Category Archives: Grantees

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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Hartford Grantees Recognized at GSA

2014_GSA_Meeting_Logo_300pFor almost 20 years, the Gerontological Society of America (GSA) has been one of the John A. Hartford Foundation’s key grantee partners.

The organization served first as the home of the Geriatric Social Work Initiative (GSWI), then as the coordinating center for the National Hartford Center of Gerontological Nursing Excellence (NHCGNE) , and most recently, as the basecamp of the Hartford Change AGEnts Initiative.

So the GSA annual meeting, being held this week in Washington, DC, is a tremendous opportunity to connect with long-standing friends and meet new ones in the field of aging, as well as to check in on long-ago grants and plan new ones.

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Health Services Research Needs Good Theory to Turn into Better Practice

HospitalOlderWoman_400pLast week, the Journal of the American Medical Association (JAMA) published a large and well-designed study of a post-hospital readmission reduction program called the “virtual ward,” which grew up in the UK and was tested by our cousins to the north in Toronto.

The model partakes of some elements of other evidence-based work done by John A. Hartford Foundation grantees, including Mary Naylor’s Transitional Care Model, the Society of Hospital Medicine’s Project BOOST, and Eric Coleman’s Care Transitions Intervention.

A press release and JAMA Report video are available for those who don’t subscribe to JAMA.

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Building the Field of Palliative Care Together

Funders share information on investments in palliative care at the recent convening.

Funders share information on investments in palliative care at the recent convening spearheaded by the Hartford Foundation.

Palliative care is an essential component of care for the seriously ill. Yet, the term is often misunderstood by policymakers, the public, health care providers, and, no surprise, even those in philanthropy.

The John A. Hartford Foundation has been a longtime supporter of the spread of high-quality palliative care through its funding of the Center to Advance Palliative Care (CAPC), led by Diane Meier, MD (see Celebrating CAPC and Our 500th Blog Post!). Dr. Meier often refers to palliative care as an “extra layer of support” for the seriously ill and their families.

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Happy Birthday SIF! Celebrating Five Years of Public-Private Partnership

From left: Rebecca Brune, VP of Strategic Planning and Growth, Methodist Healthcare Ministries of San Antonio; Regina Bonnevie, MD, Medical Director, Peninsula Community Health Services in Port Orchard, WA; Peggy Cary, Senior VP of Finance & Internal Audit, Methodist Healthcare Ministries; and Diane Powers, Associate Director, Division of Integrated Care and Public Health, University of Washington AIMS Center, Seattle WA, talk following presentations at the Eisenhower Executive Office Building in Washington, DC.

From left: Rebecca Brune, VP of Strategic Planning and Growth, Methodist Healthcare Ministries of San Antonio; Regina Bonnevie, MD, Medical Director, Peninsula Community Health Services in Port Orchard, WA; Peggy Cary, Senior VP of Finance & Internal Audit, Methodist Healthcare Ministries; and Diane Powers, Associate Director, Division of Integrated Care and Public Health, University of Washington AIMS Center, Seattle WA, talk following presentations at the Eisenhower Executive Office Building in Washington, DC.

Last week, the Social Innovation Fund of the Corporation for National and Community Service celebrated its 5th Birthday. There was cake.

More importantly, there was a celebration of the good that philanthropy can do to address the pressing problems facing the country. The goal of the Social Innovation Fund is to bring federal and private money together to scale up the best, evidence-based innovations to address problems of education, poverty, and health.

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Welcome to the New Cohort of Health and Aging Policy Fellows

Health-and-Aging-Policy_300While many of our legacy grant programs continue to support the development of leaders in the field of aging and health research and education (see this week’s earlier Health AGEnda post about our latest Hartford/VA social work research scholars), new and growing investments under the John A. Hartford Foundation’s current strategic plan are also nurturing leaders in aging and health practice and policy change.

As part of our Leadership in Action funding portfolio, we recently approved a $1.6 million grant to co-fund the Health and Aging Policy Fellows program, in partnership with The Atlantic Philanthropies. The program, which offers fellows the experience and skills necessary to make a positive contribution to the development and implementation of health policies that affect older Americans, has just announced its 2014-15 class and we welcome them to the Hartford family and our community of Change AGEnts.

With representatives from many of our legacy strategy programs, including the Archbold Pre-Doctoral Nursing Scholars, the Social Work Doctoral Fellows and the Jahnigen Scholars in surgical and related medical specialties, we are assured that many of our academic program alumni are right there with us in the shift to our current portfolio of strategies focused on taking geriatrics expertise and evidence and making real and lasting improvements in health care delivery for our aging population.

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Report Sheds Light on Difficulties of Family Members Caring for People with ‘Challenging Behaviors’

Caregivers_Report_Cover_300pI bet every reader of Health AGEnda knows someone who is a family caregiver (many see one every day in the mirror). And I bet every family member or friend providing care to an older adult who needs assistance because of chronic disease or frailty has their stories of good and bad days—of feeling incredibly fulfilled and completely overwhelmed.

Caregivers have much in common with each other, and our policies and systems need several overarching improvements to address caregiver needs. That is why the John A. Hartford Foundation is supporting an Institute of Medicine study to lay out the top level policy and practice recommendations (For more information, read New Grants Target Policy and Practice Change.)

However, it is worth noting that not all caregiving is the same. A recent analysis funded by the John A. Hartford Foundation from the AARP Public Policy Institute and the United Hospital Fund points to the especially difficult circumstances of those who care for people with cognitive impairment (such asAlzheimer’s or other dementias) and/or behavioral health conditions (such as depression, anxiety or serious mental illness), referred to in the study together as “challenging behaviors.”

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Tools You Can Use:
The Essentials of Cardiovascular Care in Older Adults

ACC_seal_blue_dark300The 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.

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Medicare Experiment Could Signal Sea Change For Hospice

Diane E. Meier, MD

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.

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