MDCM, MAS - eConsult Program Director, CIAQ Co-Director
          M_MED-ZSFG-NEPH
      
            
      
            +1 628 206-8242
      Dr. Tuot is faculty in the Division of Nephrology at UCSF with interests in chronic kidney disease (CKD), provider-patient communication, CKD interventions that: (1) enhance access to specialty care, (2) improve specialist-primary care provider communication, and (3) increase patient awareness, self-efficacy and self-management of kidney disease. Her long-term goal is to implement sustainable programs within the community or public health settings that improve health outcomes among CKD patients, particularly among vulnerable populations, as they are at greatest risk of CKD-associated morbidity and mortality. She is the Evaluation Lead of the Kaiser Specialty Care Initiative and the eReferral ratings project.
Publications
Access to Healthy Foods and Diet Quality: Implications for Advancing Equity in Kidney Health Outcomes.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Understanding Hospitalized Patients with ESKD Experiencing Homelessness in the United States.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Telemedicine for Hemodialysis Care Delivery: Value Added?
Journal of the American Society of Nephrology : JASN
      
            
      
      The role of implementation science in advancing equity in kidney health.
Nature reviews. Nephrology
      
            
      
      Impact of the Kidney Score Platform on Communication About and Patients' Engagement With Chronic Kidney Disease Health: Pre-Post Intervention Study.
JMIR formative research
      
            
      
      Approaches to raise awareness of CKD among patients and the general population.
Nature reviews. Nephrology
      
            
      
      Facilitators of and barriers to Medicaid investment in electronic consultation services.
The American journal of managed care
      
            
      
      Becoming the actively engaged patient: patient-driven strategies for activation in CKD care.
Journal of nephrology
      
            
      
      Intensive Remote Onboarding to Improve Digital Health Access Among Safety-Net Patients During a Pandemic: An Implementation Study.
Telemedicine journal and e-health : the official journal of the American Telemedicine Association
      
            
      
      Decision Aids in Kidney Care: The Need for Interventions Addressing Kidney Disease in Marginalized Populations.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Achieving Chronic Care Equity by Leveraging the Telehealth Ecosystem (ACCTIVATE): A Multilevel Randomized Controlled Trial Protocol.
Medical Research Archives
      
            
      
      NAVKIDS2: a lesson in matching outcome measures to interventions.
Kidney international
      
            
      
      The Influence of Patient-Provider Communication on Self-Management Among Patients With Chronic Illness: A Systematic Mixed Studies Review.
Journal of advanced nursing
      
            
      
      Primary care clinician perspectives on automated nephrology e-consults for diabetic kidney disease: a pre-implementation qualitative study.
BMC primary care
      
            
      
      Implementing team-based telemedicine workflows in safety-net primary care.
The American journal of managed care
      
            
      
      Lessons From the Field From a Volunteer Telehealth Ambassador Program to Enhance Video Visits Among Low-Income Patients: Qualitative Improvement Study.
JMIR formative research
      
            
      
      It Is Time to Replace the Term "Patient Care Technician" in Dialysis.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Effect of Intensive Blood Pressure Control on Kidney Outcomes: Long-Term Electronic Health Record-Based Post-trial Follow-Up of SPRINT.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Fulfillment and Validity of the Kidney Health Evaluation Measure for People with Diabetes.
Mayo Clinic proceedings. Innovations, quality & outcomes
      
            
      
      Estimated Prevalence and Testing for Albuminuria in US Adults at Risk for Chronic Kidney Disease.
JAMA network open
      
            
      
      Utility of the Kidney Failure Risk Equation and Estimated GFR for Estimating Time to Kidney Failure in Advanced CKD.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Kidney Function Trajectories and Health Care Costs: Identifying High-Need, High-Cost Patients.
Kidney Medicine
      
            
      
      Care of the Patient With Abnormal Kidney Test Results.
Annals of internal medicine
      
            
      
      Gaps in Nephrology Referral Care Utilization in Patients at High-Risk of Progression to Kidney Failure.
AMIA ... Annual Symposium proceedings. AMIA Symposium
      
            
      
      Concordance between clinical outcomes in the systolic blood pressure intervention trial and in the electronic health record.
Contemporary clinical trials
      
            
      
      Development of eConsult reflective learning tools for healthcare providers: a pragmatic mixed methods approach.
BMC primary care
      
            
      
      Albuminuria testing and nephrology care among insured US adults with chronic kidney disease: a missed opportunity.
BMC primary care
      
            
      
      Estimating Time to Kidney Failure: Comparison of KFRE and eGFR Thresholds.
Journal of the American Society of Nephrology
      
            
      
      Estimating Underdetection of CKD in Real-World Health Systems.
Journal of the American Society of Nephrology
      
            
      
      Submaximal Angiotensin-Converting Enzyme Inhibitor and Angiotensin Receptor Blocker Dosing Among Persons With Proteinuria.
Mayo Clinic proceedings
      
            
      
      Usability Testing of the Kidney Score Platform to Enhance Communication About Kidney Disease in Primary Care Settings: Qualitative Think-Aloud Study.
JMIR formative research
      
            
      
      Advancing Kidney Health Equity: Influences of Gender-Affirming Hormone Therapy on Kidney Function.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Classifying unstructured electronic consult messages to understand primary care physician specialty information needs.
Journal of the American Medical Informatics Association : JAMIA
      
            
      
      Optimizing Self-Management Programs in Kidney Disease: Implementation of Sick-Day Protocols.
Kidney Medicine
      
            
      
      Analysis of Specialty Nephrology Care Among Patients With Chronic Kidney Disease and High Risk of Disease Progression.
JAMA network open
      
            
      
      Utility of telephone visits at an urban safety-net hospital during 2020: A retrospective review.
Laryngoscope investigative otolaryngology
      
            
      
      System-level factors associated with telephone and video visit use: Survey of safety-net clinicians during the early phase of COVID-19.
JMIR formative research
      
            
      
      Avoiding Overuse of Venipuncture and Laboratory Testing in Hospitalized Patients on Hemodialysis.
Journal of patient safety
      
            
      
      Nudging Behavioral Economics into Nephrology Care Delivery Research.
Journal of the American Society of Nephrology : JASN
      
            
      
      Religious Service Attendance and Mortality among Adults in the United States with Chronic Kidney Disease.
International journal of environmental research and public health
      
            
      
      Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years.
Kidney international
      
            
      
      Facilitating a Patient-Centered Transition From Kidney Disease to Kidney Failure: Can Digital Tools Help?
Kidney Medicine
      
            
      
      Facility-Level Variation and Racial Disparities in Albuminuria and Serum Creatinine Dual Testing in the US Veterans Health Administration (VHA) Health Care System.
Journal of the American Society of Nephrology
      
            
      
      Submaximal Dose of Angiotensin Converting Enzyme Inhibitor and Angiotensin II Receptor Blockers Among Persons with Proteinuria.
Journal of the American Society of Nephrology
      
            
      
      CKD Progression From the Time of Estimated GFR-Based Waitlist Eligibility and Racial Disparities in Transplant Access.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort.
BMC public health
      
            
      
      Comparison of Diagnostic Recommendations from Individual Physicians versus the Collective Intelligence of Multiple Physicians in Ambulatory Cases Referred for Specialist Consultation.
Medical decision making : an international journal of the Society for Medical Decision Making
      
            
      
      Prevalence of polypharmacy and associated adverse health outcomes in adult patients with chronic kidney disease: protocol for a systematic review and meta-analysis.
Systematic reviews
      
            
      
      Patient Awareness of CKD: A Systematic Review and Meta-analysis of Patient-Oriented Questions and Study Setting.
Kidney Medicine
      
            
      
      Engagement With a Health Information Technology-Augmented Self-Management Support Program in a Population With Limited English Proficiency: Observational Study.
JMIR mHealth and uHealth
      
            
      
      Clinician experience with telemedicine at a safety-net hospital network during COVID-19: a cross-sectional survey.
Journal of health care for the poor and underserved
      
            
      
      Assuring safety and efficacy of nurse triage for electronic consultation to improve access to specialty care.
BMJ quality & safety
      
            
      
      Limited english proficiency and concordance of CKD awareness among primary care providers and patients.
BMC nephrology
      
            
      
      Concordance Between Blood Pressure in the Systolic Blood Pressure Intervention Trial and in Routine Clinical Practice.
JAMA internal medicine
      
            
      
      Angiotensin-Converting Enzyme Inhibitor or Angiotensin Receptor Blocker Use Among Hypertensive US Adults With Albuminuria.
Hypertension (Dallas, Tex. : 1979)
      
            
      
      The Kidney Failure Risk Equation for Prediction of Allograft Loss in Kidney Transplant Recipients.
Kidney Medicine
      
            
      
      The Kidney Score Platform for Patient and Clinician Awareness, Communication, and Management of Kidney Disease: Protocol for a Mixed Methods Study.
JMIR research protocols
      
            
      
      Angiotensin Converting Enzyme Inhibitor and Angiotensin Receptor Blocker Use Among Hypertensive US Adults by Albuminuria Status, 2013-2018.
Journal of the American Society of Nephrology
      
            
      
      Differences in Kidney Failure Risk by Race/Ethnicity at the Time of GFR-Based Transplant Eligibility.
Journal of the American Society of Nephrology
      
            
      
      Low Documentation of Social Determinants of Health Among US Veterans and Medicare Patients with CKD.
Journal of the American Society of Nephrology
      
            
      
      Racial Disparities in Receipt of Medications for Secondary Prevention of Cardiovascular Disease in Kidney Transplant Recipients in the FAVORIT Trial.
Journal of the American Society of Nephrology
      
            
      
      Urine Albumin and Serum Creatinine Dual Testing in US Veterans: Trends and Associations with Subspecialty Care.
Journal of the American Society of Nephrology
      
            
      
      Variation in Kidney Failure Risk Across Health Organizations Among Adults with CKD in Nephrology Ambulatory Care.
Journal of the American Society of Nephrology
      
            
      
      Completeness and quality of text paging for subspecialty consult requests.
Postgraduate medical journal
      
            
      
      Improving Equity in Medication Use through Better Kidney Function Measurement.
Journal of the American Society of Nephrology : JASN
      
            
      
      Key factors for national spread and scale-up of an eConsult innovation.
Health research policy and systems
      
            
      
      Enabling patient-centred policy for electronic consultations: A qualitative analysis of discussions from a stakeholder meeting.
Journal of telemedicine and telecare
      
            
      
      Chronic Kidney Disease Awareness and Longitudinal Health Outcomes: Results from the REasons for Geographic And Racial Differences in Stroke Study.
American journal of nephrology
      
            
      
      CKD Awareness Among US Adults by Future Risk of Kidney Failure.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Screening for CKD To Improve Processes of Care among Nondiabetic Veterans with Hypertension: A Pragmatic Cluster-Randomized Trial.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      e-Consult implementation success: lessons from 5 county-based delivery systems.
The American journal of managed care
      
            
      
      Quality of Chronic Kidney Disease Management in Canadian Primary Care.
JAMA network open
      
            
      
      SUN-233 The state of CKD care in Canadian primary care: a retrospective analysis of a national database.
Kidney International Reports
      
            
      
      Albuminuria Testing by Race and Ethnicity among Patients with Hypertension with and without Diabetes.
American journal of nephrology
      
            
      
      Magnitude of the Difference Between Clinic and Ambulatory Blood Pressures and Risk of Adverse Outcomes in Patients With Chronic Kidney Disease.
Journal of the American Heart Association
      
            
      
      Family Involvement in Decisions to Forego or Withdraw Dialysis: A Qualitative Study of Nephrologists in the United States and England.
Kidney Medicine
      
            
      
      Poor accordance to a DASH dietary pattern is associated with higher risk of ESRD among adults with moderate chronic kidney disease and hypertension.
Kidney international
      
            
      
      Prevalence and Demographics of CKD in Canadian Primary Care Practices: A Cross-sectional Study.
Kidney International Reports
      
            
      
      San Francisco Health Initiative: Creating Agents of Change to Build Capacity for Free Clinic Research.
Free clinic research collective
      
            
      
      Evaluating diverse electronic consultation programs with a common framework.
BMC health services research
      
            
      
      Better Patient Ambulatory Care Experience: Does It Translate into Improved Outcomes among Patients with CKD?
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Depressive Symptoms Associate With Race and All-Cause Mortality in Patients With CKD.
Kidney International Reports
      
            
      
      Association between health literacy and self-care behaviors among patients with chronic kidney disease.
BMC nephrology
      
            
      
      Electronic consultation impact from the primary care clinician perspective: Outcomes from a national sample.
Journal of telemedicine and telecare
      
            
      
      Impact of a Primary Care CKD Registry in a US Public Safety-Net Health Care Delivery System: A Pragmatic Randomized Trial.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Association of Emergency-Only vs Standard Hemodialysis With Mortality and Health Care Use Among Undocumented Immigrants With End-stage Renal Disease.
JAMA internal medicine
      
            
      
      Gastroenterologist and primary care perspectives on a post-endoscopy discharge policy: impact on clinic wait times, provider satisfaction and provider workload.
BMC health services research
      
            
      
      Role of telehealth in renal replacement therapy education.
Seminars in dialysis
      
            
      
      Acceptability of a multilevel intervention to improve blood pressure control among patients with chronic kidney disease in a public health care delivery system.
Clinical kidney journal
      
            
      
      Understanding the Potential for Patient Engagement in Electronic Consultation and Referral Systems: Lessons From One Safety Net System.
Health services research
      
            
      
      A mixed-methods investigation of incident Hemodialysis access in a safety-net population.
BMC nephrology
      
            
      
      A cohort study of a general surgery electronic consultation system: safety implications and impact on surgical yield.
BMC health services research
      
            
      
      Electronic consultation system demonstrates educational benefit for primary care providers.
Journal of telemedicine and telecare
      
            
      
      State-Level Awareness of Chronic Kidney Disease in the U.S.
American journal of preventive medicine
      
            
      
      System-Level Barriers and Facilitators for Foregoing or Withdrawing Dialysis: A Qualitative Study of Nephrologists in the United States and England.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Telehealth Applications to Enhance CKD Knowledge and Awareness Among Patients and Providers.
Advances in chronic kidney disease
      
            
      
      Unique Educational Opportunities for PCPs and Specialists Arising From Electronic Consultation Services.
Academic medicine : journal of the Association of American Medical Colleges
      
            
      
      Electronic Psychiatric Consultation in Primary Care in the Safety Net.
Psychiatric services (Washington, D.C.)
      
            
      
      Variation in Patients' Awareness of CKD according to How They Are Asked.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Pragmatic Clinical Trials in CKD: Opportunities and Challenges.
Journal of the American Society of Nephrology : JASN
      
            
      
      Risk prediction to inform surveillance of chronic kidney disease in the US Healthcare Safety Net: a cohort study.
BMC nephrology
      
            
      
      Sa1099 Effects of a Post-Endoscopy Discharge Policy to Improve Access to a Safety Net Gastroenterology Clinic.
Gastroenterology
      
            
      
      Use of cystatin C to inform metformin eligibility among adult veterans with diabetes.
Journal of clinical & translational endocrinology
      
            
      
      Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations.
BMC health services research
      
            
      
      Potential Impact of Prescribing Metformin According to eGFR Rather Than Serum Creatinine.
Diabetes care
      
            
      
      Evaluating the Merits of CKD Patient Educational Materials: Readability Is Necessary But Not Sufficient.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Leveraging an electronic referral system to build a medical neighborhood.
Healthcare (Amsterdam, Netherlands)
      
            
      
      To screen or not to screen: that is not (yet) the question.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Chronic kidney disease care in the US safety net.
Advances in chronic kidney disease
      
            
      
      Increasing access to specialty care: patient discharges from a gastroenterology clinic.
The American journal of managed care
      
            
      
      The last mile: translational research to improve CKD outcomes.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Developing a CKD registry in primary care: provider attitudes and input.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Translating science to improve health: hope for patients with kidney disease at what cost?
Annals of internal medicine
      
            
      
      Assessment of printed patient-educational materials for chronic kidney disease.
American journal of nephrology
      
            
      
      A brief, low-cost intervention improves the quality of ambulatory gastroenterology consultation notes.
The American journal of medicine
      
            
      
      Tu1250 A Brief, Low-Cost Intervention Improves the Quality of Ambulatory Gastroenterology Consultation NOTES.
Gastrointestinal Endoscopy
      
            
      
      Type 2 translational research for CKD.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      Americans' use of dietary supplements that are potentially harmful in CKD.
American journal of kidney diseases : the official journal of the National Kidney Foundation
      
            
      
      Healthy behaviors, risk factor control and awareness of chronic kidney disease.
American journal of nephrology
      
            
      
      Chronic kidney disease identification in a high-risk urban population: does automated eGFR reporting make a difference?
Journal of urban health : bulletin of the New York Academy of Medicine
      
            
      
      Enhancing quality of trainee-written consultation notes.
The American journal of medicine
      
            
      
      Chronic kidney disease and use of dental services in a United States public healthcare system: a retrospective cohort study.
BMC nephrology
      
            
      
      Impact of an easy-access telephonic interpreter program in the acute care setting: an evaluation of a quality improvement intervention.
Joint Commission journal on quality and patient safety
      
            
      
      Is awareness of chronic kidney disease associated with evidence-based guideline-concordant outcomes?
American journal of nephrology
      
            
      
      What patients don't know may hurt them: knowledge and the perception of knowledge among patients with CKD.
Kidney international
      
            
      
      Chronic kidney disease awareness among individuals with clinical markers of kidney dysfunction.
Clinical journal of the American Society of Nephrology : CJASN
      
            
      
      The use of Spanish language skills by physicians and nurses: policy implications for teaching and testing.
Journal of general internal medicine
      
            
      
      106 Missed Opportunity? —Dental Visits by Chronic Kidney Disease Status in Underserved Patients.
American Journal of Kidney Diseases
      
            
      
      248 Prevalence of Diagnosed Risk Factors in Underserved Patients Without Creatinine Measurements is High.
American Journal of Kidney Diseases
      
            
      
      329 Limited English Proficiency and Acute Health Care Utilization Among Patients With CKD.
American Journal of Kidney Diseases
      
            
      
      Chronic kidney disease in primary care: an opportunity for generalists.
Journal of general internal medicine
      
            
      
      Awareness of chronic kidney disease among patients and providers.
Advances in chronic kidney disease
      
            
      
      Intradialytic hyperalimentation as adjuvant support in pregnant hemodialysis patients: case report and review of the literature.
International urology and nephrology