Does ACO Adoption Change the Health Workforce Configuration in US Hospitals?

Since Accountable Care Organizations (ACOs) were first recognized in Medicare regulations in 2011, their numbers have been growing rapidly. Yet little is known about the way delivery systems adjusted to the change, and specifically about how those changes affect the health care workforce in hospitals. This report provides a descriptive analysis of workforce differences between…

Workforce Planning & Development in Times of Delivery System Transformation: The Stories of Kaiser Permanente and Montefiore Health System

Many health systems are taking bold measures to reorganize how they deliver care in response to the implementation of the Affordable Care Act (ACA). The authors focused on 2 very different health systems, Kaiser Permanente and Montefiore Health System, to better understand how they are adapting to and planning for workforce changes in the post-ACA…

Perceptions of Electronic Health Records Effects on Staffing, Workflow, & Productivity in Community Health Centers

Significant Federal investments have motivated many community health centers (CHCs) to implement electronic health records (EHRs) in recent years. Because CHCs are known to use flexible and innovative staffing models, their uptake of EHRs creates a unique opportunity to study how new technology intersects with staffing changes to influence care delivery. This report helps to…

Use of Telehealth at NHSC Grantee Sites

Telehealth has long been viewed as an important pathway for increasing access to care for underserved populations, while providing high quality care at low cost. The spread of telehealth in the United States, however, has been hampered by a range of reimbursement, equipment costs, and licensure barriers. ​ This report examines the extent to which…

Using a New Evidence-Based Health Workforce Innovation Research Framework to Compare Innovations in Community Health Center and Other Ambulatory Care Settings

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…

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…

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