When I was first hired at the John A. Hartford Foundation, I gave one of the then-Senior Program Officers a giant cup filled with new red pens. It seemed to me at the time that the program staff spent a lot of time editing (aka “making stronger”) all sorts of documents—evaluations, grant proposals, drafts of annual reports, etc.
At the Hartford Foundation we strive to be thought partners with our grantees and, thus, like to share feedback. We share loads of feedback among our staff. In fact, we have been trained on how to receive feedback: Simply nod, say “Thank you,” reflect on the input, and incorporate what is helpful.
Now, for the benefit of the Hartford Change AGEnts initiative, we are seeking your feedback. Here is your virtual cup of red pens. We are in the process of creating documents that define the AGEnts Initiative and we need you.
As we enter 2014, the topic of health care costs continues to be a major topic of conversation in the media and among policy makers. The topic is complex and can be spun in different ways.
You may have seen the recent news about how growth in health care spending in the United States has remained low for four consecutive years, for which the White House would like to take some credit. Or you may have seen news reports about how Medicaid expansion in Oregon led to higher emergency department use (and therefore higher costs), which is used by some to argue against the Affordable Care Act. The bottom line is that understanding health care costs is a complex task.
Clearly, the issue of out-of-control U.S. health care costs is of crucial importance and has been a serious challenge to increasing funding for other needs, such as improving infrastructure and education. It is also one in which the general public, pundits, and politicians look for simple, single reasons and matching solutions, e.g., obesity/calorie designations on menus; malpractice insurance/tort reform, too much government involvement/more private sector competition, etc.
Our most recent annual report celebrated the John A. Hartford Foundation’s 30-year commitment to improving the health of older adults. As part of the online, interactive version of the report, we asked some of our long-time grantees to help us tell the Foundation’s story by sharing short and sweet video messages about our past successes, our current projects, and our new directions.
We want to highlight a few of these brief video clips, each only about one minute long, and invite you to browse and share the other messages in our dynamic online annual report.
In this first video, David Reuben, director of the Multicampus Program in Geriatric Medicine and Gerontology and director of the Hartford Center of Excellence in Geriatric Medicine at UCLA, points out the changes he’s seen over the past three decades in how geriatrics is incorporated into medical student education. Dr. Reuben was a beneficiary of the 1983 Hartford Geriatrics Faculty Development Awards, Hartford’s earliest program to build up the field of geriatrics.
Click photo to watch the Community Catalyst video.
You would think having both Medicare and Medicaid would mean getting more of the benefits and services you need.
But for the 10 million people who receive health care coverage under both systems—who are poor and mostly older adults with complex health and social needs—it’s far too easy to fall between the cracks of these good programs. They are structured differently, have different rules, and often lead to a complicated maze of services and providers.
If our shift in strategy moves our focus from “upstream” academic capacity building to a “downstream” emphasis on the determinants of practice, these vanguard leaders are shooting the rapids and teaching us what can be done with geriatric expertise.
What is the best way to sell umbrellas? We have tons of street vendors in New York who know the secret. Is it to have the best-made, reasonably priced umbrella on the block? That’s a good starting point.
Do you need an attractive sign or an attention-getting catchphrase? Good advertising certainly helps. But if you really want to sell your umbrellas, there is one sure-fire way to have them fly off your cart. You guessed it.
On today’s Health AGEnda, we once again highlight dementia and its impact on older adults and their families, as we did recently with Chris Langston’s post on the global burden of Alzheimer’s disease. Now, we are thankful for the opportunity to share a personal account by James Appleby, Executive Director and CEO of the Gerontological Society of America, about his own family’s experience with another form of dementia, Lewy Body Disease. James uses this difficult situation to issue a call for better communication by clinicians when delivering a devastating dementia diagnosis.
We are also thankful to be working in partnership with James and the GSA in our new Change AGEnts initiative, which will support a network of experts who will tackle issues faced by caregivers of older adults with dementia. We look forward to sharing more about that work as it develops. In the meanwhile, please share this story and help GSA and the Hartford Foundation advocate for better person-centered communication between clinicians, patients, and families.
Amy Berman, right, with surgeon, author, and “Twitter rock star” Atul Gawande.
I tweet therefore I am. That is quite an overstatement. But it’s true that my life has been greatly enriched by Twitter. I continually learn and grow through engagement with an incredibly robust network of people found in the Twittersphere.
I have blogged about Twitter on HealthAGEnda before. It is the fastest growing form of social media—launched just seven years ago—and now has more than 500 million users. Sharing 140-character “byte-sized” messages is just enough to make a point, share a link, and be engaged.
In recent months, the debate over how best to reduce avoidable hospital readmissions has become a hot topic in the national media. While many are just now joining the fray, the John A. Hartford Foundation has been working on this issue for years.
It also has been a topic we have written about extensively on our Health AGEnda blog as we seek to help shape the public debate about an issue that is at the very core of real and sustainable health care reform and of critical importance to older adults.
Chandelle Martel, author of “Man’s Best Friend.” The story took third prize in the John A. Hartford Foundation’s Heroes of Geriatric Care Story Contest.
In the third and final installment of our look at the prize-winning stories from the John A. Hartford Foundation’s Heroes of Geriatric Care Story Contest, we are pleased to present Chandelle Martel’s “Man’s Best Friend.”
Her story, which took third prize, describes her work as a geriatric case manager in “turning the impossible into the possible” by developing a post-discharge plan for Arthur, an 88-year-old man with complex heart surgery rehabilitation, and his only remaining companion, his dog Charlie.