- Routhier Chair for Practice and Professor
- College of Nursing
- Phone: 401.874.5325
- Email: brambur@uri.edu
- Office Location: 226 White Hall, 39 Butterfield Road, Kingston, RI 02881
Biography
Dr. Betty Rambur, PhD, RN, FAAN, Professor and Routhier Chair for Practice at University of Rhode Island, is a national and impactful leader in health policy and health reform. Her work focuses on health care payment reform, ethics, and workforce redesign within alternative payment models. She served as the only nurse on Vermont’s Green Mountain Care Board, which regulates health care in Vermont and provides oversight of the transition from fee-for-service to value-based care. Previously, Dr. Rambur led North Dakota’s statewide health reform efforts that resulted in omnibus health reform legislation. Previous academic leadership positions include serving as Interim Dean of Nursing at URI, Dean of Nursing and Health Sciences at University of Vermont, and Chair of Nursing at University of Mary. In 2020, she was appointed to the US Government Accountability Office Medicare Payment Advisory Commission (MedPAC). This non-partisan, influential body advises Congress on Medicare policy. She is a Fellow in the American Academy of Nursing.
Dr. Rambur’s scholarship focuses on population health, reducing cost and overtreatment, health care regulation, and re-conceptualized models of care, including primary care nursing andvalue-informed nursing practice. Her first book, Health Care Finance, Economics, and Policy for Nurses, now in its third edition, provides a user-friendly guide to support nurses’ effectiveness and contributions to organizations in rapid transition in response to evolving financial and reimbursement incentives. She is also coauthor of a 2024 text titled Mastering Health Care Regulation: A Comprehensive Case Study Approach.
Dr. Rambur’s work has been honored by Sigma Theta Tau International, the prestigious Sloan Consortium Excellence in Online Teaching and Learning Award, and the American Academy for Nurse Practitioners State Award for Nurse Practitioner Advocacy. IN 2024, she was named the Lois Capps Health Policy Luminaru by the American Association of Colleges of Nursing. She serves on the Editorial Advisory Board for Policy, Politics, and Nursing Practice, and is author of more than 70 manuscripts and book chapters.
Research
Health services; workforce and ethics; health economics, policy and reform; leadership development
Education
PhD, Nursing, Rush University
MS, Nursing, Rush University
MS, Family Nurse Practitioner, University of North Dakota
BS, Nursing, University of Mary-Bismarck
Selected Publications
Peer Reviewed Articles:
Chan, G., Baker, N., Cooke, C., Cummings, M., Joseph, L., Meadows-Oliver, M., & Rambur, B. (2025). The importance, challenges, and proposed solutions for preceptors to educate the nursing workforce. Journal of Professional Nursing, 57, 75-84,
Barnes, H., Rambur, B. Black, L., Perloff, H., & O’Reilly-Jacob, M. (2025) Incorporating value-informed advanced nursing practice into APRN education. Journal of Professional Nursing. Online preprint available December 1, 2024. https://www.sciencedirect.com/science/article/pii/S8755722324001893
Williams, D., Grabert, L., Miller, B., Rambur, B.., & Wilensky, G. (2023). Reducing hospital costs without hurting patients. Health Affairs Forefront. https://www.healthaffairs.org/content/forefront/reducing-hospital-costs-without-hurting-patients 10.1377/forefront.20231018.935344
Hnath, J. Rambur, B. & Grabowski, D. (2023). Earnings, job satisfaction, and turnover of nurse practitioners across employment settings. Health Affairs Scholar. 1(3), 1-7. https://doi.org/10/1093haschl/qxad044/ e-pub September 14, 2023.
Yakushev, O. & Rambur, B. (2023). How the hospital reimbursement model harms nursing quality—and what to do about it. Health Affairs Forefront. https://www.healthaffairs.org/content/forefront/hospital-reimbursement-model-harms-nursing-quality-and-do
Chan, G. K., Cummins, M. R., Taylor, C. S., Rambur, B., Auerbach, D. I., Meadows-Oliver, M., Cooke, C., Turek, E. A., & Pittman, P. P. (2023). An overview and policy implications of national nurse identifier systems: A call for unity and integration. Nursing Outlook, 71(2), 101892. https://doi.org/10.1016/j.outlook.2022.10.005
Yakusheva, O., Rambur, B., & Buerhaus, P. I. (2022). Part 6. Education for value-informed nursing practice. Nursing Outlook, 70(6), 789–793. https://doi.org/10.1016/j.outlook.2022.08.002
Pulcini J, Rambur B. (2022). Travel nursing and the demise of the virtue-script: Steps to a new beginning. Policy, Politics, & Nursing Practice, 23(4):211-214. doi:10.1177/15271544221130623
Yakusheva, O., Rambur, B., O’Reilly-Jacob, M., & Buerhaus, P. I. (2022). Value-based payment promotes better patient care, incentivizes health care delivery organizations to improve outcomes and lower costs, and can empower nurses. Nursing outlook, 70(2), 215–218. https://doi.org/10.1016/j.outlook.2021.12.012
Yakusheva, O., Rambur, B., & Buerhaus, P. I. (2022). Value-informed nursing practice: What is it and how to make it a reality. Nursing outlook, 70(2), 211–214. https://doi.org/10.1016/j.outlook.2022.01.001
Rambur, B., & Pulcini, J. (2022). Understanding the language of health reform as a tool for advocacy. American Journal of Nursing, 122(1), 48-53. Podcast “Behind the Article” available at Rambur & Pulcini-AJN
Solari-Twadell, P. A., Flinter, M., Rambur, B., Renda, S., Witwer, S., Vanhook, P., & Poghosyan, L. (2022). The impact of the COVID-19 pandemic on the future of telehealth in primary care. Nursing Outlook, 70(2), 315–322. https://doi.org/10.1016/j.outlook.2021.09.004
Yakusheva, O., Rambur, B., & Buerhaus, P. I. (2021). The ethical foundations of value-informed nursing practice. Nursing Outlook, 69(4), 539–541. https://doi.org/10.1016/j.outlook.2021.03.014
Pittman, P., Rambur, B., Birch, S., Chan, G. K., Cooke, C., Cummins, M., Leners, C., Low, L. K., Meadows-Oliver, M., Shattell, M., Taylor, C., & Trautman, D. (2021). Value-Based Payment: What Does It Mean for Nurses?. Nursing Administration Quarterly, 45(3), 179–186. https://doi.org/10.1097/NAQ.0000000000000482 (Invited, peer reviewed)
Palumbo, M., Rambur, B., & McKenna, L. (2020) Living at home with dementia now more complicated with COVID-19. Health and Social Work,45(4), 289-292. hlaa029, https://doi.org/10.1093/hsw/hlaa029
Palumbo, MV. & Rambur, B. (2020). Two different approaches to primary care for people with dementia and their families. Journal for Nurse Practitioner, 16, 756-761. DOI: https://doi.org/10.1016/j.nurpra.2020.08.003
Yakusheva, O., Rambur, P., & Buerhaus, P. (2020, August 10). Valued-informed nursing practice can reset the nurse-hospital relationship. JAMA Health Forum. Available at https://jamanetwork.com/channels/health-forum/fullarticle/2769431
Bliss, K., Chambers, M., & Rambur, B. (2020) Building a culture of safety and quality: The paradox of measurement. Nursing Economic$,38(4), 178-184.
Rambur, B. (2020). Medicare Access and CHIPS Reauthorization Act, Merit-based Incentive Payment System and Alternative Payment Models: Why they matter. Nursing Outlook, 68(4), 380-382. https://doi.org/10.1016/j.outlook.2020.03.004
Mercadante, A., & Rambur, B. (2020) Facilitating health policy civic engagement among undergraduate students using collaborative social technology. Journal of Nursing Education, 59(3), 163-165.
Chambers, M., Bliss, K., and Rambur, B. (2020) Recruiting Research Participants via Traditional Snowball vs Facebook Advertisements and a Website. Western Journal of Nursing Research, 42(10), 846-851. https://doi.org/10.1177/0193945920904445
Book chapters:
Rambur, B, O’Reilly-Jacob, M., & Pulicini, J. Health care finance and payment reform. In Policy and Politics in Nursing and Health Care, Mason, D., Dickerson, E., Perez, G.A. & McLemore, M., (Eds, 8th edition). St. Louis Missouri: Elsevier. (Invited submission in press).
Rambur, B. A primer on health economics. In Policy and Politics in Nursing and Health Care, Mason, D., Dickerson, E., Perez, G.A. & McLemore, M., (Eds, 8th edition). St. Louis Missouri: Elsevier. (Invited submission in press).
Rambur, B. (2024). Value-based payments create avenues for nurse innovation. Policy and Politics for Nurses and Other Health Professionals, 4th edition. Nickitas, Middaugh, & Aries (eds). New York, NY: Jones and Bartlett Learning. (Invited submission)
Rambur, B & Liebermann, E. (2023). Fully support nurses by designing better payment models. In Hassmiller, S., Darcy-Mahoney, A., & Beard, K. Future of Nursing 2020-2023. Global Applications to Advance Heath Equity. Springer Publishing (Invited submission).
Pulcini, J. & Rambur, B. (2020) Health care finance and payment reform. In Policy and Politics in Nursing and Health Care, Mason, D., Dickerson, E., Perez, G.A. & McLemore, M. (Eds). St. Louis Missouri: Elsevier. (Invited submission).
Interviews:
Gerber, J. (2023, October 12.) An ethical imperative: How nurses can be leaders in reducing overuse. Lown Institute interview with Olga Yakusheva, Monica O’Rielly Jacob & Betty Rambur. https://lowninstitute.org/an-ethical-imperative-how-nurses-can-be-leaders-in-reducing-overuse/ (Invited interview).
Moore, E. (2022). Brick by brick: Building a foundation for a stronger healthcare system. The American Nurse 17(11), p 52. Doi:10.5126/ANJ112252 (Invited interview)
McCann, A. (2021, March 15). States with the most and least Medicaid coverage. Wallethub. Available at httsp://wallethub.com/edu/states-with-the-most-and-least-medicaid-coverage/71573 (Invited interview)