Case Studies of 8 Federally Qualified Health Centers: Strategies to Integrate Oral Health with Primary Care

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…

The Changing Community Health Center Workforce: 2007-2013

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…

California’s Medicaid Personal Care Assistants: Characteristics and Turnover Among Family and Non-Family Caregivers

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,…

Physician Assistant and Nurse Practitioner Roles in Patient‐Centered Medical Homes

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,…

Dementia Care Coordination Workforce and Practices in Seven Duals Demonstration States

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…

The Peer Provider Workforce in Behavioral Health: A Landscape Analysis

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 mental illness and/or addiction, plus skills learned in formal training, to deliver services in behavioral health settings to promote mind-body recovery and resilience. Peer providers have traditionally worked as…

Diffusion of Physicians and Access To Primary Care: The Role of Person, Program, and Place

The local supply of physicians in any community, especially smaller and rural communities, depends on a flow of physicians into those communities from the places where they train or from more populous locations that may have more than enough physicians to meet population needs. This research brief explores whether it is possible to predict that…

The Dental Assistant Workforce in the United States, 2015

Dental assistants (DAs) are important members of the oral health workforce team and perform a variety of clinical and administrative tasks. However, requirements for entry into the workforce, allowable tasks, and supervision vary by state. This report examines the dental assistant workforce to better understand roles, functions, and contributions to improving population oral health.ArrayReport Arrayhttps://www.oralhealthworkforce.org/wp-content/uploads/2015/11/Dental_Assistant_Workforce_2015.pdfOctober…

Trends in Licensed Practical Nurse/Licensed Vocational Nurse Education and Licensure

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…

Evolving Delivery Models for Dental Care Services in Long-Term Care Settings: 4 State Case Studies

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…

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