Category Archives: Grant Programs

Talking with Patients about End-of-Life Care:
New Poll Reveals How Physicians Really Feel

advance_care_talk_shutterstock_280364744_400pWe are excited to announce a new national poll released today that shows physicians clearly understand the importance of talking with older adults about end-of-life care, and that they overwhelmingly support a new Medicare benefit that reimburses them for holding advance care planning discussions with patients.

Very importantly, the poll also provides valuable insights into some of the barriers that keep physicians from having advance care planning conversations. The survey of primary care and specialist physicians in 50 states was supported by The John A. Hartford Foundation and our wonderful partners at the California Health Care Foundation and Cambia Health Foundation. We will delve even further into the barriers we uncovered, as well as strategies for overcoming them, with a series of interprofessional focus groups of health care providers later this year.

CHCF Logo_300pThe survey released today—Conversation Stopper: What’s Preventing Physicians from Talking with Patients about End-of-Life and Advance Care Planning?—opens a window to the personal views, feelings, and even fears of physicians concerning some of the most sensitive and important interactions they have with patients.

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Coming Home

Rani Snyder, MPA

Rani Snyder, MPA, Program Director, The John A. Hartford Foundation

Nothing pleases me more than having the opportunity to tell my colleagues and the world at large that I am the new Program Director for The John A. Hartford Foundation. And nothing could be truer than to say that the Foundation has not just shaped, but has actually determined the course of my professional life.

Like a parent guiding and teaching, the Foundation put me on a path and gave me the freedom to leave the nest and find my way—gaining valuable experience and maturity along the journey. Now, I have come back home.

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Three New Grants Totaling $6.7 Million Represent Powerful Opportunities to Improve Care of Older Adults

From right, Amy Berman, John A. Hartford Foundation President Terry Fulmer, Jon Broyles of C-TAC, and Bud Hammes of Respecting Choices engage in a convening held in June 2015 by JAHF on “End of Life and Serious Illness.”

The John A. Hartford Foundation’s dedicated staff is constantly monitoring the dynamic health care landscape to identify powerful opportunities for large-scale change that will result in better care and better lives for all older adults. I am very pleased to announce that our Trustees last week approved three new grants totaling $6.7 million that leverage these opportunities.

One of the keys to effective grantmaking is to partner with innovative leaders at the very top of their fields. That is certainly true of the Foundation’s new grants.

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Five New Grants Totaling $6.7 Million Will Improve
Care of Older Adults

nurse_older_woman_shutterstock_310053887_400pAs the new year approaches, we look forward to the new grant projects that promise to make 2016 an exciting time for the John A. Hartford Foundation, our grantees, and colleagues who are all working to improve the care of older adults! We have so much to celebrate that has already been accomplished and the momentum going forward is palpable.

I am pleased to let you know that last week, our Trustees, led by Board Chair Peggy Wolff, approved five grants totaling $6.7 million. These projects, while focusing on a range of settings where older adults need improved care, all have several important features in common.

Whether it is the emergency department (ED), nursing homes, or in primary care, these projects will each utilize the deep knowledge of our John A. Hartford Foundation network of experts in the care of older adults. And while a single organization serves as our official grantee for each, they all will be successful because of strong collaboration among multiple organizations that share a commitment to creating large-scale change to meet the needs of older adults, their families, and our entire society.

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Fighting ‘Chronic Despair’ in Rural Communities in Washington State

Members of the Behavioral Health team at Valley View Health Center.

Members of the Behavioral Health team at Valley View Health Center.

Editor’s Note: The Valley View Health Center in Chehalis, Washington, is one of eight primary care community clinics receiving funding through the federal Social Innovation Fund (SIF) initiative to spread the IMPACT program, also known as Collaborative Care, in the rural Pacific Northwest.

The John A. Hartford Foundation was one of just four new awardees chosen in 2012 to serve as an intermediary between SIF and subgrantees implementing innovative care models. As a result, a $3 million federal grant has been matched by $3 million from the John A. Hartford Foundation, with additional matching grants from the subgrantees, to spread the IMPACT/Collaborative Care model of depression treatment in Washington, Wyoming, Alaska, Montana, and Idaho.

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New Grants Totaling $3.28 Million Spur Long-Term Changes in Delivery of Care to Older Adults

OlderCouple_496398699The Trustees of the John A. Hartford Foundation approved three grants totaling more than $3.28 million last week that we believe will lead to fundamental, long-term changes in the way care is delivered to older adults.

We renewed and expanded our work to ensure that the voices of older adults and aging-expert professionals are influencing debates about health care delivery through advocacy; we are supporting the development of quality measures and performance standards that support integrated, patient-centered, goal-based care that helps people to achieve their priority outcomes; and through the collaborative ReFraming Aging Initiative, we will counter the pervasive negative beliefs about aging that are barriers to improving the care of older people.

Under our Policy and Communications portfolio, the Board approved a three-year, $1.5 million renewal grant that will expand the partnership between aging-expert health care professionals and consumer advocates in the Voices for Better Health initiative. This project of Community Catalyst, a nonprofit, Boston-based health care advocacy organization, is working to ensure that integrated health plans for dually eligible Medicare/Medicaid individuals deliver high-quality care to this low-income, vulnerable population.

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Investing $10.3 Million in Projects to Transform Care for Older Adults

Transforming_Health_Care_SS__400pLast week’s meeting of the John A. Hartford Foundation’s Board of Trustees was an important and exciting time for us all.

It was the first board meeting under the direction of our new President, Terry Fulmer, PhD, RN, FAAN, and it was the last board meeting for our long-time board chair, Norman H. Volk, who is succeeded by Margaret Wolff. Demonstrating the John A. Hartford Foundation’s commitment to our current strategies to create widespread and systemic practice change in health care, the Trustees approved $10.3 million in six new grants to improve the health of older adults, our largest authorization in many years.

The new grants add muscle to four of our five funding areas comprising the Foundation’s current strategic plan. And our fifth strategy, Interprofessional Leadership in Action, is certainly validated by these projects, most of which are the culmination of several years—sometimes decades—of work by leaders in the field of aging and health who we have helped develop and support.

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For Improving the Nursing Care of Older Adults, It’s ACE.S in My Book

ACE.S: Advancing Care Excellence for Seniors

Click on cover to read or download a PDF of the report.

Meet Millie Larsen.

Millie is an 84-year-old Caucasian female who lives alone in a small house. Her husband, Harold, died a year ago.

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A Positive Step Toward Dealing with Postoperative Confusion

postoperative_delirium_cover_300pIn June 2011, I wrote about my then-80-year-old father’s experiences with post-operative confusion — otherwise known as delirium — following triple bypass surgery. Three-and-a-half years later, that post continues to draw thousands of readers every month, along with comments that express the frustration and heartbreak that is still all too common among families dealing with the issue.

So I’m pleased to share the news that our colleagues at the American Geriatrics Society (AGS) have released a guideline for health care professionals that I hope will greatly reduce the confusion and frustration so many older adults and their families have to endure as a result of failures to prevent, identify, or properly manage delirium after surgery.

The new Clinical Practice Guideline for Postoperative Delirium in Older Adults offers a framework that will enable hospital systems and health care professionals to implement actionable, evidence-based interventions, both nonpharmacologic and drug-based, to improve delirium prevention and treatment.

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Hartford Foundation and CMMI Work Together to Spread Hospital at Home Model

Caregiving_400pFor two decades, the John A. Hartford Foundation has invested in the development and spread of the Hospital at Home model of care, which provides safe, high-quality, hospital-level care to older adults with select conditions in the comfort of their own home.

Over those years, studies have consistently shown that the model delivers improved care and outcomes at lower costs. But adoption has been limited, leading us to conclude that Hospital at Home was ahead of its time.

Now, its time has come. The Center for Medicare and Medicaid Innovation (CMMI), part of the Centers for Medicare and Medicaid Services (CMS), awarded a $9.6 million Health Care Innovation Award to the Icahn School of Medicine at Mount Sinai—in consultation with Johns Hopkins University—to test a version of Hospital at Home called the Mobile Acute Care Team (MACT).

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