Tallahatchie General Hospital Medical Foundation

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM - THE NORTHWEST MISSISSIPPI DIABETES NETWORK (NETWORK) APPLICANT: TALLAHATCHIE GENERAL HOSPITAL MEDICAL FOUNDATION | 141 DR. TT LEWIS CIRCLE, CHARLESTON, MISSISSIPPI, 38921 | WEBSITE: WWW.MYTGH.COM | WWW.JCKWELLNESS.COM PROJECT DIRECTOR: DR. CATHERINE MORING | 501-276-5459 | FAX: 662-625-3024 | CMORING@MYTGH.COM FOCUS AREAS: PRIMARY CARE, TELEHEALTH, BEHAVIORAL HEALTH, WELLNESS AND PREVENTION STRATEGIES, CHRONIC DISEASE (DIABETES) PREVENTION AND EDUCATION TARGET POPULATION: THE SERVICE AREA IS 20 COUNTIES IN NORTHWEST MISSISSIPPI. THE PROJECT WILL SERVE THE ESTIMATED 176,000 PEOPLE WITH PREDIABETES AND THE 66,000 WITH DIABETES AS WELL AS HEALTH CARE PROVIDERS, HEALTH CARE FACILITIES, AND WORKSITES IN THE SERVICE AREA. NETWORK MEMBERS: THE NETWORK IS COMPRISED OF SIX ORGANIZATIONS INCLUDING A NON-PROFIT 501C3 HOSPITAL FOUNDATION, A CRITICAL ACCESS HOSPITAL (AND THREE ASSOCIATED RURAL HEALTH CLINICS), A UNIVERSITY OF HIGHER EDUCATION, A COLLEGE OF OSTEOPATHIC MEDICINE, A LARGE HOSPITAL SYSTEM (AND ASSOCIATED CLINICS AND INTERNAL MEDICINE RESIDENCY PROGRAM), AND A 501C3 NON-PROFIT RESEARCH INSTITUTE. GOAL: THE OVERARCHING GOALS ARE TO EFFECTIVELY ADDRESS AND REDUCE THE MASSIVE BURDEN AND COST OF DIABETES IN THE SERVICE AREA, POSITION CLINICS AND HEALTH CARE PROVIDERS TO PROVIDE EFFECTIVE AND EXCELLENT DIABETES CARE, AND TO IMPROVE POPULATION HEALTH WITH A FOCUS ON DIABETES DIAGNOSTICS, PREVENTION, AND MANAGEMENT, AS WELL AS BEHAVIORAL HEALTH. NEED: THE SERVICE AREA IS EXTREMELY RURAL, VASTLY UNDERSERVED, AND PLAGUED WITH POVERTY AND ASSOCIATED HEALTH CHALLENGES. RESIDENTS HISTORICALLY SUFFER FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUALITIES AS COMPARED TO THEIR URBAN AND EVEN OTHER RURAL COUNTERPARTS. THIS AREA HAS THE HIGHEST RATE OF DIABETES IN THE NATION PRECIPITATING A TROUBLING DIABETES EPIDEMIC. ACCESS TO DIABETES CARE, SPECIALTY HEALTH CARE, BEHAVIORAL HEALTH CARE, AND DIABETES SUPPORT SERVICES IS SEVERELY LIMI TED. AS SUCH, THERE IS TREMENDOUS NEED FOR INCREASED ACCESS TO QUALITY DIABETES AND BEHAVIORAL HEALTH CARE, INCREASED ACCESS TO PATIENT EDUCATION AND DIABETES SUPPORT SERVICES, AND IMPROVED DIABETES DIAGNOSTICS TO DETECT UNDIAGNOSED DIABETES AND PREDIABETES AND PROVIDE APPROPRIATE CARE EARLY IN THE DISEASE PROCESS. EXPECTED OUTCOMES: THE NETWORK WILL IMPROVE ACCESS TO AND QUALITY OF DIABETES CARE THROUGH SUSTAINABLE HEALTH PROGRAMS, TELEHEALTH, AND THE UTILIZATION OF EVIDENCE-BASED AND PROMISING PRACTICE MODELS. BY EXPANDING THE CAPACITY OF AND SERVICES FOR DIABETES AND BEHAVIORAL HEALTH CARE, THE NETWORK WILL DEMONSTRATE IMPROVED HEALTH OUTCOMES, REDUCED HEALTH CARE COSTS, AND SIGNIFICANT POSITIVE COMMUNITY IMPACT. ACTIVITIES: 1) INCREASE ACCESS TO DIABETES CARE AND COACHING SERVICES USING TELEHEALTH MODALITIES; 2) INCREASE ACCESS TO BEHAVIORAL HEALTH CARE USING TELEHEALTH MODALITIES; 3) CREATE A ROBUST NETWORK OF HEALTH CARE PROVIDERS COMMITTED TO PROVIDING EXCELLENCE IN DIABETES CARE; 4) PROVIDE FREQUENT ADVANCED LEVEL TRAINING AND EDUCATION TO ALL HEALTH CARE PROVIDERS ON SUBJECT MATTER SPECIFIC TO DIABETES CARE; 5) CONDUCT FREQUENT WORKSITE AND COMMUNITY SCREENINGS TO IDENTITY DIABETES AND PREDIABETES EARLIER IN THE DISEASE PROCESS - AND PROVIDE APPROPRIATE FOLLOW UP CARE AND SUPPORT; AND 6) CREATE POLICIES AND PROCEDURES WITHIN CLINICS TO IMPROVE DIABETES DIAGNOSTICS. SERVICES INCLUDE DIABETES CARE AND SELF-MANAGEMENT SUPPORT SERVICES, DIABETES PREVENTION PROGRAM, BEHAVIORAL HEALTH SERVICES, REMOTE PATIENT MONITORING, DIABETES TESTING AND SCREENING, AND ADVANCED LEVEL DIABETES TRAINING FOR HEALTH CARE PROVIDERS. FUNDING PREFERENCE: THE NETWORK IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATIONS 1, 2 AND 3. ALL 20 COUNTIES ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS. A FOCUS OF THE PROJECT IS ALSO ON PRIMARY CARE, WELLNESS AND PREVENTION STRATEGIES. FUNDS ARE REQUESTED FROM THE RURAL HEALTH NETWORK DEVELOP MENT PROGRAM.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM