Prisma Health - Upstate

NCORP OF THE CAROLINAS (GREENVILLE HEALTH SYSTEM NCORP)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - AS PRISMA HEALTH–UPSTATE (PRISMA HEALTH) IS A PRIMARY HEALTH CARE PROVIDER FOR THE MAJORITY OF UPSTATE SOUTH CAROLINA RESIDENTS, MAINTAINING APPROPRIATE CAPACITY AND SERVICES FOR THIS REGION IS CRITICAL. PRISMA HEALTH CAN ACCOMPLISH THIS BY ENSURING THAT THE RIGHT HEALTHCARE IS AVAILABLE IN THE RIGHT SETTINGS. THIS PROJECT WILL CREATE HOSPITAL CAPACITY AND SPACE TO PERFORM ROUTINE OUTPATIENT CARDIOVASCULAR PROCEDURES IN A COST EFFECTIVE AND APPROPRIATE SETTING. ACCORDING TO THE SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL (DHEC), HEART DISEASE IS SOUTH CAROLINA’S LEADING CAUSE OF DEATH. 11,385 SOUTH CAROLINIANS DIED FROM HEART DISEASE IN 2020 AND ACCOUNTED FOR 75,886 HOSPITALIZATIONS DURING THAT SAME TIME, WITH TOTAL HOSPITALIZATION CHARGES OF MORE THAN $6.8 BILLION. CURRENTLY THE MAJORITY OF BOTH HIGH AND LOW ACUITY CARDIOVASCULAR PROCEDURES ARE PERFORMED AT PRISMA HEALTH’S GREENVILLE MEMORIAL HOSPITAL (GMH). HOWEVER, RISING HEART DISEASE PREVALENCE, AN AGING POPULATION, AND HIGHER ACUITY HAS LED TO AN INCREASE IN OVERALL HOSPITAL UTILIZATION FOR CARDIAC PATIENTS, PUTTING A SIGNIFICANT CAPACITY CONSTRAINT ON THE GMH FACILITIES. CARDIOVASCULAR OUTPATIENT PROCEDURES IN GREENVILLE COUNTY ARE EXPECTED TO GROW 16% BY 2026 AND 32% BY 2029. AS THE PRIMARY HEALTH SYSTEM IN THE UPSTATE, IT IS IMPERATIVE THAT WE ARE PREPARED TO MEET THIS DEMAND. THE PROJECT CONSISTS OF RENOVATING 4,000 SQUARE FEET AND EXPANDING 4,400 SQUARE FEET OF SPACE ON THE FIRST FLOOR OF PRISMA HEALTH–UPSTATE’S PATEWOOD HOSPITAL, FOR A TOTAL OF 8,400 SQUARE FEET, TO BUILD OUT TWO PROCEDURAL ELECTROPHYSIOLOGY LABS AND A PREP AND RECOVERY AREA. THIS WILL ALLOW PRISMA HEALTH TO SHIFT LOWER RISK CARDIOVASCULAR PROCEDURES FROM PRISMA HEALTH’S GREENVILLE MEMORIAL HOSPITAL (GMH) TO ITS PATEWOOD HOSPITAL AND COMPLEMENT PATEWOOD’S CURRENT SERVICE PORTFOLIO OF OFFERING OUTPATIENT/SHORT-STAY, LOW-RISK SERVICES. THE PROJECT WILL PROVIDE LEADING-EDGE TECHNOLOGY AND ADVANCED TREATMENT MODA LITIES TO ADDRESS THE PUBLIC HEALTH HEART DISEASE CRISIS, WHILE FREEING UP NEEDED SPACE FOR HIGHER ACUITY CARDIOVASCULAR INTERVENTIONS AND TREATMENTS AT GMH. SHIFTING ROUTINE OUTPATIENT PROCEDURES TO PATEWOOD HOSPITAL WILL NOT ONLY CREATE CAPACITY AT GMH BUT WILL OPTIMIZE THE DELIVERY OF CARE BY CREATING THE ABILITY TO ADAPT THE STAFFING LEVELS AT EACH LOCATION TO THE LEVEL OF PROCEDURE COMPLEXITY.

GREENVILLE SC CCOP

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - ADDRESS: 605 GROVE ROAD, GREENVILLE, SC 29605 PROJECT DIRECTOR NAME: ALAIN LITWIN, MD, MPH, MS CONTACT PHONE NUMBERS (VOICE, FAX): (864) 430-0911 EMAIL ADDRESS: ALAIN.LITWIN@PRISMAHEALTH.ORG WEBSITE ADDRESS: WWW.PRISMAHEALTH.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $3,000,000 PROJECT POWER AIMS TO REDUCE MORBIDITY AND MORTALITY RELATED TO SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID AND ALCOHOL USE DISORDERS, IN RURAL COMMUNITIES OF SOUTH CAROLINA (SC). THE PROJECT WILL UTILIZE HEALTHCARE NAVIGATORS, NURSE PRACTITIONERS, PEER SUPPORT SPECIALISTS AND COMMUNITY PARTNERSHIPS TO EXPAND ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) AND OTHER EVIDENCE-BASED INTERVENTIONS AND TREATMENTS FOR OPIOID USE DISORDER (OUD) FOR PEOPLE LIVING WITH OUD IN FOUR SC COUNTIES (ABBEVILLE, GREENWOOD, LAURENS AND OCONEE). WE WILL INCREASE TREATMENT CAPACITY THROUGH THE INTRODUCTION OF MOBILE HEALTH CLINICS AND LINK ORGANIZATIONS WITH CURRENT CAPACITY TO ADDRESS THE GAPS IN MAT SERVICES. THE OVERARCHING GOAL OF THIS PROJECT IS TO EXPAND/ENHANCE ACCESS TO MAT BY INCREASING THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MAT AND PROVIDING SERVICES TO SUPPORT DECREASED ILLICIT SUBSTANCE USE AND PRESCRIPTION OPIOID MISUSE. WITHIN ABBEVILLE, GREENWOOD, LAURENS AND OCONEE COUNTIES, SERVICES WILL BE TARGETED SPECIFICALLY TO INCLUDE PEOPLE LIVING IN RURAL AREAS, AS WELL AS UN- AND UNDER-INSURED INDIVIDUALS, THOSE WITHOUT ACCESS TO TRANSPORTATION, AND/OR FACING OTHER SOCIO-ECONOMIC OR STIGMA-RELATED BARRIERS. THE GOAL AND OBJECTIVES OF THE PROJECT ALIGN WITH THE STATEMENT OF NEED WHICH SHOWS NEGATIVE SOCIAL DETERMINANTS OF HEALTH (SDOH) AND A LACK OF ACCESSIBLE MAT SERVICES FOR THE TARGET POPULATION THROUGHOUT THE FOUR-COUNTY CATCHMENT AREA. THE PROJECT TEAM WILL FOCUS ON LINKING PATIENTS TO CARE IN CLOSE PHYSICAL PROXIMITY TO THEIR LOCATION; ADDRESSING SDOH BY SCREENING FOR SPECIFIC BARRIERS TO TREATMENT, INCLUDING LACK OF TRANSPORTATION, AND THEN WORKI NG TO OVERCOME THOSE BARRIERS; FACILITATING WARM HANDOFFS; AND EXPEDITING INTAKES TO GET PEOPLE ON MAT. THE NURSE PRACTITIONERS WILL IDENTIFY AND SUPPORT A NETWORK OF MAT PROVIDERS, LEVERAGING THE PROPOSED 11 NEW ACCESS POINTS, TO INCREASE ACCESS AND REDUCE TRANSPORTATION BARRIERS TO PATIENTS. TO MAKE THE TARGET POPULATION AWARE OF THE MOBILE CLINIC AND THE SERVICES PROVIDED, THE POWER PROJECT TEAM WILL USE THE FOLLOWING STRATEGIES: 1) ENGAGE AND COLLABORATE WITH COMMUNITY LEADERS AND OTHER COMMUNITY ORGANIZATIONS ON OUTREACH, COMMUNICATION AND MARKETING CAMPAIGNS; 2) SEND TEAMS LED BY INDIVIDUALS TRUSTED BY THE TARGET POPULATION DIRECTLY TO ENCAMPMENTS AND OTHER AREAS FREQUENTED BY THE TARGET POPULATION; AND, 3) PROMOTE THE NEW ACCESS POINTS VIA SOCIAL MEDIA AND WORD OF MOUTH CAMPAIGNS IN THE TARGET COUNTIES. BY BRINGING SERVICES DIRECTLY TO THE TARGET COUNTIES, PRISMA HEALTH–UPSTATE CAN BETTER MEET THE NEEDS OF UNDERSERVED AND HIGH-RISK POPULATIONS THAT ARE CURRENTLY WITHOUT ACCESS TO SCREENING AND MAT VIA TRADITIONAL ACCESS POINTS AND ACHIEVE BROADER SERVICE COVERAGE ACROSS AT-RISK POPULATIONS.

EMERGENCY DEPARTMENT ALTERNATIVES TO OPIOIDS: ADAPTING PROVEN THERAPIES INTO EVERYDAY PRACTICE ACROSS THE SOUTH - PRISMA HEALTH-UPSTATE’S PROJECT ED-ALT WILL DEVELOP AND IMPLEMENT ALTERNATIVES TO OPIOIDS FOR PAIN MANAGEMENT IN EMERGENCY DEPARTMENT (ED) SETTINGS WHILE STILL PROVIDING ADEQUATE PAIN MANAGEMENT IN THE ED. THE PROJECT WILL ADAPT PREVIOUSLY PUBLISHED PROTOCOLS THAT HAVE SUCCESSFULLY UTILIZED MULTIPLE STRATEGIES TO REDUCE OPIATE USE IN THE ED. THE PROGRAM BUILDS ON THESE BY PROVIDING TRAINING AND REAL-TIME SUPPORT OF ED PHYSICIANS TO BETTER ASSESS PATIENTS AND DELIVER THE ENTIRE BREADTH OF THESE PROVEN OPIATE-FREE THERAPIES FOR PAIN MANAGEMENT IN THE ED. THIS PROJECT WILL SERVE A MINIMUM OF 5,000 PATIENTS A YEAR, AND 15,000 OVER 3 YEARS. PROJECT OBJECTIVES ARE TO 1) PROVIDE TRAINING FOR OPIATE FREE PAIN MANAGEMENT STRATEGIES; 2) INITIATE “OPIATE-FREE DAYS” IN THE ED; 3) TRACK OPIATE USE AND FOLLOW-UP CARE/DRUG TESTING, AND 4) DISSEMINATE RESULTS OF THESE BEST PRACTICE INTERVENTIONS. THE PROJECT WILL UTILIZE MULTIPLE MEDICATION AND PROCEDURAL BASED EBPS AS ADAPTED FOR USE IN THE ED, INCLUDING MEDICATION PROTOCOLS, REGIONAL ANESTHESIA, TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS), AND ACUPUNCTURE. THIS PROJECT IS DESIGNED TO BECOME SELF-SUSTAINING AND ENROLL PATIENTS ON A ROLLING BASIS. IT WILL CREATE A SUSTAINABLE PROGRAM THAT WILL RELY LESS ON THE CONSULT SERVICES AS THE ED PHYSICIANS BECOME COMFORTABLE WITH THE VARIOUS NON-OPIATE MEDICATION AND PROCEDURE PROTOCOLS. AS SUCH, LOCAL PRACTICES WILL BEGIN TO ESTABLISH THESE AS STANDARD FIRST LINE THERAPY AND THE SYSTEM WILL OPERATIONALIZE THESE MULTIDISCIPLINARY TEAMS ORGANICALLY AS THE SYSTEM UNDERSTANDS THE BENEFITS.

FLUID IRRRIGATION TECHNIQUES IN PATIENTS WITH OPEN FRACTURE WOUNDS

FLUID LAVAGE OF OPEN WOUNDS: A MULTICENTER, BLINDED, FACTORIAL TRIAL COMPARING ALTERNATIVE IRRIGATING SOLUTIONS & PRESSURES IN PATIENTS W/ OPEN FRAC

GHS-REACH: A CAREGIVER COACHING INTERVENTION FOR HIGH RISK PATIENT/CAREGIVERS TO EXTEND DEMENTIA CAPABLE SERVICES

ADAPTIVE RECREATION PROGRAMS TO SUPPORT THE PHYSICAL AND MENTAL HEALTH OF OUR MILITARY WITH A DISABILITY

PROJECT TRANSFORM (TEACHING RECOVERY-INFORMED ADDICTION CARE AND NEGATING STIGMA FOR MEDICAL PROFESSIONALS)

WORKFORCE TRAINING

VA AWARDS GRANTS TO QUALIFYING ORGANIZATIONS TO PLAN, DEVELOP, MANAGE, AND IMPLEMENT PROGRAMS TO PROVIDE ADAPTIVE SPORTS OPPORTUNITIES FOR DISABLED VETERANS AND DISABLED MEMBERS OF THE ARMED FORCES AS AUTHORIZED UNDER 38 UNITED STATES CODE 521A.

SEX AND GENDER CURRICULAR ASSESSMENT AND REVISION (SG-CAR) - PROJECT SUMMARY/ABSTRACT THE PROPOSED FACULTY DEVELOPMENT PROJECT AT PRISMA HEALTH-UPSTATE AND THE UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE GREENVILLE (SOMG), SEX AND GENDER CURRICULAR ASSESSMENT AND REVISION (SG-CAR), WILL CREATE INNOVATIVE AND SUSTAINABLE FACULTY DEVELOPMENT MATERIALS FOR USE AT SOMG AND BY OTHER HEALTH PROFESSIONS EDUCATORS ACROSS THE GLOBE, AND IT WILL PROVIDE TRAINING TO FACULTY AND MEDICAL STUDENTS AT SOMG ON HOW TO INCORPORATE SEX AND GENDER INTO MEDICAL EDUCATION. THE OVERALL GOAL OF THIS PROJECT IS TO REDUCE EXISTING FACULTY BARRIERS TO INTEGRATING SEX AND GENDER CONTENT INTO MEDICAL CURRICULA BY PROVIDING FACULTY WITH THE KNOWLEDGE, SKILLS, TOOLS, AND PRACTICAL EXPERIENCE IN THIS WORK. THE PROJECT WILL BE LED BY NATIONAL AND FOUNDATIONAL EXPERTS AT SOMG IN SEX AND GENDER HEALTH, LIFESTYLE MEDICINE, AND MEDICAL EDUCATION CURRICULUM DEVELOPMENT. EACH CO-PI HAS A LONG HISTORY OF DEVELOPING EDUCATIONAL RESOURCES FOR FACULTY DEVELOPMENT WHICH DEMONSTRATES THEIR ABILITY TO SUCCESSFULLY DEVELOP SUCH PROJECTS. SPECIFIC AIM 1 OF THIS PROJECT WILL INCLUDE CREATING AN INTRODUCTORY CURRICULUM THAT WILL BE DEVELOPED FOR CURRENT SOMG FACULTY EMPHASIZING THE IMPORTANCE OF SEX AND GENDER ASPECTS OF HEALTH AND DISEASE. FACULTY WILL BE PROVIDED WITH A SEX AND GENDER CURRICULAR ASSESSMENT INSTRUMENT AND A CURRICULAR REVISION TOOLKIT CREATED BY DR. ALYSON MCGREGOR, ASSOCIATE DEAN AT SOMG, WHICH SHE PILOTED SUCCESSFULLY AT THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY IN 2021-22. THESE MATERIALS WILL BE REFINED AND VALIDATED AT SOMG AND DISTRIBUTED PUBLICLY THROUGH THE NATIONAL INSTITUTES OF HEALTH AS PART OF THIS PROJECT. IN SPECIFIC AIM 2, FACULTY WHO COMPLETED THE TRAINING IN SPECIFIC AIM 1 WILL LEAD TEAMS OF STUDENTS TO ASSESS THE LIFESTYLE MEDICAL EDUCATION (LMED) CURRICULUM FOR SEX AND GENDER CONTENT USING THE ASSESSMENT INSTRUMENT. LMED IS PRESENTED BY SOMG IN STRATEGIC PARTNERSHIP WITH THE AMERICAN COLLEGE OF LIFESTYLE MEDICINE. IT IS FREELY AVAILABLE TO HEALTH PROFESSIONS FACULTY AND IS CURRENTLY ACCESSED BY 28 U.S. MEDICAL SCHOOLS AND OTHER SCHOOLS WITHIN 57 COUNTRIES. IN SPECIFIC AIM 3, FACULTY WILL LEAD TEAMS OF STUDENTS USING THE TOOLKIT TO REVISE THE LMED CURRICULAR MATERIALS TO INCLUDE SEX AND GENDER CONTENT. THIS WILL ENABLE THESE STUDENTS TO PUBLISH THEIR WORK AND ESTABLISH THEMSELVES AS FUTURE LEADERS IN SEX AND GENDER HEALTH. THE REVISED LMED CURRICULUM WILL BE FREELY AVAILABLE TO EDUCATORS WORLDWIDE THROUGH THE EXISTING LMED WEBSITE. WE ANTICIPATE A BROAD ADOPTION OF THESE FACULTY DEVELOPMENT MATERIALS. WE EXPECT THAT IT WILL TRANSLATE TO IMPROVED SEX AND GENDER SPECIFIC EVIDENCE-BASED CLINICAL CARE FOR WOMEN, THUS REDUCING MORTALITY AND MORBIDITY THAT CURRENTLY EXISTS AMONG WOMEN.

GHS REACH EXPANSION

VETERANS ADAPTIVE SPORTS AND TRAINING TO PROVIDE "ADAPTIVE SPORTS GENERAL" TYPE PROGRAMMING FOR VETERANS WITH DISABILITIES TO INCLUDE PHYSICAL, TBI AND PTS.

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

ROGER C. PEACE ADAPTIVE SPORTS OUTREACH

ADAPTIVE SPORTS PROGRAMS FOR DISABLED VETERANS AND DISABLED MEMBERS OF THE ARMED FORCES RCP ADAPTIVE SPORTS OUTREACH

PREVENTING INFECTION BY SURFACE MODIFICATION OF ORTHOPAEDIC FRACTURE FIXATION IMPLANTS FOR IMPROVED LIMB SALVAGE OUTCOMES

PROVIDING ADAPTIVE SPORT ACTIVITIES DESIGNED TO ENHANCE THE REHABILITATIVE AND THERAPEUTIC HEALTH OF VETERANS AND SERVICEMEMBERS

GRANTS FOR ADAPTIVE SPORTS PROGRAMS FOR DISABLED VETERANS AND DISABLED MEMBERS OF THE ARMED FORCES.

GRANTS FOR ADAPTIVE SPORTS PROGRAMS FOR DISABLED VETERANS AND DISABLED MEMBERS OF THE ARMED FORCES.

ADAPTIVE SPORTS ACTIVITIES FOR DISABLED VETERANS & DISABLED SERVICEMEMBERS

SUDDEN UNEXPECTED INFANT DEATH (SUID) AND SUDDEN DEATH IN THE YOUNG (SDY) CASE REGISTRY