CHP/PCOR’s three new faculty members bring a varied background in behavioral health economics, law and children’s health outcomes

By Teal Pennebaker

Three researchers, whose work spans the globe as well as disciplines, have joined CHP/PCOR.  They include a health law professor, a physician economist interested in how behavioral issues influence patient outcomes, and another physician economist who will focus on health economic issues among children in developing countries.

“We are thrilled to welcome Marcella Alsan, David Studdert, and David Chan to our centers. Each of these folks fit into our centers' mission to produce rigorous relevant research by people who care deeply about the topics they probe,” CHP/PCOR Executive Director Kathryn McDonald said. “We credit the current community of scholars at Stanford with attracting these talented individuals to join forces with us.”

Professor David Studdert has spent the past six years at the University of Melbourne’ Law School teaching and studying policy issue at the intersection of health and legal systems.  His most recent research has investigated the relationship between speeding tickets and auto accidents, how patient complaints can be used as indicators health care quality, and how claimants move through workers’ compensation systems.

“David is one of the leading scholars in the world in health law and we are fortunate to have him join our faculty,” CHP/PCOR Director Doug Owens said. “David’s recruitment provides a terrific opportunity to expand our policy work, and his research will serve as the nucleus for joint training and research with our colleagues in the law school.”

Studdert, who will spend a quarter of his time at Stanford Law School, plans to focus on regulatory “hot spotting” in the short term—an approach that uses statistical profiling techniques to make regulation more efficient in areas ranging from medical malpractice to road safety. “There’s a lot going on in health care regulation in the United States,” Studdert said. “I hope to be able to collaborate with others at PCOR--it’s a very exciting, bright group of researchers with plenty of areas of mutual interest.”

Studdert has actually worked with CHP/PCOR members before—he was at RAND in the late 1990s while CHP/PCOR Professor Jay Bhattacharya was there. Similarly, CHP/PCOR’s newest faculty Marcella Alsan and David Chan have actually spent ample time together—before coming to Stanford, they did the same internal medicine residency program at the Brigham Women’s in Boston. Both Chan and Alsan will also practice medicine at the Veteran Affairs hospital part-time as is the case for some of the other clinical faculty members at CHP/PCOR. 

“We are delighted that we were able to recruit two exceptional physician economists to our centers,” Owens said. “Marcella brings deep understanding of global health from her training in infectious diseases along with the methodologic skills of an economist.  It is a rare combination and will enable her to make exceptional contributions in understanding the interplay of health and economics in the developing world. "  

Assistant Professor Marcella Alsan, who has a PhD in economics, a master’s in public health and a medical degree, will focus her research on policy questions in international health, particularly among children in developing countries.  Right now she’s finishing up a project looking at the spillover effects for the siblings and family members of children participating in a large-scale immunization program in Turkey. Alsan is also in the midst of revising a job market paper about how disease affects long-term economic development of Africa. 

“I’m a researcher, a physician and a past global health resident at Brigham and Women's hospital. All of that fits in best here at CHP/PCOR. Stanford is a stellar academic institution and has a growing global health and development community,” Alsan said. “At PCOR, they do excellent research and have wide interests. There isn’t pressure to be narrowly focused on one topic or one publication style.”

Assistant Professor David Chan, who has a PhD in economics and training in internal medicine, will focus on how behavioral issues impact productivity in health care systems. 

"Dave is uniquely trained to study the productivity of  healthcare systems.  Given the extraordinary need to reduce costs and provide high-value care, we believe Dave’s work on health care productivity will be enormously important in understanding some of the most difficult challenges for medicine today," Owens said.

Chan’s current work includes studying the impact of whether doctors choosing which patients they see affects their patients’ health outcomes; the effects on patients’ health outcomes if a doctor sees them at the beginning or end of the doctor’s shift; and whether providing doctors financial incentives—e.g. linking the number of ultrasounds a doctor gives out to their pay—impacts patient health outcomes.

“The environment at the centers is just great for someone who’s multidisciplinary. It’s a small place but surrounded by so many great partners within walking distance -- the business school, economics department, Stanford Institute for Economic Policy Research (SIEPR), the computer science department, and so on,” Chan said.  “It’s great to be back in California. I even bought a bike—I’ve never really ridden a bike this much!”

Ben Rudolph was an ambitious computer science major planning to remain in Silicon Valley and join one of the many start-ups eager for young Stanford grads. But in his senior year he took a class, “Rethinking Refugee Communities,” which knocked him off his path and got him thinking about how to use that ambition for the greater good.

The class was co-taught by Tino Cuéllar, a Stanford Law School professor and director of the Freeman Spogli Institute for International Studies. Cuéllar led the class while co-director of FSI's Center for International Security and Cooperation (CISAC), which had just launched a collaboration with the United Nations High Commissioner for Refugees. The agency was looking for innovative ideas to support and protect the more than 42 million refugees, internally displaced and stateless people around the world.

When Rudolph graduated in June, he turned down offers in local tech firms and headed to Geneva as an intern for UNHCR’s nascent innovation lab. He joined Stanford alumna and CISAC faithful, Alice Bosley, in the small office with a big mission: to aid refugees by driving innovation using the latest tools of technology. 

“I get to make a difference in the lives of some of the most vulnerable people in the world: refugees,” said Rudolph, a 23-year-old from Naperville, Ill., who came to Stanford on a gymnastics scholarship. “And I love that I get to meet such a diverse group of people with wildly different opinions about so many things.” 

Rudolph has now joined UNHCR Innovation full time and has traveled to Ecuador to pilot one of his projects and to Thailand for an innovation workshop. On a recent trip to Esmeraldas on the northwestern coast of Ecuador, he tested out an SMS program that would help displaced people get information from the UNHCR and its partner organizations. 

Bosley, the associate operations officer at UNHCR Innovation, first joined the U.N. as an intern speechwriter at the Permanent Mission of East Timor to the United Nations in New York. She was visiting some CISAC colleagues in the spring of 2012 when she learned about the burgeoning collaboration between the center and UNHCR. She volunteered for the project and became an intern with the newly formed UNHCR Innovation team, where she was later offered a full-time position.

Alice Bosley crossing a river near the Dollo Ado UNHCR refugee camp in Ethiopia.

“UNHCR Innovation is my dream job; I am constantly traveling to new and interesting locations to work on projects and I’m able to support some of the most creative and impressive people in the organization,” said Bosley, 25, who graduated in 2011 with a degree in international relations. “It’s challenging and sometimes overwhelming. But I wouldn’t pick anything else to do at this point in my life.” 

Rudolph and Bosley are models of the CISAC mission: to train the next generation of experts who will make the world a safer place. While not entrenched in the policy arena or at the forefront of arms control or Track II diplomacy, they are quietly, doggedly fulfilling the CISAC pledge to improve lives around the world. 

"One of CISAC's greatest strengths over the years has been its record of attracting enormously talented students and fellows from a diverse array of disciplines and giving them a chance to work on problems that affect lives around the world,” said Cuéllar. 

The UNHCR came to Cuéllar in early 2012 asking to collaborate. That initial request has led to an array of projects across campus and around the world. Cuéllar last year co-taught the class, “Rethinking Refugee Communities,” with Leslie Witt of the Palo Alto-based global design firm IDEO. That class in turn led to research trips in Ethiopia and Rwanda with UNHCR and the International Rescue Committee to test out some of the student projects to improve food security, communications, camp design and an SMS platform that Rudolph later tested with the innovation lab. 

“Ben and Alice were attracted to the refugee project because of its focus on improving conditions for forced migrants,” said Cuéllar. “Both of them are brimming with intellectual curiosity, ability, and dedication, so it's no surprise that UNHCR has put them at the center of its innovation work." 

The collaboration now extends far beyond CISAC. Cuéllar, CISAC visiting professor Jim Hathaway of the University of Michigan Law School, Roland Hsu of the Stanford Humanities Center and the NGO Asylum Access are convening a winter quarter working group on refugee rights. Stanford faculty will come from many departments to talk about the tension between providing emergency care and protecting refugee rights. 

CISAC led the UNHCR to the Stanford Geospatial Center, where students are working on four mapping projects to help refugees, including an interactive map that displays the density for refugees seeking shelter in that conflict. 

“Working with the UNHCR was truly a unique experience for us,” said Patricia Carbajales, geospatial manager at the Branner Earth Sciences Library who linked the students with the UNHCR advisers in Geneva and field offices around the world. “The students were completely engaged, understanding the importance that their projects had for UNHCR and, most importantly, for the refugees themselves.” 

The popularity of the projects has led to a new class in the spring, “GIS for Good: Applications for GIS for International Development and Humanitarian Relief.” 

Cuéllar and Elizabeth Gardner, associate director for partnerships and special projects at FSI, are working with UNHCR architects and the New York-based Ennead Architects Lab to develop new tools to expedite the complex process of laying out new refugee camps. 

Stanford’s Haas Center for Public Service and the student-led Stanford in Government is making moves to permanently place interns or postgraduate fellows at UNHCR. FSI Senior Fellow Paul Wise, a professor of pediatrics at Stanford’s School of Medicine, will mentor that intern in the coming year. 

Meanwhile, out in the field, Rudolph doesn’t know if his UNHCR experience has forever changed his career path. He may come back to the valley and pick up where he left off; he may continue his humanitarian work. 

Either way, he says, “This work has really opened me up to a world of problems that are so vast it’s hard to grasp. It will be forever difficult to go back to my ignorant bliss.”

Ben Rudolph, center, with Sudanese refugees in a UNHCR refugee camp in Ethiopia, March 2013.

Stanford's Program on Social Entrepreneurship is proud to introduce its fourth class of Social Entrepreneurs-in-Residence at Stanford (SEERS Fellows) who will be joining the academic community in January. Tackling complex social justice issues in the Bay Area and globally, this group is working to raise literacy rates in public schools, hold international institutions accountable for their abuses, and defend the rights of women and girls across the state of California.

The three SEERS fellows will co-teach a course (IR/CAS 142) that explores the role of social entrepreneurship in advancing democratic change. This service-learning course allows students to work first-hand with the SEERS fellows on projects to scale-up their work as social change leaders.

The 10-week residency program brings social entrepreneurs inside academia to document the impact of their work and build their institutional capacities. It also provides students the opportunity to learn about the emerging field of social entrepreneurship by working with practitioners inside the classroom.

The incoming group of SEERS fellows have been widely recognized for their innovative work pioneering new approaches to address outstanding social problems, receiving prestigious awards including; the MacArthur Genius Fellowship; the Echoing Green Fellowship; and the Social Innovation Fund award from the U.S. federal government, among others.

Leading innovative organizations, these SEERS fellows have been successful in introducing new programs but also influencing policy changes to transform educational and social outcomes for communities in the developed and developing world.

While studying abroad in Chile, Natalie Bridgeman Fields witnessed indigenous women being tear-gassed as their land was being forcibly seized for a World Bank-financed project. At that moment, Fields was inspired on her journey as a social entrepreneur, working to launch the Accountability Counsel in 2009 to defend the environmental and human rights of communities across the developing world. The Accountability Counsel has been successful in winning victories for marginalized communities and influencing international institutions to change their policy and practices.

Michael Lombardo is a successful product of the public education system in the U.S. When as an adult he saw that only 35 percent of fourth graders read at a proficient level he decided to commit himself to closing the early reading achievement gap. Reading Partners employs an innovative model of matching mentors with children in public schools to tutor them and improve reading outcomes. The model has worked and Lombardo has been successful in growing Reading Partners to serve over 40 school districts across eight states nationwide.

At the age of 19, Lateefah Simon was appointed the executive director of the Center for Young Women's Development, an organization working to support the needs of low-income young women in San Francisco. Since then, Simon has committed herself to a life of service to support juvenile and criminal justice reform and gender rights in the state of California through positions at the Lawyers' Committee for Civil Rights, the San Francisco District Attorney's Office, and most recently at the Rosenberg Foundation.

The SEERS fellows will be on campus through March in residency with the Center on Democracy, Development, and the Rule of Law. For more information on the program, please visit pse.stanford.edu.

CISAC's William J. Perry was conferred the Department of Defense's Medal for Distinguished Public Service (Silver Palm) in recognition of 16 years of groundbreaking work in national and international security issues after serving as the 19th secretary of defense.

In a public statement, the Pentagon hailed Perry's commitment to U.S. national security, including his work on advising the Defense Policy Board and members of Congress; his Track II diplomacy work as director of the Preventive Defense Project; and his efforts to advance regional security in the Western Hemisphere as co-chair of the North American Forum. "The distinctive accomplishments of Dr. Perry reflect great credit upon himself an the Department of Defense," his citation read.

The award was presented by Deputy Secretary of Defense Ashton Carter on Dec. 3. Carter praised Perry's work, saying the following: "Bill Perry advised and supported me on nearly every issue of consequence during my tenure - from developing and fielding some of our most agile and innovative new systems to increasing our Department's buying power. I cannot think of a more a deserving individual to receive the Department's highest public service award."

CISAC Senior Fellow Siegfried Hecker and the Moscow Engineering Physics Institute (MEPhI) have launched a website to chronicle more than 20 years of nuclear collaboration between the Russian Federation and the United States.

This collaboration culminated in a conference in June 2013 on Russia-US nuclear cooperation. The website documents presentations, participants, and news from the conference in both English and Russian. Work from this conference will continue to strengthen the partnership between the two countries. 

Reports of the detention and eventual release by North Korean authorities of an 85-year-old Palo Alto retiree, Merrill Newman, spurred a wave of media interest. Newman, a Korean War veteran, had decided to go on a tour of North Korea, apparently in part to revisit the place where he had served more than 60 years ago.

He was accompanied by a fellow retiree, Bob Hamrdla, also a Palo Alto resident. According to accounts provided by Hamrdla, Newman was taken off the plane as he was leaving the country after a nine-day tour. During his detention, Newman was videotaped reading an apology, in which he accepted responsibility for “hostile acts” and requested forgiveness.

After 42 days in custody, Newman was released and arrived back in the United States on Dec. 7. Newman was greeted by his family and spoke briefly to reporters, recognizing the U.S. Embassy in Beijing and the Swedish Embassy in Pyongyang for securing his release, before heading home. The full details that led to Newman’s detention still remain unclear.

Both local and national media rushed to understand these events, first reported in detail by the San Jose Mercury News (Nov. 20). Reporters sought out expertise at Shorenstein Asia-Pacific Research Center, speaking to Associate Director for Research Daniel Sneider and to Korean Studies Program Associate Director David Straub, who both have long experience with Korea and have been frequently cited as experts.

Sneider was cited in newspaper reports in the San Jose Mercury News (Nov. 20) and the Los Angeles Times; was interviewed on local radio, and also interviewed for broadcast on the evening news programs of the CBS, ABC and NBC networks local affiliates. Straub was quoted by NK News, a leading agency specializing in coverage of North Korea, also cited by the Washington Post. Most recently, Sneider was cited in the San Jose Mercury News (Dec. 7) upon the confirmation of Newman’s release.