October 2023 Newsletter: Philip R. Lee Institute for Health Policy Studies

OCTOBER 2023

A US Centers for Disease Control and Prevention report released this week shows nearly half of health workers reported feeling burned out in 2022, increased from a third reporting burnout four years ago. IHPS faculty have a long history of researching the healthcare workforce, including mental health and burnout.

Recent work includes Advancing Health Worker Well-Being: Trends and Opportunities, a report from Sunita Mutha, MD and colleagues that details how health systems can support the well-being of health workers.

Christina Mangurian, MD, MAS, and colleagues looked at The National Academy of Medicine’s National Plan for Health Workforce Well-Being recommendations for supporting the mental health and well-being of health workers. In their JAMA Psychiatry article, Envisioning the Future of Well-Being Efforts for Health Care Workers—Successes and Lessons Learned From the COVID-19 Pandemic, they share findings from the implementation of two programs at academic medical centers and lessons learned.

Improving health care quality metrics as a way to decrease clinician burnout is shared by Anthony DiGiorgio, DO, and colleagues in a JAMA article, Improving Health Care Quality Measurement to Combat Clinician Burnout.

Although much research focuses on hospital health workers, Joanne Spetz, PhD, and colleagues looked at nursing turnover in home health. Spetz and colleagues shared their findings on scope of practice laws which govern what tasks nurses are allowed to perform and delegate, in their Journal of the American Medical Directors Association article, The Relationship Between Scope of Practice Laws for Task Delegation and Nurse Turnover in Home Health.

Community Partnerships

Showcasing the value of community partners in research and policy, Mara Decker, DrPH, and her team partner with the Fresno County Superintendent of Schools and the Fresno Economic Opportunities Commission (Fresno EOC) to implement the Rural Education and Development for Youth (READY) program. This program engages youth, their families, and local services to improve young people's well-being and sexual and reproductive health. Decker and her team provide evaluation for the project which has 50 sites throughout Fresno, California. Over a 5-year period, 1,200 youth have been randomized to participate in the program – both as participants and designers. Fresno EOC has utilized the data and evaluation by Decker's team in their advocacy and policy work with both federal and California state governments to direct more resources to Fresno. Decker’s team recently was awarded a 5-year grant to extend the project.

Photo: Decker and team with Fresno community partners

IHPS Faculty Spotlight

James Iannuzzi, MD, MPH

James C. Iannuzzi, M.D., MPH is a vascular surgeon in the Division of Vascular and Endovascular Surgery at UCSF and affiliated faculty at the Philip R. Lee Institute for Health Policy Studies. Dr. Iannuzzi earned his MD at Icahn School of Medicine Mount Sinai, and thereafter completed a general surgery residency at University of Rochester Medical Center where he also earned an MPH.

Dr. Iannuzzi was the inaugural research fellow at the Surgical Health Outcomes and Research Enterprise at University of Rochester. In 2018, Dr. Iannuzzi completed a clinical and research fellowship in vascular and endovascular surgery at Massachusetts General Hospital/Harvard Medical School.

Dr. Iannuzzi has authored numerous peer-reviewed publications in leading journals spanning multiple areas of surgery.

Upcoming Events

IHPS Grand Rounds: Minding the Intersection of Time Scarcity & Financial Toxicity: Studying Cancer Outcomes with Attention to Time as a SDoH

Arrianna Planey, PhD, MA, UNC Chapel Hill

Nov 7, 2023, 12 - 1 pm PT, Zoom here

IHPS + IMPACT Policy Skills Series

Impacting Policy Internationally

Jenny Liu, PhD, MPP, UCSF

Nov 8, 12 - 1 pm PT, Zoom here

Research Highlights

Erin McCauley, PhD, MEd, MA, and colleagues published A Call to Action to Public Health Institutions and Teaching to Incorporate Mass Incarceration as a Sociostructural Determinant of Health in Public Health Reports.

Lauren Hunt, PhD, RN, FNP, Krista Harrison, PhD, and colleagues published Health Care Costs Associated With Hospice Use For People With Dementia In The US in Health Affairs.

Melanie Molina, MD, MAS, and colleagues published Racial Disparities in Emergency Department Physical Restraint Use: A Systematic Review and Meta-Analysis in JAMA Internal Medicine.

Alissa Sideman, PhD, MPH , MA, Alma Hernandez de Jesus, Dan Dohan, PhD, and colleagues published Primary Care Practitioner Perspectives on the Role of Primary Care in Dementia Diagnosis and Care in JAMA Network Open.

Naomi Bardach, MD, along with colleague Kayla Karvonen, MD, published Making lemonade out of lemons: an approach to combining variable race and ethnicity data from hospitals for quality and safety efforts in BMJ Quality and Safety.

More IHPS faculty research here

Media Mentions

Janet Coffman:

Looming Kaiser Strike Could Delay COVID, Flu Shots

(KQED)

Jayme Congdon:

Inside San Francisco's 'poison pipeline' – ground zero of California's deadly fentanyl epidemic

(The Telegraph)

Jack Turban:

Part 1: A special panel discussion on transgender youth in athletics

(MSNBC)

Philip R. Lee Fellowship Fund Endowed

Since its founding 50 years ago, IHPS has been dedicated to training the next generation of leaders in interdisciplinary research to solve our most important health policy issues. In celebration of our 50th anniversary and to honor our founders, Phil Lee and Lew Butler, we established an endowment fund for the Philip R. Lee Fellowship. We are pleased to announce the fund has been endowed! We hope to continue to keep this fund and our fellowship program robust. Please consider donating at our dedicated webpage!