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Alice Chen, MD

Title(s)Clinical Professor, Medicine
SchoolSchool of Medicine
Address1001 Potrero Ave
San Francisco CA 94110
Phone628-206-4049
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    Collapse Biography 
    Collapse Education and Training
    Yale University, New Haven, CTBS1990Environmental Biology
    Stanford University School of Medicine, Palo Alto, CAMD1996Medicine
    Harvard School of Public Health, Boston, MAMPH2001Health Policy and Management
    Brigham and Women's Hospital, Boston, MA1999Internal Medicine Residency
    Brigham and Women's Hospital , Boston, MA 2000Internal Medicine Chief Residency
    Rona Consulting Group, San Francisco, CA2014Lean Black Belt Certification
    Collapse Awards and Honors
    California Telehealth Policy Coalition2020Telehealth Champion of the Year
    Women of Impact2019Invited Member
    San Francisco Community Clinic Consortium 2016Annual Leadership Award
    Aspen Institute2015Health Innovators Fellow
    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 for academic excellence and dedication to the humanitarian mission of SFGH
    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

    Collapse Overview 
    Collapse Overview
    Dr. Alice Hm Chen is chief medical officer at Covered California, the state’s health insurance marketplace, which actively works to ensure that Californians can find affordable, high quality coverage. In this role she is responsible for health care strategy focused on quality, equity, and delivery system transformation with the goal of improving health services provided through Covered California’s contracted health plans in service of improving access and outcomes for all Californians.

    Prior to joining Covered California, Dr. Chen served as deputy secretary for policy and planning and chief of clinical affairs for the California Health and Human Services Agency (CHHS). She led many of the Agency’s signature health policy initiatives on affordability and access, and played a leadership role in the state’s response to the COVID-19 pandemic in the areas of strategic reopening, hospital surge planning, equity, data analytics and therapeutics.

    She has a long history of leadership in enhancing access and quality of care for vulnerable communities through patient care, teaching, policy and advocacy, delivery system innovation, and administrative leadership across a variety of settings, including community health, philanthropy and academia. Dr. Chen spent 15 years on the faculty of the University of California San Francisco School of Medicine based at Zuckerberg San Francisco General Hospital, where she served as its chief integration officer and founding director of the eConsult program. She subsequently served as inaugural chief medical officer and deputy director for the San Francisco Health Network, where she was responsible for providing clinical and operational leadership, vision, and direction for the City’s $2 billion a year publicly funded delivery system encompassing primary, specialty, mental health, substance use, acute care, trauma, long term, jail health, and homeless health care services.

    Dr. Chen has published over 50 book chapters, research and peer-reviewed articles, including in the New England Journal of Medicine, JAMA and Health Affairs. She has served on the board of several non-profits and foundations, and currently serves as board president of The Health Initiative. In 2019, she was elected to the Harvard University Board of Overseers.

    A graduate of Yale University, Stanford University Medical School, and the Harvard School of Public Health, Dr. Chen's training includes a primary care internal medicine residency and chief residency at Brigham and Women's Hospital. She is an alumna of the Commonwealth Fund Harvard University Fellowship in Minority Health Policy, the Soros Physician Advocacy Fellowship, the California Health Care Foundation Leadership Program and the Aspen Institute’s Health Innovators Fellowship.

    Proficient in Mandarin and Spanish, she maintains an active primary care practice at Zuckerberg San Francisco General Hospital and holds an appointment as clinical professor of medicine at UCSF.

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    Collapse Bibliographic 
    Collapse Publications
    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. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Equity Metrics: Toward A More Effective And Inclusive Pandemic Response. Health Affairs Blog. 2021. Shete, PB Vargo, J Chen, AH Bibbins-Domingo, K. View Publication.
    2. Last-Mile Logistics of Covid Vaccination - The Role of Health Care Organizations. N Engl J Med. 2021 Jan 27. Lee TH, Chen AH. PMID: 33503340.
      View in: PubMed   Mentions:    Fields:    Translation:HumansPHPublic Health
    3. Beyond Survival To Transformation: Investing In Safety-Net Innovation To Address The Impacts Of COVID-19. Health Affairs Blog. 2020. Sarkar U, Chen AH. . View Publication.
    4. An Ethical Framework for Allocating Scarce Inpatient Medications for COVID-19 in the US. JAMA. 2020 Jun 16; 323(23):2367-2368. DeJong C, Chen AH, Lo B. PMID: 32412580.
      View in: PubMed   Mentions: 2     Fields:    Translation:HumansCellsPHPublic Health
    5. What if the Role of Healthcare Was to Maximize Health? J Gen Intern Med. 2020 Jun; 35(6):1884-1886. Chen AH, Chin MH. PMID: 31728893.
      View in: PubMed   Mentions:    Fields:    
    6. Frequent Emergency Department Users: Focusing Solely On Medical Utilization Misses The Whole Person. Health Aff (Millwood). 2019 11; 38(11):1866-1875. Kanzaria HK, Niedzwiecki M, Cawley CL, Chapman C, Sabbagh SH, Riggs E, Chen AH, Martinez MX, Raven MC. PMID: 31682499.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    7. Evaluating diverse electronic consultation programs with a common framework. BMC Health Serv Res. 2018 Oct 24; 18(1):814. Tuot DS, Liddy C, Vimalananda VG, Pecina J, Murphy EJ, Keely E, Simon SR, North F, Orlander JD, Chen AH. PMID: 30355346.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    8. A cohort study of a general surgery electronic consultation system: safety implications and impact on surgical yield. BMC Health Serv Res. 2017 06 23; 17(1):433. Ulloa JG, Russell MD, Chen AH, Tuot DS. PMID: 28645288.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    9. Specialty Care Access in the Safety Net-the Role of Public Hospitals and Health Systems. J Health Care Poor Underserved. 2017; 28(1):566-581. Makaroun LK, Bowman C, Duan K, Handley N, Wheeler DJ, Pierluissi E, Chen AH. PMID: 28239019.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    10. Out-of-Network Emergency Department Use among Managed Medicaid Beneficiaries. Health Serv Res. 2017 12; 52(6):2156-2174. Raven MC, Guzman D, Chen AH, Kornak J, Kushel M. PMID: 27861836.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    11. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016 08; 42(8):341-54. Price EL, Sewell JL, Chen AH, Sarkar U. PMID: 27456415.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    12. Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. BMJ Qual Saf. 2016 12; 25(12):977-985. Kruger JF, Chen AH, Rybkin A, Leeds K, Guzman D, Vittinghoff E, Goldman LE. PMID: 26740494.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    13. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations. BMC Health Serv Res. 2015 Dec 19; 15:568. Tuot DS, Leeds K, Murphy EJ, Sarkar U, Lyles CR, Mekonnen T, Chen AH. PMID: 26687507.
      View in: PubMed   Mentions: 18     Fields:    Translation:Humans
    14. Efficiency Gains for Rheumatology Consultation Using a Novel Electronic Referral System in a Safety-Net Health Setting. Arthritis Care Res (Hoboken). 2015 Aug; 67(8):1158-63. Scheibe MM, Imboden JB, Schmajuk G, Margaretten M, Graf JD, Chen AH, Yelin EH, Yazdany J. PMID: 25623810.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    15. Leveraging an electronic referral system to build a medical neighborhood. Healthc (Amst). 2015 Dec; 3(4):202-8. Tuot DS, Murphy EJ, McCulloch CE, Leeds K, Chan E, Chen AH. PMID: 26699344.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    16. Changes in research on language barriers in health care since 2003: A cross-sectional review study. Int J Nurs Stud. 2016 Feb; 54:36-44. Schwei RJ, Del Pozo S, Agger-Gupta N, Alvarado-Little W, Bagchi A, Chen AH, Diamond L, Gany F, Wong D, Jacobs EA. PMID: 25816944.
      View in: PubMed   Mentions: 8     Fields:    
    17. Electronic Preconsultation as a Method of Quality Improvement for Urological Referrals. Urology Practice. 2014; 1(4):172-175. McGeady JB, Blaschko SD, Brajtbord JS, Sewell JL, Chen AH, Breyer BN.
    18. Assessment of HBV preventive services in a medically underserved Asian and Pacific Islander population using provider and patient data. J Gen Intern Med. 2015 Jan; 30(1):68-74. Mukhtar NA, Toy BC, Burman BE, Yu A, Chen AH, Berman P, Nguyen T, Chan D, Hammer H, McCulloch CE, Khalili M. PMID: 25324148.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansPHPublic Health
    19. Increasing access to specialty care: patient discharges from a gastroenterology clinic. Am J Manag Care. 2014 Oct; 20(10):812-9. Tuot DS, Sewell JL, Day L, Leeds K, Chen AH. PMID: 25365684.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    20. "Choosing wisely" in an academic department of medicine. Am J Med Qual. 2015 Nov-Dec; 30(6):566-70. Hines JZ, Sewell JL, Sehgal NL, Moriates C, Horton CK, Chen AH. PMID: 24970279.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    21. A randomized, controlled trial to increase discussion of breast cancer in primary care. Cancer Epidemiol Biomarkers Prev. 2014 Jul; 23(7):1245-53. Kaplan CP, Livaudais-Toman J, Tice JA, Kerlikowske K, Gregorich SE, Pérez-Stable EJ, Pasick RJ, Chen A, Quinn J, Karliner LS. PMID: 24762560.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    22. Clinician perspectives on considering radiation exposure to patients when ordering imaging tests: a qualitative study. BMJ Qual Saf. 2014 Nov; 23(11):893-901. Kruger JF, Chen AH, Rybkin A, Leeds K, Frosch DL, Goldman LE. PMID: 24764135.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    23. Expanding the Universal Medication Schedule: a patient-centred approach. BMJ Open. 2014 Jan 10; 4(1):e003699. Bailey SC, Wolf MS, Lopez A, Russell A, Chen AH, Schillinger D, Moy G, Sarkar U. PMID: 24413344.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    24. Clinicians' views on displaying cost information to increase clinician cost-consciousness. Am J Manag Care. 2014; 20(11):901-6. Kruger JF, Chen AH, Rybkin A, Leeds K, Frosch DL, Goldman E. PMID: 25495110.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    25. Hepatitis B management in vulnerable populations: gaps in disease monitoring and opportunities for improved care. Dig Dis Sci. 2014 Jan; 59(1):46-56. Burman BE, Mukhtar NA, Toy BC, Nguyen TT, Chen AH, Yu A, Berman P, Hammer H, Chan D, McCulloch CE, Khalili M. PMID: 24052195.
      View in: PubMed   Mentions: 15     Fields:    Translation:HumansPHPublic Health
    26. eReferral--a new model for integrated care. N Engl J Med. 2013 Jun 27; 368(26):2450-3. Chen AH, Murphy EJ, Yee HF. PMID: 23802515.
      View in: PubMed   Mentions: 47     Fields:    Translation:Humans
    27. A brief, low-cost intervention improves the quality of ambulatory gastroenterology consultation notes. Am J Med. 2013 Aug; 126(8):732-8. Sewell JL, Day LW, Tuot DS, Alvarez R, Yu A, Chen AH. PMID: 23791206.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    28. Preconsultation exchange for ambulatory hepatology consultations. Am J Med. 2013 Jun; 126(6):523-8. Sewell JL, Guy J, Kwon A, Chen AH, Yee HF. PMID: 23597797.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    29. Setting clinical priorities: a framework for incorporating individual patient preferences. Patient Educ Couns. 2013 Jan; 90(1):141-3. Dowdy D, Bishai D, Chen AH. PMID: 23073315.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    30. The un-managed system of Medicare referrals. J Gen Intern Med. 2012 May; 27(5):487-9. Chen AH, Rittenhouse D. PMID: 22374409.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    31. Evaluation of language concordant, patient-centered drug label instructions. J Gen Intern Med. 2012 Dec; 27(12):1707-13. Bailey SC, Sarkar U, Chen AH, Schillinger D, Wolf MS. PMID: 22451015.
      View in: PubMed   Mentions: 24     Fields:    Translation:Humans
    32. Foreign language assessment and training in U.S. medical education is a must. Acad Med. 2012 Mar; 87(3):257. Tucker JD, Chen AH, Glass RI. PMID: 22373612.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    33. Developing multilingual prescription instructions for patients with limited english proficiency. J Health Care Poor Underserved. 2012 Feb; 23(1):81-7. Bailey SC, Hasnain-Wynia R, Chen AH, Sarkar U, Schoua-Glusberg A, Lindquist LA, Schillinger D, Wolf MS. PMID: 22643463.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    34. Implementation of an electronic referral system for outpatient specialty care. AMIA Annu Symp Proc. 2011; 2011:1337-46. Straus SG, Chen AH, Yee H, Kushel MB, Bell DS. PMID: 22195195.
      View in: PubMed   Mentions: 25     Fields:    Translation:Humans
    35. Patient Follow-up in an Urban Resident Continuity Clinic: An Initiative to Improve Scheduling Practices. J Grad Med Educ. 2011 Jun; 3(2):256-60. Dowdy DW, Horton CK, Lau B, Ferrer R, Chen AH. PMID: 22655154.
      View in: PubMed   Mentions: 3     Fields:    
    36. 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. Chen AH, Yee HF. PMID: 21220663.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    37. Evaluating electronic referrals for specialty care at a public hospital. J Gen Intern Med. 2010 Oct; 25(10):1123-8. Kim-Hwang JE, Chen AH, Bell DS, Guzman D, Yee HF, Kushel MB. PMID: 20512531.
      View in: PubMed   Mentions: 33     Fields:    Translation:Humans
    38. Practice profile. A safety-net system gains efficiencies through 'eReferrals' to specialists. Health Aff (Millwood). 2010 May; 29(5):969-71. Chen AH, Kushel MB, Grumbach K, Yee HF. PMID: 20439891.
      View in: PubMed   Mentions: 27     Fields:    Translation:Humans
    39. Improving the primary care-specialty care interface: getting from here to there. Arch Intern Med. 2009 Jun 08; 169(11):1024-6. Chen AH, Yee HF. PMID: 19506170.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    40. 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. Kim Y, Chen AH, Keith E, Yee HF, Kushel MB. PMID: 19308334.
      View in: PubMed   Mentions: 47     Fields:    Translation:Humans
    41. The legal framework for language access in healthcare settings: Title VI and beyond. J Gen Intern Med. 2007 Nov; 22 Suppl 2:362-7. Chen AH, Youdelman MK, Brooks J. PMID: 17957427.
      View in: PubMed   Mentions: 43     Fields:    Translation:Humans
    42. 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. Karliner LS, Jacobs EA, Chen AH, Mutha S. PMID: 17362215.
      View in: PubMed   Mentions: 240     Fields:    Translation:Humans
    43. 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. Chen AH, Jacobs E .
    44. Insights into the problems that language barriers may pose for the medical interview. J Gen Intern Med. 2006 Dec; 21(12):1357-8. Hardt E, Jacobs EA, Chen A. PMID: 16995888.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    45. Effect of awareness of language law on language access in the health care setting. J Gen Intern Med. 2006 Jul; 21(7):683-8. Grubbs V, Chen AH, Bindman AB, Vittinghoff E, Fernandez A. PMID: 16808766.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    46. Doctoring across the language divide. Health Aff (Millwood). 2006 May-Jun; 25(3):808-13. Chen A. PMID: 16684747.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    47. The need for more research on language barriers in health care: a proposed research agenda. Milbank Q. 2006; 84(1):111-33. Jacobs E, Chen AH, Karliner LS, Agger-Gupta N, Mutha S. PMID: 16529570.
      View in: PubMed   Mentions: 69     Fields:    Translation:Humans
    48. Case studies in multicultural medicine and health disparities. Multicultural Medicine and Health Disparities. Editors: David Satcher and Rubens Pamies. 2006. Smith WR, Bussey-Jones J, Horowitz CR, Whitehurst-Cook M, Chen, AH.
    49. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005 Sep; 20(9):800-6. Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. PMID: 16117746.
      View in: PubMed   Mentions: 144     Fields:    Translation:Humans
    50. Legal and regulatory obligations to provide culturally and linguistically appropriate emergency department services. Clin Ped Emerg Med. 2004; 5(2):85-92. Jacobs EA, Chen AH, Karliner L, Fortier JP, Mutha S.
    51. Literacy and language: disentangling measures of access, utilization, and quality. J Gen Intern Med. 2004 Mar; 19(3):288-90. Schillinger D, Chen AH. PMID: 15009787.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    52. Reasons for outpatient referrals from generalists to specialists. J Gen Intern Med. 1999 May; 14(5):281-6. Donohoe MT, Kravitz RL, Wheeler DB, Chandra R, Chen A, Humphries N. PMID: 10337037.
      View in: PubMed   Mentions: 23     Fields:    Translation:Humans
    53. Airway reactivity in welders: a controlled prospective cohort study. J Occup Environ Med. 1996 Dec; 38(12):1229-38. Beckett WS, Pace PE, Sferlazza SJ, Perlman GD, Chen AH, Xu XP. PMID: 8978514.
      View in: PubMed   Mentions: 11     Fields:    Translation:HumansPHPublic Health
    54. Gender-associated differences in emergency department pain management. Ann Emerg Med. 1995 Oct; 26(4):414-21. Raftery KA, Smith-Coggins R, Chen AH. PMID: 7574121.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
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