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    Renee Hsia, MD

    TitleAssistant Professor of Clinical
    SchoolUCSF School of Medicine
    DepartmentEmergency Medicine
    Address1001 Potrero Ave, SFGH 100
    San Francisco CA 94110
    Phone415-206-4612
    EmailRenee.Hsia@emergency.ucsf.edu

       Biography 
       Awards and Honors
      2012Emergency Medicine Foundation Health Policy Grant
      2011Society for Academic Emergency Medicine Young Investigator Award
      2011 - 2012Senior Reviewer, Annals of Emergency Medicine
      2009Robert Wood Johnson Foundation Physician Faculty Scholars Award
      2009Stanford/Kaiser Emergency Medicine Clinical Teaching Award
      2009Stanford/Kaiser Emergency Medicine Residency Annual Attending Bedside Teaching Award
      2009Society for Academic Emergency Medicine Mid-Atlantic Best in Session Presentation
      2009 - 2010UCSF EM Residency 4th Quarter Bedside Teaching Award (SFGH)
      2008Stanford/Kaiser Emergency Medicine Quarterly Bedside Teaching Award
      2008Best Paper Award for American College of Emergency Physicians
      2008Asian American’s Women’s Alliance 2008 Recognition Award

       Overview 
       Overview
      Renee Y. Hsia, M.D., M.Sc. is Assistant Professor of Emergency Medicine at UCSF. Dr. Hsia completed her undergraduate work at Princeton University from the Woodrow Wilson School of Public and International Affairs, and earned her medical degree at Harvard Medical School. She received her residency training at Stanford University and obtained a Masters of Science in health policy, planning, and financing from the London School of Economics and the London School of Hygiene and Tropical Medicine. She is board-certified in Emergency Medicine. Dr. Hsia speaks Mandarin, Cantonese, Spanish, and French, and provides emergency care to patients with a variety of backgrounds as an attending physician at San Francisco General Hospital, the only county hospital and trauma center for San Francisco, California.

      Dr. Hsia’s broad research interests are in health services issues related to increasing access to emergency care and regionalization of care. She is funded by several private foundation grants, the National Institutes of Health, and the Robert Wood Johnson Foundation to study population access to emergency departments and trauma centers in the U.S; the distribution of emergency care across income areas; factors associated with closure of emergency services (both emergency departments and trauma centers); how these closures affect patient outcomes, specifically focusing on patients with acute myocardial infarction, stroke, asthma/COPD, sepsis, and trauma; and the variation of costs and charges in the healthcare system. Her research program also focuses on healthcare costs and financing issues with regard to emergency care. She is also the site PI for several multi-site studies validating trauma triage criteria for different age groups as well as their ability to predict high-risk patients. She has published on these issues in a broad range of journals, including the Journal of the American Medical Association, Health Affairs, American Journal of Public Health, Annals of Emergency Medicine, Academic Emergency Medicine, Journal of Trauma, Archives of Internal Medicine, and Medical Care. Her research has been widely publicized in print media, including the New York Times, the Associated Press, Reuters, USA Today, as well as national network news and radio. Dr. Hsia hopes that this work will help to inform policymakers on the monitoring and oversight of the equitable provision of critical services to patients across the country, and overall improvement of the system's ability to deliver healthcare.


       Bibliographic 
       Publications
      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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      1. Newgard CD, Hsia RY, Mann NC, Schmidt T, Sahni R, Bulger EM, Wang NE, Holmes JF, Fleischman R, Zive D, Staudenmayer K, Haukoos JS, Kuppermann N. The trade-offs in field trauma triage: a multiregion assessment of accuracy metrics and volume shifts associated with different triage strategies. J Trauma Acute Care Surg. 2013 May; 74(5):1298-306; discussion 1306.
        View in: PubMed
      2. Barnett AS, Wang NE, Sahni R, Hsia RY, Haukoos JS, Barton ED, Holmes JF, Newgard CD. Variation in prehospital use and uptake of the national Field Triage Decision Scheme. Prehosp Emerg Care. 2013 Apr-Jun; 17(2):135-48.
        View in: PubMed
      3. Raven MC, Lowe RA, Maselli J, Hsia RY. Comparison of presenting complaint vs discharge diagnosis for identifying " nonemergency" emergency department visits. JAMA. 2013 Mar 20; 309(11):1145-53.
        View in: PubMed
      4. Caldwell N, Srebotnjak T, Wang T, Hsia R. "How much will I get charged for this?" patient charges for top ten diagnoses in the emergency department. PLoS One. 2013; 8(2):e55491.
        View in: PubMed
      5. Sun BC, Hsia RY, Weiss RE, Zingmond D, Liang LJ, Han W, McCreath H, Asch SM. Effect of emergency department crowding on outcomes of admitted patients. Ann Emerg Med. 2013 Jun; 61(6):605-611.e6.
        View in: PubMed
      6. Hsia RY, Kanzaria HK, Srebotnjak T, Maselli J, McCulloch C, Auerbach AD. Is emergency department closure resulting in increased distance to the nearest emergency department associated with increased inpatient mortality? Ann Emerg Med. 2012 Dec; 60(6):707-715.e4.
        View in: PubMed
      7. Nishijima DK, Haukoos JS, Newgard CD, Staudenmayer K, White N, Slattery D, Maxim PC, Gee CA, Hsia RY, Melnikow JA, Holmes JF. Variability of ICU use in adult patients with minor traumatic intracranial hemorrhage. Ann Emerg Med. 2013 May; 61(5):509-517.e4.
        View in: PubMed
      8. Delgado MK, Newgard CD, Hsia RY. Helicopter vs ground transportation for patients with trauma. JAMA. 2012 Aug 8; 308(6):563; author reply 565.
        View in: PubMed
      9. Hsia RY, Asch SM, Weiss RE, Zingmond D, Liang LJ, Han W, McCreath H, Sun BC. California hospitals serving large minority populations were more likely than others to employ ambulance diversion. Health Aff (Millwood). 2012 Aug; 31(8):1767-76.
        View in: PubMed
      10. Hsia RY, Kothari AH, Srebotnjak T, Maselli J. Health care as a “market good”? Appendicitis as a case study. Arch Intern Med. 2012 May 28; 172(10):818-9.
        View in: PubMed
      11. Nakamura Y, Daya M, Bulger EM, Schreiber M, Mackersie R, Hsia RY, Mann NC, Holmes JF, Staudenmayer K, Sturges Z, Liao M, Haukoos J, Kuppermann N, Barton ED, Newgard CD. Evaluating age in the field triage of injured persons. Ann Emerg Med. 2012 Sep; 60(3):335-45.
        View in: PubMed
      12. Newgard CD, Kampp M, Nelson M, Holmes JF, Zive D, Rea T, Bulger EM, Liao M, Sherck J, Hsia RY, Wang NE, Fleischman RJ, Barton ED, Daya M, Heineman J, Kuppermann N. Deciphering the use and predictive value of "emergency medical services provider judgment" in out-of-hospital trauma triage: a multisite, mixed methods assessment. J Trauma Acute Care Surg. 2012 May; 72(5):1239-48.
        View in: PubMed
      13. Newgard C, Malveau S, Staudenmayer K, Wang NE, Hsia RY, Mann NC, Holmes JF, Kuppermann N, Haukoos JS, Bulger EM, Dai M, Cook LJ. Evaluating the use of existing data sources, probabilistic linkage, and multiple imputation to build population-based injury databases across phases of trauma care. Acad Emerg Med. 2012 Apr; 19(4):469-80.
        View in: PubMed
      14. Staudenmayer K, Hsia R, Wang E, Sporer K, Ghilarducci D, Spain D, Mackersie R, Sherck J, Kline R, Newgard C. The forgotten trauma patient: outcomes for injured patients evaluated by emergency medical services but not transported to the hospital. J Trauma Acute Care Surg. 2012 Mar; 72(3):594-9; discussion 599-600.
        View in: PubMed
      15. Fee C, Burstin H, Maselli JH, Hsia RY. Association of emergency department length of stay with safety-net status. JAMA. 2012 Feb 1; 307(5):476-82.
        View in: PubMed
      16. Newgard CD, Zive D, Holmes JF, Bulger EM, Staudenmayer K, Liao M, Rea T, Hsia RY, Wang NE, Fleischman R, Jui J, Mann NC, Haukoos JS, Sporer KA, Gubler KD, Hedges JR. A multisite assessment of the American College of Surgeons Committee on Trauma field triage decision scheme for identifying seriously injured children and adults. J Am Coll Surg. 2011 Dec; 213(6):709-21.
        View in: PubMed
      17. Hsia RY, Srebotnjak T, Kanzaria HK, McCulloch C, Auerbach AD. System-level health disparities in California emergency departments: minorities and Medicaid patients are at higher risk of losing their emergency departments. Ann Emerg Med. 2012 May; 59(5):358-65.
        View in: PubMed
      18. Hsia RY, Shen YC. Rising closures of hospital trauma centers disproportionately burden vulnerable populations. Health Aff (Millwood). 2011 Oct; 30(10):1912-20.
        View in: PubMed
      19. Shen YC, Hsia RY. Does decreased access to emergency departments affect patient outcomes? Analysis of acute myocardial infarction population 1996-2005. Health Serv Res. 2012 Feb; 47(1 Pt 1):188-210.
        View in: PubMed
      20. Westphalen AC, Hsia RY, Maselli JH, Wang R, Gonzales R. Radiological imaging of patients with suspected urinary tract stones: national trends, diagnoses, and predictors. Acad Emerg Med. 2011 Jul; 18(7):699-707.
        View in: PubMed
      21. Shen YC, Hsia RY. Association between ambulance diversion and survival among patients with acute myocardial infarction. JAMA. 2011 Jun 15; 305(23):2440-7.
        View in: PubMed
      22. Hsia RY, Kellermann AL, Shen YC. Factors associated with closures of emergency departments in the United States. JAMA. 2011 May 18; 305(19):1978-85.
        View in: PubMed
      23. Hsia RY, Carr BG. Measuring emergency care systems: the path forward. Ann Emerg Med. 2011 Sep; 58(3):267-9.
        View in: PubMed
      24. Hsia RY, Mbembati NA, Macfarlane S, Kruk ME. Access to emergency and surgical care in sub-Saharan Africa: the infrastructure gap. Health Policy Plan. 2012 May; 27(3):234-44.
        View in: PubMed
      25. Jayaraman S, Ozgediz D, Miyamoto J, Caldwell N, Lipnick MS, Mijumbi C, Mabweijano J, Hsia R, Dicker R. Disparities in injury mortality between Uganda and the United States: comparative analysis of a neglected disease. World J Surg. 2011 Mar; 35(3):505-11.
        View in: PubMed
      26. Sani R, Nameoua B, Yahaya A, Hassane I, Adamou R, Hsia RY, Joekman P, Sako A, Habibou A. Provisional surgical training programs for increasing surgical capacity in rural areas in Niger: reply to letter. World J Surg. 2011 Mar; 35(3):693.
        View in: PubMed
      27. Hsia RY, Asch SM, Weiss RE, Zingmond D, Liang LJ, Han W, McCreath H, Sun BC. Hospital determinants of emergency department left without being seen rates. Ann Emerg Med. 2011 Jul; 58(1):24-32.e3.
        View in: PubMed
      28. Tabas JA, Hsia RY. Invited commentary--Emergency department neuroimaging: are we using our heads?: Comment on "Use of neuroimaging in US emergency departments". Arch Intern Med. 2011 Feb 14; 171(3):262-4.
        View in: PubMed
      29. Lee JJ, Hsia RY. Cutaneous cryptococcal infection as a manifestation of disseminated disease. Cryptococcus neoformans. Ann Emerg Med. 2011 Feb; 57(2):100, 103.
        View in: PubMed
      30. Hsia RY, Wang E, Saynina O, Wise P, Pérez-Stable EJ, Auerbach A. Factors associated with trauma center use for elderly patients with trauma: a statewide analysis, 1999-2008. Arch Surg. 2011 May; 146(5):585-92.
        View in: PubMed
      31. Hsia R, Shen YC. Possible geographical barriers to trauma center access for vulnerable patients in the United States: an analysis of urban and rural communities. Arch Surg. 2011 Jan; 146(1):46-52.
        View in: PubMed
      32. Pilgrim R, Hilton JA, Carrier E, Pines JM, Hufstetler G, Thorby S, Milling TJ, Cesta B, Hsia RY. Research priorities for administrative challenges of integrated networks of care. Acad Emerg Med. 2010 Dec; 17(12):1330-6.
        View in: PubMed
      33. Hsia RY, Mahadevan SV, Brundage SI. Penetrating cardiac injury from a wooden knitting needle. J Emerg Med. 2012 Jul; 43(1):116-9.
        View in: PubMed
      34. Tang N, Stein J, Hsia RY, Maselli JH, Gonzales R. Trends and characteristics of US emergency department visits, 1997-2007. JAMA. 2010 Aug 11; 304(6):664-70.
        View in: PubMed
      35. Hsia RY, Ozgediz D, Mutto M, Jayaraman S, Kyamanywa P, Kobusingye OC. Epidemiology of injuries presenting to the national hospital in Kampala, Uganda: implications for research and policy. Int J Emerg Med. 2010; 3(3):165-72.
        View in: PubMed
      36. Shen YC, Hsia RY. Changes in emergency department access between 2001 and 2005 among general and vulnerable populations. Am J Public Health. 2010 Aug; 100(8):1462-9.
        View in: PubMed
      37. McQueen KA, Ozgediz D, Riviello R, Hsia RY, Jayaraman S, Sullivan SR, Meara JG. Essential surgery: Integral to the right to health. Health Hum Rights. 2010; 12(1):137-52.
        View in: PubMed
      38. Ravikumar D, Hsia R. Do California counties with lower socioeconomic levels have less access to emergency department care? Acad Emerg Med. 2010 May; 17(5):508-13.
        View in: PubMed
      39. Kruk ME, Wladis A, Mbembati N, Ndao-Brumblay SK, Hsia RY, Galukande M, Luboga S, Matovu A, de Miranda H, Ozgediz D, Quiñones AR, Rockers PC, von Schreeb J, Vaz F, Debas HT, Macfarlane SB. Human resource and funding constraints for essential surgery in district hospitals in Africa: a retrospective cross-sectional survey. PLoS Med. 2010 Mar; 7(3):e1000242.
        View in: PubMed
      40. Bickler S, Ozgediz D, Gosselin R, Weiser T, Spiegel D, Hsia R, Dunbar P, McQueen K, Jamison D. Key concepts for estimating the burden of surgical conditions and the unmet need for surgical care. World J Surg. 2010 Mar; 34(3):374-80.
        View in: PubMed
      41. Riviello R, Ozgediz D, Hsia RY, Azzie G, Newton M, Tarpley J. Role of collaborative academic partnerships in surgical training, education, and provision. World J Surg. 2010 Mar; 34(3):459-65.
        View in: PubMed
      42. Hsia R, Razzak J, Tsai AC, Hirshon JM. Placing emergency care on the global agenda. Ann Emerg Med. 2010 Aug; 56(2):142-9.
        View in: PubMed
      43. Hsia RY, Wang E, Torres H, Saynina O, Wise PH. Disparities in trauma center access despite increasing utilization: data from California, 1999 to 2006. J Trauma. 2010 Jan; 68(1):217-24.
        View in: PubMed
      44. Luboga S, Macfarlane SB, von Schreeb J, Kruk ME, Cherian MN, Bergström S, Bossyns PB, Denerville E, Dovlo D, Galukande M, Hsia RY, Jayaraman SP, Lubbock LA, Mock C, Ozgediz D, Sekimpi P, Wladis A, Zakariah A, Dade NB, Donkor P, Gatumbu JK, Hoekman P, Ijsselmuiden CB, Jamison DT, Jessani N, Jiskoot P, Kakande I, Mabweijano JR, Mbembati N, McCord C, Mijumbi C, de Miranda H, Mkony CA, Mocumbi P, Ndihokubwayo JB, Ngueumachi P, Ogbaselassie G, Okitombahe EL, Toure CT, Vaz F, Zikusooka CM, Debas HT. Increasing access to surgical services in sub-saharan Africa: priorities for national and international agencies recommended by the Bellagio Essential Surgery Group. PLoS Med. 2009 Dec; 6(12):e1000200.
        View in: PubMed
      45. Jayaraman S, Mabweijano JR, Lipnick MS, Caldwell N, Miyamoto J, Wangoda R, Mijumbi C, Hsia R, Dicker R, Ozgediz D. Current patterns of prehospital trauma care in Kampala, Uganda and the feasibility of a lay-first-responder training program. World J Surg. 2009 Dec; 33(12):2512-21.
        View in: PubMed
      46. Martinez-Diaz GJ, Hsia R. Altered mental status from acyclovir. J Emerg Med. 2011 Jul; 41(1):55-8.
        View in: PubMed
      47. Hsia RY, Tabas JA. Emergency care: the increasing weight of increasing waits. Arch Intern Med. 2009 Nov 9; 169(20):1836-8.
        View in: PubMed
      48. Sani R, Nameoua B, Yahaya A, Hassane I, Adamou R, Hsia RY, Hoekman P, Sako A, Habibou A. The impact of launching surgery at the district level in Niger. World J Surg. 2009 Oct; 33(10):2063-8.
        View in: PubMed
      49. Jayaraman S, Mabweijano JR, Lipnick MS, Caldwell N, Miyamoto J, Wangoda R, Mijumbi C, Hsia R, Dicker R, Ozgediz D. First things first: effectiveness and scalability of a basic prehospital trauma care program for lay first-responders in Kampala, Uganda. PLoS One. 2009; 4(9):e6955.
        View in: PubMed
      50. Shen YC, Hsia RY, Kuzma K. Understanding the risk factors of trauma center closures: do financial pressure and community characteristics matter? Med Care. 2009 Sep; 47(9):968-78.
        View in: PubMed
      51. Ozgediz D, Hsia R, Weiser T, Gosselin R, Spiegel D, Bickler S, Dunbar P, McQueen K. Population health metrics for surgery: effective coverage of surgical services in low-income and middle-income countries. World J Surg. 2009 Jan; 33(1):1-5.
        View in: PubMed
      52. Martinez-Diaz GJ, Formaker C, Hsia R. Atrial fibrillation from thyroid storm. J Emerg Med. 2012 Jan; 42(1):e7-9.
        View in: PubMed
      53. Hsia RY, Wang E, Thanassi WT. Fever, abdominal pain, and leukopenia in a 13-year-old: a case-based review of meningococcemia. J Emerg Med. 2009 Jul; 37(1):21-8.
        View in: PubMed
      54. Martinez-Diaz GJ, Hsia R. Pott's Puffy tumor after minor head trauma. Am J Emerg Med. 2008 Jul; 26(6):739.e1-3.
        View in: PubMed
      55. Hsia RY, Belfer ML. A framework for the economic analysis of child and adolescent mental disorders. Int Rev Psychiatry. 2008 Jun; 20(3):251-9.
        View in: PubMed
      56. Hsia RY, MacIsaac D, Palm E, Baker LC. Trends in charges and payments for nonhospitalized emergency department pediatric visits, 1996-2003. Acad Emerg Med. 2008 Apr; 15(4):347-54.
        View in: PubMed
      57. Hsia RY, MacIsaac D, Baker LC. Decreasing reimbursements for outpatient emergency department visits across payer groups from 1996 to 2004. Ann Emerg Med. 2008 Mar; 51(3):265-74, 274.e1-5.
        View in: PubMed
      58. Hsia R, Chiao A, Law Courter J. Images in emergency medicine. Cecal volvulus. Ann Emerg Med. 2007 Mar; 49(3):272, 281.
        View in: PubMed
      59. Hsia RY, Chan J, Baker LC. Do mandates requiring insurers to pay for emergency care influence the use of the emergency department? Health Aff (Millwood). 2006 Jul-Aug; 25(4):1086-94.
        View in: PubMed
      60. Hsu LD, DeJong W, Hsia R, Chang M, Ryou M, Yeh E. Student leadership in public health advocacy: lessons learned from the hepatitis B initiative. Am J Public Health. 2003 Aug; 93(8):1250-2.
        View in: PubMed
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