Department of Pediatrics,
Harvard Medical School
Division of General Pediatrics,
Boston Children’s Hospital
Alyna T. Chien, MD, MS is an Assistant Professor of Pediatrics at Harvard Medical School and practicing pediatrician at Boston Children’s Hospital. As an expert in the use of payment and quality incentives in healthcare, Dr. Chien is especially committed to improving care delivery for vulnerable populations like those who are socioeconomically disadvantaged, racial/ethnic minorities, children, and those with disabilities. To date, she is the only general pediatrician to have received a K08 career development award to study payment incentives from the Agency for Healthcare Research and Quality (AHRQ), through which she examined the effectiveness of pay-for-performance (P4P) incentives in the federally qualified health center setting.
Currently, Dr. Chien is the lead investigator in four different projects related to the use and effectiveness of payment and quality incentives in healthcare:
- She is examining Blue Cross Blue Shield of Massachusetts’ Alternative Quality Contract, a global payment contract that combines risk-sharing capitation with P4P, for its impact on pediatric healthcare quality and spending.
- She is assessing whether geocoding methods can be used to improve pediatric risk adjustment models so that providers caring for more complex pediatric patients receive more resources than those who do not.
- She is also examining the effectiveness of Harvard Medical School’s Academic Innovations Collaborative, a quality improvement learning collaborative aimed at redesigning primary care delivery at the 18 academic medical centers and their affiliated community health centers within the Harvard system.
- As part of her work in Boston Children’s Hospital’s Center for Pediatric Quality Measurement Program, she is developing a claims-based algorithm for identifying children with disabilities so that care quality for this population of children can be better assessed.
Through her roles as a clinician, researcher, teacher, and committee member, Dr. Chien spreads her passion for aligning incentives with high-quality and high-value healthcare. She serves on the Planning Committee for AcademyHealth’s Child Health Interest Group Meeting and on the Abstract Selection Committee for Pediatric Academic Societies.