Sachin Shah, MD, MPH

TitleAssistant Professor
InstitutionUniversity of California San Francisco
Address533 Parnassus Avenue
San Francisco CA 94117
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    Collapse Biography 
    Collapse Education and Training
    Massachusetts General Hospital2017General Medicine Fellow
    Massachusetts General Physicians Organization2017Administrative Fellow in Population Health
    Harvard TH Chan School of Public Health2017MPH
    Massachusetts General Hospital2015Chief Resident
    Massachusetts General Hospital2014Residency
    Massachusetts General Hospital2012Internship
    Yale University School of Medicine2011MD
    Brown University2005ScB
    Collapse Awards and Honors
    American Heart Association Council on Quality and Outcomes Research2017Young Investigator Award
    Yale University2011Ferris Prize for Outstanding Thesis

    Collapse Overview 
    Collapse Overview
    I am a general internist who specializes in health outcomes and health services research with the goal of improving the health of older, vulnerable adults. Specifically, my research interests include:

    1. Measuring axes of vulnerability (physical, cognitive, social) and determining how vulnerability affects utilization of health care services and health outcomes
    2. Improving complex clinical decision making for older adults using atrial fibrillation as a model condition
    3. Translating research insights into care delivery using alternative payment models to scale implementation

    Following clinical training and chief residency, I completed a General Medicine research fellowship and a Health Administrative fellowship within an accountable care organization. Through these fellowships, I developed an interest in understanding how the current fee-for-service structure falls short and how alternative payment models create the opportunity to remedy some of these shortcomings. For example, colleagues and I described how poorly-connected primary care patients perform poorly on measures of population health (e.g., cancer screening, blood pressure control). Subsequently, I worked with the Partners ACO to automate the identification of poorly-connected primary care patients; using this automated platform, I then lead a randomized controlled trial of a targeted intervention to improve their adherence using behavioral economics-based patient navigation.

    Currently, I am working to identify social determinants of health unique to older adults using novel computation and causal inference methods to create an index measure of at-risk older adults. The goal is to identify the health risks faced by the older, vulnerable population and to create a survey tool that can be used by population health organizations. Ultimately, the long-term goal is to identify a high-risk subset for targeted high-touch high-cost interventions.

    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.
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    1. Lage DE, Jernigan MC, Chang Y, Grabowski DC, Hsu J, Metlay JP, Shah S. Living Alone and Discharge to Skilled Nursing Facility Care after Hospitalization in Older Adults. J Am Geriatr Soc. 2018 Jan; 66(1):100-105. PMID: 29072783.
      View in: PubMed
    2. Venkataramani AS, Shah S, O'Brien R, Kawachi I, Tsai AC. Health consequences of the US Deferred Action for Childhood Arrivals (DACA) immigration programme: a quasi-experimental study. Lancet Public Health. 2017 Apr; 2(4):e175-e181. PMID: 29253449.
      View in: PubMed
    3. Shah S, Cronin P, Hong CS, Hwang AS, Ashburner JM, Bearnot BI, Richardson CA, Fosburgh BW, Kimball AB. Targeted Reminder Phone Calls to Patients at High Risk of No-Show for Primary Care Appointment: A Randomized Trial. J Gen Intern Med. 2016 Dec; 31(12):1460-1466. PMID: 27503436.
      View in: PubMed
    4. Hwang AS, Atlas SJ, Cronin P, Ashburner JM, Shah S, He W, Hong CS. Appointment "no-shows" are an independent predictor of subsequent quality of care and resource utilization outcomes. J Gen Intern Med. 2015 Oct; 30(10):1426-33. PMID: 25776581; PMCID: PMC4579240 [Available on 10/01/16].
    5. Ben-Josef G, Ott LS, Spivack SB, Wang C, Ross JS, Shah S, Curtis JP, Kim N, Krumholz HM, Bernheim SM. Payments for acute myocardial infarction episodes-of-care initiated at hospitals with and without interventional capabilities. Circ Cardiovasc Qual Outcomes. 2014 Nov; 7(6):882-8. PMID: 25387777.
      View in: PubMed
    6. Shah S, Krumholz HM, Reid KJ, Rathore SS, Mandawat A, Spertus JA, Ross JS. Financial stress and outcomes after acute myocardial infarction. PLoS One. 2012; 7(10):e47420. PMID: 23112814; PMCID: PMC3480393.
    7. Kulkarni VT, Shah S, Bernheim SM, Wang Y, Normand SL, Han LF, Rapp MT, Drye EE, Krumholz HM. Regional associations between Medicare Advantage penetration and administrative claims-based measures of hospital outcomes. Med Care. 2012 May; 50(5):406-9. PMID: 22456113.
      View in: PubMed
    8. Mandawat A, Shah S, Rathore SS. ST-elevation myocardial infarction patients can be enrolled in randomized trials before emergent coronary intervention without sacrificing door-to-balloon time. Am Heart J. 2010 Feb; 159(2):e1. PMID: 20152207.
      View in: PubMed