United Hospital Fund

Last updated
United Hospital Fund of New York
Founded1879
Type non profit
Location
  • New York City
Key people
Oxiris Barbot, President
George Macculloch Miller (First President)
Endowment $117 million [1]
Website www.uhfnyc.org
[2]

The United Hospital Fund of New York (UHF) is a nonprofit organization that focuses on improving health care in New York. It conducts health policy research and supports numerous health care initiatives through fundraising, grantmaking, and collaboration with other health care organizations. Since August 2017, the organization is led by Oxiris Barbot.

Contents

Founding and early program history

The United Hospital Fund was founded as a charitable organization in 1879, [3] raising money for New York hospitals that provided health care for people who could not otherwise afford it. [4] [5] Originally called the Hospital Saturday and Sunday Association of New York City, it was formed "to obtain benevolent gifts for the hospitals of New York... and to provide for distributing these gifts... among such hospitals." [6] Its first president was George Macculloch Miller. The organization changed its name to the United Hospital Fund of New York in 1916. [7]

In 1935, the Fund established the Associated Hospital Service of New York (AHS), which later became Blue Cross and Blue Shield of Greater New York. [8] It also helped found organizations that became the Greater New York Hospital Association (1904), [9] United Way of New York City (1938), and the New York Blood Center (1956). [10]

Recent research and notable activities

In accordance with its mission, the Fund's research, policy analysis, and grantmaking focus on health care and health equity, primarily in New York. [11] Its research addresses health insurance coverage, health care quality, and patient safety. It also has been committed to reorienting health care services toward the needs of particular populations: the aging, people with HIV/AIDS, the chronically ill, and family caregivers. [12]

Since 2005, the Medicaid Institute at United Hospital Fund has published numerous reports and studies exploring ways to improve New York's Medicaid program. [13] Separately, the Fund's health insurance project has published a series of reports on the logistical and policy implications of setting up a health insurance exchange in the state following the passage of the Affordable Care Act. [14]

Working with the Greater New York Hospital Association, the Fund has led and participated in numerous efforts focused on quality improvement and patient safety at New York hospitals. These initiatives have led to lower incidence of central-line associated bloodstream infections [15] and cardiac arrest, [16] as well as lower mortality rates from severe sepsis. [17]

The Fund's Aging in Place initiative, begun in 2000, explores ways to provide health care and social services to seniors in their homes and communities, [18] particularly in naturally occurring retirement communities (NORCs). [19] In 2008, the Fund set up the Next Step in Care campaign, which provides informational resources for family caregivers and works to build effective partnerships between caregivers and health care providers and professionals. [20] [21]

Following the events of September 11, the Fund allocated $1 million to an initiative focused on Disaster Relief Medicaid, which helped get temporary health insurance coverage to 340,000 New Yorkers. [22] [23]

Related Research Articles

<span class="mw-page-title-main">Medicaid</span> United States social health care program for families and individuals with limited resources

In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding.

The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care. It has become the predominant system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010.

...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations.

<span class="mw-page-title-main">NYC Health + Hospitals</span> Operator of public hospitals and clinics in New York City

NYC Health + Hospitals, officially the New York City Health and Hospitals Corporation (HHC), operates the public hospitals and clinics in New York City as a public benefit corporation.

<span class="mw-page-title-main">Long-term care</span> Services for the elderly or those with chronic illness or disability

Long-term care (LTC) is a variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods. Long-term care is focused on individualized and coordinated services that promote independence, maximize patients' quality of life, and meet patients' needs over a period of time.

In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for performance systems usually evaluate process quality and efficiency, such as measuring blood pressure, lowering blood pressure, or counseling patients to stop smoking. This model also penalizes health care providers for poor outcomes, medical errors, or increased costs. Integrated delivery systems where insurers and providers share in the cost are intended to help align incentives for value-based care.

A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In almost all the developed countries but the United States of America, and in most of the developing countries, this type of hospital provides medical care free of charge to patients, covering expenses and wages by government reimbursement.

Patient safety is a discipline that emphasizes safety in health care through the prevention, reduction, reporting and analysis of error and other types of unnecessary harm that often lead to adverse patient events. The frequency and magnitude of avoidable adverse events, often known as patient safety incidents, experienced by patients was not well known until the 1990s, when multiple countries reported significant numbers of patients harmed and killed by medical errors. Recognizing that healthcare errors impact 1 in every 10 patients around the world, the World Health Organization (WHO) calls patient safety an endemic concern. Indeed, patient safety has emerged as a distinct healthcare discipline supported by an immature yet developing scientific framework. There is a significant transdisciplinary body of theoretical and research literature that informs the science of patient safety with mobile health apps being a growing area of research.

A Patient Safety Organization (PSO) is a group, institution, or association that improves medical care by reducing medical errors. Common functions of patient safety organizations are data collection, analysis, reporting, education, funding, and advocacy. A PSO differs from a Federally designed Patient Safety Organization (PSO), which provides health care providers in the U.S. privilege and confidentiality protections for efforts to improve patient safety and the quality of patient care delivery

The American Kidney Fund (AKF) is a publicly supported non-profit organization founded in 1971.

Healthcare reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010, which amended the PPACA and became law on March 30, 2010.

<span class="mw-page-title-main">Health insurance coverage in the United States</span>

In the United States, health insurance coverage is provided by several public and private sources. During 2019, the U.S. population overall was approximately 330 million, with 59 million people 65 years of age and over covered by the federal Medicare program. The 273 million non-institutionalized persons under age 65 either obtained their coverage from employer-based or non-employer based sources, or were uninsured. During the year 2019, 89% of the non-institutionalized population had health insurance coverage. Separately, approximately 12 million military personnel received coverage through the Veteran's Administration and Military Health System.

Healthy San Francisco is a health access program launched in 2007 to subsidize medical care for uninsured residents of San Francisco, California. The program's stated objective is to bring universal health care to the city. Healthy San Francisco is not a true insurance program, as it does not cover services such as dental and vision care, and only covers services received in the city and county of San Francisco. The program itself acknowledges its limitations, and has stated that "insurance is always a better choice." Healthy San Francisco represents the first time a local government has attempted to provide health insurance for all of its constituents. The program is open to low-income city residents over the age of 18 who do not qualify for other public coverage, and who have had no insurance for at least 90 days. Eligibility is not conditional on citizenship, immigration, employment or health status. The program covers a range of services, but only pays providers within San Francisco. By July 2010, almost 90% of the uninsured adults in San Francisco — over 50,000 people — had enrolled in Healthy San Francisco.

<span class="mw-page-title-main">Affordable Care Act</span> U.S. federal statute also known as Obamacare

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965.

Healthcare in the United States is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance.

The community health center (CHC) in the United States is the dominant model for providing integrated primary care and public health services for the low-income and uninsured, and represents one use of federal grant funding as part of the country's health care safety net. The health care safety net can be defined as a group of health centers, hospitals, and providers willing to provide services to the nation's uninsured and underserved population, thus ensuring that comprehensive care is available to all, regardless of income or insurance status. According to the U.S. Census Bureau, 29 million people in the country were uninsured in 2015. Many more Americans lack adequate coverage or access to health care. These groups are sometimes called "underinsured". CHCs represent one method of accessing or receiving health and medical care for both underinsured and uninsured communities.

An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to patients and third-party payers for the quality, appropriateness and efficiency of the health care provided. According to the Centers for Medicare and Medicaid Services, an ACO is "an organization of health care practitioners that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it".

The John A. Hartford Foundation is a private United States-based philanthropy whose current mission is to improve the care of older adults. For many years, it made grants for research and education in geriatric medicine, nursing and social work. It now focuses on three priority areas: creating age-friendly health systems, supporting family caregivers and improving serious illness, and end-of-life care.

As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency.

A safety net hospital is a type of medical center in the United States that by legal obligation or mission provides healthcare for individuals regardless of their insurance status or ability to pay. This legal mandate forces safety net hospitals (SNHs) to serve all populations. Such hospitals typically serve a proportionately higher number of uninsured, Medicaid, Medicare, Children's Health Insurance Program (CHiP), low-income, and other vulnerable individuals than their "non-safety net hospital" counterpart. Safety net hospitals are not defined by their ownership terms; they can be either publicly or privately owned. The mission of safety net hospitals is rather to provide the best possible care for those who are barred from health care due to the various possible adverse circumstances. These circumstances mostly revolve around problems with financial payments, insurance plans, or health conditions. Safety net hospitals are known for maintaining an open-door policy for their services.

<span class="mw-page-title-main">Medical deserts in the United States</span>

The United States has many regions which have been described as medical deserts, with those locations featuring inadequate access to one or more kinds of medical services. An estimated thirty million Americans, many in rural regions of the country, live at least a sixty-minute drive from a hospital with trauma care services. Limited access to emergency room services, as well as medical specialists, leads to increases in mortality rates and long-term health problems, such as heart disease and diabetes. Regions with higher rates of Medicaid and Medicare patients, as well those who lack any health insurance coverage, are less likely to live within an hour's drive of a hospital emergency room.

References

  1. "2021 Annual Report" (PDF). United Hospital Fund. p. 12. Retrieved 5 July 2022.
  2. United Hospital Fund names new president
  3. Hirsh (1954), p. 26.
  4. "The United Hospital Fund" (PDF). The New York Times . November 19, 1919.
  5. Rusk, H.A. (November 28, 1954). "United Hospital Fund Called Proof This City Has a Heart; Group, Marking 75th Year, Helps Pay Bill for Less-Than-Cost Institutional Care". The New York Times.
  6. "Certificate of Incorporation, Hospital Saturday and Sunday Association of New York". Included in Hirsh (1954), p. 115.
  7. Hirsh (1954), p. 36.
  8. "Key Events In The Evolution Of Health Insurance". Blue Cross Blue Shield . Archived from the original on 15 August 2013. Retrieved July 31, 2013.
  9. "History of GNYHA". Greater New York Hospital Association. Archived from the original on June 15, 2013. Retrieved July 31, 2013.
  10. "The Fund at 125: A 25-Year Look Back". United Hospital Fund. 13 December 2004. Archived from the original on 2012-03-16.
  11. "Mission and Core Values". United Hospital Fund of New York City. Retrieved September 13, 2022.
  12. "Agency of the Month. The United Hospital Fund: A Broader Vision of Health Care". New York Nonprofit Press. Vol. 4, no. 2. February 2005. pp. 12–14.
  13. "About The Institute". Medicaid Institute. Archived from the original on 2013-07-14. Retrieved July 31, 2013.
  14. Crowley, Cathleen F. (April 27, 2011). "What should NY's insurance exchange look like?". Times Union . Archived from the original on 2015-09-12. Retrieved July 31, 2013.
  15. Koll, B. S.; Straub, T. A.; Jalon, H. S.; Block, R.; Heller, K. S.; Ruiz, R. E. (2008). "The CLABs collaborative: A regionwide effort to improve the quality of care in hospitals". Joint Commission Journal on Quality and Patient Safety. 34 (12): 713–723. doi:10.1016/S1553-7250(08)34094-X. PMID   19119725.
  16. Rosen, M. J.; Hoberman, A. J.; Ruiz, R. E.; Sumer, Z.; Jalon, H. S. (2013). "Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative". Joint Commission Journal on Quality and Patient Safety. 39 (7): 328–336. doi:10.1016/S1553-7250(13)39047-3. PMID   23888644.
  17. "Governor Cuomo Announces New York State to Lead the Nation in Fighting Sepsis – the #1 Killer in Hospitals – and Make Major Improvements in Pediatric Care Through 'Rory's Regulations'". New York State Governor's Press Office. January 29, 2013. Archived from the original on 2013-02-04. From January 2011 to September 2012, the 55 hospitals in the GNYHA/United Hospital Fund STOP Sepsis Collaborative – whose singular goal has been to reduce mortality from severe sepsis and septic shock – achieved a 22% reduction in severe sepsis inpatient mortality rates.
  18. Vladeck, F.; Segel, R. (2010). "Identifying Risks to Healthy Aging in New York City's Varied NORCs". Journal of Housing for the Elderly. 24 (3–4): 356. doi:10.1080/02763893.2010.522450. S2CID   57184363.
  19. Span, Paula (September 25, 2009). "When the Neighborhood Is the Retirement Village". The New York Times. Retrieved July 31, 2013.
  20. Levine, C.; Halper, D.; Peist, A.; Gould, D. A. (2010). "Bridging Troubled Waters: Family Caregivers, Transitions, and Long-Term Care". Health Affairs. 29 (1): 116–124. doi:10.1377/hlthaff.2009.0520. PMID   20048369.
  21. Alderman, Lesley (June 18, 2010). "Aftercare Tips for Patients Checking Out of the Hospital". The New York Times.
  22. Disaster Relief Medicaid Evaluation Project (PDF) (Report). Prepared for the Office of Medicaid Management, New York State Department of Health, by Cornell University, School of Industrial and Labor Relations. December 2005.
  23. Haslanger, K. (2003). "Radical Simplification: Disaster Relief Medicaid in New York City". Health Affairs. 22 (1): 252–885. doi:10.1377/hlthaff.22.1.252. PMID   12528857.

Bibliography