Grant Partners

Community Servings will develop a Massachusetts Food is Medicine (FIM) State Plan to analyze the current landscape of interventions and provide recommendations to policymakers, providers, insurers, and community organizations to improve access to medically-balanced meals.

 To hire a grantwriter to implement a comprehensive grant program.

Ecu-Health Care will conduct outreach in partnership with local community organizations and institutions; provide direct-to-consumer outreach via phone or mailings to Berkshire Medical Center uninsured patients as identified through an automated referral system; partner with other area health and human service organizations to establish an online referral system; review with clients the contents of a member packet including information on what changes to an account need to be reported, staying healthy with your new insurance, eligibility and benefits, how to make a payment, and advanced premium tax credits; and expand digital media, billboards, public broadcast, and radio advertising.

Massachusetts Law Reform Institute (MLRI) will provide legal expertise to coalitions and organizations that maintain and improve health care coverage for low-income Massachusetts residents. MLRI will conduct policy research and analyses to help Massachusetts-based and national partners understand how federal regulations may impact coverage. Additionally, MLRI will advocate for ways to reduce churn among MassHealth beneficiaries and will work to ensure that MassHealth members know their rights as consumers.

University of Massachusetts Medical School Center for Integrated Primary Care will develop an engagement and education curriculum for patients with opioid use disorder (OUD) and their families. The curriculum, which will be available online and through smartphone devices, will aim to provide information about OUD treatment options and promote better primary care.

To purchase nutrition and menu planning software for use by newly hired Dietician.

Health Law Advocates (HLA) will focus on improving health care access for vulnerable populations by providing direct legal services and advocating to state policymakers. Their direct legal service work will inform community outreach efforts, education programs, policy analyses, and legislative proposals. In their advocacy work, HLA will pay particular attention to children with disabilities, immigrants, and transgender individuals, and to issues related to behavioral health care access. Additionally, they will defend MassHealth members against federal Medicaid changes and ensure access to services for ACO-enrolled MassHealth members.

The Massachusetts Organization for Addiction Recovery (MOAR) will work to reduce stigma against addiction and to increase behavioral health care access and integration. Their efforts will center on increasing access to timely treatment to reduce overdose risk, as well as access to long-term treatment; advocating on behalf of populations disproportionately affected by addiction; and integrating peer support services into mainstream care. MOAR will conduct community organizing and outreach, participate in coalitions, and expand peer-oriented educational programs.

To upgrade to a new phone system.

Since 2012, Lahey Health Division of Primary Care and Lahey Health Behavioral Services have collaborated to embed behavioral health clinicians in five community primary care practices, sharing medical records, and using the Collaborative Care Model (CCM), a team decision-making model of care.  Through this grant, Lahey Health Behavioral Services proposes a multi-faceted, multi-site expansion of its integrated CCM approach, by adding two community primary care practices (Gloucester and Beverly); introducing CCM in one Lahey Health System obstetrics practice; establishing CCM in one Lahey Health System pediatrics practice; piloting reverse integration at the Lahey Health Behavioral Services community mental health center in Salem; and expanding screenings of primary care patients across all of these sites to identify higher-risk patients and track outcomes.  Lahey Health Behavioral Services will also use tele-psychiatry to enable consulting psychiatrists to serve more patients, particularly for more rural, isolated sites, such as Gloucester, where there is a lack of access to specialty services.

Boston Public Health Commission will maintain referral systems with community partners; host enrollment sessions throughout the city with a focus on the East Boston and Dorchester communities; leverage social media and local cable access; scale up flyering in census tracts with the highest rates of uninsured, with an emphasis on local businesses and community organization; and develop a multilingual plain language form that outlines when and how a consumer needs to update the state with pertinent information to maintain coverage.                                                                                          

With support from the Foundation, EBNHC will focus on expanding behavioral health services for children and adolescents (ages 5 to 21) who are seen in Pediatrics, Family Medicine and the health center’s School-Based Health Center.  In 2014, the Pediatric and Family Medicine Departments served a total of 15,498 patients up to age 21, and the number of child and adolescent patients served continues to increase.  EBNHC's two newly hired child/adolescent psychiatrists will be able to fully treat and manage, and track and measure, the care of children and adolescents with mild to moderately severe depression and anxiety disorder, and integrate this care with a range of medical conditions.  EBNHC has historically only been able to refer pediatric patients with behavioral health issues to community providers where there are challenges associated with long wait times due to psychiatric provider shortages, as well as geographic and linguistic barriers.  Expanding on-site psychiatric capacity also will help to facilitate care planning for patients following psychiatric hospital discharge.

Community Care Cooperative (C3) will create a peer-to-peer learning model through which community health centers (CHCs) can participate in, and contribute to, the development of best practices for CHCs operating within an accountable care organization environment. C3 will coordinate the learning sessions and use participant feedback to ensure their utility to CHCs.

The Community Builders (TCB) is a nonprofit real estate developer and owner, with a mission of building and sustaining strong communities where people of all incomes can achieve their full potential.  The organization develops housing for families and seniors, invests in local businesses and public amenities that strengthen neighborhoods, and constructs or preserves hundreds of affordable and mixed-income housing developments.  TCB will commission Health Resources in Action to develop and conduct an evaluation for its Community Life program, specifically for low-income residents housed in the New Franklin Homes development in Dorchester.  Community Life is a program that addresses important social determinants of health like housing stability, early childhood education, access to healthy food, and economic stability to improve the health of residents.  Residents facce a multitude of chronic health issues, including high blood pressure and diabetes, and over half of residents report not managing their conditions.  The process will enable TCB to develop clear metrics and evidence-based strategies to improve health outcomes among its residents. 

Citizens' Housing and Planning Association (CHAPA) is the leading statewide housing policy and research organization in Massachusetts, and manages the On Solid Ground (OSG) Coalition, which includes organizations in housing, health, education, employment, legal services, and faith-based communities advocating for increased housing and economic stability for families, thereby improving housing, education, income and health outcomes.  CHAPA will conduct outreach and education to affect policy and systemic change at the intersection of health and housing.