Innovating for a High-Performance Health Care System
UHF’s Innovation Strategies Initiative, established in 2011, is helping to transform New York’s health care system by identifying, evaluating, and supporting the adoption of promising innovations in how health care services are organized, delivered, and financed, how they are engaging patients and families, and how they are using health information technology to guide and assess these new developments. Our work is focused on advanced primary care, accountable care, and the integration of behavioral health services into primary care practice. Read more.
Children’s Health Initiative
Promoting Healthy Child Development
UHF’s Children’s Health Initiative is addressing the social determinants of children’s health, especially those associated with poverty and early childhood trauma, by strengthening pediatric primary care to promote healthy early childhood development. The initiative has three thrusts: 1) a Partnerships for Early Childhood Development grant initiative and learning collaborative to develop clinical/community partnerships in order to mitigate risks to a child’s physical, cognitive, and social-emotional development, 2) payment reform initiatives to create incentives for services that promote healthy development, and 3) engagement of parents and educators in the design of programs and interventions. Our focus is New York, where nearly 40 percent of children live in or near poverty and thus are at risk for sub-optimal development. Read more.
Improving Quality and Patient Safety
The Quality Institute at United Hospital Fund, built on a decade of UHF leadership, is successfully working in partnership with local and national leaders, experts in health care quality, and health care providers across the New York metropolitan region, in a concerted effort to improve quality of care. UHF has made important advances in three strategic areas: 1) training doctors and nurses to be quality improvement leaders in their own institutions in order to build a strong infrastructure for improvement, 2) improving how quality is measured so that measures will advance coordinated, comprehensive, effective care, and 3) identifying and spreading best practices with a special focus on reducing avoidable hospital readmissions, improving the safety of home care, and addressing the national problem of misuse of antibiotics. Read more.
Supporting Family Caregivers as Essential Members of the Health Care Team
For twenty years, UHF’s Families and Health Care Project has provided leadership to build effective partnerships between health care providers and family caregivers. The transformation underway in health care, characterized by shorter inpatient stays, efforts to prevent hospital admissions and readmissions, and constraints on home care, are placing more responsibilities on family caregivers. UHF’s work emphasizes systemic improvement, i.e., helping decision-makers and health care providers who work with patients on a daily basis to better understand and respond to family caregivers as partners. With guides and other tools for both family caregivers and health care providers, the project provides practical information to navigate the complexities of health care and works to reduce avoidable hospitalizations. Read more.
Health Insurance Project
Strengthening Public and Private Health Insurance
As the health insurance landscape changes, UHF’s Health Insurance Project is developing responses to emerging policy, regulatory, and implementation challenges that stand between New Yorkers and affordable, quality health coverage. UHF is the only independent source of analysis of the health insurance market in New York and one of the only sources of detailed analyses of the impact of unfolding state and federal health reforms on New York’s complex commercial and public health insurance markets. Our analysis provides important baseline information and background for policymakers advancing efforts to address affordability and insufficient insurance, both serious barriers to accessing needed care. Read more.
Redesigning Medicaid to Improve Care and Contain Costs
UHF’s Medicaid Institute continues to be an important resource as New York’s $60 billion Medicaid program—serving six million of the state’s most vulnerable residents, including nearly two million children—undergoes dramatic transformation, with managed care extended to new populations and services, major delivery system reforms, and a shift from fee-for-service to value-based payment. Based on our extensive analyses of New York’s Medicaid program, UHF has become a trusted resource to assess the choices available as state policymakers reform the program and contain its costs by reorganizing how Medicaid beneficiaries—especially those with multiple and complex needs—receive care. Read more.