scholarly journals Using Health Insurance Network Provider Data and Public Data Sets to Identify SARS-CoV-2 Vaccinators in the USA

2021 ◽  
Vol 8 ◽  
Author(s):  
John R. Litaker ◽  
Naomi Tamez ◽  
Wesley Durkalski ◽  
Richard Taylor
Keyword(s):  
Health Insurance ◽  
Nurse Practitioners ◽  
Census Data ◽  
Herd Immunity ◽  
Physician Assistants ◽  
Census Bureau ◽  
Data Sources ◽  
Network Data ◽  
Provider Network ◽  
Public Data

Objective: Mass vaccination planning is occurring at all levels of government in advance of regulatory approval and manufacture of a SARS-CoV-2 vaccine for distribution sometime in 2021. We outline a methodology in which both health insurance provider network data and publicly available data sources can be used to identify and plan for SARS-CoV-2 vaccinator capacity at the county level.Methods: Sendero Health Plans, Inc. provider network data, Texas State Board of Pharmacy data, US Census Bureau data, and H1N1 monovalent vaccine data were utilized to identify providers with demonstrated capacity to vaccinate the population in Travis County, Texas to achieve an estimated SARS-CoV-2 herd immunity target of 67%.Results: Within the Sendero network, 2,356 non-pharmacy providers were identified with 788 (33.4%) practicing in primary care and 1,569 (66.6%) practicing as specialists. Of the total, 686 (29.1%) provided at least one immunization between January 1, 2019 and September 30, 2020. There are 300 pharmacies with active licenses in Travis County with 161 (53.7%) classified as community pharmacies. We estimate that 1,707,098 doses of a 2-dose SARS-CoV-2 vaccine series will need to be administered within Travis County, Texas to achieve the estimated 67% herd immunity threshold to disrupt person-to-person transmission of the SARS-CoV-2 virus based on 2020 census data.Conclusion: A community-based health insurance plan can use data from its provider network and public data sources to support the CDC call to action to identify SARS-CoV-2 vaccinators in the community, including physicians, nurse practitioners, physician assistants, and pharmacies in order to provide macro level estimates of SARS-CoV-2 administration and throughput.

The Changing Landscape of Asian Entrepreneurship, Minority Banks, and Community Development

2011 ◽  
Vol 9 (1-2) ◽  
pp. 78-90
Author(s):  
Tarry Hum
Keyword(s):  
New York ◽  
New York City ◽  
Data Collection ◽  
Community Development ◽  
Real Estate ◽  
York City ◽  
Commercial Real Estate ◽  
Data Sources ◽  
Real Estate Development ◽  
Public Data

This policy brief examines minority banks and their lending practices in New York City. By synthesizing various public data sources, this policy brief finds that Asian banks now make up a majority of minority banks, and their loans are concentrated in commercial real estate development. This brief underscores the need for improved data collection and access to research minority banks and the need to improve their contributions to equitable community development and sustainability.

scholarly journals Barriers to identifying and obtaining CME: a national survey of physicians, nurse practitioners and physician assistants

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maureen O’Brien Pott ◽  
Anissa S. Blanshan ◽  
Kelly M. Huneke ◽  
Barbara L. Baasch Thomas ◽  
David A. Cook
Keyword(s):  
Travel Time ◽  
Nurse Practitioners ◽  
Professional Associations ◽  
Physician Assistants ◽  
Age Group ◽  
Sources Of Information ◽  
Online Search ◽  
The Past ◽  
Online Tools ◽  
Source Of Information

Abstract Background CPD educators and CME providers would benefit from further insight regarding barriers and supports in obtaining CME, including sources of information about CME. To address this gap, we sought to explore challenges that clinicians encounter as they seek CME, and time and monetary support allotted for CME. Methods In August 2018, we surveyed licensed US clinicians (physicians, nurse practitioners, and physician assistants), sampling 100 respondents each of family medicine physicians, internal medicine and hospitalist physicians, medicine specialist physicians, nurse practitioners, and physician assistants (1895 invited, 500 [26.3%] responded). The Internet-based questionnaire addressed barriers to obtaining CME, sources of CME information, and time and monetary support for CME. Results The most often-selected barriers were expense (338/500 [68%]) and travel time (N = 286 [57%]). The source of information about CME activities most commonly selected was online search (N = 348 [70%]). Direct email, professional associations, direct mail, and journals were also each selected by > 50% of respondents. Most respondents reported receiving 1–6 days (N = 301 [60%]) and $1000–$5000 (n = 263 [53%]) per year to use in CME activities. Most (> 70%) also reported no change in time or monetary support over the past 24 months. We found few significant differences in responses across clinician type or age group. In open-ended responses, respondents suggested eight ways to enhance CME: optimize location, reduce cost, publicize effectively, offer more courses and content, allow flexibility, ensure accessibility, make content clinically relevant, and encourage application. Conclusions Clinicians report that expense and travel time are the biggest barriers to CME. Time and money support is limited, and not increasing. Online search and email are the most frequently-used sources of information about CME. Those who organize and market CME should explore options that reduce barriers of time and money, and creatively use online tools to publicize new offerings.

Comparison of nurse practitioners/physician assistants to gastroenterologists in performing flexible sigmoidoscopy

1998 ◽  
Vol 114 ◽  
pp. A698-A699 ◽  
Author(s):  
MB Wallace ◽  
KY Ho ◽  
Y Trnka ◽  
C Henderson ◽  
JA Kemp ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Flexible Sigmoidoscopy ◽  
Physician Assistants

The Use of Nurse Practitioners and Physician Assistants in Washington and Oregon Emergency Departments

2010 ◽  
Vol 32 (4) ◽  
pp. 338-345 ◽  
Author(s):  
Patricia D. Abbott ◽  
Karen G. Schepp ◽  
Brenda K. Zierler ◽  
Deborah Ward
Keyword(s):  
Nurse Practitioners ◽  
Emergency Departments ◽  
Physician Assistants

Quality of HIV Care Provided by Nurse Practitioners, Physician Assistants, and Physicians

2005 ◽  
Vol 143 (10) ◽  
pp. 729 ◽  
Author(s):  
Ira B. Wilson ◽  
Bruce E. Landon ◽  
Lisa R. Hirschhorn ◽  
Keith McInnes ◽  
Lin Ding ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Physician Assistants ◽  
Hiv Care

Leveraging census data to study migration flows in Latin America and the Caribbean: an assessment of the available data sources

2021 ◽  
Author(s):  
Julieta Bengochea Soria ◽  
Emanuele Del Fava ◽  
Victoria Prieto Rosas ◽  
Emilio Zagheni
Keyword(s):  
Latin America ◽  
Census Data ◽  
Data Sources ◽  
The Caribbean ◽  
Migration Flows

scholarly journals US-based cross-sectional survey of clinicians’ knowledge and attitudes about shared decision-making across healthcare professions and specialties

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022730 ◽  
Author(s):  
Rachel C Forcino ◽  
Renata West Yen ◽  
Maya Aboumrad ◽  
Paul J Barr ◽  
Danielle Schubbe ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Medicine ◽  
Shared Decision Making ◽  
Nurse Practitioners ◽  
Physician Assistants ◽  
Shared Decision ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Positive Attitudes

ObjectiveIn this study, we aim to compare shared decision-making (SDM) knowledge and attitudes between US-based physician assistants (PAs), nurse practitioners (NPs) and physicians across surgical and family medicine specialties.SettingWe administered a cross-sectional, web-based survey between 20 September 2017 and 1 November 2017.Participants272 US-based NPs, PA and physicians completed the survey. 250 physicians were sent a generic email invitation to participate, of whom 100 completed the survey. 3300 NPs and PAs were invited, among whom 172 completed the survey. Individuals who met the following exclusion criteria were excluded from participation: (1) lack of English proficiency; (2) area of practice other than family medicine or surgery; (3) licensure other than physician, PA or NP; (4) practicing in a country other than the US.ResultsWe found few substantial differences in SDM knowledge and attitudes across clinician types, revealing positive attitudes across the sample paired with low to moderate knowledge. Family medicine professionals (PAs) were most knowledgeable on several items. Very few respondents (3%; 95% CI 1.5% to 6.2%) favoured a paternalistic approach to decision-making.ConclusionsRecent policy-level promotion of SDM may have influenced positive clinician attitudes towards SDM. Positive attitudes despite limited knowledge warrant SDM training across occupations and specialties, while encouraging all clinicians to promote SDM. Given positive attitudes and similar knowledge across clinician types, we recommend that SDM is not confined to the patient-physician dyad but instead advocated among other health professionals.

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