As a global health care company, we have a responsibility to help enable access to medicines, vaccines and quality health care worldwide.
We are committed to discovering smart, sustainable ways to expand access, especially in parts of the world where there are limited or no health care infrastructure and resources. Given the immensity of this challenge, we believe we can make the strongest contribution by working in partnership with others—governments, donors, patient organizations, health care professionals, nongovernmental organizations, academic institutions, multilateral organizations and the private sector.
We focus on select areas of global health need and relevance to our company, namely the following noncommunicable diseases (NCDs) and chronic conditions: Alzheimer’s disease, cancer, diabetes, hepatitis C and HIV/AIDS. Our program investments in these areas focus on innovative interventions showing evidence of effectiveness in improving health care quality and reducing disparities in access and health outcomes among underserved populations who are particularly burdened by these diseases.
ALLIANCE TO ADVANCE PATIENT-CENTERED CANCER CARE
With funding from our company’s Foundation, the Alliance aims to increase timely access to patient-centered care and reduce disparities in cancer care, especially for vulnerable and underserved populations in the United States. Learn more.
AMERICAN CANCER SOCIETY—PATIENT NAVIGATION PROGRAM
With a four-year (2015–2018), $1.58 million grant from our company’s Foundation, the American Cancer Society (ACS) is enhancing its substantial Patient Navigation Program in the United States to improve care coordination, promote patient activation and increase access to high-quality cancer care in three communities where substantial health care disparities exist. The program sites that the ACS has selected for participation in the community-based program include the Queens Hospital Center, in Queens, New York; the Multicare Regional Cancer Center, in Auburn, Washington; and the University of New Mexico Cancer Center, in Albuquerque, New Mexico.
This program aims to:
- Support patients in overcoming barriers to timely initiation of treatment
- Enhance coordination of care
- Empower patients with the information and skills to more actively engage in their health care, treatment planning and shared decision-making
- Advance best practices in patient navigation
The program provides training in participating communities for ACS lay patient navigators on concepts of care coordination and patient activation, as well as effective patient-provider communication on such topics as treatment planning, palliative care and survivorship, among others. Through this project, ACS is also developing a navigation toolkit and online training modules to guide ACS navigation programs in implementing process improvements to support consistent high-quality patient navigation.
The ACS is implementing a robust evaluation of the program. Final results are anticipated in 2019.
BRIDGING THE GAP: REDUCING DISPARITIES IN DIABETES CARE
With funding from our company’s Foundation, Bridging the Gap aims to improve access to high-quality diabetes care and reduce health disparities among vulnerable and underserved populations with type 2 diabetes in the United States. Learn more.
CAMDEN COALITION OF HEALTHCARE PROVIDERS—BUILDING A COMMUNITY-BASED MEDICAID ACO
Through a two-year grant (2015–2016), our company’s Foundation supports the Camden Coalition Accountable Care Organization (ACO), which seeks to provide better care at lower costs for all Medicaid beneficiaries in Camden, New Jersey. The Camden Coalition ACO membership includes four health systems, 12 primary care practices and nearly 40,000 patients. Additionally, the ACO engages specialty and behavioral health providers, social services, community organizations and local residents, all of whom work collectively to improve health care delivery, particularly for the most vulnerable and high cost patients.
The Camden Coalition ACO initiatives coordinate traditional medical care with critical social services aligned with its strategies to improve care delivery and to reduce costs citywide.
- ACO partners are trained in and given access to the Camden Coalition Health Information Exchange (Camden Coalition HIE), a centralized system for population health data-sharing. Local and regional (South Jersey) participating providers have real-time access to shared clinical information to identify opportunities for clinical interventions, coordinate care, and reduce unnecessary medical tests.
- Camden Coalition ACO members participate in the 7-Day Pledge, a citywide campaign to ensure that all ACO patients who are hospitalized and have two or more admissions in six months meet with their primary care provider within seven days of discharge from the hospital. In concert with the 7-Day Pledge, practices have monthly and quarterly meetings with the Camden Coalition to engage in quality improvement and capacity-building activities.
- Patients who frequently use local health systems are eligible for enrollment in the Camden Coalition’s Community Care Management Initiative, which engages patients with complex health and social needs in an intervention predicated on the patient’s goals and the development of authentic healing relationships. Through this initiative, patients have access to a variety of interventions to address their health and social needs, including the Camden Coalition’s Housing First initiative.
- Citywide care coordination is improved through tools like MyCamdenResources.org, which provides step-by-step instructions on how to connect patients with local services. The website was developed by the Camden Coalition and is powered by Aunt Bertha.
These initiatives are informed by public input, officially represented by the Community Advisory Council, as well as analysis of integrated data. The Camden Coalition ACO is currently in its third year of a shared savings contract with two managed care organizations. A comprehensive evaluation by the Rutgers Center for State Health Policy (Rutgers CSHP) is currently underway. Results from the evaluation are anticipated in late 2018.
NORTH CAROLINA AT&T STATE UNIVERSITY CENTER FOR OUTREACH IN ALZHEIMER’S, AGING AND COMMUNITY HEALTH
Our company’s Foundation has expanded its partnership with the North Carolina A&T State University Center for Outreach in Alzheimer’s, Aging and Community Health (COAACH) with a $2 million, four-year (2016–2019) grant to support several Alzheimer’s disease programs.
- Caregiver College: This program will provide support, education and training for caregivers of family members affected by Alzheimer’s disease to help improve awareness, care management and coping strategies.
- Lay Health Advisor (LHA): This program will promote health and wellness in rural North Carolina communities. Trained LHAs will help raise disease awareness and provide information about community resources to assist patients with Alzheimer’s and their families.
- Family Navigation: This program will help overcome barriers to timely screening, diagnosis, treatment and supportive care for families affected by Alzheimer’s disease.
COAACH is developing a plan to assess the impact of its programs. Results of the assessment are anticipated in 2020.
PROJECT ECHO® IN INDIA AND VIETNAM
In early 2017, our company’s Foundation launched a new partnership with the Extension for Community Healthcare Outcomes (ECHO) Institute™ at the University of New Mexico Health Sciences Center. Through a $7 million, five-year (2017–2021) grant, the partnership will expand the replication of Project ECHO® in underserved communities in India and Vietnam. Through this partnership, we aim to improve access to specialty care for complex, chronic conditions such as hepatitis C, HIV, tuberculosis, and noncommunicable diseases, including diabetes and mental health conditions. Learn more.
UNIVERSITY OF NORTH CAROLINA (UNC) SCHOOL OF PUBLIC HEALTH—DIABETES PEER SUPPORT PROGRAM IN SHANGHAI, CHINA
Our company’s Foundation recently launched a three-year (2016–2018) partnership with the UNC School of Public Health to support the development, implementation and evaluation of a diabetes peer support program, based on the Peers for Progress model, in 10 Community Health Centers in Shanghai, China. This program will help improve diabetes self-management, treatment adherence and quality of life among people living with diabetes.
The UNC School of Public Health will be working with in-country partners, including the Shanghai Sixth People’s Hospital (S6PH), Shanghai Health Bureau and Shanghai Centers for Disease Control. The peer support program will complement the ongoing Shanghai Integration Model, led by S6PH, which integrates primary and specialty care to help improve the quality and efficiency of health care delivery.
The UNC School of Public Health and its partners plan to develop and implement a robust program evaluation. Anticipated outcomes to be evaluated include:
- Patterns of care, including attendance at regular care, follow-through on referral to specialty care, and perceptions by patients as well as primary and specialty care providers of the continuing need for integration of care.
- Components of care, including medication adherence as well as key aspects of disease self-management, such as healthy diet and physical activity.
Results from the program evaluation are anticipated in late 2019.
YMCA’S DIABETES PREVENTION PROGRAM
With a three-year (2016–2018), $2 million grant from our company’s Foundation, the YMCA will expand its Diabetes Prevention Program in 60 communities across five U.S. states: Illinois, Kentucky, New Jersey, Pennsylvania and Texas. The YMCA’s Diabetes Prevention Program is an evidence-based chronic-disease prevention program that aims to improve the health of participants with prediabetes through modest weight loss achieved by healthy eating and physical activity. It is also part of the National Diabetes Prevention Program led by the U.S. Centers for Disease Control and Prevention.