This issue marks the launch of a new quarterly feature, Foundation News. Foundation News will highlight current and forthcoming activities and initiatives from foundations with an interest relevant to older adults and their care. Reports will include such information as new funding opportunities, awards, new programmatic initiatives, sponsored conferences, names and contact information for staff members responsible for aging-related concerns, and links to foundation home pages for more detailed information on relevant activities. The Editor welcomes reader feedback related to this new feature and would like to invite other foundations interested in participating in Foundation News to contact the Executive Editor for more information: email@example.com.
AARP's charitable affiliate, The AARP Foundation, helps older Americans, especially those left vulnerable because of insufficient income or frail health, to keep their homes, their jobs, their health, and their savings. The AARP Foundation was created in 1961. Since then, it has grown significantly, and currently serves millions of older Americans in need through its various programs. These programs provide a range of much-needed services, including free tax preparation, job training and placement, money management assistance, benefits screenings, and anti-fraud efforts.
AARP Foundation also defends the rights of older Americans by representing them in significant court cases and by writing friend- of -the - court (amicus) briefs on behalf of AARP. It is involved in litigation before state and federal courts, even the U.S. Supreme Court. AARP Foundation addresses legal issues that affect the daily lives of older individuals, such as health and long-term care, consumer protection, predatory lending, age, and disability discrimination in employment, pensions, and other retiree benefits.
Over the years, the AARP Foundation has received grants from federal and private sources to administer a variety of health-related programs, including some that improved access to mental health services, identified unlicensed board and care homes, fought elder abuse, and built coalitions of mental health service providers and advocates.
Currently, AARP's programs continue to help thousands of people nationwide. In Colorado, its ElderWatch Program empowers citizens to detect, report, and protect themselves against scams targeting older adults. In West Virginia, the Senior Medicare Error Patrol Project helps individuals obtain information about Medicare and Medicaid fraud and become wiser health care consumers. The AARP's Workforce Initiative is providing jobs for older Americans at employers such as the Johns Hopkins Health System and Universal Health Services. Its Money Management Program provides volunteer money management assistance to older adults who can no longer manage their own finances and who have no family or friends to help them. The Benefits Outreach Program helps older adults learn about their eligibility for public and private assistance in paying for prescription drugs, health care bills, and other expenses.
The Foundation has achieved significant victories for older Americans in the nation's courts through its groundbreaking litigation on various health issues. For example, a $5 million settlement in Brown v. Guiliani was finalized in 2004 for 300 residents in a long-term care nursing facility in New York City who suffered transfer trauma when they were moved without proper discharge planning.
Additionally, in Ball v. Biedess the Arizona federal district court ordered that the defendants - the state agency responsible for administering Arizona's Medicaid program and its director - provide home health aides, without gaps in service, for elderly and disabled individuals. The court held that beneficiaries must not be forced to choose between adequate health care and institutionalization, and that the defendants failed to provide the representative class members with the equal access, quality of care, and freedom of choice to which they are entitled. The court ordered defendants to develop adequate contingency plans for instances when a service cannot be provided, offer a sufficient pay rate to health care workers, monitor their program for service gaps and eliminate them in less than 4 hours, implement a grievance process, and inform beneficiaries about their rights.
The AARP Foundation raises money to support its activities through government grants and donations from individuals, corporations, foundations, and AARP. With more than 6 million older Americans suffering economic hardships and one-third of Americans older than 65 with incomes of less than $10,000 per year, the AARP Foundation's work has never been more needed or more important. By 2030, the number of individuals older than 65 will double to 70 million, with the fastest-growing age group being those older than 85. With these demographics, the challenges in this nation are unprecedented. The AARP Foundation can help all older Americans to live better lives and stay healthy and independent longer.
For More Information
To find out more, access the AARP Foundation's website at www.aarp. org/foundation.
THE ATLANTIC PHILANTHROPIES
Nursing is an important emphasis within the grantmaking in aging at the Atlantic Philanthropies. The Atlantic Philanthropies' aging program operates in the United States, the Republic of Ireland, Northern Ireland, and Bermuda, with nursing issues relevant to the first two countries.
U.S. Program Goals
The U.S. program has two main components:
* Encouraging civic engagement with a focus on the participation of older individuals in society and the contribution they can make to the common good.
* Improving health and support services through a strategy of human capital development with a focus on the capacity of health care providers (e.g., nurses, social workers, physicians, direct care workers, self or family caregivers) to provide good health care to older adults.
Projects with Other Organizations
"within the human capital development program, The Adantic Philanthropies is supporting many organizations and projects across the different fields working to improve the geriatric knowledge and skills of practicing health care professionals. In nursing, several grants provide examples of the organization's funding priorities.
The American Nurses Association was awarded $5 million for a project entitled "Enhancing Geriatric Competence for Specialty Nurses," which has grown into an important initiative called "Nurse Competence in Aging." In partnership with the Hartford Institute for Geriatric Nursing at New York University and specialty nursing societies, this project aims to develop on-line training materials and certification pathways for nurses in specialty fields to gain skills in caring for older individuals.
The Visiting Nurse Association of America was awarded $4.4 million for a project entitled "Curricula for Homecare Advances in Management and Practice (CHAMP) Program." CHAMP, which includes a major partnership with the Visiting Nurse Service of New York, is training nurse supervisors of home health workers so they can train and support frontline workers to deliver better care to older patients. In both of these efforts, The Atlantic Philanthropies' hope is to have a national effect on the care delivered by currently practicing nurses.
Republic of Ireland Program Goals
The program in the Republic of Ireland (ROI) has four main components:
* Strengthening palliative and hospice care.
* Strengthening the nonprofit sector within the aging field.
* Combating ageism in Irish society through public education, development of older adult leaders, and building the organizational capacity of key nonprofit advocacy organizations.
* Improving health and support services for older adults through a dual focus on creating centers of excellence in aging and on creating a vision for and developing best-practice models in community-based chronic care.
Nursing is particularly relevant to the second and third components focusing on health and end-of-life issues. To date, no nurse -specific projects have been funded, but this is expected to occur in the near future.
For More Information
The contact individuals for nursing-related efforts within Atlantic's U.S. and ROI Aging Programs are: Christopher A. Langston, PhD, Program Executive-Aging, The Atlantic Philanthropies (USA), 125 Park Avenue, 21st Floor, New York, NY 10017-5581, (212) 916-7301, clangston@ atlanticphilanthropies.org, or Ms. Jean Manahan, Programme Executive-Ageing, The Atlantic Philanthropies (Ireland), Tara House, 32 Lower Baggot Street, Dublin 2, Ireland, 353 1 676 2121, j.manahan@ atlanticphilanthropies.org.
MATHER LIFEWAYS' LEAP PROGRAM
Evanston, Illinois-based Mather Life Ways is a 50 +-year-old not-forprofit foundation that is playing a remarkable role nationally in creating Ways to Age Well for older adults by providing lifestyle and residential alternatives. Mather Life Ways enhances the lives of older adults through its senior living residences; its Institute on Aging; and community initiatives and neighborhood programs, including its successful Mather's - More Than a Café concept where older adults can enjoy food, fitness classes, and learning programs.
Ways to Live Well
All of Mather Lif eWays' residences and programs incorporate the concept of a Whole-Person Wellness Model, which emphasizes personal choice, self-responsibility, optimism, and selfdirection. By engaging in the following six dimensions of the Wellness Model, older adults are provided with Ways to Age Well:
Mather LifeWays Institute on Aging
The Institute collaborates with other professionals from academic institutions locally, nationally, and worldwide and is committed to sharing its findings through programs that encourage wellness and personal growth over a lifetime. By working with representatives from philanthropic and public policy organizations, the Institute strives to influence state and national policy on aging issues.
One of the programs designed by the Mather LifeWays Institute on Aging in partnership with Life Services Network of Illinois is LEAP, a nationally recognized, award-winning long-term care nursing work force development and retention program. LEAP educates, empowers, and retains nurses and certified nurse assistants using a resident-centered approach.
Having been successfully implemented in nearly 200 long-term care organizations across 26 states and Washington, DC the program has impacted more than 5,000 staff members. LEAP has resulted in significant improvements in job satisfaction, work empowerment, and staff perceptions about their organization and reductions in nursing staff turnover rates ranging from 20% to 50% in the organizations that have implemented the program.
LEAP has been awarded several national awards since its inception, including most recently the Excellence in Practice Award from the American Association of Homes and Services for the Aging (AAHSA) in 2004. LEAP also won the 2004 Healthcare and Aging Award, which is sponsored by the Healthcare and Aging Network (HAN) and the American Society on Aging (ASA) to recognize outstanding programs and services in health care and aging.
LEAP is partially funded through a 5 -year federal grant awarded by Health Resources and Services Administration to Mather LifeWays totaling $706,336 to reach longterm care communities serving high proportions of public aid residents and veterans. Recently, Life Services Network received a second year of support under a state grant from the Illinois Department of Public Health totaling $137,000 to continue expansion of LEAP to all licensed skilled care centers throughout Illinois.
For More Information
LEAP train-the-trainer workshops are offered monthly in Evanston, Illinois, and at select national locations. Please e-mail firstname.lastname@example.org for specific locations, dates, and pricing, or visit www.matherlifeways.com to learn more about Mather LifeWays.
THE ROBERT WOOD JOHNSON FOUNDATION
Although aging is not a primary focus of the Robert Wood Johnson Foundation (RWJF), its work to address the nursing shortage and help the most vulnerable among us frequently intersects with issues that affect older Americans.
Ensuring an experienced, stable nurse work force is central to RWJF's mission to improve the health and health care of all Americans. Nurses are pivotal to providing high-quality patient care, and RWJF believes that transforming the hospital work environment will improve both retention of experienced nurses and the quality of patient care and outcomes.
Transforming Care at the Bedside
Most of RWJF's work to date has focused on improving work processes in hospital medical and surgical units. Transforming Care at the Bedside (TCAB), a collaborative project between RWJF and the Institute for Healthcare Improvement, involves 13 hospitals in a pilot program for medical-surgical nurses to identify and implement changes that will improve care in their units. Changes initiated through TCAB make it easier for nurses to spend more time with patients and less time on administrative tasks, which helps to improve patient safety and outcomes, and increases staff and patient satisfaction. When the pilot phase is completed in 2006, RWJF expects to develop a demonstration phase that would move beyond "innovator" hospitals to reach a broader spectrum of U.S. hospitals.
Nurse Retention White Paper
In addition, the Foundation has commissioned a White Paper, expected in the spring of 2006, that explores the opportunities and challenges for retaining experienced older nurses. This work dovetails with some exploratory research around opportunities to improve the physical design and ergonomics of hospital units to increase nurse satisfaction and retention, as well as patient care and satisfaction.
Executive Nurse Fellows Program
RWJF also aims to build nurse leadership at all levels. The Robert Wood Johnson Executive Nurse Fellows Program is an advanced leadership program for nurses who are in senior roles in hospitals and health clinics, including home health care, nursing education, and public health. The program was created to give nursing and nurses a more influential role and voice in transforming the health care system. Applications for the next round of fellowships are due February 6, 2006.
Interdisciplinary Nursing Quality Research Initiative
RWJF is launching its Interdisciplinary Nursing Quality Research Initiative (INQRI), which will support research to build evidence around the link between nursing care and patient outcomes. Teams of nurse scholars and scholars from other disciplines are eligible to apply.
For More Information
For more information about the RWJF, visit www.rwjf.org.
THEJOHNA. HARTFORD FOUNDATION
The John A. Hartford Foundation is at the forefront of pioneering advances in medicine and health care, funding research and programs that have revolutionized medicine and shaped the delivery of health care for the past 75 years. The Foundation's overall goal is to increase the nation's capacity to provide affordable care to its rapidly increasing older population.
Ronald Walent, JGN Advisory Board Member, Named Hartford Scholar
In the June issue of "The Hartford Foundation Report" (Vol. 1, No. 5), 24 Hartford Nursing Scholars and Fellows were announced by the Foundation's Building Academic Geriatric Nursing Capacity (BAGNC) Scholar Awards Program. Ronald Walent, MS, RN, CNS, BC, a clinical specialist in gerontological nursing, was named a 2005 to 2007 Pre-Doctoral Scholar. Mr. Walent has been an Editorial Advisory Board Member of the Journal of Gerontological Nursing since 1999.
Senior Program Officer Appointed
The Hartford Foundation recendy appointed Gavin W Hougham, PhD, to the position of senior program officer. Previously, Dr. Hougham was the director of research in the section of geriatrics at the University of Chicago's Department of Medicine. He has been a public health advisor, adjunct instructor, and research mentor to more than 100 students, fellows, and research staff. Dr. Hougham's research projects have included studies of dementia, research ethics, nursing homes, patient self-determination, and cross-cultural (Japanese) gerontology. To learn more about Dr. Hougham, access www.jhartfound.org/vli4.htm.
Program Officer Sought to Identify Grant-Making Opportunities
In other news, the Foundation is currendy seeking a program officer to work in collaboration with program staff to identify grant-making opportunities in concert with the Foundation's strategic objectives, develop projects and programs, monitor foundationsupported projects, and more. For a complete job description, access www. jhartfound.org/pdf%20files/Program_ Officer.pdf.
Change in Nursing Program Leadership
The John A. Hartford Foundation's Building Academic Geriatric Nursing Capacity (BAGNC) program announced a change in leadership effective July 1, 2005. Patricia Archbold, DNSc, RN, FAAN, the Elenora E. Thomson Distinguished Professor at the Oregon Health & Science University and the founding director of the Foundation's Center of Geriatric Nursing Excellence there, assumes the role of director of the program. Dr. Archbold takes the place of Dr. Claire Fagin. A respected researcher, educator, and leader in geriatric nursing, Dr. Archbold has directed the Institutional National Research Service Award training program for pre- and postdoctoral fellows in gerontological nursing for 15 years. To learn more about the BAGNC program, access www. geriatricnursing.org.
Nursing Grants Renewed
The Hartford Foundation renewed its five centers of geriatric nursing excellence to continue their work in strengthening nursing care for older adults. The grants, totaling $5,250,000 over 5 years, will provide support for these diverse centers to build upon and expand their multifaceted aging programs in the areas of education, research, practice, recruitment, policy, and dissemination - all in the service of improving nursing education and the care of older adults. The five centers are: Oregon Health and Science University, Portland, OR; University of Arkansas for Medical Sciences, Little Rock, AR; University of California, San Francisco; University of Iowa, Iowa City, IA; and University of Pennsylvania, Philadelphia, PA.
For More Information
For additional information about The John A. Hartford Foundation, including grant announcements, program information, quarterly newsletters, annual reports, staff contact information, and grant guidelines, access the Foundation's website at www. jhartfound.org.