Hemal Kanzaria, MD

TitleAssociate Professor
InstitutionUniversity of California San Francisco
DepartmentEmergency Medicine
Address1001 Potrero Ave
San Francisco CA 94110
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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
    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 an Associate Professor of Emergency Medicine at the University of California, San Francisco (UCSF). Dr. Kanzaria practices clinically at Zuckerberg San Francisco General (ZSFG) – the only county hospital and trauma center in San Francisco – and co-directs emergency department (ED) lean improvement efforts. In this role, he is currently leading a multi-disciplinary team to address ED patients’ social determinants of health and avert short-stay hospitalizations. He is also the Director of Complex Care Analytics for the San Francisco Health Network (SFHN), the public health delivery system in San Francisco County. He championed the successful implementation of ED Information Exchange across SFHN, and leads efforts to improve and coordinate care for frequent users of emergent/urgent medical, behavioral, and social services. He oversees both data infrastructure and health system improvements focused on addressing the social and medical needs of vulnerable patients that frequently use acute care services in San Francisco County.

    Dr. Kanzaria is also an Affiliated Faculty at the UCSF Philip R. Lee Institute for Health Policy Studies (IHPS), an Adjunct scientist at RAND Health, and a core member of The Policy Lab for Acute Care Emergencies (The PLACE). His research focuses on patient engagement and health care delivery system transformation. He has received grant funding from multiple organizations including most recently San Francisco Health Plan, the San Francisco General Hospital Foundation, the San Francisco Department of Public Health, and the Hellman Fellows Fund. He was recently selected to co-lead the evaluation of San Francisco County’s 5-year $162M Whole Person Care pilot aimed to improve the health of chronically homeless individuals. His work has been published in several high-impact journals including Health Affairs, JAMA, JAMA Internal Medicine, BMJ, The Lancet, Annals of Emergency Medicine, and Academic Emergency Medicine, and featured in Time Magazine, The Boston Globe, The Wallstreet Journal, and National Public Radio. Prior to his current appointment, Dr. Kanzaria was a Robert Wood Johnson Clinical Scholar at UCLA. He completed his undergraduate degree at Brown University, and his medical degree and residency at UCSF-SFGH, during which time he founded Remedy at UCSF to recover unused medical supplies for socially responsible redistribution. The organization has provided medical equipment to underserved communities both locally and globally, and has been instrumental in several disaster relief efforts.

    Collapse Research 
    Collapse Research Activities and Funding
    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 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. Waxman DA, Kanzaria H, Schriger DL. Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection. N Engl J Med. 2018 Jun 28; 378(26):2538-9. PMID: 29952170.
      View in: PubMed
    2. Schoenfeld EM, Kanzaria H, 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 multi-site survey. Acad Emerg Med. 2018 Jun 13. PMID: 29897639.
      View in: PubMed
    3. Waxman DA, Kanzaria H, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018 Apr 01; 178(4):477-484. PMID: 29482196.
      View in: PubMed
    4. Raven MC, Hsia RY, Kanzaria H. Emergency Psychiatric Care: The Authors Reply. Health Aff (Millwood). 2018 Feb; 37(2):335. PMID: 29401008.
      View in: PubMed
    5. Kanzaria H, 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 Oct 01; 36(10):1720-1728. PMID: 28971916.
      View in: PubMed
    6. Huang D, Kanzaria H. 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
    7. Kanzaria H, Hoffman JR. Five High-Cost Patient Groups. J Gen Intern Med. 2017 Sep; 32(9):966. PMID: 28664258.
      View in: PubMed
    8. 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
    9. Kornblith AE, Fahimi J, Kanzaria H, 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
    10. Probst MA, Kanzaria H, 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
    11. 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
    12. Kanzaria H, Hoffman JR. Hot-Spotters Aren't "The Problem"...But They Are Emblematic of the Failure of U.S. Healthcare. J Gen Intern Med. 2017 Jan; 32(1):6-8. PMID: 27599488.
      View in: PubMed
    13. Kanzaria H, 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
    14. Chen EH, Kanzaria H, 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
    15. Kanzaria H, 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
    16. Kanzaria H, 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
    17. Caloyeras JP, Kanter M, Ives N, Kim CY, Kanzaria H, 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; PMCID: PMC4867823.
    18. Probst MA, Kanzaria H, 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
    19. Waxman DA, Kanzaria H. 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
    20. Kanzaria H, 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
    21. Kanzaria H, 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
    22. Iyer SP, Jones A, Talamantes E, Barnert ES, Kanzaria H, 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.
    23. Kanzaria H, Probst MA, Hoffman JR. In Reply... Credat Emptor. Acad Emerg Med. 2015 Oct; 22(10):1232. PMID: 26357013.
      View in: PubMed
    24. Probst MA, Kanzaria H, 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.
    25. Probst MA, Kanzaria H, 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.
    26. Kanzaria H, 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
    27. Kanzaria H, 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
    28. Kanzaria H, 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
    29. Hoffman JR, Kanzaria H. Intolerance of error and culture of blame drive medical excess. BMJ. 2014 Oct 14; 349:g5702. PMID: 25315302.
      View in: PubMed
    30. Kanzaria H, 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
    31. Probst MA, Mower WR, Kanzaria H, 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.
    32. Coralic Z, Kanzaria H, 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.
    33. Probst MA, Kanzaria H, 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
    34. Kanzaria H, Brook RH. The silent physician. J Gen Intern Med. 2013 Nov; 28(11):1389-91. PMID: 23813079; PMCID: PMC3797341.
    35. Kanzaria H, Detz A. Infectious complication of Blunt head injury. Emerg Med J. 2014 Jul; 31(7):555. PMID: 24045048.
      View in: PubMed
    36. 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.
    37. Wilson JG, Epstein SM, Wang R, Kanzaria H. Cardiac tamponade. West J Emerg Med. 2013 Mar; 14(2):152. PMID: 23599855; PMCID: PMC3628467.
    38. Coralic Z, Lenhoff T, Kanzaria H, 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
    39. Kanzaria H, Farzan N, Coralic Z. Adie's Tonic Pupil. West J Emerg Med. 2012 Dec; 13(6):543. PMID: 23359653; PMCID: PMC3555591.
    40. Hsia RY, Kanzaria H, 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.
    41. Hsia RY, Srebotnjak T, Kanzaria H, 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.
    42. Kanzaria H, 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
    43. Sumba PO, Wong SL, Kanzaria H, 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.
    44. 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
    45. Friedman JF, Mital P, Kanzaria H, Olds GR, Kurtis JD. Schistosomiasis and pregnancy. Trends Parasitol. 2007 Apr; 23(4):159-64. PMID: 17336160.
      View in: PubMed
    46. Friedman JF, Kanzaria H, McGarvey ST. Human schistosomiasis and anemia: the relationship and potential mechanisms. Trends Parasitol. 2005 Aug; 21(8):386-92. PMID: 15967725.
      View in: PubMed
    47. Coutinho HM, McGarvey ST, Acosta LP, Manalo DL, Langdon GC, Leenstra T, Kanzaria H, 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
    48. Friedman JF, Kanzaria H, 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
    49. Kanzaria H, 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