Rainelle Medical Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

CAPITAL DEVELOPMENT

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

TELEMEDICINE GRANT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - RAINELLE MEDICAL CENTER - H80CS18278 RAINELLE, WEST VIRGINIA RAINELLE MEDICAL CENTER (RMC) IS A FEDERALLY QUALIFIED HEALTH CENTER SERVING THE NEW RIVER VALLEY REGION OF CENTRAL WEST VIRGINIA. THE CENTER’S SERVICE AREA INCLUDES FAYETTE, GREENBRIER, MONROE, NICHOLAS, POCAHONTAS, AND SUMMERS COUNTIES, WEST VIRGINIA. RMC PROVIDES A WIDE ARRAY OF HEALTH SERVICES, INCLUDING PRIMARY MEDICAL, BEHAVIORAL HEALTH, DENTAL, PHARMACEUTICAL, NEPHROLOGY, AND ENABLING SERVICES. ADDITIONALLY, RMC HAS THE ONLY BLACK LUNG PROGRAM IN THE AREA, SHOWCASING THE ORGANIZATION’S DEDICATION TO WEST VIRGINIANS AND THE HISTORY OF TREATING PATIENTS WITH OCCUPATIONAL DISEASES. THE CENTER IS COMMITTED TO PROVIDING CURRENT EVIDENCE-BASED CARE THAT FOLLOWS BEST PRACTICES, INCLUDING BEHAVIORAL HEALTH (BH) TREATMENT FOR PATIENTS SUFFERING FROM MENTAL HEALTH (MH) OR SUBSTANCE USE DISORDERS (SUDS). THROUGH THIS PROPOSAL, RMC WILL EXPAND MH AND SUD SERVICES, WHICH INCLUDE THE IMPLEMENTATION OF MEDICATION FOR OPIOID USE DISORDER (MOUD), IN ITS LEWISBURG BEHAVIORAL HEALTH LOCATION. THE SIX-COUNTY SERVICE AREA SEES A DIRE NEED FOR ADDITIONAL HEALTH RESOURCES, AS OVER ONE IN FIVE RESIDENTS HAVE “FREQUENT MENTAL DISTRESS” WHICH IS DEFINED AS MORE THAN 14 POOR MENTAL HEALTH DAYS PER MONTH. THIS COINCIDES WITH WEST VIRGINIA’S PREVALENCE OF DEPRESSION (RANKING 48TH NATIONWIDE) AND 26.1% OF ADULTS HAVING A MENTAL HEALTH DIAGNOSIS. SUICIDE RATES ARE ALSO HIGH IN THE SERVICE AREA, SPECIFICALLY GREENBRIER AND NICHOLAS COUNTY (21.3 AND 27.0 PER 100,000, RESPECTIVELY). COMPARED TO THE STATE RATE OF 20.2 AND THE NATIONAL RATE OF 14.5, THE NEED FOR ACCESS TO MH CARE IS EVIDENT. EQUALLY HARROWING ARE THE RATES OF SUD; THE SERVICE AREA SEES OVER DOUBLE THE RATE OF DRUG-RELATED FATALITIES (65 PER 100,000) THAN THE NATION (28.2). RMC IS PROUD TO SERVE ITS COMMUNITY AS A SAFETY NET PROVIDER, OFFERING CARE TO THE SERVICE AREA’S LOW-INCOME AND MEDICALLY VULNERABLE PATIENTS. MANY PATIENTS IN THE REGION ARE IMPOVERISHED (17.4%) OR LOW-INCOME (39.4%), WHICH EXACERBATES HEALTH ACCESS BARRIERS IN THE AREA. RAINELLE MEDICAL CENTER SPECIFICALLY TARGETS THESE PATIENTS, AND THROUGH THIS FUNDING OPPORTUNITY THE CENTER WILL ALSO FOCUS ON POPULATIONS WITH DIAGNOSED MH/SUD CONDITIONS. THE CENTER ESTIMATES THAT 18,603 PATIENTS HAVE A SUD DIAGNOSIS, AND 19,230 HAVE A MH CONDITION. TO ADDRESS THE NEED FOR ADDITIONAL SERVICES AND SERVE THE TARGET PATIENT POPULATION, RMC WILL HIRE A PSYCHIATRIST, A NURSE/CASE MANAGER, TWO THERAPISTS, AND ONE PEER SUPPORT SPECIALIST. THE PSYCHIATRIST, NURSE/CASE MANAGER, ONE THERAPIST, AND PEER SPECIALIST WILL SUPPORT ENHANCED SUD SERVICES, INCLUDING THE IMPLEMENTATION OF MOUD. THE CENTER DOES NOT CURRENTLY OFFER MOUD, BUT DUE TO THE PREVALENCE OF SUD AND LACK OF PROVIDERS, RMC IS TAKING ON THE NEW SERVICE LINE TO PROVIDE MEDICATIONS (METHADONE, BUPRENORPHINE, AND NALTREXONE) TO PATIENTS. WHILE RECRUITING A FULL-TIME PSYCHIATRIST, RMC INTENDS TO CONTRACT WITH IRIS TELEHEALTH FOR PSYCHIATRY SERVICES, OFFERING THE CENTER FLEXIBILITY AND TIME TO RECRUIT A QUALIFIED PHYSICIAN AND PROVIDING PATIENTS ACCESS TO VIRTUAL MOUD SERVICES. RMC WILL CONTRACT WITH IRIS TELEHEALTH FOR 216 HOURS IN 2025 FOR THIS ACCOMMODATION. ANOTHER LICENSED THERAPIST WILL PROVIDE ADDITIONAL MH SERVICES, AS SUMMERS COUNTY HAS RECENTLY LOST A SAFETY-NET BH PROVIDER, AND THE CENTER IS HOPING TO FILL THIS GAP IN SERVICES. RMC PLANS TO INCREASE THE NUMBER OF PATIENTS BY 395 ANNUALLY, INCLUDING 100 MH AND 295 SUD/MOUD PATIENTS. RMC ANTICIPATES 325 OF THESE PATIENTS TO BE UNDUPLICATED. THESE PROJECTIONS ARE SUITABLE AND FEASIBLE FOR THE NEW FULL-TIME EQUIVALENT (FTE) STAFF, BASED ON 2023 UDS DATA AND THE CENTER'S HISTORICAL RECORDS. THE CENTER WILL SERVE THESE PATIENTS IN 2025.

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE - PROJECT OVERVIEW: RAINELLE MEDICAL CENTER (RMC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN RURAL WEST VIRGINIA THAT IS SEEKING FUNDING THROUGH THE RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE (RCORP-OR) TO EXPAND AND ENHANCE SUBSTANCE USE DISORDER (SUD) PREVENTION, HARM REDUCTION, TREATMENT, AND RECOVERY SERVICES IN GREENBRIER AND SUMMERS COUNTIES. THIS PROJECT BUILDS ON RMC’S RECENT BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) EFFORTS, INTEGRATING RCORP SERVICES TO ADDRESS THE OPIOID AND STIMULANT CRISIS THROUGH A COMPREHENSIVE, PATIENT-CENTERED APPROACH. THESE ADDITIONAL AND EXPANDED SERVICES WILL ALIGN WELL WITH RMC’S CURRENT PROGRAM MODEL, CLINICAL SERVICES, IT INFRASTRUCTURE, AND STAFFING CAPACITY. ADDITIONALLY, THE RCORP SERVICES COMPLEMENT THE ORGANIZATION’S GOAL TO PROMOTE POSITIVE HEALTH OUTCOMES THROUGHOUT GREENBRIER AND SUMMERS COUNTY. NEED TO BE ADDRESSED: RURAL APPALACHIAN COMMUNITIES FACE SEVERE ECONOMIC HARDSHIP ALONGSIDE HIGH RATES OF DRUG USE AND FATAL OVERDOSES. FOR EXAMPLE, THE POVERTY RATES IN GREENBRIER (20.7%) AND SUMMERS COUNTY (19.2%) EXCEED WEST VIRGINIA AND UNITED STATES AVERAGES OF 16.6% AND 12.4%, RESPECTIVELY, ADDITIONALLY, THE SERVICE AREA EXPERIENCES A DISPROPORTIONATELY HIGH BURDEN OF OPIOID-RELATED FATALITIES, WITH DRUG OVERDOSE DEATH RATES OF 60.0 PER 100,000 IN GREENBRIER COUNTY AND 97.5 PER 100,000 IN SUMMERS COUNTY, FAR BEYOND THE NATIONAL AVERAGE OF 27.0 PER 100,000. OTHER CHALLENGES INCLUDE A LIMITED AVAILABILITY OF BEHAVIORAL HEALTH PROFESSIONALS, HIGH RATES OF UNTREATED MENTAL ILLNESS AND SUDS, GEOGRAPHIC AND TRANSPORTATION ISSUES, A RISE IN STIMULANT MISUSE (PARTICULARLY AMONG YOUNG WEST VIRGINIANS), AND GROWING DEPENDENCE ON SUPPORT RESOURCES FOR FAMILIES. PROPOSED SERVICES: THROUGH THIS RCORP OPPORTUNITY, RMC WILL PROVIDE A MULTIFACETED APPROACH TO OVERDOSE PREVENTION AND SUD TREATMENT. RMC INTENDS TO IMPLEMENT THE FOLLOWING ACTIVITIES: • HARM REDUCTION THROUGH THE PURCHASE AND DISTRIBUTION OF NALOXONE AND FENTANYL TEST STRIPS. • SCREENING AND CONNECTION TO TREATMENT IN PRIMARY CARE AND SCHOOL-BASED SETTINGS, AND TRAINING ADDITIONAL PROVIDERS ON VALIDATED SCREENING TOOLS SUCH AS DAST, CRAFFT, AND AUDIT. TREATMENT METHODS INCLUDE CLINICAL THERAPY, MOUD, AND PEER SUPPORT SERVICES. • STIMULANT IDENTIFICATION AND CONNECTION TO TREATMENT IN SCHOOLS AND PEDIATRIC SETTINGS FOR MISUSE AMONG CHILDREN AND ADOLESCENTS. • EXPANSION OF PEER SUPPORT SERVICES FOR CHILDREN, ADOLESCENTS, AND SUD PATIENTS’ FAMILY MEMBERS. • SUPPORTIVE SOCIAL SERVICES AND ENHANCED CARE COORDINATION. • ENGAGING YOUTH POPULATIONS FOR SCREENING, PREVENTION, AND TREATMENT. POPULATION SERVED: THROUGH THIS FUNDING OPPORTUNITY, RMC WILL SERVE INDIVIDUALS WITH OR AT RISK OF SUD/OUD, YOUTH AND ADOLESCENT POPULATIONS, FAMILIES AND CAREGIVERS IMPACTED BY SUD, AND UNSERVED RURAL RESIDENTS NEEDING ACCESS TO TREATMENT. THE PROJECT WILL BE LED BY RAINELLE MEDICAL CENTER’S BEHAVIORAL HEALTH DIRECTOR, A CURRENT EMPLOYEE, WHO WILL SERVE AS THE PROJECT DIRECTOR AND THE LEARNING COLLABORATIVE POINT OF CONTACT.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM