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  • The Floating Hospital, Inc. Expanding Primary Care Access in Long Island City Priority Area: Special Projects Fund Priority Area: Advancing Primary Care $213,950

    In 2003, 20% of Long Island City residents lived below the poverty line and 26% qualified for Medicaid; today, a large concentration of Long Island City residents live in two low-income public housing developments: Queensbridge Houses and Ravenswood Houses, with Queensbridge Houses being the largest public housing project in the United States. Together, these complexes house a total of 11,500 residents. Because this neighborhood has been designated a Medically Underserved Area and a Health Professional Shortage Area by the U.S. Department of Health and Human Services, in 2009 the Floating Hospital (TFH) was awarded a grant from NYSHealth to expand primary care services for Long Island City residents, with a focus on understanding the unique needs of the public housing project population.

  • The Nassau Health Care Corporation NuCare: Coordinated Care for the Medically Underserved Priority Area: Special Projects Fund $236,133

    Of Nassau County’s thousands of medically underserved residents, 60,000 live in poverty. The Nassau Health Care Corporation (NHHC) is the region’s primary safety net provider and provider of care to patients who are covered by Medicaid or uninsured. Among other health care resources, it operates the Nassau University Medical Center (NUMC), a 631-bed tertiary care teaching hospital and six community health diagnostic and treatment centers.

  • Hartwick College Strengthening the Rural Nursing Workforce Priority Area: Special Projects Fund $83,030

    Hartwick College’s baccalaureate nursing program is one of only two nursing education programs in the seven-county Central Leatherstocking region of upstate New York, an area with a population of 700,000. A severe nursing shortage exists in this region; however, enrollment in Hartwick’s nursing program has grown from 88 students in 2003 to 187 in 2007.

  • Neighborhood Health Center, dba Northwest Buffalo Community Health Care Center Integrating Mental Health Services into a Primary Care Setting Priority Area: Special Projects Fund $239,718

    In the Black Rock region of Buffalo, access to mental health care is limited. In 2008, the average patient wait time was six weeks to see a counselor and more than three months to see a psychiatrist. The Neighborhood Health Center (NHC), a federally qualified health center in the Black Rock region, serves more than 10,000 patients annually. Established more than 20 years ago, it provides care and services in pediatrics; internal medicine; obstetrics and gynecology; dentistry; and nutrition education to the uninsured and underinsured. To address the unmet mental health needs of residents in this underserved area, the New York State Health Foundation (NYSHealth) awarded a grant to NHC to increase patient access to on-site mental health services.

  • Healthcare Educational and Research Fund (on behalf of the Healthcare Association of New York State) Electronic Fetal Monitoring: Improving Birth Outcomes in New York State Priority Area: Special Projects Fund $477,710

    Electronic fetal monitoring (EFM) is the most widely implemented method of intrapartum surveillance; it can be an effective way to warn an obstetric team of potential serious fetal complications that can lead to injury, including brain damage, or death. However, variations in EFM interpretations and poor communication of fetal heart rate (FHR) data limit its effectiveness. In 1997, standard definitions and nomenclature for visually interpreting, documenting, and communicating FHR tracings were created. However, these standards have not been widely adopted, mainly because there is no universal training curriculum for all obstetric disciplines, and hospitals lack resources to change provider practices. In December 2008, NYSHealth awarded the Healthcare Educational and Research Fund (HERF), a nonprofit affiliate of the Healthcare Association of New York State (HANYS), a grant to help standardize the method by which obstetric team members interpret, communicate, document, and manage FHR tracings obtained through EFM. The initiative was a joint partnership among HANYS, the American Congress of Obstetricians and Gynecologists, District II/NY (ACOG), and the New York State Department of Health.

  • New York Blood Center Diversity Outreach Initiative 2008 Priority Area: Special Projects Fund $220,446

    New York City suffers from an acute blood shortage: annually, 700,000 units (1 unit = 1 donation) are used, but fewer than 500,000 units are donated. The New York Blood Center’s (NYBC’s) responsibility is to provide precise blood matches through PreciseMatch for all chronically transfused individuals, including those with sickle cell anemia, in the metropolitan area. With support from NYSHealth, NYBC implemented a new wide-ranging outreach program in African-American and Hispanic communities to significantly build the agency’s capacity to deliver needed blood types and save lives. resources-and-reports/resource/diversity-outreach-initiative-2008

  • New York City Health and Hospitals Corporation—Harlem Hospital Center Harlem Hospital Center Muslim Clinic Priority Area: Special Projects Fund $309,672

    Harlem Hospital Center’s service communities include a growing number of Muslim residents, the majority of whom speak French, Arabic, and African dialects. Barriers to health care for this population involve an array of cultural, religious, linguistic, financial, educational, and immigration status issues. Hospital leaders’ meetings with Muslim representatives confirm the City’s lack of health services tailored for this population. Harlem Hospital Center is a 286-bed public, nonprofit community teaching hospital that has provided comprehensive preventive, primary, and acute health care services to the residents of Harlem for 121 years.

  • New York City Health and Hospitals Corporation - Elmhurst Hospital Center New Mothers Breastfeeding Education and Support Priority Area: Special Projects Fund $156,027

    Breast milk is a unique nutritional source that cannot adequately be replaced by any other food, even infant formula. It provides an array of health advantages beginning at birth and continuing throughout a child's life. Research indicates that a large number of the health problems today's children face might be decreased—even prevented—by breast-feeding the infant exclusively for at least the first six months of life. The longer the mother breast-feeds, the more likely her child will get the health benefits of breast-feeding. While breast-feeding initiation rates have increased dramatically in recent years, duration and exclusivity have not. Studies also indicate that breast-feeding rates are consistently lower in poor urban areas. In 2008, NYSHealth awarded Elmhurst Hospital Center a grant to support the development of its proposed lactation clinic.

  • New York City Alliance Against Sexual Assault SAFE NYC: Quality Care for Assault Victims Priority Area: Special Projects Fund $177,074

    The Sexual Assault Reform Act in New York State requires that the sexual assault forensic examiner (SAFE) programs in hospitals are 24-hour centers with certified individual SAFE examiners, and are approved by the New York State Department of Health. These programs ensure that victims of sexual assault are provided with competent, compassionate, and prompt care. In 2008, New York State was severely underserved with these specialized services: only 39 out of 201 hospitals, and 19 out of 55 hospitals with emergency departments, were designated as SAFE Centers of Excellence. To better address the needs of victims of sexual assault, the New York City Alliance Against Sexual Assault (the Alliance) developed a model for training health care providers to offer emergency care that prioritizes the health and service needs of patients, while allowing for the collection of forensic data. In 2008, the New York State Health Foundation awarded a grant to the Alliance to build the capacity of its SAFE Training Institute.

  • The Actors Fund of America Expanding Services for Artists at a Free Health Care Clinic Priority Area: Special Projects Fund $223,570

    Many performing artists work only intermittently and in low-paying jobs, making health insurance unaffordable and access to health care precarious. The Al Hirschfeld Clinic fills a critical gap for this unique population with a concentrated presence in New York. The Actors Fund, founded in 1882 and headquartered in New York City, provides safety-net services for professionals in performing arts and entertainment—theater, film, television, music, opera and dance.

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