Lenny Lopez, MD, MDiv, MPH

Associate Professor

With an ultimate goal of reducing healthcare disparities in cardiovascular disease and diabetes, Dr. Lopez' research addresses issues relating to patient safety and language barriers, optimizing primary care clinical services for Latinos with cultural and linguistic barriers, and using health information technology to decrease disparities. A second line of research is investigating the epidemiology of acculturation among Latinos in the US and its impact on the prevalence and development of cardiovascular disease and Type II diabetes. This research will help inform how to better design clinical interventions for improving chronic disease management among Latinos.

Dr. Lopez's work is funded by the National Institutes of Health (NIDDK) and the Harold Amos Faculty Development Award from the Robert Wood Johnson Foundation. Past funders have included the Centers for Medicare and Medicaid Services, the Agency for Healthcare Research and Quality, the Aetna Foundation and the McKesson Foundation.

Currently, Dr. Lopez serves as the Chief of Hospital Medicine at the UCSF - San Francisco VA Medical Center. In addition, he is a faculty member in the following research translational centers: The UCSF Center for the Study of Adversity and Cardiovascular Diseases (NURTURE Center) (http://nurture-center-ucsf-cardiology.org), the Center for Vulnerable Populations (https://cvp.ucsf.edu) and the Kidney Health Research Collaborative (http://khrc.ucsf.edu).
Education
General Medicine, 2008 - , Massachusetts General Hospital
Hospital Medicine, 2006 - , Brigham and Women's Hospital
MPH, 2005 - Public Health, Harvard University
Internal Medicine Residency, 2004 - , Brigham and Women's Hospital
M.D., 2001 - Medicine, University of Pennsylvania
MDiv, 1999 - Divinity, Harvard University
BA, 1994 - Religious Studies, University of Pennsylvania
Publications
  1. Association of acculturation with cardiac structure and function among Hispanics/Latinos: a cross-sectional analysis of the echocardiographic study of Latinos.
  2. Association of Patient Language with Guideline-Concordant Care for Individuals with Chronic Kidney Disease (CKD) in Primary Care.
  3. Examining the Utility of 30-day Readmission Rates and Hospital Profiling in the Veterans Health Administration.
  4. "Comparing VA and Non-VA Care Quality".
  5. Psychological Traits, Heart Rate Variability, and Risk of Coronary Heart Disease in Healthy Aging Women-The Women's Health Initiative.
  6. Abstract P134: Greater Burden of Cardiovascular Disease Among Incarcerated Women of Color Compared to Whites.
  7. Development of a Community-Engagement Regional Equity Consortium to Address Cardiovascular Disease Disparities in Diverse Communities: The Northeast Health Equity Consortium (NHEC). Circulation
  8. Cardiovascular Risk Factors and Dehydroepiandrosterone Sulfate Among Latinos in the Boston Puerto Rican Health Study.
  9. Nativity and Occupational Determinants of Physical Activity Participation Among Latinos.
  10. Near-National Estimates of Disparities in Outcomes from Abdominal Aortic Aneurysm Repair Between Hispanics and Other Race/Ethnic Groups.
  11. Near-National Estimates of Disparities in Outcomes from Carotid Endarterectomy between Hispanics and Other Race/Ethnic Groups.
  12. Is 30-Day Posthospitalization Mortality Lower Among Racial/Ethnic Minorities?: A Reexamination.
  13. Racial/ethnic disparities among Asian Americans in inpatient acute myocardial infarction mortality in the United States.
  14. A patient and family data domain collection framework for identifying disparities in pediatrics: results from the pediatric health equity collaborative.
  15. Association of Latino transgenerational educational attainment with blood pressure, blood glucose and waist circumference
  16. County-Level Hispanic Ethnic Density and Cardiovascular Disease Mortality
  17. Nativity Status and Cardiovascular Disease Mortality Among Hispanic Adults.
  18. Organizational Change Management For Health Equity: Perspectives From The Disparities Leadership Program.
  19. Spiritual well-being, religious activity, and the metabolic syndrome: results from the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study.
  20. Designing Patient-Centered Text Messaging Interventions for Increasing Physical Activity Among Participants With Type 2 Diabetes: Qualitative Results From the Text to Move Intervention.
  21. Disparities in Potentially Preventable Hospitalizations: Near-National Estimates for Hispanics.
  22. Disaggregation of Cause-Specific Cardiovascular Disease Mortality Among Hispanic Subgroups.
  23. Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey.
  24. Text to Move: A Randomized Controlled Trial of a Text-Messaging Program to Improve Physical Activity Behaviors in Patients With Type 2 Diabetes Mellitus.
  25. Association of Baseline Depressive Symptoms with Prevalent and Incident Pre-Hypertension and Hypertension in Postmenopausal Hispanic Women: Results from the Women's Health Initiative.
  26. Racial/Ethnic Disparities in Hospital Care. Sylvia McKean, ed. The Principles and Practice of Hospital Medicine. Second edition. American College of Physicians and McGraw-Hill Publishers
  27. The Impact of Educational Attainment on Observed Race/Ethnic Disparities in Inflammatory Risk in the 2001-2008 National Health and Nutrition Examination Survey.
  28. Eliminating disparities among Latinos with type 2 diabetes: Effective eHealth strategies.
  29. Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers.
  30. Use of Interpreters by Physicians.
  31. Young Hispanic Women Experience Higher In-Hospital Mortality Following an Acute Myocardial Infarction.
  32. A Randomized Controlled Trial of a CPR and Intubation Video Decision Support Tool for Hospitalized Patients.
  33. Use of interpreters by physicians for hospitalized limited English proficient patients and its impact on patient outcomes.
  34. Improved quality of care for cardiovascular disease for Latinos seen in high proportion Latino vs low proportion Latino clinics.
  35. Racial variation in the use of life-sustaining treatments among patients who die after major elective surgery.
  36. A new era in understanding diabetes disparities among U.S. Latinos--all are not equal.
  37. Impact of acculturation on cardiovascular risk factors among elderly Mexican Americans.
  38. Association of African genetic ancestry with fasting glucose and HbA1c levels in non-diabetic individuals: the Boston Area Community Health (BACH) Prediabetes Study.
  39. The longitudinal impact of patient navigation on equity in colorectal cancer screening in a large primary care network.
  40. Identifying and preventing medical errors in patients with limited English proficiency: key findings and tools for the field.
  41. Capsule commentary on Paradies et al., 'a systematic review of the extent and measurement of healthcare provider racism'.
  42. Prevalence and incident prehypertension and hypertension in postmenopausal Hispanic women: results from the Women's Health Initiative.
  43. The association of hospital quality ratings with adverse events.
  44. TEXT TO MOVE – Randomized Controlled Trial of Personalized Text Messaging to Improve Physical Activity in a Diverse Patient Population with Type 2 Diabetes Mellitus.
  45. Limited English proficient patients and time spent in therapeutic range in a warfarin anticoagulation clinic.
  46. Cardiovascular risk score, cognitive decline, and dementia in older Mexican Americans: the role of sex and education.
  47. Association between chronic kidney disease detected using creatinine and cystatin C and death and cardiovascular events in elderly Mexican Americans: the Sacramento Area Latino Study on Aging.
  48. Randomized controlled trial of a video decision support tool for cardiopulmonary resuscitation decision making in advanced cancer.
  49. Characteristics of primary care safety-net providers and their quality improvement attitudes and activities: results of a national survey of physician professionalism.
  50. Association of acculturation and country of origin with self-reported hypertension and diabetes in a heterogeneous Hispanic population.
  51. Outcomes for whites and blacks at hospitals that disproportionately care for black Medicare beneficiaries.
  52. Caring for Limited English Proficiency Patients in the Emergency Department. Emergency Medicine: New Research. Hauppauge, NY. Nova Science Publishers, Inc. 2012. Available at: https://www.novapublishers.com/catalog/product_info.php?products_id=36314
  53. Closing the gap: eliminating health care disparities among Latinos with diabetes using health information technology tools and patient navigators.
  54. Improving Patient Safety Systems for Patients with Limited English Proficiency: A Guide for Hospitals. (Prepared by the Disparities Solutions Center, Mongan Institute for Health Policy at Massachusetts General Hospital and Abt Associates, Cambridge, MA,
  55. JAMA
  56. Comparison of C-reactive protein levels in less versus more acculturated Hispanic adults in the United States (from the National Health and Nutrition Examination Survey 1999-2008).
  57. Bridging the digital divide in health care: the role of health information technology in addressing racial and ethnic disparities.
  58. Readmission rates for Hispanic Medicare beneficiaries with heart failure and acute myocardial infarction.
  59. Racial/Ethnic Disparities in Hospital Care. Sylvia McKean, ed. The Principles and Practice of Hospital Medicine. American College of Physicians and McGraw-Hill Publishers
  60. Using standardized encounters to understand reported racial/ethnic disparities in patient experiences with care.
  61. How do black-serving hospitals perform on patient safety indicators? Implications for national public reporting and pay-for-performance.
  62. Racial and sex differences in emergency department triage assessment and test ordering for chest pain, 1997-2006.
  63. Medical Interpreter Services in the Commonwealth of Massachusetts. Standards, Certification, and Financing
  64. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
  65. Hospitalists and the quality of care in hospitals.
  66. Perspective: creating an ethical workplace: reverberations of resident work hours reform.
  67. Educating physicians for moral excellence in the twenty-first century
  68. Lifestyle modification counseling for hypertensive patients: results from the National Health and Nutrition Examination Survey 1999-2004.
  69. Personal characteristics associated with resident physicians' self perceptions of preparedness to deliver cross-cultural care.