Big Springs Medical Association

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-MAT (HRSA-22-165) BIG SPRINGS MEDICAL ASSOCIATION, INC., D/B/A MISSOURI HIGHLANDS HEALTH CARE P.O. BOX 157 ELLINGTON, MO 63638-157 KAREN WHITE, CHIEF EXECUTIVE OFFICER 573-663-2313 (PHONE), 573-663-2441 (FAX) EMAIL ADDRESS: KWHITE@MOHIGH.ORG WEB SITE: WWW.MOHIGH.ORG U.S. CONGRESSIONAL DISTRICTS: MISSOURI-008 FUNDING REQUEST: $1,000,000/YEAR FOR 3 YEARS HISTORY, COMMUNITY AND TARGET POPULATION: BIG SPRINGS MEDICAL ASSOCIATION, INC., D/B/A MISSOURI HIGHLANDS HEALTH CARE (MHHC), HAS A SUBSTANTIAL ADDICTION MEDICINE PROGRAM, PROVIDING MEDICATION ASSISTED TREATMENT (MAT) SERVICES FOR 777 UNDUPLICATED PATIENTS IN 2021. THROUGH THIS PROJECT, MHHC WILL ADD EIGHT NEW MAT ACCESS POINTS, INCLUDING AT CORRECTIONAL FACILITIES IN EACH OF THE SEVEN SERVICE AREA COUNTIES, AS WELL AS A MOBILE MAT UNIT. THESE NEW MAT ACCESS POINTS BRING MAT SERVICES TO AREAS WITHOUT ACCESS AND CONNECT CRITICAL MAT INITIATION SERVICES WITH CORRECTIONAL FACILITIES AND INCARCERATED PERSONS EXPERIENCING OPIOID USE DISORDER AND ALCOHOL USE DISORDER. THE TARGET RURAL AREA FOR THE PROJECT INCLUDES THE FOLLOWING SEVEN COUNTIES IN SOUTHEAST MISSOURI: BUTLER, CARTER, IRON, REYNOLDS, RIPLEY, SHANNON, AND WAYNE. THESE COUNTIES ARE ALL RURAL WITH A SIGNIFICANT PORTION OF THE AREA CONSIDERED FRONTIER AND REMOTE AREA LEVEL 4—INDICATING THE HIGHEST LEVEL OF REMOTENESS. RESIDENTS FACE SIGNIFICANT BARRIERS INCLUDING HIGH RATES OF POVERTY AND LOW-INCOME PERSONS, GEOGRAPHIC/TRANSPORTATION BARRIERS, LACK OF AVAILABLE PROVIDERS, AND LOW EDUCATIONAL ATTAINMENT. ACCORDING TO U.S. CENSUS DATA, 100,236 PEOPLE RESIDE IN MHHC’S SERVICE AREA COUNTIES, OF WHOM 23.3% LIVE IN POVERTY, AND 48.8% ARE LOW-INCOME. COMPARATIVELY, 13.7% OF MISSOURI RESIDENTS LIVE IN POVERTY AND 13.4% OF UNITED STATES RESIDENTS LIVE IN POVERTY, INDICATING THE SERVICE AREA HAS ALMOST DOUBLE THE PERCENTAGE OF PEOPLE LIVING IN POVERTY. THE SERVICE AREA ALSO HAS SUBSTANTIALLY HIG H RATES OF LOW-INCOME PERSONS, 48.8%, COMPARED TO 32.1% IN MISSOURI AND 30.9% IN THE UNITED STATES. THE PROPOSED PROJECT EXPANDS THE NUMBER OF MAT ACCESS POINTS IN HIGH-RISK, RURAL SOUTHEAST MISSOURI. KEY PARTNERS IN THE RCORP-MAT PROJECT INCLUDE: BUTLER COUNTY SHERIFF’S DEPARTMENT, CARTER COUNTY SHERIFF’S DEPARTMENT, IRON COUNTY SHERIFF’S DEPARTMENT, PIEDMONT POLICE DEPARTMENT (CORRECTIONAL FACILITY FOR WAYNE COUNTY), REYNOLDS COUNTY SHERIFF’S DEPARTMENT, RIPLEY COUNTY SHERIFF’S DEPARTMENT, SHANNON COUNTY SHERIFF’S DEPARTMENT, PIEDMONT FAMILY PHARMACY, AND KEY DRUGS PHARMACY. MHHC AND THE AFOREMENTIONED PARTNERS ARE POISED AND READY TO IMPLEMENT STRATEGIES AND ACTIVITIES TO ADDRESS THE FOLLOWING PROJECT GOALS: - GOAL 1: ESTABLISH NEW MAT ACCESS POINTS TO PROVIDE BOTH MEDICATIONS AND SUPPORTIVE SERVICES TO INDIVIDUALS WITH OUD AND/OR AUD IN RURAL COMMUNITIES; - GOAL 2: ENHANCE THE MAT WORKFORCE THROUGH RECRUITMENT, TRAINING, AND THE DEVELOPMENT OF PEER MENTORSHIP NETWORKS; - GOAL 3: BUILD COMMUNITY CAPACITY AND INFRASTRUCTURE TO SUPPORT MORE EFFECTIVE AND EFFICIENT MAT SERVICE PROVISION; AND, - GOAL 4: ENSURE SUSTAINABILITY OF THE NEW MAT ACCESS POINTS THROUGH IMPROVED BILLING AND CODING, AS WELL AS ENROLLMENT OF ELIGIBLE INDIVIDUALS INTO HEALTH INSURANCE.

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - ABSTRACT 1. SOUTHEAST MISSOURI OUD/SUD TASKFORCE (SEMOT), RCORP BHS (HRSA-22-061) 2. FUNDING REQUEST: $500,000/YEAR FOR FOUR YEARS 3. BIG SPRINGS MEDICAL ASSOCIATION, INC., D/B/A MISSOURI HIGHLAND HEALTH CARE (MHHC) 4. ADDRESS: P. O. BOX 157, ELLINGTON, MISSOURI 63638-157 WWW.MOHIGH.ORG 5. FEDERALLY QUALIFIED HEALTH CENTER; KAREN WHITE, CHIEF EXECUTIVE OFFICER, MHHC 6.-9. PROJECT DIRECTOR: LISA MARTIN, 573-712-0401 (PHONE), LISAMARTIN@MOHIGH.ORG; DATA COORDINATOR: AMY CRAFTON, QUALITY COORDINATOR (PHONE), 573-663-2441, ACRAFTON@MOHIGH.ORG. 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8: NO 11. LEARNED OF FUNDING OPPORTUNITY FROM THE STATE OFFICE OF RURAL HEALTH. 12. NUMBER OF AND LIST OF CONSORTIUM MEMBERS: 22—MISSOURI HIGHLANDS HEALTH CARE (FEDERALLY QUALIFIED HEALTH CENTER), HEALTH DEPARTMENTS FOR EACH OF THE SEVEN COUNTIES, 42ND JUDICIAL CIRCUIT COURT (REYNOLDS COUNTY), SOUTHEAST MISSOURI (SEMO) BEHAVIORAL HEALTH, WHOLE HEALTH OUTREACH AND WHOLE KIDS OUTREACH (FAITH-BASED NON-PROFITS), SOUTH CENTRAL MISSOURI COMMUNITY ACTION AGENCY, POPLAR BLUFF REGIONAL MEDICAL CENTER (HOSPITAL), IRON COUNTY MEDICAL CENTER (CRITICAL ACCESS HOSPITAL), CARTER COUNTY SHERIFF’S DEPARTMENT, SHANNON COUNTY SHERIFF’S DEPARTMENT, LESTERVILLE R-IV SCHOOL DISTRICT, VAN BUREN R-I SCHOOL DISTRICT, CLARKS MOUNTAIN NURSING CENTER AND ROCK POINT NURSING CENTER (LONG-TERM CARE FACILITIES), AND WAYNE COUNTY SOCIAL SERVICES. 13. APPLICANT ORGANIZATION RECIPIENT OF HRSA-19-082, RCORP-IMPLEMENTATION AND HRSA-18-116, RCORP-PLANNING 14. APPLICANT IS NOT APPLYING FOR FY22 RCORP-IMPLEMENTATION 15. ARE THERE TARGET SERVICE AREA OVERLAPS: YES, WITH THE DELTA REGIONAL AUTHORITY 16.-17. RCORP-BHS TARGET SERVICE AREA AND TARGET POPULATION: AREAS SERVED BY THE PROJECT INCLUDE THE FOLLOWING HRSA-DESIGNATED FULLY RURAL MISSOURI COUNTIES (100% RURAL DESIGNATION IN ALL COUNTIES PER THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER, WITH NO EXCEPTION REQUESTS): BUTLER, CARTER , IRON, REYNOLDS, RIPLEY, SHANNON, AND WAYNE COUNTIES. TOTAL POPULATION IN THESE COUNTIES IS 100,236, OF WHOM 0.6% OR 558 RESIDENTS REPORT NATIVE AMERICAN/ALASKA NATIVE RACE. TARGET POPULATION INCLUDES INDIVIDUALS DIAGNOSED OR AT-RISK FOR SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS, INDIVIDUALS IN TREATMENT OR RECOVERY FOR SUD/OUD AND/OR OTHER CO-OCCURRING MENTAL DISORDERS, THEIR FAMILIES AND/OR CAREGIVERS AND THE IMPACTED RURAL COMMUNITY. PROGRAM FOCUS: SEMOT’S FOCUS FOR RCORP-BHS WILL BE: 1) ADDRESS STRUCTURAL- AND SYSTEMS-LEVEL BARRIERS TO IMPROVE RURAL RESIDENTS’ ACCESS TO QUALITY, INTEGRATED SUD AND OTHER BEHAVIORAL HEALTH CARE SERVICES. THIS INCLUDES IMPROVING TRANSPORTATION, ADDING HOME DELIVERY OF MAT MEDICATIONS, AND IMPROVING BROAD BAND INTERNET ACCESS. 2) IMPROVE THE QUALITY AND SUSTAINABILITY OF RURAL BEHAVIORAL HEALTH CARE SERVICES THROUGH SUPPORTING RURAL HEALTH CARE PROVIDERS TO OFFER COORDINATED, EVIDENCE-BASED, TRAUMA-INFORMED OUD/SUD AND OTHER BEHAVIORAL HEALTH CARE SERVICES. DEVELOP AND IMPLEMENT A BRIDGE PROGRAM, ENGAGING CLIENTS IN CARE COORDINATION (EPICC) TO CONNECT HOSPITAL PATIENTS OR PERSONS AT RISK OF OR EXPERIENCING OUD TO EVIDENCE-BASED SUBSTANCE USE TREATMENT AND GRASSROOTS RECOVERY SUPPORT. PROVIDE EVIDENCE-BASED TRAINING FOR CONSORTIUM MEMBERS ON TRAUMA-INFORMED (ADVERSE CHILDHOOD EXPERIENCES), DE-ESCALATION, NATIONAL HEALTH SERVICE CORP, AND REIMBURSEMENT OPTIMIZATION FOR IMPROVED SUSTAINABILITY. CREATE A PIPELINE OF BEHAVIORAL HEALTH STAFF WITH SCHOOLS. 3) IMPROVE THE CAPACITY OF THE BEHAVIORAL HEALTH CARE SYSTEM TO ADDRESS RURAL COMMUNITY RISK FACTORS AND SOCIAL DETERMINANTS OF HEALTH (SDOH). THIS INCLUDES INCORPORATING TRAUMA INFORMED CARE TOOLS (ACES) AND UTILIZING THE PROTOCOL FOR RESPONDING TO & ASSESSING PATIENTS’ ASSETS, RISKS & EXPERIENCES (PRAPARE) TOOL TO ASSESS IMPACTS OF THE SDOH AND CONNECT WITH RESOURCES. SEMOT WILL ALSO EXPAND MENTAL HEALTH LITERACY BY INCORPO

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

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

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FISCAL YEAR 2025 EXPANDED HOURS. - EXPANDED HOURS (HRSA-25-084) BIG SPRINGS MEDICAL ASSOCIATION, INC., D/B/A MISSOURI HIGHLANDS HEALTH CARE P.O. BOX 157 ELLINGTON, MO 63638-157 KAREN WHITE, CHIEF EXECUTIVE OFFICER 573-663-2313 (PHONE), 573-663-2441 (FAX) EMAIL ADDRESS: KWHITE@MOHIGH.ORG WEB SITE: WWW.MOHIGH.ORG U.S. CONGRESSIONAL DISTRICTS: MISSOURI-008 FUNDING REQUEST: $500,000/YEAR FOR TWO YEARS HISTORY, COMMUNITY AND TARGET POPULATION: BIG SPRINGS MEDICAL ASSOCIATION, INC., D/B/A MISSOURI HIGHLANDS HEALTH CARE (MHHC), HAS PROVIDED CARE FOR THE UNDERSERVED FOR OVER 40 YEARS. MHHC’S SERVICE AREA INCLUDES THE FOLLOWING SEVEN COUNTIES IN SOUTHEAST MISSOURI: BUTLER, CARTER, IRON, REYNOLDS, RIPLEY, SHANNON, AND WAYNE. BECAUSE OF HOSPITAL CLOSURES IN THE SERVICE AREA, IN MANY COUNTIES MHHC IS THE MAIN PROVIDER OF HEALTH CARE SERVICES. THROUGH THIS EXPANDED HOURS GRANT, MHHC PROPOSES TO INCREASE THE HOURS OF CLINIC OPERATION BY 20 HOURS AT ITS DONIPHAN URGENT CARE SITE AND NINE (9) HOURS AT ITS DONIPHAN SOUTH (PEDIATRIC) SITE IN RIPLEY COUNTY. THESE SITES ARE CO-LOCATED IN THE SAME FACILITY; HOWEVER, DUE TO HAVING SEPARATE ENTRANCES, THEY ARE CONSIDERED TWO SITES BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. MHHC STEPPED IN TO HELP THE COMMUNITY AFTER THE RIPLEY COUNTY MEMORIAL HOSPITAL CLOSED IN OCTOBER 2018. THIS WAS THE ONLY HOSPITAL SERVING THE COUNTY, SO MHHC TOOK OVER THE HOSPITAL’S RURAL HEALTH CLINIC AND OPENED AN URGENT CARE CLINIC AND PEDIATRIC CLINIC IN THE OLD HOSPITAL BUILDING TO ADDRESS THE HEALTH CARE NEEDS OF AREA RESIDENTS. BECAUSE THE NEAREST HOSPITAL IS APPROXIMATELY 40-45 MINUTES AWAY, THIS URGENT CARE AND PEDIATRIC FACILITY SERVES AS AN IMPORTANT ACCESS POINT IN THE COMMUNITY. MHHC WILL INCREASE HOURS OF OPERATION MONDAY-FRIDAY BY TWO HOURS/DAY, AS WELL AS ADD FIVE HOURS/DAY ON SATURDAY AND SUNDAY FOR A TOTAL OF 20 HOURS/WEEK AT THE URGENT CARE CLINIC SITE AND ADD NINE HOURS ON THURSDAYS AT DONIPHAN SOUTH, PROVIDING ACCESS TO PEDIATRIC CARE, (CURRENTLY CLOSED ON THURSDAYS). THROUGH THE PROPOSED EXPANDED HOURS PROJECT, MHHC ESTIMATES SERVING 750 PATIENTS IN YEAR 1 AND 1,000 PATIENTS IN YEAR 2. OF THE PATIENTS SERVED, MHHC ESTIMATES 250 NEW UNDUPLICATED PATIENTS, AS MHHC IS THE ONLY HEALTH CARE PROVIDER IN THE COMMUNITY AND ANTICIPATES EXPANDED HOURS WILL SERVE A MAJORITY OF EXISTING PATIENTS. STAFFING FOR THE PROJECT INCLUDES 1.0 FTE FAMILY MEDICINE NURSE PRACTITIONER (TWO @ 0.5 FTE), 0.25 FTE PEDIATRICIAN, A CHIEF OPERATIONS OFFICER AT 0.5 FTE, A 1.0 FTE CLINIC MANAGER FOR THE URGENT CARE SERVICES AND 0.5 FTE FOR PEDIATRIC SERVICES, A 1.0 FTE PATIENT SERVICE REPRESENTATIVE, A 1.0 FTE LPN, AND A 1.0 FTE SCRIBE. FUNDING IS ALSO REQUESTED FOR TRAVEL FOR STAFF TO ATTEND TRAINING, MEDICAL SUPPLIES FOR PATIENT ENCOUNTERS, IT SUPPLIES, OZARK ALARM SECURITY COVERAGE, CATSCAN SERVICE AGREEMENT FOR URGENT CARE, AND MARKETING EXPENSES TO ADVERTISE THE NEW EXPANDED HOURS IN THE COMMUNITY.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

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

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FUNDING FOR THE START UP OF A CRITICAL LAB IN ELLINGTON MO

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY FACILITY GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)