by RonL-FCM
Momentum in response to:
If this is true... what happens NEXT?
Agree :) Perhaps as medicine shifts from acute care to #prevention / #wellness, #primarycare the compensation structure will change?
A game runner marked this card Super Interesting.
played over 7 years ago by maximegalon
Momentum in response to:
If this is true... what happens NEXT?
Maybe UCSF needs to be the leader in paying primary care physicians more?
A game runner marked this card Super Interesting.
played over 7 years ago by NYL
Level
Extreme Genius
Occupation
Physician
Achievements
Strengths
Positive Imagination
Critical Imagination
Momentum
Antagonism
Adaptation
Investigation