August 2012
American Association of Nurse Anesthetists
Lewin contact: Paul Hogan
Certified Registered Nurse Anesthetists (CRNAs), educated with specialized training, skill, and expertise in pain management, provide chronic pain management in rural areas, underserved by physicians and healthcare facilities. CRNA services are often the sole source of chronic pain management services in these areas. If the patients are not able to access care from the local CRNAS, the alternatives are to travel great distances for care from physicians, to have expensive and invasive surgery, or to be institutionalized as a result of untreated pain.
The report discusses four case studies about four Medicare beneficiaries who are currently receiving pain treatment from their local (rural) CRNA. Each case discusses the costs – medical and indirect (non-medical and opportunity cost) – of the current treatment pathway, and alternative pathways that do not include access to a CRNA for chronic pain treatment.
Client Area: Associations
Expertise Area: Health Professionals Workforce
January 2012
Journal of Aging & Social Policy Volume 24, Issue 1, 2012
A major barrier to building a strong workforce to meet the growing need for long-care is lack of affordable health benefits. This study projects impacts of funding health coverage for all long-term care workers in Minnesota.
This article was published in the Journal of Aging & Social Policy, Volume 24, Issue 1, 2012
Click here for the abstract and full article: http://www.tandfonline.com/doi/abs/10.1080/08959420.2012.629135
Client Area: Payers / Insurers
Expertise Area: Health Professionals Workforce
November 2010
Journal of Nursing Administration: November 2010 - Volume 40 - Issue 11 - pp 463-467
Lewin Contact: Terry West
Researchers from The Lewin Group contributed to this article, available on the JNA website. Click to view abstract (Requires subscription to access full article.)
doi: 10.1097/NNA.0b013e3181f88fd3
Experienced Nurse Retention Strategies: What Can Be Learned From Top-Performing Organizations
by: Hirschkorn, Colleen A. MPA, RN; West, Terry B. MBA; Hill, Karen S. DNP, RN, NEA-BC, FACHE; Cleary, Brenda L. PhD, RN, FAAN; Hewlett, Peggy O. PhD, RN, FAAN
Client Area: Hospitals, Health Systems, and Providers
Expertise Area: Health Professionals Workforce
December 2008
American Nurses Association
For the American Nurses Association, The Lewin Group synthesized findings from the literature on the relationship between registered nurse staffing levels and nursing-sensitive patient outcomes in acute care hospitals. Using hospital discharge data to estimate incidence and cost of these patient outcomes together with productivity measures, Lewin estimated the economic implications of changes in registered nurse staffing levels. The study is published in the January 2009 issue of Medical Care.
Client Area: Associations
Expertise Area: Health Professionals Workforce
March 2007
American College of Rheumatology
Lewin contact: Paul Hogan
Lewin was engaged by the American College of Rheumatology to prepare projections of the supply of and the demand for rheumatologists. The results of the study were published in the March 2007 issue of the journal Arthritis & Rheumatism.
Client Area: Associations
Expertise Area: Health Professionals Workforce
October 2006
DHHS, Health Resources and Services Administration (HRSA)
This paper presents projections of physician supply and requirements for 18 physician specialties using the Physician Supply Model and the Physician Requirements Model developed for the Health Resources and Services Administration by The Lewin Group and the Altarum Institute. The paper describes the data, assumptions and methods used to project the future supply of and requirements for physician services; presents projections from these models under alternative scenarios; and discusses the implications of these projections for the future adequacy of physician supply.
Client Area: Federal Government
Expertise Area: Health Professionals Workforce
May 2006
DHHS, Health Resources and Services Administration
The Lewin Group assisted the U.S. Department of Health and Human Services, Health Resources and Services Administration respond to a Congressional request to examine the adequacy of the critical care workforce. Using findings from the literature, original research, and projections from the Physician Supply Model and Physician Demand Model, this report examines the current and future supply of critical care physicians (intensivists); the major factors and trends affecting the demand for their services; and the likely inadequacy of their numbers through 2020.
Client Area: Federal Government
Expertise Area: Health Professionals Workforce
September 2004
DHHS, Health Resources and Services Administration (HRSA), National Center for Workforce Analysis
This paper provides a brief overview of the Nursing Supply Model and the Nursing Demand Model; describes the data, methods, and assumptions used to project RN supply and demand; presents findings from the models; and discusses the limitations of these and other models and methods to forecast demand for health workers.
Client Area: Federal Government
Expertise Area: Health Professionals Workforce
July 2004
Future of Family Medicine Task Force Six
Lewin contact: John Sheils
The Lewin Group was retained by the Future of Family Medicine (FFM) Task Force Six to assist in developing a financial and reimbursement system for a New Model of Family Medicine (NMFM). Through a series of five task forces, the FFM project identified the core values of family medicine and developed a new model of practice. In this paper, The Lewin Group considers the financial implications of the NMFM. We conducted two types of analyses. First, we simulated the impact of the NMFM on a family physician practice's revenues and costs within the current fee-for-service reimbursement environment. Second, we evaluated alternative reimbursement mechanisms conducive to the NMFM.
Client Area: Associations
Expertise Area: Health Professionals Workforce
June 2004
Expertise Area: Health Professionals Workforce
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