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Assessing the Job Satisfaction of Registered Nurses Using Sentiment Analysis and Clustering Analysis
08-12-21
Job satisfaction is a critical component of the professional work environment and is often ascertained through surveys that include structured or open-ended questions. Differences between the job satisfaction clusters were mostly driven by satisfaction with workload, adequacy of the clerical...
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The Impact of the COVID-19 Pandemic on California’s Registered Nurse Workforce: Preliminary Data
08-01-21
During the COVID-19 pandemic, numerous concerns about the nursing workforce have been reported. This study used data from two surveys conducted in California to assess the current and future supply and demand of RNs and to learn how the coronavirus pandemic is affecting this essential workforce.
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The CMS State Innovation Model Initiative and Improved Health Information Technology and Care Management Capabilities of Physician Practices
08-01-21
The Centers for Medicare and Medicaid Services’ (CMS) State Innovation Models (SIMs) initiative funded 17 states to implement health care payment and delivery system reforms to improve health system performance. This study aimed to evaluate SIMs role in improved health information technology (HIT)...
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Patient Perspectives on the Quality of Professional Interpretation: Results from LASI Study
08-01-21
The use of professional interpretation is associated with improvements in overall healthcare of patients with limited English proficiency. For these patients, it is important to understand whether quality of professional interpretation in-person is preserved using remote interpretation modalities (...
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The Role of Schedule Volatility in Home Health Nursing Turnover
07-26-21
Despite considerable research on nursing turnover, few studies have considered turnover among nurses working in home health care. Using novel administrative data from one of the largest home health care organizations in the United States, this study examined turnover among home health nurses,...
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Personal Care Assistance in Rural America
07-26-21
PCAs provide essential services for people with self-care disabilities (eg, difficulty dressing, bathing, and running errands) and yet are not sufficiently available where there are higher numbers of people with self-care disabilities. This StoryMap online resource explores where people with...
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Recommendations to Deliver Person-Centered Long-Term Care for Persons Living With Dementia
07-02-21
Person-centered care (PCC) is the standard for the delivery of long-term services and supports (LTSS). In this article, we summarize the state of the science on meaningful outcomes and workforce development and discuss what is needed to ensure that person-centered LTSS becomes a universal reality....
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Barriers and Facilitators of Advanced Practice Registered Nurse Participation in Medication Treatment for Opioid Use Disorder
07-01-21
The misuse of opioids is a health crisis in the United States. Medication treatment for opioid use disorder reduces negative health outcomes, but there are widespread shortages of appropriately trained and credentialed providers. Advanced practice registered nurses (APRNs) have recently become...
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2019-2020 Annual School Report: A Presentation of Post-Licensure Nursing Programs in California
06-30-21
The 2019-2020 Board of Registered Nursing (BRN) School Survey was designed to provide comparable data to prior surveys and was updated based on recommendations from the Board'sNursing Education and Workforce Advisory Committee. The School Survey is primarily intended to collect data on pre-...
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2019-2020 Annual School Report: Data Summary and Historical Trend Analysis, A Presentation for Pre-Licensure Nursing Programs in California
06-29-21
The 2019-20 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. The...
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A Systematic Review of the Roles and Contributions of Peer Providers in the Behavioral Health Workforce
06-24-21
Approximately 1 in 5 U.S. adults experienced a mental illness in the past year, a number that is expected to rise amid a shortage of mental health and substance use disorder (SUD) providers. One way to address this growing need for behavioral health services is through the use of peer providers, or...
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Health Professionals and Patients in California: Speaking the Same Language
06-21-21
California is facing a shortage of health professionals to meet the needs of its large, diverse, and aging population, and the situation is worsening. Shortages exist across professions and geographies, with sizeable urban and rural underserved populations. Despite increasing population diversity,...
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CIN Connections, Summer 2021: Caring and Sharing: Supporting the Primary Care Workforce
06-21-21
The California Improvement Network is a community of health care professionals committed to identifying and spreading better ideas for care delivery. The summer 2021 issue of CIN Connections contains strategies and reflections from health care leaders as they wrestle with increased levels of...
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Medicare Support for Dental and Podiatry Graduate Medical Education Programs
05-27-21
Oral health care faces ongoing workforce challenges that affect patient access and outcomes. While the Medicare program provides an estimated $14.6 billion annually in graduate medical education (GME) payments to teaching hospitals, including explicit support for dental and podiatry programs,...
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Time to Ensure Sufficient Nursing Home Staffing and Eliminate Inequities in Care
05-26-21
The overwhelming nursing home resident infection and death rates from the COVID-19 pandemic has led to the question: What policies can best protect nursing home residents now and in the future? In this article we present data that inadequate nurse staffing levels and high staff turnover rates are...
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Adolescents' Substance Use and Physical Activity Before and During the COVID-19 Pandemic
05-03-21
Stay-at-home policies related to the COVID-19 pandemic could disrupt adolescents’ substance use and physical activity. This study aimed to compare adolescents’ substance use and physical activity behaviors before and after stay-at-home restrictions. In this cohort, a reduction in e-cigarette use...
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Implementation of Care Coordination and Technology in the Dental Setting to Address High-Risk Patient Needs
05-01-21
Poor oral health, and biological impact of oral disease, affects a person's general health and well-being. Using electronic dental health record data to identify high-risk dental caries patients coupled with a new oral health team member, the dental care advocate (DCA) facilitated the dental...
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2019-2020 Annual School Report: Data Summary for Pre-Licensure Nursing Programs
04-14-21
The 2019-2020 Board of Registered Nursing (BRN) School Survey was designed to provide comparable data to prior surveys and was updated based on recommendations from the Board's Nursing Education and Workforce Advisory Committee. The School Survey is primarily intended to collect data on pre-...
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Envisioning a More Expansive Future for Multidisciplinary Nursing Scholarship and Education
04-12-21
There are indeed many pressing questions and issues facing the discipline of Nursing including significant numbers of faculty retirements, concerns about the rigor of nursing PhD programs, declines in PhD enrollments, and the persistent lack of diversity across many domains among nursing faculty....
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Implementing Care Coordination in a Large Dental Care Organization in the United States by Upskilling Front Office Personnel
04-07-21
Care coordination is a key strategy used to improve health outcomes and efficiency, yet there are limited examples in dentistry. A large dental accountable care organization piloted care coordination by retraining existing administrative staff to coordinate the care of high-risk patients. Following...
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The Association Between Scope of Practice Regulations and Nurse Practitioner Prescribing of Buprenorphine After the 2016 Opioid Bill
04-01-21
This article examines the relationship between federal regulations, state scope-of-practice regulations on nurse practitioners (NPs), and buprenorphine prescribing patterns using pharmacy claims data from Optum’s deidentified Clinformatics Data Mart between January 2015 and September 2018. The...
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California Healthcare Almanac: Physicians
03-05-21
Although the number of active physicians increased by 21% between 2006 and 2018, and exceeded the 10% population growth, many areas in California face substantial shortages of primary care providers and specialists. California Physicians: A Portrait of Practice presents detailed information about...
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California Healthcare Almanac: Nurses
03-04-21
Nursing is the single largest health profession in the state. These quick reference guides look at supply, demographics, education, distribution, and pay for registered nurses (RNs) and licensed vocational nurses (LVNs), using the most recent data available.
Key findings include:
Non-White RNs...
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California Healthcare Almanac: Health Care Workforce
03-04-21
California’s health care industry employed more than 1.7 million people in 2019. Among these workers, nearly 50% were employed in ambulatory settings, 32% in hospitals, and 18% in nursing or residential care facilities. An aging population and population growth will likely contribute to increased...
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CIN Connections, Spring 2021: Addressing Racism to Improve Health
03-02-21
This issue of CIN Connections contains strategies and reflections from health care leaders as they grapple with how to abolish racism to improve health and remove roadblocks to real health equity. Hear from Dr. Rhea Boyd of the California Children’s Trust and of 2-1-1 San Diego about how structural...
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Investing in Leadership Development: A Tool for Systems Change in the Community Health Center Field
03-01-21
Over the course of 12 years, the Blue Shield of California Foundation committed nearly $20 million to growing a pool of community health center leaders who were prepared to be effective agents of change in their organizations and in the safety net field. This signature investment, the Clinic...
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Evaluation of California’s Community Paramedicine Pilot Program
02-19-21
Community paramedicine, also known as mobile integrated health, is an innovative model of care that is being implemented throughout the United States. From 2014 to 2020, the California Emergency Medical Services Authority sponsored a Health Workforce Pilot Project under which specially trained...
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Dental Health Aides: Adapting a Community Health Worker Program to Preventive Dental Care
02-18-21
Community health workers (CHWs) are an increasingly important member of the healthcare and public health professions who help build primary care capacity. Yet, in spite of the exponential growth of CHW interventions, CHW training programs, and CHW certification and credentialing by state agencies,...
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Translating Evidence into Practice: ACOs’ Use of Care Plans for Patients with Complex Health Needs
01-01-21
Care plans are an evidence-based strategy, encouraged by the Centers for Medicare and Medicaid Services, and are used to manage the care of patients with complex health needs that have been shown to lead to lower hospital costs and improved patient outcomes. Providers participating in payment...
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The State of California's Physician Workforce
01-01-21
This report provides California policymakers with up-to-date information about the state’s physician workforce and the pipeline of trainees in the state’s medical schools and graduate medical education (GME) programs, often referred to as residency programs.