Our capabilities are as diverse as our clients. Please contact a Collaborative Research associate to request samples of our work.

Our work includes:
Access to Medical Home Initiative Community Needs Assessments Out of Care Assessments Epidemiological Studies Grant Applications (HRSA, SAMHSA) Comprehensive Plans Standard of Care Development/Quality Management Planning, Development, Implementation and Monitoring Health Disparities Research Comprehensive Assessment, Benchmark, Strategy and Action Plan Development Roles and Responsibilities Development and Training for Planning Councils/Consortiums Recruitment Strategies for PLWH/A for Planning Council/Consortium membershipChild and Maternal Health

Objective of Study: To determine the scale of the Uninsured, Underinsured and Medicaid living in Cuyahoga County using local Emergency Departments for non-urgent care of their chronic condition(s).

Rationale for specific focus of study: To select a ‘captive’ patient population that represents a manageable subset of the uninsured, underinsured and Medicaid populations with the potential to collaboratively address this issue among the hospital systems, safety net providers and managed care organizations. The hope is that ability to show progress in this sphere will allow broader initiatives and highlight systemic issues facing Cuyahoga County in efforts to address healthcare access, utilization and cost related to these target populations.

Products of Business Case:

1. Scale of Adult Uninsured in Cuyahoga County
2. Scale of Medicaid eligible (but not receiving) in Cuyahoga County
3. Scope of Chronic Disease in local Emergency Departments and in Safety Net Providers
   • by Diesease Type
   • by zip code of patient residence
   • by demographic characteristics (patients of Safety Net Providers)

Products of Consumer Survey: Survey of almost 500 Cuyahoga County residents that use local Emergency Departments for non-urgent care of chronic disease:

1. Reasons for use of ED vs. physician or clinic
2. Reasons for non-use of private doctor or clinic
3. Demographic characteristics of ‘users’
4. Frequency of use of EDs
5. Types of chronic conditions
6. Knowledge of ‘medical home’ concept
7. Probability of redirecting to ‘medical home’

Development of Model/Concepts for Resolution:

• Universal Rating System for Charity Care between Hospitals & Safety Net Providers
• Consideration of support of Safety Net providers by Hospital System (lab costs, primary care support)
• Redirection of Medicaid and/or Medicaid eligible using ED to Safety Net Providers to enhance SNP bottom line and ‘debulk’ non-urgent volume from local EDs
• Regional Information Organization with Centralized Patient Registry

Client: Office of Health Policy of Cuyahoga County, Ohio (County seat in which City of Cleveland is located). Facilitated collaboration with 17 hospitals in 3 large systems: Cleveland Clinic, University Hospitals and Healthcare System and MetroHealth and with 5 safety net providers: Care Alliance, Neighborhood Family Practice, North East Ohio Neighborhood Health Services (NEON), North Coast Health Ministry and The Free Clinic of Greater Cleveland.

1 399 was the goal for the survey conducted from mid-August to mid-September. This figure represents a 95% confidence level of statistical significance of Cuyahoga County adult residents that are uninsured, Medicaid eligible or on Medicaid.

• Austin, TX (2002)
• Cleveland, OH (2003-2007)
• Denver, CO (2004-2005)
• Houston, TX (2002)
• Maine (2005)
• Norfolk, VA (2007)
• Oklahoma (2003-2004)
• Phoenix, AZ (2005, 2006, 2007)
• San Antonio, TX (2003-2005)
• South Texas Assembly (2005)
• Pan West (Texas) Planning Assembly (2005)
• Nassau-Suffolk, NY (2007)

• Cleveland, OH (2004-2005)
• Denver, CO (2004-2005)
• New Haven, CT (2007)
• Norfolk (2007)
• Phoenix, AZ (2006)
• Sacramento, CA (2005)
• San Antonio, TX (2005)
• Nassau-Suffolk, NY (2007)

• Cleveland, OH (2004-2005)
• Georgia (2004)
• San Antonio, TX (2004-2005)
• New Haven, CT (2006-2007)

Grant Applications (HRSA, SAMHSA)
Collaborative Research has been extensively involved in the development of HRSA and SAMHSA grant applications, and other proposals, for many of the entities we support.

Read about grants secured for HIV primary care in jail settings through the support of CR.
Read The Article (PDF - 143Kb)

Read about grants secured for substance abuse treatment and HIV/AIDS services through the support of CR.
Read The Article (PDF - 45Kb)
Comprehensive Plans

• Austin, TX
• Cleveland, OH
• Houston, TX
• Norfolk, VA
• Oklahoma
• Philadelphia, PA
• San Antonio, TX
• New Haven, CT
• South Texas Planning Assembly
• Baton Rouge, LA

• Cleveland, OH
• New Haven, CT
• Sacramento, CA
• West Palm Beach, FL
• Hartford, CT
• Nassau-Suffolk, NY

• City of Los Angeles, CA
• Cuyahoga County, OH (Cleveland)

• Housing for the Seriously Mentally Ill
• Homelessness
• Children’s Health
• Chronic Disease utilization
• Medical Home attachment

• Administrative Agent (Grantee) Office
• Assessment of the Administrative Agent
• Planning Council Priority Setting and Resource Allocation Technical Assistance

• New Haven, CT
• Sacramento, CA

• Ohio Department of Health
• Ohio Infant Mortality Reduction Initiative study