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Mission Possible: Improving the Lives of All Older Adults in Marin

January 1, 2013

In 2012, Marin County's Division of Aging and Adult Services conducted a needs assessment that provided a detailed account of the demographics, economic security, health, housing, status of caregiving, and quality of life for the county's older adult population. This report also revealed that people's own assessment of their health was less positive among Hispanic/Latino and African American older adults compared to their white counterparts. The survey findings were supplemented by conducting community forums among specific groups (i.e., AfricanAmerican, Latino/Hispanic, family caregivers, low-income persons, and residents in rural areas) to gain insight into service needs and service barriers.These findings reinforce the results of a 2008 assessment in which nearly half of the Marin service agencies surveyed identified inadequacy in the cultural competence of their services. Ninety-one percent indicated that the lack of services for low-income older adults was a moderate to widespread problem. These challenges were also echoed in focus groups conducted with Spanish-speaking and lesbian, gay, bisexual, and transgender (LGBT) older adults.While prior efforts have improved understanding of the needs of Marin's older adults, there remains a gap in knowledge of the availability and status of culturally competent services among Marin's service providers. This effort sought to address this gap and identify organizational strategies that would improve the ability of agencies to provide high quality services to a diverse population of older adults in Marin County.

Allied Health Workforce Analysis: Sacramento-Northern California Region

February 2, 2010

Analyzes the racial/ethnic compositions of workers in twenty-two health occupations and graduates of healthcare education programs in Sacramento and northern California. Examines racial/ethnic disparities in occupations, educational attainment, and wages.

Allied Health Regional Workforce Analysis: Los Angeles

June 21, 2009

Analyzes the racial/ethnic compositions of workers in twenty health occupations and graduates of healthcare education programs in the Los Angeles area. Examines disparities by race/ethnicity in types of occupations held, educational attainment, and wages.

Allied Health Regional Workforce Analysis: Bay Area Region

May 21, 2009

Analyzes the racial/ethnic composition of workers in twenty-two health occupations and graduates of healthcare education programs in the Bay Area. Examines disparities by race/ethnicity in the types of occupations held, educational attainment, and wages.

Allied Health Regional Workforce Analysis: San Diego Region

May 21, 2009

Analyzes the racial/ethnic compositions of workers in nineteen health occupations and graduates of healthcare education programs in the San Diego region. Examines disparities by race/ethnicity in occupations held, educational attainment, and wages.

Allied Health Regional Workforce Analysis: Central California

January 1, 2009

Analyzes the racial/ethnic compositions of workers in twenty-two health occupations and graduates of healthcare education programs in the Central Valley. Examines disparities by race/ethnicity in occupations held, educational attainment, and wages.

Promising Scope of Practice Models for the Health Professions

November 1, 2007

Compares California's SOP laws setting parameters for nurse practitioners, physical therapists, physician assistants, and paramedics to broader provisions in other states or institutions. Recommends more expansive and uniform SOP laws across states.

Tracking the Supply of Health Professions Education Programs in California

April 1, 2007

Maps the "education link" in California's supply chain for selected health professions, identifying institutions that train these professionals and reporting data on the number of graduates of these training programs.

Advancing Community Health Worker Practice and Utilization: The Focus on Financing

December 5, 2006

There is a growing interest in the use of community health workers in various roles in the US health care system. These workers go by various titles and names -- including promotora and community health advisor -- but all assist members of the communities they serve. As the role of these workers becomes more accepted and desirable in the overall system of care, they face the challenges of moving from being an exceptional add-on to the system to being more a part of the mainstream. Issues such as educational preparation, formal credentialing, licensure and compensation are all part of this process. In particular, various organizations are interested in but challenged by the need for sustainable financing of the CHW position. It is time to explore and develop viable financing arrangements that go beyond short-term grants.To address these concerns, this research was undertaken to study sustainable financing mechanisms for community health workers. The focus is on existing and emerging funding, reimbursement and payment policies for community health workers. The study seeks to identify promising examples and models of payment programs for community health workers generally in the United States. To the authors' knowledge, this is the first national project with this exclusive focus.The audiences for this report include community health workers, directors of programs that employ or work with community health workers, and administrators of public and private coverage programs such as health plans, insurance companies and state Medicaid programs seeking options for improving health care access and quality at the same or lower costs. Businesses, non-profit organizations and consumers exploring the possibilities of using the services community health workers could provide might also be interested in the findings.

Bilingual Proficiency Among California's Health Care Professionals

March 1, 2005

Explores the policy options for encouraging and measuring second-language competence among healthcare providers in California.

Community Health Workers and Promotores in California

September 1, 2004

Provides an overview of, and describes the challenges facing, the emerging workforce of public health professionals who carry out a variety of health promotion, case management, and service delivery activities at the community level.