Hcc Network

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - THE HEALTH CARE COALITION OF LAFAYETTE COUNTY D/B/A HCC NETWORK, IS REQUESTING $1,545,000 TO SUPPORT THE WORK OF THE HCC NETWORK CHW WORKFORCE DEVELOPMENT INITIATIVE. THE HEALTH CARE COALITION OF LAFAYETTE COUNTY D/B/A HCC NETWORK IS LOCATED AT 608 MISSOURI STREET, WAVERLY, MO 64096 AND IS A RURAL HEALTH NETWORK AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC). MORE INFORMATION CAN BE FOUND AT WWW.HCCNETWORK.ORG. SUZANNE SMITH, CHIEF NETWORK DEVELOPMENT OFFICER (CNDO) WILL SERVE AS THE PROJECT DIRECTOR AND BROOK BALENTINE, CHIEF ADMINISTRATION OFFICER, WILL SERVE AS THE DATA COORDINATOR. MS. SMITH MAY BE REACHED BY PHONE AT 660-229-5293, OR BY EMAIL AT SUZANNE.SMITH@HCCNETWORK.ORG. THE HCC NETWORK IS COMPRISED OF FOUR MEMBERS, HEALTH CARE COALITION OF LAFAYETTE COUNTY (APPLICANT), WEST CENTRAL MISSOURI AREA HEALTH EDUCATION CENTER, STATE FAIR COMMUNITY COLLEGE, AND FEMA/SEMA. HCC NETWORK’S PROJECT WILL FOCUS ON WORKFORCE TRAINING TRACK #1 – COMMUNITY HEALTH SUPPORT. THE HCC NETWORK COVERS FOUR COUNTIES IN WEST CENTRAL MISSOURI INCLUDING: LAFAYETTE, CARROLL, RAY, AND SALINE COUNTIES. CARROLL, RAY, AND SALINE COUNTIES ARE CONSIDERED FULLY RURAL WHILE THE FOLLOWING CENSUS TRACTS FOR LAFAYETTE COUNTY HAVE RURAL DESIGNATION: 902.00, 903.00, 904.00, 905.00 AS DETERMINED BY THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER. THE HCC NETWORK IS A REGIONAL, RURAL HEALTH NETWORK, FORMED IN 2006 AS A RESULT OF SUBSTANTIAL WORK BY A COMMUNITY COALITION AND HAS BEEN UNDER THE DIRECTION OF THE SAME LEADERSHIP SINCE 2007. HCC NETWORK’S MISSION IS “CULTIVATE PARTNERSHIPS. DELIVER QUALITY CARE. STRENGTHEN RURAL COMMUNITIES.” OUR GOAL IS TO ASSURE EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY, AND TO IMPROVE THE HEALTHCARE STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE SERVICE AREA. OUR BELIEF IS THAT IT IS NOT JUST WHAT WE DO AT OUR COMMUNITY HEALTH CENTERS, BUT HOW WE DO IT THAT MAKES ALL THE DIFFERENCE. HCC NETWORK WAS DESIGNATED AS A FEDERAL LY QUALIFIED HEALTH CENTER IN 2013; AND HAS RECEIVED MULTIPLE GRANT AWARDS FROM BOTH THE BUREAU OF PRIMARY HEALTH CARE AND FEDERAL OFFICE OF RURAL HEALTH POLICY TO ADDRESS HEALTHCARE NEEDS IN ITS RURAL WEST CENTRAL MISSOURI SERVICE AREA. HCC NETWORK AND ITS CLINICS BLEND PROGRAM DEVELOPMENT WITH QUALITY CARE TO CREATE HEALTHIER COMMUNITIES. QUALITY IMPROVEMENT EFFORTS ARE ALL MISSION MINDED. HCC NETWORK OPENED THE FIRST CLINIC IN 2013 AND NOW CONSISTS OF SIX COMMUNITY-BASED CLINICS, STAFFING 106 EMPLOYEES. HCC NETWORK HAS MAINTAINED RECOGNITION THROUGH THE PATIENT CENTERED MEDICAL HOME UNDER NCQA. HCC NETWORK IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. HCC NETWORK IS LOCATED IN LAFAYETTE COUNTY IN A DESIGNATED HPSA. IT ALSO QUALIFIES UNDER QUALIFICATION 2 – MEDICALLY UNDERSERVED AREA/POPULATION IN LAFAYETTE COUNT. SUPPORTING DOCUMENTATION IS ATTACHED AS ATTACHMENT 10. HCC NETWORK IS ALSO REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - APPLICANT: HCC NETWORK ADDRESS: 608 MISSOURI STREET, WAVERLY, MO 64096 GRANT NUMBER: H80CS26561 PROJECT DIRECTOR: MOLLY ADAMS PROJECT DESCRIPTION: HCC NETWORK IS REQUESTING $1,000,000 IN TOTAL FOR 2 YEARS TO SUPPORT THE WORK OF THE HCC NETWORK TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS PROJECT. THE PROJECT WILL FOCUS ON STRENGTHENING TRANSITIONS IN CARE FOR INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION TO COMMUNITY-BASED, HIGH-QUALITY PRIMARY CARE SERVICES INCLUDING SERVICES THAT ADDRESS CRITICAL HEALTH AND HEALTH-RELATED SOCIAL NEEDS. HCC NETWORK IS A FEDERALLY QUALIFIED HEALTH CENTER AND SERVES RURAL POPULATION AREAS. POPULATIONS TO BE SERVED: INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION FROM THE LAFAYETTE COUNTY AND/OR THE RAY COUNTY JAIL AND WILL RESIDE IN CARROLL, LAFAYETTE, RAY, OR SALINE COUNTIES IN WEST CENTRAL MISSOURI. THIS WILL INCLUDE INDIVIDUALS (AGE 18 OR OLDER) WHO ARE LIVING IN A CARCERAL SETTING AND ARE SCHEDULED OR EXPECTED TO BE RELEASED FROM INCARCERATION IN 90 DAYS OR LESS. A TOTAL OF 87,712 PEOPLE LIVE IN THE 2,647.39 SQUARE MILE SERVICE WITH A POPULATION DENSITY OF 33 PERSONS PER SQUARE MILE, WHICH IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 94 PERSONS PER SQUARE MILE. THE SERVICE AREA IS PREDOMINANTLY WHITE (89.88%) AND NON-HISPANIC (92.96%). RESIDENTS ARE LIKELY TO HAVE HIGHER HEALTH DISPARITIES DUE TO LOWER PER CAPITA INCOME, HIGHER RATES OF INDIVIDUALS WITHOUT A HIGH SCHOOL DIPLOMA, LOWER HIGH SCHOOL GRADUATION RATES, AND HIGHER RATES OF DISABILITIES. THE LIMITED HEALTH CARE RESOURCES IN THE AREA ARE EVEN MORE CHALLENGING TO OBTAIN FOR THOSE WHO ARE OR HAVE BEEN INVOLVED WITH THE JUSTICE SYSTEM, ESPECIALLY IF THEY ARE ALSO COPING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDER(S). NEEDS TO BE ADDRESSED: THE ALREADY LIMITED HEALTH CARE RESOURCES IN THE SERVICE AREA ARE DIFFICULT TO OBTAIN AND EVEN MORE CHALLENGING TO OBTAIN FOR THOSE INVOLVED WITH THE JUSTICE SYSTEM. THIS IS PARTICULARLY TRUE FOR THOSE COPING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDER(S). LAFAYETTE COUNTY AND SALINE COUNTY ARE OVERSEEN BY THE 15TH CIRCUIT COURT WHILE CARROLL COUNTY AND RAY COUNTY 8TH CIRCUIT COURT. IN 2022, THE 8TH AND 15TH CIRCUIT COURTS HAD 2,188 FILED SELECTED DRUG AND ALCOHOL CHARGES AND 843 GUILTY OUTCOMES FOR SELECTED DRUG AND ALCOHOL CHARGES. IN 2023, THERE WERE 32 INDIVIDUALS ADMITTED TO ADULT TREATMENT, VETERANS & DWI COURT AND 18 EXITED. HOMELESSNESS, MENTAL ILLNESS, SUBSTANCE MISUSE, AND INCARCERATION ARE CLOSELY LINKED. IN MISSOURI STATE FISCAL YEAR 2022, APPROXIMATELY 921 INDIVIDUALS IN THE FOUR-COUNTY REGION RECEIVED CLINICAL SERVICES FROM THE DIVISION OF BEHAVIORAL HEALTH PSYCHIATRIC PROGRAM. THE MAJORITY OF DIAGNOSES WERE RELATED TO DEPRESSION, ANXIETY AND FEAR DISORDERS, AND TRAUMA AND STRESS-RELATED DISORDERS. CO-OCCURRING INDICATORS REFLECT THAT 33.2% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER, AND 10.5% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY. DATA IS NOT AVAILABLE AT THE LOCAL LEVEL TO TRACK THE NUMBER OF JUSTICE INVOLVED INDIVIDUALS WITH CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE MISUSE DISORDERS. ALL COUNTIES IN THE SERVICE AREA HAVE HPSA DESIGNATIONS FOR PRIMARY, DENTAL, AND MENTAL HEALTH. PROPOSED SERVICES: PRE-RELEASE PLANNING, COMMUNITY HEALTH WORKERS, PRAPARE, MEDIATION, MAT, PEER SUPPORT SERVICES, CARE COORDINATION, HEALTH EVALUATIONS, SCREENING, PRIMARY HEALTH SERVICES, IMMUNIZATIONS, BEHAVIORAL HEALTH, SCREENINGS FOR SOCIAL DETERMINANTS OF HEALTH, AND RECOMMENDATIONS/REFERRALS FOR BOTH HEALTH AND SOCIAL HEALTH-RELATED NEEDS.

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

RURAL HIT NETWORK PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - APPLICANT: HCC NETWORK ADDRESS: 608 MISSOURI STREET, WAVERLY, MO 64096 GRANT NUMBER: H80CS26561 PROJECT DIRECTOR: AMANDA ARNOLD, CHIEF OPERATIONS OFFICER, 816-807-5795, AMANDA.ARNOLD@HCCNETWORK.ORG HCC NETWORK IS REQUESTING $1,100,000 ($600,000 YEAR 1; $500,000 YEAR 2) TO SUPPORT THE WORK OF THE HCC NETWORK BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE). THE PROJECT WILL FOCUS ON INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH EXPANDING MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES TO THE SERVICE AREA. THE SCOPE OF THE PROJECT INCLUDES APPROVED SERVICE SITES, SERVICES, PROVIDERS, SERVICE AREA, AND TARGET POPULATION THAT IS SUPPORTED UNDER THE APPROVED HEALTH CENTER BUDGET. HCC NETWORK IS A RURAL HEALTH NETWORK AND FEDERALLY QUALIFIED HEALTH CENTER. SERVICE AREA/POPULATIONS TO BE SERVED. THE HCC NETWORK IS IN CARROLL, LAFAYETTE, JACKSON, RAY, AND SALINE COUNTIES IN WEST CENTRAL MISSOURI. THE BHSE TARGET SERVICE AREA COVERS THE FULL SERVICE AREA. THE TARGET POPULATION WILL INCLUDE THE FULL PATIENT POPULATION AT HCC NETWORK. HCC NETWORK’S SERVICE AREA IS GENERALLY DIVIDED INTO TWO REGIONS WHICH INCLUDES THE RURAL REGION - CARROLL, LAFAYETTE, RAY, AND SALINE COUNTIES AND THE URBAN REGION – JACKSON COUNTY. DESCRIPTION. HCC NETWORK WILL USE THESE FUNDS TO SIGNIFICANTLY EXPAND BEHAVIORAL HEALTH AND SUD SERVICES PROVIDED IN-HOUSE AT HCC NETWORK CLINICS. THIS EXPANSION WILL INCREASE ACCESS AND QUALITY OF CARE BY CREATING A “ONE-STOP SHOP” INTEGRATED CARE FOR ALL SERVICES AT HCC NETWORK CLINICS. NEEDS TO BE ADDRESSED. IN MISSOURI STATE FISCAL YEAR 2022, APPROXIMATELY 921 INDIVIDUALS IN THE FOUR-COUNTY REGION RECEIVED CLINICAL SERVICES FROM THE DIVISION OF BEHAVIORAL HEALTH PSYCHIATRIC PROGRAM WHILE 10,402 IN JACKSON COUNTY RECEIVED CLINICAL SERVICES. MOST DIAGNOSES WERE RELATED TO DEPRESSION, ANXIETY AND FEAR DISORDERS, AND TRAUMA AND STRESS RELATED DISORDERS. 33.2% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER AND 10.5% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY IN THE FOUR-COUNTY REGION. FOR JACKSON COUNTY, 39.7% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER AND 5.4% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY. THE SERVICE AREA HAS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) DESIGNATIONS FOR MENTAL HEALTH CARE IN ALL COUNTIES. IN JACKSON COUNTY, 34.50% OF THE POPULATION LIVE IN AN AREA AFFECTED BY A MENTAL HEALTH HPSA WITH 99.43% OF THE HPSA POPULATION BEING UNDERSERVED. THE FOUR-COUNTY REGION HAS 75.80% OF THE POPULATION LIVING IN AN AREA AFFECTED BY A MENTAL HEALTH HPSA WITH 83.86% OF THE HPSA POPULATION BEING UNDERSERVED (US CENSUS, 2018-22). THE MENTAL HEALTH PROVIDER RATIO IS 43.20 FOR THE FOUR-COUNTY REGION. THIS IS SIGNIFICANTLY LOWER THAN STATE (124.66) AND NATIONAL (176.26) RATES JACKSON COUNTY HAS A RATIO OF 147.66 MENTAL HEALTH PROVIDERS IN THE COUNTY (CMS, APRIL 2024). THERE WERE 202 DEATHS OF DESPAIR IN THE FOUR-COUNTY REGION WHICH INCLUDES DEATHS FROM INTENTIONAL SELF-HARM, ALCOHOL-RELATED DISEASE, AND DRUG OVERDOSE FROM 2016-2020 FOR A RATE OF 44.8 PER 100,000. JACKSON COUNTY HAD 1,752 DEATHS OF DESPAIR FOR A RATE OF 48.6 COMPARED TO STATE (54.1) AND NATIONAL (47.0) RATES (CDC, 2016-20). ACCORDING TO THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES OPIOID DASHBOARD, THERE WERE 80 DRUG OVERDOSE DEATHS (ALL SUBSTANCES) IN THE FOUR-COUNTY AREA FROM 2017-2022. IN JACKSON COUNTY THERE WERE 1,134 OVERDOSE DEATHS (ALL SUBSTANCES) FOR THE SAME YEARS. HOW THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUD SERVICES INCLUDING MOUD. SERVICES WILL BE INCREASED THROUGH THE ADDITION OF CLINICAL STAFF, MINOR A&R TO RENOVATE CLINIC SPACE TO ACCOMMODATE BEHAVIORAL HEALTH/SUD PATIENTS INCLUDING TELEHEALTH, UPGRADES TO THE ELECTRONIC MEDICAL RECORD TO IMPROVE EASE OF DATA TRACKING AND REFERRAL MANAGEMENT WHILE ABIDING BY ALL HIPAA REQUIREMENTS, STAFF TRAINING, AND COMMUNITY MARKETING AND EDUCATION.

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-PSYCHOSTIMULANT SUPPORT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ORGANIZATION: HCC NETWORK 608 MISSOURI STREET, WAVERLY, MO PROJECT DIRECTOR: TONIANN RICHARD, CEO PHONE: 816-807-7774 EMAIL: TONIANN@HCCNETWORK.ORG WEBSITE: HCCNETWORK.ORG GRANT PROGRAM FUNDS REQUESTED: $2,000,000 HCC NETWORK IS A MISSOURI-BASED RURAL HEALTH NETWORK AND FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN WEST CENTRAL, MISSOURI AND IS THE UMBRELLA ORGANIZATION FOR THE LIVE WELL COMMUNITY HEALTH CENTERS LOCATED IN WAVERLY, CONCORDIA, BUCKNER, LEXINGTON AND CARROLLTON, MISSOURI. HCC ALSO HAS MOBILE AND SCHOOL-BASED SERVICES. HCC IS A MATURE RURAL HEALTH NETWORK, FORMED IN 2004, FORMALLY INCORPORATED IN 2006, AND UNDER THE DIRECTION OF THE SAME LEADERSHIP SINCE 2007. THE HCC HAS A MISSION TO “CULTIVATE PARTNERSHIPS AND DELIVER QUALITY HEALTH CARE TO STRENGTHEN RURAL COMMUNITIES”. HCC IS A RURAL HEALTH NETWORK, COMMITTED TO IMPROVING THE HEALTH STATUS OF UNDERSERVED POPULATIONS IN ITS SERVICE AREA. HCC WAS FORMALLY ESTABLISHED IN 2006, FOLLOWING A THREE-YEAR PERIOD OF THE NETWORK PARTNERS INFORMALLY WORKING TOGETHER TO ADDRESS AREA HEALTH CARE NEEDS, SPECIFICALLY TO ENSURE THAT THE HEALTH CARE NEEDS OF ALL CITIZENS IN OUR SERVICE AREA ARE MET, PARTICULARLY THE NEEDS OF THE UNDER- AND UNINSURED. THE FOCUS IS TO DEVELOP AND IMPLEMENT PROGRAMS THAT ARE RESPONSIVE TO DOCUMENTED HEALTH NEEDS OF COUNTY RESIDENTS, WITH SPECIFIC HEALTH STATUS INDICATORS AS BENCHMARKS FOR PROGRESS ON ADDRESSING THOSE NEEDS. SINCE ITS INCEPTION, HCC HAS DEVELOPED INTO A COMPREHENSIVE RURAL HEALTH NETWORK, WITH A WIDE VARIETY OF HEALTH, SOCIAL SERVICES AND COMMUNITY PARTNERS THAT PROVIDE HEALTH AND WELLNESS PREVENTION AND TREATMENT PROGRAMS FOR ALL CITIZENS IN OUR SERVICE AREA, AND FOCUSED ON THE HEALTH CARE NEEDS OF LOW-INCOME, UNDER- AND UNINSURED RESIDENTS. HCC’S STRENGTH LIES IN DEVELOPING COLLABORATIVE RELATIONSHIPS, UTILIZING THE STRENGTHS OF INDIVIDUAL ORGANIZATIONS TO DEVELOP PROGRAMS AND SERVICES THAT ARE LARGER THAN ANY ONE ORGANIZATION. THIS APPROPRIA TIONS REQUEST WILL SUPPORT FUNDING TO FURTHER HCC’S ENABLING SERVICES THROUGH EXPANSION (CONSTRUCTION) OF THE EXISTING WAREHOUSE INITIATIVE. HCC’S WAREHOUSE SERVES PEOPLE OF ALL SOCIOECONOMIC STATUS WITH ITEMS GLEANED FROM VENDORS WHO WOULD OTHERWISE DISPOSE OF PRODUCTS IN LANDFILLS. MOST OF THESE ITEMS INCLUDE PERSONAL HYGIENE (TOOTHBRUSH, TOOTHPASTE, DEODORANT, SOAP, ETC.), CLEANING PRODUCTS, MATTRESSES, HOSPITAL BEDS, WHEELCHAIRS, WALKERS, ETC. THIS PROGRAM ALSO PROVIDES SERVICES THROUGH PROJECT CONNECT, A ONE-DAY HEALTH OUTREACH EVENT THAT PROVIDES DIRECT SERVICES TO PEOPLE (LINK: PROJECT CONNECT - HCC NETWORK), EMERGENCY HOUSING AND TRANSPORTATION. PLANNING FOR THIS PROJECT HAS BEEN COMPLETED AND IF FUNDED, COULD BEGIN IMMEDIATELY. ADDITIONALLY, FUNDING WILL BE USED TO SUPPORT THE INTEGRATION OF ORAL HEALTH SERVICES (HCC/LIVE WELL) FOR THOSE RECEIVING CARE THROUGH COMPREHENSIVE MENTAL HEALTH SERVICES IN EASTERN JACKSON COUNTY (CONSTRUCTION). THIS PARTNERSHIP WILL BRING MUCH NEEDED DENTAL CARE (PREVENTION AND RESTORATION – INCLUDING DENTURES) TO PATIENTS WHO ARE IN RECOVERY FOR SUBSTANCE USE AND OPIOID USE DISORDER. BY MAXIMIZING RESOURCES IN BOTH AGENCIES, INDIVIDUALS WHO OTHERWISE MAY NOT SEEK DENTAL CARE WILL HAVE ACCESS THROUGH A CO-LOCATION OF CARE. HCC WOULD PROVIDE A FULL-TIME DENTIST AND HYGIENIST TO PROVIDE CARE. ENGINEERING HAS BEEN COMPLETED AND THIS PROJECT IS ALSO READY FOR IMPLEMENTATION. THIS PROJECT, IN TANDEM WITH MANY OTHER ONGOING COLLABORATIVE EFFORTS THROUGH THE REGION, WILL ENSURE THAT RURAL COMMUNITIES ARE IMPROVING THEIR GROWTH AND SUSTAINABILITY

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

SAMHSA TARGETED CAPACITY EXPANSION - PROJECT NAME: HCC NETWORK – TARGETED CAPACITY EXPANSION SUMMARY: HCC NETWORK PROPOSES TO IMPLEMENT TARGETED STRATEGIES THAT WILL ALLOW THE ORGANIZATION TO PROVIDE TREATMENT AND RELATED SERVICES FOR INDIVIDUALS WITH OR AT RISK FOR SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING DISORDER (COD). POPULATIONS TO BE SERVED: INDIVIDUALS DIAGNOSED WITH OR AT RISK FOR SUD/COD IN THE FIVE-COUNTY HCC NETWORK SERVICE AREA. THE FIVE-COUNTY GEOGRAPHIC CATCHMENT AREA INCLUDES OVER 3,000 SQUARE MILES (CARROLL, JACKSON, LAFAYETTE, RAY, AND SALINE COUNTIES) AND IS HOME TO 611,991 RESIDENTS. THE AREA IS PREDOMINANTLY WHITE (80%) AND NON-HISPANIC (92.7%). THIS DATA SHOWS HCC NETWORK SERVICE AREA RESIDENTS ARE LIKELY TO HAVE HIGHER HEALTH DISPARITIES DUE TO LOWER MEDIAN HOUSEHOLD INCOME, LOWER EMPLOYMENT RATES, HIGH RATES OF POVERTY, AND A HIGHER PERCENTAGE OF INDIVIDUALS WHO ARE DISABLED THAN MISSOURI RESIDENTS AS A WHOLE. MENTAL HEALTH INDICATORS FOR SERVICE AREA COUNTIES CONTRIBUTE TO DISPARITIES AS DATA SHOWS MORE POOR MENTAL HEALTH DAYS, MORE FREQUENT MENTAL DISTRESS, HIGHER SUICIDE RATES, AND MORE FEELINGS OF LONELINESS. STRATEGIES/INTERVENTIONS: THIS INCLUDES BOTH REQUIRED AND ALLOWABLE ACTIVITIES. REQUIRED: UNIVERSAL EVIDENCE-BASED SCREENING FOR SUD/COD AND RISK OF SUICIDE; TREATMENT SERVICES FOR SUD/COD; EXPAND HARM REDUCTION SERVICES; TOBACCO CESSATION PROGRAMS; PROVIDE INTEGRATED PEER SUPPORT AND CASE MANAGEMENT SERVICES. ALLOWABLE: COMMUNITY ENGAGEMENT ACTIVITIES; PROVIDE EVIDENCE-BASED APPROACHES TO CARE; RECOVERY SUPPORT; EDUCATION, SCREENING, LAB TESTING FOR INFECTIOUS DISEASES; LOW-BARRIER TREATMENT APPROACH; TEST STRIPS AND OVERDOSE REVERSAL MEDICATIONS; ASSESSING RISK FOR HOMELESSNESS; ACTIVITIES TO REDUCE STIGMA FOR SUD/COD; TREATMENT/TRANSITION FOR JUSTICE-INVOLVED INDIVIDUALS; UTILIZATION OF TTA PROGRAMS. GOALS AND OBJECTIVES: GOAL 1: TO IMPLEMENT TARGETED STRATEGIES TO PROVIDE TREATMENT AND RELATED SERVICES FOR SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING DISORDER (COD) WITHIN THE HCC NETWORK SERVICE AREA. OBJECTIVE 1: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL IMPLEMENT EVIDENCE-BASED UNIVERSAL SCREENING FOR SUD/COD AND RISK OF SUICIDE FOR PATIENTS COMING IN FOR CLINIC VISITS AT ALL CLINIC LOCATIONS. OBJECTIVE 2: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL PROVIDE LOW BARRIER SUD/COD EVIDENCE-BASED TREATMENT SERVICES AT ALL CLINIC LOCATIONS. OBJECTIVE 3: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL EXPAND HARM REDUCTION SERVICES ACROSS THE SERVICE AREA. OBJECTIVE 4: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL IMPLEMENT AN IN-HOUSE TOBACCO CESSATION PROGRAM WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD AND PROVIDE SERVICES TO 75% OF INDIVIDUALS WITH TOBACCO-RELATED SUD. OBJECTIVE 5: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL PROVIDE INTEGRATED PEER SUPPORT AND CASE MANAGEMENT SERVICES TO INDIVIDUALS WITH SUD/COD DISORDERS ANTICIPATED ANNUAL NUMBER TO BE SERVED: HCC NETWORK EXPECTS PARTICIPATION TO INCREASE EACH YEAR OF THE PROJECT. YEAR 1-125; YEAR 2-150; AND YEAR 3-175 PATIENTS FOR A TOTAL OF 450 PARTICIPANTS OVER THE COURSE OF THE PROJECT PERIOD.

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TELEMEDICINE GRANT

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - ORGANIZATION: HCC NETWORK, 608 MISSOURI STREET, WAVERLY, MO 64096 FACILITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WEBSITE: WWW.HCCNETWORK.ORG PROJECT DIRECTOR: AMANDA ARNOLD RN, BSN, CHIEF OPERATIONS OFFICER FOR HCC NETWORK AND CAN BE REACHED AT 816-807-5795, AMANDA.ARNOLD@HCCNETWORK.ORG NETWORK NAME: HCC NETWORK LEGISLATIVE AIM(S): 1) ACHIEVING EFFICIENCIES; 2) EXPANDING ACCESS TO, COORDINATING, AND IMPROVING QUALITY OF BASIC HEALTH CARE SERVICES AND ASSOCIATED HEALTH OUTCOMES; 3) STRENGTHENING THE RURAL HEALTH CARE SYSTEM AS A WHOLE. FOCUS AREA: HCC NETWORK’S FOCUS AREA IS CARE COORDINATION. PROPOSED SERVICE REGION: HCC NETWORK COVERS FOUR COUNTIES IN WEST CENTRAL MISSOURI INCLUDING: LAFAYETTE, CARROLL, RAY, AND SALINE COUNTIES. CARROLL, RAY, AND SALINE COUNTIES ARE CONSIDERED FULLY RURAL WHILE THE FOLLOWING CENSUS TRACTS FOR LAFAYETTE COUNTY HAVE RURAL DESIGNATION: 902.00, 903.00, 904.00, 905.00. POPULATION TO BE SERVED. INDIVIDUALS THAT ARE CURRENTLY OR FORMERLY INCARCERATED THAT ARE AT RISK FOR SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS; INDIVIDUALS DIAGNOSED WITH SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS; INDIVIDUALS IN TREATMENT AND/OR RECOVERY FOR SUD/OUD AND/OR OTHER CO-OCCURRING MENTAL DISORDERS; THEIR FAMILIES AND/OR CAREGIVERS; AND IMPACTED COMMUNITY MEMBERS WHO RESIDE IN THE RURAL TARGET SERVICE AREA OF CARROLL, LAFAYETTE, SALINE, AND RAY COUNTY, MISSOURI. POPULATIONS THAT HAVE BEEN JUSTICE-INVOLVED FACE MULTIPLE HURDLES TO CARE INCLUDING POVERTY, HOUSING CHALLENGES, EMPLOYMENT, EDUCATION, HEALTH CARE AND MENTAL HEALTH TREATMENT, ALL WHILE DEALING WITH THE ATTACHED STIGMA AND MEETING THE OBLIGATIONS OF RELEASE. THESE OBLIGATIONS CAN BE ONEROUS FOR THOSE STRUGGLING TO RE-ESTABLISH THEMSELVES IN A COMMUNITY, PARTICULARLY WHEN COMPOUNDING WITH OTHER SOCIO-ECONOMIC STRUGGLES, MENTAL ILLNESS, AND/OR SUBSTANCE MISUSE DISORDERS. ACCURATE COUNTS OF JUSTICE-INVOLVED INDIVIDUALS ARE DIFFICULT TO OBTAIN, AS POPULATIONS ROTATE IN AND OUT DAILY. THE FOUR-COUNTY AREA HAD 2,188 DRUG AND/OR ALCOHOL RELATED CRIMINAL CHARGES FILED AGAINST INDIVIDUALS WITH ONLY 22 INDIVIDUALS CONNECTED TO ADULT TREATMENT COURTS IN FY2022. NETWORK MEMBERS. 1) HCC NETWORK, RURAL HEALTH NETWORK AND FQHC; 2) LAFAYETTE COUNTY SHERIFF’S DEPARTMENT, LAW ENFORCEMENT; 3) COMPASS HEALTH, FQHC; 4) CARROLL COUNTY SHERIFF’S DEPARTMENT, LAW ENFORCEMENT; 5) MISSOURI STATE PROBATION AND PAROLE, CRIMINAL JUSTICE; 6) RAY COUNTY SHERIFF’S DEPARTMENT, LAW ENFORCEMENT; 7) LAFAYETTE COUNTY ENTERPRISES, SOCIAL SERVICES. THE NETWORK CONSISTS OF A RURAL MAJORITY, SATISFYING THE SIXTY-SIX PERCENT (66%), OR TWO-THIRDS APPLICATION REQUIREMENT. NETWORK MEMBERS ARE PREPARED TO INTEGRATE OR SHARE CLINICAL AND ADMINISTRATIVE RESOURCES WITH A GOAL OF ACHIEVING EFFICIENCIES IN OPERATION AS WELL AS IMPROVING CARE COORDINATION. THIS WILL BE ADDRESSED AS PART OF THE PLANNING PROJECT. EXPERIENCE IN SERVING RURAL UNDERSERVED POPULATIONS. HCC NETWORK IS A REGIONAL, INTEGRATED RURAL HEALTH NETWORK FORMED AS A RESULT OF SUBSTANTIAL WORK BY A COMMUNITY NETWORK IN 2006. HCC NETWORK IS ACTIVELY ENGAGED IN ITS REGIONAL, RURAL COMMUNITY. BY UTILIZING A NETWORK APPROACH, THE NETWORK CAN DRAW UPON THE EXPERTISE OF EACH OTHER AND EFFICIENTLY UTILIZE SERVICES AVAILABLE IN THE MEDICALLY UNDERSERVED REGION. THIS HELPS TO SUPPORT NOT ONLY PATIENT OUTCOMES BUT HELPS TO PRESERVE THE WORKFORCE AND REDUCE RISK OF BURNOUT. FUNDING OPPORTUNITY NOTIFICATION. THE OPPORTUNITY WAS IDENTIFIED THROUGH GRANTS.GOV. FUNDING PREFERENCE. HCC NETWORK IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1: HCC IS LOCATED IN A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. SUPPORTING DOCUMENTATION IS INCLUDED IN ATTACHMENT 8.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY FACILITY GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

COMMUNITY FACILITY GRANTS