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Health Care Workforce

Report
Best practice: Medical training from an international perspective
This report seeks to inform the further development of medical education and training for primary care in Germany. It concludes with a presentation of policy options that arise from comparison with experiences in England, France and the Netherlands.
Mar 19, 2015
Journal Article
Doctor of Nursing Practice by 2015: An Examination of Nursing Schools' Decisions to Offer a Doctor of Nursing Practice Degree
Multiple pathways to becoming an APRN are likely to remain until various factors yield a more favorable environment for a full transition to the doctoral of nursing practice (DNP).
Mar 15, 2015
Journal Article
The Volume-Quality Relationship in Antibiotic Prescribing: When More Isn't Better
The impact of volume on more common medical conditions such as acute respiratory infections (ARIs) has not been examined.
Feb 25, 2015
Journal Article
Emotional Exhaustion in Primary Care During Early Implementation of the VA's Medical Home Transformation: Patient-Aligned Care Team (PACT)
Transformation of primary care to new patient-centered models requires major changes in healthcare organizations, including interprofessional expectations and organizational policies.
Feb 25, 2015
Commentary
Does Expanding Nurse Practitioner Autonomy Affect the Value of Care Delivered?
Given the high cost of health care in America, policymakers should be very concerned about the effect of expanded nurse practitioner autonomy on the value of care. However, to have a sensible policy debate, we need to admit that we hardly know anything about it.
Jan 28, 2015
Report
The Impact of Full Practice Authority for Nurse Practitioners and Other Advanced Practice Registered Nurses in Ohio
RAND Corporation researchers describe the effect of advanced practice registered nurses' (APRNs') scope of practice (SOP) laws on health-care access, quality, and costs and the potential effect of expanding APRN SOP specifically in the state of Ohio.
Jan 28, 2015
Research Brief
When and How Are We Engaging Stakeholders in Health Care Research?
Stakeholder engagement in research varies significantly: Patients and health care providers were the most frequent collaborators. Policymakers and other researchers collaborated infrequently, or about 20 percent of the time.
Jan 22, 2015
Report
Predictive Model Could Apply to Medicare Physician Fee Schedule
The Centers for Medicare and Medicaid Services uses a resource-based relative value (RBRV) scale to calculate payments for physicians. The values of the scale were validated with predictive modeling, and the result may be helpful in two key applications: flagging codes as potentially misvalued and determining why a code is valued differently than predicted.
Jan 16, 2015
Research Brief
RAND Modeling Offers Support for Transparent and Consistent CMS Physician Fee Schedules
The current process used by the Centers for Medicare & Medicaid Services for valuing physician work is based on physician survey responses. RAND researchers examined the feasibility of developing a model based instead on external data sources.
Jan 16, 2015
Report
The DNP by 2015: A Study of the Institutional, Political, and Professional Issues that Facilitate or Impede Establishing a Post-Baccalaureate Doctor of Nursing Practice Program
In 2004, the American Association of Colleges of Nursing voted that all master's programs for advanced-practice registered nurses transition to doctorate programs by 2015. RAND studied current programs and barriers to adoption of doctorate programs.
Jan 9, 2015
Journal Article
The Critical Elements of Effective Academic-Practice Partnerships: A Framework Derived from the Department of Veterans Affairs Nursing Academy
The nursing profession is exploring how academic-practice partnerships should be structured to maximize the potential benefits for each partner.
Jan 8, 2015
Journal Article
A Cluster Randomized Trial of Adding Peer Specialists to Intensive Case Management Teams in the Veterans Health Administration
Use of peer specialists (PSs)--individuals with serious mental illness who use their experiences to help others with serious mental illness--is increasing.
Jan 1, 2015
Journal Article
Factors Associated with Ordering Laboratory Monitoring of High-Risk Medications
Physicians don't always order recommended lab tests to monitor patients taking high-risk medications.
Dec 11, 2014
Commentary
The Great Patient Experience Survey Myth
Patient experience with care is an essential element in any assessment of health care quality. Surveys give patients a voice and provide fair and relevant indicators that complement other metrics of health care quality to inform patients' choices and providers' decisions about how to improve care.
Dec 10, 2014
Report
Patient Safety in the Commonwealth of Massachusetts: Current Status and Opportunities for Improvement
In a RAND study about the landscape of patient safety in Massachusetts, researchers interviewed expert observers (patients, health care leaders, and others) about progress to date and future opportunities to produce safer patient care.
Dec 2, 2014
Journal Article
Nudging Physician Prescription Decisions by Partitioning the Order Set: Results of a Vignette-Based Study
Provider treatment choice appears to be influenced by the grouping of menu options, suggesting that the layout of electronic health record (EHR) order sets is not an arbitrary exercise.
Nov 25, 2014
Journal Article
Examining the Value of Inpatient Nurse Staffing: An Assessment of Quality and Patient Care Costs
The study findings provide support for the value of inpatient nurse staffing as it contributes to improvements in inpatient care; increases in staff number and skill mix can lead to improved quality and reduced length of stay at no additional cost.
Oct 24, 2014
News Release
Making It More Difficult to Sue Physicians for Malpractice May Not Reduce 'Defensive Medicine'
Malpractice reform has been advocated by many experts as a key to reining in health care costs. Three states raised the standard for malpractice in the emergency room to gross negligence, but that did not translate into less-expensive care.
Oct 15, 2014
News Release
State Policies Can Influence Patient Access to Effective Heroin Treatment
State policies can influence the number of physicians licensed to prescribe buprenorphine, a drug that can treat addiction to heroin and other opioids in outpatient settings.
Oct 7, 2014
Journal Article
Making It More Difficult to Sue Physicians for Malpractice May Not Reduce 'Defensive Medicine'
Malpractice reform has been advocated by many experts as a key to reining in health care costs. Three states raised the standard for malpractice in the emergency room to gross negligence, but that did not translate into less-expensive care.
Oct 1, 2014

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