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    Alice Chen

    TitleAssociate Professor of Clinical
    SchoolUCSF School of Medicine
    DepartmentMedicine
    AddressSFGH Bldg 10
    Phone415-206-4049

       Biography 
       Awards and Honors
      National Association of Public Hospitals and Health Systems2010Safety Net Award for Using Health Information Technology to Advance Performance Improvement
      University of California San Francisco SFGH Department of Medicine2008John F. Murray Award
      California Association of Public Hospitals and Health Systems 2007Award for Improvement in System-Wide Care Integration
      San Francisco Health Plan2007Award for Innovation in Health Care Service Delivery
      University of California San Francisco, SFGH Division of General Internal Medicine2006Richard J. Haber Excellence in Teaching Award
      Massachusetts Department of Public Health2001Annual Service Award, Emergency Room Interpreter Law Advisory Committee
      Brigham and Women's Hospital, Department of Internal Medicine1997Arnold C. Dunne Award for Compassionate Patient Care
      Stanford University School of Medicine1996Dean’s Award for Excellence in Clinical Medicine

       Overview 
       Overview
      Alice Huan-mei Chen, M.D., M.P.H., is the Chief Integration Officer, Director of the Center for Innovation in Access and Quality, and Director of the eReferral Program at San Francisco General Hospital, and an Associate Professor of Medicine at the University of California, San Francisco.

      Dr. Chen’s primary interest is in issues of health care access, particularly in how poverty, race/ethnicity, and policy intersect with healthcare delivery systems to produce barriers to care. Her work focuses on creating policies and programs to improve access to and quality of care for underserved communities.

      Prior to joining UCSF, she practiced primary care internal medicine at Asian Health Services, a Federally Qualified Health Center in Oakland. She also served as Health Policy Scholar in Residence at The California Endowment, where she oversaw the healthcare foundation’s language access grantmaking program. She was subsequently awarded a Soros Physician Advocacy Fellowship to partner with the Asian & Pacific Islander American Health Forum, where she worked with a wide range of stakeholders – including community-based organizations, policymakers, and organized medicine – to promote the financing and provision of language assistance services in California.

      She has served on state and national expert advisory committees on language access, cultural competency, and health disparities, including for the American Medical Association, the California Academy of Family Physicians, the California Association of Public Hospitals, and the Robert Wood Johnson Foundation. She is frequently asked to present on access to care for the underserved, healthcare delivery finance and reform, and language barriers in healthcare, and has been an invited speaker at forums for the American Academy of Family Physicians, the American College of Physicians, the Commonwealth Club of California, Grantmakers in Health, Health Affairs, and the USC Annenberg School of Communication.

      At San Francisco General Hospital, Dr. Chen cares for a panel of primary care patients, precepts internal medicine residents during their continuity clinic, attends on the inpatient medical service, and staffs the medical consultation service. As Chief Integration Officer she has the dual charge of providing physician oversight for SFGH’s ambulatory services as well as providing institutional leadership for creating an integrated delivery system for the Department of Public Health, with a focus on improving care between primary and specialty care, ambulatory and inpatient care, and between SFGH and other organizations in the San Francisco safety net. She is Director of the hospital’s eReferral Program, a web-based referral and consultation system that allows iterative exchanges between referring providers and specialty reviewers and has garnered significant attention from healthcare systems across the country interested in replicating the eReferral model. She serves on multiple hospital, San Francisco Health Plan, and Department of Public Health committees pertaining to primary care, access, quality improvement, and the use of health information technology in the safety net.

      She is core faculty for the San Francisco General Primary Care Residency Program, and has been instrumental in developing the Partnership for Physician Advocacy Skills (PPAS) curriculum, which provides policy and advocacy knowledge and skills development for residents who are focused on the care of the underserved. The curriculum covers topics such as legislative and administrative advocacy, GIS mapping, Health Impact Assessments, media advocacy, and Writing for Change, whose goal is to cultivate narrative writing with a policy perspective. Writing for Change received the UCSF 2011 Cooke Award for the Scholarship of Teaching and Learning.

      Dr. Chen is a graduate of Yale University, Stanford University Medical School, and the Harvard School of Public Health. Her training includes a primary care internal medicine residency and chief residency at Brigham and Women's Hospital in Boston, Massachusetts, and the Commonwealth Fund Harvard University Fellowship in Minority Health Policy. She is an alumna of the California HealthCare Foundation Leadership Fellowship.

      She previously served on the board of the California Pan-Ethnic Health Network for six years and is currently a board member of the National Council of Asian & Pacific Islander Physicians, as well as a volunteer physician for Alameda County Public Health Department’s Project New Start, a tattoo removal program targeting at risk youth. She lives in Berkeley with her spouse David and their six-year old twins Anda and Duncan.

       Interests
      Implementation Science, People with limited English proficiency, Socioeconomically marginalized groups, Clinic, Hospital, Education, P4P, Practice guidelines, Medical home, Policy advocacy, electronic referrals to specialty care, primary care-specialty care interface, patient centered medical home, access for limited English proficient patients, cost consciousness, Interdisciplinary research collaboration, Works-in-progress seminars, Implementation & dissemination science listservs, Receiving mentorship in implementation science


       Bibliographic 
       Publications
      Publications by year:
      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
      1. Dowdy D, Bishai D, Chen AH. Setting clinical priorities: A framework for incorporating individual patient preferences. Patient Educ Couns. 2013 Jan; 90(1):141-3.
        View in: PubMed
      2. Chen AH, Rittenhouse D. The un-managed system of Medicare referrals. J Gen Intern Med. 2012 May; 27(5):487-9.
        View in: PubMed
      3. Bailey SC, Sarkar U, Chen AH, Schillinger D, Wolf MS. Evaluation of language concordant, patient-centered drug label instructions. J Gen Intern Med. 2012 Dec; 27(12):1707-13.
        View in: PubMed
      4. Tucker JD, Chen AH, Glass RI. Foreign language assessment and training in U.S. medical education is a must. Acad Med. 2012 Mar; 87(3):257.
        View in: PubMed
      5. Bailey SC, Hasnain-Wynia R, Chen AH, Sarkar U, Schoua-Glusberg A, Lindquist LA, Schillinger D, Wolf MS. Developing multilingual prescription instructions for patients with limited english proficiency. J Health Care Poor Underserved. 2012 Feb; 23(1):81-7.
        View in: PubMed
      6. Straus SG, Chen AH, Yee H, Kushel MB, Bell DS. Implementation of an electronic referral system for outpatient specialty care. AMIA Annu Symp Proc. 2011; 2011:1337-46.
        View in: PubMed
      7. Dowdy DW, Horton CK, Lau B, Ferrer R, Chen AH. Patient follow-up in an urban resident continuity clinic: an initiative to improve scheduling practices. J Grad Med Ed. 2011; 3(2):256-60.
      8. Chen AH, Yee HF. Improving primary care-specialty care communication: lessons from San Francisco's safety net: comment on "Referral and consultation communication between primary care and specialist physicians". Arch Intern Med. 2011 Jan 10; 171(1):65-7.
        View in: PubMed
      9. Kim-Hwang JE, Chen AH, Bell DS, Guzman D, Yee HF, Kushel MB. Evaluating electronic referrals for specialty care at a public hospital. J Gen Intern Med. 2010 Oct; 25(10):1123-8.
        View in: PubMed
      10. Chen AH, Kushel MB, Grumbach K, Yee HF. Practice profile. A safety-net system gains efficiencies through 'eReferrals' to specialists. Health Aff (Millwood). 2010 May; 29(5):969-71.
        View in: PubMed
      11. Chen AH, Yee HF. Improving the primary care-specialty care interface: getting from here to there. Arch Intern Med. 2009 Jun 8; 169(11):1024-6.
        View in: PubMed
      12. Kim Y, Chen AH, Keith E, Yee HF, Kushel MB. Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net health system. J Gen Intern Med. 2009 May; 24(5):614-9.
        View in: PubMed
      13. Chen AH, Youdelman MK, Brooks J. The legal framework for language access in healthcare settings: Title VI and beyond. J Gen Intern Med. 2007 Nov; 22 Suppl 2:362-7.
        View in: PubMed
      14. Karliner LS, Jacobs EA, Chen AH, Mutha S. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Serv Res. 2007 Apr; 42(2):727-54.
        View in: PubMed
      15. Chen AH, Jacobs E . Providing care to patients who speak limited English. Medical Management of Vulnerable and Underserved Patients: Principles, Practice, and Populations. Editors: Talmadge King, Margaret Wheeler, Andy Bindman, Alicia Fernandez, Kevin Grumbach, Dean Schillinger, and Teresa Villela. 2007.
      16. Hardt E, Jacobs EA, Chen A. Insights into the problems that language barriers may pose for the medical interview. J Gen Intern Med. 2006 Dec; 21(12):1357-8.
        View in: PubMed
      17. Grubbs V, Chen AH, Bindman AB, Vittinghoff E, Fernandez A. Effect of awareness of language law on language access in the health care setting. J Gen Intern Med. 2006 Jul; 21(7):683-8.
        View in: PubMed
      18. Chen A. Doctoring across the language divide. Health Aff (Millwood). 2006 May-Jun; 25(3):808-13.
        View in: PubMed
      19. Smith WR, Bussey-Jones J, Horowitz CR, Whitehurst-Cook M, Chen, AH. Case studies in multicultural medicine and health disparities. Multicultural Medicine and Health Disparities. Editors: David Satcher and Rubens Pamies. 2006.
      20. Jacobs E, Chen AH, Karliner LS, Agger-Gupta N, Mutha S. The need for more research on language barriers in health care: a proposed research agenda. Milbank Q. 2006; 84(1):111-33.
        View in: PubMed
      21. Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005 Sep; 20(9):800-6.
        View in: PubMed
      22. Jacobs EA, Chen AH, Karliner L, Fortier JP, Mutha S. Legal and regulatory obligations to provide culturally and linguistically appropriate emergency department services. Clin Ped Emerg Med. 2004; 5(2):85-92.
      23. Schillinger D, Chen AH. Literacy and language: disentangling measures of access, utilization, and quality. J Gen Intern Med. 2004 Mar; 19(3):288-90.
        View in: PubMed
      24. Donohoe MT, Kravitz RL, Wheeler DB, Chandra R, Chen A, Humphries N. Reasons for outpatient referrals from generalists to specialists. J Gen Intern Med. 1999 May; 14(5):281-6.
        View in: PubMed
      25. Beckett WS, Pace PE, Sferlazza SJ, Perlman GD, Chen AH, Xu XP. Airway reactivity in welders: a controlled prospective cohort study. J Occup Environ Med. 1996 Dec; 38(12):1229-38.
        View in: PubMed
      26. Raftery KA, Smith-Coggins R, Chen AH. Gender-associated differences in emergency department pain management. Ann Emerg Med. 1995 Oct; 26(4):414-21.
        View in: PubMed
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