Medical Center Foundation Inc

MINERS' RESPIRATORY TREATMENT CLINIC (BLACK LUNG)

STATE MATERNAL HEALTH INNOVATION PROGRAM - THE MEDICAL FOUNDATION, INC. DBA NORTHEAST GEORGIA HEALTH SYSTEM (NGHS) FOUNDATION IS A NOT-FOR-PROFIT COMMUNITY HEALTH SYSTEM DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE OF NORTHEAST GEORGIA. NGHS IS ANCHORED BY NORTHEAST GEORGIA MEDICAL CENTER (NGMC)’S FOUR HOSPITAL CAMPUSES – NGMC GAINESVILLE, NGMC BRASELTON, NGMC BARROW AND NGMC LUMPKIN – WITH A TOTAL OF MORE THAN 700 BEDS AND MORE THAN 1,200 MEDICAL STAFF MEMBERS REPRESENTING MORE THAN 50 SPECIALTIES. NGMC AIMS TO LEAD THE IMPLEMENTATION OF THE STATE MATERNAL HEALTH INNOVATION & DATA CAPACITY GRANT FOR THE STATE OF GEORGIA. THE PROPOSED PROJECT WILL IMPACT OVER 2.1 MILLION WOMEN OF CHILDBEARING AGE THROUGHOUT THE STATE. CARDIOVASCULAR DISEASE (CVD) HAS EMERGED AS THE LEADING CAUSE OF MATERNAL MORTALITY IN GEORGIA AND OTHER STATES THROUGH THE NATION. IN PARTICULAR, PREGNANCY-RELATED DEATH ENCOMPASSES A SPECTRUM OF CARDIAC CONDITIONS WITH A PREPONDERANCE OF CARDIOMYOPATHY. ACCORDING TO THE COMMONWEALTH FUND’S REPORT IN DECEMBER OF 2020, GEORGIA HAS THE SECOND HIGHEST RATE OF MATERNAL MORTALITY IN THE UNITED STATES OF 48.4 PER 100,000 LIVE BIRTHS. IN A 2017 REPORT BY GEORGIA’S MATERNAL MORTALITY REVIEW, THE AREAS OF HIGHEST CONCERN ARE INADEQUATE SCREENING AND FOLLOW-UP CARE OF CARDIOVASCULAR SYMPTOMS IN PREGNANT WOMEN, AND INADEQUATE RECOGNITION AND RESPONSE TO SEVERE HYPERTENSION AND HEMORRHAGES. NGMC WILL DEVELOP A COMPREHENSIVE MATERNAL CARDIAC PROGRAM (MCP) WITH THE PURPOSE OF DECREASING BY 10% THE MORBIDITY AND MORTALITY RATES OF PREGNANT AND POSTPARTUM PATIENTS UP TO 1 YEAR AFTER DELIVERY. NGMC WILL ADOPT THE FOUR (4) CORE FUNCTIONS OUTLINED IN THE MHI GRANT REQUIREMENTS. 1. ESTABLISH A STATE-FOCUSED MATERNAL HEALTH TASK FORCE. 2. IDENTIFY AND COLLABORATE WITH THE MULTIDISCIPLINARY STATE-FOCUSED TASKFORCE TO COLLECT, ANALYZE, AND REPORT DATA ON PREGNANCY-RELATED MORTALITY, SEVERE MATERNAL MORBIDITY (SMM), AND/OR OTHER INDICATORS OF MATERNAL TO E VALUATE PREVENTABILITY, IDENTIFY ACTIONABLE RECOMMENDATIONS, AND IMPROVE SYSTEMS OF PRENATAL AND MATERNITY CARE SERVICES. 3. IMPROVE THE COLLECTION, REPORTING, AND ANALYSIS OF THE ALLIANCE FOR INNOVATION ON MATERNAL HEALTH (AIM) DATA. 4. PROMOTE AND EXECUTE INNOVATIVE EVIDENCE-INFORMED INTERVENTIONS IN MATERNAL HEALTH SERVICE DELIVERY AT NGMC TO ADDRESS CRITICAL GAPS IN PRENATAL AND MATERNITY CARE SERVICES. NGHS WILL SERVE AS A PILOT SITE TO EVALUATE EFFECTIVE STRATEGIES THAT CAN BE REPLICATED THROUGHOUT THE STATE AND NATIONWIDE.

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

HEALTH CARE AND OTHER FACILITIES

IMPROVING CLINICAL AND PUBLIC HEALTH OUTCOMES THROUGH NATIONAL PARTNERSHIPS TO PREVENT AND CONTROL EMERGING AND RE-EMERGING INFECTIOUS DISEASE THREATS

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - PROJECT TRACK: SPECIAL TRACK; FOCUS AREA: CHRONIC LOWER RESPIRATORY DISEASE TARGET POPULATION: CURRENT AND RETIRED MINERS FROM NAVAJO NATION. OUR SECONDARY TARGET POPULATION INCLUDES HEALTH CARE PROVIDERS WHO SERVE MINERS ON NAVAJO NATION. PROPOSED RURAL SERVICE AREA: NAVAJO NATION SECTIONS OF UTAH, ARIZONA AND NEW MEXICO. NAVAJO NATION MINERS LIVE IN RURAL, UNDERSERVED COMMUNITIES WITH LIMITED ACCESS TO HEALTH CARE AND ARE DISPROPORTIONATELY AFFECTED BY CHRONIC LOWER RESPIRATORY DISEASES. TO ADDRESS THIS DISPARITY, WE PROPOSE TO EXPAND DELIVERY OF OUR THREE-STEP MOBILE HEALTH CARE MODEL TO THE NAVAJO NATION. OUR MODEL INCLUDES (I) COMPREHENSIVE MOBILE SCREENING SERVICES; (II) TELEMEDICINE AND TELEMENTORING FOR MINERS AND PROVIDERS, RESPECTIVELY; AND (III) MOBILE MINERS’ IMPAIRMENT EXAMINATIONS (MINE). OUR PROJECT GOAL IS TO IMPROVE ACCESS TO COMPREHENSIVE HEALTH SERVICES FOR INDIGENOUS MINERS. OUR LONG-TERM GOAL IS TO CREATE STRONG, SUSTAINABLE LOCAL RESOURCES AND CAPACITY FOR IMPROVING MINER HEALTH OUTCOMES. OUR PROJECT HAS THREE OBJECTIVES. THE FIRST OBJECTIVE IS TO DETERMINE PORTABILITY OF OUR NEW MEXICO-BASED MOBILE HEALTH CARE SCREENING MODEL TO THE NAVAJO NATION. MOBILE SCREENING WILL BE SUPPLEMENTED BY TELEMEDICINE. HEALTH OUTCOMES WILL BE COMPARED BETWEEN MINERS SERVED ON THE NAVAJO NATION VS. THOSE SERVED IN NM OUTSIDE OF THE NAVAJO NATION. DATA GARNERED WILL AID IN ESTABLISHING THE GENERALIZABILITY OF THE MODEL TO OTHER INDIGENOUS, MINING-INTENSE REGIONS OF THE COUNTRY. THE SECOND OBJECTIVE IS TO COMPARE THE EFFECTIVENESS OF A MOBILE MINE CLINIC ON THE NAVAJO NATION TO THE FIXED MINE CLINIC IN NM OUTSIDE OF THE NAVAJO NATION, THUS ESTABLISHING THE EVIDENCE BASE FOR USING MOBILE MINE SERVICES IN INDIGENOUS MINING COMMUNITIES. THE THIRD OBJECTIVE IS TO ASSESS TELEMENTORING-RELATED IMPROVEMENT IN NAVAJO NATION PROVIDER COMPETENCIES. WE WILL INCORPORATE OUR CURRENTLY UTILIZED, EVIDENCE-BASED SCREENING AND COMPREHENSIVE CARE MODEL AS WELL AS EMERGING TRENDS IN MOBILE HEALTH CARE. THE EXPECTED PROJECT OUTCOMES INCLUDE PERFORMANCE IMPROVEMENT MEASUREMENT SYSTEM (PIMS) MEASURES, AS WELL AS PATIENT AND PROVIDER PROJECT MEASURES. FOR PATIENTS, THE SPECIFIC MEASURES ARE THE INDEX OF NEW CHRONIC CONDITIONS DETECTED AND PATIENT SATISFACTION. FOR PROVIDERS, THE SPECIFIC MEASURES INCLUDE SATISFACTION, SELF-EFFICACY, AND COMPETENCY RELATED TO TELEMEDICINE SERVICES. OUR REGIONAL PARTNERSHIP TITLED "SOUTHWEST MINING HEALTH CENTER OF EXCELLENCE" CONSISTS OF FOUR CONSORTIUM MEMBERS; THREE EXISTING AND ONE NEW MEMBER. THE EXISTING MEMBERS ARE THE MINERS’ COLFAX MEDICAL CENTER (AN RHC), THE UNIVERSITY OF NEW MEXICO (AN ACADEMIC HEALTH CENTER), AND THE NORTHWEST COMMUNITY ACTION PROGRAM (A RURAL COMMUNITY ACTION PARTNER). CANYONLANDS HEALTHCARE (AN RHC) IS THE NEW MEMBER. 75% OF CONSORTIUM MEMBERS ARE LOCATED IN A HRSA-DESIGNATED RURAL AREA. CONSORTIUM MEMBERS WERE SELECTED BASED ON THEIR HISTORY OF SERVING RURAL UNDERSERVED POPULATIONS INCLUDING PROVIDING HEALTH CARE TO RURAL MINERS WITHIN THE NAVAJO NATION. THE NM MOBILE SCREENING CLINIC WAS RECOGNIZED AS AN INNOVATIVE MODEL BY THE RURAL HEALTH INFORMATION HUB IN 2016 AND OUR MINING ADVISORY COUNCIL AND MINERS’ WELLNESS ECHO PROGRAM WERE SEPARATELY RECOGNIZED BY HRSA. WE HAVE EXPANDED THE CLINIC TO INCLUDE INNOVATIVE SATELLITE-BASED TELEHEALTH AND MOBILE MINE SERVICES TO INCREASE SERVICE CAPACITY. FUNDING PREFERENCE: MCMC, A NM STATE FACILITY, IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION FOR DESIGNATED HPSA STATUS (HPSA ID 1351820837, SEE ATTACHMENT 11).

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

A PARTNERSHIP TO CLEAR THE AIR OF MISINFORMATION.

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2020 SUSAN HARWOOD TRAINING GRANT FOR KERN MEDICAL CENTER FOUNDATION

TELEMEDICINE GRANT

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

SOUTH EL MONTE - CLOSING THE GAP WITH SOCIAL DETERMINANTS OF HEALTH ACCELERATOR PLAN - THE CITY OF SOUTH EL MONTE HAS MADE GREAT PROGRESS IN ADDRESSING SEVERAL SOCIAL DETERMINANTS OF HEALTH OVER THE PAST 20 YEARS, THE ONSET OF THE COVID-19 PANDEMIC HAS EXACERBATED REALITY FOR MANY AS WELL AS ERODED SOME OF THE CITY’S PROGRESS. AS A RESULT, THE PROJECT TEAM WILL FOCUS ON ADDRESSING THREE OF THE CDC IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, WHICH ARE (1) FOOD AND NUTRITION SECURITY, (2) SOCIAL CONNECTEDNESS, AND (3) TOBACCO FREE POLICIES. THE PURPOSE OF THIS PROJECT IS TO PROVIDE THE CITY OF SOUTH EL MONTE WITH AN IMPLEMENTATION-READY ACCELERATOR PLAN TO ADDRESS THE THREE SOCIAL DETERMINANTS OF HEALTH INFORMED BY THE COMMUNITY WHO WILL BENEFIT DIRECTLY.

RETIRED AND SENIOR VOLUNTEER PROGRAM

REDUCE CLIMATE CHANGE RELATED HEALTH DISPARITIES, COMBAT FOOD AND NUTRITION INSECURITY, STRENGTHEN COMMUNITY CONNECTIONS, AND REMOVE UNFAIR BARRIERS THAT ARE UNIQUELY EXPERIENCED IN RURAL AREAS. - IN RESPONSE TO THE CDC ANNOUNCEMENT OF FUNDING TO DEVELOP MULTISECTOR ACTION PLANS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH SLMC IS DRAWING ON HISTORICALLY STRONG COMMUNITY COLLABORATION TO CLOSE INEQUITIES IDENTIFIED IN OUR 2021 COMMUNITY HEALTH ASSESSMENT. OF THE CDC’S FIVE DETERMINANTS THAT IMPACT CHRONIC DISEASE RISK FACTORS AND HEALTH OUTCOMES SLMC WILL FOCUS ON BUILT ENVIRONMENT, COMMUNITY-CLINICAL LINKAGES, AND FOOD AND NUTRITION SECURITY. IN A LANDSCAPE POPULATED BY SOME OF OREGON’S MOST VULNERABLE CITIZENS, A SINGLE AGENCY IN KLAMATH COUNTY WOULD BE UNABLE TO INFLUENCE POPULATION HEALTH ISSUES AND TRENDS. THERE IS A STRONG HISTORY OF COLLABORATION IN THE BEST INTEREST OF THE COMMUNITY’S HEALTH EQUITY, AND THAT FOCUS IS INCREASINGLY BROADENING TO INFLUENCE THE OVERALL ENVIRONMENT IN KLAMATH COUNTY. SLMC HAS LEVERAGED THE ALIGNMENT OF RESOURCES AND MISSIONS THROUGHOUT THE COMMUNITY TO IMPROVE POPULATION HEALTH FEATURING FOUR LEAD AGENCIES — CASCADE HEALTH ALLIANCE, KLAMATH COUNTY PUBLIC HEALTH, KLAMATH HEALTH PARTNERSHIP, AND SLMC. THESE SUCCESSFUL PARTNERSHIPS WITH BE STRENGTHENED BY INCORPORATING BOTH COMMUNITY MEMBERS MOST IMPACTED BY HEALTH DISPARITIES AND EXPANDING REPRESENTATION FROM OTHER SECTORS, INCLUDING HIGH EDUCATION AND FOOD MARKETS INTO THE DEVELOPMENT OF THE SDOH ACCELERATOR PLAN.

HEALTH CENTER CLUSTER PLANNING GRANTS

SUPPORTING PARAMEDICS IN NATCHITOCHES (SPIN) - NATCHITOCHES REGIONAL MEDICAL CENTER'S (NRMC) (NATCHITOCHES, LA) SUPPORTING PARAMEDICS IN NATCHITOCHES (SPIN) PROJECT WILL SEE NRMC EMS ADD FIVE (5) PARAMEDICS TO THEIR STAFF AND PURCHASE THE NECESSARY EQUIPMENT TO ENHANCE THEIR CURRENT EMS TRAINING COURSES, WITH AN EXPECTED 40 EMS PERSONNEL TRAINED AND 20 EMS PERSONNEL CERTIFIED AS A RESULT OF THE GRANT FUNDING DURING THE ONE-YEAR GRANT PERIOD. NATCHITOCHES PARISH AND NRMC EMS FACE MANY SOCIOECONOMIC CHALLENGES, INCLUDING AN IMMINENT CRISIS FROM AN EMS PERSONNEL SHORTAGE. AS A RESULT, NRMC IS IN DIRE NEED OF FUNDING TO UNDERTAKE EFFORTS TO BRING NEW EMS STAFF ON BOARD, INCLUDING THROUGH AN EXTENSIVE YET TARGETED MARKETING/OUTREACH CAMPAIGN. FURTHER, WORKING WITH BOSSIER PARISH COMMUNITY COLLEGE (BPCC), THREE (3) CURRENT NRMC EMTS WILL BE ENROLLED IN BPCC'S PARAMEDIC PROGRAM, WORKING THEIR WAY TO BECOME FULL-TIME NRMC PARAMEDICS. IN ADDITION, THE TARGETED MARKETING CAMPAIGN WILL RESULT IN THE HIRING OF AT LEAST TWO (2) ADDITIONAL QUALIFIED AND COMPETENT PARAMEDICS. ON DEC. 17, 2019, THE LA DEPARTMENT OF HEALTH APPROVED NRMC AS AN EMS EDUCATION AGENCY RECOGNIZED BY THE LA BUREAU OF EMS. NRMC IS 1 OF ONLY 3 EMS EDUCATION TRAINING SITES IN ALL 32 PARISHES OF CENTRAL AND NORTHERN LA. SAID APPROVAL ENABLED NRMC TO TEACH REFRESHER COURSES FOR EMTS, AEMTS, AND PARAMEDICS, AND CONTINUING EDUCATION COURSES FOR STATEWIDE EMERGENCY MEDICAL PROFESSIONALS. HOWEVER, SPECIALIZED TRAINING EQUIPMENT IS NEEDED TO MORE EFFECTIVELY CONDUCT SUCH TRAININGS TO MEET THE HIGHEST QUALITY STANDARDS. THUS, THESE GRANT FUNDS WILL ALSO SUPPORT THE PURCHASE OF SUCH EQUIPMENT - A TRAINING MANIKIN AND A CHEST COMPRESSION SYSTEM. THIS PROJECT WILL HAVE SIGNIFICANT BENEFITS NOT JUST TO NRMC, BUT TO THE ENTIRE NATCHITOCHES PARISH AS WELL.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

CF CONGRESSIONALLY DIRECTED GRANTS

THIS AWARD FUNDS THE APPROVED 2023-24 AMERICORPS STATE AND NATIONAL AMERICAN RESCUE PLAN (ARP) PLANNING GRANT. THE PURPOSE OF THIS GRANT IS TO ALLOW FOR PLANNING TO PREPARE FOR A FULL COST AMERICORPS PROGRAM GRANT AWARD. PLANNING GRANT PROGRAMS MAY ONLY OPERATE FOR ONE YEAR. YOUR 2023-24 REGULATORY MATCH IS 24%, AND YOUR BUDGETARY MATCH IS 24.04%.

HEALTH FAMILIES EXPANSION PROGRAM

SUSAN HARWOOD GRANTS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

SUSAN HARWOOD GRANTS