Krista Harrison, PhD
School of Medicine
Krista Harrison, PhD, is a health policy, ethics, and health services researcher focused on improving systems of care for older adults with dementia and other serious illnesses who live in home- and community-based settings.
Show full bio (200 words) Hide full bio
Dr. Harrison is an Assistant Professor in the Division of Geriatrics within the UCSF School of Medicine, affiliated with the Philip R. Lee Institute for Health Policy Studies, and a Senior Atlantic Fellow of the Global Brain Health Institute. She is also Associate Director of the T32 Aging Research Program and Associate Director of Analytic Research Operations in Geriatrics.
Dr. Harrison’s research aims to transform clinical practice, health systems, and health policy for older adults with serious illness. Her work focuses on older adults living at home with advancing dementia and the quality of home-based medical care. Her expertise includes qualitative and quantitative research methods, health policy ethics, implementation science, and the translation of research to policy.
Dr. Harrison completed a PhD in Bioethics, Health Policy & Management at Johns Hopkins Bloomberg School of Public Health, postdoctoral training in aging research, implementation science, and brain health at UCSF; she obtained her undergraduate training in biology and english at Williams College. In addition, Dr. Harrison previously contributed to national program evaluations at Mathematica Policy Research and served as Director of Research and Education at Capital Caring, a large community-based non-profit hospice and palliative care provider serving the Washington DC metropolitan area.
Show all (7) Hide
- NIA Mentored Research Scientist Development Award (K01), National Institute on Aging, 2019-2024
- 2019 UCSF MSTAR Research Mentor Award, UCSF Medical Students Training in Aging Research (MSTAR), 2019
- CTSI KL2 Career Development Award, University of California San Francisco, 2018-2021
- Pilot Awards for Global Brain Health Leaders, Alzheimer's Association/Global Brain Health Institute, 2018-2020
- NPCRC Junior Faculty Career Development Award, National Palliative Care Research Center, 2018-2020
- Hellman Fellows Program, University of California San Francisco, 2018-2020
- UCSF Claude D. Pepper Older Americans Independence Center (OAIC) Research Scholar, University of California San Francisco, 2017-2019
Education & Training
Show all (8) Hide
- Diversity, Equity and Inclusion Champion Training University of California 05/2021
- Atlantic Fellow Equity in Brain Health Global Brain Health Institute, UCSF 2019
- Aging Research T32 Fellowship Geriatrics University of California 2017
- Certificate Implementation Science University of California 2016
- PhD Bioethics, Health Policy & Management Johns Hopkins Bloomberg School of Public Heath 2013
- AHRQ NRSA Health Services Research Johns Hopkins Bloomberg School of Public Health 2010
- BA Biology, English Williams College 2004
- Biology, English Oxford University 2002
Show all (14) Hide
- organizational values
- home-based medical care
- health policy ethics
- implementation science
- advanced illness care
- population health
- public health ethics
- qualitative methods
- hospice and palliative care
- advance care planning
Grants and Projects
Show all (1) Hide
Top publication keywords:
StereotypingMultiple Chronic ConditionsPalliative CareHomes for the AgedDecision Making, OrganizationalHospice CareMedicareTerminal CareHomebound PersonsIntersectoral CollaborationResource AllocationEthics, InstitutionalAttitude to DeathHome Care ServicesDementia
Practices, challenges, and opportunities when addressing the palliative care needs of people living with dementia: Specialty memory care provider perspectives.
Alzheimer's & dementia (New York, N. Y.) 2021 Bernstein Sideman A, Harrison KL, Garrett SB, Naasan G, Dementia Palliative Care Writing Group , Ritchie CS
The Hidden Curriculum Of Hospice: Die Fast, Not Slow.
Health affairs (Project Hope) 2021 Harrison KL
Live discharge from hospice for people living with dementia isn't "graduating"-It's getting expelled.
Journal of the American Geriatrics Society 2021 Hunt LJ, Harrison KL
A Home-Based Care Research Agenda by and for Homebound Older Adults and Caregivers.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2021 Leff B, Sheehan OC, Harrison KL, Eaton England A, Mickler A, Basyal PS, Garrigues SK, Schuchman M, Perissinotto C, Garrett SB, Ritchie CS
Understanding the Daily Experiences and Perceptions of Homebound Older Adults and Their Caregivers: A Qualitative Study.
Journal of applied gerontology : the official journal of the Southern Gerontological Society 2021 Mickler AK, Leff B, Eaton England A, Garrigues SK, Schuchman M, Perissinotto C, Ritchie CS, Harrison KL, Sheehan OC
Show all (44 more) Hide
Virtual Research Stakeholder Groups with Isolated Homebound Elders and Caregivers: Lessons Learned Relevant to Research during Pandemics.
Journal of palliative medicine 2021 Harrison KL, Leff B, Garrigues SK, England ALE, Perissinotto CM, Sheehan OC, Mickler AK, Basyal PS, Ritchie CS
"It's Case by Case, and It's a Struggle": A Qualitative Study of Hospice Practices, Perspectives, and Ethical Dilemmas When Caring for Hospice Enrollees with Full-Code Status or Intensive Treatment Preferences.
Journal of palliative medicine 2020 Dressler G, Garrett SB, Hunt LJ, Thompson N, Mahoney K, Sudore RL, Ritchie CS, Harrison KL
Attitudes of Homebound Older Adults and their Caregivers toward Research and Participation as Research Advisors.
The Gerontologist 2020 Eaton England AL, Ritchie CS, Mickler A, Perissinotto CM, Garrigues SK, Leff B, Sheehan OC, Harrison KL
"Goals of Care Conversations Don't Fit in a Box": Hospice Staff Experiences and Perceptions of Advance Care Planning Quality Measurement.
Journal of pain and symptom management 2020 Hunt LJ, Garrett SB, Dressler G, Sudore R, Ritchie CS, Harrison KL
Palliative Care for Patients With Noncancer Illnesses.
JAMA 2020 Harrison KL, Kotwal AA, Smith AK
Extreme Vulnerability of Home Care Workers During the COVID-19 Pandemic-A Call to Action.
JAMA internal medicine 2020 Allison TA, Oh A, Harrison KL
To What Extent Are the Centers for Medicare & Medicaid Services 2019 MIPS Quality Measures Inclusive of Home-Based Medical Care?
Annals of internal medicine 2020 Leff B, Sheehan O, Bhatnagar S, Harrison KL, Barrows RC, Ritchie CS
Using care navigation to address caregiver burden in dementia: A qualitative case study analysis.
Alzheimer's & dementia (New York, N. Y.) 2020 Bernstein A, Merrilees J, Dulaney S, Harrison KL, Chiong W, Ong P, Heunis J, Choi J, Walker R, Feuer JE, Lee K, Dohan D, Bonasera SJ, Miller BL, Possin KL
Unanticipated Therapeutic Value of the Patient-Centered Outcomes Research Institute (PCORI) Stakeholder Engagement Project for Homebound Older Adults.
Journal of the American Medical Directors Association 2020 Sheehan OC, Ritchie CS, Garrett SB, Harrison KL, Mickler A, Eaton England AL, Sharma Basyal P, Garrigues SK, Leff B
What's Happening at Home: A Claims-based Approach to Better Understand Home Clinical Care Received by Older Adults.
Medical care 2020 Harrison KL, Leff B, Altan A, Dunning S, Patterson CR, Ritchie CS
Hospice Staff Perspectives on Caring for People with Dementia: A Multisite, Multistakeholder Study.
Journal of palliative medicine 2020 Harrison KL, Allison TA, Garrett SB, Thompson N, Sudore RL, Ritchie CS
Community-Based Palliative Care Consultations: Comparing Dementia to Nondementia Serious Illnesses.
Journal of palliative medicine 2020 Harrison KL, Bull JH, Garrett SB, Bonsignore L, Bice T, Hanson LC, Ritchie CS
Ethical Issues Raised by the Introduction of Artificial Companions to Older Adults with Cognitive Impairment: A Call for Interdisciplinary Collaborations.
Journal of Alzheimer's disease : JAD 2020 Portacolone E, Halpern J, Luxenberg J, Harrison KL, Covinsky KE
Collaboration Makes Us Better: Time to Increase Equity in the Science of Hospice and Palliative Care.
Journal of palliative medicine 2019 Candrian C, Furuno JP, Kavalieratos D, Harrison KL
Effect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use: The Care Ecosystem Randomized Clinical Trial.
JAMA internal medicine 2019 Possin KL, Merrilees JJ, Dulaney S, Bonasera SJ, Chiong W, Lee K, Hooper SM, Allen IE, Braley T, Bernstein A, Rosa TD, Harrison K, Begert-Hellings H, Kornak J, Kahn JG, Naasan G, Lanata S, Clark AM, …
Care Settings and Clinical Characteristics of Older Adults with Moderately Severe Dementia.
Journal of the American Geriatrics Society 2019 Harrison KL, Ritchie CS, Patel K, Hunt LJ, Covinsky KE, Yaffe K, Smith AK
Variations in Costs of a Collaborative Care Model for Dementia.
Journal of the American Geriatrics Society 2019 Rosa TD, Possin KL, Bernstein A, Merrilees J, Dulaney S, Matuoka J, Lee KP, Chiong W, Bonasera SJ, Harrison KL, Kahn JG
Use of Auditing and Feedback in an Outpatient Hospice Setting: Quality and Pharmacoeconomic Oversight.
Journal of pain and symptom management 2019 Kestenbaum MG, Harrison K, Masi D, Kuhl EA, Muir JC
Ethical Challenges in Caring for Unrepresented Adults: A Qualitative Study of Key Stakeholders.
Journal of the American Geriatrics Society 2019 Verma A, Smith AK, Harrison KL, Chodos AH
Dying With Dementia: Underrecognized and Stigmatized.
Journal of the American Geriatrics Society 2019 Harrison KL, Hunt LJ, Ritchie CS, Yaffe K
Response to Letter to the Editor "Caregiver Assessment Is Critical to HBMC".
Journal of the American Medical Directors Association 2019 Ritchie CS, Leff B, Harrison K
An integrative group movement program for people with dementia and care partners together (Paired PLIÉ): initial process evaluation.
Aging & mental health 2019 Casey JJ, Harrison KL, Ventura MI, Mehling W, Barnes DE
The Role of Care Navigators Working with People with Dementia and Their Caregivers.
Journal of Alzheimer's disease : JAD 2019 Bernstein A, Harrison KL, Dulaney S, Merrilees J, Bowhay A, Heunis J, Choi J, Feuer JE, Clark AM, Chiong W, Lee K, Braley TL, Bonasera SJ, Ritchie CS, Dohan D, Miller BL, Possin KL
A Quality of Care Framework for Home-Based Medical Care.
Journal of the American Medical Directors Association 2018 Ritchie CS, Leff B, Garrigues SK, Perissinotto C, Sheehan OC, Harrison KL
Action Guide for Addressing Ethical Challenges of Resource Allocation Within Community-Based Healthcare Organizations.
The Journal of clinical ethics 2018 Harrison KL, Taylor HA, Merritt MW
Secondary Analysis of Existing Datasets for Dementia and Palliative Care Research: High-Value Applications and Key Considerations.
Journal of palliative medicine 2017 Hunt LJ, Lee SJ, Harrison KL, Smith AK
How California Prepared for Implementation of Physician-Assisted Death: A Primer.
American journal of public health 2017 Petrillo LA, Dzeng E, Harrison KL, Forbes L, Scribner B, Koenig BA
Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative.
Journal of pain and symptom management 2017 Harrison KL, Dzeng E, Ritchie CS, Shanafelt TD, Kamal AH, Bull JH, Tilburt JC, Swetz KM
Low Completion and Disparities in Advance Care Planning Activities Among Older Medicare Beneficiaries.
JAMA internal medicine 2016 Harrison KL, Adrion ER, Ritchie CS, Sudore RL, Smith AK
Healthcare resource allocation decisions affecting uninsured services.
Journal of health organization and management 2016 Harrison KL, Taylor HA
First Medicare Demonstration of Concurrent Provision of Curative and Hospice Services for End-of-Life Care.
American journal of public health 2016 Harrison KL, Connor SR
Organizational values in the provision of access to care for the uninsured.
AJOB empirical bioethics 2016 Harrison KL, Taylor HA
A Hospice Rotation for Military Medical Residents: A Mixed Methods, Multi-Perspective Program Evaluation.
Journal of palliative medicine 2016 Harrison KL, Boyden JY, Kalish VB, Muir JC, Richardson S, Connor SR
Improving the Quality of Palliative Care Through National and Regional Collaboration Efforts.
Cancer control : journal of the Moffitt Cancer Center 2015 Kamal AH, Harrison KL, Bakitas M, Dionne-Odom JN, Zubkoff L, Akyar I, Pantilat SZ, O'Riordan DL, Bragg AR, Bischoff KE, Bull J
A Model for Effective and Efficient Hospice Care: Proactive Telephone-Based Enhancement of Life Through Excellent Caring, "TeleCaring" in Advanced Illness.
Journal of pain and symptom management 2015 Davis MS, Harrison KL, Rice JF, Logan A, Hess B, Fine PG, Muir JC
An intervention for enhancing public health crisis response willingness among local health department workers: a qualitative programmatic analysis.
American journal of disaster medicine 2014 Harrison KL, Errett NA, Rutkow L, Thompson CB, Anderson MK, Ferrell JL, Freiheit JM, Hudson R, Koch MM, McKee M, Mejia-Echeverry A, Spitzer JB, Storey D, Barnett DJ
EPPM and willingness to respond: the role of risk and efficacy communication in strengthening public health emergency response systems.
Health communication 2013 Barnett DJ, Thompson CB, Semon NL, Errett NA, Harrison KL, Anderson MK, Ferrell JL, Freiheit JM, Hudson R, McKee M, Mejia-Echeverry A, Spitzer J, Balicer RD, Links JM, Storey JD
'Someone should oversee it': patient perspectives on the ethical issues arising with the regulation of probiotics.
Health expectations : an international journal of public participation in health care and health policy 2012 Harrison KL, Farrell RM, Brinich MA, Highland J, Mercer M, McCormick JB, Tilburt J, Geller G, Marshall P, Sharp RR
Ethical challenges in the care of children and families affected by life-limiting neuromuscular diseases.
Journal of developmental and behavioral pediatrics : JDBP 2012 Geller G, Harrison KL, Rushton CH
Ethical Discourse about the Modification of Food for Therapeutic Purposes: How Patients with Gastrointestinal Diseases View the Good, the Bad, and the Healthy.
AJOB primary research 2012 Harrison KL, Geller G, Marshall P, Tilburt J, Mercer M, Brinich MA, Highland J, Farrell RM, Sharp RR
How patients view probiotics: findings from a multicenter study of patients with inflammatory bowel disease and irritable bowel syndrome.
Journal of clinical gastroenterology 2012 Mercer M, Brinich MA, Geller G, Harrison K, Highland J, James K, Marshall P, McCormick JB, Tilburt J, Achkar JP, Farrell RM, Sharp RR
IgE influences the number and function of mature mast cells, but not progenitor recruitment in allergic pulmonary inflammation.
Journal of immunology (Baltimore, Md. : 1950) 2009 Mathias CB, Freyschmidt EJ, Caplan B, Jones T, Poddighe D, Xing W, Harrison KL, Gurish MF, Oettgen HC
Developmental expression patterns of the zebrafish small heat shock proteins.
Developmental dynamics : an official publication of the American Association of Anatomists 2008 Marvin M, O'Rourke D, Kurihara T, Juliano CE, Harrison KL, Hutson LD
The H1 histamine receptor regulates allergic lung responses.
The Journal of clinical investigation 2006 Bryce PJ, Mathias CB, Harrison KL, Watanabe T, Geha RS, Oettgen HC