Capstone Courses and Projects
United States Centers for Medicare & Medicaid Services
Determining the Potential Impact of the Affordable Care Act’s New Models of Care on Healthcare Access and Delivery in Southern New Jersey
The Centers for Medicare & Medicaid Services (CMS) provides healthcare coverage to one out of every three Americans, and it is currently playing a paramount role in the implementation of the Affordable Care Act (ACA). The CMS Region II Office requested a Capstone team to help it assess whether the new models of care underpinning ACA, including patient-centered medical homes and accountable care organizations, are feasible and desirable in the rural counties of Southern New Jersey, and if they are not, what methods of care delivery might better meet these counties’ healthcare needs. Additionally, the team explored the potential impact that New Jersey’s future health insurance exchange might have on health insurance access in the region. The final qualitative analysis report includes findings from a literature review, interviews with key stakeholders, and a site visit to the area’s largest Federally Qualified Health Center. Through its work, the team established a methodological framework that can assist the CMS Region II Office in conducting future feasibility assessments in areas where health care services and delivery systems are limited.
New York City Health and Hospitals Corporation
Developing a Prototype for the Naturally Occurring Healthcare Community in East Harlem
The Capstone team worked with HHC’s Office of Special Projects to create a model that leverages the existing organizations and resources in the local community to address health disparities and access to health care. East Harlem was chosen because a significant percentage of its residents have no primary care provider or health insurance, live below the federal poverty line, and contend with greater-than-average levels of crime, illness, and economic disparity. This model, called the Naturally Occurring Healthcare Community (NOHC), would facilitate health care provision through the development of linkages with social service and other agencies possessing established relationships with neighborhood residents. The NOHC draws on best practices for serving a community with its given demographic profile and for creating and sustaining partnerships among organizations of differing size, mission, and resources. The Capstone team developed an anonymous survey for East Harlem HHC and CBO employees to register their opinion on the greatest health and psychosocial challenges experienced by residents they serve.
Feasibility Study for GMHC Medical Clinic
Since its founding in 1981 during the onset of the HIV/AIDS crisis in the United States, GMHC has played a leading role at the local, state, and national level in the fight against HIV/AIDS. Through their extensive social services and programs for clients, GMHC has identified an emerging need for medical and rehabilitative services within their unique population of clients. The Capstone team performed a health care needs assessment and market analysis to determine the feasibility of expanding beyond a social services and policy organization to a medical services provider. The Capstone team used findings from the needs assessment and market analysis to determine strategic next steps for the organization.
Children of Bellevue
Improving Process and Providing Measurement Tools for the Early Learning Group
Children of Bellevue (COB) is a nonprofit organization dedicated to initiating, funding and developing special programs, and to acting as an advocate for children and their families within Bellevue Hospital Center. The Early Learning Group (ELG), a program funded by COB, provides a therapeutic, developmentally-based playgroup for parents and children between the ages of six months and three years. Currently, the ELG does not have a formal system in place for measuring the success of the program’s goals and objectives. The Capstone team was assigned the task of helping ELG develop measurement tools to better assess the success of the program. The initial stage of the project included thorough research and complete understanding of the ELG, achieved through multiple on-site visits by Capstone team members. In addition, the team conducted research of best practices of other hospital-based programs and similar goal-oriented non-profit organizations. Through these means, and interviews with child life experts, the Capstone team provided recommendations for the implementation and utilization of measurement and evaluation mechanisms that COB and ELG can use to demonstrate its success in fulfilling its goals.