Institute on Healthcare Systems

Research

IHS probes key questions facing today's health systems on topics ranging from healthcare financing, provider interactions, workforce trends, and more. Below, find a selection of recent and ongoing work from our researchers.

Workforce

Reducing NP Barriers to Value-Based Care: A pilot of risk readiness tools in primary care offices owned by nurse practitioners.

Transitions Out Of Health Sector Employment For Low-Preparation Workers, 2017–2022: Survey research offering insight into employee turnover in roles requiring minimal formal education.

Relational Coordination Collaborative (RCC): A research community promoting relationship-based task integration. RCC programs include Relating Across Difference, a coaching protocol for clinical units.

Changes in Mental Health Services Use Under the ACA in One State: Role of Mental Health Provider Shortages: A study examining how mental health care use changed under Affordable Care Act provisions in the state of California.

Care Integration

Legal Aid Is Essential to Effective Social Care Integration: An analysis of the role of legal aid organizations in identifying health-related social needs, in partnership with California Health Fund.

Hospital–Skilled Nursing Facility Integration and Participation in a Bundled Payment Initiative: An original investigation into whether hospitals integrated with skilled nursing facilities are more likely to adopt Medicare bundled payment initiatives.

Stakeholder Engagement

SPIRE Clinical Trial: An evaluation of two models of primary care for older adults with complex health needs, in partnership with Mass General Hospital.

ENHANCE Clinical Trial: a stepped wedge comparison of delirium prevention protocols among hospitalized older adults, in partnership with Hebrew SeniorLife.