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Ralph Gonzales, MD, MSPH
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Associate Dean, Chancellor/EVC/FAS
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Email: Ralph.Gonzales@ucsf.edu
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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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- Prasad PA, Shea ER, Shiboski S, Sullivan MC, Gonzales R, Shimabukuro D. Relationship Between a Sepsis Intervention Bundle and In-Hospital Mortality Among Hospitalized Patients: A Retrospective Analysis of Real-World Data. Anesth Analg. 2017 08; 125(2):507-513.
- Liu CY, Zygourakis CC, Yoon S, Kliot T, Moriates C, Ratliff J, Dudley RA, Gonzales R, Mummaneni PV, Ames CP. Trends in Utilization and Cost of Cervical Spine Surgery Using the National Inpatient Sample Database, 2001 to 2013. Spine (Phila Pa 1976). 2017 Aug 01; 42(15):E906-E913.
- Gonzales R, Boscardin C, Auerbach A. Communicating Context in Quality Improvement Reports. JAMA Intern Med. 2017 06 01; 177(6):817-818.
- Zygourakis CC, Valencia V, Moriates C, Boscardin CK, Catschegn S, Rajkomar A, Bozic KJ, Soo Hoo K, Goldberg AN, Pitts L, Lawton MT, Dudley RA, Gonzales R. Association Between Surgeon Scorecard Use and Operating Room Costs. JAMA Surg. 2017 03 01; 152(3):284-291.
- Minnaard MC, de Groot JAH, Hopstaken RM, Schierenberg A, de Wit NJ, Reitsma JB, Broekhuizen BDL, van Vugt SF, Neven AK, Graffelman AW, Melbye H, Rainer TH, Steurer J, Holm A, Gonzales R, Dinant GJ, van de Pol AC, Verheij TJM. The added value of C-reactive protein measurement in diagnosing pneumonia in primary care: a meta-analysis of individual patient data. CMAJ. 2017 Jan 16; 189(2):E56-E63.
- Zygourakis CC, Valencia V, Boscardin C, Nayak RU, Moriates C, Gonzales R, Theodosopoulos P, Lawton MT. Predictors of Variation in Neurosurgical Supply Costs and Outcomes Across 4904 Surgeries at a Single Institution. World Neurosurg. 2016 Dec; 96:177-183.
- Zygourakis CC, Valencia V, Moriates C, Boscardin C, Catschegn S, Goldberg A, Bozic K, Hoo KS, Wustrack R, Pitts LH, Dudley A, Gonzales R, Lawton MT. 152 A Prospective Controlled Trial of the Effect of Surgeon Cost Scorecards on Operating Room Surgical Cost Reduction. Neurosurgery. 2016 Aug; 63 Suppl 1:161-2.
- Zygourakis CC, Liu C, Theodosopoulos PV, Lawton MT, Dudley A, Gonzales R. 153 Significant Interhospital Variation in Cranial Surgery Costs Using the Nationwide Inpatient Sample Database. Neurosurgery. 2016 Aug; 63 Suppl 1:162.
- Gleason N, Prasad PA, Ackerman S, Ho C, Monacelli J, Wang M, Collado D, Gonzales R. Adoption and impact of an eConsult system in a fee-for-service setting. Healthc (Amst). 2017 Mar; 5(1-2):40-45.
- Wrenn K, Catschegn S, Cruz M, Gleason N, Gonzales R. Analysis of an electronic consultation program at an academic medical centre: Primary care provider questions, specialist responses, and primary care provider actions. J Telemed Telecare. 2017 Feb; 23(2):217-224.
- Zygourakis CC, Yoon S, Valencia V, Boscardin C, Moriates C, Gonzales R, Lawton MT. Operating room waste: disposable supply utilization in neurosurgical procedures. J Neurosurg. 2017 Feb; 126(2):620-625.
- Otto ME, Senter C, Gonzales R, Gleason N. Referring wisely: orthopedic referral guidelines at an academic institution. Am J Manag Care. 2016 05 01; 22(5):e185-91.
- Schierenberg A, Minnaard MC, Hopstaken RM, van de Pol AC, Broekhuizen BD, de Wit NJ, Reitsma JB, van Vugt SF, Graffelman AW, Melbye H, Rainer TH, Steurer J, Holm A, Gonzales R, Dinant GJ, de Groot JA, Verheij TJ. External Validation of Prediction Models for Pneumonia in Primary Care Patients with Lower Respiratory Tract Infection: An Individual Patient Data Meta-Analysis. PLoS One. 2016; 11(2):e0149895.
- Ackerman SL, Boscardin C, Karliner L, Handley MA, Cheng S, Gaither TW, Hagey J, Hennein L, Malik F, Shaw B, Trinidad N, Zahner G, Gonzales R. The Action Research Program: Experiential Learning in Systems-Based Practice for First-Year Medical Students. Teach Learn Med. 2016; 28(2):183-91.
- Liu CY, Gonzales R. Variation in Follow-Up Visit Practices Across Clinicians and Conditions: Findings From a University Cardiology Practice. Health Serv Res Manag Epidemiol. 2015 Jan-Dec; 2:2333392815620185.
- Gonzales R, Cattamanchi A. Changing Clinician Behavior When Less Is More. JAMA Intern Med. 2015 Dec; 175(12):1921-2.
- Boscardin CK, Gonzales R, Bradley KL, Raven MC. Predicting cost of care using self-reported health status data. BMC Health Serv Res. 2015 Sep 23; 15:406.
- Ho CK, Boscardin CK, Gleason N, Collado D, Terdiman J, Terrault NA, Gonzales R. Optimizing the pre-referral workup for gastroenterology and hepatology specialty care: consensus using the Delphi method. J Eval Clin Pract. 2016 Feb; 22(1):46-52.
- Ho CK, Maselli JH, Terrault NA, Gonzales R. High Rate of Hospital Admissions Among Patients with Cirrhosis Seeking Care in US Emergency Departments. Dig Dis Sci. 2015 Jul; 60(7):2183-9.
- Cruz ML, Gleason N, Wang M, Wrenn K, Gonzales R. Transforming the endocrine consult: asynchronous provider consultations. Endocr Pract. 2015 May; 21(5):514-21.
- Ackerman S, Gleason N, Gonzales R. Using Rapid Ethnography to Support the Design and Implementation of Health Information Technologies. Stud Health Technol Inform. 2015; 215:14-27.
- Khanna R, Stoddard PJ, Gonzales EN, Villagran-Flores M, Thomson J, Bayard P, Palos Lucio AG, Schillinger D, Bertozzi S, Gonzales R. An automated telephone nutrition support system for Spanish-speaking patients with diabetes. J Diabetes Sci Technol. 2014 Nov; 8(6):1115-20.
- Tang N, Maselli JH, Gonzales R. Variations in 30-day hospital readmission rates across primary care clinics within a tertiary referral center. J Hosp Med. 2014 Nov; 9(11):688-94.
- Ackerman SL, Gleason N, Monacelli J, Collado D, Wang M, Ho C, Catschegn-Pfab S, Gonzales R. When to repatriate? Clinicians' perspectives on the transfer of patient management from specialty to primary care. J Gen Intern Med. 2014 Oct; 29(10):1355-61.
- Moy NY, Lee SJ, Chan T, Grovey B, Boscardin WJ, Gonzales R, Pierluissi E. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014 May; 40(5):219-27.