Alyna T Chien

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint The Effect of Price Information on the Ordering of Images and Procedures
    Alyna T Chien
    Harvard Medical School, Boston, Massachusetts
    Pediatrics . 2017
  2. pmc A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates
    Alyna T Chien
    Harvard Medical School, Boston, MA, USA
    J Gen Intern Med . 2016
  3. doi request reprint How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality Contract
    Alyna T Chien
    Division of General Pediatrics, Department of Medicine, Boston Children s Hospital, Boston, Mass Harvard Medical School, Boston, Mass Electronic address
    Acad Pediatr 16:200-7. 2016
  4. doi request reprint Development of the Children With Disabilities Algorithm
    Alyna T Chien
    Division of General Pediatrics, Department of Medicine, Boston Children s Hospital, Boston, Massachusetts Departments of Pediatrics, and
    Pediatrics 136:e871-8. 2015
  5. pmc Physician financial incentives and care for the underserved in the United States
    Alyna T Chien
    300 Longwood Ave, Boston, MA 02115 e mail
    Am J Manag Care 20:121-9. 2014
  6. pmc Two-year impact of the alternative quality contract on pediatric health care quality and spending
    Alyna T Chien
    Division of General Pediatrics, Boston Children s Hospital, 300 Longwood Ave, Boston, MA 02115 5737
    Pediatrics 133:96-104. 2014
  7. doi request reprint Impact of a pay for performance program to improve diabetes care in the safety net
    Alyna T Chien
    Division of General Pediatrics, Boston Children s Hospital and Harvard Medical School, 21 Autumn Street, Boston, MA 02215, USA
    Prev Med 55:S80-5. 2012
  8. pmc Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures?
    Alyna T Chien
    Division of General Pediatrics, Children s Hospital Boston, and Department of Pediatrics, Harvard Medical School, 21 Autumn Street Room 223, Boston, MA 02215, USA
    J Gen Intern Med 27:548-54. 2012
  9. pmc Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptions
    Alyna T Chien
    Division of General Pediatrics, Department of Pediatrics, Children s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
    Med Care 48:1050-6. 2010
  10. pmc Improving timely childhood immunizations through pay for performance in Medicaid-managed care
    Alyna T Chien
    Division of General Pediatrics, Children s Hospital Boston, 21 Autumn Street Room 223, Boston, MA 02115, USA
    Health Serv Res 45:1934-47. 2010

Collaborators

Detail Information

Publications21

  1. doi request reprint The Effect of Price Information on the Ordering of Images and Procedures
    Alyna T Chien
    Harvard Medical School, Boston, Massachusetts
    Pediatrics . 2017
    ....
  2. pmc A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates
    Alyna T Chien
    Harvard Medical School, Boston, MA, USA
    J Gen Intern Med . 2016
    ..Prior studies have demonstrated how price transparency lowers the test-ordering rates of trainees in hospitals, and physician-targeted price transparency efforts have been viewed as a promising cost-controlling strategy...
  3. doi request reprint How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality Contract
    Alyna T Chien
    Division of General Pediatrics, Department of Medicine, Boston Children s Hospital, Boston, Mass Harvard Medical School, Boston, Mass Electronic address
    Acad Pediatr 16:200-7. 2016
    ..We characterized the pediatric infrastructure of these adult-oriented ACOs and obtained leaders' perspectives on their ACOs' response to pediatric incentives...
  4. doi request reprint Development of the Children With Disabilities Algorithm
    Alyna T Chien
    Division of General Pediatrics, Department of Medicine, Boston Children s Hospital, Boston, Massachusetts Departments of Pediatrics, and
    Pediatrics 136:e871-8. 2015
    ..We developed the CWD algorithm (CWDA), which uses International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes to identify CWD...
  5. pmc Physician financial incentives and care for the underserved in the United States
    Alyna T Chien
    300 Longwood Ave, Boston, MA 02115 e mail
    Am J Manag Care 20:121-9. 2014
    ....
  6. pmc Two-year impact of the alternative quality contract on pediatric health care quality and spending
    Alyna T Chien
    Division of General Pediatrics, Boston Children s Hospital, 300 Longwood Ave, Boston, MA 02115 5737
    Pediatrics 133:96-104. 2014
    ..To examine the 2-year effect of Blue Cross Blue Shield of Massachusetts' global budget arrangement, the Alternative Quality Contract (AQC), on pediatric quality and spending for children with special health care needs (CSHCN) and non-CSHCN...
  7. doi request reprint Impact of a pay for performance program to improve diabetes care in the safety net
    Alyna T Chien
    Division of General Pediatrics, Boston Children s Hospital and Harvard Medical School, 21 Autumn Street, Boston, MA 02215, USA
    Prev Med 55:S80-5. 2012
    ..To evaluate the impact of a "piece-rate" pay for performance (P4P) program aimed at improving diabetes care processes, outcomes and related healthcare utilization for patients enrolled in a not-for-profit Medicaid-focused managed care plan...
  8. pmc Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures?
    Alyna T Chien
    Division of General Pediatrics, Children s Hospital Boston, and Department of Pediatrics, Harvard Medical School, 21 Autumn Street Room 223, Boston, MA 02215, USA
    J Gen Intern Med 27:548-54. 2012
    ..Physician organizations (POs)--independent practice associations and medical groups--located in lower socioeconomic status (SES) areas may score poorly in pay-for-performance (P4P) programs...
  9. pmc Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptions
    Alyna T Chien
    Division of General Pediatrics, Department of Pediatrics, Children s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA
    Med Care 48:1050-6. 2010
    ..Quality improvement (QI) interventions are usually evaluated for their intended effect; little is known about whether they generate significant positive or negative spillovers...
  10. pmc Improving timely childhood immunizations through pay for performance in Medicaid-managed care
    Alyna T Chien
    Division of General Pediatrics, Children s Hospital Boston, 21 Autumn Street Room 223, Boston, MA 02115, USA
    Health Serv Res 45:1934-47. 2010
    ..To evaluate the impact of a "piece-rate" pay-for-performance (P4P) program aimed at rewarding up-to-date immunization delivery to 2-year-olds according to the recommended series...
  11. doi request reprint Qualitative insights into how pediatric pay-for-performance programs are being designed
    Alyna T Chien
    Division of General Pediatrics, Children s Hospital of Boston, Harvard Medical School, Boston, MA, USA
    Acad Pediatr 9:185-91. 2009
    ..The goal of this study is to better understand how these programs began, and how they are designed and implemented from the perspectives of those with experience running pediatric P4P programs...
  12. ncbi request reprint Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study
    Hummy Song
    Hummy Song, MPP, is PhD Candidate, PhD Program in Health Policy, Harvard University, Boston, Massachusetts E mail Molly Ryan, MPH, is Research Associate, Institute for Community Health, Cambridge, Massachusetts 1 Shalini Tendulkar, ScD, SCM, is Research and Evaluation Scientist, Institute for Community Health, Cambridge, Massachusetts Josephine Fisher, BA, is Research Assistant, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 1 Julia Martin, BA, is Research Study Assistant, General Pediatrics, Boston Children s Hospital, Massachusetts 1 Antoinette S Peters, PhD, is Associate Professor, Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, Massachusetts Joseph P Frolkis, MD, PhD, is Vice Chair for Primary Care, Department of Medicine, School of Veterinary Medicine
    Health Care Manage Rev 42:28-41. 2017
    ..Despite considerable research about the effects of team-based care on patient outcomes, few studies have examined how team dynamics relate to provider outcomes...
  13. doi request reprint Disparities in unmet need for care coordination: the national survey of children's health
    Sara L Toomey
    MPhil, MSc, Division of General Pediatrics, Boston Children s Hospital, 300 Longwood Ave, Boston, MA 02115, USA
    Pediatrics 131:217-24. 2013
    ....
  14. pmc A pediatric-focused review of the performance incentive literature
    Alyna T Chien
    Section of Advanced Pediatric Health Services, Department of Pediatrics, University of Chicago, Chicago, Illinois 60637, USA
    Curr Opin Pediatr 19:719-25. 2007
    ....
  15. pmc How Primary Care Physicians Integrate Price Information into Clinical Decision-Making
    Katherine H Schiavoni
    Harvard Medical School, Boston, MA, USA
    J Gen Intern Med 32:81-87. 2017
    ..Little is known about how primary care physicians (PCPs) in routine outpatient practice use paid price information (i.e., the amount that insurers finally pay providers) in daily clinical practice...
  16. ncbi request reprint Team-based primary care: The medical assistant perspective
    Bethany Sheridan
    Bethany Sheridan, BA, is Doctoral Student in Health Policy Management, Harvard University Graduate School of Arts and Sciences, Cambridge, Massachusetts, and Harvard Business School, Boston, Massachusetts E mail Alyna T Chien, MD, MS, is Assistant Professor of Pediatrics, Boston Children s Hospital, Boston, Massachusetts Antoinette S Peters, PhD, is Associate Professor of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Institute, Boston, Massachusetts Meredith B Rosenthal, PhD, is Professor of Health Economics and Policy, Harvard T H Chan School of Public Health, Boston, Massachusetts Joanna Veazey Brooks, MBe, PhD, is Assistant Professor of Health Policy and Management, University of Kansas School of Medicine Sara J Singer, MBA, PhD, is Associate Professor of Healthcare Management and Policy, Harvard T H Chan School of Public Health, Boston, Massachusetts
    Health Care Manage Rev . 2016
    ..However, little empirical work exists on how team-based organizational designs affect the experiences of low-status health care workers like MAs...
  17. pmc Recognizing Differences in Hospital Quality Performance for Pediatric Inpatient Care
    Jay G Berry
    Division of General Pediatrics, and Division of General Pediatrics, Department of Medicine, and
    Pediatrics 136:251-62. 2015
    ..The number of hospitals and states with enough pediatric hospital discharges to detect worse-than-average inpatient care remains unknown...
  18. pmc The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates
    Henry C Lee
    Department of Pediatrics, Division of Neonatology, University of California at San Francisco, 533 Parnassus Avenue, San Francisco, CA 94143, USA
    Arch Pediatr Adolesc Med 165:429-34. 2011
    ....
  19. ncbi request reprint Pay-for-performance in pediatrics: proceed with caution
    Alyna T Chien
    Section of General Pediatrics, Department of Pediatrics, University of Chicago, Chicago, Illinois, USA
    Pediatrics 120:186-8. 2007
  20. pmc Development and validation of the primary care team dynamics survey
    Hummy Song
    PhD Program in Health Policy Management, Harvard University, Boston, MA
    Health Serv Res 50:897-921. 2015
    ..To develop and validate a survey instrument designed to measure team dynamics in primary care...
  21. pmc Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement
    Valerie J Flaherman
    Department of Pediatrics, University of California San Francisco, 94143 0503, USA
    Breastfeed Med 6:31-5. 2011
    ..Accurate measurements of prevalence of "any" breastfeeding and "exclusive" breastfeeding help assess progress toward public health goals. We compared two commonly used data sources for measuring breastfeeding rates to assess agreement...