Innovations to Reduce Hospital Readmissions and Eliminate Avoidable Hospitalizations from Nursing Homes in the Metropolitan New York City Region: Implications for the Health Workforce
Hospitals and nursing homes nationwide are employing a variety of strategies to reduce the possibility of readmissions through enhanced discharge planning and increased follow-up, but there has been little research on the relative effectiveness of the different approaches. In order to better understand issues in the effective management of care transitions, the Center conducted a series of case studies in New York City’s metropolitan region, interviewing administrative and clinical staff at hospitals and nursing homes. Key informants identified critical gaps in care transitions related to information sharing and collaboration. To view the full report, go to: hospitalreadmissions2014.pdf
Anesthesia Services Provided in Hospitals in Upstate New York
On average, there are more than 600,000 inpatient surgeries performed in New York hospitals per year. This brief summarizes the results of a survey of a sample of hospital administrators in upstate New York on the provision of anesthesia services in their facilities. Respondents identified the mix of providers of anesthesia services, problems associated with the provision of anesthesia services, and barriers to using certified registered nurse anesthetists (CRNAs) as anesthesia providers at their facilities. Download the research brief here: anesthesiahospital2014.pdf
Care Coordination Case Study: Preliminary Findings
The Center is conducting a care coordination workforce study in the greater New York City metropolitan region. The project involves case studies of a small number of organizations, including patient-centered medical homes (PCMHs), health homes (HHs), and accountable care organizations (ACOs) and focuses on their approaches to care coordination services for patients. This report presents a summary of the findings to date for this research. To view the full report, go to: carecoordinationprelim2014.pdf
Doctors Across New York: A Progress Report
The Center conducted an analysis of the Doctors Across New York Loan Repayment and Practice Support Programs to better understand initial program outcomes – i.e., did these programs increase the number of physicians practicing in underserved areas? The Center produced a report of findings that includes the distribution of awards by specialty and geography, as well as profiles of a sample of the recipients themselves. To view the full report, go to: DANYawardsreport2014.pdf
Works in Progress…
The Right Health Professionals in the Right Places (RP2)
The health of New Yorkers is essential to the state’s economic success. The State University of New York (SUNY) is uniquely positioned to train and educate the state’s future health workforce. RP2 seeks to partner SUNY institutions with health care providers at a regional level to assure that health workforce development is responsive to the local needs of the health sector. In October 2013, SUNY kicked off RP2 with a pilot program in the Adirondack region of New York, which includes Franklin, Clinton, Essex, Hamilton, Warren, Washington, and Saratoga counties. In May, SUNY will convene its next regional meeting, covering Jefferson, St. Lawrence, and Lewis Counties. For more information about SUNY’s RP2 initiative, go to: http://system.suny.edu/healthaffairs/sunyrp2/. Have questions or interested in joining our discussion group? Email: HealthAffairs@suny.edu.
As part of this effort, the Center has developed the Health Workforce Planning Data Guide designed to assist regional stakeholders in identifying their most pressing health workforce needs. The Data Guide includes information about the health status of the population, the current health workforce, and the educational pipeline. Download the guide: nys_health_workforce_planning_data_guide_2013.pdf
Abramson EL, McGinnis S, Moore J, Kaushal R. A statewide assessment of electronic health record adoption and health information exchange among nursing homes. Health Services Research. 2014;49(1pt2): 361-372. http://dx.doi.org/10.1111/1475-6773.12137
Dower C, Moore J, Langelier M. It is time to restructure health professions scope-of-practice regulations to remove barriers to care. Health Affairs. 2013;32(11):1971-1976. http://10.1377/hlthaff.2013.0537b
Health Workforce Technical Assistance Center Webinar Announcement
The Health Workforce Technical Assistance Center (HWTAC) is convening a series of webinars on topics of relevance to planners, policy makers, and other stakeholders interested in health workforce data collection, analysis, and research. The next webinar, “Data, Methods, and Tips for Health Workforce Supply and Demand Modeling,” will be presented by Tim Dall of HIS and is scheduled for May 14 at 2:00 p.m. ET. For more information, go to the HWTAC website: http://www.healthworkforceta.org
Jean Moore, director of the Center, attended an International Forum on Universal Health Coverage and Universal Health Systems convened by the Pan American Health Organization and the Brazilian Ministry of Health in Brasilia, Brazil on February 1 and 2, 2014. Dr. Moore served as a discussant for the session titled, “The Management of Health Work: Providing Health Care in Remote Areas.”
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