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2023 Completed Studies
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Diversity at an organizational level may have several benefits, including improved provider cultural sensitivity and cultural competency. This study assesses the organizational (i.e., practice-level) diversity of primary care physicians (PCPs) who care for Medicaid patients using a unique score of practice diversity. For questions about this study, contact Anushree Vichare. Related Products: POLICIES ASSOCIATED WITH COMMUNITY HEALTH WORKER (CHW) PARTICIPATION IN MEDICAID BILLING
Community Health Workers (CHWs) gained prominence as crucial healthcare providers in the United States by leveraging their unique understanding of local communities to improve patient access, quality of care, and outcomes. Acknowledged by the American Public Health Association as trusted community members, CHWs are bridges between healthcare and social services, particularly adept at addressing cultural disparities. We reviewed state Medicaid policies to identify states that authorize CHW billing by CHW authorization type (SPA, 1115 or 1915 waiver, MCO contract, or health home) and reimbursement method (direct fee-for-service (FFS) or MCO care cost versus indirect funding such as per-member-per month (PMPM) payments, administrative fees, or grants) and identified 12 states that reimbursed for peer support services between 2016 and 2019. For questions about this study, contact Clese Erikson. Related Products: Telehealth use for prenatal visits before, during, and after the covid-19 pandemic
Poor access to prenatal care is a key driver of high maternal mortality and morbidity in the U.S. Telehealth could help address this issue and enhance prenatal care. This study examined telehealth use during pregnancy during the COVID-19 pandemic. For questions about this study, contact Anushree Vichare. Related Products: This study uses Medicare Provider Enrollment Chain and Ownership System (PECOS) data to develop methods that permit the tracking of movements of healthcare providers as close to “real-time” as possible. It demonstrates that existing datasets can be used to better track healthcare provider movement, and movement appears to be increased post-COVID, although not consistently between specialties and professions. For questions about this study, contact Stephen Petterson. Related Products: Given the importance of CHCs in providing care for underserved populations, it is critical to understand the trends in vertical integration and its impact on these outcomes. One of the most important challenges in studying vertical integration among CHCs is measuring integration. This study provides a novel method to identify different forms of vertical integration among CHCs by combining publicly available data sources and assessing vertical integration's impact on CHC staffing patterns. For questions about this study, contact Eric Luo. Related Products: WHAT IS THE EFFECT OF INCREASED DEPENDENCE ON TRAVEL NURSES ON PATIENT SAFETY AND QUALITY
To examine whether increasing reliance on overtime and agency nurses affects patient safety, we used a proprietary database from Premier, Inc. that reports on inpatient staffing based on payroll, as well as patient utilization and safety metrics from 75 hospitals across the nation. These findings suggest important implications for hospital management, as well as, potentially, state and federal regulators concerned about promoting patient safety. For questions about this study, contact Patricia Pittman. 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. |