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profileAlyna Chien, M.D.

TitleAssistant Professor of Pediatrics
InstitutionBoston Children's Hospital
DepartmentPediatrics
AddressChildrens Hospital Boston
Division of General Pediatrics
300 Longwood Ave
Boston MA 02115
Phone617/355-4070
Fax617/730-0633
vCardDownload vCard (login for email)

Collapse Biography 
Collapse awards and honors
1995Young Investigator Award Finalist
1997Summer Research Training Grant Recipient
1998Chicago Schweitzer Urban Fellowship Award
1998Community Service Award
2003First Place, Unusual Clinical Case Competition
2006Region V-Fellow Abstract Competition Award
2010Most Cited Article of 2010

Collapse Mentoring 
Collapse completed student projects
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

Collapse Research 
Collapse research activities and funding
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.
R21HD076442     (CHIEN, ALYNA TUNG-MEI)May 10, 2013 - Apr 30, 2015
NIH/NICHD
Using Geocoded Socioeconomic Data to Enhance Pediatric Risk Adjustment Methods
Role: Principal Investigator

K08HS017146     (CHIEN, ALYNA TUNG-MEI)Sep 30, 2007 - Nov 30, 2012
AHRQ
Do Performance Incentives Improve Healthcare Quality for Vulnerable Populations?
Role: Principal Investigator

Collapse Bibliographic 
Collapse 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.
List All   |   Timeline
  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. Sheridan B, Chien AT, Peters AS, Rosenthal MB, Brooks JV, Singer SJ. Team-based primary care: The medical assistant perspective. Health Care Manage Rev. 2016 Nov 15. PMID: 27849646.
    View in: PubMed
  7. Cheng TL, Monteiro N, DiMeglio LA, Chien AT, Peeples ES, Raetz E, Scheindlin B, Denne SC. Seven great achievements in pediatric research in the past 40 y. Pediatr Res. 2016 Sep; 80(3):330-7. PMID: 27556199.
    View in: PubMed
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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.
  13. 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
  14. 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.
  15. 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
  16. 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.
  17. 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.
  18. 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
  19. 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.
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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
  26. 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.
  27. Chien A, Sayre J, Dong B, Ye J, Viñuela F. 3D quantitative evaluation of atherosclerotic plaque based on rotational angiography. AJNR Am J Neuroradiol. 2011 Aug; 32(7):1249-54. PMID: 21596803.
    View in: PubMed
  28. 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.
  29. 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.
  30. 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.
  31. 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.
  32. 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.
  33. 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
  34. 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
  35. 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
  36. Chien A, Castro MA, Tateshima S, Sayre J, Cebral J, Viñuela F. Quantitative hemodynamic analysis of brain aneurysms at different locations. AJNR Am J Neuroradiol. 2009 Sep; 30(8):1507-12. PMID: 19406766.
    View in: PubMed
  37. 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.
  38. 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.
  39. 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
  40. Chien AT, Dudley RA. Pay-for-performance in pediatrics: proceed with caution. Pediatrics. 2007 Jul; 120(1):186-8. PMID: 17606578.
    View in: PubMed
  41. 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
  42. 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
  43. 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.
  44. Chien AT, Casalino LP, Chin MH. Do performance incentives improve healthcare quality for vulnerable populations? Manuscript in progress.
  45. Chien AT, Chernew ME, Landon BE, McNeil BJ, Schuster MA. Will the Alternative Quality Contract improve pediatric healthcare quality and costs in Massachusetts? Manuscript in progress.
  46. Chien AT, Antonelli RA, Landrigan CP, Landrum MB, Rosenthal MB, Schuster MA. Will care coordination improve the quality, safety and cost of pediatric healthcare? Grant in progress.
  47. Chien AT, Berry J, Schuster MA. Improving the validity and predictive power of risk adjustment. Grant in progress.
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