Memorial Hospital Inc

BED REPLACEMENT: 154 BED FACILITY

VHA CBO PURCHASED CARE

VHA CBO PURCHASED CARE

HEARTLAND CANCER RESEARCH NCORP

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - BEAUFORT COUNTY MEMORIAL HOSPITAL HAS BEEN AN OPERATING HOSPITAL SINCE 1944. BMH CURRENTLY PERFORMS 11,000 SURGERIES PER YEAR SERVICE THE BEAUFORT, JASPER, AND HAMPTON COUNTY AREAS. THE HOSPITAL CURRENTLY HAS 7 OPERATING ROOMS AND 3 PROCEDURE ROOMS. ONCE THIS PROJECT IS COMPLETE, BMH WILL MODERNIZE ALL OF IT'S CURRENT OPERATING ROOM SUITES AS WELL AS ADD 2 ADDITIONAL OPERATING ROOMS TO ACCOMMODATE BOTH POPULATION GROWTH AND NEW PHYSICIAN RECRUITMENT TO OUR SERVICE AREA. THE PROPOSED PROJECT HAS A TOTAL SQUARE FOOTAGE OF 25,600 SQUARE FEET AND A TOTAL PROJECT COST OF $23,559,311.20, OF WHICH $17,997,000 WILL BE FUNDED OUT OF THE HRSA PROJECT GRANT MONEY AND THE REMAINING $5,562,311.19 WILL BE FUNDED BY BEAUFORT MEMORIAL HOSPITAL. THE PROPOSED PROJECT TIMEFRAME IS 2 YEARS FROM JUNE OF 2022.

HEALTH CARE INNOVATION CHALLENGE. WYOMING: A FRONTIER STATE'S STRATEGIC PARTNERSHIP FOR TRANSFORMING CARE DELIVERY

BAPTIST HEALTH SYSTEM/MID SOUTH NCORP MINORITY UNDERSERVED CONSORTIUM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

GUILFORD GENOMIC MEDICINE INITIATIVE: DEVELOPING MODELS FOR MEDICAL PRACTICE

MILITARY INTEROPERABLE DIGITAL HOSPITAL TESTBED (MIDHT)

CENTRAL ILLINOIS COMMUNITY CLINICAL ONCOLOGY PROGRAM

COVID-19: QUIGLY BUILDING RENOVATION

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

COLORECTAL CANCER SCREENING PROGRAM FOR THE NEW HAMPSHIRE REGION.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PMH HRSA-24-110 PROJECT ABSTRACT POCAHONTAS MEMORIAL HOSPITAL (PMH), A CORNERSTONE OF HEALTHCARE IN RURAL APPALACHIA, PROPOSES A CRITICAL $6 MILLION EXPANSION TO ENHANCE ITS CAPABILITIES AND ADDRESS THE ACUTE SHORTAGE OF HEALTHCARE PROFESSIONALS IN THE COMMUNITY. THIS PROJECT AIMS TO INCREASE PMH’S CAPACITY TO DELIVER HIGH-QUALITY, COMPREHENSIVE SERVICES, INCLUDING EMERGENCY CARE, INPATIENT SERVICES, AND SPECIALIZED OUTPATIENT TREATMENTS. THE EXPANSION WILL INVOLVE RENOVATING 3,621 SF OF EXISTING SPACE AND ADDING 3,648 SF, BRINGING THE TOTAL TO 37,542 SF OF ADVANCED MEDICAL FACILITIES. BY EXPANDING CRITICAL FACILITIES, POCAHONTAS MEMORIAL HOSPITAL (PMH) WILL SIGNIFICANTLY ENHANCE ITS ABILITY TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES WITHIN A 50-MILE RADIUS, ADDRESSING THE NEEDS OF A COMMUNITY CHALLENGED BY GEOGRAPHIC ISOLATION AND ECONOMIC DISADVANTAGES. AS THE ONLY LOCAL HEALTHCARE FACILITY, PMH IS CRUCIAL FOR MEETING THE GROWING DEMAND DRIVEN BY AN AGING POPULATION AND INCREASING CHRONIC HEALTH ISSUES. ADDITIONALLY, IT POSITIONS PMH AS A VITAL RESOURCE FOR RURAL HEALTHCARE AND A KEY ECONOMIC DRIVER IN THE REGION, EQUIPPED TO ADDRESS BOTH CURRENT NEEDS AND FUTURE HEALTHCARE CHALLENGES. KEY COMPONENTS OF THIS PROJECT ARE THE DEVELOPMENT OF A STATE-OF-THE-ART OPERATING ROOM (OR), ENHANCED PRE-AND POST-OPERATIVE CARE AREAS, AN ISOLATION ROOM, AND AN UPDATED EMERGENCY DEPARTMENT, INCLUDING A WAITING AREA TO PROTECT PATIENT PRIVACY. THESE FACILITIES ARE DESIGNED TO SUBSTANTIALLY EXPAND THE HOSPITAL’S CAPACITY TO PERFORM SURGERIES, INCLUDING OUTPATIENT PROCEDURES SUCH AS ENDOSCOPIES AND MINOR SURGERIES THAT PREVIOUSLY REQUIRED TRAVEL TO DISTANT HOSPITALS. ONE KEY ASPECT OF THIS PROJECT IS ENHANCING OUR EMERGENCY DEPARTMENT (ED), WHICH WILL NOW INCLUDE AN ISOLATION AND DECONTAMINATION ROOM REQUIRED BY UPDATED HEALTH CODES. THIS ADDITION IS CRUCIAL FOR SAFELY MANAGING INFECTIOUS DISEASES AND PROVIDING SPECIALIZED CARE IN A CONTROLLED ENVIRONMENT . ADDITIONALLY, THE PROJECT WILL INTRODUCE A NEW WAITING AREA FOR THE ED, DESIGNED TO OFFER A SAFE, NURTURING ENVIRONMENT FOR PATIENTS’ FAMILIES. THIS IS A SIGNIFICANT IMPROVEMENT OVER THE CURRENT SETUP, WHERE OUR EMERGENCY WAITING ROOM COMPRISES JUST THREE CHAIRS EXPOSED TO THE HARSH WEST VIRGINIA WINTERS AND SUMMER HEAT. THE EXPANSION ALSO AIMS TO ADDRESS THE REGION'S HIGH RATE OF CHRONIC DISEASES SUCH AS DIABETES AND HEART DISEASE BY IMPROVING ACCESS TO QUALITY HEALTHCARE CLOSE TO HOME. RECENTLY MAMMOGRAPHY SERVICES PIVOTED PMH TOWARDS MEETING THE HEALTHCARE NEEDS OF WOMEN IN THE REGION, OFFERING ESSENTIAL SCREENINGS AND TREATMENTS. INCLUDING A DEDICATED GYNECOLOGY ROOM IN THE EXPANSION PLAN FURTHER UNDERSCORES THIS COMMITMENT. THE NEW OR WILL HAVE ADVANCED MEDICAL TECHNOLOGY, INCLUDING HIGH-DEFINITION SURGICAL LIGHTS, MEDICAL EQUIPMENT BOOMS, AND THE LATEST SURGICAL INSTRUMENTATION. THIS FACILITY WILL ENABLE SURGEONS TO PERFORM A BROADER RANGE OF PROCEDURES WITH GREATER PRECISION AND SAFETY. ADDITIONALLY, THE OR WILL SUPPORT DAY PROCEDURES LIKE COLONOSCOPIES AND ENDOSCOPIES, WHICH ARE VITAL FOR THE EARLY DETECTION AND TREATMENT OF GASTROINTESTINAL DISEASES. THE AVAILABILITY OF THESE PROCEDURES IS EXPECTED TO LEAD TO BETTER HEALTH OUTCOMES, INCLUDING EARLY DIAGNOSIS AND MANAGEMENT OF CONDITIONS THAT COULD BECOME MORE SERIOUS IF LEFT UNTREATED. DEDICATED PRE- AND POST-OPERATIVE CARE AREAS WILL IMPROVE THE COMFORT AND SAFETY OF PATIENTS RECOVERING FROM SURGERY. THESE AREAS WILL FEATURE ADVANCED MONITORING EQUIPMENT, COMFORTABLE PATIENT BEDS, AND SPACES DESIGNED TO PROVIDE A CALMING ENVIRONMENT TO SUPPORT RECOVERY. THE ADDITION TO PMH ALLOWS THE HEALTHCARE FACILITY TO PROVIDE UPDATED EMERGENCY SERVICES TIMES AND ACCESS TO DIAGNOSTICS AND OUTPATIENT SURGERIES, THEREBY IMPROVING THE QUALITY OF CARE AND PATIENT OUTCOMES FOR THE REGION.

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: LONG ISLAND COMMUNITY HOSPITAL, 101 HOSPITAL ROAD, PATCHOGUE, NY 11772 PROJECT DIRECTOR: MATTHEW PEDDIE CONTACT PHONE NUMBER: 631.654.7314 EMAIL: MATTHEW.PEDDIE@NYULANGONE.ORG LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH DBA LONG ISLAND COMMUNITY HOSPITAL, FORMERLY BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, RECEIVED NOTIFICATION OF $5.5 MILLION IN FUNDING FROM THE CONSOLIDATED APPROPRIATIONS ACT, 2022 (P.L. 117-103) FOR COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING (CDS) THROUGH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO SUPPORT CAPITAL EXPANSION OF HEMODIALYSIS SERVICES. LONG ISLAND COMMUNITY HOSPITAL OPERATES OUTPATIENT AND HOSPITAL-BASED HEMODIALYSIS CARE SERVICES TO TREAT PATIENTS WITH END STAGE RENAL FAILURE AND KIDNEY DISEASE. THE CENTERS OFFER STATE-OF-THE-ART BICARBONATE SINGLE-PATIENT MACHINES, THE CONTINUAL COMPUTER MONITORING OF PATIENT TREATMENTS, AND THE CAPABILITY FOR HIGH-FLUX DIALYSIS, A TYPE OF HEMODIALYSIS THAT TAKES LESS TIME, IF CLINICALLY APPROPRIATE. TRANSIENT DIALYSIS IS AVAILABLE FOR VISITORS OR VACATIONERS TO THE AREA. LI COMMUNITY HOSPITAL’S HEMODIALYSIS TECHNICIANS ADMINISTER NEARLY 25,000 TREATMENTS ANNUALLY, PROVIDING LIFE-SAVING AND EXTENDING TREATMENT TO HUNDREDS OF COMMUNITY MEMBERS IN NEED. COMPREHENSIVE SUPPORT SERVICES ARE ALSO OFFERED THROUGH THE LI COMMUNITY HOSPITAL OUTPATIENT HEMODIALYSIS CLINIC INCLUDING: A HOME TEACHING PROGRAM AND CLINIC FOR CONTINUOUS AMBULATORY AND CONTINUOUS CYCLER-ASSISTED PERITONEAL DIALYSIS (CAPD/CCPD), A TYPE OF DIALYSIS WHICH CAN TAKE PLACE AT HOME; RENAL DIETITIANS WHO PROVIDE EDUCATION, SUPPORT AND AN IN-DEPTH PERSONALIZED MEAL PLAN AIMED AT IMPROVING PATIENTS’ OVERALL HEALTH; AND RENAL SOCIAL WORKERS WHO OFFER SUPPORTIVE COUNSELING, COMMUNITY RESOURCES AND REFERENCES TO ASSIST PATIENTS IN MANAGING THEIR KIDNEY DISEASE AND IMPROVING THEIR QUALITY OF LIFE. FUNDING FROM HRSA WIL L ALLOW FOR RENOVATIONS, EXPANSION AND PURCHASE OF STATE-OF-THE-ART EQUIPMENT FOR THE OUTPATIENT AND INPATIENT HEMODIALYSIS SERVICE LINE THAT WILL HAVE A POSITIVE IMPACT ON HEALTHCARE SERVICES IN SUFFOLK COUNTY COMMUNITIES BY INCREASING ACCESS TO AND AVAILABILITY OF LIFE-SAVING DIALYSIS TREATMENTS TO THE LOCAL AREA. THE LI COMMUNITY HOSPITAL HEMODIALYSIS SERVICE LINE HAS RECEIVED THE 5-DIAMOND PATIENT SAFETY AWARD FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FOR SIX YEARS IN A ROW. THE OUTPATIENT HEMODIALYSIS CLINIC HAS ACHIEVED 90% SATISFACTION AS REPORTED BY OUR PATIENTS THROUGH THE CMS IN-CENTER HEMODIALYSIS CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS SURVEY.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE MULTISPECIALTY CENTER WILL BE A MULTI-STORY, MIXED-USE HEALTHCARE FACILITY ADJACENT TO THE HOSPITAL AND WILL OFFER EXPANDED SERVICES INCLUDING PEDIATRIC OPERATIONAL SERVICES FOR SOUTH MISSISSIPPI. THE CENTER WILL ACCOMMODATE SEVERAL NEW AND VITAL PROGRAMS INCLUDING A STATE-OF-THE-ART OUTPATIENT SURGERY CENTER FOR PEDIATRICS, A POST-ANESTHESIA CARE UNIT (PACU) TO SUPPORT PEDIATRIC SPECIALTY, SUBSPECIALTY AND ADULT SURGICAL CARE, SOME OF WHICH ARE CURRENTLY UNAVAILABLE IN SOUTH MISSISSIPPI, AND AN EXPANDED INPATIENT REHAB FACILITY. ADDITIONALLY, THE CENTER WILL HOUSE NEW TELEMEDICINE AND RESIDENCY PROGRAMS. MEMORIAL AND ITS CLINICS ARE UNABLE TO SURGICALLY TREAT PEDIATRIC PATIENTS, WHICH REQUIRES SOUTH MISSISSIPPI FAMILIES TO TRAVEL OUT OF STATE FOR TREATMENT. THE CENTER WILL PROVIDE THE NEEDED FACILITY SPACE AND COMPONENTS FOR MEMORIAL TO PERFORM PEDIATRIC OUTPATIENT SURGERY, THEREBY PREVENTING FURTHER HEALTHCARE LEAKAGE TO NEIGHBORING STATES AND WILL ALLOW FAMILIES TO BE TREATED IN THEIR OWN COMMUNITY. MEMORIAL HAS PARTNERED WITH A LARGE MISSISSIPPI ACADEMIC AND MEDICAL FACILITY TO SUPPLY THESE SERVICES AND ALLOW CHILDREN AND THEIR FAMILIES TO STAY HOME TO RECEIVE CARE IN THEIR COMMUNITY. THE FACILITY WILL HOUSE A 60-BED INPATIENT REHAB FACILITY WHICH IS CRITICAL TO A PHYSICIAN’S ABILITY TO ENSURE CONTINUITY OF CARE, FROM WELLNESS TO PRIMARY AND EMERGENCY CARE TO ACUTE CARE AND ULTIMATELY TO REHAB OR LONG-TERM CARE. MEMORIAL CURRENTLY HAS 33 BEDS THAT ARE FREQUENTLY AT CAPACITY FORCING FAMILIES TO LEAVE THE LOWER SIX COUNTIES FOR TREATMENT; THE ADDITIONAL BEDS FOR THE INPATIENT REHAB FACILITY ARE CRITICAL TO MEMORIAL’S ABILITY TO SERVE SOUTH MISSISSIPPI IN THE FUTURE. TELEMEDICINE CAPABILITIES, WHICH WILL BE HOUSED IN THE CENTER, ARE A COMPONENT OF THE MEMORIAL VIRTUAL MEDICINE PROGRAM (MVM) AND WOULD PROVIDE DIRECT CARE TO RESIDENTS IN THEIR HOMES AND PLACES OF EMPLOYMENT, COVERING THE ENTIRETY OF SOUTH MISSISSIPPI. THE CENTER WILL FE ATURE AN AUDITORIUM, HIGH-TECHNOLOGY CLASSROOMS, AND ADMINISTRATIVE SPACE FOR THE COMMUNITY TO ESTABLISH OUTREACH PROGRAMS. CASEWORKERS, EDUCATORS, NURSE NAVIGATORS, CLINICIANS AND SUPPORT STAFF WILL BE ABLE TO ADDRESS CURRENT AND FUTURE SOCIAL DETERMINANTS THAT SHAPE THE TYPICAL HEALTH ISSUES FACED BY MISSISSIPPIANS.

REPLACE FIRE ALARM AND LIFE SAFTEY RENOVATIONS

MANDATORY_ESTIMATES OF VACCINE EFFECTIVENESS AGAINST MEDICALLY-ATTENDED, PCR-CONFIRMED INFLUENZA IN WEST SOUTH CENTRAL U.S.

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

DISSEMINATION AND IMPLEMENTATION OF A CORRECTIVE INTERVENTION TO IMPROVE MEDIASTI

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

ARP: RENOVATION: ELECTRONIC MEDICAL RECORD

SPECIAL DIABETES PROGRAM FOR INDIANS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THIS PROJECT PROPOSAL SEEKS FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO ADDRESS CRITICAL INFRASTRUCTURE AND SERVICE DEFICIENCIES IN OUR RURAL STANDALONE HOSPITAL. WITH THE SUPPORT OF HRSA, OUR GOAL IS TO IMPROVE THE OVERALL QUALITY OF CARE, ENHANCE PATIENT EXPERIENCE, AND PROMOTE COMMUNITY HEALTH BY UNDERTAKING A MULTIFACETED APPROACH ENCOMPASSING HVAC SYSTEM UPGRADES FOR PATIENT CARE AREAS, ENERGY-EFFICIENT WINDOW REPLACEMENTS, ADHERENCE TO CURRENT AIR QUALITY AND LIFE SAFETY CODES, PATIENT ROOM REFURBISHMENTS, PLUMBING AND ELECTRICAL ENHANCEMENTS, AND THE ADDITION OF ESSENTIAL DIAGNOSTIC EQUIPMENT INCLUDING MAMMOGRAPHY, ULTRASOUND, AND LABORATORY INSTRUMENTS. FURTHERMORE, THE PROJECT AIMS TO INTRODUCE ELDERLY TRANSPORT VEHICLES TO FACILITATE ACCESSIBILITY FOR THE MEDICALLY UNDERSERVED POPULATION RESIDING IN REMOTE AREAS. THE PROPOSED PROJECT RECOGNIZES THE PRESSING NEED TO MODERNIZE OUR HEALTHCARE FACILITY TO BETTER SERVE DIVERSE, POOR AND MINORITY POPULATIONS IN THE MEDICALLY SPARSE AREAS OF CARROLL, MONTGOMERY, HOLMES, WEBSTER, ATTALA, AND OTHER SURROUNDING COUNTIES OF MISSISSIPPI TO ENSURE EQUITABLE ACCESS TO HIGH-QUALITY CARE AND IMPROVE HEALTH OUTCOMES. BY ADDRESSING INFRASTRUCTURE SHORTCOMINGS AND INVESTING IN ADVANCED MEDICAL TECHNOLOGIES, THIS INITIATIVE AIMS TO BRIDGE THE GAP IN HEALTHCARE DISPARITIES AND CREATE A SUSTAINABLE HEALTHCARE ECOSYSTEM THAT MEETS THE EVOLVING NEEDS OF THE COMMUNITY. THE PROJECT WILL BE EXECUTED IN PHASES TO STREAMLINE IMPLEMENTATION AND MINIMIZE DISRUPTIONS TO ONGOING HEALTHCARE SERVICES. EACH PHASE WILL BE METICULOUSLY PLANNED AND EXECUTED, WITH A STRONG EMPHASIS ON STAKEHOLDER ENGAGEMENT, COMMUNITY INVOLVEMENT, AND CONTINUOUS MONITORING TO ENSURE EFFECTIVE UTILIZATION OF RESOURCES AND TIMELY COMPLETION OF DELIVERABLES.

NEW HAMPSHIRE COLORECTAL CANCER SCREENING PROGRAM (NHCRCSP)

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

CORE_RT-PCR BASED CASE-CONTROL: APT MEASURE OF INFLUENZA VACCINE EFFECTIVENESS

FAILURE TO RESCURE-PATIENT SAFETY LEARNING LAB (FTR-PSLL)

PROJECT LAUNCH UPPER VALLEY: PROMOTING A HEALTHY START FOR YOUNG CHILDREN AND THEIR CAREGIVERS

COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINATIONS IN UNDERSERVED COMMUNITIES

INTERVENTIONS TO INCREASE CLINIC-LEVEL RATES OF HIGH-QUALITY CRC SCREENING THROUGH CLINICAL PARTNERSHIPS

TAILORED LIFESTYLE INTERVENTION IN OBESE ADULTS WITHIN PRIMARY CARE PRACTICE

PARTNERS TO PROMOTE SAFETY, PERMANENCY AND WELL-BEING FOR FAMILIES AFFECTED BY SUBSTANCE USE (P2P)

EARLY HEAD START

UMBILICAL CORD MILKING IN NON VIGOROUS INFANTS (THE MINVI TRIAL)

GH11-1140: POSITIVELY UNITED TO SUPPORT HUMANITY (PUSH): GUYANA'S FAITH-BASED

BLACK LUNG/COAL MINER CLINICS PROGRAM

MILITARY INTEROPERABLE DIGITAL HOSPITAL TESTBED

RURAL BEHAVIORAL HEALTH WORKFORCE COORDINATING CENTERS ? NORTHERN BORDER REGION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: 448 SMOOT AVENUE, DANVILLE, WV 25053-7605 PROJECT DIRECTOR: DAVID GRESHAM, CHIEF DEVELOPMENT OFFICER CONTACT PHONE NUMBER: 304-369-2932 CONTACT EMAIL: DGRESHAM@BMH.ORG WEBSITE: WWW.BMH.ORG GRANT PROGRAM FUNDS REQUESTED: $3,000,000 THE BOONE MEMORIAL HEALTH AND WELLNESS CENTER IS A SIGNIFICANT INVESTMENT IN A HRSA-DESIGNATED MEDICALLY UNDERSERVED POPULATION THAT WILL INCREASE HEALTH CARE ACCESS AND IMPROVE POPULATION HEALTH, WHILE REVOLUTIONIZING THE TRADITIONAL DELIVERY OF CARE MODEL. SITUATED IN THE 36,000 SQUARE-FOOT FORMER MAGIC MART DEPARTMENT STORE IN DANVILLE, WV, THE CENTER IS LOCATED ADJACENT TO U.S. ROUTE 119 AND IS ONLY 24 MINUTES FROM SOUTHRIDGE SHOPPING CENTER IN SOUTH CHARLESTON, 20 MINUTES FROM CHAPMANVILLE, AND 34 MINUTES FROM LOGAN. THE BOONE MEMORIAL HEALTH AND WELLNESS CENTER WILL BE A ONE-STOP SHOP FOR THE RURAL AND UNDERSERVED RESIDENTS OF BOONE, LOGAN, LINCOLN, AND KANAWHA COUNTIES TO HAVE ACCESS TO EXTRAORDINARY PRIMARY AND SPECIALTY CARE, WELLNESS PROGRAMS AND SERVICES, AND MORE, CLOSE TO HOME. THE PROJECT WILL SIGNIFICANTLY IMPACT THE HEALTH OF THE COMMUNITY BY PROVIDING EXCELLENT, COST-EFFECTIVE HEALTH CARE FROM A CONVENIENT LOCATION WHILE ALSO FOCUSING ON POPULATION HEALTH AND PREVENTION. THE BOONE MEMORIAL HEALTH AND WELLNESS CENTER WILL HOUSE A RELOCATED RURAL HEALTH CLINIC (THE BMH MEDICAL CLINIC, CURRENTLY LOCATED LESS THAN 3 MILES AWAY IN MADISON), COMMUNITY FITNESS CENTER, DRIVE-THROUGH CLINIC, PHARMACY, EDUCATION/EVENT CENTER, TEACHING KITCHEN, AND FAST CASUAL RESTAURANT. THIS CDS REQUEST, HOWEVER, IS LIMITED TO THE RURAL HEALTH CLINIC, NEW DRIVE-THROUGH CLINIC, NEW DRIVE-THROUGH PHARMACY BECAUSE THESE THREE DISTINCT SECTIONS OF THE PROJECT ARE AIMED AT ADDRESSING THE INCREASING NUMBER OF PREVENTABLE HOSPITAL STAYS AND THE SOCIAL DETERMINANTS OF HEALTH IN THE REGION. BOONE COUNTY EXPERIENCES NEARLY DOUBLE THE AVERAGE NUMBER OF PREVENTABLE HOSPITAL STAYS NATIONWIDE. THE RURAL HEALTH CLINIC WILL HOUSE S EVERAL PRIMARY AND SPECIALTY CARE PROVIDERS AND SUPPORT STAFF THAT WILL BE RELOCATED TO THIS CLINIC WITH SOUTHERN WEST VIRGINIA’S ONLY ON-STAGE/OFF-STAGE MODEL OF CARE. THIS MODEL SERVES TO INCREASE EFFICIENCY AND REDUCE PATIENT WAIT TIMES WHILE MAXIMIZING THE QUALITY OF PATIENTCARE AND SAFETY. THE DRIVE-THROUGH CLINIC WILL BE ONE OF THE FIRST PERMANENT, ENCLOSED, DRIVE-THROUGH CLINICS IN THE COUNTRY. CURRENT PLANS INCLUDE THE ABILITY FOR PATIENTS TO COME IN ON A FIRST COME, FIRST SERVED BASIS OR SETUP APPOINTMENTS TO SEE A PROVIDER.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-CHILD AND ADOLESCENT SUPPORT

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM

CORE_APT MEASURE OF PCR-BASED INFLUENZA VACCINE EFFECTIVENESS IN INPATIENT ADULTS

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

PREMATURE INFANTS RECEIVING CORD MILKING OR DELAYED CORD CLAMPING

HEALTHY START INITIATIVE - THE MICHIANA FAMILY JOURNEY (MFJ) PROPOSAL STRATEGICALLY TARGETS A POPULATION IN TWO INDIANA COUNTIES WITHIN BEACON HEALTH SYSTEMS SERVICE AREA: ELKHART AND ST. JOSEPH. IN LINE WITH THE HEALTHY START GRANT'S OBJECTIVES TO ELIMINATE DISPARITIES, MFJ FOCUSES ON ENHANCING BIRTH OUTCOMES AND PROMOTING HEALTH EQUITY. THE PROGRAM WILL USE A REGIONAL APPROACH TO SUPPORT ALL FAMILIES WITH AN EMPHASIS ON ADDRESSING THE DISPARITIES OF BLACK INFANT DEATHS. OPERATING WITHIN EIGHT SPECIFIC URBAN ZIP CODES, MFJ COLLABORATES WITH COMMUNITY PARTNERS TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. THE PROGRAM INTEGRATES CLINICAL AND COMMUNITY-BASED SERVICES, ENHANCES COMMUNITY AWARENESS, EMPLOYS DATA-DRIVEN STRATEGIES, AND IMPROVES MATERNAL/INFANT HOME VISITS AND CARE COORDINATION. THE IMPLEMENTATION OF A CUSTOMIZED CYCLE TO RESPECTFUL CARE (CRC) MODEL AIMS TO DIMINISH BIAS AND FOSTER TRUST, ADDRESSING DISPARITIES IN INFANT MORTALITY RATES FOR BLACK INFANTS. MFJ SEEKS TO CONVENE A COMMUNITY CONSORTIUM, FOSTERING CROSS-SECTOR PARTNERSHIPS AND COMMUNITIES OF PRACTICE TO ENSURE ACCESS TO COORDINATED, COMPREHENSIVE MATERNAL, CHILD, AND FAMILY MEDICAL CARE, HEALTH, PARENTING EDUCATION, AND VARIOUS COMMUNITY RESOURCES, WITH A FOCUS ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH). MFJ PROVIDERS WILL UNDERGO COMPREHENSIVE TRAINING PROGRAMS ALIGNED SEAMLESSLY WITH THE CRC MODEL, AIMING TO ELIMINATE DISPARITIES IN MATERNAL AND INFANT HEALTH. THROUGH THESE EFFORTS, MFJ SERVES AS A PATHWAY FOR POSITIVE CHANGE, EMPOWERING PARTICIPANTS FOR HEALTHIER PREGNANCY OUTCOMES AND FUTURE PREGNANCIES.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - SMH PLANS TO ADDRESS THE CHRONIC OVERCROWDING, INEFFICIENT USE OF RESOURCES AND LESS THAN IDEAL SPACE FOR HOLDING MENTAL / BEHAVIORAL HEALTH PATIENTS WAITING FOR TRANSITION TO A MORE APPROPRIATE CARE SITE IN THE CURRENT EMERGENCY DEPARTMENT (ED) BY BUILDING AN ADDITION TO THE HOSPITAL TO SERVE AS A NEW ED. THE RELOCATED AND EXPANDED EMERGENCY DEPARTMENT WILL INCLUDE 50 TOTAL TREATMENT ROOMS INCLUDING A SECURE 12 ROOM DEDICATED BEHAVIOR HEALTH SUB-UNIT. THE BEHAVIORAL HEALTH (BH) UNIT WILL HAVE TWELVE SECURE HOLDING ROOMS WITH A CENTRAL NURSE STATION. MEDICALLY CLEARED BH PATIENTS WILL COME FROM EITHER THE TRIAGE OR THE EMS VESTIBULE DIRECTLY TO THE SECURE HOLDING INTAKE ROOMS, WHERE THEY WILL UNDERGO THE BEHAVIORAL HEALTH SCREENING PROCESS, WHICH INCLUDES A SECURITY SCREENING AND RELINQUISHMENT OF THEIR PERSONAL BELONGINGS (WHICH ARE STORED IN A LOCKED BH PATIENT STORAGE ROOM OFF THE INTAKE ROOM). DURING THE INTAKE PROCESS, BH PATIENTS WILL ALSO CHANGE OUT OF THEIR STREET CLOTHING TO DEDICATED SCRUBS IN THE INTAKE ROOM AND THEN BE PLACED IN THE SECURE HOLDING ROOMS. TWO OF THE SECURE ROOMS WILL BE ABLE TO ACCOMMODATE A LIGATURE-RESISTANT STRETCHED FOR ELDERLY PATIENTS WHO ARE UNABLE TO USE THE PLATFORM BEDS IN THE OTHER ROOMS SAFELY, OR FOR BH PATIENTS WHO MUST BE RESTRAINED AND ARE LIKELY TO BE TRANSPORTED ELSEWHERE QUICKLY. ALL OF THE SECURE ROOMS ARE CONFIGURED WITH A TOUCHDOWN SEAT ON THE CORRIDOR SIDE WITH A WINDOW LOOKING INTO THE ROOM FOR USE BY A SITTER. THIS UNIT IS A LOCKED UNIT THAT MAINTAINS A CONNECTION TO THE MAIN ED VIA TWO SEPARATE CORRIDORS, BOTH OF WHICH FEED THE THREE FLEXIBLE BH EXAM ROOMS. ALL SPACES IN THE UNIT HAVE BEEN ASSIGNED A SAFETY RISK ASSESSMENT LEVEL AND ARE DESIGNED TO THE APPROPRIATE LIGATURE-RESISTANT SAFETY LEVEL. THE UNIT IS EQUIPPED WITH ONE TOILET ROOM AND ONE TOILET/SHOWER ROOM FOR PATIENT USE. THE STAFF WORKSTATION SERVING THIS UNIT WILL BE FULLY ENCLOSED BY IMPACT-RESISTANT GLASS AND IS SERVED BY A BA CK DOOR THAT CONNECTS TO THE MAIN ED. ALL CAMERA MONITORING FOR THE SECURE SUITE IS OBSERVED BY SECURITY AT A DEDICATED SEAT WITHIN THIS MAIN WORKSTATION. THERE IS ALSO A DESKTOP MEDICATION OMNICELL WITHIN THE STAFF WORKSTATION THAT IS DEDICATED TO BH PATIENTS. THE SUITE HAS A DEDICATED NOURISHMENT ROOM THAT HAS BOTH A BACK DOOR FROM THE MAIN ED AND A DOOR WITHIN THE SUITE FOR STAFF ACCESS SO THAT DIETARY DOES NOT HAVE TO ENTER THE UNIT.

RACIAL/ETHNIC DISPARITIES IN HEART FAILURE: A CROSS COHORT COLLABORATION - ABSTRACT HEART FAILURE (HF), AND ITS SUBTYPES DEFINED BY PRESERVED (HFPEF), REDUCED (HFREF) OR MID-RANGE (HFMREF) EJECTION FRACTION ARE A MAJOR AND GROWING PUBLIC HEALTH PROBLEM. THE LONG TERM GOAL OF THIS PROJECT IS TO BETTER UNDERSTAND THE HEALTH DISPARITIES REGARDING HF AND DEFINE EFFECTIVE PREVENTIVE MEASURES THAT MAY REDUCE THESE DISPARITIES. WE PROPOSE TO POOL DATA FROM 10 LARGE LONGITUDINAL COHORT STUDIES TO EXAMINE RACE/ETHNIC AND SEX DISPARITIES IN DEVELOPING HF, ITS SUBTYPES, AND ITS PROGNOSIS. THE HARMONIZED DATA WILL INCLUDE OVER 130,028 MEN AND WOMEN WITH OVER 8975 SIMILARLY-ADJUDICATED PROSPECTIVE HF OUTCOMES, REPRESENTING A WIDE SPECTRUM OF AGES, RACE/ETHNICITIES, AND GEOGRAPHIC REGIONS OF THE UNITED STATES. THIS CROSS-COHORT COLLABORATION WILL PROVIDE A UNIQUE OPPORTUNITY TO CONDUCT A COMPREHENSIVE EVALUATION OF SEX AND RACIAL/ETHNIC HEALTH DISPARITIES IN HF. CAUSAL MEDIATION ANALYSIS TECHNIQUES WILL BE USED TO ESTIMATE THE DEGREE TO WHICH SINGLE AND MULTI-FACTOR LIFESTYLE AND CLINICAL INTERVENTIONS COULD POTENTIALLY REDUCE HEALTH DISPARITIES IN HF. IN OUR PHENOMAPPING AIM, WE WILL DEFINE UNIQUE CLINICALLY RELEVANT PHENOTYPES OF HF BASED UPON COHORT DATA THAT IS ALSO COMMONLY PRESENT IN MEDICAL RECORDS FOR ENHANCED GENERALIZABILITY, INCLUDING AGE, RACE/ETHNICITY, SEX, CLINICAL SIGNS, SYMPTOMS, BIOMARKERS, EJECTION FRACTION, PHYSIOLOGIC MEASURES, AND CO-MORBIDITIES; WE WILL ALSO EVALUATE HF PHENOTYPE ASSOCIATIONS WITH CVD AND ALL-CAUSE MORTALITY.

(NO IDC) GUAM MEMORIAL HOSPITAL AUTHORITY (GMHA) URGENT CARE HVAC SYSTEM UPGRADE

TRANSLATING COPD GUIDELINES INOT PRIMARY CARE PRACTICE

NHC

SCOTT & WHITE COMMUNITY CLINICAL ONCOLOGY PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

WHISH-2-PREVENT HEART FAILURE STUDY

RESIDENCY TRAINING IN PRIMARY CARE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

HIGH GROWTH

ENHANCING AND EXPANDING MEDICATION ASSISTED TREATMENT FOR PRESCRIPTION DRUG AND OPIOID ADDICTION AT LONG ISLAND COMMUNITY HOSPITAL - BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER DBA LONG ISLAND COMMUNITY HOSPITAL WILL UTILIZE FUNDING FROM SAMHSA TO EXPAND AND ENHANCE ACCESS TO MEDICATION ASSISTED TREATMENT (MAT) SERVICES FOR PEOPLE WITH DIAGNOSED OPIOID USE DISORDER (OUD) RESIDING IN THE TOWN OF BROOKHAVEN, NEW YORK, AN AREA HARD HIT BY THE OPIOID EPIDEMIC. OVER FIVE YEARS, LONG ISLAND COMMUNITY HOSPITAL WILL IDENTIFY THROUGH SBIRT SCREENINGS AND OTHER EVIDENCE-BASED PRACTICES AT LEAST 155 PATIENTS SUFFERING FROM OUD WHO PRESENT IN THE HOSPITAL'S EMERGENCY DEPARTMENT OR MEDICAL AND SURGICAL FLOORS AND PROVIDE THEM WITH MAT SERVICES AND AT LEAST ONE OF THE FOLLOWING: INDIVIDUAL COUNSELING, GROUP COUNSELING, EDUCATION, OR PEER SUPPORT SERVICES THROUGH THE HOSPITAL'S OUTPATIENT TREATMENT PROGRAM. LONG ISLAND COMMUNITY HOSPITAL WILL MONITOR INDIVIDUALS FOR AT LEAST SIX MONTHS’ POST INTAKE, ENSURING THAT THEY ATTEND OUTPATIENT TREATMENT FOLLOWING SUCCESSFUL MAT INDUCTION, AND WILL CONDUCT DATA COLLECTION AGAIN AT DISCHARGE. DURING YEAR ONE, 15 OUD PATIENTS WILL BE ASSISTED; 20 OUD PATIENTS DURING YEAR TWO; 30 OUD PATIENTS DURING YEAR THREE; 40 OUD PATIENTS DURING YEAR FOUR; AND 50 OUD PATIENTS DURING YEAR FIVE. AT THE SIX-MONTH FOLLOW-UP, INDIVIDUALS WILL REPORT SIGNIFICANT DECREASE IN ILLICIT OPIOID USE AND/OR PRESCRIPTION DRUG USE AND SUCCESSFUL RETENTION IN TREATMENT. AT DISCHARGE FROM OUTPATIENT TREATMENT, PATIENTS WILL REPORT SIGNIFICANT DECREASE IN AND/OR ABSTINENCE FROM ILLICIT OPIOID USE AND/OR PRESCRIPTION DRUG USE.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - BOONE MEMORIAL HEALTH (BMH) IS COMMITTED TO ENHANCING HEALTHCARE ACCESS AND EQUITY FOR THE RURAL POPULATION OF SOUTHWESTERN WEST VIRGINIA. SERVING A COMMUNITY OF MORE THAN 70,000 RESIDENTS IN BOONE, LOGAN, LINCOLN, AND SOUTHERN KANAWHA COUNTIES, RESIDENTS FACE SEVERAL BARRIERS IN ACCESS TO CARE, INCLUDING SUCH CHALLENGES AS TRANSPORTATION, SOCIOECONOMIC CONSTRAINTS, ADVANCED AGE, AND HIGHER INCIDENCES OF CHRONIC DISEASES. THIS PROJECT, FUNDED BY A $2,200,000 ALLOCATION FOR THE PURCHASE OF INTUITIVE DA VINCI 5 ROBOTIC SURGERY EQUIPMENT, WORKS TO OVERCOME THESE CHALLENGES BY PROVIDING ADVANCED SURGICAL PROCEDURES LOCALLY, WHICH ARE TYPICALLY AVAILABLE ONLY IN URBAN CENTERS. THE INTRODUCTION OF THE DA VINCI 5 SYSTEM AT BMH WILL REVOLUTIONIZE THE SURGICAL CARE PROVIDED TO RURAL WEST VIRGINIANS BY REDUCING PAIN, SHORTENING RECOVERY TIMES, MINIMIZING HOSPITAL STAYS, AND DECREASING INFECTION RISKS, WHEN COMPARED TO OPEN SURGERY. THIS ADVANCED TECHNOLOGY WILL ENSURE THAT PATIENTS WHO CANNOT EASILY TRAVEL TO URBAN AREAS HAVE EQUITABLE ACCESS TO HIGH-QUALITY SURGICAL OPTIONS. THE DA VINCI 5 SYSTEM IS AT THE FOREFRONT OF MINIMALLY INVASIVE SURGICAL TECHNOLOGY, OFFERING ENHANCED PRECISION, FLEXIBILITY, AND CONTROL FOR A WIDE RANGE OF PROCEDURES. DESIGNED TO ENABLE BETTER OUTCOMES, MORE EFFICIENCY, AND ACTIONABLE INSIGHTS, DA VINCI 5 BRINGS MORE THAN 150 DESIGN INNOVATIONS AND 10,000X THE COMPUTING POWER OF DA VINCI XI. THESE ADVANCES SUPPORT ENHANCED SURGICAL SENSES, GREATER SURGEON AUTONOMY, MORE STREAMLINED OR WORKFLOWS, AND ADVANCED DATA ANALYTICS TO ENABLE THE FUTURE OF SURGERY. COMPARED TO OPEN SURGERY, THE USE OF THE DA VINCI SYSTEM HAS BEEN SHOWN TO REDUCE COMPLICATIONS WITHIN 30 DAYS POST-SURGERY BY 37%, SHORTEN THE AVERAGE POST-OPERATIVE HOSPITAL STAY BY 2.12 DAYS, DECREASE THE 30-DAY MORTALITY RATE BY 60%, AND REDUCE THE NEED FOR BLOOD TRANSFUSIONS BY 74%. ADDITIONALLY, THE RISK OF INJURY TO SURROUNDING TISSUES AND ORGANS IS SIGNIFICANTLY LOWER, AND OPERATION TIMES ARE SHORTER, POTENTIALLY REDUCING PRE-OP HOLDING AREA WAIT TIMES BY NEARLY 20%. SINCE 2012, THE USE OF DA VINCI TECHNOLOGY IN WEST VIRGINIA HAS RESULTED IN SIGNIFICANT COST SAVINGS, AVOIDING AN ESTIMATED $85 MILLION IN HEALTHCARE COSTS. IN ADDITION TO SAVING COSTS ON HEALTHCARE, THE PROJECT IS EXPECTED TO DIRECTLY CREATE UP TO 25 NEW JOBS AT BMH, ASSIST IN THE RECRUITMENT OF SURGEONS, AND GENERATE SIGNIFICANT INDIRECT ECONOMIC BENEFITS BY ATTRACTING MORE BUSINESSES AND ENHANCING LOCAL ECONOMIC DEVELOPMENT. BY MINIMIZING POST-OPERATIVE PAIN, THE PROJECT ALSO AIMS TO REDUCE THE NUMBER OF OPIOIDS PRESCRIBED POST-OPERATION, CONTRIBUTING TO BROADER EFFORTS TO COMBAT THE OPIOID CRISIS IN THE REGION. ROBOTIC-ASSISTED SURGERY IS BECOMING THE STANDARD OF CARE, WITH A PROJECTED INCREASE FROM 8% IN 2012 TO 45% IN 2023 IN WEST VIRGINIA. TRANSPORTATION ISSUES ARE THE PRIMARY REASON FOR APPOINTMENT CANCELLATIONS IN THE REGION. BY PROVIDING ROBOTIC-ASSISTED SURGERY IN A CRITICAL ACCESS HOSPITAL MUCH CLOSER TO HOME, PATIENTS ARE LESS LIKELY TO BE FORCED TO CANCEL SURGERIES AND POST-SURGERY APPOINTMENTS DUE TO TRANSPORTATION ISSUES. WEST VIRGINIA HAS A SIGNIFICANTLY LOWER NUMBER OF DA VINCI SYSTEMS PER CAPITA THAN THE NATIONAL AVERAGE, FURTHER HIGHLIGHTING THE NEED FOR INCREASED ACCESS TO THIS TECHNOLOGY. IN CONCLUSION, THE BOONE MEMORIAL HEALTH SURGERY ENHANCEMENT PROJECT WILL SIGNIFICANTLY IMPROVE HEALTHCARE OUTCOMES AND QUALITY OF LIFE FOR RURAL WEST VIRGINIANS, ENSURING THEY RECEIVE STATE-OF-THE-ART SURGICAL CARE CLOSE TO HOME, FOSTERING LOCAL ECONOMIC GROWTH, AND STRENGTHENING THE OVERALL HEALTHCARE INFRASTRUCTURE IN THE REGION.

CF CONGRESSIONALLY DIRECTED GRANTS

SMH PRODUCT PRESCRIPTION PILOT PROGRAM (P4)

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – MENTAL AND BEHAVIORAL HEALTH

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - WASHINGTON COUNTY MEMORIAL HOSPITAL, REPRESENTING THE WASHINGTON COUNTY RURAL HEALTH NETWORK, IS REQUESTING $2,000,000 TO SUPPORT THE WORK OF THE WASHINGTON COUNTY RCORP BHS PROGRAM. THE NETWORK AND ITS PARTNERS ARE LOCATED IN POTOSI, MISSOURI, SOUTH OF ST. LOUIS. WASHINGTON COUNTY MEMORIAL HOSPITAL IS LOCATED AT 300 HEALTHWAY DR, POTOSI, MO 63664 AND IS A CRITICAL ACCESS HOSPITAL. TAMMY MILLER, RHC CLINIC MANAGER, WHO IS MARS CERTIFIED, WILL SERVE AS THE 0.25 FTE RCORP BHS PROJECT DIRECTOR, WITH 0.40 FTE SUPPORT FROM KELLY BRUEGGEN, COMMUNITY CHAMPION, WHO WILL BE FULFILLING THE DUTIES OF THE DATA COORDINATOR. BOTH MS. MILLER MAY BE REACHED AT TMILLER@WCMHOSP.ORG AND MS. BRUEGGEN AT KBRUEGGEN@WCMHOSP.ORG OR BY CALLING 573-438-5451. WASHINGTON COUNTY MEMORIAL HOSPITAL IS NOT A CURRENT FY 20 OR FY 21 RCORP IMPLEMENTATION AWARDEE. THE NETWORK LEARNED OF THE FUNDING OPPORTUNITY THROUGH A HRSA NEWS RELEASE. THE HOSPITAL, ON BEHALF OF THE NETWORK HAS ALSO APPLIED FOR FY-22 RCORP IMPLEMENTATION FUNDING. THE NETWORK IS COMPRISED OF FIVE MEMBERS, WASHINGTON COUNTY MEMORIAL HOSPITAL (APPLICANT), WASHINGTON COUNTY AMBULANCE DISTRICT, WASHINGTON COUNTY HEALTH DEPARTMENT, WASHINGTON COUNTY COMMUNITY PARTNERSHIP AND GREAT MINES HEALTH CENTER. THE TARGET POPULATION IS INDIVIDUALS AGES 13-64 AT RISK OF OR DIAGNOSED WITH SUD, OUD AND BEHAVIORAL HEALTH NEEDS. SPECIAL EMPHASIS WILL BE PLACED ON HIGH RISK POPULATIONS TO INCLUDE UNINSURED AND UNDERINSURED POPULATIONS, AND INDIVIDUALS EXPERIENCING A NON-FATAL OVERDOSE (EMERGENCY ROOM OR FIRST RESPONDER UTILIZATION), INCLUDING ADOLESCENTS. THE PERCENTAGE OF AMERICAN INDIAN/ALASKAN NATIVE POPULATION IN WASHINGTON COUNTY IS 0.26%, LESS THAN STATE AND NATIONAL AVERAGES. THIS PROJECT WILL CONTINUE TO CONDUCT OUTREACH AND PLAN FOR SERVICES TO MEET THE NEEDS OF VULNERABLE POPULATIONS. WHILE THE TARGET POPULATION PLACES EMPHASIS ON HIGH RISK POPULATIONS, PARTICULARLY INDIVIDUALS EXPERIENCING A NON-FATAL OVERDOSE, ALL INDIV IDUALS SEEKING SERVICES WILL BE LINKED TO THE PROGRAM AND RESOURCES TO MEET THEIR PREVENTION, TREATMENT AND RECOVERY NEEDS. WASHINGTON COUNTY, MISSOURI HAS A TOTAL POPULATION OF 24,860 AND IS EXCLUSIVELY RURAL PER THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER AND FALLS WITHIN THE DELTA REGIONAL AUTHORITY’S REGION. THE TARGET SERVICE AREA OVERLAPS WITH AN EXISTING FY 20 RCORP IMPLEMENTATION GRANT AWARDED TO THE MERAMEC REGIONAL PLANNING COMMISSION (MRPC). HOWEVER, THE MRPC APPLICANT COORDINATED WITH WASHINGTON COUNTY WHEN PREPARING THEIR REGIONAL APPLICATION THAT ENCOMPASSES MANY COUNTIES SO AS NOT TO DUPLICATE SERVICES. THE MRPC APPLICATION DOES NOT PROVIDE DIRECT TREATMENT AND RECOVERY SERVICES IN WASHINGTON COUNTY AND FOCUSES PRIMARILY ON EDUCATION AND REFERRAL TO THE WASHINGTON COUNTY RURAL HEALTH NETWORK FOR TREATMENT AND RECOVERY SERVICES. NO DUPLICATION OF FUNDING OR SERVICES IS OCCURRING BUT BOTH ORGANIZATIONS BELIEVE A REGIONAL APPROACH TO PLANNING IS NECESSARY TO MEET THE NEEDS OF THIS HIGHLY RURAL AND ECONOMICALLY DEPRESSED REGION OF MISSOURI.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - THIS PROJECT WILL BUILD OFF MRH’S PREVIOUS HEALTH RESOURCES & SERVICES ADMINISTRATION RURAL COMMUNITIES OPIOID RESPONSE PROGRAM FUNDING TO IMPROVE BEHAVIORAL HEALTHCARE DELIVERY IN RURAL NORTHWESTERN COLORADO, INCREASING ACCESS TO AND UTILIZATION OF PREVENTION, TREATMENT, AND RECOVERY SERVICES FOR PEOPLE WITH BEHAVIORAL HEALTH DISORDERS, INCLUDING SUBSTANCE USE DISORDER (SUD) AND OPIOID USE DISORDER (OUD). ALTHOUGH NEARLY 80% OF THE LOCAL POPULATION IDENTIFIES AS NON-HISPANIC WHITE, 16.4% OF IDENTIFIES AS HISPANIC. OUR HISPANIC YOUTH POPULATION LIVES WITH OVER THREE TIMES THE PREVALENCE OF ILLICIT PRESCRIPTION DRUG USE THAN THEIR WHITE COUNTERPARTS, WITH OVER 13% HAVING USED PRESCRIPTION OPIOIDS IN THE PAST 30 DAYS (3.6% FOR WHITE YOUTH). FURTHERMORE, OUR SERVICE AREA’S HISTORY IS ROOTED IN AGRICULTURE AND MINING, AND OUR TWO MAJOR SKI AREAS HAVE AMASSED A LARGE CONTINGENT OF HOSPITALITY AND TOURISM WORKERS NECESSARY FOR THAT INDUSTRY—ALL POPULATIONS THAT ARE PRONE TO SUD/OUD. IN ADDITION TO AGRICULTURAL, MINING, AND HOSPITALITY WORKERS, AS WELL AS THE LOCAL HISPANIC COMMUNITIES, THIS PROJECT WILL TARGET UNDERSERVED POPULATIONS SUCH AS VETERANS, THE ELDERLY, LGBTQ+ INDIVIDUALS, WOMEN/PREGNANT INDIVIDUALS, AND PEOPLE WITH DISABILITIES. THE REGION HAS A NATIVE AMERICAN POPULATION OF 1.4%. THIS PROJECT WILL NOT FOCUS SPECIFICALLY ON TRIBAL POPULATIONS.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - PROJECT TITLE: NORTH QUABBIN COMMUNITY-CLINICAL CONSORTIUM: REDESIGNING BEHAVIORAL HEALTH CARE CONTINUUM FUNDING REQUEST: TOTAL: $1,981,668 Y1-$480,991, Y2-$442,179, Y3-$498,169, Y4-$497,329 APPLICANT: ATHOL HOSPITAL, CRITICAL ACCESS HOSPITAL 2033 MAIN STREET ATHOL, MA 01331 WWW.ATHOLHOSPITAL.ORG ELIGIBLE NATIONAL HEALTH SERVICE CORP SITE: YES PROJECT DIRECTOR: SELENA JOHNSON, SPECIAL PROJECTS MANAGER, ATHOL HOSPITAL, EMAIL: SELENA.JOHNON@HEYWOOD.ORG MOBILE: 978-400-6431 DATA COORDINATOR: DAVID S. ROBINSON, ED EMAIL: DAVIDR46@GMAIL.COM MOBILE: 617-733-5979 EIN/DUNS NUMBER EXEMPTION REQUEST: (N) FUNDING OPPORTUNITY: ALERTED TO THIS OPPORTUNITY THROUGH THE MA OFFICE OF RURAL HEALTH AND GRANTS.GOV. NUMBER OF CONSORTIUM MEMBERS: 6 PREVIOUS RECIPIENT: WE ARE NOT A CURRENT OR PREVIOUS RCORP GRANTEE INTENDS TO APPLY FOR FY22 RCORP IMPLEMENTATION? (N) DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY OR THE APPALACHIAN REGIONAL COMMISSION? (N) TARGET SERVICE AREA: THE TARGET SERVICE AREA IS PARTIALLY LOCATED IN BOTH FRANKLIN AND WORCESTER COUNTIES IN NORTH CENTRAL MASSACHUSETTS. TOWNS INCLUDE ATHOL (25027703100 & 25027703200), ERVING, NEW SALEM, ORANGE, PHILLIPSTON, ROYALSTON, WARWICK, AND WENDELL. TARGET POPULATION: PERSONS WITH SUD/AMI LIVING IN THE ATHOL HOSPITAL SERVICE AREA (ATHOL, ERVING, NEW SALEM, ORANGE, PHILLIPSTON, ROYALSTON, WARWICK, WENDELL) LOCATED WITHIN FRANKLIN AND WORCESTER COUNTIES. ALL TOWNS ARE FEDERALLY DESIGNATED RURAL. THE GRANT EMPHASIS IS ON POPULATIONS MOST SEVERELY IMPACTED BY SUD/AMI. THESE INDIVIDUALS ARE PREDOMINANTLY BETWEEN 35-AND 65 YEARS OLD, INSURED THROUGH MEDICARE/MEDICAID, LGBTQ+ INDIVIDUALS, HOUSING INSECURE, AND MINORITY POPULATIONS. THE RURAL SERVICE AREA IS LARGELY WHITE BUT HAS SEEN RACIAL AND ETHNIC MINORITIES INCREASE AT GREATER RATES THAN THE WHITE POPULATION BETWEEN 2016-AND 2021. THE RATE INCREASE IS MORE SIGNIFICANT IN THE STUDENT POPULATION. LESS THAN 1% OF THE TARGET POPULATION IS NATIVE AMERICAN.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

STATE MATERNAL HEALTH INNOVATION PROGRAM - MARY HITCHCOCK MEMORIAL HOSPITAL’S (MHMH) MATERNAL HEALTH INNOVATION (MHI) PROJECT TEAM, NH STATE PARTNERS AND COMMUNITY COLLABORATORS WILL WORK TOWARD ADVANCING THE MHI OVERARCHING PURPOSE OVER 5 YEARS. FOR THIS MHI PROJECT MHMH WILL WORK WITH THE NH MATERNAL CHILD HEALTH DEPARTMENT/TITLE V PROGRAM (NHMCH), PERSONS WITH LIVED EXPERTISE OF PREGNANCY AND DISPARATE PERINATAL HEALTH OUTCOMES, BIRTHING HOSPITALS, COMMUNITY ORGANIZATIONS, AND OTHER NH PERINATAL HEALTH STAKEHOLDERS. THE PROJECT WILL ACHIEVE THE FOLLOWING GOALS OVER 5 YEARS: 1) RECRUIT, ENGAGE, AND CONVENE A MATERNAL HEALTH TASK FORCE (MHTF) TO DRAFT AND FINALIZE A MATERNAL HEALTH STRATEGIC PLAN (MHSP) THEN IMPLEMENT MHSP ACTIVITIES; 2) CO-CREATE A COMPREHENSIVE MHI EVALUATION PLAN TO ASSESS AND REPORT ON PROGRAM ACTIVITIES OVER THE FULL PERFORMANCE PERIOD; 3) IMPROVE STATE-LEVEL MATERNAL HEALTH SURVEILLANCE DATA QUALITY, COLLECTION AND APPLICATION; 4) CONTINUE TO INCREASE NUMBER PERSONS WITH LIVED EXPERTISE OF PREGNANCY AND PERINATAL HEALTH DISPARITIES WHO ARE MEMBERS OF THE MHTF AND SHARE IN DECISION-MAKING RE: MHSP PRIORITIES, ACTIVITIES AND EVALUATION; 5) RELEASE A PUBLIC MATERNAL HEALTH ANNUAL REPORT EACH YEAR OF THE PERIOD OF PERFORMANCE; AND 6) TOGETHER WITH THE MHTF WILL SUPPORT IMPLEMENTATION OF INNOVATIVE INITIATIVES BASED ON THE MHSP TO IMPROVE MATERNAL HEALTH AND IDENTIFY THOSE WITH POTENTIAL FOR SCALING AND REPLICATION. OUR UNDERLYING APPROACH AIMS TO BUILD OUT A STATEWIDE SYSTEM OF 12 REGIONAL PERINATAL TASK FORCES (RPTF) ASSOCIATED WITH THE MHTF, EACH WITH THE CAPACITY TO IMPLEMENT INNOVATION ACTIVITIES OF THE MHSP. MHMH’S MHI STAFF LEADERS HAVE ALREADY STARTED IMPLEMENTING AND BUILDING SUPPORT OVER THE LAST 12 MONTHS, AND MHI SUPPORT WILL ALLOW US TO CONTINUE IMPROVING AND GROWING MHTF ENGAGEMENT, PARTNERSHIPS, AND DATA SYSTEMS NEEDED TO COMPLETE THE MHSP. MORE THAN 200 NH STAKEHOLDERS, INCLUDING PERSONS AFFECTED BY PERINATAL HEALTH DISPARITIES HAVE PARTICIPATED TO- DATE IN DEVELOPING THE IDEAS THIS MHI PROJECT WILL IMPROVE AND BRING TO SCALE. A CORE ASPECT OF OUR MHI APPROACH IS CO-PRODUCTION WITH ALL STAKEHOLDERS INCLUSIVE OF THOSE WITH LIVED EXPERTISE FROM COMMUNITIES DISPROPORTIONALLY IMPACTED BY MATERNAL MORTALITY AND SEVERE MATERNAL MORBIDITY. MHMH IS WELL-QUALIFIED TO LEAD THIS MATERNAL HEALTH INNOVATION PROJECT (MHI). FOR 20+ YEARS, MHMH HAS LED THE NORTHERN NEW ENGLAND PERINATAL QUALITY IMPROVEMENT NETWORK (NNEPQIN), WHICH FOSTERS DISSEMINATION OF PERINATAL KNOWLEDGE AND BEST PRACTICES BETWEEN HOSPITALS IN VT, NH, AND ME. THIS SAME STAFF TEAM HAS WORKED FOR 20+ YEARS WITH NHMCH TO IMPROVE PERINATAL DATA SYSTEMS, IMPLEMENT AIM BUNDLES IN BIRTHING HOSPITALS; AND FACILITATE MATERNAL MORTALITY REVIEW COMMITTEE SERVICES. FOR THE PAST 12 MONTHS, THIS SAME TEAM HAS LED DEVELOPMENT OF A NH-SPECIFIC PERINATAL QUALITY COLLABORATIVE THAT INCLUDES MANY STATEWIDE PARTNERS WHO WILL BECOME PART OF THE MHTF IN OUR MHI PROJECT. THIS LONG HISTORY OF COLLABORATIVE WORK WITH OUR STATE PARTNERS ENSURES OUR MHI PROJECT WILL BUILD OFF EXISTING STATE WORK OF TITLE V AND OTHER NHMCH INITIATIVES AVOIDING DUPLICATION AND THE SUPPORT OF VARIED STAKEHOLDERS.

IMPROVING CARE FOR CHILDREN AND YOUTH IN NH WITH TRAUMA AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (PROJECT TIDD) - IMPROVING CARE FOR CHILDREN AND YOUTH IN NH WITH TRAUMA AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (PROJECT TIDD) POPULATION TO BE SERVED AND NEED: OUR GOAL IS TO IMPROVE OUTCOMES FOR CHILDREN AND YOUTH AGES 0-21 WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, INCLUDING AUTISM (IDD) WHO ARE AFFECTED BY TRAUMA, ACROSS THE STATE OF NEW HAMPSHIRE (NH). WE AIM TO BOLSTER THE KNOWLEDGE AND SKILLS OF MULTIDISCIPLINARY PROVIDERS TO IDENTIFY, ENGAGE, SCREEN AND TREAT TRAUMA-AFFECTED CHILDREN AND YOUTH WITH IDD. THE SMALL SIZE OF NH AND THE EXPERTISE AND LEADERSHIP OF THE PROPOSED TEAM WITHIN THE TRAUMA AND IDD SYSTEMS WILL ALLOW OUR PROJECT TO HAVE A MAJOR IMPACT ON STATE-WIDE PRACTICES AND POLICIES. OUR CATCHMENT AREA ENCOMPASSES THE ENTIRE STATE OF NH, WHICH INCLUDES OVER 10,000 CHILDREN AND YOUTH WITH IDD. WE WILL ALSO HAVE A SPECIAL FOCUS ON CHILDREN AND YOUTH EXPERIENCING THE TRIPLE INTERSECTION OF TRAUMA, IDD, AND TRANSGENDER IDENTITY, A COMMON CO-OCCURRING SCENARIO FOR THE TRANSGENDER POPULATION. CHILDREN WITH IDD, AND WITH IDD AND TRANSGENDER IDENTITY, ARE AT HIGHER RISK FOR TRAUMA (E.G., VIOLENCE, ABUSE, BULLYING), HAVE FEWER RESOURCES AVAILABLE FOR IDENTIFICATION AND TREATMENT, AND REQUIRE PROPERLY MODIFIED AND ADAPTED INTERVENTIONS DUE TO THE COMPLEXITY OF THEIR SYMPTOMS THAN DO THOSE WITHOUT IDD. COMMUNITY-BASED MENTAL HEALTH (MH) PROVIDERS ARE NOT ADEQUATELY PREPARED TO DIAGNOSE AND TREAT THESE POPULATIONS, AND THE MULTI-DISCIPLINARY IDD AND TRANSGENDER WORKFORCE ARE NOT SUFFICIENTLY KNOWLEDGEABLE ABOUT TRAUMA AND ITS EFFECTS. STRATEGIES/EVIDENCE-BASED PRACTICES: OUR PROJECT WILL FOCUS ACTIVITIES IN FIVE “BUCKETS”: 1) TRAUMA-INFORMED TRAINING AND CONSULTATION TO A MULTI-DISCIPLINARY WORKFORCE (E.G., PEDIATRICIANS, IDD PROVIDERS, RESIDENTIAL STAFF, TRANSGENDER PROVIDERS) USING THE NCTSN PRODUCED ROAD TO RECOVERY AS WELL AS NEWLY DEVELOPED CURRICULUM TARGETING DIFFERENTIAL DIAGNOSES AND ASSESSMENT AND TREATMENT AROUND THE TRIPLE INTERSECTION OF TRAUMA, IDD, AND TRANSGENDER/NON-BINARY IDENTITY; 2) SCREENING AND ASSESSMENT FOR TRAUMA IN IDD AND TRANSGENDER SETTINGS AND A FOCUS ON INTEGRATING RESULTS INTO CARE PLANS; 3) IMPLEMENTATION OF TRAUMA-FOCUSED CBT; 4) TRAINING IN ADVANCED CBT FOR TRAUMA AND IDD AND FOR TRAUMA AND LGBTQ TO PROVIDERS ALREADY TRAINED IN CBT; 5) IMPLEMENTATION OF ADAPTED CHILD-ADULT RELATIONSHIP ENHANCEMENT (CARE CONNECTIONS) FOR CAREGIVERS AND OTHER PROFESSIONALS. GOALS AND MEASURABLE OBJECTIVES: OUR GOAL IS TO IMPROVE OUTCOMES FOR CHILDREN AND YOUTH AGES 0-21 WITH IDD WHO ARE AFFECTED BY TRAUMA ACROSS THE STATE OF NH. BY THE END OF THE PROJECT, OUR OBJECTIVES ARE TO: 1) PROVIDE TRAUMA-INFORMED TRAINING AND ONGOING CONSULTATION TO 395 PROFESSIONALS AND STAFF FROM MULTIDISCIPLINARY SECTORS; 2) INSTALL SCREENING/ASSESSMENT AND EXPERT CARE PLANNING WITHIN 6 IDD AND TRANSGENDER SERVICE SETTINGS; 3) DELIVER TF-CBT TRAINING AND CONSULTATION TO 30 MH PROVIDERS; 4) DELIVER ADVANCED CBT FOR IDD AND MODIFIED TF-CBT FOR LGBTQ TRAINING AND CONSULTATION TO 130 MH PROVIDERS; 5) DELIVER CARE CONNECTIONS TO 125 CAREGIVERS AND OTHER PROFESSIONALS; AND 6) CONVENE A MULTIDISCIPLINARY AND PARENT ADVISORY BOARD TO GUIDE THE PROJECT.

CD38-TARGETED IMMUNOPET OF MYELOMA: PHASE 2 TRIAL OF CLINICAL APPLICATIONS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE: HEALTHWORKS ACT 2. REQUESTED AWARD AMOUNT: $2,000,000 3. APPLICANT ORGANIZATION NAME: BRATTLEBORO MEMORIAL HOSPITAL 4. APPLICANT ORGANIZATION ADDRESS: 17 BELMONT AVENUE, BRATTLEBORO, VT 05301 5. APPLICANT ORGANIZATION FACILITY TYPE: COMMUNITY HOSPITAL 6. PROJECT DIRECTOR NAME AND TITLE: REBECCA BURNS, DIRECTOR OF COMMUNITY INITIATIVES 7. PROJECT DIRECTOR CONTACT INFORMATION: 802-257-8325 RBURNS@BMHVT.ORG 8. DATA COORDINATOR NAME AND TITLE TO BE HIRED, HEALTHWORKS ACT DATA COORDINATOR 9. DATA COORDINATOR CONTACT INFORMATION (PHONE AND EMAIL) TO BE HIRED 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8 ?: NO 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY HRSA-22-061: HRSA GRANTEE, THE WINDHAM COUNTY CONSORTIUM ON SUBSTANCE USE (COSU) 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: FOUR. APPLICANT ORGANIZATION BRATTLEBORO MEMORIAL HOSPITAL AND MEMBERS BRATTLEBORO RETREAT, HEALTH CARE & REHABILITATION SERVICES, AND GROUNDWORKS COLLABORATIVE 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES. CONSORTIUM MEMBER FY18 RCORP-PLANNING AND CONSORTIUM MEMBER FY19 RCORP-IMPLEMENTATION. 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP- IMPLEMENTATION? NO. 15. DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? YES. THE TARGET SERVICE AREA OF WINDHAM COUNTY, VERMONT IS A PART OF THE NORTHERN BORDER REGIONAL COMMISSION SERVICE AREA. 16. RCORP-BHS TARGET SERVICE AREA : A. FULLY RURAL COUNTIES: PROVIDE THE COUNTY NAME AND STATE WINDHAM COUNTY, VERMONT B. PARTIALLY-RURAL COUNTIES: PROVIDE COUNTY NAME, STATE, AND THE RURAL CENSUS TRACT (LIST OF RURAL CENSUS TRACTS) N/A 17. BRIEF DESCRIPTION OF THE TARGET POPULATION THE TARGET POPULATION FOR THIS PROJECT IS ADULT RESIDENTS OF THE HIGH -RISK RURAL COUNTY OF WINDHAM COUNTY, VERMONT WITH BEHAVIORAL HEALTH CONDITIONS, INCLUDING CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS, WHO ARE ALSO EXPERIENCING HOMELESSNESS. THIS TARGET POPULATION HAS HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES. .4% OF VERMONT’S POPULATION IS NATIVE AMERICAN OR ALASKAN NATIVE ALONE.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

NURSING HOME CARE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

SMH SPECIAL DIABETES GRANT PROGRAM - NAVAJO HEALTH FOUNDATION – SAGE MEMORIAL HOSPITAL (SMH) IS A 25-BED ACUTE AND CRITICAL ACCESS HOSPITAL LOCATED IN GANADO, ARIZONA ON THE NAVAJO NATION. IT SERVES EIGHT SURROUNDING COMMUNITIES INCLUDING CORNFIELDS, GANADO, GREASEWOOD, KLAGETOH, KINLICHEE, STEAMBOAT, WIDE RUINS, AND NAZLINI. THE POPULATION FOR THE SERVICE AREA IS APPROXIMATELY 10,700 COMMUNITY MEMBERS AND SMH SERVES AN AVERAGE OF 9,500 PATIENTS PER YEAR. ACCORDING TO DATA EXTRACTED FROM SMH'S EHR SYSTEM, IN 2021 OVER 1,097 A1C TESTS WERE ADMINISTERED TO 885 PATIENTS. OF THESE PATIENTS, APPROXIMATELY 236 PATIENTS (27%) HAD AN A1C LEVEL BETWEEN 5.7-6.49 INDICATING THEY WERE PREDIABETIC AND 363 PATIENTS (41%) HAD AN A1C OF 6.5 AND OVER SHOWING AN INDICATION OF TYPE 2 DIABETES. FOR PATIENTS WHO HAD DIABETES, 49% WERE FEMALE AND 51% WERE MALE. FOR ALL PATIENTS WHO WERE TESTED, 68% CAME BACK WITH PREDIABETES OR HAVING DIABETES SO FAR IN 2022 (JANUARY - SEPTEMBER), 606 A1C TESTS HAVE BEEN ADMINISTERED TO 530 PATIENTS. OF THESE PATIENTS, 169 (32%) WERE PREDIABETIC, AND 218 PATIENTS (41%) SHOWED TYPE 2 DIABETES RESULTS. FOR PATIENTS WITH DIABETES, 42% WERE FEMALE AND 58% WERE MALE. RESULTS FOR ALL PATIENTS WHO WERE TESTED, 73% SHOWED THEY HAVE PREDIABETES OR HAVE DIABETES. ACCORDING TO THE ANNUAL AUDIT REPORT, DENTAL EXAMS HAVE NOT SURPASSED 40% FOR THE TARGET GROUP FOR THE PAST FIVE YEARS; THEREFORE, SMH HAS CHOSEN DENTAL EXAM AS ITS REQUIRED KEY MEASURE FOR 2023. THE GOAL IS TO INCREASE THE PERCENTAGE OF PATIENTS WHO COMPLETE THEIR ORAL EXAMS AS PART OF THEIR STANDARDS OF CARE TO AT LEAST 80%. THE DIABETES TEAM PROPOSES TO ACCOMPLISH THIS THROUGH BRIEF ORAL EXAMS DURING EACH ENCOUNTER, DESIGNATING A DAY EACH MONTH IN THE DENTAL CLINIC SPECIFICALLY FOR PATIENTS WITH DIABETES, AND THROUGH AWARENESS MESSAGING. SMH’S DIABETES PROGRAM IS DESIGNED TO ADDRESS TWO OF FIVE HIGHEST HEALTH NEEDS IDENTIFIED BY ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: DIABETES AND OBESITY. UTILIZING AMERICAN DIABETES ASSOCIATION’S STANDARDS OF MEDICAL CARE IN DIABETES AS A GUIDE FOR COMPREHENSIVE CARE, THE DIABETES TEAM WILL CONTINUE TO TAKE A PATIENT-CENTERED CARE APPROACH TO TREATMENT.

DARTMOUTH LEAD PARTICIPATION IN NCI NATIONAL CLINICAL TRIALS NETWORK

PAUL COVERDELL NATIONAL ACUTE STROKE PROGRAM

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACE FOR WYOMING

USE OF ENGINEERED NERVOUS TISSUE CONSTRUCTS TO REPAIR EXTENSIVE NERVE INJURY

HOME-BASED EARLY HEAD START PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH

CF CONGRESSIONALLY DIRECTED GRANTS

NHC

TAS::89 0321::TAS ST. LUKE'S MINERS MEMORIAL HOSPITAL ENERGY EFFICIENCY IMPORVEMENT PROJECT (PA), 224.10

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - ABSTRACT: CITIZENS MEMORIAL HOSPITAL HRSA 22-112 APPLICATION PROJECT TITLE: RURAL MOBILE HEALTH INTEGRATION AND COMMUNITY PARAMEDICINE TRAINING NETWORK APPLICANT ORGANIZATION INFORMATION - CITIZENS MEMORIAL HOSPITAL, 1500 N. OAKLAND AVE. BOLIVAR, MO 65613 - WWW.CITIZENSMEMORIAL.COM - FACILITY TYPE: NON-PROFIT HOSPITAL PROJECT DIRECTOR - THERON BECKER, PRE-HOSPITAL CLINICAL CHIEF, 417-597-3688, THERON.BECKER@CITIZENSMEMORIAL.COM PROPOSED NETWORK TRAINING TRACT - COMMUNITY PARAMEDICINE TARGET SERVICE REGION: 5 DESIGNATED HRSA ELIGIBLE RURAL COUNTIES - MISSOURI: POLK (PARTIALLY RURAL, CENSUS TRACT 960200), HICKORY (RURAL), ST. CLAIR (RURAL), AND CEDAR (RURAL), DALLAS (PARTIALLY RURAL, CENSUS TRACT 480200) COUNTIES TARGET POPULATION - THE TARGET POPULATION GROUP TO BE SERVED INCLUDES INDIVIDUALS RESIDING WITHIN THE 5 RURAL COUNTY SERVICE AREA THAT UTILIZE PRE-HOSPITAL AMBULATORY SERVICES AS THEIR PRIMARY CARE RESOURCE. THIS POPULATION GROUP HAS A NEED FOR INTEGRATIVE CARE COORDINATION AND A CONTINUUM OF CARE STRATEGY. - THE UNDERSERVED INDIVIDUALS WITHIN THIS REGION HAVE HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES AND HEALTH DISPARITIES DUE TO POVERTY, LOW SOCIOECONOMIC STATUS, UNINSURED/UNDERINSURED, UNDER-EDUCATED, TRANSPORTATION BARRIERS, AND LACK OF AVAILABLE HEALTHCARE RESOURCES TO MEET THEIR NEEDS. INDIVIDUALS OFTEN UTILIZE EMERGENCY MEDICAL SERVICES FOR NON-EMERGENCY SITUATIONS, BUT THEIR HEALTH CONDITIONS STILL WARRANT MEDICAL INTERVENTION, TREATMENT, AND INTEGRATIVE FOLLOW-UP CARE. NETWORK/CONSORTIUM PARTNERSHIPS: (ALL PARTNERS ARE WITHIN AN HRSA DESIGNATED RURAL AREA) - CITIZENS MEMORIAL HOSPITAL, (HOSPITAL) INCLUSIVE OF EMERGENCY MEDICAL SERVICES DEP’T (RURAL CT 960200) - MIH NETWORK: GREAT MINES HEALTH CARE (FQHC), MINERAL AREA COLLEGE (INSTITUTION OF HIGHER EDUCATION), WASHINGTON COUNTY AMBULANCE DISTRICT (EMS PROVIDER) - ELLETT MEMORIAL HOSPITAL, (HOSPITAL) - DALLAS COUNTY HEALTH DEPARTMENT (PUBLIC HEALTH DEPARTMENT) (RURAL C T 480200) ALL NETWORK PARTNERS ARE LOCATED AND PROVIDE SERVICES WITHIN HRSA-DESIGNATED RURAL AREAS/CTS TOTAL FUNDING AMOUNT REQUESTED: $1,545,000 FOR 3 YEAR PERFORMANCE PERIOD EXPERIENCE IN SERVING RURAL UNDERSERVED POPULATIONS - THE CMH EMS DEPARTMENT IS COMPRISED OF 68 PARAMEDICS AND EMTS, SERVING THE RURAL COUNTIES SURROUNDING POLK COUNTY WHERE THE HOSPITAL IS LOCATED FOR ALMOST 40 YEARS. THEIR STAFF LIVE AND WORK IN THE COMMUNITIES THEY SERVE. THEY TRANSPORT AN AVERAGE OF 7,494 INDIVIDUALS EACH YEAR. - CITIZENS MEMORIAL HOSPITAL HAS 13 RURAL HEALTH CLINICS AND 7 LONG-TERM CARE FACILITIES THROUGHOUT 5 COUNTIES THAT ARE DESIGNATED AS RURAL OR PARTIALLY RURAL. THEY HAVE SERVED THE RURAL COMMUNITY FOR 40 YEARS. - ALL CONSORTIUM MEMBERS RESIDE WITHIN A RURAL SERVICE AREA AND SERVE A RURAL POPULATION THROUGH PRE-HOSPITAL EMERGENCY SERVICES, CLINICAL TREATMENT, HOSPITAL SERVICES, AND COMMUNITY PREVENTION/EDUCATION STRATEGIES. FUNDING PREFERENCE AND SPECIAL CONSIDERATION - CITIZENS MEMORIAL HOSPITAL IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. THE 5 RURAL COUNTIES SERVED ARE WITHIN AN HPSA SHORTAGE AREA (SEE ATTACHMENT. 10) - CITIZENS MEMORIAL HOSPITAL IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 3. THE NETWORK FOCUSES ON PROVIDING WELLNESS AND PREVENTION STRATEGIES FOR THE TARGET POPULATION THROUGH EARLY INTERVENTION AND COORDINATING CARE, AND PRIMARY CARE COMPONENTS WILL BE PROVIDED THROUGH COMMUNITY PARAMEDICINE TREATMENT, TRANSPORT TO TREATMENT, AND TELEHEALTH. - CITIZENS MEMORIAL HOSPITAL IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE – MARGARETVILLE HOSPITAL COMMUNITY PARAMEDICINE PROGRAM NAME: MARGARETVILLE HOSPITAL ADDRESS: 42084 STATE HIGHWAY 28, MARGARETVILLE, NY 12455 FACILITY TYPE: CRITICAL ACCESS HOSPITAL HTTPS://WWW.MARGARETVILLEHOSP.ORG/ ADAM BILLINGSLEA PROJECT DIRECTOR 845.334.4959 ADAM.BILLINGSLEA@HAHV.ORG PROPOSED WORKFORCE TRAINING TRACK TRACK 3 COMMUNITY PARAMEDICINE TARGET SERVICE AREA MARGARETVILLE HOSPITAL SERVES 59,578 RESIDENTS IN DELAWARE COUNTY AND PEOPLE LIVING IN PARTS OF ULSTER COUNTY. DELAWARE IS A HRSA-DESIGNATED RURAL COUNTIES. PARTS OF ULSTER COUNTY ARE HRSA-DESIGNATED RURAL TOWNS/CENSUS TRACT #: SHANDAKEN, 955300; DENNING & HARDENBURGH, 950900; OLIVE, 951000; ROCHESTER 955000; WOODSTOCK 950600, 950500. LIST OF PROPOSED NETWORK PARTNER ORGANIZATIONS - OFFICE OF THE AGING DELAWARE COUNTY - OFFICE OF THE AGING ULSTER COUNTY - CATSKILL HUDSON AREA HEALTH EDUCATION CENTER (CHAHEC) - DELAWARE COUNTY EMERGENCY SERVICES - MOUNTAINSIDE RESIDENTIAL CARE SERVICES - WMCHEALTH ADVANCED PHYSICIAN SERVICES (APS) - MARGARETVILLE HOSPITAL TOTAL FUNDING AMOUNT REQUESTED FOR THE ENTIRE THREE-YEAR PERIOD OF PERFORMANCE $1,544,956 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS MARGARETVILLE HOSPITAL IS A HEALTHALLIANCE HOSPITAL AND MEMBER OF THE WMCHEALTH NETWORK, A 1,700-BED HEALTHCARE SYSTEM HEADQUARTERED IN VALHALLA, NEW YORK, WITH 10 HOSPITALS ON EIGHT CAMPUSES. MARGARETVILLE HOSPITAL IS A 15-BED CRITICAL ACCESS HOSPITAL THAT HAS BEEN SERVING DELAWARE AND ULSTER COUNTY RESIDENTS FOR NEARLY 100 YEARS PROVIDING COMPREHENSIVE MEDICAL SERVICES TO THE RESIDENTS OF DELAWARE, GREENE, ULSTER AND SCHOHARIE COUNTIES. THE HOSPITAL OFFERS PATIENTS IMMEDIATE ACCESS TO THE BEST CARE AVAILABLE INCLUDING EMERGENCY CARE, AMBULATORY CARE SERVICES, LABORATORY TESTING, MEDICAL IMAGING, PHYSICAL AND OCCUPATIONAL THERAPY, SWING BED REHABILITATION PROGRAMS, RESPITE CARE, BOARD CERTIFIED SPECIALIST OR WELLNESS AND EDUCATION. MARGARETVILLE HOSPITAL HAS A RANGE OF SERVICES TO MEET THE NEEDS OF THE COMMUNITY WITHOUT HAVING TO DRIVE MILES AWAY TO ACCESS QUALITY CARE. MARGARETVILLE HOSPITAL IS A PART OF THE DELAWARE-ULSTER SENIOR CARE NETWORK, WHICH BEGAN MEETING IN 2020 AND WAS FORMED TO IMPROVE COMMUNICATION WITH THE AGING POPULATION AND THEIR FAMILIES; IMPROVE ACCESS TO HEALTHCARE AND COMMUNITY-BASED SERVICES; AND IMPROVE HEALTH OUTCOMES. THE NETWORK MEMBERS ALSO HAVE A LONG HISTORY OF SERVING THE RESIDENTS OF DELAWARE AND ULSTER COUNTY. WHILE ONE MEMBER, WMCHEALTH ADVANCED PHYSICIAN SERVICES, IS A RELATIVE NEWCOMER TO ULSTER AND DELAWARE COUNTY, HAVING SERVED THIS AREA FOR THREE YEARS, THEY ARE COMMITTED TO ENHANCING LIVES BY BUILDING UPON THEIR STATUS AS THE UNMATCHED PROVIDER OF CHOICE FOR QUALITY HEALTHCARE. MARGARETVILLE HOSPITAL HAS THE EXPERIENCE IN MANAGING PROJECTS OF THIS SCALE AND LARGER. SPECIFICALLY, MARGARETVILLE HOSPITAL IS THE RECIPIENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) PLANNING, NEONATAL ABSTINENCE SYNDROME, AND IMPLEMENTATION GRANTS. IN ADDITION, THE HOSPITAL CURRENTLY HAS A HRSA RURAL HEALTH NETWORK DEVELOPMENT PROGRAM GRANT; AND A SAMHSA EMERGENCY MEDICAL SERVICES TRAINING GRANT. EACH OF THOSE GRANTS HAS DESIGNATED PERSONNEL TO MANAGE THE AWARD. A DEDICATED STAFF PERSON FROM THE HEALTHALLIANCE FINANCE DEPARTMENT OVERSEES ALL GRANT AWARDS AND WORKS CLOSELY WITH THE PROJECT DIRECTOR AND GRANTS MANAGER TO ENSURE THAT FUNDS ARE PROPERLY ACCOUNTED FOR REPORTING AND AUDIT PURPOSES. FUNDING PREFERENCE MARGARETVILLE HOSPITAL IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION THE FACT THAT DELAWARE COUNTY IS IN A DESIGNATED HPSA AND A MUC/MUP. MARGARETVILLE HOSPITAL IS ALSO REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U WITH ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION SIMULATION EDUCATION TRAINING PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - IN RURAL GRAND, MOFFAT, AND ROUTT COUNTIES IN NORTHWEST COLORADO, THE PUBLIC HEALTH CHALLENGES ARE AS COMPLEX AS THE LANDSCAPE. THESE INCLUDE EXTENSIVE INTERGENERATIONAL POVERTY, LIMITED HEALTHCARE ACCESS, AND NOTABLE RATES OF SUBSTANCE USE DISORDER (SUD). SUD IS COMMON IN RURAL AND FRONTIER AREAS. STILL, THE STIGMA AROUND SUD LIMITS THE BREADTH OF TREATMENT PROGRAMS, AND GEOGRAPHIC ISOLATION PREVENTS PEOPLE FROM SEEKING TREATMENT AND LIVING IN SUSTAINED RECOVERY. FURTHER, THE IMPACTS OF SUD RIPPLE INTO THE LIVES OF CHILDREN AND FAMILIES, SENDING A WAVE OF IMPACT ACROSS GENERATIONS. TO TRANSFORM THE LANDSCAPE OF TREATMENT AND RECOVERY SERVICES, THE MEMORIAL HOSPITAL, DBA MEMORIAL REGIONAL HEALTH (MRH), IN COLLABORATION WITH OTHER NETWORK PARTNERS, HAS DEVELOPED A PROJECT TO TRANSFORM OUR COMMUNITY’S RESPONSE TO SUD AND ADDRESS URGENT NEEDS. THIS PROJECT FOCUSES ON SUPPORTING COMMUNITY MEMBERS WITH SUD, INCLUDING THOSE WHO ARE JUSTICE-INVOLVED, AS WELL AS THEIR FAMILIES AND SUPPORT SYSTEMS. THIS PROJECT WILL INCREASE ACCESS TO OPIOID TREATMENT SERVICES BY ESTABLISHING A NEW METHADONE CLINIC TO IMPROVE ACCESS TO MEDICATION FOR OPIOID USE DISORDER (MOUD), CREATING A CARE CONTINUUM ACROSS NORTHWEST COLORADO. ADDITIONALLY, THIS PROJECT WILL DEVELOP A REGION-WIDE CONTINGENCY MANAGEMENT PROGRAM, THE MOST EVIDENCE-BASED TREATMENT FOR STIMULANTS THAT IS ALSO EFFECTIVE FOR OPIOIDS, TO IMPROVE TREATMENT RETENTION. IT ALSO FOCUSES ON EXPANDING SUPPORTIVE SERVICES FOR FAMILIES THROUGH TRAINING PROGRAMS THAT BUILD RESILIENCE AND PROVIDE NECESSARY SKILLS AND RESOURCES. TO BOLSTER THE LOCAL WORKFORCE, MRH AND NETWORK PARTNERS WILL EXPAND THE PEER RECOVERY WORKFORCE AND TRAIN NEW ADDICTION COUNSELORS SUPPORTED BY SCHOLARSHIPS. DEDICATED ROLES SPREAD ACROSS NETWORK PARTNERS, SUCH AS HEALTHCARE NAVIGATORS, FAMILY SUPPORT PARTNERS, JUDICIAL COORDINATORS, AND CARE COORDINATORS, WILL ALSO BE PROMOTED TO SERVE INDIVIDUALS, FAMILIES, AND JUSTICE-INVOLVED POPULATION S ACROSS GRAND, MOFFAT, AND ROUTT COUNTIES. TO EDUCATE STAKEHOLDERS ON FAMILY-RELATED ISSUES, MRH AND NETWORK PARTNERS WILL HOST AN ANNUAL NORTHWEST COLORADO FAMILY BEHAVIORAL HEALTH CONFERENCE. TO FURTHER SUPPORT OUR COMMUNITY MEMBERS WHO ARE EXPERIENCING SUD, THIS PROJECT ESTABLISHES A SUPPORT VOUCHER FUND PROGRAM TO ASSIST INDIVIDUALS AND FAMILIES IN AFFORDING ESSENTIAL SERVICES LIKE MENTAL HEALTH, DENTAL CARE, AND TRANSPORTATION. THIS PROJECT ALSO PROVIDES HOUSING VOUCHERS TO JUSTICE-INVOLVED INDIVIDUALS WHO ARE RE-ENGAGING WITH SOCIETY. TO FURTHER SUPPORT JUSTICE-INVOLVED POPULATIONS, THIS PROJECT PERFORMS A NEEDS ASSESSMENT TO TAILOR SERVICES THAT FACILITATE SUCCESSFUL REINTEGRATION AND SUSTAINED RECOVERY. ADDITIONALLY, A RECOVERY COMMUNITY CENTER WILL BE CREATED TO PROVIDE JUSTICE-INVOLVED INDIVIDUALS WITH ESSENTIAL RESOURCES AND SUPPORT. THIS PROJECT ADDRESSES IMMEDIATE HEALTH SERVICE GAPS AND BUILDS A SUSTAINABLE INFRASTRUCTURE TO SUPPORT THE ONGOING HEALTH NEEDS OF OUR COMMUNITIES. TO STREAMLINE SERVICE PROVISION, A CLOSED-LOOP REFERRAL NETWORK (CLRN) WILL BE IMPLEMENTED ACROSS OUR REGION. BY IMPLEMENTING A CLRN, WE WILL IMPROVE THE COORDINATION AND EFFICIENCY OF HEALTHCARE AND SOCIAL SERVICES ACROSS NORTHWEST COLORADO. THIS PROJECT ADDRESSES THE IMMEDIATE NEEDS OF INDIVIDUALS AND FAMILIES AFFECTED BY SUD THROUGH THESE COMPREHENSIVE EFFORTS AND INTEGRATED APPROACHES. IT BUILDS A FOUNDATION FOR SYSTEMIC CHANGE IN THE REGION’S APPROACH TO BEHAVIORAL HEALTH AND WELLNESS. BY FOCUSING ON INDIVIDUAL RECOVERY AND FAMILY HEALTH, MRH AND NETWORK PARTNERS ARE COMMITTED TO TRANSFORMING THE LANDSCAPE AND HALTING GENERATIONAL CYCLES OF SUD. INDIVIDUALS AND FAMILIES IN NORTHWEST COLORADO WILL THRIVE AFTER WE COMPLETE THE IMPACTFUL ACTIVITIES DESCRIBED HEREIN.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

ASSISTANCE TO FIREFIGHTERS GRANT

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION SIMULATION EDUCATION TRAINING PROGRAM

POSITIVELY UNITED TO SUPPORT HUMANITY

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE: WEST TENNESSEE RURAL HEALTH WORKFORCE TRAINING NETWORK APPLICANT ORGANIZATION NAME, ADDRESS AND WEBSITE: BAPTIST MEMORIAL HOSPITAL- UNION CITY, 1201 BISHOP ST. UNION CITY, TN 38261, BAPTISTONLINE.ORG APPLICATION ORGANIZATION FACILITY TYPE: RURAL HOSPITAL PROJECT DIRECTOR NAME, TITLE, CONTACT INFORMATION: TBD PROPOSED WORKFORCE TRAINING TRACK: TRACKS 3 & 4 TARGET SERVICE AREA: WEAKLEY; GIBSON; DYER; LAKE; OBION; HENRY; BENTON; CARROLL & CROCKETT COUNTIES IN WEST TENNESSEE LIST OF PROPOSED NETWORK PARTNER ORGANIZATIONS: BAPTIST MEMORIAL HOSPITAL- UNION CITY; BAPTIST MEMORIAL HOSPITAL- CARROLL COUNTY; PRIORITY AMBULANCE; JACKSON STATE COMMUNITY COLLEGE; DYERSBURG STATE COMMUNITY COLLEGE; NORTHWEST TENNESSEE WORKFORCE BOARD TOTAL FUNDING AMOUNT REQUESTED FOR THE ENTIRE THREE-YEAR PERIOD OF PERFORMANCE: $1,478,737 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: THIS PROPOSAL IS FOCUSED ON A NETWORK OF HEALTH CARE AND EDUCATIONAL STAKEHOLDERS COMMITTED TO DEVELOPING AN INTEGRATED NETWORK MODEL TO IMPROVE PUBLIC HEALTH CAPACITY BY EDUCATING, TRAINING AND EMPLOYING COMMUNITY PARAMEDICS/EMTS AND RESPIRATORY THERAPISTS. THE WEST TENNESSEE PUBLIC HEALTH WORKFORCE TRAINING NETWORK (NETWORK) WAS INTENTIONALLY DEVELOPED TO UTILIZE THE UNIQUE REGIONAL STRENGTHS THAT LIE WITHIN THE NETWORK, TO BUILD COMPLEMENTARY APPROACHES TO INCREASING NUMBERS OF CERTIFIED PARAMEDICS, EMTS AND RESPIRATORY THERAPISTS. THIS APPROACH WILL BETTER RECOGNIZE SHARED REGIONAL ASSETS AND CHALLENGES, AND LINK PROGRAMS AND DATA WITH THE HUMAN CAPITAL ASSETS LOCATED IN DISPARATE CITIES, COUNTIES AND COMMUNITIES OF OUR FOCUSED TARGET AREA. THE TARGET AREA IS COMPRISED OF NINE COUNTIES IN THE NORTHWEST REGION OF TENNESSEE: OBION, WEAKLEY, HENRY, DYER, LAKE, CARROLL, BENTON, GIBSON AND CROCKETT. THE PRIMARY GOAL OF THE NETWORK IS TO EXPAND THE EDUCATIONAL, TRAINING AND EMPLOYMENT OPPORTUNITIES FOR RURAL WEST TENNESSEE RESIDENTS IN THE AREAS OF COMMUNITY PARAM EDICINE AND RESPIRATORY THERAPY. OUR NETWORK CONSISTS OF TWO RURAL HOSPITALS, TWO COMMUNITY COLLEGE INSTITUTIONS, A COMMUNITY EMERGENCY RESPONSE ORGANIZATION, AND A REGIONAL WORKFORCE DEVELOPMENT BOARD: BAPTIST MEMORIAL HOSPITAL- UNION CITY, A RURAL HOSPITAL LOCATED IN OBION COUNTY, TN; BAPTIST MEMORIAL HOSPITAL- CARROLL COUNTY, A RURAL HOSPITAL LOCATED IN CARROLL COUNTY, TENNESSEE; PRIORITY AMBULANCE, A PRIVATE AMBULANCE SERVICE THAT PROVIDES 9-1-1- SERVICE TO COMMUNITIES IN WEST TENNESSEE; DYERSBURG STATE COMMUNITY COLLEGE (DSCC), A PUBLIC COMMUNITY COLLEGE IN DYERSBURG, TN; JACKSON STATE COMMUNITY COLLEGE (JSCC), A PUBLIC COMMUNITY COLLEGE IN JACKSON, TN; AND NORTHWEST TENNESSEE WORKFORCE BOARD, A PUBLIC WORKFORCE BOARD PROVIDING WORKFORCE SERVICES TO THE NINE COUNTY TARGET AREA. BAPTIST MEMORIAL HOSPITAL- UNION CITY IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. OBION COUNTY IS IN A DESIGNATED HPSA INCLUDED IN ATTACHMENT 10. BAPTIST MEMORIAL HOSPITAL- UNION CITY IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

MI: EMPOWERING WOMEN TO MAKE CONTRACEPTIVE CHOICES WHILE INCARCERATED

EMSC PARTNERSHIP GRANTS

ASSISTANCE TO FIREFIGHTERS GRANT

SHARP NEONATAL RESEARCH INSTITUTE CLINICAL CENTER (SHARP NRI-CC) - PROJECT SUMMARY RESEARCH IN EXTREMELY PRETERM INFANTS HAS LONG BEEN CONSTRAINED BY INADEQUATE ENROLLMENT AND FAILURE TO COMPLETE TRIALS. IN RESPONSE TO RFA-HD-23-002, THIS APPLICATION WILL DEMONSTRATE THAT THE SHARP NEONATAL RESEARCH INSTITUTE (NRI) CAN SUBSTANTIALLY CONTRIBUTE AS A CLINICAL CENTER (SHARP NRI-CC) IN THE EUNICE KENNEDY SHRIVER NICHD NEONATAL RESEARCH NETWORK (NRN) 2023-2029 CYCLE. AS A COMMUNITY HOSPITAL WITH HIGH PATIENT VOLUMES, CLINICAL TRIAL EXPERTISE, AND EXCEPTIONAL PARTICIPANT ENROLLMENT, THREE MAIN STRENGTHS UNDERSCORE SHARP’S APPLICATION INTO THE NRN: 1) TWO SHARP HOSPITALS COMBINED DELIVER OVER 10,000 BABIES IN SAN DIEGO COUNTY, WITH OVER 1,500 NICU ADMISSIONS ANNUALLY; 2) A HIGHLY EXPERIENCED GROUP OF CLINICAL TRIALISTS AND NEURODEVELOPMENTAL SPECIALISTS HAVE SUCCESSFULLY PARTICIPATED IN MULTIPLE CLINICAL TRIALS, INCLUDING PREVIOUS NRN EXPERIENCE DURING THE 2001-2005 CYCLE; 3) SHARP’S INTEGRATION OF NEONATAL RESEARCH INTO CLINICAL CARE WHICH ALLOWS FOR RECRUITMENT 24/7 THROUGH HIGHLY TRAINED PERSONNEL WHO ATTEND ALL HIGH-RISK DELIVERIES AND COMPLETE THE ANTENATAL CONSENT PROCESS, WITH CONSENT RATES OF OVER 80% FOR MANY CLINICAL TRIALS. SPECIFIC AIM 1: ENROLL DIVERSE HIGH-RISK NEONATES INTO CURRENT AND FUTURE NRN TRIALS. THE SHARP INVESTIGATIVE TEAM HAS DESIGNED AND SIMULTANEOUSLY LED SEVERAL LARGE MULTICENTER RANDOMIZED CONTROLLED TRIALS (RCT). THE SHARP NRI SERVES A UNIQUE POPULATION OF APPROXIMATELY 40% HISPANIC AND HAS A HIGH VOLUME OF MULTIPLE PREGNANCIES. SPECIFIC AIM 2: PARTICIPATE IN NRN TRIAL DESIGN AND HELP COMPLETE TRIALS EFFICIENTLY. THE PROPOSED SHARP NRI-CC PI, ANUP KATHERIA, MD, HAS A PROVEN TRACK RECORD OF EFFICIENCY, LEADERSHIP, AND EXPERTISE. HE DESIGNED AND LED SEVERAL LARGE MULTICENTER RCTS AND ROUTINELY CONDUCTS MULTIPLE TRIALS SIMULTANEOUSLY, INCLUDING PREMATURE INFANTS RECEIVING MILKING OR DELAYED CORD CLAMPING TRIAL (PREMOD2, 20 CENTERS, N=1,200, EST. COMPLETION 9/2022) AND COMPLETED ENROLLMENT IN THE UMBILICAL CORD MILKING IN NON-VIGOROUS INFANTS TRIAL (MINVI, 10 CENTERS, N=1,730). BOTH TRIALS ENROLLED NEARLY 3,000 PARTICIPANTS FOR SECONDARY STUDIES. DESPITE PREMOD2 BEING TEMPORARILY STOPPED, THESE TRIALS CONTINUED ENROLLING DURING THE PANDEMIC; ENROLLMENT WAS COMPLETED IN 6 AND 3 YEARS (WITH ONGOING 2-YEAR FOLLOW-UP), RESPECTIVELY. HIS EXPERIENCED INVESTIGATIVE TEAM INCLUDING TWO SENIOR INVESTIGATORS WHO LED THE NRN SUPPORT TRIAL AND ITS NEURODEVELOPMENTAL FOLLOW-UP COMPONENT, COUPLED WITH A PRODUCTIVE RESEARCH TEAM WITH A STRONG HISTORY OF CONDUCTING MULTIPLE NEONATAL CLINICAL STUDIES, WILL PROVIDE ADDITIONAL EXPERTISE TO THE NRN. SPECIFIC AIM 3: PRIORITIZE LONG-TERM NEURODEVELOPMENTAL FOLLOW-UP IN ALL RESEARCH TRIALS. THE SHARP HIGH RISK INFANT FOLLOW-UP PROGRAM PROVIDES LONGITUDINAL, COMPREHENSIVE NEURODEVELOPMENTAL ASSESSMENTS FOR NEWBORNS DELIVERED AT SHARP AND ENROLLED IN CLINICAL TRIALS THAT HELPED INCREASE THE OVERALL NEONATAL FOLLOW-UP RATES TO ABOVE 85% FOR RECENT CLINICAL RESEARCH TRIALS.

EARLY DETECTION OF COMMON CANCERS IN WOMEN IN INDIA

RESIDENCY TRAINING IN PRIMARY CARE

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - ADVENTHEALTH MANCHESTER (AHM) (MEMORIAL HOSPITAL, INC.) PROPOSES TO IMPLEMENT A RURAL COMMUNITY OPIOID RESPONSE IMPACT PROGRAM ENTITLED “RECOVER-RURAL EMPOWERMENT FOR COMMUNITY-ORIENTED RECOVERY” TO IMPROVE ACCESS TO INTEGRATED, COORDINATED TREATMENT AND RECOVERY SERVICES FOR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDER (OUD), IN RURAL AREAS OF SOUTHEASTERN KENTUCKY. AHM’S RECOVER PROGRAM WILL INITIATE AND EXPAND COORDINATED AND INTEGRATED TREATMENT AND RECOVERY CARE FOR ALL IMPACTED BY SUD/OUD IN THE RURAL COUNTIES OF CLAY, BELL, KNOX, AND JACKSON, KENTUCKY. RECOVER AIMS TO ADDRESS THE SUD/OUD CRISIS IN SOUTHEASTERN KENTUCKY TO PROMOTE LONG-TERM, SUSTAINED RECOVERY. THE TARGET POPULATION FOR RECOVER INCLUDES THOSE WHO ARE EXPERIENCING SYMPTOMS OF SUD, IN TREATMENT FOR SUD, IN RECOVERY FOR SUD, ARE IMPACTED BY SUD, OR ARE FAMILY MEMBERS OR CAREGIVERS OF THOSE IN TREATMENT OR RECOVERY FOR SUD INCLUDING BUT NOT LIMITED TO ADULTS, CHILDREN/ADOLESCENTS, AND JUSTICE INVOLVED INDIVIDUALS. THE PROJECT’S GOALS ARE: 1. ESTABLISH AND EXPAND COORDINATED, COMPREHENSIVE SUD/OUD TREATMENT AND RECOVERY SERVICES IN RURAL SOUTHEASTERN KENTUCKY, 2. DEVELOP A RESPONSIVE SUD WORKFORCE THAT INCLUDES PEERS AND CLINICAL PROVIDERS WITH DIVERSE SCOPES OF PRACTICE, 3. ESTABLISH COORDINATION WITH SUPPORTIVE SOCIAL SERVICES TO ENSURE OPTIMIZED OPPORTUNITIES FOR SUSTAINED, LONG-TERM RECOVERY, AND 4. ENSURE CONTINUED VIABILITY AND SUSTAINABILITY OF THE RECOVER PROGRAM. RURAL APPALACHIAN KENTUCKY FACES SIGNIFICANT CHALLENGES WITH SUBSTANCE USE DISORDER (SUD) AND OPIOID USE DISORDER (OUD). KENTUCKY EXPERIENCES ONE OF THE HIGHEST OPIOID OVERDOSE MORTALITY RATES IN THE U.S. OVERDOSE DEATHS, PRIMARILY INVOLVING OPIOIDS LIKE FENTANYL, HAVE DOUBLED SINCE 2011. THE REGION EXPERIENCES HIGH HEALTHCARE PROFESSIONAL SHORTAGES, AND THE REGION HAS SIGNIFICANT SOCIO-ECONOMIC CHALLENGES. RECOVER WILL BRING INTEGRATED, COLLABORATIVE SOLUTIONS FOR TREATMENT AND RECOVERY OF SUD/OUD UNITING FIVE ORGANIZATIONS IN A JOINED EFFORT TO IMPROVE LONG-TERM RECOVERY FOR THE REGION’S POPULATIONS. THE ORGANIZATIONS INCLUDE THE CLAY COUNTY DETENTION CENTER, SECOND CHANCE BEHAVIORAL HEALTH, VOLUNTEERS OF AMERICA, AND CUMBERLAND RIVER BEHAVIORAL HEALTH ALONG WITH ADVENTHEALTH MANCHESTER. THE PROJECT EXPECTS TO PROVIDE OUD/SUD/MOUD TREATMENT AND RECOVER CARE TO 23,440 UNDUPLICATED INDIVIDUALS OVER A FOUR YEAR PERIOD.

THIS EDA INVESTMENT SUPPORTS BOONE MEMORIAL HOSPITAL, INC. WITH CONSTRUCTING AND ESTABLISHING THE MADISON FARMERS MARKET AND GREENHOUSE IN DOWNTOWN MADISON, INCLUDING FREEZERS AND A MOBILE KITCHEN. THIS NEW RESOURCE WILL ALLOW FOR FARMERS AND SMALL BUSINESS OWNERS TO SELL A WIDE VARIETY OF PRODUCTS AT THE FARMERS MARKET. THE MOBILE KITCHEN WILL BE USED TO HOLD COMPREHENSIVE EDUCATION COURSES ON SKILLS RE-TRAINING, ENTREPRENEURSHIP, LIFE SKILLS, HEALTHY EATING, AND BUILDING SUSTAINABLE HEALTHY HABITS. THE PROJECT WILL ASSIST WITH LOCAL ECONOMIC DEVELOPMENT AND RURAL INNOVATION IN AN AREA SEVERELY IMPACTED BY THE DECLINE IN THE COAL INDUSTRY AND THE COVID-19 PANDEMIC BY ENHANCING JOB CREATION AND RETENTION IN AN AREA, WHICH WILL ADVANCE ECONOMIC RESILIENCY THROUGHOUT THE REGION.

REGIONAL CENTER OF EXCELLENCE FOR PTSD: PHOEBE PUTNEY MEMORIAL HOSPITAL

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D - STATEMENT OF WORK, ABSTRACT

SYSTEMS CHANGE FOR EQUITABLE OUTCOMES - DRUG FREE JACKSON, SYSTEMS CHANGE FOR EQUITABLE OUTCOMES. THE SYSTEMS CHANGE FOR EQUITABLE OUTCOMES PROJECT AIMS TO IMPROVE EQUITABLE OUTCOMES IN SUBSTANCE ABUSE PREVENTION AND SUD TREATMENT AND RECOVERY IN JACKSON COUNTY, MICHIGAN. THE INFRASTRUCTURE DEVELOPMENT IN THIS PROJECT WILL PRIMARILY IMPACT YOUTH IN PUBLIC SCHOOLS IN GRADES 3-5 AND AFRICAN AMERICAN ADULTS LIVING IN THE CITY OF JACKSON. GAPS IN PREVENTION AND TREATMENT SERVICES AND FAILURE OF SYSTEMS TO ADDRESS ROOT CAUSES OF YOUTH AND ADULT SUBSTANCE USE AND MISUSE IN JACKSON COUNTY ARE PRODUCING DISPARITIES AND SUB-OPTIMAL POPULATION OUTCOMES. THE OPPORTUNITY GAP BEGINS EARLY AND IS COMPOUNDED OVER TIME BY POLICIES, PROGRAMS, AND SERVICES THAT DO NOT MEET THE NEEDS OF THOSE THEY ARE DESIGNED TO SERVE. FUNDING WILL BE USED TO INCREASE CAPACITY TO ASSESS AND TRACK POPULATION LEVEL RISK AND PROTECTIVE FACTORS IN JACKSON COUNTY ELEMENTARY SCHOOLS AND BUILD RELATIONSHIPS AND TRUST BETWEEN BLACK RESIDENTS OF THE CITY OF JACKSON AND MEDICAL, TREATMENT AND RECOVERY PROVIDERS. ADDITIONALLY THE PROJECT WILL INCREASE THE NUMBER OF SCHOOLS AND PROVIDERS WITH HUMAN-CENTERED, CULTURALLY INFORMED POLICIES AND PRACTICES BY PROVIDING TARGETED COACHING AND TECHNICAL ASSISTANCE. OUTCOMES TRACKED WILL INCLUDE NUMBER OF SCHOOLS ADMINISTERING THE DEVELOPMENTAL ASSETS SURVEY, USE OF THE HUMAN-CENTERED DESIGN MODEL TO CO-DESIGN IMPROVEMENTS IN SERVICE PROVISION, INCREASE IN ACCESS TO MEDICATION ASSISTED TREATMENT, IMPROVED YOUTH PERCEPTION OF RISK OF SUBSTANCES AND IMPROVED RATES OF YOUTH SUBSTANCE USE.

AWARD PURPOSE:THE PURPOSE OF WORC ROUND 6 IS TO INCREASE ACCESS TO STABLE, HIGH-QUALITY, FAMILY-SUSTAINING JOBSFOR WORKERS IN THE APPALACHIAN, DELTA, AND NORTHERN BORDER REGIONS, INCLUDING THOSE IN CRITICALSECTORS SUCH AS INFRASTRUCTURE AND CLEAN ENERGY. IMPROVING ACCESS TO THESE GOOD JOBS WILL ENABLETHESE WORKERS TO REMAIN WITHIN THEIR REGION. THIS FOCUS ALSO IS CONSISTENT WITH THE BIDEN-HARRISADMINISTRATIONS COMMITMENT TO EXPAND ACCESS TO QUALITY JOBS, AS DEFINED BY THE GOOD JOBSPRINCIPLES, A SHARED FEDERAL VISION OF JOB QUALITY PUBLISHED BY THE DEPARTMENTS OF LABOR ANDCOMMERCE, AND THE RURAL PARTNERS NETWORK, AN ALL-OF-GOVERNMENT PROGRAM THAT CONNECTS RURALCOMMUNITIES WITH RESOURCES AND FUNDING TO CREATE JOBS, BUILD INFRASTRUCTURE, AND SUPPORT LONGTERMECONOMIC MOBILITY.ACTIVITIES PERFORMED:ALLOWABLE PROJECT ACTIVITIES FOR WORC ROUND 6 GRANT AWARD RECIPIENTS INCLUDE WORKFORCE TRAININGACTIVITIES AND CAREER SERVICES, SUPPORTIVE SERVICES, EMPLOYER SERVICES, STRATEGIC PLANNING ACTIVITIES,AND EQUIPMENT AND RENOVATION PURCHASES.DELIVERABLES:WORC ROUND 6 GRANT AWARD RECIPIENTS IDENTIFY THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TOBE ENROLLED DURING THE PERIOD OF PERFORMANCE, AND THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTSPROJECTED TO ENTER GOOD JOBS OR OBTAIN NEW OR ENHANCED EMPLOYMENT AS A RESULT OF THE PROJECT.SEE NOTICE OF AWARD, TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACTINTENDED BENEFICIARY(IES):ELIGIBLE PARTICIPANTS FOR WORC ROUND 6 GRANT AWARDS INCLUDE: 1) NEW ENTRANTS TO THE WORKFORCE:FOR THE PURPOSES OF THIS FOA, THE CATEGORY OF NEW ENTRANTS TO THE WORKFORCE REFERS TO THOSE WHOHAVE NEVER WORKED BEFORE OR WHO HAVE BEEN OUT OF THE WORKFORCE FOR A LONG ENOUGH TIME TO MAKE ITAS IF THEY ARE ENTERING THE WORKFORCE FOR THE FIRST TIME 2) DISLOCATED WORKERS: FOR THE PURPOSES OFTHIS FOA, THIS TERM REFERS TO THE DEFINITION FOUND AT SECTION 3(15) OF WIOA AND 3) INCUMBENTWORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO INDIVIDUALS WHO ARE EMPLOYED BUT NEEDEMPLOYMENT AND TRAINING SERVICES TO SECURE FULL-TIME EMPLOYMENT, ADVANCE IN THEIR CAREERS, ORRETAIN THEIR EMPLOYMENT. WITHIN THESE ELIGIBLE PARTICIPANT CATEGORIES (NEW ENTRANTS, DISLOCATEDWORKERS, AND INCUMBENT WORKERS), APPLICANTS MUST PRIORITIZE HISTORICALLY MARGINALIZED POPULATIONSAND COMMUNITIES WITHIN THE LOCAL OR REGIONAL ECONOMIC AREA SERVED BY THE GRANT, INCLUDING WOMEN,PEOPLE OF COLOR, JUSTICE-INVOLVED INDIVIDUALS, INDIVIDUALS WITH DISABILITIES, VETERANS, INDIVIDUALS WITHLIMITED ENGLISH PROFICIENCY, INDIVIDUALS WITH A HISTORY OF SUBSTANCE DEPENDENCY OR OTHER BEHAVIORALHEALTH CONDITIONS, OR OTHER POPULATIONS WHO WILL BENEFIT FROM IMPROVED JOB QUALITY AND CAREERADVANCEMENT OPPORTUNITIES.SUBRECIPIENT ACTIVITIES:WORC ROUND 6 GRANT AWARD RECIPIENTS MAY PARTNER WITH SUBRECIPIENTS AS WELL AS PROVIDE SERVICESTHROUGH AMERICAN JOB CENTERS WITHIN THE AREA COVERED BY THE GRANT AS APPROPRIATE.

SUSTAINING TOBACCO ABSTINENCE AFTER INCARCERATION

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

TELEHEALTH NETWORK GRANT PROGRAM

CONSTRUCTION OF WATER TOWER REHABILITATION PROJECT

PRIMARY CARE TRAINING AND ENHANCEMENT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE FUNDING REQUEST BY HENRY MAYO NEWHALL HOSPITAL, A NOT-FOR-PROFIT HOSPITAL SERVING THE SANTA CLARITA VALLEY AND NORTH LOS ANGELES COUNTY, IS TO PROVIDE EQUIPMENT FOR THE SURGICAL CENTER AS IT EXPANDS TO MEET THE GROWING NEEDS OF THOSE WE SERVE. SPECIFICALLY, THE FUNDS WOULD BE USED TO PURCHASE EQUIPMENT WITH REQUIRED SOFTWARE LICENSING, MODULES, ADAPTORS, CABLES AND 5-LEAD GRABBERS FOR PATIENT MONITORING SYSTEMS WHILE IN THE OPERATING ROOM, PRE-OPERATIVE TRANSPORT AND DURING POST-OPERATIVE CARE.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

COMMUNITIES ADDRESSING CHILDHOOD TRAUMA (ACT) - THE COMMUNITY RESILIENCE CENTER

BLOUNT COUNTY SUBSTANCE ABUSE PREVENTION ACTION TEAM

SMH NATIVE CONNECTIONS PROGRAM - SAGE MEMORIAL HOSPITAL’S NATIVE CONNECTIONS PROGRAM BUILDS A COMMUNITY-WIDE SUICIDE AND SUBSTANCE MISUSE PREVENTION PLATFORM FOR THE YOUTH RESIDING IN THE COMMUNITIES OF CORNFIELDS, GANADO, KINLICHEE, KLAGETOH, GREASEWOOD SPRINGS, STEAMBOAT, AND WIDE RUINS, ARIZONA, WHICH HAS A COMBINED COMMUNITY POPULATION OF MORE THAN 9,500 COMMUNITY MEMBERS, OF WHICH, 3,300 ARE UNDER THE AGE OF 24 YEARS OLD. THE GOAL IS TO BUILD PARTNERSHIPS WITH YOUTH SERVING AGENCIES IN THE COMMUNITY AND PROVIDE THEM WITH THE SKILLS TO IDENTIFY AND PROVIDE MENTAL HEALTH FIRST AID SO THEY ARE ABLE TO GUIDE YOUTH TO NEEDED MENTAL HEALTH SERVICES. THE OBJECTIVES ARE: 1) TO USE EVIDENCE-BASED CURRICULUMS SUCH AS YOUTH MENTAL HEALTH FIRST AID, ASIST, QPR AND CRISIS INTERVENTION TRAINING TO TRAIN STAFF AND FACULTY AT SIX LOCAL SCHOOLS OVER THE NEXT FIVE YEARS; 2) TO REVISE POLICIES AND PROCEDURES SO MHAT TRAINEES HAVE A REFERRAL PATH TO ER AND BEHAVIORAL HEALTH SERVICES; 3) SCREEN ALL YOUTH PATIENTS FOR DEPRESSION AND SUICIDE; AND 4) CREATE PROTECTIVE FACTORS TO PREVENT SUICIDE AND SUBSTANCE MISUSE AND REDUCE THE IMPACT OF TRAUMA. THIS PROGRAM EXPECTS TO SERVE OVER 2,500 YOUTH, SCHOOL STAFF AND FACULTY, PARENTS AND GUARDIANS OVER THE NEXT FIVE YEARS. THE ANTICIPATED OUTCOME IS TO IDENTIFY ALL YOUTH WHO ARE EXPERIENCING A MENTAL HEALTH CRISIS, ENSURE THEY RECEIVE COUNSELING AND/OR TREATMENT AND HAVE THE OPPORTUNITY TO PARTICIPATE IN PROGRAMS THAT ENGAGE THEM IN POSITIVE AND CULTURALLY ENRICHING ACTIVITIES.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION - PROJECT ABSTRACT HRSA-22-057 PROJECT TITLE: BOONE MEMORIAL HOSPITAL BRIGHTER FUTURES COLLABORATIVE REQUESTED AWARD AMOUNT: $1,000,000 APPLICANT ORGANIZATION NAME: NAME: BOONE MEMORIAL HOSPITAL, INC. ADDRESS: 701 MADISON AVE, MADISON, WV 25130 FACILITY TYPE: NON-PROFIT HOSPITAL WEBSITE: WWW.BMH.ORG DESIGNATED PROJECT DIRECTOR: MR. BRENT TOMBLIN, MS EXECUTIVE DIRECTOR, BRIGHTER FUTURES 467 MAIN STREET, MADISON, WV 25130 PHONE: 304-369-1230, EXT. 4604 EMAIL: BTOMBLIN@BMH.ORG CURRENT FY20/FY21 RCORP-I GRANTEE: NO. EIN EXCEPTION REQUEST: NO. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: GRANTS.GOV CONSORTIUM MEMBERS (5): ? BRIGHTER FUTURES AT BOONE MEMORIAL HOSPITAL (LEAD APPLICANT) ? BOONE COUNTY SHERIFF’S OFFICE ? HERO HOUSE/FULTON HOUSE ? SAFE HAVEN SOBER LIVING HOME ? BOONE COUNTY PUBLIC HEALTH DEPARTMENT/QUICK RESPONSE TEAM (WRT) PREVIOUS OR CURRENT RCORP RECIPIENT?: NO. TARGET POPULATION: THE TARGET POPULATION ARE ADULTS (AGED 18 OR OLDER) IN RURAL BOONE COUNTY, WV EXPERIENCING OUD/SUD AND OTHER MENTAL/BEHAVIORAL HEALTH ISSUES. THIS PROJECT WILL PROVIDE CRITICAL SERVICES TO POPULATIONS THAT HAVE HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES OR HEALTH DISPARITIES, AS COMPARED TO THE REST OF THE TARGET RURAL POPULATION BY VIRTUE OF LOWER EDUCATIONAL ATTAINMENT, INCOME, AND AVAILABILITY OF PRIMARY AND MENTAL/BEHAVIORAL HEALTH CARE SERVICES. THIS PROJECT DOES NOT SIGNIFICANTLY IMPACT AMERICAN INDIAN/ALASKAN NATIVE POPULATIONS. TARGET SERVICE AREA: THIS PROJECT WILL FOCUS ON BOONE COUNTY, WV. BOONE COUNTY IS A FULLY RURAL COUNTY PER HRSA’S RURAL HEALTH GRANTS ELIGIBILITY ANALYZER. DOES THE TARGET SERVICE AREA OVERLAP WITH AN EXISTING FY 19 OR FY 20 RCORP-IMPLEMENTATION AWARD RECIPIENT’S SERVICE AREA?: NO.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - WAYNE MEMORIAL HOSPITAL, A NONPROFIT INDEPENDENT HOSPITAL IN RURAL NORTHEAST PENNSYLVANIA, IS SEEKING THE ASSISTANCE OF THE FEDERAL GOVERNMENT TO ACQUIRE A SURGICAL ROBOTIC SYSTEM TO IMPROVE THE QUALITY OF PATIENT CARE IN OUR SERVICE AREA, PARTICULARLY FOR OUR ELDERLY PATIENTS, AND TO ENHANCE OUR ABILITY TO RECRUIT SKILLED PHYSICIANS. OUR PROJECT ALIGNS WITH HRSA’S MISSION “TO IMPROVE HEALTH OUTCOMES AND ACHIEVE HEALTH EQUITY THROUGH ACCESS TO QUALITY SERVICES, A SKILLED HEALTH WORKFORCE, AND INNOVATIVE, HIGH-VALUE PROGRAMS.” ROBOTIC SURGERY IS LESS INVASIVE THAN TRADITIONAL SURGERY AND GENERALLY LEADS TO LESS PAIN, DECREASED LIKELIHOOD FOR INFECTION, AND A SHORTER RECOVERY PERIOD. FOR OUR PATIENTS WHO WOULD BENEFIT FROM ROBOTIC SURGERY, IT ALSO MEANS THEY DO NOT HAVE TO TRAVEL FOR THIS CARE. ALL OF THESE FACTORS POINT TO POTENTIALLY BETTER, MEANINGFUL AND MORE POSITIVE HEALTH OUTCOMES. A ROBOTIC SURGERY SYSTEM WILL ESPECIALLY BENEFIT OUR MEDICARE PATIENTS -- 24.6% OF THE POPULATION IN WAYNE COUNTY IS AGE 65 OR OLDER (30% AGE 60 OR OVER), IN PIKE COUNTY IT'S 23.5% VERSUS ONLY 18.7% FOR ALL OF PENNSYLVANIA. PROSTATE CANCER IS ONE OF THE TOP FIVE CANCERS IN OUR REGION, AND A ROBOTICS-TRAINED UROLOGIST WOULD BE AN ASSET TO OUR COMMUNITY. WHILE WAYNE MEMORIAL HOSPITAL SERVES A SIGNIFICANT MEDICARE POPULATION, WE ANTICIPATE THE ROBOTIC EQUIPMENT WILL BENEFIT ALL AGES AND GROUPS, FROM CHILDREN TO THE AGING, AS IT WILL BE CROSS-UTILIZED BY UROLOGISTS, GENERAL SURGEONS AND GYNECOLOGISTS. ACQUISITION OF THIS ROBOTIC SYSTEM WILL ALSO HELP THE HOSPITAL REMAIN VIABLE BY HELPING TO ATTRACT AND MAINTAIN A SKILLED WORKFORCE. SINCE 2010, MORE THAN 136 RURAL HOSPITALS HAVE CLOSED IN THE U.S. PHYSICIAN RECRUITMENT IS KEY TO OUR SURVIVAL. MOST SPECIALISTS COMING OUT OF RESIDENCIES TODAY ARE DEMANDING ROBOTICS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE EVANS MEMORIAL HOSPITAL ROOF REPLACEMENT PROJECT INVOLVES THE REMOVAL AND REPLACEMENT OF THE EXISTING ROOF SYSTEM ON THE HOSPITAL BUILDING. THE CURRENT ROOF SYSTEM HAS REACHED THE END OF ITS USEFUL LIFE AND IS IN NEED OF REPLACEMENT TO ENSURE THE SAFETY AND WELL-BEING OF PATIENTS, STAFF, AND VISITORS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT BLUE HILL HOSPITAL 57 WATER STREET, BLUE HILL, ME 04614 PROJECT DIRECTOR: TIMOTHY DOAK CONTACT PHONE NUMBER: 207.275.1525 EMAIL ADDRESS: TDOAK@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/BLUE-HILL-HOSPITAL BLUE HILL MEMORIAL HOSPITAL, DOING BUSINESS AS NORTHERN LIGHT BLUE HILL HOSPITAL (NL BLUE HILL HOSPITAL), WILL CONSTRUCT A NEW EMERGENCY DEPARTMENT TO PROVIDE ESSENTIAL ACCESS TO EMERGENCY SERVICES FOR THE BLUE HILL PENINSULA AND LARGER HANCOCK COUNTY, MAINE. NL BLUE HILL HOSPITAL IS INTEGRAL TO THE TOWN AND PENINSULA, AS WELL AS A CRITICAL COMPONENT OF NORTHERN LIGHT HEALTH’S REGIONAL RURAL HEALTH CARE MODEL SERVING HANCOCK COUNTY AND BEYOND. THE HOSPITAL FACILITY WAS INCREASINGLY IN NEED OF REPAIRS AND COSTLY TO MAINTAIN DUE TO ITS AGE. COST ESTIMATES FOUND THAT THE COST TO REPAIR EXCEEDED THE COST TO REPLACE. FURTHER ANALYSIS CONFIRMED BOTH THE NEED TO RIGHT-SIZE THE HOSPITAL FACILITY TO SUSTAIN INPATIENT BEDS IN HANCOCK COUNTY, PARTICULARLY TO CARE FOR THE AGING POPULATION, AS WELL AS THE NEED TO PRESERVE 24/7 EMERGENCY CARE ON THE BLUE HILL PENINSULA – WHERE A PATIENT’S TRIP TO THE HOSPITAL MAY BEGIN WITH A LONG BOAT RIDE FROM ONE OF THE MANY ISLANDS NL BLUE HILL HOSPITAL SERVES. CONGRESSIONALLY DIRECTED SPENDING ($1 MILLION) WILL SUPPORT COSTS RELATED TO THE CONSTRUCTION OF THE NEW EMERGENCY DEPARTMENT. THE COSTS OF BUILDING OUT THE NEW EMERGENCY DEPARTMENT WITHIN THE NEW NL BLUE HILL HOSPITAL TOTAL $1,817,696. THE REMAINING $817,696 IN CONSTRUCTION COSTS WILL BE SUPPORTED THROUGH OTHER SOURCES, PRINCIPALLY PRIVATE PHILANTHROPY. NL BLUE HILL HOSPITAL’S NEW 4,360 SQUARE FOOT EMERGENCY DEPARTMENT (ED), WITH 24/7 COVERAGE, WILL BE CONSTRUCTED AT THE REAR OF A NEW 21,272 SQUARE FOOT HOSPITAL TO BE SITUATED ON THE FRONT PORTION OF THE EXISTING HOSPITAL CAMPUS ABUTTING WATER STREET. THIS ED LOCATION WILL PROVIDE READY ACCESS FOR AMBULANCE TRANSPORT AS WELL AS TO THE ONSITE HELIPAD FOR RAPID TRANSFER TO TERTIARY CARE. THE NEW ED WILL HAVE FIVE EXAM ROOMS, INCLUDING AN EXAM ROOM WITH NEGATIVE PRESSURE CAPABILITY FOR WHEN SUCH ISOLATION IS NEEDED, AND ONE LARGER EXAM ROOM TO ACCOMMODATE MORE COMPLEX SITUATIONS. AT THE TRIAGE STATION INSIDE THE ENTRANCE TO THE EMERGENCY DEPARTMENT, PATIENTS WILL BE DIRECTED TO THE APPROPRIATE EXAM ROOM OR THE ED WAITING AREA. THE ED ALSO INCLUDES A MEDICATIONS ROOM, SHARED OFFICE FOR CLINICIANS, NURSES’ STATION, CLINICIAN DICTATION AREA WITH DIRECT CONNECTION TO THE NORTHERN LIGHT HEALTH ELECTRONIC HEALTH RECORD SYSTEM, SOILED AND CLEAN UTILITIES AND OTHER SUPPORT SPACES, AND ACCESSIBLE RESTROOMS. IMAGING SERVICES WILL BE LOCATED ADJACENT TO THE ED. THE NL BLUE HILL HOSPITAL ED FACILITIES ARE APPROPRIATELY SIZED BASED ON PROJECTED INDUSTRY TRENDS, DEMOGRAPHIC CHANGES, AND NORTHERN LIGHT HEALTH’S STREAMLINED REGIONAL RURAL HEALTH CARE MODEL, DESIGNED TO SUSTAIN ACCESS TO ESSENTIAL CARE IN THE FACE OF INCREASING NUMBERS OF RURAL HOSPITAL CLOSURES ACROSS THE COUNTRY.

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - DESCRIPTION: THE KENT/BROWN FAMILY MEDICINE RESIDENCY IS LOCATED IN A HEALTH PROFESSIONALS SHORTAGE AREA IN PAWTUCKET, RI. THE PURPOSE OF OUR PROPOSED INITIATIVE IS TO ENHANCE THE CURRICULAR AND CLINICAL TRAINING EXPERIENCES OF: FAMILY MEDICINE (FM) RESIDENTS, FM FACULTY, INTERPROFESSIONAL (MENTAL HEALTH/BEHAVIORAL HEALTH, MEDICAL AND PHARMACY STUDENTS TRAINING TOGETHER IN THE FAMILY CARE CENTER; AND OTHER PRIMARY CARE PROVIDERS (PCPS) IN RI. WE AIM TO CULTIVATE A WORKFORCE OF PCPS WHO ARE: WELL PREPARED TO ADDRESS THE COMPREHENSIVE HEALTH CARE NEEDS OF PEOPLE EXPERIENCING HOMELESSNESS AND ESPECIALLY THOSE WITH SUBSTANCE USE AND MENTAL HEALTH DISORDERS; WELL VERSED IN COMMUNITY OUTREACH STRATEGIES TO DELIVER PATIENT-CENTERED, EVIDENCE-BASED CARE TO THOSE WITH LIMITED ACCESS; AND WHO WILL CONTINUE TO CARE FOR PEOPLE EXPERIENCING HOMELESSNESS UPON GRADUATION. NEEDS TO BE ADDRESSED: OUR INITIATIVE ADDRESSES KEY HRSA PRIORITIES BY DEVELOPING A STREET MEDICINE TRACK. IT ALSO RESPONDS TO HEALTH NEEDS IN RHODE ISLAND. THEY INCLUDE TRAINING FUTURE/CURRENT FAMILY PHYSICIANS AND OTHER PCPS TO 1) DELIVER PRIMARY CARE FOR PEOPLE EXPERIENCING HOMELESSNESS; 2) DEVELOP ADVANCED SKILLS TO ADDRESS THE BEHAVIORAL NEEDS OF PEH INCLUDING TO TREAT OPIOID USE DISORDER AND SUBSTANCE USE DISORDER; 3) WORK IN INTRADISCIPLINARY TEAMS TO PROVIDE COMPREHENSIVE CARE THAT ALSO ADDRESSES SOCIAL DETERMINANTS OF HEALTH. TRAINEE SPECIFIC OBJECTIVES TO BE ACCOMPLISHED: ANTICIPATED OUTCOMES FOR YEARS 2 – 5: 80% FM GRADUATES WILL PRACTICE IN PRIMARY CARE 50% FM GRADUATES WILL PRACTICE IN UNDERSERVED AREAS 20% FM GRADUATES WILL PRACTICE IN RURAL AREAS 20% FM GRADUATES WILL PARTICIPATE IN STREET MEDICINE 100% OF FM GRADUATES AND FM FACULTY WILL GAIN EXPERIENCE IN STREET MEDICINE TWO FM GRADUATES/YEAR WILL COMPLETE THE NEWLY ESTABLISHED STREET MEDICINE TRACK 75% OF FM GRADUATES AND 150 RI PCPS WILL PARTICIPATE IN ECHO/TELEMENTORING ACTIVITIES HOW PROJECT WILL BE ACCOMPLISHED: WE WILL DESIGN, IMPLEMENT AND EVALUATE A NEW STREET MEDICINE TRACK IN PARTNERSHIP WITH THE BROAD STREET CLINIC, THE RI STREET MEDICINE ORGANIZATION AS WELL AS PROJECT WEBER RENEW AND HOUSE OF HOPE. IN ADDITION, WE WILL DESIGN, IMPLEMENT AND EVALUATE NEW CURRICULA AND CLINICAL SERVICES AIMED AT BUILDING OUR PRIMARY CARE TRAINEES’ CAPACITY TO TREAT OPIOID USE DISORDER AND SUBSTANCE USE DISORDER IN PEH. THE KENT/BROWN FM RESIDENCY, STRENGTHENED BY ITS PARTNERSHIP WITH BROWN UNIVERSITY’S WARREN ALPERT MEDICAL SCHOOL AND MULTIPLE COMMUNITY PARTNERS, HAS A LONG TRACK RECORD OF EDUCATIONAL LEADERSHIP AND SUCCESSFUL IMPLEMENTATION OF INNOVATIVE PROGRAMS FOR PREPARING PCPS TO ADDRESS THE CHANGING HEALTH CARE NEEDS OF ALL POPULATIONS, WITH A FOCUS ON THE CARE OF UNDERSERVED COMMUNITIES. POPULATION GROUPS TO BE SERVED: RI HAS THE SECOND HIGHEST RATE OF HOMELESSNESS IN THE COUNTRY, A HIGH RATE OF OUD, AND IS WITHOUT A TARGETED PLAN TO IMPROVE PRIMARY CARE TO THESE POPULATIONS IN THE FUTURE. OUR INITIATIVE RESPONDS DIRECTLY TO THE POSSIBLE DRIVERS OF GAPS IN SERVICES AND WORKFORCE IN OUR STATE, WHILE AT THE SAME TIME HOLDING RELEVANCE FOR ONGOING CHANGE WITHIN REGIONAL AND NATIONAL HEALTH CARE DELIVERY SYSTEMS.

TELEMEDICINE GRANT

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

COMMUNITY RESEARCH CENTER FOR SENIOR HEALTH

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PHYSICAL LOCATION: THIS RENOVATION TO EXPAND PEDIATRIC SPECIALTY SERVICES WILL TAKE PLACE AT DARTMOUTH HITCHCOCK CLINICS MANCHESTER. PHYSICAL ADDRESS IS 100 HITCHCOCK WAY, MANCHESTER, NH. THE CLINIC IS A TWO STORY BUILDING WITHIN A WOODED SETTING THAT OFFERS ADULT AND PEDIATRIC SERVICES IN PRIMARY CARE, MULTI-SPECIALTY, URGENT CARE, LABORATORY, IMAGING, AMBULATORY SURGERY, AND MEDICAL INFUSION SERVICES. DESCRIPTION OF SCOPE: THE SCOPE WILL ONLY INCLUDE INTERIOR BUILDING RENOVATIONS AND EQUIPMENT FOR THE CHILDREN’S WING OF THE MANCHESTER CLINIC. THERE WILL BE NO IMPACTS TO THE EXTERNAL BUILDING NOR THE SURROUNDING SPACE OF THE BUILDING. CONSTRUCTION WILL INCLUDE SOME INTERIOR WALL DESTRUCTION, CONSTRUCTION, FLOORING, PAINTING, AND SEVERAL WORK SPACE IMPROVEMENTS THAT INVOLVE RENOVATIONS. THIS WILL CREATE NEW CLINICAL PATIENT CARE ROOMS, CLINICAL WORK AREAS IMPROVED SOILED WORK ROOM AND CLEAN SUPPLY ROOM, AND NEW PATIENT RECEPTION AND EXITING LOCATION IN THE EXISTING WAITING ROOM. THE HRSA GRANT BUDGET OF $1,000,000 WILL BE DEDICATED TO THE ARCHITECTURAL AND ENGINEERING DESIGNS AND CONSTRUCTION COSTS AS NOTED IN THE BUDGET SF424C FORM. PROJECT ACTIVITY SPECIFICATIONS: THE PROJECT WILL INCLUDE 2,700 SQUARE FEET OF RENOVATED SPACE. THE IMPACTED ROOMS ARE NOTED IN THE FLOOR PLAN REPRESENTING: 4 PATIENT CARE ROOMS, 2 PATIENT CONSULTATION ROOMS, 2 TEAM WORK ROOMS, CLEAN/DIRTY/STORAGE ROOMS, 4 SUPPORT OFFICES, AND RECEPTION/WAITING ROOM. THE RENOVATIONS AND RELOCATIONS WILL RESULT IN AN ADDITIONAL 8,000 PEDIATRIC SPECIALTY PATIENT VISITS ANNUALLY. TYPE OF CONSTRUCTION: THIS PROJECT INCLUDES ARCHITECTURAL SPACE DESIGN, INTERIOR DEMOLITION, CONSTRUCTION AND MODERNIZATION OF EXISTING INTERIOR SPACES. PROCUREMENT WILL BE CONSTRUCTION MANAGEMENT AND CONSTRUCTION TYPE IS INDUSTRY STANDARD, COMMERCIAL GRADE MEDICAL OFFICE CONSTRUCTION. TIMELINE: PLANNING: 1 MONTH DESIGN: 2 MONTHS OBTAINING REQUIRED PERMITS AND/OR VARIANCES: 1 MONTH MEETING FEDE RAL ENVIRONMENTAL AND HISTORIC PRESERVATION REQUIREMENTS: NOT APPLICABLE. SOLICITATION OF BIDS AND AWARDING OF CONTRACTS: 2 MONTHS MATERIAL PROCUREMENT PERIOD: 6 MONTHS ALTERATION/RENOVATION CONSTRUCTION PERIOD: 6 MONTHS EXPECTED PROJECT COMPLETION DATE: NOVEMBER 2023 EQUIPMENT LIST (IF APPLICABLE): NOT APPLICABLE. CONSTRUCTION RELATED COSTS ONLY INCLUDED IN $1M BUDGET.

TELEMEDICINE GRANT

MOUNT WASHINGTON VALLEY DEMENTIA CAPABLE COMMUNITY PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT C.A. DEAN HOSPITAL 364 PRITHAM AVE, GREENVILLE, ME 04441 PROJECT DIRECTOR: MARIE VIENNEAU CONTACT PHONE NUMBER: 207.695.5271 EMAIL ADDRESS: MVIENNEAU@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/C-A-DEAN-HOSPITAL NORTHERN LIGHT C.A. DEAN (CA DEAN) MUST CLOSE ITS HOSPITAL-BASED MAMMOGRAPHY SERVICE AT THE END OF 2021. THE MAMMOGRAPHY EQUIPMENT IS 15 YEARS OLD AND AT THE END OF ITS CLINICALLY USEFUL LIFE. THE IMAGES ARE NO LONGER OF THE HIGHEST CLINICAL QUALITY. IN 2017 C.A. DEAN HOSPITAL PERFORMED 450 MAMMOGRAMS, THIS HAS DECREASED TO A VOLUME OF 160 PER YEAR DUE TO THE AGE OF THE MAMMOGRAPHY EQUIPMENT. THE RURAL MOBILE MAMMOGRAPHY VEHICLE WILL BE LOCATED AT C.A. DEAN HOSPITAL AND TRAVEL TO RURAL LOCATIONS IN PISCATAQUIS AND SOMERSET COUNTIES PROVIDING LOCAL ACCESS TO MAMMOGRAPHY SERVICES. THE NORTHERN LIGHT C.A. DEAN RURAL MOBILE MAMMOGRAPHY PROJECT WILL PROVIDE 3-D MAMMOGRAPHY SCREENING SERVICES IN RURAL LOCATIONS THROUGHOUT PISCATAQUIS AND PORTIONS OF SOMERSET COUNTIES IN MAINE VIA THE USE OF A PURPOSE-BUILT MOBILE MAMMOGRAPHY VEHICLE WITH A STATE-OF-THE-ART MOBILE MAMMOGRAPHY SCREENING SUITE INSTALLED. THE UNIT IS FULLY MOBILE AND ABLE TO GENERATE ITS OWN POWER AS WELL AS OPERATE OUTSIDE OF CA DEAN’S OR MAYO’S WI-FI INFRASTRUCTURE BY STORING EXAMS AND TRANSMITTING THEM UPON RETURNING TO EITHER CA DEAN OR MAYO. CONGRESSIONALLY DIRECTED SPENDING WILL COVER THE COST OF A VEHICLE DESIGNED FOR MOBILE MAMMOGRAPHY SERVICES AND THE COST OF THE MAMMOGRAPHY AND INFORMATION SYSTEMS (IS) SUPPORT EQUIPMENT. PROJECT COSTS ARE DETAILED IN THE EQUIPMENT LIST BELOW: MOBILE MAMMOGRAPHY VEHICLE – $622,223; 3-D MAMMOGRAPHY EQUIPMENT – $332,491; MOVABLE WEATHERPROOF ACCESSWAY – $30,000; AND NEEDED MISC. SUPPORT EQUIPMENT SUCH AS IS TECHNOLOGY – $3,100, AND WHEELCHAIRS – $14,200. THE TOTAL PROJECT REQUEST IS $1,002,014 FROM ITS HOME BASE AT CA DEAN IN GREENVILLE, MAINE, THE MOBILE MAMMOGRAPHY UNIT WILL TRAVEL THROUGHOUT PISCAT AQUIS COUNTY AND NEARBY AREAS TO HEALTH CENTERS, COMMUNITY CENTERS, CHURCHES, AND SIMILAR LOCATIONS ON A SET SCHEDULE TO CONDUCT MAMMOGRAPHY SCREENINGS. DURING THE REGION’S HARSH WINTERS, THE UNIT WILL RESIDE AT CA DEAN TO PROTECT THE SENSITIVE EQUIPMENT FROM DAMAGE, WHILE CONTINUING TO SERVE THE GREENVILLE AREA, WHICH LACKS OTHER MAMMOGRAPHY RESOURCES. THE MOVABLE WEATHERPROOF WALKWAY WILL SHELTER PATIENTS AS THEY TRANSFER FROM CA DEAN TO THE MOBILE UNIT WHEN PARKED THERE. THE UNIT WILL ALSO BE ABLE TO OVERNIGHT AT CA DEAN’S SISTER HOSPITAL, NORTHERN LIGHT MAYO HOSPITAL, IN DOVER-FOXCROFT, MAINE AS NEEDED TO DOWNLOAD EXAM DATA INTO NORTHERN LIGHT HEALTH’S PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS), A MEDICAL IMAGING TECHNOLOGY WHICH PROVIDES ECONOMICAL STORAGE AND CONVENIENT ACCESS TO IMAGES FROM MULTIPLE MODALITIES, BEFORE DEPARTING TO CONTINUE SERVING RURAL COMMUNITIES.

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

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ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

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

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH CARE AND OTHER FACILITIES

RURAL HIT NETWORK PROGRAM

RURAL HIT NETWORK PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEMEDICINE GRANT

RURAL HIT NETWORK PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

RURAL HIT NETWORK PROGRAM

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

PRIMARY CARE TRAINING AND ENHANCEMENT

HEALTH CARE AND OTHER FACILITIES

TELEMEDICINE GRANT

EMERGENCY FUNDS TO INSTITUTION UNDER CARES ACT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEMEDICINE GRANT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

STRONG START FOR MOTHERS AND NEWBORNS

OLDER ADULTS HOME MODIFICATION GRANT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

PROJECT ALIGN: ALIGNING SYSTEMS AND PRACTICES TO PREVENT DOMESTIC VIOLENCE AND SUPPORT SURVIVORS AND THEIR CHILDREN

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CARE AND OTHER FACILITIES

MINORITY YOUTH VIOLENCE PREVENTION PROGRAM

RURAL HIT NETWORK PROGRAM

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - ELIGIBLE ENTITY TYPE: RURAL HOSPITAL PROGRAM PATHWAYS: MATERNAL HEALTH AND OBSTETRICS PATHWAY RESIDENCY RESIDENCY MEDICAL SPECIALTIES: FAMILY MEDICINE WITH ENHANCED OBSTETRICAL TRAINING RESIDENCY FORMAT. SELECT ONE – RURAL RESIDENCY PROGRAM SPONSORING INSTITUTION NAME, LOCATION, AND ACGME SPONSOR PROGRAM CODE: IF APPLICABLE ACGME SPONSORING INTUITION CODE (SCMA GME CONSORTIUM): 450143 RURAL TARGET AREA(S): NEWBERRY COUNTY, SC FUNDING AMOUNT REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION: GRADUATE MEDICAL EDUCATION PAYMENTS, INCLUDING DIRECT GRADUATE MEDICAL EDUCATION (DGME) AND INDIRECT MEDICAL EDUCATION (IME) PAYMENTS. ALSO QUALIFYING FOR MEDICAID GME STATE SUPPORT. PROJECTED TOTAL NUMBER OF RESIDENTS: COMPLEMENT INCREASE OF AT LEAST 3 PER YEAR, 9 RESIDENTS TOTAL EXPECTED ACGME ACCREDITATION AND RESIDENCY MATRICULATION DATES: ACGME ACCREDITATION – 7/1/2026 2026 (NEWBERRY COUNTY, SC); RESIDENCY MATRICULATION – 7/1/2027 (NEWBERRY COUNTY, SC). FUNDING PRIORITY POINTS REQUESTED: PRIORITY 2 – MATERNAL HEALTH LIST OF RECENT HRSA AWARDS RECEIVED WITHIN THE LAST 5 YEARS, BY PROGRAM NAME AND GRANT NUMBER: NONE NARRATIVE CONTENT: OVERVIEW: NEWBERRY COUNTY MEMORIAL HOSPITAL, REBRANDED AS NEWBERRY HEALTH, SEEKS HRSA RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM FUNDING TO ESTABLISH THE NEWBERRY HEALTH FAMILY AND OBSTETRICS RESIDENCY CENTER OF EXCELLENCE (NH-FORCE) - A NEW ACGME-ACCREDITED RURAL RESIDENCY PROGRAM (RRP) IN FAMILY MEDICINE WITH ENHANCED OBSTETRICAL TRAINING. LOCATED IN A MEDICALLY UNDERSERVED AND MATERNITY CARE DESERT IN RURAL SOUTH CAROLINA, NH-FORCE WILL SERVE AS A SUSTAINABLE PIPELINE FOR TRAINING AND RETAINING PHYSICIANS IN A HOSPITAL AND GEOGRAPHICAL LOCATION WITH NO RESIDENCY PROGRAM. NH-FORCE WILL ACCOMPLISH THIS THROUGH COLLABORATION WITH URBAN PARTNER PIEDMONT MEDICAL CENTER (ROCK HILL, SC), RURAL OUTPATIENT SITES INCLUDING LOVELACE FAMILY MEDICINE (PROSPERITY, SC), AND ACADEMIC PARTNER EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) IN SPARTANBURG. ADDITIONAL PARTNERSHIPS WITH THE SOUTH CAROLINA MEDICAL ASSOCIATION (SCMA), SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND AREA HEALTH EDUCATION CONSORTIUM (AHEC) WILL ENSURE POLICY ALIGNMENT, COMMUNITY ENGAGEMENT, AND FACULTY DEVELOPMENT. MEASURABLE OBJECTIVES: THE PROGRAM’S GOALS ALIGN WITH HRSA’S OBJECTIVES: - OBJECTIVE 1: ESTABLISH AN ACGME-ACCREDITED RURAL TRACK PROGRAM IN FAMILY MEDICINE WITH ENHANCED OBSTETRICS BY JULY 31, 2028. - OBJECTIVE 2: CREATE RRP PROGRAMS THAT QUALIFY FOR MEDICARE AND MEDICAID GME PAYMENTS WITH A VALIDATED SUSTAINABILITY PLAN BY JULY 31, 2026, LEVERAGING MEDICARE GME PAYMENTS (DGME) AND MEDICAID GME PAYMENTS. - OBJECTIVE 3: IMPLEMENT A TRACKING PLAN TO MONITOR WORKFORCE RETENTION IN RURAL COMMUNITIES. PUBLICLY REPORT RESIDENT CAREER OUTCOMES POST-GRADUATION FOR A PERIOD OF AT LEAST FIVE YEARS AFTER TO DETERMINE RETENTION IN RURAL COMMUNITIES. EXPECTED OUTCOMES: NEWBERRY COUNTY, WITH OVER HALF OF RESIDENTS LIVING IN MEDICALLY UNDERSERVED AREAS, FACES CRITICAL MATERNAL AND PRIMARY CARE ACCESS GAPS. THE CLOSURE OF NEARBY DELIVERY ROOMS HAS FORCED PREGNANT INDIVIDUALS TO TRAVEL 45–60 MINUTES FOR CARE. NH-FORCE AIMS TO REVERSE THESE TRENDS BY TRAINING PROVIDERS IN RURAL-BASED CONTINUITY CLINICS AND INPATIENT SETTINGS, EMPHASIZING COMPREHENSIVE MATERNAL CARE, CHRONIC DISEASE MANAGEMENT, AND CULTURALLY COMPETENT PRACTICE. THIS PLANNING GRANT WILL ALLOW NEWBERRY HEALTH TO BUILD CORE FACULTY, FINALIZE PARTNERSHIPS, PREPARE THE ACGME APPLICATION, AND ESTABLISH A FINANCIALLY SUSTAINABLE MODEL TO TRAIN THE FIRST NH-FORCE RESIDENT CLASS BY AY 2027. ULTIMATELY THE PROGRAM WILL HAVE INITIAL RESIDENTS MATRICULATED BY JULY 2027 AND A RESIDENT COMPLEMENT OF AT LEAST 3 RESIDENTS PER CLASS (9 TOTAL). NH-FORCE WILL STRENGTHEN SOUTH CAROLINA’S RURAL PHYSICIAN WORKFORCE AND IMPROVE LONG-TERM HEALTH OUTCOMES FOR MOTHERS, CHILDREN, AND UNDERSERVED POPULATIONS.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - CORRY MEMORIAL HOSPITAL (CMH) IN COLLABORATION WITH LECOM HEALTH (LH) PROPOSES TO ESTABLISH A RURAL TRACK PROGRAM (RTP) IN PSYCHIATRY. THE PROGRAM TARGETS RURAL NORTHWESTERN PENNSYLVANIA (NWPA) AND WESTERN NEW YORK (WNY), SPECIFICALLY FOCUSING ON ERIE, WARREN, AND CRAWFORD COUNTIES IN PENNSYLVANIA AND CHAUTAUQUA COUNTY IN NEW YORK. THESE AREAS ARE CHARACTERIZED BY HEALTHCARE PROVIDER SHORTAGES AND NOTABLE HEALTH DISPARITIES. THE RTP AIMS TO ADDRESS THE CRITICAL SHORTAGE OF HEALTHCARE PROVIDERS IN THESE RURAL COMMUNITIES, WITH A SPECIFIC FOCUS ON ENHANCING ACCESS TO PSYCHIATRIC SERVICES. THE TARGET POPULATION INCLUDES RESIDENTS OF THESE RURAL AREAS WHO FACE CHALLENGES SUCH AS HIGHER RATES OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND REDUCED LIFE EXPECTANCY, EXACERBATED BY A LACK OF ADEQUATE HEALTHCARE RESOURCES. THE PROGRAM INVOLVES COLLABORATIONS BETWEEN CMH AND LH, INCLUDING CLINICAL TRAINING SITES AND EDUCATIONAL RESOURCES FROM LH, THE LARGEST MEDICAL SCHOOL IN THE NATION. CLINICAL ROTATIONS AND TRAINING WILL OCCUR WITHIN LH, INCLUDING CORRY MEMORIAL HOSPITAL, CORRY COUNSELING OF LECOM HEALTH, AND MILLCREEK COMMUNITY HOSPITAL, ENSURING DIVERSE AND COMPREHENSIVE TRAINING EXPERIENCES. SPECIFIC GOALS ARE: 1. DEVELOP AND ACCREDIT A RURAL TRACK PROGRAM IN PSYCHIATRY BY JULY 31, 2027, WITH A FOCUS ON PRODUCING PHYSICIANS WHO WILL PRACTICE IN RURAL COMMUNITIES 2. ENSURE SUSTAINABILITY FOR THE RURAL TRACK PROGRAM IN PSYCHIATRY BEYOND THE PERIOD OF PERFORMANCE. 3. RECRUIT, RETAIN, AND TRACK CAREER OUTCOMES FOR AT LEAST 5 YEARS AFTER THE FIRST GRADUATING CLASS OF RESIDENTS. APPROACH AND METHODOLOGY: THE PROPOSED PROJECT WILL UTILIZE THE COMBINED NETWORK AND RESOURCES OF CORRY MEMORIAL HOSPITAL (CMH) AND LECOM HEALTH (LH) TO CREATE A DYNAMIC AND EFFECTIVE RURAL TRACK PROGRAM (RTP) IN PSYCHIATRY. THIS APPROACH INCLUDES LEVERAGING THE EXPERTISE OF EXPERIENCED FACULTY MEMBERS AND THE VARIETY OF CLINICAL TRAINING SITES AVAILABLE WITHIN THE CMH AND LH SYSTEMS. A KEY COMPONENT OF THE PROGRAM IS INTEGRATION OF INTERPROFESSIONAL EDUCATION. THIS FOCUS IS DESIGNED TO ADDRESS THE SPECIFIC CHALLENGES ASSOCIATED WITH PROVIDING HIGH-QUALITY HEALTHCARE IN RURAL SETTINGS. THE RTP WILL FEATURE LONGITUDINAL CLINICAL TRAINING THAT IMMERSES RESIDENTS IN RURAL, UNDERSERVED AREAS, EXPOSING THEM TO A WIDE RANGE OF PSYCHIATRIC CONDITIONS AND TREATMENT SCENARIOS. TELEHEALTH TECHNOLOGY WILL BE A PIVOTAL ASPECT OF THE PROGRAM, SIGNIFICANTLY ENHANCING THE ACCESSIBILITY OF PSYCHIATRIC CARE FOR REMOTE AND UNDERSERVED POPULATIONS, THEREBY BRIDGING A CRITICAL GAP IN HEALTHCARE DELIVERY IN THESE COMMUNITIES. EXPECTED OUTCOMES: THE PROJECT IS ANTICIPATED TO ACHIEVE SEVERAL KEY OUTCOMES, CENTRAL TO THE SUCCESS AND IMPACT OF THE RTP IN PSYCHIATRY. FIRST, WE EXPECT THE SUCCESSFUL LAUNCH AND ACCREDITATION OF THE PROGRAM, ESTABLISHING A ROBUST TRAINING GROUND FOR FUTURE PSYCHIATRISTS. A CRUCIAL ASPECT OF THE PROGRAM IS ITS LONG-TERM SUSTAINABILITY, ENSURING THAT THE TRAINING AND DEVELOPMENT OF PSYCHIATRISTS IN RURAL SETTINGS IS AN ONGOING ENDEAVOR. WE ANTICIPATE GATHERING VALUABLE DATA THAT UNDERSCORES THE EFFECTIVENESS OF THE PROGRAM, PARTICULARLY IN TERMS OF RETAINING TRAINED PHYSICIANS WITHIN RURAL COMMUNITIES. ANOTHER MAJOR OUTCOME WILL BE THE ENHANCED ACCESS TO PSYCHIATRIC SERVICES ACROSS THE REGION, DIRECTLY ELEVATING THE QUALITY OF HEALTHCARE AVAILABLE TO RURAL POPULATIONS. FINALLY, BY TRAINING AND RETAINING HEALTHCARE PROFESSIONALS IN THESE RURAL COMMUNITIES, THE PROGRAM AIMS TO ADDRESS NOT ONLY THE IMMEDIATE HEALTHCARE NEEDS BUT ALSO THE LONG-TERM CHALLENGES FACED IN THESE AREAS, FOSTERING A SUSTAINED IMPROVEMENT IN OVERALL HEALTH AND WELL-BEING.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - ELIGIBLE ENTITY/FACILITY TYPE: RURAL HOSPITAL AND GME CONSORTIUM PROJECT DIRECTOR: LUKE NELSON, MHA WILLIS-KNIGHTON HEALTH SYSTEM 2600 GREENWOOD RD SHREVEPORT LA 71103 318-212-8074 RESIDENCY PROGRAM DIRECTOR: SAMUEL ABSHIRE, MD CLAIBORNE MEMORIAL MEDICAL CENTER 620 EAST COLLEGE ST HOMER LA 71040 318-624-0555 PROGRAM PATHWAY: GENERAL PRIMARY CARE RESIDENCY SPECIALTY: FAMILY MEDICINE RESIDENCY FORMAT: NEW RTP (NEW PROGRAM ACCREDITATION) SPONSORING INSTITUTION: WILLIS-KNIGHTON HEALTH SYSTEM 2600 GREENWOOD RD SHREVEPORT LA 71103 ACGME SPONSOR PROGRAM CODE: 8002101112 RURAL TARGET AREA: CLAIBORNE PARISH / NORTHWEST LOUISIANA FUNDING REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION: OPTION 1 – ESTABLISHING A MEDICARE FTE RESIDENT CAP PROJECTED # OF RESIDENTS: 2 IN THE FIRST YEAR; 6 ONCE FULLY ESTABLISHED EXPECTED ACGME ACCREDITATION / RESIDENCY MATRICULATION DATES: SEPTEMBER 2024 / JULY 2025 HRSA AWARDS (LAST 5 YEARS): #19G25RH32954 RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION #19GA1RH33511 RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION #21G29RH43109C6 RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM SITUATED IN THE NORTHWEST CORNER OF LOUISIANA, THE INSTITUTIONS OF WILLIS-KNIGHTON HEALTH SYSTEM AND CLAIBORNE MEMORIAL MEDICAL CENTER, LOCATED IN THE CITIES OF SHREVEPORT AND HOMER, RESPECTIVELY, HAVE PARTNERED TO DEVELOP A RURAL FAMILY MEDICINE RESIDENCY PROGRAM. THIS PROGRAM SEEKS TO ELEVATE THE HEALTH STATUS OF THE RURAL POPULACE BY BOLSTERING THE SUPPLY OF PHYSICIANS SPECIALIZING IN FAMILY MEDICINE WHO ARE DEDICATED TO SERVING PATIENTS RESIDING IN RURAL COMMUNITIES. RURAL POPULATIONS SUFFER FROM SEVERE HEALTH DISPARITIES FUELED BY THE CHRONIC SHORTAGE OF PHYSICIANS COMMITTED TO SERVING IN UNDERSERVED, RURAL DOMAINS. THROUGH THE EFFORTS OF WILLIS-KNIGHTON HEALTH SYSTEM AND CLAIBORNE MEMORIAL MEDICAL CENTER, CRITICAL ASSISTANCE IN SHORING UP RURAL HEALTHCARE ACCESS AND OPPORTUNITY WILL BE PROVIDED, POSITIVELY IMPACTING RURAL COMMUNI TY HEALTH AND WELLNESS. THE ENVISIONED PROGRAM IS DESIGNED TO COMBINE THE STRENGTHS OF WILLIS-KNIGHTON HEALTH SYSTEM, THE REGION’S LEADING HEALTHCARE PROVIDER BASED IN THE URBAN AREA OF SHREVEPORT, LOUISIANA, WITH THE STRENGTHS OF CLAIBORNE MEMORIAL MEDICAL CENTER, A RURAL HOSPITAL LOCATED APPROXIMATELY 50 MILES AWAY IN HOMER, LOUISIANA. THE PROGRAM SPECIFICALLY IS STRUCTURED AS A 3-YEAR TRAINING EXPERIENCE THAT FOLLOWS A 13 4-WEEK BLOCK ROTATION SCHEDULE, DEEPLY IMMERSING RESIDENTS IN RURAL HEALTHCARE SETTINGS. THE PROGRAM’S GOAL (I.E., ELEVATING THE HEALTH STATUS OF THE RURAL POPULACE BY BOLSTERING THE SUPPLY OF PHYSICIANS SPECIALIZING IN FAMILY MEDICINE WHO ARE DEDICATED TO SERVING PATIENTS RESIDING IN RURAL COMMUNITIES) WILL BE OPERATIONALIZED BY A NUMBER OF OBJECTIVES; NAMELY, THE DELIVERY OF A COMPREHENSIVE EDUCATIONAL EXPERIENCE IN FAMILY MEDICINE EMPHASIZING THE MEDICAL NEEDS OF RURAL POPULATIONS AND CULMINATING IN BOARD CERTIFICATION IN FAMILY MEDICINE; THE PROVISION OF EXTENSIVE ENGAGEMENT OPPORTUNITIES WITH RURAL STAKEHOLDERS (E.G., PATIENTS, COMMUNITY LEADERS, PROFESSIONAL SOCIETIES, GOVERNMENTAL BODIES), PERMITTING RESIDENTS TO UNDERSTAND COMMUNITY NEEDS AND THE VALUE OF SERVING RURAL POPULATIONS; AND THE ONGOING ENCOURAGEMENT OF RESIDENTS TO DIRECT THEIR ENERGIES TOWARD UNDERSTANDING AND IMPROVING THE STATE OF HEALTHCARE DELIVERY IN RURAL ENVIRONMENTS. THESE OBJECTIVES WILL BE ACHIEVED VIA A TANDEM APPROACH BETWEEN WILLIS-KNIGHTON HEALTH SYSTEM, WHICH WILL SUPPLY REQUIRED SPECIALTY ROTATIONS AND SUPPORTIVE SERVICES, AND CLAIBORNE MEMORIAL MEDICAL CENTER, WHICH WILL SUPPLY RESIDENTS WITH THE MAJORITY OF THEIR TRAINING. SUCCESSFUL OPERATIONALIZATION OF THE NOTED OBJECTIVES AND RESULTING GOAL ACCOMPLISHMENT ARE EXPECTED TO PRODUCE A CADRE OF QUALIFIED FAMILY MEDICAL PRACTITIONERS DEDICATED TO SERVING THE MEDICAL NEEDS OF THE RURAL POPULACE. THIS, IN TURN, WILL HASTEN ACCESS TO QUALITY HEALTHCARE SERVICES IN RURAL AREAS, ENHANCING COMMUNITY HEALTH AND WELL NESS.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - PROJECT TITLE: RURAL RESIDENCY PLANNING AND DEVELOPMENT (RRPD) PROGRAM APPLICANT ORGANIZATION NAME: JOHN D. ARCHBOLD MEMORIAL HOSPITAL ADDRESS: 915 GORDON AVE., THOMASVILLE, GA 31792-6699 ELIGIBLE ENTITY TYPE: RURAL HOSPITAL PROJECT DIRECTOR NAME: SAVANNAH MCGOWAN CONTACT PHONE NUMBERS (VOICE, FAX): 229-551-2575, 229-551-8737 EMAIL ADDRESS: SMCGOWAN@ARCHBOLD.ORG RESIDENCY PROGRAM DIRECTOR CONTACT INFORMATION: TBA RESIDENCY SPECIALTY & TYPE: FAMILY MEDICINE RURAL RESIDENCY PROGRAM SPONSORING INSTITUTION: ARCHBOLD MEDICAL CENTER WEBSITE ADDRESS: WWW.ARCHBOLD.ORG RURAL TARGET AREA(S): THOMAS COUNTY, BROOKS COUNTY, GRADY COUNTY, MITCHELL COUNTY (GEORGIA) GRANT FUNDING AMOUNT REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION: OPTION 2 PROJECTED NUMBER OF RESIDENTS: 4-4-4 (12 FULL COMPLEMENT) EXPECTED ACGME ACCREDITATION DATE: OCTOBER 2023 EXPECTED RESIDENCY MATRICULATION DATE: JULY 2024 JOHN D. ARCHBOLD MEMORIAL HOSPITAL IS APPLYING FOR THIS GRANT. JOHN D. ARCHBOLD MEMORIAL HOSPITAL (ARCHBOLD) IS A 264-BED HOSPITAL LOCATED IN THOMASVILLE, GA, AND IS THE FLAGSHIP HOSPITAL OF ARCHBOLD MEDICAL CENTER. ARCHBOLD MEDICAL CENTER IS A FOUR-HOSPITAL, THREE NURSING-HOME HEALTH SYSTEM WITH 540 PATIENT BEDS, OVER 2,500 EMPLOYEES, AND NEARLY 200 QUALIFIED PHYSICIAN SPECIALISTS. SPANNING OVER FOUR RURAL COUNTIES IN SOUTH GEORGIA, ARCHBOLD PROVIDES QUALITY HEALTH CARE FOR THE COMMUNITY MEMBERS IN SOUTH GEORGIA AND NORTH FLORIDA. JOHN D. ARCHBOLD MEMORIAL HOSPITAL IS A FOUNDING MEMBER OF THE SOUTH GEORGIA MEDICAL EDUCATION AND RESEARCH CONSORTIUM, FOCUSED ON ENHANCING THE MEDICAL EDUCATION PIPELINE IN SOUTH GEORGIA. THE HOSPITAL HAS BUILT CAPACITY IN TEACHING MEDICAL STUDENTS AND OTHER HEALTH LEARNERS. SERVING THOMAS COUNTY, GEORGIA, THE COUNTY HAS DEMOGRAPHICS SIMILAR TO MANY POOR, RURAL AND UNDERSERVED AREAS OF THE NATION. THOMAS COUNTY’S POVERTY AND OTHER SOCIOECONOMIC STATISTICS ARE AMONG THE WORST IN THE NATION. THEREFORE, IT IS NOT SURPRISING T HAT MORE THAN 1 OUT OF EVERY 6 COUNTY RESIDENTS CURRENTLY DO NOT HAVE HEALTH INSURANCE COVERAGE. AS A RESULT OF HAVING NO INSURANCE OR AN INADEQUATE AMOUNT OF INSURANCE, PRIMARY CARE VISITS, HEALTH SERVICES AND PREVENTION ACTIVITIES ARE OFTEN NOT ACCESSIBLE BY THESE RESIDENTS. ESTABLISHING A RESIDENCY PROGRAM WILL REINFORCE THE HEALTH SYSTEM’S SAFETY NET, AND WILL PROVIDE HEALTH CARE ACCESS TO THE COUNTY’S MOST VULNERABLE. TRAINING IN A RURAL AREA IS A PROVEN STRATEGY TO IMPROVING PHYSICIAN WORKFORCE. ARCHBOLD WILL EXPAND OPPORTUNITIES TO TRAIN IN RURAL SOUTH GEORGIA AS ONE APPROACH TO RECRUITING AND RETAINING PHYSICIANS TO PRACTICE. DEVELOPING A FAMILY MEDICINE PROGRAM MEANS GREATER EXPOSURE TO THE DEPTH AND BREADTH OF PRACTICE IN A RURAL COMMUNITY. FUNDING FROM THE RURAL RESIDENCY PLANNING DEVELOPMENT PROGRAM WILL EMPOWER US TO CREATE A STRONG RESIDENCY PROGRAM, BUILDING A FOUNDATION THAT WILL SUPPORT THE HOSPITAL’S PROGRAM ACCREDITATION, RECRUITMENT AND SUSTAINABILITY. WE WILL ACCOMPLISH THIS BY: OBJECTIVES/STRATEGIES: 1. CONVENING A COALITION OF KEY STAKEHOLDERS THAT WILL UTILIZE FEASIBILITY STUDY DATA AND RESIDENCY DEVELOPMENT STRATEGIES TO IDENTIFY AND PRIORITIZE THE ACCREDITATION AND RECRUITMENT PROCESS. 2. DEVELOPING A COMPREHENSIVE RESIDENCY DEVELOPMENT TIMELINE AND PLAN (STRATEGIC PLAN) THAT ARTICULATES WHAT THE HOSPITAL WANTS TO ACCOMPLISH. 3. EXPANDING THE UNDERSTANDING OF MEDICAL EDUCATION AND RESIDENCY IMPACT TO HOSPITAL AND COMMUNITY STAKEHOLDERS, TARGETING THE NEED FOR PRIMARY HEALTH AND IMPROVED ACCESS TO AND DELIVERY OF HEALTHCARE. 4. ACHIEVE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION PROGRAM ACCREDITATION. 5. RECRUIT A DIVERSE AND DEDICATED CLASS OF RESIDENTS TO TRAIN. 6. ESTABLISH AND SUPPORT A DATA MECHANISM FOR TRACKING THE PROGRAM’S SUCCESS.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE REHABILITATION PROJECT WITH THE FUNDING FROM HRSA ADDRESSES THE NEED FOR REHABILITATIVE THERAPY SERVICES FOR SURVIVORS OF SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY, STROKE, CEREBRAL PALSY, AND OTHER NEUROLOGICAL CONDITIONS, A HISTORICALLY UNDERSERVED COMMUNITY, IN NEW HAMPSHIRE. APPROXIMATELY 15,000- 20,000 PEOPLE IN THE STATE NAVIGATE SOME FORM OF DEBILITATING PARALYSIS. THE PROJECT ADDRESSES INEQUITIES IN HEALTHCARE ACCESS FOR THIS SPECIAL POPULATION, ENABLES EFFECTIVE AND EFFICIENT DELIVERY OF HEALTHCARE VIA ADVANCED TECHNOLOGY TO PROMOTE REINTEGRATION, REDUCING DEPENDENCE ON CARE PROVIDERS AND FAMILY, AND NEED FOR MAJOR HOME RENOVATION AND SPECIAL TRANSPORTATION REQUIREMENTS WHILE REDUCING LONG-TERM COSTS FOR PARALYSIS SURVIVORS WHO GAIN INDEPENDENCE, REDUCING FALLS/ACCIDENTS AND RESULTING COMPLICATIONS POST-DISCHARGE AND RE-HOSPITALIZATION. CONGRESSIONALLY DIRECTED FUNDING WOULD PROVIDE MUCH-NEEDED HHS DOLLARS THAT WOULD TYPICALLY MISS A COMMUNITY LIKE THE CHESHIRE MEDICAL CENTER (TCMC), WHICH HAS THE ABILITY TO GROW AND PROVIDE BETTER CARE TO THESE SPECIAL POPULATIONS IN AN ACCESSIBLE COMMUNITY SETTING BUT LACKS THE RECURRING RESOURCES TO REGULARLY WRITE GRANT APPLICATIONS FOR VERY COMPETITIVE STATE AND FEDERAL PROGRAMS TAILORED TO BIG TRADITIONAL HEALTHCARE INSTITUTIONS. THE ACQUISITION OF FDA-APPROVED MEDICAL DEVICES WILL IMPROVE CAPACITY AND EXPAND CARE OPTIONS, INCLUDING IN-PATIENT AND OUT-PATIENT SERVICES, HELPING PEOPLE WALK AGAIN AND IMPROVE THEIR QUALITY OF LIFE. APPROXIMATELY 3,225 PEOPLE IN TCMC’S SERVICE FOOTPRINT SUFFER FROM PARALYSIS AND WOULD BENEFIT FROM THIS REQUEST. OF THOSE, MANY INDIVIDUALS LIVE IN RURAL COMMUNITIES IN KEY REGIONS WE SERVE. THE CHESHIRE MEDICAL CENTER CURRENTLY SERVES APPROXIMATELY 67,955 PATIENTS IN THE STATE OF NEW HAMPSHIRE. TCMC’S IN-PATIENT REHABILITATIVE PROGRAM CURRENTLY SERVES OVER 178 PATIENTS PER YEAR WITH OVER 947 VISITS PER MONTH. APPROXIMATELY HALF OF THOSE PATIENTS ARE ADULTS WITH NEUROLOGICAL, TRAUMATIC OR PHYSICAL DISABILITIES, AND CHRONIC MEDICAL CONDITIONS; AND THE OTHER HALF ARE SENIOR CITIZENS WITH VARIOUS TRAUMATIC OR PHYSICAL DISABILITIES OR CHRONIC CONDITIONS. TCMC’S OUT-PATIENT REHABILITATION PROGRAM PROVIDES OVER 36,000 VISITS PER YEAR. NEW REHABILITATIVE EQUIPMENT WILL ALLOW FOR NEW AND MORE EFFECTIVE THERAPIES TO BE DELIVERED ON-SITE WHICH WILL INCREASE TCMC’S CAPACITY TO SERVICE GRANITE STATERS AND MAKE CHESHIRE MORE MARKETABLE. THERAPIES WILL INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND RECREATIONAL THERAPY UTILIZING FDA-APPROVED POWERED LOWER LIMB EXOSKELETON DEVICES FOR GAIT THERAPY AND TREATMENT OF SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY, STROKE, AND OTHER INDICATIONS; AND A FDA-APPROVED TETHERED GAIT TRAINING SYSTEM FOR NEUROMUSCULAR RE-EDUCATION FOR MORE EVIDENCED-BASED GAIT TRAINING. THE PROJECT WILL DELIVER DIRECT BENEFITS TO GRANITE STATERS SEEKING SPECIALIZED REHABILITATIVE CARE IN AN ACCESSIBLE SETTING WITH EFFECTIVE THERAPIES, USING ADVANCE TECHNOLOGIES, FOR PARALYSIS AND BRAIN INJURY RECOVERY.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ABSTRACT APPLICANT: SIERRA NEVADA MEMORIAL HOSPITAL FOUNDATION P.O. BOX 1810 GRASS VALLEY, CA 95945 SIERRA NEVADA MEMORIAL HOSPITAL 155 GLASSON WAY GRASS VALLEY, CA 95945 PROJECT DIRECTOR: IDA ARNE, DIRECTOR OF BUSINESS DEVELOPMENT IDA.ARNE@DIGNITYHEALTH.ORG 530-274-6000 WWW.SUPPORTSIERRANEVADA.ORG WWW.SNMH.ORG FUNDS AWARDED: $750,000 PROGRAM TITLE: RURAL PRIMARY CARE CLINIC AND HEALTHCARE WORKFORCE EXPANSION INITIATIVE IN RESPONSE TO THE TREMENDOUS NEED FOR ACCESS TO PRIMARY AND URGENT CARE IN RURAL COMMUNITIES, SIERRA NEVADA MEMORIAL HOSPITAL (SNMH) IS CONSTRUCTING AND EQUIPPING A NEW RURAL PRIMARY CARE CLINIC. THROUGH THE ESTABLISHMENT OF THIS CLINIC, SNMH IS TAKING A MULTI-DISCIPLINARY APPROACH TO ENSURING ACCESS TO APPROPRIATE HEALTH CARE AND TO ENSURING THE CONTINUITY OF CARE FOR THIS AGING AND UNDERSERVED POPULATION. THE CLINIC WILL BE LOCATED IN WHAT IS LOCALLY REFERRED TO AS HIGGINS CORNER, LOCATED 12.5 MILES SOUTH OF GRASS VALLEY. THIS IS AN UNINCORPORATED COMMUNITY IN NEVADA COUNTY, CALIFORNIA, AND IS LOCATED ON THE BORDER OF THE GRASS VALLEY ZIP CODE OF 95949 AND THE AUBURN ZIP CODE OF 95602 ZIP CODES. THIS CLINIC WILL DRAW HEAVILY FROM THOSE ZIP CODES THAT SUPPORT A POPULATION OF 37,000. THE CLINIC WILL BE 3,200 SQUARE FEET AND PROVIDE SPACE FOR FOUR PHYSICIANS TOTAL WITH THREE PRACTICING IN HOUSE EACH BUSINESS DAY. FOUR TO FIVE ADDITIONAL SUPPORT STAFF JOBS WILL BE CREATED TO SUPPORT THE CLINIC OPERATIONS. IT IS ESTIMATED THAT ONE PRIMARY CARE PHYSICIAN IN RURAL COMMUNITIES CARRIES A PATIENT LOAD OF 2,500. THIS CLINIC WILL ADD THE CAPACITY TO PROVIDE A MEDICAL HOME TO 10,000 RESIDENTS. TODAY'S RURAL HEALTHCARE SYSTEM IS EXTREMELY FRAGILE, AND OPERATING MARGINS ARE THIN, ESPECIALLY IN RURAL COMMUNITIES. THE SIERRA FOOTHILLS REGION IS HOME TO HIGH UTILIZERS OF HEALTHCARE, PRIMARILY MEDICARE OR MEDI-CAL (MEDICAID) PAYORS, WHERE REIMBURSEMENT DOES NOT COVER THE COST OF CARE. THE SERVICE AREA OF SNMH INCLUDES 75,000 RURAL RESIDENTS IN WESTERN NEVADA COUNTY. OTHER RURAL CITIES THAT ARE PART OF THE PRIMARY SERVICE AREA INCLUDE: NEVADA CITY (POPULATION 3,068), PENN VALLEY (POPULATION 1,621), NORTH SAN JUAN (POPULATION 269) AND THE TOWN OF WASHINGTON (POPULATION 97). NEVADA COUNTY IS HOME TO ONE OF THE OLDEST POPULATIONS IN CALIFORNIA, WITH 26% OVER THE AGE OF 65. ADDITIONALLY: 18.1% ARE 0-17 YEARS OF AGE; 49.3% ARE 18- 54; AND, 32.6% (1 IN 3) ARE 55 YEARS AND OLDER. THE MAJORITY OF PERSONS IN NEVADA COUNTY ARE CAUCASIAN (87.9%). HISPANIC PERSONS REPRESENT 7.5% OF THE POPULATION. THERE ARE A COMPARABLE NUMBER OF MALES (49.6%) AND FEMALES (50.4%) IN THE COUNTY. THE OVERALL POVERTY RATE (LIVING 100% BELOW THE FEDERAL POVERTY RATE) IS 12.9%. THE MEDICAID POPULATION IS 25% (NOT INCLUDING THOSE DUALLY ELIGIBLE FOR MEDICAID AND MEDICARE). THE COUNTY'S MEDIAN INCOME IS $55,724, AND THE UNINSURED RATE IS CURRENTLY AT 6.1%.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - APPLICANT: GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT - CLINTON, MO ENTITY: RURAL HOSPITAL PROGRAM PATHWAYS: GENERAL PRIMARY CARE AND HIGH NEED SPECIALTY AND MATERNAL HEALTH AND OBSTETRICS PATHWAY RESIDENCY MEDICAL SPECIALTIES: FAMILY MEDICINE WITH ENHANCED OBSTETRICS TRAINING RESIDENCY FORMAT: RURAL RESIDENCY PROGRAM SPONSORING INSTITUTION NAME: UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF MEDICINE, KANSAS CITY, MO RURAL TARGET COUNTY OR COUNTIES: BENTON, HENRY, AND ST. CLAIR COUNTIES FUNDING AMOUNT REQUEST: $749,958.26 PROGRAM SUSTAINABILITY OPTION: OPTION 1- RURAL HOSPITAL “NEW” RESIDENCY PROGRAM PROJECTED TOTAL NUMBER OF RESIDENTS: APPROXIMATELY 4 IN PGY1 EXPECTED ACGME ACCREDITATION: OCTOBER 2027 FIRST RESIDENT MATRICULATION DATES: JULY 2028 FUNDING PRIORITIES REQUESTED: PRIORITY 2 HRSA AWARDS RECEIVED WITHIN THE LAST 5 YEARS: FY23 NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION SIMULATION EDUCATION TRAINING PROGRAM (GRANT #: T48HP52023); FY24 RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM (GRANT #: P10RH53095); FY21 RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM (GRANT #: G29RH43096) SUMMARY: GOLDEN VALLEY MEMORIAL HOSPITAL (“GVMH”) IS BASED IN CLINTON, MISSOURI, AND OPERATES A 56-BED HOSPITAL AND A 24-HOUR EMERGENCY DEPARTMENT, AMBULANCE, AS WELL AS FOUR MULTI-SPECIALTY AMBULATORY CLINICS, OUTPATIENT THERAPY SERVICES, AN OUTPATIENT CLINIC, HOME HEALTH AGENCY, HOSPICE SERVICES AND A CANCER CENTER. AS PROPOSED BY GVMH, THE RURAL RESIDENCY ESTABLISHMENT PROGRAM (“RREP”) WILL ESTABLISH A NEW, SUSTAINABLE RURAL RESIDENCY PROGRAM WITH ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). AS REQUIRED BY THE RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM, THE QUALIFYING MEDICAL SPECIALTY SELECTED FOR THIS PROGRAM WILL BE FAMILY MEDICINE WITH ENHANCED OBSTETRICAL TRAINING, WHICH WAS CHOSEN BASED ON THE ACUTE NEED FOR EXPANDED FAMILY MEDICINE AND MATERNAL HEALTH PROVIDERS IN THE PROJECT SERVICE AREA, WHICH COVERS HENRY, BENTON, AND ST. CLAIR COUNTIES. IN DEVELOPING AND IMPLEMENTING THE PROPOSED RURAL RESIDENCY PROGRAM, GVMH WILL PARTNER WITH THE UNIVERSITY OF MISSOURI – KANSAS CITY SCHOOL OF MEDICINE (“UMKC SOM”), WHICH WILL ACT AS THE SPONSORING INSTITUTION FOR THE NEW GOLDEN VALLEY MEMORIAL HEALTHCARE FAMILY MEDICINE PROGRAM. IN ADDITION TO BOLSTERING THE AVAILABILITY OF PRIMARY CARE SERVICES, THESE EFFORTS WILL CONTRIBUTE TO ADDRESSING THE MAJOR HEALTHCARE CHALLENGES FACING THE REGION, INCLUDING IN KEY AREAS SUCH AS CHRONIC DISEASE, SUBSTANCE USE DISORDER AND BEHAVIORAL HEALTH, MATERNAL AND PEDIATRIC HEALTH, AND SOCIAL DETERMINANTS OF HEALTH. THIS PROGRAM WILL PURSUE THE FOLLOWING OBJECTIVES AND ASSOCIATED OUTCOMES: OBJECTIVE #1: DEVELOP THE GVMH FAMILY MEDICINE RESIDENCY PROGRAM AND RECEIVE ACGME ACCREDITATION. OUTCOME #1.A: APPOINT A RESIDENCY PROGRAM DIRECTOR BY OCTOBER 31, 2025. OUTCOME #1.B: SUBMIT THE ACGME APPLICATION FOR THE NEW RURAL RESIDENCY PROGRAM BY JANUARY 31, 2027. OUTCOME #1.C: ESTABLISH A NEW ACGME-ACCREDITED RURAL RESIDENCY PROGRAM BY OCTOBER 31, 2027. OUTCOME #1.D: BEGIN TRAINING FIRST RESIDENT CLASS NO LATER THAN JULY 31, 2028. OBJECTIVE #2: FINALIZE A VALIDATED SUSTAINABILITY PLAN FOR THE GVMH FAMILY MEDICINE RESIDENCY PROGRAM THAT INCLUDES ONGOING FUNDING STREAMS TO SUSTAIN LONG-TERM RESIDENT TRAINING AFTER THE PROGRAM IS ESTABLISHED. OUTCOME #2.A: FINALIZE DETAILED PRO FORMA FOR PROGRAM SUSTAINABILITY BY JULY 31, 2026. OBJECTIVE #3: DEVELOP A STRUCTURED PLAN TO TRACK AND PUBLICLY REPORT ON RESIDENT CAREER OUTCOMES AFTER GRADUATION FOR AT LEAST 5 YEARS AFTER THE FIRST GRADUATING CLASS TO ASSESS RETENTION IN RURAL COMMUNITIES. OUTCOME #3.A: FINALIZE AND SUBMIT DETAILED GRADUATE OUTCOME TRACKING PLAN BY JULY 31, 2027.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

TELEMEDICINE GRANT

TRANSLATING COPD GUIDELINES INOT PRIMARY CARE PRACTICE

HEALTH CARE AND OTHER FACILITIES

DRUG FREE COMMUNITIES SUPPORT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MAT EXPANSION

NH MCH LEADERSHIP TRAINING PROGRAM