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Survey of Nurse Employers in California, Fall 2010
06-11-11
This report summarizes the findings of a survey conducted in fall 2010 of general acute care hospital employers of registered nurses (RNs) in California. This survey was designed to evaluate the overall demand for RNs in the state, and to examine the capacity of acute care hospitals to hire new RN...
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The Effect of Minimum Nurse Staffing Legislation on Uncompensated Care Provided by California Hospitals
06-01-11
This study assesses whether California’s minimum nurse staffing legislation affected the amount of uncompensated care provided by California hospitals. Using data from California’s Office of Statewide Health Planning and Development, the American Hospital Association Annual Survey and InterStudy,...
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Northwestern Memorial Physicians Group - Clinical Career Ladder for Medical Assistants
05-30-11
Northwestern Memorial Physicians Group (NMPG) took the unusual step of developing a clinical career ladder for its medical assistants (MAs) in 2003, and, more recently, for its patient services representatives (PSRs). Medical assistants are the largest group of non-licensed employees at NMPG....
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The Pathway to Leadership: Lessons from Clinic Leadership Institute
05-01-11
The community health center movement that was founded in the mid-1960s has since grown into a complex system of clinics that are critical to the delivery of high quality, comprehensive health care services for poor and underserved populations across California and the nation. Historically,...
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PeaceHealth’s Team Fillingame Uses Patient Activation Measure to Customize the Medical Home
05-01-11
PeaceHealth Medical Group received a grant to pilot a patient-centered medical home in one of its practices in Eugene, Oregon. “Team Fillingame” revised staff roles and added a part-time mental health worker to address patients’ social, behavioral and medical needs. Using a patient activation...
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University of Utah Community Clinics - Medical Assistant Teams Enhance Patient-Centered, Physician-Efficient Care
04-01-11
The University of Utah Community Clinics’ success in achieving a remarkable financial turnaround empowered the organization to innovate further in order to improve the patient experience. The organization implemented a team-based model of care that increased the ratio of medical assistants (MAs)...
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UC Davis Family Practice Center—Medical Assistants Anchor Residency-based Medical Home
04-01-11
In response to long wait times and low patient satisfaction scores, the University of California, Davis Medical Center Department of Family and Community Practice redesigned its residency-based Family Practice Center into a Patient-Centered Medical Home (PCMH). This model expanded the role of...
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Nurse Staffing Effects on Patient Outcomes: Safety-Net and Non-Safety-Net Hospitals
04-01-11
BACKGROUND: Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units.
OBJECTIVE: To determine the relationship between nurse staffing in general...
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A Study of California Nurses Placed on Probation
03-19-11
The California Board of Registered Nursing (BRN) is responsible for protecting the health and safety of the public by regulating registered nurses (RNs) in the state. Nurses put on probation by the BRN have been disciplined for behavior that could jeopardize patient health or safety. Thus,...
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Hospital RN Job Satisfaction and Nurse Unions
03-11-11
The objective of the study was to examine whether unionization is associated with job satisfaction among RNs in the United States using nationally representative surveys of RNs. Factors that predict job satisfaction for RNs in healthcare continue to be of great concern to nurse administrators and...
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California Board of Registered Nursing 2009-2010 Annual School Report Data Summary for Pre-Licensure Nursing Programs
02-09-11
The survey collects data about nursing programs and their students and faculty from August 1 through July 31. Annual data presented in this report represent August 1, 2009 through July 31, 2010. Demographic information and census data were requested for October 15, 2010.
Data from pre- and post-...
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The Effect of Unions on the Distribution of Wages of Hospital-Employed Registered Nurses
01-11-11
AIMS AND OBJECTIVES: We estimate the impact of unionisation on the wage structure of hospital-employed registered nurses in the USA. We examine whether unions have an effect on wage differences associated with race, gender, immigration status, education and experience, as well as whether there is...
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Collaborative Practice in American Dentistry: Practice and Potential
01-01-11
As the US seeks to improve the effectiveness and accessibility of the oral health care delivery system – in order to reduce stark disparities in oral health utilization and outcomes that exist in this country – new and innovative models of practice will be necessary. One model includes...
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Alternative Practice Dental Hygiene in California: Past, Present, Future
01-01-11
This study examines the development of the registered dental hygienist in alternative practice in California through an analysis of archival documents, stakeholder interviews, and two surveys of the registered dental hygienist in alternative practice. Designing, testing and implementing a new...
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Hospital Information Technology Systems' Impact on Nurses and Nursing Care
12-11-10
OBJECTIVE: We conducted a review of the literature to determine the impact of health information technologies (HITs) on nurses and nursing care.
BACKGROUND: Nurses' effective use of HIT has the potential to produce a positive impact on nursing-sensitive patient outcomes, patient safety, and quality...
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Assessing Workforce Needs and Opportunities for School Based Health Centers in California
12-01-10
School based health centers go beyond the traditional services of a school nurse to provide comprehensive care – including primary and mental health care – to students. The centers are seen as a way to reach populations that would otherwise not be receiving appropriate care. California has many...
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Implementation of a Lifestyle Program in Primary Care by Nurse Practitioners
12-01-10
PURPOSE: The purpose of this study is to describe the implementation process and participant satisfaction with a lifestyle program provided by nurse practitioners (NPs) in primary care to adults at risk for type 2 diabetes (T2D) compared to enhanced standard care.
DATA SOURCES: A mixed-method...
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The Special Care Center—A Joint Venture to Address Chronic Disease
11-01-10
The Atlantic City HEREIU Local 54 Health and Welfare Fund and AtlantiCare Regional Medical Center partnered to develop the “Special Care Center” (SCC), a new clinic that provides coordinated care management to patients with multiple chronic illnesses. The new center recruited and trained a group of...
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Kaiser Permanente Baldwin Park Medical Center Information Technology Propels Expansion of Medical Assistant Role
11-01-10
Kaiser Permanente Southern California has developed an innovative tool, the Proactive Office Encounter (POE), embedded in its cutting-edge electronic health record system, HealthConnect. The POE interface prompts medical assistants and licensed vocational nurses to remind patients at the time of...
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High Plains Community Health Center—Redesign Expands Medical Assistant Roles
11-01-10
High Plains Community Health Center, a federally qualified health center in Colorado, redesigned its workflow to increase productivity by increasing the number of support staff per provider. Medical Assistants (MAs) are cross-trained to rotate through front and back office roles in a team-based...
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California Nurses Facts and Figures, 2010
11-01-10
Close to 300,000 actively licensed registered nurses (RNs) live in California, making nursing the largest health profession in the state. California’s RN workforce has doubled in size since 1980, and RN wage growth has been very strong compared with other health care occupations. Still, the rate...
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Cabin Creek Health Systems-Medical Assistants Provide a Senior Medical Home
11-01-10
Cabin Creek Health Systems, a federally-qualified health clinic in West Virginia, trained a team of experienced Medical Assistants to provide risk assessments and care coordination to elderly patients, and to conduct home visits to frail elderly patients in remote rural areas. The organization...
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The Impact of National Health Care Reform on California's Health Workforce
10-11-10
Policy brief on the impact of the Affordable Care Act on demand for health professionals in California and on provisions of the Affordable Care Act that address health workforce needs.
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Is There Monopsony in the Labor Market? Evidence from a Natural Experiment
10-11-10
Recent theoretical and empirical advances have renewed interest in monopsonistic models of the labor market. However, there is little direct empirical support for these models. We use an exogenous change in wages at Department of Veterans Affairs (VA) hospitals as a natural experiment to...
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Strengthening the Leadership Pipeline: The Experience to Date of the Inaugural Cohort of Blue Shield of California Foundation’s Clinic Leadership Institute
10-04-10
As many tenured nonprofit leaders prepare to transition out of leadership roles, studies predict an approaching gap in the leadership pipeline. They report that a limited number of “next generation leaders” are ready and eager to accept senior leadership positions. This impending gap is evident in...
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Union Health Center—Pioneering the Ambulatory Intensive Caring Unit
10-01-10
In 2005, the UNITE HERE (Union) Health Center in New York City embarked on a new initiative that expanded the role of medical assistants (MAs) to provide team-based care and health coaching for patients with chronic diseases. This initiative includes the creation of a career ladder for medical...
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Men of Color in California’s Health Professions Education Programs
10-01-10
It has long been known that certain ethnic and racial groups are underrepresented in the health professions. We looked specifically at participation rates of men of color in health professions education programs in California and found that the representation of African American and Latino men is...
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From the Perspective of CEOs: What Motivates Hospitals to Embrace Cultural Competence?
09-19-10
The quality domains of patient-centered and equitable care are increasingly relevant to today's healthcare leaders as hospitals care for patients with increasingly diverse cultural and linguistic needs. Hospital leaders face substantial tensions in defining their organization's strategic priorities...
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Changes in Nurse Satisfaction in California, 2004 to 2008
07-11-10
AIM: To examine whether there were improvements in the satisfaction of hospital-employed registered nurses (RNs) in the mid-2000s.
BACKGROUND: In recent years, many hospitals have made efforts to improve workplace characteristics, in order to improve nurse satisfaction and retention. There has...
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Nurses Who Do Not Nurse: Factors That Predict Non-Nursing Work in the U.S. Registered Nursing Labor Market
07-10-10
Registered nurses (RNs) who work outside of nursing have seldom been examined. This aim of this study was to compare the 122,178 (4%) of RNs who are employed outside of nursing to those who work in nursing jobs in terms of sociodemographic, market, and political variables to determine if these...