Meet The New LDI Senior Fellows: The 2018 Fall Kickoff
A Policy Analysis of Legally Required Supervision of Nurse Practitioners and Other Health Professionals
Ashley Z. Ritter, Kathryn H. Bowles, Ann L. O'Sullivan, ...
Abstract [from journal]
The use of legally required supervision occurs across health professionals who provide similar services. Legally required supervision has the potential to disrupt the production of high-quality, cost-efficient, accessible health services across disciplines.
This paper examines the effects of nurse practitioner collaborative practice agreements and similar
...Perceptions of Factors Associated With Inclusive Work and Learning Environments in Health Care Organizations: A Qualitative Narrative Analysis
Jaya Aysola, Frances K. Barg, Ana Bonilla Martinez, Matthew Kearney, ...
Abstract [from journal]
Importance: Diversifying the health care workforce remains a critical goal for health care organizations focused on reducing disparities in care. However, it remains unknown what factors create inclusive health system environments and help organizations retain a diverse workforce.
Objective: To understand from members of the health care workforce what factors contribute to inclusive work and learning environments and what can be done to improve inclusion within health care organizations.
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Charles Bosk Wins Guggenheim Fellowship for a Book About Medical Errors
LDI's Presence at the 2018 AcademyHealth Annual Research Meeting
IRB Oversight of Patient-Centered Outcomes Research: A National Survey of IRB Chairpersons
Joel S. Weissman, Eric G. Campbell, I. Glenn Cohen, Holly Fernandez Lynch, Emily A. Largent, Avni Gupta,Ronen Rozenblum, ...
ABSTRACT [FROM JOURNAL]
Patient-centered outcomes research (PCOR) is becoming increasingly common. However, there is little evidence regarding what novel ethical challenges, if any, are posed by PCOR with relevance to institutional review board (IRB) oversight and human subjects protections. This article reports the results of a national survey of all IRB chairpersons from research-intensive institutions in the United States. Findings address the responsibilities of IRBs and the challenges associated with PCOR review and oversight. IRB chairpersons varied in their judgment of PCOR...
Modernizing Medicare Funding for Nurse Education
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.
Chart of the Day: Nurse Practitioners in Primary Care
A new study in Health Affairs by Hilary Barnes, Matthew McHugh, and colleagues, demonstrates the increasingly important role nurse practitioners (NPs) have in primary care in the United States.
Photo Page: Penn Nursing's National 'Think Tank' on Vulnerable Elder Care
An Afternoon with Atul Gawande at Penn Medicine
Let’s Truly Engage Patients to Drive Health Care Innovation
Tradition can be a great thing, but we need to re-evaluate how the practices and lessons of the past apply to the present. That was one message stressed by Dr. Mark Smith as he delivered Penn LDI’s Charles C. Leighton, MD Memorial Lecture. Dr.
Lower Postsurgical Mortality for Individuals with Dementia with Better-Educated Hospital Workforce
Surgical patients age 65 and over with Alzheimer’s disease and related dementias (ADRD) were more likely to die within 30 days of admission and to die after a complication than those without ADRD. Having better-educated nurses in the hospital improved the likelihood of good outcomes for all surgical patients, but had a much greater effect in individuals with ADRD. Specifically, a 10% increase in the proportion of nurses with a Bachelor of Science in Nursing (BSN) degree or higher was associated with 10% lower odds of death and 10% lower odds of dying after a complication for surgical patients with ADRD.
Moving Beyond Duty-Hours
If you want to start an intense debate within the medical community, just talk about duty-hours – the length of a physician-in-training’s shift.
Physician-Level Variation in Outcomes of Mechanically Ventilated Patients
Meeta Prasad Kerlin, Andrew Epstein, Jeremy M. Kahn, Theodore J. Iwashyna, ...
Abstract [from journal]
Rationale: Physicians are increasingly being held accountable for patient outcomes, yet their specific contribution to the outcomes remains uncertain....