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Hemal Kanzaria, MD

Title(s)Associate Professor, Emergency Medicine
SchoolSchool of Medicine
Phone415-353-1634
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    Collapse Biography 
    Collapse Education and Training
    Brown UniversityBSc2003Environmental Science, Community Health
    University of California, San FranciscoM.D.2008Medicine
    University of California, Los Angeles (Robert Wood Johnson Clinical Scholars program)M.Sc.2014Health Policy and Management
    Collapse Awards and Honors
    CAPH/SNI2018Quality Leaders Award (for ED ZSFG Social Medicine Team)
    San Francisco General Hospital Foundation2018Heart Grant Award
    UCSF2017Academy of Medical Educators Excellence in Teaching Award
    Western Society for Academic Emergency Medicine2017Best Research Presentation
    Zuckerberg San Francisco General2016ZSFG Values in Action Award
    San Francisco General Hospital Foundation2016Hearts Grant Award
    UCSF2016Hellman Family Awards for Early-Career Faculty
    Western Society for Academic Emergency Medicine2014Best Research Presentation
    UCSF2013Sustainability Award (for Remedy at UCSF)
    UCSF2009Teaching Excellence Award for Cherished Housestaff (TEACH)
    UCSF Medical Alumni Association2008Academic Excellence Award

    Collapse Overview 
    Collapse Overview
    Hemal Kanzaria, MD, MSc, is the Department of Care Coordination 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 co-leading the design and implementation of care coordination, social services, and utilization management activities. He has led several health systems improvement projects, including the implementation of Emergency Department (ED) information exchange 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 was 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 5-year 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 and health care delivery system transformation. He has published over 50 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 Medical School and emergency medicine residency, the UCLA School of Public Health, and the Robert Wood Johnson Clinical Scholars program, Dr. Kanzaria is a practicing emergency physician at ZSFG. He and his wife live in San Francisco, with their two daughters and rescue dog.

    Collapse Research 
    Collapse Research Activities and Funding
    Mental Health Transformation and Social Medicine in San Francisco County
    Kaiser Permanente Jun 3, 2019 - Jun 30, 2022
    Role: Co-PI
    Addressing the Social Needs of ZSFG Emergency Department Patients
    Battery Powered Mar 20, 2019 - Mar 31, 2021
    Role: Co-PI
    Optimization of Emergency Department Information Exchange
    San Francisco Health Plan Jul 1, 2018 - Jun 30, 2020
    Role: PI
    Whole Person Care Pilot
    California Department of Health Care Services and San Francisco Department of Public Health Jan 1, 2018 - Dec 31, 2020
    Role: Co-PI
    ZSFG Continuous Improvement and Kaizen Promotion Office Fellowship
    San Francisco General Hospital Foundation Continuous Improvement Fund Jul 1, 2017 - Jun 30, 2019
    Role: Specialist
    Addressing the Social Needs of Safety-Net Emergency Department Patients
    San Francisco Health Plan Jul 1, 2017 - Jun 30, 2019
    Role: PI
    Implementation and Evaluation of Emergency Department Information Exchange in San Francisco County
    San Francisco Health Plan Oct 3, 2016 - Oct 1, 2018
    Role: PI
    Frequent Emergency Department Utilization by Vulnerable Populations
    Hellman Family Fund Jul 1, 2016 - Jun 30, 2018
    Role: PI
    Right care, Right place, Right time
    San Francisco General Hospital Foundation (Hearts Grant) Jul 1, 2016 - Jun 30, 2017
    Role: PI

    Collapse ORNG Applications 
    Collapse Featured Publications
    Collapse In The News
    Collapse Twitter
    Collapse Featured Videos

    Collapse Bibliographic 
    Collapse 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.
    List All   |   Timeline
    1. Muldoon LB, Chan WW, Sabbagh SH, Rodriguez RM, Kanzaria HK. Collecting Unused Medical Supplies in Emergency Departments for Responsible Redistribution. J Emerg Med. 2019 Apr 25. PMID: 31031071.
      View in: PubMed
    2. Talamantes E, Bribiesca Y, Rangel-Alvarez B, Viramontes O, Zhou M, Kanzaria H, Kuczewski MG, Moreno G. The Termination of Deferred Action for Childhood Arrival (DACA) Protections and Medical Education in the U.S. J Immigr Minor Health. 2019 Apr 23. PMID: 31016563.
      View in: PubMed
    3. Mercer MP, Singh MK, Kanzaria HK. Reducing Emergency Department Length of Stay. JAMA. 2019 Mar 19. PMID: 30888416.
      View in: PubMed
    4. Fahimi J, Kanzaria HK, Mongan J, Kahn KL, Wang RC. Potential Effect of the Protecting Access to Medicare Act on Use of Advanced Diagnostic Imaging in the Emergency Department: An Analysis of the National Hospital Ambulatory Care Survey. Radiology. 2019 Jan 29; 181650. PMID: 30694161.
      View in: PubMed
    5. Niedzwiecki MJ, Kanzaria HK, Montoy JC, Hsia RY, Raven MC. Past Frequent Emergency Department Use Predicts Mortality. Health Aff (Millwood). 2019 Jan; 38(1):155-158. PMID: 30615529.
      View in: PubMed
    6. Niedzwiecki MJ, Sharma PJ, Kanzaria HK, McConville S, Hsia RY. Factors Associated With Emergency Department Use by Patients With and Without Mental Health Diagnoses. JAMA Netw Open. 2018 Oct 05; 1(6):e183528. PMID: 30646248.
      View in: PubMed
    7. Stey A, Kanzaria H, Brook R. How Disruptive Innovation by Business and Technology Firms Could Improve Population Health. JAMA. 2018 Sep 11; 320(10):973-974. PMID: 30128483.
      View in: PubMed
    8. Caloyeras JP, Kanter MH, Ives NR, Kim CY, Kanzaria HK, Berry SH, Brook RH. Understanding Waste in Health Care: Perceptions of Frontline Physicians Regarding Time Use and Appropriateness of Care They and Others Provide. Perm J. 2018 07 19; 22. PMID: 30010536.
      View in: PubMed
    9. Schoenfeld EM, Kanzaria HK, Quigley DD, Marie PS, Nayyar N, Sabbagh SH, Gress KL, Probst MA. Patient Preferences Regarding Shared Decision Making in the Emergency Department: Findings From a Multisite Survey. Acad Emerg Med. 2018 Oct; 25(10):1118-1128. PMID: 29897639.
      View in: PubMed
    10. Waxman DA, Kanzaria HK, Schriger DL. Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection. N Engl J Med. 2018 06 28; 378(26):2538-9. PMID: 29952170.
      View in: PubMed
    11. Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018 Apr 01; 178(4):477-484. PMID: 29482196.
      View in: PubMed
    12. Raven MC, Hsia RY, Kanzaria HK. Emergency Psychiatric Care: The Authors Reply. Health Aff (Millwood). 2018 02; 37(2):335. PMID: 29401008.
      View in: PubMed
    13. Kanzaria HK, Niedzwiecki MJ, Montoy JC, Raven MC, Hsia RY. Persistent Frequent Emergency Department Use: Core Group Exhibits Extreme Levels Of Use For More Than A Decade. Health Aff (Millwood). 2017 10 01; 36(10):1720-1728. PMID: 28971916.
      View in: PubMed
    14. Huang D, Kanzaria HK. Health Systems Science, Susan E. Skochelak, Richard E. Hawkins; AMA Education Consortium, editors. St. Louis, MO: Elsevier, 2017; 228 pp + glossary + index; $53.99 (softcover). Acad Emerg Med. 2017 Sep 26. PMID: 28976048.
      View in: PubMed
    15. Kanzaria HK, Hoffman JR. Five High-Cost Patient Groups. J Gen Intern Med. 2017 Sep; 32(9):966. PMID: 28664258.
      View in: PubMed
    16. Fahimi J, Kornblith AE, Kanzaria H, Herring A, Wang RC. Computed Tomography Use Plateaus Among Children With Emergency Visits for Abdominal Pain. Pediatr Emerg Care. 2017 Aug 14. PMID: 28816891.
      View in: PubMed
    17. Kornblith AE, Fahimi J, Kanzaria HK, Wang RC. Predictors for under-prescribing antibiotics in children with respiratory infections requiring antibiotics. Am J Emerg Med. 2018 Feb; 36(2):218-225. PMID: 28774769.
      View in: PubMed
    18. Probst MA, Kanzaria HK, Schoenfeld EM, Menchine MD, Breslin M, Walsh C, Melnick ER, Hess EP. Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians. Ann Emerg Med. 2017 Nov; 70(5):688-695. PMID: 28559034.
      View in: PubMed
    19. Gellert G, Webster L, Gillean J, Melnick E, Kanzaria H. Should US doctors embrace electronic health records? BMJ. 2017 01 24; 356:j242. PMID: 28119282.
      View in: PubMed
    20. Kanzaria HK, Hoffman JR. Hot-Spotters Aren't "The Problem"...But They Are Emblematic of the Failure of U.S. Healthcare. J Gen Intern Med. 2017 01; 32(1):6-8. PMID: 27599488.
      View in: PubMed
    21. 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. Dissemination and Implementation of Shared Decision Making Into Clinical Practice: A Research Agenda. Acad Emerg Med. 2016 12; 23(12):1368-1379. PMID: 27561951.
      View in: PubMed
    22. Chen EH, Kanzaria HK, Itakura K, Booker-Vaughns J, Yadav K, Kane BG. The Role of Education in the Implementation of Shared Decision Making in Emergency Medicine: A Research Agenda. Acad Emerg Med. 2016 12; 23(12):1362-1367. PMID: 27442908.
      View in: PubMed
    23. Kanzaria HK, Hsia RY, Probst MA. Emergency Department Death Rates: The Authors Reply. Health Aff (Millwood). 2016 10 01; 35(10):1937. PMID: 27702979.
      View in: PubMed
    24. Kanzaria HK, Probst MA, Hsia RY. Emergency Department Death Rates Dropped By Nearly 50 Percent, 1997-2011. Health Aff (Millwood). 2016 07 01; 35(7):1303-8. PMID: 27385248.
      View in: PubMed
    25. Caloyeras JP, Kanter M, Ives N, Kim CY, Kanzaria HK, Berry SH, Brook RH. Physician Professional Satisfaction and Area of Clinical Practice: Evidence from an Integrated Health Care Delivery System. Perm J. 2016; 20(2):35-41. PMID: 27057819.
      View in: PubMed
    26. Probst MA, Kanzaria HK, Frosch DL, Hess EP, Winkel G, Ngai KM, Richardson LD. Perceived Appropriateness of Shared Decision-making in the Emergency Department: A Survey Study. Acad Emerg Med. 2016 Apr; 23(4):375-81. PMID: 26806170.
      View in: PubMed
    27. Waxman DA, Kanzaria HK. Physician spending and risk of malpractice claims: defensive medicine may not be as common as we think. BMJ. 2015 Dec 14; 351:h6768. PMID: 26667023.
      View in: PubMed
    28. Kanzaria HK, Hall MK, Moore CL, Burstin H. Emergency Department Diagnostic Imaging: The Journey to Quality. Acad Emerg Med. 2015 Dec; 22(12):1380-4. PMID: 26575420.
      View in: PubMed
    29. 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. Advancing Patient-centered Outcomes in Emergency Diagnostic Imaging: A Research Agenda. Acad Emerg Med. 2015 Dec; 22(12):1435-46. PMID: 26574729.
      View in: PubMed
    30. Iyer SP, Jones A, Talamantes E, Barnert ES, Kanzaria HK, Detz A, Daskivich TJ, Jones L, Ryan GW, Mahajan AP. Improving Health Care for the Future Uninsured in Los Angeles County: A Community-Partnered Dialogue. Ethn Dis. 2015 Nov 05; 25(4):487-94. PMID: 26675541; PMCID: PMC4671431.
    31. Kanzaria HK, Probst MA, Hoffman JR. In Reply... Credat Emptor. Acad Emerg Med. 2015 Oct; 22(10):1232. PMID: 26357013.
      View in: PubMed
    32. Probst MA, Kanzaria HK, Hoffman JR, Mower WR, Moheimani RS, Sun BC, Quigley DD. Emergency Physicians' Perceptions and Decision-making Processes Regarding Patients Presenting with Palpitations. J Emerg Med. 2015 Aug; 49(2):236-43.e2. PMID: 25943288; PMCID: PMC4522216.
    33. Probst MA, Kanzaria HK, Gbedemah M, Richardson LD, Sun BC. National trends in resource utilization associated with ED visits for syncope. Am J Emerg Med. 2015 Aug; 33(8):998-1001. PMID: 25943042; PMCID: PMC4480060.
    34. Kanzaria HK, Hoffman JR, Probst MA, Caloyeras JP, Berry SH, Brook RH. Emergency physician perceptions of medically unnecessary advanced diagnostic imaging. Acad Emerg Med. 2015 Apr; 22(4):390-8. PMID: 25807868.
      View in: PubMed
    35. Kanzaria HK, Brook RH, Probst MA, Harris D, Berry SH, Hoffman JR. Emergency physician perceptions of shared decision-making. Acad Emerg Med. 2015 Apr; 22(4):399-405. PMID: 25807995.
      View in: PubMed
    36. Kanzaria HK, Mattke S, Detz AA, Brook RH. Quality measures based on presenting signs and symptoms of patients. JAMA. 2015 Feb 03; 313(5):520-2. PMID: 25647210.
      View in: PubMed
    37. Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014 Oct 14; 349:g5702. PMID: 25315302.
      View in: PubMed
    38. Kanzaria HK, Probst MA, Ponce NA, Hsia RY. The association between advanced diagnostic imaging and ED length of stay. Am J Emerg Med. 2014 Oct; 32(10):1253-8. PMID: 25176565.
      View in: PubMed
    39. Probst MA, Mower WR, Kanzaria HK, Hoffman JR, Buch EF, Sun BC. Analysis of emergency department visits for palpitations (from the National Hospital Ambulatory Medical Care Survey). Am J Cardiol. 2014 May 15; 113(10):1685-90. PMID: 24698469; PMCID: PMC4011931.
    40. Coralic Z, Kanzaria HK, Bero L, Stein J. Staff perceptions of an on-site clinical pharmacist program in an academic emergency department after one year. West J Emerg Med. 2014 Mar; 15(2):205-10. PMID: 24672613; PMCID: PMC3966455.
    41. Probst MA, Kanzaria HK, Schriger DL. A conceptual model of emergency physician decision making for head computed tomography in mild head injury. Am J Emerg Med. 2014 Jun; 32(6):645-50. PMID: 24560384.
      View in: PubMed
    42. Kanzaria HK, Brook RH. The silent physician. J Gen Intern Med. 2013 Nov; 28(11):1389-91. PMID: 23813079; PMCID: PMC3797341.
    43. Kanzaria HK, Detz A. Infectious complication of Blunt head injury. Emerg Med J. 2014 Jul; 31(7):555. PMID: 24045048.
      View in: PubMed
    44. James KT, Detz A, Coralic Z, Kanzaria H. Levamisole contaminated cocaine induced cutaneous vasculitis syndrome. West J Emerg Med. 2013 Sep; 14(5):448-9. PMID: 24106539; PMCID: PMC3789905.
    45. Wilson JG, Epstein SM, Wang R, Kanzaria HK. Cardiac tamponade. West J Emerg Med. 2013 Mar; 14(2):152. PMID: 23599855; PMCID: PMC3628467.
    46. Coralic Z, Lenhoff T, Kanzaria HK, Gerona R. A 120-hour case of priapism from an over-the-counter herbal supplement. Ann Pharmacother. 2013 Feb; 47(2):289-90. PMID: 23386071.
      View in: PubMed
    47. Kanzaria HK, Farzan N, Coralic Z. Adie's Tonic Pupil. West J Emerg Med. 2012 Dec; 13(6):543. PMID: 23359653; PMCID: PMC3555591.
    48. 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. PMID: 23026784; PMCID: PMC4096136.
    49. 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. PMID: 22093435; PMCID: PMC4636219.
    50. Kanzaria HK, Fischette S, Jain S. Remedy at UCSF: a sustainable student-run initiative. Lancet. 2009 Aug 08; 374(9688):438-40. PMID: 19665634.
      View in: PubMed
    51. Sumba PO, Wong SL, Kanzaria HK, Johnson KA, John CC. Malaria treatment-seeking behaviour and recovery from malaria in a highland area of Kenya. Malar J. 2008 Nov 26; 7:245. PMID: 19036154; PMCID: PMC2607295.
    52. Kanzaria H, Stein JC. A severe sore throat in a middle-aged man: calcific tendonitis of the longus colli tendon. J Emerg Med. 2011 Aug; 41(2):151-3. PMID: 18815000.
      View in: PubMed
    53. Friedman JF, Mital P, Kanzaria HK, Olds GR, Kurtis JD. Schistosomiasis and pregnancy. Trends Parasitol. 2007 Apr; 23(4):159-64. PMID: 17336160.
      View in: PubMed
    54. Friedman JF, Kanzaria HK, McGarvey ST. Human schistosomiasis and anemia: the relationship and potential mechanisms. Trends Parasitol. 2005 Aug; 21(8):386-92. PMID: 15967725.
      View in: PubMed
    55. Coutinho HM, McGarvey ST, Acosta LP, Manalo DL, Langdon GC, Leenstra T, Kanzaria HK, Solomon J, Wu H, Olveda RM, Kurtis JD, Friedman JF. Nutritional status and serum cytokine profiles in children, adolescents, and young adults with Schistosoma japonicum-associated hepatic fibrosis, in Leyte, Philippines. J Infect Dis. 2005 Aug 01; 192(3):528-36. PMID: 15995969.
      View in: PubMed
    56. Friedman JF, Kanzaria HK, Acosta LP, Langdon GC, Manalo DL, Wu H, Olveda RM, McGarvey ST, Kurtis JD. Relationship between Schistosoma japonicum and nutritional status among children and young adults in Leyte, the Philippines. Am J Trop Med Hyg. 2005 May; 72(5):527-33. PMID: 15891125.
      View in: PubMed
    57. Kanzaria HK, Acosta LP, Langdon GC, Manalo DL, Olveda RM, McGarvey ST, Kurtis JD, Friedman JF. Schistosoma japonicum and occult blood loss in endemic villages in Leyte, the Philippines. Am J Trop Med Hyg. 2005 Feb; 72(2):115-8. PMID: 15741543.
      View in: PubMed