Grant Partners
Joint Committee for Children's Health Care in Everett 2012
The Joint Committee for Children's Health Care in Everett will provide outreach, interpretation, application assistance, and scheduling support for children and their parents, particularly in Latino and Haitian immigrant populations.
Community Healthlink, Inc.
MyLink: Community Healthlink and its hospital partners will identify 300 “high user” patients and provide them with a MyLink community support worker who will meet them in the emergency room, maintain regular telephone and in-home contact, provide assistance in meeting basic needs, help anticipate crises, and connect the patient with the appropriate level of care (primary care, home health services, or behavioral healthcare). The project expects to expand to Health Alliance Hospital in Leominster and St. Vincent Hospital in Worcester, and collaborate with dispatchers and EMTs to provide additional insight into the needs of the patients they treat and transport.
Lynn Community Health Center
Lynn Community Health Center will develop and evaluate its Integrated Care Project, an effort that integrates primary care and behavioral health care. It will also develop a universal care plan supported by an electronic health record. The project will create new models of care management and coordination for the health center’s highest-risk patients. The health center believes that more appropriate services and increased treatment compliance will result in fewer emergency room visits and inpatient hospital care, reducing overall health care costs. Over the three-year project, the health center will target 1,000 patients who have the highest rates of emergency room visits and inpatient hospital care. To serve these patients, Lynn will develop an intensive care management team in which primary and behavioral health providers will work together.
Greater Lawrence Family Health Center
Enhancing Patient Access to Primary Care: Greater Lawrence Family Health Center will target “super-utilizers” of the emergency departments of Holy Family Hospital, Lawrence General Hospital and Merrimack Hospital. “Super-utilizers” are identified as those who have visited the emergency department during clinical hours of operations, could have waited at least 12 hours to be seen, and have been seen at least four times within a 12-month period at one of the hospitals. A team consisting of a family physician, a behavioral health psychologist, a nurse care manager, and bilingual and bicultural health care coaches will develop care plans for these patients.
Massachusetts Senior Action Council 2012
The Massachusetts Senior Action Council will enable the voice of seniors in pursuit of two key objectives. First, to defend current health coverage which is essential for vulnerable seniors and people with disabilities to obtain needed services. Second, for the development of a robust advocacy strategy for improving existing health care systems, restraining health care cost growth, and redressing current inequities caused by coverage gaps and variations in quality.