Current HWRC Research Projects
The GW HWRC’s research agenda focuses on the flexible and novel use of workers to improve healthcare delivery and efficiency. Specifically, we address the efficiency and efficacy of different skill-mix strategies within and across settings, as well as the need for system changes at the national, state, and local level that will advance best practices. We produce multiple research studies per year, as well as several short turnaround policy briefs on topics of interest to HRSA.
2017 - 2018 (Year 5)
Does the Presence of NHSC Clinicians Improve Access to and Equity of Utilization for Medicaid Beneficiaries and the Uninsured?
The National Health Service Corps (NHSC) is a vital component of U.S. health workforce strategy to increase the availability of clinicians in health professional shortage areas, yet there has been relatively little research examining its effects. This study will use Medicaid claims data and the Uniform Data System (UDS) to examine access and equity of care for patients in local areas with NHSC clinicians versus similar sites without NHSC clinicians.
- Does the location and number of NHSC clinicians in local areas improve access to and equity of care for Medicaid and uninsured patients? If so, how?
Health Outcomes in Community Health Centers (CHCs): What are the Optimal Staffing Allocations of Physicians, Nurse Practitioners, and Physician Assistants for Delivery of Quality Care?
Major changes in staffing configurations in primary care are occurring, yet little is known about its effect on effectiveness and efficiency of care. This study will estimate the marginal contribution to outcomes of different types of providers in community health centers (CHCs) while controlling for costs and examining the extent to which they are substitutes or complements to each other.
How Does the Patient-Centered Medical Home Adoption Change Staff Roles in Office-based Primary Care Practices?
This study will use the National Ambulatory Medical Care Survey (NAMCS) to analyze how adoption of the Patient-Centered Medical Home (PCMH) model impacts not just staff configuration, but also the roles of each staff member. This would be the first study to examine changes in roles at a national level and would allow for comparison with prior studies conducted by this team on staff configuration in community health centers (CHCs) with PCMH status.
- Do PCMH staff roles significantly differ from non-PCMH practices?
Is Telehealth Being Used by Rural and Underserved Population Groups?
Telehealth is increasingly viewed as an option for improving access to care for underserved populations in areas of provider shortages. This study will assess who and where telehealth services were utilized over a four-year period.
- Are state telehealth policies and federal funding efforts to support telehealth adoption associated with increased use?