Abstract Objective To rapidly deploy a digital patient-facing self-triage and self-scheduling tool in large academic health system to address the COVID-19 pandemic. Materials Methods We created patient portal-based made it available all primary care patients at University of California, San Francisco Health, system. Asymptomatic were asked about exposure history then provided relevant information. Symptomatic triaged into 1 4 categories—emergent, urgent, nonurgent, or self-care—and connected...

Background The emergence of the coronavirus disease (COVID-19) pandemic in March 2020 created unprecedented challenges provision scheduled ambulatory cancer care. As a result, there has been renewed focus on video-based telehealth consultations as means to continue Objective aim this study is analyze change video visit volume at University California, San Francisco (UCSF) Comprehensive Cancer Center response COVID-19 and compare patient demographics appointment data from January 1, 2020, 11...

The high costs of fertility care may deter couples from seeking care. Urologists often are asked about the these treatments. To our knowledge previous studies have not addressed direct out-of-pocket to couples. We characterized expenses in patients care.Couples were prospectively recruited 8 community and academic reproductive endocrinology clinics. Each participating couple completed face-to-face or telephone interviews cost diaries at study enrollment, 4, 10 18 months determined overall...

You have accessJournal of UrologyJU Forum1 Jul 2020Implementing Telemedicine in Response to the COVID-19 Pandemic Adam J. Gadzinski, John L. Gore, Chad Ellimoottil, Anobel Y. Odisho, and Kara Watts GadzinskiAdam Gadzinski *Correspondence: 1959 NE Pacific St., Box 356510, Seattle, Washington 98195 Fax: 206-543-3272; E-mail Address: [email protected] Department Urology, University Washington, , GoreJohn Gore EllimoottilChad Ellimoottil Michigan, Ann Arbor, Michigan OdishoAnobel Odisho...

Abstract The screening of healthcare workers for COVID-19 (coronavirus disease 2019) symptoms and exposures prior to every clinical shift is important preventing nosocomial spread infection but creates a major logistical challenge. To make the process simple efficient, University California, San Francisco Health designed implemented digital chatbot-based workflow. Within 1 week forming team, we conducted product development sprint deployed process. In first 2 months use, over 270 000 screens...

No AccessJournal of UrologyAdult Urology1 Feb 2009Geographic Distribution Urologists Throughout the United States Using a County Level Approach Anobel Y. Odisho, Vincent Fradet, Matthew R. Cooperberg, Ardalan E. Ahmad, and Peter Carroll OdishoAnobel Odisho More articles by this author , FradetVincent Fradet CooperbergMatthew Cooperberg AhmadArdalan Ahmad CarrollPeter View All Author Informationhttps://doi.org/10.1016/j.juro.2008.10.034AboutFull TextPDF ToolsAdd to favoritesDownload...

The surgical work force distribution at the county level varies widely across United States, and impact of differential access on cancer outcomes is unclear. We used urologists as a test case because they are first care providers for urologic cancers, can easily be identified from available data sources, unevenly distributed throughout country. goal this study was to determine effect increasing urologist density local prostate, bladder, kidney mortality.Using county-level Area Resource File,...

Disparities in Electronic Health Record Patient Portal Enrollment Among Oncology PatientsCare for oncology patients requires multidisciplinary, longitudinal coordination.Patient portals allow to access medical information from electronic health records (EHRs) and communicate with clinicians.This can improve treatment coordination increase active participation care. 1 Unfortunately, disparities patient portal use across age, race/ ethnicity, socioeconomic status affect quality of care,...

Objectives/Goals: Magnetic resonance imaging (MRI) reports are stored as unstructured text in the electronic health record (EHR), rendering data inaccessible. Large language models (LLM) a new tool for analyzing and generating text. We aimed to evaluate how well an LLM extracts from MRI compared manually abstracted data. Methods/Study Population: The University of California, San Francisco has deployed HIPAA-compliant internal utilizing GPT-4 technology approved PHI use. developed detailed...

The COVID-19 (coronavirus disease 2019) pandemic brought rapid expansion of pediatric telehealth to maintain patient access care while decreasing community spread. We designed a retrospective, serial, cross-sectional study investigate if implementation at an academic practice led disparities in health access. Significant differences were found pre-COVID-19 versus during demographics. Patients seen more likely be younger, White/Caucasian or Asian, English speaking, and have private insurance....

Background In many large health centers, patients face long appointment wait times and difficulties accessing care. Last-minute cancellations patient no-shows leave unfilled slots in a clinician’s schedule, exacerbating delays care from poor access. The mismatch between the supply of outpatient appointments demand has led systems to adopt tools strategies minimize no-show rates fill open left by cancellations. Objective We evaluated an electronic record (EHR)–based self-scheduling tool, Fast...

Context Financial and demographic pressures in US require an understanding of the most efficient distribution physicians to maximize population-level health benefits. Prior work has assumed a constant negative relationship between physician supply mortality outcomes throughout not addressed regional variation. Methods In this ecological analysis, geographically weighted regression was used identify spatially varying relationships local urologist density prostate cancer at county level. Data...

Abstract While many case studies have described the implementation of self-scheduling tools, which allow patients to schedule visits and imaging asynchronously online, none explored impact on equitable access care.1 Using an electronic health record patient portal, University California San Francisco deployed a tool that allowed self-schedule diagnostic studies. We analyzed data for modalities with option be self-scheduled from January 1, 2021 September 2021. used descriptive statistics...

To assess the effect of a hands-on ultrasound training session to teach urologic trainees ultrasound-guided percutaneous needle placement.University California, San Francisco (UCSF) urology residentes completed time trial, placing into phantom model target under guidance. Participants were randomized three educational exposure groups: Group 1's trial occurred prior any teaching intervention, group 2's after experiencing module, and 3's both module one-on-one attending feedback. Needle...

Cancer pathology findings are critical for many aspects of care but often locked away as unstructured free text. Our objective was to develop a natural language processing (NLP) system extract prostate details from postoperative reports and parallel structured data entry process use by urologists during routine documentation compare accuracy when compared with manual abstraction concordance between NLP clinician-entered approaches.From February 2016, clinicians used note templates custom...