The Role of Practice Facilitators in Meeting the HIT Needs of Rural Practices

Authors: Warren Newton, MD MPH; Ann Lefebvre, MSW, CPHQ Background/Policy Relevance Primary care transformation is necessary for health system redesign, but how to support this on a large scale remains unclear. The tasks of contemporary primary care are substantial, and include closing the quality gap and addressing disparities, while lowering total cost of care and… Read more »

Mapping GME Location and Practice Location by Specialty

Investigators: Program on Health Workforce and Policy Research, Cecil G. Sheps Center for Health Services Research, UNC-CH Specific Aims: The purpose of this project is to develop a web-based, interactive map tool to understand the diffusion of physicians from the state where they completed residency training to their practice location state, and the diffusion of all… Read more »

Toward a Better Understanding of Social Workers on Integrated Care Delivery Teams

This project is is supported by University of Michigan Behavioral Health Workforce Research Center and is being completed in collaboration with the University of North Carolina.  Investigators: Lisa de Saxe Zerden, PhD, MSW; Erica Richman, PhD, MSW; Brian Perron, PhD, MSW; Brianna Lombardi, MSW Background: Social workers are recognized as having a key role in the successful… Read more »

Integration of Rehabilitation Care from the Acute to Community Setting: The Role of Physician Referral

Investigators: Janet Freburger, PT, PhD Background Physical therapy is effective in the treatment of many musculoskeletal and neurologic conditions.(1-5) Medicare, some state Medicaid programs, and some private insurers require a physician referral for patients to receive care from a physical therapist in outpatient or ambulatory settings. New care delivery (e.g., PCMHs, ACOs, etc.) and payment… Read more »

Exploring the Magnitude and Timing of Physician Specialty Changes

Investigators: Erin Fraher PhD MPP, Andy Knapton MSc Background/Study Purpose:  Congressional proposals to expand Graduate Medical Education have set a goal of funding 3,000 new PGY1 slots for five years for a total of 15,000 new residency positions.  The Resident Physician Shortage Reduction Act of 2015 (S.1148), its companion bill in the House (H.R. 2124)… Read more »

Diffusion of Physicians and Access to Primary Care: The Role of Person, Program, and Place

  Author: Thomas C. Ricketts, PhD, MPH Background: Federal and state policies try to influence physician location choices using a combination of programmatic or extrinsic factors (e.g. bonus payments, subsidized loans) and personal or intrinsic factors (e.g. promoting volunteerism, orienting trainees to underserved populations and selecting motivated students) to encourage physicians to practice in communities where the… Read more »

Making Use of Workforce Projections to Inform the Graduate Medical Education Policy Debate in the United States

Investigators: Erin P. Fraher PhD MPP, Andy Knapton MSc Background: There is intense policy debate over whether the nation should expand graduate medical education (GME) or redistribute existing slots to high-need specialties and geographies.  The recently released Institute of Medicine (IOM) report recommends creating a GME Policy Council to use data and workforce projections to… Read more »

Toward a Better Understanding of Social Workers on Integrated Care Delivery Teams

Investigators: Mark Fraser PhD, Erica Richman PhD, MSW and Erin Fraher PhD, MPP Background: Given the growing number of social workers employed in the healthcare system and the diversity of roles they fill, it is critical to understand the responsibilities and capacity of social workers as healthcare shifts to team-based models of care, value-based payments, and… Read more »

Heart Health NOW! Advancing Heart Health in NC Primary Care

  EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to accelerate the dissemination and implementation of patient-centered outcomes research findings into primary care. AHRQ has awarded seven implementation grants that use a variety of interventions to help small and medium-sized primary care practices build… Read more »

Comparison of Specialty Distribution of Nurse Practitioners and Physician Assistants in North Carolina, 1997-2013

Authors:Perri Morgan, PhD, PA-C; Anna Johnson, PhD, MSPH; Erin Fraher, PhD, MPP Background:As healthcare demand in the United States is expected to grow, increased use of nurse practitioners (NPs) and physician assistants (PAs) is seen as a partial solution to potential physician shortages. NPs and PAs can change specialties throughout their careers and may constitute… Read more »