Pediatrician, health services researcher at @BUMedicine and @The_BMC, bleeding heart data nerd. Views mine. She/hers.
Boston, MA
Joined July 2019
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Excited to share our new study in @JAMANetworkOpen-more evidence that value-based incentive programs function as a disproportionate penalty system for safety-net hospitals without meaningful benefits for patients: ja.ma/2ZRnrRa
This is #StructuralRacism in action. 🧵 1/
Heather Hsu, MD MPH retweeted
So proud of our #HealthEquityRounds team for their hard work on this excellent presentation and all the next steps to follow!
We’ll be proposing clinical guidelines that can help pediatricians & our colleagues advocate for justice-involved youth in healthcare spaces ❤️
🗓️11/21 (tomorrow!!) at 12pm EST
"Healthcare, Not Handcuffs: Advocating for the Human Rights of Justice-Involved Youth" featuring Dr. @AmySobota1
🔗DM for link!
@KatherineBick @raquel_selcer @TobiOkopie @rohankhaz @BWHBCHMedPeds
Heather Hsu, MD MPH retweeted
Dr. Heather E. Hsu (@HEHsuMD) explains how an institutional conference series for addressing the adverse effects of bias and medical racism has influenced day-to-day discussions in her department @The_BMC and has affected patient care. Full interview: nej.md/3AKpuwJ
Heather Hsu, MD MPH retweeted
An honor to have our work featured in the @JAMAPediatrics highlight reel on Health & the 2024 US Election by @GalbraithAlison & @aaronecarroll.
Now, #MAleg just needs to finalize this bill in 2025!
Our paper: jamanetwork.com/journals/jam…
The editorial: jamanetwork.com/journals/jam…
Heather Hsu, MD MPH retweeted
"Destigmatizing prenatal and postpartum substance use treatment is long overdue." #maternalhealth
Our policies punish pregnant people for getting treatment for addiction. It doesn't have to be this way buff.ly/3SkruRU by @rohankhaz @HEHsuMD from @The_BMC
Heather Hsu, MD MPH retweeted
1/📢📰💡 NEW op-ed in @cogwbur @WBUR with Liz Egan and @HEHsuMD from @The_BMC
We share how #MApoli can move our state from mandated reporting to mandated supporting for pregnant people with substance use disorders by passing #H4758 this session.
wbur.org/cognoscenti/2024/07…
Heather Hsu, MD MPH retweeted
Thrilled to hear good news today about an #MAleg bill which would end mandated CPS reporting for prenatal substance exposure.
H/t @MattPStout for citing our @JAMAPediatrics study, which shows @The_BMC reduced reporting by almost half by implementing similar guidance in 2021 🙏🏽
Massachusetts House leaders unveiled a proposal Tuesday that would free doctors, hospital officials, and others from requirements to report suspected neglect to child welfare officials solely because a baby is born exposed to drugs. bostonglobe.com/2024/06/11/m… via @BostonGlobe
Heather Hsu, MD MPH retweeted
🚨For our final #HealthEquityRounds of the year (and my last of residency 😭), we will explore racialized immigration policies and family separation in collaboration with the @BU_Tweets COE in Immigrant Health and Early Childhood Mental Health and @BMC_IRHC. DM for Zoom link!
Those most affected people know what the solutions are — we just need to listen and get to work! Important, solution- finding qualitative study from @JSATjournal by @davida_schiff and colleagues 👇🏻👇🏻👇🏻
1/ In @JSATjournal: Qual study with women of color with SUD in MA highlighting compounding stigmas during pregnancy and postpartum, where participants experience increased scrutiny, mistrust and expectations hindering access to care and resources. jsatjournal.com/article/S294…
Heather Hsu, MD MPH retweeted
1/ In @JSATjournal: Qual study with women of color with SUD in MA highlighting compounding stigmas during pregnancy and postpartum, where participants experience increased scrutiny, mistrust and expectations hindering access to care and resources. jsatjournal.com/article/S294…
Heather Hsu, MD MPH retweeted
Adoption of a trauma-informed clinical practice guideline at @The_BMC requiring identification of specific protective concerns in the setting of prenatal substance exposure led to a large reduction in CPS reports. ja.ma/3UMOKtm
Heather Hsu, MD MPH retweeted
Incredibly imp work led by @rohankhaz, @HEHsuMD & more @The_BMC. Changing from reflexive mandated reporting to case-based led to drop in filings w/o change in custody disposition. Multidisciplinary hospital-based team decision making can identify protective factors and risks.
ALT https://jamanetwork.com/journals/jamapediatrics/article-abstract/2818398
1/ 🚨💡🧵 *NEW from #PAS2024 & now out in @JAMAPediatrics*
Our quasi-experimental analysis shows @The_BMC reduced #ChildProtectiveServices reporting for prenatal substance exposure by 45pp w/o adverse consequences during the birth hospitalization.
jamanetwork.com/journals/jam…
Trauma-informed and individually-tailored approaches to evaluating protective concerns in substance-exposed newborns are effective and safe! Great thread below by lead author @rohankhaz on our new study from #PAS2024 & @JAMAPediatrics.
1/ 🚨💡🧵 *NEW from #PAS2024 & now out in @JAMAPediatrics*
Our quasi-experimental analysis shows @The_BMC reduced #ChildProtectiveServices reporting for prenatal substance exposure by 45pp w/o adverse consequences during the birth hospitalization.
jamanetwork.com/journals/jam…
FYI to @SeattleHER @PDEquityRounds & #HER friends nationwide that conversations that led to the 2021 guideline change were started at a #BMCPeds
#HealthEquityRounds back in 2018. Shout out to @tyerainer @FAlizadehMD @yuanheMD @djzhengMD @DrPowerHays @BAiyanyor @KatieNasher!
Heather Hsu, MD MPH retweeted
🚨Out this week in @JAMAHealthForum 🚨
How can we deal with the ever-increasing complexity of medical billing in risk adjustment models? How could integrating AI models help?
If you're interested in these questions, we've got a paper for you! jamanetwork.com/journals/jam… (1/5)
Heather Hsu, MD MPH retweeted
It was an honor to get to discuss how the federal health programs can improve the care of patients with substance use disorders, particularly alongside my friend @smbagley
Our patients deserve evidence-based, high-quality care, and the federal health programs can help
This week, @CUMedicalSchool professor Dr. Paul Christine had the privilege to participate in a @SenateFinance roundtable on ways Colorado is leading the charge in using community-based models to treat patients with substance use disorder.
finance.senate.gov/hearings/…
Heather Hsu, MD MPH retweeted
Excited to share our new paper on how to use target trial emulation to study the comparative effectiveness of medications for opioid use disorder (MOUD) using observational data
Out now and open-access in @AddictionJrnl
onlinelibrary.wiley.com/shar…
Heather Hsu, MD MPH retweeted
Excited to share these two podium talks + co-author some fab presentations w/my @TheBCRP @The_BMC colleagues at #PAS2024 — will be my first @PASMeeting!
🙌🏽🙏🏽 to two incredible research teams tagged below, and to @DrScottHadland + @HEHsuMD for exceptional mentorship! ❤️
📢 Calling all speakers! Presenting at #PAS2024? Let's amplify the excitement!
🔁Retweet this and share the stage you're set to ignite! 🎤
Heather Hsu, MD MPH retweeted
We have new work out today @JAMAHealthForum exploring if removal of Medicaid prior auths for buprenorphine changed buprenorphine prescriptions
Hypothesis: PAs are a barrier to care and removal will result in more prescriptions
Results: There was minimal change after PA removal
Does removing Medicaid prior authorizations for buprenorphine for treatment of opioid use disorder increase buprenorphine prescriptions?
New state-level cross-sectional study suggests it might not. ja.ma/45GSLSD @pauljchristine @LarochelleMarc @renutip
Heather Hsu, MD MPH retweeted
Proud to have co-written this piece with @AmundamsAnatomy & @Djeffreedom on the struggles we face in providing equitable care for all our pediatric patients. Thanks to @BostonGlobe @BostonGlobeMag for allowing us to advocate for our patients thru media
bostonglobe.com/2023/10/12/m…
Heather Hsu, MD MPH retweeted
In this essay:
New grant & publications opportunities on structural racism + health are undermined by inadequate peer review--> institutional racism within research enterprise
1/
healthaffairs.org/content/fo…