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Chapter 8: The Oral Health Workforce
05-01-20
The dental team is becoming increasingly interprofessional, working collaboratively with medical, social, and mental health professionals. This chapter defines the types of personnel involved in the provision of oral healthcare services, explores the evolution of individuals engaged in oral...
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2018 Survey of Registered Nurses
05-01-20
The 2018 Survey of Registered Nurses provides information about the demographics, education, employment, and satisfaction of nurses with California RN licenses.
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Survey of Nurse Employers in California, Fall/Winter 2018-19
04-23-20
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 survey of hospital RN employers; these surveys provide an opportunity to evaluate overall demand for...
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Ensuring and Sustaining a Pandemic Workforce
04-08-20
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 surge of critically ill patients. But additional actions are needed to rapidly increase health...
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There Are Not Nearly Enough Nurses to Handle the Surge of Coronavirus Patients: Here’s How to Close the Gap Quickly
03-31-20
Recent analyses have raised concerns about whether the United States has enough hospital capacity for a surge of patients needing care for COVID-19 infections. But even if we can double or triple the number of intensive care unit (ICU) beds, we don’t have enough nurses to staff them. How can we...
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2018-2019 Annual School Report: Data Summary for Pre-Licensure Nursing Programs
03-11-20
The 2018-2019 Board of Registered Nursing (BRN) School Survey was based on prior BRN surveys and modified based on recommendations from the Nursing Education & Workforce Advisory Committee (NEWAC), which consists of nursing education and industry stakeholders from across California.
This survey...
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California’s Psychiatry Workforce Challenges
03-02-20
In his 2020 State of the State address, California Governor Gavin Newsom called for the state’s counties to spend Mental Health Services Act funds more quickly to assist the 1 in 6 California adults who suffer from mental illness and the 1 in 13 California children who suffer from a serious...
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2018-2019 Annual School Report: Data Summary and Historical Trend Analysis
02-14-20
The 2018-2019 Board of Registered Nursing (BRN) School Survey was based on prior BRN surveys and modified based on recommendations from the Nursing Education & Workforce Advisory Committee (NEWAC), which consists of nursing education and industry stakeholders from across California.
This...
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Left Behind in California: Comparing Community Paramedicine Policies Across States
11-14-19
Community paramedicine is a growing health care model in which emergency medical professionals such as paramedics and emergency medical technicians (EMTs) work beyond their traditional emergency care roles and provide nonemergency care. This model is based on local need and seeks to avoid...
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California’s Midwives: How Scope of Practice Laws Impact Care
10-16-19
California and the United States face shortages of qualified clinicians to provide prenatal, labor, and postpartum care, as well as women’s health services.There has been no growth in the number of obstetricians nationwide since 1980 despite increases in the number of women of childbearing age and...
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The Impact of Emerging Technologies on Long-Term Care and the Health Workforce
08-01-19
New technological advances could mitigate rising health workforce demand, but will not replace the direct care workforce, according to this report. The report includes a taxonomy of currently available and emerging technology categories based on the products sold by 115 companies, in addition to...
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Home And Community-Based Workforce For Patients With Serious Illness Requires Support To Meet Growing Needs
08-01-19
Home health and personal care aides are one of the largest groups of health care workers in the US, with nearly three million people providing direct care for people with serious illness living in the community. These home care workers face challenges in recruitment, training, retention, and...
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Envisioning an Ideal Health Workforce Data System for California
07-23-19
Seven million Californians, the majority of them Latino, African American, and Native American, live in areas experiencing shortfalls of primary care, dental care, or mental health care providers. Without accurate, robust and timely health workforce data, the state will be unable to adequately...
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
07-08-19
There are insufficient numbers of practicing geriatricians to meet current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans rapidly increases. Understanding how to best leverage geriatricians as members of an overall care team...
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Home Health Aides and Personal Care Assistants: Scope of Practice Regulations and Their Impact on Care
06-27-19
By 2030, California’s senior population will double to 9 million, but the state faces an estimated shortage of 200,000 home health and home care aides. To exacerbate the problem, California’s home health and home care aides are underutilized because of some of the most restrictive scope of practice...
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Introduction to Special Issue: The Workforce for Seriously Ill Older Adults in the Community
05-10-19
In May 2018, 40 leaders and scholars from universities, delivery organizations, professional associations, advocacy groups, government agencies, and private insurance companies convened in Napa, California, for a Workforce Summit organized by the University of California, San Francisco, and...
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Consensus-Based Recommendations for an Adequate Workforce to Care for People with Serious Illness
05-10-19
The lack of an adequately prepared workforce is a critical barrier to delivering high-quality community-based care for individuals living with serious illness. This article presents 16 consensus-based recommendations to improve the capacity of the workforce in this area within the next 5 years,...
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CIN Connections, Spring 2019: Managing Financial Risk and Total Cost of Care
04-18-19
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 across the state who share their experiences managing risk and total cost of care. Included in this...
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Nurse Practitioner and Physician Assistant Waivers to Prescribe Buprenorphine and State Scope of Practice Restrictions
04-10-19
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 prescribe buprenorphine beginning in 2016. They investigated the proportions of NPs and PAs with waivers in...
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Demand for Registered Nurses in California: The California Chief Nursing Officer Survey, 2017
03-27-19
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 information specific to the hiring of newly-graduated nurses.
Results
The vast majority of hospital chief...
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Comparing Forecasts of Registered Nurse Supply and Demand for California
03-27-19
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, employers, and policymakers to take action to ensure that supply is adequate to meet future health...
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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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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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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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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...