Bridges Projects 2014

Checkout the 2014 Project Showcase Posters

 

Original Project Descriptions

Leading Systemwide Change in the Safety Net: SFGH Lean Kaizen Promotion Office (KPO)

Site: San Francisco General Hospital

Advisor(s): Dr. Will Huen

Description: Students will join our interdisciplinary team of improvement specialists and hospital leaders in our Lean Kaizen Promotion Office (KPO). The KPO has been leading San Francisco General Hospital and the Department of Public Health through a Lean transformation by introducing quality improvement and management techniques that are grounded in a deep respect for our patients and staff.   The KPO is also leading transition planning for flow in our new hospital, advancing the vision: “To be the best public hospital by exceeding patient expectations and advancing community wellness in a patient centered, healing environment.”

Students will be valuable members of our team, representing both “fresh eyes” and trainee perspectives.  Students will gain a broad understanding of quality improvement and Lean health care tools, as well as medical center operations and leadership.  Ideal applicants will be good communicators, team players, systems thinkers, and proactive learners and problem solvers.  As a member of our KPO team, students will work closely with one or more of our clinically based teams of hospital executives, clinical leaders, frontline staff, trainees and patients.  Students will help to plan and facilitate weeklong improvement events focused on specific targets, conduct direct observations and data collection in clinical settings, support communication to leadership and staff, and test rapid cycle process improvements.  Improvement events scheduled for this summer include:

  • Operating Room/Cardiac Cath Lab/Interventional Radiology
  • Emergency Department
  • Birth Center/NICU/Pediatrics
  • Outpatient Pharmacy 
  • Other sites include: 3M Surgical Clinic, Operating Room, Urgent Care Center, 4D Med-Surg Unit, Castro Mission Health Center, Radiology

Area(s) of focus:

  • quality improvement

Decreasing Readmissions

Site: SFGH Family Health Center

Advisor(s): Dr. Lydia Leung

Description: Students will work with the Family Health Center Care Management Program to improve the health of our sickest patients who have had more than 3 hospital admissions and/or emergency room visits in the past 12 months.  Students will: engage with patients via phone visits using motivational interviewing to help with care coordination; participate in panel data analysis and weekly meetings to discuss patients' progress; develop, administer, and analyze provider and patient satisfaction surveys; accompany patients to clinic visits as a patient advocate, and accompany nursing staff to home visits.

Area(s) of focus:

  • patient safety

Focusing on Health Literacy

Site: San Francisco General Hospital

Advisor(s): Dr. Melissa Capule, Dr. Jing-Yu Pan and Dr. Larry Haber

Description: Students will help pilot a tool for assessing health literacy on the SFGH inpatient medical services and help identify patients who may benefit from more intensive counseling at the time of discharge. SFGH serves a needy, vulnerable, and ethnically diverse population.  Low health literacy contributes to poor health outcomes and increased hospitalizations. Students will identify an appropriate tool to assess patient literacy, design an intervention to assess literacy on patients on the inpatient medicine service, research and develop interventions to help promote better patient and family education, adherence, outpatient follow up for low literacy patients.

Area(s) of focus:

  • quality improvement
  • patient safety

Primary Care Innovations Collaborative (PCIC) for the Underserved in the Department of Public Health

Site: Department of Public Health

Advisor(s): Dr. Anna Chodos, Dr. Amy Petersen and Dr. Leigh Kimberg

Description:  Students will do team-based quality improvement work in the Community Oriented Primary Care clinics (COPC) in the San Francisco safety net, such as Maxine Hall Health Center, with the goal of improving preventive care and primary care for underserved patients.  Specific projects may include developing and training team members in health care maintenance tools, doing workflow analysis, improving tobacco screening, or improving the care of diabetes.  They will also have the opportunity to work in the regular operations of the clinic directly with staff.  Through these projects, students will build on their foundational education in quality improvement and interprofessional, team-based practice by 1) implementing their projects and working in regular operations of the clinic, 2) receiving further curriculum from PCIC team members, 3) participating in sessions to reflect on and share project experiences with the other summer ambassadors and PCIC team, 4) preparing their results for presentation to COPC QI department. The curriculum will also focus on aspects of caring for underserved patients and working in a community health center.  Through the PCIC, students will bring their valuable perspectives, skills, and energy to San Francisco’s COPC clinics to improve care delivery.

Area(s) of focus:

  • quality improvement
  • population health

Post-Operative Management

Site: Parnassus Inpatient Medicine

Advisor(s): Dr. Yile Ding

Description: Students will work to improve the process of patient education of diabetic patients who are undergoing neurosurgery in the hospital, including developing a protocol or checklist to organize and connect the existing pieces of diabetes teaching that are currently done by different services (nursing, pharmacist, physician, nurse practitioner, etc).  This project will move the team towards improving patient satisfaction and outcomes in hospitalized neurosurgery patients with diabetes.

Area(s) of focus:

  • process improvement

Promoting Healthy Lifestyles

Site: Kaiser Oakland

Advisor(s): Dr. Lindsay Mazotti

Description: Students will partner with faculty to develop a Lifestyle Medicine Curriculum at Kaiser Oakland. The curriculum would focus on preventative medicine and engaging with patients on behaviors promoting health like exercising, smoking cessation, weight loss, nutrition, etc.

Area(s) of focus:

  • patient education

Surgical Co-Management

Site: San Francisco Veterans Affairs Medical Center

Advisor(s): Dr. Heather Nye

Description: The student will participate in a faculty-led medicine-surgery co-management service and focus on the improvement of care of the most vulnerable patients.  Student activities will include:  helping to identify areas of need for clinician education in effective surgical co-management and develop curriculum to address these needs, work on potential ideas for cross-level learning where MS1, 2, and 3’s engage with the interprofessional care team, and identify and gather data for potential quality improvement projects focusing on an area of care in these vulnerable patients. 

Area(s) of focus:

  • quality improvement
  • teamwork

Team Rounds Redesign

Site: San Francisco Veterans Affairs Hospital

Advisor(s): Dr. Rachael Lucatorto

Description: Students will help determine the structure and format of a new pilot of daily interprofessional (bedside RN, Project RED nurse, social work, pharmacist, attendings, residents, students) team rounds.  Potential activities include: use systems redesign techniques to determine important factors for the involved services (i.e., spaghetti diagrams of activities during rounding times; value stream maps for post-call intern; interviews with patients, etc.); determine effective ways to assess rounds; participate in interprofessional planning meetings; observe daily rounds from perspectives of the various team members, including potential future roles for MS1s and MS2s.

Area(s) of focus:

  • teamwork
  • process improvement
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