Chi St Vincent Hot Springs

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM - CHI ST. VINCENT HOSPITAL HOT SPRINGS, 300 WERNER ST., HOT SPRINGS, AR 71913-6406; HOSPITAL: HTTPS://WWW.CHISTVINCENT.COM; PROJECT DIRECTOR: KATHY TAYLOR, DEVELOPMENT DIRECTOR, 501-680-5334, KATHY.TAYLOR503@COMMONSPIRIT.ORG; PROJECT TITLE: AR MOMS GOAL: ALL WOMEN OF CHILDBEARING AGE IN THE TARGET COUNTIES WILL HAVE ACCESS TO A COORDINATED CONTINUUM OF PREGNANCY SERVICES FROM PRE-CONCEPTION THROUGH POST-PARTUM CARE. REQUEST: YEAR 1: $999,356; YEAR 2: $999,204; YEAR 3: $996,490; YEAR 4: $999,702. NETWORK: AR MOMS IS A BROAD COLLABORATIVE OF ENTITIES WHO HAVE WORKED TOGETHER BUT NOT AS A FORMAL NETWORK. CHI ST. VINCENT HOSPITAL-HOT SPRINGS (STV HS) SERVES AS THE LEAD AGENCY AND APPLICANT. NETWORK MEMBERS INCLUDE 2 CAHS, 2 COMMUNITY HOSPITALS, 11 COUNTY HEALTH UNITS (PUBLIC HEALTH), A FQHC, A MEDICAID RURAL HEALTH CLINIC, THE STATE RURAL HEALTH PROGRAMS OFFICE, THE STATE MEDICAID OFFICE, AND ARKANSAS CHILDREN’S HOSPITAL. TARGET SERVICE AREA: ENTIRELY RURAL AR COUNTIES: CALHOUN, CLARK, COLUMBIA, DALLAS, HOT SPRING, HOWARD, MONTGOMERY, OUACHITA, PIKE, POLK AND SEVIER. TARGET POPULATION: THE 11 COUNTIES ARE HOME TO APPROXIMATELY 31,000 WOMEN OF CHILDBEARING AGE WITH AN ESTIMATED 5,500 BIRTHS OVER THE PAST THREE YEARS. TARGETED WOMEN HAVE MEDICAID OR NO INSURANCE AND HAVE HOUSEHOLD INCOMES BELOW $48,000. SEVEN COUNTIES ARE CLASSIFIED AS MATERNITY CARE DESERTS WITH NO MATERNITY CARE EXCEPT ON AN EMERGENCY BASIS. THIS RESULTS IN ONE-THIRD OF WOMEN RECEIVING NO PRENATAL CARE IN THE FIRST TRIMESTER AND MATERNAL MORTALITY NEAR THE WORST NATIONALLY. OPIOID AND NON-ALCOHOL USE DISORDER PLAGUE 30%-40% OF THE LOW-INCOME MOTHERS. CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: STV HS HAS SERVED 18 SOUTHWESTERN ARKANSAS COUNTIES FOR MORE THAN 130 YEARS; PROJECT COUNTIES ARE A SUBSET OF THE SERVICE REGION. ALL OTHER HEALTHCARE PARTNERS EXCEPT THE CHILDREN’S HOSPITAL ARE LOCATED IN THE TARGETED RURAL COUNTIES AND SERVE THEIR RURAL CONSTITUENTS’ PRIMARY AND PREVENTI ON CARE NEEDS. PROJECT ACTIVITIES FOCUS ON IN-FILLING THE MATERNAL CARE CONTINUUM, OFFERING LOCAL ACCESS AND KEEPING MOTHERS CLOSE TO HOME. THIS LOWERS FAMILY CHILDCARE, TRANSPORTATION AND ECONOMIC BARRIERS. REGIONALLY, PROVIDING LOCAL CARE DECREASES THE PERCENTAGE OF WOMEN DEEMED HIGH-RISK AND AUTOMATICALLY REFERRED AND TRANSPORTED TO URBAN HOSPITALS FOR PRENATAL AND LABOR/DELIVERY SERVICES. TELEHEALTH ACCESS IS SPOTTY WITH ONLY 66% OF RESIDENTS ABLE TO ACCESS THE INTERNET. MOBILE THRIVE TEAMS WILL PROVIDE THE LOCAL MATERNAL CARE AS THE REGION WORKS TOWARDS INCREASED TELEHEALTH CAPACITY. COMMON REFERRAL, INFORMATION SHARING, AND CONFIDENTIALITY PROTOCOLS WILL BE ESTABLISHED BY THE NETWORK PARTNERSHIP. DATA LIAISONS AT EACH RURAL SITE PLUS THE PROJECT’S DATA COORDINATOR WILL ENSURE COMPREHENSIVE DATA CAPTURE. EXPECTED OUTCOMES: 1) AT LEAST 550 WOMEN WILL EXPERIENCE INCREASED ACCESS TO PREGNANCY, POSTPARTUM SUPPORTS AND RISK APPROPRIATE CARE IN THEIR COUNTY OF RESIDENCE. 3) AT LEAST 30 WOMEN, WHO WOULD HAVE PREVIOUSLY BEEN REFERRED OUT OF THEIR COMMUNITY FOR HIGH RISK OBSTETRIC CARE (?28 WEEKS GESTATION), ARE ABLE TO ACCESS LOCAL RISK APPROPRIATE OBSTETRIC CARE UNTIL AT LEAST 32 WEEKS GESTATION. 4) THE REGION WILL EXPERIENCE INCREASED ACCESS TO OBSTETRIC CARE THROUGH SERVICE COORDINATION AND IMPROVED TELEMEDICINE LINKS. 5) DECREASED HIGH-RISK PREGNANCY RATES WILL YIELD COST SAVINGS THAT, COMBINED WITH REGIONAL STRATEGIES, CAN BE REINVESTED IN THE CARE CONTINUUM TO SUSTAIN ACCESSIBLE RURAL SERVICES. FUNDING PREFERENCE: CHI ST. VINCENT HOSPITAL HOT SPRINGS REQUESTS A FUNDING PREFERENCE BASED ON QUALIFICATION 1 – HPSA WITH ALL 11 TARGETED COUNTIES DESIGNATED HPSA. SPECIAL CONSIDERATION: CHI ST. VINCENT HOSPITAL HOT SPRINGS IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOU WITH THE ARKANSAS STATE MEDICAID AGENCY INCLUDED IN ATTACHMENT 14.

SOUTHWEST ARKANSAS YOUTH OPIOID INTERVENTION