Integrating & Improving Services 

Health care delivery in the United States does not support optimal health outcomes in the older adult population. Integrating and Improving Services grants represent the John A. Foundation's effort to improve health care deliver's ability to provide the high quality and cost-effective care that results in better health for the aging population.  The intersection of good health outcomes and cost-effective care lies in a systematic approach to processes and delivery of care that avoid unnecessary diagnostics and treatments while delivering evidence-based care coupled with the neccessary supports and services to patients and their family caregivers.  

The Hartford Foundation’s strategy to improve health of elders has focused on efforts to increase the numbers and expertise of practitioners in three primary practitioners: Physicians, Nurses and Social Workers.   At the same time, the work environments in which they practice must be redesigned to facilitate their best work.  Without this redesign, professionals with geriatric expertise are oftentimes frustrated by the constraints of health care delivery systems that hindered, and at times rejected, that which was known to be best practice.

Previously, 20 percent of our grants supported the development of effective and affordable models of care that address the unique needs of older adults.  Through these Integrating and Improving Services grants we aimed to transform the care of older adults while measuring the impact on health and healthcare spending.  Services grants can be categorized as either 1) developing and testing new models of care or 2) dissemination grants, which move proven innovations into practice.  The Foundation is also deeply committed to the development of aging-focused leaders who are both prepared and positioned to effectively drive change in health care delivery. Ongoing grants within the Integrating and Improving Services now operate under the Models of Care portfolio within the Current Strategies.   


Summary of Recent Grants

Organization Project
Foundation-Administered Grant: Strategic Communications and Planning (SCP) Communications and Dissemination Initiative Renewal
National Association of Social Workers Gerontological Social Work Supervisors Program
Philanthropy New York The Fund for 2025
Icahn School of Medicine at Mount Sinai Mobile Acute Care Team Services: Outcomes and Dissemination of Hospital at Home in Fee-for-Service Medicare and Beyond
Gerontological Society of America Study of Family Caregiving and Support Services for Older Adults
Institute of Medicine of the National Academies Study of Family Caregiving and Support Services for Older Adults
Research Foundation for Mental Hygiene, Inc. Health and Aging Policy Fellows Program
Icahn School of Medicine at Mount Sinai The Center to Advance Palliative Care (CAPC): Transformation Business Plan