Expand and strengthen quality out-of-hospital health care for the most underserved and vulnerable populations.
- Increase in New Yorkers benefitting from primary care from a “Patient-Centered Medical Home” or comparable out-patient community-based provider
- Increase in New Yorkers benefitting from coordinated care, care management, and/or multi-disciplinary services and supports provided in an accessible community- or home-based setting, with a focus on programs targeting individuals living in poverty, with multiple chronic or behavioral health conditions, and/or who are transportation-challenged, including frail elders
- Increase in New Yorkers receiving services and supports aimed at reducing unnecessary hospital admissions, readmissions, or emergency room use, and successfully transitioning patients into out-of-hospital community-based care and care management
(Priority will be given to programs capable of being sustained with earned or public sector revenue, producing outcomes of long-term value in a short time, and/or of reducing cost to the system while maintaining or improving quality of care to the individual.)
New York Legal Assistance Group, Inc.
To enhance legal services for patients served by NYC Health+Hospitals facilities, and support a pilot project expanding services to patients served by One Brooklyn Health System
Supportive Housing Network of New York, Inc.
To support advocacy, technical assistance, and public education on behalf of the non-profit supportive housing sector
Urban Pathways, Inc.
To provide health education and connection to community-based health care to clients in supportive housing who live with serious mental and chronic illnesses