The John A. Hartford Foundation Board of Trustees approved four new grants totaling $6,895,184 in September 2018 to disseminate Patient Priorities Care, support new Health and Aging Policy Fellows, scale the age-friendly health systems model in ambulatory care settings, and address unmet family caregiving needs in diverse communities.

Yale University: Patient Priorities Care: Dissemination and Scaling ($3,000,000 for four years)

This grant supports the dissemination of Patient Priorities Care, a process ensuring that older adults with multiple chronic conditions receive care aligned with their articulated values, goals, and health priorities. Pilot findings showed reductions in medications and unnecessary diagnostic testing, and appreciation by patients and clinicians for attention to goals, reduced care burden, and improved quality of life. In this phase, a patient self-directed version for identifying goals will be developed; use of OurNotes (a component of OpenNotes that allows patients to input information into their electronic health record) will be piloted; products, tools and training will be refined in partnership the American College of Physicians; and the process will be embedded in JAHF-supported Age-Friendly Health Systems sites and elsewhere. 

Research Foundation for Mental Hygiene: Health and Aging Policy Fellows Program ($2,399,822 for 51 months)

The Health and Aging Policy Fellows (HAPF) program provides professionals in health and aging with a year of financial support, career opportunities and expanded networks to directly influence the policymaking process and become effective advocates for older adults. This grant will continue the program for four additional years and support at least 48 new Fellows. The program has supported 128 Fellows over the last ten years from a diversity of backgrounds, disciplines and career stages with placements in Congressional offices, federal agencies, and non-profit organizations. 

Case Western Reserve University: Age-Friendly Health Systems Ambulatory Care Continuum ($945,684 for one year)

This one-year planning grant, led by Case Western Reserve University Frances Payne Bolton School of Nursing in partnership with CVS MinuteClinic and the Institute for Healthcare Improvement, will produce training tools and resources that can be used in retail ambulatory care settings to address the “4Ms” of the Age-Friendly Health Systems model (What Matters, Medication, Mentation and Mobility). The project will identify CVS MinuteClinic sites with a large aging demographic for implementation of the professional development modules in a subsequent phase. This effort ultimately aims to scale age-friendly care to all 1,100 CVS MinuteClinic locations across the nation and train more than 2,900 nurse practitioners and physician assistants. 

Diverse Elders Coalition: Addressing Unmet Family Caregiving Needs in Diverse Older Communities ($549,678 for 15 months) 

Millions of family members and friends are caregivers of older adults among racially and ethnically diverse people; American Indians and Alaska Natives; and lesbian, gay, bisexual and/or transgender people. To address the lack of culturally and linguistically appropriate caregiver support for different populations, the Diverse Elders Coalition will embark on a multi-phase initiative to educate and train health care and social service providers while raising awareness among policymakers. During this planning grant phase, the coalition will investigate the state of caregiving in diverse communities and develop an educational and training curriculum, as well as action plans for the coalition and individual members to implement in subsequent phases.