Resources & Reports
Grant Outcome Reports
Meeting the Palliative Care Needs of Children and Their Families By: NYSHealth Priority Areas: Special Projects Fund Date: July 2016 Type: Grant Outcome Reports, Grantee Name: Hospice and Palliative Care Association of New York State, Inc.
Caring for children with life-limiting illnesses has extraordinary challenges. Pediatric palliative care can be provided in the hospital or in the home, though in many communities across New York State, hospice and palliative care personnel are not trained or staffed to meet the unique needs of children and families outside of the hospital. The Hospice and Palliative Care Association of New York State’s (HPCANYS) Interdisciplinary Pediatric Palliative Care (HIPPC) training is designed to educate both facility-based and community-based care providers in concepts that span care settings, support each stage of care, and ease transitions between hospital and home care. With support from NYSHealth, HPCANYS expanded access to pediatric palliative care services by building capacity among providers across the State.
Creating Primary Care Services for the Homeless By: NYSHealth Priority Areas: Expanding Health Care Coverage Date: June 2016 Type: Grant Outcome Reports, Grantee Name: Sunset Park Health Council, Inc. (Lutheran Family Health Centers)
Numbers of homeless in New York City have been on the rise. Barriers to primary health care access for the homeless are severe, extensive, and challenging to resolve. The community medicine program at Lutheran Family Health Centers (LFHC) was approached by the New York City Department of Homeless Services to be the on-site medical and behavioral health provider at the Bellevue Men’s Shelter (Bellevue), one of the largest shelters in the New York City system. There had been no on-site provider at Bellevue, and because of funding cuts, the City did not have the resources to hire an on-site provider to perform much-needed services. Subsequently, LFHC submitted an application to open a clinic at Bellevue to provide a variety of primary care services for homeless men. NYSHealth awarded LFHC a grant to support the early operation of the clinic.
Evaluating New York State Early Childhood Obesity Prevention Programs By: NYSHealth Priority Areas: Diabetes Prevention and Management Date: June 2016 Type: Grant Outcome Reports, Grantee Name: Columbia University, Mailman School of Public Health
Childhood obesity is a well-documented risk factor for obesity later in life, which in turn is associated with an increased risk in Type 2 diabetes, cancer, cardiovascular disease, and other chronic conditions. Although the majority of obesity prevention projects are targeted to school-age children, obesity begins much earlier in life. To fill this gap, New York State’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) initiated changes to its program in 2009 to improve health outcomes in young children. Specifically, the changes included revising food packages and strengthening physical activity promotion, peer breast-feeding counseling, and nutrition education efforts. To evaluate the impact of these initiatives, NYSHealth awarded a grant to the Columbia University Mailman School of Public Health in 2008. The evaluation assessed changes in food consumption and physical activity patterns and health outcomes among children participating in WIC.
Informing Supportive Housing Decisions in New York State By: NYSHealth Priority Areas: Advancing Primary Care Date: June 2016 Type: Grant Outcome Reports, Grantee Name: Corporation for Supportive Housing
Supportive housing—housing coupled with appropriate individual-based services—is an innovative and cost-effective model of care designed to provide an integrated solution for both housing and health care needs. From 2012–2015, the New York State Department of Health invested more than $260 million of Medicaid State savings into supportive housing programs targeted at New York’s high-cost Medicaid members. However, the allocation and determination of these funds were largely based off of key stakeholder assumptions of where the greatest needs lie, but not necessarily based on data—at the time, no statewide centralized clearinghouse of data on the homeless population existed. To create a uniform, non-duplicative data system to estimate supportive housing needs at the regional and statewide level, NYSHealth awarded the Corporation for Supportive Housing a grant to conduct an assessment of homelessness in different geographic areas of New York State. The data analyzed would allow the State to make educated decisions when determining supportive housing funding allocations and better match resources to need.
Supporting an Evaluation of the Patient-Centered Medical Home Model By: NYSHealth Priority Areas: Advancing Primary Care Date: May 2016 Type: Grant Outcome Reports, Grantee Name: Excellus Health Plan
Numerous studies have demonstrated that comprehensive and integrated primary care is a cost-effective means to reduce health care fragmentation and its associated costs. The patient-centered medical home (PCMH) is a promising model in which highly connected, coordinated, and inclusive patient care is overseen by a team of care providers, including physicians, nurses, pharmacists, social workers, and other care coordinators. Excellus BlueCross BlueShield (Excellus), MVP Health Care, and physicians in upstate New York partnered to create the Rochester Medical Home Initiative (RMHI) to test the viability of the PCHM model. Excellus and MVP Health Care provided $8 million to fully fund the demonstration. Excellus also compensated participating primary care physicians for providing additional case management and trained them to implement PCMH principles into their practices. In 2009, NYSHealth awarded Excellus a grant to support an independent research evaluation of RMHI’s demonstration of the PCMH model.
Strengthening Hurricane Sandy Recovery Efforts By: NYSHealth Priority Areas: Special Projects Fund Date: May 2016 Type: Grant Outcome Reports, Grantee Name: The Staten Island Foundation
Staten Island’s shore neighborhoods were some of the most severely impacted in the region by Hurricane Sandy. Local service organizations were on the front line responding to those devastated by the storm, despite the fact that many of these same organizations and their staff members were also storm victims. The Staten Island Foundation (SIF) is committed to supporting nonprofit service providers and strengthening their capacity to continue to meet the long-term challenges caused by this disaster. SIF created The Staten Island Foundation Nonprofit Disaster Recovery Fund (the Fund) to help nonprofits serving Staten Island address immediate relief needs and long-term recovery efforts. NYSHealth awarded a grant to SIF to bolster its health-related recovery mission and strengthen its ability to leverage funding opportunities for the State Island community.
Simplifying Rules for New York’s Dual Eligibles By: NYSHealth Priority Areas: Expanding Health Care Coverage Date: May 2016 Type: Grant Outcome Reports, Grantee Name: Medicare Rights Center
The Affordable Care Act outlined Medicaid expansion guidelines for states to include nondisabled, single adults under 65 years old with incomes up to 138% of the federal poverty level. States that adopted the Medicaid provision began using a modified system to determine eligibility for and expand coverage to those persons who would now qualify. However, for approximately 700,000 Medicaid enrollees in New York State who are also eligible for Medicare—known as dual eligibles —federal health reform left intact more complicated eligibility rules that can exclude them from accessing seamless coverage available on the NY State of Health Marketplace, the State’s health benefit exchange. In 2010, NYSHealth awarded Medicare Rights Center a grant to ensure that the needs of dual eligibles were considered as the new Marketplace was planned.
Expanding Supportive Services for Veterans and Their Families By: NYSHealth Priority Areas: Veterans' Health Date: May 2016 Type: Grant Outcome Reports, Grantee Name: Syracuse University Institute for Veterans and Military Families (IVMF)
The most effective measures in preventing veteran homelessness are those that coordinate a comprehensive array of services to assist with housing, job placement, and counseling, as well as provide wraparound mental health, physical health, and substance use support. Implemented in 2012, the Supportive Services for Veteran Families (SSVF) federal grant program supports community-based organizations that prevent veterans and their families from becoming homeless. In 2013, the VA increased SSVF funding to $300 million. To maximize the chances of receiving SSVF funding, community-based organizations serving veterans had to build their capacity. NYSHealth awarded a grant to the Syracuse University Institute for Veterans and Military Families (IVMF) to work directly with existing and new SSVF grantee applicants in New York State to increase their capacity to serve veterans and secure SSVF funding.
Integrating Mental Health and Primary Care Services for Children By: NYSHealth Priority Areas: Special Projects Fund Date: April 2016 Type: Grant Outcome Reports, Grantee Name: The Long Island Home, dba South Oaks Hospital
Pediatricians and family physicians are often the initial points of contact for children’s health problems. The American Academy of Pediatrics and New York State Academy of Family Physicians have advocated for the integration of mental health treatment for youth into the primary care setting as an efficient and cost-effective model to deliver this service. In 2012, NYSHealth awarded a grant to South Oaks Hospital (SOH) to develop and implement a model that integrates mental health services into primary care settings for pediatric patients. Under this grant, SOH embedded on-site mental health therapists in pediatrician offices so that children could get mental health treatment in a timely manner.
Designing a Strategic Alliance Between Planned Parenthood Affiliates By: NYSHealth Priority Areas: Special Projects Fund Date: April 2016 Type: Grant Outcome Reports, Grantee Name: Planned Parenthood of New York City, Inc.
As demand for services at Planned Parenthood of New York City (PPNYC) and Planned Parenthood of Nassau County (PP Nassau County) was growing, the economic downturn in 2009 dramatically impacted the investment income that both organizations relied on for annual operations. Although PPNYC and PP Nassau County implemented cost-cutting measures as a way to weather the downturn, both organizations continued to run an operating deficit. A merger between PPNYC and PP Nassau County would optimize clinical services for clients at both locations and ensure the long-term sustainability of their safety-net services. NYSHealth awarded PPNYC a grant to facilitate a merger between the two organizations.