Education
1989 | B.A. | East Asian Languages & Civilizations | University of Chicago |
1995 | M.S. | Human Nutrition & Nutritional Biology | University of Chicago |
2001 | M.D. | Medicine | University of Chicago |
2010 | M.S. | Health Studies | University of Chicago |
Postdoctoral Training
07/2001-06/2004 | Resident | Pediatrics | University of Chicago |
07/2004-07/2006 | Fellow | Robert Wood Johnson Clinical Scholars Program |
University of Chicago |
Faculty Academic Appointments
07/2006-07/2007 | Clinical Instructor | Pediatrics | University of Chicago |
07/2007-08/2008 | Instructor | Pediatrics | University of Chicago |
09/2008-09/2010 | Lecturer | Pediatrics | Harvard Medical School |
10/2010- | Assistant Professor | Pediatrics | Harvard Medical School |
Appointments at Hospitals/Affiliated Institutions
2004-2006 | Physician | Pediatrics | Friend Family Health Center, Chicago, IL |
2006-2007 | Physician | Emergency Medicine | University of Chicago |
2007-2008 | Physician | Advanced Pediatric Health Services | University of Chicago |
2008- | Physician | Pediatrics | Boston Children’s Hospital |
2011- | Core Program Faculty | Harvard Pediatric Health Services Research Fellowship Program | |
2015- | Associate Faculty Member | Ariadne Labs |
Committee Service
Local
2001-2002 | Selection Committee | Pediatric Residency Program, University of Chicago |
2007-2008 | Admissions Committee | Pritzker School of Medicine, University of Chicago |
2009- | Research Faculty Recruitment Committee | Division of General Pediatrics, Boston Children’s Hospital |
2017- | Candidate-Faculty Liaison and Recruitment Coordinator | |
2010-2012 | Finance Office Workgroup | Boston Children’s Hospital |
2013- | Physician Organization Congress | Boston Children’s Hospital |
2015- | Medicaid Accountable Care Organization | Boston Children’s Hospital |
2015- | Research Faculty Chair | |
2017- | Board of Directors |
Regional
2013 | Member | BlueCross Blue Shield of Massachusetts
Patient Reported Outcomes Collaborative |
2014 | Measurement Advisory Group | Massachusetts Health Quality Partners |
National
2013 | Expert Panel | National Quality Forum
Risk Adjustment and Socioeconomic Status |
2013-2015 | Advisory Panel | Patient-Centered Outcomes Research Institute
Disparities Panel |
Professional Societies
2003- | American Academy of Pediatrics | |
2003-2004 | Member | |
2003-2006 | District VI Resident Liaison, Community Access to Child Health Program | |
2005 | Fellow | |
2006-2007 | Chair, Steering Committee on Quality Improvement Management Measurement Interest Group | |
2010 | Member, Guidelines into Decision Support Expert Committee | |
2013- | Member, Massachusetts Chapter | |
2013- | Member, Committee on Pediatric Research (National) | |
2006- | Academic Pediatric Association | |
2012 | Abstract Review Committee, Pediatric Academic Societies | |
2014 | Chair, Disparities Panel, Pediatric Academic Societies | |
2015- | Member, Research Executive Committee | |
2015- | Member, Public Policy and Advocacy Committee | |
2010- | AcademyHealth | |
2010 | Chair, Child Health Theme Selection, Annual Research Meeting | |
2010 | Chair, Primary Care Panel, Annual Research Meeting | |
2011 | Chair, Disparities Panel, Annual Research Meeting | |
2012-2015 | Planning Committee, Child Health Interest Group | |
2015- | Planning Committee, Annual Research Meeting | |
2013- | Society for Pediatric Research | |
2016- | Diversity and Engagement Workgroup | |
2014- | Society for General Internal Medicine | |
2015 | Review Committee, Clinical Decision-Making and Economic Analysis Review Abstract Selection |
Honors and Prizes
1995 | Young Investigator Award Finalist | American Society of Clinical Nutrition | Research |
1997 | Summer Research Award | University of Chicago | Research |
1998 | Chicago Schweitzer Urban Fellowship Award | Chicago, IL | Community Service |
1998 | Community Service Award | Maria Shelter, Chicago, IL | Community Service |
2003 | First Place, Unusual Clinical Case Competition | Chicago Pediatrics Society | Best Clinical Case Presentation |
2006 | Region V-Fellow Abstract Competition Award | Ambulatory Pediatric Association | Research |
2008 | Community Service Award | Washington Park Free Clinic, Chicago IL | Community Service |
2010 | Most Cited Article | Medical Care Research and Review | Research |
2012 | Best Abstract in Child Health Theme | AcademyHealth Annual Research Meeting | Research |
2015 | Best Abstract in Payment and Delivery System Innovation Theme | AcademyHealth Annual Research Meeting | Research |
Clinical Activities and Innovations
Current Licensure and Certification
Year | Type of License or Certification |
2004 | Illinois |
2008 | Massachusetts |
2005, 2015 | American Board of Pediatrics |
Practice Activities
2006-2007 | Emergency department | University of Chicago Department of Emergency Medicine | 7.5 hours weekly |
2007-2008 | Inpatient clinic | University of Chicago Pediatric Hospitalists Group | 7.5 hours weekly |
2008- | Outpatient clinic | General Pediatrics, Boston Children’s Hospital | 7.5 hours weekly |
Report of Education of Patients and Service to the Community
Activities
1996-1997 | Washington Park Free Pediatric Clinic, Chicago IL/ Founder |
1997-2003 | Washington Park Free Pediatric Clinic, Chicago IL/ Clinic Volunteer |
2004-2008 | Washington Park Free Pediatric Clinic, Chicago IL/ Steering Committee |
1998-1999 | Schweitzer Urban Fellowship Program, Chicago, IL/ Advisor |
2000-2005 | Schweitzer Urban Fellowship Program, Chicago, IL/ Board Member |
Report of Scholarship
Peer-reviewed scholarship in print or other media:
Research investigations
- Chien AT, Coker T, Choi L, Lowrie R, 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;6(6):352-5. PMID:17116610. doi:1016/j.ambp.2006.07.002
- 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;64(5S):283S-304S. PMID: doi:10.1177/1077558707305426.
- Chien AT, Coleman M, Friedman-Ross LS. Qualitative insights into how pediatric pay-for-performance programs are being designed. Acad Pediatr. 2009;9(3):185-91. PMID:19450779. doi:1016/j.acap.2009.01.005.
- Bauer SC, Smith PJ, Chien AT, Berry A, Msall M. Educating pediatric residents about developmental and social-emotional health. Infants and Young Children. 2010;22(4):309-20. doi:1097/IYC.0b013e3181bc4da0.
- Weinick RM, Chien AT, Rosenthal MB, Bristol SJ, Blumenthal DR. Hospital executives’ perspectives on pay-for-performance and racial/ethnic disparities in care. Med Care Res Rev. 2010;67(5):574-89. PMID:20054056. doi:1177/1077558709354522.
- Perry R, Chien AT, Fisher T, Walker W, Johnson WE. African American adolescent males’ views on doctors and the health care system. J Natl Med Assoc. 2010;102:312-20. PMID:20437738. doi:10.1016/S0027-9684(15)30603-9.
- Bardach NS, Chien AT, Dudley RA. Small numbers limit the use of the inpatient pediatric quality indicators for hospital comparison. Acad Pediatr. 2010;10(4):266-73. PMID:20599180. PMCID:PMC2897835. doi:1016/j.acap.2010.04.025.
- Chien AT, Li Z, Rosenthal MB. Improving timely childhood immunizations through pay for performance in Medicaid-managed care. Health Serv Res. 2010;45:1934-47. PMID:20849554. PMCID:PMC3029849. doi:1111/j.1475-6773.2010.01168.x.
- Chien AT, Kirchhoff AC, Schaefer CT, Huang ES, Brown SE, Heuer L, Graber J, Casalino LP, Chin MH. Positive and negative spillovers of the Health Disparities Collaboratives in Federally Qualified Health Centers: staff perceptions. Med Care. 2010;48(12):1050-6. PMID:20966782. PMCID:PMC4558100. doi:1097/MLR.0b013e3181f37d46.
- Flaherman VJ, Chien AT, McCulloch CE, Dudley RA. Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement. Breastfeeding Medicine. 2011;6(1):31-5. PMID:21091054. PMCID:PMC3103053. doi:1089/bfm.2010.0021.
- Lee HC, Chien AT, Bardach NS, 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;165:429-34. PMID:21536958. PMCID:PMC4104272. doi:1001/archpediatrics.2011.41.
- 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. Accident Analysis and Prevention. 2012;47:30-5. PMID:22405236. doi:1016/j.aap.2012.01.005.
- Chien AT, Eastman D, Li Z, Rosenthal MB. Impact of a pay for performance program to improve diabetes care in the safety net. Preventive Medicine. 2012;55S:S80-5. PMID:23046985. doi:1016/j.ypmed.2012.05.004.
- Chien AT,
- Wallander JL, Fradkin CD, Chien AT, Mrug S, Banspach SW, Davies S, Elliott MN, Franzini L, Schuster MA. Racial/ethnic disparities in quality of life and health in children are largely mediated by family contextual differences. Acad Pediatr. 2012;12(6):532-8. PMID:22884796. doi:1016/j.acap.2012.04.005.
- Barry CL, Chien AT, Normand ST, 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;131(3):e903-11. PMID:23420919. PMCID:PMC3581843. doi:1542/peds.2012-1491.
- Toomey SL, Chien AT, Elliot MN, Ratner J, Schuster MA. Disparities in unmet need for care coordination: the national survey of children’s health. Pediatrics. 2013;131(2):217-24. PMID:23339228. doi:1542/peds.2012-1535.
- Chien AT, Song ZS, Chernew ME, Landon BE, McNeil BJ, Schuster MA. Two-year impact of the Alternative Quality Contract on pediatric healthcare quality and spending. Pediatrics. 2014;133(1):96-104. PMID:24366988. PMCID:PMC4079291. doi:1542/peds.2012-3440.
- 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;20(2):121-9. PMID:24738530. PMCID:PMC4110893.
- Fradkin C, Wallander JL, Yamakawa Y, Schwebel DC, Chien AT, Le YL, Li DH, Elliott M, Schuster MA. Quality of life among Asian American youth. Asian Am J Psychol. 2014;5(1):13–21. PMID:27087894. PMCID:PMC4831066. doi:1037/a0029822.
- Smith AJB, Chien AT. Massachusetts health reform and access for children with special health care needs. 2014; 134(2):218-26. PMID:25002660. doi:10.1542/peds.2013-3884.
- 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;50(3):897-921. PMID:25423886. PMCID:PMC4450936. doi:1111/1475-6773.12257.
- Weir RC, Law H, Oneha MF, Lee SM, Chien AT. Impact of a P4P and HIT program to reduce emergency department hospital utilization at federally qualified health centers in Hawai‘i. AAPI Nexus: Policy, Practice and Community. 2014;12(1-2):83-96. doi:10.17953/appc.12.1-2.h2wg57772576176k.
- Berry JG, Zaslavsky AM, Toomey SL, Chien AT, Jang J, Bryant MC, Klein DJ, Kaplan WJ, Schuster MA. Recognizing differences in pediatric hospital quality performance. Pediatrics. 2015;136(2):251-62. PMID:26169435. PMCID:PMC4516938. doi:1542/peds.2014-3131.
- Scott SM, Wallander JL, Elliot MN, Grunbaum JA, Chien AT, Tortolero S, Cuccaro P, Schuster MA. Do social resources protect against lower quality of life among diverse young adolescents? The Journal of Early Adolescence 2016;36: 754-82, first published on June 1, 2015 as doi:10.1177/0272431615588367
- 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;136(4):e871-8. PMID:26416938. doi:1542/peds.2015-0228.
- Sheridan B, Chien AT, Peters AS, Rosenthal MB, Veazey Brooks J, Singer SJ. Team-based primary care: the medical assistant perspective. Health Care Manage Rev. 2016;
- 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. Academic Pediatrics. 2016 Mar.16(2):200-7. doi: 10.1016/j.acap.2015.10.008. Epub 2015 Oct 30. PMID:26523636. doi:1016/j.acap.2015.10.008.
- Schiavoni KH, Lehmann LS, Guan W, Rosenthal MB, Sequist TD, Chien AT. How primary care physicians integrate price information into clinical decision making. J Gen Intern Med. August 2016. doi:10.1007/s11606-016-3805-0. PMID:27561735. PMCID:PMC5215149. doi:1007/s11606-016-3805-0.
- 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;139(2)
- 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 Internal Med. 2017;32(4):434-48. PMID: 27913910. DOI: 1007/s11606-016-3917-6.
- Chien AT, Kuhlthau KA, Toomey SL, Quinn JA, Okumura MJ, Kuo DZ, Houtrow AJ, Van Cleave JM, Jang J, Furdyna M, Janmey I, Landrum MB, Schuster MA. Quality of primary care for children with disabilities enrolled in Medicaid. Academic Pediatrics, In Press October 2016.
- 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;42(1):28-41. PMCID:26545206. doi:1097/HMR.0000000000000091.
Other peer-reviewed scholarship
- Chin MH, Chien AT. Reducing racial and ethnic disparities in health care: An integral part of quality improvement scholarship. Qual Saf Health Care. 2006;15:79-80. PMID:16585103. PMCID: PMC2464839. doi: 1136/qshc.2006.017749.
- Chien AT, Walters A, 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. doi:1353/cpr.0.0002.
- Chien AT, Dudley RA. Pay-for-performance in pediatrics: Proceed with caution. 2007;120:186-8. PMID:17606578. doi:10.1542/peds.2007-1158.
- Chien AT, Conti RM, Pollack HA. A pediatric-focused review of the performance incentive literature. Curr Opin Pediatr. 2007;19(6):719-25. PMID:18025943. PMCID:PMC4597772. doi:1097/MOP.0b013e3282f1eb70.
- Chien AT, Chin MH. Incorporating disparity reduction into pay-for-performance. J Gen Int Med. 2009;24(1):135-6. PMID:19080400. PMCID: PMC2607513. doi:1007/s11606-008-0884-6.
- Chien AT, Rosenthal MB. Medicare’s physician value-based payment modifier – Will the tectonic shift create waves? N Engl J Med. 2013;369(22):2076-8. PMID:24195501. doi:1056/NEJMp1311957.
- Cabana MD, Cheng TL, Bauer AJ, Bogue CW, Chien AT, Dean JM, Scheindlin B, Kelle A, Coyne-Beasley T, DiMeglio L, DeGraw CA, Dougherty D, Freed GL, Guttmacher AE, Minkovitz C, Shalowitz M, Cull W. Promoting education, mentorship, and support for pediatric research. Pediatrics. 2014;133(5):943-9.
- Sinaiko AD, Chien AT, Rosenthal MB. The role of states in improving price transparency in health care. JAMA Internal Medicine. 2015; 175(6):886-7. PMID:25822892. doi:1001/jamainternmed.2015.0628.
- Cheng T, Ashanti N, DiMeglio L, Chien AT, Peeples E, Raetz E, Scheindlin B, Denne S. Seven Great Achievements in pediatric research in the past 40 years. Pediatric Research. 2016;80:330-7. doi:1038/pr.2016.95.
- Sinaiko AD, Chien AT. Achieving the promise of price transparency. JAMA Internal Medicine. 2017;
Non-peer reviewed scholarship in print or other media:
Reviews, chapters, monographs, and editorials
- Chien AT. The potential impact of performance incentive programs on racial disparities in healthcare. In: Williams RA, editor. Eliminating health care disparities in America: Beyond the Institute of Medicine report. Totowa, NJ: Humana Press Inc; 2007.
- Rosenthal MB, Chien AT. Implications of value-based purchasing for health disparities: A synthesis of the evidence. Prepared for the Office of Minority Health. June 30, 2008.
- Chien AT. Can pay for performance improve the quality of adolescent substance abuse treatment? Arch Pediatr Adolesc Med. 2012;166(10):964-5. PMID:22893117. doi:1001/archpediatrics.2012.1186.
- Chien AT, Rosenthal MB. Waste not, want not: Promoting efficient use of health care resources. Ann Intern Med. 2013;158(1):67-8. PMID:23277903. doi:7326/0003-4819-158-1-201301010-00014.
- Berry JG, Chien AT. To risk adjust or not to risk adjust: Should that be the question? JAMA Pediatr. 2016;170(4):319-20. PMID:26882408. doi:1001/jamapediatrics.2015.4527.
Case reports
- Chien AT. Seven times a charm. Chicago Medicine. 2003;106(15):14-5.