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  • Expanding Primary Care Services in Queens By: NYSHealth Priority Areas: Advancing Primary Care Date: September 2017 Type: Grant Outcome Reports,

    New York City is home to nearly 1.2 million Asian Americans, representing more than 13% of the City’s total population. Many Asian Americans experience health disparities compared with the general population, including higher rates of chronic diseases and lower access to primary care services. Numerous factors contribute to this problem, such as language barriers and immigration issues. Founded in 1971, the Charles B. Wang Community Health Center (Charles B. Wang CHC) is a nonprofit federally qualified health center that operates service sites in Lower Manhattan and in Flushing, Queens. The majority of its 49,000 patients are low-income, uninsured, or under-insured Asian Americans with limited access to basic health care. As a result of a growing South Asian population in Queens, Charles B. Wang CHC’s Flushing site reached capacity. In 2015, NYSHealth awarded Charles B. Wang CHC a grant to support the opening of a second clinic to serve the Queens community.

  • Aligning Behavioral Health Care Services for Low-Income New Yorkers By: NYSHealth Priority Areas: Advancing Primary Care Date: September 2017 Type: Grant Outcome Reports, Grantee Name: Center for Health Care Strategies, Inc.

    In 2014, Congress authorized the development of Certified Community Behavioral Health Clinics (CCBHCs) to provide mental health and addiction services for low-income Americans with serious behavioral health needs. One-year federal planning grants were awarded to 24 states, including New York State, to develop certification criteria and processes for designating CCBHCs, as well as to design a prospective payment system for reimbursing qualified providers. Given New York State’s multiple health care reform efforts—including the Delivery System Reform Incentive Payment program, integrated managed care models, and value-based payment arrangements—it was important for the State to consider the CCBHC project in the context of its other reforms. In 2015, NYSHealth awarded a grant to the Center for Health Care Strategies (CHCS) to provide New York State and other planning grant state officials with a platform to exchange best practices for aligning CCBHC implementation with efforts to integrate physical and behavioral health services.

  • Addressing Workforce Shortages at Federally Qualified Health Centers By: NYSHealth Priority Areas: Advancing Primary Care Date: September 2017 Type: Grant Outcome Reports, Grantee Name: Community Health Care Association of New York State, Inc.

    The Affordable Care Act greatly increased the number of New Yorkers served by federally qualified health centers (FQHCs). To provide care for the newly insured and to create a strong safety net for those who remained uninsured, FQHCs needed to increase their capacity to provide quality primary care. An NYSHealth-funded report, developed by the Community Health Care Association of New York State (CHCANYS) in 2013, was the first-ever New York State plan to identify ways for existing health centers to increase productivity and fill vacancies among clinical provider staff. One of the report’s key findings was that expanding established provider recruitment and retention programs to fill existing vacancies could produce 720,000 more visits for more than 155,000 patients. In 2015, NYSHealth awarded CHCANYS a grant to take action on the report’s findings and address workforce shortages identified in the statewide plan.

  • Developing Policy Recommendations on e-Cigarette Use in New York State By: NYSHealth Priority Areas: Special Projects Fund Date: August 2017 Type: Grant Outcome Reports, Grantee Name: American Cancer Society

    Electronic Nicotine Delivery Systems (ENDS) refer to all forms of e-cigarettes, vapes, and similar products, whether they contain nicotine or not. ENDS produce an inhalable aerosolized mixture of flavored liquids and frequently nicotine. Like conventional cigarettes and other combustible tobacco products, the use of ENDS products poses serious public health risks and concerns that need to be addressed. However, few regulations are currently applied to ENDS products to protect consumers, especially among youth. In September 2016, NYSHealth awarded the American Cancer Society (ACS) a grant to organize an ENDS summit to generate policy recommendations regarding the sale and use of ENDS in New York State. The convening was held in February 2017, hosted by ACS, the New York State Public Health Association (NYSPHA), and NYSHealth.

  • Improving Mental Health for Veterans Through Partnerships By: NYSHealth Priority Areas: Veterans' Health Date: August 2017 Type: Grant Outcome Reports,

    Veterans cope with a wide variety of mental health disorders, particularly traumatic brain injuries and post-traumatic stress disorder. Under federal mandate, the U.S. Department of Veterans Affairs (VA) is required to collaborate with community-based mental health providers to better reach veterans and their families and connect them to needed services. One such collaboration is the Veterans Mental Health Coalition (VMHC), established by Mental Health Association of New York City (MHA-NYC) in partnership with the National Alliance on Mental Illness-NYC. VMHC works to improve access to and quality of mental health and substance use services for veterans, service members, and their families. In 2015, NYSHealth awarded MHA-NYC a grant to advance VMHC’s mission and further meet the needs of returning veterans and their families. Specifically, VMHC convened stakeholders to discuss and promote the models and outcomes already underway in New York. Additionally, through a targeted print and social media campaign, VMHC accelerated partnerships between the VA and effective community mental health organizations and providers.

  • 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.

  • Exploring Best Practices for Alternative Payment Methods By: NYSHealth Priority Areas: Advancing Primary Care Date: July 2017 Type: Grant Outcome Reports, Grantee Name: Healthcare Educational and Research Fund (on behalf of the Healthcare Association of New York State)

    Despite federal and State efforts to incorporate payment reform—including value-based reimbursement models—into the health care system, adoption has been slow. The majority of payments in the commercial and Medicaid markets are still made on a fee-for-service basis, and alternative methods, such as bundled or capitated payments, are underused. Well-resourced health care providers are often better placed to transition to new payment mechanisms, whereas smaller institutions may lack the expertise and capacity to take the first steps. In 2015, NYSHealth awarded a grant to the Healthcare Educational and Research Fund, on behalf of the Healthcare Association of New York State (HANYS), to host an all-day symposium for health care providers and other stakeholders to learn more about new payment models that support meaningful health care redesign.

  • Gauging Payment Reform in New York State By: NYSHealth Priority Areas: Advancing Primary Care Date: July 2017 Type: Grant Outcome Reports, Grantee Name: Catalyst for Payment Reform, Inc.

    Today’s prevailing fee-for-service payment system can result in unnecessarily high levels of care, tests, and treatments. However, consensus is growing in the health care sector that alternative payment methods can reduce unnecessary health care costs by creating incentives for a lower volume of care. One such example is the Delivery System Reform Incentive Payment (DSRIP) program that New York State has undertaken to shift the majority of Medicaid managed care reimbursements to value-based arrangements. Although providers and payers across the State have experimented with various arrangements to develop a value-oriented health care system, it has not been clear which methods could most effectively replace the traditional fee-for-service model. Additionally, there had been no systematic information available about the current payment landscape to set goals and measure progress. In 2014, NYSHealth awarded a grant to Catalyst for Payment Reform (CPR) to create the first-ever New York State scorecards for the Medicaid and commercial markets to help provide insight into payment reform in the State.

  • Supporting Knowledge in Health and Health Care Reporting By: NYSHealth Priority Areas: Other Date: July 2017 Type: Grant Outcome Reports, Grantee Name: Center for Excellence in Health Care Journalism

    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 nonprofit 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 600–800 reporters, editors, and producers, as well as health care luminaries. The conference covered a wide range of issues, both content-focused (e.g., covering the progress under the Affordable Care Act, health care disparities, aging and long-term care) and skills-focused (e.g., understanding how to read medical studies or interpret hospital quality data). In 2016, NYSHealth awarded the Center for Excellence in Health Care Journalism a grant to support AHCJ’s 2017 cohort of New York State Health Journalism Fellowships.

  • 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.

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