Category Archives: Grant Programs

Triple Aim Approach Is Key to Managing Health Care Costs

doctor_patient_shutterstock_126648713_400pLast week, new projections from the Centers for Medicare and Medicaid Services (CMS) published in Health Affairs show a predicted growth in U.S. health care spending of about 6 percent from 2015-25, outpacing the growth in gross domestic product. In a decade, health care is predicted to represent 20 percent of the U.S. economy. This unsustainable scenario underscores how imperative it is to continue focusing on all aspects of the Triple Aim: improving care, achieving better health outcomes, and managing costs.

These aims perfectly align with our mission and work at The John A. Hartford Foundation, where we remain committed to cost-effective, person-centered innovations that meet the needs of older people and their families.

CMS predicts that much of the projected increase will occur in Medicare and Medicaid expenditures due to the aging of the population. As the Health Affairs report states, there are many complex factors that influence health care spending growth. For example, with the Affordable Care Act, more people are now covered by health insurance than at any time in our nation’s history, and the number of Americans without health insurance is projected to drop to 8 percent by 2025.

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A Catalyst for Change: Advancing Better Care for Older Adults – The John A. Hartford Foundation 2015 Annual Report


Sophie Shepherd at the KANA Clinic in Alaska with therapist Meara Baldwin, LCSW, a care manager in the depression treatment program funded through the SIF initiative. – From the JAHF 2015 Annual Report

The John A. Hartford Foundation is pleased to present its 2015 Annual Report, “A Catalyst for Change: Advancing Better Care for Older Adults.” The report notes the Foundation’s important leadership transitions in 2015 with an introduction by new Board Chair Peggy Wolff and President Terry Fulmer, PhD, RN, FAAN.

In addition to highlighting several important grant projects approved in 2015, the report features an in-depth look at the Foundation’s Social Innovation Fund initiative, a creative public-private partnership that is spreading the evidence-based collaborative care model of depression treatment to underserved, low-income rural communities in Washington, Wyoming, Montana, and Alaska.

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In Pursuit of Elder Justice: Thoughts on World Elder Abuse Awareness Day

WEAAD-Logo-400Today, June 15th, is World Elder Abuse Awareness Day, offering an opportunity for all of us to join a global chorus calling for more awareness and action to end all forms of elder mistreatment.

As a clinician with expertise in caring for older adults, I have made elder mistreatment a priority in my research and practice. It is a common and even deadly problem, but it all too frequently goes undiagnosed and unreported. It has also too often been ignored as the true public health concern that it is.

An estimated one in ten older Americans suffer elder mistreatment, defined as physical, psychological, or sexual abuse, neglect, financial exploitation, or abandonment. I’ve seen it in clinical practice; we sometimes see it in the news. It is horrifying and awful, yet there is much we can immediately do to protect older adults, support their family caregivers, and prevent abuse and mistreatment from occurring.

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New Grants Totaling $4.8 Million Will Bridge Gaps in Care of Older Adults

home_care_shutterstock_428797675_400pWe are very pleased to announce five new grants totaling $4.8 million approved by The John A. Hartford Foundation Board of Trustees in June that target critical gaps that exist in providing comprehensive, age-specific, coordinated care to older adults and their families.

Each of these exciting projects supports the work of innovative organizations and individuals, and all relate to emerging priorities that we see as critical over the next several years.

Through a new initiative that brings together national leaders in the move to improve home-based primary care, we are bridging the gap in care for the frailest, sickest homebound elders for whom house calls could be a saving grace. We are also addressing important gaps in health care policy related to palliative care, hospital admission status, and oral health through outreach, education, and advocacy. And through a potentially game-changing partnership with Kaiser Health News (KHN), we are addressing the gap in high-quality news coverage and public understanding about the complex issues of health care delivery and its impact on older adults and their families.

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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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