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Ct Health Foundation Ar 20031

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7/30/2019 Ct Health Foundation Ar 20031 http://slidepdf.com/reader/full/ct-health-foundation-ar-20031 1/32 Connecticut Health Foundation ANNUAL REPORT 2003
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Connecticut Health Foundation

ANNUAL REPORT 2003

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z

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THE CONNECTICUT HEALTH FOUNDATION IS A CATALYST, BUILDING

CONSENSUS AND COALITIONS TO IMPROVE HEALTH SERVICES, SO PEOPLE

CAN PURSUE AND ENJOY OPTIMUM HEALTH IN BODY, MIND AND SPIRIT. ULTIMATELY, STRIVING

TO IMPROVE HEALTH AND ACCESS TO HEALTH CARE MEANS GOING BEYOND A MEDICAL

MODEL. IT MEANS SUPPORTING PEOPLE TO BE THE BEST THEY CAN BE IN ALL ASPECTS

OF THEIR LIVES.

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2

G E N E R A T I N G S U B S T A N T I A L A N D L A S T I N G

C H A N G E : A H O L I S T I C A P P R O A C H

Money can solve a lot of problems. But improving

health care services, access and outcomes for all the

people of Connecticut also calls for leadership,

insights, coalition-building, and shared best practices.

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Since 1999, the Connecticut Health

Foundation (CHF) has been exploringand supporting the most effective and

creative ways to improve the health

status of the people of Connecticut.

In 2003, CHF, the largest independent

health foundation in the state, dispersed a

record number of dollars in direct funding to a

range of organizations — from small neighborhood groups to large

academic institutions.

But CHF also takes a holistic approach to achieving substantial and

lasting change — an approach that includes providing information

and technical assistance to grantees, analyzing public policy to shed

light on unmet needs and related policy gaps, and supporting health

education and training in the communities.

Success in achieving these objectives, however, can only be deter-

mined by the people, organizations and communities that CHFserves. Only they know if the Foundation’s programs and initiatives

add value and have a positive impact on people’s health.

According to the executive director of one grantee organization that

focuses on improving mental health care for children: “Working with

CHF is different. CHF doesn’t just wait for our quarterly reports.

They’ve been in partnership with us from the beginning, saying all

along that we’re learning in this field together.”

Working in close partnership with community groups, government

agencies, other foundations and grantees helps CHF realize its

mission and primary goals — improving children’s access to oral

health care and mental health services, and eliminating racial and

ethnic health disparities.

“CHF doesn’t just

wait for our

quarterly reports.

They’ve been in

partnership with

us from the

beginning, saying

all along that

we’re learning in

 this field together.”

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4

G A I N I N G S T R E N G T H

T H R O U G H C O L L A B O R A T I O N

In the world of community health, budgets are often small

and resources are stretched thin. That’s why CHF joins

forces with other foundations, health care organizations and

advocates — pooling resources, disseminating information

and sharing ideas and insights to achieve similar goals.

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In 2003, for example, CHF formed a funders’ collaborative with

the Children’s Fund of Connecticut, the William Casper GrausteinMemorial Fund and the Community Foundation of Greater

New Haven. Together, the cooperative is helping New Britain,

New London and Middletown develop their own comprehensive,

community-based health service system that promotes wellness

in young children at early-care and education sites.

CHF and the Aetna Foundation have also found a great deal of 

common ground. As leading grantmaking organizations, the two

Connecticut-based foundations share programming priorities,

particularly in the battle to eliminate racial and ethnic health

disparities, and to provide oral health services to children and

families in need.

Board members and a national conference of grantmakers in health

initially brought CHF and Aetna together. Now the two organizations

are evaluating ways to collaborate within the city of Hartford, to

forge a model of cooperation that will help solve the serious problems

associated with racial and ethnic disparities in health care.

“Our connection with CHF is around our shared commitment,” says

Sharon Dalton of the Aetna Foundation. “When we started to look

at how we as a foundation would

address these critical issues, we

wanted to find out who’s

doing what and how we

could work with interested

parties. We hope to establish

a community-wide effort,

with CHF playing a significant

role as a partner.”

“...We hope

 to establish a

community-wide

effort, with

CHF playing a

significant role

as a partner.”

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6

F I L L I N G T H E G A P S

Meaningful collaborations can also be forged with government

agencies that may need particular support in their efforts to

provide effective services. CHF has worked closely with

Connecticut’s Department of Children and Families (DCF), in

the area of children’s mental health, providing funding and

technical assistance to 10 of the state’s 27 community-based

children’s mental health collaboratives.

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“While DCF is responsible for providing direct

services,” says the program’s director TimMarshall, “the basic task of the collaboratives

is to identify gaps and then to plug those gaps

so that kids can receive mental health care in

their own communities. There is no way I can

overstate the quality and importance of the technical

assistance CHF has provided in those 10 collaboratives.”

In fact, CHF’s expertise has been so valuable that Marshall shares

the information it provided with the other 17 collaboratives, so

that all 27 can benefit from CHF’s “good modeling.” TheFoundation

makes it clear, Marshall notes, “that whatever material or informa-

tion they provide is to be put to the broadest use to serve as many

people as possible.”

The CHF-DCF relationship demonstrates a simple fact: while fund-

ing is essential, various kinds of support and technical assistance are

also invaluable. And so, CHF communicates regularly and often withits grantees to find out what they need to be successful and how the

Foundation can help meet that need.

“The CHF staff worked hard with us before we even submitted the

grant,” explains Martha Stone, executive director of the Center for

Children’s Advocacy, which provides legal representation to children

who fall through the cracks of the child welfare, mental health and

juvenile justice systems.

“When we approached CHF, they asked us, ‘What do you really need

to do your work?’ and helped us figure out how to ask for it. They

wanted to help, they gave us a lot of information, and we appreciate

the openness and willingness to walk in our shoes.”

“...they wanted

 to help, they

gave us a lot of

information, and

we appreciate

 the openness

and willingness

 to walk in ourshoes.”

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8

A D D I N G V A L U E T H R O U G H K N O W L E D G E

The health care system in the state of Connecticut and the

nation is complex and troubling — solutions to problemsare not always clear. For most state agencies, community

groups and advocates, it’s a challenge to gather and share

accurate information and knowledge in order to establish

meaningful plans, make sound decisions, and improve

existing service capabilities.

CHF helps by finding and supporting people who can provide

the knowledge, expertise and technical assistance needed to

solve the most pressing health care problems.

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The challenge of providing oral care for underserved populations is a

case in point. Eight oral health collaboratives supported by CHF aretrying to develop and implement a coordinated dental care delivery

system in Connecticut’s largest urban areas. The goal is to double by

2007 the use of dental health services by children enrolled in

HUSKY, Connecticut’s Medicaid program. This is a daunting task,

with plenty of budgetary, bureaucratic and cultural obstacles.

“If we want to have an impact on children’s oral health, we have to

look at the core issues that govern the availability of dental care,”

says Burton Edelstein, D.D.S., M.P.H., the founding director of the

Children’s Dental Health Project and a Columbia University scholar.

That’s why Edelstein, working closely with CHF, developed a

framework — and a handbook — that enables federally qualified

community health centers (FQHCs) to contract with private dentists

who can provide care at the centers and see eligible patients in their

own offices. As a result, FQHCs can expand their capacity to treat

this underserved population of children.

“The brilliance of this approach is that it brings together people from

different areas of health care and helps break down barriers —

familiarizing dentists with health centers and their patients, and intro-

ducing the centers to local practitioners,” explains Evelyn Barnum,

executive director of the Connecticut Primary Care Association.

Thanks to CHF’s funding and technical assistance, for example, the

Staywell Community Health Center in Waterbury — a participant in

the Waterbury Oral Health Collaborative — was able to contract

with private dentists for needed services. As a result, the center is

able to offer evening hours to accommodate working families andprovide more education about oral health issues and service access,

which helps overcome barriers in the community.

By addressing these systemic problems in partnership with the

collaboratives, CHF is making a significant impact on the most

common chronic health problem in children — tooth decay — the

leading cause of lost school time.

“If we want to

have an impact

on children’s

oral health, we

have to look at

 the core issues

 that govern the

availability ofdental care.”

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10

L E A R N I N G I N T H E C O M M U N I T Y

Before health care in Connecticut can be improved, however,

360 degree learning must often take place — from listening to

people in the community to learning about their needs, to

training health care organizations about establishing efficient

systems of care, to educating communities about basic health

information and how to access the health care that is their right.

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This scope of learning is evident at programs like We Walk in

New Haven (WeWiN), a CHF-funded initiative that promotesphysical activities and good nutrition to reduce health risks

associated with chronic illnesses among city residents, particularly

low-income African-Americans and Hispanics. Scattered across

the greater New Haven area, eight WeWiN sites offer educational

programs ranging from nutritional counseling to basic health

assessments and fitness activities, including line dancing and weight

training — all free and locally based.

“We talk to people where they are,” says WeWiN programdirector Sharon Bradford. “Neighborhood groups, churches,

housing complexes. We want to help them learn how to resist

chronic illnesses and maintain health — and show that you can

have fun while you’re at it.”

Education and outreach is also a key aspect of Project LEARN of 

the Southeast Mental Health Systems of Care (SeMHSC), a group

of agencies that coordinate services for children with serious mental

health problems in 19 southeastern Connecticut towns. While itsdirect care management services are funded through the state,

CHF funds its community collaborative.

According to Cara Westcott, LEARN’s project director, “we are

committed to getting out the word that children DO have mental

health issues, that early intervention and prevention are vital, and

that services are available.”

With CHF funding over three years, SeMHSC has also been able“to think strategically about building an infrastructure to serve

children with mental health needs within their communities, and

to establish a system of care in our local agencies — care that is

community based, culturally competent and family focused,”

Westcott explains. “CHF gave us the opportunity to learn how

to build systems of care.”

“CHF gave us

 the opportunity

 to learn how to

build systems

of care.”

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12

O V E R C O M I N G C U L T U R A L B A R R I E R S

Overcoming cultural and language barriers to

health care access is yet another significant

educational challenge.

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That’s why CAUSA, the Connecticut

Association for United Spanish Action,took action to confront the high rate

of diabetes in the state’s Latino

communities. With a three-year

CHF grant, CAUSA created DIAL

— Diabetes Information and Action

for Latinos — which provides

mini-grants to some of its member

organizations that run local diabetes

prevention and care initiatives. CAUSA is also developing aninformation clearinghouse, and it created the first-ever statewide

Spanish-language conference on diabetes.

With a massive outreach campaign for the conference, CAUSA

provided everything from transportation to childcare to attract

more than 600 people from Hispanic communities around the state.

Medical check-ups and health screenings were available, as well as a

range of workshops — from healthy cooking with traditional foods

to low-impact aerobics.

“We saw the hunger for this kind of information,” says Carmen

Sierra, CAUSA’s executive director.

“Fortunately with the DIAL

initiative, we will be able to

continue the work with

nearly 30 bilingual

volunteer diabetes

educators, plus astatewide media

campaign. We learned

from this conference that

people really do want to change

and will respond if you make the

information accessible to them.”

“We saw the

hunger for

 this kind of

information.”

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14

I N F L U E N C I N G T H E P U B L I C P O L I C Y D E B A T E

Working with communities “on the ground” is vitally

important. But perhaps the most significant battle — with the

greatest potential impact on people’s day-to-day lives — is in

the halls of Connecticut’s state and local governments and

institutions, where public health policies are written.

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“One of the unfortunate realities of modern political life is that

legislators are asked to make decisions on a huge range of complexissues — and often do so with very little information,” says Joan Alker,

senior researcher at Georgetown University’s Health Policy Institute.

One such issue to which CHF was compelled to respond was a

proposal to drastically change the way the state of Connecticut

administers Medicaid.

While Medicaid is a federal health insurance program for low-income,

elderly, and disabled people who can’t afford medical care, it is

managed by the states, which have latitude in creating regulations.

The proposed changes in Connecticut — which included the

imposition of premiums for recipients who couldn’t afford them —

would have sharply reduced access to health care by the state’s

neediest people, especially children. To make sure policymakers

understood what was at stake, CHF decided to commission research

and analysis on the issue … and do so quickly.

“A preliminary bill on the policy change was passed late at night,

at the end of a very hectic legislative session, with no public hearings

and no forum for discussing the impact,” explains Judith Solomon,

senior policy fellow with Connecticut Voices for Children, a statewide

research and advocacy organization concerned with the health and

well-being of children. “To support the contention that people would

suffer if the legislation were passed, we knew we had to put together

numbers that would show what the abstract policy language really meant.”

Georgetown’s Health Policy Institute in Washington, D.C., and

Connecticut Voices for Children were commissioned by CHF and the

Anthem Foundation of Connecticut, Inc., to publish five successive

policy briefs on the proposed changes. The numbers, it turns out, were

startling. If passed, the legislation would have resulted in a 43 percent

increase in the number of uninsured children and the loss of Medicaid

coverage for thousands of elderly and disabled people. In total, 96,000

residents were being threatened with a loss of coverage.

“...we knew we

had to put together

numbers that

would show

what the abstract

policy language

really meant.”

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16

The reports also showed the negative long-term effect on the

state’s economy as a whole, and its health care system in particular,as more underinsured and uninsured individuals would be forced

to make use of expensive emergency room care, often waiting until

they were very ill.

Concise and filled with concrete data, the policy briefs were sent

not only to legislators, but also to children’s advocacy organizations,

pediatricians and other interested parties, as well as to news outlets

across the state, to generate vocal support and media coverage.

The results were significant and gratifying. The legislators repealed

almost all of the proposed changes, and many made it clear how

useful the new information was.

“CHF did a fantastic job of getting the information out,” notes Alker.

“It’s unusual for a grant provider to be so nimble, to move so quickly

in response to an immediate situation.” In fact, she adds, “CHF is

becoming a model for other foundations around the country on how

to influence public policy through research and analysis.”

“It’s unusual

for a grant

provider to be

so nimble, to

move so quickly

in response

 to an immediate

situation.”

POLICY BRIEFS ARE AVAILABLE AT WWW.CTHEALTH.ORG

• THE IMPACT OF PREMIUMS ON CHILDREN AND PARENTS IN HUSKY A

• IMPOSING PREMIUMS ON LOW-INCOME ELDERLY AND DISABLED PERSONS IN MEDICAID

• THE IMPACT OF CO-PAYMENTS AND REDUCED BENEFITS ON CHILDREN ENROLLED IN HUSKY A

• COST OF PROPOSED MEDICAID AND HUSKY A CHANGES TO THE CONNECTICUT ECONOMY

• THE IMPACT OF PREMIUMS ON PREGNANT WOMEN IN MEDICAID (insert)

• CAP ON FEDERAL MEDICAID FUNDS WOULD FORCE STATE TO PAY INCREASED HEALTH CARE COSTS

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C O R R E C T I N G I N J U S T I C E S

CHF also expects to change public policies and correct

injustices in its fight against racial and ethnic health disparities.

Since its inception, the Foundation has been committed to

reversing the significantly poorer health and higher mortality

rates among minority groups — disparities that exist even

when income and insurance coverage are equal.

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18

In October 2003, CHF held its second

conference on the issue —“ A World Waiting to be Born:

Taking Action to Eliminate

Racial and Ethnic Health

Disparities” — which drew

more than 250 policymakers,

health professionals, communi-

ty leaders and academics, who

exchanged ideas and heard the

latest findings presented by expertsfrom around the country.

Forrester (Woody) Lee, M.D., professor of Medicine, assistant dean

of Multicultural Affairs at Yale University Medical School and a

conference workshop leader, reflected the tone of the event. Referring

to the groundbreaking 2001 Institute of Medicine report, Unequal 

Treatment: Confronting Racial and Ethnic Disparities in Health Care,

he said, “with this report, which pulled together two decades of 

research, there is no longer a debate about whether these inequitiesexist. The issue now is what to do about them.”

One strategy is to include cultural competencies in the education of 

health care professionals and encourage members of underrepresented

groups to pursue health care careers. To learn more about this, CHF

awarded a three-year grant to conduct a comprehensive cultural

competence audit and assessment at the University of Connecticut

Health Center — with the goal of increasing the number of under-

represented students and faculty that are recruited and retained.

The Foundation also put together a panel of leaders in health care,

business, education, politics and community advocacy, to collect

information and develop policy recommendations for the public,

private and nonprofit sectors.

“We’re trying

 to correct and

change a serious

wrong that was

created in the

past and has

been sustained

over many

decades.”

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In 2004, the panel will gather data and

host three public hearings to learndirectly from experts and

citizens alike. Topics being

explored include health

workforce diversity,

language and cultural

barriers to health care,

social determinants, data

collection and monitoring,

and environmental health,among others.

“We’re trying to correct and change a

serious wrong that was created in the past and has been sustained over

many decades,” says the panel’s chair, Sanford Cloud, Jr., president of 

the National Conference for Community and Justice.

“As we learn about the impact of racial and ethnic

disparities on all Connecticut residents from experts and

 the public over the next several months, I hope the panel

will greatly impact the lives of individuals, families,

communities and institutions, and the state of Connecticut

as a whole.”

The panel’s policy recommendations

will appear in a published reportin 2005.

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20

S T R I V I N G T O B E B E T T E R

People often talk in the abstract about CHF’s philosophy of 

continuous improvement. But in reality, it’s based on a simple

question: “How can we do this better?”

Part of the answer is ongoing education — for the Foundation’s staff, board and grantees — from

reading the latest research to attending retreats and seminars. The other part is a commitment to

evaluation — monitoring the well-being of the organization and its partners, figuring out what

works and what doesn’t, and allowing for change.

Open for all to see, the Connecticut Health Foundation strives to be a model of philanthropy that

can make a difference — as a resource, catalyst and partner — so that all of Connecticut’s people

can pursue and enjoy optimum health, in body, mind and spirit.

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In 2003, CHF’s Board of Directors began approving multi-year, strategic grants,

providing 54 community groups, institutions and organizations — both local

and statewide — with nearly $9.1 million in funding, each ranging from $2,000

to $600,000. The grantees listed below represent CHF’s ongoing commitment

to learning, assessing, and developing systematic changes that will improve the

health of all Connecticut residents.

American Medical Association(Statewide) 

African-Caribbean American Parents ofChildren with Disabilities [AFCAMP]

(Statewide) 

African-Caribbean American Parents ofChildren with Disabilities [AFCAMP](Statewide) 

Bridges – A Community Support System,Inc. (Milford and West Haven, Milford,

Bethany, Orange, Woodbridge, Amity and 

the lower Naugatuck Valley) 

Bridgeport Child Advocacy Coalition(Bridgeport) 

Bridgeport Hospital Foundation Child

FIRST [Child & Family InteragencyResource, Support, and TrainingProgram] (Bridgeport) 

Bridgeport Hospital Foundation ChildFIRST [Child & Family InteragencyResource, Support, and TrainingProgram] (Bridgeport) 

Bridgeport ORBIT Oral HealthCollaborative (Bridgeport area) 

To convene a panel of experts who will discuss patient-centered

communication as a way to reduce racial and ethnic health disparities.

While this project is national, the AMA will develop and field test

performance measures and tool kits in Connecticut.

To provide a planning grant to participate in a special two-day technical

assistance workshop in January 2003.

To provide technical assistance and support so that the Foundation’s

local collaborative grantees can effectively engage parents in the men-

 tal health system and foster involvement in their local system of care.

To strengthen the capacity of the local systems of care by developing a

strategic plan. Once this plan is complete, Bridges may apply for future

implementation funds.

To work with the Board of Education Nutrition Center to adopt more

rigorous nutrition standards for school meal programs and with the

Physical Education Departments to adopt physical and health education

curricula designed to address childhood obesity.

Building Capacity grant to develop the ChildFIRST program’s long-term

sustainability by hiring a consultant and providing additional resources to improve clinical protocols.

A one-year continuation grant to develop an early childhood prevention/

intervention system of care through identification and assessment,

home-based inventions, and community education and referrals.

To continue working toward the five-year goal of doubling access to

and utilization of oral health services among HUSKY children in the

Greater Bridgeport area (the Children’s Fund of Connecticut contributed an

additional $20,000).

60,000

10,000

50,000

25,000

31,150

25,000

200,000

520,000 over

four years

2 0 0 3 G R A N T A WA R D S

G R A N T E E A M O U N T P R O G R A M D E S C R I P T I O N

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22

G R A N T E E A M O U N T P R O G R A M D E S C R I P T I O N

Capitol Region Conference of Churches,Inc. (Hartford area) 

Capitol Region Council of Churches,Inc. (Hartford area) 

Center for Children’s Advocacy, Inc.

(Hartford area) 

Center for Children’s Advocacy, Inc.

(Hartford area) 

Child Guidance Center of SouthernConnecticut (Stamford, New Canaan,

Darien, Stamford and Greenwich) 

Christian Activities Council (Hartford) 

Community Partners in Action (Hartford) 

Community Health Resources (Windsor,

Enfield, Windsor, Manchester and Vernon) 

Connecticut Academy of Pediatrics(Statewide) 

Connecticut Association for UnitedSpanish Action, Inc. [CAUSA]

(Statewide) 

Connecticut Center for EffectivePractice (Statewide) 

Connecticut Food Bank (Fairfield,

Litchfield, Middlesex, New Haven,

New London and Windham counties) 

Connecticut Food Share, Inc.

(Hartford and Tolland counties) 

99,645

20,000

12,500

142,800 over

 two years

355,000 over

 three years

2,000

10,000

375,000

70,700

200,000 over

 two years

500,000

over two years

30,000

15,000

To establish a health ministry network to reduce racial and ethnic

health disparities in the Greater Hartford region and strengthen the

capacity of local faith communities to improve the health of individuals

and families.

Building Capacity grant to increase pastor and clergy support of the

health ministry program though a Clergy Self Care and Renewal

Program and to provide educational materials to 10 churches on the

north side of Hartford.

To continue supporting the TeamChild program, which helps children

in the juvenile justice system receive appropriate mental health andspecial education services.

To enable the Center to continue protecting and promoting legal rights

of poor children. Under this two-year grant, the Center must develop a

sustainability plan by the end of the first year of funding.

To develop and implement a strategy for increasing parent involvement

and satisfaction with the system of care, and to enhance the cultural

competency of organizations that provide services to families who have

children with severe behavioral problems.

To support the Albany/Vine Street Task Force Block Party Initiative in

August of 2003.

To support the continuation of the Fitness Fun and CardiovascularHealth project at CPA’s Juvenile Detention Center in Hartford.

To develop and implement a strategy for increasing parent involvement

and satisfaction with the system of care, and to enhance the cultural

competency of organizations that provide services to families who have

children with severe behavioral problems.

To create an education campaign for pediatricians about proposed

changes to the state Medicaid program.

To continue increasing public awareness of the risks of diabetes among

Latinos in Connecticut.

To continue its work of identifying and promoting evidence-based

practices in the diagnosis and treatment of children with serious and

complex emotional/behavioral disorders. The Foundation helped create

and establish CCEP to enhance the capacity of the state’s Connecticut

Community KidCare initiative.

To support America’s Second Harvest network of nearly 200 food banks

and food rescue organizations in six of the state’s eight counties.

To distribute food to more than 270 local programs that feed hungry

people in Hartford and Tolland counties.

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Connecticut Health Policy Project

(Statewide) 

Connecticut Legal Services(Statewide) 

Connecticut Oral Health Initiative(Statewide) 

Connecticut Primary Care Association

(Statewide) 

Connecticut State Conference of theNAACP (National Organization for theAdvancement of Colored People)Branches (Statewide) 

Connecticut Voices for Children

(Statewide) 

Council on Foundations and

Grantmakers in Health (Nationwide) 

Danbury Oral Health Collaborative(Danbury area) 

Danbury Oral Health Collaborative

(Danbury area) 

“Eliminating Health Disparities by2010: Tools, Skills and Networksfor Action” (Statewide) 

End Hunger Connecticut, Inc.(Statewide) 

Environment and Human Health, Inc.

(Statewide) 

Families United for Children’s MentalHealth (Statewide) 

63,250

10,000

180,000

over two years

300,000 over

 two years

25,000

178,986

over three

years

12,650

600,000 over

four years

25,000

7,000

9,020

20,000

50,000

To track 5 to 10 families who lost HUSKY benefits over a one-year

period due to changes in eligibility requirements, and to present

findings to the community and policymakers.

To support litigation and advocacy for HUSKY adults who will not

receive oral health services due to state budget cuts.

To continue oral health policy education and advocacy throughout

Connecticut.

To provide technical assistance to increase the number of Federally

Qualified Health Centers (FQHCs) who sign contracts with privatedentists in order to expand dental health services among community

health center patients. Under this two-year grant, six contracts will be

signed between community health centers and private dentists.

To support the planning process surrounding a study that highlights the

health status of African-Americans in Connecticut.

To conduct an educational campaign that will increase public

understanding of the impact of state budget choices on children

and other vulnerable populations.

To provide organizational support to these national foundation

associations.

To continue working toward the five-year goal of doubling access to

and utilization of oral health services among HUSKY children in the

Greater Danbury area.

Building Capacity grant to expand the capacity for treating HUSKY

children by purchasing an additional portable dental unit and supplies,

and using dental hygiene students to help treat HUSKY children.

To provide scholarships for 20 Connecticut residents to attend the Third

New England Regional Conference in Boston on March 2-4, 2003.

To support a Fellow from the Congressional Hunger Center to work onchild nutrition needs in Connecticut.

To assess how nutrition and physical activity programs affect obesity

in school-aged children throughout the state and publish its report,

Understanding the Barriers to Good Nutrition and Reducing Obesity in 

Connecticut Public Schools.

To provide technical assistance and support so that the Foundation’s

local collaborative grantees can effectively engage parents in the men-

 tal health system and foster involvement in their local system of care.

G R A N T E E A M O U N T P R O G R A M D E S C R I P T I O N

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24

FAVOR, Inc. (Statewide) 

FAVOR, Inc. (Statewide) 

Foundation for EducationalAdvancement (Statewide) 

Griffin Health Services Corp.(Lower Naugatuck Valley area) 

Hartford-East Hartford Oral HealthCollaborative (Hartford-East Hartford 

areas) 

Naugatuck Valley Community CollegeNursing Program (Statewide) 

New Britain Oral Health Collaborative

(New Britain) 

New Haven Family Alliance We WalkIn New Haven (New Haven) 

New Haven Family Alliance We WalkIn New Haven (New Haven) 

New Haven Oral Health Collaborative(New Haven area) 

New Haven Oral Health Collaborative

(New Haven area) 

Northeast Food Collaborative

(Windham county) 

O.N.E./ C.H.A.N.E.(Hartford) 

71,500

25,000

5,000

55,435

160,000

150,000 over

 two years

160,000

10,000

350,000 over

 two years

520,000 overfour years

25,000

5,000

7,000

To continue supporting its member organizations and other groups of

parents throughout the state whose children have severe mental and

behavioral disorders.

Building Capacity grant to modify and implement a national leadership

 training curriculum for parents of children with special behavioral

health needs.

To provide scholarships to the May 8, 2003, conference, ”Unlocking

Learning Potential: Relentlessly Pursuing Closing the Achievement and

Health Disparities Gap for Connecticut’s Children.”

To develop and implement a model cultural competency policy to meet

 the needs of its diverse patient population. The hospital plans to estab-

lish a community advisory group; conduct and analyze a needs assess-

ment; and develop a long-term strategy to improve medical services for

all of its patients.

To work toward the five-year goal of doubling access to and utilization

of oral health services among HUSKY children in the Greater Hartford

area during the second year of a five-year initiative (the Children’s Fund

of Connecticut contributed an additional $20,000).

To continue increasing the quality and quantity of a diverse health care

workforce by expanding the number of African-Americans and Latinos

eligible for admission into the NVCC’s nursing program to at least 28

students per year by 2005.

To work toward the five-year goal of doubling access to and utilization

of oral health services among HUSKY children in the Greater New

Britain area during the second year of a five-year initiative (the

Children’s Fund of Connecticut contributed an additional $20,000).

Building Capacity grant to increase physical activity levels in selected

New Haven neighborhoods by purchasing equipment that encourages

people to exercise indoors.

To continue reducing risk factors associated with chronic illnesses that

are disproportionately represented among partner populations.

To continue working toward the five-year goal of doubling access toand utilization of oral health services among HUSKY children in the

Greater New Haven area (the Children’s Fund of Connecticut con-

 tributed an additional $20,000).

Building Capacity grant to increase collaboration and tracking through

an inter-organizational data collection system.

To support six food pantries in Windham County.

To support the “Zero Child Abuse Summit” in Hartford on Feb. 28, 2003,

 to make child abuse prevention a community priority.

G R A N T E E A M O U N T P R O G R A M D E S C R I P T I O N

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One Connecticut, Inc.

(Statewide) 

Saint Francis Hospital and MedicalCenter, Dept. of Pediatrics

(Hartford) 

Southeast Connecticut Oral HealthCollaborative (New London County) 

Southeast Connecticut Oral HealthCollaborative (New London County) 

Southeast Mental Health Systemof Care LEARN

(Old Lyme and New London County) 

Southeast Mental Health Systemof Care LEARN

(Old Lyme and New London County) 

Stamford Oral Health Collaborative(Stamford area) 

Stamford Oral Health Collaborative

(Stamford area) 

The Foundation for Mental Health(Statewide) 

The Foundation for Mental Health(Statewide) 

University of Connecticut

(Statewide) 

University of ConnecticutHealth Center (Statewide) 

University of ConnecticutHealth Center (Statewide) 

10,000

150,000 over

 two years

200,000

12,500

365,000 over

 three years

15,000

600,000 over

four years

25,000

3,314

10,000

150,000 over

18 months

110,000 over

 three years

319,125 over

 three years

To support a strategic planning process mapping One Connecticut’s

work and capacity building over the next three years and to develop an

organizing and mobilization strategy.

To reduce racial and ethnic disparities among children suffering from

asthma, lead poisoning and other injuries.

To double access to and utilization of oral health services among HUSKY

children in New London County over five years; develop a formalized

care coordination program; increase care delivery by employing more

staff; and open a new dental chair.

Building Capacity grant to increase efficiency of care coordinators and

dental hygienists by enabling them to spend more time with clients and

 to expand community awareness of school-based oral health programs.

To develop and implement a strategy for increasing parent involvement

and satisfaction with the system of care, and to enhance the cultural

competency of organizations that provide services to families who have

children with severe behavioral problems.

Building Capacity grant to increase knowledge and skills of local

collaborative members by sending them to the “National Conference on

Systems of Care” and expanding KidCare curriculum training by utilizing

KidCare trainees as facilitators.

To continue working toward the five-year goal of doubling access to and

utilization of oral health services among HUSKY children in the Greater

Stamford area.

Building Capacity grant to increase the collaborative’s data collection

and analysis capacity in order to more efficiently track HUSKY patients

at oral health facilities.

To support the FMH’s grassroots infrastructure through the purchase of

database development and donor tracking software.

To underwrite the part-time salary of the site coordinator for the We Can

Clubhouse in Manchester.

To determine the best methods of increasing the recruitment, retention,

and graduation rates of historically underrepresented minority students

in health care degree programs.

To increase the number of underrepresented minority students in

Connecticut pursuing an education in the health sciences.

To conduct a comprehensive cultural competence audit and assessment

of the Health Center through focus groups, interviews, and an analysis

of current policies, practices and procedures, with the purpose of

increasing the number of students and faculty from underrepresented

groups who are recruited and retained over this three-year grant.

G R A N T E E A M O U N T P R O G R A M D E S C R I P T I O N

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26

G R A N T E E A M O U N T P R O G R A M D E S C R I P T I O N

Urban League of Greater Hartford(Hartford) 

 Waterbury Oral Health Collaborative

(Waterbury area) 

 Waterbury Oral Health Collaborative(Waterbury area) 

 Waterbury Youth Service System, Inc.(Waterbury) 

 Witness Project of Connecticut, Inc.

(Bridgeport) 

Yale-Griffin Prevention Research Center

(Waterbury, New Haven, Hartford and 

Bridgeport areas) 

Yale-Griffin Prevention Research Center

(Waterbury, New Haven, Hartford and 

Bridgeport areas) 

Yale University School of Medicine,Dept. of Pediatrics (New Haven) 

Yale University School of Medicine,Dept. of Pediatrics (New Haven) 

TOTAL

10,000

160,000

12,500

375,000 over three years

100,000 over

 two years

10,000

399,000 over

 two years

15,000

220,774 over

 two years

$9,050,804

To maintain and enhance a newly designed intake and tracking system.

To work toward the five-year goal of doubling access to and utilization

of oral health services among HUSKY children in the Greater Waterbury

area during the second year of a five-year initiative (the Children’s Fund

of Connecticut contributed an additional $20,000).

Building Capacity grant to expand capacity to collect and analyze data

across all collaborative organizations.

To develop a strategic plan for the Family Focus Partnership AdvisoryBoard (FFPAB) that will increase parent satisfaction with services

provided under KidCare, the state’s community-based, family-centered

and culturally competent mental health care delivery system.

To continue increasing breast/cervical cancer awareness, knowledge,

screening and early detection behaviors among African-American

women in medically underserved areas of Connecticut.

To help support the semi-annual newsletter, Speaking of Health , and

print an additional 40,000 copies of the October 2003 issue.

To continue supporting the PREDICT program, which develops policies,

programs and practices that reduce diabetes-related health disparities

among African-Americans living in New Haven and Hartford.

Building Capacity grant to integrate lessons learned into the Adopt-a-

Doc program by making improvements to the curriculum of those

pediatric residents who participate in the program to improve

outcomes and effectiveness.

To continue funding the Adopt-a-Doc Program, which provides

pediatric residents with the knowledge, skills, and expertise to address

ethnic and cultural disparities in the health and development of

children.

CHF offers several types of grants, primarily in the areas of oral health, children’s mental

health, and racial and ethnic health disparities. For detailed information on the grant applica-

 tion guidelines and grantmaking process, please visit our website — www.cthealth.org.

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Revenues and Gains

Interest & dividend income from investments

Net realized investment gains

Net unrealized investment gains

Total revenues and gains

Expenses and Losses

Grants & program related expenses

General & administrative expenses

Investment expenses

Net realized investment gains (losses)

Net unrealized investment gains (losses)

Total expenses and losses

Change in unrestricted & total net assets

Net assets, beginning of year

Net assets at end of year

2003

3,343,287

249,379

16,627,157

20,219,823

10,102,181*

493,895

525,991

11,122,067

9,097,756

116,564,057

$125,661,813

*Reflects first-time recog- 

nition of multi-year grants.

Our auditors have rendered 

an unqualified opinion on 

our financial statements.

Copies of our audited 

financial statements may 

be obtained by contacting 

Foundation staff or by visiting our website at 

www.cthealth.org.

STATEMENTS OF ACTIVITIES

Assets

Cash & cash equivalents

Dividends & interest receivable

Security deposits

Prepaid expenses

Marketable securities

Escrow deposits

Investment in ConnectiCare Holding Co., Inc.

Fixed assets, net of accumulated depreciation

Total assets

Liabilities and Net Assets

Liabilities

Accounts payable & accrued liabilities

Grants payable

Total liabilities

Net assets - unrestricted

Total liabilities and net assets

2002

1,831,398

24,154

1,676

9,643

107,726,087

1,500,000

7,500,000

58,491

$118,651,449

180,729

1,906,663

2,087,392

116,564,057

$118,651,449

2002

3,903,730

3,903,730

3,684,121

471,770

466,224

4,381,188

6,865,431

15,868,734

(11,965,004)

128,529,061

$116,564,057

STATEMENTS OF FINANCIAL POSITION

2003

4,656,895

39,108

1,676

45,866

127,740,656

41,381

$132,525,582

453,124

6,410,645

6,863,769

125,661,813

$132,525,582

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28

Writing: Don Heym

Design: E.K. Weymouth De

Photography: ©2004 galezucker/www.gzucker

Conference photos: Edwina Steve

Researcher: Rhea Hirsh

Printing: Hitchcock Prin

T H E C O N N E C T I C U T

H E A L T H F O U N D A T I O N

STAFF

Patricia Baker

President & CEO 

Bill Crimi

Director of Program 

Monette Goodrich

Director of Communications & Public Affairs 

Roslyn Hamilton

Program Officer 

Nancy Nolan

Grants/Office Manager 

Carol Pollack

Director of Finance & Operations 

Jennifer Pomales

Program Associate 

Eliz ValentinAdministrative Assistant 

OFFICERS

Leo Canty, Chair 

Susan Addiss, Vice Chair 

Corine T. Norgaard, Treasurer 

Michael Williams, Secretary 

BOARD OF DIRECTORS

Jean Adnopoz

Raymond Andrews, Jr.

W. Renata Dixon

Arthur Evans, Ph.D.

Laura Green

Katherine Ill, M.D.

Peter Libassi

Maximino Medina, Jr.

Henry Parker

Jean Rexford

Arthur Sperling, D.M.D.

Lynelle Thomas, M.D.

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The Connecticut Health Foundation (CHF) will be moving to a new location with the

Community Foundation of Greater New Britain, Inc. We look forward to moving to our

new address — 74 Vine Street, Suite 200, New Britain, CT 06052 — by September 2004.

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270 Farmington Avenue, Suite 357Farmington, Connecticut 06032

phone 860.409.7773fax 860.409.7763

www.cthealth.org


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