In February of 2021, a team of public health researchers and doctors from Ariadne Labs, led by Dr. David M. Levine, successfully admitted, treated, and discharged the very first Rural Home Hospital patient in Utah.
The team has also published two papers, Rural Perceptions of Acute Care at Home: A Qualitative Analysis (The Journal of Rural Health) and Scoping and testing rural acute care at home: a simulation analysis (BMJ Innovations), based on their findings. Both papers present new learnings on rural home hospital care, including stakeholder perceptions and mock admissions results, respectively, from 2019. In short, the team found that “rural home hospital care is technically feasible, well-received and desired” by both patients and providers; and the implementation of this new model of care would relieve pressing issues of access, safety, quality, experience, and cost in rural areas.
Rx Foundation partnered with Ariadne Labs to support their feasibility pilot for rural home hospital care.
In a study published in JAMA Network Open, Harvard researchers found that a collective intelligence approach (e.g., pooling multiple physicians’ diagnoses) was associated with higher diagnostic accuracy, compared with individuals. This study used the Human Dx platform.
The Rx Foundation has supported Human Dx with two grants to pilot the Human Dx platform in safety net and community health center environments.
Over two months in 2018, the Donaghue Foundation and the Rx Foundation assessed and responded to a request from a group of researchers based at the University of Pennsylvania Center for Health Incentives and Behavioral Economics (CHIBE) and Columbia Law School to fund two population-level surveys that would complement their independent evaluation of the 1115 Medicaid waiver (the one including “community engagement” such as work) in Kentucky.
While the results of the first survey, which seeks to understand the knowledge and beliefs of the general population in Kentucky about the state’s new and controversial Medicaid waiver program, will not be available until later in 2019, the decision to support two surveys that will enhance the results of the state-funded evaluation reinforced several lessons for us as grantmakers.
The Center for Consumer Engagement in Health Innovation at Community Catalyst is working to support clinicians and health systems in understanding and adopting principles of person-centered care for patients with complex needs. Dr. Robert Master and Dr. Ann Hwang worked with clinician and consumer leaders to produce a series of short educational videos that are free to access.
The video series examines:
How the traditional medical system fails to meet the needs of people with involved disabilities;
How the values of the Independent Living model can help to create a system of care that lowers barriers and honors the lived experience of people with disabilities;
How to change organizational culture to reflect a holistic, person-centered system of care; and
How home-based care primary care contributes to the care of people with complex health and social needs.
A new article in JAMA Open Study found that The Human Diagnosis Project’s (Human Dx) daily Global Morning Report (GMR) case series is an objective and rapid measurement of physicians’ diagnostic performance. There has not previously been an objective, evidence-based, and real-time method to estimate clinical competency besides multiple choice tests. By empowering physicians and trainees to more easily gauge and monitor their performance, Human Dx aims to improve medical education and reduce diagnostic error.
The Rx Foundation announces a new grant program that aims to (1) boost the capacity and infrastructure of state-level non-profit organizations in the US to champion issues that promote social justice through better health and better health care, and (2) build enduring networks that can sustain advocacy and citizen-engagement on issues that impact health and health care in their communities. Based on a commitment to health equity, and the belief that every person should have access to affordable, high-quality healthcare, the Building Capacity for Health Advocacy grants program is open to qualified applicants nationwide.
The program, called Kentucky HEALTH, requires that enrollees engage in a minimum of 80 hours a month of work, education or volunteer activities; make a contribution to cover the premium cost regardless of their income level; and adhere to tighter timeframes for redetermination of eligibility if coverage is lapsed. Both funders are contributing half of the $270,000 two-year award.
Because the program was approved under the Medicaid waiver policy, Kentucky HEALTH is required to have an evaluation. The Commonwealth of Kentucky has contracted with the University of Pennsylvania to do this evaluation, which will include a randomized controlled trial. The Donaghue and Rx Foundation-funded survey will complement this evaluation by asking the general Kentucky population about their awareness, understanding, attitudes and beliefs about the new program. This study will go beyond existing research that has asked only broad questions related to support for personal responsibility and will compare differences between new Medicaid enrollees and the general population regarding the role of the state in health care and in beliefs, knowledge and support for the new program.
The Donaghue Foundation supports a diverse portfolio of research projects, from understanding the mechanisms of disease, to improving clinical treatments, to public health initiatives that prevent illness—all founded on excellent science.
Making Health Care Fair, a project of the National Physician’s Alliance, convened a group of interested stakeholders on November 30, 2018 to discuss the need for affordable health care for all, and the connection of this work to the values of liberty, equality, and justice. Len Nichols, Director of the Center for Health Policy Research and Ethics (CHPRE) and a Professor of Health Policy at George Mason University, gave the opening remarks.
The IHI Open School has launched the Recover Hope Campaign to raise awareness, promote prevention, and improve treatment of substance use disorders. This includes a pledge to change the narrative and stop stigma surrounding substance use disorders. Open School chapters throughout the U.S. and internationally are taking local action to work toward campaign goals.
Rx Foundation partner The Human Diagnosis Project was featured in a Forbes article on artificial intelligence innovations that help medical providers to deliver high-quality care.
“But the goal of the Human Diagnosis Project is not simply to use AI to unravel medical mysteries and catch any diagnostic errors early. It is to make the expertise of medical specialists available to millions of patients in rural and remote areas around the world, including “safety net” hospitals and clinics that offer low- or no-cost care to roughly 30 million uninsured Americans. Human Dx has formed an alliance with top medical societies and associations, including the American Medical Association, to move this expertise into everyday medical practice to improve patient outcomes in the U.S., and in coming decades, around the globe.”