Delivery Science Fellowship Emailer - A quarterly digest with news, information, and activities to help you in your daily work to deliver on our mission.
Being Kaiser Permanente in Northern California

A Note from Our Directors

This Fall we are delighted to welcome new fellows to the Delivery Science Fellowship (DSF), a postdoctoral training program established by the Kaiser Permanente Northern California Division of Research in 2012. The DSF was created to prepare doctoral-level graduates within a large learning health care system to conduct research that addresses the challenges of translating evidence into practice. Through close mentorship from experienced investigators across a range of disciplines, fellows develop expertise in delivery science while advancing their scientific skills and knowledge, scholarly productivity, and ability to impact real-world health care. In this newsletter, we highlight the work of our fellows and a recent fellowship graduate.

Please note that the next DSF application deadline is quickly approaching on Friday, November 6th. We encourage you to share this opportunity with your colleagues, trainees, and professional networks.

Richard

Richard W. Grant, MD, MPH
DSF Director

Richard

Esti Iturralde, PhD
DSF Associate Director

We are now recruiting for our next cohort with applications closing on November 6th at 5pm Pacific.

Alumni Update: Aaron Tierney, PhD

We caught up with Aaron Tierney, PhD, who completed the DSF as an informatics fellow in 2024. At KPNC, Aaron applied his doctoral training in health policy and implementation science to work evaluating technology access and impacts for patients and clinicians.

What have you been up to since completing the Delivery Science Fellowship?
In 2026, I started my position as a Healthcare Delivery AI Evaluation Architect at Sutter Health, a large California health care system. While a fellow at KP, my research was at the intersection of clinical informatics, implementation science, and health equity. My work helped evaluate the impacts of AI scribes on clinical workflows, and I studied the potential for telehealth to foster better health care access. My current work carries all of these themes forward with a specific focus on generative AI tools.

How do you think about Delivery Science in your current work (if at all)?
Delivery science permeates all aspects of my work. To be successful, I have to work with and consider the needs of all stakeholders including health system leadership, clinicians, patients and their caregivers, and our informatics and IT teams. Only by considering all of these perspectives is it possible to deploy AI tools that are useful, enhance job and care experience, improve population health, and ensure that health systems view their investment as cost effective.

What are 1 or 2 things you learned during your fellowship that you still think about or find helpful?
The DSF provided my first experience evaluating a generative AI tool contracted through an external vendor. This was also my first time collaborating with such a variety of stakeholders while producing rigorous evaluations in abbreviated time frames compared to typical research timelines (weeks or months as opposed to years). These skills have been foundational for me and have truly changed my life and empowered me to do the work I am most passionate about: responsibly integrating technology into healthcare in a way that improves the lives of patients and clinicians, while avoiding perpetuating gaps and inequities that often result from differences in access to technology by a variety of demographic factors. I am also able to perform this work in a way that generates change in real time as my work informs decision makers deciding on the next steps for generative AI deployment across a variety of use cases.

What do you like to do outside of work?
My son just turned two in September, and I love playing and doing activities together with him and my wife — we just had a great trip to the California Academy of Sciences, only increasing his obsession with dinosaurs. Outside of parenting, I have a long-running hobby of brewing specialty coffee, playing video games, and cooking. My wife and I started a new garden and have been growing our own herbs, tomatoes, cucumbers, eggplants, bell peppers, lettuce, poblanos, strawberries, and snap peas.

What advice would you offer early-stage investigators who want their work to meaningfully impact care delivery?
If possible, seek out opportunities to partner with operational stakeholders. These collaborations help ensure your work remains practical, relevant, and responsive to the needs of patients, clinicians, and the health system, while maintaining the scientific rigor we are all trained to uphold. They can also create opportunities for high-impact research that directly informs and improves care delivery, often leading to future collaborations on research and evaluation projects. In addition, addressing immediate operational priorities can provide access to valuable data, resources, and funding that support more in-depth, long-term studies.

Connect with Aaron and follow updates on his work.

Fellow Updates

Kate Chirikova, PhD is a first-year fellow joining us from the University of California, San Francisco where she earned a PhD in Epidemiology and Translational Science. She will examine gaps in cancer treatment, supportive care, and survivorship under the mentorship of Dr. Lawrence Kushi and Dr. Marilyn Kwan.

Mounika Parimi, DrPH, MPH, is a first-year fellow who applies a life-course approach to study postpartum and long-term health outcomes among women with glucose intolerance or hypertensive disorders during pregnancy. She is mentored by Dr. Yeyi Zhu and earned her Doctorate of Public Health from the University of California, Berkeley.

Marie-Laure Charpignon, PhD is a second-year clinical informatics fellow whose work integrates methods from causal inference to evaluate the effects of pharmaceuticals, social policies, and exogenous shocks on people’s health and behavior. Her mentors include Dr. Vincent Liu, Dr. Romain Neugebauer, and Dr. Paola Gilsanz. She completed her PhD in Social & Engineering Systems and Statistics at the Massachusetts Institute of Technology.

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Andrew Huang, PhD is a second-year fellow with research interests in prediction modeling, causal inference, and the use of observational data to inform clinical guidelines and medical decision making. He works under the mentorship of Dr. Mary Reed and Dr. Marilyn Kwan. He earned his PhD in Health Services Research from Brown University School of Public Health.

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Michael Ou, MD is a second-year clinical informatics fellow studying the impact of intra-operative factors on patient outcomes in surgery, with mentorship from Dr. Vincent Liu. He earned his MD from Johns Hopkins School of Medicine. After completing the DSF, he will return to the University of California, San Francisco to finish his general surgery residency.

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Jackie Roger, PhD is a second-year fellow studying menopausal hormone therapy with Dr. Monique Hedderson and Dr. Susanna Mitro. Jackie is interested in patient advocacy, healthcare quality, and quality of life. She earned her PhD in Biological and Medical Informatics at the University of California, San Francisco.

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