Allied Health Professionals

Part of the health care workforce with clinical training in fields other than medicine, nursing, pharmacy, or dentistry.

Expanding Scope of Practice After COVID-19

Feb. 15, 2021

To expand access to health care during the COVID-19 pandemic, many states relaxed or waived regulations that define the scope of health professional practice. This experience highlights the need to ensure that all health care professionals practice to the full extent of their capabilities—an issue that predates and will outlast the pandemic. In a virtual conference on November 20, 2020, Penn LDI and Penn Nursing brought together experts in law, economics, nursing, medicine, and dentistry to discuss current gaps in health professional scope of practice, what we have learned from COVID-19, and how to rethink scope of practice to better meet community and public health needs.

Association Between Physician Practice Medicaid Acceptance and Employing Nurse Practitioners and Physician Assistants: A Longitudinal Analysis

Nov. 11, 2020

Hilary BarnesMichael R. Richards, Grant R. Martsolf, Sayeh S. Nikpay, Matthew D. McHugh

Abstract [from journal]

Background: Access to care is often a challenge for Medicaid beneficiaries due to low practice participation. As demand increases, practices will likely look for ways to see Medicaid patients while keeping costs low. Employing nurse practitioners (NPs) and physician assistants (PAs) is one low-cost and effective means to achieve this. However, there are no longitudinal studies examining the relationship between practice Medicaid acceptance and NP/PA employment.

Purpose: The purpose of this


Toward A Practice-Informed Agenda For Hospice Intervention Research: What Are Staff Members' Biggest Challenges?

George Demiris, Penn Nursing School
Aug. 6, 2020

Karla T. Washington, Leticia M. Alaniz Staner, Benjamin E. Collie, Kevin W. Craig, George Demiris, Debra Parker Oliver

Abstract [from journal]

The translation of evidence-based interventions into routine hospice care is impeded by numerous barriers, including a disconnect between research priorities and clinical care. To inform the development of a more practice-informed agenda for hospice intervention research, our team conducted a qualitative descriptive study, posing the following research questions: 1) How do hospice staff members describe their most significant work-related challenges? and 2) What regulatory changes do hospice staff members report would most improve


Cold Debriefings After In-hospital Cardiac Arrest In An International Pediatric Resuscitation Quality Improvement Collaborative

Heather Wolfe, MD
Jul. 8, 2020

Heather A. Wolfe, Jesse Wenger, Robert Sutton, Roopa Seshadri, Dana E. Niles, Vinay Nadkarni, Jordan Duval-Arnould, Anita I. Sen, Adam Cheng

Abstract [from journal]

Introduction: Clinical event debriefing functions to identify optimal and suboptimal performance to improve future performance. "Cold" debriefing (CD), or debriefing performed more than 1 day after an event, was reported to improve patient survival in a single institution. We sought to describe the frequency and content of CD across multiple pediatric centers.

Methods: Mixed-methods, a retrospective review of prospectively collected in-hospital cardiac arrest (IHCA) data, and a supplemental


The Predictive Validity Of The Progress Assessment, A Clinician Administered Instrument For Use In Measurement-Based Care For Substance Use Disorders

Jul. 5, 2020

Deborah H. A. Van Horn, Jessica Goodman, Kevin G. Lynch, Marcel O. Bonn-Miller, Tyrone Thomas, A. C. Del Re, Kimberly Babson, James R. McKay

Abstract [from journal]

We tested the predictive validity of the Progress Assessment (PA), a brief counselor administered tool for use in measurement-based care for substance use disorders. The PA includes 5 items assessing relapse risk and 5 items assessing factors protective against relapse. Data were drawn from a completed study of continuing care for cocaine dependence (McKay et al., 2013) and includes 12 months of follow-up on158 participants (76% male) who received brief telephone or face-to-face sessions. Each session began with the administration of


Transforming Mental Health Care Through Implementation of Evidence-Based Practices

Issue Brief
May. 21, 2020

Changing clinical practice is hard, and changing practices within larger organizations is even harder. Increasingly, policymakers are looking to implementation science—the study of why some changes prove more durable than others—to understand the dynamics of successful transformation. In this brief, we summarize the results of an ongoing community-academic partnership to increase the uptake of evidence-based practices in Philadelphia’s public behavioral health care system. Over five years, researchers found that widescale initiatives did successfully change the way care was delivered, albeit modestly and slowly. The evidence suggests that organizational factors, such as a proficient work culture, are more important than individual therapist factors, like openness in change, in influencing successful practice change. While practice transformation is possible, it requires focusing on underlying problems within organizations as well as championing new policies. 

Genetic Counseling And Oncology: Proposed Approaches For Collaborative Care Delivery

Oct. 1, 2019

Jacquelyn Powers, Kelsey Spielman, Rebecca Mueller, Melissa Batson, Stacy Pundock, Anna Arutyunova, Heather Symecko, Susan Domchek

Abstract [from journal]

Demand for cancer genetic counseling has grown rapidly in recent years as germline genomic information has integrated into cancer care. There are currently an insufficient number of genetic counselors (GC) to address genetic testing need through traditional pre- and post-test counseling. Alternative genetic counseling frameworks, discussed here, are under study to increase access to genetic testing while optimizing the skillsets of existent master's-trained GCs.

Modernizing Medicare Funding for Nurse Education

Jun. 21, 2018

With policies rooted in the 1960s, it’s time to change how Medicare pays for nurse education. In a New England Journal of Medicine Perspective, LDI Senior Fellow Linda Aiken and colleagues present a compelling case for funding a new consortium model that trains nurse practitioners (NPs) in the community settings where they are a crucial source of primary care.