Resources & Reports
Grant Outcome Reports
Examining Promising Innovations in Primary Care By: NYSHealth Priority Areas: Advancing Primary Care Date: May 2017 Type: Grant Outcome Reports, Grantee Name: United Hospital Fund of New York
New York State’s health care spending overall and per capita are among the highest in the nation. Coupled with suboptimal levels of access, quality, and patient experience, the rate of cost escalation is unsupportable. The need to improve performance and control costs was heightened by the increase in demand for care after the implementation of the Affordable Care Act. In response, the State designated advanced primary care as a key priority. It undertook a major campaign among providers, focusing on improving primary care practice and integrating the management of patient care across types of providers, including primary care, hospital care, specialty medicine, long-term care, and mental health and substance use services. In 2014, NYSHealth awarded the United Hospital Fund of New York (UHF) a grant to provide analytical support for the range of efforts to improve primary care by health care providers and the State. Specifically, UHF examined three areas of promising innovation in health care: new models in primary care, development of accountable care organizations (ACOs), and new approaches to consumer engagement in health care.
Evaluation Technical Assistance for NYSHealth Grantees: Phase 7 By: NYSHealth Priority Areas: Other Date: May 2017 Type: Grant Outcome Reports, Grantee Name: New York University School of Medicine
Many grantees, especially smaller, non-academic organizations, often lack the experience, time, and resources needed to conduct and implement evaluations that are critical to effective program execution and sustainability. To address this need among its own grantees, in 2008, NYSHealth began funding a technical assistance initiative that offers additional support to grantees in strengthening the evaluation aspects of their projects. Under Phase 1 and 2 of this grant, the Center for Health Care Strategies led the project; beginning in 2011, an evaluation team from the New York University School of Medicine (NYU) has since overseen the initiative. The evaluation team has been providing direct assistance to grantees; holding training workshops for grantees; and offering one-on-one follow-up assistance to workshop participants. An online evaluation resource is also available for current grantees and potential NYSHealth applicants. Because of the success of the initiative, NYSHealth continues to provide technical assistance for new grantees and applicants each year.
Expanding Access to Behavioral Health Services for Veterans and Their Families By: NYSHealth Priority Areas: Veterans' Health Date: April 2017 Type: Grant Outcome Reports, Grantee Name: RAND Corporation
In New York State, rates of behavioral health problems among veterans deployed in Iraq and Afghanistan are high: nearly one in four struggles with post-traumatic stress disorder and/or depression, and close to 40% have reported binge drinking. Family members, including children, also experience high rates of behavioral health concerns, such as depression and anxiety. Although nearly all veterans are eligible for medical and behavioral health care at the U.S. Department of Veterans Affairs (VA), there are considerable barriers to accessing these services that require veterans to navigate both private and public health services. To create a coordinated care model, the North Shore-Long Island Jewish Health System began a collaboration with the Northport Veterans Affairs Medical Center to create the Unified Behavioral Health Center for Military Veterans and Their Families (UBHC). This center uses a public-private model of care to provide behavioral health care for veterans and their families by co-locating and coordinating services across two independently governed sides. One side of the center is operated by the VA and serves veterans, whereas the other side is operated by a private-sector provider and primarily serves the families of veterans. NYSHealth awarded RAND Corporation a grant to assess the impact of this partnership for expanding access to behavioral health services for veterans and their families.
Connecting Students to Health Care Internships, Summer 2016 By: NYSHealth Priority Areas: Other Date: April 2017 Type: Grant Outcome Reports, Grantee Name: Health Career Connection, Inc.
In New York City, challenging and prestigious health care internships are often unpaid—hindering students who cannot afford to take unpaid opportunities from shaping their future educational and career trajectories and building meaningful professional networks. Health Career Connection (HCC) is a national nonprofit organization that provides undergraduate students from under-represented or disadvantaged backgrounds with paid internship placements in health care and public health organizations. The majority of students recruited by HCC are first-generation college students who come from low-income families and communities with limited resources to help them thrive in the workforce. Ultimately, HCC seeks to improve the health of populations by motivating and developing value-driven, capable, and diverse health care and public health leaders and professionals. In 2014, NYSHealth awarded HCC a grant to support five 10-week summer internship placements, including at the Foundation. The experience was exceptional for both the students and hosting organizations, which led NYSHealth to award HCC subsequent grants in 2015 and 2016 to continue support for this initiative. Under this 2016 grant, HCC matched five students to organizations suited to their career interests: one internship at NYSHealth and four internships at Healthy Neighborhoods Fund grantee organizations.
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.
Introducing Diabetes Screening and Monitoring in the Dental Office By: NYSHealth Priority Areas: Diabetes Prevention and Management Date: March 2017 Type: Grant Outcome Reports, Grantee Name: Trustees of Columbia University, dba Columbia University
Diabetes management requires patient adherence and ongoing monitoring by primary and specialty care teams, including dentists. Studies have shown that point-of-care testing for diabetes in the dental setting can identify patients with previously undiagnosed prediabetes or diabetes. NYSHealth has previously funded research to develop algorithms for dental professionals to screen for diabetes or prediabetes. In 2014, NYSHealth awarded Columbia University a grant to further develop the role and rationale of diabetes screening in dental offices; identify barriers to screening; and provide recommendations for policymakers.
Covering Health News on the PBS NewsHour By: NYSHealth Priority Areas: Other Date: March 2017 Type: Grant Outcome Reports, Grantee Name: Greater Washington Educational Telecommunications Association, Inc./NHP
The Greater Washington Telecommunications Association (WETA) is the second-largest producing station in the Public Broadcasting Service (PBS) system and the flagship public broadcaster in the nation’s capital. WETA produces PBS NewsHour—one of the nation’s most trusted and credible television news programs, now in its 40th year. Although there are more sources for health news available than ever, much of it is unreliable, politicized, or sensationalized. The challenge is to provide information that is factual, objective, and unbiased, all in a manner that is thoughtful and provides context. In 2016, NYSHealth awarded a grant to WETA to support health-related NewsHour programming.
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
In March 2011, New York State made an express commitment to implement the Community First Choice (CFC) an option under the Affordable Care Act that offers states enhanced Medicaid matching funds to enable people who would be eligible for institutional level of care to stay in their homes and get services in the community. This option was a win for both the State and its most vulnerable residents, with the potential to expand access to community-based services for approximately 1 million New York 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.
Accelerating Change Through 100-Day Challenges By: NYSHealth Priority Areas: Building Healthy Communities Date: March 2017 Type: Grant Outcome Reports, Grantee Name: Rapid Results Institute, Inc.
NYSHealth launched the Healthy Neighborhoods Fund initiative to help New York State communities become healthier and more active places. 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 (TA) to help them meet their goals. In 2015, NYSHealth awarded a grant to the Rapid Results Institute (RRI) to provide TA to the Clinton County Health Department (CCHD) to increase physical activity among its residents. Under this grant, RRI worked with CCHD on implementing RRI’s 100-day challenge plan, a methodology that challenges organizations to achieve radically ambitious yet tangible and measurable goals in 100 days. CCHD’s goal was to increase participation in senior walking programs by 300% and increase new participation by youth in physical activity programs by 50%.