Medical anthropologist Clarissa Hsu, PhD, has been doing Kaiser Permanente research since 2001, and became an official member of the faculty in 2011. She conducts research using a holistic approach that unites the cultural, social, and political factors that shape health and health care. Dr. Hsu was one of the first researchers to receive funding from the national Patient-Centered Outcomes Research Institute (PCORI), which supports studies on issues that are a high priority for patients, caregivers, and clinicians. PCORI-funded research follows an innovative model, including patient input at all steps in the research process. Dr. Hsu and her team christened her PCORI project LINCC: Learning to Integrate Neighborhoods and Clinical Care.
The LINCC project designed, piloted, and evaluated a new primary care role: connecting patients to community resources. This new community resource specialist role was spread throughout Kaiser Permanente Washington, with a robust evaluation and implementation support co-led by Dr. Hsu through KPWHRI’s Center for Accelerating Care Transformation. LINCC also resulted in the creation of valuable health care resources, including an article on having patients as co-investigators, as well as a guide and set of care-design templates for engaging a cohort of patients in co-designing care.
Dr. Hsu is also at the forefront of other prevalent health issues, working to document, design, evaluate, and disseminate new approaches and best practices. She seeks to help chronic pain patients taper off and find alternatives to opioids. She also works to improve how care delivery systems interact with patients and family members around sensitive and complex topics such as dementia diagnoses, use of antipsychotics in youth, blood pressure diagnosis and control, cannabis use, and childhood vaccinations.
Dr. Hsu is an affiliate professor at the University of Washington School of Public Health.
Patient experiences with complementary and alternative medicine
Gray MF, Sweeney J, Nickel W, Minniti M, Coleman K, Johnson K, Mroz T, Forss B, Reid R, Frosch D, Hsu C. Function of the medical team quarterback: patient, family, and physician perspectives on team care coordination in patient- and family-centered primary care. Perm J. 2019; 23:18.147. doi: 10.7812/TPP/18.147. Epub 2019 Aug 26. PubMed
Parchman ML, Anderson ML, Coleman K, Michaels LA, Schuttner L, Conway C, Hsu C, Fagnan LJ. Assessing quality improvement capacity in primary care practices. BMC Fam Pract. 2019 Jul 25;20(1):103. doi: 10.1186/s12875-019-1000-1. PubMed
Coleman K, Wagner EH, Ladden MD, Flinter M, Cromp D, Hsu C, Crabtree BF, McDonald S. Developing emerging leaders to support team-based primary care. J Ambul Care Manage. 2019 Jun 4. doi: 10.1097/JAC.0000000000000277. [Epub ahead of print]. PubMed
Hertel E, Cheadle A, Matthys J, Coleman K, Gray M, Robbins M, Tufte J, Hsu C. Engaging patients in primary care design: An evaluation of a novel approach to codesigning care. Health Expect. 2019 May 27. doi: 10.1111/hex.12909 [Epub ahead of print] PubMed
Eaves ER, Hsu CW, DeBar LL, Livingston CJ, Ocker LE, McDonald SJ, Dillon-Sumner L, Ritenbaugh C. Whole systems within whole systems: the Oregon health plan's expansion of services for back and neck pain. J Altern Complement Med. 2019 Mar;25(S1):S61-S68. doi: 10.1089/acm.2018.0431. PubMed
Hsu C, Gray MF, Murray L, Abraham M, Nickel W, Sweeney JM, Frosch DL, Mroz TM, Ehrlich K, Johnson B, Reid RJ. Actions and processes that patients, family members, and physicians associate with patient- and family-centered care. BMC Fam Pract. 2019 Feb 25;20(1):35. doi: 10.1186/s12875-019-0918-7. PubMed
Figueroa Gray M, Hsu C, Kiel L, Dublin S. Getting through the day: a pilot qualitative study of U.S. women's experiences making decisions about anti-nausea medication during pregnancy. BMC Pregnancy Childbirth. 2018;18(1):475. doi: 10.1186/s12884-018-2093-6. PubMed
Hsu C, Hertel E, Johnson E, Cahill C, Lozano P, Ross TR, Ehrlich K, Coleman K, BlueSpruce J, Cheadle A, Matthys J, Chapdelaine M, Gray M, Tufte J, Robbins M. Evaluation of the Learning to Integrate Neighborhoods and Clinical Care project: findings from implementing a new lay role into primary care teams to address social determinants of health. Perm J. 2018; 22:18-101.Published online 2018 Oct 22.doi: 10.7812/TPP/18-101.
Hsu C, Evers S, Balderson BH, Sherman KJ, Foster NE, Estlin K, Levine M, Cherkin D. Adaptation and implementation of the STarT back risk stratification strategy in a US health care organization: a process evaluation. Pain Med. 2018 Sep 28. pii: 5110194. doi: 10.1093/pm/pny170. [Epub ahead of print]. PubMed
Blasi PR, Cromp D, McDonald S, Hsu C, Coleman K, Flinter M, Wagner EH. Approaches to behavioral health integration at high performing primary care practices. J Am Board Fam Med. 2018;31(5):691-701. doi: 10.3122/jabfm.2018.05.170468. PubMed
Use in pregnancy and screening in primary care studied by KPWHRI’s Kiel, Matson, and Lapham.
Study ends but benefits for Kaiser Permanente members continue — thanks to a new support role in the regions’ clinics, writes Dr. Clarissa Hsu.
Partnering with Patients as Equals in Co-Designing Primary Care: Examples and Tools from the LINCC Project
Clarissa Hsu, PhD, asked parents why they decline or delay vaccinating their children to explore ways to overcome barriers to getting vaccinated.
The Patient-Centered Outcomes Research Institute plans to award $4.75 million to compare ways to raise COVID-19 immunization rates.
Healthcare Innovation, July 25, 2022