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: Carolina Health Workforce Research Center policy brief published March 2020. 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… 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 »
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 »