Resources & Reports
Helping Nonprofits Navigate Medicaid Redesign By: NYSHealth Priority Areas: Special Projects Fund Date: August 2017 Type: Grant Outcome Reports, Grantee Name: Lawyers Alliance for New York
Quality and cost-efficiency is a primary focus of New York State’s health care delivery system. Under Medicaid Redesign, the State introduced the Delivery System Reform Incentive Payment (DSRIP) program in 2015 as a tool to reduce hospitalization rates while improving care quality for Medicaid beneficiaries. DSRIP involves all levels of the health care delivery system, including nonprofit health providers and other community-based organizations. Although redesign efforts have made significant improvements to the State’s health care delivery system, rapid changes left many smaller providers struggling to navigate and adjust to the new legal landscape. In addition, these resource-constrained providers were subjected to shifts in funding, generating ambiguity and concern for the future. In 2016, with co-funding from the New York Community Trust, NYSHealth awarded a grant to Lawyers Alliance for New York to provide legal support to health and human service nonprofit organizations navigating Medicaid Redesign and other health care reform efforts.
Assessing Impact of an Asthma Intervention for Children By: NYSHealth Priority Areas: Special Projects Fund Date: July 2017 Type: Grant Outcome Reports, Grantee Name: Fund for Public Health in New York, Inc.
In the Bronx, the number of children hospitalized for asthma-related reasons is 38% higher than the City average. This disparity is largely associated with indoor allergens from pests, such as mice and cockroaches, which can trigger and exacerbate asthma symptoms. More than 50% of Bronx households report seeing cockroaches and mice in their homes or buildings daily. In contrast, children living in pest-free homes experience fewer asthma-related complications, from school absences to emergency room visits and hospitalizations. The Fund for Public Health New York (FPHNY) designed an Integrated Pest Management (IPM) intervention to address the burden of asthma faced by children in the Bronx. Rather than employing pesticides, IPM eliminates pests by addressing housing conditions conducive to infestation. NYSHealth supported FPHNY, in collaboration with the New York State Department of Health and Montefiore Medical Center, to rigorously evaluate its IPM intervention.
Expanding Oral Health Services to Children By: NYSHealth Priority Areas: Special Projects Fund Date: June 2017 Type: Grant Outcome Reports, Grantee Name: Albany Medical Center
Although preventable, cavities are the most common chronic infectious disease of childhood, of which the burden falls disproportionately on underprivileged, minority, or special needs children. Nationally, 25–35% of children in low-income families have never seen a dentist by the age of five. Consequently, dental decay is often treated in emergency departments and ambulatory surgery settings. NYSHealth initially awarded the Albany Medical Center Pediatric Group (Albany Medical Center) a grant to expand the Women, Infants, and Children (WIC) Smiles program—a pediatric oral health program that provides preventive services to Medicaid-eligible preschool-age children in areas where access to dental services is limited. Albany Medical Center set out to expand the program at WIC sites in upstate New York, where mothers receiving WIC benefits could also bring their young children to the on-site pediatrician for a basic dental cleaning and fluoride varnish—an important tool in cavity prevention.
Policy Recommendations to Address Electronic Nicotine Delivery Systems (ENDS) in New York State By: New York State Public Health Association Priority Areas: Special Projects Fund Date: June 2017 Type: Resources, Report, White Paper
This NYSHealth-supported white paper, prepared by the New York State Public Health Association (NYSPHA), outlines policy recommendations to address the use of Electronic Nicotine Delivery Systems (ENDS), otherwise known as e-cigarettes, vapes, and other similar products.Download: DOC
Project ECHO® Evaluation 101: A Practical Guide For Evaluating Your Program By: New York Academy of Medicine Priority Areas: Special Projects Fund Date: May 2017 Type: Resources, Toolkit
Co-funded by NYSHealth and the GE Foundation, the New York Academy of Medicine developed this toolkit and resource guide for Project ECHO users working across multiple health conditions and settings.Download: DOC
Enhancing Mental Health Clinics’ Ability to Provide Quality Care By: NYSHealth Priority Areas: Special Projects Fund Date: April 2017 Type: Grant Outcome Reports, Grantee Name: New York University McSilver Institute for Poverty, Policy, and Research
Mental health clinics are often the first intervention for New Yorkers with mental illness—offering accessible treatment to low- and moderate-income patients and those with limited health insurance coverage. With the implementation of the Affordable Care Act and the Mental Health Parity Act, New York State’s mental health clinics became solely dependent on managed care organizations for payment. Consequently, mental health clinics were expected to move toward a value-based payment system, which relies on evidence-based practices and validated tools that assess efficacy and outcomes. To ensure effective implementation of this transition, NYSHealth awarded a grant to New York University’s McSilver Institute for Poverty, Policy, and Research. Through this grant, McSilver aimed to equip mental health organizations in New York State with effective tools to assess clinical processes and outcomes, thereby improving the quality of mental health care and reducing costs.
Improving Health Home Capacity to Serve Homeless Clients By: NYSHealth Priority Areas: Special Projects Fund Date: March 2017 Type: Grant Outcome Reports, Grantee Name: Corporation for Supportive Housing
The Affordable Care Act gave states the option to provide coordinated services for Medicaid patients with multiple chronic conditions through “health homes”—networks of providers across communities that facilitate access to various medical, behavioral, and social services. Health homes have the potential to reorganize how care is delivered, managed, and coordinated for high-need and high-cost patients, which in turn could lead to lower emergency room use; reductions in hospital admissions and readmissions; reductions in higher health care costs; and improved quality of care. However, health home patients who are unstably housed often cycle through emergency rooms, detox facilities, hospitalizations, and shelters, resulting in enormous costs and poor health outcomes. To address this issue, NYSHealth awarded Corporation for Supportive Housing (CSH) a grant to improve coordination of care for health home patients with the supportive housing sector.
Developing the Community First Choice Program in New York By: NYSHealth Priority Areas: Special Projects Fund Date: March 2017 Type: Grant Outcome Reports, Grantee Name: New York Association on Independent Living
New York State chose to implement the Community First Choice (CFC) program, an option under the Affordable Care Act that offers states enhanced Medicaid matching funds to enable people who would be eligible for institutional levels of care to stay in their homes and get services in their communities. CFC offered many potential advantages: it could expand access to community-based services for approximately 1 million New York State Medicaid recipients, generate an estimated $90 million a year in net Medicaid savings to the State, and rebalance incentives away from institutional care settings. NYSHealth awarded New York Association on Independent Living (NYAIL), in partnership with the Center for Disability Rights (CDR), a grant to work with the State on developing and adopting the CFC program in New York State.
Scaling Up a Model to Prevent HIV Transmission in New York City By: NYSHealth Priority Areas: Special Projects Fund Date: January 2017 Type: Grant Outcome Reports, Grantee Name: Housing Works, Inc.
Despite advances in medicine, the AIDS epidemic continues to be a major public health concern—especially in New York City, which remains an epicenter of the disease. During 2013, New York City recorded 2,832 new HIV diagnoses and 1,784 new AIDS diagnoses. Currently, more than 117,000 people are living with diagnosed HIV infection in New York City, many of whom come from vulnerable populations. Federal guidelines recommend antiretroviral (ARV) medication for all people living with HIV. ARV treatment suppresses the level of HIV in the blood to an undetectable level, which enables HIV-positive people to live healthy lives while making it virtually impossible to transmit the virus to others. Although ARV is highly effective and is now the established standard of care, only 43% of HIV-positive New York City residents have achieved viral suppression. In 2015, NYSHealth awarded Housing Works a grant to scale up a successful viral load suppression model, The Undetectables, to help those living with HIV manage the disease and prevent its further transmission. This evidence-based model has been shown to successfully suppress the virus in 82% of participants. Under this grant, Housing Works aimed to expand The Undetectables model and form a consortium to collectively adopt, refine, and scale up the model throughout New York City.
Improving Services for Dual Eligibles with Disabilities By: NYSHealth Priority Areas: Special Projects Fund Date: September 2016 Type: Grant Outcome Reports, Grantee Name: Center for Independence of the Disabled in New York, Inc.
Approximately one-third of New York’s 700,000 dual eligibles—individuals who qualify for both Medicare and Medicaid—are under the age of 65. Many of these individuals have physical and cognitive disabilities that create significant barriers to accessing health care. As New York State moved to implement the Fully Integrated Duals Advantage (FIDA) program, dual eligibles would receive a comprehensive package of physical health care, behavioral health care, and long-term services through both Medicare and Medicaid. Because FIDA plans will be created by managed long-term care plans that currently serve elderly and disabled Medicaid beneficiaries, these plans must increase their capacity to serve a wider disabled population. Furthermore, federal and State laws, including the Americans with Disabilities Act (ADA), require that affirmative steps be taken to ensure that people with disabilities are treated in a nondiscriminatory manner and have access to health plans with providers in their networks. NYSHealth awarded the Center for Independence of the Disabled in New York (CIDNY) a grant to work with six plans and the New York State Department of Health to support the implementation of FIDA, improve ADA compliance, and enhance access and outcomes for people with disabilities.