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Asaf Bitton, M.D.

TitleInstructor in Medicine
InstitutionBrigham and Women's Hospital
DepartmentMedicine
AddressBrigham and Women's Hospital
Internal Medicine
75 Francis St
Boston MA 02115
Phone617/732-4956
Fax617/732-7072
Other Positions
TitleInstructor in Health Care Policy
InstitutionHarvard Medical School
DepartmentHealth Care Policy


 Biography 
 awards and honors
2008 - James W. Winshall Award for Ambulatory Teaching
2010 - Mack Lipkin Sr. Associate Award
2010 - Fellow, American College of Physicians
2010 - CIMIT Young Clinician Research Award
2011 - Milton Hamolsky Junior Faculty Award
2011 - 2012Innovation Fellow, Harvard Medical School Center for Primary Care
2013 - Harvard Medical School Certificate of Excellence in Tutoring

 Overview 
 overview
My work focuses on primary care delivery reform, measurement, and innovation, especially surrounding the implementation and evaluation of team-based models of primary care such as the patient centered medical home. I also study the epidemiology and control of non-communicable diseases in low and middle income countries, with a special focus on global tobacco control research since 2000.

In addition to my appointments at the Division of General Medicine at Brigham and Women's Hospital and the Department of Health Care Policy at Harvard Medical School, I am a member of the Harvard Medical School (HMS) Center for Primary Care, where I am the Faculty Lead for Transformation Strategy and Design, leading the Academic Innovations Collaborative. This 2 year, $14 million collaborative of 19 HMS-affiliated clinics is transforming Harvard-affiliated primary care teaching practices and developing new models of academic and community team-based primary care.

I also serve as a Senior Advisor to the Comprehensive Primary Care initiative at the Center for Medicare and Medicaid Innovation. This national multi-payer initiative launched in 2012 combines payment reform and practice redesign to transform nearly 500 primary care practices in 8 states over 4 years with the overarching goal of improving quality of care, patient experience, and reducing costs.

I practice primary care medicine and am the Assistant Medical Director at the Brigham and Women’s Advanced Primary Care Associates, South Huntington, a new patient centered medical home practice in Jamaica Plain, MA.


 Mentoring 
 completed student projects
Comparison of Entry-Level and Optimal Patient Centered Medical Homes in Oklahoma Medicaid Program
Summer, 06/17/13 - 07/26/13
Improving Transitions of Care: Understanding Hospital Readmissions at the Brigham and Women’s Advanced Primary Care Associates Clinic
Summer, 05/20/13 - 09/06/13
Beliefs in cancer treatment efficacy among Australian physicians and Indigenous Australians
International, 06/14/10 - 08/01/10
Barriers, enablers, and preferences of Indigenous Australians in the provision of health care and health services in Western Australia
International, 06/27/11 - 08/10/11
Tracking and Improving Transitions of Care within a Patient-Centered Medical Home
Full Time, 03/15/12 - 12/15/12
Reengineering the Post-Discharge Visit within a Patient-Centered Medical Home
Summer, 06/11/12 - 08/10/12

 Bibliographic 
 selected publications
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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  1. Heyworth L, Bitton A, Lipsitz SR, Schilling T, Schiff GD, Bates DW, Simon SR. Patient-centered medical home transformation with payment reform: patient experience outcomes. Am J Manag Care. 2014 Jan; 20(1):782-5.
    View in: PubMed
  2. Solomon DH, Bitton A, Katz JN, Radner H, Brown E, Fraenkel L. Treat to target in rheumatoid arthritis: Fact, fiction or hypothesis? Arthritis Rheum. 2013 Dec 24.
    View in: PubMed
  3. Solomon DH, Bitton A, Fraenkel L, Brown E, Tsao P, Katz JN. The roles of nurse practitioners and physician assistants in rheumatology practices in the US. Arthritis Care Res (Hoboken). 2013 Dec 10.
    View in: PubMed
  4. Bitton A, Pereira AG, Smith CS, Babbott SF, Bowen JL. The EFECT Framework for Interprofessional Education in the Patient Centered Medical Home. Healthcare: Journal of Delivery Science and Innovation. 2013; 1:63-68.
  5. Anand S, Bitton A, Gaziano T. The Gap between Estimated Incidence of End-Stage Renal Disease and Use of Therapy. PLoS One. 2013; 8(8):e72860.
    View in: PubMed
  6. Basu S, Glantz S, Bitton A, Millett C. The Effect of Tobacco Control Measures during a Period of Rising Cardiovascular Disease Risk in India: A Mathematical Model of Myocardial Infarction and Stroke. PLoS Med. 2013 Jul; 10(7):e1001480.
    View in: PubMed
  7. Piné-Abata H, McNeill A, Raw M, Bitton A, Rigotti N, Murray R. A survey of tobacco dependence treatment guidelines in 121 countries. Addiction. 2013 Aug; 108(8):1470-5.
    View in: PubMed
  8. Piné-Abata H, McNeill A, Murray R, Bitton A, Rigotti N, Raw M. A survey of tobacco dependence treatment services in 121 countries. Addiction. 2013 Aug; 108(8):1476-84.
    View in: PubMed
  9. Bitton A, Choudhry NK, Matlin OS, Swanton K, Shrank WH. The impact of medication adherence on coronary artery disease costs and outcomes: a systematic review. Am J Med. 2013 Apr; 126(4):357.e7-357.e27.
    View in: PubMed
  10. Nerurkar A, Bitton A, Davis RB, Phillips RS, Yeh G. When physicians counsel about stress: results of a national study. JAMA Intern Med. 2013 Jan 14; 173(1):76-7.
    View in: PubMed
  11. Aysola J, Bitton A, Zaslavsky AM, Ayanian JZ. Quality and equity of primary care with patient-centered medical homes: results from a national survey. Med Care. 2013 Jan; 51(1):68-77.
    View in: PubMed
  12. Bitton A, Schwartz GR, Stewart EE, Henderson DE, Keohane CA, Bates DW, Schiff GD. Off the hamster wheel? Qualitative evaluation of a payment-linked patient-centered medical home (PCMH) pilot. Milbank Q. 2012 Sep; 90(3):484-515.
    View in: PubMed
  13. Bitton A, Flier LA, Jha AK. Health information technology in the era of care delivery reform: to what end? JAMA. 2012 Jun 27; 307(24):2593-4.
    View in: PubMed
  14. Bitton A, Frolkis J, Sinsky C, Pollack S. The Medical Home: Better for Whom?. Med Roundtable Gen Med Ed.1(2):164–171. 2012.
  15. Rosenthal MB, Abrams MK, Bitton A, and the Patient-Centered Medical Home Evaluators' Collaborative. Recommended Core Measures for Evaluating the Patient-Centered Medical Home: Cost, Utilization, and Clinical Quality. The Commonwealth Fund. 2012.
  16. Bitton A, Flier LA, Jha AK. Enabling Meaningful Delivery System Reform Through Health Information Technology and Promising New Health Care Models. Health Information Technology in the United States: Driving Toward Delivery System Change. Robert Wood Johnson Foundation, Harvard School of Public Health, Mathematica Policy Research. 2012.
  17. Bitton A. Moving towards more equitable and integrated approaches for tobacco control and non-communicable diseases: invited commentary. Tob Control. 2012 Mar; 21(2):273.
    View in: PubMed
  18. Rigotti NA, Bitton A, Kelley JK, Hoeppner BB, Levy DE, Mort E. Offering population-based tobacco treatment in a healthcare setting: a randomized controlled trial. Am J Prev Med. 2011 Nov; 41(5):498-503.
    View in: PubMed
  19. Bitton A, Frolkis J. The decisive moment: peril and promise for primary care. Comment on "Primary care utilization and colorectal cancer outcomes among Medicare beneficiaries". Arch Intern Med. 2011 Oct 24; 171(19):1757-8.
    View in: PubMed
  20. Huffman MD, Siegel KR, Kishore SP, Bitton A. Regarding the prevention of global chronic disease: academic public health's new frontier. Am J Public Health. 2011 Dec; 101(12):2196-7.
    View in: PubMed
  21. Basu S, Stuckler D, Bitton A, Glantz SA. Projected effects of tobacco smoking on worldwide tuberculosis control: mathematical modelling analysis. BMJ. 2011; 343:d5506.
    View in: PubMed
  22. Kishore SP, Siegel KR, Ahmad A, Aitsi-Selmi AA, Ali MK, Baker P, Basu S, Bitton A, Bloomfield GS, Bukhman G, Emery E, Feigl AB, Grepin K, Huffman MD, Kajana K, Khandelwal S, Kolappa K, Liu C, Lokhandwala N, Marwah V, Mwatsama M, Novak N, Nundy S, Park PH, Parsons Perez C, Price MR, Rapkin N, Rice H, Seligman B, Shah S, da Silva J, Sridhar D, Stuckler D, Vedanthan R, Zaman J, The Young Professionals’ Chronic Disease Network . Youth Manifesto on Non-Communicable Diseases. Global Heart. 2011; 6(4):201-210.
  23. Siegel KR, Kishore SP, Huffman MD, Aitsi-Selmi A, Baker P, Bitton A, Mwatsama M, Ding EL, Feigl AB, Khandelwal S, Rapkin N, Seligman B, Vedanthan R. Trans-Disciplinary Education and Training for NCD Prevention and Control. Global Heart. 2011; 6(4):191-193.
  24. Clair C, Bitton A, Meigs JB, Rigotti NA. Relationships of cotinine and self-reported cigarette smoking with hemoglobin A1c in the U.S.: results from the National Health and Nutrition Examination Survey, 1999-2008. Diabetes Care. 2011 Oct; 34(10):2250-5.
    View in: PubMed
  25. Bitton A, Schneider EC. Home Is Where the Laboratory Is: The PCMH as a Laboratory for Performance Measure Development. National Quality Measures Clearinghouse Expert Commentaries (AHRQ). 2011.
  26. Bitton A, Eyal N. Too Poor To Treat? The Complex Ethics of Cost-Effective Tobacco Policy in the Developing World. Public Health Ethics. 2011; 4(2): 109-120.
  27. Bitton A, Green C, Colbert J. Improving the delivery of global tobacco control. Mt Sinai J Med. 2011 May-Jun; 78(3):382-93.
    View in: PubMed
  28. Bitton A, Talbot J, Clarke L. Tobacco Control in South Africa. Cases in Global Health Delivery: GHD-012. Harvard Medical School. Harvard Business Publishing. 2011.
  29. Bitton A. Who is on the home team? Redefining the relationship between primary and specialty care in the patient-centered medical home. Med Care. 2011 Jan; 49(1):1-3.
    View in: PubMed
  30. Kishore SP, Bitton A, Cravioto A, Yach D. Enabling access to new WHO essential medicines: the case for nicotine replacement therapies. Global Health. 2010; 6:22.
    View in: PubMed
  31. Yamin CK, Bitton A, Bates DW. E-cigarettes: a rapidly growing Internet phenomenon. Ann Intern Med. 2010 Nov 2; 153(9):607-9.
    View in: PubMed
  32. Bitton A. Improving Care Coordination between Patients and Providers in the Patient Centered Medical Home. Transforming Patient Engagement: Health IT in the Patient Centered Medical Home. Patient Centered Primary Care Collaborative. 2010.
  33. Bitton A, Raw M, Richards A, McNeill A, Rigotti NA. A comparison of four international surveys of tobacco dependence treatment provision: implications for monitoring the Framework Convention on Tobacco Control. Addiction. 2010 Dec; 105(12):2184-91.
    View in: PubMed
  34. Bitton A, Gaziano TA. The Framingham Heart Study's impact on global risk assessment. Prog Cardiovasc Dis. 2010 Jul-Aug; 53(1):68-78.
    View in: PubMed
  35. Bitton A, Martin C, Landon BE. A nationwide survey of patient centered medical home demonstration projects. J Gen Intern Med. 2010 Jun; 25(6):584-92.
    View in: PubMed
  36. Bates DW, Bitton A. The future of health information technology in the patient-centered medical home. Health Aff (Millwood). 2010 Apr; 29(4):614-21.
    View in: PubMed
  37. Bitton A, Zaslavsky AM, Ayanian JZ. Health risks, chronic diseases, and access to care among US Pacific Islanders. J Gen Intern Med. 2010 May; 25(5):435-40.
    View in: PubMed
  38. Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart disease in low- and middle-income countries. Curr Probl Cardiol. 2010 Feb; 35(2):72-115.
    View in: PubMed
  39. Bitton A, Yialamas M, Levy BD, Katz JT, Loscalzo J. Clinical problem-solving. A fragile balance. N Engl J Med. 2009 Jul 2; 361(1):74-9.
    View in: PubMed
  40. Gaziano TA, Bitton A, Anand S, Weinstein MC. The global cost of nonoptimal blood pressure. J Hypertens. 2009 Jul; 27(7):1472-7.
    View in: PubMed
  41. Henrich TJ, Krakower D, Bitton A, Yokoe DS. Clinical risk factors for severe Clostridium difficile-associated disease. Emerg Infect Dis. 2009 Mar; 15(3):415-22.
    View in: PubMed
  42. Rigotti NA, Bitton A, Richards AE, Reyen M, Wassum K, Raw M. An international survey of training programs for treating tobacco dependence. Addiction. 2009 Feb; 104(2):288-96.
    View in: PubMed
  43. Bitton A, Keagle JN, Varma MG. Small bowel bezoar in a patient with Noonan syndrome: report of a case. MedGenMed. 2007; 9(1):34.
    View in: PubMed
  44. Bitton A, McGarvey ST, Viali S. Anger expression and lifestyle incongruity interactions on blood pressure in Samoan adults. Am J Hum Biol. 2006 May-Jun; 18(3):369-76.
    View in: PubMed
  45. Neuman MD, Bitton A, Glantz SA. Tobacco industry influence on the definition of tobacco related disorders by the American Psychiatric Association. Tob Control. 2005 Oct; 14(5):328-37.
    View in: PubMed
  46. Patti ME, McMahon G, Mun EC, Bitton A, Holst JJ, Goldsmith J, Hanto DW, Callery M, Arky R, Nose V, Bonner-Weir S, Goldfine AB. Severe hypoglycaemia post-gastric bypass requiring partial pancreatectomy: evidence for inappropriate insulin secretion and pancreatic islet hyperplasia. Diabetologia. 2005 Nov; 48(11):2236-40.
    View in: PubMed
  47. Bitton A, Neuman MD, Barnoya J, Glantz SA. The p53 tumour suppressor gene and the tobacco industry: research, debate, and conflict of interest. Lancet. 2005 Feb 5-11; 365(9458):531-40.
    View in: PubMed
  48. Bitton A, Etzell J, Grenert JP, Wang E. Erythrophagocytosis in Gaucher cells. Arch Pathol Lab Med. 2004 Oct; 128(10):1191-2.
    View in: PubMed
  49. Bitton A, Kahn JG. MSJAMA: Government share of health care expenditures. JAMA. 2003 Mar 5; 289(9):1165.
    View in: PubMed
  50. Neuman M, Bitton A, Glantz S. Tobacco industry strategies for influencing European Community tobacco advertising legislation. Lancet. 2002 Apr 13; 359(9314):1323-30.
    View in: PubMed
  51. Bitton A, Fichtenberg C, Glantz S. msJAMA: reducing smoking prevalence to 10% in five years. JAMA. 2001 Dec 5; 286(21):2733-4.
    View in: PubMed
  52. Zhan WZ, Mantilla CB, Zhan P, Bitton A, Prakash YS, de Troyer A, Sieck GC. Regional differences in serotonergic input to canine parasternal intercostal motoneurons. J Appl Physiol. 2000 May; 88(5):1581-9.
    View in: PubMed
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