The 2017 State Appropriations Act directed the Board of Governors (BOG) of the University of North Carolina (UNC) to study the feasibility of establishing a physician assistant (PA) program at Winston-Salem State University (WSSU). The Program on Health Workforce Research and Policy conducted a study of PA supply and demand in North Carolina and the… Read more »
The Chiropractic Workforce In North Carolina and a Potential School of Chiropractic Medicine at Winston-Salem State University
The 2017 State Appropriations Act directed the Board of Governors (BOG) of the University of North Carolina (UNC) to study the feasibility of establishing a school of chiropractic medicine at Winston-Salem State University (WSSU). The Program on Health Workforce Research and Policy conducted a study of the supply and characteristics of chiropractors in North Carolina… Read more »
Association Between Title VII Funding for Medical Schools and Physician Workforce Outcomes (2017-18)
Investigators: Ryan Kandrack, BS; Erin Fraher, PhD, MPP; Tom Ricketts, PhD, MPH Background: In 2008, Rittenhouse et al published a study that looked at the association between physicians attending a Title VII-funded medical school or residency program and later practicing in a community health center (CHC) and/or participating in the National Health Service Corps… 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 »
Investment in Graduate Medical Education Outcomes: An Analysis of Pediatric GME at the Residency Program Level (2017-18)
Investigators: Tom Ricketts, PhD, MPH; Erin Fraher, PhD, MPP; Ryan Kandrack, BS Background: One of the key findings from our Center’s recent study of state innovations in using Medicaid funds to support GME was that states want far more transparency and accountability for public funds invested GME. The majority of states in the US partially… Read more »
Trends and Predictors of Primary Care Physician Referral to Physical Therapy in the United States, 2003-2014
August 2017 Janet K. Freburger, PT, PhD; Samannaaz S. Khoja, PT, PhD; Timothy S. Carey, MD, MPH Carolina HWRC Project: Integration of Rehabilitation Care from the Acute to Community Setting: The Role of Physician Referral Objectives: 1) To examine temporal trends in PCP referral to physical therapy (PT); 2) To compare these trends to… 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 »
DocFlows: A Web-Based, Interactive App to Explore the Interstate Migration of Residents-in-Training and Practicing Physicians
August 2017 Erin Fraher PhD, MPP; Erica Richman, PhD, MSW; Evan Galloway, MPS; Andy Knapton, MSc Overview The DocFlows App allows users to query, download and share maps and graphs of interstate moves by residents and actively practicing physicians in 35 specialties. Data can be used by state and federal policy makers to understand… Read more »
Temporal Trends in Ambulatory Care Physicians Referral to Physical Therapists for Musculoskeletal Conditions: Analyses from the National Ambulatory Medical Care Survey (NAMCS), years 2003-2014
June 21, 2017 Samannaaz S. Khoja, PT, PhD; Janet K. Freburger, PT, PhD Poster presentation, 2017 CoHStar Summer Institute on Health Services Research Carolina HWRC Project: Integration of Rehabilitation Care from the Acute to Community Setting: The Role of Physician Referral Objectives: To examine primary care physicians’ (PCPs) and orthopedists’ referral patterns to physical… Read more »
Nursing Workforce Models: What we can learn from state and national efforts (and the Kiwis)
June 8, 2017 Erin Fraher, PhD, MPP Plenary presentation at the National Forum of State Nursing Workforce Centers 2017 Conference Presentation Overview Nursing workforce is critical to health system transformation Sometimes (often?) models don’t agree. Why? Why is modeling demand so difficult? What would the modeling field look like with fewer economists and more sociologists?… Read more »
An Untapped Resource in the Nursing Workforce? Licensed Practical Nurses who Transition to Become Registered Nurses
June 7, 2018 Cheryl B. Jones, PhD, RN, FAAN Presentation at the National Forum of State Nursing Workforce Centers 2017 Conference Presentation Overview LPNs are a largely overlooked sector of the nursing workforce and research is lacking. LPNS are a more diverse group than RNs Many work outside of hospitals and in underserved areas… Read more »
FutureDocs: Nation has Enough Physicians to Meet the Nation’s Overall Needs – For Now. Distribution to Worsen
April 26, 2017 Emily K. Tierney, Thomas C. Rickets, Andy Knapton, Erin P. Fraher Issue Brief Summary: This Brief uses data from the FutureDocs Forecasting Tool (FDFT) to assess whether the supply and distribution of physicians in the United States will be sufficient to meet the future demand for healthcare services. Currently in 2017,… Read more »
Workforce Planning in a Rapidly Changing Healthcare System
February 13, 2017 Erin Fraher, PhD, MPP Keynote Presentation at the South Carolina Healthcare Workforce Forum Hosted by the South Carolina Hospital Association and South Carolina Institute of Medicine Presentation Overview Current system is not sustainable—cost pressures will drive change Increased emphasis on population health requires expanded definition of health workforce Nursing workforce is critical… Read more »
Health Workforce Data and Policy Briefs Series
February 2017 The rapid transformation underway in the health care system has spurred national and state policy leaders to find strategies to organize and finance the delivery of health care in a way that addresses the Triple Aim of a better patient experience, improved population health, and lower healthcare costs. Since health care professionals comprise… Read more »
State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education
January 23, 2017 Presentation at GMEI Summit, Albuquerque, New Mexico Authors: Erin P. Fraher, PhD, MPP; Julie Spero, MSPH; Tom Bacon, DrPH Presentation Overview: There is a high level of interest, but limited implementation at the state level for GME reform Most states are seeking new funds, not redistributing existing funds Oversight bodies play… Read more »
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