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 »
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 where… 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 therapy… 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 »
Barriers and facilitators for the LPN-to-RN transition: Perspectives from practicing LPNs (2016-17)
Investigators: Cheryl B. Jones, PhD, RN; Mark Toles, PhD, RN; Anna Beeber, PhD, RN Background and Policy Relevance: The Institute of Medicine Future of Nursing Report (IOM, 2011) called for an increase in the percentage of registered nurses (RNs) with a baccalaureate degree to 80% and a doubling of the percentage of RNs with a… Read more »
Developing a Better Understanding of Medical Assistants’ Roles and Functions in Primary Care Settings (2016-17)
Investigators: Erin Fraher PhD MPP & Dana Neutze MD PhD Background: There are over 600,000 Medical Assistants (MAs) in practice in the United States.[1] MAs are one of the fastest growing health professions and their numbers are expected to increase by 23% between 2014-2024. [2] MAs are not licensed, but certification is available through national… Read more »
Exploring the Magnitude and Timing of Physician Specialty Changes (2016-17)
Investigators: Erin Fraher PhD MPP, Andy Knapton MSc Background/Study Purpose: Congressional proposals to expand Graduate Medical Education have set a goal of funding 3,000 new PGY1 slots for five years for a total of 15,000 new residency positions. The Resident Physician Shortage Reduction Act of 2015 (S.1148), its companion bill in the House (H.R. 2124)… Read more »
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