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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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The Roles and Value of Geriatricians in Healthcare Teams: A Landscape Analysis
12-21-17
While it is difficult to know the true number of practicing geriatricians, the supply has been negatively affected by tightening certification requirements, relatively low income and negative return on investment. There appears to be consensus that clinical care by geriatricians should be reserved...
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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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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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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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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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Physician Participation in Medi-Cal: Is Supply Meeting Demand?
06-29-17
Enrollment in Medi-Cal, California's Medicaid program, surged with the implementation of the Affordable Care Act (ACA), from 8.6 million in September 2013 to 13.4 million three years later. Medi-Cal now covers nearly one in three Californians. These Medi-Cal enrollees benefit from no- or low-cost...
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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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California Respiratory Care Workforce Study
05-20-17
The Respiratory Care Board of California was facing numerous issues that were expected to affect the future of the respiratory care workforce. These issues included the impact of changing the educational requirement for entry into practice from an associate’s degree to a baccalaureate degree; the...
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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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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 State of the California Medical Laboratory Technician Workforce
01-30-17
As labs face workforce shortages, could medical laboratory technicians (MLTs) help fill the gap? California faces laboratory workforce shortages to meet the healthcare demands of the population. This national study compares the California MLT workforce to the rest of the country. The California MLT...
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Utilization of Community Health Workers in Emerging Care Coordination Models in California
01-24-17
Community health workers (CHWs) and promotores de salud are playing an increasingly important role in community-based and clinical care settings. This research, supported by the Blue Shield of California Foundation, represents the culmination of the first phase of a two-part project aimed at...
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Remote Monitoring Technologies in Long-Term Care: Implications for Care Team Organization and Training
01-05-17
There is a widely accepted observation that the current health care delivery model in the U.S was not developed to manage care needs associated with extended life expectancy and growing rates of chronic conditions. Remote monitoring programs aim to anticipate/identify illness exacerbations and...
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The Black Dentist Workforce in the United States
12-21-16
The Black population in the US experiences disparities in oral health. Black adults are twice as likely to have unmet dental needs when compared to Whites and face many barriers to accessing dental care. What role could the lack of racial diversity in the dental workforce play? This study finds...
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The American Indian and Alaska Native Dentist Workforce in the United States
12-14-16
The purpose of this article is to describe the American Indian/Alaska Native (AI/AN) dentist workforce, the general practice patterns of these providers, and their contributions to oral health care for AI/AN and underserved patients.
Full Publication
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Underrepresented Minority Dentists: Quantifying Their Numbers And Characterizing The Communities They Serve
12-05-16
The underrepresentation of Blacks, Hispanics or Latinos, and American Indians or Alaska Natives among dentists raises concerns about the diversity of the dental workforce, disparities in access to dental care and in oral health status, and social justice. We quantified the shortage of...
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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)...