Calhoun-Liberty Hospital Association Inc

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC. PROPOSES CHRONIC HEALTH ANALYTICS, REGISTRY AND TRAINING AT CALHOUN LIBERTY HOSPITAL (CHART CLH), A FOUR-YEAR QUALITY IMPROVEMENT PROJECT DELIVERED THROUGH CALHOUN LIBERTY PRIMARY CARE IN RURAL CALHOUN AND LIBERTY COUNTIES, FLORIDA. THE CLINICAL HEALTH SERVICE FOCUS AREA IS CHRONIC DISEASE MANAGEMENT. CHART CLH WILL SERVE ADULT PRIMARY CARE PATIENTS WITH MULTIPLE CHRONIC CONDITIONS, EMPHASIZING HYPERTENSION, DIABETES AND CARDIOVASCULAR RISK AND PRIORITIZING THOSE WITH UNCONTROLLED DISEASE, RECENT EMERGENCY DEPARTMENT OR INPATIENT USE, INCOMPLETE FOLLOW-UP OR OPEN CARE GAPS. ACROSS 21,206 RESIDENTS AND 1,410 SQUARE MILES, THE SERVICE AREA HAS LIMITED PRIMARY CARE CAPACITY, TRANSPORTATION BARRIERS AND PERSISTENT POVERTY. HEART DISEASE AND DIABETES MORTALITY ARE APPROXIMATELY TWICE THE FLORIDA RATES, DIABETES-RELATED EMERGENCY DEPARTMENT USE IS MORE THAN TWICE THE STATEWIDE RATE AND PREVENTABLE HOSPITALIZATION RATES EXCEED THE STATE COMPARISON. A JULY 2026 PATIENT DATA EXPORT FLAGGED 1,579 RECORDS FOR CHRONIC CARE MANAGEMENT REVIEW, WHILE ONLY 39 PATIENTS WERE ENROLLED IN ACTIVE CARE MANAGEMENT. CLH LACKS A VALIDATED POPULATION REGISTRY, ROUTINE DASHBOARD AND COMPLETE INTERNAL PROCESS TO CONNECT CARE, OUTCOMES, DOCUMENTATION, CLAIMS AND REIMBURSEMENT. CHART CLH WILL IMPLEMENT THE THREE REQUIRED QUALITY IMPROVEMENT STRATEGIES AS ONE CYCLE. QUALITY IMPROVEMENT CULTURE ACTIVITIES INCLUDE GOVERNANCE, ROLE-BASED TRAINING, CREDENTIALS AND RECURRING PLAN-DO-STUDY-ACT CYCLES INTEGRATED INTO CLH’S QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT STRUCTURE. DATA COLLECTION ACTIVITIES INCLUDE VALIDATING AN ELECTRONIC HEALTH RECORD-BASED REGISTRY, CREATING A DATA DICTIONARY, LAUNCHING A MONTHLY DASHBOARD, CONDUCTING DATA QUALITY REVIEWS AND REPORTING ALL HRSA-REQUIRED MEASURES. BILLING AND CODING ACTIVITIES INCLUDE DEDICATED CLINIC BILLING, CODING AND REVENUE CYCLE CAPACITY, DOCUMENTATION AND CODING AUDITS, CLAIM RECONCILIATION, DENIAL AND UNDERPAYMENT REVIEW AND FOCUSED PAYER AND DOCUMENTATION TRAINING. BY THE END OF THE PROJECT, CLH EXPECTS TO REACH AT LEAST 400 UNIQUE PATIENTS WITH DIRECT CHART CLH SERVICES, INCREASE ACTIVE CARE MANAGEMENT PARTICIPATION FROM THE PRELIMINARY BASELINE OF 39 TO 140, IMPROVE OR MAINTAIN APPROPRIATE BLOOD PRESSURE AND GLYCEMIC OUTCOMES BASED ON VALIDATED YEAR 1 BASELINES, REDUCE PREVENTABLE DENIALS BY 15% AND USE VERIFIED NET NEW REVENUE AND APPROVED AVOIDED EXTERNAL COST TO SUPPORT AT LEAST 75% OF RECURRING INCREMENTAL OPERATING COSTS. THE REGISTRY, DASHBOARD, TRAINING SYSTEM, IMPROVEMENT CYCLE AND REVENUE CYCLE FUNCTIONS WILL BECOME PERMANENT CLH OPERATIONS, SUPPORTED BY A BOARD-APPROVED YEAR 5 PLAN.

DIRECT COMMUNITY FACILITY LOANS

DIRECT COMMUNITY FACILITY LOANS