Product type: presentation at University Research Week, October 21, 2020 Authors: Erin Fraher, PhD, MPP and workforce team Summary: Initial focus on beds and ventilators Used data to shift narrative beds and vents require staffing Sheps houses annual licensure data on 21 health professions Provided DHHS with data on active clinical workforce and inactive workforce… Read more »
The Evolving Role of Medical Assistants in Primary Care Practice: Divergent and Concordant Perspectives from MAs and Family Physicians
Product type: publication in Medical Research and Review October 19, 2020. Authors: Erin Fraher, PhD, MPP, Allison Cummings, MD, Dana Neutze, MD, PhD Summary: Medical assistants (MAs) are a flexible and low-cost resource for primary care practices and their roles are swiftly transforming. We surveyed MAs and family physicians in primary care practices in North… Read more »
Family Medicine’s Leadership Role in Redesigning Care and Training under Value Based Care
Product type: Keynote presentation delivered at Society of Teachers of Family Medicine, August 2020. Authors: Erin Fraher, PhD, MPP Summary: Perspective as non-clinician researcher and policy wonk We are in uncharted waters Data and evidence must be our north star Pre pandemic period : shift to value and addressing SDOH Pandemic period : care disruptions,… Read more »
The Shift in Nursing Employment from Acute to Ambulatory Settings: Implications for Education, Regulation, and Practice
Product type: poster presentation, 2020 AcademyHealth Annual Research Meeting. Authors: Erin Fraher, PhD, MPP, Esita Patel, PhD, RN Summary: We assessed the growth of RNs and LPNs in ambulatory care, the proportion of nurses moving from acute to ambulatory care settings, and the characteristics associated with working in ambulatory care vs. other settings and with… Read more »
Maldistribution of the Population Health Nursing Workforce in North Carolina
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 »
Maldistribution of the Population Health Nursing Workforce in North Carolina
Product type: presentation delivered to AcademyHealth Interdisciplinary Research Group on Nursing Issues (IRGNI). 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 social determinants… Read more »
Comparing Hospital Nurse Settings from the 2018 NSSRN vs. 2008-2013 North Carolina Licensure Data
Product type: Policy brief released on Sheps Health Workforce NC website, July 2020. Authors: Esita Patel, PhD Summary: We analyzed the number of hospital nurses working in three settings (emergency department, inpatient, outpatient) using data from the 2018 National Sample Survey of Registered Nurses (NSSRN) and 2008-2013 licensure data from North Carolina (NC). The percent of… Read more »
Primary Care Teams: Past, Present and Future
Product type: Commentary published in the Journal of American Board of Family Medicine, June 2020. Authors: Erin Fraher, PhD, MPP Summary: Structural changes to primary care require retraining physicians and other providers to more effectively function in teams, remapping workflows, and redesigning care to allow for more collaboration between physicians and other health care professionals… Read more »
What EHRs Tell Us about How We Deploy Health Professionals to Address the Social Determinants of Health
Product type: Carolina Health Workforce Research Center research brief published June 2020. Authors: Erica Richman, PhD, MSW, Brianna Lombardi, PhD, MSW, Lisa de Saxe Zerden, PhD, MSW Background: Increasing awareness of the Social Determinants of Health (SDOH) has prompted health systems to implement strategies to screen for and address patient SDOH. These resources are valuable… Read more »
Preventive Medicine Physician Supply and Distribution
Product type: presentation to HRSA Preventive Medicine Residency Program Grantee Conference Call, May 19th, 2020. Authors: Thomas C. Ricketts, PhD, MPH, Deborah Porterfield, MD, MPH , Erin Fraher, PhD, MPP Summary: •Preventive Medicine (PM) is the specialty of medical practice that focuses on the health of individuals, communities, and defined populations. Its goal is to… Read more »
The Power of Data to Illuminate the Challenges and Opportunities Facing the Nursing Workforce
Product type: keynote presentation delivered at the National Forum of State Nursing Workforce Centers on June 11th, 2020. Authors: Erin Fraher, PhD, MPP, with the with the Nursing Workforce Team. Summary: •I believe in power of data to shape policy •We are in uncharted waters •Data and evidence must be our north star ―Pre Pandemic… Read more »
Will Community Health Centers Survive COVID‐19?
Product type: Commentary published in the Journal of Rural Health May, 2020. Authors: Brad Wright, PhD, Erin Fraher, PhD, MPP, Marni Gwyther Holder, MSN, Jill Akiyama, MSPH, Brian Toomey, MSW Summary: Federally qualified community health centers (CHCs) are the nation’s primary care safety net, serving a patient population of whom 68% have incomes below 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 »