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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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National Trends in School-based Health Centers With and Without Mental Health Providers
08-01-17
Children and adolescents exposed to chronic trauma have a greater risk for mental health disorders and school failure. Children and adolescents of minority racial/ethnic groups and those living in poverty are at greater risk of exposure to trauma and are less likely to have access to mental health...
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Supporting the Integration of Community Health Workers into Health Care Teams in California
07-06-17
Community health workers (CHWs) and promotores de salud are playing an increasingly important role in the delivery of high quality and equitable health related services, particularly to vulnerable populations. Using a Theory of Change framework, this report connects intervention and support...
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The Pediatric Dental Workforce is Changing: What Does it Mean for Patient Outcomes?
06-02-17
Research examining productivity, quality and outcomes of traditional pediatric dental care are generally lacking. The literature shows that education, qualifications, and roles are changing with case examples of success, but what these changes portend for patient care remains an open question. New...
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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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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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Review of Recent Literature on Peer Support Providers
03-23-17
This report updates a literature review on peer support providers prepared in 2015. Peer support workers fulfill a broad range of tasks ad job titles, in a broad range of mental health and substance use disorders recovery settings, and in various service models, although there is a lack of...
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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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Characteristic Differences Between School-Based Health Centers With and Without Mental Health Providers: A Review of National Trends
02-14-17
Minority racial/ethnic pediatric populations and those living in poverty are at greater risk of exposure to trauma, development of mental health disorders and school failure, yet are less likely to have access to mental health services (MHS). School-based health centers (SBHCs) staffed with mental...
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New Roles for Medical Assistants in Innovative Primary Care Practices
01-31-17
This publication, which is part of a special issue for the journal Health Services Research on the evolving US health care workforce, describes innovative roles for medical assistants (MAs) in the rapidly changing health care environment.
Medical assistants are one of the fastest growing...
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The Dental-Medical Divide
12-05-16
The importance of oral health for overall well-being cannot be overstated. Yet the US dental delivery system struggles to address effectively the two most common oral diseases (caries and periodontal disease), which are among the most prevalent of all chronic diseases and are largely preventable....
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New Model of Paramedicine Could Reduce Demand for Long-Term Care
11-17-16
Mobile integrated healthcare – community paramedicine (MIH-CP) is a new model of care that trains paramedics to deliver a broader range of services than traditional emergency response and transport of people to emergency departments (ED). By 2014, more than 100 emergency medical services (EMS)...
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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...
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Evolving Delivery Models for Dental Care Services in Long-Term Care Settings: 4 State Case Studies
02-05-16
As the Baby Boomer Generation ages into long-term care (LTC) facilities, the number of individuals requiring dental care will rise, but these systems are not set up to adequately meet their needs. The supply of dentists is projected to increase; however, enormous barriers to dental care continue to...
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Provider Attitudes Toward the Implementation of Clinical Decision Support Tools in Dental Practice
12-10-15
This is the first study to examine dental provider attitudes toward the implementation of CDS tools incorporated within an electronic health record. Provider attitudes toward CDS tools can shape the entire implementation process for better or worse. This study contributes to the literature by...
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Impact of the 2010 Affordable Care Act on the California Health Care Labor Force
11-16-15
As health care shifts away from a fee-for-service model as a result of the Affordable Care Act (ACA), health care workers in California will be called upon to develop new skills and fill new roles. The study’s authors analyzed state and national health care data and conducted in-depth interviews...
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Impact of State Scope of Practice Laws and Other Factors on the Practice and Supply of Primary Care Nurse Practitioners
11-16-15
This project explored the effects of nurse practitioner (NP) scope of practice (SOP) legislation on the distribution and practice patterns of NPs as well as their billing practices. The goal was to understand where and how NPs are practicing, identify barriers that limit the degree to which NPs are...
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Nursing in a Transformed Health Care System: New Roles, New Rules
06-26-15
Although the supply of nurses is likely to meet overall demand, the nature of a nurse’s job is changing dramatically. In redesigned health care systems, nurses are assuming expanded roles for a broad range of patients in ambulatory settings and communitybased care. These roles involve new...
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Positioning Medical Assistants for a Greater Role in the Era of Health Reform
06-13-15
Medical assistants (MAs) are one of the fastest-growing occupations in the United States. As of 2014 there were about 585,000 MAs in the United States, and the Bureau of Labor Statistics projected the MA workforce to grow by 29% from 2012 to 2022. The MA population is primarily female, ethnically...
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Medical Laboratory Technicians in California: Lessons from the Field
04-22-15
Licensed Medical Laboratory Technicians, or MLTs, are a relatively new occupation in California. In 2002, California legislation authorized the creation of the MLT job category (SB 1809) and delineated educational and licensing requirements. Although all other states and the US military have...
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Reflections and Responses: Six Models for Understanding How Families Experience the System of Care for Children with Special Health Care Needs
11-13-14
During the spring and summer of 2013, some 61 stakeholders—including 52 parents of children with special heath care needs and nine providers and policymakers—were systematically interviewed for their responses to and reflections on six ethnographic models produced for the Lucile Packard Foundation...
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Electronic Health Record Availability Among Advanced Practice Registered Nurses and Physicians
11-01-14
OBJECTIVES: To characterize availability of electronic health records (EHRs) at the primary practice locations of certified nurse midwives (CNMs), nurse practitioners (NPs), and physicians in California prior to the implementation of the state's Medicaid EHR incentive program.
STUDY DESIGN AND...
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Scope-of-Practice Laws for Nurse Practitioners Limit Cost Savings that can be Achieved in Retail Clinics
11-01-13
Retail clinics have the potential to reduce health spending by offering convenient, low-cost access to basic health care services. Retail clinics are often staffed by nurse practitioners (NPs), whose services are regulated by state scope-of-practice regulations. By limiting NPs’ work scope,...
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Patient-Centered Medical Home Model: Do School-Based Health Centers Fit the Model?
08-01-13
School-based health centers (SBHCs) are an important component of health care reform. The SBHC model of care offers accessible, continuous, comprehensive, family-centered, coordinated, and compassionate care to infants, children, and adolescents. These same elements comprise the patient-centered...
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The Impact of the Affordable Care Act on New Jobs
10-19-12
This report explores entry-level and low-skill job opportunities that will expand due to ACA implementation. The analyses draw from estimates of future health worker demand published by the U.S. Bureau of Labor Statistics (BLS) and a unique analysis of the effect of the ACA on job growth developed...
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Round Two, Jobs Idea #9 New Jobs from the Affordable Care Act
10-19-12
Implementation of the Affordable Care Act will stimulate demand for workers in health care services, an industry in which job growth is already strong. Preparing future entry-level employees to join the field, however, calls for establishing sectoral training strategies that align workers’ skills...
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Envisioning Enhanced Roles for In-Home Supportive Services Workers in Care Coordination for Consumers with Chronic Conditions: A Concept Paper
09-01-12
This concept paper explores the feasibility of creating opportunities for IHSS workers to play enhanced roles in providing care to their clients and to earn higher wages for fulfilling these roles. Currently there are no training requirements for personal care aides in California, and very few...
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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...