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Reports & InitiativesChanges in the delivery of health care have a profound impact upon, and are affected by, the 10.5 million health care workers whose labor costs account for almost 70% of health care expenditures. CHCF tackles issues within the health care industry that impact workers that are key to the delivery of care.
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Improving Access to Health Care in California: Testing New Roles for Providers December 2009 This issue brief provides both an overview of workforce innovation initiatives in California and elsewhere and an in-depth look at the California Health Workforce Pilot Project, which offers the opportunity to safely assess new approaches to care delivery. CHCF Health Care Leadership Program October 2009 This two-year fellowship offers clinically trained health care professionals the experiences, competencies, and skills necessary for effective vision and leadership of our health care system. The U.S. Oral Health Workforce in the Coming Decade August 2009 The nation's current oral health workforce fails to meet the needs of many segments of the population, particularly those in rural and other underserved areas. Read the findings from a February 2009 IOM workshop on this issue. July 2009 Providing consistent access to specialty care services is difficult for community clinics and other ambulatory settings that serve low-income populations. This research looks at programs created to improve access and overcome barriers to good specialty care. Nine case studies in diverse settings offer insights for others wishing to enhance specialty care access. Physician Assistants and Nurse Practitioners in Specialty Care: Six Practices Make It Work June 2009 To improve access and reduce wait times for specialty services, many specialty practices have incorporated physician assistants (PAs) and nurse practitioners (NPs) into their health care. This report highlights six models that have been financially sustainable. Fewer and More Specialized: A New Assessment of Physician Supply in California June 2009 This report presents the first comprehensive study of the Medical Board of California survey data on practicing physicians in the state. It finds fewer M.D.s than previously estimated, and that specialists outnumber primary care physicians by a 2-to-1 ratio. Under the Microscope: Trends in Laboratory Medicine April 2009 This report provides an overview of today's laboratory medicine sector and the economic, regulatory, workplace, technological, and other factors that are shaping it. Assessing the Impact of California's Nurse Staffing Ratios on Hospitals and Patient Care February 2009 This issue brief examines California's establishment of minimum nurse-to-patient staffing ratios. It finds that while hospitals increased their use of nurses with the highest skills, the regulation has not resulted in a clear improvement in the quality of patient care. Scope of Practice Laws in Health Care: Exploring New Approaches for California March 2008 These publications highlight models for reviewing and modifying state medical scope-of-practice laws, as well as the feasibility of addressing the shortage of health workers in California by drawing upon former military personnel. Scope of Practice Laws in Health Care: Rethinking the Role of Nurse Practitioners January 2008 This issue brief surveys scope of practice laws for nurse practitioners and examines how they might be altered to help alleviate physician shortages and rising health care costs in California. 1 | 2
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