Avera Health

ENVIRONMENTAL INFLUENCES ON CHILD HEALTH OUTCOMES IN THE NORTHERN PLAINS SAFE PASSAGE STUDY COHORT

ENVIRONMENTAL INFLUENCES ON CHILD HEALTH OUTCOMES IN THE NORTHERN PLAINS SAFE PASSAGE STUDY COHORT

AVERA VIRTUAL CARE CENTER: IMPROVING CARE & REDUCING COSTS FOR THE VULNERABLE ELDERLY POPULATION

MATERNAL AMERICAN-INDIAN RURAL COMMUNITY HEALTH (MARCH) - MATERNAL AMERICAN INDIAN RURAL COMMUNITY HEALTH RESEARCH CENTER OF EXCELLENCE | M.A.R.C.H. PROJECT SUMMARY THE PURPOSE OF THE MATERNAL AMERICAN INDIAN RURAL COMMUNITY HEALTH RESEARCH CENTER OF EXCELLENCE (M.A.R.C.H.) IS TO PROVIDE A PLATFORM FOR RESEARCHERS, TRIBAL NATIONS, RURAL COMMUNITIES AND KEY STAKEHOLDERS TO ENGAGE IN BIDIRECTIONAL COMMUNICATIONS ON MATERNAL HEALTH, IN PARTICULAR DRIVERS OF MORTALITY AND SEVERE MORBIDITY. ALL CENTER COMPONENTS REVOLVE AROUND TWO POPULATIONS WITH STARK HEALTH DISPARITIES IN OUR REGION – AMERICAN INDIAN AND RURAL RESIDENTS. NOVEL MECHANISMS FOR IMPROVING ACCESS TO CARE AND CREATING A BETTER UNDERSTANDING OF BARRIERS TO AND FACILITATORS OF ACCESSING CARE FEED INTO THE OVERARCHING THEME OF THE CENTER AND THE PROJECTS PROPOSED. THE KEY ELEMENTS OF M.A.R.C.H. INCLUDE 1) MULTI-LAYERED AND NOVEL PROJECTS THAT HAVE EMERGED FROM LONG-STANDING COMMUNITY RELATIONSHIPS WITH THE GOAL OF ADDRESSING PREVENTABLE MATERNAL MORTALITY, DECREASING SEVERE MATERNAL MORBIDITY, AND PROMOTING MATERNAL HEALTH EQUITY; 2) A COMMUNITY ENGAGEMENT CORE THAT WILL SERVE AS A CENTRAL HUB TO CONNECT M.A.R.C.H. ACTIVITIES WITH THE VAST NETWORK OF PARTNERS; AND 3) A TRAINING CORE WHICH WILL SUPPORT PROJECT-SPECIFIC TRAINING NEEDS, AS WELL AS AN OVERALL STRUCTURE OF TRAINING FOCUSED ON CULTURAL COMPETENCY AND HEALTH RESEARCH LITERACY.

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM - APPLICANT ORGANIZATION INFORMATION: APPLICANT ORGANIZATION: AVERA MCKENNAN; ADDRESS: 1325 S. CLIFF, SIOUX FALLS, SD 57117-5045; FACILITY TYPE: HOSPITAL; WEBSITE: WWW.AVERA.ORG DESIGNATED PROJECT DIRECTOR INFORMATION: PROJECT DIRECTOR: JUANITA RUITER; PHONE NUMBER: 605-322-8945; EMAIL: JUANITA.RUITER@AVERA.ORG RMOMS PROJECT: TITLE: RMOMS SD: LEVERAGING DATA, PARTNERSHIPS AND INTEGRATED PERINATAL CARE TO IMPROVE HEALTH EQUITY AMONG BIRTHING PEOPLE IN SOUTH DAKOTA (RMOMS-SD); PROJECT GOAL: THE RMOMS-SD PROGRAM WILL LEVERAGE TELEHEALTH SOLUTIONS AND DATA-INFORMED DECISION MAKING TO CREATE A CARE PATHWAY THAT IMPROVES THE QUALITY OF CARE FOR EXPECTING PATIENTS TO DELIVER HEALTHY BABIES THROUGH A COST-NEUTRAL OR COST-SAVING AND SUSTAINABLE MODEL. FUNDS REQUESTED: Y1: $1,000,000; Y2: $1,000,000; Y3: $1,000,000; Y4: $1,000,000 NETWORK COMPOSITION: THE PROJECT WILL ESTABLISH NETWORK OF PARTNERS INCLUDING AVERA’S REGIONAL RURAL FACILITIES, AVERA@HOME, RURAL HEALTH CARE, INC. (FQHC), SOUTH DAKOTA URBAN INDIAN HEALTH (FQHC), THE STATE DEPARTMENT OF HEALTH (HOME VISITING PROGRAM) AND STATE DEPARTMENT OF SOCIAL SERVICES (STATE MEDICAID AGENCY), AS WELL AS TWO RURAL FACILITIES WITH LOW DELIVERY VOLUMES, MILBANK AREA HOSPITAL AND AVERA ST. BENEDICT HOSPITAL (CAH) AND A DATA CONSULTANT. ALL 13 NETWORK MEMBERS HAVE SIGNED AN ATTACHED MOA. TARGET SERVICE AREA: THE PRIMARY TARGET SERVICE AREA INCLUDES THE RURAL COUNTIES OF BROWN, DAVISON, GRANT, HUGHES, HUTCHINSON, AND YANKTON IN EASTERN SOUTH DAKOTA. A SECONDARY TARGET SERVICE AREA INCLUDES 47 RURAL COUNTIES COMPRISING THE REST OF AVERA’S SOUTH DAKOTA FOOTPRINT AS WELL AS THE COUNTIES THAT ARE HOME TO THE STATE’S NINE TRIBAL COMMUNITIES. TARGET POPULATION: RURAL PREGNANT PATIENTS OVER THE AGE OF 18 IN EASTERN SOUTH DAKOTA AND SURROUNDING TRIBAL COMMUNITIES WHO HAVE SIGNIFICANT BARRIERS TO OBSTETRICS SERVICES AND ACCESS CARE AT A LOCAL FACILITIES. CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: AVERA MCK ENNAN IS THE FLAGSHIP FACILITY OF AVERA HEALTH, A NONPROFIT, REGIONAL, VERTICALLY INTEGRATED HEALTH CARE DELIVERY NETWORK ALSO BASED IN SIOUX FALLS, SD. AVERA IS A LEADER IN RURAL HEALTHCARE AND PRIORITIZES INCREASING ACCESS TO QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO ENSURE RURAL SOUTH DAKOTANS CAN RECEIVE CARE CLOSE TO HOME. ALL NETWORK PARTNERS HAVE LOCATIONS BASED IN RURAL COUNTIES (THE PRIMARY TARGET SERVICE AREA) AND A DEMONSTRATED HISTORY OF SERVING THE STATE’S RURAL POPULATIONS. THE MAJORITY OF AVERA’S SERVICE AREA IS ENTIRELY RURAL COUNTIES. PROJECT ACTIVITY: PROGRAM INTERVENTIONS INCLUDE: REMOTE PATIENT MONITORING TELEHEALTH FOR RURAL PATIENTS AND DELIVERY CENTERS, CARE COORDINATION AND SERVICE AGGREGATION, STATEWIDE WRAPAROUND SERVICES, AND A SOCIAL DETERMINANTS OF HEALTH SCREENING PROGRAM. EXPECTED OUTCOMES INCLUDE INCREASING ACCESS TO OBSTETRICS SERVICES, IMPROVING RELATED CLINICAL OUTCOMES, AND FACILITATING THE DEVELOPMENT OF A ROBUST DATA AND EVALUATION PROGRAM THAT HELPS PARTNERS BETTER UNDERSTAND AND ADDRESS OB NEEDS IN THE REGION. FUNDING PREFERENCE: AVERA MCKENNAN IS REQUESTING A FUNDING PREFERENCE AS THE MAJORITY OF THE COUNTIES IN THE PROPOSED SERVICE AREA ARE IN A DESIGNATED HPSA. SPECIAL CONSIDERATION: AVERA MCKENNAN IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOU THAT INCLUDES THE STATE MEDICAID AGENCY.

ESANE FOR RURAL: A SCALABLE TELEHEALTH APPROACH TO SUPPORT JUSTICE FOR RURAL VICTIMS

HEALTHY START INITIATIVE - AVERA MCKENNAN PROPOSES AVERA BRIDGING INEQUITIES REGIONALLY THROUGH HEALTHY START (AVERA BIRTHS): A COMMUNITY DRIVEN RESPONSE TO PERINATAL NEEDS FOR CARE COORDINATION AND GROUP-BASED EDUCATION IN SOUTH DAKOTA TO DIRECTLY RESPOND TO THE RISING INFANT MORTALITY RATE FOR SOUTH DAKOTA MOTHERS WITH A HIGH SCHOOL EDUCATION OR LESS (TARGET POPULATION). COMPRISED OF RURAL, IMMIGRANT, AND MARGINALIZED COMMUNITIES, THE TARGET POPULATION HAS THE HIGHEST INFANT MORTALITY RATES (IMR) IN SOUTH DAKOTA, AT 9.5 PER 1,000 BIRTHS. THESE POPULATIONS EXPERIENCE HIGHER RATES OF PRETERM BIRTH, DEPRESSION, TOBACCO OR DRUG USE, AND POVERTY, IN ADDITION TO LOWER RATES OF BREASTFEEDING, AND ACCESS TO PERINATAL CARE. ACCORDING TO THE SOUTH DAKOTA PREGNANCY RISK ASSESSMENT MONITORING (PRAMS) DATA, THE COMBINATION OF RISK FACTORS IN THIS TARGET POPULATION CREATES A STARK DISPARITY THAT LED TO ADVERSE HEALTH EFFECTS FOR BOTH MOTHER AND CHILD. AVERA BIRTHS WILL ESTABLISH A CARE COORDINATION TEAM INCLUDING COMMUNITY-BASED DOULAS, OB ADVANCED PRACTICE PROVIDER, DIETITIAN, SOCIAL WORKER, AND RN EDUCATOR TO PROVIDE DIRECT AND ENABLING SERVICES FOR THE TARGET POPULATION, AS WELL AS GROUP-BASED EDUCATION AND HEALTH PROMOTION. AVERA BIRTHS AIMS TO DELIVER PERINATAL HEALTHCARE SERVICES TO RURAL AREAS IN SOUTH DAKOTA. AS PER THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER, THE PROPOSED SERVICE AREA IS RURAL AND INCLUDES REGION 2, REGION 3, AND REGION 4 OF THE SD PRAMS REPORT, COVERING THE FOLLOWING FULL COUNTIES: AURORA, BEADLE, BON HOMME, BROOKINGS, BROWN, BRULE, BUFFALO, CAMPBELL, CHARLES MIX, CLARK, CLAY, CODINGTON, CORSON, DAVISON, DAY, DEUEL, DEWEY, DOUGLAS, EDMUNDS, FAULK, GRANT, GREGORY, HAMLIN, HAND, HANSON, HUGHES, HUTCHINSON, HYDE, JERAULD, KINGSBURY, LAKE, LINCOLN, LYMAN, MARSHALL, MCCOOK, MCPHERSON, MINER, MINNEHAHA, MOODY, POTTER, ROBERTS, SANBORN, SPINK, STANLEY, SULLY, TODD, TRIPP, TURNER, UNION, WALWORTH, YANKTON, AND ZIEBACH. FURTHER INFORMATION ABOUT THE TARGET POPULATI ON IS INCLUDED IN ATTACHMENT 1.

SOUTH DAKOTA PEDIATRIC CLINICAL TRIALS NETWORK (SODAKPCTN)

PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

AMERICAN INDIAN MHEALTH SMOKING DEPENDENCE STUDY (PQ4)

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

CBPR INITIATIVE IN REDUCING INFANT MORTALITY IN AMERICAN INDIAN COMMUNITIES

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - ORGANIZATION NAME: AVERA HEALTH, HEALTHCARE SYSTEM ADDRESS: 3900 W AVERA DRIVE, SIOUX FALLS, SD 57117 WEBSITE: WWW.AVERA.ORG PROJECT DIRECTOR: MEGAN BIEGLER, PROJECT SPECIALIST CONTACT PHONE: (605)622-2842 E-MAIL: MEGAN.BIEGLER@AVERA.ORG PROJECT TITLE: RURAL HEALTH WORKFORCE NEXT: NETWORK CROSS TRAINING (NEXT) FOR FUTURE TELEHEALTH AND HEALTH IT CAREERS IN THE RURAL UPPER MIDWEST PROPOSED TRAINING TRACK: TRACK #2, TELEHEALTH AND HEALTH IT RURAL HEALTH WORKFORCE NEXT: NETWORK CROSS TRAINING (NEXT) FOR FUTURE TELEHEALTH AND HEALTH IT CAREERS IN THE RURAL UPPER MIDWEST WILL PREPARE THE RURAL PUBLIC HEALTH WORKFORCE OF TODAY AND TOMORROW BY PROVIDING CROSS-TRAINED SKILLS IN TELEHEALTH, HEALTH IT, AND SKILL OPPORTUNITIES SUCH AS TELEMETRY MONITORING AND VIRTUAL NURSING. FOLLOWING THE NATIONAL TREND, SOUTH DAKOTA’S MOST ACUTE HEALTH WORKFORCE NEED IS CERTAINLY ITS NURSING STAFF RATIOS IN RURAL AREAS. RESPONDING TO THIS CRISIS REQUIRES TIME, INNOVATION, AND COLLABORATION ACROSS SEVERAL SECTORS. THE RURAL PUBLIC HEALTH WORKFORCE TRAINING GRANT OFFERS AVERA AN OPPORTUNITY TO SUPPORT NURSING STAFF, NOT SIMPLY BY HIRING MORE RN’S (WHICH IS NOT A VIABLE OPTION IN THE SHORT-TERM) BUT BY LEVERAGING THE CAPACITY OF ITS HEALTH IT WORKFORCE TO INTERVENE IN NEW AND INNOVATIVE WAYS. IN RESPONSE TO THE HISTORIC NURSING SHORTAGE, PROJECT NEXT PROVIDES AN INNOVATIVE, ALTERNATIVE, STAFFING SOLUTION (ONE THAT CAN BE REPLICATED BY OTHER HEALTH SYSTEMS) BY ADDING SUPPORT STAFF AROUND RN’S TO ALLOW THEM TO PRACTICE AT THE TOP OF THEIR LICENSURE. ADDITIONALLY, PROJECT NEXT WILL PREPARE THE NEXT GENERATION OF THE RURAL PUBLIC HEALTH WORKFORCE BY PROVIDING HANDS-ON LEARNING EXPERIENCES AND OUTREACH ON TECHNOLOGY DRIVEN HEALTH CARE CAREERS. PROGRAM GOALS INCLUDE 1) ESTABLISHING AND STRENGTHENING OUTREACH PROGRAMS FOR FUTURE HEALTH WORKFORCE MEMBERS FOR EXPERIENTIAL TRAINING OPPORTUNITIES FOR CURRENT STUDENTS; 2) CREATE HANDS ON LEARNING AND INTERNSHIPS IN TELEHEALTH AN D HEALTH IT ROLES; 3) ESTABLISH SITE COORDINATORS FOR TELEHEALTH; 4) TRAIN TELEMETRY TECHNICIANS; AND 5) ESTABLISH A VIRTUAL NURSING PROGRAM. THE PROGRAM WILL SERVE AN EXPANDING REGION, INCLUDING RURAL SOUTH DAKOTA COUNTIES IN Y1: AURORA, BEADLE, BON HOMME, BROOKINGS, BROWN, BRULE, BUFFALO, CAMPBELL, CHARLES MIX, CLARK, CLAY, CORSON, DAVISON, DAY, DEUEL, DEWEY, DOUGLAS, EDMUNDS, FAULK, GRANT, HAND, HANSON, HUGHES, HUTCHINSON, HYDE, JERAULD, JONES, KINGSBURY, KINSBURY, LAKE, LYMAN, MARSHALL, MCCOOK, MCPHERSON, MELLETTE, MINER, MOODY, POTTER, ROBERTS, SANDBORN, SPINK, STANLEY, SULLY, TODD, TRIP, TURNER, WALWORTH, YANKTON. PROJECT NEXT IS REQUESTING $1,545,000 OVER A THREE-YEAR PERFORMANCE PERIOD. WITHIN THE PROPOSED CONSORTIUM, ALL CLINICAL AND PATIENT ORIENTED MEMBERS ARE LOCATED IN RURAL, UNDERSERVED COMMUNITIES. AVERA, THE LEAD APPLICANT, IS THE PARENT ORGANIZATION FOR A VERTICALLY INTEGRATED HEALTH SYSTEM. THE NETWORK PARTNER ORGANIZATIONS INCLUDE RURAL: AVERA ST LUKE’S HOSPITAL AVERA ST. MARY’S HOSPITAL DAKOTA STATE UNIVERSITY LANDMANN JUNGMAN MEMORIAL HOSPITAL NORTHEAST SOUTH DAKOTA AREA HEALTH EDUCATION CENTER PLATTE HEALTH CENTER RURAL HEALTH CARE INC AVERA HAS EXPERIENCE TO PROVIDE TRAINING IN HEALTH IT AND TELEHEALTH. IN 1993, AVERA WAS THE FIRST AREA HOSPITAL TO DEVELOP A FORMAL TELEHEALTH PROGRAM. AVERA HAS AN EXTENSIVE COLLABORATION WITH NETWORK PARTNERS, INCLUDING RURAL HEALTH CARE, INC IN ESTABLISHING ACCESS HEALTH – MITCHELL AND ACCESS HEALTH – BROOKINGS IN 2020. AVERA RECENTLY PARTNERED WITH DAKOTA STATE UNIVERSITY TO CREATE STAFF TRAININGS RELATED TO CYBERSECURITY. AVERA HEALTH IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1 AND 2 AS ATTACHMENT 10. HUGHES COUNTY IS A DESIGNATED HPSA. YANKTON COUNTY IS A MUC/MUP. AVERA HEALTH IS REQUESTING SPECIAL CONSIDERATION BASED ON INCLUDING A SIGNED MOU FROM ALL NETWORK PARTNERS AS IN ATTACHMENT 11.

COMMUNITY BASED SYSTEM DYNAMICS MODELS OF ALCOHOL AND SUBSTANCE EXPOSED PREGNANCY IN NORTHERN PLAINS AMERICAN INDIAN WOMEN

THE MEDICARE CHRONIC CARE PRACTICE RESEARCH NETWORK (MCCPRN)

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM - SOUTH DAKOTA FACES A SEVERE SHORTAGE OF BEHAVIORAL HEALTH PROFESSIONALS, PARTICULARLY IN RURAL AND UNDERSERVED AREAS, WHERE ACCESS TO MENTAL HEALTH AND ADDICTION SERVICES IS CRITICALLY LIMITED. AVERA BRIGHT: BUILDING RURAL INNOVATION AND GROWTH IN BEHAVIORAL HEALTH TEAMS ADDRESSES THIS CRISIS BY CREATING A SUSTAINABLE PIPELINE OF HIGHLY TRAINED PROFESSIONALS WHO SERVE THESE HIGH-NEED COMMUNITIES. FOCUSING ON CHILDREN, ADOLESCENTS, AND YOUNG ADULTS AT RISK FOR MENTAL HEALTH DISORDERS, TRAUMA, AND SUBSTANCE USE CHALLENGES, AVERA BRIGHT INTEGRATES RECRUITMENT, TRAINING, AND RETENTION STRATEGIES TO EXPAND AND ENHANCE SOUTH DAKOTA’S BEHAVIORAL HEALTH WORKFORCE. OVER ITS FOUR-YEAR SPAN, THE PROGRAM WILL TRAIN 12 STUDENTS PER GRANT YEAR. PARTICIPANTS WILL INCLUDE MASTER OF SOCIAL WORK (MSW), MASTER OF ARTS IN COUNSELING (MA), AND MASTER OF ADDICTION COUNSELING (MAC) TRAINEES, PRIORITIZING CANDIDATES FROM RURAL AND UNDERSERVED BACKGROUNDS. THESE STUDENTS WILL GAIN HANDS-ON EXPERIENCE IN DIVERSE CLINICAL SETTINGS, INCLUDING SCHOOL-BASED PROGRAMS, ADDICTION TREATMENT FACILITIES, AND TELEHEALTH ENVIRONMENTS. CULTURALLY RESPONSIVE AND TRAUMA-INFORMED CARE MODULES, PARTICULARLY THOSE ADDRESSING THE NEEDS OF NATIVE AMERICAN COMMUNITIES, WILL EQUIP TRAINEES TO MEET THE UNIQUE CHALLENGES OF RURAL PRACTICE. AVERA BRIGHT ADDRESSES BARRIERS TO WORKFORCE SUSTAINABILITY BY PROVIDING STIPENDS, LICENSURE SUPPORT, AND PROFESSIONAL MENTORSHIP, EASING FINANCIAL AND LOGISTICAL BURDENS FOR TRAINEES. TELEHEALTH TRAINING AND PARTNERSHIPS WITH TRIBAL COUNCILS AND RURAL CLINICS ENHANCE ACCESS TO CARE IN REMOTE AREAS, ADDRESSING GEOGRAPHIC AND SYSTEMIC BARRIERS. AVERA BRIGHT EMPHASIZES HEALTH EQUITY AND CULTURALLY COMPETENT CARE BY ADHERING TO THE NATIONAL STANDARDS FOR CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS). THIS PROGRAM ENSURES UNDERSERVED COMMUNITIES RECEIVE HIGH-QUALITY, COMPASSIONATE CARE WHILE FOSTERING A RESILIENT AND COMMITTED BEHAVIORAL HEALTH WORKFORCE TO TRANSFORM SOUTH DAKOTA’S MENTAL HEALTH AND ADDICTION TREATMENT LANDSCAPE.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE AVERA VIRTUAL PATIENT CARE PROGRAM AIMS TO INCREASE VIRTUAL NURSING INFRASTRUCTURE ACROSS THE AVERA MCKENNAN REGION, AND BY EXTENSION, INCREASE ACCESS TO VIRTUAL NURSING RESOURCES THROUGHOUT AVERA’S RURAL FACILITIES IN SOUTH DAKOTA. THE PROJECT WILL SOLVE MANY BARRIERS THAT CLINICIANS WITHIN THE HEALTH SYSTEM FACE DUE TO STAFFING SHORTAGES BY UTILIZING ARTIFICIAL INTELLIGENCE VIA A PLATFORM THAT INCLUDES NETWORK SENSORS, CAMERAS, SPEAKERS, AND MICROPHONES, TO GATHER DATA AND BUILD ALGORITHMS TO AUTOMATE SPECIFIC WORKFLOWS. THE INCREASED ACCESS TO QUALITY AND SPECIALTY HEALTHCARE PROVIDED THROUGH THE AVERA VIRTUAL PATIENT CARE PROGRAM HAS THE POTENTIAL TO REDUCE HEALTH DISPARITIES FACED THROUGHOUT AVERA’S RURAL FOOTPRINT IN SOUTH DAKOTA AND HELP CLINICIANS DELIVER THE PROPER CARE AT THE RIGHT TIME TO IMPROVE PATIENT OUTCOMES AND THE OVERALL QUALITY OF CARE IN RURAL AREAS. THE PROPOSED FUNDING WILL ENABLE THE ORGANIZATION TO PURCHASE CAMERAS, SPEAKERS, ARTISIGHT CONNECT, AND MOBILE CARTS AT AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER, AVERA BEHAVIORAL HEALTH HOSPITAL, AVERA SPECIALTY HOSPITAL, AVERA MEDICAL GROUP FAMILY HEALTH CENTER EMERGENCY DEPARTMENT – MARION, AND AVERA MEDICAL GROUP FAMILY HEALTH CENTER EMERGENCY DEPARTMENT – DAWLEY FARMS. EACH FACILITY WILL RECEIVE TELEMEDICINE UNITS THAT PROVIDE ACCESS TO VIRTUAL PATIENT CARE. THIS TECHNOLOGY, WITH ITS ADVANCED AUDIO-VISUAL CAPABILITIES, WILL CONNECT THEM WITH HIGHLY TRAINED NURSES AND TECHNICIANS, ENSURING EFFICIENT AND QUALITY HEALTHCARE.

NURSE EDUCATION PRACTICE QUALITY AND RETENTION- REGISTERED NURSE TRAINING PROGRAM - ORGANIZATION: AVERA HEALTH ADDRESS: 3900 W AVERA DRIVE, SIOUX FALLS, SD 57117 WEBSITE: WWW.AVERA.ORG PROJECT DIRECTOR: KARNA PFEFFER, RN, MSN, DIRECTOR OF CLINICAL EXCELLENCE AND EDUCATION PHONE: (605)224-3121 E-MAIL: KARNA.PFEFFER@AVERA.ORG PREPARE-RNS: PARTNERING TO ADDRESS THE CRITICAL NURSING SHORTAGE IN SOUTH DAKOTA WILL PREPARE BSNS AND RNS FOR CAREERS IN RURAL ACUTE-CARE CRITICAL ACCESS HOSPITAL SETTINGS BY PROVIDING EDUCATION IN CULTURAL AWARENESS, SOCIAL DETERMINANTS OF HEALTH, HEALTH EQUITY, AND HEALTH LITERACY. FOLLOWING THE NATIONAL TREND, SOUTH DAKOTA’S MOST ACUTE HEALTH WORKFORCE NEED IS CERTAINLY ITS NURSING STAFF RATIOS IN RURAL AREAS. RESPONDING TO THIS CRISIS REQUIRES TIME, INNOVATION, AND COLLABORATION ACROSS SEVERAL SECTORS. THE REGISTERED NURSE TRAINING PROGRAM GRANT OFFERS AVERA AND PARTNER SOUTH DAKOTA STATE UNIVERSITY A COLLABORATIVE OPPORTUNITY TO TRAIN, RECRUIT, AND RETAIN NURSING STAFF IN NEW AND INNOVATIVE WAYS BY REMOVING BARRIERS AND PERCEPTIONS ABOUT PRACTICING IN A RURAL ACUTE-CARE SETTING. IN RESPONSE TO THE HISTORIC NURSING SHORTAGE, PREPARE-RNS PROVIDES INNOVATIVE AND ENHANCED TRAINING, RECRUITMENT, AND RETENTION (ONE THAT CAN BE REPLICATED BY OTHER HEALTH SYSTEMS) BY PREPARING BSN AND RNS FOR THE DISTINCT CHALLENGES OF PRACTICING IN A CRITICAL ACCESS HOSPITAL. PREPARE-RNS WILL PROVIDE A UNIQUE LOOK INTO RURAL PRACTICE BY PROVIDING PROGRAM EVALUATION FROM A HEALTH SYSTEM AND AN EDUCATIONAL ORGANIZATION. ADDITIONALLY, THE NEXT GENERATION OF RNS WILL BE PREPARED BY PROVIDING EXPERIENTIAL TRAINING IN CRITICAL ACCESS HOSPITALS AND IN THE NEWLY EMERGING PRACTICE OF VIRTUAL NURSING. AVERA IS REQUESTING $1,050,000 OVER A THREE-YEAR PERFORMANCE PERIOD. PROGRAM GOALS INCLUDE 1) ENHANCE BSN CURRICULUM TO INCREASE KNOWLEDGE AND PRACTICE OF CULTURAL AWARENESS, SOCIAL DETERMINANTS OF HEALTH, HEALTH EQUITY, AND HEALTH LITERACY; 2) FORMALIZE A RURAL CAH TRAINING TRACK WITH FINANCIAL SUPPORT FOR 8 ENROLLED BSN STUDEN TS PER SEMESTER; 3) IMPLEMENT AN ECHO PROFESSIONAL DEVELOPMENT MODEL FOR BSN STUDENTS, RN STAFF, PRECEPTORS, AND FACULTY TO INCREASE KNOWLEDGE AND PRACTICE OF CULTURAL AWARENESS, SOCIAL DETERMINANTS OF HEALTH, HEALTH EQUITY, AND HEALTH LITERACY; 4) RECRUIT AND REATTAIN AN INCREASED NUMBER OF BSN AND RNS FOR CAREERS IN ACUTE-CARE CAH SETTINGS; 5) ESTABLISH A BASELINE AND TRACK, EVALUATE, AND DEMONSTRATE IMPROVED OUTCOMES FOR RN TRAINING IN THE PROGRAM AREA THROUGH AN ACADEMIC-PRACTICE PARTNERSHIP TO INCREASE CAREER. THE PROGRAM WILL SUBSTANTIALLY BENEFIT RURAL, UNDERSERVED SOUTH DAKOTA COUNTIES: AURORA, BEADLE, BON HOMME, BROOKINGS, BROWN, BRULE, BUFFALO, CAMPBELL, CHARLES MIX, CLARK, CLAY, CORSON, DAVISON, DAY, DEUEL, DEWEY, DOUGLAS, EDMUNDS, FAULK, GRANT, HAND, HANSON, HUGHES, HUTCHINSON, HYDE, JERAULD, JONES, KINGSBURY, KINSBURY, LAKE, LYMAN, MARSHALL, MCCOOK, MCPHERSON, MELLETTE, MINER, MOODY, POTTER, ROBERTS, SANDBORN, SPINK, STANLEY, SULLY, TODD, TRIP, TURNER, WALWORTH, YANKTON. WITHIN THE PROPOSED PROGRAM PERIOD, ALL EDUCATIONAL AND EXPERIENTIAL TRAINING SITES ARE LOCATED IN RURAL, UNDERSERVED COMMUNITIES. AVERA HEALTH, THE LEAD APPLICANT, IS THE PARENT ORGANIZATION FOR A VERTICALLY INTEGRATED HEALTH SYSTEM. PARTNER ORGANIZATION, SOUTH DAKOTA STATE UNIVERSITY, IS THE LARGEST COLLEGE OF NURSING IN SOUTH DAKOTA WITH OVER 1000 ENROLLED BSN STUDENTS. THE EXPERIENTIAL TRAINING SITES INCLUDE RURAL: AVERA DELLS AREA HEALTH CENTER, AVERA DE SMET MEMORIAL HOSPITAL, AVERA FLANDREAU HOSPITAL, AVERA GREGORY HEALTH CENTER, LANDMANN JUNGMAN MEMORIAL HOSPITAL AVERA, MILBANK AREA HOSPITAL AVERA, AVERA QUEEN OF PEACE HOSPITAL, AVERA ST. BENEDICTS HEALTH CENTER, AND AVERA WESKOTA MEMORIAL MEDICAL CENTER. AVERA HEALTH IS REQUESTING A FUNDING PRIORITY BASED ON PRIORITY 1: STATES WITH THE GREATEST NURSING SHORTAGES (SOUTH DAKOTA) AS ATTACHMENT 10 AND FUNDING PREFERENCE BASED ON QUALIFICATION 1 AND 2 AS ATT

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. WITH THIS CONTINUATION RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING GRANT AWARD, AVERA HEALTH, IN PARTNERSHIP WITH AVERA HEALTH, AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER, THE COMPASS CENTER, THE CENTER FOR THE PREVENTION OF CHILD MALTREATMENT (CPCM), AVERA QUEEN OF PEACE HOSPITAL, AVERA ST. MARYS HOSPITAL, AVERA ST. LUKES HOSPITAL, AVERA MARSHALL REGIONAL MEDICAL CENTER, AND AVERA SACRED HEART, WILL IMPLEMENT A VICTIM SERVICES PROJECT FOR THE FOLLOWING 6 SITES IN SOUTH DAKOTA AND MINNESOTA: SIOUX FALLS, SD (MINNEHAHA), YANKTON, SD (YANKTON), MITCHELL, SD (DAVISON), (PIERRE, SD (HUGHES), ABERDEEN, SD (BROWN), AND MARSHALL, MN (LYON). SPECIFIC ACTIVITIES WILL INCLUDE: 1) IMPROVING ACCESS TO TRAINED SEXUAL ASSAULT NURSE EXAMINERS (SANE) FOR VICTIMS OF INTERPERSONAL VIOLENCE, BOTH IN-PERSON AND VIA TELEHEALTH, BY:A) CONDUCTING A STRATEGIC REVIEW OF CURRENT SANE STAFFING IN PROJECT GEOGRAPHY; B) REVIEWING, ENHANCING, AND ESTABLISHING DOCUMENTED SANE PROTOCOLS TO ENSURE TIMELY RESPONSE FOR VICTIMS PRESENTING AT SANE SITES; C) CONDUCTING RESILIENCY TRAINING WITH PARTNER COMPASS CENTER FOR SANE AND ED RNS ANNUALLY; AND D) CONDUCTING TRAINING SESSIONS AT NEW SANE SITES; AND 2) PROVIDING ACCESS TO TRAINING FOR MEDICAL PERSONNEL WHO CARE FOR INTERPERSONAL VIOLENCE VICTIMS AND THOSE WHO WANT TO BECOME FORENSIC NURSE EXAMINERS. FUNDING WILL ALSO SUPPORT DEVELOPING A SANE PRECEPTORSHIP PROGRAM AT THE MCKENNAN HOSPITAL TO INCREASE ACCESS OF MENTAL HEALTH SUPPORT, AND PROVIDING RESOURCES TO VICTIMS OF INTERPERSONAL VIOLENCE BY PROVIDING TRAUMA-SPECIFIC TRAINING TO MENTAL HEALTH PROFESSIONALS SO THAT THEY ARE BETTER EQUIPPED TO RESPOND THERAPEUTICALLY. THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION - WORKFORCE EXPANSION PROGRAM - RETAIN-RNS: PARTNERING TO EXPAND AND RETAIN SOUTH DAKOTA’S NURSING WORKFORCE IN ACUTE AND LONG-TERM CARE SETTINGS WILL PREPARE BSNS AND RNS FOR CAREERS IN RURAL ACUTE AND LONG-TERM CARE SETTINGS BY PROVIDING EDUCATION IN CULTURAL AWARENESS, SOCIAL DETERMINANTS OF HEALTH, HEALTH EQUITY, AND HEALTH LITERACY. FOLLOWING THE NATIONAL TREND, SOUTH DAKOTA’S MOST ACUTE HEALTH WORKFORCE NEED IS CERTAINLY ITS NURSING STAFF RATIOS IN RURAL AREAS. IN RESPONSE TO THIS CRISIS, AVERA SEEKS TO APPLY THE WORKFORCE EXPANSION PROGRAM TO THE CONTINUATION OF AN ACADEMIC-CLINICAL PARTNERSHIP WITH SOUTH DAKOTA STATE UNIVERSITY (SDSU) TO IMPROVE AND INCREASE INTEREST IN RURAL NURSING BY EXPOSING NURSING STUDENTS TO BOTH ACUTE AND LONG-TERM RURAL SETTINGS. IN RESPONSE TO THE HISTORIC NURSING SHORTAGE, RETAIN-RNS WILL OFFER INCREASED EXPOSURE TO RURAL PRACTICE IN ACUTE AND LONG-TERM CARE SETTINGS BY PROVIDING PROGRAM EVALUATION FROM A HEALTH SYSTEM AND AN EDUCATIONAL ORGANIZATION, BETTER PREPARING THE NEXT GENERATION OF RNS BY PROVIDING EXPERIENTIAL TRAINING IN ACUTE AND LONG-TERM CARE SETTINGS. AVERA IS REQUESTING $4,000,000 OVER A FOUR-YEAR PERFORMANCE PERIOD. PROGRAM GOALS INCLUDE 1) INCREASE THE NUMBER OF NURSING STUDENTS ENROLLED IN, RETAINED, AND GRADUATED FROM ASSOCIATE AND/OR BACCALAUREATE NURSING DEGREE PROGRAMS 2) INCREASE THE NUMBER OF UNDERGRADUATE NURSING STUDENTS RECEIVING ADDITIONAL SPECIALIZED TRAINING IN ACUTE AND LONG-TERM SETTINGS; 3) INCREASE THE NUMBER OF UNDERGRADUATE NURSES EMPLOYED IN ACUTE AND LONG-TERM CARE SETTINGS POST-GRADUATION; AND 4) INCREASE THE NUMBER OF PRECEPTORS AND CLINICAL FACULTY TO TRAIN NURSING STUDENTS IN ASSOCIATE AND/OR BACCALAUREATE NURSING DEGREE PROGRAMS. THIS PROGRAM SEEKS TO EXPAND THESE GOALS BY SUPPORTING THE PROFESSIONAL DEVELOPMENT OF PRECEPTORS AND NURSING STUDENTS, IDENTIFYING POTENTIAL PRECEPTORS THROUGH VARIOUS INITIATIVES AT AVERA, DEVELOPING A CLINICAL IMMERSION PROGRAM ALLOWING STUDENTS THE OPPORTUNITY FOR MORE ROBUST EXPERIENTIAL LEARNING IN BOTH ACUTE AND LONG-TERM CARE FACILITIES. THE PROGRAM WILL SUBSTANTIALLY BENEFIT UNDERSERVED SOUTH DAKOTA COUNTIES: BROWN, MINNEHAHA, MCPHERSON, MOODY, POTTER, GREGORY, DAVISON, HUGHES, SPINK, BON HOMME, JERAULD, AND YANKTON. WITHIN THE PROPOSED PROGRAM PERIOD, ALL EDUCATIONAL AND EXPERIENTIAL TRAINING SITES ARE LOCATED IN RURAL, UNDERSERVED COMMUNITIES. AVERA HEALTH, THE LEAD APPLICANT, IS THE PARENT ORGANIZATION FOR A VERTICALLY INTEGRATED HEALTH SYSTEM. PARTNER ORGANIZATION, SOUTH DAKOTA STATE UNIVERSITY, IS THE LARGEST COLLEGE OF NURSING IN SOUTH DAKOTA WITH OVER 635 ENROLLED BSN STUDENTS. THE RURAL EXPERIENTIAL ACUTE AND LONG-TERM CARE TRAINING SITES INCLUDE: AVERA MOTHER JOSEPH MANOR RETIREMENT COMMUNITY, AVERA ST. LUKE’S HOSPITAL, AVERA DELLS AREA HOSPITAL, DELLS NURSING AND REHAB CENTER, AVERA EUREKA HEALTH CARE CENTER, EUREKA COMMUNITY HEALTH SERVICES AVERA, AVERA FLANDREAU HOSPITAL, RIVERVIEW HEALTHCARE CENTER, AVERA OAHE MANOR, AVERA MISSOURI RIVER HEALTH CENTER, AVERA ROSEBUD COUNTRY CARE CENTER, AVERA GREGORY HOSPITAL, AVERA BREADY HEALTH AND REHAB, AVERA QUEEN OF PEACE, AVERA BORMANN MANOR, AVERA ST. BENEDICT, AVERA MARYHOUSE, AVERA ST. MARY’S, LANDMANN-JUNGMAN MEMORIAL HOSPITAL AVERA, SUNSET MANOR AVERA, WAKONDA HERITAGE MANOR AVERA, WESKOTA MANOR AVERA, AVERA WESKOTA MEMORIAL HOSPITAL, AVERA SACRED HEART MAJESTIC BLUFFS, AVERA FOX RUN HEALTH CAMPUS, AVERA SACRED HEART HOSPITAL, AND SUNSET MANOR AVERA. AVERA HEALTH IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATIONS 1 AND 2, AS DEMONSTRATED IN ATTACHMENT 6.

TELEHEALTH NETWORK GRANT PROGRAM

RURAL HEALTH CARE COORDINATION NETWORK PROGRAM

DLT OPIOID GRANTS

TELEHEALTH NETWORK GRANT PROGRAM

2/5 THE CUMULATIVE RISK OF SUBSTANCE EXPOSURE AND EARLY LIFE ADVERSITY ON CHILD HEALTH DEVELOPMENT AND OUTCOMES

ELECTRONIC PRESCRIBING AND DECISION SUPPORT TO IMPROVE RURAL PRIMARY CARE QUALITY

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEMEDICINE GRANT

RURAL HEALTH CARE COORDINATION NETWORK PARTNERSHIP

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** AVERA MCKENNAN-FOOD AS MEDICINE (FAM): A HOSPITAL-BASED APPROACH TO INCREASE ACCESS AND INTAKE OF FRUITS AND VEGETABLES TO REDUCE THE RISK OF CHRONIC DISEASE IN RURAL AMERICA

SUBSTANCE ABUSE TREATMENT TELEHEALTH NETWORK GRANT PROGRAM

TELEMEDICINE GRANT

RURAL SEXUAL ASSAULT DOMESTIC VIOLENCE DATING VIOLENCE AND STALKING PROGRAM

TELEMEDICINE GRANT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

TELEMEDICINE GRANT

TELEMEDICINE GRANT

TELEMEDICINE GRANT

TELEMEDICINE GRANT

TELEMEDICINE GRANT

TELEHEALTH NETWORK GRANT PROGRAM

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

TELEMEDICINE GRANT

TELEMEDICINE GRANT

A STUDY TO MEASURE THE EFFECT OF THE ADDITION OF A COMPREHENSIVE

TELEMEDICINE GRANT

TELEMEDICINE GRANT

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

AN ESTIMATED 220 CENTRAL SOUTH DAKOTA RSVP VOLUNTEERS WILL SERVE. OF THIS NUMBER, 45% OF UNDUPLICATED VOLUNTEERS WILL BE WORKING ON RESULTS TIED TO OUTCOME ASSIGNMENTS. SOME OF THEIR ACTIVITIES WILL INCLUDE FOOD DISTRIBUTION AND COMPANIONSHIP. THE PRIMARY FOCUS AREA OF THIS PROJECT IS "EDUCATION, K-12 SUCCESS". AT THE END OF THE THREE YEAR GRANT, THE ANTICIPATED OUTPUT WILL BE THE NUMBER OF STUDENTS SERVED IN THE READING BUDDIES PROGRAM. IMPACT WILL BE MEASURED BY TRACKING THE NUMBER OF STUDENTS SERVED. OUR TARGET IS TO HAVE 60 UNDUPLICATED AND 80 DUPLICATED VOLUNTEERS READ WITH STUDENTS. THE BENEFICIARIES ARE NOT ONLY THE VOLUNTEERS, BUT THE STUDENTS, WHOM THE VOLUNTEERS WILL READ WITH, ONE-ON-ONE, FOR 30 MINUTES WEEKLY, DURING THE ACADEMIC YEAR AT FIVE AREA ELEMENTARY SCHOOLS. VOLUNTEERS SERVING BY FOCUS AREA TOTAL 60 IN EDUCATION, 100 IN HEALTHY FUTURES, AND 60 IN OTHER COMMUNITY PRIORITIES. THE CNCS FEDERAL INVESTMENT OF $62,137 WILL BE SUPPLEMENTED BY $30,224. OUR OTHER FOCUS AREA IS "HEALTHY FUTURES" AS WE FOCUS ON "OBESITY AND FOOD" AND "AGING IN PLACE". WITH 100 UNDUPLICATED VOLUNTEERS PROVIDING FOOD PANTRY SUPPORT AND COMPANIONSHIP, OUR GOAL IS TO IMPROVE ACCESS TO FOOD, TO INCREASE FOOD SECURITY AND TO MAINTAIN SENIOR INDEPENDENCE. AT THE END OF THE 12 MONTH PERIOD, THE FOLLOWING OUTCOMES WILL BE ACHIEVED; INDIVIDUALS SERVED THROUGH THE PROGRAM WILL REPORT IMPROVED FOOD SECURITY FOR THEMSELVES AND/OR THEIR CHILDREN AS A RESULT OF FOOD PANTRY SERVICES. VOLUNTEERS WILL SERVE AT AREA FOOD PANTRIES AND DISTRIBUTE FOOD THROUGHOUT THEIR COMMUNITIES. A SURVEY WILL BE DISTRIBUTED AT THE FOOD PANTRIES, COLLECTED BY THE WORK STATION SUPERVISORS, ANNUALLY TO DETERMINE THEIR PERCEIVED LEVEL OF FOOD INSECURITY AND THE FOOD PANTRY'S IMPACT. VOLUNTEERS WILL PROVIDE COMPANIONSHIP TO THE ELDERLY AND DISABLED TO INCREASE SOCIAL TIES AND SUPPORT. DATA WILL BE GATHERED THROUGH TIME SHEETS, WHICH WILL INCLUDE THE NUMBER OF INDIVIDUALS SERVED. TOWARDS THE END OF THE GRANT PERIOD AN ASSESSMENT WILL OCCUR USING THE SENIOR CORPS INDEPENDENT LIVING PERFORMANCE MEASURE SURVEY.

SUBSTANCE ABUSE TREATMENT TELEHEALTH NETWORK GRANT PROGRAM

ENGAGES PERSONS 55 AND OLDER IN VOLUNTEER SERVICE IN THEIR COMMUNITIES

ENGAGES PERSONS 55 AND OLDER IN VOLUNTEER SERVICE IN THEIR COMMUNITIES

DOCUMENTING AND ARCHIVING THE SAFE PASSAGE STUDY IN NICHD DATA AND SPECIMEN HUB (DASH) - PROJECT ABSTRACT THE SAFE PASSAGE STUDY IS THE FIRST PROSPECTIVE, OBSERVATIONAL, LARGE-SCALE COHORT STUDY TO INVESTIGATE THE EFFECT OF PRENATAL EXPOSURE TO ALCOHOL, TOBACCO AND DRUGS ON THE RISK FOR SUDDEN INFANT DEATH SYNDROME (SIDS), STILLBIRTH, AND FETAL ALCOHOL SPECTRUM DISORDERS (FASD). PARTICIPANTS WERE RECRUITED FROM TWO SITES IN CAPE TOWN, SOUTH AFRICA, AND FIVE SITES IN THE NORTHERN PLAINS, UNITED STATES, INCLUDING TWO AMERICAN INDIAN RESERVATIONS BETWEEN 2007 AND 2015. IN TOTAL, THE STUDY ENROLLED 10,088 WOMEN, 11,892 PREGNANCIES, AND 12,029 FETUSES, FOLLOWED TO 1-YEAR POST-DELIVERY. EXTENSIVE LONGITUDINAL DATA HAVE BEEN COLLECTED DURING PRENATAL, DELIVERY/NEWBORN, AND POSTNATAL STAGES. AS SUCH, THE SAFE PASSAGE STUDY IS AN IMPORTANT RESOURCE FOR RESEARCHERS INTERESTED IN PRENATAL EXPOSURES, CHILD PHYSIOLOGICAL AND NEUROLOGICAL DEVELOPMENT, AND PATHOLOGICAL ASSESSMENTS OF SIDS, STILLBIRTH, AND FASD. THE SAFE PASSAGE STUDY WAS INITIATED PRIOR TO THE NIH DATA SHARING MANDATE, THUS FUNDS WERE NOT AVAILABLE FOR PREPARATION AND ARCHIVING OF A DE-IDENTIFIED DATASET. TO FACILITATE THE USE OF THIS VALUABLE RESOURCE, WE PROPOSE TO MAKE PUBLICLY AVAILABLE THE SAFE PASSAGE STUDY DATASETS VIA NICHD DATA AND SPECIMEN HUB (DASH). WE WILL ARCHIVE AND DOCUMENT THE EXISTING DATASETS OF SAFE PASSAGE STUDY, WHICH NICHD SPONSORED ALONG WITH NIAAA AND NIDCD. MORE SPECIFICALLY, WE WILL 1.) PREPARE AND SUBMIT PASS SELF-REPORTED AND MEDICAL CHART ABSTRACTION DATA, SUCH AS MATERNAL AND INFANT CHARACTERISTICS, PSYCHOSOCIAL AND DIETARY INFORMATION, AND EXPOSURE ASSESSMENTS, TO THE DASH PORTAL; AND 2.) PREPARE AND SUBMIT PASS PHYSIOLOGY AND PATHOLOGY DATA, SUCH AS AUTONOMIC, RESPIRATORY, AND BRAIN FUNCTION IN THE FETUS AND INFANT, PATHOLOGY ASSESSMENTS FROM AUTOPSY AND PLACENTAL EVALUATION, AND NEUROLOGIC ASSESSMENTS OF THE INFANT TO THE DASH PORTAL. WE WILL PERFORM DATA DE-IDENTIFICATION, CREATE A VARIABLE DICTIONARY, PREPARE DATASETS AND ANNOTATION FILES USING THE DATA PREPARATION TOOL, AND SUBMIT THE SAFE PASSAGE STUDY TO NICHD DASH. DE-IDENTIFIED DATA SETS PRODUCED WITH SUPPORT FROM THIS GRANT WILL BE AVAILABLE WITHOUT RESTRICTION TO RESEARCHERS WITH THE EXCEPTION OF DATA COLLECTED ON TRIBAL LANDS, DUE TO SHARING RESTRICTIONS NEGOTIATED AT THE ONSET OF THE STUDY. THE SHARED DATASETS WILL ENABLE SECONDARY ANALYSIS BY THE SCIENTIFIC COMMUNITY INTERESTED IN THE LINK BETWEEN PRENATAL EXPOSURES AND CHILD DEVELOPMENT.

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

TELEMEDICINE GRANT

TELEMEDICINE GRANT

AVERA RESEARCH INTEGRITY CONFERENCE: CREATING AND PROMOTING A CULTURE OF RESEARCH INTEGRITY

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

AVERA MCKENNAN PROPOSES "ADAPTED STAFFING MODELS FOR NO WRONG DOOR: LINKING RESOURCES FOR INCREASED ACCESS TO COMMUNITY SERVICES IN A MID-SIZED METRO IN THE MIDWEST" TO RESEARCH THE IMPACT OF WORKFORCE DEVELOPMENT TACTICS, INCLUDING TRAINING, STAFFING RATIOS, AND SCOPE OF WORK IN A NOW WRONG DOOR SETTING AT A COMMUNITY-BASED TRIAGE CENTER IN SIOUX FALLS, SD. THIS PROJECT WOULD TAKE PLACE AT THE LINK IN SIOUX FALLS, SD, WHICH IS A COMMUNITY TRIAGE CENTER FOR PEOPLE EXPERIENCING A NON-VIOLENT BEHAVIOR HEALTH CRISIS OR NEEDING CARE FOR SUBSTANCE USE OR MENTAL HEALTH DISORDER BY PROVIDING THE REQUIRED CARE WITHOUT UTILIZATION OF JAIL OR AN EMERGENCY DEPARTMENT. PRIMARY ACTIVITIES INCLUDE 1) DEPLOYING EVIDENCE-BASED TRAINING PRACTICES FOR COMMUNITY-BASED LEVELS OF STAFF, 2) HIRING PEER SUPPORT SPECIALISTS, 3) LINKING TO COMMUNITY-BASED SERVICES, AND 4) INCREASING TRANSPORTATION TO RESEARCH BEST PRACTICES AND CARE TEAM MODELS FOR WORKFORCE DEVELOPMENT AND STAFF RETENTION. THE SERVICE AREA WILL FOCUS ON THE FIVE-COUNTY AREA AROUND SIOUX FALLS, SD INCLUDING MINNEHAHA, LINCOLN, TURNER, MCCOOK, AND ROCK COUNTIES. THE INTENDED BENEFICIARIES ARE NON-VIOLENT, 18 YEARS OLD OR OLDER INDIVIDUALS WITH A SUBSTANCE USE OR MENTAL HEALTH DISORDER SEEKING SERVICES IN THE SERVICE AREA. THE KEY RESEARCH PARTNER IS THE UNIVERSITY OF SOUTH DAKOTA CENTER FOR RURAL HEALTH IMPROVEMENT, WHICH HAS EXTENSIVE EXPERIENCE RESEARCHING COMMUNITY-BASED SERVICES IMPACT ON THE CRIMINAL JUSTICE SYSTEM. KEY OUTCOMES INCLUDE: IMPROVED WELLBEING FOR CLIENTS AT THE LINK, FEWER DEATHS ASSOCIATED WITH SUBSTANCE USE DISORDER/MENTAL HEALTH (SUD/MH); A REDUCTION IN ARRESTS AND CHARGES ASSOCIATED WITH BEHAVIORAL HEALTH ISSUES; A REDUCTION IN RECIDIVISM IN STAKEHOLDER PROGRAMS; COST SAVINGS FOR KEY STAKEHOLDERS; SUSTAINABLE INVESTMENTS IN THE LINK ENSURING FUTURE FUNDING; AND TOOLKITS FOR REPLICABLE STAFF TRAINING AND CARE TEAM MODELS.

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

TELEMEDICINE GRANT

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

TELEMEDICINE GRANT

TELEMEDICINE GRANT

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

TELEMEDICINE GRANT

DLT OPIOID GRANTS