Emerging Roles for Peer Providers in Mental Health and Substance Use Disorders

Peer providers are a growing workforce who have become increasingly essential for supporting long-term care needs and alleviating behavioral health workforce shortages. These workers often face stigma and low wages with limited opportunities for career growth. This article describes a mixed-methods study that included a national panel of subject matter experts, site visits in four…

Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training

Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, the success of HIT systems in nursing homes depend on implementation and little is known about how these systems impact nursing home staff. This article describes a study that included a literature review of articles on…

Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System

There are insufficient numbers of practicing geriatricians to meet the current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans rapidly increases. Understanding how to best leverage geriatricians as members of an overall care team is critical. This report is the second component…

Director of Nursing Perceptions of Medical Directors’ Roles in US Nursing Homes

Nursing homes are important for providing accessible long-term care options for post-acute care patients. Unfortunately, the quality of care for these patients in the nursing home setting is often inadequate. This article examines the roles and relationships between directors of nursing and physicians in nursing homes to determine how these relationships affect patient care.ArrayArticle Arrayhttps://www.jamda.com/article/S1525-8610(19)30424-4/fulltextJuly…

The Impact of Emerging Technologies on Long-Term Care and the Health Workforce

Rapidly emerging technological advances could mitigate rising health workforce demand, but will not replace the direct care workforce, according to a new study from UCSF Health Workforce Research Center on Long-Term Care. The report includes a taxonomy of currently available and emerging technology categories based on products sold by 115 companies, in addition to targeted…

Supporting the Adult Protective Services Workforce

An estimated one in 10 adults over the age of 60 suffers from some form of elder abuse. A key component of addressing ongoing elder abuse and the likelihood that its prevalence will increase as a result of a rapidly growing older adult population is the network of local and state agencies that form the…

Changing Home Care Aides: Differences Between Family and Non-Family Care in California Medicaid Home and Community-Based Services

In California, many Medicaid recipients receive home-and-community-based services (HCBS) in the form of home care aids. Family members can also receive payment as home care aids to these Medicaid recipients. This article describes an analysis of the data on first-time HCBS recipients to see which factors were associated with switching home care aids to provide…

The Impact of Nurse Delegation Regulations on the Provision of Home Care Services: A 4-State Case Study

Increased training and input from registered nurses is needed to identify appropriate health maintenance tasks to delegate to home care workers and to support development of training strategies. Using a qualitative case study approach, 4 states were selected with varying levels of restrictions in their nurse delegation regulations to conduct interviews. The researchers spoke with…

Medical Care Delivery in US Nursing Homes: Current and Future Practice

The delivery of medical care services in nursing homes is dependent on a workforce that includes physicians, nurse practitioners, and physician assistants. Each of these professions operates under a unique regulatory framework while adhering to common standards of care. Nursing home provider characteristics and their roles in care delivery can illuminate potential links to clinical…

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