Many areas of the US have an inadequate supply of primary care physicians and the insufficiency is expected to increase. To address these concerns, as well as to improve the quality of the care delivered, health policy experts have recommended that medical practices transform and embrace “team-based” care, encouraging a broader range of medical staff…
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…
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…
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…
New payment incentives are encouraging an increasing number of primary care practices to take the steps necessary to be certified as patient-centered medical homes (PCMH). Despite this growing interest in team-based care, little is known about how leaders of primary care facilities decide on the types of providers and support staff to hire, and how…
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…
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…
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…
Community health centers’ (CHCs) patient panels are expected to increase in the coming years. This article examines the relationship between the use of electronic health records and productivity in CHCs.ArrayArticle Arrayhttps://pubmed.ncbi.nlm.nih.gov/27902551/January 1, 2017Array, Array, Array, Array, Array January 1, 2017
