Hospitalists, prepare to lead the acute and transitional care delivery of the future: doi.org/10.1002/jhm.13… @CALonghurst @Sarah_Horman_MD @UCSFDHM @UCSF
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Tim Judson
47 posts
Tim Judson
@TimJudson
Internal medicine physician and informaticist @UCSF committed to developing and scaling innovations in care delivery.
Se unió Haziran 2011
134 Siguiendo119 Seguidores
@RebeccaEBerger @JHospMedicine @UCSFDHM It's a moonlighting pool, and certainly benefits from having a large division
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@TimJudson @JHospMedicine @UCSFDHM How is this pool created? Are people paid for being on call? Or is it part of your FTE/job description?
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#JHMChat Q4: How can we partner with administrators to address these variations in patient census and complexity throughout the day?
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@JHospMedicine Could this problem be assisted by AI/machine learning? Inputs: AM census, recent trends, day of week, season, etc. Output: PM census. If Cheesecake Factory can do it, so can medicine. tinyurl.com/34dwmhye #JHMChat
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#JHMChat Q3: Admission + discharge rates both seem to peak closer to mid-afternoon at the article's 🏥. Our surgical and nursing colleagues may utilize dynamic staffing based on cases 📋 scheduled on a day🕛 . How can we better address our own dynamic staffing?
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@JHospMedicine When census is high, we as providers do everything we can to avoid compromising quality of care. This sometimes means deferring less urgent tasks like discharge planning. High census might also negatively impact work-life balance. #JHMChat
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#JHMChat Q1: How does average daily census 📋 play into staffing, quality of life, and quality of care at your institution? ⌚
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@hayes Chickpea/lentil pasta is our go to main course. Packed w protein and fiber
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Parents - what's the quickest/easiest meal you make for your kids that is still somewhat healthy?
I'm compiling all the answers I can send them out.
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Tim Judson retuiteado
Tragically, we've all become numb to Covid's death toll. Sometimes it takes a tangible comparison to shake us out of complacency.
I had such a moment today, when Covid deaths in the U.S. hit 875,000. That, as it happens, is the population of my city, San Francisco. Staggering.
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The UCSF #Covid_19 Self-Triage continues to improve. >14k uses, >1k self-scheduled appts, and now pts can self-sched both video and in-person visits. If a surge hits SF, this is sure to help #UCSF patients. @UCSFCDHI @UCSFDHM @ucsfhealth tinyurl.com/yxzd8ost
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@AmiBhattMD @MattSakumoto @JuddHollander @iamritu @arwmd @ErinMichos @CeciConnolly @jameyedwards @HelenBurstin @Eko_Health @Livongo @ACCinTouch @DrJenniferCo_Vu @IrmaRaste @KTamirisaMD @draditijoshi @DocStrom @NadeenFaza @UCSFHospitals @UCSFCDHI @AmiBhattMD Anecdotally, patients have loved the self-triage module, mostly because it saves them time waiting on hold and allows them to schedule appointments in seconds. Formal eval of pt experience pending.
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@MattSakumoto @JuddHollander @iamritu @arwmd @ErinMichos @CeciConnolly @jameyedwards @HelenBurstin @Eko_Health @Livongo @ACCinTouch @DrJenniferCo_Vu @IrmaRaste @KTamirisaMD @draditijoshi @DocStrom @NadeenFaza @UCSFHospitals @UCSFCDHI Chatbot relieving call center is great. Did patient experience stay stable or perhaps improve?? #TelemedNow #ArtificialInteligence
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Let’s think out of the box!!
Q4: Which AI driven aspects of your
non-medical life do you think could
translate to #TelemedNow healthcare as well?
@iamritu @arwmd @ErinMichos @CeciConnolly @jameyedwards @HelenBurstin @Eko_Health @Livongo @ACCinTouch @DrJenniferCo_Vu @IrmaRaste
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Tim Judson retuiteado
Writing this story made me feel even more grateful to our providers and to anyone working to make us safer. Thank you for what you do - and continue to do.
cnbc.com/2020/06/13/san…
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Daily screening of healthcare workers will be key to preventing COVID-19 outbreaks. Our @UCSF strategy just published in @AMIAinformatics: academic.oup.com/jamia/advance-… @AaronNeinstein @anobelodisho @UCSFCDHI @conversahealth
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@TimJudson @AMIAinformatics @ucsfhealth Hi Tim, I'm currently working on something similar up here in BC, Canada. Is there a chance I could shoot you a DM?
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Excited to share data from our #COVID19 UCSF Symptom Checker published today in @AMIAinformatics. Amazing effort by @ucsfhealth Clinical Innovation Center & DPE team, as we built and launched this in 2 wks and show how a self-triage tool can help w surge. bit.ly/2VcuIsq
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Tim Judson retuiteado
This is a fabulous piece of work, and a vivid illustration of digital innovation on the fly solving a real-world and acute problem. Bravo!
Aaron Neinstein, MD@AaronNeinstein
Today in @AMIAinformatics - Grt work led by @TimJudson @gleasonmd @anobelodisho from @ucsfhealth @UCSFCDHI @UCSF CIC on rapid development & deployment of #COVID19 Symptom Checker. Used by ~1000 ppl in SF in 1st 2 wks to self-triage w/o need to come in to healthcare facility.
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Tim Judson retuiteado
So psyched that DEI education-activist and Med Ed guru @gradydoctor is hear with us @UCSF. #Inspiration
michelle mourad@michelle_mourad
Thank you @gradydoctor for your inspiring words. “The richest teachable moments are with our patients. They shape you as a physician and as a person.”
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Tim Judson retuiteado
In @JAMA_current, T Judson, @michelle_mourad & I describe new model–a Targeted Automatic eConsult (TACo)–w/ EHR-based triage of hi risk pts, remote review by specialist & brief consult ja.ma/2xeVogF Pioneered @ucsf for diabetes, we're excited to scale to other use-cases
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Tim Judson retuiteado
Supplemental payment programs can increase access to new technologies, but some payments are made without clear evidence of safety and effectiveness, say @RFRedberg and colleagues in @bmj_latest. bmj.com/content/365/bm…
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Tim Judson retuiteado
The elimination of Agency for Healthcare Research & Quality's National Guidelines Clearinghouse health care is another astonishing and unconscionable blow for access to scientific information. thebea.st/2LdQhTj
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$850,000 per treatment? Need to move to Value-Based Drug Pricing ja.ma/2FvooSM . @PeterBachMD @JAMA_current. Thanks to @WrayCharles for sending.
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