Health

The UCSF Precision Medicine effort and the research enterprise need to obtain consent from patients in order to use remnant blood and biological specimens for research. Patients are often happy to consent, but the process is often bogged down by reliance on old-fashioned pen and paper forms that are difficult to scale up.

Research data delivery is an important part of the UC mission.  This session will address how at UCSF, we went from a research data delivery time of 131 days to 78 days by streamlining our processes.  With close collaboration with CTSI, we improved client satisfaction and decreased mean ticket resolution time.  In addition we increased our ability to fulfill requests from Zuckerberg San Francisco General Hospital.   The session will review how we achieved a forty percent reduction in our ticket time while increasing service offerings to the campus researchers. 

The UC Health locations are forging partnerships with community hospitals and physician practices to host their respective Electronic Medical Record (EMR) systems.

Share our journey implementing an Enterprise Master Person Index (EMPI), a data registry that receives person information from multiple source systems and uses an algorithm with thresholds to match and link this information into unique entities.  Use of the EMPI solves patient and provider identity issues when sharing information across many organizations as each person is assigned a unique entity identifier. 

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Share our journey implementing Fast Healthcare Interoperability Resources (FHIR) with UCSF's Electronic Health Record (EHR).  FHIR is an interoperability standard developed by the HL7 Organization for the electronic exchange of data between healthcare applications.  FHIR consists of a base set of resources (e.g. Patient, Provider, Medication, etc.) that, either by themselves or when combined, satisfy common healthcare use cases.

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Description: Join us for a discussion on how we created the PrEP-Rx tool using the agile methodology to support San Francisco’s Getting to Zero initiative.

"More providers (healthsystems) are realizing the potential impact modern APIs have on bottom lines, both in patient care and in profit.  In a 2014 HIMSS Analytics Survey, 83% of healthcare providers reported using cloud services.  HL7’s decision to develop FHIR, along with Meaningful Use Stage 3 API requirements, have solidified the hype and marked API essential for a provider.

As healthcare providers open up patient access to their digital health records, it presents scenarios where patients use mobile apps to “pull” their health records from different providers in one place, or direct a provider to send their data to another provider. However, before such pulling or sharing can begin, a provider may need an explicit patient consent or authorization form (often paper-based) signed by the patient. Today, a patient would typically do this by signing a paper form and the provider would hand over a DVD containing scanned PDF copies of the patient’s health records.

Overview of the new Co-Lo facilities in Quincy, WA and Irvine, CA.  Outstanding Tier 3 data center facilities featuring extremely stable infrastructure, high security, and established connectivity to CENIC backbone.  UC system negotiations and contracts are complete; plenty of room for UC expansion.

Agenda:

- Facility overview

- UC status in each facility

- UC contracts, UCOP management model

- How to determine TCO for your campus

The Health Stack project at UCSF CDHI (Center for Digital Health Innovation) is deploying a referral solution for Pediatric Access Center (PAC) in April 2018 to improve the efficiency of processing incoming referrals from community clinics, and to provide greater transparency of referral status to referring providers and patients. This includes a Fax-to-Referral web app that a referring coordinator can use to automatically transcribes the contents of a referral fax, map content to their corresponding EHR attributes, and create the referral in the EHR.