Community health centers employ diverse staffing patterns, which can provide productivity lessons for medical practices

Health Affairs

Volumn 34, Issue 1, 2015, Pages 95-103

  Ku, Leighton ^a   Frogner, Bianca K ^b,c   Steinmetz, Erika ^a   Pittman, Patricia ^a  

^a GEORGE WASHINGTON UNIVERSITY   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^c GWU   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE PERSONNEL; HEALTH CENTER; HEALTH INSURANCE; HUMAN; MEDICAL PRACTICE; NURSING STAFF; PERSONNEL MANAGEMENT; PRODUCTIVITY; UNITED STATES; ADVANCED PRACTICE NURSING; MANAGEMENT; MANPOWER; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRIMARY HEALTH CARE; SAFETY NET HOSPITAL;

ADVANCED PRACTICE NURSING; COMMUNITY HEALTH CENTERS; EFFICIENCY; HUMANS; PATIENT CARE TEAM; PERSONNEL STAFFING AND SCHEDULING; PRACTICE MANAGEMENT, MEDICAL; PRIMARY HEALTH CARE; SAFETY-NET PROVIDERS; UNITED STATES;

EID: 84920903424     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2014.0098     Document Type: Article

References (25)

1. Petterson SM, Liaw WR, Phillips RL, Rabin DL, Meyers DS, Bazemore AW. Projecting US primary care workforce needs: 2010-2025. Ann Fam Med. 2012:10(6):503-9.
2. Blumenthal D, Abrams MK. Putting aside preconceptions-time for dialogue among primary care clinicians. N Engl J Med. 2013;368(20):1933-4.
3. Chen EH, Bodenheimer T. Improving population health through teambased panel management: comment on "Electronic medical record reminders and panel management to improve primary care of elderly patients." Arch Intern Med. 2011; 171(17):1558-9.
4. Bodenheimer TS, Smith MD. Primary care: proposed solutions to the physician shortage without training more physicians. Health Aff (Millwood). 2013;32(11):1881-6.
5. Auerbach DI, Chen PG, Friedberg MW, Reid R, Lau C, Buerhaus PI, et al. Nurse-managed health centers and patient-centered medical homes could mitigate expected primary care physician shortage. Health Aff (Millwood). 2013;32(11):1933-41.
6. Health Resources and Services Administration. Health center data [Internet]. Rockville (MD): HRSA; [cited 2014 Nov 17]. Available from: http://bphc.hrsa.gov/healthcenterdatastatistics/
7. Hing E, Hooker RS, Ashman JJ. Primary health care in community health centers and comparison with office-based practice. J Community Health. 2011;36(3):406-13.
8. Rosenblatt RA, Andrilla CH, Curtin T, Hart LG. Shortages of medical personnel at community health centers: implications for planned expansion. JAMA. 2006;295(9): 1042-9.
9. Peikes DN, Reid RJ, Day TJ, Cornwell DD, Dale SB, Baron RJ, et al. Staffing patterns of primary care practices in the Comprehensive Primary Care Initiative. Ann Fam Med. 2014;12(2):142-9.
10. Health Resources and Services Administration. Area Health Resources File [Internet]. Rockville (MD): HRSA; [cited 2014 Nov 24]. Available from: http://ahrf.hrsa.gov
11. Economic Research Service. Rural/urban continuum codes [Internet]. Washington (DC): Department of Agriculture; [last updated 2013 May 10; cited 2014 Nov 24]. Available from: http://www.ers.usda.gov/data-products/rural-urbancontinuum-codes.aspx
12. Pearson L. The 2012 Pearson report: a national overview of nurse practitioner legislation and health care issues. Monroe (NJ): NP Communications LLC; 2012.
13. Kane CK, Emmons DW. New data on physician practice arrangements: private practice remains strong despite shifts in hospital employment [Internet]. Chicago (IL): American Medical Association; c2013 [cited 2014 Nov 12]. (Policy Research Perspectives). Available from: http://www.nmms.org/sites/default/files/images/2013_9_23_ama_survey_prp-physician-practicearrangements.pdf
14. Willard-Grace R. Not just a medical assistant anymore: new healthcare delivery models that use unlicensed professionals. Paper presented at: AcademyHealth Annual Research Meeting; 2014 Jun 9; San Diego, CA.
15. Donelan K, DesRoches CM, Dittus RS, Buerhaus P. Perspectives of physicians and nurse practitioners on primary care practice. N Engl J Med. 2013;368(20):1898-906.
16. Everett C, Thorpe C, Palta M, Carayon P, Bartels C, Smith MA. Physician assistants and nurse practitioners perform effective roles on teams caring for Medicare patients with diabetes. Health Aff (Millwood). 2013;32(11):1942-8.
17. Downie S. Comparison of primary care visits to physicians and nonphysician providers in community health centers and hospital outpatient departments. Paper presented at: AcademyHealth Annual Research Meeting; 2014 Jun 10; San Diego, CA.
18. Institute of Medicine. The future of nursing: leading change, advancing health. Washington (DC): National Academies Press; 2011.
19. Mundinger MO, Kane RL, Lenz ER, Totten AM, Tsai WY, Cleary PD, et al. Primary care outcomes in patients treated by nurse practitioners or physicians: a randomized trial. JAMA. 2000:283(1):59-68.
20. Stanik-Hutt J, Newhouse RP, White KM, Johantgen M, Bass EB, Zangaro G, et al. The quality and effectiveness of care provided by nurse practitioners. J Nurse Pract. 2013;9(8): 492-500.
21. Goldman LE, Chu PW, Tran H, Romano MJ, Stafford RS. Federally qualified health centers and private practice performance on ambulatory care measures. Am J Prev Med. 2012;43(2):142-9.
22. Bruen BK, Ku L, Lu X, Shin P. No evidence that primary care physicians offer less care to Medicaid, community health center, or uninsured patients. Health Aff (Millwood). 2013;32(9):1624-30.
23. Probst JC, Laditka JN, Laditka SB. Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive locations: an analysis across eight US states. BMC Health Serv Res. 2009;9:134.
24. Richard P, Ku L, Dor A, Tan E, Shin P, Rosenbaum S. Cost savings associated with the use of community health centers. J Ambul Care Manage. 2012;35(1):50-9.
25. Health Resources and Services Administration. 2013 health center data [Internet]. Rockville (MD): HRSA [cited 2014 Nov 12]. Available from: http://bphc.hrsa.gov/uds/datacenter.aspx?year=2013