Editor’s Note: This post was originally published Aug. 15 on the Health Affairs Blog.
Jessie Gruman: “an elegant, gracious, yet fierce warrior advocate.”
Jessie Gruman, founding president of the Center for Advancing Health, died on July 14 after a fifth bout with cancer. Jessie was a hero to patients, families, and health care providers for her selfless work to help people better understand their role and responsibilities in supporting their own health.
Daniella Schocken, a student at the Icahn School, presents on her research on a Mount Sinai emergency department program that deploys EMTs to help older adults transition home after hospitalization.
What did you do for summer vacation? While many of us head to the beach or elsewhere to relax and get away from it all for a while, 149 enterprising students across the country instead devoted the break between their first and second year of medical school to learning about geriatrics and aging research.
Through the Medical Student Training in Aging Research (MSTAR) program, these future physicians engaged in geriatrics training and a mentored research experience at medical schools with outstanding geriatrics programs.
Recently, while spending some time with my sister and her kids, I had the pleasure of overhearing a conversation between my eight-year-old son, Westley, and his six-year-old cousin, Beckett.
It went like this:
Westley: [Exasperated] Beckett, you knoooow I can’t read minds.
Beckett: Times up! [Dramatic pause] I was thinking about hot dog stands.
Before starting my internship with the John A. Hartford Foundation, the notion of improving health outcomes while decreasing costs appeared implausible. Securing strong patient-centered care for a loved one had to come at an extra expense—a large price tag for both the individual, his family, and the institution administering the care. After all, my family recently hired a home health aide to assist and advocate for my grandfather during his stay in the hospital and then during hospice, what is supposed to be one of the most patient-centered forms of care. My family believed that a consistent, if costly, presence and support system would serve him well during employee shifts and other downtime between caregivers.
And it made a difference. Our aide, Abdulai (last name withheld), served as my family’s lifeline, the person my grandfather could rely on for personalized and direct care, the person my mother could trust in clarifying medications and complicated procedures.
Author Caitlin Brookner (back, left) with her cousins and grandfather, Leonard Weisberg.
The most potent risk factor for heart disease is aging, according to the American College of Cardiology (ACC). Given how rapidly our population is aging, that’s sobering news indeed, especially when you consider that clinical practice guidelines rarely apply to older adults with multiple chronic conditions.
That means regardless of how experienced and skilled a cardiologist or other clinician may be in treating cardiovascular disease, they may not have received adequate training in how best to treat cardiovascular disease in older adults.
Fortunately, the American College of Cardiology has released the Essentials of Cardiovascular Care in Older Adults (ECCOA), a free, online self-assessment curriculum designed for cardiovascular specialists and other clinicians who care for older patients with cardiovascular disease. (Continuing education credits are available for physicians and nurses). The curriculum was developed with funding from a John A. Hartford Foundation grant.
Diane E. Meier, MD
Editor’s Note: For almost eight years, the John A. Hartford Foundation has partnered with Diane Meier, MD, to increase awareness of palliative care and make it more widely accessible.
In March, the Foundation’s Board of Trustees renewed our support for the Center to Advance Palliative Care (CAPC) led by Dr. Meier to enable CAPC to transition to a more financially sustaining, revenue-generating model and develop a package of products to implement palliative care services in community-based clinics, nursing homes, and home care. We are pleased to share this excellent interview with Dr. Meier that first appeared on Kaiser Health News discussing a new pilot program that allows hospice patients to continue to receive life-prolonging treatment.
From left, featured experts Peggy O’Kane, Robert Berenson, and Caroline Blaum listen intently.
Like so many stakeholders in health care, we at the John A. Hartford Foundation have many of our hopes pinned on enhanced primary care as a way of improving health outcomes, particularly for older Americans who face multiple chronic conditions.
Primary care providers will need more skills, more teammates, community partners, and, of course, more money, to live up to these hopes. But we believe that better primary care can prevent some of the acute and expensive events such as hospitalizations that they experience, and thereby also lower total costs of health care.
Claire Fagin, left, and adventurous dining partner Rachael Watman.
I had lunch with Claire Fagin, PhD, RN, Dean Emeritus of the University of Pennsylvania School of Nursing, a few weeks ago. I love meeting with Claire and getting her perspective on the world of nursing, aging, and health care.
I also love eating with Claire. She is among the precious few who will split foie gras with me for dessert. She is always game and thinks outside the plate.
July is an important month in history, with Bastille Day, on July 14, coming just 10 days after our own 4th of July. So what better time to consider issues of justice and equality?
There are lots of different ways to interpret equality: equality of outcomes, equality of opportunity, or perhaps—as an even more complex relative equality—matching of resources to individuals’ needs.
In the context of improving health care delivery to older adults, there are several important examples of these principles of equality in what is called “risk adjustment.” And I find myself with very different reactions to the different kinds.
This is the last in a three-part Health AGEnda series on the Hartford Foundation’s 2013 Annual Report: Spreading Innovation Through Collaboration.
Collaboration is everything—creating meaningful and measurable change rarely, if ever, happens in a vacuum.
Here at the John A. Hartford Foundation, we recognize the importance of forging longstanding relationships. Identifying, nurturing, and sustaining productive partnerships have been a critical element of Hartford’s success.