Himali Weerahandi, MD, MPH
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Title(s) | Associate Professor, Medicine |
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School | School of Medicine |
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Address | 521 Parnassus Avenue, #5232 San Francisco CA 94117
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Pronouns | She/Her/Hers |
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ORCID
| 0000-0001-9614-345X |
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vCard | Download vCard |
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Biography
Johns Hopkins University, Baltimore, MD | BA | 05/2004 | Neuroscience |
Temple University School of Medicine, Philadelphia, PA | MD | 05/2009 | Medicine |
New York University Medical Center, New York, NY | | 06/2012 | Residency: Internal Medicine/Primary Care |
Icahn School of Medicine at Mount Sinai, New York, NY | | 06/2014 | Residency: Preventive Medicine |
Icahn School of Medicine at Mount Sinai, New York, NY | MPH | 06/2014 | Health Promotion/Disease Prevention |
Icahn School of Medicine at Mount Sinai, New York, NY | | 06/2016 | Fellowship: General Internal Medicine |
Overview
I am a clinician-investigator in the Division of Hospital Medicine at UCSF Health. My areas of expertise include transitions across the continuum of care, care coordination, readmissions, and discharge practices. I conduct translational research targeting systems drivers of adverse outcomes (such as hospital readmission and mortality) with the goal of improving health care quality. In particular, I was awarded a National Institutes of Health/National Heart Lung and Blood Institute K23 Career Development Award examining the transition from skilled nursing facility to home after a heart failure hospitalization.
As a doctor caring for older hospitalized patients, I’ve witnessed a growing need for patients to be discharged to skilled nursing facilities before transitioning home. My research investigates the quality of discharge practices at skilled nursing facilities, along with patient and caregivers’ perspectives on these processes. These lines of inquiry will identify gaps in care that can be improved upon using systems-level interventions. I also examine how patient-level factors, such as frailty and cognitive impairment, should be accounted for when individualizing best practices. The goal of this work is to make transitions safer and improve longitudinal outcomes for older adults.
I also have additional streams of research investigating how to increase use of evidence-based best practices to improve healthcare delivery quality, evaluation of hospital performance on equity and the effect COVID-19 has had on healthcare delivery (particularly during the height of the pandemic) and post-hospitalization outcomes.
Research
Bibliographic
Altmetrics Details
PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media.
(Note that publications are often cited in additional ways that are not shown here.)
Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication.
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Measuring Equity in Readmission as an Assessment of Hospital Performance-Reply. JAMA. 2024 05 21; 331(19):1677-1678.
Weerahandi H, Nash KA, Bernheim SM. PMID: 38648068; PMCID: PMC11528418.
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Humans
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Incorporating Anti-racist Principles Throughout the Research Lifecycle: A Position Statement from the Society of General Internal Medicine (SGIM). J Gen Intern Med. 2024 Aug; 39(10):1922-1931.
Gonzalez CJ, Krishnamurthy S, Rollin FG, Siddiqui S, Henry TL, Kiefer M, Wan S, Weerahandi H. PMID: 38743167; PMCID: PMC11282034.
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Humans
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Measuring Equity in Readmission as a Distinct Assessment of Hospital Performance. JAMA. 2024 01 09; 331(2):111-123.
Nash KA, Weerahandi H, Yu H, Venkatesh AK, Holaday LW, Herrin J, Lin Z, Horwitz LI, Ross JS, Bernheim SM. PMID: 38193960; PMCID: PMC10777266.
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1 Fields:
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Humans
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The Risk Factor for Maternal Morbidity is Racism, not Race. Am J Perinatol. 2024 05; 41(S 01):e3241.
Rollin FG, Krishnamurthy S, Weerahandi H. PMID: 37951221.
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Humans
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Characteristics of Physical, Occupational, and Speech Therapy Received by COVID-19 Patients in a Skilled Nursing Facility: A Retrospective Cohort Study. J Am Med Dir Assoc. 2023 04; 24(4):459-461.
Canter BE, Raschen L, Reinhardt JP, Weerahandi H, Mak W, Burack OR, Escher A, Boockvar KS. PMID: 36822236; PMCID: PMC9884616.
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"I Am Not the Same as I Was Before": A Qualitative Analysis of COVID-19 Survivors. Int J Behav Med. 2023 Oct; 30(5):663-672.
Duan E, Garry K, Horwitz LI, Weerahandi H. PMID: 36227557; PMCID: PMC9559269.
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3 Fields:
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HumansCells
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Post-acute sequelae of SARS-CoV-2 infection in nursing homes: Do not forget the most vulnerable. J Am Geriatr Soc. 2022 05; 70(5):1352-1354.
Weerahandi H, Rao M, Boockvar KS. PMID: 35323991; PMCID: PMC9106869.
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4 Fields:
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HumansCells
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Development of an Electronic Trigger to Identify Delayed Follow-up HbA1c Testing for Patients with Uncontrolled Diabetes. J Gen Intern Med. 2022 03; 37(4):928-934.
Knoll B, Horwitz LI, Garry K, McCloskey J, Nagler AR, Weerahandi H, Chung WY, Blecker S. PMID: 35037176; PMCID: PMC8904310.
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Humans
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When silence is not golden: Crying and other responses to microaggressions and implicit bias in academic medicine. J Hosp Med. 2022 02; 17(2):136-137.
Weerahandi H. PMID: 35504545.
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Humans
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A library of induced pluripotent stem cells from clinically well-characterized, diverse healthy human individuals. Stem Cell Reports. 2021 12 14; 16(12):3036-3049.
Schaniel C, Dhanan P, Hu B, Xiong Y, Raghunandan T, Gonzalez DM, Dariolli R, D'Souza SL, Yadaw AS, Hansen J, Jayaraman G, Mathew B, Machado M, Berger SI, Tripodi J, Najfeld V, Garg J, Miller M, Surlyn CS, Michelis KC, Tangirala NC, Weerahandi H, Thomas DC, Beaumont KG, Sebra R, Mahajan M, Schadt E, Vidovic D, Schürer SC, Goldfarb J, Azeloglu EU, Birtwistle MR, Sobie EA, Kovacic JC, Dubois NC, Iyengar R. PMID: 34739849; PMCID: PMC8693622.
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12 Fields:
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HumansCells
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Co-Occurring Dehydration and Cognitive Impairment During COVID-19 in Long-Term Care Patients. J Am Med Dir Assoc. 2021 Nov; 22(11):2270-2271.
Boockvar KS, Mak W, Burack OR, Canter BE, Reinhardt JP, Spinner R, Farber J, Weerahandi H. PMID: 34599885; PMCID: PMC8429357.
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3 Fields:
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HumansCells
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Disease Management in Skilled Nursing Facilities Improves Outcomes for Patients With a Primary Diagnosis of Heart Failure. J Am Med Dir Assoc. 2022 03; 23(3):367-372.
Weerahandi H, Chaussee EL, Dodson JA, Dolansky M, Boxer RS. PMID: 34478693; PMCID: PMC8885787.
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4 Fields:
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Humans
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Six-Month Outcomes in Patients Hospitalized with Severe COVID-19. J Gen Intern Med. 2021 12; 36(12):3772-3777.
Horwitz LI, Garry K, Prete AM, Sharma S, Mendoza F, Kahan T, Karpel H, Duan E, Hochman KA, Weerahandi H. PMID: 34355349; PMCID: PMC8341831.
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24 Fields:
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Discharge processes in a skilled nursing facility affected by COVID-19. J Am Geriatr Soc. 2021 09; 69(9):2437-2439.
Weerahandi H, Mak W, Burack OR, Canter BE, Reinhardt JP, Boockvar KS. PMID: 33955557; PMCID: PMC8242513.
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5 Fields:
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HumansCells
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Goals of Care During the COVID-19 Pandemic: Implementing DNI, DNR, and DNH Orders in a Skilled Nursing Facility. J Am Med Dir Assoc. 2021 Mar; 22(3):B21.
Canter B, Burack O, Reinhardt J, Mak W, Weerahandi H, Canter B, Boockvar K. PMID: 34287168; PMCID: PMC7902239.
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1 Fields:
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HumansCellsPHPublic Health
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Hospitalizations for Chronic Disease and Acute Conditions in the Time of COVID-19. JAMA Intern Med. 2021 02 01; 181(2):269-271.
Blecker S, Jones SA, Petrilli CM, Admon AJ, Weerahandi H, Francois F, Horwitz LI. PMID: 33104158; PMCID: PMC7589070.
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74 Fields:
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HumansCells
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Post-Discharge Health Status and Symptoms in Patients with Severe COVID-19. J Gen Intern Med. 2021 03; 36(3):738-745.
Weerahandi H, Hochman KA, Simon E, Blaum C, Chodosh J, Duan E, Garry K, Kahan T, Karmen-Tuohy SL, Karpel HC, Mendoza F, Prete AM, Quintana L, Rutishauser J, Santos Martinez L, Shah K, Sharma S, Simon E, Stirniman AZ, Horwitz LI. PMID: 33443703; PMCID: PMC7808113.
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99 Fields:
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Humans
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Diabetes Phenotyping Using the Electronic Health Record. J Gen Intern Med. 2020 12; 35(12):3716-3718.
Weerahandi HM, Horwitz LI, Blecker SB. PMID: 32948954; PMCID: PMC7728952.
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1 Fields:
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Humans
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Post-discharge health status and symptoms in patients with severe COVID-19. medRxiv. 2020 Aug 14.
Weerahandi H, Hochman KA, Simon E, Blaum C, Chodosh J, Duan E, Garry K, Kahan T, Karmen-Tuohy S, Karpel HC, Mendoza F, Prete AM, Quintana L, Rutishauser J, Martinez LS, Shah K, Sharma S, Simon E, Stirniman A, Horwitz LI. PMID: 32817973; PMCID: PMC7430618.
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A Mobile Health Coaching Intervention for Controlling Hypertension: Single-Arm Pilot Pre-Post Study. JMIR Form Res. 2020 May 07; 4(5):e13989.
Weerahandi H, Paul S, Quintiliani LM, Chokshi S, Mann DM. PMID: 32379049; PMCID: PMC7243130.
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Hurricanes and healthcare: a case report on the influences of Hurricane Maria and managed Medicare in treating a Puerto Rican resident. BMC Health Serv Res. 2019 Nov 08; 19(1):818.
Mellgard G, Abramson D, Okamura C, Weerahandi H. PMID: 31703682; PMCID: PMC6842155.
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8 Fields:
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Humans
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Home Health Care After Skilled Nursing Facility Discharge Following Heart Failure Hospitalization. J Am Geriatr Soc. 2020 01; 68(1):96-102.
Weerahandi H, Bao H, Herrin J, Dharmarajan K, Ross JS, Jones S, Horwitz LI. PMID: 31603248; PMCID: PMC6964248.
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7 Fields:
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Humans
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Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study. J Am Med Dir Assoc. 2019 04; 20(4):432-437.
Weerahandi H, Li L, Bao H, Herrin J, Dharmarajan K, Ross JS, Kim KL, Jones S, Horwitz LI. PMID: 30954133; PMCID: PMC6486375.
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6 Fields:
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Humans
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The Relationship of Illness Beliefs with Hospital and Emergency Department Utilization in Chronic Obstructive Pulmonary Disease. J Gen Intern Med. 2019 06; 34(6):923-928.
Weerahandi H, Wisnivesky JP, O'Conor R, Wolf MS, Federman AD. PMID: 30847827; PMCID: PMC6544700.
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Predictors for patients understanding reason for hospitalization. PLoS One. 2018; 13(4):e0196479.
Weerahandi H, Ziaeian B, Fogerty RL, Jenq GY, Horwitz LI. PMID: 29702676; PMCID: PMC5922555.
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The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation. J Pain Symptom Manage. 2017 12; 54(6):870-876.e1.
Weerahandi H, Goldstein N, Gelfman LP, Jorde U, Kirkpatrick JN, Meyerson E, Marble J, Naka Y, Pinney S, Slaughter MS, Bagiella E, Ascheim DD. PMID: 28807706; PMCID: PMC5705533.
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5 Fields:
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Humans
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Pain and Functional Status in Patients With Ventricular Assist Devices. J Pain Symptom Manage. 2016 10; 52(4):483-490.e1.
Weerahandi H, Goldstein N, Gelfman LP, Jorde U, Kirkpatrick JN, Marble J, Naka Y, Pinney S, Slaughter MS, Bagiella E, Ascheim DD. PMID: 27401516; PMCID: PMC5897591.
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When practice and policy conflict: blood cultures in community-acquired pneumonia. Am J Emerg Med. 2015 Sep; 33(9):1246-8.
Weerahandi H, Poeran J, Nassisi D, Mazumdar M. PMID: 26022752.
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Effects of a Psychosocial Transitional Care Model on Hospitalizations and Cost of Care for High Utilizers. Soc Work Health Care. 2015; 54(6):485-98.
Weerahandi H, Basso Lipani M, Kalman J, Sosunov E, Colgan C, Bernstein S, Moskowitz AJ, Egorova N. PMID: 26186421.
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9 Fields:
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Humans
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Effect of an electronic alert on treatment of skin and soft tissue infections. J Med Pract Manage. 2014 Nov-Dec; 30(3):203-7.
Weerahandi H, Lurio J, Pichardo M, Duquaine D, Wu W, Calman N, Weiss D, Marx MA, Wang JJ. PMID: 25807626.
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Guided ordering: clinician interactions with complex order-sets. Int J Med Inform. 2013 Feb; 82(2):73-9.
Shine D, Weerahandi H, Hochman K, Wang L, Radford M. PMID: 22494855.
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Humans
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Degeneration of myelinated efferent fibers induces spontaneous activity in uninjured C-fiber afferents. J Neurosci. 2002 Sep 01; 22(17):7746-53.
Wu G, Ringkamp M, Murinson BB, Pogatzki EM, Hartke TV, Weerahandi HM, Campbell JN, Griffin JW, Meyer RA. PMID: 12196598; PMCID: PMC6757972.
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74 Fields:
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AnimalsCells
This graph shows the total number of publications by year. To see the data as text,
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Year | Publications |
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2002 | 1 |
2012 | 1 |
2014 | 1 |
2015 | 2 |
2016 | 1 |
2017 | 1 |
2018 | 1 |
2019 | 4 |
2020 | 3 |
2021 | 8 |
2022 | 4 |
2023 | 2 |
2024 | 3 |
This graph shows the number and percent of publications by field.
Fields are based on how the National Library of Medicine (NLM) classifies the publications' journals and might not represent the specific topics of the publications.
Note that an individual publication can be assigned to more than one field. As a result, the publication counts in this graph might add up to more than the number of publications the person has written.
To see the data as text,
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This graph shows the number and percent of publications by field.
Fields are based on how the National Library of Medicine (NLM) classifies the publications' journals and might not represent the specific topics of the publications.
Note that an individual publication can be assigned to more than one field. As a result, the publication counts in this graph might add up to more than the number of publications the person has written.
To see the data as text,
click here.
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