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CNY groups studying aging, frailty with federal grant
SYRACUSE — Four Syracuse organizations are working on a research project focusing on frailty issues in Central New York. The groups are using a federal grant to fund their effort. The nonprofit Patient-Centered Outcomes Research Institute (PCORI) has awarded F.O.C.U.S. Greater Syracuse a grant of nearly $15,000. F.O.C.U.S. Greater Syracuse will work […]
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SYRACUSE — Four Syracuse organizations are working on a research project focusing on frailty issues in Central New York.
The groups are using a federal grant to fund their effort.
The nonprofit Patient-Centered Outcomes Research Institute (PCORI) has awarded F.O.C.U.S. Greater Syracuse a grant of nearly $15,000.
F.O.C.U.S. Greater Syracuse will work with HealtheConnections, the Southwest Community Center, and Upstate Medical University to develop a Central New York
Citizen’s Aging Research & Action Network (CNY-CAN).
The nonprofit F.O.C.U.S. Greater Syracuse is a “citizen-driven” organization that works to impact change in Central New York. F.O.C.U.S. is short for forging our community’s united strength, according to its website.
HealtheConnections (pronounced Healthy Connections) is a nonprofit that supports “the meaningful use of health information exchange and technology adoption, and the use of community health data and best practices, to enable Central New York stakeholders to transform and improve patient care, improve the health of populations and lower health-care costs,” according to its website.
The four organizations will use the funding to “build a partnership of individuals and groups who share a desire to advance patient-centered outcomes research focused on frailty across the life course,” according to a news release.
They announced the grant and the research initiative on May 12 at Upstate Golisano Children’s Hospital in Syracuse.
“What we’re going to do is engage people with conversations. We’re going to go out into various aspects of Onondaga County and have conversations with older adults to find out what their concerns are and how we can keep them in their own home,” Dr. Sharon Brangman, professor of medicine and division chief of geriatric medicine at Upstate Medical University, said in her remarks at the event.
The groups learned they had won the grant about a month ago, Brangman told CNYBJ in an interview following the presentation.
“We looked at it in the beginning of the year and began identifying groups that might be helpful in community engagement because this is a grant that really works at getting average citizens … involved from the beginning,” says Brangman.
PCORI’s Pipeline to Proposal Awards program provided the grant funding. Pipeline to Proposal Awards enable individuals and groups that are not typically involved in clinical research to develop community-led funding proposals focused on “patient-centered comparative effective research (CER),” according to the release.
CNY-CAN’s vision is to create a coalition of citizens, patients, formal and informal caregivers, clinicians, researchers, and health systems to “guide” aging-related research; participate in research and project teams; “be champions” for patient-centered research; help translate research into practice; and help sustain CNY-CAN as a community resource, the release stated.
Under the Tier I award, CNY-CAN’s initial stakeholders will become educated on patient-centered outcomes research and best practices; learn about research in which CNY-CAN could be engaged; and create a strategic plan defining CNY-CAN’s vision, mission, priorities, structure, governance, and operational policies.
It’s an opportunity for citizens to have an “impact” on public policy, Charlotte (Chuckie) Holstein, executive director of F.O.C.U.S Greater Syracuse, said in her remarks at the May 12 announcement.
“Wherever our medical or health-care research goes, for the frail elderly, we’ll also have an impact on public policy, so we were very delighted with that,” Holstein said.
If the groups are successful in the grant’s first year, then it will become a three-year contract, said Holstein.
F.O.C.U.S Greater Syracuse will serve as the lead agency during the first two years, and Upstate Medical University will serve in the same role during the third year, Holstein said.
Washington, D.C.–based PCORI is an independent, nonprofit organization that Congress in 2010 authorized to fund CER “that will provide patients, their caregivers, and clinicians with the evidence needed to make better-informed health and health-care decisions,” according to the news release.
Congress authorized the establishment of PCORI in the Patient Protection and Affordable Care Act of 2010, according to the PCORI website.
St. Joseph’s starts work on transition to join Trinity Health
SYRACUSE — St. Joseph’s Hospital Health Center and Livonia, Michigan–based Trinity Health are working on the transition phase after the two organizations on April 28 signed an agreement to have the Syracuse hospital join the Catholic health system. Trinity Health on its website describes itself as “one of the largest multi-institutional Catholic health-care delivery
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SYRACUSE — St. Joseph’s Hospital Health Center and Livonia, Michigan–based Trinity Health are working on the transition phase after the two organizations on April 28 signed an agreement to have the Syracuse hospital join the Catholic health system.
Trinity Health on its website describes itself as “one of the largest multi-institutional Catholic health-care delivery systems in the nation.”
The decision “builds” on a “strategic-affiliation” agreement the organizations signed in early 2014, the organizations said in a joint news release.
Trinity Health will replace the Sisters of St. Francis of the Neumann Communities as the local, nonprofit sponsor of St. Joseph’s, Kathryn Ruscitto, president and CEO of St. Joseph’s, says in an April 29 interview.
“We were not bought. We were not acquired. That’s not what this is. This is a change in sponsorship,” she explains, regarding the new arrangement.
The transition will result in “no changes” for physicians, St. Joseph’s employees, and patients, according to the news release.
St. Joseph’s currently employs 4,395 people.
“As part of our People-Centered 2020 strategic plan, Trinity Health is committed to being a leader in strengthening Catholic health care locally and nationally,” Dr. Richard Gilfillan, president and CEO, Trinity Health, said in the joint release. “Our two organizations are aligned in our faith-based mission, vision and values. St. Joseph’s membership in our system will enable Trinity Health to further extend people-centered care to more patients in New York.”
The U.S. Federal Trade Commission still has to approve the agreement, which should happen in the early part of the summer, according to Ruscitto.
St. Joseph’s is filing paperwork under the federal Hart-Scott-Rodino Act to prove the arrangement won’t have any anti-competitive effects in the health-care
marketplace.
The agreement will have no impact on the hospital’s local management, but Trinity will have to hire any future CEOs, appoint future board members, and approve major capital projects, in the same manner as the Sisters of St. Francis has done, says Ruscitto.
St. Joseph’s will pay an annual system fee as a member of Trinity Health, but the amount of the fee has yet to be determined and will take about a year to figure out, says Ruscitto.
“That fee is far offset by the benefits that we get,” she contends.
St. Joseph’s and Trinity Health will next establish a transition team, which will include leaders from both organizations.
The group will manage regulatory approvals and identify other specific tasks to ensure a “smooth” transition, including identifying ways to keep the community, physicians, employees, donors, and volunteers updated on the process, the organizations said.
Similar sponsor
Trinity Health is “very similar” to the Sisters of St. Francis because it has the “same mission and values” as St. Joseph’s. The Sisters of St. Francis, whose members are “aging,” had planned for the hospital to become independent or to affiliate with another organization eventually, says Ruscitto.
Besides preserving St. Joseph’s mission as an organization, the agreement with Trinity improves “quality and evidence-based care,” and provides access to financial resources, Ruscitto contends. The relationship with Trinity Health gives St. Joseph’s “access to best practices.”
Trinity Health includes 215 organizations nationwide, which can provide the “best, evidence-based care” for conditions, such as Ebola, and it shares the information within the organization.
Ruscitto also contends the agreement with Trinity Health will provide St. Joseph’s with “financial stability.”
“There [are] all kinds of financial benefits that will accrue to us related to access to capital that just really insures our future,” says Ruscitto.
St. Joseph’s Hospital Health Center says it generated $642 million in revenue in 2014, but it reported an operating loss of $24.5 million.
Some of the factors that led to the loss included “one time” costs related to the installation of a new electronic medical-record system and additional matters related to opening its new patient tower, according to Ruscitto.
St. Joseph’s also just reported a loss of more than $9.5 million in this year’s first quarter, according to consolidated financial statements it filed on the Electronic Municipal Market Access website (http://emma.msrb.org).
Search for sponsor
St. Joseph’s, about five years ago, started watching a national trend, seeing Catholic hospitals in many places either close or join larger systems.
“We started to look deeper and found … those hospitals that were in systems were doing better. Better quality outcomes, more stable finances, developing regional systems,” says Ruscitto.
She cited Buffalo’s Catholic Health system and St. Peter’s Health Partners (a three-hospital regional system) in Albany as examples of accountable-care organizations in New York.
St. Joseph’s started exploring possible organizations, such as Newtown Square, Pennsylvania–based Catholic Health East (CHE), which has since merged with Trinity.
The local hospital on July 9, 2013, had also announced an “intent to align” with CHE Trinity.
CHE Trinity formed in 2013 when Catholic Health East and Trinity Health merged, according a news release from St. Joseph’s.
The Michigan–based entity has since changed its name to Trinity Health.
When CHE joined with Trinity, its search for a permanent CEO was ongoing at the same time St. Joseph’s announced its intention to align with Trinity.
“We decided it was … too complicated at that point in time and that we would push the pause button and affiliate [with Trinity,]” says Ruscitto.
That meant St. Joseph’s would take advantage of some services, allowing more time for Trinity to find a CEO and give the situation more thought.
Trinity Health on Oct. 29, 2013, announced the hiring of Dr. Gilfillan as its new CEO, according to a news release on the Trinity website.
With the new CEO in place, St. Joseph’s felt comfortable moving forward.
“We felt now was the right time. We have completed all the negotiations,” says Ruscitto.
Bryant & Stratton begins occupational-therapy assistant program
SYRACUSE — The Syracuse campus of Bryant & Stratton College has launched an occupational-therapy assistant (OTA) program. The program, which has 18 students enrolled, started May 6, says John Patro, OTA program director at the Syracuse campus. The 18 students represent the maximum enrollment that the school had set, he adds. Patro spoke
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SYRACUSE — The Syracuse campus of Bryant & Stratton College has launched an occupational-therapy assistant (OTA) program.
The program, which has 18 students enrolled, started May 6, says John Patro, OTA program director at the Syracuse campus. The 18 students represent the maximum enrollment that the school had set, he adds.
Patro spoke with CNYBJ on May 14. He began working with Bryant & Stratton College last July.
The students are working toward earning their degrees in December 2016.
The next cohort for the OTA program will start in September. The school won’t accept another cohort until after its accreditation for the program is finished in August 2016.
“All 18 students follow the same course sequence. There’s no deviation from that,” Patro says in defining the term “cohort.”
Students will work to earn an associate of applied science degree as an occupational-therapy assistant.
The OTA program continues for five academic terms, or the equivalent of 20 months, says Patro. Bryant & Stratton operates on trimesters, he added. A single term continues for 15 weeks.
The program’s fifth and final term involves full-time fieldwork, providing students the hands-on skills and education that will help them secure licensure and immediately join the workforce.
“It’s two eight-week internships, and that’s a requirement of our creditor,” says Patro.
Identifying the need
Bryant & Stratton had conducted research to identify professional needs in the areas where it operates campuses.
The research, Patro says, indicated the Syracuse area has a need for occupational-therapy assistants.
The school couldn’t find any colleges or universities along the New York State Thruway corridor between Albany and Buffalo that had an OTA program, he adds.
“We are the only program that exists in that stretch of the Thruway, so clearly Central New York is missing out on an area that’s highly needed,” Patro contends.
In a Jan. 27 news release, first announcing the program, the school cited figures from the U.S. Department of Labor’s Bureau of Labor Statistics that indicate demand for certified OTAs is expected to jump 41 percent nationally by 2022.
Bryant & Stratton College’s OTA program offers a “functional” degree that graduates can use in traditional and non-traditional settings. The degree also serves needs across a wide continuum of care, including autism, geriatric, veteran care, hospice and palliative care, the school says.
Accreditation process
The Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA) granted OTA program candidacy status in December 2014.
“At that point, we became eligible to recruit for the program,” says Patro.
Bryant & Stratton in August will submit a “self study” in which it explains how it will meet all the standards for such a program. Approval for candidacy status only required details on meeting a certain number of standards.
Once ACOTE reviews the study, it will make an on-site visit in April 2016 for a “thorough” review of the program and facilities.
The school expects final accreditation approval for the OTA program in August 2016, says Patro.
Once Bryant & Stratton obtains accreditation for the program, its graduates will be eligible to take the national certification examination to become an occupational-therapy assistant, which the National Board for Certification in Occupational Therapy (NBCOT) administers.
“In order for a student to sit for their certification exam, which they do need to obtain licensure in each state, the student must have graduated from an accredited program,” notes Patro.
After successfully completing the exam, the individual will be a certified occupational therapy assistant (gaining the COTA professional designation), he adds.
In addition, most states require licensure in order to practice; however, state licenses are usually based on the results of the NBCOT certification examination, according to Bryant & Stratton.
About Patro
Patro began his career as a staff clinician working in geriatric care. He earned his clinical doctorate from Chatham University, and went on to become assistant professor and academic fieldwork coordinator at Temple University.
Patro is also serving as the central-district representative for the New York State Occupational Therapy Association board. Patro says he is excited to bring his expertise to the college as it begins its program in Syracuse, an area that had been lacking a formal OTA program.
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