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NYC Health + Hospitals Sickle Cell Hydroxyurea Prescribing Project

Award Number: CPIMP201191
ORGANIZATION: OFFICE OF MINORITY HEALTH
OPDIV: DHHS/OS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 09/30/2020
PERIOD OF PERFORMANCE END DATE: 09/29/2024

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NYC Health + Hospitals Sickle Cell Hydroxyurea Prescribing Project - Project Title: NYC Health + Hospitals Sickle Cell Hydroxyurea Prescribing Project Applicant Organization Name: New York City Health + Hospitals / Queens Address: 82-68 164th Street, Jamaica, NY 11432 Project Director Name: Dr. Jean-Bernard Poulard Contact Phone Number: 718-883-4645 Email Address: poulardj@nychhc.org Grant Program Funds Requested in the Application: $2,500,000 NYC Health + Hospitals, as one of the largest providers of sickle cell care in the nation, seeks to improve our care of people with sickle cell disease (SCD) by increasing their use of hydroxyurea. People with SCD often suffer from crippling pain, infection, and in some cases, stroke and other serious health problems reducing their quality of life and life expectancy. Hydroxyurea is a disease-modifying drug that can decrease complications, improve quality of life, increase life expectancy, and decrease healthcare costs; however, it is underutilized. Reasons include patient concerns, physician knowledge, and a health care system not designed to support its use. We have partnered with the NYS Department of Health to test the hypothesis that physician incentives can drive the needed system change to increase hydroxyurea use in our patient population. Using a quality improvement learning collaborative and the Project ECHO quality improvement model to leverage telementoring across our seven NYS designated hemoglobinopathy centers we will: 1) Develop performance measures for hydroxyurea prescribing for the three main provider types that care for children with SCD (hematologists, primary care physicians, and emergency clinicians), 2) Develop and implement an incentive payment system for each provider type, and 3) Evaluate the effectiveness of financial incentives for providers to increase hydroxyurea prescribing and decrease emergency department visits for children with SCD. Our evaluation will be employing a mixed-method design involving quantitative methods to estimate the impact of the incentive payment; and qualitative methods to explore questions related to how or why the incentive payments did or did not impact the outcomes, and to understand issues, barriers, best practices, and lessons learned related to hydroxyurea prescribing among children with SCD. Our program will be guided by a partnership committee made of the major stakeholders, including the NYS Medicaid program, MetroPlus (our Medicaid managed care plan), and representatives of each of the provider types.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	02	3	6/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	03	3	9/19/2023	EXTENSION WITH OR WITHOUT FUNDS	$0
2023	2021	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	03	3	9/19/2023	EXTENSION WITH OR WITHOUT FUNDS	$0
2023	2021	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	02	3	6/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	03	3	9/19/2023	EXTENSION WITH OR WITHOUT FUNDS	$0
2023	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	02	3	6/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $1,750,000 )
2022	2022	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	00	3	9/2/2022	NON-COMPETING CONTINUATION	$1,250,000
2022	2022	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	01	3	9/30/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$500,000
2022	2021	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	01	3	9/30/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	00	3	9/2/2022	NON-COMPETING CONTINUATION	$0
2022	2021	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	01	2	2/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	00	3	9/2/2022	NON-COMPETING CONTINUATION	$0
2022	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	01	3	9/30/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	01	2	2/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,750,000

Issue Date FY: 2021 ( Subtotal = $1,250,000 )
2021	2021	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	00	2	9/15/2021	NON-COMPETING CONTINUATION	$1,250,000
2021	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	01	1	12/18/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164TH ST	JAMAICA	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	00	2	9/15/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,250,000

Issue Date FY: 2020 ( Subtotal = $1,250,000 )
2020	2020	NEW YORK CITY HEALTH AND HOSPITALS CORPORATION	82-68 164th St	Jamaica	NY	11432	QUEENS	USA	Community Programs to Improve Minority Health	00	1	9/23/2020	NEW	$1,250,000
														Subtotal = $1,250,000

Grand Total All Awards = $4,250,000

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NYC Health + Hospitals Sickle Cell Hydroxyurea Prescribing Project

Award Number: CPIMP201191

ORGANIZATION: OFFICE OF MINORITY HEALTH

OPDIV: DHHS/OS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 09/30/2020

PERIOD OF PERFORMANCE END DATE: 09/29/2024

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