Hemal Kanzaria, MD

Biography: 

Hemal Kanzaria, MD, MSc, is the Department of Care Coordination (DoCC) Medical Director at Zuckerberg San Francisco General Hospital (ZSFG) and an Associate Professor of Emergency Medicine at the University of California, San Francisco (UCSF). At ZSFG, he is responsible for leading the design and implementation of care coordination, social services, and utilization management activities. His recent work at ZSFG has included successfully transitioning the DoCC on to EPIC, implementing observation services, implementing multi-disciplinary rounds for general/trauma surgery, reducing the volume of non-acute hospitalized patients, and leading the hospital's post-acute care coordination efforts both before and during the Covid-19 pandemic. Previously, he led the implementation of the Emergency Department (ED) information exchange across the SF Department of Public Health and the development of a novel multi-disciplinary Social Medicine team to address patients’ health-related social needs. The ZSFG Social Medicine team was awarded the statewide 2018 Quality Leaders Award through the California Association of Public Hospitals and Health Systems and the 2020 San Francisco Leaders with Heart Award. The team was also instrumental in the SFGH Foundation #IAmTheirPeople campaign, raising millions for individuals with mental illness.

Dr. Kanzaria is currently the Co-Principal Investigator on the evaluation of San Francisco County’s Whole Person Care pilot to improve the health of patients experiencing chronic homelessness. He is also an Affiliated Faculty at the UCSF Institute for Health Policy Studies, where his research focuses on patient engagement, health-related social needs, and health care delivery system transformation. He has published over 60 book chapters and peer-reviewed articles, including in JAMA and Health Affairs, and his work has been featured in Time Magazine, The Boston Globe, and National Public Radio.

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, their two daughters and rescue dog.

Publications: 

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