Margaretville Memorial Hospital

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE – MARGARETVILLE HOSPITAL COMMUNITY PARAMEDICINE PROGRAM NAME: MARGARETVILLE HOSPITAL ADDRESS: 42084 STATE HIGHWAY 28, MARGARETVILLE, NY 12455 FACILITY TYPE: CRITICAL ACCESS HOSPITAL HTTPS://WWW.MARGARETVILLEHOSP.ORG/ ADAM BILLINGSLEA PROJECT DIRECTOR 845.334.4959 ADAM.BILLINGSLEA@HAHV.ORG PROPOSED WORKFORCE TRAINING TRACK TRACK 3 COMMUNITY PARAMEDICINE TARGET SERVICE AREA MARGARETVILLE HOSPITAL SERVES 59,578 RESIDENTS IN DELAWARE COUNTY AND PEOPLE LIVING IN PARTS OF ULSTER COUNTY. DELAWARE IS A HRSA-DESIGNATED RURAL COUNTIES. PARTS OF ULSTER COUNTY ARE HRSA-DESIGNATED RURAL TOWNS/CENSUS TRACT #: SHANDAKEN, 955300; DENNING & HARDENBURGH, 950900; OLIVE, 951000; ROCHESTER 955000; WOODSTOCK 950600, 950500. LIST OF PROPOSED NETWORK PARTNER ORGANIZATIONS - OFFICE OF THE AGING DELAWARE COUNTY - OFFICE OF THE AGING ULSTER COUNTY - CATSKILL HUDSON AREA HEALTH EDUCATION CENTER (CHAHEC) - DELAWARE COUNTY EMERGENCY SERVICES - MOUNTAINSIDE RESIDENTIAL CARE SERVICES - WMCHEALTH ADVANCED PHYSICIAN SERVICES (APS) - MARGARETVILLE HOSPITAL TOTAL FUNDING AMOUNT REQUESTED FOR THE ENTIRE THREE-YEAR PERIOD OF PERFORMANCE $1,544,956 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS MARGARETVILLE HOSPITAL IS A HEALTHALLIANCE HOSPITAL AND MEMBER OF THE WMCHEALTH NETWORK, A 1,700-BED HEALTHCARE SYSTEM HEADQUARTERED IN VALHALLA, NEW YORK, WITH 10 HOSPITALS ON EIGHT CAMPUSES. MARGARETVILLE HOSPITAL IS A 15-BED CRITICAL ACCESS HOSPITAL THAT HAS BEEN SERVING DELAWARE AND ULSTER COUNTY RESIDENTS FOR NEARLY 100 YEARS PROVIDING COMPREHENSIVE MEDICAL SERVICES TO THE RESIDENTS OF DELAWARE, GREENE, ULSTER AND SCHOHARIE COUNTIES. THE HOSPITAL OFFERS PATIENTS IMMEDIATE ACCESS TO THE BEST CARE AVAILABLE INCLUDING EMERGENCY CARE, AMBULATORY CARE SERVICES, LABORATORY TESTING, MEDICAL IMAGING, PHYSICAL AND OCCUPATIONAL THERAPY, SWING BED REHABILITATION PROGRAMS, RESPITE CARE, BOARD CERTIFIED SPECIALIST OR WELLNESS AND EDUCATION. MARGARETVILLE HOSPITAL HAS A RANGE OF SERVICES TO MEET THE NEEDS OF THE COMMUNITY WITHOUT HAVING TO DRIVE MILES AWAY TO ACCESS QUALITY CARE. MARGARETVILLE HOSPITAL IS A PART OF THE DELAWARE-ULSTER SENIOR CARE NETWORK, WHICH BEGAN MEETING IN 2020 AND WAS FORMED TO IMPROVE COMMUNICATION WITH THE AGING POPULATION AND THEIR FAMILIES; IMPROVE ACCESS TO HEALTHCARE AND COMMUNITY-BASED SERVICES; AND IMPROVE HEALTH OUTCOMES. THE NETWORK MEMBERS ALSO HAVE A LONG HISTORY OF SERVING THE RESIDENTS OF DELAWARE AND ULSTER COUNTY. WHILE ONE MEMBER, WMCHEALTH ADVANCED PHYSICIAN SERVICES, IS A RELATIVE NEWCOMER TO ULSTER AND DELAWARE COUNTY, HAVING SERVED THIS AREA FOR THREE YEARS, THEY ARE COMMITTED TO ENHANCING LIVES BY BUILDING UPON THEIR STATUS AS THE UNMATCHED PROVIDER OF CHOICE FOR QUALITY HEALTHCARE. MARGARETVILLE HOSPITAL HAS THE EXPERIENCE IN MANAGING PROJECTS OF THIS SCALE AND LARGER. SPECIFICALLY, MARGARETVILLE HOSPITAL IS THE RECIPIENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) PLANNING, NEONATAL ABSTINENCE SYNDROME, AND IMPLEMENTATION GRANTS. IN ADDITION, THE HOSPITAL CURRENTLY HAS A HRSA RURAL HEALTH NETWORK DEVELOPMENT PROGRAM GRANT; AND A SAMHSA EMERGENCY MEDICAL SERVICES TRAINING GRANT. EACH OF THOSE GRANTS HAS DESIGNATED PERSONNEL TO MANAGE THE AWARD. A DEDICATED STAFF PERSON FROM THE HEALTHALLIANCE FINANCE DEPARTMENT OVERSEES ALL GRANT AWARDS AND WORKS CLOSELY WITH THE PROJECT DIRECTOR AND GRANTS MANAGER TO ENSURE THAT FUNDS ARE PROPERLY ACCOUNTED FOR REPORTING AND AUDIT PURPOSES. FUNDING PREFERENCE MARGARETVILLE HOSPITAL IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION THE FACT THAT DELAWARE COUNTY IS IN A DESIGNATED HPSA AND A MUC/MUP. MARGARETVILLE HOSPITAL IS ALSO REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U WITH ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME

MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM - MARGARETVILLE HOSPITAL WILL PARTNER WITH DELAWARE COUNTY, NY DEPARTMENT OF EMERGENCY SERVICES AND SUNY COBLESKILL. OUR GOAL IS TO PROVIDE ALL LEVELS OF EMS TRAINING AS APPROPRIATE TO MAINTAIN LICENSES AND CERTIFICATIONS RELEVANT TO SERVE IN AN EMS AGENCY; CONDUCT COURSES THAT QUALIFY GRADUATES TO SERVE IN AN EMS AGENCY; AND FUND SPECIFIC TRAINING TO MEET NEW YORK STATE LICENSING/CERTIFICATION REQUIREMENTS. THERE WILL BE A SIGNIFICANT EMPHASIS ON BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TRAINING. MARGARETVILLE HOSPITAL IS A RURAL CRITICAL ACCESS HOSPITAL, LOCATED IN DELAWARE COUNTY, WHOSE MISSION IS TO PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND SERVICES TO MEDICALLY UNDERSERVED AREAS IN THE CATSKILL MOUNTAINS. THE MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM WILL SERVE THE GEOGRAPHIC CATCHMENT AREA OF DELAWARE COUNTY, NY, WHICH IS A HRSA-DESIGNATED RURAL COUNTY, AND PARTS OF GREENE AND ULSTER COUNTIES THAT ARE ALSO HRSA-DESIGNATED RURAL AREAS THAT BORDER DELAWARE COUNTY AND ARE SERVICED BY MARGARETVILLE HOSPITAL. THE FOURTH LARGEST COUNTY IN THE STATE WITH A POPULATION OF 44,740, DELAWARE COUNTY’S UNEMPLOYMENT RATE EXCEEDS NEW YORK STATE AVERAGES, AND ACCORDING TO THE 2023 NYS COMMUNITY ACTION REPORT, 25.6% OF YOUTH UNDER 18 ARE LIVING IN POVERTY IN DELAWARE COUNTY. DELAWARE COUNTY IS HOME TO 20 TRANSPORTING AGENCIES DISPATCHED BY DELAWARE 911 AND SIX BASIC LIFE SUPPORT FIRST RESPONSE AGENCIES. OF THE 20 TRANSPORTING AGENCIES, ONLY SIX HAVE PAID STAFF, WHILE THE REMAINING 14 ARE OPERATED BY VOLUNTEERS. TO PROVIDE 24/7 COVERAGE, EACH VOLUNTEER WOULD NEED TO COMMIT 28 HOURS A WEEK, THE EQUIVALENT OF AN UNPAID PART-TIME JOB. OUR OBJECTIVES ARE TO OFFER CERTIFIED FIRST RESPONDER (CFR), ADVANCED EMERGENCY MEDICAL TECHNICIAN (AEMT), EMERGENCY MEDICAL TECHNICIAN (EMT), AND COMMUNITY PARAMEDICINE TRAININGS. OVER A TWO-YEAR PERIOD, THE CFR CLASS WILL TRAIN 20 PEOPLE, THE AEMT AND EMT CLASSES WILL TRAIN 48 STUDENTS EACH FOR A TOTAL OF 116 PEOPLE. IN ADDITION, SIX PARAMEDICS WILL BE SPONSORED AND TRAINED BY SUNY COBLESKILL FOR A GRAND TOTAL OF 122 UNIQUE INDIVIDUALS. IF WE ARE ABLE TO INCREASE THE NUMBER OF EMS WORKERS IN OUR CATCHMENT AREA, THIS WILL REDUCE THE NUMBER OF VOLUNTEER HOURS NECESSARY FOR EACH EMS WORKER TO PERFORM TO PROVIDE 24/7 SERVICE. WITH THE HIGH RATES OF UNEMPLOYMENT AND LOW LEVELS OF INCOME IN THIS RURAL AREA, THE PROGRAM WILL PROVIDE EDUCATIONAL OPPORTUNITIES THAT INDIVIDUALS MIGHT NOT OTHERWISE BE ABLE TO AFFORD AND WILL PROVIDE SOME PAID CAREER PROSPECTS.

MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM - MARGARETVILLE HOSPITAL WILL PARTNER WITH DELAWARE COUNTY, NY DEPARTMENT OF EMERGENCY SERVICES AND SUNY COBLESKILL. OUR GOAL IS TO PROVIDE ALL LEVELS OF EMS TRAINING AS APPROPRIATE TO MAINTAIN LICENSES AND CERTIFICATIONS RELEVANT TO SERVE IN AN EMS AGENCY; CONDUCT COURSES THAT QUALIFY GRADUATES TO SERVE IN AN EMS AGENCY; AND FUND SPECIFIC TRAINING TO MEET NEW YORK STATE LICENSING/CERTIFICATION REQUIREMENTS. THERE WILL BE A SIGNIFICANT EMPHASIS ON BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TRAINING. MARGARETVILLE HOSPITAL IS A RURAL CRITICAL ACCESS HOSPITAL, LOCATED IN DELAWARE COUNTY, WHOSE MISSION IS TO PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND SERVICES TO MEDICALLY UNDERSERVED AREAS IN THE CATSKILL MOUNTAINS. THE MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM WILL SERVE THE GEOGRAPHIC CATCHMENT AREA OF DELAWARE COUNTY, NY, WHICH IS A HRSA-DESIGNATED RURAL COUNTY, AND PARTS OF GREENE AND ULSTER COUNTIES THAT ARE ALSO HRSA-DESIGNATED RURAL AREAS THAT BORDER DELAWARE COUNTY AND ARE SERVICED BY MARGARETVILLE HOSPITAL. THE FOURTH LARGEST COUNTY IN THE STATE WITH A POPULATION OF 44,308, DELAWARE COUNTY’S UNEMPLOYMENT RATE EXCEEDS NEW YORK STATE AVERAGES, AND ACCORDING TO THE 2022 NYS COMMUNITY ACTION REPORT, 27.6% OF YOUTH UNDER 18 ARE LIVING IN POVERTY IN DELAWARE COUNTY. DELAWARE COUNTY IS HOME TO 18 TRANSPORTING AGENCIES DISPATCHED BY DELAWARE 911 AND SIX BASIC LIFE SUPPORT FIRST RESPONSE AGENCIES. OF THE 18 TRANSPORTING AGENCIES, ONLY FIVE HAVE PAID STAFF, WHILE THE REMAINING 13 ARE OPERATED BY VOLUNTEERS. THE VOLUNTEER AGENCIES HAVE AN AVERAGE OF SIX PEOPLE CERTIFIED TO PROVIDE EMERGENCY MEDICAL TREATMENT BY THE STATE. TO PROVIDE 24/7 COVERAGE, EACH VOLUNTEER WOULD NEED TO COMMIT 28 HOURS A WEEK, THE EQUIVALENT OF AN UNPAID PART-TIME JOB. OUR OBJECTIVES ARE TO OFFER CERTIFIED FIRST RESPONDER (CFR), ADVANCED EMERGENCY MEDICAL TECHNICIAN (AEMT), EMERGENCY MEDICAL TECHNICIAN (EMT), AND CERTIFIED LAB INSTRUCTOR (CLI) TRAININGS. OVER A ONE-YEAR PERIOD, THE CFR CLASS WILL TRAIN 10 PEOPLE, THE AEMT AND EMT CLASSES WILL TRAIN 24 STUDENTS EACH FOR A TOTAL OF 58 PEOPLE. IN ADDITION, FIVE CLIS AND THREE PARAMEDICS WILL BE SPONSORED AND TRAINED BY SUNY COBLESKILL FOR A GRAND TOTAL OF 66 UNIQUE INDIVIDUALS. IF WE ARE ABLE TO INCREASE THE NUMBER OF EMS WORKERS IN OUR CATCHMENT AREA, THIS WILL REDUCE THE NUMBER OF VOLUNTEER HOURS NECESSARY FOR EACH EMS WORKER TO PERFORM TO PROVIDE 24/7 SERVICE. WITH THE HIGH RATES OF UNEMPLOYMENT AND LOW LEVELS OF INCOME IN THIS RURAL AREA, THE PROGRAM WILL PROVIDE EDUCATIONAL OPPORTUNITIES THAT INDIVIDUALS MIGHT NOT OTHERWISE BE ABLE TO AFFORD AND WILL PROVIDE SOME PAID CAREER PROSPECTS.

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM - MARGARETVILLE HOSPITAL WILL PARTNER WITH DELAWARE COUNTY, NY DEPARTMENT OF EMERGENCY SERVICES. OUR GOAL IS TO PROVIDE ALL LEVELS OF EMERGENCY MEDICAL SERVICES (EMS) TRAINING AS APPROPRIATE TO MAINTAIN LICENSES AND CERTIFICATIONS RELEVANT TO SERVE IN AN EMS AGENCY; CONDUCT COURSES THAT QUALIFY GRADUATES TO SERVE IN AN EMS AGENCY; AND FUND SPECIFIC TRAINING TO MEET NEW YORK STATE LICENSING/CERTIFICATION REQUIREMENTS. THERE WILL BE A SIGNIFICANT EMPHASIS ON BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TRAINING. MARGARETVILLE HOSPITAL IS A RURAL CRITICAL ACCESS HOSPITAL, LOCATED IN DELAWARE COUNTY, WHOSE MISSION IS TO PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND SERVICES TO MEDICALLY UNDERSERVED AREAS IN THE CATSKILL MOUNTAINS. THE MARGARETVILLE EMS TRAINING PROGRAM WILL SERVE THE GEOGRAPHIC CATCHMENT AREA OF DELAWARE COUNTY, WHICH IS A HRSA-DESIGNATED RURAL COUNTY, AND PARTS OF GREENE AND ULSTER COUNTIES THAT ARE ALSO HRSA-DESIGNATED RURAL AREAS THAT BORDER DELAWARE COUNTY AND ARE SERVED BY MARGARETVILLE HOSPITAL. THE FOURTH LARGEST COUNTY IN THE STATE WITH A POPULATION OF 47,980, DELAWARE COUNTY'S UNEMPLOYMENT RATE EXCEEDS NYS AVERAGES, AND ACCORDING TO THE 2017 NYS COMMUNITY ACTION REPORT, 26.4% OF YOUTH UNDER 18 ARE LIVING IN POVERTY. DELAWARE COUNTY IS HOME TO 18 TRANSPORTING AGENCIES DISPATCHED BY DELAWARE 911 AND SIX BASIC LIFE SUPPORT FIRST RESPONSE AGENCIES. OF THE 18 TRANSPORTING AGENCIES, ONLY FOUR HAVE PAID STAFF, WHILE THE REMAINING ARE OPERATED BY VOLUNTEERS. THE VOLUNTEER AGENCIES HAVE AN AVERAGE OF SIX PEOPLE CERTIFIED TO PROVIDE EMERGENCY MEDICAL TREATMENT BY THE STATE. TO PROVIDE 24/7 COVERAGE, EACH VOLUNTEER WOULD NEED TO COMMIT 28 HOURS A WEEK, THE EQUIVALENT OF AN UNPAID PART-TIME JOB. OUR OBJECTIVES ARE TO OFFER CERTIFIED FIRST RESPONDER (CFR), ADVANCED EMERGENCY MEDICAL TECHNICIAN (AEMT), AND EMERGENCY MEDICAL TECHNICIAN (EMT) INSTRUCTION. CFR CLASSES WOULD TRAIN 15 PEOPLE, AEMT AND EMT 23 STUDENTS EACH FOR A TOTAL OF 74 PEOPLE. IN ADDITION, WE WILL TRAIN THREE PARAMEDICS. IF WE ARE ABLE TO INCREASE THE NUMBER OF EMS WORKERS IN OUR CATCHMENT AREA, THIS WILL REDUCE THE NUMBER OF VOLUNTEER HOURS NECESSARY FOR EACH EMS WORKER TO PERFORM TO PROVIDE 24/7 SERVICE. WITH THE HIGH RATES OF UNEMPLOYMENT AND LOW LEVELS OF INCOME IN THIS RURAL AREA, THE PROGRAM WILL PROVIDE EDUCATIONAL OPPORTUNITIES THAT INDIVIDUALS MIGHT NOT OTHERWISE BE ABLE TO AFFORD AND WILL PROVIDE SOME PAID CAREER PROSPECTS.

MARGARETVILLE HOSPITAL EMS TRAINING - MARGARETVILLE HOSPITAL WILL PARTNER WITH DELAWARE COUNTY EMERGENCY SERVICES AND OPERATION ENDEAVOR ON THE MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM. THE GOAL IS TO PROVIDE ALL LEVELS OF EMS TRAINING AS APPROPRIATE TO MAINTAIN LICENSES AND CERTIFICATIONS RELEVANT TO SERVE IN AN EMS AGENCY; CONDUCT COURSES THAT QUALIFY GRADUATES TO SERVE IN AN EMS AGENCY; AND FUND SPECIFIC TRAINING TO MEET NEW YORK STATE LICENSING/CERTIFICATION REQUIREMENTS. THERE WILL BE A SIGNIFICANT EMPHASIS ON BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TRAINING. MARGARETVILLE HOSPITAL IS A RURAL CRITICAL ACCESS HOSPITAL, LOCATED IN DELAWARE COUNTY, WHOSE MISSION IS TO PROVIDE IMMEDIATE ACCESS TO HIGH QUALITY MEDICAL CARE AND SERVICES TO UNDERSERVED AREAS IN THE CATSKILL MOUNTAINS. THE MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM WILL SERVE THE GEOGRAPHIC CATCHMENT AREA OF DELAWARE COUNTY, WHICH IS A HRSA-DESIGNATED RURAL COUNTY, AND PARTS OF GREENE, SULLIVAN AND ULSTER COUNTIES, THAT ARE ALSO HRSA-DESIGNATED RURAL AREAS BORDERING DELAWARE COUNTY AND SERVICED BY MARGARETVILLE HOSPITAL. THE FOURTH LARGEST COUNTY IN THE STATE WITH A POPULATION OF 47,980, DELAWARE COUNTY'S UNEMPLOYMENT RATE EXCEEDS NEW YORK STATE AVERAGES, AND ACCORDING TO THE 2017 NYS COMMUNITY ACTION REPORT, 26.4% OF YOUTH UNDER 18 ARE LIVING IN POVERTY IN DELAWARE COUNTY. DELAWARE COUNTY IS HOME TO 18 TRANSPORTING AGENCIES DISPATCHED BY DELAWARE 911 AND SIX BASIC LIFE SUPPORT FIRST RESPONSE AGENCIES. OF THE 18 TRANSPORTING AGENCIES ONLY FOUR HAVE PAID STAFF, WHILE THE REMAINING ARE OPERATED BY VOLUNTEERS. THE VOLUNTEER AGENCIES HAVE AN AVERAGE OF SIX PEOPLE CERTIFIED TO PROVIDE EMERGENCY MEDICAL TREATMENT BY THE STATE. TO PROVIDE 24/7 COVERAGE, EACH VOLUNTEER WOULD NEED TO COMMIT 28 HOURS PER WEEK, THE EQUIVALENT OF AN UNPAID PART-TIME JOB. THE OBJECTIVES ARE TO OFFER CERTIFIED FIRST RESPONDER, ADVANCED EMERGENCY MEDICAL TECHNICIAN, AND EMERGENCY MEDICAL TECHNICAL INSTRUCTION. CFR CLASSES WOULD TRAIN 15 PEOPLE, AEMT AND EMT 23 STUDENTS EACH FOR A TOTAL OF 61 PEOPLE. IN ADDITION, FIVE PARAMEDICS WILL BE TRAINED. IF THE NUMBER OF EMS WORKERS IN THE CATCHMENT AREA ARE INCREASED, THIS WILL REDUCE THE NUMBER OF VOLUNTEER HOURS NECESSARY FOR EACH EMS WORKER TO PERFORM TO PROVIDE 24/7 SERVICE. WITH THE HIGH RATES OF UNEMPLOYMENT AND LOW LEVELS OF INCOME IN THIS RURAL AREA, THE PROGRAM WILL PROVIDE EDUCATIONAL OPPORTUNITIES THAT INDIVIDUALS MIGHT NOT OTHERWISE BE ABLE TO AFFORD AND WILL PROVIDE SOME PAID CAREER PROSPECTS.

MARGARETVILLE HOSPITAL EMS TRAINING PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - ORGANIZATION NAME AND FULL ADDRESS: MARGARETVILLE HOSPITAL, 42084 NEW YORK 28 MARGARETVILLE, NY 12455 ENTITY TYPE/TYPE OF FACILITY: HOSPITAL WEBSITE URL: HTTPS://WWW.WMCHEALTH.ORG/LOCATIONS/MARGARETVILLE-HOSPITAL PROPOSED SERVICE REGION: DELAWARE, SULLIVAN AND ULSTER COUNTIES IN NEW YORK STATE. NETWORK NAME: HUDSON VALLEY STRATEGIC TRAINING AND RESPONSE OUTREACH FOR KEY EMERGENCY (STROKE) CARE NETWORK LEGISLATIVE AIM(S): 1) ACHIEVE EFFICIENCIES; 2) EXPAND ACCESS TO, COORDINATE, AND IMPROVE THE QUALITY OF BASIC HEALTH CARE SERVICES, AND; 3) STRENGTHEN THE RURAL HEALTH CARE SYSTEM. FOCUS AREA(S) BASED ON COMMUNITY NEED: DEVELOPING AN ACTIONABLE PLAN TO ENHANCE CARE COORDINATION AND CAPACITY AMONG RURAL SERVICE PROVIDERS AS A MEANS TO IMPROVE HEALTH OUTCOMES FOR PATIENTS WHO EXPERIENCE A STROKE. FUNDING PREFERENCE: HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) DESCRIPTION: MARGARETVILLE HOSPITAL (MH), A MEMBER OF THE WESTCHESTER MEDICAL CENTER HEALTH NETWORK (WMCHEALTH), OPERATES A 15-BED RURAL CRITICAL ACCESS HOSPITAL IN MARGARETVILLE, NY THAT SERVES NORTHEASTERN DELAWARE COUNTY IN NEW YORK STATE’S MID-HUDSON REGION. MH PROPOSES THE HUDSON VALLEY STRATEGIC TRAINING AND RESPONSE OUTREACH FOR KEY EMERGENCY (STROKE) CARE NETWORK TO IMPROVE CARE FOR STROKE PATIENTS ACROSS RURAL COMMUNITIES IN NEW YORK’S HUDSON VALLEY REGION. THE PROPOSED NETWORK WILL FACILITATE ENHANCED EDUCATIONAL OPPORTUNITIES FOR EMS PROVIDERS AND OTHER COMMUNITY MEMBERS, ENABLING IMPROVED RECOGNITION AND RESPONSE DURING STROKE EMERGENCIES. ADDITIONALLY, STROKE CARE NETWORK MEMBERS WILL WORK TO COORDINATE CARE IN A MANNER THAT EXPEDITES TREATMENT FOR HIGH ACUITY PATIENTS IN THE MOST APPROPRIATE CARE SETTING. THE TARGET POPULATION SERVED BY THIS PROJECT WILL BE INDIVIDUALS AGE 65 OR OLDER RESIDING IN THE RURAL COUNTIES OF DELAWARE AND SULLIVAN, AND THE RURAL PORTION OF ULSTER COUNTY IN NEW YORK’S MID-HUDSON REGION. TO ENSURE THIS POPULATION IS ADEQUATELY SERVED BY THIS PROPOSAL, MH HAS SECURED COMMITMENTS FROM COMMUNITY PROVIDERS THROUGHOUT THE REGION TO SERVE AS NETWORK PARTNERS FOR THIS PROPOSAL, INCLUDING MH, MOUNTAINSIDE RESIDENTIAL CARE CENTER, DELAWARE COUNTY EMS, SULLIVAN COUNTY EMS, ULSTER COUNTY EMS, THE DELAWARE COUNTY OFFICE FOR THE AGING, AND HEALTHALLIANCE HOSPITAL. IN ADDITION TO THESE NETWORK PARTNERS, MH WILL LEVERAGE RESOURCES AND INPUT AVAILABLE FROM THE SOCIETY OF VASCULAR AND INTERVENTIONAL NEUROLOGY (SVIN) AND NEW YORK STATE BUREAU OF EMERGENCY MEDICAL SERVICES TO ACHIEVE THE STROKE CARE NETWORK’S PROPOSED FOCUS AREA OF DEVELOPING AN ACTIONABLE PLAN TO ENHANCE CARE COORDINATION AND CAPACITY AMONG RURAL SERVICE PROVIDERS AS A MEANS TO IMPROVE HEALTH OUTCOMES FOR PATIENTS WHO EXPERIENCE A STROKE.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM