About 110,000 patients undergo surgery each year at UC medical centers. The risk fellowship grants include projects to improve outcomes for neurosurgical patients, increase the quality of care for high-risk colorectal surgery patients, and decrease surgical site infections in patients undergoing procedures such as knee and hip replacements throughout UC Health.
More than 30 projects were submitted for this round of funding, sponsored by a new joint venture between the UC Center for Health Quality and Innovation (CHQI) and UC's systemwide Office of Risk Services called the Center for Health Quality and Innovation Quality Enterprise Risk Management. The projects were reviewed using an enterprise risk management focus on improving collaboration between specialties and practitioners.
The grants are part of UC Health's efforts to improve patient care and satisfaction at medical centers at UC Davis, UC Irvine, UCLA, UC San Diego and UC San Francisco.
Along with the grants, risk fellows will receive training in leadership and change management from the UCSF Center for Health Professions, which also has trained previous innovation center awardees.
"We believe that one of the single most important tools that we can give our awardees is training in leadership and change management," said innovation center Executive Director Terry Leach. "We are asking them to work with us to change the culture of care from within their institutions, and we want to arm them with information about their own negotiation and leadership styles, as well as those of the individuals who they will need to influence."
The awardees include:
UC Care Check: A Standardized Multidisciplinary Approach to Improve Neurosurgical Patient Outcomes and Care Experiences, $1.25 million, three-year project
Project directors: James Harrison, M.P.H., Ph.D., Catherine Lau, M.D., UCSF
Campus leads: Jeffrey Uppington, M.D., UC Davis; Alpesh Amin, M.D., MBA, UC Irvine; Nasim Afsarmanesh, M.D., UCLA; Gregory Seymann, M.D., S.F.H.M., UC San Diego
High-Risk Colon and Rectal Surgery Intervention Program, $1 million, three-year project
Project director: Michael Stamos, UC Irvine
Campus leads: Kathrin Troppmann, M.D., UC Davis; Clifford Ko, M.D., M.S., M.S.H.S., UCLA; Sonia Ramamoorthy, M.D., F.A.C.S., F.A.S.C.R.S., UC San Diego; Madhulika Varma, M.D., UCSF
Developing Standardized Operative Bundles to Decrease Surgical Site Infections, $1.35 million, three-year project
Project director: Francesca Torriani, M.D., F.I.D.S.A., UC San Diego
Campus leads: Stuart Cohen, M.D., UC Davis; Susan Huang, M.D., UC Irvine; Zach Rubin, M.D., UCLA; Shira Abeles, M.D., UC San Diego; Catherine Liu, M.D., UCSF; Amy Nichols, R.N., MBA, UCSF
Enhanced Recovery After Surgery (ERAS): A UC-wide Initiative to Decrease Postoperative Morbidity After Major Surgery, $200,000, three-year project
Project director: Maxime Cannesson, M.D., Ph.D., UC Irvine
Development and Implementation of Comprehensive Periprocedural Handover Processes, $167,000, two-year project
Project director: Anahat Dhillon, M.D., UCLA
The UC Collaborative to Improve Management of Perioperative Anticoagulant Care and Transitions (The UC IMPACT Project), $250,000, three-year project
Project director: Margaret Fang, M.D., UCSF
Project to Eradicate Postoperative Delirium in High-Risk Patients (PEPOD), $167,000, two-year project
Project director: Jacqueline Leung, M.D., UCSF
Optimizing Care of the Surgical Patient With Hyperglycemia Across the Continuum of Care, $250,000, three-year project
Project director: Greg Maynard, M.D., M.Sc., UC San Diego
Delivering Value-Based Neurosurgery Care (NERVS protocol) and Enhanced Professional Communication for Comprehensive Risk Prevention, $250,000, three-year project
Project director: Nancy McLaughlin, M.D., UCLA
Improving Communication and Perinatal Outcomes With the Use of Standardized Handoffs for Nurses, Residents and Staff Physicians, $250,000, three-year project
Project director: Karen Noblett, M.D., UC Irvine
Co-managed Geriatric Hip Fracture, $250,000, three-year project
Project director: Philip Wolinsky, M.D., UC Davis
About UC Health
University of California Health includes five academic health centers -- UC Davis, UC Irvine, UCLA, UC San Diego and UC San Francisco -- with 10 hospitals and 18 health professional schools and programs on seven UC campuses. For more information, visit http://health.universityofcalifornia.edu.
About the UC Center for Health Quality and Innovation
UC Health launched the Center for Health Quality and Innovation in October 2010. The center is designed to promote, support and nurture innovations at UC medical center campuses and hospitals to improve quality, access and value in the delivery of health care. For more information, visit http://health.universityofcalifornia.edu/innovation-center.