News and Notes – UCSF Health Workforce Research Center on Long-Term Care

The UCSF HWRC team is busy with its Year 6 projects, related new and old studies, and many other activities. We are now preparing to release new reports and gearing up for “conference season”! We appreciate your feedback and hope to hear your ideas.


UCSF HWRC faculty and collaborators participate in Health Affairs Summit

HWRC-LTC Director Joanne Spetz and University of Washington’s Center for Health Workforce Studies Director Bianca Frogner were among a group convened by Health Affairs to discuss strategies on community-based care and workforce training for seriously ill patients. An overarching theme was the need for health systems and education to focus on care in the communities. A full summary of the event was published on the Health Affairs blog.

California Future Health Workforce Commission releases a blueprint for the state

The California Future Health Workforce Commission released its recommendations for the state to ensure a workforce ready to meet health care needs by 2030. Janet Coffman was on the Management Team, Joanne Spetz supported the Subcommittee on Healthy Aging and Long-Term Care and was on the Technical Advisory Committee, and UCSF HWRC Expert Advisor Jennie Chin Hansen served on the Technical Advisory Committee. Healthforce Center at UCSF was part of the team that analyzed the potential impact of the recommendations, including Janet Coffman, Susan Chapman, and Joanne Spetz. Some additional information about the recommendations the UCSF team helped to craft and evaluate is provided in a Healthforce Center blog post.

Support at Home Evaluation extended through 2020

Support at Home is a pilot program launched in 2017 by the San Francisco Human Services Agency and administered by Institute on Aging (IOA) to provide home care vouchers to keep San Francisco adults with disabilities and seniors living safely in the community. The program serves individuals who are not eligible for other subsidized home care programs, like Medi-Cal In-Home Supportive Services (IHSS), due to income/resource limits or other program requirements. UCSF HWRC’s Joanne Spetz, Laura Wagner, and Jackie Miller are evaluating this program for the City, and the pilot and evaluation were extended an addition year due to the highly promising results of the first year. For more information, contact Joanne Spetz.

Susan Chapman advises study on community-based personal assistance

In December, Susan Chapman served as an advisor for a study on community-based, paid personal assistance services, funded by the Gordon and Betty Moore Foundation and jointly led by the Mongan Institute Health Policy Center at MGH/Harvard Medical School and PHI. The study addressed what 50 years of past demonstration projects have told us about personal assistance services in homes and communities and what needs to be done in the future to support the goals of both consumers and the PAS workforce.

Recent publications from UCSF HWRC-LTC investigators

Foley, KT, Farrell, TW, Salzman, B, Colburn, JL, Kumar, C, Rottman-Sagebiel, R, Wagner, LM, Abrams, J, Chang, A. Learning to Lead: Reflections from the Tideswell-AGS-ADGAP Emerging Leaders in Aging Program Scholars. Journal of the American Geriatrics Society, online January 3, 2019.

Dudley, N, Ritchie, CS, Stijacic-Cenzer, I, Lee, SJ. Palliative Care Needs in Oncology, Cardiology, and Neurology Clinic Patients in the USA. Journal of General Internal Medicine, online February 7, 2019.

Dudley, N, Ritchie, CS, Rehm, RS, Chapman, S, Wallhagen, MI. Facilitators and Barriers to Interdisciplinary Communication between Providers in Primary Care and Palliative Care. Journal of Palliative Medicine. 2019 Mar; 22(3): 243-249.

Xue, Y, Smith, JA, Spetz, J. Primary Care Nurse Practitioners and Physicians in Low-Income and Rural Areas, 2010-2016. JAMA. 2019; 321 (1): 102-105.

UCSF HWRC on the road! Recent presentations

Joanne Spetz presented a webinar for the Serious Illness Quality Alignment Hub on “Consensus-Based Recommendations for an Adequate Workforce to Care for People with Serious Illness.”

Joanne Spetz presented “Nursing Opportunities in an Evolving Health Care System” at the California State University Los Angeles Evidence-Based Nursing Summit, at the Patricia A. Chin School of Nursing.


Please visit our website to learn about our ongoing projects!

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