Leaders from academic medical centers, large integrated and community health systems, home health and hospice organizations, and the Veterans Administration were recruited to participate in this qualitative study. This article assesses perspectives of US community-based palliative care program leaders on staffing, recruitment, and training.ArrayArticle Arrayhttps://journals.lww.com/jhpn/Abstract/2018/04000/Community_Based_Palliative_Care_Leader.9.aspxApril 1, 2018Array, Array, Array, Array, Array April 1, 2018
Many nursing homes have adopted health information technology (HIT) to help improve quality of care and staff productivity. However, the success of HIT systems in nursing homes depend on implementation and little is known about how these systems impact nursing home staff. This article describes a study that included a literature review of articles on…
There are insufficient numbers of practicing geriatricians to meet the current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans rapidly increases. Understanding how to best leverage geriatricians as members of an overall care team is critical. This report is the second component…
Nursing homes are important for providing accessible long-term care options for post-acute care patients. Unfortunately, the quality of care for these patients in the nursing home setting is often inadequate. This article examines the roles and relationships between directors of nursing and physicians in nursing homes to determine how these relationships affect patient care.ArrayArticle Arrayhttps://www.jamda.com/article/S1525-8610(19)30424-4/fulltextJuly…
In California, many Medicaid recipients receive home-and-community-based services (HCBS) in the form of home care aids. Family members can also receive payment as home care aids to these Medicaid recipients. This article describes an analysis of the data on first-time HCBS recipients to see which factors were associated with switching home care aids to provide…
Many healthcare organizations are rethinking provider roles and responsibilities to help their workforce best serve the needs of their patients. At the same time, regulations at the state and organizational levels restrict providersÂ’ scope of practice. This article discusses potential adjustments to scope of practice regulations to allow healthcare organizations to provide the best possible…
Over 1.5 million new jobs for medical assistants, nursing aides, and home care aides need to be filled by 2026. Many of these providers will work in the long-term services and supports (LTSS) sector. This article discusses a study that utilized 16 years of data from the American Time Use Survey, which examines the financial…
In order for the current health workforce to meet the increasing demand brought about by the pandemic, health care delivery organizations, educators, and government leaders will need to work together to adapt regulations to expand workforce capacity. Strategies such as expanding scopes of practice, developing cross-state licensure programs, and increasing telehealth services are essential. This…
Increased training and input from registered nurses is needed to identify appropriate health maintenance tasks to delegate to home care workers and to support development of training strategies. Using a qualitative case study approach, 4 states were selected with varying levels of restrictions in their nurse delegation regulations to conduct interviews. The researchers spoke with…
The delivery of medical care services in nursing homes is dependent on a workforce that includes physicians, nurse practitioners, and physician assistants. Each of these professions operates under a unique regulatory framework while adhering to common standards of care. Nursing home provider characteristics and their roles in care delivery can illuminate potential links to clinical…
