Stanford Presence 5

Supported by the Gordon and Betty Moore Foundation and directed by Donna Zulman, MD, MS, and Abraham Verghese, MD, the Presence 5 team aims to redesign the clinical encounter to incorporate communication techniques, questions, and practices centered around human connection. Our objective is to inspire a shift in care from institutional procedure to clinical ritual grounded in scientific evidence and humanism, and in doing so enhance patient experience, foster clinician well-being, and support patient-centered, safe, and effective care.

Presence 5 Team

Donna Zulman, MD, MS

Donna Zulman, MD, MS is an assistant professor in the Division of Primary Care and Population Health at Stanford University, and an investigator at the Center for Innovation to Implementation (Ci2i) in the VA Palo Alto Health Care System. Dr. Zulman’s research focuses on implementing and evaluating novel care models and health-related technology for high-need patients with medical and social complexity. She is currently supported by a VA Health Services Research & Development Career Development Award.

Cati Brown-Johnson, PhD

Cati Brown-Johnson, PhD is a trained mixed methods researcher interested in patient-provider communication. With the ESU, Cati is applying eight years of experience in program evaluation and individual behavior change to explore the impact of system-wide healthcare initiatives on patients. Passionate about health and people, Cati is a social scientist dedicated to using qualitative methods to bring the voice of patients and stakeholders into academic research.

Rachel Schwartz, PhD

Rachel Schwartz, PhD received her PhD in Communication Sciences and Disorders from McGill University and completed an AcademyHealth Delivery System Science postdoctoral fellowship at the Palo Alto Medical Foundation Research Institute. She has experience working in quality improvement for the Department of Complex Care at Lucile Packard Children's Hospital Stanford, where she was responsible for developing new operational protocol for supporting providers in delivering high-quality patient- and family-centered care. She is currently a VA Health Services Research and Development Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research. Her research interests center around the clinical encounter, improving provider wellness, and palliative care.

Marie Haverfield, PhD

Marie Haverfield, PhD is a postdoctoral fellow at the Veteran Affairs Palo Alto Health Care System and Stanford University School of Medicine. She received her doctorate in Interpersonal and Health Communication from the School of Communication and Information at Rutgers University. Dr. Haverfield's research focuses on examining communication and relationships in high risk settings and the effects these interactions have on individual outcomes. Her earlier work has explored how family communication patterns are shaped by the stressors introduced by a parent’s harmful alcohol use and the role of communication in bolstering resilience among offspring. Currently, Dr. Haverfield's work uses mixed-methods to examine interpersonal communication patterns among health care providers, family members, and patients in both the inpatient and outpatient settings.

Jonathan Shaw, MD, MS

Jonathan Shaw, MD, MS is a Clinical Assistant Professor in the Division of Primary Care and Population Health, Department of Medicine, at Stanford, a fellowship-trained health services researcher (VA Palo Alto & Stanford Center for Primary Care & Outcomes Research), and a practicing family physician at Ravenswood Family Health Center. Dr. Shaw has contributed to partnered research and implementation science both at the VA Palo Alto (as clinical lead and coinvestigator of a intensive outpatient care program (ImPACt) targeting ‘super-users’ of VA care) and at Stanford within the Evaluation Sciences Unit (ESU)--where he leads ongoing evaluation of primary care design Stanford’s University Health Alliance, and as contributor to the evaluation of Stanford’s new model of primary care, PC 2.0.

Dani Zionts, MScPH

Dani Zionts, MScPH is a Project Manager and Social Science Researcher with Stanford’s Evaluation Sciences Unit. She has been working in mixed-methods program evaluation and health care innovation since 2014, with prior work experiences in the fields of LGBTQ health and sexuality education. Within the ESU, she supports a range of projects, including the Presence 5 project to enhance provider-patient communication and the qualitative evaluation of the Cancer Center Transformation. Dani graduated from McGill University with a Masters of Science in Public Health degree and holds undergraduate degrees in health policy, gender studies, and social justice.

Nadia Safaeinili, MPH

Nadia Safaeinili, MPH is a Social Science Researcher/Project Manager in the division of Primary Care and Population Health. Nadia brings experience in project management of innovative community health interventions, as well as quantitative and qualitative research experience as a research assistant on public health research studies at UC Berkeley and New York University. Nadia holds a master’s degree in public health from Columbia University and specializes in program development, implementation, evaluation and dissemination.

Isabella Romero

Isabella Romero received her BA in psychology and statistics minor in Fall 2016, from California State University, Monterey Bay. She is currently a doctoral student in Clinical Psychology, at Palo Alto University. She primarily assists Dr. Marie Haverfield in conducting the systematic review component of the Presence 5 project. Isabella is also a research assistant for the Palo Alto VA, within the Center for Innovation to Implementation, where she works with principal investigator Dr. Donna Zulman's lab on the national evaluation of e-tablets for virtual provider and patient visits.

Shreyas Bharadwaj

Shreyas Bharadwaj is a current graduate student at Stanford pursuing an M.S. in Community Health/Prevention Research. Throughout his undergraduate career, Shreyas has focused on understanding how differential socioeconomic pressures lead to starkly dissimilar population-wide health outcomes. As a direct result of his experiences, Shreyas developed a strong interest in the prevention of chronic disease using scalable, novel technologies. While at Stanford, Shreyas will assist others on the Presence team to further understand how to leverage the patient-provider connection to drive better health care outcomes across communities.

Aaron Tierney

Aaron Tierney is a Research Assistant for Stanford Presence. He is a recent graduate, and John W. Kluge Scholar and Frank W. Chambers Scholar from Columbia University in the City of New York. He completed the Psychology and Pre-med programs while at Columbia. Aaron is currently assisting with the literature review and other additional tasks on the project.

Gabi Piccininni

Gabi Piccininni is a junior at Stanford University majoring in Science, Technology & Society, with a concentration in Life Sciences and Health. Gabi previously conducted health research for the International Olympic Committee, in association with Stanford Medicine, at the Rio Olympic Games. Additionally, Gabi has spent time in Morogoro, Tanzania where she worked with primary care physicians, cardiologists and infectious disease specialists to develop a greater understanding of global healthcare systems and to improve both access and treatment in rural communities. Gabi is very excited to be part of the Presence 5 team and hopes that the work being done at Stanford will one day be implemented universally to help improve healthcare quality all over the world! 

Affiliated Collaborators

Farzad Azimpour, MD 

Farzad Azimpour, MD is the clinical Director of Health at IDEO and a physician specialized in cardiovascular medicine, clinical research, and biodesign. He guides multidisciplinary teams to develop products, services, and systems for key clients in the health sector, from medical device start-ups to global health corporations. His teams' projects span aspects of healthcare disparities, high-risk patient engagement, and patient and clinician experience by way of regulated medical devices, pharmaceuticals, and digital health. 

Academically, Dr. Azimpour serves as a Guest Lecturer at the Stanford University School of Medicine and the Stanford Byers Center for Biodesign. He maintains extended teaching roles as Visiting Faculty at IRCAD-IHU (Strasbourg, France), IRCAD-AITS (Lukang, Taiwan), and Japan Biodesign (Osaka, Tokyo, and Sendai). 

Marcy Winget, PhD

Marcy Winget, PhD is the Director, Evaluation Sciences Unit and Clinical Associate Professor in the Division of Primary Care and Population Health, Stanford School of Medicine. She is an epidemiologist/ health services research with a passion for research aimed at improving the quality of the healthcare system. Dr. Winget has led several large studies that developed and implemented population-based methods to evaluate the quality of cancer care in breast, lung and colorectal cancer patients in Alberta, Canada. Currently she is leading evaluation efforts for the Stanford Cancer Center and Stanford Primary Care 2.0.

Michelle B. Bass, PhD, MSI, AHIP

Michelle B. Bass, PhD, MSI, AHIP is the Population Research Librarian at the Stanford University School of Medicine’s Lane Medical Library.  Since starting at Lane in January 2017, Michelle has been involved in reviewing and updating the library’s systematic review service, teaching classes on Stanford Medicine Box, funding resources, and finding images, and collaborating with researchers in the Center for Population Health Sciences, Stanford Health Care, and the Lucille Packard Children’s Hospital.  She is an active member of the Medical Library Association and is the current chair of the Research Section and a member of the Professional Retention and Recruitment committee.

Amrapali Maitra

Amrapali Maitra is a fourth-year medical student and PhD Candidate in Anthropology at Stanford.  Her PhD work explores how women's experiences of domestic violence in Kolkata, India, are shaped by poverty, labor, and family dynamics.  She is interested, broadly, in the social context of illness, the cultural specificity of care, and the patient-physician relationship.  Amrapali is applying to residency in Internal Medicine.  She is 2017-2018 Presence-Biomedical Ontology Fellow.