NC Medicaid 1115 Waiver Evaluation 2021-2026

  Background on the 1115 Waiver: The State of North Carolina is transitioning the Medicaid and NC Health Choice programs from fee-for-service models to managed care.  The transition to managed care will be paired with initiatives to: (a) support and enhance the capabilities of Medicaid providers; (b) strengthen access to care for beneficiaries; and (c)… Read more »

North Carolina Medicaid Projects

The Sheps Center has a long partnership with Medicaid, including early evaluations of Community Care of North Carolina (CCNC), evaluations of the medical home, etc. We now hold data through the The Carolina Cost and Quality Initiative (CCQI) and have recently launched a partnership with the NC Division of Health Benefits to coordinate the Medicaid… Read more »

Grupo de “Padres Efectivos”

(Click here for English) ¡Bienvenida/os! Somos un grupo de investigadoras de la Universidad de Carolina del Norte, trabajamos en el departamento The Cecil G. Sheps Center for Health Services Research. Nuestro equipo está realizando un estudio para aprender cómo ayudar a padres Latinos a mejor navegar el sistema de salud en los Estados Unidos cuando… Read more »

Where is Behavioral Health Integration Occurring? Using NPI Data to Map National Trends

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; Brianna Lombardi, MSW; Randy Randolph, MRP Background: Integrated behavioral health care has resulted in improved patient-level outcomes and has increased… Read more »

Developing a GME Policy Toolkit that States Can Use to Evaluate Return on Investment for Public Funds Invested in Training (2017-18)

Investigators: Erin Fraher, PhD, MPP; Tom Ricketts, PhD, MPH; Ryan Kandrack, BS   Background: Despite the release of numerous reports calling for national reform of Graduate Medical Education, little policy change has occurred at the federal level. However, numerous states are actively looking for innovative ways to redesign GME. As the demand for health care services… Read more »

LPN Employment Transitions: A Signal of Changing Value to Employers? (2017-18)

Investigators: Cheryl Jones, PhD, RN, FAAN; Mark Toles, PhD, RN; George Knafl, PhD   Prior research suggests that licensed practical/vocational nurses (LPNs/LVNs) are an untapped resource in the health workforce that could bring much needed diversity to nursing care delivery. This study builds on the Center’s expertise modeling nursing career trajectories to investigate how LPN… Read more »

ADAPTABLE – The Aspirin Study

March 2017 – The Sheps Center is partnering with the School of Medicine and TraCS to recruit patients for a pragmatic clinical trial comparing low dose (81mg) aspirin to regular strength (325mg) aspirin among patients with known heart disease.  We are recruiting UNC HealthCare patients across the state.  UNC is one of nearly 30 sites across the US enrolling… Read more »

DocFlows: Mapping GME Location and Practice Location by Specialty (2016-17)

Investigators: Erin Fraher, PhD, MPP; Evan Galloway, MPS; Erica Richman, PhD, MSW; Andy Knapton, MSc. Specific Aims: We developed the DocFlows App, a web-based, interactive data visualization 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 practicing physicians from… Read more »

Integration of Rehabilitation Care from the Acute to Community Setting: The Role of Physician Referral (2016-17)

Investigators: Janet Freburger, PT, PhD (now at the University of Pittsburgh), Samannaaz Khoja, 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… Read more »