About EST

The Office of Enterprise Strategy & Transformation is the strategic business partner to leaders across the enterprise—helping prioritize, structure, and deliver UCSF’s most critical transformation efforts. From enterprise ERP modernization to new clinical and research platforms, from process improvement to cultural change, EST ensures UCSF has the discipline, capability, and leadership alignment to succeed.

Our role is threefold:

• Strategic Alignment – translating UCSF’s vision into executable initiatives.
• Enterprise Capability – building frameworks, methods, and communities that raise the bar across programs.
• Value Realization – ensuring measurable outcomes in mission, quality, equity, access, and financial stewardship.

We don’t just manage projects—we enable transformation.

More on these services

Program & Portfolio Management

We are the portfolio stewards of UCSF’s enterprise transformation.

EST provides visibility and discipline to UCSF’s most critical initiatives, ensuring investments deliver impact. We help leaders decide what matters most, structure efforts for success, and track progress with transparency.

What we do:

• Prioritize and align enterprise initiatives with UCSF’s mission and strategy.
• Provide governance structures that enable decision-making and accountability.
• Manage high-complexity programs that span health, campus, and research domains.
• Deliver portfolio reporting and dashboards that track cost, risk, and benefits.
• Serve as the trusted partner for senior leadership in transformation oversight.

Our value: 

EST gives leaders the confidence that UCSF’s resources are being applied to the right initiatives—and that those initiatives will deliver results.

Change Management

Change is successful only when people embrace it.

EST ensures that staff, faculty, and learners are informed, engaged, and supported through every transition—whether it’s a new system, policy, process, or way of working.

What we do:

• Build sponsorship and leadership capacity for leading through change.
• Design and deliver enterprise-wide stakeholder engagement and communication strategies.
• Develop training, learning pathways, and support networks for adoption.
• Track adoption metrics and sustainment to ensure transformation endures.

Our value: 

EST makes change human-centered, measurable, and sustainable, reducing disruption and increasing engagement.

Business & Technology Transformation

EST bridges the gap between strategic ambition and operational reality.

We integrate process redesign with technology implementation, enabling UCSF to work smarter, faster, and more effectively. Our role is to ensure that digital and operational transformations deliver not just systems—but new ways of working that improve experience, equity, and outcomes.

What we do:

• Analyze current-state processes and identify opportunities for improvement.
• Redesign workflows with Lean and continuous improvement approaches.
• Partner on technology selection and readiness.
• Create enterprise roadmaps that sequence change for maximum impact.
• Guide leaders and teams through the adoption of new tools and processes.

Our value: 

EST ensures UCSF’s technology investments translate into real business and mission outcomes.

• Trust & Collaboration – We work side-by-side with leaders and staff, building trust and fostering teamwork.
• Accountability & Transparency – We provide clear governance and visibility so leaders can make confident decisions.
• Innovation & Improvement – We continuously improve how UCSF plans, delivers, and sustains transformation.
• Leadership & Partnership – We empower leaders to guide their teams through change, not just manage it.