Southwest Virginia Community Health Systems Incorporated

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - PROJECT TITLE: RURAL COMMUNITIES OPIOID RESPONSE-IMPACT (RCORP-IMPACT) APPLICANT: SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC. (SVCHS) ADDRESS: 319 FIFTH AVENUE, SALTVILLE, VA 24370-3418 PROJECT DIRECTOR: MELISSA DOANE-WILLIAMS PHONE NUMBER: (276) 496-4492 E-MAIL ADDRESS: MWILLIAMS@SVCHS.COM WEB SITE: WWW.SVCHS.COM BRIEF PROJECT DESCRIPTION: SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS (SVCHS), A FEDERALLY QUALIFIED HEALTH CENTER, HAS A STRONG HISTORY OF INTEGRATING SUBSTANCE USE DISORDER ASSESSMENT AND TREATMENT INTO THE PRIMARY CARE SETTING. THIS PROJECT WILL FORM A NETWORK TO LEVERAGE SVCHS EXPERIENCE WITH THAT OF SEVEN OTHER DIVERSE NETWORK MEMBERS. THE NETWORK WILL FOCUS ON TREATMENT AND RECOVERY FOR INDIVIDUALS IMPACTED BY SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER (OUD). DATA FOCUS AREAS ADDRESSED IN THIS PROJECT ARE: JUSTICE-INVOLVED POPULATIONS, CHILDREN AND ADOLESCENTS, AND EVOLVING/EMERGING THREATS RELATED TO SUD/OUD, INCLUDING FENTANYL AND XYLAZINE. NO PERSON WILL BE TURNED AWAY DUE TO INABILITY TO PAY. PROJECT OBJECTIVES ARE: (1) SIGNIFICANTLY EXPAND ACCESS TO NEW DAY RECOVERY (NDR) OFFICE-BASED ADDICTION TREATMENT SERVICES IN SMYTH AND TAZEWELL COUNTIES, INCLUDING MEDICATION FOR ALCOHOL USE DISORDER (MAUD) AND OPIOID USE DISORDER (MOUD); OUTPATIENT FAMILY, INDIVIDUAL AND GROUP THERAPIES; AND CARE COORDINATION. (2) ESTABLISH THE COMMUNITY OF HOPE PEER RECOVERY CENTER AT NDR SITES IN SMYTH AND TAZEWELL COUNTIES, WITH REFERRAL PATHWAYS BETWEEN NETWORK PARTNERS TO FOCUS ON WHOLE-PERSON CARE AND SOCIAL DETERMINANTS OF HEALTH (SDOH) TO SUPPORT INDIVIDUALS IN RECOVERY. (3) ESTABLISH CARE PATHWAYS TO ENSURE HEALTHCARE NAVIGATION AND CARE COORDINATION ACROSS THE CONTINUUM OF CARE IN SMYTH AND TAZEWELL COUNTIES. NEEDS ADDRESSED IN THE RCORP-IMPACT PROJECT: ACCORDING TO THE NATIONAL SURVEY OF DRUG USE AND HEALTH, 16.87% OF VA RESIDENTS AGE 12 AND OLDER HAVE A SUD. BASED ON THIS ESTIMATE, THERE MAY BE AT LEAST 1 0,339 INDIVIDUALS WITH A SUD IN THE SVCHS SERVICE AREA (NATIONAL SURVEY ON DRUG USE AND HEALTH, SAMHSA, 2021-2022). THE PEOPLE OF RURAL CENTRAL APPALACHIA (INCLUDING SOUTHWEST VA) ARE AT THE EPICENTER OF THE DRUG OVERDOSE EPIDEMIC IN THE US. HIGH RATES OF POVERTY AND A LACK OF INSURANCE INFLUENCE THIS TREND (MOODY L, SATTERWHITE E, BICKEL WK. SUBSTANCE USE IN RURAL CENTRAL APPALACHIA: CURRENT STATUS AND TRTMNT CONSIDERATIONS. RURAL MH. 2017 APR;41(2):123-135). SERVICE AREA INCOMES ARE SIGNIFICANTLY LOWER THAN STATE AND NATIONAL AVERAGES. NEARLY HALF (43.5%) OF RESIDENTS ARE LOW-INCOME, AT OR BELOW 200% FPG, COMPARED TO 23.4% IN VA OVERALL AND THE US AVERAGE OF 28.8%. NEARLY ONE IN FIVE (18.4%) RESIDENTS LIVE ON INCOMES AT OR BELOW 100% FPG, COMPARED TO 10.0% IN VA AND 12.5% IN THE US (ACS, CENSUS BUREAU, 2018-2022). PROPOSED SERVICES: MINOR RENOVATION OF TWO EXISTING SITES WILL CREATE SUPPORTIVE AMENITIES RELATED TO SDOH, WITH EDUCATION, EMPLOYMENT, AND LIFE SKILLS OPPORTUNITIES. PEER RECOVERY SPECIALISTS AND HEALTHCARE NAVIGATORS WILL BE KEY TO THE PROJECT, WITH ADDITIONAL SUD/MH THERAPY AND MAUD/MOUD PROVIDER CAPACITY, LEADERSHIP AND SUPPORT STAFF. CARE PATHWAYS WILL BE DEVELOPED BETWEEN NETWORK MEMBERS TO SMOOTH TRANSITIONS AND CREATE A CONTINUUM OF CARE. PREVENTION STRATEGIES, INCLUDING HARM REDUCTION WILL BE INCORPORATED. NALOXONE TRAINING AND DISTRIBUTION WILL BE EXPANDED. COMMUNITY RE-ENGAGEMENT STRATEGIES WILL BE DEVELOPED TO SUPPORT INDIVIDUALS AND FAMILIES IN SUCCESSFUL COMMUNITY LIVING AND SUSTAINED RECOVERY. ADDITIONAL COLLABORATION FROM COMMUNITY ORGANIZATIONS WILL BE SOUGHT THROUGHOUT THE PROJECT PERIOD. POPULATION TO BE SERVED: THE RURAL TARGET SERVICE AREA CONSISTS OF SMYTH AND TAZEWELL COUNTIES IN VA. THE TOTAL POPULATION OF THE TWO-COUNTY SERVICE AREA IS 70,191, INCLUDING 30,513 RESIDENTS WHO LIVE ON INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). SVHCS WILL ENHANCE AND EXPAND SERVICES TO AT LEAST 360 PERSONS BY THE END OF THE PROJECT.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00278 ADDRESS: 319 FIFTH AVENUE, SALTVILLE, VA 24370-3418 CONTACT PHONE NUMBER (VOICE): (276) 496-4492 WEBSITE ADDRESS: WWW.SVCHS.COM PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,00 FOR YEAR 2. SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC. (SVCHS), A NON-PROFIT COMMUNITY HEALTH CENTER, HAS BEEN PROVIDING ACCESSIBLE, PATIENT-FOCUSED PRIMARY HEALTH CARE TO RESIDENTS OF SMYTH, TAZEWELL, AND WASHINGTON COUNTIES IN VIRGINIA (VA), AS WELL AS BRISTOL CITY, VA, AND SULLIVAN COUNTY, TN SINCE 1979. IN 2023, SVCHS SERVED 15,605 PATIENTS VIA 60,448 TOTAL ENCOUNTERS FROM 14 SITES, INCLUDING 1,023 PATIENTS WITH MENTAL HEALTH (MH) SERVICES, 391 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 363 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: SERVICE AREA RESIDENTS ARE EXPERIENCING RECORD LEVELS OF MH ISSUES AND SUD. ADULTS REPORT AN AVERAGE OF 6.0 POOR MENTAL HEALTH DAYS PER MONTH, COMPARED TO 4.8 NATIONALLY, WHILE 19.4% REPORT BEING IN MENTAL DISTRESS MORE THAN HALF THE MONTH, COMPARED TO 15.0% IN THE US (CTY HEALTH RANKINGS, RWJF, 2024). A THIRD (33.3%) OF ADULTS IN THE MT ROGERS HEALTH DISTRICT (SVCHS SERVICE AREA) REPORT DEPRESSION, COMPARED TO 26.8% IN VA AND 19.6% IN THE US (COMM HEALTH IMP DATA PORTAL, VA DEPT OF HEALTH, 2024). THE SUICIDE MORTALITY RATE IS 21.6, MUCH HIGHER THAN THE STATE (13.4) OR NATIONAL (13.8) AVERAGES (ALL MORTALITY RATES ARE PER 100,000, AGE-ADJUSTED) (WONDER, CDC, 2016-2020). AN ESTIMATED 20.2% (4,003) OF RESIDENTS AGES 12 TO 17 AND 7.9% (19,314) OF ADULTS HAVE EXPERIENCED A MAJOR DEPRESSIVE EPISODE IN THE PAST YEAR. A QUARTER (22.3% OR 54,195) OF ADULTS REPORT ANY MENTAL ILLNESS, WHILE 5.6% (13,646) HAVE A SERIOUS MENTAL ILLNESS (SERVICE AREA ESTIMATES BASED ON STATE-LEVEL RATES) (NATIONAL SURVEY OF DRUG USE AND HEALTH, SAMHSA, 2021-2022). DRUG AND ALCOHOL USE DISORDERS ARE ALSO WIDESPREAD IN THE SERVICE AREA. AN ESTIMATED 14.1% OF ADULTS REPORT HEAVY DRINKING, WHILE 15.7% REPORT BINGE DRINKING (SPARKMAP, UNIV OF MO EXT, 2024). AN ESTIMATED 7.7% (1,522) OF RESIDENTS AGES 12 TO 17 AND 17.8% (43,274) OF ADULTS HAVE A SUD, INCLUDING 3.0% AND 11.7% WITH AN ALCOHOL USE DISORDER (AUD) AND 5.7% AND 8.6% WITH SUD, RESPECTIVELY (SERVICE AREA ESTIMATES BASED ON STATE-LEVEL RATES) (NATL SURVEY OF DRUG USE & HEALTH, SAMHSA, 2021-2022). SERVICES: SVCHS PROPOSES TO INCREASE ACCESS TO MH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. SVCHS HAS A WELL-DEVELOPED INTEGRATED BH PROGRAM; IN ADDITION, IT OPERATES THREE BH NEW DAY RECOVERY (NDR) SITES. TO EXPAND SERVICES, SVCHS WILL ADD CAPACITY WITH 10.7 FTE STAFF, INCLUDING 0.35 FTE LCSW/NDR BH MANAGER, 0.1 FTE LCSW/BH DIRECTOR, 0.2 FTE NDR PROGRAM COORDINATOR, 0.6 FTE NDR BH SUPERVISORS, 0.2 FTE SUD COUNSELOR, 1.25 FTE BH PROVIDER, 1.0 FTE COMMUNITY OF HOPE SUPERVISOR, 3.0 FTE NDR COMMUNITY OUTREACH WORKERS, 3.0 FTE PEER RECOVERY SPECIALISTS, AND 1.0 MOUD NURSE PRACTITIONER. IN ADDITION, SVCHS WILL PURCHASE EQUIPMENT AND FURNISHINGS TO CREATE “COMMUNITIES OF HOPE” WITHIN THE NDR SITES THAT PROVIDE AMENITIES FOCUSED ON LIFE SKILLS NECESSARY FOR SUSTAINED RECOVERY (NON-FEDERAL). THE BHSE PROJECT ALSO INCLUDES SUPPLIES TO EQUIP BHSE STAFF TO COMPLETE JOB DUTIES, AS WELL AS TRAINING AND CERTIFICATION FOR BH PROVIDERS AND PEER RECOVERY SPECIALISTS. POPULATION GROUP: SVCHS ANTICIPATES THAT BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS RECEIVING BH SERVICES BY THE END OF CY2025, INCLUDING A TOTAL OF 1,123 MH SERVICES PATIENTS, 441 SUD SERVICES PATIENTS, 403 PATIENTS RECEIVING MOUD AND AN INCREASE OF 30 UNDUPLICATED NEW HEALTH CENTER PATIENTS. THIS WILL SUPPORT THE BHSE PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MH, SUD AND MOUD SERVICES.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM