Between February and July 2015 researchers at the Oral Health Workforce Research Center (OHWRC) completed case studies at 8 FQHCs headquartered or operating satellite clinics in 9 states. This report explores the barriers and facilitators to integration of oral health services with primary health care delivery in federally qualified health centers (FQHCs) across the United…
Community health centers (CHCs) represent an important and unique component of America’s health care system. Because of their mission of comprehensive and community-oriented primary care, CHCs typically provide a broader array of services than most other American medical practice settings. This report describes the changes in the workforce of community health centers from 2007 to…
Personal care assistants (PCAs) provide support that enables older adults and individuals with disabilities to remain in home and community settings. This study characterizes the role played by family members and non-family PCAs in California’s Medicaid program, which oversees the nation’s largest consumer-directed personal care assistance program. We describe factors that affect turnover among PCAs,…
Team‐based care involving physician assistants (PAs) and nurse practitioners (NPs) is one recommended strategy for improving access and quality and reducing cost in the patient‐centered medical home (PCMH). PAs and NPs can, and do, perform a variety of roles on primary care teams. This suggests that there is plasticity within the professions and between PAs,…
Licensed practical nurses (LPNs), referred to as licensed vocational nurses (LVNs) in some states, are the second-largest health care occupation that requires postsecondary education. More LPNs work in long-term care (LTC) than in any other sector. Demand for LPNs among long-term care providers is expected to increase substantially over the next several decades. Thus, there…
Individuals living in long-term care (LTC) facilities or receiving in-home care (IHC), are significantly more likely to have poorer oral health status compared to individuals living independently. Despite this increased risk, provision of dental services in LTC settings is limited. As the Baby Boomer Generation ages into LTC, the number of individuals requiring dental care…
Peer providers are individuals hired to provide direct support to those undertaking mental health (MH) or substance use disorder (SUD) recovery, often referred to in the literature as “consumers.” The Substance Abuse and Mental Health Services Administration (SAMHSA) defines a peer provider as “a person who uses his or her lived experience of recovery from…
While Medicaid dental coverage for children is relatively consistent across the 50 states, dental benefits for Medicaid-enrolled adults vary significantly from state to state. As a result of the recent economic recession, many states have moved to limit Medicaid expenditures for dental care. As of 2012, 22 states, including Oklahoma, either offer no adult dental…
Many healthcare organizations in the US have pursued new staffing or team arrangements to meet the challenges of increasing access to care, improving quality, and controlling costs. While much has been written about “health workforce innovation”, the field lacks a comprehensive framework to classify existing innovations and guide the development of new research questions. This…
As health systems continue to evolve toward more managed care models, care coordinators are playing an increasingly important role in ensuring that people with Alzheimer’s disease or related dementias (ADRD) receive appropriate, well-coordinated, and cost-effective care. Research has shown that effective care coordination and referral to services and supports for patients with ADRD and their…
