Health AGEnda

Caring Works: PHI Builds Support for Better Elder Care

PHI Caring Works Brochure CoverThe nation’s four million home health aides, certified nurse aides, and personal care attendants are a lifeline for many older adults and people with disabilities. Our grantee, PHI, is the nation’s leading authority on the direct-care workforce, and they promote quality direct-care jobs as the foundation for quality care for elders and people with disabilities.

With our new grant, PHI is embarking on a campaign to rapidly scale up their work and double their “mission impact” to transform eldercare and disability services. In partnership with our long-time communications partners at SCP, they have developed what we think is an excellent example of an effective communications tool.

PHI Caring Works Brochure Quality Works pagePHI’s new campaign brochure uses beautiful photography, plain but compelling language, and incorporates the voices of direct-care workers, the people they serve, and other stakeholders to tell their story.

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Change AGEnts Push Health Care Policies In the Right Direction


2014 Hartford Change AGEnts Policy Institute Participants

Improving the transitional care of frail older adults through better skilled nursing facility reimbursement.

Reducing regulatory barriers to evidence-based care coordination for older adults with multiple chronic conditions.

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Coming to Terms with the Concept of Population Health

Crowd_481008763_400Like a lot of new concepts, population health seems to be on everyone’s lips and there seems to be a lot of excitement to “do” population health. It sure sounds good and yet I am entirely unclear about the specifics and I’m pretty sure that everyone is feeling a different part of the elephant.

Unfortunately, a recent paper published on BMJ Open suggests that these divergent views are common.

We can all understand the goals of the triple aim: better care—higher quality health care with fewer defects; better health—a related but independent goal that the population at large is actually healthier; and lower cost, at least on a per capita basis—reducing total costs of care.

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New Grants Target Policy and Practice Change

One of the Hartford Foundation's new grants will support an additional 44 Health and Policy Fellows over the next three years who will bring geriatric expertise to policymakers and in turn receive intensive training in policymaking through placements at key agencies and offices in the federal government.

One of the Hartford Foundation’s new grants will support an additional 44 Health and Policy Fellows over the next three years.

While the two new grants approved by the John A. Hartford Foundation Board of Trustees last week continue to move us forward in our new strategic direction, which includes a focus on health policy and practice change, they also build on partnerships and successful work we have engaged in for years.

The grants totaling $2.13 million will support an additional 44 Health and Aging Policy Fellows (HAPF) over the next three years and help co-support a new Institute of Medicine (IOM) study on family caregiving of older adults. Both projects also offer great opportunities for our new Hartford Change AGEnts to bring their talents, expertise, and skills to bear on important issues related to creating policy and practice change that improves the health of older Americans.

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Tools You Can Use: Residency Training Toolkits and Best Practices Guidelines for Surgeons and Related Specialists

GeriToolkit_468622323Let’s say you are 80 years old and about to undergo surgery. Perhaps it was an unexpected fall that placed you in the emergency department and you’ll need an orthopedic surgeon to repair your hip. You’ll undergo anesthesia during the procedure and afterwards will likely require rehab.

All of the physicians who might care for you—from the ER doc to the anesthesiologist to the physical medicine/rehab physician—have spent years and years of training to specialize in their discipline.

But do they know about the drugs that should be avoided in older patients? Do they appropriately assess for frailty or cognitive impairment? Do they understand the risk factors for post-operative delirium (an acute state of confusion) and how to mitigate them?

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Narrative Matters, The Next Chapter: Amy Berman Reflects On ‘Living Life In My Own Way’

Amy Berman speaks at TEDMED's  Great Challenges in Health Care in 2013.

Amy Berman speaks at TEDMED’s Great Challenges in Health Care in 2013.

Editor’s Note: In this post, originally published on Health Affairs Blog, Amy Berman shares more of her story as a person living with stage IV cancer who has chosen a palliative care approach.

She contributes  regularly to Health AGEnda about her experiences and how they relate to the John A. Hartford Foundation’s support for palliative care for older adults facing serious illness. In March 2014, the Hartford Foundation awarded a new grant to the Center to Advance Palliative Care (CAPC) to build on the successful spread of hospital-based palliative care and move these services into care settings outside the hospital.

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Join the Hartford Change AGEnts Online Community!

From left, Cherie Brunker, Meg Wallhagen, Rosanne Leipzig, and Aanand Naik put their pieces of the puzzle together to complete the picture at the recent Change AGEnts event at the AGS annual meeting.

From left, Cherie Brunker, Meg Wallhagen, Rosanne Leipzig, and Aanand Naik put their pieces of the puzzle together to complete the picture at the recent Change AGEnts event at the AGS annual meeting.

For the thousands of researchers and clinicians who have been a part of the John A. Hartford Foundation’s programs during the past three decades, we are pleased to invite you to put your geriatrics expertise to work by becoming an active Hartford Change AGEnt.

You can now enroll in the online Change AGEnts Community, where you can find other Change AGEnts and work together to make our health care system better for older adults and their families.

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Opportunity’s Knocking: Reflections from HGNL Chair Dr. Bill Buron

Dr. Bill Buron

Dr. Bill Buron

In November 2013, Bill Buron, PhD, APRN, Clinical Assistant Professor and
Assistant Dean for Nursing at the College of Nursing NW Arkansas Program, began his term as Chair of the Hartford Gerontological Nursing Leaders (HGNL), assuming the helm from Casey Shillam, PhD, RN. I asked Bill, as leader of the 250-plus strong Hartford nursing organization, to reflect on the history of the HGNL and its future.

The work that HGNL does is vital, and what Dr. Buron has to say should be of interest to physicians, social workers, and everyone else who is working to improve the health of older adults.

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