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 (2013-14)

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 »

Rapid Response to Requests from NCHWA

Investigators: CHWRC investigators and staff as appropriate for each request Part of the CHWRC’s role is to provide rapid response to time-sensitive requests from the National Center for Health Workforce Analysis (NCHWA) and other key constituents. Our rapid response activities allow NCHWA and HRSA to access the wide array of data resources housed at the… Read more »

Assessing Shifts in Outpatient Visits to Physicians of Other Specialties in Rural Areas with Shortages of Cardiologists and Gastroenterologists: A Preliminary Analysis (2013-14)

PI: Donald Pathman, co-PI: Mark Holmes Project purpose: This project seeks to quantify how the local availability of physicians of various sub-specialties affects the scope and mix of services provided by family physicians and general internists. Project results: A policy brief examining the “plasticity” of the scope of services provided by primary care physicians to… Read more »

Tough choices: Autism, private health insurance and family out-of-pocket spending

Emerging patterns in our current work suggest that insurance choices of families raising children with autism are influenced by out-of-pocket expenditures without regard to the breadth and depth of services covered. This is troubling from a policy perspective since low deductible and co-payment plans are expensive and reduce resources thereby constraining use of uncovered services…. Read more »

Workforce Transformations Needed to Staff Value-Based Models of Care (2013-14)

Authors: Erin Fraher, PhD, MPP, Rachel Machta, BS, Jacqueline Halladay, MD, MPH Abstract: Secretary Burwell recently announced that by 2018, 50% of Medicare payments will be tied to value through alternative payment and care delivery models. What will this shift to value-based payment models mean for the workforce? This paper synthesizes the existing body of evidence… Read more »

Adequate Health Insurance for Children with Autism

Evidence and Implications for Defining Essential Benefits – Families raising children with autism contribute significant amounts out-of-pocket to the cost of care and that this pay-as-you-go strategy is associated with disparities in use for vulnerable families (Thomas, Williams et al, 2013; Parish, Thomas, Williams et al, 2013). As a result, in comparison to other children… Read more »

Understanding How the Diffusion of Physicians Creates Areas of Underservice (2014-15)

Investigators: Thomas Ricketts, PhD; Erin Fraher, PhD, MPP; Andy Knapton, MSc Background: States and the federal government devote substantial resources to influence physicians to practice in underserved areas.  Like the general population, the physician workforce is mobile.  About 20% of the active employed physician workforce will relocate to another county within a five-year period. Federal… Read more »

Pathways in Nursing Careers: Transitions from the Role of Licensed Practical Nurse to Registered Nurse in North Carolina

Investigators:  C.B. Jones, PhD, RN, FAAN; G. Knafl, PhD; Toles, M., PhD, RN; Beeber, A., PhD, RN. Background: In a reforming health care system, nursing personnel, including licensed practical nurses (LPNs) and registered nurses (RNs), are viewed as flexible health care workers because they are readily deployed in diverse health care settings, reduce workforce shortages,… Read more »

Communication and Dissemination Strategies to Facilitate the Use of Health Related Evidence

This review sought to provide evidence for how to best communicate and disseminate evidence, including uncertain evidence to inform health care decisions. A secondary objective was to examine how the effectiveness of communication and dissemination strategies varies across target audiences, namely patients and clinicians. Principal Investigator: Stacey Sheridan, M.D. Funding: AHRQ

Systematic Reviews for the US Preventive Services Task Force

The RTI-UNC EPC will produce new and updated systematic reviews for use by the United States Preventive Services Task Force. The Task Force will use the systematic reviews in assessing the available evidence and making recommendations about screening and preventive health services. Principal Investigator: Daniel E. Jonas, MD, MPH Funding: AHRQ Project Period: October 2012… Read more »

Philip Sloane, MD, MPH and Sheryl Zimmerman, PhD lead team to develop Alzheimer’s Medical Advisor website

Program on Aging, Disability, and Long-term Care co-directors Philip Sloane, MD, MPH and Sheryl Zimmerman, PhD are leading a multidisciplinary team to develop Alzheimer’s Medical Advisor,© a website that aims to help family caregivers of persons with dementia deal with new and worsening medical symptoms in their relatives.  When people with Alzheimer’s disease or related… Read more »

Community Reentry of Persons with Severe Mental Illness Released from State Prison

Joseph P Morrissey, PhD, Co-Principal Investigator Gary Cuddeback, PhD, MSW, MPH, Co-Investigator Marisa Domino, PhD, Co-Investigator Subcontractors: Linda Frisman, PhD, Co-Principal Investigator; Director of Research, Connecticut Department of Mental Health & Addiction Services David Mancuso, PhD, Responsible Investigator, Senior Research Supervisor, Washington State Department of Social and Health Services, Research and Data Analysis Division Consultants:… Read more »