Health Research and Educational Trust
$150,000
Adding Race/Ethnicity Data to Chicago Community Health Center Clinical Performance Information System
Evidence shows that quality improvement efforts are more likely to reduce disparities in health care for minority populations when providers keep track of patients' race and ethnicity. For this project-a partnership among the Health Research and Educational Trust, American Medical Association (AMA), and Alliance of Community Health Services in Chicago-the investigators will collect patient demographic data, including race and ethnicity, from a consortium of community health centers and then integrate that data into electronic health record systems. Doing so will enable the researchers to link AMA-developed clinical performance measures with key patient characteristics to identify disparities in performance and inform quality improvement efforts.
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Romana Hasnain Wynia, Ph.D.
Director, Research and Evaluation
One North Franklin Street, 30th Floor
Chicago, IL 60606
(312)422-2643
rhasnain@aha.org
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Johns Hopkins University
$249,983
Disparities in the Quality of Hospital Care: Does Where You Go Matter?
Minority and low-income patients are more likely to use 'safety net' hospitals-primarily public hospitals and major teaching hospitals-than white and more affluent patients. Safety net hospital executives assert that because their staff have expertise in caring for these patients, they are able to provide them higher-quality care than other hospitals. For this project, researchers will use inpatient discharge data for 15 states to determine which hospitals provide the best care to minority and low-income patients, and which characteristics and best practices are associated with high-performing hospitals serving these populations. Findings will inform the development of policy options for improving hospital care in underserved communities.
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Darrell J. Gaskin, Ph.D.
Associate Professor
Department of Health Policy and Management
624 North Broadway, Room 441
Baltimore, MD 21205
(443) 287-5297
dgaskin@jhsph.edu
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Mount Sinai School of Medicine
$125,000
Improving the Delivery of Effective Care to Minorities
Commonwealth/Health Services Improvement Fund Grant
This is the third and final phase of a project to investigate the underuse of effective medical services in minority communities and test interventions to improve the delivery of care. The investigators are targeting four major conditions: breast cancer, recurrent stroke, hypertension, and prematurity of newborns. In the first phase, project staff, working with experts in clinical medicine, developed evidence-based, consensus guidelines defining how effective treatments should be used and what constitutes underuse of care. Focusing on northern Manhattan, the project team in the second phase assessed the magnitude and causes of underuse for each condition and designed interventions to improve the delivery of appropriate care. In the third phase, the investigators will evaluate the impact their interventions have had in Harlem.
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mark.chassin@mountsinai.org
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Princeton Survey Research Associates International
$404,250
Survey on Health System Performance: The Patient Perspective
The Fund's 2001 Health Care Quality Survey found that Americans face challenges in accessing high-quality, patient-centered care, and that obstacles are particularly problematic for minorities. A follow-up survey in 2006 will explore system performance from the patient's perspective, with a focus on care coordination, communication, safety, and the extent to which patients have timely access to primary and preventive care. The survey, which will over-sample minority and low-income adults, will explore how quality of care is affected by having, or not having, a 'medical home' and access to patient-centered care. In addition to informing leaders in health care and policy, findings will assist the Fund in its grantmaking and the Commission on a High Performance Health System in developing the Health System Indicators Scorecard.
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Mary E. McIntosh, Ph.D.
President
1211 Connecticut Avenue, N.W., Suite 305
Washington, DC 20036
(202) 293-4710
marymcintosh@psra.com
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University of Florida
$236,225
Impact of Cultural and Linguistic Standards on Patients’ Experience with Inpatient Hospital Care
In an effort to reduce racial and ethnic disparities in patients' health care experiences, the U.S. Office of Minority Health has developed national standards of culturally and linguistically appropriate services (CLAS) for health care providers. No one has yet examined whether such standards have any beneficial impact. Using five data sources, including the Cultural Competency Assessment Tool of Hospitals developed by the grantee, project staff will examine whether patients in hospitals that adhere to CLAS standards have better experiences in terms of communication with doctors and nurses, staff responsiveness, pain control, and other measures. Information about best practices will assist other hospitals in delivering more appropriate care to all of their patients.
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Robert Weech-Maldonado, Ph.D.
Associate Professor
P.O. Box 100195
Gainesville, FL 32610-0195
(352) 273-6080
rweech@phhp.ufl.edu
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Small Grants—Quality of Care for Underserved Populations
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Association of Clinicians for the Underserved
$49,998
Assessment of Health Literacy Practices
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Kathie Westpheling
Executive Director
1420 Spring Hill Road Suite 600
McLean, VA 22102
(703) 442-5348
kathiew@clinicians.org
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National Academy of Sciences
$25,000
Roundtable on Health Disparities
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Faith Mitchell
Senior Program Officer
500 5th Street, NW, Room 758
Washington, DC 20001
(202) 334-3352
fmitchel@nas.edu
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National Committee for Quality Assurance
$49,654
Cultural Competence in Patient-Centered Care
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Sarah H. Scholle, Dr.P.H.
Assistant Vice President, Research and Analysis
2000 L Street, NW
Washington, DC 20036
(202) 955-1726
scholle@ncqa.org
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The Commonwealth Fund
$14,000
Cultural Competency Expert Roundtable
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Anne C. Beal, M.D.
Senior Program Officer
1 East 75th Street
New York, NY 10010
(212) 606-3854
acb@cmwf.org
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The National Association of Community Health Centers
$10,000
Health Centers and the Medically Underserved: Building a Research Agenda
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Daniel Hawkins
Vice President for Federal, State and Public Affairs
2001 L Street, NW, 2nd Floor
Washington, DC 20036
(202) 296-3800
dhawkins@nachc.com
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