Virginia Rural Health Association

DANVILLE REACH

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE: VIRGINIA RURAL HEALTH WORKFORCE COLLABORATIVE APPLICANT ORGANIZATION NAME: VIRGINIA RURAL HEALTH ASSOCIATION ADDRESS: 200 MEMORIAL DRIVE LURAY, VA 22835 WEBSITE: VRHA.ORG APPLICANT ORGANIZATION FACILITY TYPE: RURAL HEALTH ASSOCIATION PROJECT DIRECTOR: DANIELLE MONTAGUE, MPH, PROGRAM COORDINATOR CONTACT INFORMATION: DANIELLE@VRHA.ORG, (540) 231-7923 PROPOSED WORKFORCE TRAINING TRACK: TRACK #1 – COMMUNITY BASED SUPPORT FOR THIS PROJECT, THE COLLABORATIVE WILL FOLLOW TRACK #1 - COMMUNITY HEALTH SUPPORT OF THE RPHWTN PROGRAM. THE AREA OF WORKFORCE TRAINING NEED WILL FOCUS ON CROSS-TRAINING IN HIGH VALUE AREAS TO IMPROVE OPERATIONAL AND CLINICAL CAPACITY. A SECONDARY AREA OF NEED SPECIFIC TO DOULAS WILL CONSIDER HOW DOULAS CAN BE UTILIZED IN HIGH-RISK PREGNANCIES AND HOW THEY CAN BE LEVERAGED TO HELP LINK PREGNANT PATIENTS TO BROADER SOCIAL AND MENTAL HEALTH SERVICES TO ENCOURAGE ENHANCED OUTCOMES. TARGET SERVICE AREA(S): IF FUNDED, THE CATCHMENT AREA OF THE HOSPITALS IN THE CARILION CLINIC AND SOVAH HEALTH SYSTEMS WILL SERVE AS THE RURAL TARGET SERVICE AREA. THIS INCLUDES FRANKLIN, GILES, HENRY, PITTSYLVANIA, ROCKBRIDGE, AND TAZEWELL COUNTIES, AS WELL AS DANVILLE, MARTINSVILLE, AND LEXINGTON CITIES (WHICH ARE INDEPENDENT OF THEIR SURROUNDING COUNTIES, THOUGH STILL CLASSIFIED AS RURAL). PROPOSED NETWORK PARTNER ORGANIZATIONS: CARILION CLINIC, SOVAH HEALTH, THE NEW RIVER/MT ROGERS WORKFORCE DEVELOPMENT BOARD, THE BLUE RIDGE/WESTERN VIRGINIA WORKFORCE DEVELOPMENT BOARD, THE WESTERN PIEDMONT WORKFORCE DEVELOPMENT BOARD, UNITED WAY OF ROANOKE VALLEY, AND VRHA TOTAL FUNDING AMOUNT REQUESTED FOR THE ENTIRE THREE-YEAR PERIOD OF PERFORMANCE: 1,545,000.00 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: THE MISSION OF VIRGINIA RURAL HEALTH ASSOCIATION IS TO IMPROVE THE HEALTH OF RURAL VIRGINIANS THROUGH EDUCATION, ADVOCACY, AND FOSTERING COOPERATIVE PARTNERSHIPS. VRHA HAS A 20-YEAR HISTORY OF BRINGING TOGETHER RURAL HEALTH STAKE HOLDERS IN VIRGINIA TO DEVELOP STRATEGIC PLANS AND IMPLEMENT PROJECTS, INCLUDING TWO PROJECTS FUNDED THROUGH THE FEDERAL OFFICE OF RURAL HEALTH POLICY NETWORK DEVELOPMENT PLANNING GRANTS WHICH ARE STILL OPERATIONAL. TO SUPPORT THE GOALS OF THE RPHWTN PROGRAM, THE VRHA IS PROPOSING TO USE THIS GRANT OPPORTUNITY TO DEVELOP THE VIRGINIA RURAL HEALTH WORKFORCE COLLABORATIVE (THE COLLABORATIVE). THE COLLABORATIVE WOULD TRAIN APPROXIMATELY 110 NEW COMMUNITY HEALTH SUPPORT WORKERS AS COMMUNITY HEALTH WORKERS, DOULAS, LPNS, AND SIMILAR POSITIONS AT THE ASSOCIATE DEGREE LEVEL OR BELOW, IN ORDER TO STRENGTHEN THE PUBLIC HEALTH SAFETY NET IN RURAL VIRGINIA. THE DEVELOPMENT OF THE COLLABORATIVE WOULD NOT ONLY INCREASE CAREER OPPORTUNITIES FOR INDIVIDUALS WHO WISH TO ENTER THE PUBLIC HEALTH/HEALTHCARE WORKFORCE BUT ALSO INCREASE ACCESS TO CARE AND RESOURCES FOR COMMUNITY MEMBERS SEEKING A VARIETY OF SERVICES, FROM PRENATAL CARE TO RECOVERY SERVICES. IF FUNDED, THE GOAL OF THE COLLABORATIVE IS TO ADDRESS THE ONGOING CRITICAL NEED IN HEALTH CARE FACILITIES FOR TRAINED PUBLIC HEALTH PROFESSIONALS SERVING RURAL COMMUNITIES IN VIRGINIA. WITH CONSIDERATION TO THIS GOAL, THE NETWORK MEMBERS HAVE DEVELOPED THE FOLLOWING OBJECTIVES: OBJECTIVE 1: TO ESTABLISH A SYSTEM OF RECRUITING RURAL COMMUNITY MEMBERS FOR JOB DEVELOPMENT, TRAINING, AND PLACEMENT BY JULY 31, 2025 OBJECTIVE 2: TO PROVIDE JOB DEVELOPMENT, TRAINING, AND PLACEMENT IN COMMUNITY HEALTH FIELDS FOR 110 RURAL COMMUNITY MEMBERS BY JULY 31, 2025 VIRGINIA RURAL HEALTH ASSOCIATION IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 2. ALL 9 TARGET COUNTIES ARE IN A MEDICALLY UNDERSERVED COMMUNITY/POPULATION. VIRGINIA RURAL HEALTH ASSOCIATION IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM - OVERVIEW THE VIRGINIA RURAL HEALTH ASSOCIATION (VRHA), IN PARTNERSHIP WITH THE VIRGINIA DEPARTMENT OF HEALTH DIVISION OF CHILD AND FAMILY HEALTH (VDH), THE CUMBERLAND PLATEAU HEALTH DISTRICT (CPHD), THE LENOWISCO HEALTH DISTRICT (LHD), THE MT. ROGERS HEALTH DISTRICT (MRHD), THE INSTITUTE OF PUBLIC HEALTH INNOVATION (IPHI), EASTERN TENNESSEE STATE UNIVERSITY (ETSU), RADFORD UNIVERSITY COLLEGE OF NURSING (RADFORD), THE MT ROGERS WORKFORCE DEVELOPMENT BOARD (WDB), THE VIRGINIA INTERFAITH CENTER (VIC), AND REGIONAL HEALTHCARE PROVIDERS AND STAKEHOLDERS, PROPOSES THE DEVELOPMENT OF A VIRGINIA RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES (VRMOMS) NETWORK FOCUSED ON IMPROVING MATERNAL HEALTH OUTCOMES WITHIN THE RURAL COUNTIES OF THE CUMBERLAND PLATEAU, LENOWISCO, AND MT. ROGERS HEALTH DISTRICTS IN SOUTHWEST VIRGINIA. NEEDS TO BE ADDRESSED THE SOUTHWEST VIRGINIA REGION IS LARGELY COMPOSED OF HRSA-DESIGNATED RURAL AREAS, WHERE GEOGRAPHIC ISOLATION, LIMITED HEALTHCARE INFRASTRUCTURE, AND HIGH RATES OF POVERTY SIGNIFICANTLY IMPACT MATERNAL HEALTH OUTCOMES. THESE COMMUNITIES FACE PERSISTENT SYSTEMIC BARRIERS THAT BOTH PATIENTS AND PROVIDERS MUST NAVIGATE, INCLUDING LONG TRAVEL DISTANCES TO CARE, MATERNAL HEALTHCARE DESERTS, A SIGNIFICANT SHORTAGE OF OBSTETRIC PROVIDERS AND DELIVERY WARDS, AND INSUFFICIENT ACCESS TO PRENATAL AND PERINATAL SERVICES. THE NEED FOR EXPANDED MATERNAL HEALTH SERVICES IN THIS REGION IS URGENT. PROPOSED SERVICES OVER THE FOUR YEAR GRANT PERIOD, THIS PROJECT WILL INCORPORATE A NUMBER OF INTERCONNECTED ACTIVITIES TO EXPAND MATERNAL HEALTH IN SOUTHWEST VIRGINIA, INCLUDING: EMBEDDING EXPANDED PERINATAL SERVICES AT THE LOCAL HEALTH DEPARTMENTS, TRAINING AND DEPLOYING NEW COMMUNITY HEALTH WORKERS (CHWS) AND DOULAS TO CONNECT PATIENTS TO SPECIALIZED MATERNAL HEALTH CARE, CREATING A NEW PROJECT ECHO TELEHEALTH SYSTEM FOCUSED ON PERINATAL AND MATERNAL HEALTH NEEDS SPECIFIC TO THE SOUTHWEST VIRGINIA REGION, PROVIDING ACCESS TO MATERNAL FETAL MEDICINE SPECIALIST CARE THROUGH A NEW TELEHEALTH PLATFORM,, EXPANDING MOBILE CARE DELIVERY IN THE SERVICE REGION, COORDINATING NON-TRADITIONAL SATELLITE SITES FOR THE PROVISION OF CARE, TRAINING AND MENTORING NURSES AND NURSING STUDENTS TO PROVIDE PERINATAL SERVICES, HOSTING AN ANNUAL MATERNAL HEALTH FORUM TO ENGAGE COMMUNITY MEMBERS, AND CREATING AN ANNUAL MATERNAL HEALTH WORKSHOP SPECIFIC TO VIRGINIA’S RURAL HEALTH CLINICS. POPULATION TO BE SERVED THE PRIMARY POPULATION WE AIM TO SERVE INCLUDES WOMEN OF REPRODUCTIVE AGE (15–49), WITH A FOCUS ON THOSE WHO ARE PREGNANT, POSTPARTUM, OR PLANNING TO BECOME PREGNANT. OUR PROPOSED SERVICE AREA IN SOUTHWEST VIRGINIA SPANS 1,314 SQUARE MILES ACROSS FOURTEEN CITIES AND COUNTIES OF THE CUMBERLAND PLATEAU, LENOWISCO, AND MOUNT ROGERS HEALTH DISTRICTS. EXPECTED OUTCOMES THE VRMOMS NETWORK WILL IMPROVE PROVIDERS’ CAPACITY TO ENHANCE CARE COORDINATION, AS WELL AS CO-DEVELOP AND IMPLEMENT FOCUSED HEALTH INTERVENTIONS. EXPECTED OUTCOMES FROM THE ACTIVITIES IMPLEMENTED UNDER VRMOMS INCLUDE 1) ENHANCED AGENCY READINESS TO ADDRESS PERINATAL HEALTH CONCERNS THROUGH THE USE OF CHWS, NURSES, AND DOULAS 2) IMPROVED KNOWLEDGE OF PERINATAL HEALTH BEST PRACTICES THROUGH TAILORED TRAININGS AND EDUCATIONAL OPPORTUNITIES FOR BOTH PROVIDERS AND PARENTS 3) INCREASED PROFESSIONAL SUPPORT THROUGH THE ESTABLISHMENT OF AN ECHO AND TELEHEALTH SPECIALTY CARE FOR REGIONAL HEALTH WORKERS 4) IMPROVED MATERNAL HEALTH OUTCOMES FOR MEASURES SUCH AS HIGH BLOOD PRESSURE, GESTATIONAL DIABETES, AND POSTPARTUM DEPRESSION 5) ADDITIONAL COST SAVINGS POSSIBILITIES THROUGH EXPANDED BILLING OPTIONS AND REDUCED BURDEN OF DISEASE FROM IMPROVED PERINATAL CARE 6) ENHANCED ORGANIZATIONAL CAPACITY TO ADDRESS INDIVIDUAL PATIENT NEEDS 7) EXPANDED DATA SHARING AMONG CROSS-SECTOR ORGANIZATIONS, AND 8) STRENGTHENED ORGANIZATIONAL COLLABORATION BETWEEN STATE AND REGIONAL STAKEHOLDERS. VRHA IS REQUESTING A FUNDING PREFERENCE BASED ON AN ESTABLISHED NETWORK HISTORY.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION - 1) PROJECT TITLE: VIRGINIA PIEDMONT HARM REDUCTION COALITION 2) REQUESTED AWARD AMOUNT: $1,000,000 3) APPLICANT: VIRGINIA RURAL HEALTH ASSOCIATION 4) ADDRESS: 200 MEMORIAL DRIVE, LURAY, VA 22835 5) FACILITY TYPE: STATE RURAL HEALTH ASSOCIATION 6) INTERIM PROJECT DIRECTOR: BETH O’CONNOR, EXECUTIVE DIRECTOR 7) INTERIM PROJECT DIRECTOR CONTACT: 540-231-7923/BOCONNOR@VCOM.VT.EDU 8) CURRENT RCOR-I RECIPIENT: NO 9) EIN EXCEPTION: NOT REQUESTED 10) FIRST LEARNED OF FUNDING OPPORTUNITY: THROUGH THE RURAL HEALTH INFORMATION HUB E-NEWSLETTER 11) 5 CONSORTIUM MEMBERS: VIRGINIA RURAL HEALTH ASSOCIATION, VIRGINIA HARM REDUCTION COALITION, UNITE US, SOUTHWEST VIRGINIA GRADUATE MEDICAL EDUCATION CONSORTIUM, NEW COLLEGE INSTITUTE 12) PREVIOUS RCORP AWARD: FY 2019 RCORP-PLANNING APPLICANT ORGANIZATION 13) TARGET POPULATION: - LESS THAN 1% OF THE TARGET POPULATION IS AMERICAN INDIAN/ALASKAN NATIVE - THERE ARE NO PLANS TO SPECIFICALLY TARGET TRIBAL POPULATIONS - THIS PROJECT WILL ADDRESS HEALTH DISPARITIES THROUGH: O SELECTING A SERVICE AREA WITH A HIGH AFRICAN AMERICAN POPULATION AND ASSURING THAT SERVICES PROVIDED ARE CULTURALLY COMPETENT FOR THAT COMMUNITY O ADDRESSING THE SPECIFIC NEEDS OF THE LGBTQ+ POPULATION AND ASSURING THAT SUD SERVICES ARE AVAILABLE IN A SAFE, AFFIRMING ENVIRONMENT O PROVIDING EDUCATION TO SENIORS WHO ARE AT HIGH RISK OF HAVING THEIR MEDICATIONS DIVERTED 14) TARGET SERVICE AREA: VIRGINIA COUNTIES OF FRANKLIN, HENRY, PATRICK AND THE CITY MARTINSVILLE (NOTE THAT IN VIRGINIA, CITIES ARE A GOVERNMENTAL ENTITY, INDEPENDENT OF THE COUNTY WHICH SURROUNDS THEM) 15) SERVICE AREA OVERLAP: NONE

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - THE VIRGINIA RURAL HEALTH ASSOCIATION (VRHA) IS PROPOSING TO DEVELOP THE CUMBERLAND PLATEAU PERINATAL HEALTH NETWORK (PHN) UNDER THE SPECIAL TRACK OF THE HRSA RURAL HEALTH CARE SERVICES OUTREACH PROGRAM, WITH A FOCUS ON MATERNAL HEALTH. THIS PROJECT WILL SERVE THE RURAL COUNTIES OF BUCHANAN, DICKENSON, RUSSELL, AND TAZEWELL IN VIRGINIA, AREAS WITHIN THE CUMBERLAND PLATEAU HEALTH DISTRICT. THESE COUNTIES EXPERIENCE SIGNIFICANT HEALTH DISPARITIES, PARTICULARLY AMONG WOMEN WHO USE SUBSTANCES DURING PREGNANCY, LEADING TO POOR MATERNAL AND NEONATAL OUTCOMES. THROUGH STRATEGIC WORKFORCE INVESTMENTS, TARGETED SUPPORTIVE SERVICES, AND A DEEP APPRECIATION FOR SUSTAINABLE, COMMUNITY-DRIVEN MODELS, THE PHN IS PROPOSING TO NOT ONLY FILL EXISTING GAPS BUT ALSO LAY THE FOUNDATION FOR LONG-TERM HEALTH AND WELL-BEING ACROSS THE REGION THAT WILL IMPROVE ACCESS, UTILIZATION, AND OUTCOMES FOR MATERNAL AND PERINATAL HEALTH IN THE CPHD. VRHA IS REQUESTING FUNDS FROM THIS GRANT OPPORTUNITY TO FULFILL THE GOAL OF IMPROVING ACCESS TO INTEGRATED, COORDINATED PERINATAL HEALTH SERVICES FOR FAMILIES IN THE RURAL CUMBERLAND PLATEAU REGION OF VIRGINIA. THIS GOAL WILL BE MET THROUGH THE FOLLOWING OBJECTIVES: 1. BY APRIL 30, 2029, THE PHN WILL IMPROVE EXPECTANT AND POSTPARTUM INDIVIDUALS’ ABILITY TO NAVIGATE THE COMPLEX HEALTHCARE SYSTEM BY INVESTING IN PEER SUPPORT, DOULAS, AND COMMUNITY HEALTH WORKERS FOR THE CUMBERLAND PLATEAU HEALTH DISTRICT; 2. BY APRIL 30, 2029, THE PHN WILL SUPPORT LEARNING OPPORTUNITIES THROUGH COMMUNITY TRAININGS, FORUMS, AND A PERINATAL HEALTH PROJECT ECHO; AND 3. BY APRIL 30, 2029, THE PHN WILL DEVELOP INNOVATIVE, MULTI-SECTORAL APPROACHES TO ENSURE THE CONTINUED AVAILABILITY AND SUSTAINABILITY OF AFFORDABLE PERINATAL SERVICES IN THE SERVICE AREA. TO ENSURE THE PROPOSED PROJECT REMAINS GROUNDED IN CURRENT BEST PRACTICES FOR HEALTH CARE, COMMUNITY OUTREACH, AND MATERNAL HEALTH, VRHA HAS DESIGNED AN INTERVENTION THAT INCORPORATES A NUMBER OF WELL-ESTABLISHED EVIDENCE-BASED MODELS AS THE FOUNDATION, INCLUDING 1) PROJECT ECHO 2) COMMUNITY-BASED DOULAS 3) RESOURCE NAVIGATION/COMMUNITY HEALTH WORKERS 4) TCU PARTNERS IN PARENTING AND 5) TRAUMA INFORMED CARE TRAINING. ADDITIONALLY, A TEAM OF CHWS, DOULAS, AND RESOURCE NAVIGATORS WILL PROVIDE PERSONALIZED SUPPORT FOR AT-RISK WOMEN DURING AND AFTER PREGNANCY, ENSURING A CONTINUUM OF CARE FOR UP TO ONE YEAR POSTPARTUM. EXPECTED OUTCOMES INCLUDE IMPROVED ACCESS TO MATERNAL HEALTH SERVICES, INCREASED PROVIDER CAPACITY FOR TRAUMA-INFORMED AND CULTURALLY COMPETENT CARE, REDUCED RATES OF NEONATAL ABSTINENCE SYNDROME, AND ENHANCED HEALTH EQUITY FOR RURAL UNDERSERVED POPULATIONS. THE PROPOSED INITIATIVE WILL ALSO STRENGTHEN THE LOCAL WORKFORCE THROUGH TRAINING AND RETENTION OF CHWS AND DOULAS, ADDRESSING GAPS IN SERVICE DELIVERY ACROSS THE REGION. THE VIRGINIA RURAL HEALTH ASSOCIATION (VHRA) IS A 501C3 NONPROFIT ORGANIZATION WORKING FOR THE 2.5 MILLION PEOPLE WHO CALL RURAL VIRGINIA THEIR HOME. ESTABLISHED IN 1995, VRHA IS A GRASSROOTS ADVOCACY ORGANIZATION WITH OVER 1,000 MEMBERS STATEWIDE. ITS MEMBERS REPRESENT THE BROAD SPECTRUM OF RURAL HEALTHCARE: HOSPITAL EXECUTIVES, ACADEMIC FACULTY, CLINIC STAFF, HEALTH PROFESSIONS STUDENTS, COMMUNITY ADVOCATES, GOVERNMENT OFFICIALS, CONSULTANTS, AND MORE. VRHA HAS A 30-YEAR HISTORY OF BRINGING TOGETHER RURAL HEALTH STAKEHOLDERS IN VIRGINIA TO DEVELOP STRATEGIC PLANS, PROVIDE EDUCATIONAL OPPORTUNITIES, AND IMPLEMENT PROJECTS. VRHA IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1: HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). ACCORDING TO THE HRSA DATA WAREHOUSE, OF THE 4 RURAL COUNTIES IN THE SERVICE AREA THAT ARE ELIGIBLE TO PARTICIPATE IN FUNDING FROM THIS PROGRAM, ALL QUALIFY FOR THE QUALIFICATION 1 FUNDING PREFERENCE BECAUSE THE SERVICE AREA IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA).

RURAL HEALTH OPIOID PROGRAM

RURAL HEALTH OPIOID PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM