Source: Kathleen J. Mullen, Richard G. Frank, & Meredith B. Rosenthal, RAND Working Paper Series No. WR- 680, April 14, 2009
From the abstract:
Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness. The authors use data from published performance reports of physician medical groups contracting with a large network HMO to compare clinical quality before and after the implementation of P4P, relative to a control group. They consider the effect of P4P on both rewarded and unrewarded dimensions of quality. In the end, they fail to find evidence that a large P4P initiative either resulted in major improvement in quality or notable disruption in care.
Source: Peter I. Buerhaus, David I. Auerbach and Douglas O. Staiger, Health Affairs, Vol. 28 no. 4, July 2009
From the abstract:
In this paper we examine the recession’s impact on current RN employment and on projections of the future size of the nurse workforce. Clarifying the effect of the recession on RN employment can help employers and policymakers anticipate the possibility that the long-standing nurse shortage is finally winding down. But before concluding that it is safe to turn attention away from the nurse workforce, we examine trends in the composition of the RN workforce that lie underneath the recent employment changes. This assessment suggests the need to strengthen the current workforce before the recession lifts and imbalances in the supply and demand for RNs reappear. Next, we focus on the future workforce and project the age and supply of RNs through 2025, noting the impact of the recession on these projections. We conclude with policy implications to support the current nurse workforce and remove barriers that are blocking efforts to expand the long-term supply of RNs.
Source: Marcia Faller, AMN Healthcare, July 22, 2009
In their quest to recruit nurses, healthcare facilities highlight features such as shared governance, reduced overtime and increased efficiencies. Yet there is one area that perhaps should be more heavily promoted in the recruitment efforts: safe staffing levels.
Source: Debra Wood, AMN Healthcare, July 22, 2009
Providing a rewarding environment in which nurses can work, with opportunities to grow, and a chance to be heard and participate in practice decisions keeps experienced nurses at the bedside and, ultimately, improves patient care.
Source: James Fraleigh, RN Magazine, July 2009
For many American workers, the last 2 years have seen a growing storm of stagnant wages, eroding benefits, and feared or actual layoffs. But as recession swamped the economy, the majority of nurses who participated in RN’s biennial earnings survey have enjoyed rising fortunes.
Defying the grim statistics, just over half of our respondents got a raise in the last seven months, with the other half earning one more than seven months ago. On average, raises were 3.2% over their previous wages, which beat or matched 79% of participants’ last increases. Since our 2007 survey, the average annual base pay of salaried nurses (typically in management or administrative positions) grew 10%, or $6,746, to $75,180. Nurses paid by the hour fared even better; their average base earnings rose 13% ($7,460), to $64,018. Combined, nurses received $7,270 more on average, for a 12% raise to an overall base pay of $65,653.
But a few nursing specialties and settings bucked this trend with smaller raises or even declines; hospitals and other medical settings aren’t immune to economic pressures.
Source: Chelsey Ledue, Healthcare Finance News, July 02, 2009
Nurses believe that heavy workloads and insufficient staff are impacting patient care and health outcomes around the world, according to research presented at the International Council of Nurses’ 24th Quadrennial Congress.
Source: Joe Carlson, Modern Healthcare, July 6, 2009
Nearly half of all nurses in an online survey of 15,000 respondents have so little faith in their employers that they would not feel comfortable having a loved one receive care where they work.
Source: Beth T. Ulrich, Ramón Lavandero, Karen A. Hart, Dana Woods, John Leggett, Daria Friedman, Pat D’Aurizio, and Samantha J. Edwards, Critical Care Nurse, April 2009
Issues remain in the work environment that can impede quality of care, safety of patients, and nurses’ job satisfaction and retention.
Source: U.S. Department of Health and Human Services, 2009
Nearly $3 billion in Recovery Act funding will support the expansion, improvement, and renovation of community health centers and other programs that serve patients in communities across the country to better serve the nation’s most vulnerable families.
Community Health Centers providing affordable health care, even if you have no health insurance.
– See All Community Health Center Recovery Act Funding by State and Grantee
Source: Mischa Gaus, Labor Notes, no. 364, July 2009
Big Bother Comes in for a Check-Up
Beyond the whiz-bang applications that will smooth record-taking and make the hospital safer lie more familiar reasons why Shands is spending up to $7 million installing a high-tech backbone in its newest facility.
The sensors can also track the location of each IV stand – and every hospital worker, whose badges will include a tag that registers their location.
Hospitals could also use the technology to defeat organizing drives by identifying union supporters.