Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Healthcare Organizational Structural Conditions and the Health of People Recently Released from Prison

Award Number: R01HL164106
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/07/2022
PERIOD OF PERFORMANCE END DATE: 06/30/2027

Group Awards By:

View Award Description

Healthcare Organizational Structural Conditions and the Health of People Recently Released from Prison - Upon release from prison, people face numerous challenges including unstable housing, limited employment, and poor health. Healthcare system structural conditions, or their policies, procedures and practices, may limit access and contribute to poor health. Compared to the general population, people released from prison have a higher prevalence of poor cardiovascular (CV) health, an increased risk of CV events, and higher CV mortality after release. Access to healthcare following release from prison is key to preventing poor health outcomes in this population. Systematic investigation of healthcare system policies and practices has not occurred, and the extent to which different organizational policies and practices limit or perpetuate disparities in access and health outcomes among people released from prison is unknown. We propose three specific aims to begin to address the problem. In Aim 1, using three different health systems, we will analyze system written materials and conduct interviews and focus groups with system leaders, frontline staff, and representatives of community-based organizations to measure policies, practices and attitudes around healthcare access, transition programs, culture, support of social determinants of health and specialized services for people released from prison. In Aim 2, we will prospectively enroll up to 600 people recently released from Colorado prisons into a longitudinal cohort study to assess their exposure to healthcare structural conditions following release. Using the all-payer claims database, we will examine the association between exposure to structural conditions and 12-month primary outcomes of healthcare utilization (clinic visits, emergency visits, hospitalization) and secondary outcomes of CV hospitalization and all-cause mortality. Baseline CV health will be examined as moderating variables. In Aim 3, we will integrate results from Aims 1 and 2 to develop practice recommendations to improve health care access and outcomes for people released from prison. Recommendations will be iteratively revised with a community advisory board and finalized using a modified Delphi panel of national experts. Final recommendations will be assembled and broadly disseminated. Given the enormity of the population of individuals with a history of imprisonment and their significant burden of poor health including CV disease, a critical goal of our research is to identify targets for future interventions to improve access and health for people released from prison. Solutions to the significant problem of negative health consequences to imprisonment require understanding structural conditions at multiple levels.


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: 2026 ( Subtotal = $776,367 )
2026	2026	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Cardiovascular Diseases Research	000	5	8/4/2026	NON-COMPETING CONTINUATION	$776,367
														Subtotal = $776,367

Issue Date FY: 2025 ( Subtotal = $795,215 )
2025	2025	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Cardiovascular Diseases Research	000	4	9/5/2025	NON-COMPETING CONTINUATION	$795,215
														Subtotal = $795,215

Issue Date FY: 2024 ( Subtotal = $1,001,356 )
2024	2024	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Cardiovascular Diseases Research	001	3	9/10/2024	SUPPLEMENT FOR EXPANSION	$226,484
2024	2024	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Cardiovascular Diseases Research	000	3	6/27/2024	NON-COMPETING CONTINUATION	$774,872
														Subtotal = $1,001,356

Issue Date FY: 2023 ( Subtotal = $791,448 )
2023	2023	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Cardiovascular Diseases Research	000	2	6/26/2023	NON-COMPETING CONTINUATION	$791,448
														Subtotal = $791,448

Issue Date FY: 2022 ( Subtotal = $790,519 )
2022	2022	KAISER FOUNDATION HOSPITALS	1800 HARRISON ST FL 16	OAKLAND	CA	94612	ALAMEDA	USA	Cardiovascular Diseases Research	000	1	9/7/2022	NEW	$790,519
														Subtotal = $790,519

Grand Total All Awards = $4,154,905

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Healthcare Organizational Structural Conditions and the Health of People Recently Released from Prison

Award Number: R01HL164106

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/07/2022

PERIOD OF PERFORMANCE END DATE: 06/30/2027

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer