Foundation for a Healthy Kentucky

Foundation for a Healthy Kentucky
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Through its SIF grant, the Foundation for a Healthy Kentucky will improve access to needed health services, reduce health risks and disparities, and promote health equality in low-income communities in Kentucky. Subgrantees will focus on testing innovative strategies to increase physical activity, improve nutrition, and curb smoking and other unhealthy habits and increase access to health services in underserved communities.

Grantee Information
Federal Awards: 
$2 million over two years (2010-2011) $1 million in 2012
Focus Area: 
Healthy Futures
Geographic Focus: 
Kentucky rural and low-income communities
Collaborating Partners: 
Center for Community and Health Evaluation

The Foundation’s approach is characterized by funding and intensive training and technical assistance to community groups with innovative ideas for improving the health of their community. It draws on local knowledge to identify pressing health needs and supplements local initiative efforts with local health statistics to help focus investments on pressing challenges. Working collaboratively with communities, indicators of health progress are developed and tracked. Current subgrantees are testing innovative strategies to increase access to needed health services, including dental and behavioral health, in underserved communities. With SIF funds, the Foundation is expanding its work to increase the rigor of evaluation applied to each innovation.

Track Record before Social Innovation Fund Grant:

  • The Foundation initiated the Local Data for Local Action program to offer grants, data and technical assistance to community-based coalitions working on pressing health issues. Grantees are diverse and have included local health departments, a state university, and a county board of education.
  • The Foundation sponsors targeted research, forums, training programs, and technical assistance. The Foundation funds KYhealthfacts.org, populated with data analyzed by the Kentucky State Cabinet for Health and Family Services and epidemiologists at the University of Kentucky. This information helps guide and ground local proposals and the Foundation investments.
  • Prior Foundation investments have contributed to development of a model for in-home care of the state’s frail elderly population; launch of a pilot e-prescription program; and expansion of school-based primary and dental care for low-income families with limited transportation.

Progress:

  • The Foundation has awarded nine grants to date focusing on a variety of issues important to Kentuckians: access to health care in rural and underserved areas, expanding fitness opportunities for low-income youth, and providing innovative dental care for special needs children;
  • The Foundation, in conjunction with its evaluation partner, Center for Community and Health Evaluation (CCHE), has been deeply engaged with subgrantees – providing them technical assistance as they develop their evaluation plans. These plans will push subgrantees to be more rigorous in their evaluation efforts; and
  • Programs supported by the Foundation for a Healthy Kentucky’s Social Innovation Fund grants are seeing patients and have served over 10,000 individuals.

Nonprofits Receiving Social Innovation Fund Awards from Foundation for a Healthy Kentucky

Home of the InnocentsOldham County Health Department
King’s Daughter’s Medical CenterSt. Elizabeth Medical Center
Meade Activity Center, Inc.St. Joseph Health System
Meade Activity Center, Inc. 
Norton Healthcare Centers for Prevention and Wellness, in collaboration with the Norton Healthcare Foundation 

Home of the Innocents
Louisville, Kentucky
Areas Served: Jefferson and Surrounding Counties, KY
Initial Award Amount: $250,000
Awarded in 2011

In collaboration with local stakeholders, Home of the Innocents will establish a dental clinic at the newly-opened interdisciplinary Hockensmith Pediatric Assessment Center. The program would provide dental services to children in state care, children with special health care needs, and other children and families served by the Home and its partner agencies. The clinic would be a specialty teaching site for dental professionals and residents from the University of Louisville School of Dentistry. The Home projects that it will serve more than 7000 children each year through the new Pediatric Assessment Center. Comprehensive dental services will be available through the clinic, which is expected to increase access to dental care and improve oral health outcomes for the service population.

To achieve scale, the grantee's dental resident training program will share the model with statewide to increase access to dental services for children with special health care needs.


King’s Daughter’s Medical Center
Ashland, KY
Areas Served: Elliott, Fleming, Floyd, Johnson, Lewis, Magoffin, Martin and Morgan Counties, KY
Initial Award Amount: $124,548
Awarded in 2012

The King’s Daughter’s Medical Center provides mobile health services including advanced screening, health education and cardiac testing focused on eight rural Eastern Kentucky counties. The Social Innovation Fund grant from Foundation for a Healthy Kentucky supports the design and purchase of a new, custom-built, state-of-the-art mobile assessment vehicle that is equipped with point-of-care diabetes testing and advanced cardiac screening equipment. Basic screenings are free and advanced cardiac testing billed for insured patients, and provided at no cost for indigent and uninsured patients. Services would also include ensuring follow-up services to both the insured and uninsured through referrals to health care providers. The project will impact approximately 1,440 patients annually. The goals of the project are to:

  • Increase awareness of controllable risk factors for heart disease, diabetes and other preventable diseases,
  • Increase access to healthcare by providing cardiac testing services close to home,
  • Provide opportunities for low-income, uninsured or underinsured residents to learn of their risk factors without expending financial resources, and
  • Reduce premature deaths due to heart disease and other preventable illnesses in eight eastern Kentucky counties.

Meade Activity Center, Inc.
Brandenburg, Kentucky
Area Served: Meade County, KY
Initial Award Amount: $250,000
Awarded in 2012

With broad community support, the Meade Activity Center's goal is to open a fully operational activity center, to be available on a sliding scale to all community members. The activity center will offer swimming, tennis, golf, hiking trails, and nutrition and health classes. It will provide structured after-school activities to lowincome children, offer a broad range of nutrition and physical activity opportunities to low-income families, and provide affordable physical activity opportunities to seniors.


Norton Healthcare Centers for Prevention and Wellness, in collaboration with the Norton Healthcare Foundation
Louisville, KY
Area of Service: High-poverty neighborhoods in Louisville, KY
Initial Award Amount: $100,000
Awarded in 2012

Get Healthy Access Project (GHAP) will implement a set of linked activities with the goal of reducing cardiovascular disease risk and increasing access to timely healthcare for 2,200 low-income and uninsured residents per year in some of the lowest-income communities in the Louisville Metro area, including West Louisville. Norton Healthcare Centers for Prevention and Wellness (CPW) in partnership with Norton Healthcare Community Medical Associates Practices (CMA) will administer the program. This is an expansion of the health navigation and education services currently available to individuals with high cancer risk. GHAP will ensure equal access to navigation and education for all of those with screen results that indicate the need for follow-up services.


Oldham County Health Department
LaGrange, KY
Areas Served: Carroll, Henry, Oldham, and Trimble Counties, KY
Initial Award Amount: $100,000
Awarded in 2012

The Oldham County Health Department will support Hope Health Clinic, a free clinic for the uninsured to serve Carroll, Henry, Oldham and Trimble counties. The clinic will provide acute medical care, chronic disease management, and patient navigation. Using a health navigator and case management model, the focus of the clinic’s services is to improve conditions for patients with acute or chronic conditions associated with diabetes, COPD, CHF, and morbid obesity. Approximately 1,200 residents per year will access clinic services. The project will address whether holistic-based Hope Health Clinic, using a medical home model and navigation system, will improve health outcomes and reduce healthcare costs for lowincome, uninsured residents in its four-county service area.


St. Elizabeth Medical Center
Edgewood, KY
Areas Served: Boone, Campbell, Grant, and Kenton Counties, KY
Initial Award Amount: $100,000
Awarded in 2012

The project establishes telepsychiatry in St. Elizabeth Hospital Emergency Departments to provide immediate access to behavioral health consults (audio/video telemedicine link) with mental health professionals for patients in Northern Kentucky who present in emergency rooms with mental health conditions. The project will increase timely access to professional mental health consultations, improve quality of care, reduce costs (incurred through improper treatment or unnecessary hospital admissions), and improve continuity of care through enhanced referral to appropriate mental health professionals. Approximately 6,000 low-income individual patients will benefit from the addition of telepsychiatry services.


St. Joseph Health System
Lexington, Kentucky
Areas Served: Powell and Wolfe Counties, KY
Initial Award Amount: $250,000
Awarded in 2011

In collaboration with local stakeholders, St. Joseph Health System will establish primary care clinics in two low-income rural Kentucky communities: Powell and Wolfe Counties. Satellite clinics will be staffed by nurse practitioners and will utilize telemedicine technology to collaborate with physicians and specialists at a central location. The clinics will provide an estimated 3200 practice visits during the first year of operation, and are projected to grow to more than 7000 annual visits by year three. By improving access to care in these rural communities, St. Joseph Health System aims to improve general health status and chronic disease management, in particular.

The project will better leverage the time and talent of health care professionals, while meeting the needs of traditionally underserved communities. In the future, St. Joseph Health System to scale up their Virtual Care Network to five or six clinic sites. These sites will also be staffed by nurse practitioners who collaborate remotely with physicians and specialists.

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