Another Look 2020

Another Look Grant ProgramNOW OPEN

Research to Improve Health for Older Adults in Long Term Care Facilities

Following a year-long review of current trends and issues in the field of long term services and supports, the Donaghue Foundation is pleased to relaunch the Another Look grant program in 2020, which provides funding for research that has the near term potential to improve quality for older adults living in long term care facilities. Between the start of the program in 2013 and 2018, the Another Look grant program has supported 30 grants with a total of $4 million dollars in funding.

The Foundation is aware of recent trends that are shifting the delivery of long term care services to home and community-based settings, and we recognize the benefits these approaches are offering to older adults, their families, and caregivers. However, we’ve concluded that a focus on improving the quality and delivery of services in nursing homes, assisted living, and other congregate care facilities to long term care residents age  65 and older,  is still very much needed. This setting will continue to be the focus of the Another Look grant program.

Two key requirements of the Another Look grant program remain the same as in past years. Researchers must use already existing datasets for the research being conducted and must include stakeholders from clinical, programmatic or policy arenas on their project team to help inform the research.

What’s New for 2020
The Another Look grant program will now allow researchers to allocate some grant funds to the collection of new data if it will enhance the utility of the project outcomes for improving quality of care. Applicants will be asked to provide more extensive information on the role of the stakeholders with whom they will be collaborating on the project. The external review committee evaluating letters of intent and applications to this program will include experts from both the academic and practice and policy communities.

Program Overview
This program provides funding for health-related research projects that can improve the quality of care and the quality of life for adults who are 65 year or older and who are long term residents living in nursing homes, assisted living, and other congregate care facilities.

This program requires researchers to rely on existing datasets to address the research question they seek to answer. Limited collection of new data is allowed in this program if it will enhance the utility of the project outcomes to improve quality in care facilities.

Researchers applying for this grant must include a stakeholder in the care delivery or policy arena with whom they will collaborate and who is willing to work with the researcher to develop products such as infographics, tool kits or training materials that are based on the research findings and could be used by those stakeholders to improve quality of care or quality of life for residents in long term care.

The Foundation welcomes all topics related to improving quality in long term care facilities but is particularly interested in supporting research focused on high priority issues that were identified through an environmental scan recently conducted by the Foundation. These high priority topics are:

  • increasing the availability and use of palliative, end of life, and hospice care
  • assessing the impact of innovations in staffing roles and expertise on resident quality of life
  • assessing the role of family members and informal caregivers on resident quality of life
  • understanding and reducing the impact of ageism on resident health and wellbeing
  • reducing isolation and loneliness and their negative impact on resident health and wellbeing
  • addressing racial, ethnic, gender or income disparities in care quality or health outcomes
  • enhancing understanding of the specialized care needs of resident populations with developmental disabilities or with serious mental illness

In all programs, the Foundation requires applicants to demonstrate that they have reviewed their research questions, protocols, sampling, and data analyses to ensure that they do not inadvertently mask or exacerbate racial, ethnic or gender health inequities.

In 2020, the Foundation will invest a total of approximately $750,000 in this grant program and expects to make four or five awards. Projects may be up to two years in length.

Who May Apply
This program is open to PhD (or equivalent) investigators at tax-exempt research institutions in the United States. In order to receive the award, the applicant must demonstrate how their research question is important to stakeholders in the policy or delivery arena and propose a rigorous research design. Stakeholder organizations cannot be the applicant organization.  Grantees may use this award to augment funding for a project already funded through another grant.

Timeline for Application Process
The application process will have two phases. Phase 1 is a letter of intent.  Following a review of all letters of intent, we will begin Phase 2 by inviting some applicants to complete a more substantial application.

March 25, 2020         Letter of intent deadline

June 24, 2020            Applications due

November 2020       Grant term begins

Application Materials
Grant Announcement
Letter of Intent Instructions & Form
Application Instructions
Application Forms

Past Awardees



2018

Paula Carder, PhD
Portland State University
Stakeholder organization: Oregon Department of Health Services“Measuring Quality through Complaints and Inspections Data”

Gayle Doll, PhD and Maggie Syme, PhD
Center on Aging and Geriatrics, Kansas State University
Stakeholder organization: Kansas Department for Aging and Disability Services
“Resident and Institutional Outcomes of Person Centered Care: A Longitudinal Evaluation of the Promoting Excellent Alternative in Kansas Nursing Homes”

 

Verena R. Cimarolli, PhD
The New Jewish Home
Stakeholder organization: LeadingAge
“A Geriatric Substance Abuse Recovery Program”

Lindsay Peterson, PhD
School of Aging Studies, South Florida University
Stakeholder organization: The National Consumer Voice for Quality Long-Term Care
“Finding the Consumer’s Voice: Nursing home complaints”

 

Lara Dhingra, PhD
Metropolitan Jewish Home
Stakeholder organization: LeadingAge New York
“Race, Ethnicity and Pressure Ulcers in Nursing Homes”

 


2017

Laura Hatfield, PhD
Harvard School of Medicine
Stakeholder organization: Continuing Life LLC
“Using Telemedicine to Reduce Hospital Transfers”

 

Carolyn Thorpe, PhD, MPH
University of Pittsburgh School of Pharmacy
Stakeholder organization: UPMC Senior Communities
“De-prescribing of Anti -dementia Medications”


2016

Donovan Maust, MD
University of Michigan
“Unintended Effects of Antipsychotic Reduction in Nursing Homes”
Stakeholder Organizations: Centers for Medicare and Medicaid; Michigan Great Lakes Chapter of the Alzheimer’s Association

Helen Temkin-Greener, PhD
University of Rochester
“Improving the Quality of Mental Health in Nursing Homes”
Stakeholder Organization: Finger Lakes Health System Agency

Kenneth Bookvar,MD
The New Jewish Home Research Institute on Aging
“Adverse Effects of Diuretics in Nursing Home Residents with Dementia”
Stakeholder Organization: Continuing Care Leadership Coalition and Greater New York Hospital Association

David C. Grabowski, PhD
Harvard Medical School
“The Impact of Enhanced Primary Care in Nursing Homes” Stakeholder Organization: OptumCare

Carrie H. Colla, PhD
Geisel Medical School at Dartmouth
College
“Transforming Nursing Home Care Under the ACO Model”
Stakeholder Organization: Federal  Coordinated Health Care Office


2015

Marie Boltz, PhD and Jane Flanagan,
PhD
Boston College
“Post-Acute Outcomes in Nursing Home Residents with Dementia”
Stakeholder Organization: Massachusetts Office of Elder Affairs

Susan H. Busch, PhD
Yale School of Medicine
“Reducing Inappropriate Use of
Anti-Psychotic Medications in Nursing Homes”
Stakeholder Organization: Connecticut State Department on Aging

Andrew B. Cohen, MD, PhD
Yale School of Medicine
“End-of-Life Care for Nursing Home
Residents with Guardians”
Stakeholder Organizations: The Mary Wade House and the Office of Guardianship and Elder Services, Washington State Administrative Office of the Court

Stephen Crystal, PhD
Rutgers University
“Data Driven Quality Improvement for Safer Dementia Care in Texas”
Stakeholder Organization: Texas Department of Aging and Disability Services

Lara Dhingra, PhD
Metropolitan Jewish Health System
“Institutional Special Needs Plans and Hospice in Nursing Homes:  Prevalence and patterns”
Stakeholder Organization: Hospice and Palliative Care Association of New York State

Sean Jeffrey, PharmD
University of Connecticut
“Preventing Medication-Associated
Delirium”
Stakeholder Organization: Department of Geriatric Medicine, Hartford Hospital

Mark S. Lachs, MD
Weill Cornell College of Medicine
“Annual Prevalence of Resident-to-Resident Mistreatment”
Stakeholder Organization: 1199SEIU/League Training and Employment Fund

Pamela Nadash, PhD
University of Massachusetts
“Nursing Home Satisfaction Measures: What is their relationship to quality”
Stakeholder Organization: National
Consumer Voice for Quality Long-Term Care

Jennifer Perloff, PhD
Brandeis University
“Accountable Care: Impact on nursing home services”
Stakeholder Organization: Hebrew
SeniorLife


2014

Jennifer Gaudet-Hefele, PhD
The Heller School for Social Policy and Management, Brandeis University
Stakeholder organization: Massachusetts Senior Care Foundation
“Chasing Medicare: Impact of Post Acute Specialization”

Joseph T. Hanlon, PharmD
University of Pittsburgh
Stakeholder organization: University of Pittsburgh Medical Center Senior Communities
“Cumulative CNS Medication Dosage and Serious Fall Injuries”

Yue Li, PhD
University of Rochester Medical Center Stakeholder organization: Finger Lakes Health Systems Agency “Reducing Avoidable Hospital Uses from Nursing Homes”

Kimberly Van Haitsma, PhD
The Pennsylvania State University
Stakeholder organization: The Pennsylvania Culture Change Coalition
“Assessing Resident preferences to advance person centered care”


2013

Lisa Barry, PhD
University of Connecticut Health Center
Stakeholder organization: Connecticut Department of Mental Health and Addiction Services and Department of Corrections
“A Community-Based Skilled Nursing Facility for Difficult-to-Place Residents”

Randi Berkowitz, MD
Commonwealth Care Alliance
Stakeholder organization: Northeast University
“Skilled Nursing Facility Shared Savings Plan”

Lew Lipsitz, MD
Beth Israel Deaconess Medical Center Stakeholder organization: Fourteen nursing homes in Massachusetts and Maine
“Evaluating the ECHO-AGE: Remote
Video-Consultations for NHS”

Joann Reinhardt, PhD
Jewish Home Lifecare
Stakeholder organization: Excellus
BlueCross BlueShield
“Improving End of Life Care in a Nursing Home”

Jennifer Tjia, MD
University of Massachusetts Medical School
Stakeholder organization: Massachusetts Senior Care Foundation
“Evaluating an Elder Care Resident
Intervention”