Valley Health System

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - SINCE 1975, VALLEY HEALTH HAS BEEN COMMITTED TO PROVIDING WEST VIRGINIA COMMUNITIES WITH HIGH QUALITY, COMPREHENSIVE HEALTH CARE WITH AN EMPHASIS ON SERVING THOSE WHO ARE IN VULNERABLE AND UNDERSERVED POPULATIONS. AS A SYSTEM OF COMMUNITY HEALTH CENTERS, VALLEY HEALTH HAS BEEN ADDRESSING BARRIERS TO CARE FOR YEARS- INCLUDING THE ASSESSMENT OF FINANCIAL AND SOCIAL FACTORS THAT CAN CONTRIBUTE TO THE HEALTH OUTCOMES OF OUR PATIENTS. AS UNFAVORABLE FINDINGS FROM THESE ASSESSMENTS CONTINUE TO SURFACE, AND IN CONJUNCTION WITH THE RECENT STATISTICS HIGHLIGHTING HEALTH DISPARITIES NATIONWIDE, VALLEY HEALTH DESIRES TO STRENGTHEN ITS RESPONSE BEYOND THAT WHICH WE ARE ABLE TO PROVIDE. THE DEVELOPMENT OF THE ECHO PROGRAM CAN HAVE A POSITIVE IMPACT ON NOT JUST OUR PATIENTS, BUT ALSO ALL WEST VIRGINIANS, BY ADDRESSING THE HEALTHCARE NEEDS OF THE STATE THROUGH STRATEGIC PARTNERSHIPS AND WORK ACROSS MULTIPLE SECTORS AND COMMUNITIES. THE BEST WAY TO ADVANCE THE HEALTH STATUS OF WEST VIRGINIANS IS TO SYSTEMATICALLY ADDRESS THE HEALTHCARE NEEDS THROUGH COLLABORATION WITH TRUSTED MESSENGERS AND COMMUNITY RESOURCES, OUTREACH TO AFFECTED POPULATIONS, EDUCATION TO THE PUBLIC AT LARGE, AND THEN CONNECTING INDIVIDUALS TO HEALTHCARE DELIVERY FOR THE ELIMINATION OF HEALTH DISPARITIES. SINCE THIS WORK IS NOT ACHIEVED THROUGH REVENUE-GENERATING ACTIVITIES, FEDERAL APPROPRIATIONS ARE CRITICAL. VALLEY HEALTH REQUESTS AN APPROPRIATION OF $1,000,000 TO FUND THIS INITIATIVE. HEALTH INEQUITY IS A COMPLEX PROBLEM THAT OFTEN REQUIRES THOUGHTFUL PLANNING AND WORK THAT INTEGRATES RESEARCH, COMMUNITY ENGAGEMENT, TRAINING, AND POLICY WORK TO BETTER SERVE THOSE WHO ARE DISADVANTAGED. VALLEY HEALTH WILL PROVIDE AN IN-KIND DONATION OF TIME AND TALENT IN BOTH ADMINISTRATIVE AND CLINICAL SERVICES THAT COULD BE EXPRESSED MONETARILY AT APPROXIMATELY $390,000. UPON THE FUNDING OF THIS PROJECT, THE ECHO PROGRAM COULD BE OPERATIONAL IN A MATTER OF WEEKS, WITH ALL FUNDING APPLIED DIRECTLY TO COS T OF THE OUTREACH STAFF MEMBERS WHO WILL BE EMBEDDED IN EXISTING COMMUNITY HEALTH CENTERS, PROVIDING PUBLIC FACING EDUCATION AND OUTREACH WITHIN THE COMMUNITIES.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE THROUGH TELEHEALTH EVIDENCE-BASED TELEHEALTH NETWORK - EARLY IMPACT AT POINTS OF DEMAND (EIPOD): VALLEY HEALTH’S TELEBEHAVIORAL HEALTH NETWORK ABSTRACT THE OBJECTIVES OF THE EIPOD PROGRAM FOCUS ON EXPANDING VALLEY HEALTH’S EXISTING TELEHEALTH SERVICE DELIVERY MODEL TO RURAL PARTS OF THE REGION AND BRINGING TELEBEHAVIORAL HEALTH SERVICES TO MARGINALIZED AND DISADVANTAGED YOUTH AND ADULTS. THE EIPOD PROGRAM WILL ACHIEVE THIS GOAL THROUGH TRAINING STAFF AND PROVIDERS AT DISTANT AND ORIGINATING SITE CLINICS TO IMPLEMENT THE PRIMARY CARE BEHAVIORAL HEALTH INTEGRATED CARE MODEL USING A TELEBEHAVIORAL HEALTH DELIVERY MECHANISM. EXPECTED OR POTENTIAL LONG-TERM CHANGES INCLUDE INCREASED NUMBERS OF PATIENTS RECEIVING BEHAVIORAL HEALTH SERVICES, REDUCTION IN WAIT TIMES FOR BEHAVIORAL HEALTH SERVICES, DECREASED RATES OF BEHAVIORAL HEALTH AND SUBSTANCE USE SYMPTOMS, DECREASED OVERDOSES, REDUCTION IN RISKY SUBSTANCE USE, PREVENTION OF SUICIDE, REDUCTION IN TOBACCO AND VAPING USE, AND IMPROVED FAMILY FUNCTIONING IN FAMILIES WITH AT-RISK YOUTH. THE SIX ORIGINATING SITES ARE IN COUNTIES WITH SIGNIFICANT MENTAL HEALTH PROVIDER SHORTAGES AND HIGH PREVALENCE RATES OF BEHAVIORAL HEALTH DISORDERS AND DISABILITY. OVER 50% OF YOUTH AND ADULTS SEEN AT THE SIX ORIGINATING SITES IN 2023 REPORTED CURRENT OR PREVIOUS BEHAVIORAL HEALTH CONDITIONS. ALL SIX ORIGINATING SITES ARE DESIGNATED FOR THE RURAL HEALTH CLINICS PROGRAM AND ARE HEALTH PROVIDER SHORTAGE AREAS FOR MENTAL HEALTH, PRIMARY CARE, AND DENTAL HEALTH. THE TWO SITES IN SHENANDOAH COUNTY, WOODSTOCK AND STRASBURG, ARE DESIGNATED MEDICALLY UNDERSERVED AREAS. ONE SITE, IN PAGE COUNTY, LURAY IS DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION. THE PROPOSED MODEL ADDS VALUE THROUGH A FOCUS ON 1) TRUE INTEGRATION OF BEHAVIORAL HEALTH CONSULTS INTO PRIMARY CARE TEAMS VIA VIRTUAL MECHANISMS AND 2) USE OF A COMPREHENSIVE, BEHAVIORAL HEALTH CONSULTATION MODEL WITH CHILDREN AND ADOLESCENTS. TO DATE, THE MAJORITY OF FOCUS ON THE USE OF THE PCBH MODEL HAS INVOLVED ITS USE WITH AD ULT POPULATIONS IN PRIMARY CARE AND OTHER MEDICAL SETTINGS. THE EIPOD PROGRAM INCLUDES TWO PEDIATRIC SITES, TWO FAMILY MEDICINE SITES, AND ONE PRIMARY CARE SITE THAT SERVES YOUTH AND FAMILIES AS WELL AS ADULTS. ITS DATA WILL BE ABLE TO DISCERN THE EFFECTIVENESS OF THE MODEL WITH CHILDREN AND ADOLESCENTS AS WELL AS IDENTIFY KEY IMPLEMENTATION ELEMENTS SPECIFIC TO BEST SERVING THIS POPULATION WITHIN THE TELEBEHAVIORAL HEALTH APPROACH. THE EIPOD PROGRAM WILL WORK QUICKLY TO ESTABLISH A SUSTAINABLE REVENUE CYCLE THROUGH VIRGINIA’S REIMBURSEMENT SYSTEM, AND VALLEY HEALTH HAS COMMITTED TO SUSTAINING ALL BEHAVIORAL HEALTH CONSULTANT POSITIONS AS WELL AS THE COMMUNITY HEALTH COORDINATOR POSITION UPON CONCLUSION OF AWARD OR SOONER.

VALLEY HEALTH WINCHESTER MEDICAL CENTER COVID-19 SUICIDE PREVENTION PROJECT (WMC-SP)

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: VALLEY HEALTH SYSTEMS, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00614 ADDRESS: 2585 3RD AVE., HUNTINGTON, WV, 25703-1642 CONTACT PHONE NUMBER (VOICE): 304-525-3334 WEBSITE ADDRESS: WWW.VALLEYHEALTH.ORG PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 IN YR 1 AND $500,000 IN YR 2. VALLEY HEALTH SYSTEMS, INC. (VHS), A NON-PROFIT COMMUNITY HEALTH CENTER, HAS BEEN PROVIDING ACCESSIBLE, HIGH-QUALITY, PATIENT-FOCUSED PRIMARY HEALTH CARE TO RESIDENTS OF BOONE, CABELL, KANAWHA, LINCOLN, LOGAN, MASON, MINGO, PUTNAM, AND WAYNE COUNTIES, WV, LAWRENCE COUNTY IN OH, AND BOYD AND LAWRENCE COUNTIES, KY SINCE 1975. IN 2023, VHS SERVED 106,396 TOTAL PATIENTS VIA 430,344 TOTAL ENCOUNTERS (INCLUDING 7,665 VIRTUAL VISITS) FROM 42 SERVICE DELIVERY SITES, INCLUDING 6,609 PATIENTS WITH MENTAL HEALTH (MH) SERVICES, 1,452 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 0 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: VHS PRIORITIZES SERVICES TO LOW-INCOME RESIDENTS IN THE SERVICE AREA. RESIDENTS FACE MULTIPLE BARRIERS TO HEALTH CARE, INCLUDING LACK OF ACCESS. INCREASED ACCESS TO MH AND SUD SERVICES IN THE REGION IS OF PARAMOUNT IMPORTANCE. AS A PRIMARY POINT OF ACCESS IN ITS SERVICE AREA FOR ANY HEALTH CARE NEED, VHS IS WELL-POSITIONED TO ADDRESS BARRIERS TO CARE AND PROVIDE ACCESS TO A CONTINUUM OF BEHAVIORAL HEALTH (BH) SERVICES THAT INCLUDES TREATMENT AND RECOVERY SUPPORT. THE DRUG-OVERDOSE MORTALITY RATE IN THE VHS SERVICE AREA IS AMONG THE HIGHEST IN THE US. AT 87.2 IN 2020 (THE MOST RECENT YEAR FOR WHICH MORTALITY RATES ARE AVAILABLE FROM THE CDC), SERVICE AREA RESIDENTS WERE DYING AT A RATE NEARLY FOUR TIMES THE NATIONAL AVERAGE OF 23.6, AND THE RATE HAD MORE THAN DOUBLED IN FIVE YEARS (FROM 43.6) (WONDER, CDC, 2016-2020; 2011-2015). IN SOME SERVICE AREA COUNTIES THE RATE IS MUCH HIGHER: 191 IN LOGAN COUNTY, 176 IN CABELL COUNTY, 124 IN KANAWHA COUNTY, 117 IN MASON COUNTY, AND 94 IN MINGO COUNTY (FATAL OVERDOSES IN WV, DATA DASHBOARD, WVDHHR, 2021). THE HIGHEST NUMBER OF DRUG OVERDOSE DEATHS EVER RECORDED OCCURRED IN THE SERVICE AREA IN 2021, THE MOST RECENT YEAR FOR WHICH DATA IS AVAILABLE. THERE WERE 656 DRUG OVERDOSE DEATHS IN THE SERVICE AREA, INCLUDING 543 DEATHS FROM OPIOIDS. THE SAME YEAR THERE WERE 2,509 DRUG-RELATED EMERGENCY DEPARTMENT VISITS IN THE 12-COUNTY REGION (FATAL OVERDOSES IN WV, DATA DASHBOARD, WVDHHR, 2021). SERVICES: VHS IS PROPOSES TO INITIATE MEDICATION FOR OPIOID USE DISORDER (MOUD) SERVICES AND EXPANSION OF MENTAL HEALTH (MH) AND SUBSTANCE USE DISORDER (SUD) SERVICES FOR THE TARGET POPULATION. VHS WILL EXPAND PSYCHIATRY, MOUD AND RECOVERY SERVICES, ALL CURRENTLY IN HRSA-APPROVED SCOPE, TO INCREASE THE NUMBER OF PATIENTS SERVED, AND TO EXPAND THE NUMBER OF LOCATIONS WITH A FULL COMPLEMENT OF BH SERVICES. IN SUPPORT OF THESE SERVICES, VHS WILL HIRE A TOTAL OF 5.25 FTE’S OVER THE TWO-YEAR PROJECT PERIOD: 0.20 FTE PSYCHIATRIST, 1.75 FTE PSYCHIATRIC NURSE PRACTITIONER, 1.0 FTE SCHOOL-BASED THERAPIST, 0.8 FTE RESOURCE NAVIGATOR, 0.16 FTE SUD NURSE PRACTITIONER, 0.2 FTE LICENSED CLINICAL PSYCHOLOGIST, 0.16 FTE SUD PHYSICIAN, 0.23 FTE BH PROGRAM MANAGER, 0.05 FTE LPN, AND 0.7 FTE PATIENT ADVOCATE; AND ASSOCIATED EXPENSES TO SUPPORT CARE DELIVERY. VHS WILL ENHANCE OUTREACH ACTIVITIES TO ENSURE PATIENTS AND COMMUNITY ORGANIZATIONS ARE AWARE OF BHSE SERVICES AND INCREASED CAPACITY. POPULATION GROUP: VHS ANTICIPATES THE BHSE PROJECT WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BH SERVICES IN CY2025, INCLUDING AN ADDITIONAL 991 MH SERVICES PATIENTS, 319 SUD SERVICES PATIENTS, AND 375 PATIENTS RECEIVING MOUD SERVICES. AMONG THESE, VHS ANTICIPATES SERVING 200 NEW HEALTH CENTER PATIENTS BY CY 2025. THESE INCREASES SUPPORT THE BHSE PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MH, SUD AND MOUD SERVICES.

VALLEY HEALTH BEHAVIORAL HEALTH TRAINING GRANT - THE POPULATION OF THE NORTHERN SHENANDOAH VALLEY AND SURROUNDING AREA IS FACING INCREASING MENTAL HEALTH NEEDS WHILE COPING WITH A SHORTAGE OF BEHAVIORAL HEALTH PROVIDERS TO MEET THESE GROWING DEMANDS. WHILE WINCHESTER MEDICAL CENTER INCLUDES AN INPATIENT PSYCHIATRIC UNIT WITH 36 BEDS AND PROVIDES AN ADULT INTENSIVE OUTPATIENT PROGRAM, THE NUMBER OF OUTPATIENT PROVIDERS TO MEET COMMUNITY NEEDS HAS DECREASED WITH THE RETIREMENT OF THREE OUTPATIENT PSYCHIATRISTS OVER THE PAST TWO YEARS. THIS PROJECT AIMS TO INCREASE THE BEHAVIORAL HEALTH WORKFORCE TO MEET THE GROWING NEEDS OF OUR COMMUNITY, INCREASE THE NUMBER OF PROVIDERS AVAILABLE TO PROVIDE SERVICES, AND INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN OUR COMMUNITY. THIS PROJECT WILL ADDRESS THESE GOALS THROUGH A TWO-PRONGED APPROACH TO THE BEHAVIORAL HEALTH WORKFORCE SHORTAGE IN THE AREA. THE FIRST APPROACH IS TO INCREASE THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS IN THE AREA BY PROVIDING SUPERVISION FOR EMPLOYEES AND STUDENTS WHO ARE NON-LICENSED SOCIAL WORKERS AND COUNSELORS. THIS PROJECT WILL PROVIDE FUNDING FOR CURRENT VALLEY HEALTH LCSWS AND LPCS TO BECOME CERTIFIED TO PROVIDE CLINICAL SUPERVISION AND ALLOW THEM TO PROVIDE SUPERVISION FOR NON-LICENSED CLINICIANS IN PURSUIT OF LICENSURE. THIS PROGRAM WILL ALSO PROVIDE FUNDING FOR LCSWS AND LPCS TO SUPERVISE STUDENTS WHO REQUIRE FIELD PLACEMENT EXPERIENCE AND SUPERVISION IN THEIR PURSUIT OF GRADUATION REQUIREMENTS. WE EXPECT THIS FUNDING TO INCREASE THE NUMBER OF LCSWS AND LPCS WHO ARE LICENSED AND ARE COMMITTED TO PROVIDING SERVICES IN OUR RURAL HEALTH AREA. THE SECOND APPROACH IS TO INCREASE THE KNOWLEDGE, SKILL SET, AND CAPABILITIES OF OUR EXISTING WORKFORCE TO PROVIDE CARE FOR THOSE WITH BEHAVIORAL HEALTH NEEDS IN OUR COMMUNITY. THIS SECOND APPROACH WILL PROVIDE TRAINING FOR OUR PROVIDERS IN BEHAVIORAL HEALTH CARE, TRAINING FOR OUR CRISIS/INTAKE NURSES TO BECOME CERTIFIED AS CERTIFIED SUBSTANCE ABUSE COUNSELORS (CSACS), AND TRAINING FOR MENTAL HEALTH TECHS AND/OR CERTIFIED NURSING ASSISTANTS (CNAS) OR OTHER ANCILLARY STAFF OR COMMUNITY MEMBERS TO BECOME MENTAL HEALTH OR SUBSTANCE PEER SUPPORT STAFF. THE OVERARCHING GOAL OF THE PROGRAM IS TO PREPARE STUDENTS TO DELIVER EVIDENCE/BASED BEHAVIORAL HEALTH INTERVENTIONS IN RURAL AND FEDERALLY QUALIFIED HEALTH CENTERS BY INCREASING THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS AND INCREASING THE SKILLSET OF CURRENT PRIMARY OR OTHER SPECIALTY PROVIDERS. GOALS: 1. PROVIDE SUPERVISION FOR LCSW AND/OR LPC STUDENTS IN OUR BEHAVIORAL HEALTH PROGRAMS. 2. EXPAND THE SKILL SET OF EXISTING WORK FORCE TO INCREASE ACCESS TO BEHAVIORAL HEALTH CARE. OBJECTIVES: 1. ENROLL PRIMARY CARE PROVIDERS IN REACH TRAINING IN BEHAVIORAL HEALTH TO INCREASE THEIR COMFORT IN MEETING BASIC BEHAVIORAL HEALTH NEEDS OF THEIR PATIENTS. 2. PROVIDE FUNDING FOR MENTAL HEALTH TECHS AND/OR CNAS OR OTHER ANCILLARY STAFF OR COMMUNITY MEMBERS TO BECOME TRAINED PEERS IN EITHER SUBSTANCE USE OR MENTAL HEALTH. 3. PROVIDE FUNDING FOR NURSES OR OTHERS TO OBTAIN FORMAL CERTIFICATION AS CSACS.

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

RURAL ACCESS TO EMERGENCY DEVICES

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

DLT OPIOID GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS