Clarissa Hsu, PhD

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“I want to empower individuals and communities by ensuring they have the information and support from health care systems to make decisions and take action to improve their health and well-being. This means directly involving them in the design and testing of health care processes and interventions.”

 

Clarissa Hsu, PhD

Assistant Investigator, Kaiser Permanente Washington Health Research Institute

Clarissa.W.Hsu@kp.org
206-287-4276

Biography

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 role has recently been spread throughout Kaiser Permanente Washington. 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.

Research interests and experience

  • Clinical Quality Improvement

    Primary care; ambulatory care; preventive medicine; health care design and workforce issues; addressing social determinants of health
  • Patient-Centered Outcomes Research/Patient-Centered Care

    Patient engagement and partnership; shared decision making
  • Chronic Pain

    Using safe and effective methods to treat pain, supporting patients to minimize opioid use, cannabis use, communication about pain
  • Addressing Social Risks in Clinical Settings

    Screening and providing support for patients with social needs 
  • Complementary & Integrative Health

    Patient experiences with complementary and alternative medicine 

  • Evaluation Science and Implementation and Dissemination Science

    Qualitative and mixed-methods approaches

Recent publications

Hsu C, Cruz S, Placzek H, Chapdelaine M, Levin S, Gutierrez F, Standish S, Maki I, Carl M, Orantes MR, Newman D, Cheadle A. Patient perspectives on addressing social needs in primary care using a screening and resource referral intervention. J Gen Intern Med. 2019 Dec 2. pii: 10.1007/s11606-019-05397-6. doi: 10.1007/s11606-019-05397-6. [Epub ahead of print]. PubMed

Jones SW, Parchman ML, Hsu CW, Austin B, Flinter M, Cromp D, Wagner E, McDonald S. Measuring attributes of team functioning in primary care settings: development of the TEAMS tool. J Interprof Care. 2019 Oct 1:1-7. doi: 10.1080/13561820.2019.1670628. [Epub ahead of print]. PubMed

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. 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. LID - 10.1111/hex.12909 [doi] 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;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.

 

research

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LINCC-ing patients with community resources

Study ends but benefits for Kaiser Permanente members continue — thanks to a new support role in the regions’ clinics, writes Dr. Clarissa Hsu.

innovative health care

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Co-designing health care with patients: A how-to guide

Dr. Clarissa Hsu writes about how her team equalized power between patients and staff in a quality improvement project.

Healthy Communities

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Improving health outcomes and preventing obesity in 60 US communities

A 12-article report features CCHE on decade of Kaiser Permanente Community Health Initiatives, write Drs. Allen Cheadle and Elena Kuo.

Read it in Healthy Findings.

Back Pain Research

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Integrative non-drug therapies treat back pain at reasonable cost

Kaiser Permanente researchers Drs. Daniel Cherkin, Karen Sherman, and Andrew Avins produced much of evidence in ICER report.

Read it in News and Events.