Fairview Health Services

REGIONAL EMERGING SPECIAL PATHOGENS TREATMENT CENTER (RESPTC) - PART A, HHS REGION V - THE JOINT CLINICAL ENTERPRISE KNOWN PUBLICLY AS M HEALTH FAIRVIEW INTEGRATES CLINICAL SERVICES PROVIDED BY FAIRVIEW HEALTH SERVICES, UNIVERSITY OF MINNESOTA PHYSICIANS, AND THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL. UNDER THE BANNER OF M HEALTH FAIRVIEW, FAIRVIEW HEALTH SERVICES OWNS AND OPERATES ITS FLAGSHIP HOSPITAL: THE UNIVERSITY OF MINNESOTA MEDICAL CENTER (UMMC). UMMC HAS WORKED COLLABORATIVELY WITH THE MINNESOTA DEPARTMENT OF HEALTH (MDH) IN SPECIAL PATHOGEN PREPAREDNESS AND RESPONSE SINCE 2014, AND, AS A SUBGRANTEE TO MDH, HAS OPERATED THE HHS REGION V REGIONAL EMERGING SPECIAL PATHOGENS TREATMENT CENTER (RESPTC) SINCE 2015-16. WITH PASS-THROUGH FEDERAL FUNDING, UMMC REMAINS PREPARED TO ACCEPT AND CARE FOR A PATIENT WITH A SPECIAL PATHOGEN OR EMERGING PATHOGEN IN ITS SPECIAL PATHOGENS UNIT (SPU): IT EXPANDED ITS SPU UNIT CAPACITY FROM ONE HIGH-LEVEL ISOLATION ROOM (2014) TO TWO HIGH-LEVEL ISOLATION ROOMS (2022), AND RENOVATED AN ADJACENT HOSPITAL UNIT INTO A 10-BED INTENSIVE CARE UNIT (ICU) WITH EACH ROOM HAVING AIRBORNE ISOLATION WITH NEGATIVE PRESSURE AIRFLOW. AS ONE OF TEN EXISTING RESPTCS IN THE COUNTRY, THE PURPOSE OF THIS COOPERATIVE AGREEMENT IS FOR UMMC TO ACT AS THE LEADING REGIONAL PROVIDER OF CARE AND TREATMENT FOR SPECIAL PATHOGEN PATIENTS IN THE HEALTH AND HUMAN SERVICES DEPARTMENT (HHS) REGION V. PROJECT OUTCOMES AND ACTIVITIES ARE DESIGNED: (1) TO SUSTAIN AND IMPROVE HEALTH CARE SYSTEM PREPAREDNESS FOR EMERGING SPECIAL PATHOGENS THROUGH IMPLEMENTATION OF THE NATIONAL SPECIAL PATHOGEN SYSTEM OF CARE STRATEGY (NSPS OF CARE STRATEGY), AND (2) TO EXPAND THE REGIONAL HOSPITAL NETWORK SERVING AS PART OF THE NSPS. AS THE REGION V DESIGNATED RESPTC THE UMMC SPECIAL PATHOGENS UNIT (SPU) WILL CONTINUE TO BE A RESOURCE FOR PATIENT CARE AND CLINICAL OPERATIONS AMONG THE REGION’S HEALTH CARE ORGANIZATIONS, AND FUNCTION TO MITIGATE SURGES OF PATIENTS AT HEALTH CARE FACILITIES THROUGH SUPPORTING PATIENT DISTRIBUTION ACROSS THE REGION. PROJECT ACTIVITIES WILL DRIVE TOWARD ACHIEVING THE PROJECT OUTCOMES BELOW: - STANDARDS AND GUIDANCE: SERVE AS REGIONAL LEADER IN DEVELOPING, DISSEMINATING, AND MAINTAINING STANDARDS, GUIDANCE, AND PROMISING PRACTICES FOR HIGH-QUALITY, COORDINATED SPECIAL PATHOGEN CARE AND FOR DECISION-MAKING DURING A SPECIAL PATHOGEN OUTBREAK. - BUILDING RESEARCH CAPABILITY AND CAPACITY: BUILD CAPACITY FOR THE NSPS TO ACCELERATE SPECIAL PATHOGEN RESEARCH, SERVING AS A REGIONAL HUB TO CONDUCT, PARTICIPATE IN, AND SHARE INSIGHTS RELATED TO SPECIAL PATHOGEN AND CLINICAL TRIAL RESEARCH. - WORKFORCE AND TRAINING: MAINTAIN A TRAINED, DIVERSE, AND SPECIALIZED WORKFORCE ACROSS THE REGION AND THE NSPS, SERVE AS REGIONAL LEADERS IN PROVIDING SPECIAL PATHOGEN TRAININGS, EXPLORE INNOVATIVE AND FLEXIBLE HEALTH CARE WORKFORCE SOLUTIONS, AND SHARE RESOURCES AND PROMISING PRACTICE TO DEVELOP AND MAINTAIN WORKFORCE CAPABILITY TO RESPOND TO SPECIAL PATHOGEN SURGE EVENTS. - SUPPORT FOR SAFE PATIENT CARE DELIVERY: ENABLE ACCESS TO HIGH-QUALITY, EQUITABLE CARE FOR PATIENTS INFECTED BY A SPECIAL PATHOGEN ACROSS THE REGION AND THE NSPS BY BUILDING EFFECTIVE CLINICAL, LOAD-BALANCING, AND PATIENT MOVEMENT CAPABILITIES THAT CAN FLEX TO MEET DEMANDS IN A SURGE EVENT. - COMMUNICATION AND COORDINATION: BUILD PARTNERSHIPS WITH A MULTIPLICITY OF STAKEHOLDERS TO COORDINATE CARE DELIVERY, DISSEMINATE INFORMATION, EDUCATION, RESOURCES, AND OTHER SUPPORT ACROSS THE NSPS, AND STRENGTHEN COMMUNICATION WITHIN THE REGION, THE NSPS, AND WITH THE PUBLIC. - MONITORING AND EVALUATION: CONTINUOUSLY MONITOR PERFORMANCE TO MAINTAIN HIGH-QUALITY AND SEAMLESS OPERATIONS, EVALUATE READINESS, AND DRIVE INFORMED DECISION-MAKING WITHIN THE REGION AND ACROSS THE NSPS.

ELIMINATING PREVENTABLE PERINATAL INJURIES AND REDUCING MALPRACTICE CLAIMS AND CO

GRAND ITASCA CLINIC & HOSPITAL EMERGENCY DEPARTMENT RENOVATION AND EXPANSION - GRAND ITASCA CLINIC & HOSPITAL (GICH), PART OF FAIRVIEW HEALTH SERVICES, IS REQUESTING SUPPORT FOR THE CRITICAL RENOVATION AND EXPANSION OF ITS EMERGENCY DEPARTMENT AND RELATED CLINICAL SUPPORT AREAS. LOCATED IN GRAND RAPIDS, MINNESOTA, GICH SERVES AS A VITAL RURAL ACCESS POINT FOR EMERGENCY, INPATIENT, OUTPATIENT, AND SPECIALTY CARE ACROSS GREATER ITASCA COUNTY AND SURROUNDING COMMUNITIES. THE PROPOSED RENOVATION WILL OPTIMIZE EXISTING SPACE, EXPAND THE EMERGENCY DEPARTMENT BY THREE ROOMS, AND REDESIGN CARE AREAS TO BETTER SUPPORT MEDICAL, SURGICAL, TRAUMA, INFECTIOUS DISEASE, AND BEHAVIORAL HEALTH NEEDS. THIS PROJECT IS A CRITICAL INVESTMENT IN RURAL HEALTH INFRASTRUCTURE. IT WILL IMPROVE ACCESS, SAFETY, BEHAVIORAL HEALTH CRISIS CARE, INFECTIOUS DISEASE READINESS, PATIENT FLOW, PRIVACY, AND OPERATIONAL EFFICIENCY WHILE ALIGNING WITH HRSA GOALS TO STRENGTHEN RURAL HEALTH SYSTEMS AND EMERGENCY PREPAREDNESS.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

FAIRVIEW?S MENTAL HEALTH & ADDICTION TRANSITION CLINIC (TRANSITION CLINIC) - FAIRVIEW HEALTH SERVICES (FAIRVIEW) WILL ENHANCE THE BREADTH AND DEPTH OF MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES IN GREATER MINNESOTA BY EXPANDING CLINICAL RESOURCES AND INFRASTRUCTURE, STAFFING, AND CAPACITY AT FAIRVIEW’S MENTAL HEALTH & ADDICTION TRANSITION CLINIC (TRANSITION CLINIC) AND TWO RURAL SATELLITE CLINIC SITES IN ITASCA AND SHERBURNE COUNTIES. TO ADDRESS BARRIERS INDIVIDUALS SEEKING MENTAL HEALTH AND SUD SERVICES FACE, THE TRANSITION CLINIC FACILITATES SAME-DAY ACCESS TO BRIDGING SERVICES—BRIEF PSYCHOTHERAPY, PSYCHIATRY, AND CARE MANAGEMENT—FOR INDIVIDUALS (5 AND OVER) WHO NEED NEXT-LEVEL MENTAL HEALTH AND ADDICTION SERVICES AFTER A HOSPITAL OR EMERGENCY DEPARTMENT (ED) DISCHARGE. THE TRANSITION CLINIC OPENED IN 2021. CO-LOCATED IN FAIRVIEW’S COMMUNITY HEALTH AND WELLNESS HUB, AT THE FORMER ST. JOSEPH’S HOSPITAL SITE IN DOWNTOWN ST. PAUL, THE TRANSITION CLINIC IS STAFFED BY LICENSED MENTAL HEALTH PROFESSIONALS (7 FTE) AND COORDINATION STAFF (2.4 FTE). AS A MENTAL HEALTH PROVIDER SHORTAGE COVERS NEARLY THREE-QUARTERS OF THE STATE (HRSA; 2022), MINNESOTANS FACE GAPS IN EMERGENCY AND LONG-TERM MENTAL HEALTH CARE; THE TRANSITION CLINIC SEEKS TO FILL THESE GAPS. NON-URBAN COMMUNITIES IN MINNESOTA EXPERIENCE LIMITED ACCESS TO MENTAL HEATH AND SUD SERVICES FOR MYRIAD REASONS, SUCH AS GEOGRAPHICALLY CONSTRAINED BROADBAND SERVICE, REDUCED REGIONAL TRANSPORTATION, AND FEWER PRIMARY CARE SITES WITH INTEGRATED BEHAVIORAL HEALTH SERVICES. FEDERAL APPROPRIATIONS WILL SUPPORT FAIRVIEW TO EXTEND AND ENHANCE ITS INTEGRATED BEHAVIORAL HEALTH SERVICES BY: - ADDING TELEHEALTH HUBS NO FEWER THAN TWO SITES IN GREATER MINNESOTA; - ENHANCE ELECTRONIC HEALTH RECORDS CAPABILITIES RELATED TO MENTAL HEALTH SERVICES AND SUD; - INCREASING APPOINTMENT OPPORTUNITIES; - EXTENDING BIRTH TO 5 SERVICES; - IMPLEMENTING BROADER CHEMICAL DEPENDENCY SERVICES AND RESOURCES INCLUDING GROUP, MARRIAGE AND FAMILY THERAPY; - INCORPORATING PEER SUPPORT SPECIALISTS INTO CLINICAL PRACTICE TEAM; - TRAINING STAFF IN MODALITIES RELATED TO YOUNGER POPULATIONS AND CHEMICAL DEPENDENCY. TOGETHER, THESE EFFORTS WILL INCREASE MENTAL HEALTH APPOINTMENTS BY 30%, INCREASE STAFF EARLY INTERVENTION COMPETENCIES, INCREASE ORGANIZATIONAL CAPACITY TO ADDRESS CO-OCCURRING ILLNESSES INCLUSIVE OF SUD AND TREAT 5,150 INDIVIDUALS AND THEIR FAMILIES WHO OTHERWISE WOULD NOT HAVE ACCESS TO MENTAL HEALTH SERVICES.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

** AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** FAIRVIEW HEALTH SERVICES PROPOSES TO OPEN TWO NEW VEGGIERX SITES AT LOW-INCOME COMMUNITIES IN MINNEAPOLIS AND SAINT PAUL THAT HAVE HIGH CULTURAL AND RACIAL DIVERSITY AND INDIVIDUALS WITH FOOD INSECURITY AND DIET-RELATED CHRONIC CONDITIONS. THE TWO HEALTHCARE SITES WILL EACH ENROLL 18 PARTICIPANTS PER SEASON, FOR A TOTAL OF 108 PARTICIPANTS OVER THREE YEARS. TARGETED PARTICIPANTS EXPERIENCE FOOD INSECURITY AND DIET-RELATED DISEASE AND ARE MEMBERS OF UNDERREPRESENTED POPULATIONS. VEGGIERX WILL PROVIDE THEM WITH COMMUNITY-SUPPORTED AGRICULTURE (CSA) BOXES WEEKLY FOR ~24 WEEKS (GROWING SEASON IN MINNESOTA). THE GROWERS WILL BE LOCAL SOMALI/EAST AFRICAN, HMONG, AND LATINO FARMERS WHO WILL PROVIDE CULTURALLY APPROPRIATE PRODUCE TO THE PARTICIPANTS. THE OBJECTIVES ARE TO SHOW THAT PARTICIPANTS (1) FIND THE FOOD TO BE CULTURALLY APPROPRIATE AND SUFFICIENT TO PREVENT HUNGER, (2) INCREASE THEIR FRUIT AND VEGETABLE CONSUMPTION, (3) IMPROVE THEIR HEALTH, AND (4) REDUCE THEIR UTILIZATION OF HEALTHCARE. TO FURTHER REDUCE FOOD INSECURITY, A FOOD RESOURCE NAVIGATOR WILL ASSIST PARTICIPANTS IN APPLYING FOR GOVERNMENT FOOD PROGRAMS AND WILL CONNECT THEM TO COMMUNITY RESOURCES AS APPROPRIATE. THE PROGRAM WILL PROVIDE VIRTUAL COOKING DEMONSTRATIONS, A WEEKLY NEWSLETTER WITH RECIPES, EDUCATIONAL HANDOUTS, AND A FARM TOUR AND COMMUNITY MEAL. VEGGIERX ADDRESSES THE GUSNIP GOALS OF IMPROVING DIETARY HEALTH THROUGH INCREASED CONSUMPTION OF FRUITS AND VEGETABLES, REDUCING FOOD INSECURITY, AND REDUCING HEALTHCARE COSTS. THE PROJECT TEAM WILL EVALUATE IMPACT WITH SPECIAL ATTENTION TO THE BENEFITS OF PROVIDING CULTURALLY APPROPRIATE FOODS AND COUPLING THE FOOD DISTRIBUTION WITH RESOURCE NAVIGATION AND NUTRITION EDUCATION.

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES