The John A. Hartford Foundation Board of Trustees approved five new grants totaling $5,276,482 in December 2018, all focused on implementing and disseminating evidence-based approaches to better care for older adults who have dementia, need hospital care, experience elder mistreatment, or have other complex health and social needs. 

Icahn School of Medicine at Mount Sinai: Scaling and Dissemination of Hospital at Home ($2,000,000 for two years)

This grant will support expansion of the Hospital at Home care model through the development of new implementation tools and resources, a National Users Group, and new payment strategies with Medicare and commercial payers. Hospital at Home is an evidence-based program that provides safe, high-quality, hospital-level medical care in the home for older adults with certain conditions. These activities aim to expand the availability of Hospital at Home to 10-15 new sites and increase capacity at one-third of current programs to serve greater numbers of older adults.

Education Development Center: National Collaboratory to Address Elder Mistreatment, Model Implementation ($1,550,000 for 30 months)

This project will implement and evaluate the Elder Mistreatment Emergency Department Care Model within six diverse emergency departments. An estimated 10 percent of older adults—5 million people—are subject to elder abuse, neglect, exploitation and other forms of mistreatment. The intervention, developed with a group of leading national experts, aims to ensure that older people seen in emergency rooms, including in hospitals with limited resources, will be assessed for potential mistreatment and receive appropriate treatment and referral. In addition to conducting a structured feasibility trial of the model, the project will prepare training materials and develop clinical leaders in preparation for national scaling in a future phase.

University of California, Los Angeles: Dissemination of the UCLA Alzheimer’s and Dementia Care Program ($1,510,662 for three years)

The UCLA Alzheimer’s and Dementia Care Program has shown remarkable results for people living with Alzheimer’s and other dementias in addressing critical health care, social service and family caregiver needs while improving health outcomes and health care costs. In this grant the UCLA team will partner with the Education Development Center, the Gerontological Advanced Practice Nurses Association, the Alzheimer’s Association, the American Geriatrics Society and initial adopter, Hebrew SeniorLife. The group will engage 8-10 diverse locations for implementation of this proven program and educate nurse practitioners in dementia care management.

Institute for Healthcare Improvement: 

​Through a six-foundation collaborative committed to improving care for people with complex health and social needs, the Institute for Healthcare Improvement (IHI) will receive support to continue the development and dissemination of the Better Care Playbook, an online set of resources that support the adoption of evidence-based models and practices. In a related project also supported by the collaborative, IHI will establish a learning community of 30-45 teams from Medicare Advantage plans that will implement models and practices from the Playbook in order to change provider behavior and improve outcomes for beneficiaries with complex needs.