Senior Services Inc

CK19-1904 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR PREVENTION AND CONTROL OF EMERGING INFECTIOUS DISEASES (ELC)

SCHOOL FOOD PROGRAMS

RYAN WHITE CARE ACT TITLE II

SCHOOL FOOD PROGRAMS

CNP CN BLOCK PROG

CDC-RFA-IP19-1901 IMMUNIZATION AND VACCINES FOR CHILDREN

SCHOOL FOOD PROGRAMS

CNP CN BLOCK PROG

CNP CN BLOCK PROG

STRENGTHENING U.S. PUBLIC HEALTH INFRASTRUCTURE, WORKFORCE, AND DATA SYSTEMS - THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) PROPOSES A COMPREHENSIVE PROJECT ACROSS ALL THREE STRATEGIES OF OE22-2203 COMPONENT A THAT WILL COLLABORATIVELY AND EQUITABLY CARRY OUT AND COORDINATE STRATEGIES ACROSS THE FULL RANGE OF FOUNDATIONAL PUBLIC HEALTH SERVICES AND ACROSS ALL TEN ESSENTIAL SERVICES TO SERVE MILLIONS OF MISSOURIANS. MISSOURI’S PUBLIC HEALTH SYSTEM FUNDING IS CONSISTENTLY AMONG THE LOWEST IN THE COUNTRY AND HAS BEEN FOR DECADES. IN 2021, MISSOURI HAD THE LOWEST STATE PUBLIC HEALTH FUNDING IN THE U.S. AT $7 PER PERSON, AND ADDITIONALLY, THE FUNDING IS FRAGMENTED – ASSOCIATED WITH SPECIFIC SERVICES OR PROGRAMS – AND VARIES BY COUNTY. THE PURPOSE OF THE PROPOSED PROJECT IS TO IMPROVE AND MODERNIZE MISSOURI’S PUBLIC HEALTH INFRASTRUCTURE TO BETTER MEET THE HEALTH NEEDS OF CITIZENS, BY INCREASING AND BOLSTERING THE PUBLIC HEALTH WORKFORCE, STRENGTHENING FOUNDATIONAL CAPABILITIES SUCH AS SYSTEMS AND POLICIES, AND MODERNIZING DATA SYSTEMS. DHSS HAS DESIGNED ACTIVITIES AND PARTNERSHIPS THAT ARE GUIDED BY THREE PRINCIPLES: MODERNIZING DATA AND EVIDENCE; INCREASING DIVERSITY AND ADDRESSING HEALTH INEQUITIES; AND STRENGTHENING PARTNERSHIPS BETWEEN DHSS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER PARTNERS. STRATEGY A1: WORKFORCE, ENCOMPASSES ACTIVITIES TO INCREASE HIRING OF DIVERSE STAFF AND INCREASE THE SIZE AND CAPABILITIES OF THE PUBLIC HEALTH WORKFORCE WITH IMPROVED WAGES AND PROTECTIONS. STRATEGY A2: FOUNDATIONAL CAPABILITIES, FOCUSES ON IMPROVED ORGANIZATIONAL SYSTEMS & PROCESSES AND STRONGER PUBLIC HEALTH (PH) FOUNDATIONAL CAPABILITIES INCLUDING AN EMPHASIS ON INCREASING LOCAL PUBLIC HEALTH AGENCY (LPHA) ACCREDITATION THROUGHOUT THE STATE. STRATEGY A3: DATA MODERNIZATION, WILL ALLOW MORE MODERN AND EFFICIENT DATA INFRASTRUCTURE, BETTER DATA INTEROPERABILITY, AND INCREASING AVAILABILITY AND USE OF PH DATA. DHSS HAS A LONG, SUCCESSFUL HISTORY OF MANAGING FUNDS FROM FEDERAL AGENCIES, PARTICULARLY THE CDC. PAST AND CURRENTLY FUNDED PROJECTS HAVE DEMONSTRATED THE CAPACITY TO SUCCESSFULLY PLAN, IMPLEMENT AND EVALUATE THE TYPES OF ACTIVITIES PROPOSED IN THIS APPLICATION BY WORKING WITH PARTNERS INTERNAL AND EXTERNAL TO DHSS, INCLUDING THE 114 LPHAS SPANNING MISSOURI WHO OPERATE INDEPENDENTLY OF EACH OTHER AND WORK COLLABORATIVELY WITH DHSS THROUGH CORE FUNDING AND CONTRACTS TO DELIVER PUBLIC HEALTH SERVICES TO THE COMMUNITIES THEY SERVE. LEADERSHIP OVER THIS GRANT AWARD WILL BE PROVIDED BY A TRIO OF PUBLIC HEALTH PROFESSIONALS WHO HAVE BEEN INSTRUMENTAL IN MISSOURI’S PUBLIC HEALTH INFRASTRUCTURE AND EFFORTS FOR A COMBINED 50 YEARS, INCLUDING DHSS ACTING DIRECTOR PAULA NICKELSON, WHO IS A MEMBER OF THE MISSOURI GOVERNOR’S CABINET. THE OTHER MEMBERS OF THE CORE LEADERSHIP TRIO ARE DR. LAURA NAUGHT, DHSS DEPUTY DEPARTMENT DIRECTOR, AND LORI BRENNEKE, DIVISION DIRECTOR, DIVISION OF COMMUNITY AND PUBLIC HEALTH. ADDITIONALLY, DHSS HAS ESTABLISHED AND TRUSTED PARTNERSHIPS WITH PROFESSIONAL ORGANIZATIONS, STATE GOVERNMENT AGENCIES, ACADEMIC INSTITUTIONS, AND COMMUNITY-BASED ORGANIZATIONS THAT WILL BE CRITICAL TO THE SUCCESSFUL IMPLEMENTATION OF STRATEGIES. THE DHSS WILL EMPLOY AN EMBEDDED EVALUATOR MODEL WHERE EVALUATION EXPERTS PARTICIPATE FULLY IN PROGRAM DESIGN AND FACILITATE DECISION-MAKING TO ADDRESS BARRIERS AND PROJECT RISK. THIS PARTICIPATORY APPROACH FURTHER ENSURES DATA-DRIVEN, EQUITY-CENTERED, AND COLLABORATIVE DECISIONS GUIDE EACH STRATEGY THROUGHOUT PROJECT IMPLEMENTATION.

SCHOOL FOOD PROGRAMS

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SCHOOL FOOD PROGRAMS

TP12-1201 HPP AND PHEP COOPERATIVE AGREEMENTS

SCHOOL FOOD PROGRAMS

CNP CN BLOCK PROGRAMS TOTAL CONSOLIDATED

SCHOOL FOOD PROGRAMS

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SCHOOL FOOD PROGRAMS

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SCHOOL FOOD PROGRAMS

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

WIC FOOD EXPENSE

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SCHOOL FOOD PROGRAMS

RYAN WHITE CARE ACT TITLE II

WIC FOOD EXPENSE

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

MISSOURI PHEP COOPERATIVE AGREEMENT

CHILD AND ADULT CARE FOOD PROGRAM

SCHOOL FOOD PROGRAMS

CHILD AND ADULT CARE FOOD PROGRAM

PUBLIC HEALTH PREPAREDNESS AND RESPONSE FOR BIOTERRORISM

CNP CN BLOCK PROG

WIC FOOD EXPENSE

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

WIC FOOD EXPENSE

SCHOOL FOOD PROGRAMS

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

CNP CN BLOCK PROGRAMS TOTAL CONSOLIDATED

COOPERATIVE AGREEMENT FOR EMERGENCY RESPONSE: PUBLIC HEALTH CRISIS RESPONSE - 2018

WIC ADMIN EXPENSES

WIC FOOD EXPENSE

NATIONAL INITIATIVE TO ADDRESS COVID-19 HEALTH DISPARITIES AMONG POPULATIONS AT HIGH-RISK AND UNDERSERVED, INCLUDING RACIAL AND ETHNIC MINORITY POPULATIONS AND RURAL COMMUNITIES - WITH FUNDING AND TECHNICAL SUPPORT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), DHSS AND ITS PARTNERS WILL INCREASE CAPACITY AND SERVICES TO PREVENT AND CONTROL COVID-19 INFECTION (OR TRANSMISSION) AMONG HIGH-RISK POPULATIONS THAT ARE UNDERSERVED, INCLUDING RACIAL AND ETHNIC MINORITY GROUPS AND PEOPLE LIVING IN RURAL COMMUNITIES. RACIAL AND ETHNIC MINORITY GROUPS COMPRISE APPROXIMATELY 20% OF MISSOURI?S POPULATION, AND 37% OF THE STATE?S CITIZENS LIVE IN RURAL COMMUNITIES. WHILE ADDRESSING COVID-19-RELATED HEALTH DISPARITIES AND ADVANCING HEALTH EQUITY, THE PROPOSED ACTIVITIES SUPPORT THE ACHIEVEMENT OF ONE OR MORE KEY OUTCOMES -- (1) REDUCED COVID-19-RELATED HEALTH DISPARITIES, (2) IMPROVED AND INCREASED TESTING AND CONTACT TRACING, AND (3) CONTROL COVID-19 INFECTION/TRANSMISSION. THE INFRASTRUCTURE-BUILDING, SERVICE DELIVERY, AND PARTNER-MOBILIZING ACTIVITIES ARE ORGANIZED IN 6 BROAD CATEGORIES:?COMMUNITY-TAILORED APPROACHES. EQUIP COMMUNITY-BASED, FAITH-BASED ORGANIZATIONS AND LPHAS TO IMPLEMENT TAILORED STRATEGIES THAT PROMOTE MITIGATION AND PREVENTION RESOURCES AND SERVICES (E.G., TESTING, VACCINATION), ADVANCE HEALTH EQUITY, AND ADDRESS SOCIAL DETERMINANTS OF HEALTH- RELATED TO COVID-19. ?HOMELESSNESS. IMPROVE FACILITIES TO ADDRESS HOUSING AND FOOD SECURITY AND CONNECT CLIENTS TO RESOURCES FOR TESTING, CONTACT TRACING, AND VACCINE ADMINISTRATION. ?MENTAL HEALTH STATUS OF YOUTH. SUPPORT MENTAL HEALTH NEEDS OF YOUTH IN RURAL AND MINORITY COMMUNITIES TO ADDRESS SHORT AND LONG-TERM CONSEQUENCES OF COVID-19, ESPECIALLY ITS IMPACT ON WIDENING GAPS IN HEALTH DISPARITIES. ?ACCESS TO PRIMARY CARE. EXPAND ACCESS TO PRIMARY MEDICAL CARE IN UNDERSERVED COMMUNITIES.?WORKFORCE DEVELOPMENT. INCREASE LEADERSHIP SKILLS AND CAPACITY OF MISSOURI?S PUBLIC HEALTH WORKFORCE TO ADDRESS HEALTH EQUITY AND RESPOND TO THE COVID-19 PANDEMIC. ?COMMUNICATIONS. TRANSLATE AND COMMUNICATE TAILORED MESSAGES FOR UN DERSERVED POPULATIONS TO PROMOTE MITIGATION AND PREVENTION RESOURCES AND SERVICES (E.G., TESTING, VACCINATION) AND REDUCE COVID-19 RELATED HEALTH DISPARITIES. DHSS IS COMMITTED TO A THOROUGH EVALUATION OF ACTIVITIES TO SUPPORT QUALITY IMPROVEMENT AND SATISFY ALL REPORTING REQUIREMENTS OF STATE AND FEDERAL STAKEHOLDERS. A CONTRACTED COVID-19 HEALTH DISPARITIES PROGRAM OFFICE TEAM WILL COORDINATE TECHNICAL ASSISTANCE UNDER THE DIRECTION OF DHSS LEADERSHIP.

WIC ADMIN EXPENSES

2008 SSBG

2009 SSBG

2010 SSBG

WIC ADMIN EXPENSES

WIC ADMIN EXPENSES

MISSOURI HPP AND PHEP COOPERATIVE AGREEMENT

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN INFANTS AND CHILDREN

WIC ADMIN EXPENSES

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

INTEGRATED HIV SURVEILLANCE AND PREVENTION PROGRAMS FOR HEALTH DEPARTMENTS

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

MISSOURI PUBLIC HEALTH EMERGENCY RESPONSE (MPHER)

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

STRENGTHENING STD PREVENTION AND CONTROL FOR HEALTH DEPARTMENTS (STD PCHD)

2009 TITLE III

2010 TITLE III

2011 TITLE III

2012 TITLE III

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN; INFANTS; AND CHILDREN

2007 TITLE III

2008 TITLE III

2013 TITLE III

IMMUNIZATION AND VACCINES FOR CHILDREN GRANTS

MISSOURI PHEP COOPERATIVE AGREEMENT

MISSOURI HPP COOPERATIVE AGREEMENT

FY10 ANNOUNCEMENT OF AVAILABILITY OF FUNDS FOR THE HOSPITAL PREPAREDNESS PROGRAM (HPP)

CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS

2010 TITLE III

2011 TITLE III

2012 TITLE III

2009 TITLE III

MISSOURI PROG FUNDED THROUGH THIS OPPORTUNITY INDUCLE: SHOW ME HEALTHY WOMEN THRU

2008 TITLE III

PS12-1201 COMPREHENSIVE HIV PREVENTION PROJECT FOR HEALTH DEPTS

2013 TITLE III

CNP CN BLOCK PROG

OVERDOSE DATA IN ACTION - NCIPC

CANCER PREVENTION AND CONTROL PROGRAMS - CANCER REMAINS THE SECOND LEADING CAUSE OF DEATH IN MISSOURI FOLLOWING HEART DISEASE. IN 2019, 12,836 MISSOURI RESIDENTS DIED FROM CANCER, ACCOUNTING FOR 21% PERCENT OF ALL DEATHS IN THE STATE. WHILE THE PUBLIC HEALTH NEEDS OF THE ENTIRE POPULATION ARE ADDRESSED VIA DP22-2202, THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES HAS SELECTED PRIORITY POPULATIONS FOR TARGETED INVESTMENTS WITH PROGRAMS AND SURVEILLANCE: MINORITIES, PARTICULARLY AFRICAN AMERICANS; INDIVIDUALS LIVING AT OR BELOW THE FEDERAL POVERTY LEVEL; THOSE LIVING IN RURAL AREAS; AND THE UNINSURED/UNDERINSURED. WORKING IN COLLABORATION WITH MANY PARTNERS TO ADVANCE HEALTH EQUITY, THE PROPOSED ACTIVITIES AIM TO: 1. REDUCE CANCER RISK. 2. INCREASE QUALITY OF LIFE AMONG CANCER SURVIVORS. 3. DECREASE CANCER INCIDENCE, MORBIDITY, AND MORTALITY. 4. REDUCE CANCER DISPARITIES. 5. SUPPORT INFRASTRUCTURE FOR SURVEILLANCE. THREE AFFILIATED ORGANIZATIONS COORDINATE ACTIVITIES FUNDED BY DP22-2202: MISSOURI COMPREHENSIVE CANCER AND CONTROL PROGRAM (MCCCP), MISSOURI CANCER REGISTRY (MCR), AND SHOW ME HEALTHY WOMEN (SMHW). INFORMED BY SURVEILLANCE AND EVALUATION DATA, THE MCCCP AND ITS COALITION DESIGN AND IMPLEMENT EVIDENCE-BASED INTERVENTIONS TO STATEWIDE AND TARGETED POPULATIONS/GEOGRAPHIC AREAS. THE PLANS AND INTERVENTIONS PROMOTE PREVENTION BEHAVIORS, INCREASE ACCESS TO CARE, AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. THE MCR CONTINUES ITS FIVE DECADES OF RECOGNIZED EXCELLENT SERVICE TO THE STATE AND NATION BY EXPANDING CAPACITY FOR ELECTRONIC REPORTING AND ASSURING NATIONAL REGISTRY STANDARDS FOR DATA QUALITY, COMPLETENESS, AND TIMELINESS. THE MISSOURI CANCER REGISTRY EARNED GOLD CERTIFICATION OVER THE LAST 15 YEARS FROM THE NORTH AMERICAN ASSOCIATION OF CENTRAL CANCER REGISTRIES AND WAS RECOGNIZED AS A CDC NATIONAL PROGRAM (NPCR) REGISTRY OF DISTINCTION IN 2020. THE SMHW, A STATEWIDE BREAST AND CERVICAL CANCER SCREENING PROGRAM, PROVIDES ACCESS TO NAVIGATION, SCREENING AND DIAGNOSTIC SERVICES AND ASSURES ACCESS TO QUALITY MEDICAL CARE FOR TREATMENT. THE DHSS’S ROBUST CAPACITY FOR EVALUATION IS MADE POSSIBLE BY MANY PARTNERS THAT CONTRIBUTE DATA AND COLLABORATE TO PRIORITIZE ACTIVITIES FOR MCCCP, MCR, AND SMHW. EVALUATION PROJECTS ARE DESIGNED TO SATISFY FUNDER REQUIREMENTS AND CONTRIBUTE DIRECTLY TO CONTINUOUS QUALITY IMPROVEMENT. AN EXPERIENCED LEADERSHIP TEAM BRINGS EXPERTISE IN CANCER PREVENTION, SCREENING, TREATMENT, SURVIVORSHIP, AND PUBLIC HEALTH PROGRAM MANAGEMENT TO SUPPORT PARTNERSHIP DEVELOPMENT AND OPERATIONS.

PS04-012, HIV PREVENTION PROJECTS

MISSOURI IMMUNIZATION PROGRAM

SCHOOL FOOD PROGRAMS

HOME INVESTMENT CPD

ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA ? RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B

TP12-1201 HPP AND PHEP COOPERATIVE AGREEMENTS

MISSOURI IMMUNIZATION PROGRAM

OVERDOSE DATA TO ACTION-STATES - ABSTRACT: MISSOURI’S EFFORTS UNDER THE OVERDOSE DATA TO ACTION (OD2A) COOPERATIVE AGREEMENT WILL ACHIEVE CDC’S DESIRED OUTCOMES RELATED TO ENHANCING MISSOURI’S ABILITY TO TRACK AND PREVENT NONFATAL AND FATAL OVERDOSES WHILE IDENTIFYING EMERGING THREATS. PROGRESS TOWARD THESE OUTCOMES WILL BE ACCOMPLISHED THROUGH OPIOID SURVEILLANCE ENHANCEMENTS, PREVENTION INTERVENTIONS TO INCREASE AWARENESS OF OPIOID MISUSE AND LINK INDIVIDUALS TO SUBSTANCE USE DISORDER TREATMENT, AND DISSEMINATION OF FINDINGS TO INFORM ONGOING INTERVENTIONS. MISSOURI’S PROPOSED ACTIVITIES HAVE BEEN DEVELOPED BASED ON AVAILABLE SURVEILLANCE DATA AND INCLUDE AN EMPHASIS ON SERVICES THAT CAN BE TAILORED TO ADDRESS THE NEEDS OF THE POPULATION OF FOCUS. MISSOURI’S ACTIVITIES WITHIN OD2A WILL ACHIEVE THE FOLLOWING OUTCOMES BY THE END OF THE PROJECT PERIOD: - STRATEGY 1 OUTCOMES: *MORE TIMELY, DETAILED, COMPREHENSIVE, AND ACTIONABLE SURVEILLANCE FOR NONFATAL OVERDOSES. *INCREASED DATA SHARING AND DATA AVAILABILITY. *INCREASED DATA DISSEMINATION. *EXPANDED USE OF DATA TO INFORM THE IMPLEMENTATION AND IMPROVEMENT OF PREVENTION AND RESPONSE EFFORTS, ESPECIALLY FOR GROUPS DISPROPORTIONATELY AFFECTED BY OVERDOSE. *CONTINUED OPERATIONAL CAPABILITIES FOR PERFORMANCE OF LABORATORY ANALYSIS OF FENTANYL SURVEILLANCE SAMPLES COLLECTED FROM OVERDOSE PATIENTS. - STRATEGY 2 OUTCOMES: *EXPANDED USE OF DATA TO INFORM THE IMPLEMENTATION AND IMPROVEMENT OF PREVENTION AND RESPONSE EFFORTS, ESPECIALLY FOR GROUPS DISPROPORTIONATELY AFFECTED BY OVERDOSE. - STRATEGY 3 OUTCOMES: *EXPANDED USE OF DATA TO INFORM THE IMPLEMENTATION AND IMPROVEMENT OF PREVENTION AND RESPONSE EFFORTS, ESPECIALLY FOR GROUPS DISPROPORTIONATELY AFFECTED BY OVERDOSE. - STRATEGY 4 OUTCOMES: *INCREASED COLLABORATION, COORDINATION, AND COMMUNICATION AMONG PARTNERS. *USING A VALIDATED METHOD, COLLECT AND PERFORM DEFINITIVE TOXICOLOGICAL ANALYSES ON SPECIMENS FROM OVERDOSE PATIENTS AROUND MISSOURI. PRIMARY TARGETS OF ANALYSIS WILL BE FENTANYL AND FENTANYL ANALOGS, WITH FLEXIBILITY TO ADD ADDITIONAL ANALYTES AS NEEDED. *DATA COLLECTED TO DETECT USAGE TRENDS THEREBY INCREASING EFFECTIVENESS OF BOTH PREVENTION AND TREATMENT STRATEGIES. *DATA USED TO CREATE DATA PRODUCTS TO BE EMPLOYED FOR EDUCATING PUBLIC, CAREGIVER, AND PREVENTION PARTNERS; DESIGNING FUTURE WORK PLANS AND STRATEGIES; AND RETROSPECTIVELY EVALUATING EXISTING STRATEGIES. - STRATEGY 5 OUTCOMES: *EXPANDED USE OF DATA TO INFORM THE IMPLEMENTATION AND IMPROVEMENT OF PREVENTION AND RESPONSE EFFORTS, ESPECIALLY FOR GROUPS DISPROPORTIONATELY AFFECTED BY OVERDOSE. *IMPROVED IDENTIFICATION OF FACTORS CONTRIBUTING TO OVERDOSE USING LINKED DATA SETS. - STRATEGY 6 OUTCOMES: *INCREASED CLINICIAN AWARENESS OF EVIDENCE-BASED PRACTICES FOR PAIN MANAGEMENT. *INCREASED CLINICIAN EXPERTISE AND CONFIDENCE TO PROVIDE EQUITABLE OUD AND STUD CARE. *INCREASED AND IMPROVED ACCESS TO PDMPS. *INCREASED USE OF NAVIGATORS TO LINK PWUD TO CARE AND SERVICES. *INCREASED LINKAGES TO CARE AND ENGAGEMENT IN CARE ACROSS VARIOUS SETTINGS. - STRATEGY 7 OUTCOMES: INCREASED AWARENESS OF THE DRUG OVERDOSE EPIDEMIC, HARM REDUCTION EFFORTS, AND EVIDENCE-BASED APPROACHES. *INCREASED AVAILABILITY OF AND DECREASED BARRIERS TO CARE/SERVICES, ESPECIALLY FOR THOSE DISPROPORTIONATELY AFFECTED BY OVERDOSE AND THOSE PREVIOUSLY UNDERSERVED BY OVERDOSE PREVENTION PROGRAMS AND THE HEALTHCARE SYSTEM. - STRATEGY 8 OUTCOMES: *INCREASED COLLABORATION, COORDINATION, AND COMMUNICATION AMONG PARTNERS. *INCREASED USE OF NAVIGATORS TO LINK PWUD TO CARE AND SERVICES. *INCREASED ACCESS TO HARM REDUCTION EDUCATION AND SERVICES, INCLUDING INCREASED DISTRIBUTION OF NALOXONE. * - STRATEGY 9 OUTCOMES: *INCREASED USE OF NAVIGATORS TO LINK PWUD TO CARE AND SERVICES

PREVENTIVE HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

NATIONAL AND STATE TOBACCO CONTROL PROGRAM

HIGH IMPACT HIV PREVENTION AND SURVEILLANCE PROGRAMS FOR HEALTH DEPARTMENTS, INCLUDING PROGRAMS TARGETING ENDING THE HIV EPIDEMIC - THIS IS MISSOURI’S PROPOSAL TO PROVIDE HIV SURVEILLANCE, PREVENTION, TESTING, AND LINKAGE TO CARE. 521 INDIVIDUALS WERE NEWLY DIAGNOSED WITH HIV IN 2022, 100 IN RURAL REGIONS. ACTIVITIES PROPOSED TO IDENTIFY PEOPLE WITH HIV AND TO REDUCE NEW INFECTIONS INCLUDE HEALTH CARE AND NON-HEALTH CARE HIV TESTING, CONDOM DISTRIBUTION, RISK REDUCTION ACTIVITIES, INCREASED PREP ACCESS AND SOCIAL MARKETING. FOR HIV PREVENTION, MISSOURI WILL PARTNER WITH SEVERAL EXISTING REGIONAL CONTRACTORS. AS PART OF ENDING THE HIV EFFORTS, MISSOURI WILL INCREASE THE NUMBER OF TESTS PROVIDED BY ITS EXISTING HEALTH CARE TESTING PROGRAM AND EXPAND THE PROGRAM INTO AN ADDITIONAL REGION OF THE STATE. MISSOURI WILL ALSO CONTINUE FUNDING THREE PREP CLINICS IN RURAL PREP DESERTS AND ADD A PREP PROGRAM WITH A LOCAL PUBLIC HEALTH ORGANIZATION THAT ALSO PROVIDES HIV PREVENTION AND TESTING, RYAN WHITE CASE MANAGEMENT, AND DISEASE INTERVENTION PARTNER SERVICES, COMPLETING TRUE STATUS NEUTRAL SERVICES IN THE REGION. FINALLY, THE STATE WILL ACTIVELY SEEK OUT PARTNERSHIPS WITH NEW, NONTRADITIONAL PARTNERS IN THE KANSAS CITY AND ST. LOUIS REGIONS IN AN EFFORT TO REACH POPULATIONS THAT HAVE HISTORICALLY BEEN DISPROPORTIONATELY IMPACTED BY HIV AND UNDERSERVED BY PREVENTION AND TESTING EFFORTS.

MISSOURI COLLABORATIVE FOA

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MO PROGRAMS FUNDED THROUGH: COMPREHENSIVE CANCER, CANCER REGISTRY

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

FY 2009 SSBG/DIS SOCIAL SERVICES EMERGENCY

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MATERNAL AND CHILD HEALTH SERVICES

MEDICARE ENTITLEMENT FOR MISSOURI - FY 2018

MEDICARE ENTITLEMENT FOR MISSOURI - FY 2017

COMPREHENSIVE STD PREVETION SYSTEMS (CSPS)

FY2026 (OACM) OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS - OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS

MISSOURI PUBLIC HEALTH CRISIS RESPONSE

FY2024 (OASS) OLDER AMERICANS ACT TITLE III - SUPPORTIVE SERVICES

MATERNAL AND CHILD HEALTH SERVICES

DIABETES AND HEART DISEASE & STROKE PREVENT PROGRAMS-IMPROVING THE HEALTH OF AMERICANS THROUGH PREVENTION AND MANAGEMENT OF DIABETES AND HEART DISEASE AND STROKE

RYAN WHITE PART B SUPPLEMENTAL

PS20-2010: INTEGRATED HIV PROGRAMS FOR HEALTH DEPARTMENTS TO SUPPORT ENDING THE HIV EPIDEMIC IN THE UNITED STATES

HDC3-2020

MISSOURI HOSPITAL PREPAREDNESS PROGRAM COOPERATIVE AGREEMENT

OAHD-2021

FY2024 (OAHD) OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS

FY2025 (OASS) OLDER AMERICANS ACT TITLE III - SUPPORTIVE SERVICES - OLDER AMERICANS ACT TITLE III - SUPPORTIVE SERVICES

2009 TITLE III

2010 TITLE III

2012 TITLE III

2011 TITLE III

OAHD-2020

2008 TITLE III

OACM-2023

SSC6-2021

2013 TITLE III

HDC6-2021

OASS-2019

OASS-2022

OASS-2023

OASS-2021

FY2026 (OACM) OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS - OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS

OACM-2020

2017 TITLE III - SUPPORTIVE SERVICES

FY2025 (OAHD) OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS - OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS

2015 TITLE III - SUPPORTIVE SERVICES

FY2025 (OACM) OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS - OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS

OAHD-2021

WIC GRANTS TO STATES (WGS)

FY2025 (OAHD) OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS - OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS

HDC6-2021

2018 TITLE III - SUPPORTIVE SERVICES

PREVENTIVE HEALTH SERVICES

OASS-2020

2016 TITLE III - SUPPORTIVE SERVICES

2008 U3R HOSPITAL PREPARDNESS

FY2026 (OASS) OLDER AMERICANS ACT TITLE III - SUPPORTIVE SERVICES - OLDER AMERICANS ACT TITLE III - SUPPORTIVE SERVICES

OAHD-2023

CK-24-0002 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR PREVENTION AND CONTROL OF EMERGING INFECTIOUS DISEASES (ELC) - THIS IS NOT REQUIRED PER ELC CAMP.

HDC3-2020

2014 TITLE III - SUPPORTIVE SERVICES

FY2024 (OAHD) OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS

MEDICAID ENTITLEMENT FOR MISSOURI - FY 2019

SHIP COVID TESTING AND MITIGATION

MO PROGRAMS FUNDED THROUGH: COMPREHENSIVE CANCER, CANCER REGISTRY

OAHD-2022

2014 TITLE III - HOME-DELIVERED MEALS

STRENGTHENING VACCINE-PREVENTABLE DISEASE PREVENTION AND RESPONSE - THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) SEEKS FUNDING UNDER THE "STRENGTHENING VACCINE-PREVENTABLE DISEASE PREVENTION AND RESPONSE" NOTICE OF FUNDING OPPORTUNITY (NOFO) TO ENHANCE VACCINE ACCESS, ADDRESS VACCINE MISINFORMATION, AND BUILD PUBLIC CONFIDENCE IN IMMUNIZATIONS ACROSS THE STATE. THIS INITIATIVE ALIGNS WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S (CDC) OBJECTIVES BY IMPLEMENTING EVIDENCE-BASED STRATEGIES TO STRENGTHEN IMMUNIZATION INFRASTRUCTURE, PROMOTE VACCINATION IN AREAS WITH LOW VACCINATION RATES, AND IMPROVE PREPAREDNESS FOR OUTBREAK RESPONSE. BY LEVERAGING STRATEGIC PARTNERSHIPS, DATA-DRIVEN APPROACHES, AND COMMUNITY ENGAGEMENT, THIS PROJECT AIMS TO ACHIEVE MEASURABLE OUTCOMES, INCLUDING INCREASED VACCINATION RATES, REDUCED BARRIERS IN VACCINE ACCESS, AND ENHANCED PUBLIC HEALTH SYSTEMS. THE PROPOSED INITIATIVE WILL EXPAND VACCINE PROVIDER NETWORKS, STRENGTHEN COLLABORATIONS WITH TRUSTED COMMUNITY MESSENGERS, AND COMBAT VACCINE HESITANCY AND MISINFORMATION. FUNDED THROUGH THE CDC COOPERATIVE AGREEMENT (25-0007), THIS FIVE-YEAR INITIATIVE TARGETS CRITICAL AREAS SUCH AS IMMUNIZATION ACCESS, AND DEMAND. IT ALSO ADDRESSES GAPS IN VACCINE ACCESS EXACERBATED BY THE COVID-19 PANDEMIC. KEY OBJECTIVES INCLUDE IMPROVING VACCINATION COVERAGE THROUGH TARGETED INTERVENTIONS, ENHANCING THE STATE’S IMMUNIZATION INFORMATION SYSTEMS (IIS), AND BUILDING CAPACITY FOR RAPID RESPONSES TO PUBLIC HEALTH EMERGENCIES. LOCAL DATA WILL GUIDE EFFORTS TO IDENTIFY AND ADDRESS GAPS IN VACCINE COVERAGE WHILE FOCUSING ON UNDERSERVED AND HIGH-RISK POPULATIONS. THIS INITIATIVE ALIGNS WITH NATIONAL PUBLIC HEALTH PRIORITIES TO PROMOTE ACCESS TO LIFE-SAVING VACCINES AND PROTECT COMMUNITIES FROM VACCINE-PREVENTABLE DISEASES. THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES IS COMMITTED TO STRENGTHENING VACCINE CONFIDENCE AND ADDRESSING DIFFERENCES IN HEALTH OUTCOMES. THROUGH COLLABORATION, INNOVATION, AND EVIDENCE-BASED STRATEGIES, THIS PROJECT WILL EMPOWER MISSOURI TO BUILD A MORE RESILIENT PUBLIC HEALTH INFRASTRUCTURE AND SAFEGUARD THE HEALTH OF ALL MISSOURIANS.

MEDICAID ENTITLEMENT FOR MISSOURI - FY 2018

OACM-2023

OACM-2022

2018 TITLE III - CONGREGATE MEALS

DIABETES AND HEART DISEASE & STROKE PREVENT PROGRAMS-INNOVATIVE STATE AND LOCAL PUBLIC HEALTH STRATEGIES TO PREVENT AND MANAGE DIABETES AND HEART DISEASE AND STROKE

FY2026 (OAHD) OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS - OLDER AMERICANS ACT TITLE III - HOME-DELIVERED MEALS

FY2024 (OACM) OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS

2017 TITLE III - CONGREGATE MEALS

OACM-2019

ACTIONS TO PREVENT CHRONIC DISEASE & CONTROL RISK FACTOR

OAHD-2023

COMPREHENSIVE HIV PREVENTION PROJECT FOR HEALTH DEPTS

2016 TITLE III - HOME-DELIVERED MEALS

FY2025 (OACM) OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS - OLDER AMERICANS ACT TITLE III - CONGREGATE MEALS

2018 TITLE III - HOME-DELIVERED MEALS

SSC6-2021

OAHD-2022