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Editorial: Oral Health
07-05-12
The Institute of Medicine has called for nurses to play a greater role in oral health. Nurses often provide care for the vulnerable populations that are least likely to receive necessary, health-sustaining dental care. The link between mouth care, oral health and systemic health is well documented...
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The Virtual Dental Home: Implications for Policy and Strategy
07-01-12
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...
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On the Road to Meaningful Use of Electronic Health Records: A Survey of California Physicians
06-11-12
Report on findings from a 2011 survey of a sample of California physicians regarding the availability of electronic health records in their practices.
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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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Patient Turnover as a Moderator of the Relationship between Nurse Staffing and Patient Outcomes
06-01-12
High patient turnover (patient throughput generated by admissions, discharges, and transfers) contributes to increased demands and resources for care. We examined how the relationship between registered nurse (RN) staffing and failure-to-rescue (FTR) varied with patient turnover levels by analyzing...
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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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The Effect of Different Methods of Remuneration on the Behaviour of Primary Care Dentists
05-16-12
Objective: To evaluate the effects of different methods of remuneration on the professional behaviour of primary care dentists and associated patient outcomes.
Full Publication
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The Diversity of California’s Registered Nursing Workforce
05-07-12
The ability of California Registered Nurses (RNs) to provide culturally competent care to Californians is associated with the language skills and diversity of the RN workforce. Moreover, diversity in the RN profession reflects progress in providing opportunities for young people to obtain...
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Immigration and Contract Problems Experienced by Foreign-Educated Nurses
05-01-12
More than 8% of employed RNs licensed since 2004 in the United States were educated overseas, yet little is known about the conditions of their recruitment or the impact of that experience on health care practice. This study assessed whether the labor rights of foreign-educated nurses were at risk...
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Survey of Nurse Employers in California, Fall 2012
04-06-12
This report summarizes the findings of a survey conducted in fall 2011 of general acute care hospital employers of registered nurses (RNs) in California. This survey is the second of three annual surveys, with the last survey scheduled for fall 2012. Together, these surveys provide an opportunity...
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What Determines Successful Implementation of Inpatient Information Technology Systems?
03-17-12
OBJECTIVES: To identify the factors and strategies that were associated with successful implementation of hospital-based information technology (IT) systems in US Department of Veterans Affairs (VA) hospitals, and how these might apply to other hospitals.
STUDY DESIGN: Qualitative analysis of 118...
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Nursing Education Data Sources: A User’s Guide
03-06-12
This Brief reviews the main sources of data stakeholders at the national and state level can use to measure education levels among RNs. Each data source is described, with attention to the population of nurses or nursing graduates it represents. Nuances and shortcomings of the data are discussed to...
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Health Reform and the Health Care Workforce
03-06-12
This monograph assesses how the Affordable Care Act will influence the demand for health care workers, as well as the nature of care they provide.
Full Publication
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Health Care Workforce Will be Tested by Reform
02-29-12
Much of the public discussion about health care reform has focused on whether various components of the Affordable Care Act (ACA) are constitutional, and whether the act can be repealed. But an arguably more important question is whether our health care work force is large enough to handle the...
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Professional Projects and Institutional Change in Healthcare: The Case of American Dentistry
02-01-12
This paper combines resources from the organization studies and sociology literatures to advance understanding of institutional change processes in health care that emerge from the professionalization projects of occupations. Conceptually, we introduce a model that combines the 'archetype' approach...
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Comparison of Patient Outcomes in Magnet and Non-Magnet Hospitals
12-11-11
OBJECTIVE: This study compared patient outcomes and staffing in Magnet® and non-Magnet hospitals.
BACKGROUND: The pursuit of Magnet designation is a highly regarded program for improving staff and patient outcomes. Research has confirmed that Magnet hospitals provide positive work environments for...
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2010 Survey of Nurse Practitioners and Certified Nurse Midwives
12-06-11
This survey of nurse practitioners and nurse midwives in California provided information about education, employment, demographics, and the practice of these important advanced practice nurses.
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2010 Survey of Clinical Nurse Specialists
12-06-11
This survey of clinical nurse specialists in California provided information about education, employment, demographics, and the practice of these important advanced practice nurses.
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Registered Dental Hygienists in Alternative Practice In California, 2009 Descriptive Report
12-01-11
New workforce models in dentistry are being explored as potential solutions to improving the dental care delivery system for underserved populations. In 1998, California officially recognized a new dental health profession: the Registered Dental Hygienist in Alternative Practice (RDHAP). RDHAPs...
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Forecasts of the Registered Nurse Workforce in California, 2011
11-10-11
This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2011 through 2030. These new forecasts are based on data from the 2010 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the US Bureau of Health Professions (BHPr)...
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California’s Health Care Workforce: Readiness for the ACA Era
11-09-11
This comprehensive report, sponsored by the California Wellness Foundation, explores the current and future capacity of California’s health care workforce to meet the expected increase in demand resulting from expanded insurance coverage under the Patient Protection and Affordable Care Act (ACA)....
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Nurse Practitioners and Physician Assistants Providing Primary Care in California Community Clinics
10-13-11
As reported earlier, nurse practitioners (NPs) and physician assistants (PAs) play a critical role in the delivery of primary care in California, providing the majority of primary care services in over 20% of the state’s community clinics. This follow-up, qualitative research explores how and why...
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Advancing Oral Health in America
10-07-11
Institute of Medicine Report to the US Department of Health and Human Services about the state of oral health in America.
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Unemployed and Underemployed Nurses
10-06-11
Efforts to expand access to nursing care and remedy the global nursing shortages are hampered when nurses are unemployed or underemployed. This monograph seeks to fill the gap in understanding on this issue, including nurses who are currently inactive but who might return to nursing work given...
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The Importance of Good Data: How the National Sample Survey of Registered Nurses Has Been Used to Improve Knowledge and Policy
10-06-11
In 1977, the federal government launched the nation’s largest and most significant program to collect data on the registered nurse (RN) workforce of the United States—the National Sample Survey of Registered Nurses (NSSRN). This survey is conducted by the U.S. Health Resources and Services...
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Survey of Nurse Employers in California - Second Quarter, 2011
09-09-11
This report summarizes the findings of a survey conducted in spring 2011 of general acute care hospital employers of registered nurses (RNs) in California to evaluate the overall demand for RNs in the state. The survey reveals variation in the demand for RNs across California, the lack of positions...
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Survey of Nurse Employers in California, Fall 2011
09-06-11
This report summarizes the findings of a survey conducted in fall 2011 of general acute care hospital employers of registered nurses (RNs) in California. This survey is the second of three annual surveys, with the last survey scheduled for fall 2012. Together, these surveys provide an opportunity...
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Southcentral Foundation—Nuka Model of Care Provides Career Growth for Frontline Staff
09-01-11
Southcentral Foundation (SCF) assumed management of a primary care system with low patient satisfaction and high staff turnover. This led SCF to create extensive employee development programs and to support a human resources policy in which frontline staff, including medical assistants, can work...
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Staffing Changes Before and After Mandated Nurse-to-Patient Ratios in California’s Hospitals
08-01-11
California is the first state to mandate specific nurse-to-patient ratios in general acute care hospitals. These ratios went into effect January 1, 2004 and apply "at all times". Little is known about the changes in staffing that occurred subsequent to the implementation of this legislation. This...
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WellMed’s Medical Assistant Training Program Prepares Students for Health Care Career Ladder
07-28-11
In the course of rapid expansion, WellMed Medical Group found itself hiring increasing numbers of medical assistants (MAs). However, quality and turnover issues with the existing pool of externally-trained MAs inspired the organization to develop its own medical assistant training school. The...