Browse Publications

Fundamental Concepts for Managing Risk and Understanding the Total Cost of Care

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...

Date: April 23, 2019

CIN Connections, Spring 2019: Managing Financial Risk and Total Cost of Care

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...

Date: April 18, 2019

Nurse Practitioner and Physician Assistant Waivers to Prescribe Buprenorphine and State Scope of Practice Restrictions

There is a shortage of clinicians authorized to prescribe medications to treat opioid use disorder. Nurse practitioners (NPs) and physician assistants (PAs) were allowed to obtain waivers to...

Author(s): Joanne Spetz, Christopher Toretsky, Susan Chapman, Bethany Phoenix, and Matthew Tierney
Source: JAMA
Date: April 10, 2019

Enhancing Psychiatric Mental Health Nurse Practitioner Practice: Impact of State Scope of Practice Regulations

Introduction Shortages of behavioral health providers, particularly prescribing clinicians, are widespread nationally. Although rapidly increasing numbers of psychiatric mental health nurse...

Author(s): Susan A. Chapman, Christopher Toretsky and Bethany J. Phoenix
Date: April 10, 2019

Demand for Registered Nurses in California: The California Chief Nursing Officer Survey, 2017

Background This document summarizes the eighth annual survey of hospital registered nurse (RN) employers. The surveys collect data on demand for RNs, changes that have occurred over time, and...

Author(s): Joanne Spetz
Date: March 27, 2019

Comparing Forecasts of Registered Nurse Supply and Demand for California

Projections of future supply and demand for registered nurses (RNs) have been published by the California Board of Registered Nursing (BRN) since 2005. The forecasts are intended to guide educators,...

Author(s): Joanne Spetz
Date: March 27, 2019

The Association of Nurse Practitioner Scope-of-Practice Laws With Emergency Department Use

Overuse and inappropriate use of emergency departments (EDs) remains an important issue within the US health care system, as an estimated 37% of ED visits involve nonurgent care that could be...

Author(s): Benjamin J. McMichael, Joanne Spetz, and Peter I. Buerhaus
Source: Medical Care
Date: March 12, 2019

Proceedings: Workforce Summit on Ensuring a Workforce to Care for People with Serious Illness in the Community

In May, 2018, 40 national leaders and experts were convened to make workforce development recommendations that address the needs of persons living with serious illness in community settings. Over the...

Author(s): Joanne Spetz, Timothy Bates, & Nancy Dudley
Date: February 3, 2019

CIN Toolkit: Three Strategies to Help Primary Care Teams Treat Substance Use Disorders

This document is a guide for primary care organizations and care teams working to integrate substance use disorder (SUD) treatment services. It provides proven strategies, best practices, and tools...

Author(s): Crystal Eubanks, Senior Manager of Practice Transformation, California Quality Collaborative
Date: January 31, 2019

Primary Care Nurse Practitioners and Physicians in Low-Income and Rural Areas, 2010-2016

Nurse practitioners (NPs) constitute the largest and fastest growing group of nonphysician primary care clinicians. As the primary care physician (PCP) shortage persists, examination of trends in...

Author(s): Ying Xue, Joyce A. Smith and Joanne Spetz
Source: JAMA
Date: January 8, 2019