scholarly journals STEADI in Primary Care: A Process Evaluation of the New York State Implementation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 774-775
Author(s):  
Yvonne Johnston ◽  
Chelsea Reome-Nedlik
Keyword(s):  
Primary Care ◽  
New York ◽  
Process Evaluation ◽  
Administrative Support ◽  
Resistance To Change ◽  
New York State ◽  
Healthcare Providers ◽  
Structured Interviews ◽  
York State ◽  
Clinic Staff

Abstract This session presents findings from a STEADI process evaluation that was conducted within a primary care setting in New York State. This process evaluation used mixed methods including quantitative analysis of surveys with clinic staff as well as qualitative methods such as intercept interviews with healthcare providers and clinic staff, and structured interviews with key stakeholders. The RE-AIM framework guided development of the process evaluation tools. The process evaluation was conducted over a 2-month period approximately 18 months post-implementation. Facilitators included: (a) Adoption - physician champion and administrative support; (b) Implementation - wellness coordinators, preparation and training, and organizational quality measures; (c) Maintenance - feedback from patients, local and national recognition, and impact on fall-related outcomes. Barriers included: (a) Adoption – organizational priorities and complexity of electronic health records; (b) Implementation – resistance to change and competing patient care demands; (c) Maintenance - staff turnover and follow through of referrals.

scholarly journals THE HEALTH-RELATED TASKS PAID CAREGIVERS IN NEW YORK STATE PERFORM IN THE HOME

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S216-S216
Author(s):  
Jennifer M Reckrey ◽  
Emma Tsui ◽  
R S Morrison ◽  
Emma Geduldig ◽  
Robyn Stone ◽  
...  
Keyword(s):  
New York ◽  
Functional Impairment ◽  
Positive Impact ◽  
New York State ◽  
Structured Interviews ◽  
York State ◽  
Wide Range ◽  
Health Related ◽  
Paid Caregivers ◽  
At Home

Abstract Paid caregivers (e.g. home health aides, personal care attendants) are formally tasked with helping older adults with functional impairment meet their basic needs at home. This study used semi-structured interviews (n=30) with dyads of patients or their proxies and their paid caregivers in New York City to 1) understand the range of health-related tasks paid caregivers perform in the home and 2) determine if these tasks are taught in the New York State government’s Department of Health curricula. We found that patients, proxies, and paid caregivers all described that paid caregivers performed a wide range of health-related tasks that were often not a part of their formal training. Creating clear competencies for paid caregivers that reflect the full breadth of health-related tasks they may perform at home will help maximize the potentially positive impact of the paid caregiver workforce on the lives of patients living at home with functional impairment.

Completion of Primary Care Referrals Among New York State Refugees

2013 ◽  
Vol 16 (4) ◽  
pp. 743-746 ◽  
Author(s):  
Jemma Alarcón ◽  
Eric J. Cleghorn ◽  
Edwin M. Rodriguez ◽  
Stephen E. Hughes ◽  
Margaret J. Oxtoby
Keyword(s):  
Primary Care ◽  
New York ◽  
New York State ◽  
York State

Estimating the Effect of the New York State Nurse Practitioners Modernization Act on Care Received by Medicaid Patients

2021 ◽  
pp. 152715442110181
Author(s):  
Edward Joseph Timmons ◽  
Conor Norris ◽  
Grant Martsolf ◽  
Lusine Poghosyan
Keyword(s):  
Primary Care ◽  
New York ◽  
Nurse Practitioners ◽  
New York State ◽  
Primary Care Providers ◽  
Care Providers ◽  
York State ◽  
More Care ◽  
Total Care ◽  
The Impact

The demand for primary care services may surpass the supply of primary care providers, exacerbating challenges with access, quality, and cost in the U.S. health care system. Expanding the supply of, and access to, nurse practitioner (NP) care has been proposed as one method to alleviate these challenges. New York State (NYS) changed its regulatory environment for NPs in 2015. We estimate the impact of expanded NP scope of practice (SOP) regulations in NYS on total care days received by Medicaid beneficiaries from 2015 to 2018 using a model derived from national historical data from 1999 to 2011. We used a longitudinal data policy analysis framework and a generalized difference-in-differences model to identify the effect of changes in NP SOP regulations on total care days. The model included controls for state income and unemployment rates. Our results suggest that the policy change increased total care days provided to patients, but that this difference was not statistically significant and became negligible after computing the number of days per beneficiary. In addition, our results suggest that had NYS moved to a full practice environment, more care days could have been provided to Medicaid patients, and this difference was found to be statistically significant. Our results suggest that states should adopt full NP SOP practice environments to realize measurable benefits of expanded NP SOP.

scholarly journals Process Evaluation of a SNAP-Ed Healthy Corner Store Initiative in New York State

2018 ◽  
Vol 50 (7) ◽  
pp. S164
Author(s):  
Alisha Gaines ◽  
Zoe Wakoff ◽  
Tisa F. Hill ◽  
Jamie S. Dollahite
Keyword(s):  
New York ◽  
Process Evaluation ◽  
New York State ◽  
York State ◽  
Corner Store
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