“From time to time, most strategic grant-making organizations review their programmatic priorities, assessing the needs and opportunities in a given area and figuring out what role a foundation could play in it. When the New York State Health Foundation’s (NYSHealth’s) board and staff began reviewing its strategic priorities in 2014, we grappled with how we could have the most impact given our modest resources. (Our annual grants and operations budget is approximately $15 million—a modest sum in a state expected, by 2020, to spend more than $300 billion annually on health care!)

One question for us was how best to tackle challenges outside of the medical care delivery system that have an impact on New Yorkers’ health. Doing so meant taking a hard look at our work to address the diabetes epidemic to see whether we were targeting the right populations to achieve the most impact.”

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