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Increase the availability and accessibility of reliable, trustworthy information on the quality of health care and performance of providers |
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Examine incentives-financial and non-financial, including policies, regulations, liability, accreditation, credentialing, and others-to foster quality |
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Help build organizational and systemic capacity for change to improve quality |
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Improve quality and reduce disparities in health care for low-income and racial or ethnic minority patients by increasing quality measurement and reporting for minority populations, promoting culturally competent care, and improving quality and reducing disparities in clinical care for minorities |
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Develop physician leaders who will improve the capacity of the health care system to address the health needs of minority and disadvantaged populations |
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Remedy the shortfall of minority physician leaders who are well trained in clinical medicine, health policy, public health, and health management |
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Assure that appropriate developmental and preventive pediatric services are available to all families, especially those with young children and low incomes |
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Improve the quality of care and quality of life for people living in nursing homes
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In addition to grants programs pursuing those strategies, the Fund conducts programs in communications and in research, evaluation, and health policy that advance its objectives.
The Fund's total programmatic spending over the five-year period 2003-07 is expected to be $133 million. Of that amount, it is anticipated that 62 percent, or $81 million, will be spent as grants, allocated across program areas as follows: 32 percent to improving the quality of health care services, 16 percent to improving health insurance coverage and access to care, 8 percent to international health policy and practice, and 6 percent to other continuing programs. Reflecting the foundation's value-added approach to grantmaking, 22 percent of the total budget would be devoted to intramural units engaged in program development, research, and dissemination, and 16 percent to management and administration. This allocation includes $9.2 million to communicate the results of Fund-sponsored work and funds to operate programs directly managed by the foundation: the Task Force on the Future of Health Insurance; Research, Evaluation, and Health Policy; and International Health Policy and Practice, including Harkness Fellows in Health Policy. The foundation expects to spend approximately 5 percent of its extramural program budget on surveys, which have proven to be useful in informing policy debates and developing programs.
In all its work, the Fund seeks particularly to target issues that affect vulnerable populations. It also aims to achieve a balance between information-generating and action-oriented activities, and between public- and private-sector work. Other concrete objectives that help guide its grantmaking strategy include keeping its doors open to new talent, working in partnership with other funders, being receptive to new ideas, undertaking appropriate risks, and contributing to the resolution of health care problems in its home base, New York City, while pursuing a national and international agenda.
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