Krista Harrison, PhD

Associate Professor
Medicine

Krista Harrison, PhD, is an Associate Professor in the Division of Geriatrics and the Philip R. Lee Institute for Health Policy Studies (IHPS). Her research aims to mitigate suffering by improving models of care & policies for older adults living with, dying from, and grieving neurodegenerative diseases and other serious illnesses. She uses quantitative data to examine population-level needs and generate qualitative and mixed-methods data to inform the development of policy recommendations or gerineuropalliative interventions for community-dwelling people with dementia and care partners.

Dr. Harrison completed her PhD in health policy and bioethics at the Johns Hopkins Bloomberg School of Public Health; postdoctoral training in aging research and implementation science at UCSF, and an Atlantic Fellowship for Equity and Brain Health at the Global Brain Health Institute. Before joining UCSF, Dr. Harrison was an executive leader at a large nonprofit community-based hospice and palliative care organization. Dr. Harrison's currently serves as co-lead of the Vulnerable Aging Research Core of the Claude D. Pepper Older American Independence Center.

Publications: 

"Relationships, Very Quickly, Turn to Nothing": Loneliness, Social Isolation, and Adaptation to Changing Social Lives Among Persons Living With Dementia and Care Partners.

The Gerontologist

Kotwal AA, Allison TA, Halim M, Garrett SB, Perissinotto CM, Ritchie CS, Smith AK, Harrison KL

Does a novel community-based outpatient palliative care intervention for Parkinson's disease and related disorders improve care? Qualitative results from patients and care partners.

Palliative medicine

Bock MA, Macchi ZA, Harrison KL, Katz M, Dini M, Jones J, Ayele R, Kutner JS, Pantilat SZ, Martin C, Sillau S, Kluger B

Music engagement as part of everyday life in dementia caregiving relationships at home.

The Gerontologist

Allison TA, Gubner JM, Harrison KL, Smith AK, Barnes DE, Covinsky KE, Yaffe K, Johnson JK

Care Ecosystem Collaborative Model and Health Care Costs in Medicare Beneficiaries With Dementia: A Secondary Analysis of a Randomized Clinical Trial.

JAMA internal medicine

Guterman EL, Kiekhofer RE, Wood AJ, Allen IE, Kahn JG, Dulaney S, Merrilees JJ, Lee K, Chiong W, Bonasera SJ, Braley TL, Hunt LJ, Harrison KL, Miller BL, Possin KL

Out-of-Pocket Expenses for Long-Term Care by Dementia Status and Residential Setting Among US Older Adults.

Journal of the American Medical Directors Association

Li J, Bancroft H, Harrison KL, Fox J, Tyler AM, Arias JJ

Health Care Costs Associated With Hospice Use For People With Dementia In The US.

Health affairs (Project Hope)

Aldridge MD, Hunt LJ, Harrison KL, McKendrick K, Li L, Morrison RS

Toward Gerineuropalliative Care for Patients with Dementia.

The New England journal of medicine

Harrison KL, Boyd N, Ritchie CS

In sickness and in health: Loneliness, depression, and the role of marital quality among spouses of persons with dementia.

Journal of the American Geriatrics Society

Hsu KY, Cenzer I, Harrison KL, Ritchie CS, Waite L, Kotwal A

Hospice Quality, Race, and Disenrollment in Hospice Enrollees with Dementia.

Journal of palliative medicine

Hunt LJ, Gan S, Smith AK, Aldridge MD, Boscardin WJ, Harrison KL, James JE, Lee AK, Yaffe K

Care Setting Transitions for People With Dementia: Qualitative Perspectives of Current and Former Care Partners.

The American journal of hospice & palliative care

Radcliffe KG, Halim M, Ritchie CS, Maus M, Harrison KL

Developing neuropalliative care for sporadic Creutzfeldt-Jakob Disease.

Prion

Harrison KL, Garrett SB, Gilissen J, Terranova MJ, Bernstein Sideman A, Ritchie CS, Geschwind MD

Functional and clinical needs of older hospice enrollees with coexisting dementia.

Journal of the American Geriatrics Society

Harrison KL, Cenzer I, Smith AK, Hunt LJ, Kelley AS, Aldridge MD, Covinsky KE

Caregiver Experiences Navigating the Diagnostic Journey in a Rapidly Progressing Dementia.

Journal of geriatric psychiatry and neurology

Sideman AB, Gilissen J, Harrison KL, Garrett SB, Terranova MJ, Ritchie CS, Geschwind MD

Hospice Improves Care Quality For Older Adults With Dementia In Their Last Month Of Life.

Health affairs (Project Hope)

Harrison KL, Cenzer I, Ankuda CK, Hunt LJ, Aldridge MD

Life expectancy for community-dwelling persons with dementia and severe disability.

Journal of the American Geriatrics Society

Harrison KL, Ritchie CS, Hunt LJ, Patel K, Boscardin WJ, Yaffe K, Smith AK

Barriers of Acceptance to Hospice Care: a Randomized Vignette-Based Experiment.

Journal of general internal medicine

Trandel ET, Lowers J, Bannon ME, Moreines LT, Dellon EP, White P, Cross SH, Quest TE, Lagnese K, Krishnamurti T, Arnold RM, Harrison KL, Patzer RE, Wang L, Zarrabi AJ, Kavalieratos D

COVID-19 severity and age increase the odds of delirium in hospitalized adults with confirmed SARS-CoV-2 infection: a cohort study.

BMC psychiatry

LaHue SC, Escueta DP, Guterman EL, Patel K, Harrison KL, Boscardin WJ, Douglas VC, Newman JC

The Experience of Homebound Older Adults During the COVID-19 Pandemic.

Journal of general internal medicine

Ankuda CK, Kotwal A, Reckrey J, Harrison KL, Ornstein KA

Advance Directive and POLST Documentation in Decedents With Dementia at a Memory Care Center: The Importance of Early Advance Care Planning.

Neurology. Clinical practice

Naasan G, Boyd ND, Harrison KL, Garrett SB, D'Aguiar Rosa T, Pérez-Cerpa B, McFarlane S, Miller BL, Ritchie CS

"Captive by the Uncertainty"-Experiences with Anticipatory Guidance for People Living with Dementia and Their Caregivers at a Specialty Dementia Clinic.

Journal of Alzheimer's disease : JAD

Shafir A, Ritchie CS, Garrett SB, Bernstein Sideman A, Naasan G, Merrilees J, Widera E, Flint L, Harrison KL

"I Didn't Sign Up for This": Perspectives from Persons Living with Dementia and Care Partners on Challenges, Supports, and Opportunities to Add Geriatric Neuropalliative Care to Dementia Specialty Care.

Journal of Alzheimer's disease : JAD

Harrison KL, Garrett SB, Halim M, Bernstein Sideman A, Allison TA, Dohan D, Naasan G, Miller BL, Smith AK, Ritchie CS

Medicare-funded home-based clinical care for community-dwelling persons with dementia: An essential healthcare delivery mechanism.

Journal of the American Geriatrics Society

Ornstein KA, Ankuda CK, Leff B, Rajagopalan S, Siu AL, Harrison KL, Oh A, Reckrey JM, Ritchie CS

Attitudes of Homebound Older Adults and Their Caregivers Toward Research and Participation as Research Advisors.

The Gerontologist

Eaton England AL, Ritchie CS, Mickler A, Perissinotto CM, Garrigues SK, Leff B, Sheehan OC, Harrison KL

Characteristics of people with dementia lost to follow-up from a dementia care center.

International journal of geriatric psychiatry

Boyd ND, Naasan G, Harrison KL, Garrett SB, D'Aguiar Rosa T, Pérez-Cerpa B, McFarlane S, Miller BL, Ritchie CS

Instead of Wasting Money on Aducanumab, Pay for Programs Proven to Help People Living with Dementia.

Journal of the American Geriatrics Society

Hunt LJ, Harrison KL, Covinsky KE

Meaningful Activities and Sources of Meaning for Community-Dwelling People Living with Dementia.

Journal of the American Medical Directors Association

Allison TA, Gubner JM, Oh A, Harrison KL, Pham K, Barnes DE, Johnson JK, Covinsky KE, Smith AK

Front-Line Hospice Staff Perceptions of Barriers and Opportunities to Discussing Advance Care Planning With Hospice Patients and Their Families.

Journal of the American Medical Directors Association

Oh A, Allison TA, Mahoney K, Thompson N, Ritchie CS, Sudore RL, Harrison KL

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.)

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)

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

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

Mickler AK, Leff B, Eaton England A, Garrigues SK, Schuchman M, Perissinotto C, Ritchie CS, Harrison KL, Sheehan OC

Virtual Research Stakeholder Groups with Isolated Homebound Elders and Caregivers: Lessons Learned Relevant to Research during Pandemics.

Journal of palliative medicine

Harrison KL, Leff B, Garrigues SK, Eaton England AL, Perissinotto CM, Sheehan OC, Mickler AK, Basyal PS, Ritchie CS

"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

Hunt LJ, Garrett SB, Dressler G, Sudore R, Ritchie CS, Harrison KL

Palliative Care for Patients With Noncancer Illnesses.

JAMA

Harrison KL, Kotwal AA, Smith AK

To What Extent Are the Centers for Medicare & Medicaid Services 2019 MIPS Quality Measures Inclusive of Home-Based Medical Care?

Annals of internal medicine

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.)

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

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

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

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

Harrison KL, Bull JH, Garrett SB, Bonsignore L, Bice T, Hanson LC, Ritchie CS

Collaboration Makes Us Better: Time to Increase Equity in the Science of Hospice and Palliative Care.

Journal of palliative medicine

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

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, Chodos A, Gearhart R, Ritchie C, Miller BL

Care Settings and Clinical Characteristics of Older Adults with Moderately Severe Dementia.

Journal of the American Geriatrics Society

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

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

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

Verma A, Smith AK, Harrison KL, Chodos AH

Dying With Dementia: Underrecognized and Stigmatized.

Journal of the American Geriatrics Society

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

Ritchie CS, Leff B, Harrison K

The Role of Care Navigators Working with People with Dementia and Their Caregivers.

Journal of Alzheimer's disease : JAD

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

Ritchie CS, Leff B, Garrigues SK, Perissinotto C, Sheehan OC, Harrison KL

How California Prepared for Implementation of Physician-Assisted Death: A Primer.

American journal of public health

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

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

Harrison KL, Adrion ER, Ritchie CS, Sudore RL, Smith AK

Healthcare resource allocation decisions affecting uninsured services.

Journal of health organization and management

Harrison KL, Taylor HA

A Hospice Rotation for Military Medical Residents: A Mixed Methods, Multi-Perspective Program Evaluation.

Journal of palliative medicine

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

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

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

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

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

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

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

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

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)

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

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

Bryce PJ, Mathias CB, Harrison KL, Watanabe T, Geha RS, Oettgen HC