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Resource: Reports
Number of Items: 30



Thursday, May 01, 2008
Endowment for Health Operating Grant Pilot Program

The Endowment's operating grant program is based on the theory that some organizations critical to the long-term health infrastructure in New Hampshire are best able to achieve their missions and support ours by obtaining unrestricted support. This evaluation examines the use and impact of operating grants as well as the structure and implementation of them.



Sunday, February 01, 2009
Essential -- A portrait of the nonprofit sector in New Hampshire

There are nearly 8,000 nonprofits in New Hampshire, employing one in eight NH workers and representing 14.5 percent of the state's Gross Domestic Product. These organizations focus on varied issues, including arts, culture & humanities; education; environment; health; human services; and religion, to name a few. The uniqueness of the nonprofit sector lies in its mission to serve the common good. Because of their flexible structures and understanding of community issues, nonprofits are able to create innovative programs that help protect the qualities we value most in a human and civil society. Nonprofits ensure that all are heard and have the opportunity to serve and be served, regardless of circumstance. Moreover, nonprofits are used by everyone. This comprehensive report on the nonprofit sector portrays a powerful force in the state and one that is essential to our economy and way of life.



Tuesday, April 01, 2008
Oral Health In New Hampshire

In 1999, the Endowment for Health was formed and embarked on a process to identify primary focus areas. One of these was oral health. From 2001 to 2007, the Endowment invested $4.9 million dollars in 68 projects that included new service delivery models, infrastructure strengthening, coalition building, public awareness building, and leadership development. The evolution of the Endowment's work in oral health in many ways reflects the early growth of the young foundation and provides many lessons. Measuring the impact on as large an issue as Oral Health in New Hampshire is a challenge and no one organization can "cause" change. However, this report examines several oral health measures that point to collective success.



Monday, October 20, 2008
Community Health Centers in New Hampshire

This report examines the financial performance and condition of eight community health centers in New Hampshire. It focuses on the key indicators of cash flow, profitability, liquidity, and capital structure. It describes key ratios and the variability of those ratios for purposes of trend and comparative analysis during the period 2003 - 2007.



Monday, October 20, 2008
Acute Care Nonprofit Hospitals in New Hampshire

This report examines the financial performance and condition of 23 acute care nonprofit hospitals in New Hampshire, culling from data over the five years comprising 2003 - 2007. This performance is compared to hospital performance in the northeast region and nationally and seeks to gain a deeper insight into where funds come from and where they go within the hospital sector.



Wednesday, May 13, 2009
Senate Finance Committee: Options for Health Reform



Tuesday, September 22, 2009
White House Report: The Burden of Health Insurance Premium Increases on NH Families

Average New Hampshire family premium growth is 119 percent, compared to just 45 percent wage growth.



Tuesday, December 15, 2009
Children's Mental Health Services in New Hampshire

NH's mental health care system is under assault. The impacts of the broken system are seen in the stress it is putting on local law enforcement, hospital emergency rooms, the court system and county jails, and, most importantly, in the harm under-treated mental health conditions cause NH citizens and their families. This report is a compilation of research that examines children's mental health services for early childhood, school-age children, adolescents and young adults, and vulnerable populations.



Tuesday, January 01, 2008
Suicide Across the Lifespan

New Hampshire has made great gains in supporting and bringing forward the voices of survivors -- those who have lost someone to suicide -- to understand and support them and reduce the isolation that often comes with their profound grief. This report outlines many successful efforts to educate the public, collect and analyze data and shape sound public policy that can help prevent suicide.



Tuesday, February 23, 2010
Reimbursing Medical Providers For Preventive Oral Health Services

Tooth decay, while highly preventable, is the most common chronic disease among children and it disproportionately affects children from families with low incomes. Thirty-five state Medicaid agencies are working to increase children's access to preventive oral health services by reimbursing primary care medical providers for a variety of services. Based on the results of a 50-state survey and recommendations from national experts, the National Academy for State Health Policy, with the support of the Pew Children's Dental Campaign, selected five states to interview about their Medicaid reimbursement policies for preventive oral health services: Iowa, Minnesota, North Carolina, Utah, and Washington. This report draws on the experiences of those states.



Sunday, March 21, 2010
Full text of reconciliation bill



Sunday, March 21, 2010
Reconciliation Bill: Section by Section Analysis



Monday, June 01, 2009
What We Know About Young Adults Aged 18 - 24 in New Hampshire

Young adults aged 18 - 24 are in a transitional period of life as they move out of adolescence and into adulthood. Although little research has been conducted on the psychological well-being of young adults, for most people this is a time of positive physical and metal health. However, for some young adults this is a period of great vulnerability and risk. This report examines prevalence of health care access, substance abuse, suicide and educational factors among this population and makes recommendations for improving the well-being of young adults in New Hampshire.



Thursday, April 01, 2010
Children's Mental Health: What every policymaker should know

Mental health is a key component in a child's healthy development; children need to be healthy in order to learn, grow, and lead productive lives. The mental health service delivery system in its current state does not sufficiently meet the needs of children and youth, and most who are in need of mental health services are not able to access them. With the addition of effective treatments, services and supports, the mental health system can become better equipped to help children and youth with mental health problems, or those who are at risk, to thrive and live successfully.



Friday, January 01, 2010
Improving Access to Mental Health Services for Abused Children in NH

Child Advocacy Centers (CACs) are community partnerships designed to coordinate multidisciplinary investigations of child abuse and other child victim crimes. The CAC team typically includes law enforcement, the County Attorney's Office, the Division for Children, Youth and Families (DCYF), victim advocacy agencies and the medical and mental health communities. This report summarizes an assessment to determine if the CACs can increase their capacity to link child abuse victims and their families to evidence-based mental health services.



Thursday, July 01, 2010
State of NH LBA Audit on Community Mental Health System

This audit assessed the Bureau of Behavioral Health's (BBH) oversight of the community mental health system to ensure efficient and effective service provision. The audit period is State fiscal years 2008 and 2009. The BBH oversees community-based services by contracting with ten regional community mental health centers. In SFY 2009, the BBH expended $93.9 million for community mental health services. This total represents both federal and state funds. Approximately $1.3 million was spent on BBH administration. State funds are primarily used to reimburse the CMHCs for services to Medicaid recipients. The state no longer reimburses centers for non Medicaid consumers who cannot fully pay for services. Findings of the audit point to several areas in which the BBH can better align its operations with its current environment through planning, improved service oversight and risk mitigation.



Tuesday, April 01, 2008
Endowment for Health Grantee Perception Report 2008

The Endowment for Health periodically gathers feedback from grantees through focus groups and surveys to better understand how we're doing. In 2007 we engaged the Center for Effective Philanthropy (CEP) to conduct a survey of our grantees on their experiences with and perceptions of the Endowment. Seventy-one percent of our grantees completed this confidential survey. We conducted a similar survey in 2004. The information collected provides helpful feedback about our performance as a foundation. CEP compared our survey results with those of 123 other foundations, including a cohort of 15 health conversion foundations. This analysis provides us with information about how we compare to other foundations and enables us to benchmark against them. A summary of the survey findings is presented in this document.



Monday, December 15, 2008
Impact of Dependent Coverage for Health Insurance

HB 790 passed during the 2007 legislative session and expands the definition of dependent young adults to those who are under 26 years of age for purposes of increasing access to health insurance coverage. The New Hampshire Insurance Department has reviewed the impact of the initiative on coverage as well as cost.



Monday, January 07, 2008
A Pound of Prevention

The Health Promotion and Disease Prevention Policy Team of the New Hampshire Citizens Health Initiative has released its first report on health care in New Hampshire, “A Pound of Prevention.” This report utilizes the most current data available in 2006. The Citizens Health Initiative is a long term, broad-based coalition that brings together private citizens, businesses, medical providers, and community agencies to improve the health of New Hampshire’s citizens. The initiative has three major goals, each with a working group assigned to it:

  1. Promoting improved health and disease prevention
  2. Improving the quality of health care
  3. Promoting openness of information

This paper addresses the first goal – promoting improved health and disease prevention.

While New Hampshire is relatively healthy, not all the state’s citizens are equally healthy. Additionally, we are living longer. NH has the same health challenges and leading causes of death as the rest of the United States.

Many diseases are preventable which is why the policy team has recommended a focus on tobacco and alcohol, improved nutrition and physical activity, awareness of environmental influences, injury prevention and mental health services.



Saturday, March 01, 2008
Drowning in Paperwork, Distracted from Purpose

Project Streamline is a collaborative initiative of the Grants Managers Network, in partnership with the Association of Fundraising Professionals, the Association of Small Foundations, the Council on Foundations, the Forum of Regional Associations of Grantmakers, the Foundation Center, Grantmakers for Effective Organizations, and the National Council of Nonprofit Associations.

Our sector faces an effectiveness paradox. Funders, striving to be strategic and diligent, adopt what seem like sensible application and reporting requirements. But these practices—multiplied by thousands of grantmakers—place a heavy burden on organizations seeking funding, hampering their ability to be efficient with their time and effective in their missions. Project Streamline, a collaboration of eight prominent organizations representing grantmakers and grantseekers, will engage grantmakers and grantseekers over the next year in a conversation about improving grant information gathering for a stronger, more effective sector.

The study found ten ways that the current system of grant application and reporting creates significant burdens on the time, energy, and ultimate effectiveness of nonprofit practitioners.



Monday, November 01, 2004
Assessing Language Interpretation Capacity Among NH Health Care Providers

The New Hampshire Medical Interpretation Capacity Assessment (MICA) offers a review of the health care language support needs of New Hampshire residents who have limited English proficiency (LEP) and/or who are Deaf or Hard of Hearing. The need to provide quality care, minimize risk exposure, follow legal mandates, respond to changing demographics, and help eliminate disparities are all powerful forces. They encouraged the Endowment for Health and a diverse coalition of providers and advocates to examine the medical interpretation capacity of health care providers statewide. This report identifies and addresses language service issues and suggests a set of next steps to reduce the gap between the medical interpretation needs of Deaf, Hard of Hearing and limited English proficient patients in the state and the health care system's capacity to serve those needs.



Tuesday, November 01, 2005
New Hampshire Speaks Out: We Want Public Transportation

While most New Hampshire residents want to have greater access to a range of public transportation options, they typically do not have access to transportation beyond their own vehicles or rides provided by family and friends. Given the proportion of people who are worried about losing their driving ability and those who currently cannot drive themselves due to old age or disability, concerns are raised regarding access to critical community supports such as jobs, health care, and shopping. However, responses also indicate that the majority of the public is willing to financially support an enhanced public infrastructure in New Hampshire.



Monday, September 01, 2008
Assuring Healthcare Equity

The National Association of Public Hospitals and Health Systems, through its research and education affiliate, the National Public Health and Hospital Institute, convened a recent meeting of national experts on healthcare disparities, quality improvement, and hospital administration. The purpose: to outline a framework for hospitals to address racial and ethnic disparities in healthcare. Strategies were developed with expert input.



Tuesday, January 15, 2008
Fulfilling the Promise: Transforming NH's Mental Health System

In the past 10 years, admissions to the state's public psychiatric hospital have doubled. Local communities have seen reductions in psychiatric hospital units, group homes that provide residential treatment, and intensive outpatient services. Per capita expenditures at hte state's mental health centers have been reduced by nearly half. Primary care providers have seen significant increases in mental health issues in their medical settings. The rate of incarceration for people with mental health issues has risen. To address these issues, New Hampshire's legislature created the Commission to Develop a Comprehensive State Mental Health Plan in 2005. This report outlines the Commission's recommendations to improve the system of mental health care in the state.



Thursday, December 01, 2005
NH Resident Views on the Use, Availability, and Need for Public Transportation

Accessing critical community supports such as employment, shopping, recreation, and health care represents a substantial portion of New Hampshire residents' time and energy. While most residents drive themselves where they need to go, they also offer rides to others in their community. According to findings related to the lack of availability of public transportation across the state, residents who currently do not drive are reliant on the continued provision of transportation from neighbors and family. This report documents concerns and outlines areas that can assist planners and legislators in ensuring that New Hampshire residents will continue to have access to needed resources.



Working Together to Assure a Healthy Public

This is a comprehensive document that provides information on the health status of the residents of New Hampshire.   The purpose of this report is to increase awareness of a variety of health topics in New Hampshire and serve as a tool to guide decision-making for policymakers, health care providers, public health workers, practitioners, educators, and social service agencies.  The New Hampshire State Health Report looks at health from an overarching perspective of what influences individual and community health.  This approach redirects the reader from looking solely at the result of disease, to focus on the potential for improving health.



Thursday, July 26, 2007
Collecting Family Voices on Children's Mental Health

The NH Children’s Mental Health Focus Groups were convened by The National Alliance on Mental Illness NH (NAMI NH) in New Hampshire. The purpose of the project was to understand the thoughts of family and youth with mental illness as well as hear the observations and attitudes towards NH children’s mental health service system (public and private). This project provided us with important information as we planned the Endowment's new theme, Improving the Mental Health of NH's Children and Their Families. It also offered insight into the education and support needs of families dealing with a child and/or adolescent with mental illness.



Thursday, November 21, 2002
Telling Our Story: New Hampshire's Community Benefits

This report analyzes the first year's experience with the community benefits process created by legislative action in 1999 and offers recommendations for next steps including addressing system and infrastructure issues and disseminating information to the public. Health care providers, District Health Councils, community members, advocacy groups, foundations, legislators and health care charitable trusts have all been interested in the outcome of this legislation.



Friday, December 01, 2006
Girls Speak Up

Adolescence is a critical period in the development of attitudes, behaviors, and life-style choices that can enhance health and well-being among young people. It is also a time of unique vulnerabilities, health issues, and real and perceived barriers to accessing health care. An important aspect of the Girls' Health Initiative was ascertaining not just what girls and young women do in regard to health-related behaviors, but more important, how they think about the choices they make and the meaning of their behaviors. In this report, our analyses integrate the voices of young women.



Stepping Up to the Future

The members of the Citizens Roundtable were called together by the Endowment for Health to look at the many challenges facing the health care system and make recommendations that would strengthen the health care system in New Hampshire.

Recommendations were made in several key areas including:

  • Working together to keep the health care system stable;
  • Ensuring that information is available to understand and make important decisions about our health care system;
  • Understanding how well the health care system is working for NH’s citizens.

A new dynamic is at work in the health care system, brought on by a decline in employer-based coverage and a sustained increase in health care costs.  We believe that together these forces create potentially destructive pressures on the system and may cause instability and the loss of providers essential to our community’s health.

In September 2004, the Endowment for Health charged the Citizens Roundtable to:

  • Develop a common understanding of the causes and impacts of rising health care costs, expenditures, and insurance premiums, and Recommend actions to New Hampshire policy-makers (potentially with federal partners), employers, health care providers, and the general public that could meaningfully address rising costs, access, and quality.