Country Health Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

OP EARLY INTERVENTIONS VCS W/RESPECT TO HIV DISEASE

OP EARLY INTERVENTIONS VCS W/RESPECT TO HIV DISEASE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - NORTH COUNTRY HEALTHCARE, A FEDERALLY QUALIFIED HEALTH CENTER SERVING NORTHERN ARIZONA, WILL COMPLETE A CLINIC EXPANSION AND RENOVATION PROJECT FOR ITS EXISTING HEALTH CENTER IN RURAL WINSLOW, ARIZONA. THIS PROJECT INCLUDES A NEW ADDITION FEATURING A PROCEDURE ROOM, SIX EXAM ROOMS, A BEHAVIORAL HEALTH CONSULTANT OFFICE, PROGRAM SPECIALIST AND MEDICAL CASE MANAGER OFFICES, MEDICATION ROOM, BIO-WASTE ROOM, TWO PROVIDER OFFICES, MEDICAL ASSISTANT STATION, RESTROOM, AND A CONFERENCE ROOM, FURTHERMORE, THE PROJECT INVOLVES REMODELING 4,500 SQUARE FEET OF THE EXISTING CLINIC TO ADD AN EXTRA DENTAL OPERATORY, DENTAL STAFF OFFICES, A DENTAL LABORATORY, AND A DEDICATED STERILIZATION SPACE. THIS WILL ALSO ENABLE THE RECONFIGURATION OF OFFICES AND THE CHECK-IN/WAITING AREA. AN ADDITIONAL 7,600 SQUARE FEET OF PAVING WILL EXPAND PARKING FOR PATIENTS AND EMPLOYEES. THIS PROJECT WILL ALLOW NORTH COUNTRY TO ENHANCE ITS COMPREHENSIVE PRIMARY CARE, DENTAL, AND OUTREACH SERVICES FOR THE UNDERSERVED AND VULNERABLE POPULATIONS IN THE WINSLOW COMMUNITY, ALL WITHIN AN IMPROVED FACILITY.

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

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM - APPLICANT ORGANIZATION INFORMATION NORTH COUNTRY HEALTHY HEART NETWORK, INC. 132 BLOOMINGDALE AVENUE, SUITE 2 SARANAC LAKE, NY 12983 NON-PROFIT WITH 501C3 STATUS, OTHER THAN INSTITUTION OF HIGHER EDUCATION WWW.HEARTNETWORK.ORG DESIGNATED PROJECT DIRECTOR INFORMATION PROJECT DIRECTOR – T.B.D. BY 1/1/2023 OUTREACH/PRACTICE FACILITATION COORDINATOR – LOUANN VILLANI (518)891-5855, EXT. 5506 LVILLANI@HEARTNETWORK.ORG CONTROLLER – RON BRENNER (518)891-5855, EXT. 5505 RBRENNER@HEARTNETWORK.ORG NETWORK DIRECTOR - ANN MORGAN (518)891-5855, EXT. 5501 AMORGAN@HEARTNETWORK.ORG RURAL HEALTH NETWORK DEVELOPMENT PROJECT PROJECT TITLE: GET HEALTHY NORTH COUNTRY! COMMUNITY INTEGRATED HEALTH NETWORK GOAL #1: TO INCREASE NETWORK CAPACITY TO SUSTAIN ON-GOING, REGULAR DELIVERY OF EVIDENCE-BASED CHRONIC DISEASE PREVENTION SERVICES. GOAL #2: TO REDUCE THE PREVALENCE OF DIABETES IN THE NORTH COUNTRY BY INCREASING PREDIABETIC/DIABETIC ACCESS TO AND PARTICIPATION IN EVIDENCE-BASED PREVENTION/SELF-MANAGEMENT PROGRAMS. FOCUS AREA CHRONIC DISEASE PREVENTION TARGET PATIENT POPULATION THE COALITION TARGETS INDIVIDUALS WITH PREDIABETES OR DIABETES. UNDERSERVED POPULATIONS THAT HAVE HISTORICALLY SUFFERED POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES IN THE TARGET REGION INCLUDE THE AGING, LOW-INCOME, AND NATIVE AMERICAN COMMUNITIES. NETWORK MEMBERS NETWORK NAME: NORTH COUNTRY CHRONIC DISEASE PREVENTION COALITION MEMBER ORGANIZATIONS: THE NETWORK INCLUDES 33 ORGANIZATIONS: AN ACCOUNTABLE CARE ORGANIZATION; A BEHAVIORAL HEALTH INDEPENDENT PRACTICE ASSOCIATION; TWO (2) REGIONAL TECHNICAL ASSISTANCE PARTNERS; SEVEN (7) HOSPITAL-OPERATED COMMUNITY HEALTH CENTERS; ONE (1) INDEPENDENT PRIMARY CARE PRACTICE; ONE (1) NATIVE AMERICAN TRIBE; TWO (2) FEDERALLY QUALIFIED HEALTH CENTERS; SEVEN (5) BEHAVIORAL HEALTH ORGANIZATIONS; TWO (2) SOCIAL CARE COMMUNITY-BASED ORGANIZATIONS; SEVEN (7) AREA OFFICES FOR THE AGING; AND FOUR (4) LOCAL HEALTH DEPARTMENTS. NETWORK PROJECT ACTIVITIES/SERVICES NETWORK EFFORTS WILL BE DIVIDED BETWEEN NETWORK DEVELOPMENT ACTIVITIES ASSOCIATED WITH GOAL #1, AND CHRONIC DISEASE PREVENTION/SELF-MANAGEMENT SERVICE DELIVERY ACTIVITIES ASSOCIATED WITH GOAL #2. EXPECTED OUTCOMES IMPROVED ACCESS: - INCREASED ENROLLMENT IN CDPSM PROGRAMS - INCREASED PROPORTION OF THOSE ENROLLED IN PROGRAMS BEING FROM SUBPOPULATIONS WITH HEALTH DISPARITIES EXPANDING CAPACITY: - INCREASED PROGRAM AVAILABILITY - REDUCTION IN THE NUMBER OF INDIVIDUALS ON WAITLIST - REDUCTION IN THE AMOUNT OF TIME ON THE WAITLIST ENHANCING OUTCOMES: - DECREASE IN PREVALENCE OF TYPE 2 DIABETES - DECREASE IN PERCENTAGE OF DIABETIC POPULATION WITH OUT-OF-CONTROL DIABETES (A1C >/= 9) - DECREASE IN DIABETES-RELATED UTILIZATION OF EMERGENCY AND INPATIENT SERVICES SUSTAINABILITY: - INCREASED PAYER AWARENESS OF THE NETWORK AND ITS VALUE PROPOSITION - INCREASED REVENUE FROM HEALTHCARE PAYER CONTRACTS (VALUE-BASED OR OTHERWISE) CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS THE APPLICANT AND OTHER MEMBERS OF THE COALITION HAVE A LONG HISTORY OF SERVING UNDERSERVED POPULATIONS. HOSPITAL/PRIMARY CARE MEMBERS ARE SAFETY-NET PROVIDERS IN THE COMMUNITIES THEY SERVE; AREA AGENCY ON AGING MEMBERS ASSIST THE ELDERLY (AND OTHERS) TO ADDRESS BARRIERS AND GET THEM CONNECTED TO NEEDED PROGRAMS AND SERVICES; AND BEHAVIORAL HEALTH MEMBERS PROVIDE SERVICES AND SUPPORT TO INDIVIDUALS EXPERIENCING MENTAL ILLNESS AND/OR ADDICTION. THE APPLICANT AND ITS COALITION CO-LEAD AGENCY, THE ST. LAWRENCE COUNTY HEALTH INITIATIVE, INC., BOTH HAVE SPENT THE LAST 20 PLUS YEARS IMPLEMENTING PROGRAMS THAT TARGET DISPARATE POPULATIONS TO PROMOTE TOBACCO CESSATION, INCREASED ACCESS TO NUTRITIOUS FOODS, MORE OPPORTUNITIES FOR PHYSICAL ACTIVITY, AND INCREASED ACCESS TO HEALTH CARE INCLUDING HEALTH INSURANCE ENROLLMENT SERVICES. NORTH COUNTRY HEALTH HEART NETWORK IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 3. THE COALITION IS FOCUSED ON PRIMARY CARE, WELLNESS AN D PREVENTION STRATEGIES.

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

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

NORTH COUNTRY COMMUNITY OF PREVENTION PRACTICES, EDUCATION, AND STIGMA REDUCTION (NC COPES) - THE NORTH COUNTRY HEALTH CONSORTIUM, ACTING AS THE NORTH COUNTRY PUBLIC HEALTH NETWORK PROVIDER AGENCY FOR NORTHERN NEW HAMPSHIRE, AIMS TO ESTABLISH THE NORTH COUNTRY COMMUNITY OF PREVENTION PRACTICES, EDUCATION, AND STIGMA REDUCTION (NORTH COUNTRY COPES). THIS INITIATIVE IS ROOTED IN THE STRATEGIC PREVENTION FRAMEWORK, WHICH IS A COMMUNITY ENGAGEMENT MODEL DESIGNED TO DELIVER DATA-DRIVEN, EVIDENCE-BASED PROGRAMS AND PRACTICES TO RURAL, UNDERSERVED COMMUNITIES IN COÖS AND NORTHERN GRAFTON COUNTIES, ENCOMPASSING THE NORTH COUNTRY PUBLIC HEALTH NETWORK. NOTABLY, THIS REGION EXHIBITS THE HIGHEST POVERTY RATE AMONG NEW HAMPSHIRE’S 13 REGIONAL PUBLIC HEALTH NETWORKS. THE PROJECT TARGETS 2527 YOUTH (AGES 15-19). ADDITIONALLY, NORTH COUNTRY COPES AIMS TO ADDRESS THE NEEDS OF AT-RISK AND MARGINALIZED YOUTH AND YOUNG ADULTS WITHIN THE LGBTQ+ COMMUNITIES OF THE NORTH COUNTRY. THE OVERARCHING OBJECTIVE OF THIS ENDEAVOR IS TO MITIGATE THE ONSET AND PROGRESSION OF SUBSTANCE MISUSE AND ITS ASSOCIATED ISSUES THROUGH THE DEVELOPMENT AND IMPLEMENTATION OF SUBSTANCE MISUSE PREVENTION AND MENTAL WELLNESS PROMOTION STRATEGIES. THE PROJECT'S GOALS AND OBJECTIVES ARE AS FOLLOWS: GOAL #1: ENHANCE THE CAPACITY NORTH COUNTRY PREVENTION PROVIDERS TO RECOGNIZE, DELAY, AND MITIGATE SUBSTANCE USE AMONG RURAL AND LGBTQ+ YOUTH. OBJECTIVE 1: ASSEMBLE LEADERSHIP COMMITTEE AND NC COPES MEMBERS. OBJECTIVE 2: DELIVER 300 HOURS OF EVIDENCE-BASED TRAINING ANNUALLY FOR REGIONAL PREVENTION PARTNERS. GOAL #2: DECREASE SUBSTANCE USE RATES AMONG RURAL NORTH COUNTRY YOUTH BY IMPLEMENTING MENTAL HEALTH PROMOTION INITIATIVES AND BOLSTERING COMMUNITY SUPPORT SYSTEMS. OBJECTIVE 1: CONDUCT FIVE COMMUNITY CLIMATE PROJECTS AND 15 SCHOOL CLIMATE PROJECTS. OBJECTIVE 2: CONDUCT SOCIAL MEDIA TRAINING FOR YOUTH AND PREVENTION PROVIDERS. OBJECTIVE 3: HOST ANNUAL UP CONFERENCE FOR YOUTH. OBJECTIVE 4: RECRUIT AND TRAIN YOUTH LEADERSHIP THROUGH ADVENTURE ADULT ADVISORS. OBJECTIVE 5: TRAIN STAFF ON SBIRT MODEL AND CONFIDENTIALITY STANDARDS. GOAL #3: DECREASE SUBSTANCE USE RATES AMONG LGBTQ+ YOUTH IN THE NORTH COUNTRY BY IMPLEMENTING EVIDENCE-BASED PEER SUPPORTS AND TRAUMA-INFORMED PRACTICES WITHIN ORGANIZATIONS SERVING YOUTH. OBJECTIVE 1: CONDUCT PREVENTION-FOCUSED CULTURAL COMPETENCY TRAINING. OBJECTIVE 2: TRAIN FIVE TRAINERS TO PROVIDE PEER-TO-PEER GROUPS.

HAVERHILL SUBSTANCE MISUSE PREVENTION COALITION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

NORTH COUNTY HEALTH CONSORTIUM SUBSTANCE ABUSE PREVENTION PROGRAM

RURAL HEALTH WORKFORCE DEVELOPMENT PROGRAM

HEALTH CAREERS OPPORTUNITY PROGRAM (HCOP) SKILLS TRAINING AND HEALTH WORKFORCE DEVELOPMENT OF PAR

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

FY 2023 EXPANDING COVID-19 VACCINATION

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

ACCELERATING CANCER SCREENING - PROJECT TITLE: FISCAL YEAR 2022 ACCELERATING CANCER SCREENING APPLICANT ORGANIZATION NAME: NORTH COUNTRY HEALTHCARE, INC. ADDRESS: 2920 N FOURTH STREET, FLAGSTAFF, ARIZONA, 86004 PROJECT DIRECTOR NAME: ANNE NEWLAND, MD, MPH CONTACT PHONE NUMBERS: (P) 928-522-9564 (F) 928-522-9565 EMAIL ADDRESS: ANEWLAND@NCHCAZ.ORG WEBSITE: WWW.NORTHCOUNTRYHEALTHCARE.ORG GRANT PROGRAM FUNDS REQUESTED: YEAR 1: $250,000 YEAR 2: $250,000 TOTAL: $500,000 PROJECT ABSTRACT NORTH COUNTRY HEALTHCARE SEEKS A PARTNERSHIP WITH THE UNIVERSITY OF ARIZONA CANCER CENTER FOR THE HEALTH RESOURCES & SERVICES ADMINISTRATION FISCAL YEAR 2022 ACCELERATING CANCER SCREENING (AXCS) FUNDING OPPORTUNITY TO INCREASE EQUITABLE ACCESS TO CERVICAL, BREAST AND COLORECTAL CANCER SCREENING AND REFERRAL FOR CARE AND TREATMENT BY ENHANCING PATIENT OUTREACH AND EDUCATION, CASE MANAGEMENT, CARE COORDINATION, TRANSLATION AND INTERPRETING SERVICES, TRANSPORTATION, AND ELIGIBILITY ASSISTANCE FOR UNDERSERVED POPULATIONS ACROSS NORTHERN ARIZONA TO REDUCE DISPARITIES IN PATIENT ACCESS TO CANCER SCREENING AND ASSOCIATED OUTCOMES. BOTH CENTERS RECOGNIZE THAT AFFORDABLE AND ACCESSIBLE HEALTHCARE TRANSFORMS COMMUNITIES BY NARROWING HEALTH DISPARITIES, REDUCING CHRONIC DISEASE AND UNNECESSARY HOSPITALIZATIONS, AMONG OTHER CONTRIBUTIONS. NORTH COUNTRY HEALTHCARE, INC. HAS ITS HISTORICAL ROOTS IN A FREE CLINIC MODEL THAT TRANSITIONED TO FEDERALLY QUALIFIED HEALTH CENTER STATUS UPON COMMUNITY HEALTH CENTER FUNDING IN 1996. THE PRIMARY CLINIC SITE AND ADMINISTRATIVE HUB IS LOCATED IN FLAGSTAFF, A POPULATION CENTER WITH A MEDICALLY UNDERSERVED POPULATION DESIGNATION. NORTH COUNTRY HEALTHCARE ALSO OPERATES TWELVE SATELLITE CLINICS ACROSS NORTHERN ARIZONA TO PROVIDE ACCESSIBLE, COMPREHENSIVE AND AFFORDABLE PRIMARY HEALTHCARE TO THE UNDERSERVED AND VULNERABLE POPULATIONS IN AN ATMOSPHERE OF RESPECT, DIGNITY AND CULTURAL SENSITIVITY IN THE COMMUNITIES OF BULLHEAD CITY, FLAGSTAFF, GRAND CANYON, HOLBROOK, KINGMA N, LAKE HAVASU CITY, PAYSON, ROUND VALLEY, SELIGMAN, SHOW LOW, WILLIAMS, AND WINSLOW, WHICH ARE ALL MEDICALLY UNDERSERVED AREA’S AND HEALTH PROFESSIONAL SHORTAGE AREA’S. NORTH COUNTRY HEALTHCARE’S SERVICE AREA IS LARGELY RURAL AND SPARSELY POPULATED. THE CENTER’S SERVICE AREA IS LOCATED ACROSS FIVE RURAL COUNTIES: APACHE, COCONINO, GILA, MOHAVE, AND NAVAJO COUNTIES. NORTH COUNTRY HEALTHCARE HAS SIXTEEN ACCESS POINTS. THE SERVICE AREA BOUNDARIES ARE THE STATE LINES OF CALIFORNIA AND NEVADA TO THE WEST, THE NEW MEXICO STATE LINE TO THE EAST, THE GRAND CANYON NATIONAL PARK TO THE NORTH AND THE METROPOLITAN PHOENIX AREA TO THE SOUTH. NORTH COUNTRY HEALTHCARE IS COMMITTED TO A PATIENT CENTERED MEDICAL HOME DELIVERY OF SERVICE AND THIS MODEL OF CARE WILL INFORM NORTH COUNTRY’S PROPOSED AXCS PROJECT WITH AN EMPHASIS ON IN-REACH AND OUTREACH EFFORTS TO IMPROVE THE CERVICAL, BREAST AND COLORECTAL CANCER SCREENING AND FOLLOW-UP SERVICES. NORTH COUNTRY HEALTHCARE’S SCOPE OF SERVICES INCLUDES: DIAGNOSIS, TREATMENT AND REFERRAL FOR ALL ILLNESS, MANAGEMENT OF CHRONIC DISEASES, PRENATAL CARE/DELIVERY, PERINATAL OUTREACH, WELL WOMAN CHECKS, WELL CHILD SERVICES/IMMUNIZATIONS, PHARMACY, LABORATORY AND RADIOLOGY SERVICES, PREVENTIVE CARE/HEALTH EDUCATION, ORAL HEALTH SERVICES AND INTEGRATED BEHAVIORAL HEALTH. ADDITIONAL HEALTH SERVICES INCLUDE SIGNIFICANT HEALTH PROMOTION/DISEASE PREVENTION AND ENABLING PROGRAMS. OF THESE, THE WELL WOMAN HEALTHCHECK PROGRAM WILL SERVE AS THE FOUNDATION FOR THE PROPOSED AXCS PROJECT. THE WELL WOMAN HEALTHCHECK PROGRAM HAS BEEN AN OUTREACH PROGRAM OF NORTH COUNTRY HEALTHCARE FOR OVER 20 YEARS. THE PROGRAM IS WELL ESTABLISHED WITH DEDICATED STAFF COVERING THE ENTIRE SERVICE AREA AND FULFILLING THE EVIDENCE-BASED SCOPE OF PRACTICE ESTABLISHED BY THE NATIONAL BREAST AND CERVICAL CANCER PROGRAM THROUGH THE CENTER FOR DISEASE CONTROL AND PREVENTION. NORTH COUNTRY HOLDS A CONTRACT FOR FIVE COUNTIES IN NORTHERN ARIZONA FROM THE ARIZONA DEPARTMENT OF HEALT H SERVICES.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-PSYCHOSTIMULANT SUPPORT

RURAL HEALTH OPIOID PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

CAPITAL DEVELOPMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

NORTHERN ARIZONA CENTER AGAINST SEXUAL ASSAULT RURAL COORDINATED COMMUNITY RESPONSE TO SEXUAL ASSAULT IN RURAL NORTHERN ARIZONA

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE - DESCRIPTION OF PROPOSED PROJECT. LOW COUNTRY HEALTH CARE SYSTEM (LCHCS) WAS DEEMED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 1998 AND NOW PROVIDES COMPREHENSIVE FQHC PRIMARY CARE SERVICES FOR RESIDENTS OF THE RURAL, SOUTHWESTERN REGION OF SOUTH CAROLINA (SC), INCLUDING AIKEN, ALLENDALE, BAMBERG, BARNWELL, AND HAMPTON COUNTIES, ALONG THE BORDER OF GEORGIA. IN ADDITION TO THE SECTION 330 FQHC PROGRAM, LCHCS OPERATES A RYAN WHITE PART C EARLY INTERVENTION SERVICES PROGRAM SERVING PEOPLE WITH HIV IN AIKEN, ALLENDALE, BAMBERG, BARNWELL, CALHOUN, AND ORANGEBURG COUNTIES, SC. IN 2024, LCHCS SERVED 19,270 TOTAL PATIENTS THROUGH ITS FQHC PROGRAM WITH 67,071 MEDICAL VISITS, 3,546 MENTAL HEALTH VISITS, 598 SUBSTANCE USE DISORDER (SUD) VISITS, AND 510 VISION SERVICE VISITS. OF TOTAL PATIENTS, 73.7% WERE LIVING WITH INCOMES AT OR BELOW 200% FPG, AND 55.6% WERE LIVING AT OR BELOW 100% FPG. FURTHERMORE, 17.2% OF ALL PATIENTS HAD NO INSURANCE, 32.5% WERE RECEIVING MEDICAID, AND 19.7% WERE RECEIVING MEDICARE (UNIFORM DATA SYSTEM [UDS], 2024). THE PROPOSED RCORP-OVERDOSE RESPONSE PROJECT WILL SUPPORT IMPROVED HEALTH CARE IN RURAL ALLENDALE, BAMBERG, BARNWELL, CALHOUN, AND ORANGEBURG COUNTIES, SC BY ADDRESSING IMMEDIATE AND SHORT-TERM NEEDS RELATED TO THE PROVISION OF SUD SERVICES, AND WILL REDUCE AND PREVENT THE RISK OF OVERDOSES. NEEDS TO BE ADDRESSED. BEHAVIORAL HEALTH DISORDERS, INCLUDING SUD, OPIOID USE DISORDERS (OUD), AND MENTAL ILLNESSES INCLUDING DEPRESSION AND ANXIETY ARE A SIGNIFICANT AND GROWING CONCERN THROUGHOUT THE SERVICE AREA. THE DRUG-OVERDOSE MORTALITY RATE NEARLY DOUBLED BETWEEN 2015 AND 2020, FROM 8.1 PER 100,000 TO 15.4 PER 100,000 (AGE-ADJUSTED; WONDER, CDC, 2016-2020). IN 2022, THERE WERE 65 DRUG-RELATED DEATHS AND 338 DRUG-RELATED OVERDOSES, THE HIGHEST NUMBER ON RECORD (JUST PLAIN KILLERS, SC DAODAS, 2025). THE MENTAL AND BEHAVIORAL DISORDER MORTALITY RATE OF 40.5 PER 100,000 IN THE SERVICE AREA EXCEEDS THE NATIONAL RATE OF 34.5 PER 100,000 (AGE-ADJUSTED; WONDER, CDC, 2016-2020). ALLENDALE, BAMBERG, CALHOUN, AND ORANGEBURG COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS FOR MENTAL HEALTH, AS IS THE LOW-INCOME POPULATION OF BARNWELL COUNTY. ALL FIVE COUNTIES ARE ALSO DESIGNATED MEDICALLY UNDERSERVED AREAS (FIND SHORTAGE AREAS, HRSA, 2025). PROPOSED SERVICES. LCHCS WILL BUILD ON THE CENTER’S EXISTING SUD PROGRAM BY IMPLEMENTING THE FOLLOWING RCORP-FUNDED ACTIVITIES. TIER 1: PREVENTION - TERTIARY PREVENTION: LCHCS WILL PURCHASE AND PROVIDE NALOXONE TO LCHCS PATIENTS/FAMILIES AT RISK FOR OVERDOSE. TIER 1: TREATMENT - SUD/OUD CARE DELIVERY SITES: LCHCS WILL CONDUCT MINOR A/R AT BARNWELL FAMILY MEDICINE (BARNWELL COUNTY) TO EXPAND PHYSICAL SUD/OUD CARE DELIVERY SPACE. TIER 1: TREATMENT - SCREENING AND CONNECTION TO TREATMENT: LCHCS WILL HIRE 1.0 FTE PSYCHIATRIC NURSE PRACTITIONER TO ENSURE THAT ALL CLIENTS WHO SCREEN POSITIVE FOR SUD/OUD AND RELATED INFECTIOUS DISEASES ARE CONNECTED WITH TREATMENT, INCLUDING MOUD. THE PSYCHIATRIC NURSE PRACTITIONER POSITION WILL BE SUPPORTED BY 1.0 FTE PEER RECOVERY SUPPORT SPECIALIST WHO WILL PROMOTE LINKAGE TO CARE AT LCHCS AND TRANSITION BETWEEN CARE SETTINGS, AS NEEDED. TIER 1: RECOVERY - PEER RECOVERY SPECIALISTS: LCHCS WILL HIRE AND TRAIN 1.0 FTE PEER RECOVERY SUPPORT SPECIALIST AND WILL IMPLEMENT A PEER RECOVERY SUPPORT PROGRAM FOCUSED ON SUD. TIER 2: CAPACITY BUILDING - CLINICAL TRAINING AND SUPPORT: LCHCS WILL PROVIDE CONTINUING MEDICAL EDUCATION UNITS (CME) FOR THE MOUD DIRECTOR AND THE PROPOSED PSYCHIATRIC NURSE PRACTITIONER TO ENHANCE PROVIDERS’ ABILITY TO CARE FOR INDIVIDUALS WITH SUD/OUD. POPULATION TO BE SERVED. RCORP-OVERDOSE RESPONSE ACTIVITIES WILL TARGET ALLENDALE, BAMBERG, BARNWELL, CALHOUN, AND ORANGEBURG COUNTIES, SC. THE TARGET RURAL POPULATION INCLUDES INDIVIDUALS IN THE SERVICE AREA WHO ARE AT RISK FOR, EXPERIENCING SYMPTOMS OF, IN TREATMENT FOR, OR IN RECOVERY FOR SUD, AS WELL AS THEIR FAMILIES/CAREGIVERS AND OTHER IMPACTED COMMUNITY MEMBERS.

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HAVERHILL SUBSTANCE MISUSE PREVENTION COALITION

HAVERHILL AREA SUBSTANCE MISUSE PREVENTION COALITION-DRUG-FREE COMMUNITIES SUPPORT PROGRAM- COMPETING CONTINUATION

RURAL HEALTH OPIOID PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

THE NORTH COUNTRY HEALTH CONSORTIUM (NCHC)

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM - ORGANIZATION NAME: NORTH COUNTRY HEALTHCARE (NCHC) ADDRESS: 2920 N. FOURTH STREET, FLAGSTAFF, ARIZONA 86004 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), COMMUNITY HEALTH CENTERS, 501(C)(3) NONPROFIT OR HOSPITAL-OWNED RURAL HEALTH CLINICS WEBSITE: WWW.NORTHCOUNTRYHEALTHCARE.ORG PROJECT NAME, TITLE: TENILLYA CODY, PROGRAM MANAGER PHONE NUMBER, EMAIL: 928-522-9430, TCODY@NCHCAZ.ORG PROPOSED SERVICE AREA: NORTHERN ARIZONA, CITIES: BULLHEAD CITY, FLAGSTAFF, GRAND CANYON, HOLBROOK, KINGMAN, LAKE HAVASU CITY, PAYSON, ROUND VALLEY, SHOW LOW, WILLIAMS, AND WINSLOW. COUNTIES: APACHE, COCONINO, GILA, NORTH MOHAVE, NAVAJO, AND YAVAPAI. • BRIEFLY DESCRIBE THE POPULATION YOU WILL SERVE. THE POPULATION NORTH COUNTRY HEALTHCARE (NCHC) RESEP WILL SERVE CONSISTS OF INDIVIDUALS WHO HAVE BEEN EXPOSED TO RADIATION RESULTING FROM NUCLEAR ARMS TESTING, AS WELL AS URANIUM MINING, TRANSPORT, AND PROCESSING IN NORTHERN ARIZONA. NORTHERN ARIZONA CONSISTS OF SIX COUNTIES AND BORDERS TWELVE TRIBAL LANDS. IT IS LARGELY RURAL AND SPARSELY POPULATED, WITH SIGNIFICANT TRAVEL TIME BETWEEN COMMUNITIES. THE SIX DOWNWIND COUNTIES INCLUDE APACHE, COCONINO, GILA, NAVAJO, AND YAVAPAI COUNTIES, AND AN AREA OF MOHAVE COUNTY NORTH OF THE GRAND CANYON. TOGETHER, THESE AREAS COMPRISE APPROXIMATELY 52,700 SQUARE MILES (2020 U.S. CENSUS DATA). A LARGE PORTION OF NCHC’S TARGET POPULATION CONSISTS OF TRIBAL MEMBERS FROM THE TWELVE NATIVE AMERICAN RESERVATIONS IN NORTHERN ARIZONA. MANY OF THE ELDERLY TRIBAL MEMBERS ARE ELIGIBLE FOR THE RESEP SERVICES SINCE MANY WERE BORN ON AND REMAIN ON THE RESERVATION. THE TRIBAL ELDERS OF NORTHERN ARIZONA ESTIMATED 98,144 ELIGIBLE DOWNWINDERS IN THE SERVICE AREA. MOREOVER, THE NAVAJO RESERVATION HAD AN ACTIVE URANIUM INDUSTRY, MINING, AND MILLING DURING THE COLD WAR ERA. AN ARTICLE IN THE AMERICAN JOURNAL OF PUBLIC HEALTH FROM 2002 ESTIMATES THAT MORE THAN 1,000 ABANDONED URANIUM MINE SHAFTS LAY WITHIN THE NAVAJO RESERVATION. THE ARTICLE ALSO ESTIMATES THE NUMBER OF URANIUM WORKERS AT AROUND 10,000 COUNTRY-WIDE, A QUARTER OF WHOM WERE NAVAJO. THIS MEANS APPROXIMATELY 2,500 NAVAJO URANIUM WORKERS. (DOUG BRUGGE, 2002) AS OF MAY 19, 2024, THE DEPARTMENT OF JUSTICE HAS APPROVED 6,981 URANIUM MINERS, 1,948 URANIUM MILLERS, AND 420 ORE TRANSPORTERS, TOTALING 9,349 APPROVED URANIUM WORKERS. NCHC RESEP STANDS READY TO SUPPORT THE DOWNWIND COMMUNITY IN NORTHERN ARIZONA, SPECIFICALLY AIDING RETIRED URANIUM INDUSTRY WORKERS AND ORE TRANSPORTERS. WITH AN ESTIMATED DOWNWINDER POPULATION OF 98,144 INDIVIDUALS, 1,608 URANIUM INDUSTRY WORKERS, AND AN UNKNOWN NUMBER OF RETIRED URANIUM ORE TRANSPORTER NUMBERS, THERE IS A NEED TO ENSURE THIS POPULATION IS AWARE OF THE RESOURCES AND ASSISTANCE RESEP CAN PROVIDE. • DESCRIBE YOUR PROJECT. CLEARLY IDENTIFY AND DESCRIBE YOUR ORGANIZATION’S PROPOSED PROJECT GOALS, AND OBJECTIVES, AS IT RELATES TO COMMUNITY NEEDS. NORTH COUNTRY HEALTHCARE’S (NCHC) RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM (RESEP) WILL PROVIDE RESEP SERVICES TO A VAST POPULATION THROUGHOUT NORTHERN ARIZONA. NCHC WILL PROVIDE HIGH-QUALITY, COMPREHENSIVE SERVICES, INCLUDING VERIFYING THE ELIGIBILITY OF PARTICIPANTS AND PROVIDING MEDICAL AND DEPRESSION SCREENING EXAMS. NCHC WILL ALSO PROVIDE DIAGNOSTIC TESTING, MEDICAL FOLLOW-UPS, AND REFERRALS AS INDICATED BY THE RESEP PROVIDERS. OUTREACH SERVICES AND EDUCATION REGARDING RADIOGENIC CANCERS AND OTHER RADIOGENIC DISEASES WILL BE PROVIDED TO THE GENERAL POPULATION IN THESE AREAS. PROPOSED GOALS INCLUDE COMPLETING 200-230 SCREENINGS ANNUALLY AND PROVIDING INFORMATION AND RESOURCES TO 400 POTENTIAL PARTICIPANTS VIA SEVERAL DIFFERENT MEDIUMS. THIS WORK WILL BE COMPLETED IN COLLABORATION WITH OUR MEDICAL PROVIDERS, COMMUNITY PARTNERS, AND THROUGH LEVERAGING RESOURCES ACROSS THE SERVICE AREA. • SELECT ONE OF THE FOLLOWING OPTIONS TO DESCRIBE HOW YOU LEARNED ABOUT THIS FUNDING OPPORTUNITY. NORTH COUNTRY HEALTHCARE LEARNED ABOUT THIS FUNDING OPPORTUNITY FROM THE HRSA PROJECT O FFICER.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

TELEMEDICINE GRANT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - FACILITY INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

RURAL HEALTH OUTREACH

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH CAREERS OPPORTUNITY PROGRAM (HCOP) ? SKILLS TRAINING AND HEALTH WORKFORCE DEVELOPMENT OF PAR