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Sharing What Works: Scaling Up, Spreading Out James R. Knickman March 2013

Sharing What Works: Scaling Up, Spreading Out James R. Knickman March 2013 Grantmakers in Health Annual Meeting. Options for Health Foundations. Fund direct services Improve quality and efficiency Inform public policy Spread what works. Betting the Spread (Strategy).

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Sharing What Works: Scaling Up, Spreading Out James R. Knickman March 2013

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  1. Sharing What Works: Scaling Up, Spreading Out James R. Knickman March 2013 Grantmakers in Health Annual Meeting

  2. Options for Health Foundations • Fund direct services • Improve quality and efficiency • Inform public policy • Spread what works

  3. Betting the Spread (Strategy) • Clear model • Good evidence • Prospects for sustainable funding • Capacity/networks to scale • (Bonus: opportunity for resources/attention to state/region/community you care about)

  4. NYSHealth: Scaling What Works • Veterans treatment courts • Refugee health program • Integrated services for mental health and substance use disorders • Evidence-based models for diabetes care • Diabetes Prevention Program

  5. Diabetes Prevention in New York • Y-DPP in 15 regions in New York State, with NYSHealth and CDC/United funding • Public and private payers are beginning to reimburse for the Y-DPP • Stretching the model • Broader populations • New settings • New types of instructors

  6. Roadmap for Prevention • Diffuse interventions that have a good ROI • Also push for broader, high-value public health approaches • …even if argument is that they help people, rather than have a positive ROI

  7. James R. Knickman President and CEO New York State Health Foundation knickman@nyshealth.org www.nyshealth.org

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