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The Association of Nurse Practitioner Scope-of-Practice Laws With Emergency Department Use
03-12-19
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 provided in other care settings such as physician offices and urgent care centers.
Inappropriate ED use has...
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Proceedings: Workforce Summit on Ensuring a Workforce to Care for People with Serious Illness in the Community
02-03-19
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 course of two and a half days, attendees offered sixteen broad recommendations that included...
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CIN Toolkit: Three Strategies to Help Primary Care Teams Treat Substance Use Disorders
01-31-19
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 used by organizations within California to expand the capability of primary care teams in commercial...
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Primary Care Nurse Practitioners and Physicians in Low-Income and Rural Areas, 2010-2016
01-08-19
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 primary care NP supply, particularly in relation to populations most in need, will inform strategies to...
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Regional Forecasts of the Registered Nurse Workforce in California
12-11-18
Some regions of California face nursing shortages, according to new projections of supply and demand through 2035. The forecasts, which account for population growth, population aging, and anticipated changes in the numbers of new registered nurse (RN) graduates, are the first regional projections...
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Regional Forecasts of the Registered Nurse Workforce in California
12-11-18
Some regions of California face nursing shortages, according to new projections of supply and demand through 2035. The forecasts, which account for population growth, population aging, and anticipated changes in the numbers of new registered nurse (RN) graduates, are the first regional projections...
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Exploring Health Economics Course Competencies’ Value for Nurse Administrators
11-28-18
A survey of nursing administrators in the US was conducted to solicit opinions about health economics (HE) course competencies for baccalaureate nursing (BSN) programs. The survey was conducted to provide rationale for intensifying educational efforts to increase nurses’ awareness about the value...
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The Impact of Federal and State Policy on Oral Health Care Delivery in Long-Term Care Settings
11-21-18
Residents of long-term care (LTC) facilities have a significantly higher risk of poor oral health status compared with those living independently; moreover, the provision of oral health services to LTC residents is often limited. This study identifies and classifies state-level policies and funding...
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Strengthening The Workforce For People With Serious Illness: Top Priorities From A National Summit
11-15-18
The United States will experience significant growth of the population older than age 65 in the coming decades, which will contribute to an increase in the number of people living with chronic and serious illnesses in the community. Field experts, policy makers, and health care leaders have...
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CIN Connections, Fall 2018: Integrating Primary Care and Substance Use Disorder Treatment
10-18-18
Ensuring that Californians have timely access to substance use disorder (SUD) treatment that is appropriately linked to their physical health care represents a huge challenge and opportunity for health leaders, providers, and care teams throughout the state. This issue of CIN Connections features...
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Medication Adherence, Costs, and ER Visits of Nurse Practitioner and Primary Care Physician Patients
10-03-18
Objective
To compare medication adherence, cost, and utilization in Medicare beneficiaries attributed to nurse practitioners (NP) and primary care physicians (PCP).
Data
Medicare Part A, B, and D claims and beneficiary summary file data, years 2009‐2013.
Study Design
We used propensity score‐...
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California’s Physician Assistants: How Scope of Practice Laws Impact Care
09-25-18
Physician assistants (PAs) — state-licensed health professionals who practice medicine in collaboration with physicians and other providers — provide high-quality care, and are more likely to work in rural areas and with underserved populations than are physicians. Their training enables them to...
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Evaluation of the San Francisco Support at Home Program: Year One Report
09-12-18
The purpose of this project is to conduct a two-year formative and summative evaluation of the San Francisco Support at Home program. The Support at Home program provides financial support for the purchase of home care services by adults with disabilities and older adults living in San Francisco....
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California’s Nurse Practitioners: How Scope of Practice Laws Impact Care
09-07-18
Nurse practitioners (NPs) are registered nurses who have completed additional education to prepare them to deliver a broad range of services including the diagnosis and treatment of acute and chronic illnesses. They are one of four categories of advanced practice registered nurses, with the others...
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Expanding Registered Apprenticeships in Health Care
09-04-18
Registered apprenticeships (RA) – programs that have formal standards and are regulated by both federal and state agencies – have a long history in the United States. Health care-related RA programs account for a small fraction of overall apprenticeship training activity, but would seem to be a...
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California Nurse Practitioners Are Positioned To Fill The Primary Care Gap, But They Face Barriers To Practice
09-03-18
Nurse practitioners are well prepared to help fill care gaps arising from shortages of primary care physicians in California. This article reports findings from a survey of California nurse practitioners that examined their employment and practice barriers. The number of nurse practitioners per...
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Breaking Barriers for Underrepresented Minorities in the Health Professions
07-30-18
In spite of the United States’ racial and ethnic diversity, the health care workforce remains predominately white, particularly in professions that require doctoral degrees. This has a real and negative impact on both patients and health professionals. Diversity in the classroom can translate into...
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California’s Physicians: Headed for a Drought?
06-25-18
The people in California’s communities rely on physicians — primary care providers and specialists alike — to keep them healthy. This report, compiled using data from surveys completed by doctors renewing their medical licenses in 2015, provides a snapshot of who those physicians are, where they...
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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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Peer Providers Uniquely Positioned to Support Long-Term Recovery of People with Mental Health and Substance Use Disorders
05-17-18
According to the National Alliance on Mental Illness, one in five adults experience mental illness in a given year; yet our health care system does not have enough behavioral health workers to meet service demands. Psychiatrists, psychologists, advanced practice nurses, therapists and other...
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More Nurses with Bachelor's Degrees Required to Meet Future Health Care Needs
05-03-18
In 2011, the Institute of Medicine (IOM, now part of the National Academy of Science, Engineering, and Medicine) released a report, “The Future of Nursing: Leading Change, Advancing Health,” which contained eight recommendations regarding how the nursing workforce can best meet health-care needs in...
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CIN Connections, Spring 2018: Healing the Healers
04-20-18
The California Improvement Network’s report, CIN Connections: Healing the Healers, features actionable information to tackle provider burnout and promote well-being at health care organizations. It includes an interview with Mickey Trockel, MD, PhD, from Stanford Medicine WellMD Center, who...
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2017 Survey of Nurse Practitioners and Certified Nurse Midwives
04-11-18
This study of California nurse practitioners (NPs) and certified nurse-midwives (CNMs) was conducted in early 2017. In November 2016, there were 20,337 NPs living in California, of whom 569 also were CNMs (“dual certified”). Another 582 people had CNM-only certification. Surveys were mailed to 2,...
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Survey of Nurse Employers in California, Fall 2017 (2018)
04-09-18
This report summarizes the findings from a survey of general acute care hospital employers of registered nurses (RNs) in California conducted in fall 2017. This is the eighth annual survey of hospital RN employers; these surveys provide an opportunity to evaluate overall demand for RNs in the state...
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New Survey Finds that California Needs More Highly Skilled and Experienced Nurses
04-09-18
As the registered nurse (RN) baby boomers retire, there is a need for more highly skilled and experienced nurses in California, according to a new survey published by Healthforce Center at UCSF and the UCSF Institute for Health Policy Studies.
This report summarizes the findings from the eighth...
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Community-Based Palliative Care Leader Perspectives on Staffing, Recruitment, and Training
04-01-18
This qualitative descriptive study assesses perspectives of US community-based palliative care program leaders on staffing, recruitment, and training. Leaders from academic medical centers, large integrated and community health systems, home health and hospice organizations, and the Veterans...
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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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California Peer Providers in Transitions of Care
03-16-18
This study explored care models and policies that enhance the utilization of peer providers in California and to identify and describe best practices in peer support roles and practices for individuals with mental health or substance use disorders in California. This research focused on services...
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Federally Qualified Health Centers Reduce the Primary Care Provider Gap in Health Professional Shortage Counties
02-13-18
Federally qualified health centers (FQHCs) were designed to provide care in medically underserved areas and substantial and sustained federal funding has accelerated FQHC growth. This report examines changes over time in primary care provider supply and whether FQHCs have been successful in...
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California’s Current and Future Behavioral Health Workforce
02-12-18
This report analyzes and projects future needs related to California’s behavioral health workforce. This workforce is critical to meeting California’s health care needs. One in six adults suffers from mental illness and one in fourteen children has a serious emotional disturbance. While access to...