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Planned extramural grants spending: $82.1 million, fiscal years 2004-05 through 2008-09

Goal: Improve the quality of health care services and stimulate innovation in health care delivery

Increase the availability and accessibility of reliable information on the quality of health care and performance of providers that can be trusted by both physicians and patients

Examine incentives—financial and non-financial, including policies, regulations, liability, accreditation, credentialing, and others—to foster quality

Help build organizational and systemic capacity for change to improve quality

Improve quality and reduce disparities in health care for low-income and racial or ethnic minority patients by identifying problems in health care quality and their causes, developing or identifying and evaluating new approaches to addressing disparities, and encouraging the replication and dissemination of new approaches and practices

Remedy the shortfall of minority physician leaders who are well trained in clinical medicine, health policy, public health, and health management

Ensure that appropriate developmental and preventive child health services are available to all families, especially those with young children and low income

Improve the quality of care and quality of life for people living in nursing homes.
Goal: Promote international exchange on health care policy and practice

Develop an international network of policy-oriented health care researchers and practitioners

Help keep policymakers in the United States informed of developments in, and transferable lessons from, other industrialized countries

Foster the development of international collaborative programs to improve care.
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 2004-08 is expected to be $134.5 million. Of that amount, it is anticipated that 62 percent, or $82 million, will be spent as grants, allocated across program areas as follows: 32 percent to improving the quality of health care services, 15 percent to improving health insurance coverage and access to care, 8 percent to international health policy and practice, and 7 percent to other continuing programs. Reflecting the foundation's value-added approach to grantmaking, 38 percent of the total budget will be devoted to intramural units engaged in program development and management, research, collaborations with grantees, and dissemination. This allocation includes $9.0 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, 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.
 
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