Freeman Health System

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

URGENT BEHAVIORAL SOLUTIONS (UBS)

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT - RESIDENCY TRAINING IN MENTAL AND BEHAVIORAL HEALTH

AFFORDABLE CARE ACT: PRIMARY CARE RESIDENCY EXPANSION

WILL'S PLACE

OZARK CENTER RECOVERY UP

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT TITLE: OZARK CENTER’S THCGME EXPANSION DISCIPLINE: PSYCHIATRY TYPE OF APPLICATION: EXPANSION APPLICANT ORGANIZATION: OZARK CENTER ? ADDRESS: 1105 E 32ND ST., JOPLIN, MO 64804-2879 PROJECT DIRECTOR: NAUMAN ASHRAF, M.D. ? PHONE: (417) 347-7603 ? FAX: 417-347-9810 EMAIL: NASHRAF@FREEMANHEALTH.COM ? WEBSITE: WWW.OZARKCENTER.COM FUNDS REQUESTED: 4.00 FTE IS REQUESTED FOR EACH YEAR OF GRANT FUNDING AT $160,000/RESIDENT/YEAR ($6.4 THOUSAND) FOR 7.1.22 THROUGH 6.30.26 OR THE ESTABLISHED APPROVED AMOUNT PER RESIDENT AS APPROVED BY THE FEDERAL GOVERNMENT. ABSTRACT THE TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PROGRAM AT OZARK CENTER IS A 4 YEAR PSYCHIATRY RESIDENCY PROGRAM ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). KCU-GME CONSORTIUM IS THE PROGRAMS ACCREDITED SPONSORING INSTITUTION. ESTABLISHED AS A COMMUNITY MENTAL HEALTH CENTER (CMHC) IN 1965, OZARK CENTER PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADULTS, AND FAMILIES IN A FOUR COUNTY AREA SURROUNDING JOPLIN, MISSOURI AND IS NOW A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC). JASPER, NEWTON, BARTON, AND MCDONALD COUNTIES ARE LOCATED IN THE SOUTHWEST CORNER OF MISSOURI, ALONG THE FOUR STATE AREA BORDER (MISSOURI, KANSAS, ARKANSAS, AND OKLAHOMA). THE AREA DESCRIBED ABOVE IS CLASSIFIED AS RURAL. THIS GEOGRAPHIC AREA QUALIFIES AS A HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AND INCLUDES AREAS CLASSIFIED AS MEDICALLY UNDERSERVED. 75% OF INDIVIDUALS SERVED AT OZARK CENTER ARE UNDERINSURED OR UNINSURED. AN INTEGRAL PART OF FREEMAN HEALTH SYSTEM IN JOPLIN, OZARK CENTER PROVIDED CARE TO 14,739 INDIVIDUALS IN 2021. FREEMAN IS A 407-BED, THREE-HOSPITAL COMMUNITY MEDICAL CENTER, WHICH INCLUDES ONE CRITICAL ACCESS HOSPITAL (CAH). IT IS ALIGNED WITH OTHER RURAL MEDICAL FACILITIES INCLUDING ACCESS FAMILY CARE (AN FQHC) AND THE COMMUNITY CLINIC (A SECTION 303 LOOK-ALIKE). OVER THE PAST 48 YEARS, OZARK CENTER HAS CULTI VATED ITS PATIENT-CENTERED APPROACH TO CARE IN CONCERT WITH THESE MEDICAL FACILITIES. RESIDENTS AT OZARK CENTER HAVE THE OPPORTUNITY TO TRAIN IN MULTIPLE SETTINGS. PATIENTS DIAGNOSED WITH A SUBSTANCE USE DISORDER, INCLUDING OPIOID DEPENDENCY, ARE OFFERED COUNSELING SERVICES AND MEDICATION-ASSISTED TREATMENT TO ASSIST WITH THEIR SYMPTOMS UTILIZING A WELL-BALANCED APPROACH. THE CRISIS OUTREACH PROGRAM IS AVAILABLE 24 HOURS PER DAY, 7 DAYS PER WEEK AND IS ACCESSIBLE BY MOBILE TEXTING TO ADDRESS PATIENT’S NEED TO HAVE SERVICES IN URGENT AND EMERGENT SITUATIONS. THE CHILD PSYCHIATRY EXPERIENCE IS ENRICHED BY THE OPPORTUNITY FOR RESIDENTS TO WORK AT THE BILL & VIRGINIA LEFFEN CENTER FOR AUTISM WHERE STAFF USE APPLIED BEHAVIOR ANALYSIS IN THE TREATMENT OF AUTISM. THE RESIDENTS RECEIVE EXPERIENCE IN TRAUMA-INFORMED THERAPY DURING THEIR OUTPATIENT PSYCHIATRY ROTATIONS. THIS VARIETY OF CLINICAL EXPERIENCES ALSO STIMULATES AREAS OF RESEARCH. TO PROMOTE RESIDENCY WELLNESS, AN INNOVATIVE WELLNESS PROGRAM HAS BEEN INTEGRATED FOCUSING ON MENTAL WELLBEING. THE IDEA FOR THIS PROJECT STEMMED FROM RESEARCH CONDUCTED WITHIN THE RESIDENCY PROGRAM. OZARK CENTER’S PSYCHIATRY RESIDENCY PROGRAM STARTED IN 2012 AND WAS ORIGINALLY ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA) BUT IS NOW ACCREDITED BY THE ACCREDITATION COUNCIL OF GRADUATE MEDICAL EDUCATION (ACGME). OZARK CENTER HAS RECEIVED FUNDING THROUGH THE THCGME PROGRAM SINCE 2012, GRADUATING FOURTEEN TO DATE. OZARK CENTER IS REQUESTING EXPANSION FUNDING FOR 4.00 ADDITIONAL RESIDENT POSITIONS (1-1-1-1). FOR AY 2022-2023 THE 4.00 FTE POSITIONS WILL BE ADDED TO CREATE THE OVERALL COUNT TO BE 4-4-4-4 WITH THE CURRENT THCGME GRANT FUNDING. THIS FUNDING WILL HELP THE PROGRAM ADD MORE MEDICAL PERSONAL TO MEET THE PRIMARY CARE NEEDS OF THE RURAL AREAS OF THE UNITED STATES.

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - OVER THE FIVE-YEAR GRANT PERIOD, THE FREEMAN STREET MEDICINE TRAINING PROGRAM WILL TRAIN UP TO 60 FAMILY AND INTERNAL MEDICINE RESIDENTS, INCREASING THEIR KNOWLEDGE AND SKILLS TO MEET THE UNIQUE NEEDS OF PEOPLE EXPERIENCING HOMELESSNESS (PEH), INCLUDING CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND SOCIAL DETERMINANTS OF HEALTH. THE FIRST PROGRAM OF ITS KIND IN THE FREEMAN HEALTH SYSTEM SERVICE AREA, IT WILL IMMEDIATELY INCREASE ACCESS TO MEDICAL AND BEHAVIORAL HEALTH CARE FOR AN ESTIMATED 600 PEH IN JOPLIN, MO. SIX COMMUNITY-BASED PARTNERS ARE COMMITTED TO COLLABORATING WITH THE FREEMAN GRADUATE MEDICAL EDUCATION PROGRAM TO DEVELOP AND IMPLEMENT THE STREET MEDICINE TRAINING PROGRAM: ACCESS FAMILY MEDICINE (FQHC), COMMUNITY CLINIC OF SW MO (FREE CLINIC), KANSAS CITY UNIVERSITY (MEDICAL AND DENTAL SCHOOLS), LEGAL AID OF WESTERN MISSOURI, OZARK CENTER (CCBHO), AND THE SALVATION ARMY. THREE MOBILE UNITS WILL BE USED TO CONDUCT STREET MEDICINE CLINICS, ENSURING FLEXIBILITY TO OFFER SERVICES WHERE PEH HAVE ENCAMPMENTS AT ANY GIVEN TIME. CURRENT ENCAMPMENTS WILL BE LOCATED USING THE CITY OF JOPLIN GIS ENCAMPMENT MAP. A MONTHLY CLINIC HELD DURING LUNCH AT THE SALVATION ARMY WILL PROVIDE A KNOWN LOCATION WHERE SERVICES CAN BE OBTAINED. LED BY FAMILY MEDICINE PROGRAM DIRECTOR BARBARA MILLER, DO, TWO NEW ROTATIONS WILL BE DEVELOPED (COMMUNITY HEALTH AND STREET MEDICINE) AND ONE WILL BE ENHANCED (ADDICTION MEDICINE). THEY WILL DEEPEN RESIDENTS’ KNOWLEDGE OF CARING FOR INDIVIDUALS IN NON-TRADITIONAL SETTINGS, RAISE AWARENESS OF STIGMA AND BIAS ASSOCIATED WITH BEING UNHOUSED, AND INCREASE SKILLS WITH TRAINING SPECIFIC TO THE MEDICAL AND BEHAVIORAL HEALTH CONCERNS OF PEH. HEALTH LITERACY MEDIA WILL PARTNER WITH FREEMAN TO DEVELOP A NEW MODULE FOR ITS INTERACTIVE HEALTHCARE NAVIGATION SIMULATION, A RESIDENT TRAINING EXERCISE SPECIFIC TO THE NEEDS AND CONCERNS OF PEH. ALL RESIDENTS WILL BE TRAINED IN MENTAL HEALTH FIRST AID, CONFLICT DE-ESCALATION, MOTIVATIONAL INTERVIEWING AND MOUD WITH SPECIFIC FOCUS ON CIRCUMSTANCES OF PEH. IN ADDITION TO GME FACULTY PARTICIPATION AND RESIDENT SUPERVISION, THE GRANT SUPPORTS A 1.0 FTE PROJECT COORDINATOR AND 1.0 FTE COMMUNITY HEALTH WORKER, BOTH OF WHOM WILL ACTIVELY COORDINATE INTERPROFESSIONAL TEAM BUILDING, PERSON-CENTERED CARE, DATA SHARING ACROSS ORGANIZATIONS, AND TRAINING EVALUATION. FREEMAN REQUESTS BOTH A NEW PROGRAM FUNDING PREFERENCE AND A FUNDING PRIORITY FOR TRAINING RESIDENTS IN MEDICALLY UNDERSERVED COMMUNITIES.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

HOMELESS ASSISTANCE