Dear CHV Community and Partners,
The UCSF Center for Healthcare Value (CHV) is excited to announce support of a new project as part of its Teaching to Choose Wisely Initiative. The project was made possible through a partnership with CHV and the Haile T. Debas Academy of Medical Educators’ Innovations Funding Program.
The project is entitled “Development of a Digital Educational Toolkit on Healthcare Sustainability”, and is led by Dr. Seema Gandhi, Professor of Anesthesia at UCSF. The team will create a digital curriculum featuring an online, self-paced course to educate UCSF graduate medical education learners about sustainable healthcare practices. The project will include identifying knowledge gaps, providing the tools to implement evidence-based sustainable mitigation strategies in targeted healthcare specialties, and facilitating decarbonization and waste reduction efforts at UCSF Health.
Other UCSF School of Medicine project team members are Garrett Roll, MD from the Department of Surgery; Kaiyi Wang, MS from the Office of Sustainability; Hemra Cil, MD, Jennifer Sasaki Russell, PhD, and Christy Boscardin, PhD, all from the Department of Anesthesia and Perioperative Care.
“The current undergraduate medical education curriculum at UCSF includes optional content on environmental sustainability and climate change. Notably, this content is neither covered in the graduate medical education curriculum nor as part of continuing medical education courses available to faculty,“ said Dr. Gandhi. The base content of the course will feature core information on the intersection of healthcare and climate change that is relevant to all healthcare professionals. “The creation of this curriculum on sustainable healthcare will provide a new method for engaging clinicians at UCSF in the fight against climate change,” she said.
The overarching goal of the project is to teach real-world sustainable modifications that UCSF learners can implement in their daily clinical practice while simultaneously stimulating and engaging learners to become proactive sustainability champions in their field.
“We believe the development and utilization of this educational module will raise awareness of the environmental impacts of the healthcare industry, increase the adoption of sustainable practices at UCSF Health, and aid in the reduction of the facility’s environmental impact,” said Dr. Gandhi.
The CHV is excited to support this project in partnership with the Academy. The focus on sustainability is well-seated within our central mission of improving healthcare value, and we look forward to strengthening the curriculum in this area at UCSF and beyond.
The UCSF Center for Healthcare Value sponsors awards to faculty, staff and trainees for collaborative proposals responsive to the priority areas:
- developing a cadre of educators with focused expertise in teaching the principles and practice of healthcare value;
- preparing clinicians to recognize and appropriately implement high-value, cost-conscious decisions in their everyday practice and within the healthcare systems in which they work;
- encouraging research in healthcare value, including work that defines cost-conscious clinical recommendations and policies on the local, national and international levels; and
- training healthcare leaders to promote high-value, cost-conscious care at all levels, from the greater system to individual clinician/patient interactions.
Support
The award facilitates partnerships between UCSF faculty, trainees and leadership from the campus and CHV. The award includes:
- financial support for projects (historically, up to $20,000)
- consultation and support from the CHV Training team to help operationalize projects
- assistance with professional packaging of products, if applicable (e.g., online curricular materials)
Expectations of Project Team-CHV Partnership
- attending 90-minute monthly meetings for first 6 months
- conducting certain components of robust development, implementation and evaluation
Description
We are seeking ideas for ways that we can prepare clinicians to recognize and appropriately implement high-value, cost-conscious decisions and ways to develop educators adept at teaching the principles and practice of healthcare value. Proposals can be targeted to various levels of learners within any of the four UCSF schools and should be tied to competencies for education in health care value. Proposals based in the graduate medical education setting may be given higher priority due to a high likelihood of impact on trainees and faculty at various levels. Interventions that have been shown to be effective in other care settings are eligible.
Each funded proposal will have a maximum budget of $20,000 and may be used for salary support for proposers and/or staff. Projects are for one year (with first impact expected at 6 months) and are not renewable. Up to 3 projects will be funded. Each funded proposal will require an end-of-project progress report and a second report 12 months following the end of funding, assessing sustainability and identifying any resulting publications or funding. Resulting publication must directly cite this funding source.
Eligibility
Who is eligible:
- UCSF faculty or trainees in any series
- full-time employees of UCSF
Required Proposal Elements
Each proposal must demonstrate a:
- strong commitment and engagement of faculty leadership and trainees
- high likelihood for sustainability and scalability inside and outside of UCSF
- high strength of linkage to competencies for education in health care value
- low risk of failure (e.g., interventions proven to work in other settings, integration within existing educational frameworks such as those focused on quality improvement and patient safety)
- robust assessment and dissemination plan
Proposals will be judged on their ability to address each of these areas.
Past Awards, 2015-2016
- “Creating Cost Effective Surgeons: Development of an Interactive Learning Module to Teach Surgeons Economical Surgical Supply Selection” Matthew D. Truesdale, MD
This project was designed to introduce cost analysis into operating room supply selection for surgeons, prove that education and increased awareness can decrease operative costs for index surgical cases, and codify the importance of economically-efficient choices in the OR for surgical residents leading to lasting change. - “The PedsValue Modules - A Nationally Developed Pediatric High Value Care Education Series” Ryan Padrez, MD
This project was designed to develop a series of web-accessible, case-based high value care educational modules (the PedsValue Modules) for trainees and practicing physicians in pediatrics. The PedsValue Modules were developed by a multi-institution collaborative and disseminated nationally with joint endorsement by the Academic Pediatric Association and the American College of Physicians. They serve as a pediatric complement to the internal medicine-focused Alliance for Academic Internal Medicine (AAIM) AAIM-ACP Online High Value Care Cases to meet the urgent need for curricular materials that address the unique challenges and opportunities around delivering high value health care for children. - “Medical Students as High Value Care Advocates” Ari Hoffman, MD and Trevor Jensen, MD
This project was designed to increase third year medical students’ knowledge of value in clinical medicine through curated content, increase their confidence in impacting high value care, create a culture of high value care among medical students, residents, and faculty and assist ongoing projects in appropriate resource utilization including telemetry, phlebotomy, GI prophylaxis, Foley catheter use, and blood transfusions.
Past Awards, 2016-2017
- “Training for Value: Integrating High Value Care into Faculty Development for Bridges Educators” Stephanie Rennke, MD and Shannon Fogh, MD
This project is designed to develop and implement a faculty development program for physicians in the Bridge’s Clinical Microsystems Clerkship (CMC) to support a cadre of educators with expertise in teaching and promoting high value care activities for all medical students across UCSF clinical sites.
