Ballad Health

ACCOUNTABLE HEALTH COMMUNITIES: TRACK 2

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT GRANTS CONGRESSIONALLY DELEGATED

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

TELEMEDICINE GRANT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - - ADDRESS: BALLAD HEALTH WISE COUNTY PRIMARY CARE CLINIC, 1900 ARMORY ROAD, BIG STONE GAP, VA 24219 - PROJECT DIRECTOR NAME: NICK ROBINETTE - CONTACT PHONE NUMBERS (VOICE, FAX): V: 423-431-7782, F: 423-431-7746 - EMAIL ADDRESS: NICK.ROBINETTE@BALLADHEALTH.ORG - WEBSITE ADDRESS, IF APPLICABLE: WWW.BALLADHEALTH.ORG - LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: $450,000 THIS FUNDING REQUEST IS TOWARDS PROFESSIONAL FEES (ARCHITECTURAL, ENGINEERING, LEGAL, AND PROJECT MANAGEMENT) TO CONSTRUCT OR RENOVATE A NEW 15,756 SQUARE FOOT PRIMARY CARE CENTER ADJACENT TO THE CAMPUS OF LONESOME PINE HOSPITAL IN BIG STONE GAP, VIRGINIA AT THE SITE OF AN ARMORY BUILDING THAT IS NO LONGER UTILIZED. THIS PRIMARY CARE CENTER WILL REPLACE OUTDATED FACILITIES AND INCREASE INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH, AND SPECIALTY CARE ACCESS FOR THE OVERALL POPULATION AND FOR MEDICARE/MEDICAID BENEFICIARIES AND UNINSURED INDIVIDUALS ACROSS THE WISE, DICKENSON, SCOTT, AND LEE COUNTY REGIONS OF SOUTHWEST VIRGINIA. USES FOR THE NEW FACILITY ARE TO INCLUDE PRIMARY CARE, PHYSICAL THERAPY, SPINE REHABILITATION SERVICES, AND SPORTS MEDICINE. THE NEW PRIMARY CARE CENTER WILL CONSOLIDATE SERVICES FOR SIX REGIONAL PROVIDERS AND ADD FIVE NEW PRIMARY CARE PROVIDERS. ADDITIONALLY, IT WILL PROVIDE AN AFTER-HOURS CLINIC FOR EXTENDED ACCESS DURING EVENINGS AND WEEKENDS. IMPORTANTLY, THE PRIMARY CARE CENTER WILL PROVIDE INTEGRATED BEHAVIORAL HEALTH SERVICES TO REACH THOSE WITH SUBSTANCE USE DISORDER, DEPRESSION, AND OTHER BEHAVIORAL HEALTH ISSUES. IT WILL ALSO BE A SPECIALTY CARE TELEMEDICINE HUB, ALLOWING PRIMARY CARE PROVIDERS TO CONNECT THEIR PATIENTS TO SPECIALTY CONSULTS USING THE LATEST TECHNOLOGIES. ITS PROXIMITY TO LONESOME PINE HOSPITAL WILL ENHANCE ACCESS TO IMAGING, PHARMACY, AND LABORATORY SERVICES FOR THOSE WITH TRANSPORTATION ISSUES AND WILL IMPROVE PARKING FOR THE HOSPITAL. THE NEW PRIMARY CARE CENTER WILL ALSO HOUSE A NEW ARE A FOR SPORTS MEDICINE TO SERVE REGIONAL SCHOOLS AND ATHLETES FROM THE UNIVERSITY OF VIRGINIA’S COLLEGE AT WISE. THE PHYSICAL THERAPY AND SPORTS MEDICINE PROGRAM WILL ALIGN WITH AND AUGMENT BALLAD HEALTH’S NEW PAIN MANAGEMENT PROGRAM ALONG WITH ORTHOPEDIC SERVICES IN THE REGION. THE NEW FACILITY WILL ALSO SUPPORT BALLAD’S EFFORTS TO CONNECT UNDERSERVED POPULATIONS TO PRIMARY CARE THROUGH APPALACHIAN HIGHLANDS CARE NETWORK. THROUGH THIS PROGRAM, BALLAD HEALTH AND OTHER NETWORK PROVIDERS (SUCH AS FREE CLINICS) IDENTIFY UNINSURED INDIVIDUALS, CONNECT THEM TO A REGULAR SOURCE OF PRIMARY CARE, AND PROVIDE ACCESS TO APPROPRIATE SCREENINGS FOR EARLY DETECTION OF CANCERS AND FOR MANAGEMENT OF CHRONIC CONDITIONS ALL AT NO CHARGE. THE TARGET POPULATION INCLUDES INDIVIDUALS IN WISE, DICKENSON, LEE, AND SCOTT COUNTIES WITHOUT A SOURCE OF PRIMARY CARE OR WITHOUT CONVENIENT ACCESS TO PRIMARY CARE—INCLUDING THE MEDICARE, MEDICAID, AND UNINSURED POPULATIONS. BY ADDRESSING THE REGIONAL PHYSICIAN SHORTAGE AND LOCATING SERVICES CENTRALLY IN THE FOUR-COUNTY SERVICE AREA, THE NEW CENTER WILL HELP ADDRESS MAJOR SOURCES OF HEALTH INEQUITY AND THE DISPROPORTIONATE BURDEN OF DISEASE IN THE REGION.

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

MEDICAL ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) FUNDING OPPORTUNITY: CONNECTING KIDS TO COVERAGE: OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS

TELEMEDICINE GRANT

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM - BALLAD HEALTH/MOUNTAIN STATES 400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604 TARA CHADWELL 423-431-4891; 423-302-3448 FAX TARA.CHADWELL@BALLADHEALTH.ORG WWW.BALLADHEALTH.ORG $250,000 PROBLEM TRANSITIONS FROM FAMILIAR PEDIATRIC CARE PROVIDERS TO ADULT CARE CAN BE UNSETTLING FOR CHILDREN/ADOLESCENTS WITH SPECIAL HEALTH CARE NEEDS AND FAMILIES AS THE CHILD AGES TO ADULTHOOD, AND COORDINATION OF CARE CAN ALSO BE COMPLEX WITHOUT ASSISTANCE. GOALS AND OBJECTIVES SERVE A MINIMUM OF 70 CHILDREN WITH SPECIAL HEALTH CARE NEEDS ANNUALLY - ESTABLISH A NEW PROGRAM TO SUPPORT FAMILIES/CHILDREN WITH SPECIAL HEALTH CARE NEEDS TRANSITIONING FROM PEDIATRIC TO ADULT CARE BY HIRING A TRANSITION COORDINATOR TO ASSIST WITH THESE TRANSITIONS; INCREASE ACCESS TO PREVENTIVE CARE/SERVICES IN THE MEDICAL HOME; INCREASE ENGAGEMENT IN SHARED DECISION-MAKING; ASSIST WITH STRUCTURAL AND SOCIAL DETERMINANTS OF HEALTH (SSDOHS); AND COORDINATE CARE TO OPTIMIZE HEALTH, QUALITY OF LIFE, AND WELL-BEING - ESTABLISH A REGIONAL ADVISORY BOARD OF FAMILIES OF PATIENTS, REGIONAL STAKEHOLDERS, AND CARE TEAM MEMBERS TO PROVIDE PROJECT OVERSIGHT, DISSEMINATE FINDINGS, AND CREATE A SUSTAINABILITY PLAN - IMPROVE COORDINATION WITH PROVIDERS; PALLIATIVE CARE; MEDICAL HOMES; FOSTER CARE; AND EMERGENCY ROOMS TO IMPROVE PATIENT/FAMILY-CENTERED CARE; AND SCHOOLS TO KEEP HOSPITALIZED CHILDREN CURRENT ON ASSIGNMENTS AND ADDRESS 504 AND INDIVIDUALIZED EDUCATION PLANS (IEP) 1. TRANSITION COORDINATOR HIRED WITHIN 60 DAYS OF NOTICE OF AWARD (NOA) 2. REGIONAL ADVISORY BOARD FORMED WITHIN 90 DAYS OF NOA COMPOSED OF MEMBERS REFLECTIVE OF CHILDREN/FAMILIES SERVED 3. UTILIZE STATE TITLE V MCH NEEDS ASSESSMENTS, ACTION PLANS, AND INTERNAL DATA TO GUIDE THE PROJECT, WITH DATA FINDINGS DISCUSSED MONTHLY AT REGIONAL ADVISORY BOARD MEETINGS 4. 50% INCREASE ANNUALLY OF FAMILIES ENGAGED IN SHARED DECISION-MAKING VIA SHARED PLANS OF CARE AS MEASURED BY CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYST EMS (CAHPS) HEALTH PLAN SURVEY 5. 100% OF ENROLLED CHILDREN HAVE A MEDICAL HOME BY YEAR 5 AS MEASURED BY PEDIATRIC INTEGRATED CARE SURVEY (PICS) 6. WORKFORCE TRAINING PROVIDED QUARTERLY TO RELEVANT PARTNERS ON PEDIATRIC TO ADULT CARE TRANSITIONS, AND TO SCHOOLS ON IEP AND 504 PLAN CHANGES AS EACH CHILD AGES UP 7. SUSTAINABILITY PLAN CREATED BY YEAR 5 8. DISSEMINATE INFORMATION AND RESULTS/OUTCOMES ANNUALLY 9. FORM AT LEAST THREE NEW, COLLABORATIVE RELATIONSHIPS WITHIN 12 MONTHS OF NOA 10. PROVIDE COMMUNITY RESOURCE INVENTORIES TAILORED TO EACH FAMILY’S SSDOH NEEDS WITHIN 30 DAYS OF ENROLLMENT; INCLUDE WARM HANDOFFS TO SERVICES 11. EXPAND USE OF TELEHEALTH AND ELECTRONIC COLLABORATIVE CARE PLANS; MEASURED ANNUALLY BY NUMBER OF APPOINTMENTS AND PLANS CREATED METHODOLOGY EVIDENCE-BASED STRATEGIES INCLUDE THE BIOPSYCHOSOCIAL MODEL, CHRONIC CARE MODEL, AND SOCIAL DETERMINANTS OF HEALTH MODEL WITH INTEGRATED, TEAM-BASED CARE CENTERED AROUND A COLLABORATIVE CARE PLAN THAT INCLUDES A CARE MAP, CARE NOTEBOOK, SHARED PLAN OF CARE, AND YOUTH-TO-ADULT CARE TRANSITION WORKBOOK COORDINATION THE TRANSITION COORDINATOR WILL UTILIZE A COLLABORATIVE CARE PLAN STANDARDIZED AMONG PROVIDERS TO HELP WITH COORDINATING VISITS AND PROVIDING PATIENT- AND FAMILY-CENTERED CARE (THE PLAN INCLUDES HEALTH HISTORY AND MEDICATION INFORMATION); AND WILL COORDINATE WITH SCHOOLS TO KEEP STUDENTS CURRENT ON ASSIGNMENTS AND/OR ADVOCATE FOR IEP AND 504 PLAN CHANGES EVALUATION MODELS EVALUATED FOR SUCCESS AT REGIONAL ADVISORY BOARD MEETINGS SO CHILDREN/ADOLESCENTS AND FAMILIES HAVE DIRECT INPUT. PROCESS AND OUTCOME MEASURES USED TO GAUGE PROGRESS TOWARD STATED GOALS. DATA USED TO MAKE CHANGES TO THE PROJECT BASED ON EVALUATION RESULTS FROM THE CONTINUOUS QUALITY IMPROVEMENT (CQI) “PLAN-DO-STUDY-ACT” MODEL. OTHER EVALUATION METHODS INCLUDE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) HEALTH PLAN SURVEYS; PRESS-GANEY PATIENT SURVEYS; AND PEDIATRIC INTEGRATED CARE SURVEY (PICS) IN TERVIEWS

TELEMEDICINE GRANT

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITY GRANTS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)