A5070915447- Cardiac Health and Mental Health
- Telemedicine and Telehealth Implementation
- Heart Rate Variability and Autonomic Control
- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Healthcare Systems and Technology
- Healthcare Policy and Management
- Nursing Diagnosis and Documentation
- Patient-Provider Communication in Healthcare
- Mobile Health and mHealth Applications
- COVID-19 and healthcare impacts
- Healthcare Operations and Scheduling Optimization
- Healthcare cost, quality, practices
- Patient Satisfaction in Healthcare
- COVID-19 and Mental Health
- Social Media in Health Education
- IPv6, Mobility, Handover, Networks, Security
- Patient Dignity and Privacy
- FinTech, Crowdfunding, Digital Finance
- Cardiovascular Health and Risk Factors
- Chronic Disease Management Strategies
- Electronic Health Records Systems
- Machine Learning in Healthcare
- Artificial Intelligence in Healthcare and Education
- Geriatric Care and Nursing Homes
University of California, San Francisco
2020-2024
City of Hope
2022-2023
University of California San Francisco Medical Center
2021
Harvard University
2017-2018
The University of Texas at Arlington
2003
Cardiac rehabilitation (CR) is evolving to include both in-person and virtual delivery. Our objective was compare, in CR patients, the association of in-person, hybrid, with change performance on 6-min walk test (6MWT) between enrollment completion.Patients enrolled October 22, 2019, May 10, 2021, were categorized into or groups by number visits. All patients received individualized exercise training health behavior counseling. delivered hybrid cohorts using synchronous video and/or...
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...
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...
Digital health is an expanding field and fundamentally changing the ways care can be delivered to patients. Despite landscape of delivery, medical trainees are not routinely exposed digital during training. In this viewpoint, we argue that thoughtfully implemented immersive elective internships with organizations, including start-ups, residency valuable for residents, programs, companies. This viewpoint represents opinions authors based on their experience as resident physicians working...
Ordering rates for imaging studies and procedures may change if clinicians are shown the prices of those tests while they ordering. We studied effect 2 forms paid price information, single median paired internal/external prices, on how often pediatric-focused adult-oriented (most frequently general pediatricians adult specialists caring pediatric-aged patients, respectively) order 0- to 21-year-olds.In January 2014, we randomized 227 279 1 3 study arms: Control (no display), Single Median...
As COVID-19 spread across the globe, hospitals restricted visitors to protect patients and healthcare providers.1 The absence of in-person visitors, who play a central role in patient well-being clinical decision making by clarifying medical histories bridging linguistic cultural divides, left vulnerable social isolation, delirium fragmented care.2 With ongoing infections, health systems continue grapple with how support loved ones during visitor restrictions.3 Many technology-driven...
<sec> <title>BACKGROUND</title> The rise of telehealth and telemedicine during the pandemic allowed patients providers to develop a sense comfort with telehealth, which may have increased demand for virtual-first care solutions spillover effects into venture capital funding. </sec> <title>OBJECTIVE</title> We aimed understand size type digital health investments occurring in prepandemic periods. <title>METHODS</title> examined companies founded from March 14, 2019, 2020 (prepandemic) versus...
The rise of telehealth and telemedicine during the pandemic allowed patients providers to develop a sense comfort with telehealth, which may have increased demand for virtual-first care solutions spillover effects into venture capital funding.
Importance: High quality discharge summaries are associated with improved patient outcomes but contribute to clinical documentation burden. Large language models (LLMs) provide an opportunity support physicians by drafting summary narratives. Objective: To determine whether LLM-generated narratives of comparable and safety those physicians. Design: Cross-sectional study. Setting: University California, San Francisco. Participants: 100 randomly selected Inpatient Hospital Medicine encounters...
As the number of inpatients with advanced age and chronic conditions rises, so too does need for inpatient palliative care (PC). Despite strong evidence base PC, less than 50% all PC needs are met by consults. Over past several months in epicenters COVID-19 pandemic, providers have responded to increased services through innovative digital programs including telepalliative programs. In this article, we explore how innovations during could transform consult address workforce shortages expand...
Abstract Background: Cardiac rehabilitation (CR) has been shown to reduce mortality, morbidity, and hospitalizations. Increasingly, digital tools have augmented the ease of delivering programs outside traditional center setting. Because need for distancing during COVID-19 pandemic, many cardiac centers suspended in-person services pivoted home-based CR (HBCR). In this study, we qualitatively evaluated implementation HBCR, which included weekly phone or video visits individualized exercise...
Introduction: Cardiac rehabilitation (CR) reduces morbidity, hospitalizations, and mortality. Increasingly, digital tools have augmented the ease of delivering programs outside traditional center setting. Because need for distancing during COVID-19 pandemic, many cardiac centers suspended in-person services pivoted to home-based CR (HBCR). Hypothesis: In this study, we qualitatively evaluated implementation HBCR, which included weekly phone or video visits individualized exercise plans,...
Many institutions implemented telehealth initiatives to provide social support for patients during the SARS-CoV-2 (COVID-19) pandemic. Little is known about impact of these programs on patient persons and trainees who facilitated them.To assess perceptions a resident physician medical student-driven video visit program.We designed trainee-led navigation program across three affiliated urban hospitals facilitate visits between their persons. We used descriptive statistics understand...
<sec> <title>UNSTRUCTURED</title> Digital health is an expanding field and fundamentally changing the ways care can be delivered to patients. Despite landscape of delivery, medical trainees are not routinely exposed digital during training. In this viewpoint, we argue that thoughtfully implemented immersive elective internships with organizations, including start-ups, residency valuable for residents, programs, companies. This viewpoint represents opinions authors based on their experience...
<sec> <title>BACKGROUND</title> 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. </sec> <title>OBJECTIVE</title> We evaluated an electronic...
Abstract Background: Because of the need for distancing during COVID-19 pandemic, many cardiac rehabilitation (CR) centers suspended in-person services and pivoted to home-based CR (HBCR). In this study, we qualitatively evaluated implementation HBCR, which included weekly phone or video visits individualized exercise plans, nutrition health education counseling, wellness sessions, optional mobile applications. Methods: Patient participants staff members (physician, nurses, physiologists,...
<sec> <title>BACKGROUND</title> Cardiac rehabilitation (CR) has been shown to reduce mortality, morbidity, and hospitalizations. Increasingly, digital tools have augmented the ease of delivering programs outside traditional center setting. Because need for distancing during COVID-19 pandemic, many cardiac centers suspended in-person services pivoted home-based CR (HBCR). </sec> <title>OBJECTIVE</title> In this study, we qualitatively evaluated implementation HBCR, which included weekly phone...