Impact of the covid-19 pandemic on safety net performance, disparities, and vulnerable children

Active Project Grant Awarded Last action

Award ID
R01HD109327
Recipient
Awarding agency
Obligated
$4,347,289

Award facts

Completion date 87% complete
Originally
Place of performance
Cambridge, MA 02138, USA

Award details come from USAspending.gov.

Description

Abstract
The covid-19 pandemic has been a major test of the health care delivery system, disrupting primary and mental health care to vulnerable children and threatening the financial stability of providers. In doing so, the pandemic created an opportunity to examine where the delivery system is robust and where improvements and alternative policy approaches should be considered. For children with pre-existing vulnerabilities these disruptions, in the face of increased risks from social isolation and economic stressors, are particularly concerning. How health systems recover and respond to the needs of the most vulnerable speaks to the structure of safety net systems and the policies that support them. The proposed study examines multiple vulnerable and at-risk child populations in safety net systems - children with emotional disorders, children who experienced prior abuse, children in foster care, homeless children, children who identify as lgbtq+, and those who are make black, indigenous and people of color (bipoc). The proposed study uses electronic health record data from the advance clinical data research network which represents more than 500,000 children treated annually at safety net, community health centers. This unique clinic network cares for largely uninsured and publicly insured children in 30 states. In addition, the study also uses medicaid data in 3 of the largest study states to examine additional primary and mental health care outcomes. The aims of the study are to examine changes in primary and mental health care to vulnerable children through the pandemic, transition and recovery periods, to examine health inequities in care over time, and to uncover clinic, community, and payment policy drivers in safety net performance, in order to inform a multi-pronged, corrective policy response to redress gaps.

Transactions

Action Obligated Date
Amendment $0
Amendment $544,702
Amendment $544,702
Amendment $523,525
Amendment $541,274
Amendment $541,274
Amendment -$4,829
Amendment -$4,829
Amendment -$4,829
Amendment $555,433
Amendment $555,433
Original award $555,433
Show all 12

Subawards

Subrecipient Amount Awarded
Ochin, Inc. PROJECT LEADERSHIP OCHIN Site Principal Investigator: Frances Lynch, PhD In her role as Site Principal Investigator, Dr. Lynch will provide oversight and have… $1,163,018
Research Institute At Nationwide Children's Hospital Investigators at the Research Institute of Nationwide Children's Hospital, in coordination with Dr. Alison Cuellar Evans, will: a. Complete reviews of… $255,091
Kaiser Foundation Hospitals The project will evaluate changes in utilization and quality of care among vulnerable children (i.e., children who experienced prior abuse, are in foster… $62,320
Kaiser Foundation Hospitals The project will evaluate changes in utilization and quality of care among vulnerable children (i.e., children who experienced prior abuse, are in foster… $62,320
Research Institute At Nationwide Children's Hospital Investigators at the Research Institute of Nationwide Children’s Hospital, in coordination with Dr. Alison Cuellar Evans, will: a. Complete reviews of… $62,307
Ochin, Inc. Project Leadership In her role as Site Principal Investigator, Dr. Lynch will provide oversight and have responsibility for all aspects of the project at OCHIN.… $297,145

Quick answers

Who received award R01HD109327?

R01HD109327 was awarded to National Bureau Of Economic Research Inc. by National Institute of Child Health and Human Development (National Institutes of Health) on September 15, 2022.

How much is award R01HD109327 worth?

$4,347,289 has been obligated on R01HD109327.

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