Ole Health

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - TITLE: MOBILE OPIOID SOLUTIONS FOR WHOLE HEALTHCARE INTEGRATION (MOSHI) APPLICANT ORGANIZATION NAME: CORNERSTONE WHOLE HEALTHCARE ORGANIZATION, INC. PROJECT DIRECTOR: DENISE JENSEN, DENISEJ@C-WHO.ORG MAIN ADDRESS: 11485 PAYETTE HEIGHTS RD UNIT 2 PAYETTE, IDAHO 83661 WEBSITE: HTTPS://WWW.C-WHO.ORG/ REQUESTED AWARD AMOUNT: $2,999,998.53 PROJECT PROPOSAL SUMMARY: THROUGH THE MOSHI?PROJECT, CORNERSTONE WHOLE HEALTHCARE ORGANIZATION WILL IMPLEMENT A TRANSFORMATIONAL MODEL OF OPIOID CARE IN THREE COMMUNITIES ACROSS THE STATE OF IDAHO. THE GOAL OF THE MOSHI PROJECT IS TO DELIVER HIGH QUALITY OPIOID USE DISORDER TREATMENT AND DETOX THROUGH BOTH TELEHEALTH AND MOBILE SOLUTIONS. THE DEVELOPMENT OF A MOBILE DETOX UNIT AND OUD/SUD TREATMENT DELIVERED VIA TELEHEALTH, WILL REACH BOTH RURAL AND FRONTIER HEALTHCARE SETTINGS TO ALLOW IDAHO RESIDENTS TO GAIN ACCESS TO SERVICES IN HEALTHCARE SHORTAGE AREAS. PROJECT PROPOSED SERVICES: THE MOSHI PROJECT WILL DEVELOP A REGIONAL RURAL VIRTUAL HEALTH NEIGHBORHOOD MODEL IN WHICH REGIONAL HUBS ARE LINKED TO SPOKE CARE SITES (HEALTH AND NON-HEALTH PROVIDERS) VIA CARE COMPACTS. THESE SITES WILL BE SUPPORTED THROUGH ROBUST TECHNICAL ASSISTANCE INCLUDING?1) DATA ANALYTICS RESOURCES, 2) POPULATION HEALTH TECHNOLOGY, 3) FINANCIAL MODELING, 4) CARE?MANAGEMENT, 5) TELEHEALTH STRATEGIES, 6) INTEGRATED BEHAVIORAL HEALTH, 7) MENTAL HEALTH, 8) SUBSTANCE USE AND OPIOID USE DISORDERS, AND 9) CLINICAL PHARMACY INTEGRATION. DESCRIPTION OF THE TARGET POPULATION: THE TARGET POPULATION ACROSS ALL THE TARGET SITES INCLUDES AN AVERAGE OF 13.24% OF INDIVIDUALS LIVING AT OR BELOW THE POVERTY LINE. 14.69% OF INDIVIDUALS LIVING WITHOUT HEALTH INSURANCE, ALL UNDER THE AGE OF 65. WITH 19.6% BEING OF HISPANIC ETHNICITY AND 1.93% BEING OF AMERICAN INDIAN DESCENT. THE MOSHI PROJECT WILL SERVE: 1) INDIVIDUALS AT RISK OF, DIAGNOSED WITH, IN TREATMENT FOR, AND/OR IN RECOVERY FOR SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS; 2) INDIVIDUALS IN RURA L COMMUNITIES; 3) ALL AGES; 4) ALL INSURED (COMMERCIAL, MEDICAID, MEDICARE, & MILITARY); AND 5) ALL SAFETY NET POPULATIONS (WORKING POOR, UNINSURED, OR INDIGENT POPULATION).

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION

EVIDENCE-BASED TELE-BEHAVIORAL HEALTH NETWORK PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

RELEASED FUNDS FOR YEAR FOUR OF THE GRANT PROGRAM.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - OLE HEALTH, DBA COMMUNICARE+OLE WILL ADDRESS THE NEED FOR ADDITIONAL MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDER TREATMENT IN THE SERVICE AREA. THE PROPOSED PROGRAM WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) BY REACHING PEOPLE WHO OTHERWISE MIGHT NOT SEEK BEHAVIORAL HEALTH CARE, INCLUDING THE UNHOUSED, AND THOSE WITHOUT HEALTH INSURANCE. THE ORGANIZATION WILL UTILIZE INTEGRATED BEHAVIORAL HEALTH SERVICES, EVIDENCE-BASED SERVICES, SUCH AS INDIVIDUAL AND FAMILY THERAPY, CASE MANAGEMENT, STREET MEDICINE, MOBILE HEALTH, AND COMMUNITY PARTNERSHIPS TO INCREASE THE NUMBER OF PERSONS SERVED. A FOCAL POINT OF THIS OPPORTUNITY IS THE INCLUSION OF COMMUNITY HEALTH WORKERS (CHW) ACTING AS PEER SUPPORT ADVOCATES THAT WILL BE THE BRIDGE BETWEEN THE PATIENT, THE SUD BH THERAPIST, AND THE PRIMARY CARE PRESCRIBER. THIS PROGRAM WILL ADDRESS BARRIERS TO INDIVIDUALS SUCH AS COMMUNITY BIAS/STIGMA, LACK OF AFFORDABLE PROGRAMS, AND LACK OF TRANSPORTATION. THE BILINGUAL COMMUNITY HEALTH WORKERS WITH LIVED EXPERIENCE WILL ASSIST PATIENTS IN NAVIGATING SERVICES AVAILABLE IN THE COMMUNITY, ADDRESS STIGMA AND FACILITATE TRUST FOR INDIVIDUALS NEEDING BEHAVIORAL HEALTH CARE, OR TREATMENT FOR DRUG OR ALCOHOL DEPENDENCE. ANOTHER KEY COMPONENT OF THIS PROPOSAL IS THE INCLUSION OF BH STAFF TRAINING IN EMDR FOR THE CERTIFICATION PROCESS AND USE OF EMDR WITH CLIENTS. EMDR IS A NON-INVASIVE, EVIDENCE-BASED METHOD OF PSYCHOTHERAPY THAT HELPS VICTIMS RECOVER FROM THE EFFECTS OF PSYCHOLOGICAL TRAUMA THROUGH ADAPTIVE INFORMATION PROCESSING. EMDR THERAPY HAS BEEN LISTED AS AN EFFECTIVE TREATMENT BY THE AMERICAN PSYCHIATRIC ASSOCIATION, DEPARTMENTS OF DEFENSE AND VETERANS AFFAIRS, AND THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES. THE OVERALL APPROACH OF THIS PROGRAM WILL ALSO INCREASE THE SUPPORT GIVEN TO PRIMARY CARE PROVIDERS BY THE INCLUSION OF CHWS, RESULTING IN THE GREATER INTEGRATION OF BH IN PRIMARY CARE, AND ADDITIONAL HEALTH CENTER PRIMARY CARE PROVIDERS PRESCRIBING MEDICALLY ASSISTED TREATMENT.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** OLE HEALTH (DBA COMMUNICARE+OLE (CC+OLE)) IS A NETWORK OF MIGRANT HEALTH AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) THAT PROVIDE HIGH-QUALITY CARE TO LOW-INCOME RESIDENTS OF YOLO COUNTY, CALIFORNIA. CC+OLE IMPLEMENTS PRODUCE RX, A PATIENT-CENTERED INITIATIVE TO CONNECT CONNECT LOW-INCOME INDIVIDUALS WITH ELEVATED BLOOD SUGAR TO THE AGRICULTURAL BOUNTY OF YOLO COUNTY. PRODUCE RX LEVERAGES CC+OLE'S HEALTHY LIVING WITH DIABETES, SWEET SUCCESS AND FOOD IS MEDICINE ACTIVITIES TO PROVIDE PATIENTS WITH HIGH-QUALITY SELF-MANAGEMENT AND FOOD SKILLS EDUCATION WITH PRODUCE PRESCRIPTIONS.OVER THE PROJECT PERIOD, 580 CC+OLE PATIENTS WILL PARTICIPATE IN REGULAR EDUCATION ACTIVITIES AND RECEIVE PRODUCE GROWN BY LOCAL SMALL AND BEGINNING FARMERS. THE PROJECT WILL INCREASE PARTICIPANTS' COMSUMPTION OF LOCALLY-GROWN FRUITS AND VEGETABLES, EXPAND THEIR FOOD LITERACY, REDUCE FOOD INSECURITY, IMPROVE HEALTH OUTCOMES INCLUDING REDUCED A1C, AND BOOST SALES OPPORTUNITIES FOR SMALL AND BEGINNING FARMERS.PARTICIPANTS ENROLL IN ONE OF FOUR PRODUCE PRESCRIPTION INTERVENTION MODELS BASED ON THE SITE AT WHICH THEY RECEIVE HEALTHCARE SERVICES, INCLUDING BRICK AND MORTAR, FARMERS MARKETS, AND PRODUCE BOXES. UC BERKELEY EVALUATORS USE MIXED METHODS TO CONDUCT PROCESS AND OUTCOME EVALUATION. FINDINGS WILL ELUCIDATE THE COMPARATIVE ADVANTAGES AND DRAWBACKS OF EACH MODEL AND WILL INFORM FUTURE CC+OLE EFFORTS.PRODUCE RX WILL PROVIDE BOTH THE HEALTH CARE AND AGRICULTURAL SECTORS WITH A BLUEPRINT FOR OPTIMIZING THE HEALTH OF LOW-INCOME PATIENTS WHILE STIMULATING ECONOMIC OPPORTUNITIES FOR LOCAL FARMS. THE PROJECT TEAM WILL DISSEMINATE FINDINGS ACROSS MULTISECTORAL NETWORKS TO FACILITATE ADOPTION OF THE MODEL BY FQHCS SERVING LOW-INCOME POPULATIONS IN LOCATIONS WITH STRONG AGRICULTURAL ECONOMIES.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

CAPITAL DEVELOPMENT

FY 2023 BRIDGE ACCESS PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - APPLICATION ORGANIZATION INFORMATION - CORNERSTONE WHOLE HEALTHCARE ORGANIZATION, INC: 11485 PAYETTE HEIGHTS RD., UNIT B, PAYETTE, ID 83661 - NON-PROFIT - HTTPS://WWW.C-WHO.ORG/ DESIGNATED PROJECT DIRECTOR INFORMATION - RACHEL BLANTON, CHIEF OPERATING OFFICER, 303-941-1701, RACHELBH@C-WHO.ORG NETWORK PLANNING GRANT PROJECT - PRIDE IN IDAHO CARE NEIGHBORHOODS (PIICN) LEGISLATIVE AIM - AIM 1; AIM 2; AIM 3 FOCUS AREA - LGBTQ+ HEALTHCARE SERVICES PROPOSED SERVICE REGION - POWER COUNTY, ID; GEM COUNTY, ID TARGET POPULATION - THE TARGET POPULATION OF THE PIICN NETWORK INCLUDES LGBTQ+ IDENTIFYING PATIENTS IN THE RURAL COUNTIES OF IDAHO. NETWORK/CONSORTIUM PARTNERSHIPS - PARTNERS INCLUDE: VALOR HEALTH, FMRI, AND HEALTHWEST. ADDITIONAL PARTNERS TO BE ENGAGED INCLUDE THE UNIVERSITY OF UTAH AND THE IDAHO DEPARTMENT OF HEALTH AND WELFARE. EXPERIENCE IN SERVING RURAL UNDERSERVED POPULATIONS - C-WHO IS A NON-PROFIT WITH EXTENSIVE EXPERIENCE SERVING RURAL COMMUNITIES IN STATES ACROSS THE COUNTRY WITH AN EMPHASIS ON PROVIDER TRAINING AND BEHAVIORAL HEALTH. VALOR HEALTH IS A CAH AND RHC WITH A LONG HISTORY OF CARING FOR PATIENTS IN GEM COUNTY. BOTH HEALTHWEST AND FMRI ARE RURAL TRAINING SITES FOR FAMILY MEDICINE RESIDENCIES IN IDAHO. FUNDING PREFERENCES - C-WHO REQUESTS A FUNDING PREFERENCE BASED ON QUALIFICATION 3: FOCUS ON PRIMARY CARE, AND WELLNESS AND PREVENTION STRATEGIES

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS