Himali Weerahandi, MD, MPH
Associate Professor
Medicine
School of Medicine
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.
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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.
Education & Training
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- Fellowship: General Internal Medicine Icahn School of Medicine at Mount Sinai 06/2016
- MPH Health Promotion/Disease Prevention Icahn School of Medicine at Mount Sinai 06/2014
- Residency: Preventive Medicine Icahn School of Medicine at Mount Sinai 06/2014
- Residency: Internal Medicine/Primary Care New York University Medical Center 06/2012
- MD Medicine Temple University School of Medicine 05/2009
- BA Neuroscience Johns Hopkins University 05/2004
Interests
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- transitions of care
- anti-racism
- skilled nursing facilities
- Post acute care
Grants and Projects
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Publications (32)
Top publication keywords:
Subacute CareHealth EquityPatient DischargeMaternal MortalityRacismAftercareSkilled Nursing FacilitiesMultiple Chronic ConditionsCryingHeart-Assist DevicesCyclonic StormsPatient ReadmissionInternal MedicinePneumoniaHospitalization
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Measuring Equity in Readmission as an Assessment of Hospital Performance-Reply.
JAMA 2024 Weerahandi H, Nash KA, Bernheim SM -
Incorporating Anti-racist Principles Throughout the Research Lifecycle: A Position Statement from the Society of General Internal Medicine (SGIM).
Journal of general internal medicine 2024 Gonzalez CJ, Krishnamurthy S, Rollin FG, Siddiqui S, Henry TL, Kiefer M, Wan S, Weerahandi H -
Measuring Equity in Readmission as a Distinct Assessment of Hospital Performance.
JAMA 2024 Nash KA, Weerahandi H, Yu H, Venkatesh AK, Holaday LW, Herrin J, Lin Z, Horwitz LI, Ross JS, Bernheim SM -
The Risk Factor for Maternal Morbidity is Racism, not Race.
American journal of perinatology 2023 Rollin FG, Krishnamurthy S, Weerahandi H -
Characteristics of Physical, Occupational, and Speech Therapy Received by COVID-19 Patients in a Skilled Nursing Facility: A Retrospective Cohort Study.
Journal of the American Medical Directors Association 2023 Canter BE, Raschen L, Reinhardt JP, Weerahandi H, Mak W, Burack OR, Escher A, Boockvar KS
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"I Am Not the Same as I Was Before": A Qualitative Analysis of COVID-19 Survivors.
International journal of behavioral medicine 2022 Duan E, Garry K, Horwitz LI, Weerahandi H -
Post-acute sequelae of SARS-CoV-2 infection in nursing homes: Do not forget the most vulnerable.
Journal of the American Geriatrics Society 2022 Weerahandi H, Rao M, Boockvar KS -
Development of an Electronic Trigger to Identify Delayed Follow-up HbA1c Testing for Patients with Uncontrolled Diabetes.
Journal of general internal medicine 2022 Knoll B, Horwitz LI, Garry K, McCloskey J, Nagler AR, Weerahandi H, Chung WY, Blecker S -
When silence is not golden: Crying and other responses to microaggressions and implicit bias in academic medicine.
Journal of hospital medicine 2022 Weerahandi H -
A library of induced pluripotent stem cells from clinically well-characterized, diverse healthy human individuals.
Stem cell reports 2021 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… -
Co-Occurring Dehydration and Cognitive Impairment During COVID-19 in Long-Term Care Patients.
Journal of the American Medical Directors Association 2021 Boockvar KS, Mak W, Burack OR, Canter BE, Reinhardt JP, Spinner R, Farber J, Weerahandi H -
Disease Management in Skilled Nursing Facilities Improves Outcomes for Patients With a Primary Diagnosis of Heart Failure.
Journal of the American Medical Directors Association 2021 Weerahandi H, Chaussee EL, Dodson JA, Dolansky M, Boxer RS -
Six-Month Outcomes in Patients Hospitalized with Severe COVID-19.
Journal of general internal medicine 2021 Horwitz LI, Garry K, Prete AM, Sharma S, Mendoza F, Kahan T, Karpel H, Duan E, Hochman KA, Weerahandi H -
Discharge processes in a skilled nursing facility affected by COVID-19.
Journal of the American Geriatrics Society 2021 Weerahandi H, Mak W, Burack OR, Canter BE, Reinhardt JP, Boockvar KS -
Goals of Care During the COVID-19 Pandemic: Implementing DNI, DNR, and DNH Orders in a Skilled Nursing Facility.
Journal of the American Medical Directors Association 2021 Canter B, Burack O, Reinhardt J, Mak W, Weerahandi H, Canter B, Boockvar K -
Hospitalizations for Chronic Disease and Acute Conditions in the Time of COVID-19.
JAMA internal medicine 2021 Blecker S, Jones SA, Petrilli CM, Admon AJ, Weerahandi H, Francois F, Horwitz LI -
Post-Discharge Health Status and Symptoms in Patients with Severe COVID-19.
Journal of general internal medicine 2021 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 … -
Diabetes Phenotyping Using the Electronic Health Record.
Journal of general internal medicine 2020 Weerahandi HM, Horwitz LI, Blecker SB -
Post-discharge health status and symptoms in patients with severe COVID-19.
medRxiv : the preprint server for health sciences 2020 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, … -
A Mobile Health Coaching Intervention for Controlling Hypertension: Single-Arm Pilot Pre-Post Study.
JMIR formative research 2020 Weerahandi H, Paul S, Quintiliani LM, Chokshi S, Mann DM -
Hurricanes and healthcare: a case report on the influences of Hurricane Maria and managed Medicare in treating a Puerto Rican resident.
BMC health services research 2019 Mellgard G, Abramson D, Okamura C, Weerahandi H -
Home Health Care After Skilled Nursing Facility Discharge Following Heart Failure Hospitalization.
Journal of the American Geriatrics Society 2019 Weerahandi H, Bao H, Herrin J, Dharmarajan K, Ross JS, Jones S, Horwitz LI -
Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study.
Journal of the American Medical Directors Association 2019 Weerahandi H, Li L, Bao H, Herrin J, Dharmarajan K, Ross JS, Kim KL, Jones S, Horwitz LI -
The Relationship of Illness Beliefs with Hospital and Emergency Department Utilization in Chronic Obstructive Pulmonary Disease.
Journal of general internal medicine 2019 Weerahandi H, Wisnivesky JP, O'Conor R, Wolf MS, Federman AD -
Predictors for patients understanding reason for hospitalization.
PloS one 2018 Weerahandi H, Ziaeian B, Fogerty RL, Jenq GY, Horwitz LI -
The Relationship Between Psychological Symptoms and Ventricular Assist Device Implantation.
Journal of pain and symptom management 2017 Weerahandi H, Goldstein N, Gelfman LP, Jorde U, Kirkpatrick JN, Meyerson E, Marble J, Naka Y, Pinney S, Slaughter MS, Bagiella E, Ascheim DD -
Pain and Functional Status in Patients With Ventricular Assist Devices.
Journal of pain and symptom management 2016 Weerahandi H, Goldstein N, Gelfman LP, Jorde U, Kirkpatrick JN, Marble J, Naka Y, Pinney S, Slaughter MS, Bagiella E, Ascheim DD -
When practice and policy conflict: blood cultures in community-acquired pneumonia.
The American journal of emergency medicine 2015 Weerahandi H, Poeran J, Nassisi D, Mazumdar M -
Effects of a Psychosocial Transitional Care Model on Hospitalizations and Cost of Care for High Utilizers.
Social work in health care 2015 Weerahandi H, Basso Lipani M, Kalman J, Sosunov E, Colgan C, Bernstein S, Moskowitz AJ, Egorova N -
Effect of an electronic alert on treatment of skin and soft tissue infections.
The Journal of medical practice management : MPM 2014 Weerahandi H, Lurio J, Pichardo M, Duquaine D, Wu W, Calman N, Weiss D, Marx MA, Wang JJ -
Guided ordering: clinician interactions with complex order-sets.
International journal of medical informatics 2012 Shine D, Weerahandi H, Hochman K, Wang L, Radford M -
Degeneration of myelinated efferent fibers induces spontaneous activity in uninjured C-fiber afferents.
The Journal of neuroscience : the official journal of the Society for Neuroscience 2002 Wu G, Ringkamp M, Murinson BB, Pogatzki EM, Hartke TV, Weerahandi HM, Campbell JN, Griffin JW, Meyer RA