Women & Infants Hospital of Rhode Island

VUYJL5Q7YCZ3

3WRQ4

2025-10-24

2024-10-28

2004-06-09

3WRQ4

Obsolete

Non-Manufacturer

2024-10-28

2025-10-24

VIVIAN RAMOS

1104449891

2020-05-28

View on NPI website

HEATHER-ROSE MATTIAS

DIRECTOR CONTRACTING

4019218535

291U00000X - Clinical Medical Laboratory

Yes

+1 401-274-1122

UCC-3 CONTINUATION

202329922500

2023-11-30

Continuation

Women & Infants Hospital of Rhode Island

Debtor(s)

MED ONE CAPITAL FUNDING, LLC

Secured Parties

OPTUM BANK, INC.

Secured Parties

UCC-3 CONTINUATION

202329657790

2023-09-20

Continuation

Women & Infants Hospital of Rhode Island

Debtor(s)

UCC-1 Standard

202328400360

2023-01-27

InitialFiling

Women & Infants Hospital of Rhode Island

Debtor(s)

INTUITIVE SURGICAL, INC.

Secured Parties

HHSN27500001

View Award on USAspending website

AWARD

DELIVERY ORDER

$-6,797.13

$-6,797.13

$-6,797.13

Department of Health and Human Services

2013-06-26

CONTRACEPTIVE CLINICAL TRIALS NETWORK - FEMALE SITES CORE FUNCTION ACTIVITIES

541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)

AN12: HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCH

HHSN275201300015I

View Award on USAspending website

IDV

$0

$0

$35,000,000

Department of Health and Human Services

2013-06-26

IGF::OT::IGF CONTRACEPTIVE CLINICAL TRIALS NETWORK FEMALE SITES

541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)

AN12: R&D- MEDICAL: BIOMEDICAL (APPLIED RESEARCH/EXPLORATORY DEVELOPMENT)

00275199209D275923159

View Award on USAspending website

AWARD

DCA

$-18,001.64

$-18,001.64

$-18,001.64

Department of Health and Human Services

2012-09-07

BIOMEDICAL (BASIC)

AN11: R&D- MEDICAL: BIOMEDICAL (BASIC RESEARCH)

OTHER

2024-09-20

View on USAspending

Department of Health and Human Services

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - PROJECT DESCRIPTION THE GOAL OF THIS PROJECT IS TO DEVELOP A NATIONALLY ACCREDITED IN-HOSPITAL BIRTH CENTER: AN ALONGSIDE MIDWIFERY UNIT (AMU) BESIDE WOMEN AND INFANTS HOSPITAL’S (W&I) NEW LABOR AND DELIVERY CENTER. THIS DIFFERS FROM THE LABOR AND DELIVERY CENTER IN THAT IT IS A DEDICATED AND PROTECTED SPACE FOR NORMAL PHYSIOLOGIC BIRTH. THIS MODEL OF CARE IS A WELLNESS MODEL OF PREGNANCY AND BIRTH GUIDED BY THE PRINCIPLES OF PREVENTION, SENSITIVITY, SAFETY, APPROPRIATE MEDICAL INTERVENTION, AND COST EFFECTIVENESS. THE PURPOSE OF THIS NEW SERVICE IS TO PROVIDE HEALTHY BIRTHING INDIVIDUALS THE OPTION TO GIVE BIRTH IN PROTECTED, DEDICATED SPACE FOR NORMAL PHYSIOLOGIC BIRTH IN A TEAM LED BY EXPERTS IN LOW-RISK BIRTH; CERTIFIED NURSE MIDWIVES (CNM). THIS UNIQUE MODEL OF CARE HISTORICALLY AND CONSISTENTLY PROVIDES EXCELLENT PERINATAL OUTCOMES; SPECIFICALLY LOWER CESAREAN RATES, AND HIGHER BREASTFEEDING RATES THAN TRADITIONAL CARE, WHILE REDUCING THE RISKS AND COSTS OF SURGICAL BIRTH AND DECREASING HOSPITAL LENGTH OF STAY. ADDITIONALLY, THIS UNIT WOULD SERVE AS A VALUABLE INTERPROFESSIONAL TRAINING SITE FOR DOULAS, MIDWIVES, AND PRIMARY CARE PROVIDERS, MITIGATING THE STATE’S CURRENT SHORTAGE OF THESE PROFESSIONALS. W&I HAS HAD THE ONLY STATE-APPROVED IN-HOSPITAL ALTERNATIVE BIRTH CENTER (ABC) SINCE 1986, WHEN THE FACILITY WAS BUILT. IN PREPARATION FOR THE BUILDING OF A NEW LABOR AND BIRTH UNIT, A GROUP OF THE HOSPITAL MIDWIVES CONDUCTED A HISTORICAL ANALYSIS OF THE ABC TO UNDERSTAND THE INTERNAL AND EXTERNAL BARRIERS TO UTILIZATION OVER THE 35 YEARS, AS WELL AS A SWOT ANALYSIS. THEY BROUGHT TOGETHER A MULTI-STAKEHOLDER TEAM INCLUSIVE OF COMMUNITY MEMBERS TO ENVISION A LABOR AND BIRTH UNIT THAT IS SUSTAINABLE, SUPPORTIVE, COST-EFFICIENT, AND PROVIDES OPTIMAL EXPERIENCES OF CARE IN WHICH EVERY FAMILY HAS EQUITABLE AND POSITIVE OUTCOMES. THE PROCESS BROUGHT THE GROUP TO AN INNOVATIVE SOLUTION: AN ACCREDITED ALONGSIDE MIDWIFERY UNIT. KEY STAKEHOLD ERS VOICED UNANIMOUS SUPPORT FOR A PROPOSED AMU AS PART OF A NEW HOSPITAL REDESIGN. THE AMU ADDRESSES SYSTEM LEVEL CHANGE, PROTECTED SPACE FOR PHYSIOLOGIC BIRTH, AND DISPARITIES IN OUTCOMES AND EXPERIENCE OF CARE. THE DEDICATED AMU REQUIRES RENOVATING SPACES, ENVIRONMENTAL REDESIGNS, AND SPECIALIZED EQUIPMENT. THERE WILL BE 2 REDESIGNED BIRTHING ROOMS. THE ROOMS WILL BE DESIGNED FOR A HOMELIKE, NON-INSTITUTIONAL AMBIENCE: SPACIOUS CONDITIONS TO ACCOMMODATE THE BIRTHING PERSON, SUPPORT PERSONS, CARE PROVIDERS, AND STAFF; CONCEALED MEDICAL EQUIPMENT; AND SPACE AND EQUIPMENT FOR COMFORT MEASURES AND LABOR TOOLS (SHOWERS AND TUBS, REBOZO, BIRTHING BALLS). EACH ROOM WILL INCLUDE FEATURES THAT SUPPORT PHYSIOLOGIC BIRTH, SUCH AS BIRTHING TUBS. THERE WILL BE A SHARED FAMILY ROOM EASILY, ACCESSIBLE TO THE BIRTHING ROOMS, THAT INCLUDES A KITCHENETTE, A PLAY AREA FOR CHILDREN, AND CHAIRS AND SOFAS. FINALLY, THE REDESIGN WOULD INCLUDE ATTACHED WORKSPACES FOR CARE PROVIDERS AND STAFF. WITH THESE RENOVATIONS AND EQUIPMENT, THE AMU WOULD MEET ACCREDITATION REQUIREMENTS FOR THE COMMISSION FOR THE ACCREDITATION OF BIRTH CENTERS, WHICH REFLECTS THE BEST PRACTICES AND HIGHEST QUALITY OF CARE. THIS PROJECT WILL IMPROVE MATERNAL HEALTHCARE IN RHODE ISLAND, CONTRIBUTING TO HEALTHY FAMILIES ACROSS THE STATE. IN ADDITION TO PROVIDING CARE, THE AMU ADDRESSES SEVERAL WORKFORCE DEVELOPMENT ISSUES IMPORTANT TO RHODE ISLAND. FOR EXAMPLE, WE ARE PLANNING A MIDWIFERY LEARNING AND FELLOWSHIP PROGRAMS IN PARTNERSHIP WITH FRONTIER UNIVERSITY AND YALE SCHOOL OF NURSING THAT IS AIMED AT GROWING AND DIVERSIFYING RHODE ISLAND’S MIDWIFERY PROFESSIONALS. THIS WILL ADDRESS A WORKFORCE SHORTAGE OF EXPERIENCED COMMUNITY NURSE MIDWIVES, RECRUIT DIVERSE FACULTY AND CLINICIANS, PROVIDE MENTORED SUPPORT TO FACILITATE RETENTION, AND TRANSITION NEW PRACTITIONERS TO COMPLEX HEALTH PROBLEMS AND SYSTEMS IN A MANNER THAT SUPPORTS THEIR CONFIDENCE AND COMPETENCE.

$1,808,000

$0

$0

NONPROFIT WITH 501C3 IRS STATUS (OTHER THAN AN INSTITUTION OF HIGHER EDUCATION)

2024-09-18

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Department of Health and Human Services

A RANDOMIZED TRIAL OF CHATBOT FOR PRENATAL GENETIC COUNSELING - PROJECT SUMMARY CURRENT RECOMMENDATIONS FROM THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG) CALL FOR ALL PREGNANT PEOPLE TO BE OFFERED SCREENING AND DIAGNOSTIC TESTING OPTIONS FOR ANEUPLOIDY AND CARRIER SCREENING FOR CYSTIC FIBROSIS AND SPINAL MUSCULAR ATROPHY. AS A RESULT, THE NEARLY 4 MILLION PREGNANT PEOPLE RECEIVING PRENATAL CARE IN THE UNITED STATES ANNUALLY REQUIRE ACCESS TO THE ASSOCIATED, AND COMPLEX, PRENATAL GENETIC COUNSELING. WITH THESE CONSIDERATIONS AND A COMMITMENT TO PERSON CENTERED-CARE, INFORMED DECISION-MAKING IS CRITICAL, AND PREDICATED ON PEOPLE HAVING ADEQUATE KNOWLEDGE OF THE BENEFITS AND RISKS OF DIFFERENT TESTING OPTIONS. OBSTETRIC CARE PROVIDERS HAVE THE CHALLENGE OF ADDRESSING AN EVER-INCREASING NUMBER OF TOPICS DURING THE FIRST PRENATAL CARE VISIT, AND PRENATAL GENETIC COUNSELORS FACE A HIGH NUMBER OF REFERRALS. YET THERE IS A NATIONAL SHORTAGE OF GENETIC COUNSELORS WITH AN UNEVEN GEOGRAPHIC DISTRIBUTION. THE RESULTING LACK OF ACCESS TO STANDARDIZED PRENATAL GENETIC COUNSELING CAN LEAD TO PATIENT MISINTERPRETATION OF THE GOALS OR RESULTS OF PRENATAL GENETIC TESTING AND MAY BE CONTRIBUTING TO SOCIOECONOMIC AND RACIAL DISPARITIES IN PRENATAL GENETIC SCREENING AND DIAGNOSIS. LANGUAGE BARRIERS FURTHER EXACERBATE MISUNDERSTANDING OF PRENATAL GENETIC TESTING OPTIONS. MOBILE DIGITAL TOOLS, INCLUDING CHATBOTS, PROVIDE AN ATTRACTIVE ALTERNATIVE TO IN-PERSON GENETIC COUNSELING DUE TO THE NEAR UBIQUITOUS AVAILABILITY OF MOBILE DEVICES AMONG PATIENTS AND ABILITY TO ENSURE TAILORING AND STANDARDIZATION. PREVIOUS DIGITAL TOOLS DEVELOPED FOR PRENATAL GENETIC EDUCATION SHOWED PROMISE, BUT MOST ARE INSTRUCTIONAL THAN INTERACTIVE, COMPUTER-BASED RATHER THAN MOBILE-BASED, AND DO NOT INCLUDE INFORMATION ON CARRIER SCREENING CURRENTLY RECOMMENDED BY ACOG. TO ADDRESS THIS CRITICAL NEED, A MULTIDISCIPLINARY TEAM OF PERINATOLOGISTS, GENETIC COUNSELORS, AND DIGITAL HEALTH EXPERTS DEVELOPED AN INNOVATIVE, PATIENT-INFORMED, MOBILE CHATBOT (IPRENATAL) TO SIMULATE A TEXT AND AUDIO-BASED COUNSELING DISCUSSION ABOUT ANEUPLOIDY SCREENING AND DIAGNOSIS. PRELIMINARY DATA FROM OUR RANDOMIZED TRIAL OF 258 ENGLISH-SPEAKING PREGNANT PEOPLE SHOWED SIGNIFICANTLY HIGHER POST- INTERVENTION KNOWLEDGE SCORES AMONG PATIENTS WHO USED IPRENATAL COMPARED WITH THOSE WHO RECEIVED ROUTINE PROVIDER EDUCATION. WE NOW PROPOSE TO LEVERAGE THIS SUCCESS BY ENGAGING USERS IN FORMATIVE WORK TO CREATE IPRENATAL+ AND PROVIDE ALL CONTENT IN ENGLISH AND SPANISH. WE WILL EVALUATE IPRENATAL+ IN A RANDOMIZED CONTROLLED TRIAL OF 1,470 PREGNANT PEOPLE IN CLINICS SERVING RACIALLY AND SOCIOECONOMICALLY DIVERSE PREGNANT WOMEN. OUR SPECIFIC AIMS ARE: UTILIZE HUMAN CENTERED DESIGN TO TRANSFORM IPRENATAL TO AN ENHANCED DIGITAL EDUCATIONAL CHATBOT (IPRENATAL+) FOR PRENATAL GENETIC COUNSELING (AIM 1), DETERMINE THE EFFECT OF IPRENATAL+ ON PATIENT KNOWLEDGE AND UPTAKE OF PRENATAL GENETIC TESTING, COMPARED TO IN-PERSON GENETIC COUNSELING (AIM 2), AND ASSESS ABILITY OF IPRENATAL+ TO NARROW THE GAP IN KNOWLEDGE AND UPTAKE OF PRENATAL GENETIC SCREENING BETWEEN ENGLISH- AND SPANISH-SPEAKING PATIENTS, COMPARED TO IN PERSON GENETIC COUNSELING (AIM 3).

$718,630

$0

$0

NONPROFIT WITH 501C3 IRS STATUS (OTHER THAN AN INSTITUTION OF HIGHER EDUCATION)

2024-09-18

View on USAspending

Department of Health and Human Services

JUGGLING ROLES: A STUDY OF DIVERSE NEONATAL INTENSIVE CARE UNIT PARENTS AND THEIR WORK-FAMILY TRANSITION - PROJECT SUMMARY / ABSTRACT PRETERM INFANTS ARE AT A HEIGHTENED RISK FOR DEVELOPING NEUROMOTOR, COGNITIVE, AND PSYCHIATRIC DISORDERS THAT PERSIST THROUGH ADULTHOOD. INFANTS BORN VERY PRETERM (<32 WEEKS GESTATIONAL AGE) ARE THREE TIMES MORE LIKELY TO DEVELOP PSYCHIATRIC DISORDERS, INCLUDING ANXIETY, ADHD, AND AUTISM COMPARED TO TERM INFANTS. CRITICALLY, THE CONSEQUENCES OF PREMATURITY DISPROPORTIONATELY IMPACT BLACK AND LOW SES FAMILIES. THE OVERALL HIGH PREVALENCE OF PREMATURITY, COUPLED WITH BLACK AND LOW SES FAMILIES’ INCREASED RISK, IS A SERIOUS PUBLIC HEALTH CONCERN. HOWEVER, THE MECHANISMS CONTRIBUTING TO THESE DISPARITIES ARE LARGELY UNEXPLORED. IDENTIFYING MODIFIABLE MECHANISMS WILL HELP INFORM POLICIES AND PRACTICES THAT PROMOTE HEALTHY NEURODEVELOPMENT FOR PRETERM INFANTS AND THEIR CAREGIVERS. PARENTING PREMATURE INFANTS IS CHALLENGING DUE TO THE PHYSICAL PARENT-INFANT SEPARATION IN THE NEONATAL INTENSIVE CARE UNIT (NICU). EXTENSIVE RESEARCH HAS EMPHASIZED THE IMPORTANT ROLE OF PARENTS AND PARENTAL INVOLVEMENT IN THE NICU TO PROMOTE INFANT NEURODEVELOPMENT. YET WE KNOW LITTLE ABOUT THE EXTERNAL CONTEXTUAL FACTORS THAT IMPACT AND IMPEDE PARENT INVOLVEMENT, ESPECIALLY IN DIVERSE POPULATIONS. A SIGNIFICANT BARRIER TO NICU INVOLVEMENT MAY BE CONFLICTING WORK AND FAMILY DEMANDS. >62% OF FAMILIES WITH CHILDREN INCLUDE TWO WORKING PARENTS. FURTHER, LOW-INCOME FAMILIES IN PARTICULAR RETURN TO PAID WORK AS SOON AS FOUR WEEKS AFTER CHILDBIRTH WHICH CAN HAVE IMPLICATIONS FOR THEIR ABILITY TO VISIT THE NICU. REGRETTABLY THERE IS VIRTUALLY NO RESEARCH ON NICU PARENTS TRANSITION TO PARENTHOOD FROM A WORK-FAMILY LENS. THE PROPOSED STUDY WILL USE A UNIQUE METHOD, ECOLOGICAL MOMENTARY ASSESSMENT (EMA), TO MONITOR PARENTS’ DAILY MENTAL HEALTH, NICU INVOLVEMENT, AND WORK/FAMILY DEMANDS DURING THEIR INFANTS’ NICU HOSPITALIZATION IN A RACIALLY AND ETHNICALLY DIVERSE SAMPLE OF 250 FAMILIES (DEFINED AS A MOTHER, A SECONDARY CAREGIVER, AND THEIR INFANT). WE AIM TO 1) EXAMINE STABLE AND DYNAMIC ASSOCIATIONS BETWEEN WORK FACTORS, NICU INVOLVEMENT, AND CAREGIVER MENTAL HEALTH UTILIZING A LONGITUDINAL EMA BURST DESIGN; AND 2) EXAMINE HOW WORK, NICU INVOLVEMENT, AND CAREGIVER MENTAL HEALTH ARE RELATED TO INFANT NEURODEVELOPMENT. WE HYPOTHESIZE THAT CAREGIVERS WITH IDEAL WORK POLICIES AND CONDITIONS (E.G., SHORTER WORK HOURS, MORE JOB FLEXIBILITY, MORE JOB AUTONOMY, MORE PAID LEAVE) WILL HAVE BETTER MENTAL HEALTH AND MORE NICU INVOLVEMENT, WHICH, IN TURN, WILL BE ASSOCIATED WITH BETTER INFANT NEURODEVELOPMENTAL OUTCOMES AT NICU DISCHARGE AND 1-YEAR FOLLOW-UP. ADDITIONALLY, GIVEN THE DIFFERENTIAL NICU EXPERIENCE FOR BLACK AND LOW SES FAMILIES, WE HYPOTHESIZE THAT THE ASSOCIATIONS BETWEEN WORK, MENTAL HEALTH, NICU INVOLVEMENT, AND INFANT NEURODEVELOPMENT WILL BE EXACERBATED FOR BLACK AND LOW SES FAMILIES. RESULTS FROM THIS STUDY WILL ADDRESS THE IMPORTANT PUBLIC HEALTH CONCERN OF PREMATURITY IN DIVERSE FAMILIES FROM A UNIQUE WORK-FAMILY LENS THAT MAY HELP IDENTIFY FAMILY-LEVEL AND STATE/FEDERAL POLICY-LEVEL INTERVENTION TARGETS TO SUPPORT PARENT NICU INVOLVEMENT AND MITIGATE THE LONG-TERM NEURODEVELOPMENTAL CONSEQUENCES OF PREMATURITY.

$437,475

$0

$0

NONPROFIT WITH 501C3 IRS STATUS (OTHER THAN AN INSTITUTION OF HIGHER EDUCATION)

2024-08-27

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Department of Health and Human Services

CAREGIVING INFLUENCES ON ATTENTION AND EXECUTIVE FUNCTION IN CHILDREN BORN VERY PRETERM - PROJECT SUMMARY / ABSTRACT CHILDREN BORN VERY PRETERM ARE AT INCREASED RISK FOR DEFICITS IN ATTENTION AND EXECUTIVE FUNCTION, TWO DOMAINS THAT ARE STRONGLY IMPLICATED IN LONG-TERM HEALTH AND DEVELOPMENTAL OUTCOMES. WE HAVE NOT YET IDENTIFIED MODIFIABLE ENVIRONMENTAL FACTORS THAT COULD PREVENT OR MITIGATE COGNITIVE DEFICITS IN VERY PRETERM CHILDREN AT SCHOOL AGE, THOUGH RESEARCH WITH YOUNGER CHILDREN SUGGESTS THAT CAREGIVING QUALITY IS A POTENT PROTECTIVE FACTOR. UNDERSTANDING RELATIONSHIPS BETWEEN DIMENSIONS OF CAREGIVING QUALITY AND CHILD ATTENTION AND EXECUTIVE FUNCTION AT SCHOOL-AGE IS CRITICALLY IMPORTANT AS THE TRANSITION TO FORMAL SCHOOLING POSES NEW CHALLENGES FOR CHILDREN AND FAMILIES. YET, EXISTING INTERVENTIONS TARGETING CAREGIVING QUALITY IN PRETERM DYADS HAVE EXCLUSIVELY FOCUSED ON EARLY INFANCY AND NOT SURPRISINGLY, THE POSITIVE EFFECTS OF THESE INTERVENTIONS ARE COMPLETELY WASHED OUT BY SCHOOL AGE. A WIDER FOCUS ON CAREGIVING AS A PROTECTIVE FACTOR FOR PRETERM CHILDREN DURING THE SENSITIVE PERIOD REPRESENTED BY THE TRANSITION TO FORMAL SCHOOLING IS CRITICAL. WITH FUNDS FROM OUR PRIOR AWARDS (R01HD072267; R01HD084515), WE ESTABLISHED A COHORT OF VERY PRETERM INFANTS RECRUITED AT BIRTH (NOVI STUDY) AND HAVE DEMONSTRATED PROSPECTIVE ASSOCIATIONS AMONG EARLY CAREGIVING FACTORS (E.G., PSYCHOLOGICAL DISTRESS) AND CHILD NEURODEVELOPMENTAL OUTCOMES AT AGE 2. THE NOVI COHORT WAS SELECTED FOR INCLUSION IN THE NIH ENVIRONMENTAL INFLUENCES ON CHILD HEALTH OUTCOMES (ECHO) PROGRAM (UG3OD23347; UH3OD23347) WHICH PROVIDED FUNDING FOR EXTENSIVE PHENOTYPIC CHARACTERIZATION OF NOVI CHILDREN THROUGH AGE 7, INCLUDING ASSESSMENTS OF CHILD ATTENTION AND EXECUTIVE FUNCTION. WE ADDITIONALLY COLLECTED AN OBSERVATIONAL MEASURE OF CAREGIVING QUALITY AT THE AGE 7 VISIT WHICH WAS NOT PART OF THE ECHO PROTOCOL AND REQUIRES ADDITIONAL RESOURCES FOR CODING AND ANALYSIS. THE CURRENT PROPOSAL AIMS TO CODE MULTIPLE DIMENSIONS OF CAREGIVING QUALITY (E.G., CAREGIVER SENSITIVITY AND STRUCTURING) FROM THE OBSERVATIONAL CAREGIVER-CHILD INTERACTION TASK. THESE NEW DATA WILL PROVIDE VITAL INFORMATION THAT COULD EXPLAIN THE TREMENDOUS VARIABILITY IN CHILD ATTENTION AND EXECUTIVE FUNCTION WE OBSERVE IN THE NOVI COHORT. USING BOTH NEW AND EXISTING DATA, THIS PROPOSAL AIMS TO DETERMINE (A) CHILD-, CAREGIVER-, AND FAMILY- RELATED PREDICTORS OF CAREGIVING QUALITY AND (B) ASSOCIATIONS BETWEEN CAREGIVING QUALITY AND CHILD ATTENTION AND EXECUTIVE FUNCTION DURING THE SCHOOL-AGE PERIOD IN CHILDREN BORN VERY PRETERM. FINDINGS FROM THIS STUDY WILL ADVANCE THEORY REGARDING THE CONTRIBUTIONS OF CAREGIVING QUALITY TO THE DEVELOPMENT OF VERY PRETERM CHILDREN AND COULD BE USED TO CREATE INTERVENTIONS TO MITIGATE COGNITIVE DEFICITS IN VERY PRETERM CHILDREN DURING THE TRANSITION TO SCHOOL. BY PINPOINTING PREDICTORS OF CAREGIVING QUALITY, THESE RESULTS COULD ALSO BE USED TO IDENTIFY PRETERM CHILDREN AND THEIR CAREGIVERS WHO COULD BENEFIT MOST FROM A NOVEL CAREGIVING INTERVENTION.

$174,954

$0

$0

NONPROFIT WITH 501C3 IRS STATUS (OTHER THAN AN INSTITUTION OF HIGHER EDUCATION)

2024-08-08

View on USAspending

Department of Health and Human Services

EFFECT OF A TECHNOLOGY-BASED COLLABORATIVE CARE MODEL ON PERSISTENT HYPERTENSION AND PREVENTIVE CAREATTENDANCE AMONG POSTPARTUM PEOPLE WITH HYPERTENSIVE DISORDERS OF PREGNANCY - PROJECT SUMMARY/ABSTRACT UNCONTROLLED HYPERTENSIVE DISORDERS OF PREGNANCY (HDP) ARE A MAJOR SOURCE OF MATERNAL MORTALITY. NATIONAL GUIDELINES RECOMMEND BLOOD PRESSURE (BP) MEASUREMENT 3–10 DAYS AFTER DISCHARGE AND ≥1 PREVENTIVE CARE VISIT WITHIN ONE YEAR OF DELIVERY. YET, BARRIERS SUCH AS CHILDCARE OR TRANSPORTATION ISSUES REDUCE ADHERENCE TO IN- PERSON BP CHECKS, PARTICULARLY AMONG RACIAL OR ETHNIC MINORITY PATIENTS. PROGRAMS IN WHICH PATIENTS SELF- MEASURE BP (SMBP) AT HOME SHOW PROMISING RESULTS REGARDLESS OF PATIENT RACE. HOWEVER, A RECENT META- ANALYSIS CONCLUDED CURRENT SMBP PROGRAMS DO NOT REDUCE MATERNAL MORTALITY OR RACIAL DISPARITIES IN CLINICAL OUTCOMES, POTENTIALLY DUE TO THEIR SPECIFIC LIMITATIONS: THEY END WITHIN SIX WEEKS OF BIRTH (THOUGH HDP CAN PERSIST FOR MONTHS) AND HAVE DECREASED ENGAGEMENT WITH NON-WHITE PEOPLE OR THOSE LIVING IN DISADVANTAGED AREAS, THOUGH THESE POPULATIONS ARE AT THE HIGHEST RISK OF PERSISTENT HTN AND ITS ADVERSE LONG-TERM EFFECTS. THUS, THERE IS AN URGENT NEED TO OPTIMIZE SMBP PROGRAMS TO TARGET SHORT- AND LONG-TERM HDP-RELATED MORBIDITY AND TO BROADLY IMPLEMENT THESE PROGRAMS TO ELIMINATE DISPARITIES IN HDP-RELATED OUTCOMES. ONE SUCH PROGRAM IS RHODE ISLAND (RI)-STATEWIDE POSTPARTUM HYPERTENSION REMOTE SURVEILLANCE (RI-SPHERES), A TECHNOLOGY-BASED SMBP PROGRAM THAT AIMS TO REDUCE SHORT- AND LONG-TERM HDP-ASSOCIATED MORBIDITY IN RI USING THE COLLABORATIVE CARE MODEL, A HEALTH SERVICES INTERVENTION THAT IMPROVES HEALTH OUTCOMES AND REDUCES RACIAL DISPARITIES ON A POPULATION LEVEL FOR PEOPLE WITH CHRONIC CONDITIONS. THE PROPOSED RESEARCH AIMS TO DETERMINE THE EFFECTIVENESS OF RI-SPHERES IN REDUCING SHORT- AND LONG-TERM MORBIDITY ASSOCIATED WITH HDP THROUGHOUT RI. THIS BUILDS UPON OUR PILOT RCT (NCT05595629), IN WHICH A STANDARD SMBP PROGRAM WAS COMPARED TO A SMBP PROGRAM THAT USED A BLUETOOTH-ENABLED BP CUFF THAT SYNCS TO A SMARTPHONE APPLICATION (APP) TO SEND AUTOMATED REMINDERS AND PROVIDE ADAPTIVE MESSAGING TAILORED TO DISTINCT BP VALUES AND SYMPTOMS. RI-SPHERES WILL EXPAND THIS SMBP PROGRAM TO PROVIDE APP-BASED PATIENT-INFORMED EDUCATIONAL CONTENT ON HDP-SPECIFIC PREVENTIVE CARE AND BIDIRECTIONAL COMMUNICATION WITH RI-SPHERES STAFF FOR ONE YEAR POSTPARTUM. INCORPORATING ADAPTIVE AND AUTOMATIC MESSAGING INCREASES RI-SPHERES’ SCALABILITY BY REDUCING CLINICAL STAFF BURDEN. HOWEVER, FORMAL ANALYSIS OF FACTORS THAT MAY HINDER WIDESPREAD IMPLEMENTATION OF RI- SPHERES IS NEEDED. THUS, WE WILL CONDUCT A HYBRID TYPE I NON-INFERIORITY IMPLEMENTATION-EFFECTIVENESS TRIAL AMONG 1,536 PATIENTS WITH HDP THAT COMPARES A STANDARD SMBP PROGRAM TO RI-SPHERES IN TERMS OF PERSISTENT HTN AT SIX WEEKS POSTPARTUM AND RECEIPT OF PREVENTIVE CARE WITHIN ONE YEAR OF DELIVERY. WE WILL ALSO DEVELOP AN IMPLEMENTATION TOOLKIT TO FACILITATE THE DISSEMINATION OF RI-SPHERES. THE PROPOSED PROJECT IS EXPECTED TO DELIVER A MECHANISM THAT WILL FILL MULTIPLE RESEARCH GAPS FOR HDP IDENTIFIED BY THE US PREVENTIVE SERVICES TASK FORCE: 1) ADDRESSING HEALTH INEQUITIES THROUGH MULTILEVEL INTERVENTIONS, 2) EVALUATING SMBP PROGRAMS; AND 3) MITIGATING HDP’S SHORT- AND LONG-TERM HEALTH CONSEQUENCES OF HDP.

$747,911

$0

$0

2023-10-12

Complaint

101 DUDLEY STREET, PROVIDENCE, RI, 02909

Health

Partial

05-0258937

% KATHY TOPOR

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

1934-08

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)