This webinar focuses on nurse practitioner (NP) research using the National Sample Survey of Registered Nurses (NSSRN). The first presentation examined evidence that registered nurses (RNs) are becoming NPs faster today than in the past and discusses the implications of that finding. The second presentation compares NPs that completed residencies to those who did not.Array,…
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 āteam-basedā care, encouraging a broader range of medical staff…
Over the last 2 decades, community health centers (CHCs) have grown in number and capacity to meet the needs of the uninsured and Medicaid populations. This growth has been accelerated by the Affordable Care Act (ACA), which extended Medicaid eligibility beginning January 1, 2014 to include those with family incomes of less than 138% of…
Few studies have examined practice redesign to understand how staffing changed with the adoption of patient-centered medical homes (PCMH), and whether these staffing changes impacted utilization. This article examines the workforce transformation occurring in community health centers that have achieved PCMH status and assesses the relationship of those changes to utilization, as measured by the…
The use of telehealth has increased dramatically from 2013 to 2016 as many state policies have become more favorable towards telehealth. However, it is unclear whether these policies have led to higher rates of telehealth use for underserved populations. This article describes an analysis of consumer survey data to examine how telehealth use rates have…
The patient-centered medical home (PCMH) is an enhanced model of primary care. Nurse practitioner (NP)-led PCMHs differ from traditional physician-led PCMHs, though it is unclear to what extent. There are possible differences in capabilities, priorities, and needs of the population served across practices, but studying this can be an important guide for policymakers to track…
Broadening scope of practice (SOP) laws for nurse practitioners (NPs) has been suggested as a potential solution for increasing the composition productivity of NPs in in community health centers (CHCs). However, the effectiveness of broadening SOPs for NPs for this purpose remains unclear. This article describes a study that examined the data from over seven…
Advanced practice clinicians (APCs)ānurse practitioners and physician assistantsāthat are in the 90th percentile of community health centers (CHCs) provide about 1,840 adjusted-visits per year; whereas APCs in the 10th percentile CHCs provide about 978 adjusted-visits per year. Several important conditions were found among high productivity CHCs, including scheduling APCs and physicians for the same number…
Postgraduate residency and fellowship programs have become more common in recent years as a means of helping nurse practitioners (NPs) transition to practice. More research is needed to understand the efficacy of these programs for NPs working in primary care settings. This article describes a study that analyzed 2018 survey data to examine possible associations…
The Teaching Health Center (THC) program was established in the Affordable Care Act to support new and expanded community-based primary care residency programs. THC programs are predominantly family-medicine programs located in community health centers, rural health clinics, and tribal health centers. This article evaluates the impact of new THC residency programs on health center staffing,…
