Hillman Foundation Announces 2017 Innovation Grants

by: Linda Le | Wed, Nov 15, 2017 | innovation

RITA & ALEX HILLMAN FOUNDATION ANNOUNCES $1.6 MILLION IN NEW AWARDS TO SUPPORT NURSING-DRIVEN INNOVATION FOR VULNERABLE POPULATIONS

Newly expanded grant portfolio will support programs in all phases of development and dissemination to transform care for vulnerable populations

New York, NY – (November 16, 2017) – To accelerate the development and scale of forward thinking nursing-driven models of care, the Rita & Alex Hillman Foundation (RAHF) has added two new grant programs to its portfolio of Innovation grants and announced today that it will award more than $1.6 million in funding to seven projects to improve the health of vulnerable populations.

The two new grant programs will bookend the Foundation’s flagship Hillman Innovations in Care Program (HIC) to create a pipeline for innovation. The first of the new grants—the Hillman Emergent Innovation Program—will provide funding for early-stage prototype and pre-evidence work. The second program—the Hillman Innovation Dissemination Program—will support scaling efforts for an established, evidence-based nursing-driven model of care ready for national dissemination. The Hillman Foundation’s Innovation portfolio (Emergent Innovation, Innovations in Care, Innovation Dissemination) will support projects in all phases of the innovation lifecycle, from pilots and prototypes to broad-based implementation. Awards this year will serve a diverse set of populations and focus on opioid addiction, maternal mental health, advance care planning, traumatic injury rehabilitation, intimate partner violence, adolescent sexual health, and aging in place.

“This expansion of our grantmaking speaks to the diversity and quality of nursing-driven efforts that seek to remove barriers and bring more equitable and person-centered care to people who desperately need it,” said Ahrin Mishan, Executive Director of the Rita & Alex Hillman Foundation. “We feel privileged to play a role in helping to nurture, develop, and scale this important work.”

Funding will be awarded to a total of seven grantees across the three Hillman Innovations programs. Brief descriptions of the projects follow.

Providing Support for New Ideas: the Hillman Emergent Innovation Program
The Hillman Emergent Innovation Program provides $50,000, one-year awards to accelerate the development of bold, new interventions targeting the needs of vulnerable populations. “Funders tend to shy away from this stage of development, despite the fact that support is vital,” said Rachael Watman, Vice President of Programs at the Rita & Alex Hillman Foundation. “Risk taking is key in launching work that has the capacity to radically reimagine and improve how care is delivered to communities in need.”

The Hillman Emergent Innovation Program grants for 2017 will support:

  • A palliative care intervention in primary care clinics for vulnerable populations with high-risk diabetes. Principal Investigators: Abisola Odujinrin, RN, and Carin van Zyl, MD, Section Head of Palliative Medicine at Los Angeles County + University of Southern California (LAC+USC) Medical Center. Nurses are often successful “interpreters” of complex medical information. To improve outcomes for high-risk patients with poorly controlled diabetes at this safety net hospital, palliative care nurses will train primary care nurses to run group visits and provide diabetes case management. Community health workers who already work with this patient population—which includes many undocumented, poor, non-English speakers who may not understand the details or the seriousness of their condition—will offer advance care planning counseling, encouraging conversations and the completion of advance directive documents.
     
  • A technology-assisted program for long-term care of traumatic injuries among low-income urban populations. Principal Investigator: Sara Jacoby, PhD, MPH, RN, Assistant Professor at the University of Pennsylvania School of Nursing and Center Investigator at the Penn Injury Science Center. Conventional trauma care is siloed, making it particularly difficult for disenfranchised people to achieve a full recovery. Through the use of wearable devices like wrist monitors and a web-based platform called Way to Health (WTH), which uses the tech devices many people already have (e.g., cell phones and computers), this program will redefine the scope of conventional trauma care and allow nurses to follow recovery metrics like physical activity and sleep patterns, and develop referral mechanisms and incentivize recovery-promoting behaviors.
     
  • A smartphone application to prevent intimate partner violence (IPV) among young adult Latino immigrants. Principal Investigator: Rosa M. Gonzalez-Guarda, PhD, MPH, RN, FAAN, Associate Professor at Duke University School of Nursing. Latino immigrants in the United States are disproportionately affected by IPV, defined as physical, sexual, or psychological violence between current or former romantic partners. The app, Culturaciόn: Cultura y Relaciones Intimás (Culture and Intimate Relationships), addresses the risks and protective factors for IPV among Latino immigrants between the ages of 18 and 29, including adverse childhood experiences, acculturation stress, cultural norms influencing relationship power and communication, fewer help-seeking behaviors, and lack of access to culturally-specific health services. Participants will also learn healthy and practical ways to manage stressors in their intimate relationships. A key partner will be the National Latin@ Network for Healthy Families at Casa de Esperanza.
     
  • Parents ASSIST, a program to help gay, bisexual, and queer (GBQ) teenage boys avoid HIV and other sexually transmitted infections by equipping their parents with communications skills to have affirming and supportive discussions with them. Principal Investigator: Dennis Flores, PhD, ACRN, Postdoctoral Fellow at the University of Pennsylvania School of Nursing. Parents ASSIST will offer skill-building techniques for parents and help them overcome perceived impediments to communication with their sons, and may be the first project to present GBQ topics and communication modelling skills for parents through a dedicated website.

 

Positioning programs for national impact: the Hillman Innovations in Care Program
Launched in 2014, the Hillman Innovations in Care Program is one of the Foundation’s defining initiatives and provides $600,000 over three years to mature programs that already have strong preliminary evidence behind them and that improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations, and other groups that encounter barriers to accessing health care services. A list of previous grantees is available here.

The Hillman Innovations in Care Program grants for 2017 will support:

  • Expansion of the Nightingale Perinatal Assistance and Treatment Home (PATHway) Program. Principal Investigator: Kristin Ashford, PhD, WHNP-BC, FAAN, Associate Professor of Nursing at the University of Kentucky College of Nursing. With the nation in the grip of a deadly opioid epidemic, Kentucky leads the nation in perinatal substance use disorders (SUD), but the majority of women are unable to access essential services. To improve care for new and expectant mothers with opioid addiction and dependence and their children through the first two years of life, this person- and family-centered program will use a web-based training program for nurse facilitators and expand existing perinatal addiction and peer support services. Hillman funding will support expansion of the program, first locally in Kentucky, and ultimately nationally, to increase access and improve health outcomes for pregnant and parenting women and their infants.
     
  • The national launch of a newly developed Mental Health Innovation (MHI), as part of  Nurse-Family Partnership®. Principal Investigator: Linda Beeber, PhD, PMHCNS-BC, Professor at the University of North Carolina at Chapel Hill School of Nursing. This will be the first U.S. home-visiting program with an integrated mechanism for mental health care, and will help low-income, first-time mothers with debilitating levels of depression and anxiety. Hillman funds will support implementation and evaluation to enable Nurse-Family Partnership to integrate much-needed behavioral health care throughout its nationwide network of more than 264 implementing agencies. The program will evaluate specific, measurable results including pre- and post-natal pregnancy outcomes for mothers and infants, smoking cessation, second pregnancy postponement, educational attainment, parenting skill, child social-emotional health, accidents, emergency department visits, incidents of abuse, and fatalities.

 

Taking Success to Scale: the Hillman Innovation Dissemination Program
The Hillman Innovation Dissemination Program aims to expand and enhance the scaling efforts of established nursing-driven interventions that target the needs of vulnerable populations. This $200,000 grant will be given annually. 

The Hillman Innovation Dissemination Program grant for 2017 will support:

Expansion of the Community Aging in Place—Advancing Better Living for Elders (CAPABLE) program. Principal Investigator: Sarah L. Szanton, PhD, ANP, FAAN, Professor at Johns Hopkins University School of Nursing, with a joint appointment in the Department of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. CAPABLE combines handyman services with nursing and occupational therapy to improve mobility, reduce disability, and decrease healthcare costs to help older people “age in place.” CAPABLE is currently being replicated at sixteen sites in eight States and Australia, and an additional fifteen sites are awaiting funding and approval for replication in the next six to eight months. This is Dr. Szanton’s second grant from the Foundation; she has previously received funding from the National Institutes of Health, the Center for Medicare and Medicaid Innovation, the Robert Wood Johnson Foundation, The John A. Hartford Foundation, and AARP Foundation

 

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2017 Hillman Innovations in Care Program Informational Webinar

by: Linda Le | Tue, Feb 21, 2017 |

On Tuesday, February 28th, from 1:00PM – 2:00PM ET, the Rita & Alex Hillman Foundation will host a web seminar to answer questions about the newly launched Hillman Innovations in Care Program. Ahrin Mishan, Executive Director, will lead this interactive presentation.

Space is limited to 100 participants.
Please make sure to register now to ensure that you can join the event. 

Questions can be submitted in advance to innovationsincare@rahf.org. For those unable to attend, a copy of the presentation and a recording of the webinar will be available for viewing shortly after the live event. 

The Hillman Innovations in Care initiative will provide over $3 million in funding over the next five years to nursing-driven models of care that target vulnerable populations. The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that will improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management.

Please check the webpage or sign up for our mailing list for details and regular updates.

 

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Fourth Round of Innovations in Care Program

by: Linda Le | Mon, Feb 6, 2017 |

Multi-year initiative continues support for transformative, nursing-driven models of health care

The Rita & Alex Hillman Foundation has announced the fourth round of funding for the Hillman Innovations in Care (HIC) Program, a multi-year effort to enhance and expand nursing-driven models of care that benefit vulnerable populations.

The Hillman Innovations in Care Program seeks bold, creative, patient- and family-centered approaches that challenge conventional strategies, improve health outcomes, lower costs, and enhance patient and family caregiver experience. The Foundation is particularly interested in maternal and child health, care of the older adult, and chronic illness management. The Foundation will award two grants of up to $600,000 each in late 2017.

Today, the Foundation released a Request for Proposals for the 2017 grant cycle.  It will hold an informational webinar for those interested in applying on February 28.  Brief initial applications will be due on March 20. Please check the webpage for more details. 

“The need for innovative approaches that address the healthcare needs of vulnerable populations is particularly urgent,” said Ahrin Mishan, Executive Director of the Hillman Foundation. “The Innovations in Care Program, now in its fourth year, remains committed to bringing promising delivery models to scale.”

Current HIC recipients include: a nurse-driven telehospice program for underserved rural populations; a transitional care program for homeless populations; a public health nursing/legal partnership serving low-income mothers and babies; and team-based home care and home repair services that help older adults remain in their communities.

 

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Hillman Foundation Announces 2016 Innovations in Care Winners

by: Linda Le | Sun, Nov 6, 2016 |

Two nursing-driven programs that provide home and community-based care for vulnerable populations with advanced illness receive $600,000 to expand and sustain efforts


The Rita & Alex Hillman Foundation has announced the 2016 recipients of the Hillman Innovations in Care Program, a multi-year initiative funding leading edge, nursing-driven programs that address the healthcare needs of vulnerable populations.  The winning projects – a telehospice program serving rural western North Carolina, and an advanced illness care program supporting the communities served by African-American churches in Alameda County, CA – were selected from a diverse field of over 160 applicants. The Foundation’s Advisory Committee praised the grant recipients for their creative approaches to addressing some of healthcare’s most intractable challenges, and for their efforts to meet the triple aim goals of improving health, reducing costs, and improving the patient and caregiver experience.
 
"This year’s grant recipients are potential game changers,” said Ahrin Mishan, Executive Director of the Hillman Foundation. "Each person-centered, community-focused program is uniquely positioned to make a national impact on the care of underserved populations with advanced illnesses.” 
 
The grantees, who will each receive a $600,000 three-year grant, are:
 
Four Seasons Compassion for Life, Flat Rock, North Carolina (Principal Investigator: Michelle Webb, MSN, RN, CHPCA) The grant will leverage Four Season's federally funded telepalliative care model to develop a program providing remote, in-home hospice services to people in western North Carolina.  Four Seasons serves a number of rural, low-income counties in a geography and climate that does not allow for consistent, coordinated health care and poses numerous challenges for nurses charged with regular hospice care home visits.
 
Hillman funds will be used to improve patient and family satisfaction and health outcomes by implementing a care management portal to be used in conjunction with the telehospice program. Specially trained nurses will seek to efficiently and cost effectively provide hospice care by remotely addressing symptom and pain management, medication adherence, advance care planning, and spiritual and psychosocial needs. Visits will be conducted using TapCloud, a HIPAA-compliant app, and a web-based video conferencing service. Patients or their caregivers (including long-distance caregivers) will enter information on symptoms and medication use via patient portal software, and nurses, together with the hospice team, will use this information, along with online vital sign measurement, to monitor progress, adjust treatments, and determine when in-person visits are needed. 
 
“Telehospice is a promising care delivery innovation that can enhance communication among caregivers and the care team, and improve the hospice experience for those most in need,” said Bobbie Berkowitz, RN, PhD, FAAN, Dean of the Columbia University School of Nursing and chair of the Foundation's Advisory Committee. “With over 35 years of award-winning experience in hospice care, Four Seasons is well equipped to implement and lead this effort.”
 
 
University of California, Davis – Betty Irene Moore School of Nursing (Principal Investigators: Janice Bell, RN, MN, MPH, PhD, UC Davis and Rev. Cynthia Carter-Perrilliat, MPA, Alameda County Care Alliance) Hillman funding will be used to expand, evaluate, and sustain the Advanced Illness Care Program (AICP), a faith-based, nursing-driven intervention developed in partnership with the Alameda County Care Alliance and the Public Health Institute.  Since its inception in 2013, the program has trained and placed care navigators in five African-American church communities in Oakland, California. The care navigators provide referrals and care not only to congregants and their caregivers, but to persons with advanced illness in the community.  Care navigators offer support with basic needs such as food, housing, or transportation, and help people access social services, spiritual support, respite care, palliative care and hospice care, and complete advance care plans. The intervention includes a baseline home visit and assessment, follow-up visits, and additional telephone support.

“People often turn to their faith community for support in times of need, and the AICP has been successful in filling the gaps in conventional healthcare by utilizing the inherent trust, support, and resources offered by these innovative and influential hub churches,” said Rachael Watman, Vice President of Programs at the Hillman Foundation. “This program capitalizes on the strengths of three partners: UC Davis (evaluation), Alameda County Care Alliance (for their work in the African-American church community), and the Public Health Institute (for their expertise in program development and implementation) to increase the alignment between end-of-life goals and the care received. Looking forward, the data collected to date and ongoing evaluation will be used to engage payers, providers, and policy makers to develop a blueprint to scale and sustain the model across the U.S.”
 
The team will use the funding to double the impact of the program, expanding the program to three additional church communities, and enrolling an additional 500 congregants, community members, and family caregivers. Funding will also be used to train additional care navigators and volunteer care ministers, to promote the program through community outreach, and to continue to support ongoing data collection that has provided evidence of the program’s success. Partnerships with Kaiser Permanente and the Washington DC-based C-TAC (Coalition to Transform Advanced Care) will contribute to the spread and scale of the model.
 
 
About the Hillman Innovations in Care Program
The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations, and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management. The Foundation will accept submissions for the next round of proposals in March 2017, and will award grants again in late 2017.
 
Please click here for more information on the Hillman Innovations in Care Program or to access the RFP.
 

 

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Rachael Watman Named Vice President of Programs

by: Linda Le | Sun, May 1, 2016 |

NEW YORK, NY (May 2, 2016)  The Rita & Alex Hillman Foundation today announced that Rachael Watman, MSW, has joined the foundation as Vice President of Programs. In this newly created position, she will help to oversee the Foundation’s Innovation and Education portfolios, which include the Hillman Innovations in Care Program, a multi-year effort to enhance and expand nursing-driven models of care that benefit vulnerable populations, and the Hillman Scholars Program in Nursing Innovation, an integrated BSN to PhD approach designed to produce the next generation of nurse change agents.

“Rachael is one of the smartest, most well respected leaders in the field,” said Ahrin Mishan, Executive Director of the Hillman Foundation. “Her many years of experience in supporting and building nursing and healthcare innovations make her an exceptionally valuable addition to our team.”  

Watman joins the Hillman Foundation after 13 years with The John A. Hartford Foundation, most recently as Senior Program Officer. In this role she directed the Foundation’s Leadership in Action portfolio, focused on putting geriatrics expertise to work to change the way healthcare is delivered to an aging society.  She has been a leader in the Foundation’s Change AGEnts Initiative and the Serious Illness and End-of-Life collaborative, and previously directed the nursing portfolio, including nine Centers of Geriatric Nursing Excellence.

“This is an exciting opportunity to advance critical work to improve the lives of patients and their families,” said Watman. “The Rita & Alex Hillman Foundation’s commitment to helping the next generation of nursing leaders transform healthcare aligns with my interest and experience.  I am honored to join the staff of the Hillman Foundation.”

 

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2016 Hillman Innovations in Care Program Informational Webinar

by: Linda Le | Fri, Feb 12, 2016 |

On Wednesday, February 24th, from 1:30PM – 2:30PM ET, the Rita & Alex Hillman Foundation will host a web seminar to answer questions about the newly launched Hillman Innovations in Care Program. Ahrin Mishan, Executive Director, will lead this interactive presentation.

Space is limited to 100 participants.
Please make sure to register now to ensure that you can join the event. 

Questions can be submitted in advance to innovationsincare@rahf.org. For those unable to attend, a copy of the presentation and a recording of the webinar will be available for viewing shortly after the live event. 

The Hillman Innovations in Care initiative will provide over $3 million in funding over the next five years to nursing-driven models of care that target vulnerable populations. The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that will improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management.

Please sign up for our mailing list or check our blog for regular updates and details.

 

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Third Round of Innovations in Care Program

by: Linda Le | Fri, Jan 22, 2016 |

Multi-year initiative continues support for transformative, nursing-driven models of health care

The Rita & Alex Hillman Foundation announces the third round of funding for the Hillman Innovations in Care Program, a multi-year effort intended to enhance and expand nursing-driven models of care that benefit vulnerable populations.

The Foundation will release a formal Request for Proposals for the 2016 grant cycle on February 8.  It will hold an informational webinar for those interested in applying to the program on February 24.  Brief initial applications will be due on March 21. Please check the webpage for more details.

The Hillman Innovations in Care program seeks bold, creative, patient- and family-centered approaches that challenge conventional strategies, improve health outcomes, lower costs, and enhance patient and family caregiver experience. The Foundation is particularly interested in the areas of maternal and child health, care of the older adult and chronic illness management. The Foundation will award two grants of up to $600,000 in late 2016.

“Over the past two years, we have received nearly 400 applications from across the country and the candidates gets stronger every year,” said Ahrin Mishan, Executive Director of the Hillman Foundation. “We look forward to bringing even more new models of care to scale in our third year of funding.”

 

Early winners already in action

The Hillman Innovations in Care Program awarded the first round of grants in November 2014, and the second round in November 2015.  Past winners, who are each receiving a $600,000 grant over three years, are:

University of Texas Health Science Center at San Antonio. Funding is being used to expand nurse-provided preventive and primary care services at three Head Start/Early Start sites. Services are now offered to enrolled children, their parents and siblings, more than tripling the number of children and families served.

Michigan State University College of Nursing. Grant funding is supporting expansion of MiCAPABLE, which provides team-based home care and home repair services to help older adults stay in their homes and communities. The program is being implemented in three Medicaid Waiver sites, which offer services to help 270 nursing home eligible older adults avoid nursing home admissions.

Project Access of Durham County (PADC), North Carolina. The grant is supporting growth and development of the Durham Medical Respite Program, a nurse-led, community based initiative which provides safe and supportive respite housing to homeless persons who require a place for healing following discharge from a hospital, behavioral health, or jail setting. 

National Nursing Centers Consortium (NNCC) Philadelphia Nurse-Family Partnership. Funding is helping to create a community-integrated Public Health Nursing/Legal Partnership (PHNLP), which will serve the health and social needs of low-income mothers and babies in Philadelphia.  

 

About the Hillman Innovations in Care Program

The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations, and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management. The Foundation will accept submissions for the next round of proposals in March 2016, and will award grants again in late 2016.

 

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Hillman Foundation Announces 2015 Innovations in Care Winners

by: Linda Le | Mon, Nov 2, 2015 |

Two nursing-driven programs targeting vulnerable populations receive $600,000 each to expand efforts 

NEW YORK, NY (November 2, 2015) The Rita & Alex Hillman Foundation today announced the 2015 recipients of the Hillman Innovations in Care Program, a multi-year initiative created to expand leading edge, nursing-driven programs that address the healthcare needs of vulnerable populations.  The winning projects – a community-integrated public health nursing/legal partnership serving low-income mothers and babies, and a nurse-led transitional care program for homeless persons – were selected from a diverse field of over 130 applicants. The Foundation’s selection committee praised the grant recipients for their creative approaches to addressing some of healthcare’s most intractable challenges, and for their efforts to meet the triple aim goals of simultaneously improving health, reducing costs, and improving the patient and caregiver experience.

"This year’s winning programs represent innovative grass-roots efforts that look well beyond the boundaries of conventional healthcare to improve lives,” said Ahrin Mishan, Executive Director of the Hillman Foundation. "The nurses leading these efforts, as well as their network of partners, are committed to serving society’s most marginalized populations. We hope that our support will help bring these important emerging models to scale."

The grantees, who will each receive a $600,000 three-year grant, are:

Project Access of Durham County (PADC), North Carolina (Principal Investigators: Julia Gamble, MPH, NP and Donna J. Biederman, DrPH, MN, RN) The Hillman Innovations in Care grant will be used to grow and further develop the Durham Medical Respite Program, a nurse-led, community based initiative which provides safe and supportive respite housing to homeless persons who require a place for healing that is safer than the street or shelters following discharge from a hospital, behavioral health, or jail setting. 

Hillman funds will help to broaden the role of nurse care coordinators and community health workers, who, in addition to connecting patients to health care for chronic and acute conditions, will help patients navigate access to housing and other benefits.  Nursing students and other health professionals will be invited to participate in educational events tailored to the care of populations experiencing homelessness or housing instability. The overall goal of the program is to improve the health and quality of life of homeless and housing insecure patients experiencing care transitions, reduce costs, and reduce care provider’s time and emotional burden.

“The Durham Medical Respite Program addresses a pressing unmet need to offer safe discharge options for homeless persons who are too sick for the streets or a shelter, but not sick enough to qualify for continued hospitalization,” said Bobbie Berkowitz, Dean of the Columbia University School of Nursing and chair of the Foundation's review committee. “The connection between lack of housing and poor health is evident and substantiated, and the Durham Medical Respite Program addresses this challenge using a promising model that could be replicated in other communities across the United States.”

National Nursing Centers Consortium (NNCC) Philadelphia Nurse-Family Partnership (Principal Investigator: Katherine Kinsey, PhD, RN, FAAN)  Hillman funding will be used to create a community-integrated Public Health Nursing/Legal Partnership (PHNLP), which will serve the health and social needs of low-income mothers and babies in Philadelphia.  Public health nurses from NNCC’s Philadelphia Nurse-Family Partnership/Mabel Morris Family Home Visiting Program (NFP/MM), will collaborate with lawyers from the Health, Education and Legal Assistance Program (HELP) at Widener University on the project.

“This project takes two highly-successful models –Nurse-Family Partnership and Medical-Legal Partnership – and integrates them to create a broad based network of services.” said Theresa Brown, BSN, RN, a member of the Foundation’s review committee who is both a practicing nurse and a frequent contributor to the New York Times. “While medical-legal partnerships have existed in traditional hospital settings for years, this community-based effort represents a bold, new approach to addressing the social determinants of health."

In the new program, the current NFP/MM staff of 40 public health nurses will work on teams with lawyers from the HELP program to provide seamless health, legal and social services to more than 650 new mothers per year.  The team will address unmet legal needs, identify and pursue policy issues affecting client health, and improve program efficiency by freeing up time previously spent by nurses on case management. Staff will also measure cost savings and social return on investment to help the program secure ongoing funding, and provide a road map for statewide replication and expansion.

 

About the Hillman Innovations in Care Program

The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations, and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management. The Foundation will accept submissions for the next round of proposals in March 2016, and will award grants again in late 2016.

Please see the Hillman Innovations in Care Program webpage for more information or to access the 2015 RFP.

 

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2015 Hillman Innovations in Care: Letter of Intent Review

by: Linda Le | Tue, May 26, 2015 |

What: The Rita & Alex Hillman Foundation will host a web seminar that will explain the rationale behind decisions for the first-round of the Hillman Innovations in Care program and provide guidance for future proposals. The webinar will be hosted by Ahrin Mishan (Executive Director, Rita & Alex Hillman Foundation) and Judith Woodruff (Principal Consultant, Woodruff Strategies).
 
When: Tuesday, June 16, 2015, 1:00PM - 2:00PM Eastern Time
 
Where/ HowSpace is limited to 100 participants so please register now to attend:

  1. Please click here to access the registration form.
  2. Click "Register".
  3. Enter your information and then click "Submit".

Once your registration is approved, you will receive a confirmation email message with instructions on how to join the event.

Event number: 662 753 324
Registration ID: This event does not require a registration ID
Event password: hillman

Questions can be submitted in advance to Linda Le at linda.le@rahf.org. For those unable to attend, an archived version of the webinar will be available on www.rahf.org for viewing shortly after the live event.

 

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The Nurse-Family Partnership (NFP) featured in The New York Times

by: Linda Le | Tue, Mar 10, 2015 |

The Nurse-Family Partnership (NFP), a Hillman grantee, was featured on the front page of the New York Times yesterday.
 
The Times shares the incredible work of NFP nurse Beth Pletz at Le Bonheur Children’s Hospital, and describes her work to help several at-risk moms in Memphis. The stories are rich and compelling.  She then discusses the evidence of effectiveness behind NFP and ends with describing how the future of the federal home visiting program is “not assured.”

The Hillman Foundation is proud to support efforts to that will ensure the integration of the NFP into the broader health system. 

Read the full article here: "Visiting Nurses, Helping Mothers on the Margins."
 

 

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6th Annual Hillman Alumni Nursing Network Roundtable

by: Linda Le | Mon, Mar 9, 2015 |

We are excited to announce the 6th Annual Hillman Alumni Nursing Network Roundtable:

"Nursing of the Future: Modernizing a Timeless Profession" 
Featuring clinical nurse, author & New York Times columnist Theresa Brown, RN
 
Tuesday, March 24, 2015
6PM – 8PM ET
 
New York University
Global Center for Academic and Spiritual Life
Grand Hall, 5th Floor
238 Thompson Street (b/t W. 3rd St. & Washington Square South)
 
Please RSVP by Wednesday, March 18th: 
https://www.surveymonkey.com/s/TheresaBrownRSVP
 

Please feel free forward this invitation to anyone you think might be interested.  Light refreshments will be served.  
 
Theresa Brown, RN lives and works as a clinical nurse in Pennsylvania. She received her BSN from the University of Pittsburgh and, during what she calls her past life, has a PhD in English from the University of Chicago. Her column
"Bedside" appears on the New York Times op-ed page as well as on the Times blog, "Opinionator". Previously, she wrote for the New York Times blog "Well". Critical Care: A New Nurse Faces Death, Life, and Everything in Between, HarperOne, 2011, is her first book.

Theresa is on the Advisory Board of the Robert Wood Johnson Foundation's "Flip the Clinic" initiative and is a Board Member of the Center for Health Media and Policy at the Bellevue School of Nursing at Hunter College. She is also an Advisory Board Member for Scrubs Magazine, which won the 2010 Maggie Award for Best New Publication from the Western Publishing Association. Additionally, she was a panelist for TEDMED's Great Challenges of Health and Medicine initiative. Theresa lectures nationally on issues related to nursing, health care, and end-of-life.  Her clinical focus is medical oncology.
 
Please visit Theresa's website to learn more about Theresa and her work.

 

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Hillman Foundation Grants the Nurse-Family Partnership® $600,000 to Scale Its Evidence-Based Program

by: Linda Le | Tue, Feb 24, 2015 |

Hillman Foundation Grants the Nurse-Family Partnership®
$600,000 to Scale Its Evidence-Based Program, Link Medicaid Managed Care

– Expands Hillman’s support for innovative, nurse-driven models of care that
benefit vulnerable populations –

NEW YORK, NY (February 24, 2015) – The Rita & Alex Hillman Foundation today announced a three-year $600,000 grant award to the Nurse-Family Partnership® (NFP)  National Service Office to expand its  maternal and early childhood health program that provides nurse home visiting services to vulnerable first-time mothers and their children living in poverty across the United States. 

NFP will use the grant to broaden its outreach to the large and increasing number of low-income families receiving healthcare via Medicaid managed care. Specifically, it will develop a pilot program to determine the best ways to integrate NFP’s evidence-based home visiting services into Medicaid medical homes.

“As we look to strategically grow Nurse-Family Partnership, partnering with managed care health plans is an ideal fit to increase our capacity to reach more first-time moms and their children living in poverty,“ said Roxane White, president and CEO of Nurse-Family Partnership. “This support from the Hillman Foundation will give us the resources to build new partnerships to achieve better care, lower costs and improved outcomes for vulnerable families.”

"Embedding the Nurse-Family Partnership program  into the healthcare system and into Medicaid coverage strategies is a critical next step in ensuring that this top-tier evidence-based nursing intervention reaches the maximum number of first-time mothers and their children,” said Ahrin Mishan, Executive Director of the Hillman Foundation. "Scaling up NFP has the potential to significantly impact population-level maternal and child health and enhance cost-benefits to health systems and society."

An innovative approach developed over three decades
Nurse-Family Partnership® (NFP) is an evidence-based, community health program that serves low-income women pregnant with their first child. The program currently serves over 30,000  low-income, first-time mothers in 43 states, the U.S. Virgin Islands and six Tribal communities. Each new mother is partnered with a registered nurse early in her pregnancy and receives ongoing nurse home visits until her child’s second birthday. It is often a life-transforming partnership for mother and child.

NFP has been tested over 37 years in diverse settings, and has been proven to help families — and the communities they live in — become stronger while saving money for state, local and federal governments. In multiple randomized controlled trials, the program has shown significant reductions in measures such as child abuse and neglect; emergency room visits for accidents and poisonings;  behavioral and intellectual problems at age six, and child arrests at age 15.  The program’s results are documented on its website.

**********************

ABOUT NURSE-FAMILY PARTNERSHIP
The Nurse-Family Partnership National Service Office (http://www.nursefamilypartnership.org) is committed to producing enduring improvements in the health and well-being of low-income, first-time parents and their children by helping communities implement and sustain an evidence-based public health program of home visiting by registered nurses. Nurse-Family Partnership is the most rigorously tested maternal and early childhood health program of its kind. Randomized, controlled trials conducted over 37 years demonstrate multi-generational outcomes that benefit society economically and reduce long-term social service expenditures. Nurse-Family Partnership is headquartered in Denver, Colorado.

 

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2015 Hillman Innovations in Care Informational Webinar

by: Linda Le | Sun, Feb 8, 2015 |

On Tuesday, February 17th, from 2PM – 3PM ET, the Rita & Alex Hillman Foundation will host a web seminar to answer questions about the 2015 Hillman Innovations in Care Program. Ahrin Mishan (Executive Director, Rita and Alex Hillman Foundation) and Judith Woodruff (Principal Consultant, Woodruff Strategies) will lead this interactive presentation.

Space is limited to 100 participants.
Please make sure to register now to ensure that you can join the event.

Questions can be submitted in advance to innovationsincare@rahf.org. For those unable to attend, a recording of the webinar will be available for viewing shortly after the live event. 

The Hillman Innovations in Care initiative will provide over $3 million in funding over the next five years to nursing-driven models of care that target vulnerable populations. The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that will improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management.

 

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Second Round of Innovations in Care Program

by: Linda Le | Wed, Jan 21, 2015 |

Multi-year initiative continues to support transformative, nursing-driven models of health care

NEW YORK, NY (January 21st, 2015) - The Rita & Alex Hillman Foundation announced the second round of funding for the Hillman Innovations in Care Program, a multi-year effort intended to enhance and expand nursing-driven models of care that benefit vulnerable populations.

The Foundation will release a formal Request for Proposals for the 2015 grant cycle on February 2.  It will hold an informational webinar for those interested in applying to the program on February 17.  Applications will be due on March 16.

The Hillman Innovations in Care Program seeks bold, creative, patient- and family-centered approaches that challenge conventional strategies, improve health outcomes, lower costs, and enhance patient and family caregiver experience. The Foundation is particularly interested in the areas of maternal and child health, care of the older adult and chronic illness management. The Foundation will award two grants of up to $600,000 each in late 2015.

“Last year, we received more than 260 applications from across the country and are anticipating an even more robust field this year,” said Ahrin Mishan, Executive Director of the Hillman Foundation. “We look forward to bringing more promising new models of care to scale.”

 

First round winners already in action

The Hillman Innovations in Care Program announced its first round of grants in November 2014.  The winners, each of whom will receive $600,000 over three years, are:

The University of Texas Health Science Center at San Antonio, led by Julie C. Novak, DNSc, RN, CPNP, FAANP, FAAN. Funding will be used to expand a new clinic model that provides integrated health services at local Head Start/Early Start sites. The project is a partnership with AVANCE-San Antonio, which provides early childhood education programs and services to families in at-risk communities, empowering children and their parents by providing them with the tools and resources they need to be succeed in life. AVANCE and UTHSC-San Antonio developed a pilot Head Start/Early Start health clinic, led by a nurse practitioner, which has already provided services to over 300 children and has increased vaccination rates from 50% to 100%. Grant funding will allow the team to offer nurse-provided preventive and primary care services at three sites, not just to the enrolled children but to their parents and siblings, more than tripling the number of children and families that are served. Clinic sites will also expand services to include nutrition counseling and mental and behavioral health. With all sites fully equipped to meet the health and psycho-social needs of the entire family, the team envisions that this model could be replicated throughout Texas and the nation.

The Michigan State University College of Nursing, co-led by Sandra Spoelstra, PhD, RN, and Sarah Szanton, PhD, RN/ANP.  Funding will be used to expand MiCAPABLE, which provides team-based home care and home repair services to help older adults stay in their homes and communities. The award-winning program was originally launched by Dr. Szanton at Johns Hopkins School of Nursing.  MiCAPABLE is currently being piloted at one site in Michigan, and will now be implemented in three Michigan Medicaid Waiver sites, which provide services to help nursing home eligible older adults avoid nursing home admissions. Program participants receive 12 weeks of home visits from a team that includes a registered nurse and an occupational therapist, to ensure that health needs are met, and a handyman, to accommodate the home to the needs of an aging adult. The team’s work might include training to help avoid falls, and the installation of bathroom grab bars and other home modifications. Funding will be used to train clinicians and provide MiCAPABLE to 270 patients. The State of Michigan is matching the Innovations in Care grant with an additional $600,000, providing the team with a total of $1.2 million in funding.

 

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Hillman Foundation Announces Innovations in Care Winners

by: Linda Le | Mon, Nov 3, 2014 |

--Two nursing-driven programs receive $600,000 each to expand evidence-based initiatives targeting underserved populations --

The Rita & Alex Hillman Foundation today announced the first recipients of the Hillman Innovations in Care Program, a multi-year initiative created to enhance and expand nursing-driven programs that care for vulnerable populations.  The foundation’s six-person review committee selected the winners from over 260 diverse applications, which were narrowed to 23 finalists. The committee praised the winning projects for their ability to improve the health of their communities, for the bold and creative thinking in the design of the projects, for exemplary nursing leadership, and for the support of their organizations in addressing improvements in care. 

The winning projects will ensure that significant healthcare innovations reach the greatest number of patients, and that tested innovations are translated into policy and practice. The Foundation granted awards to programs that demonstrated the greatest likelihood of broad impact and aligned with the Triple Aim of simultaneously improving health, reducing costs and improving the patient and caregiver experience.

"The needs of vulnerable populations often lie beyond the reach of much of the mainstream healthcare system,” said Ahrin Mishan, Executive Director of the Hillman Foundation. "This is where nursing comes in. Nursing-driven innovations have a long history of making an enormous impact in these communities and we strive to build on this tradition by bringing effective new models to scale."

The winners, who will each receive a $600,000 three-year grant, are:

The University of Texas Health Science Center at San Antonio, led by Julie C. Novak, DNSc, RN, CPNP, FAANP, FAAN. Funding will be used to expand a new clinic model that provides integrated health services at local Head Start/Early Start sites. The project is a partnership with AVANCE-San Antonio, which provides early childhood education programs and services to families in at-risk communities, empowering children and their parents by providing them with the tools and resources they need to be succeed in life. AVANCE and UTHSC-San Antonio developed a pilot Head Start/Early Start health clinic, led by a nurse practitioner, which has already provided services to over 300 children and has increased vaccination rates from 50% to 100%. Grant funding will allow the team to offer nurse-provided preventive and primary care services at three sites, not just to the enrolled children but to their parents and siblings, more than tripling the number of children and families that are served. Clinic sites will also expand services to include nutrition counseling and mental and behavioral health. With all sites fully equipped to meet the health and psycho-social needs of the entire family, the team envisions that this model could be replicated throughout Texas and the nation.

The Michigan State University College of Nursing, co-led by Sandra Spoelstra, PhD, RN, and Sarah Szanton, PhD, RN/ANP.  Funding will be used to expand MiCAPABLE, which provides team-based home care and home repair services to help older adults stay in their homes and communities. The award-winning program was originally launched by Dr. Szanton at Johns Hopkins School of Nursing.  MiCAPABLE is currently being piloted at one site in Michigan, and will now be implemented in three Michigan Medicaid Waiver sites, which provide services to help nursing home eligible older adults avoid nursing home admissions. Program participants receive 12 weeks of home visits from a team that includes a registered nurse and an occupational therapist, to ensure that health needs are met, and a handyman, to accommodate the home to the needs of an aging adult. The team’s work might include training to help avoid falls, and the installation of bathroom grab bars and other home modifications. Funding will be used to train clinicians and provide MiCAPABLE to 270 patients. The State of Michigan is matching the Innovations in Care grant with an additional $600,000, providing the team with a total of $1.2 million in funding.

 “We had an impressive group of finalists, which made the process of selecting just two grantees exceptionally challenging,” said Bobbie Berkowitz, Dean of the Columbia University School of Nursing and chair of the Foundation's review committee. “The winning proposals stand out as innovative, evidence-based, academic-community partnerships that have the potential to make a widespread impact on the health and healthcare needs of some of our nation’s most vulnerable populations.”

The Foundation will accept submissions for the next round of Innovations in Care proposals in March 2015, and will award second-round grants in late 2015.  The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that will improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management.

 

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Hillman Innovations in Care Program: Brief Proposals Feedback

by: Linda Le | Thu, Sep 4, 2014 |

The Rita & Alex Hillman Foundation is offering 40, fifteen-minute phone sessions to answer any additional questions about brief proposals that were submitted for the Hillman Innovations in Care Program.

These sessions will be with Ahrin Mishan or Judith Woodruff and will be allotted on a first-come, first-served basis. Registration is open until filled by September 19th.

To schedule a time, please click here: https://rahf.doodle.com/3myz6skxeegresax

After confirming your appointment, please submit the phone number we would use to reach you and one or two questions that you would like us to address to innovationsincare@rahf.org.

Thank you and we look forward to speaking with you.

 

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Hillman Innovations in Care Webinar: First-Round Application Webinar Presentation & Recording

by: Linda Le | Mon, Jun 30, 2014 |

Last Tuesday, June 24th, Ahrin Mishan (Executive Director, Rita and Alex Hillman Foundation) and Judith Woodruff (Principal Consultant, Woodruff Strategies) hosted a web seminar to provide insight into the first-round application process and guidance for future proposals. Thank you to everyone who joined.

If you were unable to attend the webinar, a copy of the presentation is available here and a recording of the webinar can be viewed below:

 

If you have additional questions, please email Linda Le at linda.le@rahf.org.

 

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Hillman Innovations In Care Program: First-Round Application Webinar

by: Linda Le | Tue, Jun 10, 2014 |

Per the previous blog post, the Rita & Alex Hillman Foundation will be holding a webinar to provide insight into the first-round application process and guidance for future proposals. We invite your participation, registration is required in order to attend:

Date and time:  Tuesday, June 24, 2014 2:00PM - 3:00PM Eastern Daylight Time (New York, GMT-04:00)

Where/ How: 

  1. Go to https://rahf.webex.com/rahf/onstage/g.php?MTID=eeecd2fc260fde208e79d4118b32376c4
  2. Click "Register".
  3. On the registration form, enter your information and then click "Submit".

Once your registration is approved, you will receive a confirmation email message with instructions on how to join the event.

Event number: 668 306 058
Registration ID: This event does not require a registration ID
Event password: hillman

Hosts: Ahrin Mishan (Executive Director, Rita and Alex Hillman Foundation) and Judith Woodruff (Woodruff Strategies)

Questions can be submitted in advance to Linda Le at linda.le@rahf.org. For those unable to attend, an archived version of the webinar will be available on our website for viewing shortly after the live event.

 

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Hillman Innovations In Care Program: Thank you for your submission

by: Linda Le | Tue, Jun 3, 2014 |

Yesterday, the Rita and Alex Hillman Foundation responded to applicants of the Hillman Innovations in Care program.

We received over 260 highly competitive applications representing a diverse range of institutions from across the country. The Letters of Intent were universally well conceived and inspiring but, with a limited number of grants to award, the final selection process was extremely competitive. In the end, only 22 proposals were chosen to move on to the second-round

Some proposals, for instance, offered creative, compelling ideas, but without sufficient evidence to suggest a likelihood of broader impact, they were difficult to recommend. Other proposals featured interventions that were unique within the context of their own health system or community, but were otherwise relatively conventional. At the end of the day, proposals that most closely matched the criteria laid out in the RFP were the most likely to advance.

In the coming weeks, we will announce a webinar that will discuss some of the common weaknesses among first-round applications and provide guidance for future proposals. We invite your participation.

Thanks again to everyone for their wonderful submissions. We deeply appreciate the considerable time and energy that have put into this effort and truly admire the work that is being done.

 

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Hillman Innovations in Care Program: Date Change for Full Proposal Invitation

by: Linda Le | Mon, May 5, 2014 |

To our great surprise and pleasure, we received an overwhelming number of brief proposals. Subsequently, the review process will take longer than planned and applicants will be notified of their status regarding full proposals on June 2, 2014, not on May 25, 2014, as previously announced.

Thank you for your understanding.

 

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National Nursing Centers Consortium Conference: June 9th, 2014

by: Linda Le | Wed, Apr 23, 2014 |

Nurses working in community settings and nurse managed health centers may find the upcoming National Nursing Centers Consortium Conference particularly interesting and informative. Please see the press release below for additional information:

The National Nursing Centers Consortium is less than 2 months away from the 2014 NNCC Conference, Nurse Managed Health Centers: Turning the Affordable Care Act into Action. Join NNCC Monday, June 9, 2014 at The Westin Alexandria in Alexandria, Virginia for our one-day conference which brings leaders together from around the country to discuss innovations in nurse-managed health care and explore ways to strengthen the workforce, break through policy barriers, and take advantage of opportunities made possible by the Affordable Care Act.

Click here to register now for the 2014 NNCC Conference. Check out our 2014 NNCC Conference agenda for a sneak peak at our presenters, here are some highlights of the day:

Plenary 1: Welcome, Nurse-led Care After the Affordable Care Act

  • Tine Hansen-Turton, CEO NNCC
  •  
  • Amy Barton, NNCC Board Chair
  •  
  • Mary Beth Bigley, Director Division of Nursing, Bureau of Health Professions, HRSA
  •  
  • Judy Murphy, Deputy National Coordinator for Programs and Policy, ONC
  •  

Plenary 2: Innovations and Opportunities in Nurse-led Care

  • Ellen Lawton, National Center for Medical Legal Partnership
  •  
  • Julie Novak, Executive Director UT Nursing Clinical Enterprise, UTHSCSA
  •  
  • Ahrin Mishan, Executive Director, Rita & Alex Hillman Foundation
  •  

Plenary 3: Lunch, Nurse Managed Health Center Certification

  • Tine Hansen-Turton, CEO NNCC
  •  
  • Neil Goldfarb, President & CEO of the Greater Philadelphia Business Coalition on Health
  •  
  • Kathryn Fiandt, NNCC Quality Committee Chair
  •  

Plenary 4: Building the Nurse-led Workforce

  • Barbara Todd, University of Pennsylvania School of Nursing
  •  
  • Pat Dennehy, Dennehy and Associates
  •  
  • Bambi McQuade-Jones, CEO Boone County Community Clinic

 
Joining us for the 2014 NNCC Conference? Stay for our companion event, the 2014 Health Center and Public Housing National Symposium.

This 3-day technical assistance symposium, “Engaging Residents of Underserved Communities: From Outreach to Quality Care” is co-hosted by NNCC’s signature technical assistance program, Community Health Partners for Sustainability and the National Center for Health in Public Housing, June 10-12 also at The Westin Alexandria in Alexandria, Virginia. Attendees will gain valuable learning and networking opportunities and for Federally Qualified Health Centers (FQHCs) or those seeking FQHC status, HRSA representatives will be in attendance along with grantees from across the country. We strongly encourage all to attend this event as well, which requires a separate registration. Participants who register for both events receive a discounted registration rate of $100 for the NNCC 2014 Conference. Click here for more information or to register.

Contact Kristine Gonnella at kgonnella@nncc.us or 267-350-7632 with questions regarding either event.  We hope to see you in June!

 

 

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Hillman Innovations in Care Webinar Presentation & Recording

by: Linda Le | Mon, Mar 31, 2014 |

Last Friday, Ahrin Mishan (Executive Director, Rita and Alex Hillman Foundation) and Judith Woodruff (Principal Consultant, Woodruff Strategies) hosted a web seminar and answered questions about the newly launched Hillman Innovations in Care Program. We had a great turnout, thanks again to all who joined!

A copy of the presentation is available here and a recording of the webinar can be viewed below: 

 

Please visit the Hillman Innovations in Care webpage or the FAQ page for complete information. If you have additional questions, please contact Judith Woodruff by email at jwoodruff@rahf.org or telephone: 503-730-1998.

 

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Hillman Innovations in Care Webinar

by: Linda Le | Fri, Mar 14, 2014 |

On Friday, March 28th, from 1pm–2pm EST , the Rita & Alex Hillman Foundation will host a web seminar to answer questions about the newly launched Hillman Innovations in Care Program. Ahrin Mishan (Executive Director, Rita and Alex Hillman Foundation) and Judith Woodruff (Principal Consultant, Woodruff Strategies) will lead this interactive presentation.

Space is limited to 100 participants.
Register now: https://rahf.webex.com/rahf/onstage/g.php?t=a&d=668348517

Questions can be submitted in advance to Linda Le at linda.le@rahf.org. For those unable to attend, an archived version of the webinar will be available for viewing shortly after the live event.

The Hillman Innovations in Care initiative will provide over $3 million in funding over the next five years to nursing-driven models of care that target vulnerable populations. The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of care that will improve the health and health care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBQT, the homeless, rural populations and other groups that encounter barriers to accessing healthcare services. The foundation is specifically interested in proposals that address maternal and child health, care of the older adult, and chronic illness management.
 
For more information on the webinar and Hillman Innovations in Care Program, please visit the Rita & Alex Hillman Foundation website, or email Judith Woodruff at jwoodruff@rahf.org.

 

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What Inspires You? More Answers!

by: Linda Le | Mon, Mar 10, 2014 |

We received some more wonderful answers to the "What Inspires You" question:

 

Richard J. Slote, Beth Israel School of Nursing, 1995

"For the past 6 years I have participated in a medical mission in Ghana, West Africa, to care for children who have undergone spinal fusion for severe deformities.  The children predominantly come from Ghana, Sierra Leone, and Ethiopia.  This photograph shows two happy post-op children with their respective braces following a challenging, and quite painful recovery.  But, they are not nearly as happy as their nurse!  It is the children who inspire me to return each year, and from whom I learn so much!"

 

Mary Frances "Francie" Free Emlen, University of Pennsylvania, 2009

"Forward momentum inspires me. A dissatisfaction with the status quo that leads to constant improvement of processes, policies, and outcomes. An idea and belief that things will get better breeds positivity. This positivity, vision, and hard work turns on an energy inside of me to push, push, push!"

 

Thank you Richard and Francie for these terrific submissions!

 

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Ruth Lubic Event Reminder

by: Linda Le | Wed, Feb 26, 2014 |

Just a final reminder that the Hillman Alumni Nursing Network (HANN) Winter Roundtable, "Nursing as a Force for Change" featuring Ruth Lubic will take place tomorrow, Thursday, February 27th from 5:30PM - 7:30PM at NYU. Please email final RSVPs by the end of the day today. We look forward to seeing you there!

As a prelude to this special event, here is a hip-hop video, A New Dawn, which honors the pioneering work of this remarkable woman:

 

We've received some great responses to the "What Inspires You" question, you can find the submissions posted here and here. Here's one more from Linda D'Andrea, Pediatric Nurse Practitioner at Memorial Sloan Kettering Cancer Center and Director of the Hillman Alumni Nursing Network.

Thanks again to those who shared their inspirations, we look forward to many more thoughtful and engaging discussions in the future!

Linda D'Andrea, University of Pennsylvania MSN, 1999

"In thinking about this question, it is so difficult to pinpoint just one thing, because there are so many things that inspire me in my work as a nurse practitioner with pediatric oncology patients.  My goal is always to make things better for my patients and their families.  For different patients, this means different things.  For the school aged child who has to receive high dose chemotherapy but is nauseous and wants to go to karate class, it is finding the right anti-nausea regimen. For the brave, scared young adult facing the end of his life, it is to ensure dignity, ease pain, and be present.  At times the intervention is simple, but difficult to dissever.  I often think back to one simple story that taught me so much.  A preschool aged little girl was recovering from brain surgery.  She was difficult to console and no one could figure out why.  She would not answer questions asked by the staff or her parents, but seems agitated.  She appeared to be trying to scratch herself.  Upon further examination, she wasn't scratching just anywhere, but was consistently scratching near a bandaid on her arm, where she once had an IV, so we helped her remove the bandaid and were about to throw it out when she became even more agitated, so we handed her back the bandaid and watched as she placed the bandaid over the large surgical dressing on her skull and quickly and quietly fell off to sleep. 

What inspires me?  Taking the time to find the booboo, because it might not always seem like the obvious choice, and try to make it better."

 

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What Inspires You? More Answers!

by: Linda Le | Mon, Feb 24, 2014 |

Last week, we received a few more responses to our "What Inspires You" question which you can find below. (Additional submissions can also be found here.) We'd love to get as many submissions as possible so please keep them coming!

 

Susan Y. Paul, BSN, RN, CPN, UPenn School of Nursing, 2008

"My patients, especially how they deal with things far beyond their years with grace and dignity. This young man is not of MY patients, but his story exemplifies this concept."

 

 

Paula Gallagher, RN, CHPN, Phillips Beth Israel School of Nursing 1998

"As a staff nurse on a busy Hospice Inpatient Unit I experience many brief but intense encounters with patients and their family members.  At times the pace can be quite overwhelming. However, in the midst of it all are many opportunities to connect with the spirit or soul of another person and to embrace our common humanity. Nursing theorist Jean Watson calls these encounters "caring moments."

Over time, certain people continue to live on in my memory and inspire me. They remind me to pause in the midst of the chaos, to keep my heart and mind open and to be fully present.  They are the reason I continue as a hospice nurse.

A few years ago I began writing down some of these experiences.  One of my favorites is Mary. I call her story Schlitz Beer.

Schlitz Beer

"They’ve got a lot of big tippers over there" she told me with her toothless grin and radiant eyes.  Mary had worked as a cafeteria cook in a high-level government agency for thirty years. Now retired, she was proud of her career and had many stories to share. In addition to her daily job she had often been invited to cook and serve for private parties at the agency.

In her lifetime she had served many, and I imagine she'd done that with the same glowing smile she shared with me today, though her body was now frail and weakened by cancer. She was at our hospice inpatient center to manage her pain, which had progressed along with her disease.

Mary rarely had visitors, which surprised me, and I enjoyed spending as much time with her as possible. I asked her what she used to enjoy doing after work to relax. She looked away shyly and then with a smile said, “Well, I always enjoyed having a nice cold Schlitz beer.”  She confessed that her daughter didn’t approve and so she had to sneak it into the house. 

That evening after work I went in search of Schlitz beer, not knowing if the brand was still in existence.  Finally, in the far corner of a cooler in the back of the Super Giant, I found a single six-pack, white cans and brown labels.

The next day I served Mary’s lunch tray, complete with Schlitz beer and an ice-cold frosted glass. Her initial expression of surprise and delight was boundless. Then she leaned in close to me and whispered. “Is it okay? Did the doctor say I could have it?” I assured her that the doctor had given permission for her to have a beer with her meal, and I stood by her side as she took the first sip. I believe I enjoyed the smile on her face as much as she enjoyed the beer.

She only took a few sips, but the pleasure of the whole experience was much more important than the beer itself.  To serve someone who has served so many and is now alone in the world is a great privilege.  Taking time to share in the simple pleasures of life and fully acknowledge the person we are caring for is one of the greatest gifts we can give, and that we can receive."

 

Cam Hawkins, Beth Israel School of Nursing, 2009

"I am inspired by simple things that a patient of mine might do: a genuine smile masked by gripping pain, a caring touch if even done by the stroke of a finger, or an almost inaudible thank-you."

 

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Hillman Innovations In Care Program

Five-Year, Multi-Million Dollar Initiative Will Support Transformative, Nursing-Driven Models of Care

by: Linda Le | Wed, Feb 19, 2014 |

NEW YORK, NY (February 18th, 2014) - The Rita & Alex Hillman Foundation  announced a new Hillman Innovations in Care Program, which will commit at least $3 million during the next five years to develop and disseminate new models of health care delivery that are rooted in nursing's holistic approach to care.

Starting in November 2014, the Foundation will make two grants annually up to a maximum of $600,000. These awards will explicitly target innovations that provide care to vulnerable populations, a category that includes the economically disadvantaged, racial and ethnic minorities, and other groups that encounter barriers to accessing quality healthcare services. A Request for Proposals will be released in March, with full proposals due in July.

"Vulnerable populations often lie beyond the reach or economic interest of much of the traditional healthcare system," said Ahrin Mishan, Executive Director of the Hillman Foundation. "Historically, nursing driven innovations have had an enormous impact in these communities and we strive to build on this tradition by bringing effective new models to scale."

"The Hillman Innovations in Care Program should provide a powerful boost to promising but under-recognized models of care delivery," said Mary Naylor, Marian S. Ware Professor in Gerontology at the University of Pennsylvania School of Nursing, who has already received support from the Foundation for her nurse-led Transitional Care Model. "It is these kinds of innovations that have the potential to help our health care system to achieve several key outcomes -- better health, higher patient and caregiver satisfaction, and lower costs."

Researchers and program developers interested in the Hillman Innovations in Care Program should contact Judith Woodruff.


A New Direction for the Hillman Foundation
The Hillman Innovations in Care Program marks another important expansion of the foundation's grantmaking. For more than 20 years, The Rita & Alex Hillman Foundation (formerly the Alex Hillman Family Foundation) has supported the Hillman Scholars Program, an undergraduate scholarship program that carries with it a commitment to clinical practice in New York City. To date, more than 1,500 nurses have participated in the program. Last year, the Foundation, launched the Hillman Scholars in Nursing Innovation, which builds on and broadens the Foundation's scholarship programs, with a particular emphasis on developing nurse researchers able to transform healthcare systems and practices.

The Rita & Alex Hillman Foundation mission is to improve the lives of patients and their families through nursing-driven innovation. To this end, the Foundation cultivates nurse leaders, supports nursing research, and disseminates new models of care that are critical to making the U.S. healthcare system more patient-centered, accessible, equitable, and affordable. The foundation's goal is to leverage the power of nursing's unique knowledge to ensure that the healthcare system can deliver the high-quality care patients need and deserve.


Contact Information: Linda Le, linda.le@rahf.org

 

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RAHF Scholar/ Fellow News: Matthew Lee & Linda Kang

by: Linda Le | Mon, Feb 17, 2014 |

Hillman Innovation Fellowship recipients Matthew Lee and Linda Kang have garnered some attention as of late.

Matthew and Linda were awarded the Hillman Innovation Fellowship for AppHappy, a mobile game project focused on stress management and mental health promotion. Towards the end of the last semester The Daily Pennsylvanian, a campus newspaper, wrote about their work (article here).

More notable is a recent honor by the International Game Developers Association which named Matthew as one of its 2014 IGDA Scholars (a select cohort of the 15 “most promising students studying anything related to game development" from around the world) for his work with virtual worlds and developing games for health. It is one of the highest awards any student involved with gaming can receive. This award will grant Matthew a full-access pass to the Game Developers Conference in March, the largest and most prestigious gathering of game industry professionals, access to industry mentors and innovators, and a chance to present his work to an audience of some of the game industry's top designers and executives.

Congratulations to Matthew and Linda for their innovative work in healthcare!

 

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What Inspires You? Your Answers!

by: Ahrin Mishan | Fri, Feb 14, 2014 |

A few days ago, I wrote a post asking for your input on things that inspire you, whether it be a person, a program, a memory, a story, or something completely different. We received some wonderful, thoughtful responses and are sharing them below to keep the conversation going.

Celia Maysles, New York University, 2011

"I am inspired by people who are really looking at the root causes of our health care crisis and coming up with practical solutions.  The source/s of of broken system are overwhelming, and watching this video inspires me to jump in and create change."

 

Sandy Samberg, University of Pennsylvania, 1994 & 1995

"One person came to mind—Rita Hillman!  I was in the second class of Hillman Scholars and was fortunate to have the opportunity to get to know Mrs. Hillman.  I traveled between NY and Philly a handful of times in a car with her and the time that we spent chatting was priceless.  Not only did she serve as an inspiration with regard to the nursing profession and how she valued it, but she served as a role model as a philanthropist.  Fortunately, I'm in a position where I can give back and Mrs. Hillman taught me how to do it in a very thoughtful, strategic way.  In her memory, my husband and I have established a program at Penn's School of Nursing to help nursing students pursue their dreams.  Mrs. Hillman enabled me to do that, and I felt strongly about paying it forward as a way of honoring her legacy at Penn."


To rehash, my inspiration is this video about a doctor making house calls to people without homes. On a broader scale, it's about reinventing our perspective on the health care system:

 

We'd love to keep this conversation going! Please feel free to share your thoughts in the comments section below or email us your submissions.

 

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What Inspires You?

by: Ahrin Mishan | Wed, Feb 12, 2014 |

As many of you already know, on February 27th, the Hillman Alumni Nursing Network (HANN) is hosting a public dialogue with nursing legend Dr. Ruth Lubic, a midwife and Macarthur Fellow, whose career in child and maternal health has inspired a generation of nurses to follow in her footsteps.

In advance of this event, HANN and the Hillman Foundation want to know, what inspires you? Is it a person, a program, a memory, a story, or something completely different? Submissions can be as simple as a few words or a single image. Please email us your thoughts, stories, photos, articles, videos or links and we'll share them with the HANN and Hillman community through the Foundation blog.

To get the ball rolling, here's a video that inspires me: 

It's about a doctor making house calls to people without homes, and, on a broader scale, about reinventing our perspective on the health care system.

What inspires you? We want to know.

For more information on the Lubic event, please see the blog post or join the Hillman Alumni Nursing Network communities on Facebook and LinkedIn for regular updates and information on upcoming events.

 

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Nursing as a Force for Change: A Conversation with Ruth Lubic, CNM, EdD

by: Linda Le | Mon, Feb 3, 2014 |

We are excited to announce that the Rita & Alex Hillman Foundation will host a public dialogue with nursing legend Dr. Ruth Lubic, a midwife and Macarthur Fellow, whose career in child and maternal health embodies nursing’s historic role as a champion for underserved populations.

Nursing has a longstanding tradition of social activism, seeking public health and clinical innovations that better meet the needs of vulnerable populations. Inspired by the experience of the birth of her only child, Dr. Ruth Lubic has spent several decades championing personalized, high-touch, low-tech care during labor and childbirth for all women, particularly those in low-income neighborhoods. She co-founded the National Association of Childbearing Centers in 1983 and has helped establish more than 200 free-standing birth centers.  Throughout a distinguished career, Lubic has received five honorary doctorates and dozens of awards, including the American Public Health Association’s Martha May Eliot Award and the Institute of Medicine’s Lienhard Award. She was also named a Living Legend by the American Academy of Nursing.

When:   Thursday, February 27, 2014
               5:30PM - 7:30PM

Where:   New York University, Global Center for Academic and Spiritual Life
                Grand Hall, 5th Floor, 238 Thompson Street

For more information about the event or to reserve a space, please contact: hillmanalumninursingnetwork@gmail.com To reserve a space, please respond by Monday, February 24th.

 

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Hillman 2013 Innovation Fellowship Awardees

by: Linda Le | Wed, Dec 11, 2013 |

The Hillman Alumni Nursing Network Innovation Fellowship is designed to highlight and incentivize Hillman alumni pursuing professional development and innovation opportunities that demonstrate a commitment to improving health outcomes, lowering costs, and enhancing the experience of care. Proposed projects may promote individual leadership and growth, foster a deeper understanding of health care issues and/or provide seed funding for research.

A maximum of five awards of up to $5,000 are given each year.

 

Caroline Baptista & Magdalena Del Angel, New York College of Nursing, 2013
According to the CDC, opioid-associated overdose is the leading cause of accidental death among adults between the ages of 35 and 54. Under the leadership of Principal Investigator, Dr. Simmons (NDRI),  Caroline and Magdalena developed an interactive online learning module to address this issue. This module trains first-responders on how best to intervene in opioid-associated 911 calls with rescue breathing and naloxone. In order for this module to be most effective, support is necessary from the nursing community to advocate for state laws that enable first-responders to carry naloxone. The Hillman Fellowship will allow Caroline and Magdalena to present their work to nurse leaders from around the world at the International Nurses’ Society on Addictions.


Andrea Gersh, New York University, 2012
In an effort to advance NYU Langone Medical Center’s status as a leader in providing quality health care for LGBTQ patients, Andrea Gersh and Miles Harris are exploring the impact of using educational intervention to improve completion rates of Sexual Orientation and Gender Identity questions in the nursing admission assessment.  Andrea and Miles received Institutional Review Board approval for this study and training is currently underway. Andrea will use the Hillman Fellowship to attend and present results of this research at the 2014 GLMA Conference as well as assist in the production of a curriculum for distribution to acute care facilities nationwide.


Linda Kang, University of Pennsylvania, 2012
Relative to the general student population, East Asian International students suffer from higher rates of clinical depression. Linda hopes to address this issue by using the Hillman Fellowship to design and build a mobile app that promotes mental health by using stress management approaches such as cognitive-behavioral therapy. The app will also serve as a personalized gateway to mental health resources, allowing students to find and connect with appropriate services in a timely manner. Initial funding from the Hillman Fellowship will support international student focus groups to ensure cultural competence in design, with additional funds going towards app programming.


Natalia Ossinova, RN, BSN, MPH, IBCLC, University of Pennsylvania, 1999
In Natalia’s community in rural Virginia, a multi-component breastfeeding promotion intervention (‘Tengo Leche!’) has been undertaken to improve the low breastfeeding rates observed among local Hispanic mothers. As a first step, Natalia and her team established culturally competent prenatal education by training Hispanic medical interpreters to serve as peer supporters for lactation. The Hillman Fellowship will help Natalia use her background in obstetrical nursing, along with her training in public health and lactation consulting, to help Tengo Leche take its next big step: initiation of outpatient lactation consultation services, measuring the impact of interventions on our target population, and helping her local community hospital apply their experiences to the larger population.


Kathleen Magee, University of Pennsylvania, 2002
Kathleen will use her fellowship to attend the Institute for Healthcare Improvement’s (IHI) 25th Annual National Forum on Quality Improvement in Health Care.  As a Nurse Practitioner in Pediatric Oncology Kathleen has led several QI projects including the implementation of a Rapid Hydration Protocol prior to Chemotherapy and an Early Admission Process for Chemotherapy Admissions.  These dual interventions have helped increase the amount of chemotherapy given during the daytime for Chemotherapy Admissions at Sick Kids from 3% to about 80%.   The IHI conference will help introduce Kathleen to leading edge approaches to safety improvement in pediatric oncology. She plans to incorporate many of these best practices into her own work at Sick Kids.

 

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The MakerNurse Project

by: Ahrin Mishan | Tue, Oct 15, 2013 |

Last year I came across an article, "Design For Hack" in Medicine, about how 'MacGyver' nurses and children's toys were inspiring designers at MIT to make medical-device construction kits that would encourage and facilitate invention in the field. I was immediately intrigued and have since become an ardent admirer of both the work being done at MIT and the ingenuity of the nurses they have championed.

Recently, the same team from the MIT Little Devices Lab (Juan Gomez-Marquez and Anna Young) and the Robert Wood Johnson Foundation have announced a new initiative called MakerNurse which seeks to identify the myriad ways that nurses in US hospitals design, make, hack, and innovate in the name of better healthcare.

MakerNurse is one of the few programs I know of that explicitly recognizes nurse's gifts as designers. My hope is that, beyond celebrating their reputation as masters of the temporary fix, MakerNurse will help to promote nurses as much-needed leaders of long-term, systemic change.

For more information on on this exciting program, please read excerpts from the press release below:


MakerNurse is a new initiative of the Massachusetts Institute of Technology (MIT) Little Devices Lab and the Robert Wood Johnson Foundation to find DIY (do-it-yourself) nurses across the country—nurses working at the bedside improvising workarounds and fixing problems by creating small everyday tools and devices that improve patient care.

Too often, nurses are overlooked as innovators in the clinic. Our aim is to change that.

By examining nurse innovation in U.S. hospitals, MakerNurse hopes to uncover the behaviors, circumstances and cultural drivers that enhance resourcefulness and innovation among hospital nurses, and identify tools and resources that could help more nurses bring their ideas to fruition and lead improvements in patient care.

A recent article in HealthLeaders Media offers a fantastic example of an elegant nurse solution for a pediatric patient recovering from back surgery. These are exactly the types of stories we are hoping to hear and the ones that inspire us to design tools to help nurses succeed.

If you would like to arrange a MakerNurse workshop for your hospital at a later date, please let us know. Each visit includes a 1-2 hour mini-MakerNurse workshop with a group of 15-20 nurses and hospital staff. Our team will present the MakerNurse initiative, talk with the group about their experiences and challenges with making, and include time for everyone to test out some of the tools, technologies and materials we have developed at MIT to make it easier to fabricate and prototype health care inventions—our MakerNurse Technology Crash Cart.


We hope to hear from you!
Anna Young and Jose Gomez-Marquez
The MakerNurse Project
Discovering Nurses who Make, Inventing the Tools to Support them
614-271-2090 (c)
akyoung@mit.edu
www.makernurse.org

facebook.com/Makernurse
Twitter: @Makernurse
Instagram: @MakerNurse

 

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Who is the Real Medical Expert?

by: Ahrin Mishan | Thu, Aug 22, 2013 | TED

Patients are often micro experts on their own disease and treatment. What would happen, then, if all that knowledge was crowd sourced?

Roni Zeiger, physician and Smart Patients CEO,  explores how online communities of patient-experts can be a powerful force in sharing vast knowledge, shaping research, hastening clinical advances, and ultimately, saving lives.

How might Nursing harness the power of a social-network of micro-experts?

 

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RAHF Scholar/ Fellow News: Ramon Ruiz Sampao

by: Linda Le | Fri, Jul 26, 2013 | Scholar/ Fellow News

The work of Ramon Ruiz Sampaio, a recipient of a 2013 Hillman/ICP Fellowship to document stories of health and healthcare in the United States, was recently featured by CNN as part of their CNN Photos series.

Sampaio’s project, "Documenting Milton’s Last Year", focuses on the psychological, physical and daily difficulties of a caregiver’s journey. This moving photo essay explores the unconditional love and struggles of Debbie and her husband Milton as he battled Parkinson’s disease. The full feature can be found here.

 

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RAHF Scholar/ Fellow News: Rebecca (Pisano) Trotta

by: Linda Le | Thu, Jul 25, 2013 | Scholar/ Fellow News

Hillman Alumnus Rebecca (Pisano) Trotta (Penn/Hillman ’98) received a major –and highly competitive – Health Resources and Services Administration (HRSA) grant for her project, “Developing Geriatric Resource Nurse-Led Inter-professional Collaborative Practice”. This project will develop nurses’ clinical geriatrics expertise and their capacity to lead inter-professional teams around the care of geriatric patients. Not only will this program reduce variations in care of older adults, it will also advance overall patient and family care for this population.

Please join us as we congratulate Rebecca Trotta on her exemplary work.

 

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Medicare and Immigration

by: Ahrin Mishan | Mon, Jun 3, 2013 | immigration, medicare

Every now and then a study comes along that alters, in subtle yet profound ways, our understanding of the world.

A recent report led by researchers at Harvard Medical School shows that immigrants contribute significantly more to Medicare than the program disburses on their behalf. This contradicts a commonly held belief that immigrants constitute a major drag on Medicare spending and other healthcare resources.

Quite the opposite, the study demonstrates that from 2002 to 2009, immigrants created surpluses of $115 billion dollars for Medicare, while the American–born population generated a deficit of over $28 billion.

It will be fascinating to see whether these new findings contribute to a meaningful shift in our collective thinking or whether the old narratives about healthcare’s “givers and takers” are just too deeply ingrained to be revised.  Will this new research influence policy makers to amend restrictions on immigrant’s access to care? Will it have an affect on the perceptions of healthcare providers and practitioners and if so, will that translate into a qualitative difference in the delivery of care? What if any impact might this have on nurse managed clinics that serve many in this population?

How does this affect you? Let us know your thoughts.

For more, please see the NY Times article and the original study published in Health Affairs

 

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Quyen Nguyen: Color-coded surgery

by: Linda Le | Thu, May 30, 2013 | innovation, TED

Textbooks conveniently color-code tissues to teach surgery but that’s not what it looks like in real life – until now. At TEDMED 2011 Dr. Nguyen demonstrates how a molecular marker can make tumors light up in neon green, showing surgeons exactly where to cut. At first glance, this is a seemingly straightforward and obvious approach – why hasn't this been thought of before? However, Dr. Nguyen's in-depth presentation reveals the ingenuity, complexity and team effort involved to make this possible.

There is no doubt that this medical breakthrough will be of tremendous assistance to medical professionals and patients alike. With this method, surgeries become more intuitive and accurate which in turn enhances the preservation of nerves and decreases the overall number of surgeries required to remove tumors. As nurse practitioners assume a greater role in the health care system, foolproof methods such as this help make surgeries more accessible and efficient which further enables nurses to practice to the full scope of their abilities.

Also notable in Dr. Nguyen’s presentation is the emphasis that collaboration is essential for medical breakthroughs such as this one: “Successful innovation is not a single breakthrough. It is not a sprint. It is not an event for the solo runner. Successful innovation is a team sport, it’s a relay race.” This medical development is a great example of teamwork yet it is only a small indication of what is achievable if individuals of all skills and capacities work together. There are endless opportunities to improve, enhance and innovate nursing and patient care – the next step is to gather the team to get us there.

We're excited by this innovation and the combined effort that made it possible. The prospects are truly endless when members of the medical community work together. We hope it inspires you too.

 

 

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Time to Ease Restrictions On Nurses?

by: Linda Le | Tue, Apr 30, 2013 | nursing workforce

Nurse practitioners are central to solving the shortage of primary care providers. The Huffington Post offers a concise and compelling op-ed advocating for legislation that would allow nurse practitioners to practice to the full scope of their abilities.

In this Huffington Post article, David Freudberg discusses affordable medical care and what this means to the health care system. The existing shortage of primary care providers along with the prediction that the new Affordable Care Act (ACA) will bring in more patients presents a dilemma - who will provide care?

The Institute of Medicine (IOM) addressed this issue in a 2010 report which called for creation of residency training programs for nurses and recommended that the number of nurses who pursue doctorates be doubled. Additionally, the New England Journal of Medicine published an 2011 article which stated, "there are no data to suggest that nurse practitioners in states that impose greater restrictions on their practice provide safer and better care".

This change would not only empower the nursing workforce and solve the shortage of care, but it would emphasize the importance and role of nurses. Do you agree? We'd love to hear your thoughts. 

 

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2013 Rita and Alex Hillman Foundation Fellowship Recipients

by: Ahrin Mishan | Mon, Feb 25, 2013 |

The Rita and Alex Hillman Foundation and the International Center of Photography (ICP) are proud to announce that Antonio Bolfo, Eric Michael Johnson, and Ramon Ruis Sampaio, have been named recipients of the 2013 Rita and Alex Hillman Foundation Fellowship. Each will receive a grant of $10,000 in support of an exemplary photographic project that addresses a critical issue in healthcare today and will be mentored by an appointed member of ICP’s faculty. 

The goal of the Fellowship is to establish, over time, a body of work chronicling the increasingly complex story of health and healthcare in America. These images, we hope, will help to increase our understanding of the challenges that patients, caregivers, and communities face in uncertain times.

Antonio Bolfo graduated from ICP in 2009 and is working as a Reportage by Getty Images Photographer. His project focuses on emergency care for people living below the poverty linein Chicago. Many are HIV positive living in squalid conditions.

Eric Michael Johnson graduated from ICP in 2010 and has been working on the subject of healing since he was a student. His project explores the intimate relationship between hospice care and the elderly, specifically how nurses take on the work of doctors in some rural areas without access to physicians.

Ramon Ruiz Sampaio graduated from ICP in 2012 and is continuing his project on Parkinson’s disease, which he began as a student. The project focuses on one man’s battle with the disease, told through intimate black-and-white photographs. Sampaio hopes to continue this work in Mexico and make a comparison with the health care system there and in the U.S.

 

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