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

Welcome to the first issue of our Delivery Science Fellowship (DSF) newsletter! We will be providing quarterly updates and program highlights on this Kaiser Permanente Northern California postdoctoral research fellowship program. The KPNC Division of Research started the DSF in 2012 to provide training on ways to translate findings from basic science and clinical studies into clinical practice to ensure patients get the best care, efficiently delivered. We define “delivery science” as the discipline of identifying and overcoming barriers to effective health care at the individual, practice, delivery system, and health policy levels.

Over the past decade, we have trained over 20 fellows from wide-ranging health fields including family medicine, emergency medicine, clinical psychology, epidemiology, and health services research. Each fellow spends two years working closely with a KPNC Division of Research scientific mentor engaged in stakeholder engagement, data analysis, qualitative work, and manuscript and grant writing. Our graduates have gone on to academic positions at leading US universities and research institutions while others have stayed at KPNC as physician researchers and scientific investigators. You can learn more about our decade training Delivery Science Fellows in our 2024 article from Learning Health Systems. You can always drop us a line at DOR-Fellowship@kp.org.

Richard

Richard W. Grant, MD, MPH
DSF Director

Richard

Esti Iturralde, PhD
DSF Associate Director

We are accepting applications for our next round of fellows
(deadline: 5PM Pacific on November 8th, 2024). Learn more

Scientific Mentor Spotlight:
Jacek Skarbinski, MD

This Fall we are welcoming Dr. Jacek Skarbinski as a new DSF scientific mentor. He will be working with incoming fellow Jorge Ledesma, who received his PhD in Epidemiology from the Brown University School of Public Health where he studied topics including health systems’ pandemic preparedness and the global challenge posed by tuberculosis.

Dr. Skarbinski is a research scientist at the Kaiser Permanente Division of Research and a practicing infectious diseases and HIV medicine specialist at Kaiser Permanente, Oakland Medical Center. In addition, he serves as the Assistant Program Director of the Kaiser Permanente Northern California HIV Fellowship. He is part of The Permanente Medical Group Physician Researcher Program. Before joining The Permanente Medical Group in 2016, Dr. Skarbinski served with the Centers for Disease Control and Prevention (CDC) in various epidemiology and leadership roles. His CDC research addressed the epidemiology, diagnosis, treatment and prevention of infectious diseases with a focus on malaria, HIV, and tuberculosis. His current research interests include clinical trials, observational studies, and implementation science in a broad range of infectious diseases including HIV, tuberculosis, and COVID-19. We recently caught up with Dr. Skarbinski to learn more about his work.

How do you view your role as a scientific mentor?

I have worked in many different capacities and different settings throughout my career and I strive to work with my mentees to find the right fit for their career. The core skills for any career include developing a depth of subject matter expertise as well as robust methods that can be applied in different settings. Throughout the two years we will focus on core skills as well as some soul searching to define the next best step in the mentee’s professional life.

What is the importance of Delivery Science in infectious diseases research and clinical care?

Infectious diseases is a very diverse field with a lot room for improvement in clinical care delivery. For example, our work on latent tuberculosis infection screening and treatment programs mirrors other disease screening programs such as colon cancer screening.  However, our work on reducing infectious complications in patients with acute myeloid leukemia is focused on a very high risk population undergoing very intensive inpatient care. The diversity of clinical care settings and types of problems we engage this makes this is a very impactful and engaging field.

What do you like to do outside of work? 

I have three teenage kids (ages 12, 14, 16) and I love spending time with them.  They keep me on my toes at all times.  I also love all outdoor activities and spend time hiking, skiing, surfing, climbing and whatever else I can think of that is not inside.

Anything else you would like our readers to know?

The DOR is an incredible place to work and our ability to conduct high quality research and implement practice change in our large health system is very rewarding. I am thrilled to have our Delivery Science Fellows share in that joy.

Alumni Spotlight:
Understanding barriers to telemedicine for patients preferring care in a Chinese language

Loretta Hsueh, PhD (2020-2022) recently published findings in the Journal of General Internal Medicine from research she led as a Delivery Science Fellow. This qualitative study examined telemedicine experiences of KP patients with Mandarin language preference, revealing interpersonal and linguistic nuances. Dr. Hsueh is now Assistant Professor in the Department of Psychology at the University of Illinois, Chicago.

Read more about this study here

Fellow Updates

Meet our new and returning Delivery Science Fellows.

Marie-Laure Charpignon, PhD (cand) will be joining us from Massachusetts Institute of Technology as a new joint KPNC-UC Berkeley fellow in our Informatics Track. With mentors Dr. Vincent Liu and Dr. Ben Marafino, she will focus on advanced analytics and causal modeling to improve health care delivery.

Jorge Ledesma, PhD, MPH joins us as a new fellow from Brown University School of Public Health (PhD in Epidemiology). Dr. Ledesma has a background in causal inference modeling and is studying factors in effective delivery of infectious disease care, with mentorship by Dr. Jacek Skarbinski.

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Shannon Ogden, PhD, MPH is a new fellow joining us from Boston University School of Public Health (PhD in Health Services Research). Shannon’s research has focused on addressing intimate partner violence, substance use, mental health, and the integration of health care and social services. Her scientific mentor is Dr. Kelly Young-Wolff.

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Margae Knox, PhD, MPH is in her 2nd fellowship year and conducts research on health system innovations to address social needs. Her research has examined system-level opportunities to address social risks and behavioral health factors among patients with complex health conditions, working with mentor Dr. Esti Iturralde. She earned her doctorate in Health Policy at UC Berkeley School of Public Health.

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Aaron Tierney, PhD is a 2nd-year fellow who has recently moved into a staff scientist position at KPNC Division of Research. As a DSF Informatics fellow working with mentor Dr. Vincent Liu, his research focuses on equitable delivery of health care technology. He completed his PhD in Health Policy at UC Berkeley School of Public Health.

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Emma Tucher, PhD is a 2nd-year fellow whose research focuses on health system and health plan responses to policies seeking to address non-medical and social needs. Her scientific mentor is Dr. Richard Grant. She completed her doctoral degree in Health Services Research at Brown University School of Public Health.

View profile

Other Delivery Science Fellowship Links

New Clinical Tool Can Help Identify Patients at High Risk for Liver Cancer

DSF Alumnus Luis Rodriguez, PhD led innovative work predicting cancer risk from health records

Cannabis in Pregnancy Linked to Some Maternal Health Problems

Read more about research from DSF Scientific Mentor Kelly Young-Wolff, PhD, MPH and colleagues

A Decade of Delivery Science Training

Read more about our training approach and philosophy.

Upcoming Conference: Addiction Health Services Research

Learn about fellows’ delivery science research October 16th to 18th.

Upcoming Conference: Relational Coordination Roundtable

Learn about fellows’ delivery science research November 7th to 9th.

Our Website

Learn more about the Delivery Science Fellowship program.

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