Dr Kim is a clinician-educator and staff physician at the Palo Alto VA, precepting residents on the VA homeless outreach rotation, managing a team of RNP/MDs supporting the medical care of veterans in four residential rehabilitation programs, and providing direct care of rural, community college, and homeless veterans through the Medical Outreach Section. Her research interests include measuring the impact of health information technology on primary care workflow in safety net settings, and improving communication skills and tolerance of ambiguity among medical trainees through the arts and humanities. After graduating with AB (Comp Lit/French) and MD from Brown University's Program in Liberal Medical Education, she completed internal medicine residency at the Santa Clara Valley Medical Center in San Jose, CA and a clinical research fellowship in the Division of General Internal Medicine/SFGH at UCSF, where she obtained a Master's in Advanced Studies and was nominated for a Kaiser Teaching award in 2008.
Clinical Instructor, Medicine - Primary Care and Population Health
- Precision Public Health Matters: An International Assessment of Communication, Preparedness, and Coordination for Successful COVID-19 Responses. American journal of public health 2021; 111 (3): 392–94
NARRATIVE ONCOLOGY: AN INTERVENTION TO PROMOTE RESIDENT WELLBEING AND PATIENT-CENTERED CARE ON AN EMOTIONALLY EXHAUSTING INPATIENT ROTATION
SPRINGER. 2020: S754
View details for Web of Science ID 000567143602345
Not Perfect, but Better: Primary Care Providers' Experiences with Electronic Referrals in a Safety Net Health System
31st Annual Meeting of the Society-of-General-Internal-Medicine
SPRINGER. 2009: 614–19
Electronic referrals can improve access to subspecialty care in safety net settings. In January 2007, San Francisco General Hospital (SFGH) launched an electronic referral portal that incorporated subspecialist triage, iterative communication with referring providers, and existing electronic health record data to improve access to subspecialty care.We surveyed primary care providers (PCPs) to assess the impact of electronic referrals on workflow and clinical care.We administered an 18-item, web-based questionnaire to all 368 PCPs who had the option of referring to SFGH.We asked participants to rate time spent submitting a referral, guidance of workup, wait times, and change in overall clinical care compared to prior referral methods using 5-point Likert scales. We used multivariate logistic regression to identify variables associated with perceived improvement in overall clinical care.Two hundred ninety-eight PCPs (81.0%) from 24 clinics participated. Over half (55.4%) worked at hospital-based clinics, 27.9% at county-funded community clinics, and 17.1% at non-county-funded community clinics. Most (71.9%) reported that electronic referrals had improved overall clinical care. Providers from non-county-funded clinics (AOR 0.40, 95% CI 0.14-0.79) and those who spent > or =6 min submitting an electronic referral (AOR 0.33, 95%CI 0.18-0.61) were significantly less likely than other participants to report that electronic referrals had improved clinical care.PCPs felt electronic referrals improved health-care access and quality; those who reported a negative impact on workflow were less likely to agree. While electronic referrals hold promise as a tool to improve clinical care, their impact on workflow should be considered.
View details for DOI 10.1007/s11606-009-0955-3
View details for Web of Science ID 000265306700011
View details for PubMedID 19308334
View details for PubMedCentralID PMC2669877