Community Hospital Inc

HEALTH CENTER PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

CF CONGRESSIONALLY DIRECTED GRANTS

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

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

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT TITLE: INTEGRATED OPIOID USE DISORDER RESPONSE PROJECT APPLICATION NAME: ST. LUKE COMMUNITY HEALTHCARE ADDRESS: 107 6TH AVE SW RONAN, MT 59864 PROJECT DIRECTOR: SARAH TEAFF PHONE NUMBER: (406) 528-5350 EMAIL ADDRESS: STEAFF@STLUKEHEALTHCARE.ORG WEBSITE: WWW.STLUKEHEALTHCARE.ORG FUNDING REQUEST: $ 2, 791, 608.36 PURPOSE: OPIOID USE DISORDER (OUD) IS AN ONGOING CONCERN IN LAKE COUNTY AND ON THE FLATHEAD RESERVATION, AFFECTING INDIVIDUALS AND FAMILIES ACROSS THE LIFESPAN. AN ESTIMATED 79, 000 MONTANANS STRUGGLE WITH SUBSTANCE USE AND/OR OPIOID USE DISORDER. OPIOID USE IS THE PRIMARY DRIVER OF OVERDOSE DEATHS IN OUR STATE WITH THIRTY-FIVE PERCENT OF ALL DRUG OVERDOSE DEATHS ATTRIBUTABLE TO OPIOIDS. WHILE MONTANA HAS MADE PROGRESS IN RECENT YEARS ADDRESSING PRESCRIPTION OPIOID USE, MORE NEEDS TO BE DONE. THE PURPOSE OF THIS PROPOSED PROJECT IS TO CREATE A “WHOLE-PERSON”, CULTURALLY APPROPRIATE APPROACH TO TREATING OPIOID USE DISORDER BY ESTABLISHING NEW ACCESS POINTS FOR MEDICATION ASSISTED TREATMENT (MAT) AND SUPPORTIVE SERVICES IN LAKE COUNTY AND ON THE FLATHEAD RESERVATION. GOALS: 1. ESTABLISH NEW MAT ACCESS POINTS BY ENSURING ST. LUKE HAS WAIVERED PROVIDERS WITHIN EACH RURAL HEALTH CLINIC, IN THE HOSPITAL SETTING, AND EMERGENCY DEPARTMENT AS WELL AS BOLSTER CRITICAL SUPPORT SERVICES, SUCH BEHAVIORAL HEALTH, PHYSICAL THERAPY, INTERVENTIONAL PAIN PROCEDURES, AND CARE COORDINATION TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. PRIMARY PHARMACOLOGIC INTERVENTION WILL INCLUDE BUPRENORPHINE-NAXLONE. 2. TRAIN AND/OR RE-TRAIN NURSING AND SUPPORT STAFF IN THE PRINCIPLES OF MOTIVATIONAL INTERVIEWING (MI), SCREENING, BRIEF INTERVENTION, REFERRAL TO TREATMENT (SBIRT) AS WELL AS MAT, RECRUIT 2 LICENSED CLINICAL SOCIAL WORKERS (LCSW) AND/OR LICENSED ADDICTION COUNSELORS (LAC) FOR THE RURAL HEALTH CLINICS, RECRUIT AND HIRE 2 CARE COORDINATORS, AND SEEK DEA WAI VER 2 PHYSICIANS, 1 PHYSICIAN ASSISTANT, AND 1 FAMILY NURSE PRACTITIONER. AS PROGRAM ACHIEVES SUSTAINABILITY, HIRE OTHER SUPPORT STAFF TO MEET REGIONAL AND SERVICE NEEDS. ST. LUKE WILL UTILIZE THE NATIONAL HEALTH SERVICE CORP’S HEALTH WORKFORCE CONNECTOR TO ITS FULL EXTENT TO RECRUIT KEY PROVIDER AND NURSING POSITIONS. 3. ALIGN WITH MONTANA DEPARTMENT OF HEALTH AND HUMAN SERVICES SUBSTANCE USE RESPONSE TASK FORCE, LAKE COUNTY OFFICIALS, AND THE CONFEDERATED SALISH AND KOOTENAI TRIBES’ DRUG ENDANGERED CHILDREN’S PROJECT TO IMPROVE THE SUBSTANCE USE IMPACT IN LAKE COUNTY AND ON THE FLATHEAD RESERVATION AND BUILD COMMUNITY INFRASTRUCTURE. 4. ACHIEVE SUSTAINABILITY BY THE END OF THE GRANT TERM THROUGH EFFICIENT BILLING AND CODING PRACTICES WHILE ONBOARDING PATIENTS TO HEALTH INSURANCE PLANS WHERE APPLICABLE.

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 - PROJECT TITLE: SHARKEY ISSAQUENA COMMUNITY HOSPITAL EMERGENCY DEPARTMENT REMODEL AND EXPANSION PROJECT OPPORTUNITY: HRSA-22-134 PROJECT ADDRESS: 47 SOUTH 4TH STREET ROLLING FORK, MS 39159 CONTACT INFORMATION/ PROJECT DIRECTORS: BRANDY BRADSHAW BBRADSHAW@SICHOSP.ORG JERRY KEEVER, CEO JKEEVER@SICHOSP.ORG TELEPHONE: 662-873-4395 FAX: 662-655-1236 PROJECT ABSTRACT SUMMARY ROLLING FORK IS LOCATED IN SHARKEY COUNTY MISSISSIPPI AND IS THE COUNTY SEAT. THE 2020 CENSUS REFLECTED A POPULATION OF 1,863 PEOPLE. THE POVERTY RATE IN ROLLING FORK IS 35.6%, WHICH MEANS THAT ONE OUT OF EVERY 2.8 RESIDENTS OF ROLLING FORK LIVES IN POVERTY. ACCESS TO HEALTHCARE FOR RESIDENTS OF SHARKEY, ISSAQUENA, AND SURROUNDING COUNTIES CAN BE DIFFICULT FOR A VARIETY OF REASON. ECONOMIC FACTORS ARE FREQUENTLY IDENTIFIED AS A BARRIER TO CARE BY PATIENTS. MISSISSIPPI HAS THE HIGHEST PREVALENCE OF ADULTS WHO HAVEN'T SEEN A DOCTOR IN THE PAST 12 MONTHS DUE TO COST, AT 19.2% COMPARED TO ALL OF THE OTHER STATES IN THE NATION. SHARKEY ISSAQUENA COMMUNITY HOSPITAL IS A 29 BED CRITICAL ACCESS HOSPITAL IS LOCATED IN ROLLING FORK, MS, AND SERVES MUCH OF THE SURROUNDING AREAS, INCLUDING PATIENTS IN SHARKEY, ISSAQUENA, YAZOO, HUMPHREYS AND WASHINGTON COUNTIES. CONSTRUCTED IN 1949, THE HOSPITAL IS IN DISREPAIR FROM YEARS OF BUDGET SHORTFALLS AND SPACE CONSTRAINTS THAT LIMIT THE QUALITY OF CARE PATIENTS RECEIVE WHEN VISITING THE ONLY LOCAL EMERGENCY DEPARTMENT. THESE ISSUES PRESENT OPERATIONAL CHALLENGES IN THE DELIVERY OF HEALTH CARE SERVICES AS WELL AS RECRUITING AND RETAINING EXPERIENCED HEALTH PROFESSIONALS. THE CURRENT RESTROOMS REQUIRE AN UPDATE TO ADHERE TO ADA STANDARDS FOR BOTH EMPLOYEES AND PATIENTS. THE X-RAY EQUIPMENT WILL NEED TO BE REPLACED AS THE PARTS AND COMPONENTS ARE NO LONGER AVAILABLE WHEN THE MACHINERY EXPERIENCES A MALFUNCTION. THE CHEMISTRY MACHINE THE HOSPITAL HAS IN SERVICE IS FAR BEHIND CURRENT TECHNOLOGIES. THE EM ERGENCY DEPARTMENT WILL BE REMODELED TO MEET COMPLIANCE STANDARDS BY WIDENING THE HALLWAY TO ACCOMMODATE STRETCHERS PASSING. THERE WILL BE A PSYCHIATRIC HOLDING ROOM CONVERSION. THE NURSE’S STATION WILL BE UPDATED AND MOVED TO VISUALIZE THE ED ENTRANCE, PATIENT ER ROOMS, PSYCH HOLDING ROOM, AND WAITING AREA-AS REQUIRED. THE CURRENT ER WAITING AREA WILL BE RENOVATED. THERE IS CURRENTLY NO PLACE FOR OUTPATIENT PROCEDURES; PATIENTS ARE UTILIZING AN ER ROOM, IF AVAILABLE, WHICH TAKES CRITICAL BEDS AWAY FROM PATIENTS IN THE EVENT OF A TRUE EMERGENCY SITUATION. THE OBJECTIVES OF THE PROPOSED PROJECT ARE: 1. PROVIDE MORE ADEQUATE SPACE TO ENABLE CLIENT FOCUSED DELIVERY HEALTHCARE AND IMPROVE HEALTH OUTCOMES OF PATIENTS. 2. EXPANDING SERVICES BY ADDING ADDITIONAL PATIENT CARE CLINICAL AREAS. 3. MEET OR EXCEED COMPLIANCE STANDARDS 4. IMPROVE QUALITY OF CARE AND WORKING CONDITIONS THAT ENHANCE SAFETY, EFFICIENCY, AND OUTCOMES FOR STAFF AND PATIENTS. 5. UPDATE CRITICAL PIECES OF EQUIPMENT IN THE RADIOLOGY AND LABORATORY DEPARTMENTS THAT CAN NO LONGER BE REPAIRED DUE TO THEIR AGE. THE EXPECTED OUTCOMES OF THE PROJECT INCLUDE: REDUCTION OF DIABETES AND COMORBID CONDITIONS IN THE MS DELTA, REDUCTION OF SOCIAL AND ECONOMIC BURDENS ASSOCIATED WITH CHRONIC DISEASE, AND BETTER ACCESS TO QUALITY CARE AND SERVICES IN THE LOWER MS DELTA REGION OF THE STATE.

DISABILITY AND REHABILITATION RESEARCH PROJECTS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - CHRONIC DISEASE MORTALITY RATES, SPECIFICALLY THOSE THAT ARE TREATABLE AND/OR CURABLE THROUGH PREVENTATIVE MEDICINE AND EARLY SCREENING, OUTPACES A NUMBER OF OTHER COUNTRIES WORLDWIDE EVEN THOUGH HEALTHCARE ACCOUNTS FOR ROUGHLY 20% OF THE NATIONAL GDP. WITH AN ENHANCED FOCUS ON PREVENTATIVE MEDICINE AND CHRONIC DISEASE MANAGEMENT/SCREENING, NOT ONLY WOULD THE NATIONAL MORTALITY RATES AND OVERALL HEALTH OF THE NATION IMPROVE, BUT THE SEVERITY OF ILLNESS ON AVERAGE WOULD BE LOWER – THIS HAS THE POTENTIAL TO REDUCE HEALTH CARE COSTS. ALABAMA HAS ONE OF THE WORST MORTALITY RATES FOR CHRONIC DISEASE IN THE UNITED STATES. ESCAMBIA COUNTY HAS A 54% HIGHER MORTALITY RATE OF BREAST CANCER, 44% HIGHER MORTALITY RATE OF CARDIOVASCULAR DISEASE, AND A 42% HIGHER STROKE INCIDENT RATE THAN THE NATIONAL AVERAGES. FURTHER, ALABAMA IS 2ND IN THE NATION FOR DEATHS CAUSED BY STROKE PER CAPITA AND 4TH IN THE NATION FOR CARDIOVASCULAR DEATHS PER CAPITA. WHEN THESE DISEASES ARE DIAGNOSED EARLIER THROUGH SCREENING PROCESS, THE CHANCE OF SURVIVAL AND OVERALL PROGNOSIS IS SIGNIFICANTLY IMPROVED. THESE DISPARITIES OF CARE, THOUGH IMPACTFUL ON THE ENTIRE COMMUNITY, DISPROPORTIONATELY IMPACT MINORITY COMMUNITIES DUE TO LIMITATIONS ON ACCESS TO CARE AS IT RELATES TO SERVICES. DESPITE ONGOING FINANCIAL CHALLENGES FACING MANY RURAL HOSPITALS ACROSS THE COUNTRY, ATMORE COMMUNITY HOSPITAL HAS BEGUN AGGRESSIVE, TARGETED EFFORTS TO IMPROVE THESE DISPARITIES THROUGH CAPITAL PURCHASES (MOST RECENTLY 3D MAMMOGRAPHY AND FLUOROSCOPY UNITS), AN AGREEMENT WITH UAB TO PROVIDE SPECIFIC TELE-SPECIALTY SERVICES, A NEW FACILITY, AND MARKETING EFFORTS OUTLINING THE SERVICES THAT PATIENTS CAN RECEIVE IN THEIR OWN COMMUNITY. THIS IS DUE TO THE DEEP-ROOTED BELIEF OF THE IMPORTANCE OF LOCALIZED HEALTHCARE AND THE RESPONSIBILITY WE HAVE TO THE COMMUNITY THAT WE SERVE. ACCESS IS LIMITED WHEN PATIENTS DO NOT HAVE THE MEANS TO TRAVEL OUT OF THE COUNTY AND SERVICES ARE NOT AVAILABLE CLOSE BY. IT IS CR ITICALLY IMPORTANT THAT ATMORE COMMUNITY HOSPITAL BE ABLE TO UPDATE CAPITAL EQUIPMENT ACROSS INTERDISCIPLINARY CLINICAL DEPARTMENTS IN ORDER TO DIRECTLY IMPACT THESE DISPARITIES OF CARE AND ACCELERATE MEANINGFUL IMPACT ON CHRONIC DISEASE IN OUR COMMUNITY AND SURROUNDING AREAS. THIS PROJECT WILL ALLOW ATMORE COMMUNITY HOSPITAL TO ACQUIRE AN ARRAY OF CAPITAL EQUIPMENT THAT WILL ALLOW FOR A BETTER ACCESS TO RADIOLOGICAL IMAGING, IMPROVED LABORATORY TESTING, ENHANCED CARDIOPULMONARY TESTING CAPABILITIES, MODERNIZED UTILIZATION OF INTERFACING EXPEDITING CLINICAL DECISION MAKING, AND MAXIMIZE EMERGENCY CARE CAPABILITIES. ALL OF THESE AREAS TAKE AIM AT INCREASING THE ACCESS TO QUALITY CARE LOCALLY. THIS INCREASED ACCESS IS LIKELY TO HAVE SUBSTANTIAL IMPACT ON THE MORTALITY RATES, IMPROVING OUTCOMES FOR PATIENTS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TRAUMATIC BRAIN INJURY MODEL SYSTEMS: IMPROVING LONGITUDINAL ASSESSMENT AND TRACKING OF ACTIVITY LIMITATIONS IN INDIVIDUALS WITH TRAUMATIC BRAIN INJURY

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - ST. MARY’S HOSPITAL PROPOSES TO BUILD ON THE SUCCESSFUL FOUNDATION ESTABLISHED THROUGH ITS PRIOR RCORP GRANT BY EXPANDING THE COMEBACK E.R.A. (ERADICATING RURAL ADDICTION) PROGRAM. THE PROGRAM WILL ADDRESS THE ESCALATING OPIOID EPIDEMIC THAT HAS PROFOUNDLY IMPACTED SOUTHEAST NEBRASKA, A RURAL REGION WITH AN AVERAGE POVERTY RATE OF 12.4% AND LIMITED ACCESS TO TREATMENT RESOURCES. COMEBACK E.R.A. WILL EXPAND ACCESS TO TREATMENT AND RECOVERY SERVICES; CREATE NEW ACCESS POINTS FOR MEDICATIONS FOR OPIOID USE DISORDER (MOUD); DEVELOP A RESPONSIVE SUD WORKFORCE; ENHANCE COORDINATION WITH SUPPORTIVE SOCIAL SERVICES; AND ENSURE THE LONG-TERM AVAILABILITY OF RCORP-IMPACT SUPPORTED SERVICES BY WORKING TOWARD SUSTAINABILITY. BY ENGAGING JUSTICE-INVOLVED INDIVIDUALS, ADDRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH) NEEDS, AND PRIORITIZING WORKFORCE DEVELOPMENT, THE PROJECT WILL MITIGATE THE IMMEDIATE IMPACT OF THE OPIOID CRISIS WHILE ALSO LAYING THE GROUNDWORK FOR SUSTAINED, COMMUNITY-DRIVEN RECOVERY EFFORTS. WITH A FOCUS ON INNOVATION, COLLABORATION, AND SUSTAINABILITY, COMEBACK E.R.A. REPRESENTS A CRITICAL STEP FORWARD IN THE FIGHT AGAINST SUD/OUD IN RURAL SOUTHEAST NEBRASKA, PROMISING IMPROVED OUTCOMES AND A BRIGHTER FUTURE FOR INDIVIDUALS AND FAMILIES AFFECTED BY ADDICTION. COMEBACK E.R.A SERVES INDIVIDUALS DIAGNOSED WITH, AT RISK FOR, OR BEING TREATED/IN RECOVERY FOR SUD / OUD; THEIR FAMILIES AND/OR CAREGIVERS; AND/OR RESIDENTS IN SOUTHEAST NEBRASKA INCLUDING OTOE, NEMAHA, PAWNEE, RICHARDSON AND JOHNSON COUNTIES. ACCORDING TO THE U.S. CENSUS, ACROSS THESE FIVE COUNTIES, 92.1% OF THE POPULATION IS WHITE, 1.5% BLACK, 0.4% ASIAN, 0.7% NATIVE AMERICAN/ALASKA NATIVE, 0% NATIVE HAWAIIAN/PACIFIC ISLANDER, 1.7% SOME OTHER RACE, 3.6% MULTIPLE RACES. POPULATION BY ETHNICITY ALONE: 5.8% IS HISPANIC/LATINO AND 94% NON-HISPANIC. POVERTY RATE FOR ALL PEOPLE IS 8.5% JOHNSON COUNTY, 11.6% NEMAHA COUNTY, 11% OTOE COUNTY,18.9% PAWNEE AND 12.2% RICHARDSON. POVERTY RA TE UNDER 18 YEARS IS 11.8% JOHNSON COUNTY, 8.8% NEMAHA COUNTY, 19.6% OTOE COUNTY,36.7% PAWNEE AND 16.2% RICHARDSON. SINGLE PARENT FAMILY HOUSEHOLDS WITH CHILDREN UNDER 18 AS A PERCENT OF TOTAL FAMILY HOUSEHOLDS WITH CHILDREN UNDER 18 IS 32.3%. THOSE COMPLETING COLLEGE ARE AT 23.2%. THE TOTAL UNINSURED IS 6.1% IN JOHNSON, 6.5% NEMAHA, 6.4% OTOE, 13.2% PAWNEE AND 8.7% RICHARDSON.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE TITLE IV PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - I. PROJECT ABSTRACT ACCESS TO QUALITY HEALTHCARE IS A FUNDAMENTAL RIGHT FOR ALL INDIVIDUALS, YET MANY RURAL COMMUNITIES REMAIN UNDERSERVED, FACING SIGNIFICANT BARRIERS TO OBTAINING NECESSARY MEDICAL SERVICES. THE PROPOSED PROJECT AIMS TO ADDRESS THIS CRITICAL ISSUE BY ESTABLISHING A NEW RURAL HEALTH CLINIC IN BAILEYVILLE, WASHINGTON COUNTY, MAINE, A REGION CHARACTERIZED BY LIMITED HEALTHCARE INFRASTRUCTURE, DETRIMENTAL SOCIAL DETERMINANTS OF HEALTH RATES AND A HIGH PREVALENCE OF CHRONIC HEALTH CONDITIONS. BAILEYVILLE IS A RURAL AREA WITH A POPULATION OF APPROXIMATELY 1,300 CITIZENS, PREDOMINANTLY COMPOSED OF LOW TO MEDIUM-INCOME FAMILIES. THE NEAREST LIMITED-SERVICE HOSPITAL IS 11 MILES AWAY AND THE NEAREST FULL ACCESS TERTIARY CARE FACILITY IS 93 MILES, CREATING A SUBSTANTIAL BURDEN FOR RESIDENTS REQUIRING REGULAR MEDICAL ATTENTION. THIS LACK OF ACCESSIBLE HEALTHCARE HAS LED TO HIGHER RATES OF UNTREATED CHRONIC ILLNESSES, PREVENTABLE HOSPITALIZATIONS, AND OVERALL POORER HEALTH OUTCOMES. THE PRIMARY GOAL OF THIS PROJECT IS TO ESTABLISH A FULLY OPERATIONAL RURAL HEALTH CLINIC WITHIN BAILEYVILLE, ME TO OFFER COMPREHENSIVE MEDICAL SERVICES, INCLUDING PRIMARY CARE, PREVENTIVE CARE, AND CHRONIC DISEASE MANAGEMENT. THIS PROJECT ABSTRACT OUTLINES THE KEY OBJECTIVES, ACTIVITIES, AND ANTICIPATED OUTCOMES OF OUR HEALTH FACILITY RENOVATION PROJECT AIMED AT ELEVATING THE HEALTH STATUS OF THE CITIZENS OF AND SURROUNDING BAILEYVILLE, ME. OBJECTIVES 1. UPGRADE BUILDING INFRASTRUCTURE: MODERNIZE THE EXISTING BUILDING TO COMPLY WITH CURRENT HEALTH AND SAFETY STANDARDS, ENSURING A SAFE AND WELCOMING ENVIRONMENT FOR PATIENTS AND STAFF. 2. EXPAND CAPACITY: INCREASE THE FACILITY'S CAPACITY TO ACCOMMODATE A GROWING PATIENT POPULATION AND ENHANCE SERVICE DELIVERY. 3. ENHANCE MOVABLE AND AFFIXED EQUIPMENT: PROCURE AND INSTALL STATE-OF-THE-ART MEDICAL AND OFFICE EQUIPMENT. 4. IMPROVE OPERATIONAL EFFICIENCY: STREAMLINE PATIENT FLOW BY OPTIMIZING THE FACILITY' S LAYOUT TO SUPPORT EFFICIENT PATIENT CARE AND STAFF PRODUCTIVITY. 5. PROMOTE SUSTAINABILITY: INCORPORATE SUSTAINABLE BUILDING PRACTICES AND ENERGY-EFFICIENT SYSTEMS TO REDUCE THE FACILITY'S OPERATIONAL COSTS. ACTIVITIES 1. FACILITY ASSESSMENT AND PLANNING: CONDUCT A COMPREHENSIVE ASSESSMENT OF THE CURRENT FACILITY TO IDENTIFY AREAS NEEDING RENOVATION. DEVELOP A DETAILED RENOVATION PLAN IN COLLABORATION WITH ARCHITECTS, ENGINEERS, AND HEALTHCARE PROFESSIONALS. 2. CONSTRUCTION AND RENOVATION: EXECUTE THE RENOVATION PLAN, INCLUDING STRUCTURAL REPAIRS, SPACE RECONFIGURATION, AND AESTHETIC IMPROVEMENTS. ENSURE COMPLIANCE WITH ALL RELEVANT BUILDING CODES AND HEALTHCARE REGULATIONS. 3. EQUIPMENT UPGRADE: PURCHASE AND INSTALL MODERN MEDICAL EQUIPMENT, DIAGNOSTIC TOOLS, AND OFFICE EQUIPMENT. 4. COMMUNITY ENGAGEMENT: KEEP THE COMMUNITY INFORMED ABOUT THE RENOVATION PROGRESS AND GATHER FEEDBACK THROUGH REGULAR UPDATES, OPEN HOUSES, AND SOCIAL MEDIA. ANTICIPATED OUTCOMES 1. ENHANCED PATIENT CARE: IMPROVED FACILITY INFRASTRUCTURE AND ADVANCED MEDICAL EQUIPMENT WILL ENABLE HIGHER-QUALITY CARE, REDUCING WAIT TIMES AND IMPROVING PATIENT OUTCOMES. 2. INCREASED CAPACITY: EXPANDED SPACE AND OPTIMIZED LAYOUTS WILL ALLOW THE FACILITY TO SERVE A LARGER PATIENT POPULATION AND OFFER A BROADER RANGE OF SERVICES. 3. OPERATIONAL EFFICIENCY: STREAMLINED PROCESSES AND MODERN TECHNOLOGY WILL ENHANCE ADMINISTRATIVE EFFICIENCY, REDUCE OPERATIONAL COSTS, AND IMPROVE OVERALL SERVICE DELIVERY. 4. SUSTAINABLE PRACTICES: THE INCORPORATION OF SUSTAINABLE BUILDING PRACTICES WILL REDUCE THE FACILITY'S OPERATIONAL EXPENSES, CONTRIBUTING TO LONG-TERM SUSTAINABILITY. 5. COMMUNITY SATISFACTION: ONGOING COMMUNITY ENGAGEMENT AND IMPROVED FACILITY CONDITIONS WILL FOSTER GREATER TRUST AND SATISFACTION AMONG PATIENTS AND RESIDENTS. ADDRESSING THE HEALTHCARE NEEDS OF UNDERSERVED RURAL COMMUNITIES IS ESSENTIAL FOR PROMOTING HEALTH EQUITY AND IMPROVING OVERALL PUBLIC HEALTH. THE PROPOSED RURAL HEALTH CLINI C IN BAILEYVILLE REPRESENTS A CRUCIAL STE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

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

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NEW YORK COMMUNITY HOSPITAL IS REQUESTING MRI EQUIPMENT FOR THE INFUSION CENTER PROJECT. ONCE THE CLINICAL/PATHOLOGICAL DIAGNOSIS CONFIRMED WITH A BIOPSY THE MRI IS NEEDED AS PART OF THE “STANDARD OF CARE AND MUST BE CONFIRMED PRIOR TO CHEMOTHERAPY” BEFORE THE PATIENT CAN RECEIVE INFUSIONS.

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEHEALTH NETWORK GRANT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEMEDICINE GRANT

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - ELIGIBLE ENTITY/FACILITY TYPE: RURAL HOSPITAL PROJECT DIRECTOR (PD) NAME & CONTACT INFORMATION: TAMMY HO, MBA TAHO@QUEENS.ORG RESIDENCY PROGRAM DIRECTOR NAME & CONTACT INFORMATION (IF APPLICABLE): DR. THOMAS QUATTLEBAUM, MD TQUATTLE@HAWAII.EDU PROGRAM PATHWAY (SELECT ONE): GENERAL PRIMARY CARE AND HIGH NEED SPECIALTY PATHWAY RESIDENCY RESIDENCY SPECIALTY: FAMILY MEDICINE RESIDENCY FORMAT (SELECT ONE): EXISTING RTP (ADDING NEW RURAL TRAINING SITE TO EXISTING PROGRAM) SPONSORING INSTITUTION NAME, LOCATION, AND ACGME SPONSOR PROGRAM CODE (IF APPLICABLE): JOHN A BURNS SCHOOL OF MEDICINE (JABSOM) 651 ILALO ST. MEDICAL EDUCATION BUILDING, 223F HONOLULU, HI 96813 SPONSORING INSTITUTION CODE: 140439 RURAL TARGET AREA(S): HAWAII COUNTY FUNDING AMOUNT REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION (REFER TO SECTION IV.2.II. PROGRAM SUSTAINABILITY): MEDICARE FTE RESIDENT CAP EXPANSION FOR RTPS (OPTION 3) PROJECTED TOTAL NUMBER OF RESIDENTS: 3 EXPECTED ACGME ACCREDITATION AND RESIDENCY MATRICULATION DATES: JULY 1, 2027 FUNDING PRIORITY POINTS REQUESTED, IF APPLICABLE (REFER TO ATTACHMENT 9 AND SECTION V.2 REVIEW AND SELECTION PROCESS): N/A LIST OF RECENT HRSA AWARDS RECEIVED WITHIN THE LAST 5 YEARS, IF APPLICABLE, BY PROGRAM NAME AND GRANT NUMBER (E.G., RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM, GRANT NO. P13RH99999) QUEEN’S NORTH HAWAII COMMUNITY HOSPITAL (QNHCH) IS APPLYING FOR THIS RURAL RESIDENCY PROGRAM DEVELOPMENT GRANT OPPORTUNITY IN ORDER TO EXPAND THE EXISTING UNIVERSITY OF HAWAII’S FAMILY MEDICINE RESIDENCY PROGRAM TO INCLUDE A RURAL TRAINING PROGRAM (RTP), WITH QNHCH SERVING AS THE RURAL TRAINING SITE. THE UNIVERSITY OF HAWAII FAMILY MEDICINE PROGRAM IS A 21-PERSON PROGRAM ACCREDITED IN 1993. THROUGH THIS OPPORTUNITY, PALI MOMI MEDICAL CENTER WILL SERVE AS THE URBAN SITE, WHICH WILL TRAIN RESIDENTS FOR THE FIRST YEAR OF THE 3-YEAR RESIDENCY. QNHCH WILL SERVE AS THE RURAL SITE, WHEREUPON RESIDENTS SPEND YEARS 2 AND 3 OF THE PR OGRAM. THE FAMILY MEDICINE RTP WILL TRAIN 1 RESIDENT PER YEAR (3 IN TOTAL). ALONGSIDE THIS OPPORTUNITY, WE AIM TO ACHIEVE ACCREDITATION FOR THIS RTP AND BEGIN TRAINING RESIDENTS NO LATER THAN JULY 1ST, 2027. QNHCH IS LOCATED IN WAIMEA, ON THE ISLAND OF HAWAII, WITHIN HAWAII COUNTY. THE URBAN PARTICIPATING SITE, PALI MOMI MEDICAL CENTER RESIDES IN HONOLULU, ON THE ISLAND OF OAHU, WITHIN THE PARTIALLY RURAL HONOLULU COUNTY (POPULATION 995,638).1 HAWAII COUNTY IS ~200 MILES AWAY FROM HONOLULU, HAS A POPULATION OF 206,315 AND RANKS AS HAWAII’S LEAST HEALTHY COUNTY IN TERMS OF HEALTH FACTORS AND OUTCOMES.2 3 ADDITIONALLY, HAWAII COUNTY HAS A POPULATION PRIMARY CARE PROVIDERS RATIO OF 1,130:1 AND THE FEWEST PROVIDERS (78 PER 100,000) COMPARED TO ALL OTHER COUNTIES WITHIN THE STATE, WITH HONOLULU COUNTY, HAVING THE MOST (99 PER 100,000).4,5 HAWAII COUNTY IS DESIGNATED AS A RURAL, PRIMARY CARE MEDICAL UNDESERVED AREA (MUA) BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) AND IS DESIGNATED AS A HIGH NEEDS GEOGRAPHIC HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AS WELL.6 7 TO MITIGATE THESE CARE SHORTAGES, WE AIM TO RETAIN AT LEAST 50% OF OUR GRADUATING RESIDENTS WITHIN THE SURROUNDING COMMUNITY. QNHCH CURRENTLY HAS THE CAPACITY TO SUPPORT ACGME VOLUME REQUIREMENTS AS SET FORTH BY ACGME TO ALLOW EACH RESIDENT TO COMPLETE THEIR REQUIRED PATIENT EXPERIENCES. BETWEEN JANUARY 2014 AND DECEMBER 2023, THERE HAVE BEEN A TOTAL OF 145,980 ER VISITS, 23,193 TOTAL SURGERIES, 17,073 TOTAL ADMITS, 58,926 TOTAL PATIENT DAYS 4,346 TOTAL DELIVERIES, AND 13,344 VISITS TO THE PRIMARY CARE CLINIC.8 THROUGH THE ESTABLISHMENT OF THIS FAMILY MEDICINE RTP, WE AIM TO EXPAND THIS CARE AND LIKEWISE BRING ACCESSIBLE PRIMARY CARE TO OUR NEARBY SERVICE THROUGH THE RESIDENCY TRAINING ITSELF AND THE RETENTION OF FAMILY MEDICINE RESIDENTS AND FACULTY.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MAT EXPANSION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

APPLICATION OF NEAR INFRARED SPECTROSCOPY, INTRAVASCULAR ULTRASOUND AND THE CORONARY CALCIUM SCORE TO PREDICT ADVERSE CORONARY EVENTS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - ADDRESS: 110 MEMORIAL HOSPITAL DRIVE, HUNTSVILLE, TEXAS 77340-4940 PROJECT DIRECTOR: KATHY OGDEN, PHD PHONE NUMBER: 936-202-5227 FAX NUMBER: 936-291-4512 EMAIL ADDRESS: KATHY.OGDEN@HMH.CC WEBSITE: WWW.HUNTSVILLEMEMORIAL.COM/SPECIALTIES-SERVICES/MEDICAL-CLINIC.ASPX ELIGIBLE ENTITY TYPE: RURAL HEALTH CENTER RESIDENCY SPECIALTY & TYPE: NEW FAMILY MEDICINE RESIDENCY (3-YEAR RURAL PROGRAM) SPONSORING INSTITUTION: BAPTIST HOSPITALS OF SOUTHEAST TEXAS PROJECTED NUMBER OF RESIDENTS (ALL YEARS): 12 (4-4-4) & (AY 23-24): 4 (4-0-0) PURPOSE/NEED: THE PURPOSE OF THIS PROJECT IS TO: (1) CREATE A NEW RURAL TEACHING HEALTH CENTER WITH A FAMILY MEDICINE RESIDENCY PROGRAM BASED PREDOMINATELY IN A RURAL HEALTH CENTER; (2) IMPLEMENT SPECIFIC CURRICULA THAT FOCUSES ON COMMUNITY MEDICINE, CULTURAL COMPETENCY, AND PRACTICE MANAGEMENT THAT PREPARES GRADUATES FOR CAREERS IN PRIMARY CARE IN UNDERSERVED AREAS; AND (3) PLACE GRADUATES IN HEALTH CENTERS AND OTHER UNDERSERVED SETTINGS AT A HIGHER RATE THAN THE NATIONAL AVERAGE FOR FAMILY PRACTICE RESIDENCIES. THERE IS A GREAT NEED TO ADDRESS THE SHORTAGE OF PRIMARY CARE PHYSICIANS PRACTICING IN WALKER COUNTY AND SURROUNDING COUNTIES THEREBY HELPING CLOSE THE HEALTH EQUITY GAP. IN THIS AREA OF TEXAS, IT IS DIFFICULT TO ATTRACT AND RETAIN PHYSICIANS, HOWEVER WE HAVE A HIGH POPULATION OF CHRONIC AND COMORBID RESIDENTS. THIS HIGH LEVEL OF NEED COMBINED WITH A CHALLENGED PHYSICIAN SUPPLY RESULTS IN A RATIO OF COUNTY RESIDENTS TO PRIMARY CARE PHYSICIANS THAT IS MORE THAN TWICE THE NATIONAL AVERAGE. CURRENTLY, 21% OF WALKER COUNTY LIVE IN POVERTY AND 19.29% ARE UNINSURED. FUNDING PRIORITIES: AS A NEW THCGME APPLICANT, THIS PROJECT REQUESTS PRIORITY 1 (HPSA) AND PRIORITY 3 (RURAL) OVERVIEW OF PROGRAM: THE HUNTSVILLE MEMORIAL HOSPITAL FAMILY MEDICINE RURAL RESIDENCY PROGRAM IS COMMITTED TO TRAINING EXEMPLARY FAMILY MEDICINE PHYSICIANS AND FUTURE HEALTHCARE LEADERS IN RURAL COMMUNITIES. THE FAMILY MEDICINE RURAL RESIDEN CY PROGRAM WILL PROVIDE HIGH QUALITY EDUCATION, SCHOLARSHIP, AND SERVICE TO QUALIFIED STUDENTS ALL IN A RURAL ENVIRONMENT. RESIDENTS IN THE PROGRAM WILL TRAIN WITH QUALIFIED, COMPETENT PHYSICIANS THAT WILL INSTILL IN RESIDENTS A DESIRE FOR LIFELONG LEARNING AND A COMMITMENT TO QUALITY PATIENT CARE. BAPTIST HOSPITALS OF SOUTHEAST TEXAS WILL SERVE AS THE SPONSORING INSTITUTION AND SAM HOUSTON STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE SERVES AS THE ACADEMIC PARTNER. THE PROGRAM APPLICATION HAS BEEN SUBMITTED TO THE ACGME AND WILL BE REVIEWED AT THE NEXT MEETING. WITH GRANT FUNDING AND ACCREDITATION, THE FIRST FOUR RESIDENTS WILL MATRICULATE IN JULY 2023. THE HUNTSVILLE MEDICAL CLINIC IS DESIGNATED AS A RURAL HEALTH CENTER AND WILL SERVE AS THE TEACHING HEALTH CENTER WITH MOST REQUIRED INPATIENT ROTATIONS PERFORMED AT HUNTSVILLE MEMORIAL HOSPITAL. THIS HOSPITAL HAS NOT SERVED AS A TRAINING SITE IN THE PAST.

DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH WORKFORCE DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-PSYCHOSTIMULANT SUPPORT

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

DELTA HEALTH SYSTEMS IMPLEMENTATION PROGRAM

JERSEY COMMUNITY HOSPITAL EMS TRAINING AND RECRUITMENT PROGRAM - THE JERSEY COMMUNITY HOSPITAL (JCH) EMS TRAINING PROGRAM WILL PROVIDE HIGH QUALITY EMERGENCY MEDICAL SERVICES TRAINING TO PERSONNEL IN THE JCH TRAINING CENTER AS WELL AS THE RURAL COMMUNITIES OF JERSEY, GREENE, AND CALHOUN COUNTIES. THE PROPOSED ACTIVITIES WILL STRENGTHEN THE QUALITY OF THE EMERGENCY MEDICAL SERVICE PROVIDERS' ABILITY TO HANDLE ALL EMERGENCY SITUATIONS AS WELL AS ELEVATE OUR RURAL HOSPITAL TO SHOWCASE THE GROWING PROGRAM WE HAVE IN PLACE AND EXPAND SERVICES TO THE COMMUNITY. THE PROVIDED TRAINING WILL BE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES IN WHICH THE EMS PERSONNEL SERVE WITH A PARTICULAR FOCUS ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND HOW TO CARE FOR INDIVIDUALS DEALING WITH THESE ISSUES. THE PROJECT GOALS ARE AS FOLLOWS: GOAL 1- JCH WILL OFFER CEU CLASSES AT LEAST QUARTERLY. JCH WILL TEACH PALS ACCREDITATION TO 25 INDIVIDUALS IN YEAR 1 AND AGAIN IN YEAR 2. GOAL 2- JCH WILL CONDUCT AN EMT CLASS IN JANUARY OF 2025 AND JANUARY OF 2026. THE GOAL IS TO HAVE 10 PARTICIPANTS GRADUATE FROM THE PROGRAM WITH EMT CERTIFICATION EACH YEAR. JCH WILL ALSO REIMBURSE 4 STUDENTS FOR TUITION COSTS ASSOCIATED WITH OBTAINING A PARAMEDIC LICENSE THROUGH LEWIS AND CLARK COMMUNITY COLLEGE DURING YEAR 1 AND THEN 2 MORE IN YEAR 2. GOAL 3- JCH WILL SEND TWO STAFF MEMBERS TO A CONTINUING EDUCATION CONFERENCE IN YEAR 1 AND 2 AS WELL AS HAVE ONE INSTRUCTOR COMPLETE COURSES TO BECOME A LEVEL 1 INSTRUCTOR AND ONE INSTRUCTOR COMPLETE COURSES TO BECOME A LEVEL 2 INSTRUCTOR. 2 STAFF MEMBERS WILL CONTINUE TO BE CERTIFIED TO TEACH ADDITIONAL NAEMT CERTIFIED COURSES THROUGHOUT YEAR 1 AND 2. GOAL 4- JCH WILL PROVIDE A MINIMUM OF 2 TRAUMA INFORMED TRAINING SESSIONS EACH YEAR, THAT WILL TRAIN ALL EMS PERSONNEL ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS AS WELL AS HOW TO REFER TO PEER COUNSELORS, HARM REDUCTION SERVICES INCLUDING NALOXONE, AND LOCAL TREATMENT CLINICS. GOAL 5- JCH EMS WILL PURCHASE NECESSARY SUPPLIES TO CONDUCT TRAININGS FOR EMS PERSONNEL. GOAL 6- ALL EMS PERSONNEL WILL ATTEND ONE MENTAL HEALTH FIRST AID TRAINING PROVIDED BY CHESTNUT HEALTH SYSTEMS AND ONE MOTIVATIONAL INTERVIEWING TRAINING SESSION PROVIDED BY THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICAHN). THEY WILL ALSO RECEIVE AN ANNUAL REFRESHER COURSE ON HOW TO ADMINISTER NALOXONE. GOAL 7- CONTINUE TO WORK WITH THE TRI-COUNTY AREA OFFICIALS TO UPDATE OVERDOSE REPORTING AND ENHANCE AWARENESS OF HOT SPOTS SO THAT WE CAN PROVIDE SERVICES TO THOSE AREAS MOST AFFECTED. IN TOTAL THE GRANT WILL ALLOW JERSEY COMMUNITY HOSPITAL TO TRAIN AT LEAST 300 INDIVIDUALS IN OUR COMMUNITY ON LIFE SAVINGS TECHNIQUES.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

GRANTS FOR SCHOOL-BASED STUDENT DRUG-TESTING PROGRAMS

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH OPIOID PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

DELTA HEALTH SYSTEMS IMPLEMENTATION PROGRAM - APPLICANT ORGANIZATION INFORMATION: SPARTA COMMUNITY HOSPITAL DISTRICT (SCHD), 818 E BROADWAY, ST. SPARTA, IL 62286, CRITICAL ACCESS DISTRICT HOSPITAL WITH 6 RURAL HEALTH CLINICS, SPARTAHOSPITAL.COM PROJECT DIRECTOR –JENNIFER BARBOUR, DIRECTOR OF MARKETING & RELATIONS, 618-443-1467, BARBOUR.JENNIFER@SPARTAHOSPITAL.COM. KEY STAFF TBH; ONE (1) CHRONIC CARE MANAGEMENT LEAD COORDINATOR, AND THREE (3) CHRONIC CARE MANAGEMENT COORDINATORS. PROJECT TITLE & GOAL: SCHD’S CHRONIC CARE MANAGEMENT PROGRAM – HAS THE GOAL TO REDUCE OR ELIMINATE HEALTH DISPARITIES AND IMPROVE PATIENT HEALTH OUTCOMES IN UNDERSERVED RURAL POPULATION. THE TARGET POPULATION RESIDES IN THE SOUTHWEST ILLINOIS COUNTIES OF RANDOLPH, WASHINGTON, ST. CLAIR, JACKSON, AND PERRY COUNTIES. SCHD WILL TRANSFORM ITS CHRONIC CARE MANAGEMENT (CCM) DELIVERY TO BETTER SERVE THE RURAL UNDERSERVED POPULATION IN RANDOLPH COUNTY, IL, AND SURROUNDING AREAS. THIS INITIATIVE AIMS TO ADDRESS HEALTH DISPARITIES BY IMPROVING ACCESS TO CARE, PROVIDING TAILORED SERVICES, AND PROMOTING HEALTH EQUITY. THE PROJECT WILL FOCUS ON EXPANDING PRIMARY AND PREVENTATIVE CARE, BEHAVIORAL HEALTH SCREENINGS, IMMUNIZATIONS, AND CHRONIC DISEASE MANAGEMENT. KEY OBJECTIVES INCLUDE TO DEVELOP AND IMPLEMENT AN INTERNAL CCM PROGRAM BY HIRING AND TRAINING CCM COORDINATORS, DEVELOPING POLICIES, PROCEDURES AND MARKETING STRATEGIES, AND ENSURING DATA INTEGRITY AND REIMBURSEMENT PROCESSES; IMPROVE PATIENT OUTCOMES FOR POPULATION HEALTH MANAGEMENT BY INCREASING EARLY INTERVENTION AND REDUCING AVOIDABLE ED VISITS, ENHANCING CHRONIC DISEASE SCREENING AND MANAGEMENT, AND IMPROVING BEHAVIORAL HEALTH SCREENINGS AND REFERRALS; AND REDUCE HEALTHCARE COSTS BY INCREASING ENROLLMENT IN THE ACO, DEVELOPING MEASURABLE OBJECTIVES TO TRACK OUTCOMES, AND DECREASING PMPM COSTS FOR ACO MEMBERS. EXPECTED OUTCOMES INCLUDE IMPROVED POPULATION HEALTH MANAGEMENT AND HEALTH OUTCOMES; ENHANCED CAPACITY FOR VALUE-BASED CARE AND POPULATION HEALTH MA NAGEMENT; FINANCIAL SAVINGS PASSED ON TO LOW-INCOME PATIENTS; INCREASED PATIENT SATISFACTION AND ENGAGEMENT. SCHD WILL UTILIZE THE TRUBRIDGE EMR SYSTEM AND I2ITRACKS’ POPULATION HEALTH MANAGEMENT PLATFORM TO TRACK AND IMPROVE PATIENT OUTCOMES. DATA WILL BE COLLECTED AND ANALYZED TO INFORM DECISION-MAKING AND IDENTIFY OPPORTUNITIES FOR IMPROVEMENT. SCHD HAS THE CAPACITY AND EXPERIENCE TO SERVE RURAL POPULATIONS. OVER THE PAST 30 YEARS, SCHD HAS WORKED STEADILY TO ADD PRIMARY CARE CLINICS IN THE RURAL COMMUNITIES THAT SURROUND ITS FACILITY. A MOBILE HEALTH CLINIC, MADE POSSIBLE BY THE AVAILABILITY OF RURAL HEALTH CLINIC FUNDS DURING THE COVID-19 PANDEMIC, ALSO INCREASED ACCESS TO PRIMARY CARE AMONG RURAL, TRADITIONALLY UNDERSERVED POPULATIONS. THE PROPOSED PROJECT BUILDS UPON THAT WORK TO BRING HEALTHCARE INTO UNDERSERVED, RURAL COMMUNITIES, AND IMPROVE CARE FOR DISPROPORTIONATELY IMPACTED POPULATIONS. THE TOTAL PROJECT COST IS $631,257.33, WITH SCHD PROVIDING IN-KIND SUPPORT OF $231,257.33. THE REQUESTED FUNDING OF $400,000.00 WILL COVER PERSONNEL, FRINGE BENEFITS, TRAVEL, SUPPLIES AND OTHER NECESSARY EXPENSES TO IMPLEMENT THE CCM PROGRAM.

DELTA HEALTH SYSTEMS IMPLEMENTATION PROGRAM - AN EFFICIENT REVENUE CYCLE PROCESS IS CRUCIAL FOR THE FINANCIAL SUSTAINABILITY OF ANY RURAL HOSPITAL. IN MAY 2023, PINCKNEYVILLE COMMUNITY HOSPITAL IMPLEMENTED THE MEDITECH EXPANSE ELECTRONIC HEALTH RECORD (EHR) SYSTEM. HOWEVER, ONE YEAR POST-IMPLEMENTATION, WE HAVE ENCOUNTERED INEFFICIENCIES IN REVENUE CYCLE PERFORMANCE. PREVIOUSLY, WITH THE SUPPORT OF THE NATIONAL RURAL HEALTH RESOURCE CENTER DELTA PROGRAM, HURON CONSULTING GROUP ASSISTED US WITH EHR SELECTION, IMPLEMENTATION, AND COLLABORATION WITH MEDITECH. SINCE THE EHR IMPLEMENTATION, WE HAVE WORKED DILIGENTLY WITH MEDITECH SUPPORT TO OPTIMIZE SYSTEM USE. IN MAY 2024, HURON CONSULTING GROUP CONDUCTED A REVENUE CYCLE ASSESSMENT, IDENTIFYING AREAS WITHIN THE MEDITECH EXPANSE EHR THAT COULD FURTHER ENHANCE WORKFLOWS, SUCH AS WORK QUEUES, MEDICAL NECESSITY, DENIAL MANAGEMENT, AND CHARGE CAPTURE. THEY ALSO HIGHLIGHTED OPPORTUNITIES TO EXPAND THE USE OF THE MEDITECH PATIENT PORTAL AND THIRD-PARTY VENDOR PROGRAMS TO STREAMLINE PATIENT SCHEDULING, PRIOR AUTHORIZATION, MEDICAL NECESSITY, PRE-REGISTRATION, AND PATIENT PAYMENT ENGAGEMENT. THE PROPOSED REVENUE CYCLE OPTIMIZATION PROJECT WILL BE EXECUTED IN SEVERAL PHASES TO IMPROVE THE HOSPITAL'S REVENUE CYCLE PERFORMANCE AND FINANCIAL OUTCOMES THROUGH INCREASED CASH FLOW. THE FIRST PHASE INCLUDES BUILDING DICTIONARIES WITHIN THE EHR TO AUTOMATE DENIAL MANAGEMENT, IMPROVE CLAIMS THROUGHPUT, SET KEY PERFORMANCE INDICATOR GOALS TO REDUCE OUTSTANDING ACCOUNTS RECEIVABLE TO PRE-IMPLEMENTATION LEVELS AND CONDUCT VENDOR DEMONSTRATIONS FOR EXPANDED REVENUE CYCLE AUTOMATION TOOLS. THE SECOND PHASE FOCUSES ON FRONT-END PROACTIVE MEASURES, OPTIMIZING RESOURCES AND WORKFLOWS FOR SCHEDULING, PREAUTHORIZATION, MEDICAL NECESSITY, PREREGISTRATION, AND REGISTRATION. SUBSEQUENT PHASES INVOLVE IMPLEMENTING NEW REVENUE CYCLE AUTOMATION RESOURCES TO ENHANCE CHARGE CAPTURE, REDUCING DAYS TO CODE AND BILL. THE FINAL PHASE INCLUDES EXPLORING IMPLEMENTING NEW PA TIENT ENGAGEMENT METHODS VIA OUR MEDITECH PATIENT PORTAL OR CONTRACTING WITH A VENDOR FOR SERVICES SUCH AS PRE-REGISTRATION, POINT-OF-SERVICE COLLECTIONS, E-STATEMENTS, AND TEXTING COMMUNICATION. THIS COMPREHENSIVE APPROACH AIMS TO STREAMLINE OPERATIONS, REDUCE INEFFICIENCIES, AND IMPROVE THE OVERALL FINANCIAL HEALTH OF PINCKNEYVILLE COMMUNITY HOSPITAL.

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

TELEMEDICINE GRANT

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

HEALTHCARE ACCESS

SITE DEVELOPMENT AND CONSTRUCTION OF A TWO-STORY ADDITION TO THE MUHLENBERG COMMUNITY HOSPITAL

REDL - ELECTRIC GRANT

TELEMEDICINE GRANT

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ADDRESS: 1501 S. DIXIE STREET, HORSE CAVE, KY 42749 PROJECT DIRECTOR NAME: ALAN ALEXANDER CONTACT PHONE NUMBER: VOICE (270) 786-2191 FAX (270) 786-1557 EMAIL ADDRESS: ALEXA@MCHEALTH.NET WEBSITE ADDRESS: MEDCENTERHEALTH.ORG/LOCATION/THE-MEDICAL-CENTER-AT-CAVERNA/ FEDERAL FUNDS REQUESTED: $250,000 THE MED CENTER AT CAVERNA SURGERY DEPARTMENT PROJECT WILL PROVIDE ESSENTIAL EQUIPMENT THAT WILL SIGNIFICANTLY ENHANCE SURGICAL SERVICE CAPABILITIES AT THE HOSPITAL AND INCREASE ACCESS TO CARE IN HORSE CAVE AND THE SURROUNDING COMMUNITIES.

DLT OPIOID GRANTS

2023 JERSEY COMMUNITY HOSPITAL EMS TRAINING PROGRAM - THE JERSEY COMMUNITY HOSPITAL (JCH) EMS TRAINING PROGRAM WILL PROVIDE HIGH QUALITY EMERGENCY MEDICAL SERVICES TRAINING TO PERSONNEL IN THE JCH TRAINING CENTER AS WELL AS THE RURAL COMMUNITIES OF JERSEY, GREENE, AND CALHOUN COUNTIES. THE PROPOSED ACTIVITIES WILL STRENGTHEN THE QUALITY OF THE EMERGENCY MEDICAL SERVICE PROVIDERS' ABILITY TO HANDLE ALL EMERGENCY SITUATIONS AS WELL AS ELEVATE OUR RURAL HOSPITAL TO SHOWCASE THE GROWING PROGRAM WE HAVE IN PLACE AND EXPAND SERVICES TO THE COMMUNITY. THE PROVIDED TRAINING WILL BE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES IN WHICH THE EMS PERSONNEL SERVE WITH A PARTICULAR FOCUS ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND HOW TO CARE FOR INDIVIDUALS DEALING WITH THESE ISSUES. THE PROJECT GOALS ARE AS FOLLOWS: GOAL 1- JCH WILL OFFER CEU CLASSES AT LEAST QUARTERLY. JCH WILL TEACH PALS ACCREDITATION TO 50 INDIVIDUALS. JCH WILL ALSO HOST A DT4 EMS TRAINING SESSION FOR SURROUND COMMUNITIES TO ATTEND. GOAL 2- JCH WILL CONDUCT AN EMT CLASS IN JANUARY OF 2024. THE GOAL IS TO HAVE 10 PARTICIPANTS GRADUATE FROM THE PROGRAM WITH EMT CERTIFICATION. GOAL 3- JCH WILL SEND THREE STAFF MEMBERS TO A CONTINUING EDUCATION CONFERENCE AS WELL AS HAVE ONE INSTRUCTOR COMPLETE COURSES TO BECOME A LEVEL 1 INSTRUCTOR AND ONE INSTRUCTOR COMPLETE COURSES TO BECOME A LEVEL 2 INSTRUCTOR. 2 STAFF MEMBERS WILL BE CERTIFIED TO TEACH NAEMT CERTIFIED COURSES. GOAL 4- JCH WILL PROVIDE A MINIMUM OF 2 TRAINING SESSIONS EACH, THAT WILL TRAIN ALL EMS PERSONNEL ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS AS WELL AS HOW TO REFER TO PEER COUNSELORS AND LOCAL TREATMENT CLINICS, AND PROVIDING NALOXONE. GOAL 5- JCH EMS WILL PURCHASE NECESSARY SUPPLIES TO CONDUCT TRAININGS FOR EMS PERSONNEL. GOAL 6- ALL EMS PERSONNEL WILL ATTEND ONE MENTAL HEALTH FIRST AID TRAINING PROVIDED BY CHESTNUT HEALTH SYSTEMS AND ONE MOTIVATIONAL INTERVIEWING TRAINING SESSION PROVIDED BY THE ILLINOIS CRITICAL ACCESS NETWORK (ICAHN). GOAL 7- CREATE AN ONLINE DASHBOARD THAT WILL BE ACCESSIBLE BY JCH, JERSEY COUNTY POLICE DEPARTMENT, JERSEY COUNTY SHERIFF'S DEPARTMENT, AND JERSEY COUNTY HEALTH DEPARTMENT TO PROVIDE DATA ON OVERDOSES IN OUR COMMUNITY. IN TOTAL THE GRANT WILL ALLOW JERSEY COMMUNITY HOSPITAL TO TRAIN AT LEAST 150 INDIVIDUALS IN OUR COMMUNITY ON LIFE SAVINGS TECHNIQUES.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH OPIOID PROGRAM

HEALTH CARE AND OTHER FACILITIES

PRIMARY CARE

TELEMEDICINE GRANT

(PQC3) USING AN IMMUNOSCORE TO ASSESS TUMOR-MEDICATED IMMUNE VARIATIONS IN AFRICAN -AMERICAN

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

RURAL BENEFITS COUNSELING PROGRAM

COMMUNITY FACILITY GRANTS

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

2022 JERSEY COMMUNITY HOSPITAL EMS TRAINING PROGRAM - JERSEY COMMUNITY HOSPITAL WILL CONTINUE A EMS TRAINING PROGRAM THAT CONSISTS OF EMT CERTIFICATION COURSES, FARM MEDIC COURSES, ACLS, PALS, PEPP, AND AMERICAN RED CROSS LIFEGUARD CERTIFICATION COURSES, MENTAL HEALTH AND SUBSTANCE/OPIOID USE TRAININGS AND OVERDOSE AND NARCAN TRAININGS. JCH WILL UPGRADE EMS EQUIPMENT AND TRAINING EQUIPMENT TO ENSURE THE SAFETY AND COMFORT OF OUR PATIENTS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - THIS PURPOSE OF THIS AWARD IS TO PROVIDE PINCKNEYVILLE COMMUNITY HOSPITAL WITH INNOVATIVE AND ADVANCED CARDIAC MONITORING AND VITAL SIGNS CAPABILITIES TO REPLACE DEVICES NO LONGER SUPPORTED. NEW SYSTEMS WILL BE PLACED IN THE EMERGENCY DEPARTMENT, ONCOLOGY UNIT, AND SURGICAL DEPARTMENTS. THE PROJECT WILL INCLUDE THE PURCHASE AND INSTALLATION OF EQUIPMENT THROUGH NIHON KOHDEN. PROJECT MILESTONES INCLUDE INSTALLATION OF NIHON KOHDEN EQUIPMENT AND STAFF TRAINING IN 2024. THE GOALS OF THIS PROJECT ARE TO UPDATE EQUIPMENT TO THE LATEST TECHNOLOGY WHICH WILL PROVIDE ENHANCED PATIENT MONITORING CAPABILITIES THROUGH IMPLEMENTATION OF SOFTWARE ENHANCEMENTS THAT PRIOR MONITORING EQUIPMENT CANNOT SUPPORT. THE BENEFICIARIES OF THIS PROJECT ARE THE PATIENTS OF PINCKNEYVILLE COMMUNITY HOSPITAL WHO WILL CONTINUE TO RECEIVE HIGH QUALITY HEALTHCARE THROUGH THE HOSPITAL UPDATING EQUIPMENT TO THE LATEST TECHNOLOGY.

HEALTH CARE AND OTHER FACILITIES

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NWCH WILL LEVERAGE THIS APPROPRIATIONS FUNDING INTO THE PURCHASE OF 12 ECG MACHINES AND ALL RELATED LICENSES, SOFTWARE, ATTACHMENTS AND SUPPORT.

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

TELEMEDICINE GRANT

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - FY 2025 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM CATEGORY: HIV CARE INNOVATION – STREAMLINING RWHAP ELIGIBILITY FUNDING AMOUNT REQUESTED: $150,000 PROJECT SUMMARY: COMMUNITY SPECIAL SERVICES (CSS), A PROGRAM OF COMMUNITY MEDICAL CENTERS (CMC), REQUESTS $150,000 IN FUNDING THROUGH THE FY 2025 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM TO IMPLEMENT AN HIV CARE INNOVATION INITIATIVE FOCUSED ON STREAMLINING RWHAP ELIGIBILITY FOR UNINSURED AND UNDERINSURED PEOPLE WITH HIV (PWH). THIS INITIATIVE WILL EMBED A DEDICATED ELIGIBILITY ADVOCATE WITHIN THE CSS SPECIAL SERVICES CLINIC TO FACILITATE RAPID ENROLLMENT IN MEDI-CAL, COVERED CALIFORNIA, AND RYAN WHITE SERVICES, REMOVING CRITICAL BARRIERS TO TIMELY HIV CARE. NEEDS TO BE ADDRESSED: FRESNO COUNTY CONTINUES TO FACE SIGNIFICANT CHALLENGES IN HIV CARE ENGAGEMENT, PARTICULARLY FOR LOW-INCOME, UNINSURED, AND UNDOCUMENTED POPULATIONS. CURRENT BARRIERS IN INSURANCE ELIGIBILITY VERIFICATION AND RECERTIFICATION CONTRIBUTE TO DELAYS IN LINKAGE TO CARE, LOW ART ADHERENCE RATES (58.2%), AND RETENTION CHALLENGES (49.3%). THE CSS CLINIC SERVES 62.5% OF THE PEOPLE LIVING WITH HIV IN THE SERVICE AREA, YET NEARLY 12.3% REMAIN UNINSURED OR UNDERINSURED, INCREASING THEIR RISK FOR DELAYED TREATMENT, DISEASE PROGRESSION, AND ONGOING TRANSMISSION. PROPOSED SERVICES: THE PROPOSED ELIGIBILITY ADVOCATE INITIATIVE WILL: EXPEDITE THE INSURANCE ASSESSMENT AND ENROLLMENT PROCESS BY EMBEDDING A TRAINED ADVOCATE WITHIN THE CSS SPECIAL SERVICES CLINIC. SUPPORT UNINSURED AND UNDERINSURED PWH BY NAVIGATING MEDI-CAL ELIGIBILITY, COVERED CALIFORNIA ENROLLMENT, AND RYAN WHITE PROGRAM SERVICES. MINIMIZE PATIENT BURDEN BY REDUCING THE NEED FOR MULTIPLE VISITS, OFFSITE PAPERWORK SUBMISSION, AND PROLONGED WAITING TIMES FOR ELIGIBILITY VERIFICATION. ENHANCE RETENTION AND ART ADHERENCE BY ENSURING INSURANCE COVERAGE CONTINUITY AND REDUCING FINANCIAL BARRIERS TO CARE. PROVIDE TRANSPORTATION ASSISTANCE TO INCREASE CLINIC ACCESSIBILITY FOR RURAL AND UNDOCUMENTED POPULATIONS. POPULATION GROUPS TO BE SERVED: THIS INITIATIVE WILL PRIMARILY SERVE LOW-INCOME, UNINSURED, AND UNDERINSURED PWH IN FRESNO COUNTY, WITH A FOCUS ON RACIAL AND ETHNIC MINORITY POPULATIONS (BLACK/AFRICAN AMERICAN AND LATINX COMMUNITIES), UNDOCUMENTED INDIVIDUALS, AND THOSE EXPERIENCING HOUSING INSTABILITY. THESE GROUPS FACE THE HIGHEST BARRIERS TO TIMELY CARE AND TREATMENT ADHERENCE. INTENDED IMPACT: THE ELIGIBILITY ADVOCATE INITIATIVE WILL STRENGTHEN CSS’S ORGANIZATIONAL CAPACITY TO DELIVER HIGH-QUALITY HIV PRIMARY CARE BY REDUCING ADMINISTRATIVE DELAYS, IMPROVING ACCESS TO HEALTH COVERAGE, AND SUPPORTING RAPID LINKAGE TO HIV TREATMENT. THIS PROJECT WILL CONTRIBUTE TO ACHIEVING NATIONAL HIV GOALS, INCLUDING: INCREASING RETENTION IN CARE FROM 49.3% TO AT LEAST 65% WITHIN 12 MONTHS. IMPROVING ART INITIATION AND ADHERENCE, INCREASING COVERAGE FROM 58.2% TO 75%. REDUCING TIME FROM DIAGNOSIS TO FIRST HIV MEDICAL VISIT, ENSURING AT LEAST 80% OF NEWLY DIAGNOSED PATIENTS ENTER CARE WITHIN 30 DAYS. ENHANCING LONG-TERM FINANCIAL SUSTAINABILITY BY LEVERAGING MEDI-CAL AND RYAN WHITE FUNDING STREAMS TO SUPPORT CARE DELIVERY BEYOND THE GRANT PERIOD. BY EMBEDDING INSURANCE NAVIGATION SERVICES DIRECTLY INTO THE CLINIC WORKFLOW, THIS INITIATIVE WILL REMOVE CRITICAL ACCESS BARRIERS, IMPROVE HEALTH OUTCOMES, AND SUPPORT FRESNO COUNTY’S PROGRESS IN ENDING THE HIV EPIDEMIC AMONG ITS MOST VULNERABLE POPULATIONS.

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

JERSEY COMMUNITY HOSPITAL EMS TRAINING PROGRAM - JERSEY COMMUNITY HOSPITAL WILL IMPLEMENT A EMS TRAINING PROGRAM THAT CONSISTS OF EMT CERTIFICATION COURSES, FARM MEDIC COURSES, ACLS AND PALS CERTIFICATION COURSES, MENTAL HEALTH AND SUBSTANCE/OPIOID USE TRAININGS AND OVERDOSE AND NARCAN TRAININGS. JCH WILL ALSO HAVE FOUR STAFF MEMBERS BECOME CERTIFIED TO TEACH ACLS AND PALS, AND TWO STAFF MEMBERS CERTIFIED AS LEVEL 2 INSTRUCTORS DURING THE COURSE OF THE GRANT.

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

TELEMEDICINE GRANT

FY 2023 EXPANDING COVID-19 VACCINATION

PCH SOUTHERN IL REHABILITATION BUILDING

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTHCARE ACCESS

COMMUNITY FACILITY GRANTS

HEALTH CARE AND OTHER FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

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

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HEALTH CARE AND OTHER FACILITIES

TELEMEDICINE GRANT

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

DRUG FREE COMMUNITIES SUPPORT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS

HEALTHCARE ACCESS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEMEDICINE GRANT

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS - COMMUNITY FACILITY

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS