Ohio Association Of Community Health Center Inc

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

HEALTH CENTER CONTROLLED NETWORK - PROJECT TITLE: OACHC HEALTH CENTER CONTROLLED NETWORK APPLICANT ORGANIZATION NAME: OHIO PRIMARY CARE ASSOCIATION INC. (DBA. OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS) APPLICANT GRANT NUMBER: H2QCS30380 ADDRESS: 2109 STELLA COURT, COLUMBUS, OH 43215-1032 PROJECT DIRECTOR NAME: ASHLEY BALLARD CONTACT PHONE NUMBER: 937-605-8950 EMAIL ADDRESS: ABALLARD@OHIOCHC.ORG WEB ADDRESS: HTTP://WWW.OHIOCHC.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED: HEALTH CENTER CONTROLLED NETWORK $875,000/YEAR FOR 3 YEARS, NO SPECIAL CONSIDERATIONS PARTICIPATING HEALTH CENTERS (PHC): 25 TOTAL PHCS (24 HEALTH CENTER PROGRAM AWARDEES, 1 LOOK ALIKE) THE OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS (OACHC) IS THE STATE’S PRIMARY CARE ASSOCIATION (PCA) WHICH CURRENTLY REPRESENTS 57 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKE ORGANIZATIONS AT OVER 400 LOCATIONS, INCLUDING MULTIPLE MOBILE UNITS, IN 75 OF OHIO’S 88 COUNTIES. IN 2020, OHIO’S HEALTH CENTERS SERVED OVER 820,000 PATIENTS. OACHC HAS RECEIVED TWO PRIOR WAVES OF HCCN FUNDING AND SAW SIGNIFICANT STRIDES IN PHC’S IMPROVEMENT IN THEIR QUALITY OF CARE AND HEALTH IT INFRASTRUCTURES. THE FIRST FUNDING CYCLE BEGAN IN 2016 AND ENGAGED 16 PHCS FOCUSED ON UTILIZING HEALTH IT TO IMPROVE QUALITY AND DATA REPORTING ALONG WITH THE IMPLEMENTATION OF HEALTH INFORMATION EXCHANGE AND POPULATION HEALTH MANAGEMENT TOOLS. THE SECOND FUNDING CYCLE STARTED IN 2019 AND CONSISTED OF 22 PHCS FOCUSED ON ENHANCING PATIENT AND PROVIDER EXPERIENCE, ADVANCING INTEROPERABILITY, AND USING DATA TO ENHANCE VALUE. DURING THESE TWO FUNDING CYCLES OACHC HCCN WAS ABLE TO EXPAND THE USE OF A POPULATION HEALTH PLATFORM, AZARA DRVS, TO FURTHER ENHANCE THE REPORTING AND QUALITY IMPROVEMENT CAPABILITIES OF THE PHCS AND PROVIDE AN OPPORTUNITY FOR STATEWIDE OPTIMIZATION. EXTERNAL DATA INTEGRATIONS WITH AZARA DRVS WERE ESTABLISHED WITH ONE OF THE STATE’S HIES, CLINISYNC, AND ONE OF THE MANAGED CARE ORGANIZATIONS, CARESOURCE, TO ENHAN CE PHCS VALUE-BASED CARE CAPABILITIES. CURRENTLY, 19 PHCS ARE UTILIZING AZARA DRVS. THE HCCN WILL CONTINUE TO SUPPORT TO EXPANSION AND USE OF AZARA DRVS ACROSS THE REMAINING HCCN HEALTH CENTERS. OACHC HCCN IS UNIQUELY POSITIONED TO LEVERAGE HEALTH IT AND HAS A VARIETY OF EXISTING RELATIONSHIPS AND RESOURCES ESTABLISHED TO SUPPORT PHCS IN IMPROVING CLINICAL QUALITY, ENHANCING PATIENT CENTERED CARE, AND IMPROVING PROVIDER AND STAFF WELL-BEING. THE HCCN INTENDS TO PROVIDE TECHNICAL ASSISTANCE AND TRAINING TO PHCS TO IMPROVE THE QUALITY OF THEIR CLINICAL DATA AND INTEROPERABILITY OF THEIR SYSTEMS WITH OTHER CRITICAL PARTNERS IN THE HEALTHCARE DELIVERY SYSTEM. OACHC IS COMMITTED TO COLLABORATING WITH MANY PARTNERS INCLUDING, BUT NOT LIMITED TO CLINISYNC, AZARA DRVS, SECURITY RISK VENDORS, AND LOCAL PARTNERS SUCH AS THE OHIO DEPARTMENT OF HEALTH TO IMPROVE THE LANDSCAPE OF DATA AVAILABILITY, REPORTING, INTEROPERABILITY, AND OPPORTUNITIES TO IMPROVE CLINICAL QUALITY CARE ACROSS THE STATE. OACHC HCCN RECOGNIZES THE CRITICAL NEED FOR ITS HEALTH CENTERS TO FOCUS ON HEALTH CARE DELIVERY SYSTEMS FOCUSED ON HEALTH IT AND DIGITAL TOOLS, AND TO ASSESS CLINICAL AND STAFF BURDEN TO BETTER TREAT PATIENTS IN THE CURRENT HEALTH CARE ENVIRONMENT. OACHC HCCN WILL SUPPORT THE NEEDS OF THE PHCS WITH A SHARED GOAL OF IMPROVED HEALTH OUTCOMES FOR ALL PATIENTS, IMPROVED CLINICAL QUALITY CARE, WITH A FOCUS ON CLINICAL AND STAFF WELLBEING.

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER CONTROLLED NETWORKS

OHIO COMMUNITY HEALTH CENTER COLORECTAL CANCER SCREENING PROGRAM - APPLICANT ORGANIZATION: OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS PROJECT TITLE: OHIO COMMUNITY HEALTH CENTER COLORECTAL CANCER SCREENING PROGRAM THE OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS (OACHC) SUPPORTS ALL OF OHIO’S 60 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FQHC LOOK-ALIKES, PROVIDING CARE TO JUST UNDER ONE MILLION OHIOANS ACROSS 550+ SITES IN 76 OF OHIO’S 88 COUNTIES. THROUGH THIS NETWORK, OACHC WILL IMPLEMENT A STATEWIDE INITIATIVE TO EXPAND COLORECTAL CANCER (CRC) SCREENING AMONG OHIO RESIDENTS AGED 45 TO 75 YEARS OLD SERVED BY FQHCS. THE CRC SCREENING PROGRAM WILL ENGAGE A NEW COHORT OF FIVE (5) FQHCS EACH PROGRAM YEAR (25 TOTAL), PRIORITIZING HEALTH CENTERS WITH CRC SCREENING RATES BELOW 60%. WITH GUIDANCE AND TECHNOLOGICAL INFRASTRUCTURE PROVIDED BY OACHC, EACH HEALTH CENTER WILL IMPLEMENT MULTI-COMPONENT EVIDENCE-BASED INTERVENTIONS (EBIS) TO IMPROVE SCREENING UPTAKE, PATIENT FOLLOW-UP, AND EARLY-STAGE CRC DIAGNOSIS. THE PURPOSE OF THE PROGRAM IS TO IMPROVE LONG-TERM CRC SCREENING AND EARLY DETECTION STATEWIDE BY INCREASING SCREENING RATES AMONG POPULATIONS LESS LIKELY TO SEEK PREVENTIVE CARE. OHIO CRC MORTALITY IS CURRENTLY 10% HIGHER THAN THE U.S. ON AVERAGE, AND CRC SCREENING PREVALENCE AMONG LOWER-INCOME POPULATIONS SERVED BY FQHCS (43.3%) IS SIGNIFICANTLY LOWER THAN AMONG OHIOANS ON AVERAGE (70.2%) (OACHC, 2023; OHIO CANCER PROFILE, 2023). OACHC WILL SUPPORT PARTICIPATING FQHCS BY INTEGRATING A MINIMUM OF THREE EBIS INTO EXISTING CLINICAL WORKFLOWS, INCLUDING PATIENT AND PROVIDER REMINDERS, PROVIDER FEEDBACK, AND STRATEGIES TO REDUCE STRUCTURAL BARRIERS SUCH AS TRANSPORTATION AND COST LIMITATIONS. EACH FQHC WILL IDENTIFY A CRC SCREENING CHAMPION RESPONSIBLE FOR OVERSEEING IMPLEMENTATION, STAFF TRAINING, AND CRC DATA REPORTING. OACHC WILL DEVELOP A SPECIFIC CRC DASHBOARD IN THE OHIO DATA INTEGRATION PLATFORM (ODIP), UTILIZING THE EXISTING AZARA DATA VISUALIZATION SYSTEM, IMPLEMENTED AT EACH PARTICIPATING CLINIC, AND WILL IMPLEMENT DATA REPORTING INTEGRATIONS WITHIN EACH HEALTH CENTER’S ELECTRONIC HEALTH RECORD (EHR) TO MONITOR STOOL TEST RETURN RATES, FOLLOW-UP COLONOSCOPY COMPLETION, AND TRENDS IN EARLY-STAGE CRC DIAGNOSES, AND OTHER HIGH-QUALITY, CLINIC-LEVEL DATA. OACHC WILL CONDUCT MONTHLY PRACTICE FACILITATION AND TECHNICAL ASSISTANCE (TA) MEETINGS TO ENSURE HIGH-QUALITY DATA REPORTING, PROVIDE ONGOING IMPLEMENTATION SUPPORT AND HEALTH CENTER ACCOUNTABILITY, IDENTIFY AREAS FOR QUALITY IMPROVEMENT, AND FOSTER PEER-TO-PEER LEARNING BETWEEN HEALTH CENTERS. OACHC HAS DECADES OF EXPERIENCE IN FACILITATING THESE TYPES OF PRACTICE TRANSFORMATION EFFORTS ACROSS A VARIETY OF PREVENTIVE AND CHRONIC DISEASE FOCI. PARTNER CLINICS WILL ALSO FORMALIZE REFERRAL PATHWAYS AND AGREEMENTS, AS NEEDED, TO COLONOSCOPY AND TREATMENT PROVIDERS TO ENSURE PATIENTS WITH ABNORMAL TEST RESULTS RECEIVE APPROPRIATE FOLLOW-UP CARE. BY THE END OF THE PROJECT PERIOD, OACHC WILL ACHIEVE MEASURABLE INCREASES IN CRC SCREENING AMONG PARTNER PRACTICES THROUGH EVIDENCE-BASED SCREENING METHODS, AS WELL AS FOLLOW-UP COLONOSCOPY COMPLETION AND LINKAGE TO CARE WHEN NECESSARY. PROGRAM OUTCOMES WILL INCLUDE AT LEAST A 10% INCREASE IN STOOL-BASED TEST RETURN PREVALENCE AMONG PARTNER PRACTICES WITHIN FIVE (5) YEARS. PARTNER PRACTICES WILL ALSO ACHIEVE AT LEAST A 25% COLONOSCOPY COMPLETION PREVALENCE AMONG PATIENTS REQUIRING DIAGNOSTIC FOLLOW-UP, DEMONSTRATING A ONE-YEAR INCREASE FROM BASELINE ACROSS ALL PARTICIPATING HEALTH CENTERS. ACTIVITIES WILL LEAD TO INCREASED IMPLEMENTATION AND ENHANCEMENT OF EBIS, HIGHER CRC SCREENING RATES, AND MORE EARLY-STAGE CRC DIAGNOSES—ULTIMATELY REDUCING CRC INCIDENCE AND MORTALITY AMONG OHIOANS SERVED BY FQHCS.

AMERICAN RESCUE PLAN ACT FUNDING FOR PCAS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS

TECHNICAL AND NON-FINANCIAL ASSISTANCE TO C/MHCS