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Alyna Chien, M.D.

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Biography
1995
Young Investigator Award Finalist
1997
Summer Research Training Grant Recipient
1998
Chicago Schweitzer Urban Fellowship Award
1998
Community Service Award
2003
First Place, Unusual Clinical Case Competition
2006
Region V-Fellow Abstract Competition Award, Ambulatory Pediatric Association
2010
Most Cited Article of 2010. Medical Care Research and Review
2012
Best Abstract in Child Health Theme, AcademyHealth
2015
Best Abstract in Payment and Delivery System Innovation Theme, AcademyHealth
2018
Young Mentor Award, Harvard Medical School

Mentoring
THE POTENTIAL IMPACT OF HEALTH INSURANCE EXCHANGES ON CHILDREN’S HEALTH INSURANCE ACCESS AND COVERAGE: A Case Study of Massachusetts and a Model of the Affordable Care Act
Summer, 06/17/13 - 08/09/13
The Effect of Point-of-Care Price Information on Outpatient Pediatric Physician Ordering Behavior
Summer, 01/01/15 - 09/09/15
Structure of Pediatric Services within the Physician Hospital Organizations Engaged in the Alternative Quality Contract
Summer, 06/20/11 - 08/12/11

Research
The research activities and funding listed below are automatically derived from NIH ExPORTER and other sources, which might result in incorrect or missing items. Faculty can login to make corrections and additions.
  1. NA (Chien) Jan 1, 2018 - Dec 31, 2018
    Boston Children’s Hospital/Delivery System Reform Innovation Payment
    Social Risk Identification and Response
    Role Description: Improving social risk identification, subsequent clinician assessment, system responses and investigating impact on desired health outcomes or healthcare utilization
    Role: PI
  2. U19 HS024072 (Chien, Cutler) Sep 1, 2015 - Aug 31, 2020
    AHRQ
    Comparative Health System Performance
    Role Description: How the structure of the pediatric healthcare system relates to the value of the pediatric healthcare and how to accelerate the dissemination of patient-centered outcomes research
    Role: Project PI, Co-I
  3. NA (Chien) Jul 1, 2015 - Jun 30, 2017
    Deborah Munroe Noonan Memorial Research Fund
    Improving the quality of life for children with disabilities
    Role Description: How do children with disabilities use and experience health care in Massachusetts
    Role: PI
  4. NA (Chien, Rosenthal) Jul 1, 2014 - Jun 30, 2017
    CRICO Risk Management Foundation
    Academic Innovations Collaborative CARES and Diagnostic Error
    Role Description: How does primary care redesign affect outpatient patient safety
    Role: Co-PI
  5. NA (Chien) Jul 1, 2013 - Jun 30, 2015
    Robert Wood Johnson Health Care Financing Organization
    Understanding the Use and Impact of Price Data in Health Care
    Role Description: Does showing physicians the price of the tests they order change ordering rates or patient relationships
    Role: PI

Bibliographic
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. Krikorian ML, Growdon AS, Chien AT. Assessment of Hospitalist-Subspecialist Agreement About Who Should Be in Charge and Comparison With Actual Assignment Practices. Hosp Pediatr. 2018 Aug; 8(8):479-485. PMID: 30049683.
    View in: PubMed
  2. Correnti CM, Klein DJ, Elliott MN, Veledar E, Saraiya M, Chien AT, Schwebel DC, Mrug S, Tortolero SR, Cuccaro PM, Schuster MA, Chen SC. Racial disparities in fifth-grade sun protection: Evidence from the Healthy Passages study. Pediatr Dermatol. 2018 Jul 02. PMID: 29962040.
    View in: PubMed
  3. Chien AT, Toomey SL, Kuo DZ, Van Cleave J, Houtrow AJ, Okumura MJ, Westfall MY, Petty CR, Quinn JA, Kuhlthau KA, Schuster MA. Care Quality and Spending Among Commercially Insured Children With Disabilities. Acad Pediatr. 2018 Jun 19. PMID: 29932986.
    View in: PubMed
  4. Blumenthal KJ, Chien AT, Singer SJ. Relationship among team dynamics, care coordination and perception of safety culture in primary care. Fam Pract. 2018 May 18. PMID: 29788350.
    View in: PubMed
  5. Smith AJ, Turner EL, Kinra S, Bodurtha JN, Chien AT. A Cost Analysis of Universal versus Targeted Cholesterol Screening in Pediatrics. J Pediatr. 2018 May; 196:201-207.e2. PMID: 29703359.
    View in: PubMed
  6. Chien AT, Kyle MA, Peters AS, Nguyen KH, Tendulkar SA, Ryan M, Hacker K, Singer SJ. Establishing Teams: How Does It Change Practice Configuration, Size, and Composition? J Ambul Care Manage. 2018 Apr/Jun; 41(2):146-155. PMID: 29474254.
    View in: PubMed
  7. Sheridan B, Chien AT, Peters AS, Rosenthal MB, Brooks JV, Singer SJ. Team-based primary care: The medical assistant perspective. Health Care Manage Rev. 2018 Apr/Jun; 43(2):115-125. PMID: 27849646.
    View in: PubMed
  8. Percac-Lima S, Pace LE, Nguyen KH, Crofton CN, Normandin KA, Singer SJ, Rosenthal MB, Chien AT. Diagnostic Evaluation of Patients Presenting to Primary Care with Rectal Bleeding. J Gen Intern Med. 2018 Apr; 33(4):415-422. PMID: 29302885.
    View in: PubMed
  9. Brooks JV, Singer SJ, Rosenthal M, Chien AT, Peters AS. Feeling inadequate: Residents' stress and learning at primary care clinics in the United States. Med Teach. 2017 Dec 11; 1-8. PMID: 29228837.
    View in: PubMed
  10. Chien AT, Newhouse JP, Iezzoni LI, Petty CR, Normand ST, Schuster MA. Socioeconomic Background and Commercial Health Plan Spending. Pediatrics. 2017 Nov; 140(5). PMID: 28974535.
    View in: PubMed
  11. Sinaiko AD, Chien AT. Achieving the Promise of Price Transparency. JAMA Intern Med. 2017 Jul 01; 177(7):946-947. PMID: 28430828.
    View in: PubMed
  12. Chien AT, Kuhlthau KA, Toomey SL, Quinn JA, Okumura MJ, Kuo DZ, Houtrow AJ, Van Cleave J, Landrum MB, Jang J, Janmey I, Furdyna MJ, Schuster MA. Quality of Primary Care for Children With Disabilities Enrolled in Medicaid. Acad Pediatr. 2017 May - Jun; 17(4):443-449. PMID: 28286057.
    View in: PubMed
  13. Chien AT, Ganeshan S, Schuster MA, Lehmann LS, Hatfield LA, Koplan KE, Petty CR, Sinaiko AD, Sequist TD, Rosenthal MB. The Effect of Price Information on the Ordering of Images and Procedures. Pediatrics. 2017 Feb; 139(2). PMID: 28087684.
    View in: PubMed
  14. Song H, Ryan M, Tendulkar S, Fisher J, Martin J, Peters AS, Frolkis JP, Rosenthal MB, Chien AT, Singer SJ. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study. Health Care Manage Rev. 2017 Jan/Mar; 42(1):28-41. PMID: 26545206.
    View in: PubMed
  15. Chien AT, Lehmann LS, Hatfield LA, Koplan KE, Petty CR, Sinaiko AD, Rosenthal MB, Sequist TD. A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates. J Gen Intern Med. 2017 Apr; 32(4):434-448. PMID: 27913910.
    View in: PubMed
  16. Schiavoni KH, Lehmann LS, Guan W, Rosenthal M, Sequist TD, Chien AT. How Primary Care Physicians Integrate Price Information into Clinical Decision-Making. J Gen Intern Med. 2017 Jan; 32(1):81-87. PMID: 27561735.
    View in: PubMed
  17. Berry JG, Chien AT. To Risk Adjust or Not to Risk Adjust: Should That Be the Question? JAMA Pediatr. 2016 Apr; 170(4):319-20. PMID: 26882408.
    View in: PubMed
  18. Chien AT, Schiavoni KH, Sprecher E, Landon BE, McNeil BJ, Chernew ME, Schuster MA. How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality Contract. Acad Pediatr. 2016 Mar; 16(2):200-7. PMID: 26523636.
    View in: PubMed
  19. Chien AT, Kuhlthau KA, Toomey SL, Quinn JA, Houtrow AJ, Kuo DZ, Okumura MJ, Van Cleave JM, Johnson CK, Mahoney LL, Martin J, Landrum MB, Schuster MA. Development of the Children With Disabilities Algorithm. Pediatrics. 2015 Oct; 136(4):e871-8. PMID: 26416938.
    View in: PubMed
  20. Berry JG, Zaslavsky AM, Toomey SL, Chien AT, Jang J, Bryant MC, Klein DJ, Kaplan WJ, Schuster MA. Recognizing Differences in Hospital Quality Performance for Pediatric Inpatient Care. Pediatrics. 2015 Aug; 136(2):251-62. PMID: 26169435; PMCID: PMC4516938.
  21. Sinaiko AD, Chien AT, Rosenthal MB. The role of states in improving price transparency in health care. JAMA Intern Med. 2015 Jun; 175(6):886-7. PMID: 25822892.
    View in: PubMed
  22. Song H, Chien AT, Fisher J, Martin J, Peters AS, Hacker K, Rosenthal MB, Singer SJ. Development and validation of the primary care team dynamics survey. Health Serv Res. 2015 Jun; 50(3):897-921. PMID: 25423886; PMCID: PMC4450936.
  23. Smith AJ, Chien AT. Massachusetts health reform and access for children with special health care needs. Pediatrics. 2014 Aug; 134(2):218-26. PMID: 25002660.
    View in: PubMed
  24. Chien AT, Chin MH, Alexander GC, Tang H, Peek ME. Physician financial incentives and care for the underserved in the United States. Am J Manag Care. 2014 Feb; 20(2):121-9. PMID: 24738530; PMCID: PMC4110893.
  25. Chien AT, Song Z, Chernew ME, Landon BE, McNeil BJ, Safran DG, Schuster MA. Two-year impact of the alternative quality contract on pediatric health care quality and spending. Pediatrics. 2014 Jan; 133(1):96-104. PMID: 24366988; PMCID: PMC4079291.
  26. Chien AT, Rosenthal MB. Medicare's physician value-based payment modifier--will the tectonic shift create waves? N Engl J Med. 2013 Nov 28; 369(22):2076-8. PMID: 24195501.
    View in: PubMed
  27. Barry CL, Chien AT, Normand SL, Busch AB, Azzone V, Goldman HH, Huskamp HA. Parity and out-of-pocket spending for children with high mental health or substance abuse expenditures. Pediatrics. 2013 Mar; 131(3):e903-11. PMID: 23420919; PMCID: PMC3581843.
  28. Toomey SL, Chien AT, Elliott MN, Ratner J, Schuster MA. Disparities in unmet need for care coordination: the national survey of children's health. Pediatrics. 2013 Feb; 131(2):217-24. PMID: 23339228.
    View in: PubMed
  29. Chien AT, Rosenthal MB. Waste not, want not: promoting efficient use of health care resources. Ann Intern Med. 2013 Jan 01; 158(1):67-8. PMID: 23277903.
    View in: PubMed
  30. Chien AT, Eastman D, Li Z, Rosenthal MB. Impact of a pay for performance program to improve diabetes care in the safety net. Prev Med. 2012 Nov; 55 Suppl:S80-5. PMID: 23046985.
    View in: PubMed
  31. Chien AT. Can pay for performance improve the quality of adolescent substance abuse treatment? Arch Pediatr Adolesc Med. 2012 Oct; 166(10):964-5. PMID: 22893117.
    View in: PubMed
  32. Wallander JL, Fradkin C, Chien AT, Mrug S, Banspach SW, Davies S, Elliott MN, Franzini L, Schuster MA. Racial/ethnic disparities in health-related quality of life and health in children are largely mediated by family contextual differences. Acad Pediatr. 2012 Nov-Dec; 12(6):532-8. PMID: 22884796.
    View in: PubMed
  33. Schwebel DC, Roth DL, Elliott MN, Chien AT, Mrug S, Shipp E, Dittus P, Zlomke K, Schuster MA. Marital conflict and fifth-graders' risk for injury. Accid Anal Prev. 2012 Jul; 47:30-5. PMID: 22405236.
    View in: PubMed
  34. Chien AT, Wroblewski K, Damberg C, Williams TR, Yanagihara D, Yakunina Y, Casalino LP. Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures? J Gen Intern Med. 2012 May; 27(5):548-54. PMID: 22160817; PMCID: PMC3326117.
  35. Lee HC, Chien AT, Bardach NS, Clay T, Gould JB, Dudley RA. The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates. Arch Pediatr Adolesc Med. 2011 May; 165(5):429-34. PMID: 21536958; PMCID: PMC4104272.
  36. Chien AT, Kirchhoff AC, Schaefer CT, Huang ES, Brown SE, Heuer L, Graber J, Tang H, Casalino LP, Chin MH. Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptions. Med Care. 2010 Dec; 48(12):1050-6. PMID: 20966782; PMCID: PMC4558100.
  37. Flaherman VJ, Chien AT, McCulloch CE, Dudley RA. Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement. Breastfeed Med. 2011 Feb; 6(1):31-5. PMID: 21091054; PMCID: PMC3103053.
  38. Chien AT, Li Z, Rosenthal MB. Improving timely childhood immunizations through pay for performance in Medicaid-managed care. Health Serv Res. 2010 Dec; 45(6 Pt 2):1934-47. PMID: 20849554; PMCID: PMC3029849.
  39. Bardach NS, Chien AT, Dudley RA. Small numbers limit the use of the inpatient pediatric quality indicators for hospital comparison. Acad Pediatr. 2010 Jul-Aug; 10(4):266-73. PMID: 20599180; PMCID: PMC2897835.
  40. Perry RC, Chien AT, Walker WJ, Fisher TL, Johnson WE. African American adolescent males' views on doctors and the health care system. J Natl Med Assoc. 2010 Apr; 102(4):312-20. PMID: 20437738.
    View in: PubMed
  41. Weinick RM, Chien AT, Rosenthal MB, Bristol SJ, Salamon J. Hospital executives' perspectives on pay-for-performance and racial/ethnic disparities in care. Med Care Res Rev. 2010 Oct; 67(5):574-89. PMID: 20054056.
    View in: PubMed
  42. Chien AT, Colman MW, Ross LF. Qualitative insights into how pediatric pay-for-performance programs are being designed. Acad Pediatr. 2009 May-Jun; 9(3):185-91. PMID: 19450779.
    View in: PubMed
  43. Chien AT, Chin MH. Incorporating disparity reduction into pay-for-performance. J Gen Intern Med. 2009 Jan; 24(1):135-6. PMID: 19089499; PMCID: PMC2607513.
  44. Chien AT, Conti RM, Pollack HA. A pediatric-focused review of the performance incentive literature. Curr Opin Pediatr. 2007 Dec; 19(6):719-25. PMID: 18025943; PMCID: PMC4597772.
  45. Chien AT, Chin MH, Davis AM, Casalino LP. Pay for performance, public reporting, and racial disparities in health care: how are programs being designed? Med Care Res Rev. 2007 Oct; 64(5 Suppl):283S-304S. PMID: 17881629.
    View in: PubMed
  46. Chien AT, Dudley RA. Pay-for-performance in pediatrics: proceed with caution. Pediatrics. 2007 Jul; 120(1):186-8. PMID: 17606578.
    View in: PubMed
  47. Chien AT, Walters AE, Chin MH. Community health center quality improvement: a systematic review and future directions for research. Prog Community Health Partnersh. 2007; 1(1):105-16. PMID: 20208279.
    View in: PubMed
  48. Chien A, Coker T, Choi L, Slora E, Bodnar P, Weiley V, Wasserman R, Johnson J. What do pediatric primary care providers think are important research questions? A perspective from PROS providers. Ambul Pediatr. 2006 Nov-Dec; 6(6):352-5. PMID: 17116610.
    View in: PubMed
  49. Chin MH, Chien AT. Reducing racial and ethnic disparities in health care: an integral part of quality improvement scholarship. Qual Saf Health Care. 2006 Apr; 15(2):79-80. PMID: 16585103; PMCID: PMC2464839.
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