Licensed practical nurses (LPNs), referred to as licensed vocational nurses (LVNs) in some states, are the second-largest health care occupation that requires postsecondary education. More LPNs work in long-term care (LTC) than in any other sector. Demand for LPNs among long-term care providers is expected to increase substantially over the next several decades. Thus, there…
As the aging population increases, the need for palliative care to address serious and chronic illnesses has also increased. However, there is little research on whether palliative care programs meet national staffing guidelines. This article describes an analysis of self-reported operational data on hospital-based palliative care programs from the 201213 annual voluntary surveys of the…
Mobile integrated healthcare-community paramedicine (MIH-CP) is a new model of care that allows for a broader range of services in the community than more traditional emergency responses that often involve transporting patients to emergency departments. There is growing but limited evidence that suggests MIH-CP has potential to improve outcomes for patients needing long-term care (LTC)….
Remote monitoring programs are often used to care for patients with chronic conditions and other long-term care needs as such technologies have the potential to reduce costs and improve the accountability of care delivery for these patients. This report describes a study which used a literature review and key informant interviews to examine what factors…
Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, it has been unclear as to whether HIT systems have had the intended effect on staff productivity and patient outcomes. This report describes a study utilizing a literature review as well as interviews and focus groups…
As the aging population and the demand for long-term care services increases, more information will be needed about what factors contribute to stress, burnout, and retention of long-term care (LTC) workers. This report describes a study that utilized data from the American Time Use Survey from 2003-2014 to compare how LTC workers and other health…
Coordinating care for dementia patients who are dually eligible for Medicare and Medicaid can be complex as they involve program requirements, workforce competencies, and other barriers. As the aging population increases, more attention will need to be paid to new and potentially effective care coordination practices. This article describes a mixed-methods study that reviewed policy…
There are currently too few geriatricians to meet the needs of the geriatric patient population. Therefore, a better understanding of the current roles of geriatricians, how those roles are changing, and how they collaborate with other health professionals is needed. This report describes a literature review that makes up the first stage of a study…
Care coordination is seen as essential for allowing health systems to adapt to new payment models and policies. However, implementation of care coordination is rarely standardized and can be organized in many different ways. This article describes a study that conducted interviews with leadership and staff at four different health systems participating in new payment…
As the aging population grows, further increasing demand for long-term care (LTC) providers, some evidence suggests that employing more physician assistants (PAs) and nurse practitioners (NPs) may be and effective solution to meeting this demand. This report describes a study that analyzed LTC job posting data from 2014 to better understand employer demand for PAs…
