ENVIRONMENTAL CONSERVATION PATIENT CARE SCIENCE SAN FRANCISCO BAY AREA
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Nursing Special Opportunities
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Between 2006 and 2011, the Betty Irene Moore Nursing Initiative team had the opportunity to support a limited number of projects outside the Initiative’s approved strategic and geographic focus areas. The projects supported by the grants listed below providedan opportunity--complementary to the work of the Initiative--for exploration, learning, and impact.
| Grantee |
Amount |
Date |
 | Health Plan of San Mateo Inter-disciplinary Team-based Care Management Pilot | $849,031 | Oct. 2010 | | | | Term | Amount | Date Approved | | 30 mo. | $849,031 | Oct. 2010 |
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Purpose For the pilot of an inter-disciplinary team-based care management model for Health Plan of San Mateo high utilization patients, most of whom have multiple chronic conditions. The pilot will result in improved quality outcomes, reduced Emergency Department visits and hospitalizations, and a commitment by the Health Plan of San Mateo to fully implement and sustain the new model if successful. | Term | Amount | Date Approved | | 14 mo. | $117,000 | May 2010 |
Purpose To support development of a plan for fully implementing the Care Transitions Model with Health Plan of San Mateo patients hospitalized at San Mateo Medical Center. The immediate goal of the grant is to double patient participation in the Care Transitions Model, and the long-term goal is to reduce 30-day and 90-day readmission rates for Health Plan of San Mateo patients hospitalized at San Mateo Medical Center by at least 30%. |  | Kaiser Foundation Hospitals, Kaiser Foundation Research Institute Early Detection of Impending Physiologic Deterioration (EDIP) Electronic Early Warning System | $1,584,080 | Oct. 2010 | | | | Term | Amount | Date Approved | | 18 mo. | $1,584,080 | Oct. 2010 |
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Purpose In support of testing a predictive model for early deterioration of impending physiologic deterioration (EDIP) of hospitalized patients and developing an electronic early warning system for implementing the EDIP model. The predictive model and early warning system will be piloted at Kaiser Foundation Hospitals, with the goal of reducing unplanned transfers to the ICU and ICU mortality. | Term | Amount | Date Approved | | 24 mo. | $987,024 | Nov. 2012 |
Purpose The purpose of this grant to Kaiser Foundation Hospitals, Kaiser Foundation Research Institute, is to support the development of a predictive model for hospital readmissions. | Term | Amount | Date Approved | | 16 mo. | $226,000 | Jul. 2012 |
Purpose To support the evaluation of the implementation of an ICU clinical bundle intervention. |  | Palo Alto Medical Foundation Strengthening Primary Care: Operational Improvements and Strategic Plan | $1,156,000 | Oct. 2010 | | | | Term | Amount | Date Approved | | 27 mo. | $1,156,000 | Oct. 2010 |
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Purpose In support of improving primary care at the Palo Alto Medical Foundation (PAMF), including improvements to primary care workflow processes and the completion of a Strategic Plan to improve care for patients with chronic conditions. This program will lead to the outcomes of improvements in the quality and efficiency of primary care delivered by PAMF to its patients. | Term | Amount | Date Approved | | 25 mo. | $1,200,000 | Nov. 2010 |
Purpose In support of the design, pilot, and evaluation of a new care delivery model utilizing Health Information Technology, including an Interactive Personal Health Record, at the Palo Alto Medical Foundation, with the goal of controlling blood pressure for patients diagnosed with hypertension. |  | Public Health Institute, Center for Technology and Aging Remote Patient Monitoring Projects | $240,000 | Oct. 2010 | | | | Term | Amount | Date Approved | | 56 mo. | $240,000 | Oct. 2010 |
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Purpose In support of the Public Health Institute's Center for Technology and Aging for an additional cohort of Remote Patient Monitoring pilot projects, with the goal of improving outpatient quality indicators (e.g., reducing hospital admissions and readmissions) for adult patients with chronic conditions. |  | San Francisco Health Plan San Francisco Quality Culture Series | $323,700 | Sep. 2010 | | | | Term | Amount | Date Approved | | 17 mo. | $323,700 | Sep. 2010 |
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Purpose To develop the quality improvement, management, and team work skills of 20 San Francisco safety net clinic management teams. These improved skills will be demonstrated by a completed quality improvement project by each clinic management team, which will result in improvement in primary care quality indicators. |  | Stanford University, School of Medicine Identification of Healthcare Quality Opportunities for Care Delivery Model Redesign | $140,000 | Feb. 2011 | | | | Term | Amount | Date Approved | | 4 mo. | $140,000 | Feb. 2011 |
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Purpose This grant to Stanford University, School of Medicine supports the identification and prioritization of specific healthcare quality opportunities for care delivery model redesign, leading to improved quality of care through implementation of these new models. | Term | Amount | Date Approved | | 42 mo. | $601,424 | Jul. 2012 |
Purpose In support of the implementation of a transitional care program at Stanford Hospital and Clinics for heart failure patients. The goal of the program will be to achieve and sustain a 30% reduction in the 30-day and a 15% reduction in 90-day all cause readmission rates for patients with heart failure. | Term | Amount | Date Approved | | 24 mo. | $249,745 | Jun. 2012 |
Purpose In support of a study of how eHealth technology could be used to engage and meet the needs of patients and caregivers who are managing multiple chronic conditions. | Term | Amount | Date Approved | | 41 mo. | $2,446,138 | Sep. 2010 |
Purpose To investigate how corals resist stress through development of a powerful sea anemone model system and related experiments with corals, sea anemones and the symbiotic algae that reside in them. The funding will be used to enhance researchers' abilities to predict coral resilience by identifying early, reliable signals that result from changing environmental conditions. | Term | Amount | Date Approved | | 33 mo. | $1,077,000 | Nov. 2009 |
Purpose For the development and rollout of an intensive patient safety intervention incorporating frequent, unit-based simulation team training on four medical-surgical units at Stanford Hospital & Clinics. This program will lead to three outcomes: reduction in the incidence rate of at least one hospital-acquired complication per unit, reduction in the rate of unplanned transfers of non-Do Not Resuscitate (non-DNR) patients to a higher level of care, and reduction in the risk-adjusted mortality rate of non-DNR patients. |  | University of California, San Francisco Department of Family and Community Medicine Impact of Health Coaching in an Outpatient Clinic: A Randomized Controlled Trial | $1,429,000 | Jun. 2010 | | | | Term | Amount | Date Approved | | 15 mo. | $1,429,000 | Jun. 2010 |
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Purpose In support of the development, implementation, and evaluation of a Randomized Controlled Trial to test the efficacy of a Primary Care Health Coaching intervention at the Mission Neighborhood Health Clinic in San Francisco, with the goal of improving outcomes for patients diagnosed with Type 2 Diabetes and/or Hypertension. |  | University of Colorado Denver, School of Medicine A Family Caregiver Protocol to Reduce Hospital Readmissions | $950,000 | May 2011 | | | | Term | Amount | Date Approved | | 30 mo. | $950,000 | May 2011 |
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Purpose This grant will support development and testing of a family caregiver protocol enhancement for the Care Transitions Intervention. Family caregivers will be trained in the new protocol with the goal of reducing avoidable hospital readmissions for older, chronically ill patients. |  | University of Pennsylvania, School of Nursing Pilot of New Care Delivery Model for Older Adults with Multiple Chronic Conditions | $760,000 | Jun. 2011 | | | | Term | Amount | Date Approved | | 24 mo. | $760,000 | Jun. 2011 |
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Purpose This grant to the University of Pennsylvania, School of Nursing supports the design, pilot, and evaluation of a new care delivery model for older adults with multiple chronic conditions--a combination of the Patient Centered Medical Home (PCMH) and the Transitional Care Model (TCM). The goals of the pilot are to demonstrate positive trends in patient outcomes, patient satisfaction, caregivers’ and health teams’ satisfaction, and to determine whether to proceed to a large scale study of the new model. |  | ValleyCare Health System Bar-Coding Technology Implementation | $939,000 | Aug. 2010 | | | | Term | Amount | Date Approved | | 29 mo. | $939,000 | Aug. 2010 |
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Purpose In support of the purchase, installation, and implementation of bar-coding technology in ValleyCare Health System's Pleasanton campus, with the goal of significantly reducing medication administration errors in all adult inpatient units by December 31st, 2012. | Term | Amount | Date Approved | | 21 mo. | $134,000 | Feb. 2012 |
Purpose This grant will support ValleyCare Health System’s Magnet Journey, leading to the submission of its completed Magnet documentation, and Magnet designation by December 2013. | Term | Amount | Date Approved | | 19 mo. | $32,000 | Aug. 2011 |
Purpose This grant will support ValleyCare Health System’s Magnet Journey, leading to the submission of its Magnet application, completed Magnet documentation, and Magnet designation by March 2013. | Term | Amount | Date Approved | | 29 mo. | $574,380 | Sep. 2008 |
Purpose To involve ValleyCare Health System with the Institute for Healthcare Improvement, ?Transforming Care at the Bedside Program to optimize the discharge planning process for fragile elders with Congestive Heart Failure. | Term | Amount | Date Approved | | 12 mo. | $40,000 | Sep. 2007 |
Purpose This grant will support an external gap analysis, action plans, and submission of ValleyCare Health System’s Magnet Application. The grant will assist ValleyCare Health System in their Magnet Designation Journey and will lead to continuous improvement of nursing care at ValleyCare. | Term | Amount | Date Approved | | 24 mo. | $75,000 | Jun. 2005 |
Purpose ValleyCare Health System is using this grant to implement the Institute for Healthcare Improvement's 100K Lives Campaign, a national initiative to implement six scientifically-based clinical interventions that address leading sources of mortality and complications within hospitals. Outcomes include implementation of Campaign interventions, participation in a Regional Hospital Collaborative on Patient Safety, and communication of aggregate mortality data to the Institute for Healthcare Improvement. |  | Vanderbilt University Medical Center National Nursing Workforce Research | $676,100 | Jun. 2010 | | | | Term | Amount | Date Approved | | 32 mo. | $676,100 | Jun. 2010 |
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Purpose In support of a portfolio of national nursing workforce research using three national datasets, with the goal of developing improved empirical estimates of future national and regional Registered Nursing workforce needs. The research will provide new estimates of the factors that affect RN labor force participation and will update estimates of the future supply of RNs. The findings from this research will be submitted to peer-reviewed journals and disseminated nationally. | Term | Amount | Date Approved | | 24 mo. | $390,000 | Jun. 2011 |
Purpose The purpose of this grant to Vanderbilt University Medical Center is to support research on the role of Nurse Practitioners (NPs) in primary care, leading to the long-term outcome of an increased understanding of the current and potential role of NPs in providing primary care. |
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