Principal Investigators: Ann Lefebvre, MSW, CPHQ; Mary McCaskill; Kristin Reiter, PhD; Jason Mose, MS, MBA, CHFP, PhD; Erin P. Fraher, PhD; Warren P. Newton, MD, MPH Background. 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,… Read more »
Toward a Better Understanding of Social Workers on Integrated Care Delivery Teams (part 2) (2016-17)
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 »
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 »
Use of Physical and Occupational Therapy Following Stroke and Risk of Re-Hospitalization
June 29, 2016 Janet K. Freburger, PT, PhD; Dongmei Li, MS; Erin P. Fraher, PhD, MPP Poster presentation, 2016 AcademyHealth Annual Research Meeting and 2016 CoHSTAR Summer Institute on Health Services Research Carolina HWRC Project: The Role of Physical and Occupational Therapists in the Acute to Post-Acute Care Transition Objectives: To examine the relationship… Read more »
Use of Physical and Occupational Therapists Following Stroke: Transitioning from the Acute Care to Community Setting
June 29, 2016 Janet K. Freburger, PT, PhD; Dongmei Li, MS; Anna Johnson, PhD; Erin P. Fraher, PhD, MPP Poster presentation, 2016 AcademyHealth Annual Research Meeting and 2016 CoHSTAR Summer Institute on Health Services Research Carolina HWRC Project: The Role of Physical and Occupational Therapists in the Acute to Post-Acute Care Transition Objectives: Describe… Read more »
Physician Assistant and Nurse Practitioner Roles in Patient-Centered Medical Homes
February 2015 Christine M. Everett, PhD, MPH, PA-C; Brandt Leach, MS; Perri Morgan, PhD, PA-C Executive Summary: Team‐based care involving physician assistants (PAs) and nurse practitioners (NPs) is one recommended strategy for improving access and quality and reducing cost in the patient‐centered medical home (PCMH). PAs and NPs can, and do, perform a variety… Read more »
The Workforce Transformations Needed to Staff Value‐Based Models of Care
Erin Fraher, PhD, MPP; Rachel Machta, BS; Jacqueline Halladay, MD, MPH Research brief, November 2015 Key Findings: 1) Health care professionals are taking on new roles with medical assistants having one of the most rapidly evolving roles in new models of care. 2) New roles are emerging that focus on coordinating and managing patients’ care… Read more »
Diffusion of Physicians and Access to Primary Care: The Role of Person, Program, and Place
Thomas C. Ricketts, PhD, MPH Key Findings: 1) It is not currently possible to generate models that predict who will move into or out of a rural HPSA or which rural HPSAs are more or less likely to attract physicians. 2) Federal programs and incentives that seek to promote practice in underserved communities are only… Read more »
The Role of Practice Facilitators in Meeting the HIT Needs of Rural Practices (2015-16)
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 »
Determining the Value and Outcomes of the Doctor of Nursing Practice (DNP) (2015-16)
Investigators: Anna Beeber PhD RN and Cheryl Jones PhD RN Background: As of 2014, 243 DNP programs were enrolling students and an additional 59 DNP programs were in the planning stages. From 2012 to 2013, the number of students enrolled in DNP programs increased from 11,575 to 14,688. During that same period, the number of… Read more »
Predicting Role Transitions for the LPN-to-RN Workforce in North Carolina (2015-16)
Investigators: Cheryl Jones PhD RN, Mark Toles PhD RN and George Knafl PhD Background: Using the dataset developed in our Year 2 project, we will extend our descriptive work to model the key predictors of nurses who transition from LPN to RN roles. Study aims: We will study the likelihood of transitioning (e.g. the dependent… Read more »
Toward a Better Understanding of Social Workers on Integrated Care Delivery Teams (part 1) (2015-16)
Investigators: Mark Fraser PhD; Erica Richman, PhD, MSW; 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 »
Comparison of Specialty Distribution of Nurse Practitioners and Physician Assistants in North Carolina, 1997-2013
June 15, 2015 Anna Johnson, PhD, MSPH; Erin Fraher, PhD, MPP; Perri Morgan, PhD, PA-C Presentation at the 2015 AcademyHealth Annual Research Meeting Overview Nurse practitioners (NPs) and physician assistants (PAs) fill workforce needs in many specialties. Specialty distributions of NPs and PAs have changed over time, with the proportion of NPs and PAs… Read more »
Building a Value-Based Workforce
June 15, 2015 Erin Fraher, PhD, MPP; Rachel Machta, BS; Jacqueline Halladay, MD, MPH Presentation at the 2015 AcademyHealth Annual Research Meeting Overview What will the shift to value-based payment models mean for the workforce? Literature review of 57 studies focused on staff roles in new models of care that: are new or have… Read more »