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…
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…
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…
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…
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 rate of Medicare recipients seeking care in health professional shortage areas (HPSAs) has been increasing. The National Health Survey Corps (NHSC) has been important for helping to staff HPSAs, but little is known about the role of these providers in caring for Medicare recipients. This abstract describes a study that used Medicare billing data…
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…
