What’s Changing in the Health Workforce in Next Generation Accountable Care Organizations?

In recent years, the next generation accountable care organization (Next Gen ACO) model has emerged as a solution for lowering costs and increasing quality of care. However, there is little understanding about how workforce roles differ in this new model of care. This report describes a study that conducted interviews with leadership at eighteen different…

Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?

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…

Effect of the National Health Service Corps on Clinician Staffing and Patient Visits in Federally Qualified Health Centers

Federal programs such as the National Health Survey Corps (NHSC) are important for ensuring an adequate supply of primary care professionals in underserved areas. However, we know little about how much NHSC clinicians expand patient capacity at the organizations in which they serve. This article describes a study that examined longitudinal administrative data at more…

The Role of the National Health Service Corps Clinicians in Enhancing Staffing and Patient Care Capacity in Community Health Centers

The National Health Service Corps (NHSC) is a federal program aimed at increasing the number of health professionals in underserved communities. The program’s ability to influence the capacity of community health centers (CHCs) has not yet been investigated. This study examines the role of NHSC clinicians in improving staffing and patient care capacity in primary,…

Modernizing Scope-of-Practice Regulations — Time to Prioritize Patients

Many healthcare organizations are rethinking provider roles and responsibilities to help their workforce best serve the needs of their patients. At the same time, regulations at the state and organizational levels restrict providers’ scope of practice. This article discusses potential adjustments to scope of practice regulations to allow healthcare organizations to provide the best possible…

Does Expanded State Scope of Practice for Nurse Practitioners and Physician Assistants Increase Primary Care Utilization in Community Health Centers?

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…

Use of Temporary Providers in Primary Care in Federally Qualified Health Centers

As health workforce shortages become more common in the United States, the use of temporary health care providers has increased. Federally qualified health centers (FQHCs) often experience staffing shortages and barriers to recruitment, but their use of temporary health care providers is not well understood. This article describes a study that analyzed data from 2013-2017…

Ensuring and Sustaining a Pandemic Workforce

In order for the current health workforce to meet the increasing demand brought about by the pandemic, health care delivery organizations, educators, and government leaders will need to work together to adapt regulations to expand workforce capacity. Strategies such as expanding scopes of practice, developing cross-state licensure programs, and increasing telehealth services are essential. This…

Does Variation in State Nursing Education Regulations Matter?

There are many factors that contribute to the variability in quality of nursing education programs. While most research has focused on program variations that contribute to differences in National Council Licensure Examination (NCLEX) pass rates, less is known about how state level policies impact nursing program quality. This article describes a study that analyzed associations…

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