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
Clinic-community linkages; preventive medicine; addressing social determinants of health
Prevention and treatment
Hofstetter AM, Opel DJ, Stockwell MS, Hsu C, deHart MP, Zhou C, Mangione-Smith RM, Englund JA Influenza-Related Knowledge, Beliefs, and Experiences Among Caregivers of Hospitalized Children 2021 Aug;11(8):815-832. doi: 10.1542/hpeds.2020-003459. Epub 2021-07-16. PubMed
Matson TE, Carrell DS, Bobb JF, Cronkite DJ, Oliver MM, Luce C, Ghitza UE, Hsu CW, Campbell CI, Browne KC, Binswanger IA, Saxon AJ, Bradley KA, Lapham GT Prevalence of Medical Cannabis Use and Associated Health Conditions Documented in Electronic Health Records Among Primary Care Patients in Washington State 2021 May 3;4(5):e219375. doi: 10.1001/jamanetworkopen.2021.9375. Epub 2021-05-03. PubMed
Crabtree BF, Howard J, Miller WL, Cromp D, Hsu C, Coleman K, Austin B, Flinter M, Tuzzio L, Wagner EH Leading Innovative Practice: Leadership Attributes in LEAP Practices 2020 Jun;98(2):399-445. doi: 10.1111/1468-0009.12456. Epub 2020-05-13. PubMed
Jones SMW, Parchman M, McDonald S, Cromp D, Austin B, Flinter M, Hsu C, Wagner E Measuring attributes of team functioning in primary care settings: development of the TEAMS tool 2020 May;34(3):407-413. doi: 10.1080/13561820.2019.1670628. Epub 2019-10-01. PubMed
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 2020 Feb;35(2):481-489. doi: 10.1007/s11606-019-05397-6. Epub 2019-12-02. 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 2019 Oct;42(4):270-283. doi: 10.1097/JAC.0000000000000277. 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 2019 Aug;22(4):609-616. doi: 10.1111/hex.12909. Epub 2019-05-27. 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 2019 Jul 25;20(1):103. doi: 10.1186/s12875-019-1000-1. Epub 2019-07-25. PubMed
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 2019 Jun;20(6):1105-1119. doi: 10.1093/pm/pny170. PubMed
Green BB, Anderson ML, Campbell J, Cook AJ, Ehrlich K, Evers S, Hall YN, Hsu C, Joseph D, Klasnja P, Margolis KL, McClure JB, Munson SA, Thompson MJ Blood pressure checks and diagnosing hypertension (BP-CHECK): Design and methods of a randomized controlled diagnostic study comparing clinic, home, kiosk, and 24-hour ambulatory BP monitoring 2019 Apr;99(4):239-243. doi: 10.1016/j.cct.2019.01.003. Epub 2018-12-16. PubMed
Develop a codesign project and process with insights from the ENSPIRE study.
Clarissa Hsu and Jess Mogk share a new way to fast-track insights from qualitative data.
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.