JSI Report Reveals Progress on HIV in MA but Challenges Remain

JSI conducted a comprehensive study to understand the needs of people living with HIV (PLWH) in Massachusetts and southern New Hampshire for the Boston Public Health Commission and the MA Department of Public Health. The report presents the results of the study and highlights the health care service needs of PLWH, as well as the barriers to care, challenges, and quality of life issues they face.
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JSI Study Highlights Suicide Increase among RI Youth

The RI Child Death Review Team, coordinated by JSI, conducts comprehensive reviews of deaths of children in order to identify ways in which similar deaths can be prevented. This Youth Suicide Issue Brief focuses on suicides of RI youth age 24 and younger between 2005-2010 and aims to serve as a resource for better prevention efforts in the states.
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Results of the LIVERSTRONG Cancer Anti-Stigma Initiative in South Africa

JSI and LIVESTRONG announced the successful results of the Cancer Anti-Stigma Initiative in South Africa, a first-of-its-kind effort aimed at raising awareness about the disease, improving knowledge about treatment and challenging the stigma that surrounds cancer.
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Developing the AHRQ Health IT Portfolio Annual Report

The Agency for Healthcare Research and Quality (AHRQ) Health Information Technology (IT) Portfolio, sponsors a variety of contracts, grants, and cooperative agreements that examine the impact of health IT implementation and use on health care outcomes. This annual report features 121 grant summaries and 59 contract summaries of AHRQ-managed health projects, as well as a summary of activities in the Health IT Portfolio in 2010.
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Producing a Social Media Toolkit for NMAC

JSI produced for the National Minority AIDS Council (NMAC) a toolkit introducing concepts underlying social media and how they have been used to promote healthy behaviors and community building. The document emphasizes the importance of taking a strategic approach to integrating social media in existing efforts, and includes activities to help users think through goals and objectives.
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Assessing Minnesota MSM HIV Prevention Services

The Minnesota Department of Health contracted with JSI to learn more about the status of HIV prevention among its men who have sex with men (MSM) community. JSI conducted key informant interviews, focus groups, and an online survey to assess the current view of HIV and AIDS among members of the MSM community and to learn about their perceptions of existing HIV prevention services.
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Examining how Safety Net Providers are Redesigning Care

To evaluate process reengineering efforts taking place across the healthcare safety net, JSI was asked by the California HealthCare Foundation to develop a publicly available Issue Brief on management reengineering across safety net organizations. JSI identified practices applied to safety net clinics in reorganizing their organizations to achieve additional efficiencies.
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Developing Rhode Island Diabetes State Plan

The Rhode Island Diabetes Plan 2010-2015 will help health care providers and other stakeholders in RI provide a coordinated approach to the goal of reducing the burden of diabetes in the state over the next five years, with a particular focus on reducing disparities related to diabetes.
Download Rhode Island Diabetes Plan 2010-2015

Success Stories from the AHRQ Health IT Portfolio

This report provides illustrative examples of various types of the Agency for Healthcare Research and Quality (AHRQ) Health IT Portfolio-funded projects. The intent of these success stories is to provide a high-level summary of each project describing its accomplishments and its contribution to the field of health IT.
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Exploring the Role of Telehealth in Improving Specialty Care

JSI assessed three telemedicine projects being implemented at community health centers to explore the role that telehealth can play in improving access to specialty care for the California Healthcare Foundation. Four documents authored by JSI summarize the diverse experiences of the three telemedicine projects.
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Many Community-Based Supply Chains Systems Informal and Inadequate

JSI recently completed a study 29 different international community-based distribution programs found that the majority of the programs have informal mechanisms and procedures for resupply and distribution of health commodities, and that the programs do not report key logistics data. JSI has produced an overview document that highlights key considerations for any supply chain functioning to the community level.
Learn the Supply Chain Models and Considerations for Community-Based Distribution Programs: A Program Manager's Guide

Private Delivery Care in Developing Countries: Trends and Determinants

JSI has examined trends in the growth of delivery care provided by private facilities and determinants of private sector use within the health care system. Results of the study show a significant trend toward privatization of delivery care, with considerable variation in the characteristics driving this increased use across countries. The results warn against making generalizations on the effects of privatization on maternal health use.
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Approaches that Effectively Save Lives in Pakistan

Results from a project endline evaluation conducted in Pakistan showed an overall increase of 27% in births attended by skilled health providers—an approach that significantly reduces maternal and newborn mortality. The Pakistan Initiative for Mothers and Newborns (PAIMAN) also saw emergency c-sections increased by 40% in their target districts and antenatal check-ups during pregnancy increased 29% while postnatal care within 24 hours increased by 33%.
Learn more about how the PAIMAN project has saved lives in Pakistan

Peak Vista Access and Retention Study Final Report

Peak Vista Community Health Centers contracted with JSI to identify potential causes of and steps to reduce patient attrition (particularly within the Medicaid, State Children's Health Insurance Program and Medicaid payer groups). JSI also examined ways to create a more desirable payer mix and opportunities to make the current enrollment processes more efficient, thus increasing engagement with Peak Vista and retaining current users.
Learn more about Peak Vista Access and Retention Study Final Report

Enhancing Health Care Delivery to the Medically Underserved and Indigent of Nashville and Davidson County, Tennessee

JSI reviewed ways to meet the health care needs of the medically underserved and indigent citizens of the Nashville, Tennessee, area, and made recommendations to meet those needs more cost effectively. JSI's primary recommendation the community needs a strong leading entity that is responsible for successfully responding to the needs of the entire safety-net system in a cohesive, coordinated manner.
Learn more about Enhancing Health Care Delivery to the Medically Underserved and Indigent of Nashville and Davidson County, Tennessee

Studying Unintended Pregnancy in Boulder County, CO

This report presents the data on rates of unintended pregnancy/paternity among Boulder County residents aged 13-28, as well as other indicators of sexual risk-taking behaviors in Boulder County. The report also identifies factors associated with unintended pregnancy/paternity in Boulder County and describes best practices in primary and secondary prevention of unintended pregnancy/paternity.
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Scaling-up Community-Based Management of Neonatal Infections in Nepal

This final report highlights the major outcome of the Morang Innovative Neonatal Intervention (MINI) project in Nepal. MINI was designed as a community-based learning project looking at scaling-up management of neonatal infections and was implemented in throughout the 65 Village Development Committees of the Morang District of Nepal.
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Guiding HIV Prevention Services for Urban Hispanic/Latino MSM

The Colorado Department of Public Health and Environment contracted with JSI to conduct a formative evaluation to guide HIV prevention services for urban Hispanic/Latino men who have sex with men (MSM) in 2010. The final report uses community input to reveal the perceptions of Hispanic/Latino MSM on the current state of and suggestions for HIV prevention services in the Denver Metro area.
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Assessing the Montgomery Cares Program

JSI was hired by the Montgomery County, MD DHHS to assess the management and governance structures of the Montgomery Cares Program. JSI conducted comprehensive interviews with the Montgomery Care Program's partners and other key stakeholders and reviewed best practices among similar, nationally recognized programs. JSI made recommendations on how the current governance and management structures could be improved.
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Identifying Barriers to Financing and Procuring Contraceptives in Madagascar

The Health Policy Initiative and JSI's USAID|DELIVER project are working to develop a methodology for identifying operational policy barriers in the financing and procurement of family planning products. The projects selected Madagascar to pilot test this methodology. The report includes recommendations for addressing some of the identified challenges in Madagascar related to procurement and financing.
Download the report on Identifying Barriers to Financing and Procuring Contraceptives in Madagascar (PDF, 240 KB)

Assessing the Cost of the Antiretroviral Supply Chain in Zambia

USAID|DELIVER conducted an assessment of the cost of the antiretroviral supply chain in Zambia. The survey's overall objective was to cost the logistics systems that distribute the commodities for Zambia's antiretroviral therapy (ART) program using the Supply Chain Costing Tool developed by JSI. This report presents the findings of the research, as well as the implications from the results for Zambia's ART program.
Download the report on Assessing the Cost of the Antiretroviral Supply Chain in Zambia (PDF, 713 KB)

Conducting Community Health Needs Assessment and Community Engagement Initiative

JSI was engaged by Beverly Hospital and Northeast Health System to conduct a needs assessment and community engagement initiative to guide Beverly Hospital's efforts to improve the area's health status, ensure that its services and community health programs are responsive to the communities they serve, and build working partnerships with the communities and other stakeholders in the area.
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Developing a Plan to Address Dementia in Vermont

Working with the Vermont Department of Disabilities Aging and Independent Living, JSI developed a State Plan on Dementia which outlines the strategic programming to improve existing services for persons with Alzheimer's disease and related disorders as well as to project the future service needs of the population.
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Promoting Best Practices in Family Planning in Europe & Eurasia

The Europe and Eurasia (E&E) Regional Family Planning Activity was an initiative funded by the USAID E&E Bureau and designed to leverage best practices in family planning (FP) to accelerate FP program implementation across the region, and ultimately to increase modern contraceptive use and decrease abortion rates. The reports document the major results of these efforts.
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Preparing an Evaluation Plan for the Delaware Health Information Network

JSI developed an evaluation plan for the Delaware Health Information Network (DHIN) to understand the value of health information exchange for its stakeholders. The plan maps out evaluation metrics developed by JSI. For each metric, the plan outlines the definition and the hypotheses being tested, a brief description of the evaluation methodology, and potential methodological considerations.
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Developing a Rural Health and Primary Care Plan for Vermont

Under contract with the Vermont Department of Health, JSI facilitated a strategic planning process to develop the State Plan on Rural Health and Primary Care. The document sets forth the resulting goals, objectives and activities for the State Office of Rural Health and Primary Care to achieve over the next three years.
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Assessing the Impact of Changes in the Ryan White HIV/AIDS Program Legislation on Care and Treatment Services

In 2007, HRSA's HIV/AIDS Bureau (HAB) contracted with JSI to assess the implementation of the core medical services provision among nine Part A, B, and C grantees. In fall 2008, HAB contracted again with JSI to conduct an assessment of the impact of a number of additional changes in the Ryan White HIV/AIDS Program legislation on care and treatment services.
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Assessing Wyoming HIV/AIDS Treatment and Prevention Needs

JSI was contracted by the Wyoming Department of Health to conduct a comprehensive statewide HIV/AIDS treatment and prevention needs assessment for the state. The final report includes a summary of the information gathered through data analysis, as well as recommendations on priority populations and interventions to use in HIV prevention and treatment.
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Evaluating Vermont Smoking Cessation during Pregnancy Incentive Program

The Vermont Department of Health, Tobacco Control Program contracted with JSI to conduct quality assurance monitoring and evaluation of its pilot Smoking Cessation during Pregnancy incentive program, operating in two of the state's district offices. As part of the project, JSI activities consisted of site visits, key informant interviews, a literature review and analysis of the Pregnancy Smoking Cessation Program database.
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Evaluating and Providing Vermont Medical Assistance for the Elderly

JSI, in collaboration with the American Society of Consultant Pharmacists Foundation, evaluated the Vermont Medication Assistance Services program, which is designed to address medication safety, adherence and assistance for seniors living in unlicensed congregate housing in Vermont. JSI developed a guide for resident service coordinators, pharmacists and nurses to provide medication assistance for seniors.
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Evaluating the Impact on Access and Cost on Expansion of FQHC in Maine

The Maine Health Access Foundation (MeHAF) contracted with JSI to perform an evaluation of the impact of recent Federally Qualified Health Center (FQHC) expansion in the state of Maine. JSI performed 79 interviews with the six communities that received MeHAF support and that received new federal funding, as well as interviews with other experts in the state. In addition, JSI surveyed over 600 patients to understand how patients' access to health services had been impacted by the availability of new services. The full report is intended for the MeHAF board and staff to guide future funding initiatives.
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Defining Priorities for The Rhode Island Foundation Fund for a Healthy RI

JSI worked with The Rhode Island Foundation to develop recommendations for the Foundation concerning the use of the Fund for a Healthy Rhode Island. The recommendations provide guidance and options on fund allocation, definition of the Foundation's role and creation of a strategy to strengthen primary care in Rhode Island.
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Developing a Medical Home Model in Colorado

JSI assisted Metro Community Provider Network in the development of a Medical Home and Chronic Care Model for its Potomac Street Health Center (PSHC; Aurora, CO). The work completed by JSI was used to develop a grant application to the Commonwealth Fund to support the implementation of the model developed for PSHC.
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Enhancing Access to Quality HIV Care for Women of Color

Women of color living with HIV are at an increased risk of not benefiting from recent advances in HIV care and treatment. There is a gap in understanding effective strategies, models, and approaches for engaging and retaining women of color in quality HIV care. Working with the Health Resources Services Administration, JSI identified several common, effective approaches to linking and retaining women of color in quality HIV care.
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Assessing Liberia's Capacity to Contract for Health Services

JSI has been working with the Ministry of Health and Social Welfare in Liberia to conduct a situational assessment of Liberia's capacity to contract with NGOs to deliver a basic package of health services. JSI also developed a National Health Strategy/Policy on Contracting and designed a contracting model for Liberia that will increase access to services included in the basic package of health.
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Informing Adult Learners about Tobacco through Integrated Health Literacy Programs

JSI Research & Training Institute, Inc., collaborated with adult education programs in New Hampshire to develop and field test a series of tobacco education lessons for adult learners in ABE and GED programs. For participating adult learners, evaluation findings showed significant gains in understanding of secondhand smoke exposure health effects and in knowledge of local smoking cessation programs.
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Assessing Nutrition and Physical Activity among Latino Students

JSI was funded by the Massachusetts Department of Education (DOE) to conduct qualitative focus group research with Latino/a youth in Massachusetts, ages 11-15 to determine the role of public schools in improving eating habits and increasing their physical activity. The results presented to the MA DOE will help with the development of new policies concerning nutrition and physical activity in schools.
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Evaluating Massachusetts Cross-site Teen Pregnancy Prevention Program

Over the past several years, 18 community-based organizations were funded to provide teen pregnancy prevention programs across the state of Massachusetts. JSI has supported these programs by providing technical assistance and training regarding logic models, evaluation methods, and data analysis for site-specific evaluations. The first evaluation report was completed in June 2008 for the data collected in 2006-2008.
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Assessing the Western New York Health Care Safety Net

JSI was contracted by the Community Health Foundation of Western and Central New York to conduct a community health needs assessment of safety-net services for low-income children and their families in eight counties in western New York. JSI provided recommendations to the foundation in the areas of strengthening and growing the safety net, improving access and quality, and reducing dependency on emergency departments.
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Developing a New Hampshire HEAL Action Plan

As part of the New Hampshire Healthy Eating and Active Living (HEAL) Initiative, JSI was hired to develop a statewide plan for promoting healthy eating and active living to improve health and quality of life for all NH residents. The New Hampshire HEAL Action Plan is a blueprint for statewide efforts to assist residents in adopting and maintaining a healthy lifestyle.
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Developing BPHC HIV Services Consumer Satisfaction Survey Plan

JSI has been awarded a contract by the Boston Public Health Commission to develop and administer a satisfaction survey of people living with HIV (PLWH) who are consumers of Ryan White Part A-funded services. The survey assessed satisfaction with the quality and accessibility of services, as well as the role of these services in PLWH's health care and quality of life. JSI presented the survey results to the Boston EMA HIV Health Services Planning Council in late May 2008.
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Assessing Dutchess County Cancer Control Needs

As part of the Dutchess County Department of Health efforts to develop a county-level cancer control plan, JSI Research & Training Institute, Inc., was hired to conduct a comprehensive assessment of cancer prevention, screening, treatment, and support services in the county. The final report presents JSI findings and recommendations.
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Evaluating Vermont's Alzheimer's Disease Demonstration Grant to States Program

In Vermont more than 20% of the state's population will be over the age of 65 by 2020, making it the second oldest state in the nation and as such, disproportionately impacted by Alzheimer's disease or a related disorder (ADRD). JSI performed an evaluation of Vermont programs funded by the Administration on Aging's Alzheimer's Disease Demonstration Grant to States to provide supportive, educational and direct service interventions for caregivers of people with ADRD.
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Reviewing the Needs of Grandparent Caregivers in Dona Ana County, New Mexico

The Housing Authority of the City of Las Cruces, New Mexico and the City of Las Cruces Senior Programs have begun to explore the development of housing programs for the estimated 3,000 grandparents raising grandchildren in Doña Ana County. As a first step in that process, JSI conducted a comprehensive assessment of the social service and housing needs of grandparents raising grandchildren in the county. The results of the survey and the needs assessment were presented to local government officials and community service providers in February 2008.
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Reporting on Healthcare-Associated Infections in the State of Massachusetts

JSI's Health Services prepared a report, Prevention and Control of Healthcare-Associated Infections in Massachusetts, for the State of Massachusetts on the prevention, monitoring and cost of healthcare-associated infections (HAIs). JSI coordinated the work of a multidisciplinary panel of experts and 6 working groups charged with examining the problem of HAIs and developing evidence-based recommendations for prevention, surveillance and reporting. The report, released in August, generated several mentions in the local and national press.
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Examining the Zithromax® Supply Chain of the International Trachoma Initiative (ITI)

JSI has been analyzing the logistics and supply management efforts for the International Trachoma Initiative (ITI), which is working to eliminate blinding trachoma. As part of this effort, JSI has produced new studies on the existing Zithromax supply chain in Nepal, Ethiopia, and Southern Sudan, in Uganda JSI conducted an assessment of the National Trachoma Control Program as they were planning to receive their first consignment of donated Zithromax.
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Assisting Children's Hospital Boston Better Serve its Communities

JSI was contracted by Children's Hospital to re-assess the health service needs/priorities of its inner-city target population, evaluate the effectiveness/impact of its current community health programs, and identify best practice programs/initiatives in each of its four target areas that could be applied in the community.
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Assessing Nutrition and Physical Activity among Latino Students

In the spring of 2007, JSI was funded by the Massachusetts Department of Education to conduct qualitative focus group research with Latino/a youth in Massachusetts. The research assessed Latino/a youth nutritional and physical activity habits and documented suggestions from focus group participants for schools for improving nutrition and physical activity. Results will be presented to the MA DOE which will then review and potentially develop new policies concerning nutrition and physical activity in schools.
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Developing a Cancer Control Plan for Rhode Island

JSI worked with the Rhode Island Department of Health and the Partnership to Reduce Cancer in RI to develop a State Comprehensive Cancer Control Plan. The Plan was presented in June 2007 and will be used to guide decision-making and to organize the efforts of all organizations and individuals working to control cancer in the State.
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Designing the New Hampshire Fit WIC Evaluation Plan

JSI's Community Health Institute (CHI) was contracted by the New Hampshire Department of Health and Human Services, Nutrition and Health Promotion Section to develop an evaluation plan for the NH Fit Women, Infants and Children Program (WIC) to address the emerging health issue of childhood overweight and obesity. The Evaluation Plan provides an overview of the health risk of inactivity and poor nutrition nationally and in NH, and recommendations for implementing the Fit WIC Program evaluation.
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Primary Care Research in Models for Substance Abuse and Mental Health in the Elderly—PRISMe Study

JSI, along with Harvard University's Aging Research and Education Center, was the Coordinating Center for a large national, multi-site study evaluating alternative models of delivering and financing mental health and substance abuse services for older adults in primary health care settings. The study's findings are now being widely used.
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Making a Case for Quality: TRICARE Health Plan

TRICARE is one of the nation's largest health care plans, providing comprehensive health coverage to nearly 2 million active duty and retired members of the uniformed services. Sponsored by the Department of Defense, through this project JSI adapted the Health and Work Performance Questionnaire for use in a sample of active-duty military personnel. This project aimed to help the Department of Defense move to a prevention-based health system.
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Vermont Governor's Commission on Healthy Aging

JSI worked with the state of Vermont to help design and implement the Governor's new Commission on Healthy Aging, sponsored by the National Governor's Association. Goals of the initiative included establishing a new Commission on Healthy Aging, identifying and treating older adults with depression, and collaborating with the state to create a health education strategy that will target rural older adults and their unique needs.
Learn more about Vermont Governor's Commission on Healthy Aging

Maine Primary Care Safety Net Environmental Scan

JSI assisted the Maine Health Access Foundation (MeHAF) in conducting an environmental scan of the primary health care safety net in Maine. The goal was to provide MeHAF with additional information about the range of health care providers that make up Maine's primary care saftey net and help the Foundation target its resources to strengthen and expand the safety net.
Learn more about Maine Primary Care Safety Net Environmental Scan

Russia Maternal and Child Health Initiative

The Russia Maternal and Child Health Initiative (MCHI)—and it's predecessor, the Women and Infant's Health Project—have worked to improve maternal and child health outcomes since 1999. MCHI ultimately worked in 16 regions of the Russian Federation; its innovative design helped regional and municipal government-supported health facilities adopt internationally-recognized, client-centered, evidence-based maternal and child health standards and practices in multiple areas.
Learn more about Russia Maternal and Child Health Initiative

Vermont Health Insurance Reform

The Vermont Business, Insurance, Securities, and Health Care Administration (BISHCA) contracted with JSI to help design and assess the health care reform plan that would provide universal access to affordable insurance, and improve quality and affordability through health care system reform. JSI's analysis was used to set premiums for the basic insurance policy and ensure that individuals across income groups had access to coverage. The efforts of the JSI team helped fashion Vermont's far-reaching health reform law.
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Wyoming Electronic Health Record

JSI conducted an evaluation of Wyoming's health information technology infrastructure, regional health information organizations (RHIOs), and developed a plan for the state to build and sustain an electronic health records (EHR) network for the Wyoming Healthcare Commission. The results were incorporated into subsequent planning phases and recommendations, including state legislation to fund and provide support to the Wyoming Health Information Organization (WyHIO), which has been incorporated.
Learn more about Wyoming Electronic Health Record

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