Gary and Mary West Health Institute
Gary and Mary West Health Institute
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About this organization
Mission
CONDUCTING MEDICAL RESEARCH WITH HOSPITALS TO REDUCE HEALTHCARE COSTS WITH A FOCUS ON SENIORS.
About
IN 2018, THE GARY AND MARY WEST HEALTH INSTITUTE (INSTITUTE) ACTIVELY CONDUCTED APPLIED MEDICAL RESEARCH, IN CONJUNCTION WITH THE HOSPITALS LISTED ON SCHEDULE A, TO GENERATE THE EVIDENCE NEEDED FOR HEALTHCARE PROVIDERS, POLICYMAKERS AND COMMUNITIES TO ADOPT MODELS OF CARE THAT BETTER SERVE SENIORS AND THEIR FAMILIES. THE GOAL IS TO LOWER THE COST OF HEALTHCARE AND ENABLE SENIORS TO SUCCESSFULLY AGE IN PLACE WITH ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTH AND SUPPORT SERVICES THAT PRESERVE AND PROTECT THEIR DIGNITY, QUALITY OF LIFE AND INDEPENDENCE.WITH MORE THAN 10,000 U.S. BABY BOOMERS TURNING 65 EVERY DAY, SENIORS ARE ONE OF THE LARGEST POPULATIONS IMPACTING THE HEALTHCARE SYSTEM. THE INSTITUTE IS EXPLORING OPPORTUNITIES THAT WILL LOWER THE COST OF HEALTHCARE, IMPROVE ACUTE CARE FOR SENIORS IN THE EMERGENCY DEPARTMENT, HOME AND COMMUNITY; CHRONIC CARE MANAGEMENT FOR OLDER ADULTS THAT MAY NEED HELP AT HOME; AND SUPPORTIVE SERVICES SO SENIORS CAN RECEIVE THE CARE THEY NEED, AT A LOWER COST, WHEREVER THEY ARE.THROUGHOUT 2018, THE INSTITUTE ENGAGED WITH A BROAD ARRAY OF KEY STAKEHOLDERS INCLUDING HEALTH PLANS, ACCOUNTABLE CARE ORGANIZATIONS (ACOS), CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS), COMMUNITY ORGANIZATIONS AND OTHERS TO ADDRESS THE SKY-ROCKETING COST OF HEALTHCARE BY ELIMINATING OPEN-ENDED, FEE-FOR-SERVICE AND VOLUME-ORIENTED PAYMENT METHODS; AND ADVOCATING FOR POLICIES THAT LOWER PRESCRIPTION DRUG PRICES AND INCREASE PRICING TRANSPARENCY.THE INSTITUTE HAS THE FOLLOWING ACTIVE RESEARCH FOCUS AREAS:1. ADVANCING SENIOR-APPROPRIATE ACUTE CARE MODELS - THE INSTITUTE IS RESEARCHING HOW PROVIDING SENIOR-FOCUSED CARE IN AN ACUTE SETTING, SUCH AS IN THE EMERGENCY DEPARTMENT, HOME AND COMMUNITY, CAN HELP SENIORS AGE SUCCESSFULLY.2. ADVANCING SENIOR-APPROPRIATE CHRONIC CARE MODELS - THE INSTITUTE IS EXPLORING HOW TO IMPROVE CARE FOR SENIORS WITH LONG TERM-ILLNESSES AT HOME - WHERE THEY PREFER IT MOST.3. ADVANCING SUPPORTING SERVICES - THE INSTITUTE IS COLLABORATING TO ADVANCE AND INTEGRATE COMMUNITY-BASED SOCIAL SUPPORT PROGRAMS AND NUTRITIONAL SERVICES THAT SUPPORT INDEPENDENCE FOR SENIORS.1. ADVANCING SENIOR-APPROPRIATE ACUTE CARE MODELSIN 2018, THE INSTITUTE EXPANDED ITS RESEARCH TO INCLUDE A NEW VISION FOR UNPLANNED ACUTE CARE. THE INSTITUTE ENVISIONS CARE THAT IS MORE PROACTIVE, OPPORTUNISTIC AND PROVIDES CARE IN PLACE WHENEVER POSSIBLE. WITH ITS COLLABORATORS, THE INSTITUTE CONTINUES TO INCREASE THE NUMBER OF SENIOR-FRIENDLY EDS THROUGH THE NATIONAL ACCREDITATION PROGRAM. THE INSTITUTE IS ALSO EXPANDING EFFORTS TO ADVANCE HOME AND COMMUNITY-BASED ACUTE CARE ALTERNATIVES WITHIN THE CONTEXT OF VALUE-BASED RISK-BEARING ORGANIZATIONS. TAKEN TOGETHER, THE INSTITUTE IS COMMITTED TO CONTINUE ADVANCING INNOVATIVE, PERSON-CENTERED, SCALABLE AND SUSTAINABLE MODELS TO ADDRESS THE ACUTE CARE NEEDS FOR SENIORS IN THE ED, HOME AND COMMUNITY.GERIATRIC EMERGENCY CARE IN COLLABORATION WITH UC SAN DIEGO HEALTH, IN 2016, THE INSTITUTE LAUNCHED THE GARY AND MARY WEST SENIOR EMERGENCY CARE UNIT AT UC SAN DIEGO HEALTH (SECU), ITS FLAGSHIP MODEL IN AN ACUTE GERIATRIC EMERGENCY CARE SETTING. THE MODEL SERVES AS THE SITE OF A MULTI-YEAR RESEARCH INITIATIVE WHERE THE INSTITUTE IS STUDYING HEALTH OUTCOMES AND COST-EFFECTIVENESS OF PROVIDING ENHANCED CARE FOR SENIORS WITHIN THE EMERGENCY ROOM. THESE INCLUDE THE DELIVERY OF GERIATRIC MEDICINE, ACUTE CARE SCREENINGS, URGENT CARE, CASE MANAGEMENT, AND SOCIAL AND PSYCHIATRIC CARE. WITH A FOCUS ON FOSTERING SUCCESSFUL AGING, THE DEPARTMENT ALSO FACILITATES HOME- AND COMMUNITY-BASED CARE OPTIONS WHEN POSSIBLE. SINCE LATE 2016, MORE THAN 13,000 OLDER ADULTS SEEN AT THE GARY AND MARY WEST EMERGENCY DEPARTMENT AT UC SAN DIEGO HEALTH IN LA JOLLA HAVE BEEN SCREENED USING SENIOR-SPECIFIC CARE PROTOCOLS THE INSTITUTE HELPED DEVELOP WITH UC SAN DIEGO HEALTH.IN MAY 2018, THE GARY AND MARY WEST EMERGENCY DEPARTMENT WAS OFFICIALLY ACCREDITED AS A LEVEL-ONE GERIATRIC EMERGENCY DEPARTMENT (GED) BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (ACEP), THE HIGHEST AND MOST COMPREHENSIVE LEVEL. IT WAS THE FIRST EMERGENCY DEPARTMENT WEST OF THE MISSISSIPPI TO RECEIVE THIS LEVEL OF ACCREDITATION AS PART OF AN EFFORT TO IMPROVE THE QUALITY AND STANDARDS OF EMERGENCY CARE PROVIDED TO THE NATION'S ELDERLY PATIENTS.THROUGHOUT 2018, THE INSTITUTE CONDUCTED APPLIED MEDICAL RESEARCH TO EVALUATE THE EFFECTIVENESS OF THIS NEW CARE MODEL AND INITIATED A STUDY FOCUSED ON PATIENT, CLINICAL, AND OPERATIONAL OUTCOMES. THE STUDY ENDED IN THE FALL, AND THE INSTITUTE IS ANALYZING RESULTS TO BE DEVELOPED INTO A MANUSCRIPT FOR PUBLICATION AND DISSEMINATION.GERIATRIC EMERGENCY DEPARTMENT COLLABORATIVE (GEDC)THE INSTITUTE HAS PARTNERED WITH THE JOHN A. HARTFORD FOUNDATION (JAHF) TO ESTABLISH A NATIONAL GERIATRIC EMERGENCY DEPARTMENT COLLABORATIVE (GEDC) OF NINE LEADING GERIATRIC EMERGENCY MEDICINE PROGRAMS TO PROVIDE EARLY EVIDENCE THAT GED GUIDELINE-BASED CARE IMPROVES PATIENT OUTCOMES AND IS COST EFFECTIVE, AS WELL AS BUILD A DATA INFRASTRUCTURE FOR ONGOING RESEARCH AND EVALUATION. PARTICIPATING SITES INCLUDE: MOUNT SINAI MEDICAL CENTER, ST. JOSEPH'S REGIONAL MEDICAL CENTER, NORTHWESTERN MEMORIAL HOSPITAL, AURORA HEALTHCARE SYSTEM, MAGEE WOMEN'S HOSPITAL, UNIVERSITY OF NORTH CAROLINA, UC SAN DIEGO HEALTH, EMORY GRADY HOSPITAL AND YALE UNIVERSITY HOSPITAL.GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION (GEDA) PROGRAMIN COLLABORATION WITH THE INSTITUTE AND JAHF, IN THE FIRST QUARTER OF 2018, ACEP LAUNCHED THE GEDA PROGRAM TO STANDARDIZE SENIOR-FRIENDLY EMERGENCY CARE ACROSS HETEROGENEOUS SETTINGS AND FORMALLY ACCREDIT SITES BASED ON MEASURABLE CRITERIA. TO DATE, 25 EDS HAVE BEEN ACCREDITED ACROSS ALL THREE LEVELS, INCLUDING THE GARY AND MARY WEST EMERGENCY DEPARTMENT AT UC SAN DIEGO HEALTH WHICH EARNED THE HIGHEST LEVEL OF ACCREDITATION (LEVEL 1).TRANSPORT PLUSIN ACCORDANCE WITH THE INSTITUTE'S VISION FOR CARE THAT IS PROACTIVE, OPPORTUNISTIC AND THAT PROVIDES CARE IN PLACE, TRANSPORT PLUS SEEKS TO IMPROVE CARE TRANSITIONS FOR OLDER ADULTS DISCHARGED FROM THE ED AND HOSPITAL. SPECIALLY-TRAINED EMERGENCY MEDICAL TECHNICIANS (EMTS) WHO ARE ALREADY TRANSPORTING OLDER ADULTS HOME FROM THE ED OR HOSPITAL ADDED TWO INTERVENTIONS TO THEIR SERVICES: 1) A HOME FALL SAFETY ASSESSMENT AND 2) A DISCHARGE COMPREHENSION ASSESSMENT. IN 2018, THE INSTITUTE BEGAN WRAPPING UP ITS COLLABORATION WITH THE MOUNT SINAI DEPARTMENT OF EMERGENCY MEDICINE ON THE IMPACT OF IMPROVING TRANSPORT PLUS' PROCESSES AIMED AT INCREASING THE NUMBER OF HOME ASSESSMENTS COMPLETED AND SUBSEQUENT REMEDIATION OF IDENTIFIED RISKS. WITH THE INSTITUTE'S GUIDANCE REGARDING OVERCOMING GAPS IN EDUCATION AND PROCESSES, ENROLLMENT IN THE PROGRAM INCREASED AND 339 EMT/PATIENT ENCOUNTERS WERE CONDUCTED. THE PRELIMINARY RESULTS OF THE STUDY SHOWED A STATISTICALLY SIGNIFICANT DECREASE IN SELF-REPORTED FALLS IN THE TRANSPORT PLUS GROUP COMPARED TO THE CONTROL GROUP. ADDITIONALLY, PATIENT SELF-REPORTING OF RETURN ED VISITS FOUND THAT PATIENTS WHO RECEIVED THE TRANSPORT PLUS INTERVENTION INITIALLY HAD FEWER RETURN ED VISITS COMPARED WITH THE CONTROL GROUP.ACUTE CARE LEARNING AND ACTION NETWORK (LAN) TO MORE DIRECTLY ALIGN INSTITUTE RESEARCH WITH PROVIDERS THAT ARE PROACTIVELY MOVING AWAY FROM THE MEDICARE FEE-FOR-SERVICE PAYMENT MODEL, IN 2018, THE INSTITUTE FORMED COLLABORATIONS WITH SIX ACOS TO DEVELOP SUSTAINABLE INNOVATIONS DESIGNED TO EFFECTIVELY PREPARE FOR SERVING THE ACUTE CARE NEEDS OF OLDER ADULTS (INCLUDING BUT NOT LIMITED TO BELLIN MEMORIAL HOSPITAL AND ATRIUS HEALTH). THESE PARTICULAR ACOS ARE CONTRACTUALLY BOUND TO WRITE CHECKS BACK TO MEDICARE IF THEY FAIL TO SAVE MEDICARE DOLLARS, COMPARED TO A FEE-FOR-SERVICE BASIS. FOUR OF THE ACOS DEVELOPED HOME-BASED ACUTE CARE MODELS AND TWO FOCUSED ON INNOVATIVE EFFORTS IN THE ED AND SKILLED NURSING FACILITIES TO AVOID HOSPITALIZATIONS AND FUTURE ED VISITS. TO ACCELERATE THE EFFORT, THE INSTITUTE ALSO ENGAGED WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI), AN INDEPENDENT NOT-FOR-PROFIT ORGANIZATION WIDELY RECOGNIZED AS A LEADING INNOVATOR AND DRIVER OF RESULTS IN HEALTH AND HEALTHCARE IMPROVEMENT. DELIRIUM RESOURCES FOR THE EMERGENCY DEPARTMENTIN JULY OF 2018, THE INSTITUTE AND INSTITUTE FOR AGING RESEARCH, AN AFFILIATE OF HARVARD SCHOOL OF MEDICINE, CONCLUDED A COMPREHENSIVE LITERATURE REVIEW OF PUBLICLY AVAILABLE DATA ON DELIRIUM SCREENING TO IDENTIFY KNOWLEDGE GAPS AND EXISTING TOOLS/RESOURCES. ADDITIONALLY, THE TEAM CONDUCTED EXPERT INTERVIEWS WITH MULTIDISCIPLINARY ED AND HOSPITAL CLINICIANS TO GAIN A BETTER UNDERSTANDING OF HOW DELIRIUM IS VIEWED AND MANAGED ACROSS VARIOUS SETTINGS.
Interesting data from their 2020 990 filing
The filing documents outline the non-profit's mission as “Medical research to lower the cost of healthcare and enable seniors to successfully age, living life on their own terms with access to high-quality health and support services that preserve and protect their dignity, quality of life and independence.”.
When outlining the tasks it performs, they were referred to as: “Conducting medical research with hospitals to reduce healthcare costs with a focus on seniors.”.
- The non-profit's reported state of operation is DE as per legal requirements.
- The filing reveals that the address of the non-profit in 2020 is 10350 NORTH TORREY PINES ROAD, LA JOLLA, CA, 92037.
- As of 2020, the non-profit has 29 employees reported on their 990 form.
- Is not a private foundation.
- Expenses are greater than $1,000,000.
- Revenue is greater than $1,000,000.
- Revenue less expenses is -$1,029,349.
- The organization has 3 independent voting members.
- The organization was formed in 2009.
- The organization pays $4,843,533 in salary, compensation, and benefits to its employees.
- The organization pays $0 in fundraising expenses.