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Health Care Workforce

Journal Article

Provision of Peer Specialist Services in VA Patient Aligned Care Teams: Protocol for Testing a Cluster Randomized Implementation Trial

Assessing the impact of outside assistance on the deployment of peer specialists in Veterans Health Administration Patient Aligned Care Teams will provide critical data to administrators and policy makers.

Jun 7, 2017
Journal Article

Development and Feasibility of a Structured Goals of Care Communication Guide

Studies demonstrate the benefits of discussing goals of care and advance care planning, yet many patients with serious illness do not engage in such discussions with healthcare providers.

May 30, 2017
Journal Article

Partnering to Improve Care: The Case of the Veterans' Health Administration's Quality Enhancement Research Initiative

Understanding the respective experiences and perspectives of researchers and operations partners (i.e., policymakers, managers, clinical leaders) can help improve research partnership success.

May 30, 2017
Journal Article

Speaking Up About Traditional and Professionalism-Related Patient Safety Threats: A National Survey of Interns and Residents

Interns and residents often observe unprofessional behavior, but they are less likely to speak up about it, compared with traditional patient safety threats, even when they see high potential for patient harm.

May 25, 2017
Journal Article

Physician Breast Cancer Screening Recommendations Following Guideline Changes: Results of a National Survey

Physicians' recommendations for when to start and end breast cancer screening vary, depending on their level of trust with the guideline-issuing organization.

May 23, 2017
Journal Article

Lessons Learned from an Integrated MTM Program

A community health center in western Massachusetts offers a model of integrated care, in which pharmacists play key roles in decision making and charting.

May 11, 2017
Journal Article

Organizational Structures and Outcomes of Newly Hired and Experienced Nurse Practitioners in New York State

To fully leverage the growing nurse practitioner workforce, health care organizations will need to address organizational barriers that NPs currently face.

May 9, 2017
Research Brief

MACRA's Effects on Medicare Payment Policy and Spending

Estimates how sensitive physician behavior is to the design of alternative payment models under the Medicare Access and CHIP Reauthorization Act (MACRA).

May 3, 2017
Report

Development and Maintenance of Standardized Cross Setting Patient Assessment Data for Post-Acute Care: Summary Report of Findings from Alpha 1 Pilot Testing

This report presents results of the first Alpha 1 feasibility test of proposed items to include in the post-acute care patient assessment instruments for measuring seven areas of health status for Medicare beneficiaries.

Apr 27, 2017
Research Brief

Nurse-Designed Care Models: What Can They Tell Us About Advancing a Culture of Health?

This brief summarizes findings from case studies of three innovative nurse-designed care models, and it discusses lessons learned from these case studies that might inform our understanding of the health sector's role in building a Culture of Health.

Apr 19, 2017
Report

Nurse-Designed Care Models and Culture of Health: Review of Three Case Studies

This report presents case studies of three nurse-designed care models that help foster a culture of health -- an action framework that focuses on well-being and equity with the goal of empowering and supporting people to lead healthier lives.

Apr 19, 2017
Journal Article

The Medicare Access and CHIP Reauthorization Act: Effects on Medicare

The Medicare Access and Chip Reauthorization Act (MACRA) will decrease Medicare spending on physician services by an estimated -$35 to -$106 billion and change spending on hospital services by +$32 to -$250 billion between 2015 and 2030.

Apr 5, 2017
Journal Article

Antibiotics Prescribed as Often During Telemedicine Appointments as In-Person Visits

Patients treated for acute respiratory infections by a doctor on a telephone or live video are as likely to be prescribed an antibiotic as those treated in person. However, patients treated virtually are more often prescribed a broad-spectrum antibiotic, which is concerning because overuse of the drugs increases costs and contributes to antibiotic resistance.

Mar 28, 2017
Journal Article

Telehealth Prompts New Use of Medical Services; Not Likely to Decrease Spending

Direct-to-consumer telehealth services are touted as a convenient, cheaper way to get care for minor ailments. But telehealth prompts new use of medical services. This may drive up spending rather than trim costs.

Mar 28, 2017
Report

The Impact of Establishing a Full Scope of Practice for Advanced Practice Registered Nurses in the State of Indiana

This report examines the literature related to the relationship between state APRN SOP regulations and health care delivery, and it estimates the effect on the state of Indiana if the legislature were to define a full SOP for APRNs.

Mar 22, 2017
Journal Article

Leveraging Telehealth to Bring Volunteer Physicians Into Underserved Communities

Organizations that use telehealth to address safety net clinic needs by recruiting retired or semi-retired doctor volunteers can help improve access to physicians in underserved areas while enriching the professional lives of clinicians.

Mar 16, 2017
Journal Article

Prescribing of Clozapine and Antipsychotic Polypharmacy for Schizophrenia in a Large Medicaid Program

Analysis of prescribing habits for treatment of schizophrenia suggests that some clinicians may underprescribe clozapine and overprescribe multiple antipsychotics; addressing such inconsistencies with the evidence base could improve care.

Mar 16, 2017
Journal Article

Attitudes, Practices, and Experiences with Implementing a Patient-Centered Medical Home for Women Veterans

Strengthening positive attitudes toward female veterans may matter more than changing women’s health practice characteristics alone.

Mar 14, 2017
Journal Article

The Effects of Pay-for-Performance Programs on Health, Health Care Use, and Processes of Care: A Systematic Review

There is some evidence that pay-for-performance programs improve processes of care, but there is no clear evidence that they improve patient outcomes.

Mar 14, 2017
Journal Article

Medical Oncologists' Experiences in Using Genomic Testing for Lung and Colorectal Cancer Care

More research is needed to determine whether the observed variation in genomic testing for lung and colorectal cancer reflects appropriate or inappropriate care.

Mar 13, 2017

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