Hemal Kanzaria, MD

Biography: 

Hemal Kanzaria, MD, MSc, is a Professor of Emergency Medicine at the University of California, San Francisco (UCSF), where he holds the Terry A. Patinkin, MD, Endowed Professorship in Health Equity. He is the Chief of Performance Excellence at Zuckerberg San Francisco General Hospital (ZSFG), where his focus is on organizational strategy and performance improvement.

Prior to his current role, he served as the Director of Complex Care Analytics for the San Francisco Health Network (2015-2019) and the Medical Director for the Department of Care Coordination at ZSFG (2019-2023). Through these roles, he supported the expansion and operationalization of a novel multi-agency integrated data systems to understand patients medical and non-medical needs; the implementation of the Emergency Department (ED) information exchange across the SF Department of Public Health; the development of an innovative multi-disciplinary Social Medicine team to address patients’ health-related social needs; and numerous care coordination efforts employing lean improvement principles to advance safe, efficient, and equitable patient care. He is also the founding Co-Director of the Department of Emergency Medicine Section of Social Emergency Medicine and Health Equity, and serves on the Board of Directors for the San Francisco General Hospital Foundation.

Dr. Kanzaria is a health services researcher, a decision editor for Annals of Emergency Medicine, and an Associate Director at the UCSF Benioff Homelessness and Housing Initiative, where he co-leads the research hub COORDINATE HOME - CrOss-sectOR Data INtegrAtion To End HOMElessness. He is also Core Faculty in the UCSF Center for Vulnerable Populations and Affiliated Faculty at the UCSF Institute for Health Policy Studies and the California Policy Lab. His research focuses on patient engagement, health-related social needs, homelessness, frequent users of the health care system, and delivery system transformation. He has published extensively on these topics and his work has been featured widely in the media.

A graduate of Brown University, UCSF School of Medicine, and the UCLA School of Public Health, Dr. Kanzaria’s training includes an emergency medicine residency at UCSF/ZSFG. He is an alum of the Robert Wood Johnson Clinical Scholars program and the California Health Care Foundation Leadership Program. Dr. Kanzaria is a practicing emergency physician at UCSF/ZSFG, and lives in San Francisco with his wife and their two daughters.

Publications: 

Association of Homelessness with Before Medically Advised Discharge After Surgery.

Joint Commission journal on quality and patient safety

Decker HC, Silver CM, Graham-Squire D, Pierce L, Kanzaria HK, Wick EC

Morbidity and Length of Stay After Injury Among People Experiencing Homelessness in North America.

JAMA network open

Silver CM, Thomas AC, Reddy S, Kirkendoll S, Nathens AB, Issa N, Patel PP, Plevin RE, Kanzaria HK, Stey AM

Housing Status Changes Are Associated With Cancer Outcomes Among US Veterans.

Health affairs (Project Hope)

Decker HC, Graham LA, Titan A, Hawn MT, Kanzaria HK, Wick E, Kushel MB

ASO Visual Abstract: Access, Outcomes, and Costs Associated with Surgery for Malignancy Among People Experiencing Homelessness.

Annals of surgical oncology

Silver CM, Janczewski LM, Royan R, Chung JW, Bentrem DJ, Kanzaria HK, Stey AM, Bilimoria KY, Merkow RP

Access, Outcomes, and Costs Associated with Surgery for Malignancy Among People Experiencing Homelessness.

Annals of surgical oncology

Silver CM, Janczewski LM, Royan R, Chung JW, Bentrem DJ, Kanzaria HK, Stey AM, Bilimoria KY, Merkow RP

Housing Status, Cancer Care, and Associated Outcomes Among US Veterans.

JAMA network open

Decker HC, Graham LA, Titan A, Kanzaria HK, Hawn MT, Kushel M, Wick E

Caring for the Homeless.

Urban Emergency Medicine

Maria Raven, Hemal Kanzaria, Jaskaran (Karan) Bains

Injury Patterns and Hospital Admission After Trauma Among People Experiencing Homelessness.

JAMA network open

Silver CM, Thomas AC, Reddy S, Sullivan GA, Plevin RE, Kanzaria HK, Stey AM

Association of Housing Status with Types of Operations and Post-Operative Healthcare Utilization.

Annals of surgery

Decker HC, Kanzaria HK, Evans J, Pierce L, Wick EC

The Unspoken Inequities of Our Boarding Crisis.

Annals of emergency medicine

Kanzaria HK, Cooper RJ

766 San Francisco Residents may be Eligible for Referral to CARE Court. California Policy Lab and UCSF Benioff Homelessness and Housing Initiative Policy Brief

Raven M, Evans J, Augustine D, Dewilde K, Henderson J, Kanzaria H, Pailillo S, Perez K, Pratt L, Skog A, Lacoe J.

Hospital Variability in Adoption of Alcohol and Drug Screening in Adult Trauma Patients.

The journal of trauma and acute care surgery

Silver CM, Visenio MR, Thomas AC, Reddy S, Raven MC, Kanzaria HK, Plevin RE, Stey AM

Characterizing patients hospitalized without an acute care indication: A retrospective cohort study.

Journal of hospital medicine

Rosenthal MA, Ranji SR, Kanzaria HK, Ortiz GM, Chase J, Chodos AH, Nguyen OK, Rodriguez EG, Makam AN

Cluster Analysis of the Highest Users of Medical, Behavioral Health, and Social Services in San Francisco.

Journal of general internal medicine

Hewlett MM, Raven MC, Graham-Squire D, Evans JL, Cawley C, Kushel M, Kanzaria HK

Perspectives of COVID-19 vaccine-hesitant emergency department patients to inform messaging platforms to promote vaccine uptake.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Gentsch AT, Butler J, O'Laughlin K, Eucker SA, Chang A, Duber H, Geyer RE, Guth A, Kanzaria HK, Pauley A, Rising KL, Chavez CL, Tupetz A, Rodriguez RM

When the Homeless Are Hurt: National Patterns and Outcomes of Physical Trauma in Undomiciled Adults.

Journal of the American College of Surgeons

Casey M Silver, Arielle C Thomas, Susheel Reddy, Rebecca E Plevin, Hemal K Kanzaria, Anne M Stey

Analysis of Emergency Department Encounters Among High Users of Health Care and Social Service Systems Before and During the COVID-19 Pandemic.

JAMA network open

Molina M, Evans J, Montoy JC, Cawley C, Graham-Squire D, Perez K, Raven M, Kanzaria HK

202 Drug-Related Arrests Among Frequent Emergency Department Users are Compounded by Housing Status.

Annals of emergency medicine

V. Eswaran, M. Olson, J. Lacoe, S. Paolillo, A. Skog, H. Kanzaria, M. Raven

Signals of Distress: High Utilization of Criminal Legal and Urgent and Emergent Health Services in San Francisco

California Policy Lab Report

Cawley C, Henderson J, Kanzaria HK, Lacoe J, Paolillo S, Perez K, Raven MC, Skog A

How Hospital Discharge Data Can Inform State Homelessness Policy

Public Policy Institute of California Research Report

McConville S, Kanzaria HK, Hsia RY, Raven MC, Kushel K

Association of Shelter-in-Place Hotels With Health Services Use Among People Experiencing Homelessness During the COVID-19 Pandemic.

JAMA network open

Fleming MD, Evans JL, Graham-Squire D, Cawley C, Kanzaria HK, Kushel MB, Raven MC

PROmotion of COvid-19 VA(X)ccination in the Emergency Department-PROCOVAXED: study protocol for a cluster randomized controlled trial.

Trials

Rodriguez RM, O'Laughlin K, Eucker SA, Chang AM, Rising KL, Nichol G, Pauley A, Kanzaria H, Gentsch AT, Li C, Duber H, Butler J, Eswaran V, Glidden D

PROmotion of COvid-19 VA(X)ccination in the Emergency Department - PROCOVAXED: Study Protocol for a Cluster Randomized Controlled Trial.

Research square

Rodriguez R, O'Laughlin K, Eucker S, Chang AM, Rising K, Nichol G, Pauley A, Kanzaria H, Gentsch A, Li C, Duber H, Butler J, Eswaran V, Glidden D

Mortality Among People Experiencing Homelessness in San Francisco During the COVID-19 Pandemic.

JAMA network open

Cawley C, Kanzaria HK, Zevin B, Doran KM, Kushel M, Raven MC

Understanding the association between frequent emergency department use and jail incarceration: a cross-sectional analysis.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Eswaran V, Raven MC, Wang RC, Cawley C, Izenberg JM, Kanzaria HK

Patient reported delays in obtaining emergency care during COVID19.

The American journal of emergency medicine

Eswaran V, Wang RC, Vashi AA, Kanzaria HK, Fahimi J, Raven MC

Understanding The 100 Highest Users of Health and Social Services in San Francisco.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Cawley C, Raven MC, Martinez MX, Niedzwiecki M, Kushel MB, Kanzaria HK

Assessment of a Hotel-Based COVID-19 Isolation and Quarantine Strategy for Persons Experiencing Homelessness.

JAMA network open

Fuchs JD, Carter HC, Evans J, Graham-Squire D, Imbert E, Bloome J, Fann C, Skotnes T, Sears J, Pfeifer-Rosenblum R, Moughamian A, Eveland J, Reed A, Borne D, Lee M, Rosenthal M, Jain V, Bobba N, Kushel M, Kanzaria HK

Emergency Department Length of Stay and Mortality in Critically Injured Patients.

Journal of intensive care medicine

Stey AM, Kanzaria HK, Dudley RA, Bilimoria KY, Knudson MM, Callcut RA

Shared Decision Making for the Emergency Provider: Engaging Patients When Seconds Count.

MedEdPORTAL : the journal of teaching and learning resources

Kanzaria HK, Chen EH

The Termination of Deferred Action for Childhood Arrival (DACA) Protections and Medical Education in the U.S.

Journal of immigrant and minority health

Talamantes E, Bribiesca Y, Rangel-Alvarez B, Viramontes O, Zhou M, Kanzaria H, Kuczewski MG, Moreno G

Frequent Emergency Department Users: Focusing Solely On Medical Utilization Misses The Whole Person.

Health affairs (Project Hope)

Kanzaria HK, Niedzwiecki M, Cawley CL, Chapman C, Sabbagh SH, Riggs E, Chen AH, Martinez MX, Raven MC

Introduction.

Annals of emergency medicine

Kanzaria HK, Hoffman JR

Does Shared Decision-Making actually occur in the ED? Looking at it from the patients' perspective.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Schoenfeld EM, Probst MA, Quigley DD, St Marie P, Nayyar N, Sabbagh SH, Beckford T, Kanzaria HK

Collecting Unused Medical Supplies in Emergency Departments for Responsible Redistribution.

The Journal of emergency medicine

Muldoon LB, Chan WW, Sabbagh SH, Rodriguez RM, Kanzaria HK

Reducing Emergency Department Length of Stay.

JAMA

Mercer MP, Singh MK, Kanzaria HK

Computed Tomography Use Plateaus Among Children With Emergency Visits for Abdominal Pain.

Pediatric emergency care

Fahimi J, Kornblith AE, Kanzaria H, Herring A, Wang RC

Past Frequent Emergency Department Use Predicts Mortality.

Health affairs (Project Hope)

Niedzwiecki MJ, Kanzaria HK, Montoy JC, Hsia RY, Raven MC

Factors Associated With Emergency Department Use by Patients With and Without Mental Health Diagnoses.

JAMA network open

Niedzwiecki MJ, Sharma PJ, Kanzaria HK, McConville S, Hsia RY

Patient Preferences regarding Shared Decision-making in the Emergency Department: Findings from a multi-site survey.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Schoenfeld EM, Kanzaria HK, Quigley DD, Marie PS, Nayyar N, Sabbagh SH, Gress KL, Probst MA

Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection.

The New England journal of medicine

Waxman DA, Kanzaria HK, Schriger DL

Unrecognized Cardiovascular Emergencies Among Medicare Patients.

JAMA internal medicine

Waxman DA, Kanzaria HK, Schriger DL

Emergency Psychiatric Care: The Authors Reply.

Health affairs (Project Hope)

Raven MC, Hsia RY, Kanzaria HK

Understanding Waste in Health Care: Perceptions of Frontline Physicians Regarding Time Use and Appropriateness of Care They and Others Provide.

The Permanente journal

Caloyeras JP, Kanter MH, Ives NR, Kim CY, Kanzaria HK, Berry SH, Brook RH

Persistent Frequent Emergency Department Use: Core Group Exhibits Extreme Levels Of Use For More Than A Decade.

Health affairs (Project Hope)

Kanzaria HK, Niedzwiecki MJ, Montoy JC, Raven MC, Hsia RY

Five High-Cost Patient Groups.

Journal of general internal medicine

Kanzaria HK, Hoffman JR

Predictors for under-prescribing antibiotics in children with respiratory infections requiring antibiotics.

The American journal of emergency medicine

Kornblith AE, Fahimi J, Kanzaria HK, Wang RC

Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians.

Annals of emergency medicine

Probst MA, Kanzaria HK, Schoenfeld EM, Menchine MD, Breslin M, Walsh C, Melnick ER, Hess EP

Should US doctors embrace electronic health records?

BMJ (Clinical research ed.)

Gellert G, Webster L, Gillean J, Melnick E, Kanzaria H

Dissemination and Implementation of Shared Decision Making Into Clinical Practice: A Research Agenda.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Kanzaria HK, Booker-Vaughns J, Itakura K, Yadav K, Kane BG, Gayer C, Lin G, LeBlanc A, Gibson R, Chen EH, Williams P, Carpenter CR

The Role of Education in the Implementation of Shared Decision Making in Emergency Medicine: A Research Agenda.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Chen EH, Kanzaria HK, Itakura K, Booker-Vaughns J, Yadav K, Kane BG

Emergency Department Death Rates: The Authors Reply.

Health affairs (Project Hope)

Kanzaria HK, Hsia RY, Probst MA

Emergency Department Death Rates Dropped By Nearly 50 Percent, 1997-2011.

Health affairs (Project Hope)

Kanzaria HK, Probst MA, Hsia RY

Physician Professional Satisfaction and Area of Clinical Practice: Evidence from an Integrated Health Care Delivery System.

The Permanente journal

Caloyeras JP, Kanter M, Ives N, Kim CY, Kanzaria HK, Berry SH, Brook RH

Perceived Appropriateness of Shared Decision-making in the Emergency Department: A Survey Study.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Probst MA, Kanzaria HK, Frosch DL, Hess EP, Winkel G, Ngai KM, Richardson LD

Advancing Patient-centered Outcomes in Emergency Diagnostic Imaging: A Research Agenda.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Kanzaria HK, McCabe AM, Meisel ZM, LeBlanc A, Schaffer JT, Bellolio MF, Vaughan W, Merck LH, Applegate KE, Hollander JE, Grudzen CR, Mills AM, Carpenter CR, Hess EP

Emergency Department Diagnostic Imaging: The Journey to Quality.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Kanzaria HK, Hall MK, Moore CL, Burstin H

Improving Health Care for the Future Uninsured in Los Angeles County: A Community-Partnered Dialogue.

Ethnicity & disease

Iyer SP, Jones A, Talamantes E, Barnert ES, Kanzaria HK, Detz A, Daskivich TJ, Jones L, Ryan GW, Mahajan AP

In Reply... Credat Emptor.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Kanzaria HK, Probst MA, Hoffman JR

Emergency Physicians' Perceptions and Decision-making Processes Regarding Patients Presenting with Palpitations.

The Journal of emergency medicine

Probst MA, Kanzaria HK, Hoffman JR, Mower WR, Moheimani RS, Sun BC, Quigley DD

National trends in resource utilization associated with ED visits for syncope.

The American journal of emergency medicine

Probst MA, Kanzaria HK, Gbedemah M, Richardson LD, Sun BC

Emergency physician perceptions of medically unnecessary advanced diagnostic imaging.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Kanzaria HK, Hoffman JR, Probst MA, Caloyeras JP, Berry SH, Brook RH

Emergency physician perceptions of shared decision-making.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

Kanzaria HK, Brook RH, Probst MA, Harris D, Berry SH, Hoffman JR

Quality measures based on presenting signs and symptoms of patients.

JAMA

Kanzaria HK, Mattke S, Detz AA, Brook RH

Intolerance of error and culture of blame drive medical excess.

BMJ (Clinical research ed.)

Hoffman JR, Kanzaria HK

The association between advanced diagnostic imaging and ED length of stay.

The American journal of emergency medicine

Kanzaria HK, Probst MA, Ponce NA, Hsia RY

Analysis of emergency department visits for palpitations (from the National Hospital Ambulatory Medical Care Survey).

The American journal of cardiology

Probst MA, Mower WR, Kanzaria HK, Hoffman JR, Buch EF, Sun BC

Staff perceptions of an on-site clinical pharmacist program in an academic emergency department after one year.

The western journal of emergency medicine

Coralic Z, Kanzaria HK, Bero L, Stein J

A conceptual model of emergency physician decision making for head computed tomography in mild head injury.

The American journal of emergency medicine

Probst MA, Kanzaria HK, Schriger DL

The silent physician.

Journal of general internal medicine

Kanzaria HK, Brook RH

Infectious complication of Blunt head injury.

Emergency medicine journal : EMJ

Kanzaria HK, Detz A

Levamisole contaminated cocaine induced cutaneous vasculitis syndrome.

The western journal of emergency medicine

James KT, Detz A, Coralic Z, Kanzaria H

Cardiac tamponade.

The western journal of emergency medicine

Wilson JG, Epstein SM, Wang R, Kanzaria HK

A 120-hour case of priapism from an over-the-counter herbal supplement.

The Annals of pharmacotherapy

Coralic Z, Lenhoff T, Kanzaria HK, Gerona R

Adie's Tonic Pupil.

The western journal of emergency medicine

Kanzaria HK, Farzan N, Coralic Z

Is emergency department closure resulting in increased distance to the nearest emergency department associated with increased inpatient mortality?

Annals of emergency medicine

Hsia RY, Kanzaria HK, Srebotnjak T, Maselli J, McCulloch C, Auerbach AD

Remedy at UCSF: a sustainable student-run initiative.

Lancet (London, England)

Kanzaria HK, Fischette S, Jain S

Malaria treatment-seeking behaviour and recovery from malaria in a highland area of Kenya.

Malaria journal

Sumba PO, Wong SL, Kanzaria HK, Johnson KA, John CC

Schistosomiasis and pregnancy.

Trends in parasitology

Friedman JF, Mital P, Kanzaria HK, Olds GR, Kurtis JD

Human schistosomiasis and anemia: the relationship and potential mechanisms.

Trends in parasitology

Friedman JF, Kanzaria HK, McGarvey ST

Nutritional status and serum cytokine profiles in children, adolescents, and young adults with Schistosoma japonicum-associated hepatic fibrosis, in Leyte, Philippines.

The Journal of infectious diseases

Coutinho HM, McGarvey ST, Acosta LP, Manalo DL, Langdon GC, Leenstra T, Kanzaria HK, Solomon J, Wu H, Olveda RM, Kurtis JD, Friedman JF

Relationship between Schistosoma japonicum and nutritional status among children and young adults in Leyte, the Philippines.

The American journal of tropical medicine and hygiene

Friedman JF, Kanzaria HK, Acosta LP, Langdon GC, Manalo DL, Wu H, Olveda RM, McGarvey ST, Kurtis JD

Schistosoma japonicum and occult blood loss in endemic villages in Leyte, the Philippines.

The American journal of tropical medicine and hygiene

Kanzaria HK, Acosta LP, Langdon GC, Manalo DL, Olveda RM, McGarvey ST, Kurtis JD, Friedman JF