New Grants Totaling $11.4 Million Approved by JAHF Board of Trustees

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The John A. Hartford Foundation Board of Trustees approved new grants totaling $11,416,397 to advance age-friendly approaches across health care and public health nationwide.

Age-Friendly Public Health Systems: Transforming Public Health Aging Policy and Practice Through Leadership and Systems Change, Phase IV
($2,741,494 for 3 years)
Trust for America’s Health

This grant will support Trust for America’s Health (TFAH) to expand and strengthen the Age-Friendly Public Health Systems (AFPHS) initiative nationwide. Building on progress since 2018 that has elevated healthy aging as a core public health function and resulted in substantive adoption of age-friendly public health policies and practices in 13 states and more than 100 localities, TFAH will expand its training and recognition program to reach all 59 state and territorial health departments and all 3,300 local and tribal health departments. In partnership with the Public Health Accreditation Board, TFAH will integrate healthy aging principles into national public health department accreditation guidance. TFAH will also lead cross-sector Age-Friendly Ecosystem collaboration to align public health efforts with other age-friendly initiatives.

Optimizing 4Ms Implementation and Evaluation in Convenient and Primary Care
($2,572,862 for 3 years)
Case Western Reserve University

This grant will accelerate adoption of the Age-Friendly Health Systems 4Ms Framework in convenient care clinics and primary care settings and serve as the model for nationwide spread of age-friendly primary care. Case Western Reserve University’s Frances Payne Bolton School of Nursing and CVS Health have implemented delivery of care to older adults using the evidence-based 4Ms set—What Matters, Medication, Mentation and Mobility—across more than 800 MinuteClinic sites. The next phase will continue to increase reliable delivery of care based on the 4Ms in CVS convenient and primary care sites, measure outcomes to demonstrate value-based impact, and convene a National Primary Care Learning Network to evaluate and disseminate 4Ms implementation strategies in primary care beyond CVS Health. The project will form a collaboration with CVS’ network of primary care practices for older adults, Oak Street Health, the Department of Veterans Affairs and Dartmouth Health. CVS Health provides funding for leadership, analytics, clinician development and electronic health record engineering.

Scaling and Sustaining Hospital at Home in the US: Payment, Caregivers, Workforce and Data
($2,295,062 for 3 years)
Icahn School of Medicine at Mount Sinai

The goal of this project is to scale and sustain the Hospital at Home (HaH) model as a mainstream, permanent component of health care delivery that advances age-friendly care nationwide. The project leadership team and HaH Users Group, a network of model implementers, will continue to focus on developing resources that inform policy, payment, and quality and safety, including advocating for reimbursement extension and permanent Medicare payment, to ensure the HaH model expands across the nation. The project will support HaH programs in recognizing and providing support to family caregivers as critical to HaH model success. Health care providers will be better prepared for HaH care through provider education, training and technical assistance. Expanded data collection and continued evaluation will further prove the HaH model’s worth to health system leaders.

A National Initiative to Spread, Scale and Sustain Price-Informed Shared Decision-Making and Health Care Engagement Tools for Older Adults and Family Caregivers, Phase III
($1,958,670 for 3 years)
FAIR Health

FAIR Health, a national, independent source of health care cost data, will advance health care engagement for older adults by expanding and nationally disseminating price-informed tools that empower patients and caregivers to make care decisions aligned with what matters most to them. FAIR Health will broaden and sustain the use of price-informed shared decision-making tools both online and at the point of care through 10 age-friendly clinical site collaborations and by reaching 30 million consumers through communications and marketing strategies. The project will disseminate resources, facilitate learning exchanges among clinicians, launch targeted national and Spanish-language campaigns, and evaluate impact through surveys and site data.

A Conversational Artificial Intelligence Platform for Age-Friendly Care in Medicare Managed Care
($1,358,369 for 18 months)
University of Texas Health Science Center at Houston

UTHealth Houston will develop and pilot MyHealthPriorities AI, a conversational artificial intelligence platform designed to improve age-friendly care for older adults by helping patients and caregivers clearly identify what matters most to them and translating those priorities into actionable, structured care goals within the electronic health record. In partnership with America’s Physician Groups and two Medicare managed care practices, the pilot project will integrate the tool into clinical workflows; support age-friendly, goal-aligned care planning; and test whether patient goals can be reliably captured and tracked using goal attainment measures. Through rapid-cycle testing with patients and clinicians, the team will evaluate real-world feasibility, acceptability and clinical integration while incorporating strong safeguards to support safe and responsible use of AI in care for older adults.

Core Support Renewal: Building an Aging Philanthropy Movement
($489,940 for 3 years)
Grantmakers In Aging

This grant will continue support for Grantmakers In Aging (GIA), a community of funders mobilizing money and ideas to strengthen policies, programs and resources for all of us as we age. This funding will help GIA grow and diversify its membership, equip funders with timely knowledge and tools, and create opportunities for collaboration and collective action across the field. Through convenings such as its annual conference, issue-focused Funders Communities, and expanded communications and resources, GIA will continue to elevate aging as a cross-cutting priority in philanthropy and build partnerships to help funders support a better later life for everyone.