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| Long-Term
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Quality
Assurance and Evaluation Studies for Home and Community-Based Medicaid
Long-Term Care Services (Senior Initiatives)
The Robert Wood Johnson Foundation and Centers for Medicare
and Medicaid Services, U.S. Department of Health and Human Services
A series of analytic activities to help the NJ Department of
Health and Senior Services assess the implementation of Medicaid-based
programs designed to provide seniors and their caregivers with a
broader range of home and community-based long-term care options,
including: Adult Day Health Services, New Jersey's Nursing Home
Transition Program, Assisted Living, and the Caregive Assistance
Program.
For more information,
email: Sandra Howell-White,
Ph.D., Senior Policy Analyst
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Nursing
Delegation and Medication for Elders in Assisted Living
American Nurses Foundation
Through a survey of state nursing boards, key informant interviews,
and focus groups with assisted living nurses and administrators,
CSHP is identifying current state policies on nursing delegation
of medication administration for elders in assisted living. This
project will also identify the clinical implications of the policies
as well as lay the foundation for a program of gerontological research
in nursing delegation of medication administration for elders in
assisted living settings.
For more information,
email: Winifred Quinn,
Ph.D.(in progress), Research Analyst
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Community
Living Exchange Collaborative
Centers for Medicare and Medicaid Services, U.S. Department
of Health and Human Services
In partnership with a broad array of organizations and stakeholders,
CSHP is providing training, direct technical assistance, information
collection and dissemination, resource development, and other assistance
to state agencies and other recipients of Systems Change Grants
for Community Living from the Centers for Medicare and Medicaid
Services. This technical assistance is designed to assist these
states in implementing programs and policies to develop and enhance
independent living opportunities in the community for people with
disabilities.
For more information,
email: Marlene Verniero,
M.P.A, Deputy Director
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New Jersey
Health Initiatives Workforce Agenda Evaluation
The Robert Wood Johnson Foundation's New Jersey Health Initiatives
The New Jersey
Health Initiatives (NJHI) competitive grants program supports the
development of programs designed to improve health and health care
in New Jersey. The NJHI Workforce Agenda addresses shortages in
two segments of the health care workforce: (1) registered nurses
in the acute care hospital setting and (2) paraprofessionals in
the long-term-care institutions and home health care settings. Grantees
for this Program will be selected in fall 2003.
The Center
for State Health Policy's support for the goals of the Program includes
four components:
•
Environmental Scan-An ongoing scan of the state policy environment
and labor market trends relevant to the Program to help NJHI and
grantees achieve their goals.
• Grantee Technical Assistance-Technical assistance to help
grantees establish outcome objectives and practical, useful self-evaluation
activities
• Program Assessment- A process evaluation of all grantees
to document their activities and barriers to and facilitators of
success.
• In-Depth Evaluation-An in-depth outcome evaluation of selected
grant sites or clusters of sites.
For more information,
email: Sandra Howell-White,
Ph.D., Senior Policy Analyst
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| Access
to Health Care |
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Sustaining
Individual Health Insurance Markets Under Community Rating and Open
Enrollment
The Commonwealth Fund and The Robert Wood Johnson Foundation
This study is assessing the reasons that enrollment in New Jersey’s
Individual Health Coverage Program (IHCP) has declined and an analysis
of policy options for sustaining coverage in this market. Data collection
for this project is complete; analyses are currently underway. Conducted
in cooperation with the New Jersey Department of Banking and Insurance's
Individual Health Coverage Program Board.
For more information,
email: Margaret Koller,
M.S., Senior Project Manager
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New
Brunswick Community Health Assessment
New Brunswick Tomorrow (with funding from Johnson & Johnson)
This joint project with the University of Medicine and Dentistry
of New Jersey’s Robert Wood Johnson Medical School is engaging the
leadership in the greater New Brunswick community to identify and
address health problems that affect this community, and contribute
to the developing health improvement programs through the Healthier
New Brunswick 2010 initiative. A survey of 600 New Brunswick families
will go into the field this winter. A series of focus group interviews
with key informants, which informed the survey design, have been
completed.
For more information,
email: Denise Davis,
Dr.P.H., Policy Analyst
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Survey of
Experience with Mandated Medicaid Managed Care Enrollment
New Jersey Developmental Disabilities Council
With the onset of mandatory Medicaid managed care enrollment
for Supplemental Security Income (SSI) recipients in New Jersey,
the New Jersey State Council on Developmental Disabilities asked
CSHP to survey recent enrollees to assess the enrollment process
and initial Medicaid managed care experiences of persons with disabilities.
Survey data collection and analyses are completed; a report will
be compiled in Fall 2003.
For more information,
email: Dorothy Gaboda,
Ph.D., Associate Director for Data Analysis
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State Solutions:
An Initiative to Improve Enrollment in Medicare Savings Programs
The Robert Wood Johnson Foundation and The Commonwealth Fund
CSHP serves as the National Program Office for the Robert Wood Johnson
Foundation initiative to increase the enrollment of low-income older
adults in the Medicare Savings Programs. In this capacity, CSHP
will co-ordinate technical assistance to five states that will receive
grant support from The Robert Wood Johnson Foundation for this pilot
program. Additional funding for this effort is provided through
The Commonwealth Fund.
For more information,
email: Marlene Verniero,
M.P.A, Deputy Director
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Pilot
Study of a State Policy to Reduce Racial and Ethnic Disparities in
Cardiac Care
Agency for Healthcare Research and Quality, U.S. Department
of Health and Human Services
*This project also appears under the core area
"Racial/Ethnic Disparities" |
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New
Jersey State Planning Grant on Health Coverage
The
Health Resources and Services Administration of the U.S. Department
of Health and Human Services has awarded the New Jersey Department
of Human Services a one-year, $982,075 grant to study the problem
of the medically uninsured in New Jersey and identify promising approaches
for addressing gaps in coverage. The grant provides support for a
series of studies of state coverage programs and the uninsured. These
studies will be carried out by the CSHP.
For more information, email: Margaret
Koller, M.S., Senior Project Manager |
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New
Jersey State Planning Grant
Health Resources & Services Administration of the U.S.
Department of Health & Human Services
In July 2002,
the Health Resources & Services Administration of the U.S. Department
of Health & Human Services, awarded the State of New Jersey
a one-year State Planning Grant to examine the issue of the uninsured.
The New Jersey Department of Human Services (DHS) was designated
lead agency for this grant and is collaborating with the Center
for State Health Policy (CSHP) on six analytic research projects
which include:
• Optimizing NJ's Premium Support Program-New Jersey's
Premium Support Program (PSP) subsidizes employer-sponsored health
insurance coverage for FamilyCare eligible persons who are employed
and offered employer-sponsored coverage that meets specific requirements.
CSHP is examining policy options to increase PSP membership while
preserving cost effectiveness
• Strategies to Improve Enrollment & Retention in NJ
FamilyCare (Part 1)-
CSHP is conducting and analyzing a survey of 650 families with members
currently enrolled and recently disenrolled from the NJ FamilyCare
program in order to assess patterns of selection into and out of
NJ FamilyCare.
• Strategies to Improve Retention in NJ FamilyCare (Part
2)-CSHP is conducting two longitudinal analyses of program enrollment
data for Medicaid, NJ KidCare and NJ FamilyCare, including updating
an analysis of program retention that the Center performed for NJ
KidCare for January 1998-April 2000 and examining the likelihood
of successful transition from Medicaid to NJ FamilyCare.
• Convene an Expert Panel on State Health Insurance Regulations-
In April 2003, together with the NJDHS and the NJ Department of
Banking & Insurance, the Center convened an Expert Panel to
assess the existing body of research on insurance reform and draw
implications for current reform efforts in New Jersey. Panelists
included leading researchers, health insurance industry experts,
consumer advocates and policymakers.
• Profile of NJ's Uninsured Population-CSHP is developing
detailed population-based information on the health insurance status
of various groups according to their demographic characteristics,
economic health status, residential locale, and employment status
and job characteristics using the NJ Family Health Survey and other
data.
• Assessment of Access to Affordable Health Insurance in
New Jersey-
CSHP is drawing on several sources of data on health insurance premiums
and out-of-pocket health insurance costs to assess the degree to
which coverage affordability is likely to be an issue for the uninsured
and privately insured populations.
A Steering
Committee comprised of senior officials from the Office of the Governor,
DHS and the Departments of Health & Senior Services, Banking
& Insurance and the Treasury was convened to oversee all grant
related activities. This grant has been extended, and all research
activities outlined above will be completed by June 2004.
For more information,
email: Margaret Koller,
M.S., Senior Project Manager
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Racial/Ethnic
Disparities
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County Data
Resources for Improving Health of Minority Populations
Office of Minority and Multicultural Health, New Jersey Department
of Health and Senior Services
This pilot study will identify sources of race/ethnicity information
in health-related data that are routinely gathered by local agencies,
and will assess the usefulness of these data for tracking and improving
minority health.
For more information,
email: Denise Davis,
Dr.P.H., Policy Analyst
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Pilot
Study of a State Policy to Reduce Racial and Ethnic Disparities
in Cardiac Care
Agency for Healthcare Research and Quality, U.S. Department
of Health and Human Services
As part of CSHP’s BRIC initiative (see Building
Research and Infrastructure and Capacity, under Health Data and
Information), the Center is conducting a pilot study of
a New Jersey initiative to encourage hospital cardiac catheterization
units to improve outreach and access to cardiovascular procedures
among the state’s minority residents.
For more information,
email: Joel Cantor,
Sc.D., Dirctor
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New
Brunswick Community Health Assessment
New Brunswick Tomorrow (with funding from Johnson & Johnson)
*This project also appears under the core area
"Access to Care" |
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Health
Care Performance Measurement
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Assessing
Hospitals’ Use of Mandatory Medical Error Reports for Quality Improvement
and Error Reduction
National Patient Safety Foundation
The project will assess how New York hospitals collect, respond
to, and utilize state-mandated incident reporting for internal patient
safety improvements and error reduction. This exploratory research
will help identify ‘best practices’ as well as hospital characteristics
associated with the use of New York’s mandatory hospital error reporting
systems for internal improvement activities. Recommendations regarding
system design, training, and support to improve the effectiveness
of incident reporting systems will be included in the final report.
For more information,
email: Kimberley Fox,
M.P.A., Senior Policy Analyst
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Data
Analysis for the New Jersey HMO Performance Report Card
New Jersey Department of Health and Senior Services
The Center is analyzing performance data reported by Health Maintenance
Organizations (HMOs) serving private businesses in New Jersey.The
New Jersey Department of Health and Senior Services will use the
results of these analyses for the annual New Jersey HMO Performance
Report Card and other Department reports.
For more information,
email: Dorothy Gaboda,
Ph.D., Associate Director for Data Analysis
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Pharmaceutical Policy
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State Pharmacy
Assistance Programs: State of the Art and Implications for National
Health Policy
The Commonwealth Fund
Based on surveys of state pharmacy assistance programs, CSHP will
produce tracking reports describing the program features such as
eligibility rules, consumer costs and reimbursement policies and
tracking trends in program expenditures, utilization, and enrollment
. In separate reports, CSHP will also investigate selected state
drug discount initiatives programs and pooled purchasing efforts.
These reports will describe the evolution of these programs, variations
in approaches, legal and operational challenges, and perceived effectiveness
in reducing costs to consumers and states.
For more information,
email: Kimberley Fox,
M.P.A., Senior Policy Analyst
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Impact of
State Budget Pressures on State Pharmacy Assistance Programs
The Kaiser Family Foundation
This study will assess how state pharmacy assistance programs for
low-income elderly and disabled are being modified, if at all, in
response to increasing state budget pressures. Based on survey data
from all state pharmacy programs and three case studies, CSHP analysts
will assess what cost-containment strategies states are implementing,
states’ processes for choosing the best approach for lowering costs,
the savings achieved as a result, and the impact on consumers, pharmacies
and manufacturers.
For more information,
email: Kimberley Fox,
M.P.A., Senior Policy Analyst
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State
Health Data and Information
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New Jersey
Family Health Survey
The Robert Wood Johnson Foundation
A representative sample of 2,264 New Jersey families was interviewed
in 2001 and early 2002 to gathered data on health care coverage,
access to care, health status, health service utilization, awareness
of and enrollment in state programs, long-term care needs and caregiver
burden, as well as demographics and employment status. To enable
in-depth analysis of vulnerable populations, the survey over-sampled
low-income families (under 200% of the federal poverty level) and
those with members age 65 or older.
Findings will be available beginning in the fall/winter 2003.
For more information,
email: Susan Brownlee,
Ph.D., Research Analyst
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New Jersey
State Physician Census
The Robert Wood Johnson Foundation
This survey of over 8,000 physicians licensed to practice in New
Jersey grew out of the recommendations of the NJ Commission on the
Physician Workforce in 1999. The Census was conducted with the endorsement
of the NJ Board of Medical Examiners (BME), the Medical Society
of NJ (MSNJ) and other leading organizations interested in physician
workforce policy. The Census includes basic demographic and practice
information, and analyses are planned to assist in the identification
of medically underserved areas and populations and to address other
state policy questions. Findings
will be available beginning in the fall/winter 2003.
For more information,
email: Susan Brownlee,
Ph.D., Research Analyst
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Building
Research Infrastructure and Capacity (BRIC)
Agency for Healthcare Research and Quality, U.S. Department
of Health and Human Services
Researchers at CSHP and other units of the Rutgers Institute for
Health, Health Care Policy and Aging Research are building partnerships
with other health services researchers and stakeholders in the state
to improve New Jersey’s health services research capacity and make
the state more competitive in obtaining federal health research
funds.
For more information,
email: Stephen
Crystal, Ph.D.., Associate Director for Research
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Data
Analysis for the New Jersey HMO Performance Report Card
New Jersey Department of Health and Senior Services
*This project also appears under the core area "Performance
Measurement" |
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