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…
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…
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…
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…
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…
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…
