Eastern Maine Healthcare Systems

BANGOR BEACON COMMUNITY PROJECT TO IMPROVE PATIENT CARE AND REDUCE HEALTHCARE COSTS VIA THE MEANINGFUL USE OF HEALTH INF

RESEARCH IN HUMAN CANCER FOR ILMPROVED DIAGNOSIS, PROGNOSIS AND INNOVATION OF THERAPEUTICS STRATEGIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT AR GOULD HOSPITAL (ARG) WILL REPLACE AND UPGRADE ITS AGING RADIATION TREATMENT EQUIPMENT FOR CANCER PATIENTS, THE ONLY OF ITS KIND IN AROOSTOOK COUNTY A REGION WITH 67,255 PEOPLE (2022) RURALLY SITUATED ON 6,828 SQUARE MILES. THE REPLACEMENT OF THIS EQUIPMENT AND ITS SUPPORTING INFRASTRUCTURE IS CONSISTENT WITH ARG’S PROPOSED CDS PROJECT AS ORIGINALLY PRESENTED. FOR MOST PATIENTS, RADIATION THERAPY IS DELIVERED DAILY, FIVE DAYS A WEEK FOR SEVERAL WEEKS. TRAVELING FOR CANCER CARE CAN BE EXPENSIVE, EXHAUSTING, AND COMPLICATED TO ORGANIZE JUST WHEN PATIENTS ARE FEELING THEIR MOST VULNERABLE AND EXPERIENCING SIDE EFFECTS OF THEIR DISEASE AND TREATMENT. THOSE FROM THE ST. JOHN VALLEY (NORTHERN AROOSTOOK COUNTY) ALREADY TRAVEL A SIGNIFICANT DISTANCE TO RECEIVE CARE IN PRESQUE ISLE (CENTRAL AROOSTOOK COUNTY), WITH SOME DRIVING AS MANY AS ONE HUNDRED MILES TO GET HERE. IF THEY WERE TO HAVE TO TRAVEL TO BREWER (THE LOCATION OF THE NEXT NEAREST RADIATION TREATMENT CENTER) FOR TREATMENT, THIS WOULD NECESSITATE A THREE-HUNDRED-MILE COMMUTE OR SEVERAL DAYS AWAY FROM HOME TO BE CLOSE TO TREATMENT. OUR HEALTHCARE COMMUNITY ALSO RELIES ON THE MULTI-DISCIPLINARY CANCER CARE SERVICES PROVIDED AT ARG AND HAVE ALREADY PLEDGED THEIR SUPPORT OF THIS FUNDING REQUEST. WE HAVE SIGNED LETTERS OF SUPPORT FROM THE LEADERS OF NORTHERN MAINE MEDICAL CENTER, CARY MEDICAL CENTER, AND HOULTON REGIONAL HOSPITAL, AS WELL AS FROM THE AROOSTOOK DISTRICT PUBLIC HEALTH COUNCIL. BY REPLACING OUR LINEAR ACCELERATOR (LINAC), NOT ONLY WILL WE BE KEEPING RADIATION THERAPY ACCESSIBLE IN THE AROOSTOOK COUNTY REGION, BUT WITH NEWER, IMPROVED TECHNOLOGY COMES GREATER PRECISION AND THE ABILITY TO DELIVER NEEDED TREATMENT OVER A SHORTER TIME. THIS PROJECT WILL PURCHASE A NEW LINAC, WHICH PROVIDES CRITICAL, LIFESAVING, PALLIATIVE, OR PAIN REDUCING RADIATION THERAPY FOR CANCER PATIENTS ACROSS AROOSTOOK COUNTY AND INSTALL IT IN THE PLACE OF ARG’S CURRENT LINAC WHICH IS REACHING THE END OF ITS USEFUL LIFE. THE PROJECT WILL ALSO INCLUDE THE REPLACEMENT OF SPECIALIZED HINGES ON THE RADIATION TREATMENT ROOM DOOR AS WELL UPGRADES TO THE HVAC AND ELECTRICAL SYSTEM TO ACCOMMODATE THE INCREASED COOLING REQUIREMENTS FOR THE OPERATION OF THE NEW UNIT. THE TARGET POPULATION FOR THIS PROJECT IS ALL RESIDENTS OR AROOSTOOK COUNTY, MAINE, REQUIRING RADIATION THERAPY TREATMENT.

NORTHERN MAINE RURAL COLLABORATIVE FOR HEALTHY COMMUNITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

MATERNAL DELIVERY AND INFANT EQUIPMENT REPLACEMENT PROJECT - CONGRESSIONALLY DIRECTED SPENDING WILL STRENGTHEN AND SUPPORT MAINE'S BIRTHING HOSPITALS, WILL ENSURE THE AVAILABILITY OF NECESSARY EQUIPMENT IN RURAL REGIONS, AND WILL IMPROVE BIRTH AND DELIVERY HEALTHCARE FOR MOTHERS AND INFANTS. NORTHERN LIGHT HEALTH’S (NLH) BIRTHING HOSPITALS SERVE PREDOMINANTLY RURAL COMMUNITIES AND DELIVER OVER 2,800 BABIES PER YEAR. NORTHERN LIGHT HEALTH (NLH) WILL REPLACE AND UPGRADE CRITICAL MATERNAL DELIVERY AND NEW INFANT EQUIPMENT IN ITS HOSPITALS AND WITHIN ITS NEONATAL INTENSIVE CARE UNIT. (NICU). NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER’S (EMMC’S) NICU IN BANGOR, MAINE, SERVES MORE THAN HALF OF THE GEOGRAPHIC AREA OF THE STATE, AND IS THE ONLY NICU NORTH OF PORTLAND, ME. THE NICU HAS AN AVERAGE DAILY CENSUS OF 18 BABIES AND CARES FOR AN AVERAGE OF 450 CRITICALLY ILL BABIES PER YEAR, ALL OF WHOM REQUIRE SPECIALIZED EQUIPMENT TO REDUCE COSTLY LONG-TERM MORBIDITIES AND TRAGIC MORTALITIES. CPF/CDS FUNDING WILL BE USED TO REPLACE MATERNAL DELIVERY AND INFANT EQUIPMENT THAT IS AT END OF LIFE AND INSTALL NEEDED BIRTHING EQUIPMENT IN FIVE NORTHERN LIGHT HEALTH HOSPITALS. THIS PROJECT MEETS A VITAL NEED FOR MAINE COMMUNITIES AS ONGOING ECONOMIC PRESSURES, PARTICULARLY IN RURAL AREAS, HAVE RESULTED IN THE CLOSURE OF MANY BIRTHING UNITS. THIS HAS PLACED HIGHER DEMAND ON THE REMAINING BIRTHING HOSPITALS AND HAS INCREASED NEEDS AND RESPONSIBILITIES FOR NON-BIRTHING CENTERS. APPROPRIATE EQUIPMENT AND CARE CAN INCREASE SURVIVORSHIP, DECREASE MORBIDITIES, AND HAVE A SIGNIFICANT POSITIVE IMPACT FOR WOMEN, INFANTS, FAMILIES, AND COMMUNITIES.

RESEARCH IN HUMAN CANCER FOR IMPROVED DIAGNOSIS, PROGNOSIS AND INNOVATION OF THERAPEUTIC STRATEGIES

RESEARCH IN HUMAN CANCER FOR IMPROVED DIAGNOSIS, PROGNOSIS, AND INNOVATION OF THERAPEUTIC STRATEGIES

NORTHERN MAINE RURAL COLLABORATIVE FOR HEALTHY COMMUNITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - AN AGING AND RURAL STATE, MAINE HAS AN OLDER POPULATION AND A HIGH PREVALENCE OF AGE-ASSOCIATED COGNITIVE DISORDERS, AS WELL AS LITTLE ACCESS TO DEMENTIA SPECIALISTS. WAIT TIMES OF 18 MONTHS TO SEE A DEMENTIA SPECIALIST ARE NOT UNUSUAL. BESIDES THE WAIT, LONG TRAVEL DISTANCES TO SEE SPECIALISTS IS ANOTHER OBSTACLE TO CARE. THE OBJECTIVES OF THE PROGRAM ARE BASED ON THREE RECOGNIZED NEEDS: THE NEED FOR EQUITABLE ACCESS TO HIGH-QUALITY CARE REGARDLESS OF SETTING; THE NEED FOR IMPROVED COORDINATED, INTERDISCIPLINARY, AND INTERINSTITUTIONAL COLLABORATION; AND THE NEED FOR THE INTEGRATION OF EVIDENCE-BASED DEMENTIA CARE AND CLINICAL RESEARCH. TO ADDRESS THE PROBLEM, NORTHERN LIGHT ACADIA HOSPITALS RURAL DEMENTIA CARE TRAINING PROJECT IS DESIGNED TO INCREASE ACCESS TO DEMENTIA SPECIALISTS AND REDUCE DEPENDENCE ON SPECIALTY CLINICS BY INCREASING THE CAPABILITIES OF NON-SPECIALISTS. THE PROGRAM WILL DEVELOP TRAINING MATERIALS FOR ACUTE AND CHRONIC CARE SETTINGS, DEVELOP A STATE-WIDE CLINICAL CONSORTIUM OF DEMENTIA SPECIALISTS TO TRIAGE CASES, CREATE A REGISTRY FOR PERSONS WITH ALZHEIMER’S DISEASE AND RELATED DISORDERS (ADRD), AND TRAIN TWO SUBSPECIALISTS IN GERIATRIC NEUROPSYCHIATRY. ALL OF THESE OBJECTIVES HAVE BEEN IDENTIFIED AS HIGH PRIORITY GOALS BY STAKEHOLDERS IN THE RECENTLY REVISED MAINE CENTER FOR DISEASE CONTROL AND PREVENTION (MECDC) MAINE STATE PLAN FOR ALZHEIMER’S DISEASE. THE PROJECT WILL ESTABLISH A PROGRAM THAT WILL IMPROVE ACCESS TO SPECIALISTS AND IMPROVE ASSESSMENT AND CARE OF DEMENTIA IN PRIMARY AND COMMUNITY CARE SYSTEMS. OUTREACH WILL BE EXTENDED TO ENGAGE UNDERREPRESENTED COMMUNITIES IN TRAINING AND HEALTHY BRAIN AGING LIFESTYLE. THE PROJECT, DESIGNED TO LEAD A DEMENTIA TRAINING PROGRAM FOR OUTPATIENT AND HOSPITAL-BASED PROVIDERS IN PREDOMINANTLY RURAL COUNTIES, HAS THE CAPACITY TO REACH OVER 700 HEALTHCARE PROFESSIONALS IN THESE REGIONS TO ENHANCE DEMENTIA CARE COMPETENCIES AND RESOURCES, AND SUBSEQUENTLY INCREASING PATIENT ACCESS AND IMPROVING HEALTH EQUITY. INVITATION WILL BE SHARED WITH PROVIDERS ACROSS THE NORTHERN LIGHT HEALTH SYSTEM, AND BEYOND, TO PARTICIPATE IN PROJECT INITIATIVES. THE PROGRAM WILL PROVIDE ENDURING EDUCATIONAL RESOURCES FOR PRIMARY CARE AND OTHER PROVIDERS FOR ON-GOING REFERENCE. THESE RESOURCES WILL INCLUDE A MULTI-LAYERED WEBPAGE WITH ASSESSMENT TOOLS, CARE PATHWAY ALGORITHMS EMBEDDED IN THE ELECTRONIC MEDICAL RECORD, INSTRUCTIONAL VIDEOS FOR ON-GOING LEARNING, OPTIONS TO COMMUNICATE WITH THE DEMENTIA SPECIALTY CARE TEAM AND LISTS OF COMMUNITY RESOURCES. HANDS-ON CAREGIVERS IN HOSPITAL, POST-ACUTE AND LONG-TERM CARE SETTINGS WILL ALSO BENEFIT. FOR A LASTING STATE-WIDE IMPACT, THE PROJECT WILL OPERATIONALIZE INFRASTRUCTURE TO PROMOTE COLLABORATION AMONG KEY CLINICAL AND SCIENTIFIC GROUPS TO LEVERAGE EXISTING TALENT, AND CRITICALLY, ALSO ATTRACT NEW, EARLY CAREER CLINICIANS AND SCIENTISTS. SUPPORTING THE LONG-TERM IMPACT OF THIS INITIATIVE, TWO EARLY-CAREER NURSE PRACTITIONERS WILL BE TRAINED AND DEVELOP DEMENTIA-SPECIALTY SKILLS. THE PROJECT WILL CREATE AN ACCREDITED GERIATRIC NEUROPSYCHIATRY FELLOWSHIP FOR PHYSICIANS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER (EMMC) 489 STATE STREET, BANGOR, ME 04401 PROJECT DIRECTOR: CHRISTOPHER LAIRD CONTACT PHONE NUMBER: 207-973-8560 EMAIL ADDRESS: CLAIRD@NORTHERNLIGHT.ORG HTTPS://NORTHERNLIGHTHEALTH.ORG/EASTERN-MAINE-MEDICAL-CENTER LOCATED AT 489 STATE STREET IN BANGOR, MAINE, EASTERN MAINE MEDICAL CENTER DBA NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER (EMMC) IS A NOT-FOR-PROFIT, 411-BED HEALTHCARE FACILITY. EMMC IS A COMPREHENSIVE REFERRAL CENTER FOR MORE THAN 500,000 MAINE RESIDENTS, MANY OF WHOM RESIDE IN RURAL COMMUNITIES LOCATED IN THE CENTRAL, EASTERN, AND NORTHERN TWO-THIRDS OF THE STATE. EMMC IS ONE OF ONLY TWO HEALTH CARE FACILITIES IN THE STATE EQUIPPED TO PROVIDE ADVANCED TERTIARY AND QUATERNARY CARE SERVICES – INCLUDING A FULLY-EQUIPPED CORONARY CARE AND CARDIAC SURGERY UNIT, TWO INTENSIVE CARE UNITS (ICUS), NEONATAL AND PEDIATRIC ICUS, A JOINT COMMISSION-CERTIFIED PRIMARY STROKE CENTER, A 32-BED EMERGENCY DEPARTMENT, AND AN ACS-CERTIFIED LEVEL II CENTER/REGIONAL REFERRAL CENTER. MORE THAN HALF OF THE HOSPITALS IN MAINE RELY UPON EMMC TO PROVIDE SPECIALTY SERVICES FOR THEIR PATIENT POPULATIONS, INCLUDING ADVANCED VENTILATOR CARE FOR LIFE-THREATENING COVID-19 INFECTIONS. THE NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER VENTILATOR PROJECT REPLACES EMMC’S AGING AND END OF LIFE INPATIENT VENTILATORS WITHIN THE CRITICAL CARE, INTENSIVE CARE AND OTHER HIGH ACUITY CARE CLINICAL AREAS THROUGHOUT THE HOSPITAL. FORTY-TWO UNITS WILL REPLACE THE PRIOR FLEET TO MEET THE CURRENT AND FUTURE NEEDS OF COMMUNITIES WE SERVE. THE TOTAL PROJECT COST IS $1,198,000. EMMC’S CDS REQUEST IS $1,198,000 TO SUPPORT THE TOTAL EQUIPMENT COST.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THIS PROJECT WILL SUPPORT EASTERN MAINE MEDICAL CENTER DBA NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER (EMMC) TO RENOVATE A LEASED SPACE FOR THE PURPOSE OF CREATING AN ONCOLOGY SURVIVORSHIP PROGRAM LOCATED AT 43 WHITING HILL ROAD, BREWER, ME, 04412. THE SPACE IS A LEASED SPACE WITHIN AN EASTERN MAINE HEALTHCARE SYSTEMS DBA NORTHERN LIGHT HEALTH (NLH) OWNED BUILDING. ONCOLOGY SURVIVORSHIP PROGRAMS ENHANCE THE QUALITY OF HEALTH CARE EXPERIENCE AND SURVIVAL RATES FOR CANCER PATIENTS BY PROVIDING PHYSICAL, EDUCATIONAL, PSYCHOSOCIAL, AND FUNCTIONAL SUPPORT. THIS SURVIVORSHIP CLINIC, SERVING THE GREATER NORTHEAST REGION OF MAINE, WILL PROVIDE HOLISTIC CARE FOR SEVERAL HUNDRED CANCER SURVIVORS ANNUALLY IN THIS PREDOMINANTLY RURAL AND UNDERSERVED REGION. ADDITIONALLY, CREATING A SURVIVORSHIP CENTER WILL INCREASE THE REGIONAL HEALTHCARE NETWORK’S CAPACITY TO SERVE ONCOLOGY PATIENTS BY TRANSITIONING THE CARE CONTINUUM FROM MEDICAL ONCOLOGISTS TO SPECIALTY, SURVIVORSHIP TEAMS. IN A REGION WHERE MANY COMMUNITIES ARE MEDICALLY UNDERSERVED, INCREASING PROVIDER CAPACITY AND SUPPORTING THE HEALTHCARE WORKFORCE IS A BENEFIT TO THE OVERALL HEALTHCARE ENVIRONMENT FOR PATIENTS AND PROVIDERS ALIKE. THIS SURVIVORSHIP CLINIC WILL BE THE ONLY ONE OF ITS KIND FOR OVER 150 MILES TO THE NORTH AND EAST OF BANGOR. THE ACTIVITIES DESCRIBED IN THIS APPLICATION ALIGN WITH THE FUNDING REQUESTED TO CREATE A CLINICAL SPACE FOR THE EMMC CANCER SURVIVORSHIP PROGRAM. PROPOSED RENOVATIONS WILL INCLUDE THE ALTERATION OF AN EXISTING LEASED SPACE TO CREATE THREE EXAM ROOMS THAT CAN BE USED TO PROVIDE CLINICAL OR INTEGRATED CARE. ALSO AVAILABLE WILL BE TWO CONSULT ROOMS, A WAITING ROOM/FLEXIBLE GROUP ACTIVITIES SPACE, AND ADMINISTRATIVE STAFF SPACE INCLUDING OFFICES/SHARED-WORK LOCATIONS, REGISTRATION, AND SCHEDULING. THIS SPACE WILL BE A RELAXING AND SUPPORTIVE SPACE FOR THE PROVISION OF HEALTH CARE SERVICES WITH ADDITIONAL SPACES FOR HOLISTIC AND INTEGRATED MEDICINE PRACTICES. THE TAR GET POPULATION OF THIS INITIATIVE IS ONCOLOGY PATIENTS IN MAINE.

PORTLAND AREA RESIDENTIAL SERVICES CONSORTIUM

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

HEALTHY SEBASTICOOK VALLEY DRUG FREE COMMUNITY COALITION

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

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

TELEHEALTH NETWORK GRANT PROGRAM

RURAL NORTHERN BORDER REGION OUTREACH PROGRAM - ADDRESS: 43 WHITING HILL RD., BREWER, ME 04412 TYPE: RURAL HEALTH CARE SYSTEM WEBSITE: HTTPS://NORTHERNLIGHTHEALTH.ORG/ PROJECT DIRECTOR NAME & TITLE: ERIN HAMMOND, TALENT ACQUISITION SPECIALIST PHONE: 207-879-3426 E-MAIL: EHAMMOND@NORTHERNLIGHT.ORG OTHER KEY STAFF NAME & TITLE: TBD, STUDENT SUCCESS NAVIGATOR PROJECT TITLE: RURAL NORTHERN MAINE RESPIRATORY THERAPY PROGRAM (RNMRTP) PROJECT GOAL: TO SUPPORT & STRENGTHEN MATRICULATION, RETENTION, GRADUATION, & SUCCESSFUL EMPLOYMENT OF PARTICIPANTS FROM A COARC ACCREDITED RESPIRATORY THERAPY (RT) PROGRAM SERVING RURAL NORTHERN MAINE. OBJECTIVES: -TO FORMALIZE RNMRTP NETWORK TO ENSURE A STRONG, MULTI-SECTOR, CONSORTIUM COMMITTED TO BUILDING & SUSTAINING THE PROJECT. -TO SUPPORT KVCC'S COARC PROGRAM TO INCREASE AVAILABILITY VIA A HYBRID REMOTE & IN-PERSON MODALITY WITH A FOCUS ON STUDENT SUPPORT, RETENTION, & SUSTAINABILITY. -TO IMPLEMENT & ENHANCE A COORDINATED OUTREACH AND RECRUITMENT PROGRAM TO EDUCATE DIVERSE/UNDERSERVED POPULATIONS ABOUT THE RESPIRATORY THERAPY (RT) PROFESSION & THE AVAILABLE RNMRTP. -TO HIRE & ONBOARD REGISTERED RESPIRATORY THERAPISTS (RRTS) IN RURAL HEALTH CARE SETTINGS WITH A FOCUS ON RETENTION & PROFESSIONAL GROWTH. PROPOSED SERVICE AREA: TARGET SERVICE AREA OF FIVE FULLY RURAL MAINE COUNTIES LOCATED IN THE RURAL NORTHERN BORDER REGIONAL COMMISSION (NBRC) REGION: HANCOCK, KENNEBEC, PISCATAQUIS, SOMERSET, AND AROOSTOOK. AREA THAT WILL BE POSITIVELY IMPACTED BY THIS PROJECT SPANS NINE MAINE COUNTIES IN NBRC REGION: AROOSTOOK, HANCOCK, WASHINGTON, KNOX, PISCATAQUIS, PENOBSCOT, SOMERSET, KENNEBEC, AND WALDO. TARGET POPULATION: RNMPTP POPULATION TO BE SERVED INDIVIDUALS WITH RESPIRATORY HEALTH NEEDS LIVING IN THE SERVICE AREA. RNMRTP WILL RECRUIT AND TRAIN TARGET POPULATION OF YOUNG ADULTS & ADULTS IN SERVICE AREA WHO ARE INTERESTED IN SECURING RT EDUCATION & EMPLOYMENT. FOCUS AREA : THIS PROJECT ADDRESSES THE SIGNI FICANT NEED FOR RESPIRATORY THERAPY SERVICES IN MAINE'S RURAL NORTHERN BORDER COMMUNITIES. SIGNED MOU HEALTHCARE & HEALTHCARE EDUCATION CONSORTIUM PARTNERS: NORTHERN LIGHT (NL) EASTERN MAINE MEDICAL CENTER, NL A.R. GOULD HOSPITAL, NL BLUE HILL HOSPITAL, NL C.A. DEAN HOSPITAL, NL INLAND HOSPITAL, NL MAYO HOSPITAL, NL MAINE COAST HOSPITAL, NL SEBASTICOOK VALLEY HOSPITAL, NORTHERN LIGHT HEALTH (NLH), KENNEBEC VALLEY COMMUNITY COLLEGE (KVCC), NORTHERN MAINE COMMUNITY COLLEGE (NMCC). SUBMISSION OF THIS APPLICATION (INCL. ATTACHMENT 6) SERVES AS AN ATTESTATION THAT AT LEAST 66% OF CONSORTIUM MEMBERS ARE LOCATED IN A HRSA DESIGNATED RURAL AREA. PROJECT ACTIVITIES: RNMRTP WILL RECRUIT INDIVIDUALS TO PARTICIPATE IN TRAINING TO BECOME RRTS. PARTICIPANTS WILL RECEIVE SUPPORT IN ACCESSING RT EDUCATION AT KVCC'S COARC ACCREDITED PROGRAM. PARTICIPATING NETWORK ORGANIZATIONS WILL RECEIVE HELP TO PARTICIPATE IN OR TO DEVELOP AN “EARN TO LEARN” PROGRAM WHEREIN EXISTING OR NEW EMPLOYEES CAN RECEIVE AN EDUCATION WHILE MAINTAINING EMPLOYMENT WITHIN THE HEALTH CARE ORGANIZATION. PARTICIPATING STUDENTS WILL BE SUPPORTED BY A STUDENT SUCCESS NAVIGATOR (SSN) TO ADDRESS & OVERCOME BARRIERS TO THEIR EDUCATION. OUTCOMES: INCREASED # OF RRTS AND RT SERVICES IN SERVICE AREA. INCREASED EFFICIENCIES IN RURAL HEALTHCARE. INCREASED RNMRTP SUSTAINABILITY. CAPACITY TO SERVE UNDERSERVED POPULATIONS: ALL 11 RNMRTP PARTNERS HAVE SIGNED THE MOU & HAVE FORMAL & INFORMAL PARTNERSHIPS. ALL ARE LOCATED IN THE NBRC REGION AND SERVE THE TARGET AREA & POPULATION DESCRIBED ABOVE IN THE PROVISION OF HEALTH CARE AND HEALTH CARE EDUCATION. 81.8% OF PARTNERS ARE HRSA DESIGNATED RURAL AND ALL HAVE LOCAL BOARDS AND COMMITTEES. APPLICANT NLH IS MAINE’S ONLY INTEGRATED HEALTH CARE SYSTEM AND HAS LONG-STANDING EXPERIENCE IN SUPPORT OF RURAL HEALTH CARE PROVISION. NLH LEARNED ABOUT THIS FUNDING OPPORTUNITY VIA A HRSA NEWS RELEASE. APPLICANT IS ELIGIBLE FOR A FUNDING PREFERENCE BASED ON QUALIFICATION 2: MUC/MUP AND DOCUMENTATION IS INCLUDED IN ATTACHMENT 10.

PUBLIC HEALTH PREPAREDNESS AND RESPONSE PLANNING FOR LONG-TERM CARE FACILITIES, H

MAINE YOUTH MENTAL HEALTH AWARENESS TRAINING (MYMHAT) - THE MAINE YOUTH MENTAL HEALTH AWARENESS TRAINING (MYMHAT) PROJECT WILL PROVIDE YOUTH MENTAL HEALTH FIRST AID AND MENTAL HEALTH FIRST AID TRAININGS (YMHFA & MHFA) TO ADULTS WHO CARE FOR (OR HAVE CONTACT WITH) SCHOOL-AGED YOUTH, THE POPULATION OF FOCUS (POF). WITHIN THE POF, SUBPOPULATIONS IDENTIFIED INCLUDE LGBTQ2S+ AND BLACK, INDIGENOUS & COMMUNITIES OF COLOR (BIPOC), INCLUDING MAINE’S IMMIGRANT/REFUGEE POPULATIONS. THERE ARE APPROXIMATELY 37,038 SCHOOL-AGED YOUTH IN PENOBSCOT AND ANDROSCOGGIN COUNTIES IN MAINE, THE GEOGRAPHIC CATCHMENT AREAS WHERE TRAININGS AND SERVICES WILL BE DELIVERED. BOTH COUNTIES CONTAIN MULTIPLE, DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS). THE GOALS ARE TO 1) INCREASE THE CAPACITY, CONFIDENCE, AND MOTIVATION OF ADULTS WHO CARE FOR SCHOOL-AGED YOUTH, TO IDENTIFY MENTAL HEALTH NEEDS WITHIN THAT POPULATION, FACILITATE REFERRALS TO CARE, AND RESPOND TO CRISIS SITUATIONS, INCLUDING SUICIDE OR SUICIDAL IDEATION, 2) TO INCREASE THE CAPACITY OF THOSE ADULTS TO BE BETTER ABLE TO IDENTIFY THEIR OWN MENTAL HEALTH NEEDS, ALONG WITH THE MENTAL HEALTH NEEDS OF ADULT CAREGIVERS OF SCHOOL-AGED YOUTH WITH WHOM THEY HAVE CONTACT, IN ORDER TO FACILITATE APPROPRIATE REFERRALS TO CARE AND RESPOND TO CRISES, AND 3) TO INCREASE ACCESS TO REFERRAL PATHWAYS FOR PEOPLE IN MENTAL HEALTH CRISIS, AND LINK THE POF TO MENTAL HEALTH RESOURCES AND SERVICES. THE NUMBER OF INDIVIDUALS WHO WILL RECEIVE EVIDENCE-BASED TRAININGS THROUGHOUT THE FIVE-YEAR LIFETIME OF THIS PROJECT ARE 270 IN YEAR 1, AND 750 PER YEAR FOR YEARS 2-5, WITH A TOTAL OF 3270 INDIVIDUALS RECEIVING TRAININGS. THE MEASURABLE OBJECTIVES OF MYMHAT INCLUDE: BY 1/31/2022 TO TRAIN AND CERTIFY 8 INSTRUCTORS IN YMHFA & MHFA; BY YEAR 5 TO PROVIDE 109 YMHFA AND/OR MHFA TRAININGS; BY YEAR 5 DISTRIBUTE 1,930 ACADIA CARES/RACES PACKAGES TO SCHOOLS AND COMMUNITY PARTNERS AS ADDITIONAL MENTAL HEALTH SUPPORT RESOURCES; BY YEAR 5 TO INCREASE BY 65% A) YMHFA PARTICIPANT CONFIDENCE, CAPACITY, AND MOTIVATION TO IDENTIFY AND RESPOND TO MENTAL HEALTH NEEDS OF SCHOOL-AGED YOUTH, INCLUDING RESPONDING TO/DE-ESCALATING CRISIS SITUATIONS, B) YMHFA PARTICIPANT KNOWLEDGE OF HOW AND WHERE TO MAKE MENTAL HEALTH REFERRALS FOR SCHOOL-AGED YOUTH, C) MHFA PARTICIPANT CONFIDENCE, CAPACITY, AND MOTIVATION TO IDENTIFY AND RESPOND TO THEIR OWN MENTAL HEALTH NEEDS, OR THE MENTAL HEALTH NEEDS OF ADULT CAREGIVERS OF SCHOOL-AGED YOUTH WITH WHOM THEY HAVE CONTACT, INCLUDING RESPONDING TO OR DE-ESCALATING CRISIS SITUATIONS AND D) MHFA PARTICIPANT KNOWLEDGE OF HOW AND WHERE TO MAKE MENTAL HEALTH REFERRALS FOR ADULTS; BY YEAR 1 NORTHERN LIGHT BEHAVIORAL HEALTH RESOURCE CENTER (BHRC) WILL DEVELOP THE CAPACITY TO ACCEPT REQUESTS FOR YOUTH AND ADULT MENTAL HEALTH REFERRALS GENERATING FROM COMMUNITY-BASED PARTNERS IN ANDROSCOGGIN AND PENOBSCOT COUNTIES; BY YEAR 5 BHRC WILL REFLECT SCALED INCREASES PER YEAR FOR ADDITIONAL COMMUNITY-BASED REFERRALS FOR ADULTS AND YOUTHS IN ANDROSCOGGIN AND PENOBSCOT COUNTIES TO APPROPRIATE CLINICAL OR COMMUNITY-BASED MENTAL HEALTH SERVICES (BREAKDOWN OF YEARLY TARGETS IN MYMHAT NARRATIVE).

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

MAKWI: WABANAKI INTERTRIBAL INITIATIVE TO RECOVERY

DISTANCE LEARNING GRANT

VIDEOCONFERENCE CBT FOR RURAL BREAST CANCER SURVIVORS WITH COGNITIVE COMPLAINTS

EVALUATING THE EFFECTIVENESS OF AN HIT SELF-MANAGEMENT PROGRAM FOR CHRONIC DISEAS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

A CHILDHOOD OBESITY PROJECT: REGIONAL COLLABORATIVE TO REDUCE THE RATE OF CHILDHO

HEALTH CARE AND OTHER FACILITIES

HEALTHYSV STOP GRANT PROJECT: REDUCING YOUTH ALCOHOL USE, INCREASING PERCEPTION OF HARM, AND CHANGING SOCIAL NORMS AROUND UNDERAGE DRINKING. - NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL 447 NORTH MAIN STREET, PITTSFIELD, MAINE 04967 PROJECT DIRECTOR: SHERRY TARDY CONTACT PHONE NUMBER: 207.487.4085 EMAIL ADDRESS: STARDY@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/SVH SEBASTICOOK VALLEY HEALTH DBA NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL (SVH) ON BEHALF OF THE HEALTHY SEBASTICOOK VALLEY (HEALTHYSV) COALITION HAS DEVELOPED A PROGRAM TO MEET THE SIGNIFICANT NEED IN THE POPULATION OF FOCUS TO REDUCE THE ADVERSE EFFECTS OF ALCOHOL CONSUMPTION BY YOUTH. THE POPULATION OF FOCUS (POF) FOR OUR PROPOSED PROJECT IS YOUTH AGED 12-18 RESIDING IN THE SEBASTICOOK VALLEY REGION OF MAINE (BURNHAM, CORINNA, DETROIT, DIXMONT, ETNA, HARTLAND, NEWPORT, PALMYRA, PITTSFIELD, PLYMOUTH, AND ST. ALBANS) WHO INDICATE AN EXCEPTIONALLY LOW PERCEPTION OF RISK RELATED TO UNDERAGED ALCOHOL USE, INCLUDING LOW PERCEPTION OF RISK FROM THE CONSUMPTION OF 1 TO 2 DRINKS DAILY. THIS POF INDICATES HIGHER THAN STATE AVERAGES FOR MIDDLE SCHOOL STUDENT PAST 30-DAY CONSUMPTION OF ONE DRINK OF ALCOHOL. THE SOCIAL NORMS AROUND UNDERAGE DRINKING IN THIS POF REFLECT A HIGH PERCENTAGE OF STUDENTS REPORTING THAT THEIR PARENTS ACCEPT ALCOHOL USE (1-2 DRINKS PER DAY). MORE THAN 70% OF SEBASTICOOK VALLEY, WHERE THIS POF RESIDES, ARE DESIGNATED RURAL AND ELIGIBLE FOR RURAL HEALTH GRANTS ACCORDING TO THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION. SUBSTANCE USE PREVENTION AND TREATMENT RESOURCES ARE SCARCE AND COMMUNITY PARTNERS RELY ON STRONG COLLABORATION WITH MULTI-SECTOR ORGANIZATIONS TO REACH REMOTE TOWNS AND RESIDENTS. HEALTHYSV WILL USE THE STOP ACT GRANT TO REDUCE YOUTH ALCOHOL USE AND INCREASE YOUTH PERCEPTION OF RISK ASSOCIATED WITH DAILY ALCOHOL CONSUMPTION. TO ACHIEVE THIS GOAL HEALTHYSV WILL DEVELOP A 12-MONTH ACTION PLAN EACH YEAR THAT IS RESPONSIVE TO THE MAINE INTEGRATED YOUTH HEALTH SURVEY DATA. IMPLEMENTATION OF THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION STICKER SHOCK INITIATIVE TO INCREASE AWARENESS OF RISKS FOR ADULTS PURCHASING ALCOHOL FOR MINORS AND REMIND RETAILERS TO FOLLOW STATE OF MAINE CARDING LAWS. TWO TOWN HALL MEETINGS AND SIX DIGITAL MEDIA CAMPAIGNS WILL SUPPORT COMMUNITY MEMBERS’ EDUCATION REGARDING YOUTH ALCOHOL USE. PARTNERSHIPS WITH LOCAL AND STATE AGENCIES WILL ENHANCE ACCESS, REDUCE BARRIERS, AND IMPROVE CONNECTIONS BETWEEN SYSTEMS AND SERVICES THAT PREVENT YOUTH ALCOHOL USE. TRAINING FOR INTERVENTION PROCEDURES WILL BE PROVIDED TO ALCOHOL RETAILERS, SERVERS, AND STAFF OF AREA ESTABLISHMENTS. HEALTHYSV WILL CHANGE SOCIAL NORMS, INCREASING PERCEPTION OF RISK ASSOCIATED WITH DAILY USE OF ALCOHOL VIA THE STICKER SHOCK INITIATIVE AND PARTNERING WITH LOCAL SCHOOL DEPARTMENTS TO PROMOTE EVIDENCE-BASED CURRICULUMS TO REDUCE YOUTH SUBSTANCE USE. THE WORK PLAN/TIMELINE OF THIS STOP ACT GRANT APPLICATION HAS BEEN CRAFTED TO COMPLEMENT THE ACTIVITIES ALREADY FUNDED UNDER HEALTHYSV CARA LOCAL DRUG CRISIS GRANT, WITH NO PROGRAMMATIC, BUDGETARY, OR COMMITMENT OF PERSONNEL TIME OVERLAP.

HEALTH CARE AND OTHER FACILITIES

HEALTHY SEBASTICOOK VALLEY DRUG FREE COMMUNITY SUPPORT PROGRAM

HEALTH CARE AND OTHER FACILITIES

TELEMEDICINE GRANT

TELEMEDICINE GRANT

PISCATAQUIS YOUTH SUBSTANCE USE PREVENTION COALITION'S STOP PISCATAQUIS YOUTH DRINKING: A PROJECT TO REDUCE YOUTH ACCESS AND INCREASE AWARENESS OF CONSEQUENCES FROM ALCOHOL USE. - NORTHERN LIGHT MAYO HOSPITAL 897 W MAIN STREET, DOVER-FOXCROFT, ME 04426 PROJECT DIRECTOR: HILLARY STARBIRD CONTACT PHONE NUMBER: 207.564.4184 EMAIL ADDRESS: HSTARBIRD@NORTHERNLIGHT.ORG HTTPS://WWW.NORTHERNLIGHTHEALTH.ORG/MAYO MRH CORP., (DBA NORTHERN LIGHT MAYO HOSPITAL (MAYO)) IN COORDINATION WITH THE PISCATAQUIS YOUTH SUBSTANCE USE PREVENTION COALITION (PYSUP) HAS DEVELOPED A PROGRAM TO MEET THE SIGNIFICANT NEED IN THE POPULATION OF FOCUS TO REDUCE THE ADVERSE EFFECTS OF ALCOHOL CONSUMPTION BY YOUTH. THE POPULATION OF FOCUS (POF) FOR OUR PROPOSED PROJECT IS YOUTH AGED 12-20 RESIDING IN PISCATAQUIS COUNTY, MAINE WHO INDICATE A VERY LOW PERCEPTION OF RISK RELATED TO UNDERAGED ALCOHOL, INCLUDING LOW PERCEPTION OF RISK FROM CONSUMPTION OF FIVE OR MORE DRINKS. CORRESPONDINGLY, THIS POF INDICATES HIGHER THAN STATE AVERAGES FOR PAST-30-DAY CONSUMPTION OF “5 OR MORE DRINKS AT ONE TIME”. THE POF ALSO REFLECTS CONCERNINGLY HIGH PERCENTAGES OF YOUTH WHOSE PEER PERCEPTION OF DISAPPROVAL OF ALCOHOL USE IS LITTLE OR NOT WRONG. GIVEN THE MARGINS OF ERROR IN THE 2020 CENSUS, WE ESTIMATE THE POF TO BE 1600 INDIVIDUALS. ALL LOCATIONS IN PISCATAQUIS COUNTY, WHERE THIS POF RESIDES, ARE DESIGNATED RURAL AND ELIGIBLE FOR RURAL HEALTH GRANTS ACCORDING TO THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). SUBSTANCE USE PREVENTION RESOURCES ARE SCARCE AND COMMUNITY PARTNERS RELY ON STRONG COLLABORATION WITH MULTI-SECTOR ORGANIZATIONS TO REACH REMOTE TOWNS AND RESIDENTS THE PYSUP COALITION WILL UTILIZE THE STOP ACT GRANT TO ACHIEVE ITS GOAL OF REDUCING YOUTH ALCOHOL USE AND INCREASING YOUTH PERCEPTION OF RISK OF BEING CAUGHT. TO ACHIEVE THIS GOAL THE PYSUP COALITION WILL DEVELOP A 12-MONTH ACTION PLAN EACH YEAR OF FUNDING THAT IS RESPONSIVE TO THE MIYHS DATA, AND WHICH IS IN COORDINATION WITH LOCAL DFC ACTIVITIES. COMPLIANCE CHECKS WILL ENHANCE PROTECTION AGAINST YOUTH OBTAINING ALCOHOL AND TWO TOWNHALL MEETINGS AND SEASONAL MAILERS AND INFORMATIONAL CAMPAIGNS WILL SUPPORT COMMUNITY MEMBERS’ EDUCATION REGARDING YOUTH ALCOHOL USE. PARTNERSHIPS WITH LOCAL AND STATE AGENCIES WILL ENHANCE ACCESS, REDUCE BARRIERS, AND IMPROVE CONNECTIONS BETWEEN SYSTEMS AND SERVICES THAT PREVENT YOUTH ALCOHOL USE. TIPS TRAININGS WILL BE PROVIDED TO ALCOHOL RETAILERS AND SERVERS AND STAFF OF AREA ESTABLISHMENTS. THE COALITION’S SECOND OBJECTIVE OF DECREASING YOUTHS’ PERCEPTIONS OF THE LIKELIHOOD THAT THEY WILL NOT BE CAUGHT BY LAW ENFORCEMENT WILL BE ACHIEVED VIA PARTY PATROLS PROVIDED BY LAW ENFORCEMENT PARTNERS, SOCIAL MEDIA CAMPAIGNS, AND EDUCATION FROM THE LAW ENFORCEMENT OFFICIALS PROVIDED AT TOWN HALLS. THE WORK PLAN/TIMELINE OF THIS STOP ACT GRANT APPLICATION HAS BEEN CRAFTED TO BE COMPLEMENTARY TO THE ACTIVITIES ALREADY FUNDED UNDER PYSUP’S DFC GRANT ACTIVITIES WITH NO PROGRAMMATIC, BUDGETARY, OR COMMITMENT OF PERSONNEL TIME OVERLAP.

TELEMEDICINE GRANT

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HEALTHY SEBASTICOOK VALLEY CARA LOCAL DRUG CRISIS GRANT

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

TELEMEDICINE GRANT

TELEMEDICINE GRANT

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TELEMEDICINE GRANT

TELEMEDICINE GRANT

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HOMELESS ASSISTANCE

DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM ? NON-COMPETING CONTINUATION. - DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM - NON-COMPETING CONTINUATION.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

CDC-RFA-CE21-2106

TELEMEDICINE GRANT