Workforce Transformations Needed to Staff Value-Based Models of Care
Investigators: Erin Fraher, PhD, MPP; Rachel Machta, BS; Jacqueline Halladay, MD, MPH
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 on the workforce implications of new models of care. We identify: 1. task shifting that is occurring in the delivery of traditional health care services; 2. new staff roles that are emerging to provide enhanced care services; 3. how employers are “putting it all together”; and 4. the implications of these trends for health workforce research and policy.
Project Products:
Manuscript
- Fraher E, Ricketts TC. Building a Value-Based Workforce in North Carolina. North Carolina Medical Journal. 2016; 77(2): 94-8.
- Holmes GM, Fraher EP. Developing physician migration estimates for workforce models. Health Services Research. 2017 Feb; 52 Suppl 1: 529-545.
Research brief
- Freburger JK, Li D, Johnson A, Fraher E. 2016 April. Physical and Occupational Therapy in the Acute and Community Settings Following Stroke: Are Patients Getting the Care They Need? Carolina Health Workforce Research Center. Cecil G. Sheps Center for Health Services Research. The University of North Carolina at Chapel Hill.
Presentations, webinars, and refereed conference papers and posters
- Fraher E. Workforce Planning for a Rapidly Changing Healthcare System. Webinar, American Hospital Association. November 1, 2017.
- Fraher E. The Nursing Workforce: Navigating through Transformative Health System Change. Webinar, Vanderbilt Center for Interdisciplinary Studies. January 20, 2016.
- Fraher EP. How Can We Transform the Workforce to Meet the Needs of a Transformed Health System? Keynote presentation, AAMA Annual Conference. September 18, 2015. Portland, OR.
- Fraher E, Richman E, Gaul K. The Nursing Workforce in North Carolina: Challenges and Opportunities. Presentation, Robert Wood Johnson Foundation Meeting: Rural Health: Finding Creative Solutions Together. Denver, CO. June 29, 2015.
- Fraher EP, Halladay J, Machta R. How Can We Transform the Workforce to Meet the Needs of a Transformed Health System? Poster. AcademyHealth Annual Research Meeting. June 15, 2015. Minneapolis, MN.
- Fraher E, Ricketts TC. Building a Value-Based Workforce in North Carolina. Presentation, AAMC Health Workforce Research Conference. May 2015. Washington, DC.
- Brandt B, Fraher E. How Many Doctors, Nurses, and Other Professionals Do You Need? The Impact of New Delivery System Models on Your State’s Workforce Needs. Presentation, National Governors Association. April 22, 2015. Washington, DC.
- Fraher EP, Richman EL, Gaul K. The Nursing Workforce: Navigating through Transformative Health System Change. Presentation, Regionally Increasing Baccalaureate Nurses’ (RIBN): The RIBN Journey: Into the future. March 17, 2015. Greensboro, NC.
- Fraher EP. 2015. The workforce needed to staff value based models of care. Presentation, National Health Policy Forum. February 20, 2015. Washington, DC.
- Gaul K, Fraher E. The Health System is Transforming: Now What? Presentation, Ohio MEDTAPP Summit: Transforming Healthcare Through State-University Partnerships. September 23, 2014. Columbus, OH.
- Fraher E, Machta R, Morrison M. How Can We Transform the Workforce to Meet the Needs of a Transformed Health System? Webinar, Health Workforce Technical Assistance Center. April 9, 2014.
- Fraher E. How Can We Transform the Workforce to Meet the Needs of a Transformed Health System? Presentation, North Carolina Community College System, Continuing Education Leadership Institute. March 25, 2014. Raleigh, NC.
- Fraher E. Are We Preparing the Allied Health Workforce North Carolina Will Need Now and in the Future? Presentation, NC Community College System. November 12, 2013. Raleigh, NC.
- Fraher E. Are we Preparing the Allied Health Workforce North Carolina Will Need Now and in the Future? Presentation, Council for Allied Health in NC. October 16, 2013. Chapel Hill, NC.