Health Education Center Inc

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

MAHEC CCBHC TO SERVE WESTERN NORTH CAROLINA

NORTH LOUISIANA AREA HEALTH EDUCATION CENTER

HEALTH CAREERS OPPORTUNITY PROGRAM

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

RESIDENCY TRAINING IN PRIMARY CARE

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

HIGH GROWTH

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

NORTHERN NEW ENGLAND HEALTH WORKFORCE DIVERSITY PARTNERSHIP

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

ADDICTION MEDICINE FELLOWSHIP

FY10 TEENAGE PREGNANCY PREVENTION: REPLICATION OF EVIDENCE-BASED PROGRAMS (TIER 1)

THE DEPTH PROJECT (DRUG EDUCATION AND PREVENTION OF HIV)

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE: SOUTHWEST GEORGIA RURAL COMMUNITY PARAMEDICINE NETWORK PROGRAM APPLICANT ORGANIZATION: SOUTHWEST GEORGIA AREA HEALTH EDUCATION CENTER (SOWEGA-AHEC), 1512 W 3RD AVE, ALBANY, GA 31707 WWW.SOWEGA-AHEC.ORG FACILITY TYPE: AREA HEALTH EDUCATION CENTER (AHEC) PROJECT DIRECTOR: MICHELLE HUSKEY, MS, RRT-NPS, 229-439-7185 MHUSKEY@SOWEGA-AHEC.ORG WORKFORCE TRAINING TRACK: 3-COMMUNITY PARAMEDICINE TARGET SERVICE AREA: THE PROPOSAL COVERS SOUTHWEST GEORGIA (SOWEGA) SPECIFICALLY THE 5 NETWORK MEMBER HOSPITALS IN CLINCH, COFFEE, COLQUITT, IRWIN, AND TIFT COUNTIES. ALL 5 ARE IN FEDERALLY DESIGNATED RURAL COUNTIES, PRIMARY CARE HPSA AND MUA/P. NETWORK PARTNERS: SOWEGA-AHEC, STATE OFFICE OF RURAL HEALTH (SORH), CLINCH MEMORIAL HOSPITAL, COFFEE REGIONAL MEDICAL CENTER, COLQUITT REGIONAL MEDICAL CENTER, IRWIN COUNTY HOSPITAL, TIFT REGIONAL MEDICAL CENTER. TOTAL FUNDING REQUEST: $1,332,608.21 CAPACITY: ESTABLISHED IN 1991, SOWEGA-AHEC, A COMMUNITY-DRIVEN, NONPROFIT ORGANIZATION, HAS BEEN MEETING ITS MISSION TO INCREASE ACCESS TO HEALTHCARE BY IMPROVING THE NUMBER AND DISTRIBUTION OF HEALTHCARE PROVIDERS IN 38 SOWEGA COUNTIES. OUR LONG-RANGE GOAL IS TO CULTIVATE A HEALTHCARE WORKFORCE THAT CLOSELY MATCHES THE STATE’S POPULATION IN DIVERSITY AND ASSURE THAT EACH COMMUNITY HAS ENOUGH PRACTITIONERS IN THE APPROPRIATE DISCIPLINES TO IMPROVE ACCESS TO HEALTHCARE. SOWEGA-AHEC’S REGION INCLUDES 36 RURAL AND 37 MUA/P.¹ OUR CAPACITY AND SUCCESS REFLECT WE HAVE INCREASED THE GEORGIA HEALTHCARE WORKFORCE WITH OVER 3,860 PIPELINE GRADUATES, INCLUDING 2,315 PRACTICING IN SOWEGA. INCREASING OUR WORKFORCE IMPROVES ACCESS AND OUTCOMES FOR OUR RURAL AND UNDERSERVED POPULATIONS. PROBLEM: LIMITED ACCESS TO PRIMARY CARE INCREASES ER VISITS WITH CHRONIC AND NON-EMERGENT PATIENTS, EXACERBATING WORKFORCE SHORTAGES, LIMITING ACCESS TO EMS SERVICES FOR CRITICAL EMERGENCIES, ADDING FINANCIAL STRAIN ON THE HOSPITAL, AND FURTHER EXPANDING DISPARITIES FOR DISADVANTAGED POPU LATIONS.² SUMMARY: THE PROJECT WILL BUILD UPON THE SUCCESS OF SORH’S COMMUNITY PARAMEDICINE (CP) PILOT PROJECT AND DEVELOP A SUSTAINABLE CP TRAINING PROGRAM FOR SOWEGA. BY IMPLEMENTING A CP PROGRAM, RURAL HOSPITALS CAN REDUCE NON-EMERGENT SUPERUSER EMERGENCY ROOM (ER) VISITS AND IMPROVE THE HOSPITAL’S FINANCIAL HEALTH AND THE COMMUNITIES’ HEALTH OUTCOMES. PROPOSAL: SOWEGA-AHEC PROPOSES CREATING THE SOUTHWEST GEORGIA COMMUNITY PARAMEDICINE NETWORK (SOWEGA-CPN) TO INCLUDE SOWEGA-AHEC, SORH & 5 SOWEGA RURAL HOSPITALS. THE SOWEGA-CPN WILL DEVELOP A CP PROGRAM TO INCLUDE A CP WORKFORCE PROVIDER TRAINING CURRICULUM & GUIDELINES, PROCESSES, AND REPORTING MATRIX TO IDENTIFY THE HOSPITAL SUPERUSERS ENROLLED IN CP DEPARTMENT PROGRAMS. PROGRAM GOALS: 1) ESTABLISH A STRONG NETWORK OF REGIONAL HOSPITALS AND SERVICE PROVIDERS TO CREATE A CP WORKFORCE TRAINING PROGRAM, 2) DEVELOP A REGIONAL CP TRAINING PROGRAM TO TRAIN 5 CP PROVIDERS AND FUTURE WORKFORCE, AND 3) SUPPORT IMPLEMENTATION OF HOSPITAL-BASED CP DEPARTMENTS IN 5 SOWEGA RURAL HOSPITALS. PROGRAM OUTCOMES: 1) ESTABLISH SOWEGA-CPN, 2) DEVELOP A CP TRAINING PROGRAM, 3) EXPAND THE CP WORKFORCE, 4) REDUCE HOSPITAL NON-EMERGENT SUPERUSER ER VISITS, READMITTANCE RATES, AND COSTS. FUNDING PREFERENCE: SOWEGA-AHEC IS REQUESTING FUNDING PREFERENCE BASED ON QUALIFICATION 1. DOUGHERTY, CRISP, CLINCH, COFFEE, COLQUITT, IRWIN & TIFT COUNTIES (NETWORK MEMBERS) ARE IN PRIMARY CARE HPSA DESIGNATED COUNTIES. SPECIAL CONSIDERATION: SOWEGA-AHEC IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOU FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11. ¹GA DEPT OF COMMUNITY HEALTH, STATE OFFICE OF RURAL HEALTH MAPS. HTTPS://DCH.GEORGIA.GOV/DIVISIONSOFFICES/STATE-OFFICE-RURAL-HEALTH/SORH-MAPS-GEORGIA ² GREENWOOD-ERIKSON MB, KOCHER K, TRENDS IN EMERGENCY DEPARTMENT USE BY RURAL AND URBAN POPULATIONS IN THE UNITED STATES. HTTPS://WWW.NCBI.NLM.NIH.GOV/PMC/ARTICLES/PMC6481434/. HTTP

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

CONNECTING KIDS TO COVERAGE (CKC) - HEALTHY KIDS 2019

HEALTHIEST MANITOWOC COUNTY-SUBSTANCE ABUSE PREVENTION COALITION (HMC-SAP)

HIGH GROWTH

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

PPHF ? 2013 - COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP EXCHANGES

HEALTH CARE INNOVATION CHALLENGE

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

MANITOWOC COUNTY ALLIANCE FOR SUBSTANCE ABUSE PREVENTION

RURAL HEALTH WORKFORCE DEVELOPMENT PROGRAM

RURAL HEALTH WORKFORCE DEVELOPMENT PROGRAM

RURAL HEALTH WORKFORCE DEVELOPMENT PROGRAM

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

ADDICTION MEDICINE FELLOWSHIP - ESTABLISHED IN 2020, THE ACGME-ACCREDITED MAHEC ADDICTION MEDICINE FELLOWSHIP (AMF) ADDRESSES THE CRITICAL NEED FOR ADDICTION SPECIALISTS IN RURAL WESTERN NORTH CAROLINA (WNC), A REGION IN WHICH ALL COUNTIES ARE HRSA-DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). MAHEC’S AMF PROGRAM SEEKS TO ADDRESS A REGIONAL WORKFORCE GAP BY TRAINING FELLOWS IN RURAL SETTINGS. FROM MAHEC’S FAMILY MEDICINE RESIDENCY PROGRAM, 56% OF RESIDENTS WENT ON TO PRACTICE WITHIN 100 MILES OF THEIR RESIDENCY TRAINING SITE POSITIONS, DEMONSTRATING THAT MAHEC IS IN A KEY POSITION TO MAKE A DIFFERENCE IN HEALTH OUTCOMES IN RURAL WNC COMMUNITIES. FIVE OF THE PROGRAM’S EIGHT GRADUATES HAVE REMAINED IN WNC, AND THREE ARE CURRENTLY SERVING IN RURAL AREAS. THIS PROGRAM SUPPORTS MAHEC’S MISSION OF “TRAINING TO SERVE,” EMPHASIZING COMMUNITY-ORIENTED RURAL PRACTICES THAT HELP ADDRESS BARRIERS AND CONCERNS SPECIFIC TO THE MEDICAL CARE LANDSCAPE OF THIS UNDERSERVED REGION. MAHEC’S PATIENT POPULATION IS UNIQUE, AND THE REGION FACES DISTINCT CHALLENGES IN ADDRESSING SUDS AND OPIOID USE DISORDER (OUD). IN RURAL WNC, AN AVERAGE OF 54% OF RESIDENTS REPORT THAT THEIR LIFE HAS BEEN NEGATIVELY AFFECTED BY SUBSTANCE ABUSE, THEIR OWN OR SOMEONE ELSE’S.[2] TO ACCESS TREATMENT, INDIVIDUALS OFTEN MUST TRAVEL TO ASHEVILLE, NC, WHICH CAN BE A TWO TO THREE-HOUR DRIVE ON MOUNTAINOUS RURAL ROADS. MOST FELLOWSHIP ROTATION SITES ARE LOCATED IN BUNCOMBE OR HAYWOOD COUNTIES, WITH MENTAL HEALTH HPSA SCORES OF 17 OR ABOVE, AND AT LEAST ONE ADDITIONAL RURAL GRAHAM COUNTY ROTATION SITE IS EXPECTED IN 2025. AS AN ESTABLISHED AMF PROGRAM, OUR PLAN IS TO MAINTAIN THE PROGRAM FROM OUR ASHEVILLE LOCATION IN COLLABORATION WITH SATELLITE AND RURAL ROTATION SITES, SUPPORTING FOUR FELLOWS OVER FIVE YEARS. TO ACHIEVE THE GOAL OF EXPANDING THE NUMBER OF BOARD-CERTIFIED ADDICTION MEDICINE SPECIALISTS SERVING IN MEDICALLY UNDERSERVED, COMMUNITY-BASED SETTINGS, INCLUDING RURAL AREAS, OUR PROGRAM WILL IMPLEMENT A COMPREHENSIVE, STRUCTURED APPROACH FOCUSED ON THREE KEY OBJECTIVES: 1. INCREASE THE NUMBER OF ADDICTION MEDICINE SPECIALISTS IN MEDICALLY UNDERSERVED AREAS 2. ENHANCE FELLOWS’ ABILITY TO NAVIGATE LEGAL AND SOCIAL SYSTEMS RELATED TO PATIENT CARE 3. INCREASE AWARENESS OF ADDICTION MEDICINE AS A SPECIALTY AND REDUCE PROVIDER STIGMA TO ENSURE COMPLIANCE WITH PROGRAM REQUIREMENTS, GRANT ACTIVITIES, AND DELIVERABLES, THE AMF PROGRAM DIRECTOR, DR. NATHAN MULLINS, WILL DEDICATE 20 PERCENT OF HIS TIME TO THIS PROGRAM. THE CORE ELEMENTS OF OUR WORK PLAN INCLUDE CONSISTENT REPORTING TO THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AND THE SPONSORING INSTITUTION TO ENSURE COMPLIANCE WITH ACCREDITATION STANDARDS. THE PROGRAM MUST MAINTAIN ACCREDITATION BY MEETING OR EXCEEDING THESE STANDARDS, WHICH REQUIRES REGULAR EVALUATION AND QUALITY IMPROVEMENT EFFORTS THROUGH OUR GME STRUCTURE AND PROGRAM EVALUATION COMMITTEES.

HEALTHIEST MANITOWOC COUNTY SUBSTANCE ABUSE PREVENTION COALITION: DRUG-FREE COMMUNITIES SUPPORT

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME

RURAL HEALTH OPIOID PROGRAM

BREAKING DOWN MENTAL HEALTH BARRIERS IN RURAL WESTERN NEW YORK - THE WESTERN NEW YORK RURAL AREA HEALTH EDUCATION CENTER (R-AHEC) IS PART OF THE NATIONAL AREA HEALTH EDUCATION CENTER (AHEC) PROGRAM AND IS NEW YORK STATE’S FIRST AHEC. THE AHEC PROGRAM CONNECTS STUDENTS TO CAREERS, PROFESSIONALS TO COMMUNITIES AND COMMUNITIES TO BETTER HEALTH. R-AHEC BEGAN OPERATIONS IN 1999 AS A NON-PROFIT INDEPENDENT FACILITATION RESOURCE THAT SERVES AS A NETWORKING HUB TO A PREDOMINATELY RURAL 12-COUNTY REGION, HEADQUARTERED IN WARSAW, NEW YORK. COUNTIES INCLUDE ALLEGANY, CATTARAUGUS, CHAUTAUQUA, GENESEE, LIVINGSTON, MONROE, ONTARIO, ORLEANS, STEUBEN, WAYNE, WYOMING, AND YATES, COVERING 9,141 SQUARE MILES. R-AHEC IS SPECIFICALLY STRUCTURED TO GENERATE STRATEGIC PARTNERSHIPS WITH ACADEMIC PROGRAMS, COMMUNITIES, AND PROFESSIONAL ORGANIZATIONS. R-AHEC IS RECOGNIZED AS A NEUTRAL, REGIONAL FACILITATION RESOURCE CAPABLE OF SUCCESSFUL IMPLEMENTATION OF LOCAL, STATE AND FEDERAL WORKFORCE AND EDUCATION GRANTS FOR A WIDE VARIETY OF LOCAL AND REGIONAL HEALTHCARE ORGANIZATIONS, SCHOOL AND COMMUNITY PARTNERS. THE GOAL OF THE MENTAL HEALTH AWARENESS TRAINING IS TO TRAIN INDIVIDUALS TO RECOGNIZE SIGNS AND SYMPTOMS OF MENTAL HEALTH DISORDERS, ESTABLISH LINKAGES, AND TRAIN EMERGENCY SERVICES PERSONNEL, LAW ENFORCEMENT, FIRE DEPARTMENT PERSONNEL, VETERANS, AND OTHERS TO IDENTIFY PERSONS WITH A MENTAL DISORDER AND EMPLOY CRISIS DE-ESCALATION TECHNIQUES; AND EDUCATE INDIVIDUALS ABOUT RESOURCES THAT ARE AVAILABLE IN THE COMMUNITY FOR INDIVIDUALS WITH A MENTAL DISORDER. R-AHEC PROPOSES TO ACCOMPLISH THESE GOALS BY UTILIZING THE MENTAL HEALTH FIRST AID PROGRAM CURRICULUM FOR OUR APPLICATION. MENTAL HEALTH FIRST AID IS AN EVIDENCE-BASED PROGRAM THAT IS MANAGED BY THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH. THE MENTAL HEALTH FIRST AID PROGRAM TEACHES ABOUT “RISK FACTORS AND WARNING SIGNS FOR MENTAL HEALTH AND ADDICTION CONCERNS, STRATEGIES FOR HOW TO HELP SOMEONE IN BOTH CRISIS AND NON-CRISIS SITUATIONS, AND WHERE TO TURN FOR HELP” USING AN ESTABLISHED AND PROVEN FIVE-STEP ACTION PLAN. THROUGH THE MENTAL HEALTH AWARENESS TRAINING GRANT, STAFF WILL BE TRAINED AS TRAINERS IN THE MENTAL HEALTH FIRST AID CURRICULUM. OVER A FIVE-YEAR PERIOD, OUR ORGANIZATION WILL TRAIN OVER 1000 PEOPLE IN RURAL COMMUNITIES USING THE MENTAL HEALTH FIRST AID PROGRAM. WE WILL TRAIN THE GENERAL PUBLIC, FIRST RESPONDERS, VETERANS, AND HEALTHCARE PROVIDERS IN SIX RURAL COUNTIES OF WNY INCLUDING WYOMING, ORLEANS, GENESEE, ALLEGANY, CHAUTAUQUA, AND CATTARAUGUS COUNTIES. WE WILL LEVERAGE EXISTING PARTNERSHIPS WITH HEALTH CARE PROVIDERS, COUNTY MENTAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS TO TRAIN INDIVIDUALS, ESTABLISH AND STRENGTHEN LINKAGES, TRAIN FIRST RESPONDERS, HEALTH CARE PROVIDERS, AND VETERANS, AND PROVIDE RESOURCES FOR MENTAL HEALTH SERVICES. OUR GOAL AS A HEALTH EDUCATION CENTER IS TO PROVIDE THE COMMUNITY WITH MENTAL HEALTH AWARENESS TRAINING TO HELP REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH DISORDERS, EQUIP THE COMMUNITY TO HELP ONE ANOTHER, AND IMPROVE OUTCOMES FOR INDIVIDUALS BY PROVIDING MORE SUPPORT AND RESOURCES IN OUR COMMUNITIES. THE PROPOSED TRAINING ACTIVITIES WILL INCREASE UNDERSTANDING OF MENTAL HEALTH DISORDERS IN RURAL COMMUNITIES, INCREASE KNOWLEDGE OF EXISTING RESOURCES IN THE SIX RURAL COUNTIES, AND BREAK DOWN BARRIERS INCLUDING STIGMA RELATING TO MENTAL HEALTH DISORDERS.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - ADDRESS: 121 HENDERSONVILLE ROAD ASHEVILLE, NC 28803 PROJECT DIRECTOR: BILL GIST, MD CONTACT PHONE NUMBERS (VOICE, FAX): VOICE: 828-257-4769; FAX: 828-258-2097 EMAIL ADDRESS: LIZZIE.SMITH@MAHEC.NET WEBSITE: WWW.MAHEC.NET FUNDING PREFERENCE: HPSA AND MUC NAME OF TRAINING PROGRAM: MOUNTAIN AREA HEALTH EDUCATION AREA, INC. OB/GYN RESIDENCY PROGRAM (501C3) DISCIPLINE OF THE RESIDENCY PROGRAM: OBSTETRICS AND GYNECOLOGY TYPE OF APPLICATION: NEW THCGME APPLICANT FOR OB/GYN NAME OF COMMUNITY-BASED AMBULATORY PATIENT CENTER: MOUNTAIN AREA HEALTH EDUCATION CENTER (MAHEC) FIRST DATE FOR RESIDENTS: JANUARY 16TH, 1992 WEBSITE: WWW.MAHEC.NET REQUESTED AWARD AMOUNT: 4 (1 PER YEAR X 4 YEARS OF TRAINING) FTE RESIDENTS, $1.6 MILLION FTE POSITIONS REQUESTED FOR AY 2022-2023: 1 (1-0-0-0) ROTATION SITES: ALL HOSPITAL ROTATION SITES HAVE PREVIOUSLY PROVIDED RESIDENT TRAINING THE MOUNTAIN AREA HEALTH EDUCATION CENTER (MAHEC) IS AN INTEGRAL PART OF THE WESTERN NORTH CAROLINA COMMUNITY AND IS A CRITICAL RESOURCE FOR IMPROVING HEALTHCARE IN THE MOUNTAIN REGION. IN RESPONSE TO WIDENING MATERNAL INEQUITIES AND MORE LIMITED ACCESS TO OBSTETRIC AND GYNECOLOGIC SERVICES IN OUR RURAL REGION, WE PLAN TO ESTABLISH THE FIRST OB/GYN TEACHING HEALTH CENTER IN NORTH CAROLINA. AS THE REGIONAL SAFETY-NET MATERNAL COMMUNITY-BASED AMBULATORY PATIENT CARE PROVIDER, WE PROVIDE THE OPTIMAL LEARNING ENVIRONMENT FOR EXPANDED OBSTETRIC AND GYNECOLOGIC TRAINING. LOCATED IN BUNCOMBE COUNTY, NORTH CAROLINA, WITH SURROUNDING COMMUNITY-BASED AMBULATORY PATIENT CENTERS IN RURAL TRANSYLVANIA AND HAYWOOD COUNTIES, MAHEC OB/GYN SERVES THE POPULATION OF THE ENTIRE 16 COUNTY REGION OF WNC. OUR MISSION IS TO PROVIDE SPECIALIZED OBSTETRIC AND GYNECOLOGIC CARE TO THE WOMEN OF WESTERN NORTH CAROLINA THROUGH COMPASSIONATE, PATIENT-CENTERED SERVICES AND COMPREHENSIVE EDUCATION OF HEALTHCARE PROVIDERS. WE PROVIDE THIS CARE TO THE REGION'S MOST VULNERABLE AND UNDERSERVED POPULATION. BUILDING ON AN A LREADY ESTABLISHED CURRICULUM IN UNDER-RESOURCED SETTINGS, THE MAHEC OB/GYN RESIDENCY PROGRAM WILL DIRECTLY IMPROVE ACCESS AND RESULT IN ADDITIONAL MATERNAL SERVICES TO RURAL AND UNDERSERVED POPULATIONS. THE MAHEC OB/GYN RESIDENCY PROGRAM IS UNIQUELY POSITIONED TO CONTRIBUTE TO THE TRAINING OF MATERNAL CARE PROVIDERS IN UNDERSERVED SETTINGS. AS A PROGRAM THAT COUPLES A PLACE-BASED COMMUNITY EDUCATION WITH ACADEMIC OPPORTUNITIES, MAHEC PROVIDERS HAVE A LONG-STANDING TRACK RECORD OF EXCEEDING NATIONAL RURAL PLACEMENT RATES. OUR CURRICULUM IS ROOTED IN THE TEAM-BASED CARE MODEL THAT BEST EQUIPS FUTURE PROVIDERS TO RESPOND TO THE INEQUITABLE HEALTH OUTCOMES GAP IN RURAL WESTERN NORTH CAROLINA (WNC).

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - TRAINING PROGRAM NAME: MAHEC HENDERSONVILLE TEACHING HEALTH CENTER (MH THC) TRAINING PROGRAM DISCIPLINE: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBLE ENTITY TYPE: GME CONSORTIUM: COMMUNITY-BASED AMBULATORY CARE CENTERS (OPERATED BY BLUE RIDGE COMMUNITY HEALTH SERVICES), IN CONSORTIUM WITH INPATIENT TRAINING (PARDEE HOSPITAL) AND A SPONSORING TRAINING INSTITUTION (MOUNTAIN AREA HEALTH EDUCATION CENTER). YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: HTTPS://MAHEC.NET TOTAL RESIDENT FTE REQUESTED FOR ALL YEARS: 3 FTE (1-1-1) RESIDENT FTE REQUESTED FOR AY: 2022-2023: 1 FTE (1-0-0) OVERVIEW: ESTABLISHED IN 2013, THE ACGME ACCREDITED MAHEC HENDERSONVILLE TEACHING HEALTH CENTER (MH THC) MISSION IS TO TRAIN SUPERIOR FAMILY PHYSICIANS FOR COMMUNITY-ORIENTED RURAL PRACTICES IN WESTERN NORTH CAROLINA AND SERVE AS A CATALYST FOR IMPROVING QUALITY AND ACCESS TO PRIMARY CARE IN OUR REGION. BUILDING UPON THE SUCCESSFUL WORK OF MH THC, THE RESIDENCY PROGRAM WILL CONTINUE TO STRENGTHEN THE GME CONSORTIUM AMONG MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. (MAHEC) AS THE SPONSORING INSTITUTION, BLUE RIDGE COMMUNITY HEALTH SERVICES (BRCHS) PROVIDING AMBULATORY TRAINING AT TWO CLINICAL SITES, AND INPATIENT TRAINING AT PARDEE HOSPITAL. WESTERN NORTH CAROLINA (WNC) ENCOMPASSES 16 COUNTIES IN SOUTHERN APPALACHIA AND IS HOME TO 879,692 PEOPLE, 45% OF WHOM RESIDE IN RURAL AREAS. THIS MOUNTAINOUS REGION FACES COMPLEX AND INTERWOVEN CHALLENGES THAT LIMIT ACCESS TO PRIMARY CARE, DISEASE PREVENTION, AND CHRONIC DISEASE MANAGEMENT, INCLUDING SIZEABLE ECONOMIC INEQUITIES AND A GROWING POPULATION COUPLED WITH A SHRINKING POOL OF PRIMARY CARE PHYSICIANS. IN HENDERSON COUNTY, THE LOCATION FOR THE TRAINING SITES FOR THIS PROGRAM, A LARGE GERIATRIC POPULATION (26% OF THE COUNTY POPULATION OLDER THAN 65 YEARS IN 2019) AND A GROWING HISPANIC/LATINX POPULATION (AN INCREASE FROM 9.8% TO 12.9% OF THE POPULATION FROM 2010 TO 2020) , BOTH R EQUIRE ADDITIONAL RESOURCES FOR CHRONIC DISEASE MANAGEMENT WITH CONTINUED AGING. THE MH THC FAMILY MEDICINE RESIDENCY PROGRAM USES A CLINIC FIRST TRAINING MODEL TO PREPARE RESIDENTS FOR COMMUNITY-ENGAGED, LONGITUDINAL PRACTICE WITH VULNERABLE POPULATIONS IN WNC. WE SEEK TO EXPAND THE FAMILY MEDICINE RESIDENCY WITHIN THE MH THC BY 1 RESIDENT FTE BEGINNING IN AY 2022-2023, THEREBY EXPANDING OUR CAPACITY TO SERVE PATIENTS IN WNC AND STRENGTHENING OUR POSITIVE IMPACT ON ITS FUTURE HEALTH.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

SUICIDE PREVENTION AWARENESS AND INTERVENTION PROJECT - HEALTH EDUCATION CENTER (HEC) PROPOSES TO PROVIDE MENTAL HEALTH AWARENESS AND INTERVENTION TRAINING FOR THREE GROUPS OF GATEKEEPER GROUPS THAT DEAL DIRECTLY WITH THE POPULATION OF FOCUS: PERSONS EXPERIENCING SERIOUS MENTAL ILLNESS (SMI) OR SERIOUS EMOTIONAL DISTURBANCE (SED). IN CONNECTICUT, MORE THAN THREE TIMES AS MANY PEOPLE DIED BY SUICIDE IN 2017 THAN IN ALCOHOL RELATED MOTOR VEHICLE ACCIDENTS. SUICIDE WAS THE 2ND LEADING CAUSE OF DEATH AMONG THOSE AGES 15-34, 4TH LEADING CAUSE OF DEATH FOR AGES 35-54, AND 8TH LEADING CAUSE OF DEATH FOR AGES 55-64. OVERALL, SUICIDE IS THE 12TH LEADING CAUSE OF DEATH IN CONNECTICUT. NATIVE AMERICANS AND VETERANS ARE AT HIGHER RISK OF SUICIDE. HEC AND ITS PARTNER, SOUTHWESTERN AHEC, WILL TRAIN COMMUNITY GATEKEEPERS (COMMUNITY HEALTH WORKERS, MEDICAL INTERPRETERS, TRIBAL COMMUNITY MEMBERS, INCLUDING VETERANS, HEALTH PROFESSIONS STUDENTS AND A STATEWIDE NETWORK OF COMMUNITY VOLUNTEERS AND PROVIDERS WORKING ON TRAUMA PREVENTION AND HEALING IN CONNECTICUT’S MOST ECONOMICALLY DISTRESSED AREAS) IN SUICIDE PREVENTION AND INTERVENTION METHODS. TRAINING FOR SUICIDE AWARENESS AND INTERVENTION WILL BE DELIVERED BY USING TWO EVIDENCED-BASED PRACTICES, APPLIED SUICIDE INTERVENTION TRAINING (ASIST) CURRICULUM AND THE QPR (QUESTION, PERSUADE, REFER) GATEKEEPER TRAINING FOR SUICIDE PREVENTION (QPR). TRAINING WILL TEACH INDIVIDUALS TO RECOGNIZE THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND HOW TO APPROPRIATELY AND SAFELY RESPOND. OUR TRAINING POPULATIONS ARE UNIQUELY POSITIONED AS GATEKEEPERS, BOTH WITHIN THEIR PEER COMMUNITIES AND THE GENERAL PUBLIC, MAKING THEM MORE LIKELY TO ENCOUNTER PERSONS AT RISK OF SUICIDE. THE GEOGRAPHIC CATCHMENT AREA IS CONNECTICUT. OVER THE COURSE OF THE FIVE-YEAR PROJECT, HEC WILL TRAIN 352 GATEKEEPERS IN ASIST AND 1,000 GATEKEEPERS IN QPR. GATEKEEPERS ARE INDIVIDUALS WHO ARE TRUSTED AND IN A POSITION TO OUTREACH TO AND EDUCATE MEMBERS OF THEIR COMMUNITIES. AN ESTIMATED 300 INTERVENTIONS WILL BE PERFORMED OVER THE PROJECT PERIOD AND 150 REFERRALS WILL BE MADE FOR MENTAL HEALTH SERVICES FOR EACH OF THE SUICIDE INTERVENTION METHODS.

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

STEP - STRETCHING TO EMPOWER

RURAL ACCESS TO EMERGENCY DEVICES

RESIDENCY TRAINING IN PRIMARY CARE

TELEMEDICINE GRANT

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

RURAL HEALTH OPIOID PROGRAM

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

DENTAL FACULTY LOAN REPAYMENT

RURAL BENEFITS COUNSELING PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

PRIMARY CARE

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

TECHNICAL STUDIES

EXECUTIVE SUMMARY CENTRAL COLORADO AREA HEALTH EDUCATION CENTER'S MISSION IS TO PROVIDE EDUCATIONAL PROGRAMS THROUGH ACADEMIC-COMMUNITY PARTNERSHIPS TO ADDRESS THE NEEDS OF THE HEALTH WORKFORCE AS WELL AS THE UNDER AND UNINSURED IN CENTRAL COLORADO. THE PROPOSED VISTA PROJECT ALIGNS WITH THE HEALTHY FUTURES FOCUS AREA. THE VISTA PROJECT WILL SEEK TO BUILD CAPACITY, EXPAND SCALE AND REACH, AND LEVERAGE RESOURCES TO BENEFIT COMMUNITIES BUILDING COALITIONS TO ADDRESS THE OPIOID CRISIS. 8 VISTA MEMBERS WILL CONTRIBUTE TO THE GOALS OF THE PROJECT BY PERFORMING SERVICE ACTIVITIES THAT SUPPORT EXPANDING AND STRENGTHENING PARTNERSHIPS AND NETWORKS BY IDENTIFYING POTENTIAL COLLABORATORS, PLANNING INFORMATIONAL MEETINGS, AND DEVELOPING COMMITMENTS AMONG COLLABORATORS. THEY WILL EXPAND SCALE AND REACH TO INCREASE COMMUNITY AWARENESS AND ENGAGEMENT THROUGH THE DEVELOPMENT OF PUBLIC RELATIONS MEDIA PLANS, PRESENTATIONS AND OTHER MEDIA, AND DEVELOPING AND IMPLEMENTING OUTREACH PLANS, PRESENTATIONS, AND COMMUNICATION TO EXPAND OUTREACH TO PROGRAM PARTICIPANTS. THEY WILL BUILD CAPACITY FOR FINANCIAL RESOURCES BY DEVELOPING FUNDRAISING PLANS, IDENTIFYING RESOURCES FOR FUNDRAISING, AND DRAFTING AND SUBMITTING PROPOSALS. THEY WILL EXPAND TECHNOLOGY USE BY DEVELOPING TECHNOLOGY PLANS, PILOTING NEW TOOLS, AND DEVELOPING ONGOING TECHNOLOGY RESOURCES. MEMBERS WILL BUILD VOLUNTEER RECRUITMENT AND MANAGEMENT SYSTEMS CAPACITY BY HELPING TO CLARIFY VOLUNTEER ROLES, DEVELOPING VOLUNTEER GENERATION PLANS, DEVELOPING VOLUNTEER UNITS, AND RECRUITING AND MANAGING VOLUNTEERS. THE PROPOSED PROJECT IS FOR YEAR TWO WITH THE ANTICIPATION THAT IT WILL BE RENEWED AND EXPANDED FOR A TOTAL OF FOUR YEARS.

THE MAIN OBJECTIVE OF CLEAN WATER PROJECT ('PROYECTO AGUA LIMPIA') IS TO IMPROVE COMMUNITY CAPACITY BUILDING THROUGH: 1. PROMOTING SUSTAINABILITY OF A NEWLY-ESTABLISHED COMMUNITY CENTER AND 2. ADDRESSING DRINKING WATER QUALITY ISSUES IDENTIFIED BY THE COMMUNITY. THIS AGREEMENT PROVIDES FULL FEDERAL FUNDING IN THE AMOUNT OF $118,686. SEE TERMS AND CONDITIONS.

HEALTHIEST MANITOWOC COUNTY SUBSTANCE ABUSE PREVENTION COALITION: DRUG-FREE COMMU

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - APPLICANT ORGANIZATION INFORMATION: ORGANIZATION NAME: HIGH SIERRA AREA HEALTH AND EDUCATION CENTER ADDRESS: 639 ISBELL ROAD, SUITE 290, RENO, NEVADA 89509-4967 FACILITY ENTITY TYPE: 501C3 NONPROFIT WEBSITE ADDRESS: HTTPS://WWW.HIGHSIERRAAHEC.ORG/ DESIGNATED PROJECT DIRECTOR INFORMATION: PROJECT DIRECTOR NAME & TITLE: ANDREA GREGG, CEO PHONE NUMBER: 775-507-4022 E-MAIL ADDRESS: ANDREA@HIGHSIERRAAHEC.ORG NETWORK PLANNING PROJECT: NETWORK NAME: SGM RURAL HEALTH NETWORK LEGISLATIVE AIMS: AIM #1: ACHIEVE EFFICIENCIES: THE AIM OF THIS NETWORK IS TO ASSESS THE NEED FOR AND ADDRESS THE SCARCITY OF PRIMARY CARE AND HEALTH SERVICES AVAILABLE TO THE SEXUAL AND GENDER MINORITY (SGM) POPULATION WITHIN RURAL NEVADA. THIS WILL BE DONE BY CONDUCTING A COMMUNITY HEALTH AND/OR PROVIDER NEEDS ASSESSMENT AT THE REGIONAL AND LOCAL LEVEL. THIS NEEDS ASSESSMENT WILL HELP US IDENTIFY AREAS OF HIGH NEED TO ENSURE THAT GEOGRAPHIC LOCATION IS NOT A BARRIER TO RECEIVING CARE. OTHER GOALS INCLUDE: GROWING A COLLABORATION NETWORK OF HEALTHCARE PROVIDERS SAVVY IN TREATING SGM POPULATIONS IN RURAL AREAS, BOLSTERING REGIONAL SYSTEMS OF CARE TO BETTER MEET RURAL PATIENT CONCERNS, AND IDENTIFYING THE FINANCIAL GAPS THAT CURRENTLY EXIST AND OBSTRUCT HEALTHCARE WITHIN THESE COMMUNITIES. AIM #2: EXPAND ACCESS TO, COORDINATE, AND IMPROVE THE QUALITY OF BASIC HEALTH CARE SERVICES AND ASSOCIATED HEALTH OUTCOMES; AIM #3: INCREASE CONNECTIVITY BETWEEN EXISTING HEALTHCARE NETWORKS AND PROVIDERS. TO ACHIEVE AIMS #2 AND #3, WE PLAN TO 1) CREATE A FULL-TIME POSITION DESIGNED TO ASSESS THE NEEDS OF RURAL SGM COMMUNITIES AND THEIR HEALTHCARE PROVIDERS, SYNTHESIZE AND REPORT GATHERED INFORMATION, AND FACILITATE COMMUNICATION BETWEEN RURAL STAKEHOLDERS AND BENEFICIARIES; 2) GARNER THE INTEREST OF RURAL HEALTHCARE PROVIDERS THROUGH PROVIDING EDUCATION ON THE IMPORTANCE OF CARING FOR THE SGM COMMUNITY; 3) OFFER EDUCATION ON SGM HEALTHCARE; 4) ESTABLISH AND STRENGTHEN A COMMUNITY-PARTNER R EFERRAL NETWORK THAT GIVES RURAL PROVIDERS ACCESS TO CASE MANAGEMENT AND SUPPORT FROM PROFESSIONALS WITH KNOWLEDGE ABOUT CARE FOR THE SGM COMMUNITY; AND, 5) MAINTAIN ONGOING COMMUNICATION WITH RURAL HEALTHCARE PROVIDERS REGARDING RESOURCE NEEDS, EDUCATION TOPICS, AND IDEAS THAT SUPPORT BUILDING INFORMED AND SUSTAINABLE HEALTHCARE SERVICES TO NEVADA’S RURAL SGM POPULATION. FOCUS AREA: THE NETWORK’S FOCUS AREA IS EXPANSION AND INTEGRATION OF SGM HEALTHCARE SERVICES THROUGHOUT NEVADA. PROPOSED SERVICE REGION: STATE: NEVADA URBAN COUNTIES: CARSON CITY, CLARK, WASHOE RURAL COUNTIES: DOUGLAS, LYON, STOREY. FRONTIER COUNTIES: CHURCHILL, ELKO, ESMERALDA, EUREKA, HUMBOLDT, LANDER, LINCOLN, MINERAL, NYE, PERSHING AND WHITE PINE POPULATION TO BE SERVED: THIS GRANT WILL HELP CREATE THE FIRST DEDICATED SGM AND RURAL-FOCUSED HEALTHCARE COLLABORATION NETWORK IN THE STATE OF NEVADA THAT WILL ADDRESS THE HEALTHCARE DISPARITIES UNIQUELY FACING SGM COMMUNITIES. THE SGM COMMUNITIES WITHIN RURAL AREAS FACE EVEN GREATER CHALLENGES. OUR NETWORK SEEKS TO IMPROVE HEALTHCARE OUTCOMES IN THIS HISTORICALLY MARGINALIZED AND UNDERSERVED POPULATION. EXPERIENCE IN SERVING RURAL UNDERSERVED POPULATIONS FOR OVER 20 YEARS, HIGH SIERRA AREA HEALTH EDUCATION CENTER (AHEC), A DESIGNATED 501C3 NONPROFIT AND LONGSTANDING MEMBER OF THE NATIONAL AHEC ORGANIZATION, HAS BEEN STEADFAST IN ADDRESSING NEVADA’S HEALTH CARE WORKFORCE SHORTAGES THROUGH RECRUITING, TRAINING, AND RETAINING HEALTH PROFESSIONALS COMMITTED TO INCREASING ACCESS TO PRIMARY CARE IN UNDERSERVED URBAN AND RURAL COMMUNITIES. HIGH SIERRA AHEC WORKS IN AFFILIATION WITH THE UNIVERSITY OF NEVADA, RENO, SCHOOL OF MEDICINE AND THE OFFICE OF STATEWIDE INITIATIVES TO SERVE THE FOLLOWING COUNTIES: CARSON, CHURCHILL, DOUGLAS, LYON, STOREY, AND WASHOE. FUNDING OPPORTUNITY NOTIFICATION WE LEARNED OF THIS FUNDING OPPORTUNITY THROUGH GRANTS.GOV. FUNDING PREFERENCE WE QUALIFY FOR FUNDING PREFERENCE, SEE ATTACHMENT 6.

RURAL ACCESS TO EMERGENCY DEVICES DI OPIOID OVERDOSE REVERSAL GRANT PROGRAM

PHYSICIAN'S FARMACY - BUILDING FARMERS MARKET CAPACITY IN EASTERN WV

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL BUSINESS ENTERPRISE GRANTS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

SMALL GRANT -THIS PROJECT WILL DESIGN, DEVELOPMENT, AND IMPLEMENT HANDS-ON TRAINING SESSIONS FOR HEALTH CARE PROVIDERS AND STUDENTS IN SOUTHERN TEXA

FARM TO SCHOOL GRANT PROGRAM

CAREER & TECHNICAL EDUCATION

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

TECHNICAL STUDIES

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

CAREER & TECHNICAL EDUCATION

CAREER EDUCATION

HEALTH PROMOTION/DISEASE PREVENTION

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - HEALTH EQUITY ABSTRACT POPULATION TO BE SERVED THE WESTERN SOUTH DAKOTA INDIGENOUS MATERNAL HEALTH NETWORK SEEKS FUNDING TO SUPPORT A NETWORK OF HEALTH AND COMMUNITY PARTNERS WHO WILL ADDRESS THE SCARCITY OF MATERNAL HEALTHCARE FOR INDIGENOUS WOMEN LIVING ON PINE RIDGE RESERVATION. THE NETWORK WILL USE THE ONE-YEAR PLANNING PERIOD TO ASSEMBLE A GROUP OF PUBLIC HEALTH AND NON-PROFIT ENTITIES, REGIONAL HEALTH CARE SYSTEMS, AND UNIVERSITY RESEARCH EXPERTS, DRAWING ON EACH ORGANIZATIONS EXPERTISE AND WEALTH OF EXPERIENCE, TO DEVELOP A PROGRAM TO ADDRESS GAPS IN MATERNAL HEALTH COVERAGE. SPECIFICALLY, THE NETWORK WILL DEVELOP A PROCESS BY WHICH COMMUNITY HEALTH WORKERS FROM PINE RIDGE WILL RECEIVE MATERNAL HEALTH TRAINING AND DOULA CERTIFICATION, PROVIDING PRENATAL, DELIVERY, AND POSTPARTUM CARE TO AMERICAN INDIAN WOMEN. THE NETWORK REQUESTS FUNDING PREFERENCE UNDER QUALIFICATION 2. OGLALA LAKOTA COUNTY IS DESIGNATED A MEDICALLY UNDERSERVED AREA ACCORDING TO HRSA STANDARDS. PINE RIDGE RESERVATION IS ONE OF THE POOREST COMMUNITIES IN THE ENTIRE NATION. SUCH EXTREME POVERTY LIMITS RESIDENTS’ ACCESS TO RELIABLE TRANSPORTATION, A CONSISTENT TELEPHONE OR INTERNET CONNECTION, CHILDCARE, QUALITY HOUSING, EMPLOYMENT, AND EDUCATION OPPORTUNITIES. CONSEQUENTLY, MANY OF THE STATE’S RURAL RESIDENTS ARE QUITE LITERALLY CUT OFF FROM READY ACCESS TO HEALTHCARE. COUNTIES WITH RESERVATIONS WITHIN THEIR BORDERS OR THOSE BORDERING TRIBAL LANDS CONSISTENTLY DEMONSTRATE DISPARITIES IN PRENATAL CARE, WHICH CONTRIBUTES TO SEVERAL NEGATIVE OUTCOMES. NETWORK MEMBERS COMMITTED: WEST RIVER AREA HEALTH EDUCATION CENTER; MONUMENT HEALTH; HORIZON HEALTHCARE; SOUTH DAKOTA SCHOOL OF MINES AND TECHNOLOGY VERBALLY COMMITTED: AVERA RESEARCH INSTITUTE-RAPID CITY; THE GREAT PLAINS TRIBAL LEADERSHIP HEALTH BOARD; OYATE HEALTH; APPLETREE MIDWIFERY; FALL RIVER HEALTH SERVICES POTENTIAL: INDIAN HEALTH SERVICES THE NETWORK ATTESTS THAT AT LEAST 66% OF THE MEMBERS OFFER SERVICES IN RURAL AREAS AS DESIGNATED BY HRSA. MONUMENT HEALTH HAS CRITICAL ACCESS HOSPITALS LOCATED THROUGHOUT WESTERN SOUTH DAKOTA AND HORIZON HEALTH SERVICES HAS 5 FEDERALLY QUALIFIED HEALTH CENTERS LOCATED IN PINE RIDGE, ROSEBUD, AND CHEYENNE RIVER RESERVATIONS. PRE-MEETINGS HAVE BEEN HELD WITH NETWORK PARTNERS, AND THE RESULTS OF THESE CONVERSATIONS INFORM THE NETWORK WORK PLAN, GOALS AND OBJECTIVES, AND THE PRELIMINARY ROLES AND RESPONSIBILITIES FOR EACH NETWORK PARTNER. EXPERIENCE IN SERVING POPULATION WEST RIVER AHEC IS WELL SITUATED TO LEAD THIS WORK. THE EXECUTIVE AND ASSISTANT DIRECTOR OF WR AHEC AND KEY PERSONNEL ON THIS PROJECT, HAVE TAKEN LEAD ON SEVERAL LARGE, FEDERAL GRANTS AND HAVE A HISTORY OF COLLABORATING WITH WEST RIVER AREA CLINICS, HOSPITALS, NON-PROFIT AGENCIES, AND UNIVERSITIES. WR AHEC AND MONUMENT HAVE WORKED TOGETHER ON FEDERAL GRANTS AND MONUMENT HEALTH HAS A REPRESENTATIVE ON THE WR AHEC BOARD. SDSM&T CURRENTLY HAS A MOU WITH MONUMENT FOR THE OPEN EXCHANGE OF DATA. THIS INSTITUTION ALSO HAS A STRONG RELATIONSHIP WITH WR AHEC, INCLUDING A REPRESENTATIVE FROM THE UNIVERSITY ACTING AS MEMBER OF THE BOARD OF DIRECTORS. FINALLY, HORIZON HAS CREATED THEIR OWN MATERNAL HEALTH PROGRAM. BY DRAWING ON MEMBERS OF THE COMMUNITY TO PROVIDE SERVICES AND CARE TO PREGNANT WOMEN, THIS NETWORK WILL IMPROVE EQUITY AND HEALTH OUTCOMES IN THE LOCAL HEALTHCARE ENVIRONMENT. SPECIFICALLY, CHWS WILL ACT AS A SUPPORT SYSTEM FOR WOMEN TO SCHEDULE AND ATTEND ROUTINE AND REGULAR CHECKUPS; TO NAVIGATE THE HEALTHCARE SYSTEM—ACTING AS A VOICE FOR QUESTIONS ABOUT COSTS AND HEALTH INSURANCE, THE IDENTIFICATION AND MANAGEMENT OF HIGH-RISK CONDITIONS, RISK AND CULTURALLY APPROPRIATE LABOR AND DELIVERY SERVICES, AS WELL AS BREASTFEEDING SUPPORT AND ACCESS TO OTHER SOCIAL SERVICES FOLLOWING THE BIRTH OF THEIR BABY. TRAINED CHW’S WOULD FACILITATE NOT ONLY THE PRENATAL CARE VISITS BUT COULD ACCOMPANY WOMEN THROUGHOUT THEIR ENTIRE PREGNANCY AND POST-DELIVERY.

NAT'L CTR FOR CHRONIC DISEASE PREV & HLTH PROMO CONFERENCE SUPPORT PROGRAM

HEALTH EDUCATION

HEALTHCARE ACCESS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

THIS GRANT WILL SUPPORT THE IMPROVEMENT OF CHILDREN'S HEALTH BY EDUCATING AND TRAINING CHILD CARE DIRECTORS ABOUT VARIOUS WAYS OF CREATING AN ENVIRON

THIS ACTION APPROVES AN AWARD IN THE AMOUNT OF $25,000 TO SUWANNEE RIVER AREA HEALTH EDUCATION CENTER, INC. THIS PROJECT IS A MULTIFACETED ENVIRONME

BUILDING COMMUNITY FOOD SYSTEMS IN SW LA

BUILDING COMMUNITY FOOD SYSTEMS IN SW LA

RURAL BUSINESS ENTERPRISE GRANTS

HEALTH MANPOWER

HEALTHCARE ACCESS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL BENEFITS COUNSELING PROGRAM

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

QUENTIN N. BURDICK RURAL HEALTH INTERDISCIPLINARY PROGRAM