Phelps County Regional Medical Center

PARKING INFRASTRUCTURE

DELTA HEALTH CARE SERVICES GRANT - CONACT SEC 379G

NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION SIMULATION EDUCATION TRAINING PROGRAM

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - PHELPS COUNTY REGIONAL MEDICAL CENTER (D.B.A. PHELPS HEALTH) 1000 WEST 10TH STREET, ROLLA, MO 65401-2905 FACILITY: RURAL HOSPITAL PATHWAY 2: MATERNAL HEALTH AND OBSTETRICS SPECIALTY: FAMILY MEDICINE WITH ENHANCED OBSTETRICS FORMAT: RURAL RESIDENCY PROGRAM (NON-RTP) SI: A.T. STILL UNIVERSITY – KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE, 800 W JEFFERSON ST, KIRKSVILLE, MO 63501, 289537 COUNTIES: PHELPS, MO (PRIMARY), CRAWFORD, DENT, MARIES, PULASKI, TEXAS, MO (SECONDARY) FUNDING REQUEST: $749,992 SUSTAINABILITY: MEDICARE OPTION 1 – RURAL HOSPITAL “NEW” RESIDENCY PROGRAM RESIDENTS: 3 RESIDENTS PER YEAR EXPECTED ACGME ACCREDITATION: JUNE 1, 2027 FIRST RESIDENT MATRICULATION: APRIL 1, 2028 FUNDING PRIORITY 2 FOR MATERNAL HEALTH - FAMILY MEDICINE WITH ENHANCED OB TRAINING AWARDS: RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM, P10RH53739, HRSA-24-007/NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION SIMULATION EDUCATION TRAINING PROGRAM, T48HP52027, HRSA-23-129 PHELPS HEALTH, A COUNTY-OWNED HOSPITAL, IS ESTABLISHING A NEW FAMILY MEDICINE WITH ENHANCED OBSTETRICS (FM/OB) RURAL RESIDENCY PROGRAM TO IMPROVE THE RECRUITMENT AND RETENTION OF PHYSICIANS IN RURAL MISSOURI. THE SOUTH-CENTRAL MISSOURI RURAL RESIDENCY PROGRAM AIMS TO ADDRESS THE DUAL PRIMARY CARE AND MATERNAL HEALTH SHORTAGE AND RELATED HEALTH OUTCOMES ACROSS THE RURAL REGION THROUGH THE CREATION OF AN ACGME-ACCREDITED, SUSTAINABLE FM/OB RURAL RESIDENCY PROGRAM. PHELPS HEALTH IS REQUESTING $749,992 TO SUPPORT THE DEVELOPMENT COSTS NEEDED TO FULLY PLAN AND IMPLEMENT THIS PROGRAM. PHELPS HEALTH SERVES SIX COUNTIES—CRAWFORD, DENT, MARIES, PHELPS, PULASKI, AND TEXAS—THAT ARE ALL DESIGNATED HPSAS REQUIRING 2-5 ADDITIONAL FULL-TIME PRIMARY CARE PROVIDERS TO ADEQUATELY SERVE THEIR POPULATIONS, WHICH TOGETHER TOTAL 170,511 PERSONS. THIS REGION OF THE STATE LACKS ANY MEDICAL RESIDENCY PROGRAMS, WHILE THE STATE OVERALL HAS AN INSUFFICIENT NUMBER OF RESIDENCY SLOTS TO ADEQUATELY RETAIN MEDICAL SCHOOL GRADUATES. THESE FACTORS HAVE SIGNIFICANTLY CONTRIBUTED TO THE PHYSICIAN SHORTAGE ACROSS THE REGION. AS A RESULT, THE SERVICE AREA EXPERIENCES SIGNIFICANT HEALTH DISPARITIES, RANKING AMONG THE WORST COUNTIES IN THE STATE FOR HEALTH-RELATED FACTORS AND OUTCOMES, INCLUDING OBESITY, STROKES, HEART DISEASE, COPD, AND EVEN INFANT MORTALITY. THE PROPOSED RURAL RESIDENCY PROGRAM WILL INCREASE CAPACITY TO BETTER SERVE A POPULATION WITH UNMET PRIMARY CARE NEEDS AND INCREASE THE LIKELIHOOD THAT RESIDENTS WILL CONTINUE TO PRACTICE IN THE REGION AND OTHER RURAL COMMUNITIES. THE PROPOSED RURAL RESIDENCY TRAINING WILL OCCUR AT THE PHELPS HEALTH MAIN CAMPUS IN ROLLA, MISSOURI (PHELPS COUNTY, POP. 20,423). A PRELIMINARY FEASIBILITY ASSESSMENT AND PRO FORMA FOUND THAT PHELPS HEALTH HAS ALL NECESSARY SERVICES AND RESOURCES REQUIRED BY ACGME FOR ACCREDITATION PURPOSES, INCLUDING ORGANIZATIONAL CAPACITY, ADEQUATE PATIENT VOLUMES, AND FINANCIAL SUSTAINABILITY. PHELPS HEALTH HAS ENGAGED A.T. STILL UNIVERSITY – KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE TO BECOME THE SPONSORING INSTITUTION FOR THE PROPOSED FM/OB RESIDENCY PROGRAM. PHELPS HEALTH WILL FURTHER PARTNER WITH MID-MISSOURI AREA HEALTH EDUCATION CENTER TO SUPPORT ACCREDITATION, RECRUITMENT, AND ADMINISTRATION. THREE REQUESTED GRANT PERSONNEL, INCLUDING A PROJECT DIRECTOR AND RESIDENCY PROGRAM DIRECTOR, WILL COMPLETE ALL TASKS NECESSARY FOR MEETING PROJECT OBJECTIVES: THE CREATION OF A NEW RURAL RESIDENCY PROGRAM ACCREDITED BY ACGME, A VALIDATED SUSTAINABILITY PLAN THAT INCLUDES ONGOING FUNDING STREAMS TO SUSTAIN LONG-TERM RESIDENT TRAINING, AND A STRUCTURED PLAN TO TRACK AND PUBLICLY REPORT ON RESIDENT CAREER OUTCOMES AFTER GRADUATION FOR AT LEAST FIVE YEARS AFTER THE FIRST GRADUATING CLASS. OUTCOMES FOR THE PROJECT INCLUDE ESTABLISHING A NEW FM/OB RURAL RESIDENCY PROGRAM, RECRUITING THREE RESIDENTS FOR EACH PROGRAM YEAR ONCE ESTABLISHED, AND ESTABLISHING PHELPS HEALTH AS A PREMIERE LOCATION FOR RURAL RESIDENCY CLINICAL EXPERIENCE.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - ORGANIZATION: PHELPS COUNTY REGIONAL MEDICAL CENTER (D.B.A. PHELPS HEALTH), ACUTE CARE HOSPITAL, 1000 WEST 10TH ST., ROLLA, MO 65401-2905, HTTPS://PHELPSHEALTH.ORG/ PROJECT DIRECTOR: DEVON GRIEP, DIRECTOR OF COMMUNITY HEALTH & HEALTH EQUITY, 573-458-7955, DPOLLREISZ@PHELPSHEALTH.ORG NETWORK: SOUTH-CENTRAL MISSOURI RURAL HEALTH NETWORK (SCMRHN) SEEKS TO PRIMARILY EXPAND ACCESS TO, COORDINATE, AND IMPROVE THE QUALITY OF BASIC HEALTH CARE SERVICES AND ASSOCIATED HEALTH OUTCOMES (LEGISLATIVE AIM #2), BUT WILL ALSO ACHIEVE EFFICIENCIES AND STRENGTHEN THE RURAL HEALTH CARE SYSTEM (#1 AND #3). SCMRHN’S FOCUS AREA IS CARE COORDINATION. THE PROPOSED SERVICE AREA WILL INCLUDE THREE RURAL MISSOURI COUNTIES: MARIES, PHELPS, AND PULASKI. REQUEST AMOUNT: $100,000 THE NETWORK SEEKS TO SERVE LOW-INCOME ADULTS (AGES 18+) WHO ARE UNINSURED/UNDERINSURED. THIS IS A POPULATION THAT IS TYPICALLY UNDERSERVED IN RURAL AREAS. THE THREE COUNTIES HAVE 107,685 RESIDENTS, AND AN AVERAGE OF 14.5% OF THE POPULATION LIVE IN POVERTY. THE AVERAGE UNINSURED RATE FOR THE AREA IS 15%, WHICH IS HIGHER THAN STATE/NATIONAL RATES. ONGOING SDOH ISSUES SUCH AS LACK OF PUBLIC TRANSIT, HEALTHY FOOD ACCESSIBILITY, ETC., ALSO INCREASE THE LIKELIHOOD OF OBESITY, PHYSICAL INACTIVITY, AND CHRONIC CONDITIONS. THE AREA IS EXPERIENCING A HEALTH PROFESSIONAL AND MENTAL HEALTH PROFESSIONAL SHORTAGE WITH 3-5 ADDITIONAL PROVIDERS NEEDED FOR EACH TO MEET DEMAND IN EACH COUNTY. THE COUNTIES RANK AS FOLLOWS FOR HEALTHIEST COUNTIES IN MISSOURI: 62 - MARIES, 68 - PHELPS, AND 24 - PULASKI. PULASKI STILL EXPERIENCES HIGHER RATES OF RISKY HEALTH BEHAVIORS, SUCH AS SMOKING, OBESITY, AND OVERDOSE DEATHS THAN THE STATE/NATION. AN AVERAGE OF 17% OF ADULTS CONSIDER THEMSELVES IN POOR/FAIR HEALTH. ALL MEMBERS ARE LOCATED IN DESIGNATED RURAL AREAS ACCORDING TO THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER. PHELPS HEALTH, HAS LOCATIONS IN MARIES, PHELPS, AND PULASKI; FOUR RIVERS COMMUNITY HEALTH CENTER, AN FQHC, HAS LOCATIONS IN PHELPS AND PULASKI; PHELPS/MARIES COUNTY HEALTH DEPARTMENT, IS LOCATED IN PHELPS COUNTY; PULASKI COUNTY HEALTH DEPARTMENT IS IN PULASKI; COMPASS HEALTH NETWORK, AN FQHC AND BEHAVIORAL HEALTH CENTER, HAS LOCATIONS IN PHELPS AND PULASKI. ALL MEMBERS HAVE WORKED TOGETHER TO ADDRESS SPECIFIC HEALTH EQUITY ISSUES AND ARE READY TO COMBINE RESOURCES TO MAXIMIZE HEALTH CARE EFFICIENCIES. ALL HAVE SIGNED A LETTER OF COMMITMENT TO THE NETWORK. EACH ORGANIZATION HAS MULTIPLE YEARS OF EXPERIENCE SERVING THE RURAL AREA, OFFERING SERVICES THAT PROVIDE PHYSICAL AND MENTAL/BEHAVIORAL HEALTH CARE TO AN UNDERSERVED COMMUNITY. THEY HAVE THE STAFF AND LEADERSHIP TO OVERSEE A COLLABORATIVE NETWORK AND ARE WILLING TO COME TOGETHER TO ADDRESS AND SOLVE HEALTH INEQUITIES TO IMPROVE HEALTH CARE SERVICES AND OUTCOMES. MEMBERS WILL SHARE THEIR KNOWLEDGE AND RESOURCES WITH THE NETWORK. CURRENT COLLABORATIONS BETWEEN NETWORK MEMBERS INCLUDE: FOUR RIVERS AND PHELPS HEALTH'S PARTNERSHIP TO REDUCE RATES OF PATIENTS WITH DENTAL PAIN COMING INTO THE ED FOR ISSUES THAT CANNOT BE SOLVED WITHOUT A DENTIST; COMPASS HEALTH AND PHELPS HEALTH TO REDUCE RATES OF PATIENTS WITH BEHAVIORAL HEALTH NEEDS COMING INTO THE ED FOR ISSUES THAT CANNOT BE RESOLVED WITHOUT A MENTAL HEALTH PROVIDER; AND THE TRANSFORMATION OF RURAL COMMUNITY HEALTH (TORCH) PILOT PROGRAM TO COORDINATE HEALTH AND WELLNESS ORGANIZATIONS IN PHELPS COUNTY. FOUR OF THE FIVE SCMRHN MEMBERS ARE TORCH PARTNERS. THESE THREE COUNTIES HAVE NEVER HAD A COORDINATED HEALTH CARE NETWORK DUE TO THEIR SMALL POPULATION. WITH THE COMBINED EXPERTISE FROM ALL FIVE NETWORK MEMBERS, RESIDENTS IN THESE COUNTIES CAN BENEFIT FROM A GROUP OF DEDICATED PROVIDERS WORKING TOGETHER TO ADDRESS THE COMMUNITY’S HEALTH CARE INADEQUACIES. PHELPS HEALTH LEARNED ABOUT THE OPPORTUNITY THROUGH A HRSA NEWS RELEASE EMAIL SUBSCRIPTION, AND IS REQUESTING A FUNDING PREFERENCE UNDER QUALIFICATION 1: HEALTH PROFESSIONAL SHORTAGE AREA AND 2: MEDICALLY UNDERSERVED POPULATIONS.