Alternative Payment Models Lead to Strategic Care Coordination Workforce Investments

Care coordination is seen as essential for allowing health systems to adapt to new payment models and policies. However, implementation of care coordination is rarely standardized and can be organized in many different ways. This article describes a study that conducted interviews with leadership and staff at four different health systems participating in new payment…

Employer Demand for Physician Assistants and Nurse Practitioners to care for Older People and People with Disabilities

As the aging population grows, further increasing demand for long-term care (LTC) providers, some evidence suggests that employing more physician assistants (PAs) and nurse practitioners (NPs) may be and effective solution to meeting this demand. This report describes a study that analyzed LTC job posting data from 2014 to better understand employer demand for PAs…

Dementia-Capable Care Coordination in Duals Demonstration Programs: Workforce Needs

Coordinating care for dementia patients who are dually eligible for Medicare and Medicaid can be complex as they involve program requirements, workforce competencies, and other barriers. As the aging population increases, more attention will need to be paid to new and potentially effective care coordination practices. This article describes a mixed-methods study that reviewed policy…

Health Information Technology Implementation: Implications for the Nursing Home Workforce

Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, it has been unclear as to whether HIT systems have had the intended effect on staff productivity and patient outcomes. This report describes a study utilizing a literature review as well as interviews and focus groups…

How Do Long-Term Care Workers Spend Their Time? Answers from the American Time-Use Survey

As the aging population and the demand for long-term care services increases, more information will be needed about what factors contribute to stress, burnout, and retention of long-term care (LTC) workers. This report describes a study that utilized data from the American Time Use Survey from 2003-2014 to compare how LTC workers and other health…

Mobile Integrated Health Care – Community Paramedicine: A Resource for Community-Dwelling People at Risk for Needing Long-Term Care

Mobile integrated healthcare-community paramedicine (MIH-CP) is a new model of care that allows for a broader range of services in the community than more traditional emergency responses that often involve transporting patients to emergency departments. There is growing but limited evidence that suggests MIH-CP has potential to improve outcomes for patients needing long-term care (LTC)….

Few Hospital Palliative Care Programs Meet National Staffing Recommendations

As the aging population increases, the need for palliative care to address serious and chronic illnesses has also increased. However, there is little research on whether palliative care programs meet national staffing guidelines. This article describes an analysis of self-reported operational data on hospital-based palliative care programs from the 2012–13 annual voluntary surveys of the…

Education, Certification, and Roles of Peer Providers: Lessons from Four States

Peer providers are individuals hired to provide direct support to those undertaking mental health (MH) or substance use disorder (SUD) recovery, often referred to in the literature as “consumers.” 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…

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…

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