MEDICAL SERVICES

EDUCATION

Undergraduate Degree

  • University of Chicago , 1989 , Chicago , IL

Graduate Degree

  • University of Chicago Pritzker School of Medicine , 2001 , Chicago , IL

Medical School

  • University of Chicago , 2001 , Chicago , IL

Internship

  • University of Chicago , 2002 , Chicago , IL

Residency

Pediatrics
  • University of Chicago , 2004 , Chicago , IL

Fellowship

Robert Wood Johnson Clinical Scholar
  • University of Chicago , 2006 , Chicago , IL

Philosophy of Care

Meet patients where they are, support them in becoming independent adults.

PROFESSIONAL HISTORY

Health services researcher with a focus on patient outcomes, care quality, incentives related to vulnerable populations.

CERTIFICATIONS

  • American Board of Pediatrics, General Pediatrics

PUBLICATIONS

Publications powered by Harvard Catalyst Profiles

  1. Smith AJB, Chien AT. Adult-Oriented Health Reform and Children's Insurance and Access to Care: Evidence from Massachusetts Health Reform. Matern Child Health J. 2019 Aug; 23(8):1008-1024. View abstract
  2. Adams JS, Chien AT, Wisk LE. Mental Illness Among Youth With Chronic Physical Conditions. Pediatrics. 2019 Jul; 144(1). View abstract
  3. Pace LE, Percac-Lima S, Nguyen KH, Crofton CN, Normandin KA, Singer SJ, Rosenthal MB, Chien AT. Comparing Diagnostic Evaluations for Rectal Bleeding and Breast Lumps in Primary Care: a Retrospective Cohort Study. J Gen Intern Med. 2019 Jul; 34(7):1146-1153. View abstract
  4. Meyers DJ, Chien AT, Nguyen KH, Li Z, Singer SJ, Rosenthal MB. Association of Team-Based Primary Care With Health Care Utilization and Costs Among Chronically Ill Patients. JAMA Intern Med. 2019 01 01; 179(1):54-61. View abstract
  5. Blumenthal KJ, Chien AT, Singer SJ. Relationship among team dynamics, care coordination and perception of safety culture in primary care. Fam Pract. 2018 12 12; 35(6):718-723. View abstract
  6. Sinaiko AD, Chien AT, Hassett MJ, Kakani P, Rodin D, Meyers DJ, Fraile B, Rosenthal MB, Landrum MB. What drives variation in spending for breast cancer patients within geographic regions? Health Serv Res. 2019 Feb; 54(1):97-105. View abstract
  7. Brooks JV, Sheridan B, Peters AS, Chien AT, Singer SJ. Working around hierarchy: Resident and medical assistant teaming. Health Care Manage Rev. 2018 Oct 05. View abstract
  8. 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 08; 8(8):479-485. View abstract
  9. 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 Sep; 35(5):588-596. View abstract
  10. 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. 2019 04; 19(3):291-299. View abstract
  11. Smith AJ, Turner EL, Kinra S, Bodurtha JN, Chien AT. A Cost Analysis of Universal versus Targeted Cholesterol Screening in Pediatrics. J Pediatr. 2018 05; 196:201-207.e2. View abstract
  12. 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. View abstract
  13. 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. View abstract
  14. 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 04; 33(4):415-422. View abstract
  15. 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. 2018 09; 40(9):920-927. View abstract
  16. Chien AT, Newhouse JP, Iezzoni LI, Petty CR, Normand ST, Schuster MA. Socioeconomic Background and Commercial Health Plan Spending. Pediatrics. 2017 Nov; 140(5). View abstract
  17. Sinaiko AD, Chien AT. Achieving the Promise of Price Transparency. JAMA Intern Med. 2017 07 01; 177(7):946-947. View abstract
  18. 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. View abstract
  19. 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). View abstract
  20. 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. View abstract
  21. 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. View abstract
  22. 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 01; 32(1):81-87. View abstract
  23. 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. View abstract
  24. 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. View abstract
  25. 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. View abstract
  26. 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. View abstract
  27. 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. View abstract
  28. 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. View abstract
  29. Smith AJ, Chien AT. Massachusetts health reform and access for children with special health care needs. Pediatrics. 2014 Aug; 134(2):218-26. View abstract
  30. 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. View abstract
  31. 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. View abstract
  32. 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. View abstract
  33. 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. View abstract
  34. 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. View abstract
  35. 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. View abstract
  36. 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. View abstract
  37. Chien AT. Can pay for performance improve the quality of adolescent substance abuse treatment? Arch Pediatr Adolesc Med. 2012 Oct; 166(10):964-5. View abstract
  38. 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. View abstract
  39. 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. View abstract
  40. 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. View abstract
  41. 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. View abstract
  42. 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. View abstract
  43. 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. View abstract
  44. 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. View abstract
  45. 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. View abstract
  46. 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. View abstract
  47. 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. View abstract
  48. 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. View abstract
  49. Chien AT, Chin MH. Incorporating disparity reduction into pay-for-performance. J Gen Intern Med. 2009 Jan; 24(1):135-6. View abstract
  50. Chien AT, Conti RM, Pollack HA. A pediatric-focused review of the performance incentive literature. Curr Opin Pediatr. 2007 Dec; 19(6):719-25. View abstract
  51. 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. View abstract
  52. Chien AT, Dudley RA. Pay-for-performance in pediatrics: proceed with caution. Pediatrics. 2007 Jul; 120(1):186-8. View abstract
  53. 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. View abstract
  54. 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. View abstract
  55. 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. View abstract