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Alyna T. Chien, MD, MS
Pediatrician, Children's Hospital Primary Care Center (CHPCC)
Associate Professor of Pediatrics, Harvard Medical School
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Alyna T. Chien, MD, MS
Pediatrician, Children's Hospital Primary Care Center (CHPCC)
Associate Professor of Pediatrics, Harvard Medical School
Medical Services
Languages
English
Education
Undergraduate School
University of Chicago
1989
Chicago
IL
Graduate School
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
Certifications
American Board of Pediatrics (General)
Professional History
Health services researcher with a focus on patient outcomes, care quality, incentives related to vulnerable populations.
Approach to Care
Meet patients where they are, support them in becoming independent adults.
Publications
Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018. View Abstract
Pediatric Practices' Experiences With Massachusetts' Medicaid Accountable Care Organizations. View Abstract
A National Analysis of General Pediatric Inpatient Unit Closures and Openings, 2011-2018. View Abstract
Neurodevelopmental and Mental Health Conditions in Children With Medical Complexity. View Abstract
Impairment Types and Combinations Among Adolescents and Young Adults with Disabilities: Colorado 2014-2018. View Abstract
Specialist use among privately insured children with disabilities. View Abstract
Value-Based Purchasing Design And Effect: A Systematic Review And Analysis. View Abstract
Diabetes-Focused Health Care Utilization Among Adolescents and Young Adults With Type 1 Diabetes. View Abstract
Exploring system features of primary care practices that promote better providers' clinical work satisfaction: A qualitative comparative analysis. View Abstract
Effect of an Intensive Nurse Home Visiting Program on Adverse Birth Outcomes in a Medicaid-Eligible Population: A Randomized Clinical Trial. View Abstract
Childbirths at home and in birthing centers rose during COVID-19: Oregon 2020 vs prior years. View Abstract
Difficulty Obtaining Behavioral Health Services for Children: A National Survey of Multiphysician Practices. View Abstract
Increases in Inpatient Psychiatry Beds Operated by Systems, For-Profits, and Chains, 2010-2016. View Abstract
Patterns of Use of a Price Transparency Tool for Childbirth Among Pregnant Individuals With Commercial Insurance. View Abstract
Availability of Pediatric Inpatient Services in the United States. View Abstract
Pediatric Primary Care-Based Social Needs Services and Health Care Utilization. View Abstract
Protocol for a randomized controlled trial evaluating the impact of the Nurse-Family Partnership's home visiting program in South Carolina on maternal and child health outcomes. View Abstract
Pediatric Hospital Services Within a One-Hour Drive: A National Study. View Abstract
Working around hierarchy: Resident and medical assistant teaming. View Abstract
Did the Rising Tide Float All Boats? View Abstract
Women's Coverage, Utilization, Affordability, And Health After The ACA: A Review Of The Literature. View Abstract
Suitability of elderly adult hospital readmission rates for profiling readmissions in younger adult and pediatric populations. View Abstract
Physician and facility drivers of spending variation in locoregional prostate cancer. View Abstract
Team-Based Primary Care Practice Transformation Initiative and Changes in Patient Experience and Recommended Cancer Screening Rates. View Abstract
Adult-Oriented Health Reform and Children's Insurance and Access to Care: Evidence from Massachusetts Health Reform. View Abstract
Intentional or Not: Teamwork Learning at Primary Care Clinics. View Abstract
Mental Illness Among Youth With Chronic Physical Conditions. View Abstract
Comparing Diagnostic Evaluations for Rectal Bleeding and Breast Lumps in Primary Care: a Retrospective Cohort Study. View Abstract
Association of Team-Based Primary Care With Health Care Utilization and Costs Among Chronically Ill Patients. View Abstract
Relationship among team dynamics, care coordination and perception of safety culture in primary care. View Abstract
What drives variation in spending for breast cancer patients within geographic regions? View Abstract
Assessment of Hospitalist-Subspecialist Agreement About Who Should Be in Charge and Comparison With Actual Assignment Practices. View Abstract
Racial disparities in fifth-grade sun protection: Evidence from the Healthy Passages study. View Abstract
Care Quality and Spending Among Commercially Insured Children With Disabilities. View Abstract
A Cost Analysis of Universal versus Targeted Cholesterol Screening in Pediatrics. View Abstract
Establishing Teams: How Does It Change Practice Configuration, Size, and Composition? View Abstract
Team-based primary care: The medical assistant perspective. View Abstract
Diagnostic Evaluation of Patients Presenting to Primary Care with Rectal Bleeding. View Abstract
Feeling inadequate: Residents' stress and learning at primary care clinics in the United States. View Abstract
Socioeconomic Background and Commercial Health Plan Spending. View Abstract
Achieving the Promise of Price Transparency. View Abstract
Quality of Primary Care for Children With Disabilities Enrolled in Medicaid. View Abstract
The Effect of Price Information on the Ordering of Images and Procedures. View Abstract
Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study. View Abstract
A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates. View Abstract
How Primary Care Physicians Integrate Price Information into Clinical Decision-Making. View Abstract
To Risk Adjust or Not to Risk Adjust: Should That Be the Question? View Abstract
How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality Contract. View Abstract
Development of the Children With Disabilities Algorithm. View Abstract
Recognizing Differences in Hospital Quality Performance for Pediatric Inpatient Care. View Abstract
The role of states in improving price transparency in health care. View Abstract
Development and validation of the primary care team dynamics survey. View Abstract
Massachusetts health reform and access for children with special health care needs. View Abstract
Physician financial incentives and care for the underserved in the United States. View Abstract
Two-year impact of the alternative quality contract on pediatric health care quality and spending. View Abstract
Medicare's physician value-based payment modifier--will the tectonic shift create waves? View Abstract
Parity and out-of-pocket spending for children with high mental health or substance abuse expenditures. View Abstract
Disparities in unmet need for care coordination: the national survey of children's health. View Abstract
Waste not, want not: promoting efficient use of health care resources. View Abstract
Impact of a pay for performance program to improve diabetes care in the safety net. View Abstract
Can pay for performance improve the quality of adolescent substance abuse treatment? View Abstract
Racial/ethnic disparities in health-related quality of life and health in children are largely mediated by family contextual differences. View Abstract
Marital conflict and fifth-graders' risk for injury. View Abstract
Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures? View Abstract
The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates. View Abstract
Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptions. View Abstract
Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement. View Abstract
Improving timely childhood immunizations through pay for performance in Medicaid-managed care. View Abstract
Small numbers limit the use of the inpatient pediatric quality indicators for hospital comparison. View Abstract
African American adolescent males' views on doctors and the health care system. View Abstract
Hospital executives' perspectives on pay-for-performance and racial/ethnic disparities in care. View Abstract
Qualitative insights into how pediatric pay-for-performance programs are being designed. View Abstract
Incorporating disparity reduction into pay-for-performance. View Abstract
A pediatric-focused review of the performance incentive literature. View Abstract
Pay for performance, public reporting, and racial disparities in health care: how are programs being designed? View Abstract
Pay-for-performance in pediatrics: proceed with caution. View Abstract
Community health center quality improvement: a systematic review and future directions for research. View Abstract
What do pediatric primary care providers think are important research questions? A perspective from PROS providers. View Abstract
Reducing racial and ethnic disparities in health care: an integral part of quality improvement scholarship. View Abstract
Locations