Expand and strengthen quality out-of-hospital health care for the most underserved and vulnerable populations.
Note: Projects under Health Objective 2 must contribute to both Result A & B below.
- Increase in number of underserved and vulnerable New Yorkers benefitting from one or more of the following:
- Primary care from a “Patient-Centered Medical Home” or comparable out-patient community-based provider
- Coordinated care, care management, and/or multi-disciplinary support provided in an accessible community- or home-based setting, with a focus on programs targeting New Yorkers living in poverty with multiple chronic or behavioral health conditions, or who are home-bound or transportation-challenged, including frail elders
- Services aimed at reducing unnecessary hospital admissions, readmissions, or emergency room use, and successfully transitioning patients into out-of-hospital care and care management
- Advance in knowledge, policies, and practices capable of contributing to the “triple aim” of improved quality of care and patient experience; improved health in the population served; and, where consistent with quality, reduced or contained cost of care
(Priority will be given to programs capable of future sustainability with earned or public sector revenue and/or to projects capable of producing outcomes of long-term value in a relatively short period of time.)
The Bridge, Inc.
$35,000 (over six months)
To support continued capacity building by Coordinated Behavioral Care, Inc. as needed to operate and grow its four-borough Health Home program consistent with NYS requirements
Calvary Hospital, Inc.
$125,000 (over two years)
To support expansion of Calvary's capacity to offer the full continuum of out-of-hospital palliative and hospice care across all five boroughs, with a particular focus on Manhattan and the partnership with the Mary Manning Walsh home
Jewish Association for Services for the Aged
To help support business planning and changes in program, business processes, and infrastructure necessary for survival and growth of an aging services provider in an era of managed care
Montefiore Medical Center
$250,000 (over two years)
To help create, pilot in NYC, and advocate for the adoption of 'medical home' quality standards tailored to School-Based Health Centers and their unique position and function in the broader primary care system
The New York-Presbyterian Hospital
$125,000 (over eighteen months)
To integrate three existing community care programs in order to maximize continuity of care across community, hospital, and primary care settings for patients with multiple chronic and behavioral health conditions
United Hospital Fund of New York
To help support the Innovation Initiative, with a focus on the emergence of accountable care models in New York City
United Jewish Appeal-Federation of Jewish Philanthropies of New York, Inc.
To help support the first year of a three-year Community Health Initiative, whereby three hospitals will partner with community-based agencies to transition palliative care for severe and chronically ill patients to community settings following hospital discharge