- Advancing health equity requires acknowledging and attending to inequities within the health policy and services research (HSPR) workforce. Although HSPR racial and ethnic diversity has been increasing, the profession still has considerable unfinished work: in 2021, Black, Hispanic, and Indigenous…
- Objectives: This work describes the process by which the quality of electronic health care data for a public health study was determined. The objectives were to adapt, develop, and implement data quality assessments (DQAs) based on the National Institutes of Health Pragmatic Trials Collaboratory (…
- There are few educational programs in the United States that have a primary focus on preparing nurses to engage in all levels of public health, health policy, and climate change. The United Nations sustainability development goals (SDG) and the Future of Nursing 2020-2030: Charting a Path to…
- The health care safety-net system, a patchwork of programs and providers that serve Californians with low incomes, faces unique challenges in recruiting and maintaining its clinical staff due to workforce shortages and inequitable distribution of health care providers across California. To address…
- Care coordination is a key strategy used to improve health outcomes and efficiency, yet there are limited examples in dentistry. A large dental accountable care organization piloted care coordination by retraining existing administrative staff to coordinate the care of high-risk patients. Following…
- This issue of CIN Connections contains strategies and reflections from health care leaders as they grapple with how to abolish racism to improve health and remove roadblocks to real health equity. Hear from Dr. Rhea Boyd of the California Children’s Trust and of 2-1-1 San Diego about how…
- The year 2020 has been unlike any other. The changes we’re now seeing in our clinics and through our screens, and the methods being used to address patient needs that we hadn’t previously considered will impact health care for years to come. This issue of CIN Connections features…
- This report presents an overview of current and future supply and demand for California’s public health workforce. Public health professionals perform a wide range of services aimed at creating the conditions in which people can be healthy. Some public health professionals provide services to…
- Ongoing payment reforms are pressing health systems to reorganize delivery of care to achieve greater value, improve access, integrate patient care among settings, advance population health, and address social determinants of health. Many organizations are experimenting with new ways of unleashing…
- Electronic health record (EHR) systems provide investigators with rich data from which to examine actual impacts of care delivery in real-world settings. However, confounding is a major concern when comparison groups are not randomized. This article introduced a step-by-step strategy to…
- Caries indices, the basis of epidemiologic caries measures, are not easily obtained in clinical settings. This study’s objective was to design, test, and validate an automated program (Valid Electronic Health Record Dental Caries Indices Calculator Tool [VERDICT]) to calculate caries indices from…
- The lack of an adequately prepared workforce is a critical barrier to delivering high-quality community-based care for individuals living with serious illness. This article presents 16 consensus-based recommendations to improve the capacity of the workforce in this area within the next 5 years,…
- This resource is designed to serve as a primer for anyone interested in gaining a better understanding of health payment models in California and nationally. It focuses on concepts and terminology related to value-based payment models and to health care delivery models and systems. The…
- This issue of CIN Connections includes strategies to manage total cost of care. It features Mitch Katz, MD, head of the largest public health care system in the country, and other health care leaders across the state who share their experiences managing risk and total cost of care.…
- Research examining productivity, quality and outcomes of traditional pediatric dental care are generally lacking. The literature shows that education, qualifications, and roles are changing with case examples of success, but what these changes portend for patient care remains an open question…
- Community health workers (CHWs) and promotores de salud are playing an increasingly important role in community-based and clinical care settings. This research, supported by the Blue Shield of California Foundation, represents the culmination of the first phase of a two-part project aimed at…
- Despite state and federal efforts to encourage physician assistants (PAs) to help fill primary care gaps, the proportion of PAs practicing in primary care continues to decline. Using job posting data from a leading labor analytics firm, this study finds that the decline could be due to a lack of…
- The number of children eligible for Medicaid dental coverage in California will increase to nearly 5 million because of the Affordable Care Act the transition of nearly 880,000 children from California's Children's Health Insurance Program (CHIP) to Medicaid. This study assesses the dental capacity…
- Objectives: Direct access is a term that describes the ability of patients to seek health care from midlevel dental providers (MLDPs) without first seeing a dentist. The objective of this study was to synthesize the evidence for the effects and costs of direct access to MLDPs in a primary…
- Oral health is directly related to systemic health, yet many Americans have limited to no access to dental health professionals. Nurse practitioners are in an excellent position to fill this void by providing caries risk assessments, chemical therapy to prevent progression of caries, and…
- Center Researchers Beth Mertz and Cynthia Wides published this article in the February 2014 Supplemental Issue of the Journal of Health Care for the Poor and Underserved. This issue celebrates the 25th year of the journal's publication and focuses on the Patient Protection and Affordable Care Act.…
- California’s community health centers face numerous challenges amidst a vast, complex and rapidly evolving healthcare landscape. Chief among these challenges is the need to adapt to changes in the healthcare system resulting from the Patient Protection and Affordable Care Act and remain solvent and…
- The University of California, San Francisco School of Dentistry established the Dental Postbaccalaureate Program in 1998 to provide reapplication assistance to students from economically and/or educationally disadvantaged backgrounds who were previously denied admission to dental school. The goals…
- The demographics of Marin County, California are changing. One of the most dramatic examples is the increase in the number of older adults. Between 2000 and 2010, the number of people over 60 years old living in Marin grew significantly, from 44,000 to 61,000, making this group 24% of the county’s…
- The Clinic Leadership Institute (CLI) Emerging Leaders program helps participants become stronger leaders in community health centers throughout California. But how exactly do the learnings from a structured leadership program translate to the unpredictability and complexity of the day-to-day work…
- Widely recognized problems with the U.S. health care system, including rapidly increasing costs and disparities in access and outcomes also exist in oral health. If oral health systems are to meet the "Triple Aim" of improving the experience of care, improving the health of populations, and…
- 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…
- The community health center movement that was founded in the mid-1960s has since grown into a complex system of clinics that are critical to the delivery of high quality, comprehensive health care services for poor and underserved populations across California and the nation. Historically,…
- As many tenured nonprofit leaders prepare to transition out of leadership roles, studies predict an approaching gap in the leadership pipeline. They report that a limited number of “next generation leaders” are ready and eager to accept senior leadership positions. This impending gap is evident in…
- The objective of this paper is to describe the purpose, rationale and key elements of the special issue, Improving Oral Healthcare Delivery Systems through Workforce Innovations. The purpose of the special issue is to further develop ideas presented at the 2009 Institute of Medicine (IOM) workshop…
