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…
First in a 2-part series on “Health Workforce Needs in a Time of Transformation” highlighting research conducted by 3 of the Health Workforce Research Centers funded by the Health Resources and Services Administration. This session focuses on workforce configurations that support value based care. Presenters will describe changing workforce strategies in oral health, behavioral health,…
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…
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…
There is substantial literature suggesting that community health workers (CHWs) are uniquely qualified to address health disparities. Thus it is essential that CHWs develop the competencies required to integrate into rapidly advancing health systems and organizations. This article describes a mixed-methods study that included a literature review, a database analysis, a content analysis of competency…
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.
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…
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…
