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Health Workforce Research e-Library

HRSA’s Bureau of Health Workforce (BHW) invests in research on issues that affect the U.S. health workforce. Much of our research helps health policymakers consider the supply, demand, distribution, and education of health workers. This helps them develop policy and programs. 

Explore the Health Workforce Research e-Library by searching for keywords, filtering by topic or resource type, or using advanced filtering options.

451-500 of 695 Results

Leveraging Public Data for Health Workforce Research: Interactive Data Dashboard of Supply & Distribution, Age Cohorts, and Commuting Patterns of Health Care Occupations

Topic: Allied Health, Workforce Data & Methodology
Resource Type: Brief
Year: 2018
Author(s): Benjamin Stubbs, Arati Dahal, Hengyang Zhi, Susan Skillman, Bianca Frogner
Prior research by University of Washington Center for Health Workforce Studies’ (UW CHWS) researchers compared and discussed how estimates of health professionals vary at the national and state levels across secondary data sets such as the American Community Survey, Current Population Survey, and the Occupational Employment Statistics. Additional UW CHWS analyses examined age cohort trends and commuting patterns for select occupations. These findings, along with interactive versions of supply estimates from a previously published report, are made available on a Web-based interactive data dashboard on the UW CHWS website.

Emerging Roles and Occupations in the Health Workforce

Topic: Allied Health, Health Careers
Resource Type: Brief
Year: 2018
Author(s): Bianca Frogner, Benjamin Stubbs, Susan Skillman
Systematically quantifying and tracking the evolution of the health workforce is a challenge, yet it is important for identifying emerging demands for different skills and competencies. Real Time Labor Market Information (RT-LMI), a source of data that is increasingly used to monitor workforce demand, extracts information from online job ads to track demand for general labor market skills, including for the health workforce. This brief identifies how 5 domains of emerging roles in healthcare have been incorporated into the job titles and descriptions of healthcare occupations by using RT-LMI data from LinkUp, a job search engine company.

Emerging Roles and Occupations in the Health Workforce

Topic: Allied Health, Health Careers
Resource Type: Report
Year: 2018
Author(s): Bianca Frogner, Benjamin Stubbs, Susan Skillman
Systematically quantifying and tracking the evolution of the health workforce is a challenge, yet it is important for identifying emerging demands for different skills and competencies. Real Time Labor Market Information (RT-LMI), a source of data that is increasingly used to monitor workforce demand, extracts information from online job ads to track demand for general labor market skills, including for the health workforce. This report identifies how 5 domains of emerging roles in healthcare have been incorporated into the job titles and descriptions of healthcare occupations by using RT-LMI data from LinkUp, a job search engine company.

Emerging Roles and Occupations in the Health Workforce

Topic: Allied Health, Health Careers
Resource Type: Presentation
Year: 2018
Author(s): Benjamin Stubbs, Bianca Frogner, Susan Skillman
Systematically quantifying and tracking the evolution of the health workforce is a challenge, yet it is important for identifying emerging demands for different skills and competencies. Real Time Labor Market Information (RT-LMI), a source of data that is increasingly used to monitor workforce demand, extracts information from online job ads to track demand for general labor market skills, including for the health workforce. This presentation identifies how 5 domains of emerging roles in healthcare have been incorporated into the job titles and descriptions of healthcare occupations by using RT-LMI data from LinkUp, a job search engine company.

Commuting Patterns of Healthcare Workers

Topic: Allied Health
Resource Type: Presentation
Year: 2018
Author(s): Bianca Frogner, Arati Dahal, Susan Skillman, Davis Patterson
This study examined the individual, work, and community characteristics that are associated with commuting patterns across occupations, identified the occupations that commute most frequently and experience the longest commute time, identified the most common commute patterns and forms of transportation for healthcare workers, identified the extent to which healthcare workers' commuting patterns vary across the nation, and examined whether there are any benefits to increased commute time.

Emerging Roles and Occupations in the Health Workforce

Topic: Allied Health, Health Careers
Resource Type: Presentation
Year: 2018
Author(s): Benjamin Stubbs, Bianca Frogner, Susan Skillman
Systematically quantifying and tracking the evolution of the health workforce is a challenge, yet it is important for identifying emerging demands for different skills and competencies. Real Time Labor Market Information (RT-LMI), a source of data that is increasingly used to monitor workforce demand, extracts information from online job ads to track demand for general labor market skills, including for the health workforce. This presentation identifies how 5 domains of emerging roles in healthcare have been incorporated into the job titles and descriptions of healthcare occupations by using RT-LMI data from LinkUp, a job search engine company.

Frontline Workers’ Career Pathways: A Detailed Look at Washington State’s Medical Assistant Workforce

Topic: Allied Health, Health Careers
Resource Type: Publication
Year: 2018
Author(s): Susan Skillman, Arati Dahal, Bianca Frogner, Holly Andrilla
This study used original survey data to examine the characteristics and roles of a defined medical assistant (MA) workforce and the relationship to MAs’ career pathways.

The Value of Real Time Labor Market Information For Monitoring Health Workforce Demand: A Case Study Examining Employer Demand For Health Information Technology Skills

Topic: Allied Health, Workforce Data & Methodology
Resource Type: Brief
Year: 2017
Author(s): Benjamin Stubbs, Bianca Frogner, Susan Skillman
This study examines the value of RT-LMI for identifying how frequently, and for which occupations, skills related to health information technology (HIT) are specifically demanded by healthcare employers. The goal of this study was to understand the value and limitations of RT-LMI for monitoring health workforce demand, including allied health professions.

The Value of Real Time Labor Market Information For Monitoring Health Workforce Demand: A Case Study Examining Employer Demand For Health Information Technology Skills

Topic: Allied Health, Workforce Data & Methodology
Resource Type: Report
Year: 2017
Author(s): Benjamin Stubbs, Bianca Frogner, Susan Skillman
We used data provided by a job search engine company, LinkUp, which provided an opportunity to peer inside the black box of data coding structures otherwise provided as a paid service by other RT-LMI vendors. The goal of this study was to understand the value and limitations of RT-LMI for monitoring health workforce demand, including allied health professions.

The Value of Real Time Labor Market Information For Monitoring Health Workforce Demand: A Case Study Examining Employer Demand For Health Information Technology Skills

Topic: Allied Health, Workforce Data & Methodology
Resource Type: Presentation
Year: 2017
Author(s): Benjamin Stubbs, Bianca Frogner, Susan Skillman
This poster describes a case study examining employer demand for health information technology skills.

Does Liberalizing State Nurse Practitioner Scope of Practice Laws Affect the Primary Care Provider Composition and Productivity in Community Health Centers?

Topic: Nursing, Primary Care
Resource Type: Brief
Year: 2017
Author(s): Jeongyoung Park, Xinxin Han, Ellen Kurtzman
This study examined the effects of expanded nurse practitioner (NP) scopes of practice (SOP) on the composition and productivity of key primary care providers in CHCs, including NPs, primary care physicians, and physician assistants (PAs), between 2009 and 2015.

The Impact of Medicaid Expansion on Community Health Center Staffing

Topic: Primary Care
Resource Type: Brief
Year: 2017
Author(s): Ellen Kurtzman, Jeongyoung Park, Xinxin Han, Patricia Pittman
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 federal poverty level. Despite this shift, the workforce impacts have not been measured. This brief examines the effects of state Medicaid expansion on community health center staffing.

What’s Changing in the Health Workforce in Next Generation Accountable Care Organizations?

Topic: Health Careers
Resource Type: Brief
Year: 2017
Author(s): Clese Erikson, Patricia Pittman
In recent years, the next generation accountable care organization (Next Gen ACO) model has emerged as a solution for lowering costs and increasing quality of care. However, there is little understanding about how workforce roles differ in this new model of care. This report describes a study that conducted interviews with leadership at eighteen different Next Gen ACOs to explore how workforce roles have shifted to reflect the values and practices of this emerging model of care.

The Association of Electronic Health Record Adoption with Staffing Mix in Community Health Centers

Topic: Primary Care
Resource Type: Publication
Year: 2017
Author(s): Bianca Frogner, Xiaoli Wu, Jeongyoung Park, Patricia Pittman
The objective of this study was to assess how medical staffing mix changed over time in association with the adoption of electronic health records (EHRs) in community health centers (CHCs).

The Changing Roles of Community Health Workers

Topic: Primary Care
Resource Type: Publication
Year: 2017
Author(s): Mary-Beth Malcarney, Patricia Pittman, Leo Quigley, Katherine Horton, Naomi Seiler,
There is substantial literature suggesting that community health workers (CHWs) are uniquely qualified to address health disparities. Thus it is essential that CHWs develop the competencies required to integrate into rapidly advancing health systems and organizations. This article describes a mixed-methods study that included a literature review, a database analysis, a content analysis of competency lists, and key informant interviews to examine the qualities employers value when hiring CHWs and determine what new competencies CHWs need to meet workforce demands.

Do Years of Experience with Electronic Health Records Matter for Productivity in Community Health Centers?

Topic: Primary Care
Resource Type: Publication
Year: 2017
Author(s): Bianca Frogner, Xiaoli Wu, Leighton Ku, Patricia Pittman, Leah Masselink
Community health centers’ (CHCs) patient panels are expected to increase in the coming years. This article examines the relationship between the use of electronic health records and productivity in CHCs.

Nurse-Related Clinical Nonlicensed Personnel in U.S. Hospitals and Their Relationship with Nurse Staffing Levels

Topic: Allied Health, Nursing
Resource Type: Publication
Year: 2017
Author(s): Suhui Li, Patricia Pittman, Xinxin Han, Timothy Lowe
This study examines nurse-related clinical nonlicensed personnel (CNLP) in U.S. hospitals between 2010 and 2014, including job categories, trends in staffing levels, and the possible relationship of substitution between this group of workers and registered nurses (RNs) and/or licensed practical nurses (LPNs).

Clinical nonlicensed personnel in U.S. hospitals: Job trends from 2010 to 2015

Topic: Allied Health
Resource Type: Publication
Year: 2017
Author(s): Patricia Pittman, Suhui Li, Xinxin Han, Time Lowe
Despite the large numbers in health care industry, little is known about the clinical nonlicensed personnel (CNLP) in U.S. hospitals and how their staffing has changed over time. The purpose of this analysis is to better understand the conformation and recent trends in CNLP staffing in U.S. hospitals from 2010 to 2015.

The Impact of Medicaid Expansion on Community Health Center Staffing

Topic: Primary Care
Resource Type: Report
Year: 2017
Author(s): Ellen Kurtzman, Jeongyoung Park, Xinxin Han, Patricia Pittman
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 federal poverty level. Despite this shift, the workforce impacts have not been measured. This report examines the effects of state Medicaid expansion on community health center staffing.

Best Practices for State-Level Nursing Workforce Data Collection

Topic: Nursing, Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Elizabeth Carter, Mary Lou Brunell, Peter Buerhaus
The Health Workforce Technical Assistance Center and the Center for Interdisciplinary Health Workforce Studies are pleased to co-sponsor a 3-part webinar series on nursing workforce data collection, analysis, and research. This webinar, the first in the 3-part series, provides an in-depth review of strategies used in two states for nursing workforce data collection.

Using Nursing Workforce Data to Inform State Policy

Topic: Nursing, Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Cynthia Bienemy, Joanne Spetz, Erin Fraher
HWTAC and the Center for Interdisciplinary Health Workforce Studies are pleased to co-sponsor a 3-part webinar series on nursing workforce data collection, analysis, and research. This webinar, the second in a 3-part series, focuses on research that uses nursing workforce data to support more effective state decision-making.

Two States' Experiences Using HRSA's Web-based Nursing Supply and Demand Model

Topic: Nursing, Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Linda Lacey, Pamela Lauer, Arpita Chattopadhyay, Tim Dall
HWTAC and the Center for Interdisciplinary Health Workforce Studies are pleased to co-sponsor a 3-part webinar series on nursing workforce data collection, analysis, and research. This webinar, the third in a 3-part series, features the experiences of nursing researchers in two states using their own nurse supply data in HRSA’s web-based nursing supply and demand model.

Cartography 101: Map-Making Tips to Engage Stakeholders

Topic: Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Katie Gaul
Maps are powerful tools to communicate data and complex information that resonate with policymakers and other stakeholders. The difference between a good map and a great map lies in knowledge and details. This webinar introduces the principles of cartography, delivers tips on what to do (and more importantly what not to do) when making a map, and provides a brief overview of selected cartographic software and online tools.

Using Medicaid Claims Data to Calculate Capacity for Federally Designated Shortage Areas: Part 1

Topic: Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Eric Turer
This is part one of a webinar series on using Medicaid claims data to calculate Medicaid accessible provider capacity for federal shortage area applications (HPSA/MUA/P). This webinar is a training session on processing the data.

Using Medicaid Claims Data to Calculate Capacity for Federally Designated Shortage Areas: Part 2

Topic: Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Eric Turer
This is part two of a webinar series on using Medicaid claims data to calculate Medicaid accessible provider capacity for federal shortage area applications (HPSA/MUA/P). This webinar demonstrates firsthand by using a Microsoft Access test file of sample data.

ArcGIS: An Introduction

Topic: Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Nafin Harun, Robert Martiniano
ArcGIS for Desktop is a powerful tool for data visualization when working with maps and geographic information. This webinar introduces the basics features of ArcGIS and demonstrate how to develop maps using the software. It is highly recommended to have ArcGIS installed to get the most out of the webinar. A free 21-day trial version of the software is available for download at: https://www.arcgis.com/features/free-trial.html. Please download Demo Data after registration. To open, use WinRAR, which can be downloaded here.

Preparing an SDMS Statewide Provider Data Upload: 2 Comprehensive Approaches

Topic: Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Barry Lace, Eric Turer
The Shortage Designation Management System (SDMS) data validation requirement and provider data upload process offer the opportunity to make bulk changes to a state's provider data. Though conceptually simple, the process of merging disparate state data sources (licenses, surveys, claims, etc.) with SDMS data can be complex. This webinar describes two comprehensive approaches to integrating available provider data and preparing a statewide upload file for import into SDMS.

Program Evaluation: What Is It and How Can You Use It To Improve Program Performance? Part 1

Topic: Evaluation, Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Amanda Norton, Robert Martiniano
Using the CDC evaluation framework and logic models, HWTAC presents a two-part webinar series on program evaluation. This is the first webinar which provides an overview of evaluation concepts and the logic model.

Developing Data Visualizations for Health Workforce Data

Topic: Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Erin Fraher, Evan Galloway
The Program on Health Workforce Research and Policy at UNC’s Sheps Center for Health Services Research recently developed two tools to query and visualize health workforce data. One tool visualizes county-level data on 200,000 licensed health professionals across 19 health professions in North Carolina. The other tool describes the migration of residents in training and actively practicing physicians between states. This webinar demonstrates both tools, discusses the considerations that went into their design, and explores how these data can be used to help shape health policy.

Program Evaluation: What Is It and How Can You Use It To Improve Program Performance? Part 2

Topic: Evaluation, Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Amanda Norton, Robert Martiniano
Using the CDC evaluation framework and logic models, HWTAC presents a two-part webinar series on program evaluation. This is the second webinar which uses concepts introduced in the first webinar to develop an evaluation for a HRSA program.

Health Workforce Needs Part 1: Workforce to Support Value Based Care

Topic: Oral Health, Primary Care
Resource Type: Webinar
Year: 2017
Author(s): Angela Beck, Margaret Langelier, Patricia Pittman
First in a 2-part series on “Health Workforce Needs in a Time of Transformation” highlighting research conducted by 3 of the Health Workforce Research Centers funded by the Health Resources and Services Administration. This session focuses on workforce configurations that support value based care. Presenters will describe changing workforce strategies in oral health, behavioral health, and primary care and consider issues such as emerging roles, scope of practice, and unique workforce challenges faced in rural communities.

Health Workforce Needs Part 2: Health Care Jobs, Training, and Career Pathways

Topic: Health Careers, Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Bianca Frogner, Erin Fraher, Susan Chapman
Part 2 of a 2-part series based on a symposium of health workforce research centers that was previously held in Washington DC in May 2016. This webinar includes three prerecorded 10-minute presentations regarding three separate studies on health care job growth, training, and career pathways. Following these presentations, attendees ask questions regarding the studies, such as lessons learned, and next steps.

Perspectives on State Health Workforce Data Collection

Topic: Workforce Data & Methodology
Resource Type: Webinar
Year: 2017
Author(s): Danielle Weiss, Mary Lou Brunell, David Armstrong
In this webinar, HWTAC unveils its updated and enhanced state health workforce data collection webpage. In addition, researchers from two states describe their new health workforce data collection initiatives. Danielle Weiss, a primary care workforce program manager from New Hampshire, discusses successful efforts to introduce mandatory reregistration surveys for health professionals and Mary Lou Brunell, the director of Florida’s Nursing Workforce Center, describes plans to expand data collection beyond nursing to include other health professions in the state.

An Assessment of Mobile and Portable Dentistry Programs to Improve Population Oral Health

Topic: Health Equity, Oral Health
Resource Type: Brief
Year: 2017
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, Lauren Boyd, Carol Rodat
The main hypothesis for this research was that mobile and portable oral health services are useful in geographic areas and for population groups where the penetration of dental practices or dental participation in Medicaid is low. This qualitative study examined peer-reviewed literature on mobile and portable dentistry and inventoried state-specific regulations governing these programs.

An Assessment of Mobile and Portable Dentistry Programs to Improve Population Oral Health

Topic: Health Equity, Oral Health
Resource Type: Report
Year: 2017
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, Lauren Boyd, Carol Rodat
The main hypothesis for this research was that mobile and portable oral health services are useful in geographic areas and for population groups where the penetration of dental practices or dental participation in Medicaid is low. This qualitative study examined peer-reviewed literature on mobile and portable dentistry and inventoried state-specific regulations governing these programs.

The Evolving Pipeline of Hispanic Dentists in the United States

Topic: Health Careers, Health Equity
Resource Type: Brief
Year: 2017
Author(s): Zeeshan Raja, Cynthia Wides, Aubri Kottek, Paul Gates, Elizabeth Mertz
This study examines the trends in H/L dentists’ education and pathways to practice, analyzes practice patterns of H/L dentists by pathway, and describes the licensure and educational environment for foreign-trained dentists (FTDs), with a focus on opportunities to enhance workforce diversity and improve access to care for both underserved and H/L populations.

Trends in the Development of the Dental Service Organization Model: Implications for the Oral Health Workforce and Access to Services

Topic: Health Equity, Oral Health
Resource Type: Brief
Year: 2017
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
The impact of DSOs on increased access to services for underserved populations has been noted, but their actual contributions to care for these populations is only sparsely documented. Trends in consolidation of dental practices and the business, organizational, and workforce models that enable large practices have not been well researched. One objective of this exploratory study was to identify and analyze data describing these organizations, another was to conduct interviews with DSOs to understand the qualitative aspects and benefits of management alliances.

Trends in the Provision of Oral Health Services by Federally Qualified Health Centers

Topic: Oral Health
Resource Type: Brief
Year: 2017
Author(s): Simona Surdu, Margaret Langelier
This brief summarizes trends in the direct provision of oral health services by federally qualified health centers (FQHCs) over recent years and factors that predict the likelihood of an FQHC providing direct general and/or specialty oral health services. The analyses use both current and historical data to describe existing oral health service capacity in FQHCs and differences among health centers and across states in direct delivery of oral health services. This report will be useful for policymakers considering strategies to enable access to oral health services for underserved populations, and will provide important contributions to the literature describing oral health services access barriers for the underserved.

Pediatric Workforce Issues

Topic: Oral Health
Resource Type: Publication
Year: 2017
Author(s): Elizabeth Mertz, Joanne Spetz, Jean Moore
Untreated dental disease remains one of the most prevalent health conditions for children, driven in part by disparities in access to care. This article examines evidence-based workforce strategies being used to facilitate better access to pediatric health services and to improve oral health status and outcomes for children. The workforce strategies described in this article include promising new models in the dental field, with new and existing providers as well as emerging workforce models outside of the dental field. Case studies for some of these workforce strategies are also presented. This article updates and synthesizes the evidence on clinical pediatric workforce models and discusses future directions and implications for health policy.