ZSFG Resident and Fellow Performance Improvement Incentive Program

 

Program Overview

ZSFG, in collaboration with the Department of Public Health, will be continuing the Resident and Fellow Performance Improvement Incentive Program in 2018-2019. This program is separate but aligned with the UCSF Incentive Program.

The primary goals of the program are to teach the improvement process and engage residents and fellows in quality improvement projects that are aligned with the True North goals for the ZSFG hospital and campus.

If the project targets are met, residents and fellows who spend at least 3 months at ZSFG will receive financial incentives (up to $1,200). In addition to participating in the hospital-wide initiatives, each resident and fellowship program is encouraged to submit a program-specific goal due May 14, 2018 (detailed below).

Please contact or send questions to:
Dr. Esther Chen (esther.chen@ucsf.edu), GMEC chair, or
Dr. William Huen, Associate Chief Medical Officer

 
 

2018-19 Housestaff Incentive Program Updates

 
 

We have identified three ZSFG-Wide Goals for 2018-19:
1. Reducing Needlestick Injuries/Exposures for Trainees
2. Improving Patient Satisfaction with Care Transitions (HCAHPS)
3. Improving Length of Stay for Emergency Room Patients Requiring Consultation

Nine Departments have proposed Department-Specific Goals for 2018-19

 
 

2017-18 Housestaff Incentive Program Updates

 
 

We identified three ZSFG-Wide Goals for 2017-18:

1. Reducing Needlestick Injuries/Exposures for Trainees
- TARGET MET: Reduced needlesticks to below target in 2 of 4 quarters

2. Improving Patient Satisfaction with Provider Communication (HCAHPS)
- TARGET MET: Improved above goal in 2 of 4 quarters, and year to date.

3. Improving Length of Stay for Emergency Room Patients Requiring Consultation
- TARGET MET: Six departments successfully lowered by 10% in 2 of 3 quarters

Four Departments proposed Department-Specific Goals for trainees in 2017-18:

1. Family & Community Medicine: Improving Colorectal Cancer Screening
- TARGET MET (PARTIAL): Improved to 68.1%

2. Internal Medicine: Opioid Safety
- TARGET MET: Improved co-prescription of naloxone from 9.5% to 69%

3. Pediatrics: STD Screening
- TARGET MET: Improved chlamydia screening from 34% to 61.5%

4. Obstetrics & Gynecology
- TARGET MET: Improved safer opioid prescribing for c-section patients to 100%

 
 

Department-Specific Proposal Requirements

1. Identify Resident or fellow champions who will take the lead for your departmental project
o Presents project updates at the quarterly GMEC meeting
o Submits monthly project metrics to the GMEC chair
o Completes and submits a mid-year status report
o Participates in one QI or coaching session prior to project implementation

2. Identify QI faculty leader or Performance Improvement Patient Safety Committee (PIPS) faculty representative to sponsor your project and incorporate your progress into the departmental PIPS report

3. Complete project description using the ZSFG Housestaff Incentive A3 Template, which we will review for feedback and ask you to review and revise with 1) your faculty sponsor, 2) PIPS representative, 3) interdisciplinary member of the stakeholder team.

4. All eligible ACGME and non-ACGME residents and fellows will participate in the 3 hospital-wide initiatives. Residents and Fellows have the option of designing and implementing an additional department-specific initiative so that there are four incentive opportunities. Residents and fellows who have at least three months per year at ZSFG will receive up to $400 for each achieved metric, limited to a total of $1200 for three metrics.

 
 

Application Criteria

• Project goals should align with an existing or new departmental initiative
• Department-specific goals need to have metrics that are easily collected, tracked, and reported at least monthly
• Projects should align with one of the ZSFG True North goals, with priority given to projects that focus on equity and/or disparity

 
 

Application Tools and Resources

 
 
 

For further information not answered here, please contact:

William Huen MD, MS, MPH

Associate Chief Medical Officer
Medical Director, Quality Management and Kaizen Promotion Office
Associate Clinical Professor, UCSF Department of Medicine