Since Accountable Care Organizations (ACOs) were first recognized in Medicare regulations in 2011, their numbers have been growing rapidly. Yet little is known about the way delivery systems adjusted to the change, and specifically about how those changes affect the health care workforce in hospitals. This report provides a descriptive analysis of workforce differences between…
The use of the minimally trained, low wage clinical non-licensed personnel (CNLP), who perform clinical tasks under the supervision of registered nurses (RNs) or other licensed clinical providers, has been a primary strategy for hospitals both to manage professional shortages and reduce costs. This article examines the nurse-related clinical non-licensed personnel (CNLP) staffing in US…
The use of Clinical Support Personnel (CSP), who perform healthcare tasks under the supervision of registered nurses and other licensed healthcare providers, has been used as a primary strategy for managing professional shortages. Despite the large numbers in the health care industry, little is known about the clinical nonlicensed personnel (CNLP) in US hospitals and…
Over the last 2 decades, community health centers (CHCs) have grown in number and capacity to meet the needs of the uninsured and Medicaid populations. This growth has been accelerated by the Affordable Care Act (ACA), which extended Medicaid eligibility beginning January 1, 2014 to include those with family incomes of less than 138% of…
The rate of Medicare recipients seeking care in health professional shortage areas (HPSAs) has been increasing. The National Health Survey Corps (NHSC) has been important for helping to staff HPSAs, but little is known about the role of these providers in caring for Medicare recipients. This abstract describes a study that used Medicare billing data…
The use of telehealth has increased dramatically from 2013 to 2016 as many state policies have become more favorable towards telehealth. However, it is unclear whether these policies have led to higher rates of telehealth use for underserved populations. This article describes an analysis of consumer survey data to examine how telehealth use rates have…
The National Health Service Corps (NHSC) is a federal program aimed at increasing the number of health professionals in underserved communities. The program’s ability to influence the capacity of community health centers (CHCs) has not yet been investigated. This study examines the role of NHSC clinicians in improving staffing and patient care capacity in primary,…
Community health centers are a vital part of the primary and behavioral health care systems in rural areas. This article compares the staffing and services at these centers in both rural and urban communities. Findings show that behavioral health staff currently participating in the National Health Service Corps (NHSC) contributed more to visits for depression…
Federal programs such as the National Health Survey Corps (NHSC) are important for ensuring an adequate supply of primary care professionals in underserved areas. However, we know little about how much NHSC clinicians expand patient capacity at the organizations in which they serve. This article describes a study that examined longitudinal administrative data at more…
Broadening scope of practice (SOP) laws for nurse practitioners (NPs) has been suggested as a potential solution for increasing the composition productivity of NPs in in community health centers (CHCs). However, the effectiveness of broadening SOPs for NPs for this purpose remains unclear. This article describes a study that examined the data from over seven…
