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Scaling What Works: Strategies for Health Foundation Success

Learn from James R. Knickman's insights on scaling up successful health initiatives, funding models, evidence-based programs, and innovative public health approaches. Discover how to spread effective programs, gain sustainable funding, and influence policies.

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Scaling What Works: Strategies for Health Foundation Success

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  1. Sharing What Works: Scaling Up, Spreading Out James R. Knickman March 2013 Grantmakers in Health Annual Meeting

  2. Options for Health Foundations • Fund direct services • Improve quality and efficiency • Inform public policy • Spread what works

  3. Betting the Spread (Strategy) • Clear model • Good evidence • Prospects for sustainable funding • Capacity/networks to scale • (Bonus: opportunity for resources/attention to state/region/community you care about)

  4. NYSHealth: Scaling What Works • Veterans treatment courts • Refugee health program • Integrated services for mental health and substance use disorders • Evidence-based models for diabetes care • Diabetes Prevention Program

  5. Diabetes Prevention in New York • Y-DPP in 15 regions in New York State, with NYSHealth and CDC/United funding • Public and private payers are beginning to reimburse for the Y-DPP • Stretching the model • Broader populations • New settings • New types of instructors

  6. Roadmap for Prevention • Diffuse interventions that have a good ROI • Also push for broader, high-value public health approaches • …even if argument is that they help people, rather than have a positive ROI

  7. James R. Knickman President and CEO New York State Health Foundation knickman@nyshealth.org www.nyshealth.org

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