Resources & Reports
Grant Outcome Reports
Improving Family Planning Services at Community Health Centers By: NYSHealth Priority Areas: Special Projects Fund Date: August 2016 Type: Grant Outcome Reports, Grantee Name: Public Health Solutions
As a result of the Affordable Care Act, federally qualified health centers (FQHCs) were expected to double the number of patients they serve. FQHCs provide comprehensive primary and preventive care regardless of a patient’s insurance status or ability to pay. Although FQHCs are required to provide family planning services to patients, many do not receive funding through the U.S. Department of Health and Human Services Title X Family Planning Program, and are therefore neither properly equipped nor trained to provide the same scope of services as their funded counterparts. NYSHealth awarded Public Health Solutions a grant to pilot a quality improvement collaborative model to close the gap and integrate evidence-informed best practices in contraceptive care at non-Title X-funded FQHCs in New York City. Under this grant, Public Health Solutions educated and trained health center staff to ensure the operational changes at each site align with evidence-based standards of care. The project aimed to measurably improve FQHCs’ contraceptive service provision and reduce unintended pregnancies through high-quality family planning services—offering counseling on a wide range of approaches from abstinence to pharmaceuticals.
Addressing the Needs of Staten Island Residents in Hurricane Sandy’s Aftermath By: NYSHealth Priority Areas: Special Projects Fund Date: August 2016 Type: Grant Outcome Reports, Grantee Name: Community Health Action of Staten Island, Inc.
The one-year anniversary of the Hurricane Sandy disaster was a particularly vulnerable period for some disaster survivors. It was a time when people who had suffered loss and trauma were most likely to experience trigger events, which can contribute to the emergence or re-emergence of conditions such as depression, post-traumatic stress disorder, and alcohol and substance use. NYSHealth awarded the Community Health Action of Staten Island (CHASI) a grant to help identify residents of impacted communities on Staten Island who may be developing serious mental health and/or substance use conditions and connect them to appropriate and timely health care and mental health services.
Improving Long-Term Care and Services in Rural New York By: NYSHealth Priority Areas: Special Projects Fund Date: July 2016 Type: Grant Outcome Reports, Grantee Name: Foundation for Long Term Care, Inc.
The six-county Eastern Adirondack region is a reflection of the aging trend currently unfolding in rural New York State: 14.8% of the region’s population is over the age of 65, with 9% of those having incomes at or below the poverty level. With limited transportation, the expansive and rural geography of the region creates formidable challenges to developing, operating, and financially sustaining long-term care services and supports (LTCSS). As a medically underserved area, only four long-term home health care programs and eight certified home health care agencies serve the region. In 2013, NYSHealth awarded the Foundation for Long Term Care (FLTC) a grant to develop a multifaceted action plan to ensure access to a range of high-quality LTCSS. Under this grant, FLTC sought to establish and convene a core group of partner organizations to determine options for sharing and potentially integrating services and functions. The goal of the action plan was to effect organizational mergers and restructuring; reimbursement changes and regulatory modifications; quality improvement processes; and recommendations on statewide strategies to improve LTCSS.
Helping Homebound Patients Reconnect with Primary Care By: NYSHealth Priority Areas: Special Projects Fund Date: July 2016 Type: Grant Outcome Reports, Grantee Name: Home Aide Service of Eastern New York, Inc., dba Eddy Visiting Nurse Association
By 2030, the number of permanently homebound individuals in the U.S. will increase by 50% to reach 2 million. These highest-need and sickest patients are also the ones who bear the greatest financial burden on the health care system. In 2011, Samaritan Hospital privately launched a small home-based care pilot program to determine whether a medical house call service could help patients with frequent hospital readmissions. The results were promising—the majority of patients were not re-hospitalized, and the conclusion was that the medical house call model warrants further study on a larger scale. In 2012, NYSHealth awarded a grant to Eddy Visiting Nurse Association (Eddy VNA) and its affiliate St. Peter’s Health Partners Medical Associates to test the medical house call model in four upstate New York counties: Albany, Rensselaer, Schenectady, and Saratoga.
Evaluation Technical Assistance for NYSHealth Grantees, Phases 5 & 6 By: NYSHealth Priority Areas: Other Date: July 2016 Type: Grant Outcome Reports, Grantee Name: New York University – School of MedicineGrantee 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, NYSHealth began funding in 2008 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 potential NYSHealth applicants. Because of the success of the initiative, NYSHealth continues to provide technical assistance for new grantees and applicants each year.
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.