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Moral Injury Awareness and Prevention in Healthcare Organizations: A Blueprint Informed by the COVID-19 Pandemic
04-19-24
Moral injury is lasting psychological and spiritual distress that stems from violating one’s values or feeling betrayed by a trusted institution or authority. Moral injury is associated with post-traumatic stress (PTSD), depression, anxiety, substance use, functional impairments, and suicide risk....
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Beyond Just a Supplement: Administrators' Visions for the Future of Virtual Primary Care Services
05-01-22
The COVID-19 pandemic resulted in unprecedented adoption and implementation of virtual primary care services, and little is known about whether and how virtual care services will be provided after the pandemic ends. We aim to identify how administrators at health care organizations perceive the...
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More Than Just Giving Them A Piece of Paper: Interviews with Primary Care on Social Needs Referrals to Community-Based Organizations
04-14-22
Primary care practices are responding to calls to incorporate patients' social risk factors, such as housing, food, and economic insecurity, into clinical care. Healthcare likely relies on the expertise and resources of community-based organizations to improve patients' social conditions, yet...
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A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
02-21-22
Health care organizations increasingly recognize the impact of social needs on health outcomes. As organizations develop and scale efforts to address social needs, little is known about the optimal role for clinicians in providing social care. In this study, the authors aimed to understand how...
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It’s Not Just the Right Thing...It’s a Survival Tactic: Disentangling Leaders’ Motivations and Worries on Social Care
12-14-21
Health care organizations face growing pressure to improve their patients’ social conditions, such as housing, food, and economic insecurity. Little is known about the motivations and concerns of health care organizations when implementing activities aimed at improving patients’ social conditions....
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Solutions to Reduce Imminent Primary Care Shortage in California
06-12-18
California needs a comprehensive strategy for primary care workforce development to alleviate a statewide shortfall of primary care providers that is projected to occur within the next 15 years. According to a report released June 12 by Healthforce Center, this comprehensive strategy should include...
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California's San Joaquin Valley Faces Nurse Shortfall
03-26-18
While the demand for registered nurses (RNs) in California’s San Joaquin Valley is projected to grow by more than 35 percent by 2030, the region’s total number of RNs will decline. This will result in a serious shortfall that must be addressed now, according to our new report.
This report presents...
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Arizona Health Workforce Demand in a Rapidly Changing Market: Perspective of State Leaders
06-22-16
This report presents findings from interviews with health care leaders across Arizona regarding the trends they are observing and their expectations for future health workforce needs. Sixteen health care leaders were interviewed to assess their plans in the face of health care delivery changes and...
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Leadership in Action: The Role and Impact of the CHCF Health Care Leadership Program’s California Health Improvement Project (CHIP)
02-21-13
This brief provides an overview of the CHCF Health Care Leadership Program and a summary of results from an assessment of the process and impact of a key component of the program, the California Health Improvement Project (CHIP). CHIPs are leadership projects undertaken by program participants at...
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Preparing the Clinic Leaders of Tomorrow - The Clinic Leadership Institute Emerging Leaders Program
06-01-12
California’s community clinics require strong, committed leaders who can navigate their organizations through an increasingly complex healthcare system and meet the needs of their diverse patient populations. Clinics are facing considerable pressure to adapt to changes brought on by the passage of...
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San Francisco Quality Culture Series: Transforming Leadership Teams Across the San Francisco Safety Net
05-25-12
The San Francisco Quality Culture Series (SFQCS) was as a year-long collaborative learning program for clinic leadership teams aimed at building their improvement capacity and skills as leaders of dynamic primary care practices. Twenty-one clinic teams completed the program, which ran from January...
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From the Perspective of CEOs: What Motivates Hospitals to Embrace Cultural Competence?
09-19-10
The quality domains of patient-centered and equitable care are increasingly relevant to today's healthcare leaders as hospitals care for patients with increasingly diverse cultural and linguistic needs. Hospital leaders face substantial tensions in defining their organization's strategic priorities...
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How Have Mandated Nurse Staffing Ratios Impacted Hospitals? Perspectives from California Hospital Leaders
10-01-09
In 2004, California became the first state to implement minimum-nurse-staffing ratios in acute care hospitals. We examined the wages of registered nurses (RNs) before and after the legislation was enacted. Using four data sets — the National Sample Survey of Registered Nurses, the Current...