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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 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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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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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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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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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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Diversity of California’s Nursing Workforce Chartbook, 2018
01-01-18
The goal of this project is to examine the diversity of California's RNS in education, age, race/ethnicity, gender, employment setting, job titles, and regions.
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Alternative Payment Models Lead to Strategic Care Coordination Workforce Investments
12-21-17
Highlights
Value-based payment is leading to enhanced care coordination staffing.
Sites are task shifting low-complexity care coordination to unlicensed staff.
Important care coordination education gaps necessitate in-depth on-the-job training.
Demonstrating the return on investment of care...
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Employer Demand for Physician Assistants and Nurse Practitioners to Care for Older People and People with Disabilities
12-18-17
Demand for health care professionals with expertise in long-term care (LTC) and older populations is rising, due to projected growth in the older population and the increasing burden of chronic disease. One way to meet this growing LTC workforce demand may be to employ more nurse practitioners (NPs...
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California Board of Registered Nursing 2016 Survey of Registered Nurses
11-01-17
The 2016 Survey of California Registered Nurses is the tenth in a series of surveys designed to describe the population of registered nurses (RNs) licensed in California and to examine changes in this population over time. Other studies were completed in 1990, 1993, 1997, and every two years since...
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Nurses’ Communication of Safety Events to Nursing Home Residents and Families
10-09-17
Although communication is an essential part of the nursing process, nurses have little to no formal education in how to best communicate patient safety event (PSE) information to nursing home (NH) residents and their family members. The current mixed-methods study tested an intervention aimed at...
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California's Primary Care Workforce: Forecasted Supply, Demand, and Pipeline of Trainees, 2016-2030
08-15-17
This second report in a series of three Healthforce Center reports on primary care in California, unveils projections of a statewide primary care clinician shortfall in the next 15 years, with the most severe shortages in the Central Valley, Central Coast and Southern Border areas.
Key Findings...
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The Male-female Earnings Gap for Nurses in Germany: A Pooled Cross-sectional Study of the Years 2006 and 2012
07-14-17
The aim of this study is to examine male-female earnings of nurses in Germany. Understanding and addressing differences in earnings by gender is important because differences in pay accumulate over a nurse’s career and can lead to substantial disparities between genders, especially if they...
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Survey of Nurse Employers in California, Fall 2016
07-13-17
This report summarizes the findings from a survey of general acute care hospital employers of registered nurses (RNs) in California conducted in fall 2016. This is the seventh annual survey of hospital RN employers; together these surveys provide an opportunity to evaluate overall demand for RNs in...
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Dementia-Capable Care Coordination
05-25-17
This study describes the program requirements, workforce competencies, and barriers for dementia capable care coordination within health plans from seven states participating in the Center for Medicare and Medicaid Services demonstration programs for dually-eligible Medicare and Medicaid...
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How do Stakeholders Perceive Labor Nurses' Influence on Birth Outcomes?
04-21-17
Background
Childbirth is a leading reason for hospital admission in the USA, and most labor care is provided by registered nurses under physician or midwife supervision in a nurse-managed care model. Yet, there are no validated quality measures for maternity care that are thoughtful about the role...
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Thematic Analysis of US Stakeholder Views on the Influence of Labor Nurses’ Care on Birth Outcomes
04-20-17
Childbirth is a leading reason for hospital admission in the USA and most labor care is provided by registered nurses under physician or midwife supervision in a nurse-managed care model. Yet, there are no validated nurse-sensitive quality measures for maternity care. We aimed to engage primary...
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Prescribing Practices by Nurse Practitioners and Primary Care Physicians: A Descriptive Analysis of Medicare Beneficiaries
04-01-17
Introduction
Nurse practitioner (NP) prescribing continues to be a contentious policy issue, and studies systematically examining NP prescribing are lacking. The aim of this study was to conduct a descriptive analysis comparing the prescribing services of NPs with those of primary care physicians (...
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California's Primary Care Workforce: Supply, Characteristics and Pipeline
02-16-17
Is California prepared to meet growing demand for primary care?
This report is the first in a series of three Healthforce Center at UCSF reports that will provide information to help policymakers, consumers and leaders of health care delivery organizations and educational institutions understand...
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Few Hospital Palliative Care Programs Meet National Staffing Recommendations
09-07-16
This study, which was published in Health Affairs, was the first major data analysis of hospital palliative care programs’ workforce. The growing field of palliative care, which affects nearly all Americans, focuses on improving quality of life for patients with serious illnesses – including...
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Exploring Explanations for the Female-Male Earnings Difference Among Registered Nurses in the United States
09-01-16
A 2015 study published in JAMA found that the wage gap persists in nursing, with male nurses making $5,100 more on average per year than female colleagues in similar positions. This latest study aims to uncover the root causes of the gender pay discrepancy in nursing. Specifically, the study set...
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Survey of Health Care Employers in Arizona: Home Health Agencies, 2015
07-15-16
UCSF conducted the Survey of Health Care Employers in Arizona: Home Health Agencies, 2015 in the summer and fall of 2015. The survey elicited 25 unique responses, representing 11.4% of the total number of home health agencies in Arizona. Yuma, Gila, and Pinal Counties were not represented in this...
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Survey of Health Care Employers in Arizona: Long-Term Care Facilities, 2015
06-22-16
This report summarizes the findings from a survey of long-term care employers in Arizona conducted from the summer to the fall of 2015. This is the first survey of long-term care (LTC) employers in Arizona and provides an opportunity to evaluate overall demand for health care workers in the state....
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Survey of Health Care Employers in Arizona: Hospitals, 2015
05-30-16
This report summarizes findings from a first of its kind survey of hospital employers in Arizona conducted from summer to fall of 2015. The survey collected information specific to the hiring and training of newly graduated nurses because they are at particular risk for unemployment during a weak...