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Published three times a year, Blueprint reports on the range of activities at UHF and the health care landscape we work in.
An often-overlooked ripple effect of the opioid epidemic of the past decade is its impact on children and families. The lead story of the this issue of Blueprint focuses on a groundbreaking UHF project examining the impact of parental opioid abuse on children's mental health, development, and family responsibilities. The article covers the inaugural meeting of the project in October, which brought together some 40 specialists from around the nation, and describes both the challenges and opportunities that they see. UHF president Tony Shih shares his thoughts about what the opioid crisis says about our health system in "A Word with Tony Shih."
Other articles in the issue spotlight UHF's Patient-Reported Outcomes in Primary Care-New York (PROPC-NY) initiative, the dangers to New York's individual health insurance market if the individual mandate is repealed, our annual gala held October 1, and our newly released antibiotic toolkit for outpatient practices.
Focusing on the delicate two-steps-forward/one-back dance on health insurance coverage and access to care, our cover story spotlights the important work of UHF’s Health Insurance Project and Medicaid Institute in supporting major advances and analyzing impending threats in New York State.
Is health care quality improving? That’s the question UHF President Tony Shih asks in his latest commentary. There’s evidence for and against, but that may not be the right question at all, he suggests. More to the point is what health care stakeholders should be doing to ensure that quality moves in the right direction—a principle guiding much of UHF’s current work.
Also in this issue: the Partnerships for Early Childhood Development initiative presents findings from its first phase and launches a second; UHF’s two-pronged approach to the over- and misprescribing of antibiotics uses both Medicaid Institute analysis of the problem’s scope and provider-level interventions developed through our Outpatient Antibiotic Stewardship Initiative; Clinical Quality Fellowship Program capstone projects illustrate the diversity of the latest class of graduates—and of the quality challenges being confronted today; a new report proposes “shared services” as a way to help small primary care practices become medical homes; and more.
Identifying and addressing patient needs is a theme running through the Spring 2018 Blueprint. Our cover story focuses on two Quality Institute projects reflecting a growing awareness that patients’ perceptions and goals play important roles in patient-provider communication and in health outcomes. That same attention to patients’ concerns—especially to social determinants of health—is at the heart of two other efforts featured in this issue, New York State's First 1000 Days on Medicaid initiative, in which UHF plays a leadership role, and our own Partnerships for Early Childhood Development.
Reinforcing the theme of effective clinical–community partnerships, Tony Shih’s President's Letter speaks to the role such collaborations play in the continuing challenge of health care’s “value equation.” And a brief story on UHF’s strategic “refresh” looks at how we’re clarifying our mission and ensuring that all our work is aligned with our goals and values.
In Tony Shih's inaugural Blueprint commentary, he articulates UHF’s four core values. Our cover story takes a look back at the Aging in Place Initiative and the ways in which it pioneered health care/community partnerships and helped community-based organizations become more strategic and results-oriented to better serve their elderly clients; with the recent transfer of the NORC Blueprint website to the New York State Office for the Aging, the work of the Initiative gains a broader platform and continues to have a positive impact on senior services and seniors’ lives. Also in this issue: Grant Spotlight looks at progress in the Partnerships for Early Childhood Development; a new initiative seeks to ensure better-informed decisions on post-acute care; the annual Gala honors four outstanding leaders; Robert Galvin, MD, is elected to the UHF board; and more.
On the brink of a major transition in UHF leadership, this issue of Blueprint features an introduction to incoming President Tony Shih, tributes to retiring President Jim Tallon, and Jim’s own look back at the major trends in health care during his tenure. Also in this issue: UHF honors 31 leaders during its annual Tribute to Hospital and Health Care Trustees; two new directors are elected to the UHF board; a pre-Senate-vote look at “repeal and replace” efforts; and new grant support to extend UHF’s Outpatient Antibiotic Stewardship Initiative
In this issue’s cover story, a look at UHF’s Partnerships for Early Childhood Development initiative, linking hospital-associated primary care practices and community organizations to identify and address social determinants of health that pose particular risks to children 5 and under. Also in this issue: Jim Tallon comments on the upending of the historic federal-state partnership on Medicaid; enlisting health care in preventing homelessness; the latest class of Clinical Quality Fellows; a toolkit to help hospitals implement New York's CARE Act, and guides to the Act for patients and their family caregivers; preliminary results from Phase 1 of the Outpatient Antibiotic Stewardship Initiative; a look at how commitment to UHF sparked a generous legacy; and much more.
Family caregivers’ perspectives on their daunting medical/nursing responsibilities, revealed in a series of multi-language discussion groups, are helping shape better training materials for them, to reduce their anxiety and stress and improve patient care. Also in this issue: Jim Tallon discusses the “certainty of uncertainty” in the new post-election health care environment; tailoring value-based payment criteria to children’s unique needs; an update on New York’s changing health insurance market; helping community-based organizations become more targeted in their approach to serving elderly clients; UHF’s annual Gala; and more.
A new step-by-step framework and guide is helping providers integrate diagnosis and management of behavioral and mental health conditions into even small and mid-size primary care practices; it's a growing priority, and one that UHF has been helping bring to fruition. Also in this issue: Jim Tallon explores the challenges of defining and fully implementing "patient engagement"; how two grantees are engaging hospitals in promoting better partnerships with family caregivers; further advances in hospital quality and patient safety through Clinical Quality Fellowship Program capstone projects; a new toolkit for home care providers, aimed at reducing the risk of life-threatening central line–associated bloodstream infections; UHF's annual salute to outstanding hospital trustees; and much more.
With the launch of the Quality Institute at United Hospital Fund, UHF is significantly expanding its decade-long health care quality activities, focusing on quality assessment and measurement, capacity-building, and patient engagement—all spheres of action critically important to advancing the next generation of high-quality health care. Also in this issue: essentials for a new “golden age” of health care; addressing barriers to immigrants’ health care access; a new class of Clinical Quality Fellows; testing tools for supporting seniors’ health; exploring options for keeping insurance premiums stable; and more.
Working to ensure that children's unique health needs are integral to health care reform, a new UHF initiative is exploring how innovations like the integration of early childhood development interventions in pediatric primary care can support healthy families and improve at-risk children's long-term physical, mental, social, and intellectual well-being. Also in this issue: building true partnerships between community-based organizations and health care providers; support for parents of medically complex children; a new guide to tech products and apps aimed at family caregivers; expansion of UHF's antibiotic stewardship efforts; risk sharing between providers and payers; honoring health care leadership at the annual Gala; board news; and more.
Pursuing broad adoption of “advanced primary care”—team-based, coordinated health services that use information technology and a common set of quality measures to improve access, quality of care, and the patient experience, and reduce avoidable hospital stays and costs—is an ambitious part of New York State’s health agenda, and UHF is helping develop a strategic plan for promoting this model approach in New York City. The summer 2015 Blueprint cover story explores the benefits, and challenges, ahead. Also in this issue: a renewed focus on child health; preventing infections in home care patients; understanding family caregivers’ needs and preferences for learning tools; promoting the safer use of antibiotics; saluting hospital trustees’ service; a new UHF vice president; and a new board of directors vice chairman.
Together on Diabetes-NYC, the Fund's model community partnership that's helping seniors manage their chronic illness, marks a new phase, and its positive impact is recognized with an unprecedented insurance reimbursement agreement. Plus: a Q&A answers questions on "convenient care"—urgent care centers and retail clinics, a growing trend in ambulatory care; a Fund-supported pilot project tests the impact of equipping home care aides with telehealth devices to relay patient data; changes in the small group insurance market may affect premium rates; the seventh class of Clinical Quality Fellows begins its intensive training; outstanding hospital volunteers and auxilians are honored; Cary Kravet is elected to the Fund's board of directors; and more.
The major reforms in New York's health care system are very much grounded in the State's $50 billion Medicaid program, which is leading the way in restructuring the delivery of services to ensure that care is both high quality and cost effective. Informing many of those reforms: the work of the Fund's Medicaid Institute, which has documented the challenges and explored options for improving the program, with a special focus on Medicaid's most complex, high-need, high-cost beneficiaries. This issue's cover story provides an overview of that valuable work, and a look ahead at expectations for the coming year. Plus: Jim Tallon considers the relationship between how health reforms are perceived and their long-term success; we look at the challenges of providing healthier meals for seniors with diabetes; insights from our research symposium on "incentivizing" healthier behaviors; fighting "superbugs" through a new Fund/GNYHA partnership; and more.
The Fund's Preventable Hospital Readmission Initiative is helping create new practices and protocols to reduce avoidable readmissions among specific high-risk patient populations; this issue's cover story looks at the early experiences of four participating institutions. Plus: Jim Tallon on New York's model health care reforms; a hospital-based program offers family caregivers essential information and support; a new Fund report documents a dramatic shift in New York's insurance markets; the role of family caregivers in safer hospital discharges gains national recognition with help from the Fund; the annual Tribute to Hospital Trustees honors 28; the Fund gains a new senior vice president for program and two new Board members; and more.
This issue's cover story takes a first look at New York State of Health, the state's new health insurance marketplace, and the unprecedented collaboration that has been a key to its successful launch. Also featured: Jim Tallon on the import of patients' perceptions of the changes in health care finance, service delivery, and information that are transforming our health care system; the Fund's continuing work on patient-centered medical homes; reducing avoidable hospital readmissions; the Clinical Quality Fellowship Program's sixth class of quality improvement leaders; Together on Diabetes-NYC's achievements in improving participating seniors' health and lives; Health Leads, brought to New York with early Fund support and now helping patients get the nonmedical services they need, along with their health care; and much more.