The Changing CHC Workforce

Study Overview Community health centers (CHCs) represent an important and unique component of America’s health care system. Grounded in a tradition of community-oriented primary care, CHCs provide comprehensive primary care to low-income patients in medically underserved areas and seek to improve the overall health of their communities. The great majority of CHC patients have incomes below twice the poverty line and are either covered by Medicaid or are uninsured. Because of the limited range of services available to their patients and in their communities, CHCs typically provide a broader array of services than a regular private medical practice. CHCs offer other health services, such as dental, mental health or vision care, as well as enabling services, such as health education, case management, transportation or language assistance. They often host other health or social service programs, such as Women, Infants and Children nutrition programs (WIC), Ryan White HIV/AIDS community and clinical services, Head Start, child care or even public housing. A number CHCs are dedicated to serving homeless patients, migrant farmworkers and their families or those living in public housing. This study focuses on 2007-2013 workforce trends for CHCs, specifically those receiving grant funding under Section 330 of the Public Health Service Act from the Health Resources and Services Administration (HRSA). It focused on staffing composition trends at CHCs, as measured by the number of full-time equivalent (FTE) staff by job category. You May Also Be Interested In: • CHCs Use Diverse Staffing and Can Provide Lessons for Other Medical Practices • CEO Perspectives on Factors Determining Medical Staff Configurations in CHCs • Contribution of the National Health Service Corps Providers and Recent Alumni to Medicare Beneficiaries in 2015 • Do Years of Experience with Electronic Health Records Matter for Productivity in CHCs? • Does Liberalizing State Nurse Practitioner Scope of Practice Laws Affect Staffing and Productivity in Community Health Centers? • Longitudinal Analysis of Electronic Health Records Adoption on Staffing Mix in Community Health Centers • Perceptions of Electronic Health Records Effects on Staffing, Workflow, & Productivity in Community Health Centers • The Changing Community Health Center Workforce: 2007-2013 • The Effects of the Implementation of Patient-Centered Medical Homes on Staffing and Productivity in Community Health Centers • The Impact of Medicaid Expansion on Community Health Center Staffing

For questions regarding this study, please contact: Leighton Ku, PhD The George Washington University Professor, Department of Health Policy & Management Milken Institute School of Public Health

Phone: (202) 994-4143 E-mail: lku@gwu.edu

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