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  • Children’s Defense Fund - New York Increasing Enrollment and Retention in New York’s Public Health Insurance Programs Priority Area: Expanding Health Care Coverage $102,691

    While more than 2.3 million New Yorkers, including 400,000 children, are uninsured, 1.2 million of them are eligible for, but not enrolled in, public health insurance. A contributing factor to the high number of eligible but uninsured residents—in New York and other states around the country—are the public insurance system of eligibility, documentation, enrollment, and renewal policies, which directly impact a family’s ability to obtain public health insurance. Under this grant, the Children’s Defense Fund-New York (CDF-NY) proposed to increase health insurance enrollment and retention by working in partnership with community-based facilitated enrollers (FEs) through a Public Health Insurance Monitoring Project.

  • Brooklyn Alliance, Inc. Brooklyn HealthWorks Priority Area: Expanding Health Care Coverage $104,738

    To provide more affordable health insurance options for small businesses, the Brooklyn Chamber of Commerce, in partnership with the New York State Department of Insurance and Group Health Incorporated (GHI), launched Brooklyn HealthWorks in 2004, a private-label version of GHI’s Healthy NY Exclusive Provider Organization (EPO) product offered to small businesses and their employees who work in Brooklyn. To increase enrollment in Brooklyn HealthWorks, the Brooklyn Chamber of Commerce marketed this lower-cost health insurance product to small businesses and brokers in Brooklyn with branded marketing tools, direct mailings, and media ads. Between January 2008 and May 2009, 1,250 employees and dependents at 293 small businesses enrolled in Brooklyn HealthWorks.

  • Adirondack Medical Center The Tri-Lakes Uninsured Task Force Priority Area: Expanding Health Care Coverage $61,933

    Under this grant, Adirondack Medical Center’s (AMC’s) goal was to continue to reduce the number of uninsured throughout its region. In 2002, AMC formed the Uninsured Task Force (UTF) to address the challenges of providing access to care. UTF collected data to track coverage rates in the community, which—despite national trends at the time—increased since its inception. Although UTF was unable to track the number of individuals who were enrolled as a result of its work (i.e., facilitated enrollment agencies and other relevant organizations were unable to provide specific enrollments resulting from UTF events), it was able to look more broadly at local insurance enrollment by using the grant funding to conduct a survey of the region in December 2008; the results showed that despite the economic downturn, the region’s rate of uninsured showed little change from the last survey conducted in May 2005.

  • Glens Falls Hospital Sustainable Strategies for Diabetes Self Management Priority Area: Diabetes Prevention and Management $149,127

    The prevalence of diabetes in adults in New York State’s Adirondack region is disproportionately higher than the State’s overall rate. The percentage of adults who reported receiving an HbA1c test in the region is also significantly lower than the statewide average. Glens Falls Hospital, a community hospital with multiple primary care practice sites in the Adirondack region, sought to address these issues through its diabetes registry project. The intent of this project was to implement a Web-based diabetes registry at six of its twelve primary care sites to increase the efficiency and effectiveness of care provided to its patients with diabetes. It also planned to develop a menu of resources and support programs to help patients self-manage their condition. The New York State Health Foundation funded this project through its 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals.

  • Institute for Community Living, Inc. Improving the Assessment and Management of Diabetes for Adults with Serious Mental Illness Priority Area: Diabetes Prevention and Management $567,066

    Individuals with serious mental illness are 2.3 times more likely to develop diabetes during their lifetime and 2.7 times more likely to die from diabetes-related complications. These physical and mental co-morbidities not only reduce quality of life, but are associated with high hospital admission rates. In 2008, NYSHealth awarded Institute for Community Living (ICL) a grant to address poorly-controlled diabetes in those with serious mental illness by developing the Diabetes Co-Morbidity Initiative (DCI), a program to help behavioral health agencies staff provide diabetes care management to patients. NYSHealth funded this project through its 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals.

  • Gold Choice PCMP IIA Improving Diabetes Outcomes in Behavioral Health Care Recipients Priority Area: Diabetes Prevention and Management $317,863

    Gold Choice is a behavioral health Medicaid managed care program serving Erie County. Approximately 450 Gold Choice patients who receive care through 60 Erie County primary care sites are currently diagnosed with diabetes. These individuals are especially vulnerable to diabetes-related complications, as their behavioral health conditions often affect their ability to adhere to medication and self-care regimens. To address these needs, Gold Choice developed a program to enhance care and improve outcomes for patients with both diabetes and serious mental illness and/or substance use problems. The program was designed to (1) use practice enhancement assistants to provide clinical information support to primary care practices serving Gold Choice patients with diabetes and (2) use telephonic nurse care managers to work specifically with this target population. The New York State Health Foundation funded this project through its 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals.

  • UNITE HERE Health Center Development & Implementation of an Innovative Primary Care Model for Low Income Retired Patients with Diabetes Priority Area: Diabetes Prevention and Management $460,042

    The UNITE HERE Health Center (UHC) provides health care services to enrolled union members in the greater New York metropolitan area. UHC developed and implemented a special care center for its patients, which was based on a primary care model designed specifically to improve the care of patients with chronic conditions and that relies heavily on patient care assistants. While health coaching services performed by patient care assistants are typically not covered under traditional plans, UNITE HERE active union workers are reimbursed through a special capitated arrangement. These services are not reimbursed for retired workers who are covered under traditional fee-for-service insurance. In 2008, NYSHealth awarded UNITE HERE Health Center a grant to expand its service delivery model to its older patients with diabetes and address these coverage limitations. This project was funded under NYSHealth’s 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals (RFP).

  • Seneca Nation Health Department Revisioning Seneca National Health Department's Diabetes Management Priority Area: Diabetes Prevention and Management $17,815

    Current estimates from the Seneca Nation Health Department, a nonprofit public health organization that maintains a federal contract with the Indian Health Service, show that 15% of its patient population has been diagnosed with diabetes. Over the past decade, the Seneca Nation Health Department has maintained the Indian Health Service Diabetes Core Program, and for the past three years, it has implemented the Indian Health Service Special Diabetes Prevention Initiative. This project was funded under NYSHealth’s 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals. 

  • Jericho Road Ministries, Inc. Diabetes Center of Community Excellence Priority Area: Diabetes Prevention and Management $460,000

    Buffalo’s East Side is predominantly African American and poor. While diabetes self-management education is considered an integral component of effective care, skilled educators are not readily available in poor, minority communities. With support from NYSHealth, Jericho Road Ministries, Inc. formed the “Diabetes Center of Community Excellence” to provide culturally appropriate support and motivation for diabetes self-management in minority communities. This project was funded under NYSHealth’s 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals. 

  • Jamaica Hospital Medical Center Initiating a Diabetes Management Program for Underserved Populations Priority Area: Diabetes Prevention and Management $138,531

    Jamaica Hospital Medical Center (JHMC) and Flushing Hospital Medical Center (FHMC) sites serve patients who are predominantly African American, Hispanic, and Asian and disproportionately affected by diabetes. These sites are located in neighborhoods that have higher-than-average mortality rates for diabetes—40.9 per 100,000, compared to 23.3 in all of New York City and 20.5 in New York State. In 2008, NYSHealth awarded JHMC  a grant to develop a partnership with FHMC to address these disparities among its client base by implementing the Chronic Care Model (CCM) at its facilities. NYSHealth funded this project through its 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals.

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