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  • St. Joseph’s Hospital Health Center Syracuse Mobile Crisis Outreach Project Priority Area: Special Projects Fund $149,678

    Syracuse residents with mental illnesses encounter a number of barriers when attempting to access quality mental health care. Too many individuals rely on a single source of acute mental health care— the Comprehensive Psychiatric Emergency Program (CPEP) at St Joseph's Hospital Health Center—despite whether or not they require intensive emergency services. Prior to 2007, CPEP had performed very limited outreach and used existing clinical staff to do so. CPEP’s leadership believed they could increase access to mental health services in the community through use of a mobile crisis team staffed by trained clinicians.

  • Southern Tier Health Care System, Inc. Care, Compassion, and Counseling for Victims of Violence and Sexual Abuse Priority Area: Special Projects Fund $150,000

    Sexual assault and child abuse are public health concerns that have not benefited from the kind of innovation that has improved the quality of care in so many other areas. Southern Tier Health Care System addressed the problem of inadequate medical and social services for victims of violence and sexual abuse by implementing a Sexual Assault Forensic Examiner program and a Child Advocacy Center to serve Allegany and Cattaraugus counties.

  • Village Care of New York A Short-Stay Adult Day Rehabilitation Pilot Priority Area: Special Projects Fund $414,477

    Nearly half of all patients who are discharged from hospitals following a stroke or congestive heart failure (CHF) are readmitted to the hospital within one year, highlighting the need for better recovery options. To address this situation, Village Care of New York (VCNY) launched a pilot program to provide outpatient, short-term post-acute care in its Adult Day Health Center (ADHC) setting. The program was designed to demonstrate both the clinical benefits and cost-effectiveness of using this setting for post-acute patients who are not interested in or qualified for nursing home or certified home care, with the goal of reducing the number of patients who are readmitted annually to New York hospitals.

  • Unity Health System Deaf Community Home Health Aide Program Priority Area: Special Projects Fund $95,667

    Rochester and Monroe County, NY, have some 12,000–15,000 deaf and hard-of-hearing residents, an estimated 600 of whom are elderly. This grant to Unity Health System's home/community-based services supported training deaf individuals fluent in sign language to become home health aides to serve elderly deaf people living in Rochester and Monroe County.

  • United Way of Long Island Mobile Dental Services for At-Risk Populations (Using a Mobile Dental Clinic to Deliver Basic Dental Services in Nassau and Suffolk Counties) Priority Area: Special Projects Fund $979,637

    In 2009, approximately 250,000 residents of Nassau and Suffolk Counties were uninsured and living at incomes less than 200% of the Federal Poverty Level. In addition, many of those who did have health insurance, including the Medicare population, did not have dental benefits. For the elderly and others who are at low-income levels, lack of dental insurance creates a significant barrier to receiving oral health services. Access to dental care in these counties is further exacerbated by a lack of dental programs offering affordable fees based on income levels and/or accepting Medicaid. This project attempted to integrate oral health with systemic health by identifying high-risk populations who lack dental care, and delivering basic dental services to these populations using a Mobile Dental Clinic.

  • Young Adult Institute/National Institute for People with Disabilities Network Telehealth: Improving Healthcare for People with Developmental Disabilities Priority Area: Special Projects Fund $149,569

    As people with developmental disabilities age, they face the same complex medical challenges as the general aging population, need more medical supervision, and risk being institutionalized in nursing homes. For this group, the limited nursing services that are available under the current residential model are rapidly becoming inadequate. Young Adult Institute/National Institute for People with Disabilities Network (YAI) aimed to improve health care for people with developmental disabilities living in group or individual residences through deployment of a “telehealth” system.

  • Visiting Nurse Service of New York Establishing an Advanced Illness Management (AIM) Model in a Community-based Setting: Innovation at the Visiting Nurse Service of New York Priority Area: Special Projects Fund $864,837

    This project aimed to improve quality of care and reduce costs for patients with advanced illness by piloting the Advanced Illness Management (AIM) model and evaluating its impact on quality of care provided, hospice admissions, and hospitalization and emergency department use. Although the model improved the quality of care patients received and created additional training opportunities for home care nurses, it did not result in an increase of hospice admission or a reduction in emergency department use and re-hospitalizations.

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