Foresight Engine

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Managing complexity in and multimorbidity older adults will be critical - UCSF needs to lead in education & research in this area.#teamaging

played over 7 years ago by Mike Steinman

Momentum in response to:

Complex patients=most costly patients. UCSF should be the institution leading scientific and care innovations for complexity #TeamAging

Yes! Interdisciplinary care will need to be a cornerstone about how we approach care in the future. #teamaging

played over 7 years ago by Mike Steinman

Adaptation in response to:

Yes - I'm a native English speaker MD & must work (too) hard to get my aging parents good care at UCSF. We all want to do better #TeamAging

Patient navigators will be helpful to help people navigate what will undoubtedly remain a complex system #teamaging

played over 7 years ago by Mike Steinman

Investigation in response to:

The rising costs of healthcare for an aging population. #TeamAging

how does this affect the ucsf mission?

played over 7 years ago by Mike Steinman

Momentum in response to:

No institution can lead in health care in the 21st century without dealing with the aging population -- highest HC utilizers #TeamAging

Dealing with the aging population will require new approaches - expanding existing approaches won't cut it any more. #teamaging

played over 7 years ago by Mike Steinman

Adaptation in response to:

UCSF would lead in clinical care if we offered coordinated care among specialties in one to two visits #TeamAging

Truly coordinated care will require a rethink of how we organize our system. #teamaging

played over 7 years ago by Mike Steinman

Momentum in response to:

No institution can lead in health care in the 21st century without dealing with the aging population -- highest HC utilizers #TeamAging

Novel scholarship on new models of care - and becoming a national leader in implementing those models. #TeamAging

played over 7 years ago by Mike Steinman

Adaptation in response to:

Complex patients=most costly patients. UCSF should be the institution leading scientific and care innovations for complexity #TeamAging

Better integration of inpatient and outpatient care. #TeamAging

played over 7 years ago by Mike Steinman

Adaptation in response to:

Yes, and imagine if UCSF paid 30% effort of all UCSF faculty for creative time--that would transform healthcare #TeamAging

In part, creative time could best be build into existing workflow rather than a discrete carveout. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

GeriPal - a geriatrics and palliative care blog - serves as example of successful #social #interprofessional networking. #teamaging

GeriPal has been very successful at raising awareness and spreading the word - ? model for both internal and ext communciation? #TeamAging

played over 7 years ago by Mike Steinman

Adaptation in response to:

Complex patients=most costly patients. UCSF should be the institution leading scientific and care innovations for complexity #TeamAging

Patient-centeredness is the next big thing - model for meeting needs of these pts/ Need to lead in care/teaching/scholarship. #TeamAging

played over 7 years ago by Mike Steinman

Adaptation in response to:

Agreed! Cradle to grave is important, thou hard not to give importance to 18% of population. good to think of creative models #TeamAging

Should work on finding models of care that work for all so not a zero-sum game of competing populations. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

In 2025, we are all geriatricians. #teamaging

Speaks well to the need to integrate care for older adults throughout all that we do - a key priority to safer and better care. #TeamAging

played over 7 years ago by Mike Steinman

Adaptation in response to:

In 2025 personalized medicine will not mean DNA but delivery of patient centered care that tells patients we care #teamaging

Still will be personalized, but based on phenotype (i.e. level of frailty, health literacy, etc) not just genotype. #TeamAging

played over 7 years ago by Mike Steinman

Antagonism in response to:

Reduce unnecessary meetings. Have inperson meetings only when face-to-face interaction is needed

Agree in part but so much of what we accomplish can happen only with personal interaction.

played over 7 years ago by Mike Steinman

Positive Imagination in response to:

How can UCSF lead the way in 2025?

Make big data patient-centered - data for research & evaluation have not only lipid levels but functional status, pain level, etc #teamaging

played over 7 years ago by Mike Steinman

Critical Imagination in response to:

What urgent challenges will UCSF face in 2025?

For older adults, hospitalization often leads to bad outcomes - can we make hospitals safe, not scary, places for older adults? #teamaging

played over 7 years ago by Mike Steinman

Momentum in response to:

Nephrologists are experts in palliative management of end-stage renal disease. #TeamAging

Interdisciplinary care - get the best ideas from multiple perspectives. UCSF can and should take lead on this. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

Yes! If we became the leaders confronting the health issues of the aging baby boomers we would lead locally and nationally!

With increase in ACOs we'll need to maintain excellence in subspecialty care but do better wrap-around care too. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

Does hospitalization result in bad outcomes predominately in older populations, or is it bad in general?

Especially in older adults - high risk of falls, delirium, iatrogenic complications that increase morbidity and mortality. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

pharmD can help identify medications covered under patient's insurance plan, monitor side effects and also help keep a thorough med history

Exactly. Need more integration between physicians and pharmacists in patient care. Neither one of us can do it alone. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

Ucsf should experiment with on line doctor video chat diagnosis for simple issues where you just need advice or a prescription.

Great idea. Need to lead the way in systems to calibrate type of care to the patient need. #TeamAging

played over 7 years ago by Mike Steinman

Adaptation in response to:

What if UCSF was the first leading health sciences campus to equally value clinicians, researchers & educators in rank/salaries? #TeamAging

reward excellence, regardless of in what domain. #teamaging

played over 7 years ago by Mike Steinman

Adaptation in response to:

Yes, but we have just opened the UCSF Center for Geriatric Care in the Institute on Aging Building so there is start #TeamAging

Good start, but would be great to expand with multidisciplinary clinics so that geriatrics is not silo'ed. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

Yes- medical students are the least jaded and more likely to see things from the patient's perspective.

Plus med students (and other health prof students) provide the fresh thinking that can shake up practice in their supervisors. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

To recognize the primacy of team over individual and to develop an understanding & appreciation of other team members' expertise #TeamAging

Yes, and to lead by example - create fresh thinking among their supervisors. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

To recognize the primacy of team over individual and to develop an understanding & appreciation of other team members' expertise #TeamAging

Yes, and to lead by example - create fresh thinking among their supervisors. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

To recognize the primacy of team over individual and to develop an understanding & appreciation of other team members' expertise #TeamAging

Yes, and to lead by example - create fresh thinking among their supervisors. #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

In other words, if we don't start building now, we can eat Kaiser's dust! #teamaging

Collaboration would be great - learn how other health systems do things, adopt best practices as our own. #TeamAging

played over 7 years ago by Mike Steinman

Investigation in response to:

Students graduate competent in established domains of interprofessional practice to collaborate effectively across care settings #teamaging

How do you foresee this happening? #TeamAging

played over 7 years ago by Mike Steinman

Momentum in response to:

Agree, has to be a win-win across sites. #teamaging

Financial is important, but not the only incentive - great training for all, *& contributing to patient health. #TeamAging

played over 7 years ago by Mike Steinman

Investigation in response to:

Needs to have some financial incentive for collaboration across sites/divisions. #teamaging

What kind of financial incentive might work? #teamaging

played over 7 years ago by Mike Steinman

Antagonism in response to:

Create an interprofessional holodeck (e.g.,Star Trek) in which trainees could also provide team-based care in a virtual world? #team aging

Virtual is important but need the supervised real-life human interaction too! #teamaging

played over 7 years ago by Mike Steinman

Momentum in response to:

Only when learners train together do they change their practice. To create change, they need to practice it.

And they need to want it. Culture change so that students value learning together will be essential for success. #TeamAging

played over 7 years ago by Mike Steinman

Antagonism in response to:

One strength is that bc of their varied training, each profession approaches problems differently. Is this strength lost by too much IP ed?

Don't think so - seems unlikely that people would lose their edge by learning how others do things. #TeamAging

played over 7 years ago by Mike Steinman

Investigation in response to:

Agree - have to weave it throughout the curriculum. Can't replace entire curriculum. Interprofessional BPL is key! #teamaging

what is BPL? #teamaging

played over 7 years ago by Mike Steinman

Momentum in response to:

Harder to learn how to work together later in one's career. Should start earlier in training to increase exposure working together.

Agree. Critical dynamic is culture change - needs to happen early in training. #teamaging

played over 7 years ago by Mike Steinman

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