Alyna T Chien
Affiliation: Harvard University
- The Effect of Price Information on the Ordering of Images and ProceduresAlyna T Chien
Harvard Medical School, Boston, Massachusetts
Pediatrics . 2017....
- A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering RatesAlyna 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...
- How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality ContractAlyna 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...
- Development of the Children With Disabilities AlgorithmAlyna 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...
- Physician financial incentives and care for the underserved in the United StatesAlyna T Chien
300 Longwood Ave, Boston, MA 02115 e mail
Am J Manag Care 20:121-9. 2014....
- Two-year impact of the alternative quality contract on pediatric health care quality and spendingAlyna 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...
- Impact of a pay for performance program to improve diabetes care in the safety netAlyna 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...
- 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...
- Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptionsAlyna 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...
- Improving timely childhood immunizations through pay for performance in Medicaid-managed careAlyna 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...
- Qualitative insights into how pediatric pay-for-performance programs are being designedAlyna 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...
- Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods studyHummy 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...
- Disparities in unmet need for care coordination: the national survey of children's healthSara L Toomey
MPhil, MSc, Division of General Pediatrics, Boston Children s Hospital, 300 Longwood Ave, Boston, MA 02115, USA
Pediatrics 131:217-24. 2013....
- A pediatric-focused review of the performance incentive literatureAlyna 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....
- How Primary Care Physicians Integrate Price Information into Clinical Decision-MakingKatherine 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...
- Team-based primary care: The medical assistant perspectiveBethany 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...
- Recognizing Differences in Hospital Quality Performance for Pediatric Inpatient CareJay 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...
- The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection ratesHenry 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....
- Pay-for-performance in pediatrics: proceed with cautionAlyna T Chien
Section of General Pediatrics, Department of Pediatrics, University of Chicago, Chicago, Illinois, USA
Pediatrics 120:186-8. 2007
- Development and validation of the primary care team dynamics surveyHummy 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...
- Breastfeeding rates differ significantly by method used: a cause for concern for public health measurementValerie 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...