Browse Publications

Measurement of Nonbillable Service Value Activities by Nurse Practitioners, Physicians Assistants, and Clinical Nurse Specialists in Ambulatory Specialty Care

Revenue-generating health care activities, generally accepted as a measure of productivity, do not account for the full range of health care activities that enhance patient care. We analyzed the...

Author(s): Shira Winter, Garrett K Chan, Clair Kuriakose, Karen Duderstadt, Joanne Spetz, Debbie Hsieh, Charlene Platon, and Susan A Chapman
Date: June 30, 2020

Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care

Nonadherence to medications is costly and improving adherence is difficult, requiring multifactorial solutions, including policy solutions. The purpose of this study was to evaluate the effect of one...

Author(s): Ulrike Muench, Christopher Whaley, Janet Coffman, and Joanne Spetz
Date: June 24, 2020

Financial Vulnerability and Worker Well-Being: A Comparison of Long-Term Services and Supports Workers With Other Health Workers

Over 1.5 million new jobs need to be filled by 2026 for medical assistants, nursing aides, and home care aides, many of which will work in the long-term services and supports (LTSS) sector. Using 16...

Author(s): Ulrike Muench, Matthew Jura, Joanne Spetz, Rachel Mathison, and Charlene Herrington
Date: June 20, 2020

How Collaborative Practice Agreements Impede the Provision of Vital Behavioral Health Services

The COVID-19 pandemic has pushed issues relating to Scope of Practice (SOP) regulations and restrictions on Nurse Practitioner (NP) practice to the forefront. Many Governors issued Executive Orders...

Author(s): Brendan Martin, Bethany J. Phoenix, and Susan A. Chapman
Date: June 19, 2020

Service Value Activities by Nurse Practitioners in Ambulatory Specialty Care

The increase in nurse practitioners (NPs) in ambulatory medical and surgical specialty settings has prompted inquiry into their role and contribution to patient care. We explored the role and...

Author(s): Shira G. Winter, Karen Duderstadt, Garrett K. Chan, Joanne Spetz, Linda M. Stephan, Erin Marsuda, and Susan Chapman
Date: June 2, 2020

Missed Nursing Care During Labor and Birth and Exclusive Breastfeeding During Hospitalization for Childbirth

The purpose of this study was to determine associations between missed nursing care and nurse staffing during labor and birth, and exclusive breast milk feeding at hospital discharge. Labor and birth...

Author(s): Kathleen Rice Simpson, Audrey Lyndon, Joanne Spetz, Caryl L. Gay, and Gay L. Landstrom.
Date: May 28, 2020

Forecasts of the Registered Nurse Workforce in California

This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2019 through 2035. These new forecasts are based on data from the 2018 California Board of...

Author(s): Joanne Spetz
Date: May 2020

Survey of Nurse Employers in California, Fall/Winter 2018-19

This report summarizes the findings from a survey of general acute care hospital employers of registered nurses (RNs) in California conducted in fall 2018 and winter 2019. This is the ninth annual...

Author(s): Lela Chu and Joanne Spetz
Date: April 23, 2020

Ensuring and Sustaining a Pandemic Workforce

Current efforts to fight the COVID-19 pandemic aim to slow viral spread and increase testing, protect health care workers from infection, and obtain ventilators and other equipment to prepare for a...

Author(s): Erin P. Fraher, Patricia Pittman, Bianca K. Frogner, Joanne Spetz, Jean Moore, Angela J. Beck, David Armstrong, and Peter I. Buerhaus
Date: April 8, 2020

CIN Connections, Spring 2020: Foundations for Health

The California Improvement Network’s (CIN) latest report, CIN Connections: Foundations for Health, features tips for resilient leadership and building partnerships between health providers and...

Date: April 8, 2020