Fall 2013 Strategic Planning Retreat Progress

Dear Colleagues,

We would like share with you the progress we have made in the top three project ideas generated at the 2013 Strategic Planning Retreat, namely, decreasing the clinical care delivery burden, increasing leadership opportunities in the DOM and making virtual meetings easier. We are very pleased with the tremendous progress we have made due to the hard work of many individuals in the department.

Decreasing the Clinical Care Delivery Burden

At UCSF Medical Center

Piloting the use of additional medical assistants in selected practices to take on responsibilities previously done by physicians [it also improves access by the MAs' communicating with patients between visits to ensure that providers' schedules are being filled with the patients with the highest need].

Streamlined documentation requirements to minimize re-work done by physicians Providing refresher training on E&M documentation to streamline documentation, reduce "note bloat," and optimize wRVU credit for effort.

Exploring reimbursement for telephone encounters to recognize full provider workload (giving faculty credit for work that would otherwise be unreimbursed).

At San Francisco General Hospital

An analysis of attending activity and effort was completed across all DOM sites at UCSF. Working collaboratively with the Dean’s office at SFGH the DOM received temporary funding to increase the effort for medicine attending bringing SFGH faculty in line with the other sites. DOM-SFGH is continuing to advocate for permanent funding to support the right sizing of medicine attending clinical effort.

The Administrative Director for Ambulatory Care led an initiative to standardize the process for provider scheduling across all of the outpatient specialty services. The SFGH DOM is working towards optimizing clinical capacity, staffing ratios, and patient access to outpatient practices.

In FY15, the bidirectional ratings survey for eReferral will be re-initiated to assess and improve the quality of communication between specialty reviewers and referring providers within eReferral program.

At SF Veteran’s Administration Medical Center

Developing data ‘PACT’ teams (Clinic Director, Nurse and Administrator) to review outstanding clinic consults and to facilitate patient scheduling in order to meet nationally mandated clinic access measures.

Working with hospital business office and labor mapping office to assure that clinician wRVU productivity assessments reflect a complete capture of clinical workload and accurately reflect clinical assignments in order to assure that other research, education, and administrative assignments are respected and protected.

Working with Systems Redesign office to implement a Patient Flow Team that will promote streamlined triage and flow of patients from throughout the hospital.

Increasing Leadership Opportunities and Development

Added the question Leadership aspirations or opportunities sought: What mentorship, preparation or support do you need? to the annual Individual Faculty Review in order to better characterize needs and goals of faculty.

Increased exposure of junior faculty to DOM-wide issues by appointing them as alternates representing their division chiefs in important DOM meetings (such as the June Diversity Retreat).

Increased access and sponsorship of leadership development workshops to groups, such as the Student and Residency Education Leadership and the Mt Zion Division of General Internal Medicine Executive Committee.

Increased the number/scope of invitees to the DOM annual 2014 Strategic Planning retreat (October 10, 2014).

Selected several junior faculty members to receive professional coaching and give “TED-like” talks at the 2014 Strategic Planning Retreat. In FY15 we plan to use the All Site’s Chiefs’ meetings to share best practices in topics such as philanthropy and succession planning.

Virtual Meetings

DOM added video conferencing capability in January remodeling of conference room M989. Chair’s Council, Senior Manager and Education Leadership meetings all use video conferencing. Cardiology also holds their bi-monthly faculty meetings using video conferencing at Mission Bay and Parnassus sites. For a complete list of venues with video conference capability please check this website http://edtech.ucsf.edu/video-services/video-conferencing/venues

Jabber allows you to make and receive video calls from your laptop or desktop to other UCSF users. Faculty/staff can download to all laptops or desktops with cameras. One-on-one or small group Jabber meetings are free of charge.

Sincerely,

Beth Harleman, MD
Strategic Planning & Implementation

Talmadge E. King, Jr., MD
Professor & Chair