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Invest strategically in secondary data analysis. The Fund has made selective, modest investments in the analysis of large data sets by experts in the field. That work has produced influential reports on, for example, the growing share of uninsured workers employed by large firms, uninsured Americans' lack of access to new medical technologies, and instability in Medicare supplemental drug coverage (recognition of which helped make the case for Medicare's new drug benefit). |
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Produce case and field studies. Funding case and field studies of innovative practices has proved particularly useful during a period of rapid change in the health care system and in health care policy, when timely, accurate information is scarce. Based on the Fund's careful review of its experiences, purely descriptive field work is not as valuable as analysis. |
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Select "action projects" judiciously. The Fund's most successful action projects have tended to be the first to apply an innovative idea to an important but little-recognized problem. A common pitfall of such projects is the "one-shot" interesting innovation. A comparative advantage of value-added foundations like the Fund is their ability to evaluate action projects, stick with a promising approach, and follow up with investments to produce widespread change. |
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Exercise caution respecting commitments to large-scale demonstrations and evaluations. Large, very expensive undertakings are generally not practical for a foundation of the Fund's size and run counter to its strength of generating needed information quickly and delivering it effectively to influential audiences. |
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Support institutional learning collaboratives and evaluations. This affordable strategy has helped the Fund catalyze changes in organizational practice that would otherwise require resources beyond the Fund's means. |
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Work with states, either individually or through multistate initiatives. States have made advances on many fronts, even in an era when federal progress is frequently stymied. The Fund has worked with states to expand health insurance coverage incrementally, track the effectiveness of high-risk insurance pools, address child development issues through Medicaid, and improve hospital safety. |
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C. S. Minkovitz, N. Hughart, D. Strobino et al, "A Practice-Based Intervention to Enhance Quality of Care in the First 3 Years of Life: The Healthy Steps for Young Children Program," Journal of the American Medical Association, Dec. 17, 2003, 290(23):3081-91. |
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