From left: Gina Intinarelli, executive director of the UCSF Office of Population Health and Accountable Care (OPHAC), and Carla Graf, OPHAC’s director of clinical programs (photo by Elisabeth Fall)
July 2016 • By Andrew Schwartz

Long before the Affordable Care Act passed in 2010, and certainly in the years since, experts around the country have understood that transforming the massive and complex US health care industry would be a bumpy road, characterized by trial and error, lots of trial and error.

“We’ve been identifying parts of our health system that are ripe for change and implementing innovative programs for the last five years,” says Gina Intinarelli (MS ’05, PhD ’13), executive director of the UCSF Office of Population Health and Accountable Care (OPHAC). “We can’t build programs fast enough.”

UCSF Health created OPHAC in 2015 to help amp up its response to the swirling forces driving health care change, especially the pressure on health systems to move away from fee-for-service and toward “value-based care,” which uses outcome-related incentives to foster a more efficient system, theoretically slowing cost increases while improving clinical outcomes and patient satisfaction.

The Dean's Blog | David Vlahov

Over the last weeks, the violence in Louisiana, Minnesota and Dallas shook the nation. Stark images of the shooting deaths of black men through streaming video escalated the issues of firearm fatalities, systemic racism and excessive police violence. The ambush and shooting deaths of the Dallas and Baton Rouge police officers stunned us. We mourn and express our condolences to the relatives and friends whose loss is personal and to communities whose trauma is collective.

However, as health care professionals, we cannot leave it at that; we cannot sit still while efforts to address these calamities continue to be frustrated. Nurses need to be among those helping the nation make sense of the conversation.

Featured Articles

July 2016
Sharon Kaufman Talks About Ordinary Medicine, Extraordinary Treatments, Longer Lives and Where to Draw the Line – Medical anthropologist Sharon Kaufman looks at how we experience and make decisions about aging and end-of-life care.
July 2016
Quality Care Coordination Can Improve Lives of Alzheimer’s Patients and Their Caregivers – Policy experts help point to better ways for delivering care to patients with Alzheimer’s disease and related dementia.
July 2016
Does Industry Marketing to Nurses Matter? – Nonprescribing nurses have largely been invisible in the discussion about the effects of industry marketing to clinicians. A new study makes the case for more scrutiny.
June 2016
A Cautious View of Menopausal Hormone Therapy – Nurse practitioner and PhD candidate Mary Hunter’s doctoral research examines the reasons women use long-term menopausal hormone therapy despite the risks and unknowns.
June 2016
Health Care Community Mourns Two of Nursing’s Most Influential Leaders – Sarah Gomez Erlach (BS ’49) and Helen Miramontes (BS ’84, MS ’85) were tireless advocates for improving care for the most vulnerable among us, including migrant farm workers and people with HIV/AIDS.