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Home > College of Public Health > Center for Health Policy > Reports: Center for Health Policy

Reports: Center for Health Policy

 
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  • Evaluation of a Competency-Based Health Policy Training Program by Jim P. Stimpson, Kathleen Brandert, Brandon Grimm, and Fernando A. Wilson

    Evaluation of a Competency-Based Health Policy Training Program

    Jim P. Stimpson, Kathleen Brandert, Brandon Grimm, and Fernando A. Wilson

  • Evaluation of a Competency-Based Health Policy Training Program by Jim P. Stimpson, Kathleen Brandert, Brandon Grimm, and Fernando A. Wilson

    Evaluation of a Competency-Based Health Policy Training Program

    Jim P. Stimpson, Kathleen Brandert, Brandon Grimm, and Fernando A. Wilson

    An academic and practice partnership was formed to create and implement a competency-based training program for local health departments in health policy. We evaluated if the training program improved the policy knowledge and competency of participants.

    Participants exhibited significant increases for self-assessed policy competency, including substantial improvements in “Critique the feasibility and expected outcomes of potential policy options”, “Identify and assess the strengths and motivations of key stakeholders and potential resistors”, and “Recommend a specific policy change”.

    The policy competency instrument developed in this report could be used to measure policy knowledge and competency in future training implementations.

  • Economic Implications of Tobacco Use for the State of Nebraska Government by Fernando A. Wilson, Nizar K. Wehbi, and Ali S. Khan

    Economic Implications of Tobacco Use for the State of Nebraska Government

    Fernando A. Wilson, Nizar K. Wehbi, and Ali S. Khan

    We examine smoking-related expenditures for the state Medicaid program and for lost productivity among state government employees. The predicted number of new diagnoses of smoking-related illnesses among government employees ranged from 109 cases of kidney disease to 856 cases of arthritis and related diseases. We estimate over 6,000 lost workdays due to sick leave among currently smoking vs. non-smoking employees. Smoking-related illness is estimated to increase state budgetary expenditures on Medicaid by approximately $114.9 million annually.

  • The Impact on Youth Smoking of Increasing the Cigarette Tax in Nebraska: An Update for 2018 by Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, and Li-Wu Chen

    The Impact on Youth Smoking of Increasing the Cigarette Tax in Nebraska: An Update for 2018

    Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, and Li-Wu Chen

  • The Status of the Healthcare Workforce in the State of Nebraska by Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, Kavita Mosalpuria, Ethan Chen, and Marlene Deras

    The Status of the Healthcare Workforce in the State of Nebraska

    Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, Kavita Mosalpuria, Ethan Chen, and Marlene Deras

  • Predicted Impact on Youth Smoking from Increasing the Cigarette Tax in Nebraska by Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, and Li-Wu Chen

    Predicted Impact on Youth Smoking from Increasing the Cigarette Tax in Nebraska

    Fernando A. Wilson, Nizar K. Wehbi, Jamie Larson, and Li-Wu Chen

  • Medicaid Expansion in Indiana by Jim P. Stimpson, Fernando A. Wilson, Anh T. Nguyen, and Kelly Shaw-Sutherland

    Medicaid Expansion in Indiana

    Jim P. Stimpson, Fernando A. Wilson, Anh T. Nguyen, and Kelly Shaw-Sutherland

  • An Examination of Private Payer Reimbursements to Primary Care Providers for Healthcare Services Using Telehealth, United States 2009–2013 by Fernando A. Wilson, Kate Elizabeth Trout, Sankeerth Rampa, and Jim P. Stimpson

    An Examination of Private Payer Reimbursements to Primary Care Providers for Healthcare Services Using Telehealth, United States 2009–2013

    Fernando A. Wilson, Kate Elizabeth Trout, Sankeerth Rampa, and Jim P. Stimpson

    • Half of telehealth-related state policies were implemented in the last five years.
    • Although many states permit reimbursements for telehealth services, only seven states have passed statutes mandating parity with reimbursements for non-telehealth services.
    • Despite an increasing number of telehealth policies, claims for telehealth services to private insurers are rare.
    • Lower average reimbursements for telehealth billings may discourage adoption of telehealth technologies.
    • Surveillance of claims data will help identify whether telehealth policies are having their intended impact on the healthcare system.

  • An Overview of State Criteria for Declaring a Public Health Emergency by Fernando A. Wilson, Nizar K. Wehbi, and Kavita Mosalpuria

    An Overview of State Criteria for Declaring a Public Health Emergency

    Fernando A. Wilson, Nizar K. Wehbi, and Kavita Mosalpuria

  • Raising the Minimum Legal Sales Age for Tobacco Products in Nebraska by Fernando A. Wilson, Nizar K. Wehbi, Kavita Mosalpuria, and Li-Wu Chen

    Raising the Minimum Legal Sales Age for Tobacco Products in Nebraska

    Fernando A. Wilson, Nizar K. Wehbi, Kavita Mosalpuria, and Li-Wu Chen

  • The Economic Impact of Increasing Cigarette Taxes in the State of Nebraska by Fernando A. Wilson, Jamie Larson, and Li-Wu Chen

    The Economic Impact of Increasing Cigarette Taxes in the State of Nebraska

    Fernando A. Wilson, Jamie Larson, and Li-Wu Chen

  • The Cancer Care Workforce in Nebraska by Aastha Chandak, Fausto R. Loberiza Jr., Marlene Deras, James O. Armitage, Julie M. Vose, and Jim P. Stimpson

    The Cancer Care Workforce in Nebraska

    Aastha Chandak, Fausto R. Loberiza Jr., Marlene Deras, James O. Armitage, Julie M. Vose, and Jim P. Stimpson

    Although cancer is the leading cause of death in Nebraska, the adequacy of Nebraska’s cancer care workforce to care for the cancer population is unknown. Therefore, we used workforce survey data for 2008-2012 from the Health Professions Tracking Service to analyze the cancer care workforce supply in Nebraska. We found that from 2008 to 2012, the cancer care workforce for adults outpaced cancer prevalence. We outline several policy options to improve Nebraska’s cancer care workforce capacity, and we consider the effect the Affordable Care Act may have on Nebraska’s cancer care workforce

  • Underage Drinking in Nebraska by Sarbinaz Bekmuratova, Nicole carritt, Tim Kaldahl, and Jim P. Stimpson

    Underage Drinking in Nebraska

    Sarbinaz Bekmuratova, Nicole carritt, Tim Kaldahl, and Jim P. Stimpson

    This brief describes the prevalence of underage drinking in Nebraska and its associated outcomes, as well as state policies pertinent to underage drinking and evidence-based strategies that can prevent underage drinking. We defined underage drinking as alcohol consumption by persons younger than 21 years. In 2010, Nebraska’s underage drinking costs, including medical care, work loss, and pain and suffering, totaled more than an estimated $423 million, which translates to a cost of $2,309 per year for each youth in Nebraska or $2.92 per drink. Underage customers consumed about a quarter of all alcohol sold in Nebraska. In a ranking of states based on the alcohol percentage consumed by youth, with 1 being the highest, Nebraska ranked fifth. Nebraska policy makers should strongly consider the following state-level policies: increasing taxes on alcohol products, prohibiting youth exposure to alcohol advertising, limiting access to excessive drinking by maintaining limits on days of sale and hours of sale, maintaining and upholding the integrity of the minimum legal drinking age laws, and expanding dram shop liability laws. Cities should study innovative methods of regulating alcohol outlets that balance commerce and protection of citizens. Both local municipalities and the state government should ensure there are sufficient resources available to enforce existing and new underage drinking laws.

  • Primary Care Nurse Practitioners in Nebraska by Soumitra S. Bhuyan, Marlene Deras, Mary E. Cramer, Janet Cuddigan, and Jim P. Stimpson

    Primary Care Nurse Practitioners in Nebraska

    Soumitra S. Bhuyan, Marlene Deras, Mary E. Cramer, Janet Cuddigan, and Jim P. Stimpson

  • Primary Care Physician Assistants in Nebraska by Soumitra S. Bhuyan, Marlene Deras, Tamara S. Ritsema, Michael J. Huckabee, and Jim P. Stimpson

    Primary Care Physician Assistants in Nebraska

    Soumitra S. Bhuyan, Marlene Deras, Tamara S. Ritsema, Michael J. Huckabee, and Jim P. Stimpson

  • Access to Oral Health Care in Nebraska by Aastha Chandak, Kim McFarland, Preethy Nayar, and Jim P. Stimpson

    Access to Oral Health Care in Nebraska

    Aastha Chandak, Kim McFarland, Preethy Nayar, and Jim P. Stimpson

    Oral health contributes to overall health; therefore, it is important to understand the level of access to oral health care in Nebraska. Our analysis of the most recently available data in Nebraska on access to oral health care and on the oral health workforce indicates that in 2010, 68.4% of Nebraskans aged 18 years and older visited a dentist within the past year. The total number of dentists practicing in Nebraska in 2012 was 1,028, compared to 1,017 in 2008; however, the number of dentists per 100,000 population decreased by 2.85% between 2008 and 2012, and the number of dentists older than 60 years increased by 39.29%, raising concerns about the retiring dental workforce. Also, in 2012, 53.6% of dentists practicing in Nebraska were practicing part-time, and only 39.2% practiced in rural areas. Twenty Nebraska counties were without a dentist in 2012. The State of Nebraska designates 44 counties as general dentistry shortage areas, and the Health Resources and Services Administration designates 72 dental Health Professional Shortage Areas in Nebraska. To meet the oral health objectives outlined in Healthy People 2020 and to provide services to the additional children who will have dental coverage under the Affordable Care Act, access to care and dental workforce needs in Nebraska will require the attention of both policymakers and providers.

  • Health Reform Funding in Nebraska by Kelly Shaw-Sutherland, Yang Wang, and Jim P. Stimpson

    Health Reform Funding in Nebraska

    Kelly Shaw-Sutherland, Yang Wang, and Jim P. Stimpson

    In March 2010, the Affordable Care Act was passed into law with the aim to solidify the nation’s health care safety net and expand access to care through new and existing programs. Of the estimated $200 billion dollars in mandatory and discretionary spending set to be appropriated by 2019, approximately $18.3 billion in total funding has been allocated to the states. Ranking 46 out of 51, Nebraska has received approximately 0.5% ($85.4 million) of total US funding, almost a full percent lower than the national median of 1.4%. In total funding per capita, Nebraska ranks slightly higher, at 38 out of 51, or $47.20 per capita. Nebraska also ranks among the bottom half of similarly populated states, ranking 21 out of 26 in total funding and 23 out of 26 in total funding per capita. We examined Nebraska’s standing in acquiring ACA implementation funding and discuss the policy implications of missed funding opportunities.

  • Center for Health Policy Inaugural Report by Jim P. Stimpson

    Center for Health Policy Inaugural Report

    Jim P. Stimpson

  • Trends in Retail and Urgent Care Clinics in Nebraska by Jim P. Stimpson and Marlene Deras

    Trends in Retail and Urgent Care Clinics in Nebraska

    Jim P. Stimpson and Marlene Deras

    There is considerable interest nationwide in the growth of retail clinics (kiosks located inside a retail store, supermarket, or pharmacy that treat simple illnesses and provide preventive care services) and urgent care clinics (walk-in clinics that treat injuries or illnesses requiring immediate attention). These clinics have the potential to improve access to healthcare by providing more convenient care and transparent prices (compared to a typical physician office visit). This brief describes the trend in the number of retail and urgent care clinics in Nebraska. We found a 40% increase in the number of urgent care clinics from 2008 to 2013, and we found no increase in the number of retail clinics. Currently, 55 retail and urgent care clinics operate in Nebraska, with 71% located in Douglas, Lancaster, or Sarpy County. The demand for primary care will increase next year as more people gain health insurance coverage through the provisions of the Affordable Care Act and are in search of primary care services. State health policy has the potential to address the needs of Nebraskans for convenient and affordable care by identifying and supporting innovative changes in healthcare access.

  • Impact of Health Reform on Latinos and Immigrants in the Omaha-Council Bluffs Metropolitan Area by Jim P. Stimpson, Kelly Shaw-Sutherland, and Yang Wang

    Impact of Health Reform on Latinos and Immigrants in the Omaha-Council Bluffs Metropolitan Area

    Jim P. Stimpson, Kelly Shaw-Sutherland, and Yang Wang

  • Active Primary Care Physicians in Nebraska: Data Comparison, Supply, and Characteristics by Soumitra S. Bhuyan, Marlene Deras, and Jim P. Stimpson

    Active Primary Care Physicians in Nebraska: Data Comparison, Supply, and Characteristics

    Soumitra S. Bhuyan, Marlene Deras, and Jim P. Stimpson

  • Public Health Department Accreditation in Nebraska by Janelle J. Jacobson, Jim P. Stimpson, Li-Wu Chen, and David Palm

    Public Health Department Accreditation in Nebraska

    Janelle J. Jacobson, Jim P. Stimpson, Li-Wu Chen, and David Palm

  • Health Insurance Coverage in Nebraska by Kelly Shaw-Sutherland and Jim P. Stimpson

    Health Insurance Coverage in Nebraska

    Kelly Shaw-Sutherland and Jim P. Stimpson

  • Analysis of National Health Policies Directed at Immigrants in the United States by Jim P. Stimpson

    Analysis of National Health Policies Directed at Immigrants in the United States

    Jim P. Stimpson

    This brief describes national policy efforts from 1986 to 2010 affecting access to health care for immigrants. An understanding of the policy actions that have affected immigrants’ access to health care will provide context for future policy discussions.

  • Medicaid Expansion in Nebraska under the Affordable Care Act by Jim P. Stimpson

    Medicaid Expansion in Nebraska under the Affordable Care Act

    Jim P. Stimpson

 
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