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Archive for the 'Health Care Delivery' Category




Community Health Workers Attend Statewide Convening Cosponsored by a Foundation


September 30th, 2014

The health system in the United States is undergoing transformative changes at the local, state, and national levels. A significant part of this change is the estimated 20 million-plus people that have gained health coverage, many for the first time, through the Affordable Care Act (ACA). In Kentucky, more than 520,000 people are newly insured […]

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Cigna Foundation and Nonprofit Aim to Revitalize Distressed Neighborhood: Community Development at Work


September 15th, 2014

The story begins with the failure of the economic engine—the relocation of a factory, perhaps, or the closure of a mine. Soon, joblessness, violence, and the deterioration of housing conditions follow. The impact on individual health levels can be devastating as rates of mental illness and substance abuse increase and more people do not manage […]

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New Center for Health Information Activation Supports Empowered Patients, Receptive Physicians


September 9th, 2014

The Jewish Healthcare Foundation (JHF), through its supporting organization the Pittsburgh Regional Health Initiative (PRHI), has been working at the Triple Aim (better health, better health care, and lower cost) for seventeen years. We have tried introducing Lean in hospitals, promoting patient-centered medical homes, advocating for public reporting on the quality and cost of care, […]

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New Report from the Milbank Memorial Fund: Aligning Payers and Practices to Transform Primary Care


September 4th, 2014

The Milbank Memorial Fund continues the work of helping states in their efforts to transform primary care with its release of a new report Aligning Payers and Practices to Transform Primary Care: A Report from the Multi-State Collaborative. The report is an observational study of the work of ten states that are members of the […]

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Report from the Colorado Health Symposium: Speaking Each Other’s Languages in Health Care


August 12th, 2014

When it comes to health communication, there’s a lot of emphasis on cultural sensitivity—the need for health care providers to take a patient’s race and ethnicity into account in communicating with him or her. But the challenge of communicating effectively is not limited to situations in which people come from different countries or ethnic cultures, […]

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Alcohol and Drug Prevention: A New Initiative to Keep Youth on a Healthy Path


July 28th, 2014

Across the country, more people are dying from drug overdoses than car accidents. We read about their deaths daily in the news—lives young and old snuffed out. Young people are at high risk because of their impulsive behavior. And when we look at the broader pattern of misuse of alcohol and drugs, we learn that […]

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Health Policy Fellows Program in a Southern State Helps to Inform Legislators


July 16th, 2014

The development of a nonpartisan program to help elected officials increase knowledge and dialogue around health, health care, and health policy issues has been well received in South Carolina. To take on the mammoth task of making policy decisions about state laws, regulations, budgets, etc., legislators must study a wide range of issues such as […]

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Leadership for the Post-Health Reform Era: Two Foundations Fund Practice Change Leaders Program


July 10th, 2014

Editor’s note: The author was named a MacArthur Fellow in 2012 by the John D. and Catherine T. MacArthur Foundation. Our nation’s health care delivery system frequently does not meet the unique needs of older adults. Wide gaps remain between evidence-based approaches, nationally recognized best practices, and how care is currently delivered for many conditions […]

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Watchful Waiting by Physicians on Payment Reform: Results from a Foundation-Funded Survey


July 8th, 2014

While almost 80 percent of Maine physicians surveyed agreed that the current fee-for-service system should be restructured to align payment with optimal clinical care, only 50 percent indicated they are preparing for payment reform measures, such as accountable care organizations. This was just one result of a survey of physicians on payment reform. The Maine […]

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Making Community Health Centers “Providers of Choice”—Two Foundations in California Fund a Study of the Safety Net’s Readiness for the ACA


June 11th, 2014

Community health centers (CHCs) have long been a centerpiece of the health care safety net, providing an array of primary care services for low-income and uninsured populations. These organizations will continue to serve a critical role for the millions of people who remain uninsured after implementation of the Affordable Care Act (ACA). However, the ACA […]

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NIHCM Foundation To Award Grants for Research on How to Improve the US Health Care System


May 29th, 2014

The National Institute for Health Care Management (NIHCM) Foundation, located in Washington, D.C., is a nonprofit, nonpartisan research and educational organization dedicated to improving the effectiveness, efficiency, and quality of America’s health care system, according to its website. NIHCM Foundation is making up to $250,000 available during its 2014–2015 funding cycle for its investigator-initiated research […]

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Medicaid Health Homes: Early Lessons From State Adopters Outlined


May 15th, 2014

In March 2014 the Center for Health Care Strategies (CHCS) published the brief, “Seizing the Opportunity: Early Medicaid Health Home Lessons.” With support from the New York State Health Foundation and the Missouri Foundation for Health, the CHCS looked at best practices and implementation lessons from states that have been early adopters of health homes. […]

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New in the Journal: “Foundation Support for Mental Health” GrantWatch column


May 8th, 2014

May is Mental Health Month, according to a Mental Health America press release. So, the newest GrantWatch column serendipitously came out just at the right time! In the just-released May 2014 issue of Health Affairs, my GrantWatch column (free access) mentions examples of foundations that have been trying to improve mental health care around the […]

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Opening Up Clinicians’ Notes—The Robert Wood Johnson and Cambia Health Foundations Funding a Movement


May 5th, 2014

Today, three million patients have easy and secure access to the notes their doctors write about them, a number that will continue to grow as more health systems embrace greater transparency and patient engagement. Six years ago, this relatively untested idea was prone to skepticism. With a $1.5 million grant from the Robert Wood Johnson […]

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The Hitachi Foundation Sheds Light on the New Role Frontline Workers Play in Health Care


April 24th, 2014

Care guides. Patient navigators. Community health workers. Everywhere, primary care providers are experimenting with new roles for care team members. It’s not hard to understand why. Developing a truly patient-centered, team-based approach means medical providers must experiment with how services are provided, and who delivers them. At the same time, there are many established players […]

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Adding Their Voices: What Older Adults Are Saying about Team Care and the Medical Home


April 14th, 2014

Foundations, government, and the health care sector are making large investments to reengineer and revitalize primary care, hoping this will improve the cost and quality of health care overall. Primary care practices that use expanded teams to deliver well-coordinated care designed around the needs of patients and families—widely known as patient-centered medical homes—have become the […]

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Eliminating Preventable Harm in Academic Medical Centers: The Libretto Consortium and the Gordon and Betty Moore Foundation


March 18th, 2014

Imagine a health care system where medical harms no longer occur. Where technology is connected and systems talk to each other. Where doctors, nurses, patients, and families work as a team, and decisions about health care are shared. Imagine a health care system that is so finely tuned that it can eliminate preventable harms, cut […]

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Sustainability and Growth in Funding for Drug Treatment Courts


March 11th, 2014

Crisis in the American criminal justice system in the 1980s launched a vigorous self-examination by judges, prosecutors, and law enforcement personnel and led to the creation of drug treatment courts (or simply “drug courts”). The criminal justice system was overwhelmed at the time by a glut of cases involving defendants whose substance use disorders led […]

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Elevating the Role of the Medical Assistant


March 3rd, 2014

The Pittsburgh-based Jewish Healthcare Foundation (JHF) and our Pittsburgh Regional Health Initiative (PRHI), an operating arm of the foundation, are transforming primary care—equipping practices with the resources necessary to reduce waste and inefficiency, improve workflows, implement and meaningfully use electronic health records, and treat complex patients with both physical and behavioral health conditions. True transformation […]

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New Orleans Health Department Transformation: the Role of Philanthropy in Supporting Change


February 26th, 2014

From the tragic flooding after Hurricane Katrina emerged an opportunity to transform the New Orleans Health Department (NOHD) and the local public health system. The health department transitioned from a marginal primary health care provider to a strategic public health leader facilitated by the dynamic leadership of Karen DeSalvo, health commissioner. This metamorphosis was catalyzed […]

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