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  • The Nelson A. Rockefeller Institute of Government Spending and Government Efficiency in Health Care Delivery (SAGE) Priority Area: Expanding Health Care Coverage $64,142

    Governor Cuomo established the Spending and Government Efficiency (SAGE) Commission in one of his first acts (Executive Order No. 4) to create a more efficient and effective state government. In the health arena, the SAGE Commission is examining how to better manage care for patients across similar agencies, and how to reduce unnecessary and redundant regulatory burdens on care providers. Under this project, the SAGE Commission is completing a reorganization plan for health-related agencies that has the potential to significantly impact health care delivery in New York State for many years, particularly with Medicaid—a $53 billion program that must be run more efficiently. The reorganization plan has the potential to not only create efficiencies and better coordination among the agencies that operate Medicaid-funded programs, but to create better coordination of care that will benefit consumers of these services.

  • University of Michigan Faith-Based Diabetes Initiative: Volunteer and Participant Surveys Priority Area: Diabetes Prevention and Management $52,641

    The Institute for Leadership (IFL), a nonprofit organization whose mission is to develop leadership capacity at faith-based organizations, leads the NYSHealth Diabetes Campaign’s Faith Fights Diabetes initiative. The purpose of this initiative is to spread the implementation of Defy Diabetes, a six-week diabetes prevention and management program, in places of worship across New York State. IFL will assess the program to understand its overall impact, including strengths and weaknesses of the leadership consortium developed under this initiative; characteristics of congregations that have been successful in establishing the program; and elements associated with both programmatic and behavior outcomes. NYSHealth funded the University of Michigan’s Department of Medical Education (U-M) to develop and establish the reliability and validity of two survey questionnaires designed to the program.

  • Institute for Leadership, Inc. New York State Diabetes Campaign Faith-Based Initiative Priority Area: Diabetes Prevention and Management $886,191

    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.

  • Loyola University of Chicago Using Technology to Improve Scheduling Efficiencies in Home Care Priority Area: Special Projects Fund $221,296

    Home health care is an important component of New York State’s health care system. To make the best use of their home health providers, home care agencies must have a strategic and clear process to deliver care and services efficiently. Past approaches to scheduling and routing home care visits have often been manual, inefficient, and cumbersome. Developed software is expensive and difficult to integrate with other software systems, and previous tools were unable to take into account the needs and preferences of patients and caregivers. In 2011, NYSHealth awarded Rochester Institute of Technology (RIT) a grant to develop and test an intelligent routing software system to help New York’s home health agencies improve their process for assigning and scheduling home health visits.

  • His Branches, Inc. Conversion to Community Health Center Status Phase 2 Priority Area: Special Projects Fund $10,687

    In 2007, NYSHealth funded His Branches, a health clinic serving low income individuals in Rochester, to convert its facilities to an Article 28 community health center. By doing so, it would allow for the facility to receive increased Medicaid reimbursements and community support in the form of donations and grants, as well as additional State and federal funds. The main activities of this grant involved completing the last two contingency steps required by the New York State Department of Health (NYSDOH) to finalize its conversion. By the close of the grant, NYSDOH’s final inspection of His Branches’ facility updates had not yet occurred; the resulting inspection revealed that His Branches no longer met necessary building codes, which had been updated after the initial grant award, for its bathroom facilities. To meet these codes, NYSHealth awarded His Branches a second grant in 2011 to bring its bathroom facilities into compliance with Article 28 status.

    After completing several smaller revisions required by NYSDOH, His Branches received full Article 28 licensure in July 2011.

  • Social Interest Solutions Eligibility and Enrollment Systems Inventory and Plan for New York State – Phase One Priority Area: Expanding Health Care Coverage $349,878

    The Affordable Care Act (ACA) is a game changer both in terms of the culture of enrollment in public and subsidized health insurance and in terms of the technical infrastructure that supports the enrollment process. Information Technology (IT) readiness plays a critically important role in establishing health insurance exchanges that provide a single point of entry to both public and subsidized private coverage. New York State’s IT systems must support Health Insurance Exchanges that connect all consumers to the appropriate coverage opportunities, but the existing systems are antiquated and unintegrated. To ensure that New York State is prepared to launch an Exchange and meet related ACA requirements by 2014, two national organizations, Social Interest Solutions and The Lewin Group, conducted an eligibility and enrollment systems inventory, examining the State’s existing IT assets and deficiencies.

  • Center for Excellence in Health Care Journalism New York State Health Care Journalism Fellowships 2011 Priority Area: Special Projects Fund $25,001

    As the nation’s media outlets face shrinking budgets and shoestring staffing, resources for journalists’ continuing education and professional development are limited. Increasingly, reporters are assigned to multiple beats rather than to one specific issue area, so their knowledge of any one area may be relatively superficial. The Center for Excellence in Health Care Journalism, the supporting 501(c)(3) organization for the Association of Health Care Journalists (AHCJ), aims to fill that knowledge gap through an annual four-day national conference that attracts approximately 500 journalists and health care luminaries and covers a wide range of issues, both content-focused (e.g., covering various aspects of the Federal health reform law, health care disparities, issues in aging and long-term care) and skills-focused (e.g., understanding how to read medical studies or interpret hospital quality data).

  • Empire Justice Center, Inc. Implementing Health Reform: Planning for the Navigator and Consumer Assistance Programs Priority Area: Expanding Health Care Coverage $128,739

    The successful implementation of Federal health reform will rely on educating consumers about their insurance options, getting and keeping them enrolled, and helping them use coverage. To that end, the Patient Protection and Affordable Care Act (ACA) mandated the establishment of two programs: Consumer Assistance Programs (CAPs) and Navigator Programs (Navigators). New York already has several programs that perform some of the functions required of CAPs and Navigators. Sorting out the similarities and differences between the Federal programs, integrating them with existing consumer-oriented initiatives in the State, and administering the programs to provide maximum benefit for consumers are critical to ensuring successful implementation of the ACA in New York. The New York State Health Foundation (NYSHealth) funded the Empire Justice Center to address these issues in partnership with the Community Service Society of New York (CSS).

  • The Floating Hospital, Inc. Expanding Primary Care Access for Public Housing Residents Priority Area: Special Projects Fund Priority Area: Advancing Primary Care $238,524

    The Queensbridge and Ravenswood housing complexes in Long Island City house 11,000 low-income residents, including a substantial number of elderly residents who live on fixed incomes. These two housing complexes and the community are home to diverse, special needs populations who suffer from high incidences of chronic disease and are at great risk for experiencing health disparities. To provide primary care to residents, The Floating Hospital (TFH) and Wyckoff Hospital have taken over a 1,600 square-foot satellite clinic located onsite at Queensbridge Houses. Following approval from the New York State Department of Health, NYSHealth awarded TFH a grant to assume operations at the satellite clinic.

  • Medicare Rights Center Creating Seamless Coverage for Elderly and Disabled New Yorkers Priority Area: Expanding Health Care Coverage $195,595

    The Affordable Care Act outlined Medicaid expansion guidelines for states to include nondisabled, single adults under 65 years old with incomes up to 138% of the federal poverty level. States that adopted the Medicaid provision began using a modified system to determine eligibility for and expand coverage to those persons who would now qualify. However, for approximately 700,000 Medicaid enrollees in New York State who are also eligible for Medicare—known as dual eligibles —federal health reform left intact more complicated eligibility rules that can exclude them from accessing seamless coverage available on the NY State of Health Marketplace, the State’s health benefit exchange. In 2010, NYSHealth awarded Medicare Rights Center a grant to ensure that the needs of dual eligibles were considered as the new Marketplace was planned.

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