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.)
God's Love We Deliver, Inc.
$100,000 (over eighteen months)
To support a project to strengthen information technology and to enhance internal research and evaluation capacity
Jewish Board of Family and Children's Services, Inc.
$40,000 (over six months)
To conduct a needs assessment and environmental scan to inform the development of older adult services for supportive housing residents with serious mental illness
Supportive Housing Network of New York, Inc.
To maximize supportive housing opportunities for medically needy homeless people and increase the amount of supportive housing available for individuals and families who are both homeless and cope with chronic behavioral and health challenges
Urban Pathways, Inc.
To improve the overall health of clients in four supportive housing residences, and reduce their reliance on emergency treatment by connecting them to appropriate sources of care in the community