Little River Medical Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - LITTLE RIVER MEDICAL CENTER, INC. (LRMC), A NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN PROVIDING ACCESSIBLE, AFFORDABLE, HIGH QUALITY, PATIENT FOCUSED PRIMARY HEALTH CARE TO RESIDENTS OF HORRY COUNTY AND GEORGETOWN COUNTY IN SOUTH CAROLINA AND BRUNSWICK COUNTY, NORTH CAROLINA, SINCE 1978. LRMC’S PRESENCE IN THE SERVICE AREA ENSURES THAT ALL RESIDENTS HAVE ACCESS TO VITAL MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND ENABLING CARE. LRMC ALSO RECEIVES SPECIAL POPULATION FUNDING TO SERVE PEOPLE EXPERIENCING HOMELESSNESS AND MIGRATORY AND SEASONAL AGRICULTURAL WORKERS (MSAWS) IN 2023, LRMC SERVED 34,376 TOTAL PATIENTS WITH 123,633 IN-PERSON AND 10,306 VIRTUAL ENCOUNTERS FROM 8 FIXED SERVICE DELIVERY SITES AND 5 MOBILE UNITS (UDS), INCLUDING 2,588 PATIENTS WITH MENTAL HEALTH (MH)SERVICES 39 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 385 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: LRMC PRIORITIZES SERVICES TO LOW-INCOME RESIDENTS IN THE SERVICE AREA. RESIDENTS IN THESE HIGH-NEED COMMUNITIES FACE MULTIPLE BARRIERS TO HEALTH CARE, INCLUDING LACK OF CONVENIENT ACCESS POINTS FOR CARE, LACK OF FAMILY OR SOCIAL SUPPORTS TO ACCESS CARE, AND LACK OF UNDERSTANDING REGARDING THE BENEFITS OF PREVENTIVE CARE, AMONG OTHERS. INCREASED ACCESS TO MH AND SUD SERVICES IN THE REGION IS CRITICAL. IN HORRY COUNTY, MORTALITY DUE TO DRUG-INDUCED CAUSES WAS 43.0 IN 2020. THIS EXCEEDS THE STATE RATE OF 24.9 AND THE NATIONAL RATE OF 23.6, (WONDER, CDC, 2011-2015; 2016-2020). IN 2020 IN HORRY COUNTY, THERE WERE 265,023 OPIOID PRESCRIPTIONS DISPENSED, 308 DRUG-OVERDOSE RELATED HOSPITALIZATIONS, AND 197 DRUG OVERDOSE DEATHS (SC DRUG OVERDOSE DASHBOARD, SC DEPARTMENT OF HEALTH). AS A PRIMARY POINT OF ACCESS IN ITS SERVICE AREA FOR ANY HEALTH CARE NEED, LRMC IS WELL-POSITIONED TO ADDRESS BARRIERS TO CARE AND PROVIDE ACCESS TO A CONTINUUM OF BEHAVIORAL HEALTH SERVICES THAT INCLUDES TREATMENT AND RECOVERY SUPPORT. SERVICES: LRMC IS REQUESTING FUNDING TO SUPPORT NEW AND EXPANDED BEHAVIORAL SERVICES, INCREASING ACCESS TO MH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. LRMC PROVIDES THIS SERVICE DIRECTLY AND VIA FORMAL WRITTEN CONTRACT/AGREEMENT WHERE HEALTH CENTER PAYS. LRMC EMPLOYS LICENSED CLINICAL SOCIAL WORKERS, LICENSED MASTER’S SOCIAL WORKERS, LICENSED INDEPENDENT SOCIAL WORKERS, A PEER RECOVERY SPECIALIST AND BEHAVIORAL HEALTH CASE MANAGERS, TO PROVIDE MH SERVICES AND BEHAVIORAL HEALTH SERVICES FOR CLIENTS. THIS INCLUDES PREVENTION, ASSESSMENT, DIAGNOSIS, TREATMENT/INTERVENTION, AND FOLLOW-UP OF MENTAL HEALTH CONDITIONS; COUNSELING, SUCH AS INDIVIDUAL OR GROUP COUNSELING/PSYCHOTHERAPY; CRISIS SERVICES; AND OTHER APPROPRIATE MH TREATMENT. LRMC HAS A FORMAL CONTRACT WITH WACCAMAW CENTER FOR MENTAL HEALTH (WCMH) FOR BEHAVIORAL HEALTH PROVIDERS TO PROVIDE ON-SITE MH AND SUD SERVICES FOR HOMELESS PATIENTS. LRMC PROVIDES DIRECT BEHAVIORAL HEALTH AND SUD SERVICES AND REFERS PATIENTS TO WCMH AND/OR LOCAL BEHAVIORAL HEALTH/SUD PROVIDERS. LRMC HAS PROVIDERS THAT PRESCRIBE MOUD. LRMC IS A COMMUNITY DISTRIBUTOR OF NALOXONE AND FENTANYL TESTING STRIPS AS PART OF A COMMUNITY-WIDE EFFORT TO REDUCE OPIOID RELATED OVERDOSES. LRMC PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS TO PROVIDE SUD, MH OR PRIMARY CARE SERVICES. IN SUPPORT OF THESE SERVICES, LRMC IS PROPOSING TO HIRE 1 FTE PSYCHIATRIC NP, A .5 FTE FAMILY NP, 1 FTE RN, A .5 FTE CMA, AND 1 FTE PEER RECOVERY SUPPORT SPECIALIST/CHW. LRMC ALSO PLANS TO CONTRACT WITH MUSC FOR PSYCHIATRY SUPERVISION SERVICES AND PURCHASE A MOBILE MEDICAL UNIT TO PROVIDE MH/SUD SERVICES IN THE COMMUNITY. LRMC ANTICIPATES THAT THE PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BEHAVIORAL HEALTH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 200 MH SERVICES PATIENTS, 100 SUD SERVICES PATIENTS, AND 75 PATIENTS RECEIVING MOUD SERVICES. OVERALL, THE CENTER ESTIMATES AN INCREASE OF 100 UNDUPLICATED NEW HEALTH CENTER PATIENTS.

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

TELEMEDICINE GRANT

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2023 EARLY CHILDHOOD DEVELOPMENT

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM APPLICANT ORGANIZATION: LITTLE RIVER MEDICAL CENTER, INC. (LRMC) ADDRESS: 4303 LIVE OAK DRIVE, LITTLE RIVER, SC 29566-9138 PROJECT DIRECTOR: PAMELA DAVIS, CEO CONTACT PHONE NUMBERS: (VOICE) 843-663-8001 (FAX) 842-663-8101 EMAIL ADDRESS: PDAVIS@LRMCENTER.COM WEBSITE: WWW.LRMCENTER.COM FUNDS REQUESTED FOR ONE-YEAR PERIOD OF PERFORMANCE: $150,000 FUNDING PREFERENCE: LRMC REQUESTS A FUNDING PREFERENCE FOR RURAL AREAS AND UNDERSERVED POPULATIONS. SERVICE AREA AND NEED: LRMC, A NON-PROFIT COMMUNITY HEALTH CENTER ESTABLISHED IN 1978, PROVIDES ACCESSIBLE, AFFORDABLE, HIGH-QUALITY, PATIENT-FOCUSED PRIMARY HEALTH CARE TO RESIDENTS OF HORRY AND GEORGETOWN COUNTIES, SC, AND BRUNSWICK COUNTY, NC. IN 2012, LRMC WAS AWARDED RYAN WHITE PART C FUNDING TO IMPLEMENT AN EARLY INTERVENTION SERVICES (EIS) PROGRAM FOR THE GROWING NUMBER OF PEOPLE WITH HIV/AIDS (PWH) IN THE REGION. SINCE 2012, THE TOTAL NUMBER OF EIS CLIENTS SERVED BY LRMC HAS INCREASED FROM 35 TO 319 ENROLLED IN 2021, AN 811% INCREASE (RSR). THE NUMBER OF PWH IN THE SERVICE AREA CONTINUES TO INCREASE, GROWING BY 3.5% BETWEEN 2018 AND 2020 TO A TOTAL OF 1,703. ORAL HEALTH CARE IS A MAJOR UNMET HEALTH NEED AMONG THE PWH POPULATION. MORE THAN 1/3 OF PWH WILL HAVE AT LEAST ONE MAJOR ORAL HEALTH PROBLEM, BUT 2/3 DO NOT RECEIVE REGULAR DENTAL CARE. IN 2020, JUST 12.1% OF SC RWHAP CLIENTS RECEIVED ORAL HEALTH CARE (RYAN WHITE HIV/AIDS PROGRAM COMPASS DASHBOARD, HRSA, 2023). CATEGORY: LRMC WILL IMPLEMENT THE “DENTAL EQUIPMENT FOR EXPANDING DENTAL SERVICE CAPACITY” ACTIVITY UNDER THE “INFRASTRUCTURE DEVELOPMENT” CATEGORY. PROPOSED ACTIVITY: LRMC’S EIS PROGRAM DATA SUGGESTS AN ONGOING OPPORTUNITY FOR IMPROVEMENT IN PWH RECEIVING ORAL HEALTH CARE SERVICES. IN RESPONSE, LRMC WILL LAUNCH A NEW PROGRAM THAT INTEGRATES DENTAL CARE INTO THE MEDICAL VISIT USING PORTABLE DENTAL EQUIPMENT SO PATIENTS ARE PROVIDED WITH NECESSARY DENTAL EXAMS ALONG WI TH THEIR MEDICAL SERVICES IN A SINGLE VISIT. LRMC IS REQUESTING FUNDING TO DEVELOP THREE PORTABLE DENTAL CARTS, COMPLETE WITH ALL NECESSARY EQUIPMENT AND SUPPLIES, THAT CAN BE WHEELED INTO THE PATIENT’S MEDICAL EXAM ROOM BY DENTAL STAFF WHO WILL THEN CONDUCT THE EXAM FROM THE RECLINING MEDICAL EXAM TABLE IN ORDER TO EXPAND ORAL HEALTH CARE SERVICES FOR PWH. LRMC WILL LEVERAGE EXISTING DENTAL STAFF TO INTEGRATE ORAL HEALTH CARE SERVICES INTO MEDICAL VISITS FOR PWH, REMOVING ACCESS BARRIERS AND IMPROVING OUTCOMES. THE HEALTH CENTER WILL ALSO EQUIP AN ADDITIONAL STATIONARY DENTAL OPERATORY AT ONE SITE. THE USE OF THIS OPERATORY WILL BE MAXIMIZED THROUGH DENTAL CARE PROVIDED BY THE PLANNED ADDITION OF DENTAL FELLOWS AND RESIDENTS. THIS PROJECT PROPOSAL HAS BEEN THOUGHTFULLY DEVELOPED TO TARGET THE SIGNIFICANT LOW-INCOME, UNINSURED, AND UNDERSERVED POPULATION IN THE SERVICE AREA DISPROPORTIONATELY IMPACTED BY THE HIV EPIDEMIC WITH ADVERSE HEALTH OUTCOMES. INTENDED IMPACT: THIS PROPOSAL WILL STRENGTHEN LRMC’S CAPACITY TO PROVIDE HIGH-QUALITY HIV PRIMARY CARE SERVICES FOR LOW-INCOME PEOPLE LIVING WITH HIV TO IMPROVE HEALTH OUTCOMES AND REDUCE HIV TRANSMISSION. THIS INNOVATIVE STRATEGY TO MERGE ORAL HEALTH SERVICES INTO MEDICAL SERVICE APPOINTMENTS FOR PWH WILL TARGET IMPROVEMENTS IN BOTH RETENTION IN CARE AND VIRAL LOAD SUPPRESSION. THE PRIMARY INDICATORS THAT WILL BE USED TO MEASURE PERFORMANCE INCLUDE (1) INCREASING THE NUMBER OF PWH RECEIVING ORAL HEALTH SERVICES FROM A BASELINE OF 123 TO A TARGET OF 160 BY 08/31/2024, INCLUDING 30 SERVED WITH INTEGRATED MEDICAL/DENTAL VISITS; AND (2) INCREASING THE NUMBER OF PWH WHO ARE VIRALLY SUPPRESSED FROM A BASELINE OF 258 TO A TARGET OF 275 BY 08/31/2024, INCLUDING 10 SERVED WITH INTEGRATED MEDICAL/DENTAL VISITS.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS