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Health Care Workforce

Commentary

Review of Behavioral Health Technician Training, Policies, and Practice Identifies New Opportunities

Behavioral health technicians are trained to be an essential part of the mental health clinical team, serving as provider extenders who work alongside and support licensed mental health providers. What are the factors that affect these roles? And how can the Military Health System most effectively incorporate them into mental health care settings?

Oct 15, 2019
Report

Report

Understanding Behavioral Health Technicians Within the Military: A Review of Training, Practice, and Professional Development

Are military behavioral health technicians adequately prepared for their roles? Are their skills being put to the best use? The authors examine selection, training, and responsibilities and offer recommendations to optimize training and roles.

Oct 7, 2019
Research Brief

Research Brief

Military Behavioral Health Technicians: Understanding and Optimizing Their Role

Military behavioral health technicians provide clinical services alongside licensed independent behavioral health providers, but they may not get the training and support they need or opportunities to use their full range of skills.

Oct 7, 2019
Commentary

Is Training for NHS Staff to Manage Workplace Violence Effective?

Going to work should not mean being subjected to physical or verbal assault, but this is the reality faced by thousands of frontline NHS staff. De-escalation training may help staff manage patient violence and aggression, but there is not enough research about what works in specific healthcare contexts.

Sep 4, 2019
Journal Article

Journal Article

Medical Practice Consolidation and Physician Shared Patient Network Size, Strength, and Stability

Practice consolidation can increase the stability of physician networks, which may have positive implications for organizational effectiveness.

Aug 20, 2019
News Release

California Rules to Limit Surprise Medical Bills Are Working, but Influence Insurer-Provider Bargaining

A California law that limits the size of bills from out-of-network physicians for care delivered in hospitals appears to be protecting patients' financial liability. But it has shifted bargaining leverage in favor of insurance plans and had potential unintended consequences.

Aug 12, 2019
Report

Report

Reviewing the Evidence Base for De-escalation Training: A Rapid Evidence Assessment

RAND Europe conducted an evidence assessment of the de-escalation training literature and found that training may help staff manage patient violence and aggression but de-escalation training may not reduce the number of violent/aggressive incidents.

Aug 6, 2019
Report

Using Claims-Based Estimates of Post-Operative Visits to Revalue Procedures with 10- and 90-Day Global Periods

This report describes how CMS could use new claims-based data on post-operative visits to adjust the valuations of surgical procedures with 10- and 90-day global periods.

Jul 31, 2019
Report

Claims-Based Reporting of Post-Operative Visits for Procedures with 10- or 90-Day Global Periods: Final Report

The authors of this report summarize patterns of post-operative visits where Medicare bundles payment for post-operative care into payment for surgical procedures. The results suggest fewer visits occur than Medicare assumes in its payment rates.

Jul 31, 2019
Report

Survey-Based Reporting of Post-Operative Visits for Select Procedures with 10- or 90-Day Global Periods: Final Report

For many surgeries and procedures, Medicare and most other insurers cover a bundle of services, including post-operative visits, during the global period. This survey was designed to capture the level of post-operative visits during this period.

Jul 31, 2019
Journal Article

Journal Article

Rural-Urban Disparities in Access to Home- and Community-Based Services and Supports: Stakeholder Perspectives From 14 States

This paper presents findings from a qualitative study examining the impact of the Medicaid Balancing Incentive Program. The analysis in this paper examines factors associated with rural disparities in access to home and community-based services.

Jun 26, 2019
Journal Article

Journal Article

Community Health Workers as Focus Group Facilitators: A Participatory Action Research Method to Improve Behavioral Health Services for Farmworkers in a Primary Care Setting

Since 1965, Federally Qualified Health Centers have provided a safety net for the uninsured and major source of care to those enrolled in public health insurance programs. The distinguishing characteristic of the program is the concept of community governance in achieving the main objective to provide holistic, comprehensive, and culturally competent primary care to low-income and medically underserved areas.

Jun 11, 2019
Report

Report

Core Competencies for Amputation Rehabilitation

The authors identify core competencies and behaviors in nine provider disciplines that participate in amputation rehabilitation and offer recommendations on how to implement them in the military health setting.

Jun 3, 2019
News Release

The 'Telephone First' Approach by GPs Does Not Work for All Patients

The 'telephone first' approach in general practice does not work for all patients and can lead to challenges for primary care staff. The system clearly suited some patients, avoiding the need to visit the surgery, but was difficult for others.

May 8, 2019
Essay

A New Way to Capture the Patient Experience

Researchers have developed a more effective and reliable way for patients to provide narrative feedback about the care they receive. When the right questions are asked, patients' answers can help health care providers better understand the patient experience and learn how they could improve.

May 2, 2019
Journal Article

Journal Article

GPs' and Practice Staff's Views of a Telephone First Approach to Demand Management: A Qualitative Study in Primary Care

A study to help understand the views of GPs and practice staff of the telephone first approach for demand management, and to identify enablers and barriers to the successful adoption of the approach.

Apr 25, 2019
Journal Article

Journal Article

Relationship Between State Policy and Anesthesia Provider Supply in Rural Communities

Rural communities have significantly fewer certified registered nurse anesthetists and fewer anesthesiologists than nonrural communities.

Apr 11, 2019
Journal Article

Journal Article

Comparing the Effectiveness of a Hybrid Simulation/Lecture Session Versus Simulation Alone in Teaching Crew Resource Management (CRM) Skills: A Randomised Controlled Trial

In this RCT, adding a didactic lecture to a simulation curriculum did not lead to improvement in CRM skills, and there was actually a non-significant trend towards improved CRM skills in the control arm compared with the intervention arm.

Mar 6, 2019
Report

Rural Physicians' Perspectives on the Medicare Quality Payment Program

The Centers for Medicare & Medicaid Services recently launched its Quality Payment Program (QPP), which changes how physicians are paid under Medicare. Researchers interviewed rural physicians to determine if their practices could successfully participate and how the program could be modified to support small rural practices.

Mar 5, 2019
Commentary

How a New Tool Could Help Mental Health Providers Deliver More Effective Care

The mental health workforce needs the proper tools to meet the needs of the communities it serves. A key element of this is high-quality training in how to deliver evidence-based treatments. RAND developed a new tool designed to assess how well a specific training aligns with the most critical features of effective training.

Mar 1, 2019

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