Department of Family & Community Medicine

Amna Husain MD,MPH
Associate Professor
DFCM - Division of Palliative Care
Location
Sinai Health System
Temmy Latner Centre for Palliative Care, Mount Sinai Hospital
60 Murray St, 4th floor, Box 13
Toronto, ON, M5T 3L9
Accepting
Graduate Students
Postdoctoral Fellows
Research Interests
Health Informatics, Health Service Delivery, Palliative Care, Quality Improvement, Quality of Life/Satisfaction, Mixed Methods, Survey Methods, Quantitative Data Analysis, Cancer Care, Chronic Diseases, Observational Studies

Current Appointments
2011 Dec - present    Associate Member, Institute of Medical Science, School of Graduate Studies, University of Toronto
2011 Jul 1 - present    Associate Professor, Full-time, Family and Community Medicine, University of Toronto
2010 Jul 7 - present    Associate Professor (Status Only), Faculty of Nursing, University of Toronto
2003 - present    Research Leader, Temmy Latner Centre for Palliative Care, Mount Sinai Hospital, Toronto, Ontario
1999 - present    Associate Staff, Mount Sinai Hospital, Toronto, Ontario

Education
Degrees
2003    MPH, School of Public Health, Harvard University
1987    MD, First Class Honors and Distinction, University of Alberta
1985    BMSc, University of Alberta

Research/Teaching

Research Synopsis

Applied research in models of collaborative care and developing innovations to enable coordinated and collaborative care.

Grants

2016 Aug - 2019 Aug    Co-Principal Investigator. Building effective teams: the implementation of a web-based clinical collaboration system. Canadian Cancer Society Research Institute (CCSRI). Innovation to Impact Grant. PI: Husain, Amna; Barwick, Melanie. Collaborator(s): Bezjak, Andrea; Cafazzo, Joseph; Cohen, Eyal; Goldman, Russell; Jamieson, Trevor; Krsysanowski, Monika; Loganathan, Mayura; Rapoport, Adam; Selby, Peter; Stinson, Jennifer. 450,000 CAD. [Grants]

2015 - 2018    Co-Investigator. Comparison of Outcomes and Access to Care for Heart Failure (COACH) Trial. Ontario SPOR SUPPORT Unit (OSSU). IMPACT Award. PI: Lee, Douglas; Farkouh, Michael; Tu, Jack. Collaborator(s): Austin, Peter; Ross, Heather; Logan, Alexander; Tu, Karen; Pariser, Pauline; Petrella, Rob; Husain, Amna; Steinberg, Leah; Straus, Sharon; Cram, Peter; Sulway, Christopher; Wijeysundera, Harindra; Udell, Jay; Laupacis, Andreas; Mak, Susanna; Smith, Stuart; Costa, Atilio; Hartleib, Michael; Mitoff, Peter; Bhargava, Rakesh; Tobe, Sheldon; Liu, Peter; Stewart, Duncan. 1,750,000 CAD. [Grants]

2014 Apr - 2016 Mar    Co-Investigator. Ambulatory Toxicity Management. Ontario Institute for Cancer Research. PI: Krzyzanowska, Monika; Grunfeld, Eva. Collaborator(s): Enright, Katherine; Levine, Mark; Trudeau, Maureen; Mittman, Nicole; Husain, Amna; Howell, Doris; Julian, Jim; Moineddin, Rahim; Earle, Craig. 757,500 CAD. [Grants]

2014 Apr - 2016 Mar    Co-Investigator. Improving the Management of Pain in Cancer Patients in Ontario. Ontario Institute for Cancer Research. Health Services Research Program. PI: Barbera, Lisa. Collaborator(s): Atzema, Clare; DeAngelis, Carlo; Dudgeon, Debora; Earle, Craig; Howell, Doris; Husain, Amna; Seow, Hsien; Sutradhar, Rinku; Sussman, Jonathan. 446,172.7 CAD. [Grants]

2014 - 2017    Co-Investigator. Enhancing the Quality of Palliative and End-of-Life Care for Children with Cancer. Canadian Partnership Against Cancer. PI: Widger, Kim; Rapoport, Adam. Collaborator(s): Bouffet, E; Friedrichsdorf, S; Greenberg. A; Husain, A; Liben, S; Poole, J; Siden, H; Whitlock, J; Wolfe, J. 984,264. [Grants]

2013 Jun - 2015 May    Principal Investigator. Pilot Randomized Control Trial of an Online Communication Tool for Collaborative Care in Complex Patients. AHSC AFP MSH-UHN. Innovation Fund. Collaborator(s): Stinson, Jennifer; Rapoport, Adam; Cohen, Eyal; Jamieson, Trevor; Cafazzo, Joseph; Grunfeld, Eva; Bezjak, Andrea; Goldman, Russell; Sawka, Carol; Guerriere, Denise. 199,974 CAD. [Grants]

2013 Jun - 2015 May    Co-Principal Investigator. Implementation and Evaluation of an Advanced Heart Failure Collaborative (HeartFull) Model of Longitudinal Care. AHSC AFP MSH-UHN. Innovation Fund. PI: Steinberg, Leah; Husain, Amna; Mak, Susanna. Collaborator(s): Goldman, Russell; Arvanitis, Jennifer; Marshall, Denise; Purbhoo, Dipti; Ashford, Yvonne; Guerriere, Denise; Leong-Poi, Howard; Tannenbaum, David; Talbot, Yves. 199,930 CAD. [Grants]

2013 Apr - 2018 Mar    Co-Investigator. Canadian Team to Improve Community-Based Cancer Care Along the Continuum (CanIMPACT). Canadian Institutes of Health Research (CIHR). Team Grant. 128272. PI: Grunfeld, Eva. Collaborator(s): Buchman, Sandy; Fitch, Margaret; Gilbert, Julie; Kerner, Jon; Meuser, James; Sawka, Carol; Turner, Donna; Walks, Fiona; Aubin, Michele; Brouwers, Melissa; Carroll, June; Earle, Craig; Eisenhauer, Elizabeth; Fillion, Lise; Groome, Patti; Heisey, Ruth; Husain, Amna; Jones, Jennifer; Kreuger, Paul; Krsysanowska, Monika; Lofters, Aisha; Manca, Donna; Maxted, John; McBride, Mary; Miedema, Baukje; Miller, Fiona; Mittmann, Nicole; Moineddin, Rahim. 2,476,364 CAD. [Grants]

2013 Apr - 2014 Mar    Co-Principal Investigator. My Team of Care - Adolescents and Young Adults with Cancer (myTOC-AYAC): Development and Usability Testing of an Online Communication Tool for Collaborative Care in AYAC. Canadian Institutes of Health Research (CIHR). Catalyst Grant. PI: Stinson, Jennifer; Husain, Amna. Collaborator(s): Cafazzo, Joseph; D’agostino, Norma; Gupta, Abha; Hodgson, David; Jamieson, Trevor; Lee Chong, Amy; Nathan, Paul. 99,957 CAD. [Grants]

2013 Mar - 2016 Mar    Co-Investigator. Predictors of Family Caregiver Labour Force Participation and Quality of Life Across the Home-Based Palliative Care Trajectory. Canadian Institutes of Health Research (CIHR). Operating Grant. PI: Guerriere, Denise; Coyte, Peter. Collaborator(s): Husain, Amna; Marshall, Denise; Purbhoo, Dipti. 115,165 CAD. [Grants]

2012 Jul - 2014 Jun    Principal Investigator. Online Communication Tool for Collaborative Patient Care in Cancer. Canadian Cancer Society. The Ramona Rull Karson Innovation Grant. Grant # 2012-701156. Collaborator(s): Jamieson,Trevor; Cafazzo, Joseph; Bezjak, Andrea; Sawka, Carol; Goldman, Russell; Stinson, Jennifer. 197,750 CAD. [Grants]

2012 Jul - 2013 Jun    Co-Principal Investigator. Democratizing Communication in Health Care: Development and Usability Testing of an Online Communication Tool for Collaborative Care in Complex (Pediatric) Patients. Canadian Institutes of Health Research (CIHR). Pfizer Operating Grant in Disease Prevention and Management. PI: Husain, Amna; Cohen, Eyal. Collaborator(s): Cafazzo, Joseph; Eaton Russell, Ceilidh; Goldman, Russell; Jamieson, Trevor; Rapoport, Adam; Stinson, Jennifer. 200,000 CAD. [Grants]

2011 Jul - 2012 Jun    Co-Principal Investigator. Development and Evaluation of a Clinical Messaging System for Interprofessional Team-Based Care in the Outpatient Setting. Ontario Ministry of Health and Long-Term Care. Building Bridges to Integrate Care Project (BRIDGES). PI: Husain, Amna; Wu, Rob; Jamieson, Trevor; Dhalla, I. Collaborator(s): Morra, Dante; O’Brien, Tara; Wong, Brian; Frost, David; Lee, Lydia; Cafazzo, Joseph; Martin-Ronson, Nancy; Quan, Sherman; Stinson, Jennifer. 201,377.42 CAD. [Grants]

2010 Jul - 2014 Jun    Co-Investigator. Patient and Provider Reported Outcomes in Cancer Patients in Ontario. Ontario Institute for Cancer Research. PI: Barbera, Lisa. Collaborator(s): Howell, Doris; Seow, Hsien; Husain, Amna; Sussman, Jonathan; Atzema, Clare, Earle, Craig; Dudgeon Deb, King Susan. 234,465 CAD. [Grants]

2010 Jul - 2013 Jun    Co-Principal Investigator. Predictors of Place of Death and Family Caregiver Burden Across the Home-Based Palliative Care Trajectory. Canadian Institutes of Health Research (CIHR). PHSI competition. PI: Coyte, Peter; Guerriere, Denise; Husain, Amna; Collaborator(s): Marshall, Denise; Nauenberg, Eric; Brazil, Kevin; Seow, Hsien; Darnay, Julie. 349,885 CAD. [Grants]

Publications and Awards

View PubMed search of this faculty member's recent publications.

Recent Publications

Steinberg L, White M, Arvanitis J, Husain A, Mak S. Palliative care for your patient with advanced and end stage heart failure. Canadian Family Physician. 2016 Sep. In Press. 

Widger K, Friedrichsdorf S, Wolfe J, Liben S, Pole JD, Bouffet E, Greenberg M, Husain A, Siden H, Whitloc, JA, Rapoport A. Protocol: Evaluating the impact of a nationwide train-the-trainer educational initiative to enhance the quality of palliative care for children with cancer. BMC Palliative Care. 2016;15(12):1-9. 

Kurahashi A, Weinstein P, Jamieson T, Stinson J, Cafazzo J, Lokuge B, Morita P, Cohen E, Rapoport A, Bezjak A, Husain A. In the Loop: The organization of team-based communication in a Patient Centred Clinical Collaboration System. Journal of Medical and Internet Research. 2016;3(1):e12. 

Mahtani R, Kurahashi A, Buchman S, Webster F, Husain A, Goldman R. Are family medicine residents adequately trained to deliver palliative care? Canadian Family Physician. 2015 Dec;6(12):e577-e582. 

Guerriere D, Husain A, Marshall D, Zagorski B, Seow H, Brazil K, Kennedy J, McLernon R, Burns S, Coyte P. Predictors of place of death for those in receipt of home-based palliative care services in Ontario, Canada. Journal of Palliative Care. 2015 Jun;31(2):76-88. 

Neilsen LS, Angus JE, Howell D, Husain A, Gastaldo D. Patient-centred care or cultural competence: negotiating palliative care at home for Chinese Canadian immigrants. American Journal of Hospice & Palliative Care. 2015 Jun;32(4):372-9. 

Hales S, Chiu A, Husain A, Braun M, Rydall A, Gagliese L, Zimmerman C, Rodin G. The quality of dying and death in cancer and its relationship to palliative care and place of death. Journal of Pain and Symptom Management. 2014 Nov;48(5):839-851. 

Porter J, Earle C, Atzema C, Liu Y, Howell D, Seow H, Sutradhar R, Dudgeon D, Husain A, Sussman J, Barbara L. Initiation of chemotherapy in cancer patients with poor performance status: a population-based analysis. Journal of Palliative Care. 2014 Oct;30(3):166-72. 

Seow H, Brazil K, Susman J, Pereira J, Marshall D, Austin PC, Husain A, Rangrej J, Barbera L. Impact of community based, specialist palliative care teams on hospitalisations and emergency department visits late in life and hospital deaths: a pooled analysis. BMJ. 2014 Jun 6;348:3496. 

Husain A, Barbera L, Howell D, Moineddin R, Bezjak A, Sussman J. Advanced lung cancer patients’ experience with continuity of care and supportive care needs. Supportive Care in Cancer. 2013 May;21(3):1351-1358. 

Barbera L, Atzema C, Sutradhar R, Seow H, Howell D, Husain A, Sussman J, Earle C, Liu Y, Dudgeon D. Do patient-reported symptoms predict emergency department visits in cancer patients? A population-based analysis. Annals of Emergency Medicine. 2013 Apr;61(4):427-437. Impact Factor 4.133. 

Sutradhar R, Seow H, Earle C, Dudgeon D, Atzema C, Husain A, Howell D, Liu Y, Sussman J, Barbera L. Modeling the longitudinal transitions of performance status in cancer out-patients: implications for patient care. Journal of Pain and Symptom Management. 2013 Apr;45(4):726-734. 

Seow H, Barbera L, Dudgeon D, Howell D, Husain A, Atzema C, Sussman J, Liu Y, Earle C, Sutradhar R. The association of the Palliative Performance Scale and hazard of death in an ambulatory cancer population. Journal of Palliaitve Medicine. 2013 Feb;16(2):156-162. Impact Factor 1.849. 

Rapoport A, Obwanga C, Sirianni G, Librach SL, Husain A. Not just little adults: palliative care physician attitudes toward pediatric patients. Journal of Palliative Medicine. 2013;Fall, 28(3):229. 

Nielsen LS, Angus JE, Gastaldo D, Howell D, Husain A. Maintaining distance from a necessary intrusion: a postcolonial perspective on dying at home for Chinese immigrants in Toronto, Canada. European Journal of Oncology Nursing. 2013;17:649-656. 

Howell DM, Husain A., Seow H, Liu Y, Kustra R, Atzema C, Dudgeon D, Earle C, Sussman J, Barbera L. Symptom clusters in a population-based ambulatory cancer cohort validated using bootstrap methods. European Journal of Cancer. 2012 Nov;48(16):3073-3081. 2012 May [Epub ahead of print]. 

Sussman J, Barbara L, Bainbridge D, Howell D, Yang J, Husain A, Librach SL, Viola R, Walker H. Health system characteristics of quality care delivery: a comparative case study examination of palliative care for cancer patients in four regions in Ontario, Canada. Palliative Medicine. 2012 Jun;26(4):322-335. Epub 2011 Aug. 

Barbera L, Seow H, Husain A, Howell D, Atzema C, Sutradhar R, Earle C, Sussman, J, Liu Y, Dudgeon D. Opioid prescription after pain assessment: a population-based cohort of elderly patients with cancer. Journal of Clinical Oncology. 2012 Apr;30(10):1095-9. Epub 2012 Feb. 

Howell DM, Bezjak A, Sidani S, Dudgeon D, Husain A, Fernandes G, Atenafu EG, Molassiotis A. Self management interventions for breathlessness in adult cancer patients. Cochrane Database of Systematic Reviews. 2012(Issue 2):Art. No.: CD009623. DOI: 10.1002/14651858.CD009623. 

Husain A, Myers J, Selby D, Thomson B, Chow E. Subgroups of advanced cancer patients clustered by their symptom profiles: quality of life outcomes. Journal of Palliative Medicine. 2011 Nov;14(11):1246-53. Epub 2011 Oct. 

Seow H, Barbera L, Sutradhar R, Howell D, Dudgeon D, Atzema C, Liu Y, Husain A, Sussman, J, Earle C. Trajectory of performance status and symptom scores for patients with cancer during the last six months of life. Journal of Clinical Oncology. 2011 Mar;29(9):1151-8. Epub 2011 Feb.  

Sutradhar R, Barbera L, Seow H, Howell D, Husain A, Dudgeon D. Multistate analysis of interval-censored longitudinal data: application to a cohort study on performance status among patients diagnosed with cancer. American Journal of Epidemiology. 2011 Feb;173(4):468-75. Epub 2010 Dec. 

Walker H, Anderson M, Farahati F, Howell D, Librach L, Husain A, Sussman J, Viola R, Sutradhar R, Barbera L. Resource use and costs of end of life/palliative care: Ontario adult cancer patients dying during 2002 and 2003. Journal of Palliative Care. 2011;Summer, 27(2):79-88.