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Moral Injury Awareness and Prevention in Healthcare Organizations: A Blueprint Informed by the COVID-19 Pandemic
04-19-24
Moral injury is lasting psychological and spiritual distress that stems from violating one’s values or feeling betrayed by a trusted institution or authority. Moral injury is associated with post-traumatic stress (PTSD), depression, anxiety, substance use, functional impairments, and suicide risk....
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Be Kind. Use Systems. Improve Care
01-26-23
Most people’s perspective of health care carries an expectation that patients will be treated with kindness and empathy by health care workers. However as rates of burnout among workers rise, empathy and patience are in shorter supply. What can organizations do to support their staff to deliver...
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Rural Access to Leadership Development in California: Needs and Opportunities
11-18-22
Nationwide experts on rural health assert that leadership training would benefit health and health care in rural communities. Most available leadership development programs for health care leaders in rural and border regions of California are year-long hybrid or virtual only. Existing programs have...
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CIN Connections, Winter 2022 — Centering Equity in Health Care Improvement
01-11-22
The California Improvement Network (CIN) is a community of health care professionals committed to identifying and spreading ideas for better primary care delivery. This issue of CIN Connections offers ways to implement quality improvement efforts that intentionally advance health equity in primary...
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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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CIN Connections, Fall 2020: Emerging Innovations: Health Care During a Pandemic
11-16-20
The year 2020 has been unlike any other. The changes we’re now seeing in our clinics and through our screens, and the methods being used to address patient needs that we hadn’t previously considered will impact health care for years to come. This issue of CIN Connections features reflections from...
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Policies Matter! Factors Contributing to Nursing Home Outbreaks During the COVID-19 Pandemic
10-27-20
Between February 2020 when the COVID-19 pandemic began and August 2020, the nation has watched over 5.2 million individuals become infected and over 167,000 deaths. Unfortunately, many of the infections and deaths have been nursing home residents and staff. To date, the Centers for Medicare and...
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CIN Connections, Spring 2020: Foundations for Health
04-08-20
The California Improvement Network’s (CIN) latest report, CIN Connections: Foundations for Health, features tips for resilient leadership and building partnerships between health providers and community-based organizations from Access Community Health Network’s chief operating officer, Donna...
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CIN Connections, Summer 2019: Leadership for Continuous Change and Improvement
07-18-19
With rising costs, increasing burnout, and a rapidly changing environment, health care leaders may feel like they’re facing an uphill battle. This issue of CIN Connections features tips, advice, and actionable information for health care leaders to effectively lead change in their organizations....
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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 the Special Issue on 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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Proceedings: Workforce Summit on Ensuring a Workforce to Care for People with Serious Illness in the Community
02-03-19
In May, 2018, 40 national leaders and experts were convened to make workforce development recommendations that address the needs of persons living with serious illness in community settings. Over the course of two and a half days, attendees offered sixteen broad recommendations that included...
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Strengthening The Workforce For People With Serious Illness: Top Priorities From A National Summit
11-15-18
The United States will experience significant growth of the population older than age 65 in the coming decades, which will contribute to an increase in the number of people living with chronic and serious illnesses in the community. Field experts, policy makers, and health care leaders have...
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CIN Connections, Spring 2018: Healing the Healers
04-20-18
The California Improvement Network’s report, CIN Connections: Healing the Healers, features actionable information to tackle provider burnout and promote well-being at health care organizations. It includes an interview with Mickey Trockel, MD, PhD, from Stanford Medicine WellMD Center, who...
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New Survey Finds that California Needs More Highly Skilled and Experienced Nurses
04-09-18
As the registered nurse (RN) baby boomers retire, there is a need for more highly skilled and experienced nurses in California, according to a new survey published by Healthforce Center at UCSF and the UCSF Institute for Health Policy Studies.
This report summarizes the findings from the eighth...
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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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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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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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Survey of Health Care Employers in Arizona: Maricopa County Community Health Centers, 2015
07-26-16
A survey of Arizona health care employers was conducted by the University of California, San Francisco (UCSF) in the spring of 2016. The survey captured responses from 59 percent of the community health centers (CHCs) in Maricopa County. This is the first survey of Maricopa County CHC employers and...
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Survey of Health Care Employers in Arizona: Home Health Agencies, 2015
07-15-16
UCSF conducted the Survey of Health Care Employers in Arizona: Home Health Agencies, 2015 in the summer and fall of 2015. The survey elicited 25 unique responses, representing 11.4% of the total number of home health agencies in Arizona. Yuma, Gila, and Pinal Counties were not represented in this...
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Differences in Innovative Behavior Among Hospital-Based Registered Nurses
03-30-16
The 2010 Institute of Medicine report, "The Future of Nursing: Leading Change,Advancing Health," advocated for nurses to innovate in their practice, research, and education. However, little is known about the innovative behavior of registered nurses or whether there are differences in innovative...
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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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Forces for Change – Alumni Stories Showcase the Impact of Healthforce Center’s Leadership Programs
11-01-15
This leadership report highlights the impact of Healthforce Center’s leadership programs across a diverse group of six leaders. All six individuals graduated from their respective programs having significantly enhanced their leadership capabilities and made meaningful and measurable improvements...
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Nurse Staffing Ratios: Policy Options (in Policy and Politics in Nursing and Health Care, 7th edition, 2015)
07-29-15
Policy & Politics in Nursing and Health Care, 7th Edition is the leader in helping students develop skills in influencing policy in today’s changing health care environment. Approximately 150 expert contributors present a wide range of topics in this classic text, providing a more complete...
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Preparing the Next Generation of Health Center Leaders: The Experience of the Clinic Leadership Institute's Emerging Leaders Program
05-01-15
Since its launch in 2008, the Clinic Leadership Institute Emerging Leaders Program (the Program) has been at the forefront of efforts to cultivate the leadership pipeline in California’s community health centers field. Created through a partnership between Blue Shield of California Foundation and...
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Training Pharmacy Leaders: How Educators Can Help Develop Agents of Change
11-10-14
The forces at play in today's health care environment are unprecedented. The Affordable Care Act (ACA), with its yet-to-be-defined impact on care deliver, the recent passage of California Senate Bill 493 (SB 493), and the "triple aim" goal to deliver better care to more people at a lower cost, are...
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Building Leadership among Laboratory-based and Clinical and Translational Researchers: the University of California, San Francisco Experience
02-01-14
In 2005 the University of California, San Francisco (UCSF) implemented the Scientific Leadership and Management (SLM) course, a 2-day leadership training program to assist laboratory-based postdoctoral scholars in their transition to independent researchers managing their own research programs. In...
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Charting the Course: Career Paths Among Emerging Health Center Leaders
07-30-13
California’s community health centers face numerous challenges amidst a vast, complex and rapidly evolving healthcare landscape. Chief among these challenges is the need to adapt to changes in the healthcare system resulting from the Patient Protection and Affordable Care Act and remain solvent and...
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Leadership in Action: The Role and Impact of the CHCF Health Care Leadership Program’s California Health Improvement Project (CHIP)
02-21-13
This brief provides an overview of the CHCF Health Care Leadership Program and a summary of results from an assessment of the process and impact of a key component of the program, the California Health Improvement Project (CHIP). CHIPs are leadership projects undertaken by program participants at...
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Leadership Development: A Critical Need in the Dental Safety Net
12-17-12
This research brief presents a qualitative assessment of the leadership training needs of dental directors from community health centers in California. This brief explores dental directors’ roles and responsibilities, their primary challenges as dental directors, and their perceptions of their own...