Ralph Gonzales, MD, MSPH

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Ralph Gonzales, MD, MSPH

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Associate Dean, Chancellor/EVC/FAS
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Biography

Dr. Ralph Gonzales is Associate Dean for Clinical Innovation and Chief Innovation Officer for UCSF Health. His research has played a significant role in national and global efforts to combat antimicrobial resistance by improving antibiotic prescribing practices - the body of which provides a successful roadmap for translating evidence into practice, policy and public health. Dr Gonzales’ research is multidisciplinary, patient-centered, and informed by relevant stakeholders and policy makers such as the CDC, NCQA, professional societies and community clinicians and patients. It represents the full spectrum of translational research - from practice guideline development, to implementation of innovative health care interventions, to conducting larger community-based trials to examine the comparative effectiveness of different health care interventions. In addition, Dr. Gonzales is currently leading several project teams in designing, implementing and evaluating new ways to improve primary care-specialty care communication and care coordination, focusing on strategies that achieve the triple aim of improving quality, outcomes and decreasing costs. One includes the use of eReferrals and eConsults to streamline the referral and coordination process; another project is evaluating new team-based strategies to reduce unnecessary follow-up visits in specialty care.
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  1. Judson TJ, Pierce L, Tutman A, Mourad M, Neinstein AB, Shuler G, Gonzales R, Odisho AY. Utilization patterns and efficiency gains from use of a fully EHR-integrated COVID-19 self-triage and self-scheduling tool: a retrospective analysis. J Am Med Inform Assoc. 2022 11 14; 29(12):2066-2074.
  2. Liu AW, Odisho AY, Brown Iii W, Gonzales R, Neinstein AB, Judson TJ. Patient Experience and Feedback After Using an Electronic Health Record-Integrated COVID-19 Symptom Checker: Survey Study. JMIR Hum Factors. 2022 Sep 13; 9(3):e40064.
  3. Lozano PM, Lane-Fall M, Franklin PD, Rothman RL, Gonzales R, Ong MK, Gould MK, Beebe TJ, Roumie CL, Guise JM, Enders FT, Forrest CB, Mendonca EA, Starrels JL, Sarkar U, Savitz LA, Moon J, Linzer M, Ralston JD, Chesley FD. Training the next generation of learning health system scientists. Learn Health Syst. 2022 Oct; 6(4):e10342.
  4. Waldman SE, Buehring T, Escobar DJ, Gohil SK, Gonzales R, Huang SS, Olenslager K, Prabaker KK, Sandoval T, Yim J, Yokoe DS, Cohen SH. Secondary Cases of Delta Variant Coronavirus Disease 2019 Among Vaccinated Healthcare Workers With Breakthrough Infections is Rare. Clin Infect Dis. 2022 Aug 24; 75(1):e895-e897.
  5. Lindan CP, Desai M, Boothroyd D, Judson T, Bollyky J, Sample H, Weng Y, Cheng Y, Dahlen A, Hedlin H, Grumbach K, Henne J, Garcia S, Gonzales R, Craik CS, Rutherford G, Maldonado Y. Design of a population-based longitudinal cohort study of SARS-CoV-2 incidence and prevalence among adults in the San Francisco Bay Area. Ann Epidemiol. 2022 03; 67:81-100.
  6. Choi LW, Moriates C, Payne AS, Varaklis K, Gonzales R, Baron RB. CLER Pursuing Excellence: Faculty Development Innovations in Quality, Safety, Equity, and Value. J Grad Med Educ. 2021 Oct; 13(5):746-752.
  7. LaHue SC, Maselli J, Rogers S, Casatta J, Chao J, Croci R, Gonzales R, Holt B, Josephson SA, Lama S, Lau C, McCulloch C, Newman JC, Terrelonge M, Yeager J, Douglas VC. Outcomes Following Implementation of a Hospital-Wide, Multicomponent Delirium Care Pathway. J Hosp Med. 2021 Jul; 16(7):397-403.
  8. Damschroder LJ, Knighton AJ, Griese E, Greene SM, Lozano P, Kilbourne AM, Buist DSM, Crotty K, Elwy AR, Fleisher LA, Gonzales R, Huebschmann AG, Limper HM, Ramalingam NS, Wilemon K, Ho PM, Helfrichfcr CD. Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: Findings from a state-of-the-art (SOTA) conference workgroup. Healthc (Amst). 2021 Jun; 8 Suppl 1:100455.
  9. Peng T, Gleason N, Gonzales R. A Comparison of Patient-Reported Outcomes Related to Telephone Follow-Up Visits and Conventional Office Visits in Medical Specialty Practices. Telemed J E Health. 2021 07; 27(7):747-754.
  10. Liu C, Ahmed K, Chen CL, Dudley RA, Gonzales R, Orrico K, Yerneni K, Stienen MN, Veeravagu A, Desai A, Park J, Ratliff JK, Zygourakis CC. Association Between Physician Industry Payments and Cost of Anterior Cervical Discectomy and Fusion in Medicare Beneficiaries. World Neurosurg. 2020 11; 143:e574-e580.
  11. Judson TJ, Odisho AY, Young JJ, Bigazzi O, Steuer D, Gonzales R, Neinstein AB. Implementation of a digital chatbot to screen health system employees during the COVID-19 pandemic. J Am Med Inform Assoc. 2020 07 01; 27(9):1450-1455.
  12. Judson T, Gonzales R. Patient Portal Reminders-Easy but Ineffective. JAMA Intern Med. 2020 07 01; 180(7):971-972.
  13. Pletcher MJ, Flaherman V, Najafi N, Patel S, Rushakoff RJ, Hoffman A, Robinson A, Cucina RJ, McCulloch CE, Gonzales R, Auerbach A. Randomized Controlled Trials of Electronic Health Record Interventions: Design, Conduct, and Reporting Considerations. Ann Intern Med. 2020 06 02; 172(11 Suppl):S85-S91.
  14. Judson TJ, Odisho AY, Neinstein AB, Chao J, Williams A, Miller C, Moriarty T, Gleason N, Intinarelli G, Gonzales R. Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19. J Am Med Inform Assoc. 2020 06 01; 27(6):860-866.
  15. Young JS, Chan AK, Viner JA, Sankaran S, Chan AY, Imershein S, Meary-Miller A, Theodosopoulos PV, Jacques L, Aghi MK, Chang EF, Hervey-Jumper SL, Ward T, Gibson L, Ward MM, Sanftner P, Wong S, Amara D, Magill ST, Osorio JA, Venkatesh B, Gonzales R, Lau C, Boscardin C, Wang M, Berry K, McCullagh L, Reid M, Reels K, Nedkov S, Berger MS, McDermott MW. A Safe Transitions Pathway for post-craniotomy neurological surgery patients: high-value care that bypasses the intensive care unit. J Neurosurg. 2020 May 29; 134(5):1386-1391.
  16. Shete PB, Gonzales R, Ackerman S, Cattamanchi A, Handley MA. The University of California San Francisco (UCSF) Training Program in Implementation Science: Program Experiences and Outcomes. Front Public Health. 2020; 8:94.
  17. Borno HT, Bakke BM, Kaplan C, Hebig-Prophet A, Chao J, Kim YJ, Yeager J, Cinar P, Small E, Boscardin C, Gonzales R. A step towards equitable clinical trial recruitment: a protocol for the development and preliminary testing of an online prostate cancer health information and clinical trial matching tool. Pilot Feasibility Stud. 2019; 5:123.
  18. Troy L, Knight L, Olson M, Chen M, Gonzales R, Berg M, Su F, Revive Initiative at Stanford Children’s Health . Healthcare Provider Perceptions of Cardiopulmonary Resuscitation Quality During Simulation Training. Pediatr Crit Care Med. 2019 10; 20(10):e473-e479.
  19. Caruso TJ, Rama A, Knight LJ, Gonzales R, Munshey F, Darling C, Chen M, Sharek PJ. Operating Room Codes Redefined: A Highly Reliable Model Integrating the Core Hospital Code Team. Pediatr Qual Saf. 2019 May-Jun; 4(3):e172.
  20. Wong A, Young AT, Liang AS, Gonzales R, Douglas VC, Hadley D. Development and Validation of an Electronic Health Record-Based Machine Learning Model to Estimate Delirium Risk in Newly Hospitalized Patients Without Known Cognitive Impairment. JAMA Netw Open. 2018 08 03; 1(4):e181018.
  21. Zygourakis CC, Liu CY, Keefe M, Moriates C, Ratliff J, Dudley RA, Gonzales R, Mummaneni PV, Ames CP. Analysis of National Rates, Cost, and Sources of Cost Variation in Adult Spinal Deformity. Neurosurgery. 2018 03 01; 82(3):378-387.
  22. Zygourakis CC, Liu CY, Yoon S, Moriates C, Boscardin C, Dudley RA, Lawton MT, Theodosopoulos P, Berger MS, Gonzales R. Analysis of Cost Variation in Craniotomy for Tumor Using 2 National Databases. Neurosurgery. 2017 Dec 01; 81(6):972-979.
  23. Lee JS, Gonzales R, Vittinghoff E, Corbett KK, Fleischmann KE, Sehgal N, Auerbach AD. Appropriate Reconciliation of Cardiovascular Medications After Elective Surgery and Postdischarge Acute Hospital and Ambulatory Visits. J Hosp Med. 2017 09; 12(9):723-730.
  24. Gonzales R, Moriates C, Lau C, Valencia V, Imershein S, Rajkomar A, Prasad P, Boscardin C, Grady D, Johnston S. Caring Wisely: A Program to Support Frontline Clinicians and Staff in Improving Healthcare Delivery and Reducing Costs. J Hosp Med. 2017 08; 12(8):662-667.
  25. Zygourakis CC, Liu CY, Wakam G, Moriates C, Boscardin C, Ames CP, Mummaneni PV, Ratliff J, Dudley RA, Gonzales R. Geographic and Hospital Variation in Cost of Lumbar Laminectomy and Lumbar Fusion for Degenerative Conditions. Neurosurgery. 2017 Aug 01; 81(2):331-340.