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The Health Workforce Dream Team: Who Will Provide the Care?

Thursday, December 02, 2010

In today’s evolving health care system, many providers and policymakers envision team-based care as an important component of the plan to improve quality, maximize resources, promote wellness, expand preventive care and enhance the value of the health care dollar. The health workforce “dream team” includes physicians, nurses, nutritionists, physical therapists, social workers, nurses’ aides, direct care workers, home health aides and others who contribute to coordinated care in a high quality system.

But are there enough health care workers to provide care for a growing, aging population with ever increasing chronic care needs? Are there incentives to keep workers in the health professions and move them up a career development ladder quickly enough to meet the impending need? What will care teams look like? What legislative adjustments will states need to make to implement the provisions of the Affordable Care Act?

To answer these and related questions, the Alliance for Health Reform and the Robert Wood Johnson Foundation sponsored a Dec. 2 briefing. Panelists were: Linda Burnes Bolton, vice president for nursing and chief nursing officer at Cedars-Sinai Medical Center in Los Angeles; Joel Teitelbaum of George Washington University; Bob Konrad, co-director of the Program on Health Professions and Primary Care at the Cecil G. Sheps Center, Chapel Hill, NC; and Catherine Dower of the Center for the Health Professions at the University of California - San Francisco. Ed Howard of the Alliance and Sue Hassmiller of the Robert Wood Johnson Foundation co-moderated.


 Ed Howard, Alliance for Health Reform, Moderator
 Sue Hassmiller, Robert Wood Johnson Foundation, Moderator
 Joel Teitelbaum, George Washington University, Speaker
 Bob Konrad, Cecil G. Sheps Center for Health Services Research, Speaker
 Linda Burnes Bolton, Cedars - Sinai Medical Center, Speaker
 Catherine Dower, Univ. of California, San Francisco, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: The Health Workforce Dream Team: Who Will Provide the Care? (Adobe Acrobat PDF), 12/2/2010
Event Summary: Event Summary (Word Document), 12/2/2010
Full Webcast/Podcast: The Health Workforce Dream Team: Who Will Provide the Care?

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Joel Teitelbaum Presentation (PowerPoint), 12/2/2010
Thomas R. (Bob) Konrad Presentation (PowerPoint), 12/2/2010
Catherine Dower Presentation (PowerPoint), 12/2/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Word Document), , 12/1/2010
Materials List (Word Document), , 12/1/2010
Source List (Word Document), , 12/1/2010
Event Summary (Word Document), , 12/2/2010

Offsite Materials (briefing documents saved on other websites)

Physician Assistants and Nurse Practitioners in Specialty Care: Six Practices Make it Work, California Healthcare Foundation, 6/1/2010
- By Catherine Dower and Sharon Christian
Quality: Filling Primary Care Gaps with Nurses, New America Foundation , 4/14/2010
- By Meredith Hughes
The Future of Nursing Leading Change, Advancing Health, Institute of Medicine , 10/1/2010
Medicare Opt-Out Provision Triggers Scope-of-Practice Debate, American Medical News, 11/15/2010
- By Carolyne Krupa
AACN Data Confirm That Nurses with Bachelor's Degrees Are More Likely To Secure Jobs Sooner After Graduation Than Other Professionals, Medical News Today, 11/14/2010
Direct-Care Workforce and Long-Term Care Provisions (Adobe Acrobat PDF),PHI, 6/2/2010
Occupational Projections for Direct-Care Workers 2008–2018 (Adobe Acrobat PDF),PHI, 2/1/2010
Who Are Direct-Care Workers? (Adobe Acrobat PDF),PHI, 2/1/2010
Let’s Uphold Scope-of-Practice Rules, Internal Medicine News , 11/8/2010
- By J. Fred Ralston
Health Care Overhaul Means More Opportunities, and Demand, for Nurses, Robert Wood Johnson Foundation , 4/28/2010
APNs Tout Primary Care Capabilities, Nashville Medical News, 6/1/2010
- By Cindy Sanders
Healthcare Reform and Nurses: Challenges and Opportunities, Medscape, 5/6/2010
- By Laura A. Stokowski
Gov't Care: A Victory For Special Interests, CATO Institute , 8/6/2009
- By Shirley Svorny
HRSA study finds nursing workforce is growing, U.S. Department of Health and Human Services, HRSA, 11/22/2010
Nurses’ Role in the Future of Health Care, New York Times, 11/18/2010
- By Pauline W. Chen
Reform Means More Health Workers Needed, San Francisco Chronicle , 10/22/2010
- By Janet Coffman and Gil Ojeda
Retirements by Baby-Boomer Doctors, Nurses Could Strain Overhaul, The Washington Post, 6/14/2010
- By Darryl Fears
Reimbursement Prognosis for Advanced Nurses Fuzzy,, 11/17/2010
- By Nancy Lofholm
Nursing Shortage Expected to Worsen, Florida, 11/16/2010
- By Patrick Peterson
Use of Midwives Rises, Challenging the State to Respond, The New York Times , 11/23/2010
- By Jessica Reaves


Linda Burnes Bolton, PhD, RN, FAAN, vice president for nursing at Cedars - Sinai Medical Center, reviewed the recommendations of an Institute of Medicine report on the future of nursing at the Dec. 2 briefing coponsored by the Robert Wood Johnson Foundation. (10 min.)

Joel Teitelbaum of the George Washington University reviewed how the Affordable Care Act improves the health workforce at the Dec. 2 briefing cosponsored by the Robert Wood Johnson Foundation. (15 min.)

Bob Konrad of the Cecil G. Sheps Center for Health Services Research notes that 4.3 million more direct care workers will be needed over the next decade to care for an aging population. From the Dec. 2 briefing cosponsored by the Robert Wood Johnson Foundation. (12 min.)

Catherine Dower of the Univ. of California - San Francisco presented arguments for expanding nurse practitioners' scope of practice at the Dec. 2 briefing cosponsored by the Robert Wood Johnson Foundation. (9 min.)


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