Social Mission Metrics Priorities II Survey

The Social Mission Metrics Initiative (SMMI) develops a survey instrument that health organizations can use to measure the success of their social mission. Developing such a standardized survey instrument requires that the relative importance of different elements of social mission success are weighted appropriately. This brief describes a study that surveyed hundreds of stakeholders at…

Retention and Attrition of Medicare Buprenorphine Prescribers

Medication-assisted treatment (MAT) has been shown to be effective for treating patients suffering from opioid use disorders (OUD), but there is a shortage of providers with Drug Addiction Treatment Act (DATA) waivers to provide such treatment. Designing policies that would assist in the retention of MAT providers who prescribe buprenorphine is dependent upon learning more…

Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?

Few studies have examined practice redesign to understand how staffing changed with the adoption of patient-centered medical homes (PCMH), and whether these staffing changes impacted utilization. This article examines the workforce transformation occurring in community health centers that have achieved PCMH status and assesses the relationship of those changes to utilization, as measured by the…

The Impact of Medicaid Expansion on Community Health Center Staffing

Over the last 2 decades, community health centers (CHCs) have grown in number and capacity to meet the needs of the uninsured and Medicaid populations. This growth has been accelerated by the Affordable Care Act (ACA), which extended Medicaid eligibility beginning January 1, 2014 to include those with family incomes of less than 138% of…

Clinical Nonlicensed Personnel in US Hospitals: Job Trends From 2010 to 2015

The use of Clinical Support Personnel (CSP), who perform healthcare tasks under the supervision of registered nurses and other licensed healthcare providers, has been used as a primary strategy for managing professional shortages. Despite the large numbers in the health care industry, little is known about the clinical nonlicensed personnel (CNLP) in US hospitals and…

The Changing Roles of Community Health Workers

There is substantial literature suggesting that community health workers (CHWs) are uniquely qualified to address health disparities. Thus it is essential that CHWs develop the competencies required to integrate into rapidly advancing health systems and organizations. This article describes a mixed-methods study that included a literature review, a database analysis, a content analysis of competency…

Nurse-related Clinical Non-licensed Personnel in US Hospitals and Their Relationship With Nurse Staffing Levels

The use of the minimally trained, low wage clinical non-licensed personnel (CNLP), who perform clinical tasks under the supervision of registered nurses (RNs) or other licensed clinical providers, has been a primary strategy for hospitals both to manage professional shortages and reduce costs. This article examines the nurse-related clinical non-licensed personnel (CNLP) staffing in US…

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