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  • The New York and Presbyterian Hospital Implementing OpenNotes at an Accountable Care Organization Priority Area: Empowering Health Care Consumers $199,908

    Although health care consumers have access to growing amounts of health information, they are often left to tie together many pieces of information from their medical records. Notes from a doctor visit, on the other hand, are far more comprehensive and can facilitate organized care—but without written notes, patients may easily forget their doctor’s advice or get it wrong. Begun in 2010, OpenNotes is a national initiative to create partnerships toward better health and health care by giving everyone on the medical team, including the patient, access to the same information. For elderly patients who often have multiple medical conditions and a large team of providers and caregivers, OpenNotes can provide easier access to medical notes and improve care coordination. In 2017, NYSHealth awarded the New York and Presbyterian Hospital, an accountable care organization (ACO) known as NewYork Quality Care (jointly formed by NewYork-Presbyterian Hospital, Weill Cornell Medical College, and Columbia University College of Physicians and Surgeons) a grant to test OpenNotes among its elderly Medicare patients.

  • Center for Health Care Strategies, Inc. New York State Health Homes Learning Collaborative, Phase 3 Priority Area: Advancing Primary Care $14,925

    The Affordable Care Act provided states with a new option to provide intensive coordinated services through health homes for Medicaid beneficiaries with multiple chronic conditions. A health home is a network of providers across a community with a lead provider who facilitates access to an array of medical, behavioral health, and social services for patients. In 2012, NYSHealth awarded the Center for Health Care Strategies (CHCS) a grant to establish a statewide learning collaborative to support the new health home initiative launched by the State that same year, followed by a second grant in 2014. The Health Homes Learning Collaborative gave health home providers a forum to share their early implementation successes and challenges, engage in peer-to-peer learning, identify best practices, and guide future policymaking. The learning collaborative has been very successful in building the capacity of health home providers. For this reason, the New York State Department of Health (NYSDOH) has subsequently funded its continuation. In 2017, NYSHealth awarded CHCS a grant to further support health home member participation in the learning collaborative.

  • NYC Bike Share LLC Engaging Two Healthy Neighborhood Communities in Bike Sharing as a Pathway to Better Health Priority Area: Building Healthy Communities $199,336

    Bicycling is a simple way for people to incorporate physical activity into their daily lives and help fight obesity and its related health conditions. Citi Bike’s bike-sharing program has the largest membership and highest ridership of any such program in North America. In New York City, a discounted membership is offered to some low-income residents, but its adoption has been slow. Research shows a lack of information and misperceptions about bike share are bigger barriers than price or payment options. In response, Citi Bike has made concerted efforts to promote the discount program, which have helped increase membership among low-income residents. Still, more work needs to be done beyond traditional marketing efforts to ensure that lower-income New Yorkers are aware of the discount program and understand how Citi Bike can be an asset to their health and to their neighborhoods. Building on a 2016 planning grant, NYSHealth awarded NYC Bike Share (NYCBS) a grant in 2017 to promote and grow Citi Bike’s discount program among New York City Housing Authority (NYCHA) residents in East Harlem and Two Bridges, two of NYSHealth’s Healthy Neighborhoods Fund sites.

  • RAND Corporation Understanding Provider Capacity to Deliver High-Quality Care to Veterans in New York State Priority Area: Veterans' Health $370,000

    Veterans represent a special population of men and women who have served their country and have faced extraordinary health risks during their deployments. Because many of them have served on overseas missions—including combat—veterans with service-connected health issues are a clinically complex and potentially vulnerable population. Although the U.S. Department of Veterans Affairs (VA) aims to meet the health care needs of all eligible veterans, many seek care outside of the VA, in part because of a personal preference to receive care from community-based, private, non-VA providers. However, only a small percentage of civilian mental health providers are prepared to offer culturally competent care for veterans. In 2017, NYSHealth awarded RAND Corporation (RAND) a grant to understand the current state of New York’s health care workforce in providing high-quality health care to veterans in private, community-based settings.

  • Active Citizen Project, Inc. Expanding Healthy Food Access Points in Brownsville Priority Area: Building Healthy Communities $122,714

    Although Brownsville, a Healthy Neighborhoods Fund site, faces daunting health statistics and negative portrayals, there are many committed residents who work tirelessly to improve their neighborhood’s health and wellbeing. Active Citizen Project (ACP) creates opportunities for people to live healthy lives and thrive in their communities, one of which is its flagship program, Project EATS. The program collaborates with residents, schools, community-based organizations, and businesses to transform underused spaces (low-utility public and private land) in working-class and low-income neighborhoods into sustainable, productive urban farms. It also oversees the GrowNYC Youthmarket (a network of urban farm stands operated by neighborhood youth and supplied by local farmers) and provides nutrition education and skills-training programs to residents of the neighborhoods in which it operates. To support Project EATS’ sustainability in Brownsville, NYSHealth awarded ACP a grant in 2017.

  • Long Term Care Community Coalition Good Nursing Home Care: Educating Consumers and Consumer Advocates in the Face of Sweeping Changes Priority Area: Empowering Health Care Consumers $84,982

    Despite the critical services nursing homes provide for people with both long-term and short-term needs, widespread problems persist. Safe, high-quality, person-centered care that maintains the physical, emotional, and social wellbeing of the frailest New Yorkers has become the exception, rather than the rule. To address these problems, the Centers for Medicare & Medicaid Services issued an overhaul of federal nursing home standards and updated Nursing Home Compare, the government-operated nursing home comparison website, to help the public gain better insight into the quality of care provided by facilities in their communities. In 2017, NYSHealth awarded Long Term Care Community Coalition (LTCCC) a grant to ensure that the new standards and information sources are understood and used by New York’s nursing home residents and their families.

  • Institute for Patient- and Family-Centered Care, Inc. Patient and Family Advisory Councils: Understanding Their Prevalence and Roles in New York Hospitals Priority Area: Empowering Health Care Consumers $168,510

    Patient and Family Advisory Councils (PFACs) provide an opportunity for patients and families to bring their perspectives to bear on hospital-related decisions (e.g., policies, staffing, communications, and facilities) and governance. However, concerns have been raised that PFACs serve as not much more than window dressing for some hospitals. In response, state and federal agencies have begun initiatives that aim to increase the role of PFACs in reflecting the needs and concerns of patients and families. Despite the growing recognition of PFACs’ need, there is a dearth of information on how many PFACs exist in New York State and how they vary in their composition and roles. In 2017, NYSHealth awarded Institute for Patient- and Family-Centered Care (IPFCC) a grant to address this information gap in New York State.

  • Field & Fork Network, Inc. Leveraging Federal Funds to Increase Access to Fresh, Affordable Foods Across New York State Priority Area: Building Healthy Communities $500,000

    Double Up Food Bucks is a food-purchasing program that offers Supplemental Nutrition Assistance Program (SNAP) recipients a matching value on dollars spent at farmers markets on fresh, locally grown produce. For instance, a family that spends $10 in SNAP benefits at a participating farmers market receives an additional $10 in Double Up Food Bucks to purchase locally grown fruits and vegetables. With a successful track record nationwide, the incentive program is a proven, innovative model that simultaneously delivers health and economic opportunity. Currently, Double Up Food Bucks operates in 11 counties across Western New York. Expanding the program in the State will not only increase access to affordable produce for low-income individuals and families, but also redirect more food assistance dollars to local farmers and the local economy. In 2017, NYSHealth awarded Field & Fork Network (Field & Fork) a grant to expand and improve Double Up Food Bucks participation in New York State.

  • United States Conference of Catholic Bishops (d.b.a. Niagara University) Niagara Falls Local Food Action Plan Priority Area: Building Healthy Communities $15,000

    To tackle some of the underlying problems that have affected the health of neighborhoods, NYSHealth launched the Healthy Neighborhoods Fund to help New York State communities become healthier and more active places. Through this initiative, NYSHealth is investing in six communities across the State in support of their efforts to increase access to healthy, affordable food; improve access to safe places where residents can exercise and be active; and connect children and adults to programs that support healthy behaviors. Although all the communities are working toward the common goal of improving the health of their residents, each community may face particular challenges. In response, NYSHealth is supporting these communities with more specialized technical assistance to help them meet their objectives. In 2016, NYSHealth awarded a grant to Niagara University to assist the Healthy Food, Healthy People workgroup, a member of the grantee Create a Healthier Niagara Falls Collaborative, in developing a local food action plan.

  • Oswego County Health Department Building Healthy Communities Conference Scholarship Priority Area: Building Healthy Communities $1,000

    A key goal of NYSHealth’s building healthy communities priority area is to create healthy communities that lead to more New Yorkers of all ages eating healthy foods, being physically active, and having access to a range of programs that encourage healthy life choices. Many organizations across the State are doing smart, innovative work that is relevant to NYSHealth’s work to improve health in New York neighborhoods. These organizations should be elevating their work and informing key stakeholders at conferences and other convenings in New York and nationally. Yet, because of a lack of resources, they are often unable to do so. To address this issue, NYSHealth is awarding grants through its Sponsoring Conference Participation in Support of Healthy Communities Request for Proposals (RFP). Through this RFP, NYSHealth is sponsoring community-based organizations, health departments, and other low-resource organizations to attend and present at local, State, and national conferences related to building healthy communities. In 2016, NYSHealth awarded the Oswego County Health Department (OCHD) a grant to participate in this initiative.

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