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  • Joslyn Levy & Associates, LLC Evaluation of the NYSHealth Setting the Standard Initiative Priority Area: Diabetes Prevention and Management $180,000

    In 2007, the New York State Health Foundation (NYSHealth) funded 12 grantees through the request for proposals (RFP), Setting the Standard: Advancing Best Practices in Diabetes Management. The goal of Setting the Standard was to move New York State’s primary care system to adopt and spread best practices in disease management and establish them as the universal standard of care for patients with diabetes. The Chronic Care Model—a highly respected and accepted framework for approaching the improvements sought through this initiative—was a major reference point in the RFP. In 2010, NYSHealth funded Joslyn Levy & Associates, LLC, to assess the outcomes of 10 of the 12 grantees funded under the RFP. Joslyn Levy worked in collaboration with Patricia Patrizi of Patrizi Associates to study the projects and produce a final evaluation report.

  • Institute for Leadership, Inc. New York State Faith-Based Diabetes Initiative Priority Area: Diabetes Prevention and Management $453,931

    Diabetes prevalence in New York State has doubled since 1994 and is expected to grow; 1.8 million New Yorkers suffer from diabetes and 4.2 million have prediabetes. To address this crisis, the New York State Health Foundation (NYSHealth) invested in a $35 million Diabetes Campaign with the goal of reversing the epidemic. The Campaign focuses on improving clinical care and patient outcomes; mobilizing communities to prevent diabetes and support diabetes self-management; and promoting policies that sustain comprehensive and effective care for people with diabetes. NYSHealth funded the Institute for Leadership (IFL) to further the Campaign’s goal of mobilizing communities to spread programs that help prevent, identify, and manage diabetes in places where people live, work, and worship.

  • The Maxwell School Center for Policy Research, Syracuse University Spreading Best Practices to Reduce Geographic Variation and Health Care Costs in New York State Priority Area: Expanding Health Care Coverage $278,881

    Large geographic variations in health care spending are well documented, most famously using Medicare data analyzed by the Dartmouth Atlas. While New York is one of the costliest states overall for Medicare, the Dartmouth Atlas suggests that large variations in spending and health outcomes exist within the State. Identifying best care practices in New York and within specific regions of the State has the potential to influence physician and hospital practice patterns at the regional and State level, and ultimately reduce health care spending. In 2010, the New York State Health Foundation (NYSHealth) awarded the Maxwell School Center for Policy Research at Syracuse University (the Maxwell School) a grant to use the Dartmouth Atlas to analyze New York’s health care spending and health outcome patterns.

  • Greater New York Hospital Association Foundation Promoting a Medical Malpractice Early Settlement Model Priority Area: Expanding Health Care Coverage $24,200

    The existing medical liability litigation system increases the cost of providing effective, quality health care in New York State and the nation. An innovative, but lesser-known, model for addressing medical malpractice litigation has been developed by the New York City Health and Hospitals Corporation (HHC). Through the program, Active Case Conferencing, a judge is assigned to monitor HHC cases and sets aside one day a month for a conference that includes the plaintiff lawyers and HHC counsel. As a result, claims are settled much faster than in the traditional litigation system and at lower costs. To increase awareness and usage of the model, NYSHealth awarded the Greater New York Hospital Association (GNYHA) Foundation a grant to convene a full-day conference, “Strategies for Early Resolution of Medical Malpractice Claims: Active Case Conferencing,” to educate and train its members and other large hospital systems in New York on the Active Case Conferencing model.

  • Center for Health Care Strategies, Inc. Evaluation Technical Assistance for NYSHealth Grantees and Applicants: Phase 2 Priority Area: Other $227,043

    Many grantees, especially smaller, non-academic organizations, often lack evaluation experience but are required to submit evaluation plans to foundations that include outcome measures and monitoring activities. Based on the final reports from its early grantees, the New York State Health Foundation (NYSHealth) concluded that grantees would benefit from formal technical assistance in the area of evaluation. Specifically, staff members felt that grantees would benefit from learning how to create a program logic model; develop a related set of process and outcome measures; and collect and analyze the necessary data. NYSHealth awarded a grant to the Center for Health Care Strategies (CHCS) to implement this technical assistance to Foundation grantees. This grant was awarded in two phases.

  • Northeast Health Merger of Northeast Health, St. Peter’s Health Care Services, and Seton Health Priority Area: Other $200,000

    The outset of the recession forced Northeast Health, Inc. (NEH)—a regional, comprehensive, nonprofit network that serves 22 counties in upstate New York—to merge with two other health systems in the area: St. Peter’s Health Care Services (St. Peter’s) and Seton Health (Seton). This merger would create the Capital Region’s largest and most comprehensive nonprofit network of high-quality, advanced medical care, primary care rehabilitation, and senior services. It would also increase access to affordable, efficient, high-quality health care services for people in the region. In November 2009, NYSHealth awarded NEH a grant to support efforts to merge the three health care systems into St. Peter’s Health Partners. This grant was funded under the 2009 Economic Recovery RFP.

  • Medicare Rights Center Saving State Dollars by Expanding Enrollment in Medicare Savings Programs: Phase 2 Priority Area: Expanding Health Care Coverage $84,841

    At the time of this grant, approximately 350,000 of New York State’s senior citizens were enrolled in both the federally financed Medicare Part D drug benefit and New York State’s Elderly Pharmaceutical Insurance Coverage (EPIC) programs; roughly 150,000 of these individuals reside in New York City. Medicare Part D provides prescription drug coverage for these seniors, and EPIC provides wraparound coverage for prescription drug benefits not covered by Part D with State funds. An analysis of EPIC data revealed that approximately 15,000 EPIC enrollees were likely to be eligible for more generous Federal prescription drug coverage through the Medicare Part D Low-Income Subsidy (LIS) program. In addition, they may be eligible for one of three Medicare Savings Programs (MSPs). The New York State Health Foundation (NYSHealth) funded the Medicare Rights Center (MRC) in a two-phase project aimed at increasing the number of low-income Medicare beneficiaries enrolled in MSPs and the LIS program.

  • Unity House of Troy Hudson River Consortium Priority Area: Special Projects Fund $250,551

    Human service agencies in the Hudson River region face decreased revenues due to low Medicaid rates, reduction or loss of State grant funding and contracts, delays in securing client benefit eligibility (Medicaid, SSI, Public Assistance), and lower levels of charitable giving and philanthropic support due to the economic downturn. Unity House, ClearView Center, Equinox, Mohawk Opportunities, Mental Health Association of Columbia-Greene Counties, Inc., Transitional Services Association, and Warren-Washington Association for Mental Health developed a partnership model through the integration of data systems and programs.

  • National Center on Addiction and Substance Abuse at Columbia University Developing Sustainable Screening and Brief Intervention Programs for Substance Use Disorders in Emergency Departments in New York State Priority Area: Special Projects Fund $426,771

    New York State estimates that one out of every 10 New Yorkers aged 12 or older suffer from substance use disorders annually, with less than 15% receiving treatment. The societal burdens of untreated substance use disorders include increased health care costs, crime, and child welfare problems; and reduced educational attainment among New Yorkers. The National Center of Addiction and Substance Abuse (CASA) developed model screening and brief intervention (SBI) programs for alcohol and other drug problems that can be used in emergency departments in New York State.

  • Fund for Public Health in New York A Falling Tide of Salt Lowers All Blood Pressures Priority Area: Special Projects Fund $199,600

    Scientific evidence points to a direct relationship between sodium intake and blood pressure, and reductions in sodium intake have a greater effect on blood pressure reduction in some ethnic minority populations. The New York City Department of Health and Mental Hygiene, through the Fund for Public Health in New York, assessed the sodium intake of the population of New York City using an action-oriented research and evaluation methodology.

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