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2017 Completed Studies
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Does Liberalizing State Nurse Practitioner Scope of Practice Laws Affect the Primary Care Provider Composition and Productivity in Community Health Centers?
This study examines the effects of expanded nurse practitioner (NP) scope of practice (SOP) laws on the composition and productivity of key primary care providers in community health centers (CHCs), including NPs, primary care physicians, and physician assistants (PAs). For questions about this study, contact Patricia Pittman. Related Products:
The Impact of Medicaid Expansion on Community Health Center Staffing
Over the last two decades, community health centers (CHCs) have grown in number and capacity to meet the needs of the uninsured and Medicaid populations. This growth was 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 federal poverty level. Despite this shift, the workforce impacts have not been measured. This study examines the effects of state Medicaid expansion on community health center staffing. For questions about this study, contact Patricia Pittman. Related Products: The Impact of Nurse and Support Staff and Relative Contributions to Patient Satisfaction Outcomes: A Production Function Approach to Determining Optimal Staffing
Building on a robust literature on the relationship of nurse staffing levels to outcomes in hospitals, this study examines the effects of changes in the level of both nurse’s (RN and LPNs) and their support staff’s (assistive personnel) hours on six measures of patient satisfaction outcomes. Higher patient satisfaction scores are now rewarded as part of the Medicare reimbursement policies. The aim of the study was to identify optimal levels of staffing for maximizing these outcomes, and to better understand the interaction of these two groups of healthcare workers with regard to these outcomes of interest. For questions about this study, contact Patricia Pittman. Related Products:
What’s Changing in the Health Workforce in Next Generation Accountable Care Organizations?
The purpose of this study was to explore key workforce strategies in Next Generation Accountable Care Organizations (Next Gen ACOs), the latest evolution in Medicare ACOs. We conducted semi-structured interviews with leaders from seven of the initial 18 Next Gen ACOs to better understand their perceptions regarding how workforce roles are changing to support the Next Gen ACO model. For questions about this study, contact Clese Erikson. Related Products: These projects are supported by the Bureau of Health Workforce (BHW), National Center for Health Workforce Analysis (NCHWA), Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $450,000, with zero percent financed with non-governmental sources. The contents are those of the author[s] and do not necessarily represent the official views of, nor an endorsement by HRSA, HHS, or the U.S. Government. |