Northwest Health Services Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

BEACON COMMUNITY OF THE INLAND NORTHWEST

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SAMHSA MAT-PDOA - NORTHWEST HEALTH SERVICES, INC. (NHS), LOCATED IN RURAL NORTHWEST MISSOURI, PROPOSES TO DRAMATICALLY EXPAND MEDICATIONS FOR OPIOID USE DISORDER (MOUD) SERVICES ACROSS 15 COUNTIES IN NORTHWEST MISSOURI. THE "NORTHWEST MISSOURI MOUD EXPANSION" PROJECT WILL ENGAGE 375 – 450 INDIVIDUALS WITH AN OPIOID USE DISORDER ANNUALLY IN MOUD, INCREASING THE NUMBER OF UNIQUE PATIENTS SERVED GRADUALLY OVER FIVE YEARS, TO ULTIMATELY REACH 2,100 INDIVIDUALS. NHS IS REQUESTING $744,938 IN YEAR 1 TO INITIATE THE PROJECT. PATIENTS WILL BE RECRUITED ACROSS A MIXTURE OF RURAL, SUBURBAN, AND URBAN COMMUNITIES. DEMOGRAPHICS ARE EXPECTED TO BE SIMILAR TO NHS’S PATIENT POOL: ASIAN - 0.71%, NATIVE HAWAIIAN/PACIFIC ISLANDER - 0.3%, BLACK - 3.95%, AMERICAN INDIAN/ALASKA NATIVE - 1.15%, WHITE - 86.2%, MORE THAN ONE RACE - 3.37%, AND UNREPORTED - 4.32%. OF PATIENTS ACCESSING NHS FOR SUBSTANCE USE LAST YEAR, OVER 8% WERE UNINSURED INITIALLY. APPROXIMATELY 16% ARE EXPECTED TO HAVE CO-OCCURRING CONDITIONS ALONGSIDE AN OUD DIAGNOSIS. STRATEGIES AND INTERVENTIONS FOR THE PROJECT INCLUDE ALL REQUIRED ACTIVITIES WITHIN THE SAMHSA MAT-PDOA SCOPE OF WORK. THESE INCLUDE PROVIDING MOUD WITH FDA-APPROVED MEDICATIONS, CONDUCTING DSM-5 DIAGNOSTIC CRITERIA SCREENINGS TO IDENTIFY CARE LEVEL AND TREATMENT, CHECKING THE STATE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP), CONDUCTING SCREENINGS FOR CO-OCCURRING DISORDERS, IMPLEMENTING OUTREACH STRATEGIES TO ENGAGE DIVERSE POPULATIONS, ENSURING ALL PRACTITIONERS HAVE DATA WAIVERS TO PRESCRIBE MOUD TO AT LEAST 30 PATIENTS, AND BUILDING FUNDING MODELS AND A COLLABORATIVE CARE MODEL (COCM) TO DELIVER QUALITY SERVICES ACROSS RESOURCE-LIMITED COMMUNITIES. THE PROJECT WILL ALSO USE TELEHEALTH SERVICES, EXPAND FORMAL PARTNERSHIPS TO DELIVER RECOVERY SUPPORT SERVICES, AND PROVIDE HARM REDUCTION SERVICES. SAMHSA ALLOWABLE ACTIVITIES WILL INCLUDE LINKAGE TO TWO HRSA FUNDED INITIATIVES ADMINISTERED BY NHS—INTEGRATING MOUD WITHIN A PRIMARY CARE MOBILE UNIT, COORDINATING CLOSELY WITH SERVICES SUPPORTING POPULATIONS WITH OR AT-RISK FOR HIV/AIDS/INFECTIOUS DISEASES, ENHANCING CARE TO NHS’ HOMELESS POPULATION, AND IMPROVING ORAL HEALTH CARE FOR ALL PARTICIPANTS. GOAL 1: EXPAND ACCESS TO MOUD IN NORTHWEST MISSOURI BY (A) INCREASING THE NUMBER OF UNIQUE SERVICE DELIVERY SITES AND (B) INCREASING THE STAFF OVERSEEING COORDINATED RESPONSE. PRIMARY OBJECTIVES: (A) INCREASE FROM ONE (1) TO TEN (10) PRIMARY CARE CLINIC SITES PROVIDING MOUD; (B) EXPANDING FROM ONE (1) TO SEVEN (7) COUNTIES); (C) INTEGRATE MOUD EVIDENCE-BASED SERVICES INTO THE RECENTLY LAUNCHED PRIMARY CARE MOBILE UNIT; (D) LAUNCH A TELEHEALTH COUNSELING PROGRAM WITH BEHAVIORAL HEALTH STUDENT PROVIDERS (OVERSEEN BY A PRECEPTOR) TO ADDRESS STAFFING SHORTAGES IN THE CATCHMENT AREA; AND (E) INCREASE REGIONAL AWARENESS OF THE AVAILABILITY OF MOUD SERVICES AND ACCESS POINTS THROUGH TARGETED MEDIA MESSAGING TO REACH A MINIMUM OF 20,000 VIEWS. GOAL 2: ENHANCE MOUD SERVICE QUALITY THROUGH TEAM-BASED AND EVIDENCE-BASED CARE IN PRIMARY CARE CLINICS. PRIMARY OBJECTIVES: (A) ENGAGE THE PI/BEHAVIORAL HEALTH COORDINATOR AS THE DEDICATED STAFF “HUB” TO COORDINATE THE COLLABORATIVE CARE MODEL SERVING PATIENTS WITH OUD; (B) ADD TWO COMMUNITY HEALTH WORKER/NAVIGATORS THAT HOLISTICALLY SUPPORT MOUD SERVICES; (C) ADD 1.0 PEER SUPPORT SPECIALIST (PSS) TO COLLABORATE WITH SCHOOLS AND COMMUNITY PARTNERS IN OUD RESPONSE; (D) PROVIDE TECHNICAL ASSISTANCE TRAINING TO 40 NHS STAFF ON EVIDENCE BASED PRACTICES AND TECHNICAL NEEDS TO IMPROVE MOUD SERVICES; (E) INTRODUCE FINANCIAL ASSISTANCE FOR PATIENTS TO REDUCE SOCIAL DETERMINANT OF HEALTH BARRIERS (E.G., TRANSPORTATION, FOOD, CLOTHING); (F) ANNUALLY DISTRIBUTE 200 UNITS OF NALOXONE TO PATIENTS AND ALSO TO COMMUNITY MEMBERS SUPPORTING FRIENDS AND/OR FAMILY MEMBERS WITH OUD; AND (G) ENSURE AT LEAST 80% OF PATIENTS BEGINNING MOUD SERVICES PERSIST IN TREATMENT FOR AT LEAST SIX MONTHS.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - NORTHWEST HEALTH SERVICES (NHS) IS REQUESTING $2,000,000 ($500,000 PER YEAR) TO SUPPORT THE WORK OF THE NORTHWEST RURAL HEALTH CONSORTIUM. NHS IS A FEDERALLY QUALIFIED HEALTH CENTER LOCATED AT 2303 VILLAGE DRIVE, ST. JOSEPH, MO 64506. JACOB PARKS, REGIONAL CLINIC MANAGER, WILL SERVE AS THE INTERIM PROJECT DIRECTOR AND CAN BE REACHED BY PHONE AT 816-390-3970 OR BY EMAIL AT JACOBPARKS@NWHEALTHSERVICES.ORG. KATHY DAVENPORT, CHIEF COMPLIANCE OFFICER, WILL SERVE AS DATA COORDINATOR AND CAN BE REACHED BY PHONE AT 816-901-1458 OR BY EMAIL AT KATHYDAVENPORT@NWHEALTH-SERVICES.ORG. NHS DOES NOT REQUIRE EIN/DUNS EXCEPTION. THE NETWORK LEARNED OF THE FUNDING OPPORTUNITY THROUGH COMMUNICATIONS FROM HRSA AS A FY19 RCORP-PLANNING GRANTEE AND FY20 RCORP-IMPLEMENTATION GRANTEE. THE PROJECT CONSISTS OF EIGHTEEN CONSORTIUM MEMBERS: NORTHWEST HEALTH SERVICES (APPLICANT), FAIRFAX COMMUNITY HOSPITAL, ATCHISON-HOLT AMBULANCE DISTRICT, HOLT COUNTY SHERIFF’S DEPARTMENT, ATCHISON COUNTY SHERIFF’S DEPARTMENT, NODAWAY COUNTY SHERIFF’S DEPARTMENT, NODAWAY COUNTY AMBULANCE DISTRICT, NODAWAY COUNTY HEALTH DEPARTMENT, MOSAIC LIFE CARE, SAINT LUKE’S HOSPITAL OF TRENTON, DBA WRIGHT MEMORIAL HOSPITAL, GRUNDY COUNTY HEALTH DEPARTMENT, GRUNDY COUNTY AMBULANCE SERVICE, TRENTON POLICE DEPARTMENT, SAINT LUKE’S HOSPITAL OF CHILLICOTHE, DBA HEDRICK MEDICAL, LIVINGSTON COUNTY HEALTH DEPARTMENT, CHILLICOTHE POLICE DEPARTMENT, AND LIVINGSTON COUNTY AMBULANCE DISTRICT. NHS IS A CURRENT FY20 RCORP-IMPLEMENTATION GRANTEE. NHS DOES NOT INTEND TO APPLY FOR FY22 RCORP-IMPLEMENTATION. THE TARGET SERVICE AREA DOES NOT OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION. THE TARGET SERVICE AREA COVERS THE FULLY RURAL AREAS OF ATCHISON, CALDWELL, CLINTON, DAVIESS, DEKALB, GENTRY, GRUNDY, HARRISON, HOLT, LIVINGSTON, MERCER, NODAWAY, AND WORTH COUNTIES. RURAL ELIGIBILITY WAS DETERMINED USING THE RURAL HEALTH GR ANTS ELIGIBILITY ANALYZER. THE TARGET POPULATION IS ALL INDIVIDUALS AT RISK FOR SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS; INDIVIDUALS DIAGNOSED WITH SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS; INDIVIDUALS IN TREATMENT AND/OR RECOVERY FOR SUD/OUD AND/OR OTHER CO-OCCURRING MENTAL DISORDERS; THEIR FAMILIES AND/OR CAREGIVERS; AND IMPACTED COMMUNITY MEMBERS WHO RESIDE IN THE RURAL TARGET SERVICE AREA OF ATCHISON, CALDWELL, CLINTON, DAVIESS, DEKALB, GENTRY, GRUNDY, HARRISON, HOLT, LIVINGSTON, MERCER, NODAWAY, AND WORTH COUNTIES. THERE IS AN EMPHASIS ON HIGH-RISK POPULATIONS, TO INCLUDE UNINSURED AND UNDERINSURED POPULATIONS WHO OFTEN WILL NOT SEEK OR STAY IN TREATMENT DUE TO COST AS WELL AS THOSE WITH ACTIVE MILITARY OR VETERAN STATUS. THE PERCENTAGE OF NATIVE AMERICAN POPULATION IN THE TARGET SERVICE AREA IS 0.5% (640 PEOPLE), WHICH IS MORE THAN STATE, BUT LESS THAN NATIONAL AVERAGES.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

START HEALTHY, START NOW

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - APPLICANT: NORTHWEST HEALTH SERVICES ADDRESS: 2303 VILLAGE DR, ST. JOSEPH, MO 64506 GRANT NUMBER: H80CS00671 PROJECT DIRECTOR: ROBYN ARMSTRONG. NORTHWEST HEALTH SERVICES (NHS) IS REQUESTING $1,100,000 ($600,000 YEAR 1; $500,000 YEAR 2) TO SUPPORT THE WORK OF THE NHS BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE). THE PROJECT WILL FOCUS ON INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH EXPANDING MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES TO THE SERVICE AREA. THE SCOPE OF THE PROJECT INCLUDES APPROVED SERVICE SITES, SERVICES, PROVIDERS, SERVICE AREA, AND TARGET POPULATION THAT IS SUPPORTED UNDER THE APPROVED HEALTH CENTER BUDGET. NHS IS A FEDERALLY QUALIFIED HEALTH CENTER AND SERVES A RURAL POPULATION AREA. SERVICE AREA/POPULATIONS TO BE SERVED. NORTHWEST HEALTH SERVICES SERVES SIXTEEN COUNTIES ACROSS NORTHWEST MISSOURI INCLUDING ANDREW, ATCHISON, BUCHANAN, CALDWELL, CLINTON, DAVIESS, DEKALB, GENTRY, GRUNDY, HARRISON, HOLT, LIVINGSTON, MERCER, NODAWAY, PLATTE, AND WORTH COUNTIES IN NORTHWEST MISSOURI. THE BHSE TARGET SERVICE AREA COVERS THE ENTIRE SERVICE AREA. THE TARGET POPULATION WILL INCLUDE THE FULL PATIENT POPULATION AT NHS. DESCRIPTION. NHS WILL USE THESE FUNDS TO SIGNIFICANTLY EXPAND BEHAVIORAL HEALTH AND SUD SERVICES PROVIDED IN-HOUSE AT NHS LOCATIONS THROUGH EXPANDING BEHAVIORAL HEALTH STAFFING AND INTEGRATING MENTAL HEALTH SERVICES WITHIN THE PRIMARY CARE SETTING. NEEDS TO BE ADDRESSED. IN MISSOURI STATE FISCAL YEAR 2022, APPROXIMATELY 4,297 INDIVIDUALS IN THE SIXTEEN-COUNTY REGION RECEIVED CLINICAL SERVICES FROM THE DIVISION OF BEHAVIORAL HEALTH PSYCHIATRIC PROGRAM. MOST DIAGNOSES WERE RELATED TO DEPRESSION, ANXIETY AND FEAR DISORDERS, AND TRAUMA AND STRESS RELATED DISORDERS. INDICATORS REFLECT 48.6% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER AND 6.3% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY IN THE SIXTEEN-COUNTY REGION. THE SERVICE AREA HAS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) DESIGNATIONS FOR MENTAL HEALTH CARE IN ALL COUNTIES. THE SIXTEEN-COUNTY REGI ON HAS 40.64% OF THE POPULATION LIVING IN AN AREA AFFECTED BY A MENTAL HEALTH HPSA WITH 88.27% OF THE HPSA POPULATION BEING UNDERSERVED (US CENSUS, 2018-22). THE MENTAL HEALTH PROVIDER RATIO IS 66.07 FOR THE SIXTEEN-COUNTY REGION. THIS IS SIGNIFICANTLY LOWER THAN STATE (124.66) AND NATIONAL (176.26) RATES. THERE WERE 690 DEATHS OF DESPAIR IN THE SIXTEEN-COUNTY REGION WHICH INCLUDES DEATHS FROM INTENTIONAL SELF-HARM, ALCOHOL-RELATED DISEASE, AND DRUG OVERDOSE FROM 2016-2020 FOR A RATE OF 42.3 PER 100,000, COMPARED TO STATE (54.1) AND NATIONAL (47.0) RATES (CDC, 2016-20). ACCORDING TO THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES OPIOID DASHBOARD, THERE WERE 330 DRUG OVERDOSE DEATHS (ALL SUBSTANCES) IN THE SIXTEEN-COUNTY AREA FROM 2017-2022. HOW THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUD SERVICES INCLUDING MOUD. SERVICES WILL BE INCREASED THROUGH THE ADDITION OF CLINICAL STAFF, EXPANSION OF AVAILABLE BEHAVIORAL HEALTH/SUD SERVICES, USE OF TELEHEALTH, STAFF TRAINING, AND COMMUNITY MARKETING AND EDUCATION.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

INNOVATIONS IN APPLIED PUBLIC HEALTH RESEARCH

DISTANCE LEARNING GRANT

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM