Browsing by Author "Maxey, Hannah L."

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    2013 Indiana County Fact Sheets
    (2015-04) Nowak, Callie L.; Maxey, Hannah L.
    These fact sheets present detailed information on each of Indiana’s 92 counties. Information is provided on population and health system characteristics for each county which is critical to Indiana’s health system for planning and policy development. For each county, population characteristics such as age, race, economic indicators, health status, and education attainment were reported. Health system characteristics were also reported. Health workforce supply, healthcare facilities, and health professions shortages were used to estimate access to health care for each county. Data in each fact sheet provide stakeholders with information needed to improve the quality and accessibility of health care for Indiana residents through policy making, workforce development, and resource allocation. Additionally, fact sheets may be useful to local organizations seeking information for grant proposals or program implementation.
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    Administrative Challenges to the Integration of Oral Health With Primary Care
    (Lippincott Williams & Wilkins, 2016) Norwood, Connor W.; Maxey, Hannah L.; Randolph, Courtney; Gano, Laura; Kochhar, Komal; Department of Family Medicine, IU School of Medicine
    Inadequate access to preventive oral health services contributes to oral health disparities and is a major public health concern in the United States. Federally Qualified Health Centers play a critical role in improving access to care for populations affected by oral health disparities but face a number of administrative challenges associated with implementation of oral health integration models. We conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis with health care executives to identify strengths, weaknesses, opportunities, and threats of successful oral health integration in Federally Qualified Health Centers. Four themes were identified: (1) culture of health care organizations; (2) operations and administration; (3) finance; and (4) workforce.
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    Assessing public behavioral health services data: a mixed method analysis
    (BMC, 2020-11-11) Vaughn, Sierra X.; Maxey, Hannah L.; Keen, Alyson; Thoele, Kelli; Newhouse, Robin; Medicine, School of Medicine
    Background Measuring behavioral health treatment accessibility requires timely, comprehensive and accurate data collection. Existing public sources of data have inconsistent metrics, delayed times to publication and do not measure all factors related to accessibility. This study seeks to capture this additional information and determine its importance for informing accessibility and care coordination. Methods The 2018 National Survey for Substance Abuse and Treatment Services (N-SSATS) data were used to identify behavioral health facilities in Indiana and gather baseline information. A telephone survey was administered to facilities with questions parallel to the N-SSATS and additional questions regarding capacity and patient intake. Quantitative analysis includes chi-square tests. A standard qualitative analysis was used for theming answers to open-ended questions. Results About 20% of behavioral health facilities responded to the study survey, and non-response bias was identified by geographic region. Among respondents, statistically significant differences were found in several questions asked in both the study survey and N-SSATS. Data gathered from the additional questions revealed many facilities to have wait times to intake longer than 2 weeks, inconsistency in intake assessment tools used, limited capacity for walk-ins and numerous requirements for engaging in treatment. Conclusion Despite the low response rate to this study survey, results demonstrate that multiple factors not currently captured in public data sources can influence coordination of care. The questions included in this study survey could serve as a framework for routinely gathering these data and can facilitate efforts for successful coordination of care and clinical decision-making.
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    Comprehensive Strategy for Evaluation of Clinical Health Coaches in Chronic Disease Management
    (Office of the Vice Chancellor for Research, 2016-04-08) Randolph, Courtney; Maxey, Hannah L.; Mullen, Cody
    Purpose: As chronic disease rises to the top of morbidity and mortality causes in the United States, improving chronic disease management, particularly at healthcare administration and patient engagement levels, becomes a rising public health concern. Clinical Health Coaches (CHCs) are an innovative role in primary care settings, collaborating with patients to improve patient outcomes. There is a need for best practices guidelines of the CHC role, as there is currently no standardized training program. Iowa Chronic Care Consortium (ICCC) developed a CHC training program which is being implemented in an Indiana Rural Health Association pilot program. This study seeks to develop an evaluation tool for ICCC training and its effectiveness in chronic disease management. Methods: An extensive literature review was performed on previous evaluations of similar health coach role implementation in chronic disease management. ICCC training was completed to further understand the training program. Results: A collaboration of the chronic care model and ICCC’s proposed CHC model was determined to be the most appropriate tool for evaluation. From these models, 5 key domains were identified including: patient engagement, self-management support, patient experience, patient satisfaction, and delivery system design. This comprehensive approach will allow for both qualitative and quantitative analysis. Discussion & Implications: These survey tools will be administered to both patients and CHCs as a part of an evaluation of ICCC training and its effectiveness. As a result of this study, the CHC program could be expanded to more primary care settings to improve health outcomes in chronic disease patients. Learning objectives: Design an evaluation tool for clinical health coach training in chronic disease management. Evaluate the effectiveness of clinical health coach implementation in chronic disease management in a primary care setting.
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    Data Report: 2012 Indiana Mental Health Professional Licensure Survey
    (2014-10) Sheff, Zachary T.; Maxey, Hannah L.; Barclay, Jonathan C.; Banti, Sudha
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    Data Report: 2012 Indiana Pharmacist Workforce
    (2015-06) Sheff, Zachary T.; Nowak, Callie; Maxey, Hannah L.
    The report presents key information and data collected on Indiana pharmacists from the biennial Pharmacist Licensure Survey administered by the Indiana Professional Licensing Agency (IPLA). The report identifies major trends and includes key data on the pharmacist workforce that may be used to promote meaningful policy discussion and inform evidence-based policy development. Understanding the status of Indiana’s healthcare workforce is critical to ensuring that Indiana residents have access to high quality care, to developing programs that will train practitioners to meet future needs, and to recruiting and retaining healthcare professionals in Indiana. The Data Report is broken into two major components. The first component provides an overview of the pharmacists in Indiana containing inclusion criteria, workforce distribution, and trends. The second component of the report includes key data tables.
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    Data Report: 2012 Indiana Substance Abuse Workforce
    (2015-05) Sheff, Zachary T.; Nowak, Callie; Maxey, Hannah L.
    The substance abuse workforce is a subset of the larger mental health workforce and includes only those professionals who are involved in the treatment of substance abuse issues. This report identifies major trends and includes key data on the substance abuse workforce that may be used to promote meaningful policy discussion and inform evidence-based policy development. Understanding the status of Indiana’s substance abuse workforce is critical to ensuring that Indiana residents have access to high quality care, to developing programs that will train practitioners to meet future needs, and to recruiting and retaining healthcare professionals in Indiana.
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    Data Report: 2013 Indiana Nursing Workforce
    (2015-02) Sheff, Zachary T.; Nowak, Callie L.; Maxey, Hannah L.; Norwood, Connor W.; Randolph, Courtney; Kelley, Tracie M.
    Indiana’s registered nurse workforce is comprised of health care providers working in a range of settings and specialties. Information on the supply and distribution of this workforce is critical to Indiana’s health system for planning and policy development. Supply data on Indiana’s registered nurse workforce are routinely collected in the form of surveys administered in conjunction with the biennial nursing license renewal process. During the 2013 re-licensure period, 99,545 registered nurses renewed their license in Indiana. After filtering out individuals who did not respond to the survey, did not hold an active or probationary license, and did not practice in Indiana, 53,135 registered nurses were included in the report for analysis. The survey had a 93.1 percent response rate. In 2013, the majority of registered nurses were white (92.8%) and female (93.8%). The mean age of registered nurses was 45.7 years of age. Advanced practice nurses (APNs) were slightly older with a mean age of 48.5 years old. Registered nurses were primarily employed in staff nurse positions. Hospitals were the most common work setting. In 2013, the majority of RNs held a Bachelor’s degree or higher (56.7%). This is the first time since data has been collected (1997) in which a greater proportion of RNs held a Bachelor’s or higher than did not. Marion County had the highest percent of RNs with a Bachelor’s degree or higher (65.1%). Since 1997 the total number of actively practicing Indiana RNs has increased from 38,721 to 53,135 in 2013. From 2005 to 2013 the number of RNs working in a nursing faculty position has increased from 733 to 1,114. There were 49,033.6 total RN FTEs and 2,723.8 APN FTEs in Indiana in 2013. Statewide, there was an average of 122 Indiana residents per RN FTE and 2,380 residents per APN FTE. Marion County had the highest number of RN and APN FTEs of any county.
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    Data Report: 2013 Indiana Physician Workforce
    (2014-11) Sheff, Zachary T.; Nowak, Callie L.; Maxey, Hannah L.; Kelley, Tracie M.
    Indiana’s physician workforce is comprised of many skilled health care providers that work in a range of settings and specialties. Information on the supply and distribution of this workforce are critical to Indiana’s health system for planning and policy development. Supply data on Indiana’s physician workforce are routinely collected in the form of surveys administered in conjunction with the biennial medical license renewal process. As of the 2013, 25, 800 physicians were licensed to practice in the State of Indiana. Of these, 9,460 physicians indicated a n Indiana practice address , of which 2 ,939 reported a primary care specialty as defined by the Health Resource s and Service s Administration (HRSA) at Department of Health and Human Services (DHHS), including: general or family practice, general internal medicine, pediatrics, and obstetrics and gynecology. Practice characteristics and geographic distribution of this workforce are critical to determining capacity at the community level. The majority of Indiana physicians reported having only one practice location in Indiana and indicated that they worked at least 33 hours per week in direct patient care. Approximately one - third of physicians reported working with an advanced practice nurse (APN), but very few worked with physician assistants. The physician workforce, including primary care, is concentrated in populous, urban areas. In fact there are two rural Indiana counties, Benton and Switzerland, in which no physician reported practicing. Currently, all or parts of 63 counties are designated as primary care health professional shortage areas (HPSAs). However, 11 Indiana Counties not currently designated qualify as a geographic HPSA based population to primary care physician ratio as calculated with the most recent supply data. This report presents detailed information on Indiana’s physician workforce. This includes information on the demographic and practice characteristics of the workforce, supply data aggregated to the county - level, and federal shortage designations. These data provide stakeholders with information needed to improve the quality and accessibility of health care for Indiana residents through policymaking, workforce development, and resource allocation.
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    Data Report: 2014 Indiana Dentist Workforce
    (2015-05) Sheff, Zachary T.; Nowak, Callie L.; Maxey, Hannah L.
    The dentist workforce is the primary provider of oral health care to Indiana residents. In 2014, there were 3,982 dentists who held an active license in Indiana. These dentists were not surveyed during their re-licensure period, as has been done in the past, but were contacted by the Indiana Professional Licensing Agency (IPLA) via email in the fall of 2014 and asked to complete a brief survey. Despite follow-up reminders from IPLA and the Indiana Dentist Association (IDA) survey response was low (13.4%). The previous survey, which was administered during dentists’ 2012 re-licensure period, had a response rate of 80.7 percent. Of the 3,982 actively licensed dentists who were offered the survey, there were 532 respondents. Only 424 dentists were included in this analysis after filtering respondents to include only those who were actively licensed, practicing in Indiana, and currently practicing as dentists. Because of the small proportion of the actively licensed dentist workforce in Indiana that is represented in this analysis, it is unclear whether this sample is representative of the overall workforce. Comparing 2014 survey data with 2012 survey data indicated similar patterns in dental specialty and hours worked per week. However, slightly more rural dentists responded to the 2014 survey than the 2012 survey. Comparisons between responders and non-responders to the 2014 survey indicate that those who completed the survey were older than those who did not. The collection of high quality health workforce data is dependent upon reaching a large proportion of the health workforce. The low response rate to this survey suggests that this methodology is not optimal for collecting data on Indiana’s health professional workforces. Survey response fell by 67.3 percent compared to the 2012 dentist re-licensure survey. Embedding the survey instrument in the health professional re-licensure process has consistently yielded high (>80%) response rates across all health professions and should be considered as the primary method of survey administration for future data collection.