A5063180000- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Nursing Roles and Practices
- Cannabis and Cannabinoid Research
- Geriatric Care and Nursing Homes
- Nursing Education, Practice, and Leadership
- Homelessness and Social Issues
- Interprofessional Education and Collaboration
- Substance Abuse Treatment and Outcomes
- Nursing education and management
- Health Sciences Research and Education
- Patient Safety and Medication Errors
- Nursing Diagnosis and Documentation
- Food Security and Health in Diverse Populations
- Disaster Response and Management
- Mental Health Treatment and Access
- Innovations in Medical Education
- Healthcare Quality and Management
- Frailty in Older Adults
- Healthcare professionals’ stress and burnout
- Palliative Care and End-of-Life Issues
- Prenatal Substance Exposure Effects
- Emergency and Acute Care Studies
- Global Health Workforce Issues
Rutgers Sexual and Reproductive Health and Rights
2025
AcademyHealth
2022-2024
Rutgers, The State University of New Jersey
2022-2024
George Washington University
2008-2022
Robert Wood Johnson Foundation
2005-2008
National Quality Forum
2002-2008
Centers for Medicare and Medicaid Services
2002
Agency for Healthcare Research and Quality
2002
Charlton Memorial Hospital
1997
Nurse practitioners are the principal group of advanced-practice nurses delivering primary care in United States. We reviewed current and projected nurse practitioner workforce, we summarize available evidence their contributions to improving reducing more costly health resource use. recommend that practice acts--the state laws governing how may practice--be standardized, equivalent reimbursement be paid for comparable services regardless practitioner, performance results publicly reported...
Under the Affordable Care Act, number and capacity of community health centers (HCs) is growing. Although majority HC care provided by primary physicians (PCMDs), a growing proportion delivered nurse practitioners (NPs) physician assistants (PAs); yet, little known about how these clinicians' compares in this setting.To compare quality practice patterns NPs, PAs, PCMDs HCs.Using 5 years data (2006-2010) from subsample National Ambulatory Medical Survey multivariate regression analysis, we...
Abstract Rationale Over the last decade, in order to close safety and health care quality chasm, there has been a growing imperative translate evidence‐based research into practice. Aims Objectives This study examines major facilitators barriers of implementing large US insurance organization – Aetna Corporation an model care, Transitional Care Model, which rigorously tested over past twenty years by multidisciplinary team at University Pennsylvania. Methods Semi‐structured interviews 19...
Elderly long-term care recipients who require acute hospitalizations must navigate a fragmented system with poor “handoffs,” often resulting in negative outcomes. This article makes the case that reducing preventable and improving transitions to from hospitals will enhance health quality outcomes among these elders. Immediate action targeting diffusion of evidence-based is recommended decrease avoidable rehospitalizations achieve cost savings. Policy changes are needed address barriers...
The US health care system is characterized by fragmentation and misaligned incentives, which creates challenges for both providers recipients. These are magnified older adults who receive long-term services supports. Affordable Care Act attempts to address some of these challenges. We analyzed three provisions the act: Hospital Readmissions Reduction Program; National Pilot Program on Payment Bundling; Community-Based Transitions Program. were designed enhance transitions broader population...
Objective To examine the impact of state‐granted nurse practitioner ( NP ) independence on patient‐level quality, service utilization, and referrals. Data Sources/Study Setting The National Ambulatory Medical Care Survey's community health center HC subsample (2006–2011). Primary analyses included approximately 6,500 patient visits to 350 s in 220 s. Study Design Propensity score matching multivariate regression analysis were used estimate each outcome, separately. Estimates adjusted for...
The majority of states have legalized medical cannabis. Nurse leaders must be prepared for an increase in patients' use the drug across all care settings. To explore nurse leaders' attitudes towards, knowledge of, and experiences with : Descriptive qualitative study design. 28 leaders—19 four focus groups 3-7 participants another 9 interviews. Semi-structured, one-on-one interviews about their towards Thematic analysis was used to identify themes subthemes. Four major were identified:...
<h3>Importance</h3> Rates of prenatal cannabis use are increasing alongside perceptions that is a harmless therapeutic for pregnancy-related ailments, while rates alcohol and tobacco decreasing. It important to examine whether during pregnancy similarly among patients with without co-occurring substance use. <h3>Objectives</h3> To trends in polysubstance test differences over time pregnant individuals who only vs those other substances. <h3>Design, Setting, Participants</h3> This...
Cannabis is often used with other illicit drugs. Drawing from leading theories of polysubstance use, we data the 2009-2018 National Health and Nutrition Examination Survey to examine prevalence reported lifetime use cannabis cocaine, heroin, and/or methamphetamine among non-pregnant respondents ages 18-59 years. After identifying subpopulation that using multiple drugs, multivariate logistic regression analysis identify their demographic characteristics factors associated drug treatment...
In Brief On October 1 the Centers for Medicare and Medicaid Services (CMS) will eliminate additional payments eight preventable hospital-acquired conditions. The new payment rule, known as CMS–1533–FC, is part of a broad effort to refine Medicare's prospective-payment system improve care quality, it also gives nurses tool with which alter their economic relationship hospitals. This article describes CMS spells out its potential impact, recommends how can use rule change demonstrate value...
We interviewed hospital leaders and unit nurses in twenty-five hospitals between June October 2008 to explore the effect of performance-based incentives. Interviewees expressed favorable impressions impact that incentive policies have on quality safety. However, they raised concerns about policies’ effects nurse workforce. Their included belief incentives would increase both burden blame for without corresponding improvements staffing levels, work environment, salaries, or turnover. To...
Health care in the United States is fragmented, inefficient, and rife with quality concerns. These shortcomings have particularly serious implications for adults disabilities functionally impaired older need of long-term services supports (LTSS). Three strategies been commonly pursued by state governments to improve LTSS: expanding noninstitutional care, integrating payment delivery, realigning incentives through market-based reforms. were analyzed using an evaluation framework consisting...
Although nursing education pathways have expanded access to the profession, fragmentation accompanying these entry points has created uncertainty among students about desired end point, questionable efficiency and effectiveness of reaching career goals, unclear merging mechanisms enable seamless, linear progression. In response challenges in anticipation greater demands on nurses due health reform, Institute Medicine (IOM) examined capacity workforce proposed a transformative blueprint for...