Product type: presentation delivered to the AcademyHealth Interdisciplinary Research Group on Nursing Issues (IRGNI) on July 22, 2020. Authors: Jacqueline Nikpour, BSN, RN, Erin Fraher, PhD, MPP Summary: North Carolina has been leading the nation in the shift to value-based healthcare, including the roll out of programs through the state’s Medicaid program that address the… Read more »
Office Based Opioid Treatment (OBOT)—the Workforce Treating Opioid Use Disorder
Product type: publication in Health, Interprofessional Practice & Education Authors: Lisa de Saxe Zerden, PhD, Brianna Lombardi, MSW, Erica Richman, PhD, Anjalee Sharma, MSW. Background: The current opioid crisis in the United States is a recognized national health emergency. The number of opioid-related deaths has more than quadrupled since 1999. Over 42,000 individuals died from opioid use… Read more »
Ensuring and Sustaining a Pandemic Workforce
Product type: article published in New England Journal of Medicine (NEJM) on April 8th, 2020 Authors: Erin P. Fraher, Ph.D., M.P.P., Patricia Pittman, Ph.D., Bianca K. Frogner, Ph.D., Joanne Spetz, Ph.D., Jean Moore, Dr.P.H., Angela J. Beck, Ph.D., M.P.H., David Armstrong, Ph.D., and Peter I. Buerhaus, Ph.D., R.N. Overview: Directors of publicly and privately funded workforce researcher centers, Bianca Frogner, PhD,… Read more »
Modernizing Scope-of-Practice Regulations — Time to Prioritize Patients
Product type: article published in New England Journal of Medicine (NEJM) on February 13th, 2020. Authors: Bianca K. Frogner, Ph.D., Erin P. Fraher, Ph.D., M.P.P., Joanne Spetz, Ph.D., Patricia Pittman, Ph.D., Jean Moore, Dr.P.H., Angela J. Beck, Ph.D., M.P.H., David Armstrong, Ph.D., and Peter I. Buerhaus, Ph.D., R.N. Overview: Erin Fraher, PhD, MPP, Bianca Frogner PhD and the directors of… Read more »
The role of social work in the opioid epidemic: Office-Based Opioid Treatment Programs
Product type: manuscript in Health & Social Work, September 2019. Authors: Brianna M. Lombardi, Lisa de Saxe Zerden, Ting Guan & Amy Prentice Abstract: The opioid epidemic is a national emergency in the United States. To meet the needs of individuals diagnosed with Opioid Use. Disorder (OUD) office-based opioid treatment programs (OBOT) are quickly expanding…. Read more »
Special Needs in Rural America and Implications for Workforce Education and Training
Product type: presentation at the Council on Graduate Medical Education in Washington, DC. June 5, 2019. Presenter: Erin Fraher, PhD Overview: Rural populations less healthy on almost every measure Need to foment a “Copernican Revolution” to reframe GME policyto put patients at center of discussions Need to align training and financing to address rural population’s“essential… Read more »
Assessing the Value of Pediatric Graduate Medical Education in Meeting State and National Needs
Product type: policy brief from Carolina Health Workforce Research Center project “Investment in Graduate Medical Education Outcomes: An Analysis of Pediatric GME at the Residency Program Level. Authors: Thomas C. Ricketts, Erin P. Fraher, Ryan Kandrack Objectives: To assess the value of pediatric graduate medical education (GME) programs in producing the workforce needed at the… Read more »
A Plasticity Approach that Recognizes Overlapping and Dynamic Scopes of Services in Team Based Models of Care
Product type: Keynote presentation to HRSA Expert Advisory Committee on Behavioral Health Workforce Modeling. Rockville MD. October 1, 2018. Presenters: Fraher E, Knapton A, Holmes GM. Overview: Many workforce models aim to answer numeric question of too many or too few health professionals We tried to address these issues by developing a model that uses… Read more »
Research on Redesigning Graduate Medical Education to Better Meet Population Health Needs
This brief summarizes research conducted by the Program on Health Workforce Research and Policy on graduate medical education (GME). Originally prepared for the U.S. House of Representative Committee on Veterans’ Affairs, this summary will benefit policymakers and other stakeholders, such as HRSA, COGME, ACGME, and states interested in reforming Medicaid GME and evaluating the outcomes… 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 »
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 »
State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education
January 2017 Erin P. Fraher, PhD, MPP; Julie Spero, MSPH; Tom Bacon, DrPH Conclusions and Policy Implications 1) More states were in the planning stages of GME reform than had actually implemented changes. 2) States tackled GME reform to address maldistribution of physicians by geography, specialty and setting; to respond to expansions in undergraduate medical… Read more »
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