Delta Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

CAPITAL DEVELOPMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

DELTA REGION MATERNAL CARE COORDINATION PROGRAM - DELTA HEALTH CENTER (DHC), THE OLDEST RURAL HEALTH CENTER IN THE NATION, SEEKS TO IMPROVE AND EXPAND ACCESS TO AND COORDINATION OF PERINATAL HEALTH CARE SERVICES FOR LOW-INCOME WOMEN IN A 12-COUNTY AREA IN THE MISSISSIPPI DELTA, A “MATERNITY DESERT” IN WHICH THE HEALTH OF PREGNANT AND POSTPARTUM WOMEN AND INFANTS IS DEEPLY COMPROMISED. EACH OF THESE RURAL COUNTIES IS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA), WHERE ONLY A HANDFUL OF OBSTETRICIANS AND CERTIFIED PROFESSIONAL MIDWIVES PRACTICE, AND WHERE CERTIFIED NURSE MIDWIVES—A POTENTIAL SOLUTION TO THE SHORTAGE OF PERINATAL CARE PROVIDERS—ARE VIRTUALLY NON-EXISTENT. DHC THUS QUALIFIES FOR A FUNDING PREFERENCE FOR THIS APPLICATION BASED ON THE HPSA SCORES OF COUNTIES IN THE PROPOSED SERVICE AREA. DHC ALSO QUALIFIES FOR A FUNDING PRIORITY, INSOFAR AS TWO OF THE COUNTIES TO BE SERVED HAVE MATERNITY CARE TARGET AREA SCORES GREATER THAN 20 (SUNFLOWER AND TALLAHATCHIE COUNTIES). IN 2024, MISSISSIPPI RANKED WORST IN THE NATION ON THE STATE SCORECARD ON WOMEN’S HEALTH AND REPRODUCTIVE CARE PUBLISHED BY THE COMMONWEALTH FUND. IN ADDITION TO HAVING SOME OF THE HIGHEST RATES OF LOW-RISK CESAREAN SECTIONS, LOW BIRTHWEIGHT, AND PRETERM BIRTH, MISSISSIPPI HAS THE HIGHEST INFANT AND MATERNAL MORTALITY RATES IN THE COUNTRY. BLACK WOMEN IN MISSISSIPPI ARE ALMOST TWICE AS LIKELY AS WHITE WOMEN TO LOSE THEIR INFANTS IN THE FIRST YEAR OF LIFE (13.0 VS. 6.9 INFANT DEATHS PER 1,000 BIRTHS) AND MORE THAN TWICE AS LIKELY WHITE WOMEN TO DIE FROM PREGNANCY-RELATED CAUSES (49.5 VS. 19.0/100,000 DEATHS PER 100,000 LIVE BIRTHS). THE GOAL OF THE PROPOSED MISSISSIPPI DELTA MATERNAL CARE COORDINATION (MCC) PROJECT IS TO SIGNIFICANTLY DECREASE RATES OF LATE ENTRY INTO PRENATAL CARE, LOW BIRTHWEIGHT, AND PRETERM BIRTH IN THE DELTA WHILE ALSO REDUCING BLACK-WHITE DISPARITIES ON THESE PERINATAL INDICATORS. OBJECTIVES ARE: 1) NO LATER THAN 9/29/25, IMPLEMENT A NEW MODEL OF PERINATAL CARE INCORPORATING MIDWIVES AN D DOULAS INTO THE CARE OF PREGNANT AND POSTPARTUM WOMEN ACCESSING CARE AT DHC; 2) NO LATER THAN 9/30/26, DEVISE AND IMPLEMENT A CONSORTIUM-WIDE SYSTEM OF HEALTHCARE SERVICES COORDINATION BEFORE, DURING, AND AFTER PREGNANCY INCORPORATING BEST PRACTICES FOR PREGNANCY RISK ASSESSMENT AND CARE PLANNING; AND 3) NO LATER THAN 6/30/27, IMPLEMENT A CONSORTIUM-WIDE SYSTEM FOR MANAGING MATERNAL HYPERTENSION. GRANT FUNDS WILL BE USED TO INTEGRATE MIDWIVES AND DOULAS INTO DHC’S FAMILY MEDICINE PRACTICES AT DHC’S 11 PRIMARY CARE ACCESS POINTS, THEREBY ENHANCING AND EXPANDING ACCESS TO PERINATAL CARE. MIDWIVES WILL PROVIDE PRENATAL CARE, ATTEND LABOR AND DELIVERY, AND PROVIDE CONTINUOUS EDUCATION. DOULAS WILL PLAY A COMPLEMENTARY ROLE, PROVIDING PHYSICAL, EMOTIONAL, AND EDUCATIONAL SUPPORT--BUT NOT MEDICAL OR MIDWIFERY CARE—TO PREGNANT AND BIRTHING WOMEN. THEY WILL ALSO COORDINATE THE SERVICES PROVIDED ACROSS THE CONTINUUM OF PERINATAL CARE. BOTH MIDWIVES AND DOULAS WILL UTILIZE THE TELEHEALTH CARTS AVAILABLE AT ALL DHC PRIMARY CARE CLINICS. GRANT FUNDS WILL ALSO BE USED TO SUPPORT THE PARTICIPATION OF CONSORTIUM ORGANIZATIONS WITH THE POTENTIAL TO “MOVE THE DIAL” ON MATERNAL HEALTH INDICATORS WITHIN THE DHC PATIENT POPULATION AND ACROSS THE SERVICE AREA. THESE INCLUDE DHC; TWOHOSPITALS OFFERING OBSTETRICAL CARE, INCLUDING NORTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER AND DELTA HEALTH SYSTEMS; AND CONVERGE, INC., THE STATE’S TITLE X GRANTEE PROVIDING THE FULL SPECTRUM OF FAMILY PLANNING AND PRECONCEPTION SERVICES STATEWIDE. THE PROPOSED HYBRID IMPLEMENTATION/EFFECTIVENESS EVALUATION WILL USED A MIXED-METHODS APPROACH TO ASSESSING THE REACH, EFFECTIVENESS, AND ADOPTION OF THE CONSORTIUM-WIDE MCC SYSTEM, AS WELL AS IMPLEMENTATION BARRIERS AND FACILITATORS AND END USER SATISFACTION.

DLT OPIOID GRANTS

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - AN ENORMOUS NEED EXISTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN THE MISSISSIPPI DELTA, A REGION CHARACTERIZED BY MULTI-GENERATIONAL POVERTY, RACISM, POLITICAL DISENFRANCHISEMENT, AND A POOR ECONOMY OFFERING FEW OPPORTUNITIES. HEREIN, DELTA HEALTH CENTER (DHC), THE ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING A RURAL SIX-COUNTY REGION IN THE DELTA, PROPOSES TO EXPAND THE AVAILABILITY, ACCESSIBILITY, AND UTILIZATION OF MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES IN ITS NETWORK OF 11 PRIMARY CARE ACCESS POINTS. DHC SERVES MORE THAN 14,000 PATIENTS, MOST OF WHOM ARE BLACK (91.4%) AND FOUR-FIFTHS OF WHOM (81.0%) HAVE INCOMES AT OR BELOW 100% OF POVERTY. MANY OF THE INDIVIDUALS AND FAMILIES WE SERVE ARE NEGATIVELY AFFECTED BY POVERTY, HOUSING AND/OR FOOD INSECURITY, A LACK OF TRANSPORTATION, A LACK OF CHILDCARE, INVOLVEMENT IN THE CRIMINAL JUSTICE SYSTEM, AND OTHER SOCIAL DETERMINANTS OF HEALTH. SEVENTEEN PERCENT SELF-REPORT MENTAL HEALTH DISORDERS—LIKELY A LOW ESTIMATE, GIVEN THE WIDESPREAD STIGMA SURROUNDING THESE DISORDERS IN MARGINALIZED POPULATIONS AND RURAL COMMUNITIES. THE RATIO OF BEHAVIORAL HEALTH PROVIDERS TO PATIENTS IN THE DHC SERVICE AREA IS 1,113:1, COMPARED TO 540:1 AND 350:1 FOR MISSISSIPPI AND THE US, RESPECTIVELY. WORKFORCE SHORTAGES, LENGTHY WAITING TIMES, LACK OF TRANSPORTATION, AND LONGSTANDING ISSUES OF MEDICAL MISTRUST AND COMMUNITY-LEVEL STIGMA DISCOURAGE MANY PEOPLE FROM ACCESSING THE FEW PROVIDERS AVAILABLE. FURTHER DISCOURAGING ACCESS, THESE SERVICES ARE AVAILABLE ONLY IN STANDALONE FACILITIES IN SMALL TOWNS WHERE PATIENTS MAY HAVE TROUBLE REMAINING ANONYMOUS. RECOGNIZING THE URGENT NEED TO EXPAND BEHAVIORAL HEALTH SERVICES, IN 2018 AND 2019 DHC APPLIED FOR AND RECEIVED TWO GRANT AWARDS FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO INTEGRATE BEHAVIORAL HEALTH INTO PRIMARY CARE. SUBSEQUENTLY, IN 2021 AND 2022, WE RECEIVED GRANTS FROM THE US DEPARTMENT OF AGRICULTURE TO EQUIP O UR PRIMARY CARE SITES WITH TELEHEALTH CARTS, NOW USED IN PART TO DELIVER BEHAVIORAL HEALTH SERVICES. OUR CURRENT BEHAVIORAL HEALTH STAFFING CONSISTS OF A CLINICAL PSYCHOLOGIST AND A PSYCHIATRIC NURSE PRACTITIONER (PNP) WHO PROVIDE PSYCHOTHERAPY AND PSYCHOPHARMACOLOGY, RESPECTIVELY, TO ADULT PATIENTS. THE PROPOSED PROJECT WILL INCREASE DHC’S CAPACITY TO PROVIDE MEDICATION FOR OPIOID USE DISORDER (MOUD) AND PEDIATRIC MENTAL HEALTH SERVICES. PATIENTS IN NEED OF THESE SERVICES MUST BE REFERRED OUTSIDE OUR SYSTEM, OFTEN TO STANDALONE FACILITIES REQUIRING TRANSPORTATION. THUS, THE FIRST GOAL OF THE PROPOSED BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) PROJECT IS TO INTEGRATE ADDICTION TREATMENT SERVICES, INCLUDING A SUBSTANCE ABUSE COUNSELOR AND MOUD, INTO OUR PRIMARY CARE PRACTICES, THEREBY COMPLETING THE BEHAVIORAL HEALTH CARE CONTINUUM FOR ADULTS. THE SECOND GOAL IS TO INITIATE MENTAL HEALTH SERVICES FOR PEDIATRIC PATIENTS BY HIRING A FULL-TIME MENTAL HEALTH PROFESSIONAL WITH EXPERIENCE IN CHILD AND ADOLESCENT COUNSELING. FACED WITH MANY ADVERSE CHILDHOOD EXPERIENCES (ACES), MANY OF THE CHILDREN WE SERVE EXHIBIT SIGNS AND SYMPTOMS OF AUTISM, ANXIETY, AND/OR ATTENTION DEFICIT /HYPERACTIVITY DISORDER THAT CAN BENEFIT FROM EARLY INTERVENTION, POTENTIALLY PREVENTING THE ESCALATION OF BEHAVIORAL ISSUES TO FULL-BLOWN MENTAL DISORDERS IN ADULTHOOD. TO ACHIEVE THE FIRST GOAL, WE PLAN TO IMPLEMENT UNIVERSAL SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT OF SUBSTANCE MISUSE; TO EXPAND OUR CAPACITY TO PROVIDE SUBSTANCE TREATMENT SERVICES, INCLUDING ADDICTION COUNSELING AND MOUD; AND TO IMPLEMENT THE MASSACHUSETTS NURSE CARE MANAGEMENT MODEL OF OFFICE-BASED ADDICTION TREATMENT. TO ACHIEVE THE SECOND GOAL, WE WILL INCREASE OUR CAPACITY TO PROVIDE CHILD AND ADOLESCENT PSYCHOLOGY, INCLUDING THE ADMINISTRATION OF STANDARDIZED TESTS, FAMILY THERAPY, AND OTHER THERAPIES. PROJECT EVALUATION WILL MEASURE INCREASES IN THE NUMBER OF PATIENTS RECEIVING BEHAVIORAL HEALTH SERVICES.

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS