Richland Medical Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - APPLICANT: RICHLAND MEDICAL CENTER INC. DBA CENTRAL OZARKS MEDICAL CENTER ADDRESS: 304 W. WASHINGTON AVE, RICHLAND, MO 65556 GRANT NUMBER: H80CS00132 PROJECT DIRECTOR: DAWNELYN SCHNEIDER PROJECT DESCRIPTION: CENTRAL OZARKS MEDICAL CENTER (COMC) IS REQUESTING $1,000,000 IN TOTAL FOR 2 YEARS TO SUPPORT THE WORK OF THE COMC TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS PROJECT. THE PROJECT WILL FOCUS ON STRENGTHENING TRANSITIONS IN CARE FOR INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION TO COMMUNITY-BASED, HIGH-QUALITY PRIMARY CARE SERVICES INCLUDING SERVICES THAT ADDRESS CRITICAL HEALTH AND HEALTH-RELATED SOCIAL NEEDS. COMC IS A FEDERALLY QUALIFIED HEALTH CENTER AND SERVES A RURAL POPULATION AREA. POPULATIONS TO BE SERVED: INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION AT THE PULASKI COUNTY JAIL AND WILL RESIDE IN CAMDEN, LACLEDE, MILLER, MORGAN, OR PULASKI COUNTIES IN CENTRAL MISSOURI. THIS WILL INCLUDE INDIVIDUALS (AGE 18 OR OLDER) WHO ARE LIVING IN A CARCERAL SETTING AND ARE SCHEDULED OR EXPECTED TO BE RELEASED FROM INCARCERATION IN 90 DAYS OR LESS. THE SERVICE AREA IS RURAL AND INCLUDES 3,157.99 SQUARE MILES, AN ESTIMATED POPULATION OF 179,037, AND A POPULATION DENSITY OF 56 PERSONS PER SQUARE MILE. PREDOMINANTLY WHITE (87.84%) AND NON-HISPANIC (94.62%). RESIDENTS ARE LIKELY TO HAVE HIGHER HEALTH DISPARITIES DUE TO LOWER MEDIAN INCOME, HIGHER UNEMPLOYMENT, HIGHER POVERTY RATES, LOWER RATES OF HEALTH INSURANCE COVERAGE, AND HIGHER RATES OF DISABILITIES. THE LIMITED HEALTH CARE RESOURCES IN THE AREA ARE EVEN MORE CHALLENGING TO OBTAIN FOR THOSE WHO ARE OR HAVE BEEN INVOLVED WITH THE JUSTICE SYSTEM, ESPECIALLY IF THEY ARE ALSO COPING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDER(S). NEEDS TO BE ADDRESSED: THE ALREADY LIMITED HEALTH CARE RESOURCES IN THE SERVICE AREA ARE DIFFICULT TO OBTAIN AND EVEN MORE CHALLENGING TO OBTAIN FOR THOSE INVOLVED WITH THE JUSTICE SYSTEM. THIS IS PARTICULARLY TRUE FOR THOSE COPING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDER(S). FOUR COUNTIES IN THE COMC SERVICE AREA ARE OVERSEEN BY THE 26TH CIRCUIT COURT (CAMDEN, LACLEDE, MILLER, AND MORGAN) WHILE PULASKI COUNTY IS OVERSEEN BY THE 25TH CIRCUIT COURT. IN 2022, THE 25TH AND 26TH CIRCUIT COURTS HAD 4,821 FILED SELECTED DRUG AND ALCOHOL CHARGES AND 2,138 GUILTY PLEAS FOR SELECTED DRUG AND ALCOHOL CHARGES. IN 2023, THERE WERE 22 INDIVIDUALS ADMITTED TO ADULT TREATMENT, VETERANS & DWI COURT AND 28 EXITED. HOMELESSNESS, MENTAL ILLNESS, SUBSTANCE MISUSE, AND INCARCERATION ARE CLOSELY LINKED. IN MISSOURI STATE FISCAL YEAR 2022, APPROXIMATELY 2,022 INDIVIDUALS IN THE FIVE-COUNTY REGION RECEIVED CLINICAL SERVICES FROM THE DIVISION OF BEHAVIORAL HEALTH PSYCHIATRIC PROGRAM. THE MAJORITY OF DIAGNOSES WERE RELATED TO DEPRESSION, ANXIETY AND FEAR DISORDERS, AND TRAUMA AND STRESS-RELATED DISORDERS. CO-OCCURRING INDICATORS REFLECT THAT 47.3% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER, AND 7.4% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY. DATA IS NOT AVAILABLE AT THE LOCAL LEVEL TO TRACK THE NUMBER OF JUSTICE INVOLVED INDIVIDUALS WITH CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE MISUSE DISORDERS. ALL COUNTIES IN THE SERVICE AREA HAVE HPSA DESIGNATIONS FOR PRIMARY, DENTAL, AND MENTAL HEALTH. PROPOSED SERVICES: PRE-RELEASE PLANNING, COMMUNITY HEALTH WORKERS, PRAPARE, MEDIATION, MAT, PEER SUPPORT SERVICES, CARE COORDINATION, HEALTH EVALUATIONS, SCREENING, PRIMARY HEALTH SERVICES, IMMUNIZATIONS, BEHAVIORAL HEALTH, SCREENINGS FOR SOCIAL DETERMINANTS OF HEALTH, AND RECOMMENDATIONS/REFERRALS FOR BOTH HEALTH AND SOCIAL HEALTH-RELATED NEEDS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

FY 2023 EARLY CHILDHOOD DEVELOPMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE - APPLICANT: RICHLAND MEDICAL CENTER INC. DBA CENTRAL OZARKS MEDICAL CENTER ADDRESS: 304 W. WASHINGTON AVE, RICHLAND, MO 65556 PROJECT DIRECTOR: KELLY BIRDSONG, MANAGER OF NETWORK DEVELOPMENT/POPULATION HEALTH DESCRIPTION OF THE PROJECT: RICHLAND MEDICAL CENTER DBA CENTRAL OZARKS MEDICAL CENTER (COMC) HAS IDENTIFIED OPIOID USE DISORDER (OUD) AS A PRIORITY AND HAS BEEN SEEKING RESOURCES TO HELP COMBAT THE SUBSTANCE USE DISORDER CRISIS IN THE FIVE-COUNTY REGION INCLUDING CAMDEN, LACLEDE, MILLER, MORGAN, AND PULASKI COUNTIES IN CENTRAL MISSOURI. COMC’S RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE (RCORP-OD) PROJECT’S GOAL IS TO REDUCE THE MORBIDITY AND MORTALITY OF SUD, INCLUDING OUD IN ITS HIGH-RISK RURAL COMMUNITIES THROUGH THE SELECTED ALLOWABLE ACTIVITIES. THE OVERARCHING GOAL IS TO REDUCE MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER (OUD), IN HIGH-RISK RURAL COMMUNITIES THROUGH THE SELECTED ALLOWABLE ACTIVITIES THAT WILL MEET THE IMMEDIATE AND SHORT-TERM NEEDS TO IMPROVE ACCESS TO, CAPACITY FOR, AND SUSTAINABILITY OF PREVENTION, TREATMENT, AND RECOVERY SERVICES FOR SUD. NEEDS TO BE ADDRESSED: THIS PROJECT WILL ADDRESS THE LACK OF PROVIDERS TRAINED IN TREATING SUD INCLUDING STIMULANT TREATMENT BY PROVIDING EDUCATION OPPORTUNITIES FOR PROVIDERS AND STAFF. THE SERVICE AREA ALSO HAS LOWER INCOME LEVELS AND EDUCATION RATES WHEN COMPARED TO STATE AND NATIONAL RATES AND UNEMPLOYMENT AND POVERTY LEVELS ARE HIGHER. RESIDENTS IN THE SERVICE AREA ALSO FACE SIGNIFICANT TRANSPORTATION BARRIERS. SERVICES IN THIS PROJECT WILL ADDRESS THESE ISSUES BY CONNECTING INDIVIDUALS IN NEED TO SUPPORTIVE SOCIAL SERVICES INCLUDING TRANSPORTATION AND CAREER AND LIFE SKILLS TRAINING. LOCAL SCHOOL DISTRICTS HAVE ALSO REACHED OUT REGARDING THE NEED FOR PREVENTION SERVICES. COMC WILL ADDRESS THIS NEED THROUGH FORMAL SPEAKER ENGAGEMENT OPPORTUNITIES FOR STUDENTS, PARENTS, STAFF, AND COMMUNITY PARTNERS. PROPOSED SERVICES: TIER 1 - STIMULANT TREATMENT: ESTABLISH, IMPROVE, OR EXPAND EVIDENCE BASED STIMULANT TREATMENT PROGRAMS FOR INDIVIDUALS WITH POLYSUBSTANCE USE. THIS MAY INCLUDE, BUT IS NOT LIMITED TO, TRAINING PROVIDERS TO ADDRESS STIMULANT MISUSE, IMPLEMENTING CONTINGENCY MANAGEMENT, ETC. TIER 2 -SUPPORTIVE SERVICES – SUPPORTIVE SOCIAL SERVICES: ESTABLISH AND/OR ENHANCE COORDINATION WITH SUPPORTIVE SOCIAL SERVICES TO ENSURE THAT RURAL INDIVIDUALS AND FAMILIES IMPACTED BY SUD HAVE THE GREATEST OPPORTUNITY POSSIBLE FOR SUSTAINED, LONG-TERM RECOVERY. EXAMPLES INCLUDE: WORKING WITH LOCAL TRANSPORTATION RESOURCES TO PROVIDE FREE TRANSPORT TO SUD TREATMENT APPOINTMENTS AND RECOVERY SERVICES. COORDINATING WITH CHILDCARE PROVIDERS TO OFFER CHILDCARE FOR PARENTS AND CAREGIVERS, SO THAT THEY CAN ATTEND TREATMENT APPOINTMENTS. TIER 2 – SUPPORTIVE SERVICES – EMPLOYMENT AND LIFE SKILLS: PROVIDE EMPLOYMENT AND/OR LIFE SKILLS TRAINING FOR INDIVIDUALS IN RECOVERY AND CONNECTIONS TO MEANINGFUL JOB OPPORTUNITIES. TIER 2 – SPECIAL POPULATIONS – YOUTH PREVENTION: DEVELOP YOUTH-SPECIFIC SUD PREVENTION PROGRAMMING SUCH AS: IMPLEMENTING EVIDENCE-BASED PREVENTION CURRICULUMS IN SCHOOLS, OR ESTABLISHING AFTERSCHOOL PROGRAMS ETC. POPULATION GROUPS: THE TARGET POPULATION IS ENTIRELY COMPRISED OF INDIVIDUALS IN THE FIVE-COUNTY AREA THAT ARE AT-RISK FOR SUD INCLUDING OUD AND STIMULANT MISUSE; INDIVIDUALS DIAGNOSED WITH SUD; INDIVIDUALS IN TREATMENT AND/OR RECOVERY FOR SUD; THEIR FAMILIES AND/OR CAREGIVERS; AND IMPACTED COMMUNITY MEMBERS WHO RESIDE IN THE RURAL TARGET SERVICE AREA OF CAMDEN, LACLEDE, MILLER, MORGAN, AND LAFAYETTE COUNTIES IN CENTRAL MISSOURI.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - APPLICANT: RICHLAND MEDICAL CENTER INC. DBA CENTRAL OZARKS MEDICAL CENTER ADDRESS: 304 W. WASHINGTON AVE, RICHLAND, MO 65556 PROJECT DIRECTOR: JESSICA CLARK, DIRECTOR OF OPERATIONS (INTERIM) TARGET POPULATION: COMC’S FULL RURAL PATIENT POPULATION, WITH SPECIAL FOCUS ON SCHOOL-AGE CHILDREN AND HIGH-RISK ADULTS. CAMDEN, LACLEDE, MILLER, MORGAN, AND PULASKI COUNTIES IN MISSOURI. RURAL UNDERSERVED POPULATIONS: LOW-INCOME AND THOSE AT OR BELOW THE FEDERAL POVERTY LEVEL. GOALS AND OBJECTIVES: GOAL 1: EXPAND ACCESS TO COMMUNITY-BASED HEALTH CARE SERVICES THROUGH THE ADDITION OF MOBILE OPTOMETRY AND CASE MANAGEMENT SERVICES THROUGHOUT THE RURAL COMC SERVICE AREA. O OBJECTIVE 1A: INCREASE FROM 0 (2023/24 BASELINE) TO 450 BY APRIL 30, 2029, THE NUMBER OF INDIVIDUALS RECEIVING MOBILE VISION SERVICES. O OBJECTIVE 1B. INCREASE FROM 0 (2023 BASELINE) TO 250 BY APRIL 30, 2029, THE NUMBER OF INDIVIDUALS RECEIVING MOBILE CASE MANAGEMENT SERVICES. O OBJECTIVE 1C. INCREASE FROM 0 (2024 BASELINE) TO 40 THE NUMBER OF COMMUNITY ACCESS EVENTS FOR ALL SERVICES HELD EACH YEAR BEGINNING 2026. GOAL 2: DELIVER HEALTH CARE SERVICES THROUGH A STRONG CONSORTIUM, IN WHICH EVERY CONSORTIUM MEMBER ORGANIZATION IS ACTIVELY INVOLVED AND ENGAGED IN THE PLANNING AND DELIVERY OF SERVICES. O OBJECTIVE 2A: BY APRIL 30, 2029, CONSORTIUM PARTICIPATION WILL EXCEED 90% FOR ALL MEETINGS. O OBJECTIVE 2B: COMPREHENSIVE MOBILE OPTOMETRY SERVICES WILL BE PROVIDED AT ALL PARTNER SCHOOL LOCATIONS AND COMC CLINIC SITES (INCLUDING SPECIAL EVENTS SUCH AS PEDIATRIC COMMUNITY HEALTH EVENTS) BY THE END OF THE PROJECT PERIOD. GOAL 3: USE COMMUNITY ENGAGEMENT AND EVIDENCE-BASED OR INNOVATIVE, EVIDENCE-INFORMED MODEL(S) IN THE DELIVERY OF HEALTH CARE SERVICES. O OBJECTIVE 3A: WITHIN 60 DAYS OF THE END OF EACH PROJECT YEAR, COMPLETE AN EVALUATION OF COMMUNITY ENGAGEMENT AND SATISFACTION. O OBJECTIVE 3B: WITHIN 90 DAYS OF FUNDING, IMPLEMENT EVIDENCE-BASED AND EVIDENCE-INFORMED DELIVERY OF CARE MODELS. GOAL 4: IMPROVE POPULATION HEALTH AND DEMONSTRATE IMPROVED HEALTH OUTCOMES AND SUSTAINABILITY. O OBJECTIVE 4A: INCREASE THE NUMBER OF PATIENTS THAT HAVE HAD A COMPREHENSIVE EYE EXAM IN THE PAST YEAR BY 20% ANNUALLY BY APRIL 30, 2029. O OBJECTIVE 4B.1: DECREASE THE NUMBER OF STUDENTS HAVING TO REPEAT INITIAL IEP ASSESSMENTS DUE TO INABILITY TO ACCESS VISION EXAMS BY 50% BY THE END OF THE PROJECT PERIOD. O OBJECTIVE 4B.2: INCREASE THE NUMBER OF HEAD START ENROLLMENTS COMPLETED WITHOUT DELAY BY 50% BY THE END OF THE PROJECT PERIOD. O OBJECTIVE 4C: INCREASE THE NUMBER OF CASE MANAGEMENT SERVICES PROVIDED BY 50 VISITS EACH YEAR TO IMPROVE HEALTH OUTCOMES FOR PATIENTS SERVED BY THE MOBILE UNIT IMPROVE HEALTH OUTCOMES FOR PATIENTS SERVED BY THE MOBILE UNIT. O OBJECTIVE 4D: BY APRIL 30, 2029, THE CONSORTIUM WILL DEVELOP PROCESSES FOR ACHIEVING FINANCIAL AND PROGRAMMATIC SUSTAINABILITY. EVIDENCE-BASED MODELS: WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD; SCHOOL-BASED HEALTH CENTERS; MOBILE HEALTH CLINICS; PRAPARE; COMMUNITY HEALTH WORKER EXPECTED OUTCOMES: EXPECTED OUTCOMES OF THE PROJECT WILL BE THE DEVELOPMENT OF A COMMUNITY-WIDE MOBILE OPTOMETRY PROGRAM. THE END RESULT WILL BE LONG-TERM IMPROVEMENT IN THE QUALITY OF LIFE FOR CHILDREN, ADOLESCENTS, AND COMMUNITY MEMBERS AND IMPROVED HEALTH STATUS. CAPACITY TO SERVE RURAL POPULATIONS: COMC STARTED IN 1979 IN RURAL RICHLAND, MO AND IS AN NCQA-ACCREDITED PATIENT CENTERED MEDICAL HOME PROVIDER AND CERTIFIED PRIMARY CARE HEALTH HOME. COMC HAS STRONG PARTNERSHIPS IN THE COMMUNITY, INCLUDING OTHER HEALTH CARE PROVIDERS AND HUMAN SERVICE AGENCIES. COMC HAS A COMPREHENSIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH PROGRAM, WITH EXPERIENCE PROVIDING CARE IN THE COMMUNITY SETTING. FUNDING PREFERENCE: A FUNDING PREFERENCE IS REQUESTED UNDER: QUALIFICATION 1: HEALTH PROFESSIONAL SHORTAGE AREA. QUALIFICATION 2: MEDICALLY UNDERSERVED COMMUNITY/POPULATIONS.

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM