Thursday, December 18, 2025 12/18/2025

Standardizing the Quality of Care in Ambulatory Practices

Award Number: R01MD017508
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/19/2022
PERIOD OF PERFORMANCE END DATE: 02/28/2027

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Standardizing the Quality of Care in Ambulatory Practices - People receive medical care in different places based on their health insurance, where they live and other characteristics. There is, however, surprisingly little research examining whether these differences impact healthcare delivery or health outcomes. To ensure high quality healthcare for all, we must identify, quantify, and address differences in quality or outcomes that we find. This study will use retrospective ambulatory visit data for 12 million unique patients from five medical centers across New York City (NYC) to assess the level of differences among ambulatory practices by insurance and other factors, and how these differences impact processes of care and health outcomes. We will use detailed concurrent and prospective data regarding clinical configurations, processes, and policies in the Mount Sinai Health System to further characterize how multiple factors and practice characteristics operate and to evaluate the impact of current and planned changes to improve care. Our health system is undertaking a transformational set of initiatives to standardize the quality of care in ambulatory practices system-wide, creating an opportunity to observe the impact of various strategies. We will accomplish the following aims: 1) use NYC-wide data to describe the homogeneity vs heterogeneity of hospital-based and faculty practice ambulatory sites with respect to insurance and other factors and examine their association with selected quality measures of preventive care (pediatrics), procedural care (obstetrics), and chronic disease management (general and family medicine); 2) Identify differences between homogeneous vs. heterogeneous practices in a large academic medical center, their association with care quality, and with patient, staff, provider and trainee perceptions and experiences; and 3) observe effects of standardization over time on quality measures, and using microsimulation techniques, estimate the potential impact of widespread dissemination of successful strategies on selected cardiometabolic outcomes. We will use our findings to build a blueprint that other healthcare systems can follow to improve care in their ambulatory practices. The proposed study will increase our understanding of strategies to improve the quality of outpatient care in our nation and will inform institutional efforts to improve healthcare systems.


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 = $0 )
2026	2025	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	000	4	12/5/2025	NON-COMPETING CONTINUATION	$0
2026	2024	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	001	3	12/8/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $844,997 )
2025	2025	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	003	4	8/29/2025	NON-COMPETING CONTINUATION	$844,997
2025	2024	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	002	3	8/29/2025	NON-COMPETING CONTINUATION	$0
2025	2024	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	001	3	6/10/2025	NON-COMPETING CONTINUATION	$0
2025	2024	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	000	3	2/19/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $844,997

Issue Date FY: 2024 ( Subtotal = $819,651 )
2024	2024	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	000	3	2/26/2024	NON-COMPETING CONTINUATION	$760,500
2024	2024	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	001	3	5/29/2024	NON-COMPETING CONTINUATION	$59,151
														Subtotal = $819,651

Issue Date FY: 2023 ( Subtotal = $845,000 )
2023	2023	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	ONE GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	000	2	2/6/2023	NON-COMPETING CONTINUATION	$845,000
														Subtotal = $845,000

Issue Date FY: 2022 ( Subtotal = $844,995 )
2022	2022	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	ONE GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	001	1	7/11/2022	NEW	$0
2022	2022	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	ONE GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Minority Health and Health Disparities Research	000	1	6/19/2022	NEW	$844,995
														Subtotal = $844,995

Grand Total All Awards = $3,354,643

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Standardizing the Quality of Care in Ambulatory Practices

Award Number: R01MD017508

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 06/19/2022

PERIOD OF PERFORMANCE END DATE: 02/28/2027

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