APeX, the UCSF Health electronic health record (EHR), is the digital fabric that connects the lives of patients, clinicians, nurses and other UCSF employees. Thousands of users collectively undertake millions of actions each day in APeX: recording diagnoses, sending orders, writing clinical notes, viewing billing data, checking patients into clinic, and more.

Enrolling an adequate number of eligible, diverse, and enthusiastic participants is one of the most crucial requirements for successful research, yet a high proportion of studies do not meet recruitment goals. The CTSI Participant Recruitment Program works to address this problem by developing infrastructure, resources, and services to support research recruitment.

Despite the advances in digital technologies connecting us all, the cost of clinical research continues to rise. Eureka is a digital platform designed to facilitate mobile and internet-based technology research. The platform is designed to make it easy and cost-effective to work with participants from around the globe.

Multiple antiretroviral (ARV) regimens are effective at achieving HIV viral suppression but differ in pill burden, side effects, barriers to resistance, and impact on comorbidities. Current guidelines advocate for an individualized approach to ARV regimen selection, but synthesizing these modifying factors is complex and time-consuming.

Optimal capacity management means admitting the right patients to the right beds, efficiently moving them to where they need to go, and discharging them timely. With Hospital admissions at UCSF Health now over 45,000 annually, real-time capacity management of important portal areas is critical to operations.

Warmed by the FHIR How the Digital Diagnostics and Therapeutics Committee Encourages Innovation and Governs Access to FHIR Resources

Referrals are an important “front door” for consumers to become patients of UCSF Health and existing patients to expand their use of UCSF Health.

In the Summer of 2018, Center for Digital Health Innovation (CDHI) released a custom Referrals Automation web application that was launched within EPIC via Smart-on-FHIR specifications and integrated with disparate systems across the enterprise and beyond, including NIH, commercial vendors and other 3rd party systems. CDHI wanted to scale the platform quickly and proactively, and needed to monitor and detect changes automatically on its dependencies of external APIs to ensure stability.

Clinicians go through years of education to gain medical knowledge. But the hard learning starts long after they receive their last degrees or graduate from residency. Clinicians go on to spend the rest of their careers developing clinical reasoning: Learning how to actually apply that knowledge. And advanced skill, clinical reasoning develops from experience and clinical context. In many ways, clinical reasoning and not necessarily knowledge separates the novice from the master clinician.

In July of 2018, the School of Pharmacy rolled out a transformed Doctor of Pharmacy degree. We changed our curriculum in almost every way possible for a curriculum to change. We moved from a 4 year degree to a 3 year degree; from letter grades to pass/ no pass; from a quarter-based academic calendar to non-standard block terms; and from single disciplines to integrated disciplines.  These changes had massive impacts on our technology ecosystem, including platforms for assessments and evaluations, education data management, reporting and analysis.