Logan-Mingo Area Mental Health Inc

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - APPLICANT ORGANIZATION INFORMATION: LOGAN MINGO AREA MENTAL HEALTH, INC. (DBA MOUNTAIN LAUREL INTEGRATED HEALTH), 174 LMAMH CENTER ROAD, LOGAN, WV 25601, COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH CENTER AND FEDERALLY-QUALIFIED HEALTH CENTER LOOK-ALIKE, WWW.LMAMH.ORG/ DESIGNATED PROJECT DIRECTOR INFORMATION: DONNA J. COOKE, M.A., CHIEF EXECUTIVE OFFICER PHONE: 304-792-7130 FAX: 304-896-5183 DCOOKE@LMAMH.ORG QUALITY IMPROVEMENT PROJECT: MLIH IS SEEKING SUPPORT TO LAUNCH ITS OWN PHARMACY AS PART OF A BROADER SHIFT TOWARDS INTEGRATED CARE. GOALS: THE HEALTH CENTER’S GOAL IS TO MOVE TOWARDS COMPREHENSIVE MEDICATION MANAGEMENT WITH AN INTEGRATED HEALTHCARE APPROACH AND INCREASE ADHERENCE THROUGH THE LAUNCH OF AN IN-HOUSE PHARMACY AND RELATED INTERVENTIONS. REQUESTED AWARD AMOUNT: $200,000 PER YEAR FOR FOUR YEARS SERVICE AREA: THIS PROJECT WOULD SERVE AN AREA IN SOUTHERN WEST VIRGINIA WHICH STRUGGLES WITH LOW LEVELS OF INCOME AND EDUCATIONAL ATTAINMENT, LIMITED ACCESS TO NECESSARY HEALTHCARE SERVICES, AND A VARIETY OF NEGATIVE HEALTH OUTCOMES. LOGAN COUNTY, MINGO COUNTY TARGET POPULATION: FOR THE PURPOSES OF THIS PROJECT, MLIH HAS IDENTIFIED A TARGET POPULATION OF AT-RISK PATIENTS SUFFERING FROM HEART DISEASE, UNINTENTIONAL INJURY BY SUBSTANCE USE, AND DIABETES IN THE RURAL COUNTIES OF LOGAN AND MINGO. DATA COLLECTION FROM THE HEALTH CENTER’S ELECTRONIC HEALTH RECORD HAS IDENTIFIED 1,073 OF ITS PATIENTS ARE DIAGNOSED WITH THESE CONDITIONS. COMBINED, PATIENTS SUFFERING WITH THESE HEALTH DISPARITIES MAKE UP AN OVERALL PERCENTAGE OF 40.7% OF THE HEALTH CENTER’S TOTAL POPULATION. NETWORK PARTNERSHIPS: N/A QUALITY IMPROVEMENT MODEL(S): THE PROJECT WILL USE THE PLAN-DO-STUDY-ACT (PDSA) METHOD TO SUPPORT BETTER HEALTH OUTCOMES AND DELIVER HIGH-QUALITY PATIENT CARE. PROJECT ACTIVITIES/SERVICES: -WORK WITH ITS EXISTING PHARMACY CONSULTANT TO DEVELOP PROJECT IMPLEMENTATION PLANS -WORK TOWARD SECURING ALL LICENSES AND UNDERGOING INSPECTIONS NECESSARY -MOVE TO HIRE ONE PHARMACIST AND TWO PHARMACY TECHNICIANS -LAUNCH IN-HOUSE PHARMACY SERVICES -EXPAND PHARMACY SERVICES TO INCLUDE PATIENT EDUCATION VIA TELEHEALTH AND FACE-TO-FACE -PROVIDE ADDITIONAL TRAINING TO CARE MANAGERS TO ENSURE INTEGRATED SERVICE DELIVERY -PROVIDE TRANSPORTATION FOR MEDICATION DELIVERY -SIMPLIFY PATIENT MEDICATION REGIMENS BY UTILIZING LABELED BUBBLE PACKAGING AND LIMITING REFILLS TO ENSURE MEDICATION COMPLIANCE -WORK TOWARD COMPREHENSIVE MEDICATION MANAGEMENT SERVICES TO IMPROVE ADHERENCE -DUPLICATE THIS HIGH-QUALITY SERVICE FOR OTHER AREAS WORK PLAN INCLUDES: -SELECT PHARMACY CONSULTANT AND SUBSEQUENTLY WORK WITH THEM AROUND DEVELOPING IMPLEMENTATION PLANS -HIRE PHARMACIST -SECURE ALL LICENSES AND UNDERGO INSPECTIONS -DEVELOP MARKETING PLAN -PURCHASE INVENTORY CONTROL AND COMPLIANCE SYSTEM -PURCHASE INVENTORY -SYNTHESIZE BILLING SYSTEM -IMPLEMENT PATIENT ENGAGEMENT PROGRAM AND RISK STRATIFICATION PROGRAMS -IMPLEMENT COMPREHENSIVE MEDICATION MANAGEMENT FOR IDENTIFIED AT-RISK PATIENTS -LAUNCH IN-HOUSE PHARMACY -BEGIN PLANNING FOR 340B PRICING SYSTEM -PROVIDE ADDITIONAL TRAINING FOR CARE MANAGERS -EXTEND RISK STRATIFICATION AND COMPREHENSIVE MEDICATION MANAGEMENT PROGRAM -LAUNCH 340B PRICING SYSTEM -USE ELECTRONIC HEALTH RECORDS TO MEASURE DEFINED OUTCOMES -HIRE ADDITIONAL STAFF -PROVIDE TRANSPORTATION TO PATIENTS FOR PHARMACY SERVICES -IMPLEMENT COMPREHENSIVE MEDICATION MANAGEMENT SERVICES TO IMPROVE ADHERENCE AND REDUCE MEDICATION ERRORS -DUPLICATE HIGH-QUALITY SERVICE FOR OTHER AREAS -REVIEW DATA COLLECTED TO ANALYZE PROJECT'S EFFECT ON HEALTH OUTCOMES FUNDING PREFERENCE: MOUNTAIN LAUREL INTEGRATED HEALTH IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. LOGAN AND MINGO COUNTIES ARE IN A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. THE ORGANIZATION ALSO MEETS QUALIFICATION 2 (THE AREA HAS MEDICALLY UNDERSERVED COMMUNITY/POPULATIONS), AND QUALIFICATION 3 (FOCUS ON PRIMARY CARE AND WELLNESS AND PR

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - THIS PROJECT WILL EXPAND ACCESS TO INTEGRATED HEALTH SERVICES, AND WILL ADDRESS SOCIAL DETERMINANTS OF HEALTH FACED BY INDIVIDUALS IN THE RURAL, SOUTHERN WEST VIRGINIA COUNTIES OF MCDOWELL, MINGO, AND WYOMING LOCATED IN THE HEART OF APPALACHIA. CONSORTIUM MEMBERS INCLUDE LOGAN-MINGO AREA MENTAL HEALTH DBA MOUNTAIN LAUREL INTEGRATED HEALTHCARE (MLIH), MINGO COUNTY HEALTH DEPARTMENT, ONE VOICE, AND TUG VALLEY WELLNESS. THE TARGET POPULATION INCLUDES INDIVIDUALS OF ALL AGES WHO ARE UNDERSERVED DUE TO A VARIETY OF FACTORS, INCLUDING, BUT NOT LIMITED TO, POVERTY, INSURANCE STATUS, AND HEALTH-RELATED FACTORS. THIS INCLUDES SUBPOPULATIONS THAT EXPERIENCE POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES. THESE INCLUDE INDIVIDUALS WITH SUBSTANCE USE DISORDERS, PEOPLE WITH DISABILITIES, ELDERLY RESIDENTS, AND INDIVIDUALS WITH LIMITED HEALTH LITERACY. THE SERVICE AREA FACES SIGNIFICANTLY WORSE HEALTH AND HEALTH-RELATED OUTCOMES COMPARED WITH STATE AND NATIONAL AVERAGES. PROJECT GOALS AND OBJECTIVES INCLUDE: GOAL 1: CREATE CONSORTIUM FOUNDATION. THE FIRST YEAR WILL FOCUS ON ESTABLISHING THE GROUNDWORK FOR THE CONSORTIUM THAT WILL BE CRITICAL TO ACHIEVING SUCCESS. OBJECTIVES IN YEAR ONE INCLUDE STRATEGIC PLANNING AMONG CONSORTIUM MEMBERS; HIRING AND TRAINING PROJECT PERSONNEL; PURCHASING TELEHEALTH, DIAGNOSTIC, AND OTHER EQUIPMENT AND SUPPLIES; AND INFORMING THE GENERAL PUBLIC AND STAKEHOLDERS ABOUT THE PROJECT. GOAL 2: INITIATE TELEHEALTH SERVICES AND INTEGRATE COMMUNITY HEALTH WORKERS (CHWS) INTO CARE TEAMS. OBJECTIVES IN YEAR TWO INCLUDE DEPLOYING CHWS TO SCREEN FOR SDOH AND ASSISTING WITH PATIENT NAVIGATION; INCREASING ACCESS TO SERVICES BY INITIATING TELEHEALTH TO CONNECT PATIENTS AT ONE VOICE AND TUG VALLEY WELLNESS TO MLIH BEHAVIORAL HEALTH PROVIDERS AND TO PRIMARY CARE PROVIDERS FOR CHRONIC DISEASE MANAGEMENT FOLLOW-UP AS NEEDED; BEGIN DATA COLLECTION. GOAL 3: EXPAND INTEGRATED CARE SERVICES BY PLACING A PRIMARY CARE PROVIDER (PCP) AT ONE VOICE, IMPLEMENTING TELE-BEHAVIORAL HEALTH SERVICES AT TUG VALLEY WELLNESS, AND DEPLOYING THE MOBILE UNIT. THE OBJECTIVES FOR YEAR THREE TO ENHANCE THE ABILITY OF PRIMARY CARE PROVIDERS TO DELIVER INTEGRATED CARE, FOCUSING ON BEHAVIORAL HEALTH AND SDOH, AND TO EXPAND ACCESS TO PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS WHO LIVE IN THE MOST REMOTE AREAS VIA THE MOBILE UNIT. THE CONSORTIUM WILL ALSO SEEK TO STRENGTHEN RELATIONSHIPS WITH REGIONAL ORGANIZATIONS TO EXPAND SDOH NETWORKS AND MOBILE UNIT SERVICES WILL BE PROMOTED THROUGH A STRATEGIC OUTREACH CAMPAIGN. GOAL 4: EVALUATE THE PROJECT’S IMPACT AND EXPAND SERVICES TO ADDITIONAL HIGH-NEED AREAS. IN YEAR FOUR, THE CONSORTIUM WILL UNDERTAKE A COMPREHENSIVE PROGRAM EVALUATION USING ANNUAL DATA COMPARED TO BASELINE DATA COLLECTED IN YEAR ONE. THE OBJECTIVE OF THIS GOAL IS TO DETERMINE THE EFFECTIVENESS OF STRATEGIES IMPLEMENTED IN THE FIRST THREE YEARS AND IDENTIFY ADDITIONAL RURAL AREAS WHERE THESE STRATEGIES CAN BE REPLICATED. THE PROJECT WILL UTILIZE THE FOLLOWING EVIDENCE-BASED MODELS: PROTOCOL FOR RESPONDING TO AND ASSESSING PATIENTS’ ASSETS, RISKS, AND EXPERIENCES (PRAPARE), EVIDENCE-BASED CLINICAL GUIDELINES, AND TRAUMA INFORMED CARE. OUTCOMES TO BE ACHIEVED THROUGH THIS PROJECT INCLUDE INCREASED ACCESS TO INTEGRATED HEALTH SERVICES, AND ACCESS TO SUPPORTIVE NON-HEALTH AND SOCIAL SERVICES. WITH INCREASED ACCESS TO THESE SERVICES, WE ANTICIPATE IMPROVED MANAGEMENT OF CHRONIC ILLNESSES, WHICH ARE COMMON AMONG THE TARGET POPULATION AND SUBPOPULATIONS. MLIH HAS MORE THAN 50 YEARS’ EXPERIENCE PROVIDING CARE FOR THE TARGET POPULATION. MLIH BEGAN AS 1 OF 14 STATE-DESIGNATED COMMUNITY MENTAL HEALTH CENTERS AND IN 2020 BECAME A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE IN 2020, MAKING IT THE FIRST DUALLY DESIGNATED HEALTHCARE AGENCY IN THE STATE. MLIH QUALIFIES FOR TWO FUNDING PREFERENCES. THE SERVICE AREA INCLUDES SEVERAL HPSAS AND ALL COUNTIES ARE DESIGNATED AS MUAS.

FY 2020 HEALTH CENTER PROGRAM LOOK-ALIKES: EXPANDING CAPACITY FOR CORONAVIRUS TESTING

FY 2023 EXPANDING COVID-19 VACCINATION

CONTINUUM OF CARE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM