While at ZSFG, residents and fellows participate in the Resident and Fellow Performance Improvement Incentive Program, whose primary goal is to engage trainees in quality improvement initiatives that are aligned with the health system's True North goals. Trainees participate in both hospital-wide projects and program-specific projects and will receive a financial incentive (up to $1200) for meeting their targets. This year, in addition to improvement work, trainees have an opportunity to propose and complete a climate sustainability project as part of this incentive program.
Hospital-wide projects for 2023-2024

Hospital Flow
1. Increase patient discharges before 2PM for hospitalized patients
Hospital
2. Improve patient flow by reducing consult to decision time for emergency department (ED) patients requring a consultant
Hospital Equity
3. Increase naloxone prescribing for discharged patients who are prescribed an opioid
Climate Sustainability Projects for 2023-2024

- Anesthesia: Increase percentage cases with inhaled gas flow <2L/m
- Emergency Medicine: Increase recycling of instruments in bedside procedure kits
- Radiology: Improve waste sorting in Radiology work rooms
QI Symposium 2025
Every year, residents and fellows lead quality improvement projects in their clinical areas to improve patient care as part of the ZSFG Resident and Fellow QI Incentive Program. Four projects were showcased at the UCSF Health Quality Improvement Symposium on Wednesday 5/28/25 at Mission Bay. Congratulations to all our presenters!

Improving colorectal cancer screening at the Family Health Center presented by Simone DeShields

Improving patient notification for imaging findings of possible malignancy presented by Priya Boddu

Increasing urology clinic patient education via language-appropriate after visit summaries presented by Mayra Lucas Ramirez

HPV vaccination in Obstetrics, Midwifery, and Gynecology clinic presented by Asia Gandy
Questions?

Esther Chen, MD
ZSFG Site Director of Graduate Medical Education and Professor of Emergency Medicine