Memorial Hospital

BED REPLACEMENT: 154 BED FACILITY

VHA CBO PURCHASED CARE

VHA CBO PURCHASED CARE

HEARTLAND CANCER RESEARCH NCORP

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - BEAUFORT COUNTY MEMORIAL HOSPITAL HAS BEEN AN OPERATING HOSPITAL SINCE 1944. BMH CURRENTLY PERFORMS 11,000 SURGERIES PER YEAR SERVICE THE BEAUFORT, JASPER, AND HAMPTON COUNTY AREAS. THE HOSPITAL CURRENTLY HAS 7 OPERATING ROOMS AND 3 PROCEDURE ROOMS. ONCE THIS PROJECT IS COMPLETE, BMH WILL MODERNIZE ALL OF IT'S CURRENT OPERATING ROOM SUITES AS WELL AS ADD 2 ADDITIONAL OPERATING ROOMS TO ACCOMMODATE BOTH POPULATION GROWTH AND NEW PHYSICIAN RECRUITMENT TO OUR SERVICE AREA. THE PROPOSED PROJECT HAS A TOTAL SQUARE FOOTAGE OF 25,600 SQUARE FEET AND A TOTAL PROJECT COST OF $23,559,311.20, OF WHICH $17,997,000 WILL BE FUNDED OUT OF THE HRSA PROJECT GRANT MONEY AND THE REMAINING $5,562,311.19 WILL BE FUNDED BY BEAUFORT MEMORIAL HOSPITAL. THE PROPOSED PROJECT TIMEFRAME IS 2 YEARS FROM JUNE OF 2022.

BAPTIST HEALTH SYSTEM/MID SOUTH NCORP MINORITY UNDERSERVED CONSORTIUM

HEALTH CARE INNOVATION CHALLENGE. WYOMING: A FRONTIER STATE'S STRATEGIC PARTNERSHIP FOR TRANSFORMING CARE DELIVERY

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

GUILFORD GENOMIC MEDICINE INITIATIVE: DEVELOPING MODELS FOR MEDICAL PRACTICE

MILITARY INTEROPERABLE DIGITAL HOSPITAL TESTBED (MIDHT)

CENTRAL ILLINOIS COMMUNITY CLINICAL ONCOLOGY PROGRAM

COVID-19: QUIGLY BUILDING RENOVATION

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

COLORECTAL CANCER SCREENING PROGRAM FOR THE NEW HAMPSHIRE REGION.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PMH HRSA-24-110 PROJECT ABSTRACT POCAHONTAS MEMORIAL HOSPITAL (PMH), A CORNERSTONE OF HEALTHCARE IN RURAL APPALACHIA, PROPOSES A CRITICAL $6 MILLION EXPANSION TO ENHANCE ITS CAPABILITIES AND ADDRESS THE ACUTE SHORTAGE OF HEALTHCARE PROFESSIONALS IN THE COMMUNITY. THIS PROJECT AIMS TO INCREASE PMH’S CAPACITY TO DELIVER HIGH-QUALITY, COMPREHENSIVE SERVICES, INCLUDING EMERGENCY CARE, INPATIENT SERVICES, AND SPECIALIZED OUTPATIENT TREATMENTS. THE EXPANSION WILL INVOLVE RENOVATING 3,621 SF OF EXISTING SPACE AND ADDING 3,648 SF, BRINGING THE TOTAL TO 37,542 SF OF ADVANCED MEDICAL FACILITIES. BY EXPANDING CRITICAL FACILITIES, POCAHONTAS MEMORIAL HOSPITAL (PMH) WILL SIGNIFICANTLY ENHANCE ITS ABILITY TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES WITHIN A 50-MILE RADIUS, ADDRESSING THE NEEDS OF A COMMUNITY CHALLENGED BY GEOGRAPHIC ISOLATION AND ECONOMIC DISADVANTAGES. AS THE ONLY LOCAL HEALTHCARE FACILITY, PMH IS CRUCIAL FOR MEETING THE GROWING DEMAND DRIVEN BY AN AGING POPULATION AND INCREASING CHRONIC HEALTH ISSUES. ADDITIONALLY, IT POSITIONS PMH AS A VITAL RESOURCE FOR RURAL HEALTHCARE AND A KEY ECONOMIC DRIVER IN THE REGION, EQUIPPED TO ADDRESS BOTH CURRENT NEEDS AND FUTURE HEALTHCARE CHALLENGES. KEY COMPONENTS OF THIS PROJECT ARE THE DEVELOPMENT OF A STATE-OF-THE-ART OPERATING ROOM (OR), ENHANCED PRE-AND POST-OPERATIVE CARE AREAS, AN ISOLATION ROOM, AND AN UPDATED EMERGENCY DEPARTMENT, INCLUDING A WAITING AREA TO PROTECT PATIENT PRIVACY. THESE FACILITIES ARE DESIGNED TO SUBSTANTIALLY EXPAND THE HOSPITAL’S CAPACITY TO PERFORM SURGERIES, INCLUDING OUTPATIENT PROCEDURES SUCH AS ENDOSCOPIES AND MINOR SURGERIES THAT PREVIOUSLY REQUIRED TRAVEL TO DISTANT HOSPITALS. ONE KEY ASPECT OF THIS PROJECT IS ENHANCING OUR EMERGENCY DEPARTMENT (ED), WHICH WILL NOW INCLUDE AN ISOLATION AND DECONTAMINATION ROOM REQUIRED BY UPDATED HEALTH CODES. THIS ADDITION IS CRUCIAL FOR SAFELY MANAGING INFECTIOUS DISEASES AND PROVIDING SPECIALIZED CARE IN A CONTROLLED ENVIRONMENT . ADDITIONALLY, THE PROJECT WILL INTRODUCE A NEW WAITING AREA FOR THE ED, DESIGNED TO OFFER A SAFE, NURTURING ENVIRONMENT FOR PATIENTS’ FAMILIES. THIS IS A SIGNIFICANT IMPROVEMENT OVER THE CURRENT SETUP, WHERE OUR EMERGENCY WAITING ROOM COMPRISES JUST THREE CHAIRS EXPOSED TO THE HARSH WEST VIRGINIA WINTERS AND SUMMER HEAT. THE EXPANSION ALSO AIMS TO ADDRESS THE REGION'S HIGH RATE OF CHRONIC DISEASES SUCH AS DIABETES AND HEART DISEASE BY IMPROVING ACCESS TO QUALITY HEALTHCARE CLOSE TO HOME. RECENTLY MAMMOGRAPHY SERVICES PIVOTED PMH TOWARDS MEETING THE HEALTHCARE NEEDS OF WOMEN IN THE REGION, OFFERING ESSENTIAL SCREENINGS AND TREATMENTS. INCLUDING A DEDICATED GYNECOLOGY ROOM IN THE EXPANSION PLAN FURTHER UNDERSCORES THIS COMMITMENT. THE NEW OR WILL HAVE ADVANCED MEDICAL TECHNOLOGY, INCLUDING HIGH-DEFINITION SURGICAL LIGHTS, MEDICAL EQUIPMENT BOOMS, AND THE LATEST SURGICAL INSTRUMENTATION. THIS FACILITY WILL ENABLE SURGEONS TO PERFORM A BROADER RANGE OF PROCEDURES WITH GREATER PRECISION AND SAFETY. ADDITIONALLY, THE OR WILL SUPPORT DAY PROCEDURES LIKE COLONOSCOPIES AND ENDOSCOPIES, WHICH ARE VITAL FOR THE EARLY DETECTION AND TREATMENT OF GASTROINTESTINAL DISEASES. THE AVAILABILITY OF THESE PROCEDURES IS EXPECTED TO LEAD TO BETTER HEALTH OUTCOMES, INCLUDING EARLY DIAGNOSIS AND MANAGEMENT OF CONDITIONS THAT COULD BECOME MORE SERIOUS IF LEFT UNTREATED. DEDICATED PRE- AND POST-OPERATIVE CARE AREAS WILL IMPROVE THE COMFORT AND SAFETY OF PATIENTS RECOVERING FROM SURGERY. THESE AREAS WILL FEATURE ADVANCED MONITORING EQUIPMENT, COMFORTABLE PATIENT BEDS, AND SPACES DESIGNED TO PROVIDE A CALMING ENVIRONMENT TO SUPPORT RECOVERY. THE ADDITION TO PMH ALLOWS THE HEALTHCARE FACILITY TO PROVIDE UPDATED EMERGENCY SERVICES TIMES AND ACCESS TO DIAGNOSTICS AND OUTPATIENT SURGERIES, THEREBY IMPROVING THE QUALITY OF CARE AND PATIENT OUTCOMES FOR THE REGION.

EXPAND ACCESS TO RADIATION ONCOLOGY TREATMENT ACROSS THE MISSISSIPPI GULF COAST. - THE MEMORIAL RADIATION ONCOLOGY PROJECT GOAL IS TO ENSURE THAT PATIENTS WHO NEED CANCER CARE ARE ABLE TO RECEIVE THEIR CARE CLOSE TO HOME AND, MOST IMPORTANTLY, CLOSE TO FAMILY. MEMORIAL’S CANCER AND RADIATION ONCOLOGY PROGRAMS HAVE GROWN EXPONENTIALLY OVER THE LAST 20 YEARS, AND THE TECHNOLOGY AND EQUIPMENT TO TREAT CANCER PATIENTS IS NOW WELL BEYOND ITS USEFUL LIFE. THE RADIATION ONCOLOGY PROJECT WILL ALLOW MEMORIAL TO MEET THE GROWING DEMAND IN OUR COMMUNITY, ENSURING PATIENTS RECEIVE GREAT CANCER CARE CLOSE TO HOME, RIGHT HERE ON THE MISSISSIPPI GULF COAST, WITHOUT HAVING TO TRAVEL OUT OF STATE. QUITE SIMPLY, THIS INVESTMENT WILL ALLOW MEMORIAL TO SERVE MORE PATIENTS IN THEIR COMMUNITY. PROVIDE BETTER, STATE-OF-THE-ART CANCER CARE CLOSE TO HOME, AND CLOSE TO FAMILY.

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE MULTISPECIALTY CENTER WILL BE A MULTI-STORY, MIXED-USE HEALTHCARE FACILITY ADJACENT TO THE HOSPITAL AND WILL OFFER EXPANDED SERVICES INCLUDING PEDIATRIC OPERATIONAL SERVICES FOR SOUTH MISSISSIPPI. THE CENTER WILL ACCOMMODATE SEVERAL NEW AND VITAL PROGRAMS INCLUDING A STATE-OF-THE-ART OUTPATIENT SURGERY CENTER FOR PEDIATRICS, A POST-ANESTHESIA CARE UNIT (PACU) TO SUPPORT PEDIATRIC SPECIALTY, SUBSPECIALTY AND ADULT SURGICAL CARE, SOME OF WHICH ARE CURRENTLY UNAVAILABLE IN SOUTH MISSISSIPPI, AND AN EXPANDED INPATIENT REHAB FACILITY. ADDITIONALLY, THE CENTER WILL HOUSE NEW TELEMEDICINE AND RESIDENCY PROGRAMS. MEMORIAL AND ITS CLINICS ARE UNABLE TO SURGICALLY TREAT PEDIATRIC PATIENTS, WHICH REQUIRES SOUTH MISSISSIPPI FAMILIES TO TRAVEL OUT OF STATE FOR TREATMENT. THE CENTER WILL PROVIDE THE NEEDED FACILITY SPACE AND COMPONENTS FOR MEMORIAL TO PERFORM PEDIATRIC OUTPATIENT SURGERY, THEREBY PREVENTING FURTHER HEALTHCARE LEAKAGE TO NEIGHBORING STATES AND WILL ALLOW FAMILIES TO BE TREATED IN THEIR OWN COMMUNITY. MEMORIAL HAS PARTNERED WITH A LARGE MISSISSIPPI ACADEMIC AND MEDICAL FACILITY TO SUPPLY THESE SERVICES AND ALLOW CHILDREN AND THEIR FAMILIES TO STAY HOME TO RECEIVE CARE IN THEIR COMMUNITY. THE FACILITY WILL HOUSE A 60-BED INPATIENT REHAB FACILITY WHICH IS CRITICAL TO A PHYSICIAN’S ABILITY TO ENSURE CONTINUITY OF CARE, FROM WELLNESS TO PRIMARY AND EMERGENCY CARE TO ACUTE CARE AND ULTIMATELY TO REHAB OR LONG-TERM CARE. MEMORIAL CURRENTLY HAS 33 BEDS THAT ARE FREQUENTLY AT CAPACITY FORCING FAMILIES TO LEAVE THE LOWER SIX COUNTIES FOR TREATMENT; THE ADDITIONAL BEDS FOR THE INPATIENT REHAB FACILITY ARE CRITICAL TO MEMORIAL’S ABILITY TO SERVE SOUTH MISSISSIPPI IN THE FUTURE. TELEMEDICINE CAPABILITIES, WHICH WILL BE HOUSED IN THE CENTER, ARE A COMPONENT OF THE MEMORIAL VIRTUAL MEDICINE PROGRAM (MVM) AND WOULD PROVIDE DIRECT CARE TO RESIDENTS IN THEIR HOMES AND PLACES OF EMPLOYMENT, COVERING THE ENTIRETY OF SOUTH MISSISSIPPI. THE CENTER WILL FE ATURE AN AUDITORIUM, HIGH-TECHNOLOGY CLASSROOMS, AND ADMINISTRATIVE SPACE FOR THE COMMUNITY TO ESTABLISH OUTREACH PROGRAMS. CASEWORKERS, EDUCATORS, NURSE NAVIGATORS, CLINICIANS AND SUPPORT STAFF WILL BE ABLE TO ADDRESS CURRENT AND FUTURE SOCIAL DETERMINANTS THAT SHAPE THE TYPICAL HEALTH ISSUES FACED BY MISSISSIPPIANS.

REPLACE FIRE ALARM AND LIFE SAFTEY RENOVATIONS

MANDATORY_ESTIMATES OF VACCINE EFFECTIVENESS AGAINST MEDICALLY-ATTENDED, PCR-CONFIRMED INFLUENZA IN WEST SOUTH CENTRAL U.S.

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

DISSEMINATION AND IMPLEMENTATION OF A CORRECTIVE INTERVENTION TO IMPROVE MEDIASTI

ARP: RENOVATION: ELECTRONIC MEDICAL RECORD

SPECIAL DIABETES PROGRAM FOR INDIANS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THIS PROJECT PROPOSAL SEEKS FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO ADDRESS CRITICAL INFRASTRUCTURE AND SERVICE DEFICIENCIES IN OUR RURAL STANDALONE HOSPITAL. WITH THE SUPPORT OF HRSA, OUR GOAL IS TO IMPROVE THE OVERALL QUALITY OF CARE, ENHANCE PATIENT EXPERIENCE, AND PROMOTE COMMUNITY HEALTH BY UNDERTAKING A MULTIFACETED APPROACH ENCOMPASSING HVAC SYSTEM UPGRADES FOR PATIENT CARE AREAS, ENERGY-EFFICIENT WINDOW REPLACEMENTS, ADHERENCE TO CURRENT AIR QUALITY AND LIFE SAFETY CODES, PATIENT ROOM REFURBISHMENTS, PLUMBING AND ELECTRICAL ENHANCEMENTS, AND THE ADDITION OF ESSENTIAL DIAGNOSTIC EQUIPMENT INCLUDING MAMMOGRAPHY, ULTRASOUND, AND LABORATORY INSTRUMENTS. FURTHERMORE, THE PROJECT AIMS TO INTRODUCE ELDERLY TRANSPORT VEHICLES TO FACILITATE ACCESSIBILITY FOR THE MEDICALLY UNDERSERVED POPULATION RESIDING IN REMOTE AREAS. THE PROPOSED PROJECT RECOGNIZES THE PRESSING NEED TO MODERNIZE OUR HEALTHCARE FACILITY TO BETTER SERVE DIVERSE, POOR AND MINORITY POPULATIONS IN THE MEDICALLY SPARSE AREAS OF CARROLL, MONTGOMERY, HOLMES, WEBSTER, ATTALA, AND OTHER SURROUNDING COUNTIES OF MISSISSIPPI TO ENSURE EQUITABLE ACCESS TO HIGH-QUALITY CARE AND IMPROVE HEALTH OUTCOMES. BY ADDRESSING INFRASTRUCTURE SHORTCOMINGS AND INVESTING IN ADVANCED MEDICAL TECHNOLOGIES, THIS INITIATIVE AIMS TO BRIDGE THE GAP IN HEALTHCARE DISPARITIES AND CREATE A SUSTAINABLE HEALTHCARE ECOSYSTEM THAT MEETS THE EVOLVING NEEDS OF THE COMMUNITY. THE PROJECT WILL BE EXECUTED IN PHASES TO STREAMLINE IMPLEMENTATION AND MINIMIZE DISRUPTIONS TO ONGOING HEALTHCARE SERVICES. EACH PHASE WILL BE METICULOUSLY PLANNED AND EXECUTED, WITH A STRONG EMPHASIS ON STAKEHOLDER ENGAGEMENT, COMMUNITY INVOLVEMENT, AND CONTINUOUS MONITORING TO ENSURE EFFECTIVE UTILIZATION OF RESOURCES AND TIMELY COMPLETION OF DELIVERABLES.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-CHILD AND ADOLESCENT SUPPORT

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM

NEW HAMPSHIRE COLORECTAL CANCER SCREENING PROGRAM (NHCRCSP)

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

CORE_RT-PCR BASED CASE-CONTROL: APT MEASURE OF INFLUENZA VACCINE EFFECTIVENESS

FAILURE TO RESCURE-PATIENT SAFETY LEARNING LAB (FTR-PSLL)

PROJECT LAUNCH UPPER VALLEY: PROMOTING A HEALTHY START FOR YOUNG CHILDREN AND THEIR CAREGIVERS

COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINATIONS IN UNDERSERVED COMMUNITIES

INTERVENTIONS TO INCREASE CLINIC-LEVEL RATES OF HIGH-QUALITY CRC SCREENING THROUGH CLINICAL PARTNERSHIPS

TAILORED LIFESTYLE INTERVENTION IN OBESE ADULTS WITHIN PRIMARY CARE PRACTICE

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

PARTNERS TO PROMOTE SAFETY, PERMANENCY AND WELL-BEING FOR FAMILIES AFFECTED BY SUBSTANCE USE (P2P)

BLACK LUNG/COAL MINER CLINICS PROGRAM

EARLY HEAD START

UMBILICAL CORD MILKING IN NON VIGOROUS INFANTS (THE MINVI TRIAL)

GH11-1140: POSITIVELY UNITED TO SUPPORT HUMANITY (PUSH): GUYANA'S FAITH-BASED

STATE MATERNAL HEALTH INNOVATION PROGRAM - MARY HITCHCOCK MEMORIAL HOSPITAL’S (MHMH) MATERNAL HEALTH INNOVATION (MHI) PROJECT TEAM, NH STATE PARTNERS AND COMMUNITY COLLABORATORS WILL WORK TOWARD ADVANCING THE MHI OVERARCHING PURPOSE OVER 5 YEARS. FOR THIS MHI PROJECT MHMH WILL WORK WITH THE NH MATERNAL CHILD HEALTH DEPARTMENT/TITLE V PROGRAM (NHMCH), PERSONS WITH LIVED EXPERTISE OF PREGNANCY AND DISPARATE PERINATAL HEALTH OUTCOMES, BIRTHING HOSPITALS, COMMUNITY ORGANIZATIONS, AND OTHER NH PERINATAL HEALTH STAKEHOLDERS. THE PROJECT WILL ACHIEVE THE FOLLOWING GOALS OVER 5 YEARS: 1) RECRUIT, ENGAGE, AND CONVENE A MATERNAL HEALTH TASK FORCE (MHTF) TO DRAFT AND FINALIZE A MATERNAL HEALTH STRATEGIC PLAN (MHSP) THEN IMPLEMENT MHSP ACTIVITIES; 2) CO-CREATE A COMPREHENSIVE MHI EVALUATION PLAN TO ASSESS AND REPORT ON PROGRAM ACTIVITIES OVER THE FULL PERFORMANCE PERIOD; 3) IMPROVE STATE-LEVEL MATERNAL HEALTH SURVEILLANCE DATA QUALITY, COLLECTION AND APPLICATION; 4) CONTINUE TO INCREASE NUMBER PERSONS WITH LIVED EXPERTISE OF PREGNANCY AND PERINATAL HEALTH DISPARITIES WHO ARE MEMBERS OF THE MHTF AND SHARE IN DECISION-MAKING RE: MHSP PRIORITIES, ACTIVITIES AND EVALUATION; 5) RELEASE A PUBLIC MATERNAL HEALTH ANNUAL REPORT EACH YEAR OF THE PERIOD OF PERFORMANCE; AND 6) TOGETHER WITH THE MHTF WILL SUPPORT IMPLEMENTATION OF INNOVATIVE INITIATIVES BASED ON THE MHSP TO IMPROVE MATERNAL HEALTH AND IDENTIFY THOSE WITH POTENTIAL FOR SCALING AND REPLICATION. OUR UNDERLYING APPROACH AIMS TO BUILD OUT A STATEWIDE SYSTEM OF 12 REGIONAL PERINATAL TASK FORCES (RPTF) ASSOCIATED WITH THE MHTF, EACH WITH THE CAPACITY TO IMPLEMENT INNOVATION ACTIVITIES OF THE MHSP. MHMH’S MHI STAFF LEADERS HAVE ALREADY STARTED IMPLEMENTING AND BUILDING SUPPORT OVER THE LAST 12 MONTHS, AND MHI SUPPORT WILL ALLOW US TO CONTINUE IMPROVING AND GROWING MHTF ENGAGEMENT, PARTNERSHIPS, AND DATA SYSTEMS NEEDED TO COMPLETE THE MHSP. MORE THAN 200 NH STAKEHOLDERS, INCLUDING PERSONS AFFECTED BY PERINATAL HEALTH DISPARITIES HAVE PARTICIPATED TO- DATE IN DEVELOPING THE IDEAS THIS MHI PROJECT WILL IMPROVE AND BRING TO SCALE. A CORE ASPECT OF OUR MHI APPROACH IS CO-PRODUCTION WITH ALL STAKEHOLDERS INCLUSIVE OF THOSE WITH LIVED EXPERTISE FROM COMMUNITIES DISPROPORTIONALLY IMPACTED BY MATERNAL MORTALITY AND SEVERE MATERNAL MORBIDITY. MHMH IS WELL-QUALIFIED TO LEAD THIS MATERNAL HEALTH INNOVATION PROJECT (MHI). FOR 20+ YEARS, MHMH HAS LED THE NORTHERN NEW ENGLAND PERINATAL QUALITY IMPROVEMENT NETWORK (NNEPQIN), WHICH FOSTERS DISSEMINATION OF PERINATAL KNOWLEDGE AND BEST PRACTICES BETWEEN HOSPITALS IN VT, NH, AND ME. THIS SAME STAFF TEAM HAS WORKED FOR 20+ YEARS WITH NHMCH TO IMPROVE PERINATAL DATA SYSTEMS, IMPLEMENT AIM BUNDLES IN BIRTHING HOSPITALS; AND FACILITATE MATERNAL MORTALITY REVIEW COMMITTEE SERVICES. FOR THE PAST 12 MONTHS, THIS SAME TEAM HAS LED DEVELOPMENT OF A NH-SPECIFIC PERINATAL QUALITY COLLABORATIVE THAT INCLUDES MANY STATEWIDE PARTNERS WHO WILL BECOME PART OF THE MHTF IN OUR MHI PROJECT. THIS LONG HISTORY OF COLLABORATIVE WORK WITH OUR STATE PARTNERS ENSURES OUR MHI PROJECT WILL BUILD OFF EXISTING STATE WORK OF TITLE V AND OTHER NHMCH INITIATIVES AVOIDING DUPLICATION AND THE SUPPORT OF VARIED STAKEHOLDERS.

MILITARY INTEROPERABLE DIGITAL HOSPITAL TESTBED

RURAL BEHAVIORAL HEALTH WORKFORCE COORDINATING CENTERS ? NORTHERN BORDER REGION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: 448 SMOOT AVENUE, DANVILLE, WV 25053-7605 PROJECT DIRECTOR: DAVID GRESHAM, CHIEF DEVELOPMENT OFFICER CONTACT PHONE NUMBER: 304-369-2932 CONTACT EMAIL: DGRESHAM@BMH.ORG WEBSITE: WWW.BMH.ORG GRANT PROGRAM FUNDS REQUESTED: $3,000,000 THE BOONE MEMORIAL HEALTH AND WELLNESS CENTER IS A SIGNIFICANT INVESTMENT IN A HRSA-DESIGNATED MEDICALLY UNDERSERVED POPULATION THAT WILL INCREASE HEALTH CARE ACCESS AND IMPROVE POPULATION HEALTH, WHILE REVOLUTIONIZING THE TRADITIONAL DELIVERY OF CARE MODEL. SITUATED IN THE 36,000 SQUARE-FOOT FORMER MAGIC MART DEPARTMENT STORE IN DANVILLE, WV, THE CENTER IS LOCATED ADJACENT TO U.S. ROUTE 119 AND IS ONLY 24 MINUTES FROM SOUTHRIDGE SHOPPING CENTER IN SOUTH CHARLESTON, 20 MINUTES FROM CHAPMANVILLE, AND 34 MINUTES FROM LOGAN. THE BOONE MEMORIAL HEALTH AND WELLNESS CENTER WILL BE A ONE-STOP SHOP FOR THE RURAL AND UNDERSERVED RESIDENTS OF BOONE, LOGAN, LINCOLN, AND KANAWHA COUNTIES TO HAVE ACCESS TO EXTRAORDINARY PRIMARY AND SPECIALTY CARE, WELLNESS PROGRAMS AND SERVICES, AND MORE, CLOSE TO HOME. THE PROJECT WILL SIGNIFICANTLY IMPACT THE HEALTH OF THE COMMUNITY BY PROVIDING EXCELLENT, COST-EFFECTIVE HEALTH CARE FROM A CONVENIENT LOCATION WHILE ALSO FOCUSING ON POPULATION HEALTH AND PREVENTION. THE BOONE MEMORIAL HEALTH AND WELLNESS CENTER WILL HOUSE A RELOCATED RURAL HEALTH CLINIC (THE BMH MEDICAL CLINIC, CURRENTLY LOCATED LESS THAN 3 MILES AWAY IN MADISON), COMMUNITY FITNESS CENTER, DRIVE-THROUGH CLINIC, PHARMACY, EDUCATION/EVENT CENTER, TEACHING KITCHEN, AND FAST CASUAL RESTAURANT. THIS CDS REQUEST, HOWEVER, IS LIMITED TO THE RURAL HEALTH CLINIC, NEW DRIVE-THROUGH CLINIC, NEW DRIVE-THROUGH PHARMACY BECAUSE THESE THREE DISTINCT SECTIONS OF THE PROJECT ARE AIMED AT ADDRESSING THE INCREASING NUMBER OF PREVENTABLE HOSPITAL STAYS AND THE SOCIAL DETERMINANTS OF HEALTH IN THE REGION. BOONE COUNTY EXPERIENCES NEARLY DOUBLE THE AVERAGE NUMBER OF PREVENTABLE HOSPITAL STAYS NATIONWIDE. THE RURAL HEALTH CLINIC WILL HOUSE S EVERAL PRIMARY AND SPECIALTY CARE PROVIDERS AND SUPPORT STAFF THAT WILL BE RELOCATED TO THIS CLINIC WITH SOUTHERN WEST VIRGINIA’S ONLY ON-STAGE/OFF-STAGE MODEL OF CARE. THIS MODEL SERVES TO INCREASE EFFICIENCY AND REDUCE PATIENT WAIT TIMES WHILE MAXIMIZING THE QUALITY OF PATIENTCARE AND SAFETY. THE DRIVE-THROUGH CLINIC WILL BE ONE OF THE FIRST PERMANENT, ENCLOSED, DRIVE-THROUGH CLINICS IN THE COUNTRY. CURRENT PLANS INCLUDE THE ABILITY FOR PATIENTS TO COME IN ON A FIRST COME, FIRST SERVED BASIS OR SETUP APPOINTMENTS TO SEE A PROVIDER.

CORE_APT MEASURE OF PCR-BASED INFLUENZA VACCINE EFFECTIVENESS IN INPATIENT ADULTS

PREMATURE INFANTS RECEIVING CORD MILKING OR DELAYED CORD CLAMPING

HEALTHY START INITIATIVE - THE MICHIANA FAMILY JOURNEY (MFJ) PROPOSAL STRATEGICALLY TARGETS A POPULATION IN TWO INDIANA COUNTIES WITHIN BEACON HEALTH SYSTEMS SERVICE AREA: ELKHART AND ST. JOSEPH. IN LINE WITH THE HEALTHY START GRANT'S OBJECTIVES TO ELIMINATE DISPARITIES, MFJ FOCUSES ON ENHANCING BIRTH OUTCOMES AND PROMOTING HEALTH EQUITY. THE PROGRAM WILL USE A REGIONAL APPROACH TO SUPPORT ALL FAMILIES WITH AN EMPHASIS ON ADDRESSING THE DISPARITIES OF BLACK INFANT DEATHS. OPERATING WITHIN EIGHT SPECIFIC URBAN ZIP CODES, MFJ COLLABORATES WITH COMMUNITY PARTNERS TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. THE PROGRAM INTEGRATES CLINICAL AND COMMUNITY-BASED SERVICES, ENHANCES COMMUNITY AWARENESS, EMPLOYS DATA-DRIVEN STRATEGIES, AND IMPROVES MATERNAL/INFANT HOME VISITS AND CARE COORDINATION. THE IMPLEMENTATION OF A CUSTOMIZED CYCLE TO RESPECTFUL CARE (CRC) MODEL AIMS TO DIMINISH BIAS AND FOSTER TRUST, ADDRESSING DISPARITIES IN INFANT MORTALITY RATES FOR BLACK INFANTS. MFJ SEEKS TO CONVENE A COMMUNITY CONSORTIUM, FOSTERING CROSS-SECTOR PARTNERSHIPS AND COMMUNITIES OF PRACTICE TO ENSURE ACCESS TO COORDINATED, COMPREHENSIVE MATERNAL, CHILD, AND FAMILY MEDICAL CARE, HEALTH, PARENTING EDUCATION, AND VARIOUS COMMUNITY RESOURCES, WITH A FOCUS ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH). MFJ PROVIDERS WILL UNDERGO COMPREHENSIVE TRAINING PROGRAMS ALIGNED SEAMLESSLY WITH THE CRC MODEL, AIMING TO ELIMINATE DISPARITIES IN MATERNAL AND INFANT HEALTH. THROUGH THESE EFFORTS, MFJ SERVES AS A PATHWAY FOR POSITIVE CHANGE, EMPOWERING PARTICIPANTS FOR HEALTHIER PREGNANCY OUTCOMES AND FUTURE PREGNANCIES.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - SMH PLANS TO ADDRESS THE CHRONIC OVERCROWDING, INEFFICIENT USE OF RESOURCES AND LESS THAN IDEAL SPACE FOR HOLDING MENTAL / BEHAVIORAL HEALTH PATIENTS WAITING FOR TRANSITION TO A MORE APPROPRIATE CARE SITE IN THE CURRENT EMERGENCY DEPARTMENT (ED) BY BUILDING AN ADDITION TO THE HOSPITAL TO SERVE AS A NEW ED. THE RELOCATED AND EXPANDED EMERGENCY DEPARTMENT WILL INCLUDE 50 TOTAL TREATMENT ROOMS INCLUDING A SECURE 12 ROOM DEDICATED BEHAVIOR HEALTH SUB-UNIT. THE BEHAVIORAL HEALTH (BH) UNIT WILL HAVE TWELVE SECURE HOLDING ROOMS WITH A CENTRAL NURSE STATION. MEDICALLY CLEARED BH PATIENTS WILL COME FROM EITHER THE TRIAGE OR THE EMS VESTIBULE DIRECTLY TO THE SECURE HOLDING INTAKE ROOMS, WHERE THEY WILL UNDERGO THE BEHAVIORAL HEALTH SCREENING PROCESS, WHICH INCLUDES A SECURITY SCREENING AND RELINQUISHMENT OF THEIR PERSONAL BELONGINGS (WHICH ARE STORED IN A LOCKED BH PATIENT STORAGE ROOM OFF THE INTAKE ROOM). DURING THE INTAKE PROCESS, BH PATIENTS WILL ALSO CHANGE OUT OF THEIR STREET CLOTHING TO DEDICATED SCRUBS IN THE INTAKE ROOM AND THEN BE PLACED IN THE SECURE HOLDING ROOMS. TWO OF THE SECURE ROOMS WILL BE ABLE TO ACCOMMODATE A LIGATURE-RESISTANT STRETCHED FOR ELDERLY PATIENTS WHO ARE UNABLE TO USE THE PLATFORM BEDS IN THE OTHER ROOMS SAFELY, OR FOR BH PATIENTS WHO MUST BE RESTRAINED AND ARE LIKELY TO BE TRANSPORTED ELSEWHERE QUICKLY. ALL OF THE SECURE ROOMS ARE CONFIGURED WITH A TOUCHDOWN SEAT ON THE CORRIDOR SIDE WITH A WINDOW LOOKING INTO THE ROOM FOR USE BY A SITTER. THIS UNIT IS A LOCKED UNIT THAT MAINTAINS A CONNECTION TO THE MAIN ED VIA TWO SEPARATE CORRIDORS, BOTH OF WHICH FEED THE THREE FLEXIBLE BH EXAM ROOMS. ALL SPACES IN THE UNIT HAVE BEEN ASSIGNED A SAFETY RISK ASSESSMENT LEVEL AND ARE DESIGNED TO THE APPROPRIATE LIGATURE-RESISTANT SAFETY LEVEL. THE UNIT IS EQUIPPED WITH ONE TOILET ROOM AND ONE TOILET/SHOWER ROOM FOR PATIENT USE. THE STAFF WORKSTATION SERVING THIS UNIT WILL BE FULLY ENCLOSED BY IMPACT-RESISTANT GLASS AND IS SERVED BY A BA CK DOOR THAT CONNECTS TO THE MAIN ED. ALL CAMERA MONITORING FOR THE SECURE SUITE IS OBSERVED BY SECURITY AT A DEDICATED SEAT WITHIN THIS MAIN WORKSTATION. THERE IS ALSO A DESKTOP MEDICATION OMNICELL WITHIN THE STAFF WORKSTATION THAT IS DEDICATED TO BH PATIENTS. THE SUITE HAS A DEDICATED NOURISHMENT ROOM THAT HAS BOTH A BACK DOOR FROM THE MAIN ED AND A DOOR WITHIN THE SUITE FOR STAFF ACCESS SO THAT DIETARY DOES NOT HAVE TO ENTER THE UNIT.

RACIAL/ETHNIC DISPARITIES IN HEART FAILURE: A CROSS COHORT COLLABORATION - ABSTRACT HEART FAILURE (HF), AND ITS SUBTYPES DEFINED BY PRESERVED (HFPEF), REDUCED (HFREF) OR MID-RANGE (HFMREF) EJECTION FRACTION ARE A MAJOR AND GROWING PUBLIC HEALTH PROBLEM. THE LONG TERM GOAL OF THIS PROJECT IS TO BETTER UNDERSTAND THE HEALTH DISPARITIES REGARDING HF AND DEFINE EFFECTIVE PREVENTIVE MEASURES THAT MAY REDUCE THESE DISPARITIES. WE PROPOSE TO POOL DATA FROM 10 LARGE LONGITUDINAL COHORT STUDIES TO EXAMINE RACE/ETHNIC AND SEX DISPARITIES IN DEVELOPING HF, ITS SUBTYPES, AND ITS PROGNOSIS. THE HARMONIZED DATA WILL INCLUDE OVER 130,028 MEN AND WOMEN WITH OVER 8975 SIMILARLY-ADJUDICATED PROSPECTIVE HF OUTCOMES, REPRESENTING A WIDE SPECTRUM OF AGES, RACE/ETHNICITIES, AND GEOGRAPHIC REGIONS OF THE UNITED STATES. THIS CROSS-COHORT COLLABORATION WILL PROVIDE A UNIQUE OPPORTUNITY TO CONDUCT A COMPREHENSIVE EVALUATION OF SEX AND RACIAL/ETHNIC HEALTH DISPARITIES IN HF. CAUSAL MEDIATION ANALYSIS TECHNIQUES WILL BE USED TO ESTIMATE THE DEGREE TO WHICH SINGLE AND MULTI-FACTOR LIFESTYLE AND CLINICAL INTERVENTIONS COULD POTENTIALLY REDUCE HEALTH DISPARITIES IN HF. IN OUR PHENOMAPPING AIM, WE WILL DEFINE UNIQUE CLINICALLY RELEVANT PHENOTYPES OF HF BASED UPON COHORT DATA THAT IS ALSO COMMONLY PRESENT IN MEDICAL RECORDS FOR ENHANCED GENERALIZABILITY, INCLUDING AGE, RACE/ETHNICITY, SEX, CLINICAL SIGNS, SYMPTOMS, BIOMARKERS, EJECTION FRACTION, PHYSIOLOGIC MEASURES, AND CO-MORBIDITIES; WE WILL ALSO EVALUATE HF PHENOTYPE ASSOCIATIONS WITH CVD AND ALL-CAUSE MORTALITY.

(NO IDC) GUAM MEMORIAL HOSPITAL AUTHORITY (GMHA) URGENT CARE HVAC SYSTEM UPGRADE

TRANSLATING COPD GUIDELINES INOT PRIMARY CARE PRACTICE

NHC

SCOTT & WHITE COMMUNITY CLINICAL ONCOLOGY PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

WHISH-2-PREVENT HEART FAILURE STUDY

RESIDENCY TRAINING IN PRIMARY CARE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

HIGH GROWTH

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - IN RURAL GRAND, MOFFAT, AND ROUTT COUNTIES IN NORTHWEST COLORADO, THE PUBLIC HEALTH CHALLENGES ARE AS COMPLEX AS THE LANDSCAPE. THESE INCLUDE EXTENSIVE INTERGENERATIONAL POVERTY, LIMITED HEALTHCARE ACCESS, AND NOTABLE RATES OF SUBSTANCE USE DISORDER (SUD). SUD IS COMMON IN RURAL AND FRONTIER AREAS. STILL, THE STIGMA AROUND SUD LIMITS THE BREADTH OF TREATMENT PROGRAMS, AND GEOGRAPHIC ISOLATION PREVENTS PEOPLE FROM SEEKING TREATMENT AND LIVING IN SUSTAINED RECOVERY. FURTHER, THE IMPACTS OF SUD RIPPLE INTO THE LIVES OF CHILDREN AND FAMILIES, SENDING A WAVE OF IMPACT ACROSS GENERATIONS. TO TRANSFORM THE LANDSCAPE OF TREATMENT AND RECOVERY SERVICES, THE MEMORIAL HOSPITAL, DBA MEMORIAL REGIONAL HEALTH (MRH), IN COLLABORATION WITH OTHER NETWORK PARTNERS, HAS DEVELOPED A PROJECT TO TRANSFORM OUR COMMUNITY’S RESPONSE TO SUD AND ADDRESS URGENT NEEDS. THIS PROJECT FOCUSES ON SUPPORTING COMMUNITY MEMBERS WITH SUD, INCLUDING THOSE WHO ARE JUSTICE-INVOLVED, AS WELL AS THEIR FAMILIES AND SUPPORT SYSTEMS. THIS PROJECT WILL INCREASE ACCESS TO OPIOID TREATMENT SERVICES BY ESTABLISHING A NEW METHADONE CLINIC TO IMPROVE ACCESS TO MEDICATION FOR OPIOID USE DISORDER (MOUD), CREATING A CARE CONTINUUM ACROSS NORTHWEST COLORADO. ADDITIONALLY, THIS PROJECT WILL DEVELOP A REGION-WIDE CONTINGENCY MANAGEMENT PROGRAM, THE MOST EVIDENCE-BASED TREATMENT FOR STIMULANTS THAT IS ALSO EFFECTIVE FOR OPIOIDS, TO IMPROVE TREATMENT RETENTION. IT ALSO FOCUSES ON EXPANDING SUPPORTIVE SERVICES FOR FAMILIES THROUGH TRAINING PROGRAMS THAT BUILD RESILIENCE AND PROVIDE NECESSARY SKILLS AND RESOURCES. TO BOLSTER THE LOCAL WORKFORCE, MRH AND NETWORK PARTNERS WILL EXPAND THE PEER RECOVERY WORKFORCE AND TRAIN NEW ADDICTION COUNSELORS SUPPORTED BY SCHOLARSHIPS. DEDICATED ROLES SPREAD ACROSS NETWORK PARTNERS, SUCH AS HEALTHCARE NAVIGATORS, FAMILY SUPPORT PARTNERS, JUDICIAL COORDINATORS, AND CARE COORDINATORS, WILL ALSO BE PROMOTED TO SERVE INDIVIDUALS, FAMILIES, AND JUSTICE-INVOLVED POPULATION S ACROSS GRAND, MOFFAT, AND ROUTT COUNTIES. TO EDUCATE STAKEHOLDERS ON FAMILY-RELATED ISSUES, MRH AND NETWORK PARTNERS WILL HOST AN ANNUAL NORTHWEST COLORADO FAMILY BEHAVIORAL HEALTH CONFERENCE. TO FURTHER SUPPORT OUR COMMUNITY MEMBERS WHO ARE EXPERIENCING SUD, THIS PROJECT ESTABLISHES A SUPPORT VOUCHER FUND PROGRAM TO ASSIST INDIVIDUALS AND FAMILIES IN AFFORDING ESSENTIAL SERVICES LIKE MENTAL HEALTH, DENTAL CARE, AND TRANSPORTATION. THIS PROJECT ALSO PROVIDES HOUSING VOUCHERS TO JUSTICE-INVOLVED INDIVIDUALS WHO ARE RE-ENGAGING WITH SOCIETY. TO FURTHER SUPPORT JUSTICE-INVOLVED POPULATIONS, THIS PROJECT PERFORMS A NEEDS ASSESSMENT TO TAILOR SERVICES THAT FACILITATE SUCCESSFUL REINTEGRATION AND SUSTAINED RECOVERY. ADDITIONALLY, A RECOVERY COMMUNITY CENTER WILL BE CREATED TO PROVIDE JUSTICE-INVOLVED INDIVIDUALS WITH ESSENTIAL RESOURCES AND SUPPORT. THIS PROJECT ADDRESSES IMMEDIATE HEALTH SERVICE GAPS AND BUILDS A SUSTAINABLE INFRASTRUCTURE TO SUPPORT THE ONGOING HEALTH NEEDS OF OUR COMMUNITIES. TO STREAMLINE SERVICE PROVISION, A CLOSED-LOOP REFERRAL NETWORK (CLRN) WILL BE IMPLEMENTED ACROSS OUR REGION. BY IMPLEMENTING A CLRN, WE WILL IMPROVE THE COORDINATION AND EFFICIENCY OF HEALTHCARE AND SOCIAL SERVICES ACROSS NORTHWEST COLORADO. THIS PROJECT ADDRESSES THE IMMEDIATE NEEDS OF INDIVIDUALS AND FAMILIES AFFECTED BY SUD THROUGH THESE COMPREHENSIVE EFFORTS AND INTEGRATED APPROACHES. IT BUILDS A FOUNDATION FOR SYSTEMIC CHANGE IN THE REGION’S APPROACH TO BEHAVIORAL HEALTH AND WELLNESS. BY FOCUSING ON INDIVIDUAL RECOVERY AND FAMILY HEALTH, MRH AND NETWORK PARTNERS ARE COMMITTED TO TRANSFORMING THE LANDSCAPE AND HALTING GENERATIONAL CYCLES OF SUD. INDIVIDUALS AND FAMILIES IN NORTHWEST COLORADO WILL THRIVE AFTER WE COMPLETE THE IMPACTFUL ACTIVITIES DESCRIBED HEREIN.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - BOONE MEMORIAL HEALTH (BMH) IS COMMITTED TO ENHANCING HEALTHCARE ACCESS AND EQUITY FOR THE RURAL POPULATION OF SOUTHWESTERN WEST VIRGINIA. SERVING A COMMUNITY OF MORE THAN 70,000 RESIDENTS IN BOONE, LOGAN, LINCOLN, AND SOUTHERN KANAWHA COUNTIES, RESIDENTS FACE SEVERAL BARRIERS IN ACCESS TO CARE, INCLUDING SUCH CHALLENGES AS TRANSPORTATION, SOCIOECONOMIC CONSTRAINTS, ADVANCED AGE, AND HIGHER INCIDENCES OF CHRONIC DISEASES. THIS PROJECT, FUNDED BY A $2,200,000 ALLOCATION FOR THE PURCHASE OF INTUITIVE DA VINCI 5 ROBOTIC SURGERY EQUIPMENT, WORKS TO OVERCOME THESE CHALLENGES BY PROVIDING ADVANCED SURGICAL PROCEDURES LOCALLY, WHICH ARE TYPICALLY AVAILABLE ONLY IN URBAN CENTERS. THE INTRODUCTION OF THE DA VINCI 5 SYSTEM AT BMH WILL REVOLUTIONIZE THE SURGICAL CARE PROVIDED TO RURAL WEST VIRGINIANS BY REDUCING PAIN, SHORTENING RECOVERY TIMES, MINIMIZING HOSPITAL STAYS, AND DECREASING INFECTION RISKS, WHEN COMPARED TO OPEN SURGERY. THIS ADVANCED TECHNOLOGY WILL ENSURE THAT PATIENTS WHO CANNOT EASILY TRAVEL TO URBAN AREAS HAVE EQUITABLE ACCESS TO HIGH-QUALITY SURGICAL OPTIONS. THE DA VINCI 5 SYSTEM IS AT THE FOREFRONT OF MINIMALLY INVASIVE SURGICAL TECHNOLOGY, OFFERING ENHANCED PRECISION, FLEXIBILITY, AND CONTROL FOR A WIDE RANGE OF PROCEDURES. DESIGNED TO ENABLE BETTER OUTCOMES, MORE EFFICIENCY, AND ACTIONABLE INSIGHTS, DA VINCI 5 BRINGS MORE THAN 150 DESIGN INNOVATIONS AND 10,000X THE COMPUTING POWER OF DA VINCI XI. THESE ADVANCES SUPPORT ENHANCED SURGICAL SENSES, GREATER SURGEON AUTONOMY, MORE STREAMLINED OR WORKFLOWS, AND ADVANCED DATA ANALYTICS TO ENABLE THE FUTURE OF SURGERY. COMPARED TO OPEN SURGERY, THE USE OF THE DA VINCI SYSTEM HAS BEEN SHOWN TO REDUCE COMPLICATIONS WITHIN 30 DAYS POST-SURGERY BY 37%, SHORTEN THE AVERAGE POST-OPERATIVE HOSPITAL STAY BY 2.12 DAYS, DECREASE THE 30-DAY MORTALITY RATE BY 60%, AND REDUCE THE NEED FOR BLOOD TRANSFUSIONS BY 74%. ADDITIONALLY, THE RISK OF INJURY TO SURROUNDING TISSUES AND ORGANS IS SIGNIFICANTLY LOWER, AND OPERATION TIMES ARE SHORTER, POTENTIALLY REDUCING PRE-OP HOLDING AREA WAIT TIMES BY NEARLY 20%. SINCE 2012, THE USE OF DA VINCI TECHNOLOGY IN WEST VIRGINIA HAS RESULTED IN SIGNIFICANT COST SAVINGS, AVOIDING AN ESTIMATED $85 MILLION IN HEALTHCARE COSTS. IN ADDITION TO SAVING COSTS ON HEALTHCARE, THE PROJECT IS EXPECTED TO DIRECTLY CREATE UP TO 25 NEW JOBS AT BMH, ASSIST IN THE RECRUITMENT OF SURGEONS, AND GENERATE SIGNIFICANT INDIRECT ECONOMIC BENEFITS BY ATTRACTING MORE BUSINESSES AND ENHANCING LOCAL ECONOMIC DEVELOPMENT. BY MINIMIZING POST-OPERATIVE PAIN, THE PROJECT ALSO AIMS TO REDUCE THE NUMBER OF OPIOIDS PRESCRIBED POST-OPERATION, CONTRIBUTING TO BROADER EFFORTS TO COMBAT THE OPIOID CRISIS IN THE REGION. ROBOTIC-ASSISTED SURGERY IS BECOMING THE STANDARD OF CARE, WITH A PROJECTED INCREASE FROM 8% IN 2012 TO 45% IN 2023 IN WEST VIRGINIA. TRANSPORTATION ISSUES ARE THE PRIMARY REASON FOR APPOINTMENT CANCELLATIONS IN THE REGION. BY PROVIDING ROBOTIC-ASSISTED SURGERY IN A CRITICAL ACCESS HOSPITAL MUCH CLOSER TO HOME, PATIENTS ARE LESS LIKELY TO BE FORCED TO CANCEL SURGERIES AND POST-SURGERY APPOINTMENTS DUE TO TRANSPORTATION ISSUES. WEST VIRGINIA HAS A SIGNIFICANTLY LOWER NUMBER OF DA VINCI SYSTEMS PER CAPITA THAN THE NATIONAL AVERAGE, FURTHER HIGHLIGHTING THE NEED FOR INCREASED ACCESS TO THIS TECHNOLOGY. IN CONCLUSION, THE BOONE MEMORIAL HEALTH SURGERY ENHANCEMENT PROJECT WILL SIGNIFICANTLY IMPROVE HEALTHCARE OUTCOMES AND QUALITY OF LIFE FOR RURAL WEST VIRGINIANS, ENSURING THEY RECEIVE STATE-OF-THE-ART SURGICAL CARE CLOSE TO HOME, FOSTERING LOCAL ECONOMIC GROWTH, AND STRENGTHENING THE OVERALL HEALTHCARE INFRASTRUCTURE IN THE REGION.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - ADVENTHEALTH MANCHESTER (AHM) (MEMORIAL HOSPITAL, INC.) PROPOSES TO IMPLEMENT A RURAL COMMUNITY OPIOID RESPONSE IMPACT PROGRAM ENTITLED “RECOVER-RURAL EMPOWERMENT FOR COMMUNITY-ORIENTED RECOVERY” TO IMPROVE ACCESS TO INTEGRATED, COORDINATED TREATMENT AND RECOVERY SERVICES FOR SUBSTANCE USE DISORDERS (SUD), INCLUDING OPIOID USE DISORDER (OUD), IN RURAL AREAS OF SOUTHEASTERN KENTUCKY. AHM’S RECOVER PROGRAM WILL INITIATE AND EXPAND COORDINATED AND INTEGRATED TREATMENT AND RECOVERY CARE FOR ALL IMPACTED BY SUD/OUD IN THE RURAL COUNTIES OF CLAY, BELL, KNOX, AND JACKSON, KENTUCKY. RECOVER AIMS TO ADDRESS THE SUD/OUD CRISIS IN SOUTHEASTERN KENTUCKY TO PROMOTE LONG-TERM, SUSTAINED RECOVERY. THE TARGET POPULATION FOR RECOVER INCLUDES THOSE WHO ARE EXPERIENCING SYMPTOMS OF SUD, IN TREATMENT FOR SUD, IN RECOVERY FOR SUD, ARE IMPACTED BY SUD, OR ARE FAMILY MEMBERS OR CAREGIVERS OF THOSE IN TREATMENT OR RECOVERY FOR SUD INCLUDING BUT NOT LIMITED TO ADULTS, CHILDREN/ADOLESCENTS, AND JUSTICE INVOLVED INDIVIDUALS. THE PROJECT’S GOALS ARE: 1. ESTABLISH AND EXPAND COORDINATED, COMPREHENSIVE SUD/OUD TREATMENT AND RECOVERY SERVICES IN RURAL SOUTHEASTERN KENTUCKY, 2. DEVELOP A RESPONSIVE SUD WORKFORCE THAT INCLUDES PEERS AND CLINICAL PROVIDERS WITH DIVERSE SCOPES OF PRACTICE, 3. ESTABLISH COORDINATION WITH SUPPORTIVE SOCIAL SERVICES TO ENSURE OPTIMIZED OPPORTUNITIES FOR SUSTAINED, LONG-TERM RECOVERY, AND 4. ENSURE CONTINUED VIABILITY AND SUSTAINABILITY OF THE RECOVER PROGRAM. RURAL APPALACHIAN KENTUCKY FACES SIGNIFICANT CHALLENGES WITH SUBSTANCE USE DISORDER (SUD) AND OPIOID USE DISORDER (OUD). KENTUCKY EXPERIENCES ONE OF THE HIGHEST OPIOID OVERDOSE MORTALITY RATES IN THE U.S. OVERDOSE DEATHS, PRIMARILY INVOLVING OPIOIDS LIKE FENTANYL, HAVE DOUBLED SINCE 2011. THE REGION EXPERIENCES HIGH HEALTHCARE PROFESSIONAL SHORTAGES, AND THE REGION HAS SIGNIFICANT SOCIO-ECONOMIC CHALLENGES. RECOVER WILL BRING INTEGRATED, COLLABORATIVE SOLUTIONS FOR TREATMENT AND RECOVERY OF SUD/OUD UNITING FIVE ORGANIZATIONS IN A JOINED EFFORT TO IMPROVE LONG-TERM RECOVERY FOR THE REGION’S POPULATIONS. THE ORGANIZATIONS INCLUDE THE CLAY COUNTY DETENTION CENTER, SECOND CHANCE BEHAVIORAL HEALTH, VOLUNTEERS OF AMERICA, AND CUMBERLAND RIVER BEHAVIORAL HEALTH ALONG WITH ADVENTHEALTH MANCHESTER. THE PROJECT EXPECTS TO PROVIDE OUD/SUD/MOUD TREATMENT AND RECOVER CARE TO 23,440 UNDUPLICATED INDIVIDUALS OVER A FOUR YEAR PERIOD.

CF CONGRESSIONALLY DIRECTED GRANTS

SMH PRODUCT PRESCRIPTION PILOT PROGRAM (P4)

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – MENTAL AND BEHAVIORAL HEALTH

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - WASHINGTON COUNTY MEMORIAL HOSPITAL, REPRESENTING THE WASHINGTON COUNTY RURAL HEALTH NETWORK, IS REQUESTING $2,000,000 TO SUPPORT THE WORK OF THE WASHINGTON COUNTY RCORP BHS PROGRAM. THE NETWORK AND ITS PARTNERS ARE LOCATED IN POTOSI, MISSOURI, SOUTH OF ST. LOUIS. WASHINGTON COUNTY MEMORIAL HOSPITAL IS LOCATED AT 300 HEALTHWAY DR, POTOSI, MO 63664 AND IS A CRITICAL ACCESS HOSPITAL. TAMMY MILLER, RHC CLINIC MANAGER, WHO IS MARS CERTIFIED, WILL SERVE AS THE 0.25 FTE RCORP BHS PROJECT DIRECTOR, WITH 0.40 FTE SUPPORT FROM KELLY BRUEGGEN, COMMUNITY CHAMPION, WHO WILL BE FULFILLING THE DUTIES OF THE DATA COORDINATOR. BOTH MS. MILLER MAY BE REACHED AT TMILLER@WCMHOSP.ORG AND MS. BRUEGGEN AT KBRUEGGEN@WCMHOSP.ORG OR BY CALLING 573-438-5451. WASHINGTON COUNTY MEMORIAL HOSPITAL IS NOT A CURRENT FY 20 OR FY 21 RCORP IMPLEMENTATION AWARDEE. THE NETWORK LEARNED OF THE FUNDING OPPORTUNITY THROUGH A HRSA NEWS RELEASE. THE HOSPITAL, ON BEHALF OF THE NETWORK HAS ALSO APPLIED FOR FY-22 RCORP IMPLEMENTATION FUNDING. THE NETWORK IS COMPRISED OF FIVE MEMBERS, WASHINGTON COUNTY MEMORIAL HOSPITAL (APPLICANT), WASHINGTON COUNTY AMBULANCE DISTRICT, WASHINGTON COUNTY HEALTH DEPARTMENT, WASHINGTON COUNTY COMMUNITY PARTNERSHIP AND GREAT MINES HEALTH CENTER. THE TARGET POPULATION IS INDIVIDUALS AGES 13-64 AT RISK OF OR DIAGNOSED WITH SUD, OUD AND BEHAVIORAL HEALTH NEEDS. SPECIAL EMPHASIS WILL BE PLACED ON HIGH RISK POPULATIONS TO INCLUDE UNINSURED AND UNDERINSURED POPULATIONS, AND INDIVIDUALS EXPERIENCING A NON-FATAL OVERDOSE (EMERGENCY ROOM OR FIRST RESPONDER UTILIZATION), INCLUDING ADOLESCENTS. THE PERCENTAGE OF AMERICAN INDIAN/ALASKAN NATIVE POPULATION IN WASHINGTON COUNTY IS 0.26%, LESS THAN STATE AND NATIONAL AVERAGES. THIS PROJECT WILL CONTINUE TO CONDUCT OUTREACH AND PLAN FOR SERVICES TO MEET THE NEEDS OF VULNERABLE POPULATIONS. WHILE THE TARGET POPULATION PLACES EMPHASIS ON HIGH RISK POPULATIONS, PARTICULARLY INDIVIDUALS EXPERIENCING A NON-FATAL OVERDOSE, ALL INDIV IDUALS SEEKING SERVICES WILL BE LINKED TO THE PROGRAM AND RESOURCES TO MEET THEIR PREVENTION, TREATMENT AND RECOVERY NEEDS. WASHINGTON COUNTY, MISSOURI HAS A TOTAL POPULATION OF 24,860 AND IS EXCLUSIVELY RURAL PER THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER AND FALLS WITHIN THE DELTA REGIONAL AUTHORITY’S REGION. THE TARGET SERVICE AREA OVERLAPS WITH AN EXISTING FY 20 RCORP IMPLEMENTATION GRANT AWARDED TO THE MERAMEC REGIONAL PLANNING COMMISSION (MRPC). HOWEVER, THE MRPC APPLICANT COORDINATED WITH WASHINGTON COUNTY WHEN PREPARING THEIR REGIONAL APPLICATION THAT ENCOMPASSES MANY COUNTIES SO AS NOT TO DUPLICATE SERVICES. THE MRPC APPLICATION DOES NOT PROVIDE DIRECT TREATMENT AND RECOVERY SERVICES IN WASHINGTON COUNTY AND FOCUSES PRIMARILY ON EDUCATION AND REFERRAL TO THE WASHINGTON COUNTY RURAL HEALTH NETWORK FOR TREATMENT AND RECOVERY SERVICES. NO DUPLICATION OF FUNDING OR SERVICES IS OCCURRING BUT BOTH ORGANIZATIONS BELIEVE A REGIONAL APPROACH TO PLANNING IS NECESSARY TO MEET THE NEEDS OF THIS HIGHLY RURAL AND ECONOMICALLY DEPRESSED REGION OF MISSOURI.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - THIS PROJECT WILL BUILD OFF MRH’S PREVIOUS HEALTH RESOURCES & SERVICES ADMINISTRATION RURAL COMMUNITIES OPIOID RESPONSE PROGRAM FUNDING TO IMPROVE BEHAVIORAL HEALTHCARE DELIVERY IN RURAL NORTHWESTERN COLORADO, INCREASING ACCESS TO AND UTILIZATION OF PREVENTION, TREATMENT, AND RECOVERY SERVICES FOR PEOPLE WITH BEHAVIORAL HEALTH DISORDERS, INCLUDING SUBSTANCE USE DISORDER (SUD) AND OPIOID USE DISORDER (OUD). ALTHOUGH NEARLY 80% OF THE LOCAL POPULATION IDENTIFIES AS NON-HISPANIC WHITE, 16.4% OF IDENTIFIES AS HISPANIC. OUR HISPANIC YOUTH POPULATION LIVES WITH OVER THREE TIMES THE PREVALENCE OF ILLICIT PRESCRIPTION DRUG USE THAN THEIR WHITE COUNTERPARTS, WITH OVER 13% HAVING USED PRESCRIPTION OPIOIDS IN THE PAST 30 DAYS (3.6% FOR WHITE YOUTH). FURTHERMORE, OUR SERVICE AREA’S HISTORY IS ROOTED IN AGRICULTURE AND MINING, AND OUR TWO MAJOR SKI AREAS HAVE AMASSED A LARGE CONTINGENT OF HOSPITALITY AND TOURISM WORKERS NECESSARY FOR THAT INDUSTRY—ALL POPULATIONS THAT ARE PRONE TO SUD/OUD. IN ADDITION TO AGRICULTURAL, MINING, AND HOSPITALITY WORKERS, AS WELL AS THE LOCAL HISPANIC COMMUNITIES, THIS PROJECT WILL TARGET UNDERSERVED POPULATIONS SUCH AS VETERANS, THE ELDERLY, LGBTQ+ INDIVIDUALS, WOMEN/PREGNANT INDIVIDUALS, AND PEOPLE WITH DISABILITIES. THE REGION HAS A NATIVE AMERICAN POPULATION OF 1.4%. THIS PROJECT WILL NOT FOCUS SPECIFICALLY ON TRIBAL POPULATIONS.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - PROJECT TITLE: NORTH QUABBIN COMMUNITY-CLINICAL CONSORTIUM: REDESIGNING BEHAVIORAL HEALTH CARE CONTINUUM FUNDING REQUEST: TOTAL: $1,981,668 Y1-$480,991, Y2-$442,179, Y3-$498,169, Y4-$497,329 APPLICANT: ATHOL HOSPITAL, CRITICAL ACCESS HOSPITAL 2033 MAIN STREET ATHOL, MA 01331 WWW.ATHOLHOSPITAL.ORG ELIGIBLE NATIONAL HEALTH SERVICE CORP SITE: YES PROJECT DIRECTOR: SELENA JOHNSON, SPECIAL PROJECTS MANAGER, ATHOL HOSPITAL, EMAIL: SELENA.JOHNON@HEYWOOD.ORG MOBILE: 978-400-6431 DATA COORDINATOR: DAVID S. ROBINSON, ED EMAIL: DAVIDR46@GMAIL.COM MOBILE: 617-733-5979 EIN/DUNS NUMBER EXEMPTION REQUEST: (N) FUNDING OPPORTUNITY: ALERTED TO THIS OPPORTUNITY THROUGH THE MA OFFICE OF RURAL HEALTH AND GRANTS.GOV. NUMBER OF CONSORTIUM MEMBERS: 6 PREVIOUS RECIPIENT: WE ARE NOT A CURRENT OR PREVIOUS RCORP GRANTEE INTENDS TO APPLY FOR FY22 RCORP IMPLEMENTATION? (N) DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY OR THE APPALACHIAN REGIONAL COMMISSION? (N) TARGET SERVICE AREA: THE TARGET SERVICE AREA IS PARTIALLY LOCATED IN BOTH FRANKLIN AND WORCESTER COUNTIES IN NORTH CENTRAL MASSACHUSETTS. TOWNS INCLUDE ATHOL (25027703100 & 25027703200), ERVING, NEW SALEM, ORANGE, PHILLIPSTON, ROYALSTON, WARWICK, AND WENDELL. TARGET POPULATION: PERSONS WITH SUD/AMI LIVING IN THE ATHOL HOSPITAL SERVICE AREA (ATHOL, ERVING, NEW SALEM, ORANGE, PHILLIPSTON, ROYALSTON, WARWICK, WENDELL) LOCATED WITHIN FRANKLIN AND WORCESTER COUNTIES. ALL TOWNS ARE FEDERALLY DESIGNATED RURAL. THE GRANT EMPHASIS IS ON POPULATIONS MOST SEVERELY IMPACTED BY SUD/AMI. THESE INDIVIDUALS ARE PREDOMINANTLY BETWEEN 35-AND 65 YEARS OLD, INSURED THROUGH MEDICARE/MEDICAID, LGBTQ+ INDIVIDUALS, HOUSING INSECURE, AND MINORITY POPULATIONS. THE RURAL SERVICE AREA IS LARGELY WHITE BUT HAS SEEN RACIAL AND ETHNIC MINORITIES INCREASE AT GREATER RATES THAN THE WHITE POPULATION BETWEEN 2016-AND 2021. THE RATE INCREASE IS MORE SIGNIFICANT IN THE STUDENT POPULATION. LESS THAN 1% OF THE TARGET POPULATION IS NATIVE AMERICAN.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

IMPROVING CARE FOR CHILDREN AND YOUTH IN NH WITH TRAUMA AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (PROJECT TIDD) - IMPROVING CARE FOR CHILDREN AND YOUTH IN NH WITH TRAUMA AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (PROJECT TIDD) POPULATION TO BE SERVED AND NEED: OUR GOAL IS TO IMPROVE OUTCOMES FOR CHILDREN AND YOUTH AGES 0-21 WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, INCLUDING AUTISM (IDD) WHO ARE AFFECTED BY TRAUMA, ACROSS THE STATE OF NEW HAMPSHIRE (NH). WE AIM TO BOLSTER THE KNOWLEDGE AND SKILLS OF MULTIDISCIPLINARY PROVIDERS TO IDENTIFY, ENGAGE, SCREEN AND TREAT TRAUMA-AFFECTED CHILDREN AND YOUTH WITH IDD. THE SMALL SIZE OF NH AND THE EXPERTISE AND LEADERSHIP OF THE PROPOSED TEAM WITHIN THE TRAUMA AND IDD SYSTEMS WILL ALLOW OUR PROJECT TO HAVE A MAJOR IMPACT ON STATE-WIDE PRACTICES AND POLICIES. OUR CATCHMENT AREA ENCOMPASSES THE ENTIRE STATE OF NH, WHICH INCLUDES OVER 10,000 CHILDREN AND YOUTH WITH IDD. WE WILL ALSO HAVE A SPECIAL FOCUS ON CHILDREN AND YOUTH EXPERIENCING THE TRIPLE INTERSECTION OF TRAUMA, IDD, AND TRANSGENDER IDENTITY, A COMMON CO-OCCURRING SCENARIO FOR THE TRANSGENDER POPULATION. CHILDREN WITH IDD, AND WITH IDD AND TRANSGENDER IDENTITY, ARE AT HIGHER RISK FOR TRAUMA (E.G., VIOLENCE, ABUSE, BULLYING), HAVE FEWER RESOURCES AVAILABLE FOR IDENTIFICATION AND TREATMENT, AND REQUIRE PROPERLY MODIFIED AND ADAPTED INTERVENTIONS DUE TO THE COMPLEXITY OF THEIR SYMPTOMS THAN DO THOSE WITHOUT IDD. COMMUNITY-BASED MENTAL HEALTH (MH) PROVIDERS ARE NOT ADEQUATELY PREPARED TO DIAGNOSE AND TREAT THESE POPULATIONS, AND THE MULTI-DISCIPLINARY IDD AND TRANSGENDER WORKFORCE ARE NOT SUFFICIENTLY KNOWLEDGEABLE ABOUT TRAUMA AND ITS EFFECTS. STRATEGIES/EVIDENCE-BASED PRACTICES: OUR PROJECT WILL FOCUS ACTIVITIES IN FIVE “BUCKETS”: 1) TRAUMA-INFORMED TRAINING AND CONSULTATION TO A MULTI-DISCIPLINARY WORKFORCE (E.G., PEDIATRICIANS, IDD PROVIDERS, RESIDENTIAL STAFF, TRANSGENDER PROVIDERS) USING THE NCTSN PRODUCED ROAD TO RECOVERY AS WELL AS NEWLY DEVELOPED CURRICULUM TARGETING DIFFERENTIAL DIAGNOSES AND ASSESSMENT AND TREATMENT AROUND THE TRIPLE INTERSECTION OF TRAUMA, IDD, AND TRANSGENDER/NON-BINARY IDENTITY; 2) SCREENING AND ASSESSMENT FOR TRAUMA IN IDD AND TRANSGENDER SETTINGS AND A FOCUS ON INTEGRATING RESULTS INTO CARE PLANS; 3) IMPLEMENTATION OF TRAUMA-FOCUSED CBT; 4) TRAINING IN ADVANCED CBT FOR TRAUMA AND IDD AND FOR TRAUMA AND LGBTQ TO PROVIDERS ALREADY TRAINED IN CBT; 5) IMPLEMENTATION OF ADAPTED CHILD-ADULT RELATIONSHIP ENHANCEMENT (CARE CONNECTIONS) FOR CAREGIVERS AND OTHER PROFESSIONALS. GOALS AND MEASURABLE OBJECTIVES: OUR GOAL IS TO IMPROVE OUTCOMES FOR CHILDREN AND YOUTH AGES 0-21 WITH IDD WHO ARE AFFECTED BY TRAUMA ACROSS THE STATE OF NH. BY THE END OF THE PROJECT, OUR OBJECTIVES ARE TO: 1) PROVIDE TRAUMA-INFORMED TRAINING AND ONGOING CONSULTATION TO 395 PROFESSIONALS AND STAFF FROM MULTIDISCIPLINARY SECTORS; 2) INSTALL SCREENING/ASSESSMENT AND EXPERT CARE PLANNING WITHIN 6 IDD AND TRANSGENDER SERVICE SETTINGS; 3) DELIVER TF-CBT TRAINING AND CONSULTATION TO 30 MH PROVIDERS; 4) DELIVER ADVANCED CBT FOR IDD AND MODIFIED TF-CBT FOR LGBTQ TRAINING AND CONSULTATION TO 130 MH PROVIDERS; 5) DELIVER CARE CONNECTIONS TO 125 CAREGIVERS AND OTHER PROFESSIONALS; AND 6) CONVENE A MULTIDISCIPLINARY AND PARENT ADVISORY BOARD TO GUIDE THE PROJECT.

CD38-TARGETED IMMUNOPET OF MYELOMA: PHASE 2 TRIAL OF CLINICAL APPLICATIONS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1. PROJECT TITLE: HEALTHWORKS ACT 2. REQUESTED AWARD AMOUNT: $2,000,000 3. APPLICANT ORGANIZATION NAME: BRATTLEBORO MEMORIAL HOSPITAL 4. APPLICANT ORGANIZATION ADDRESS: 17 BELMONT AVENUE, BRATTLEBORO, VT 05301 5. APPLICANT ORGANIZATION FACILITY TYPE: COMMUNITY HOSPITAL 6. PROJECT DIRECTOR NAME AND TITLE: REBECCA BURNS, DIRECTOR OF COMMUNITY INITIATIVES 7. PROJECT DIRECTOR CONTACT INFORMATION: 802-257-8325 RBURNS@BMHVT.ORG 8. DATA COORDINATOR NAME AND TITLE TO BE HIRED, HEALTHWORKS ACT DATA COORDINATOR 9. DATA COORDINATOR CONTACT INFORMATION (PHONE AND EMAIL) TO BE HIRED 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8 ?: NO 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY HRSA-22-061: HRSA GRANTEE, THE WINDHAM COUNTY CONSORTIUM ON SUBSTANCE USE (COSU) 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: FOUR. APPLICANT ORGANIZATION BRATTLEBORO MEMORIAL HOSPITAL AND MEMBERS BRATTLEBORO RETREAT, HEALTH CARE & REHABILITATION SERVICES, AND GROUNDWORKS COLLABORATIVE 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES. CONSORTIUM MEMBER FY18 RCORP-PLANNING AND CONSORTIUM MEMBER FY19 RCORP-IMPLEMENTATION. 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP- IMPLEMENTATION? NO. 15. DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? YES. THE TARGET SERVICE AREA OF WINDHAM COUNTY, VERMONT IS A PART OF THE NORTHERN BORDER REGIONAL COMMISSION SERVICE AREA. 16. RCORP-BHS TARGET SERVICE AREA : A. FULLY RURAL COUNTIES: PROVIDE THE COUNTY NAME AND STATE WINDHAM COUNTY, VERMONT B. PARTIALLY-RURAL COUNTIES: PROVIDE COUNTY NAME, STATE, AND THE RURAL CENSUS TRACT (LIST OF RURAL CENSUS TRACTS) N/A 17. BRIEF DESCRIPTION OF THE TARGET POPULATION THE TARGET POPULATION FOR THIS PROJECT IS ADULT RESIDENTS OF THE HIGH -RISK RURAL COUNTY OF WINDHAM COUNTY, VERMONT WITH BEHAVIORAL HEALTH CONDITIONS, INCLUDING CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS, WHO ARE ALSO EXPERIENCING HOMELESSNESS. THIS TARGET POPULATION HAS HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES. .4% OF VERMONT’S POPULATION IS NATIVE AMERICAN OR ALASKAN NATIVE ALONE.

SMH SPECIAL DIABETES GRANT PROGRAM - NAVAJO HEALTH FOUNDATION – SAGE MEMORIAL HOSPITAL (SMH) IS A 25-BED ACUTE AND CRITICAL ACCESS HOSPITAL LOCATED IN GANADO, ARIZONA ON THE NAVAJO NATION. IT SERVES EIGHT SURROUNDING COMMUNITIES INCLUDING CORNFIELDS, GANADO, GREASEWOOD, KLAGETOH, KINLICHEE, STEAMBOAT, WIDE RUINS, AND NAZLINI. THE POPULATION FOR THE SERVICE AREA IS APPROXIMATELY 10,700 COMMUNITY MEMBERS AND SMH SERVES AN AVERAGE OF 9,500 PATIENTS PER YEAR. ACCORDING TO DATA EXTRACTED FROM SMH'S EHR SYSTEM, IN 2021 OVER 1,097 A1C TESTS WERE ADMINISTERED TO 885 PATIENTS. OF THESE PATIENTS, APPROXIMATELY 236 PATIENTS (27%) HAD AN A1C LEVEL BETWEEN 5.7-6.49 INDICATING THEY WERE PREDIABETIC AND 363 PATIENTS (41%) HAD AN A1C OF 6.5 AND OVER SHOWING AN INDICATION OF TYPE 2 DIABETES. FOR PATIENTS WHO HAD DIABETES, 49% WERE FEMALE AND 51% WERE MALE. FOR ALL PATIENTS WHO WERE TESTED, 68% CAME BACK WITH PREDIABETES OR HAVING DIABETES SO FAR IN 2022 (JANUARY - SEPTEMBER), 606 A1C TESTS HAVE BEEN ADMINISTERED TO 530 PATIENTS. OF THESE PATIENTS, 169 (32%) WERE PREDIABETIC, AND 218 PATIENTS (41%) SHOWED TYPE 2 DIABETES RESULTS. FOR PATIENTS WITH DIABETES, 42% WERE FEMALE AND 58% WERE MALE. RESULTS FOR ALL PATIENTS WHO WERE TESTED, 73% SHOWED THEY HAVE PREDIABETES OR HAVE DIABETES. ACCORDING TO THE ANNUAL AUDIT REPORT, DENTAL EXAMS HAVE NOT SURPASSED 40% FOR THE TARGET GROUP FOR THE PAST FIVE YEARS; THEREFORE, SMH HAS CHOSEN DENTAL EXAM AS ITS REQUIRED KEY MEASURE FOR 2023. THE GOAL IS TO INCREASE THE PERCENTAGE OF PATIENTS WHO COMPLETE THEIR ORAL EXAMS AS PART OF THEIR STANDARDS OF CARE TO AT LEAST 80%. THE DIABETES TEAM PROPOSES TO ACCOMPLISH THIS THROUGH BRIEF ORAL EXAMS DURING EACH ENCOUNTER, DESIGNATING A DAY EACH MONTH IN THE DENTAL CLINIC SPECIFICALLY FOR PATIENTS WITH DIABETES, AND THROUGH AWARENESS MESSAGING. SMH’S DIABETES PROGRAM IS DESIGNED TO ADDRESS TWO OF FIVE HIGHEST HEALTH NEEDS IDENTIFIED BY ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: DIABETES AND OBESITY. UTILIZING AMERICAN DIABETES ASSOCIATION’S STANDARDS OF MEDICAL CARE IN DIABETES AS A GUIDE FOR COMPREHENSIVE CARE, THE DIABETES TEAM WILL CONTINUE TO TAKE A PATIENT-CENTERED CARE APPROACH TO TREATMENT.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT TITLE NOT PROVIDED

NURSING HOME CARE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACE FOR WYOMING

DARTMOUTH LEAD PARTICIPATION IN NCI NATIONAL CLINICAL TRIALS NETWORK

PAUL COVERDELL NATIONAL ACUTE STROKE PROGRAM

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

TO INCREASE CAPACITY AND SERVICES FOR PATIENTS OF LABOR AND DELIVERY AT MEMORIAL HEALTH SYSTEM. - OVER THE LAST 2 YEARS, MEMORIAL HOSPITAL HAS ABSORBED A MAJORITY OF THESE DELIVERIES FROM ACROSS SOUTH MISSISSIPPI DUE TO THE CLOSURE OF OTHER PROVIDERS. IN THAT TIME PERIOD, THE DELIVERY VOLUME HAS INCREASED BY 37%. SINCE OPENING THE COAST’S ONLY OB ED 4 YEARS AGO, THEIR VOLUME HAS INCREASED FROM AN AVERAGE OF 170 VISITS/MONTH TO AN AVERAGE OF 242 VISITS/MONTH, A 30% INCREASE. WE HAVE DONE ALL OF THIS WITH NO ADDITIONAL SPACE. THIS HAS CREATED A BOTTLENECK IN L&D BECAUSE THERE IS NOWHERE FOR NEW MOMS TO GO DUE TO A LACK OF PATIENT ROOMS. WE ARE SEEKING TO REMODEL SOME UNUSED SPACE IN THE AREA TO BUILD SEVEN NEW TRIAGE/PRE-POST OP BEDS (FOR C-SECTION PATIENTS). THIS WOULD ALLOW THE SEVEN REMAINING LABOR ROOMS TO BE USED STRICTLY FOR LABOR PATIENTS. WE ARE AVERAGING SIX DELIVERIES A DAY AND THE INCREASED CENSUS HAS LED TO AN INCREASE IN STAFF TO TAKE CARE OF THE ADDITIONAL PATIENTS. THE EXISTING NURSE’S STATION IS BARELY LARGE ENOUGH FOR FIVE STAFF MEMBERS. THIS AREA NEEDS TO HOUSE RN’S, SURGICAL TECHS, OB’S, ACCESS REPS (REGISTRATION PERSONNEL), AND RESIDENTS ALL IN AN EXCEEDINGLY SMALL AREA. WITH THIS REMODEL, WE WOULD RECONFIGURE THE EXISTING SPACE AND ADD AN ADDITIONAL NURSE’S STATION IN THE NEW TRIAGE AREA. THIS WOULD ALLEVIATE THE CROWDED AREAS THAT STAFF USE TO CARRY OUT THEIR WORK. WE ARE ALSO ASKING TO REMODEL THE NURSE’S STATION FOR THE MOTHER/BABY (MB) AND NURSERY STAFF. CURRENTLY THE MB STAFF ARE IN TINE SPACE THAT WAS INTENDED FOR PATIENT EDUCATION. IT WAS DESIGNED TO SEAT FOUR PEOPLE WITH NO MEDICAL EQUIPMENT. CURRENTLY, IT HAS SHELVES, A BABY CRASH CART, A U-SHAPED DESK, AND FIVE COMPUTERS. BY MOVING THE NURSE’S STATION TO THE EXISTING NURSERY AND MOVING THE NURSERY TO THE LEFT SIDE OF THAT AREA, WE CAN GIVE BOTH UNITS ADEQUATE ROOM TO WORK COMFORTABLY AND BE CLOSE ENOUGH TO EACH OTHER TO HELP OUT DURING PEAK TIMES. CURRENTLY, THE DEPARTMENT IS SPREAD ACROSS THREE DIFFERENT AREAS ON TWO DIFFERENT FLOORS AND WILL REMODEL THE EXISTING OFFICE SPACE TO ALLOW THE WOMEN’S & CHILDREN’S DEPARTMENT MANAGEMENT TEAM TO BE IN ONE AREA TO OPTIMIZE WORKFLOWS. THIS INVESTMENT WILL ALLOW OUR STAFF TO CONTINUE TO PROVIDE THE COMMUNITY WITH THE BEST HEALTHCARE EXPERIENCES IN SOUTH MISSISSIPPI.

PRIMARY CARE TRAINING AND ENHANCEMENT

USE OF ENGINEERED NERVOUS TISSUE CONSTRUCTS TO REPAIR EXTENSIVE NERVE INJURY

HOME-BASED EARLY HEAD START PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH

CF CONGRESSIONALLY DIRECTED GRANTS

NHC

TAS::89 0321::TAS ST. LUKE'S MINERS MEMORIAL HOSPITAL ENERGY EFFICIENCY IMPORVEMENT PROJECT (PA), 224.10

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - ABSTRACT: CITIZENS MEMORIAL HOSPITAL HRSA 22-112 APPLICATION PROJECT TITLE: RURAL MOBILE HEALTH INTEGRATION AND COMMUNITY PARAMEDICINE TRAINING NETWORK APPLICANT ORGANIZATION INFORMATION - CITIZENS MEMORIAL HOSPITAL, 1500 N. OAKLAND AVE. BOLIVAR, MO 65613 - WWW.CITIZENSMEMORIAL.COM - FACILITY TYPE: NON-PROFIT HOSPITAL PROJECT DIRECTOR - THERON BECKER, PRE-HOSPITAL CLINICAL CHIEF, 417-597-3688, THERON.BECKER@CITIZENSMEMORIAL.COM PROPOSED NETWORK TRAINING TRACT - COMMUNITY PARAMEDICINE TARGET SERVICE REGION: 5 DESIGNATED HRSA ELIGIBLE RURAL COUNTIES - MISSOURI: POLK (PARTIALLY RURAL, CENSUS TRACT 960200), HICKORY (RURAL), ST. CLAIR (RURAL), AND CEDAR (RURAL), DALLAS (PARTIALLY RURAL, CENSUS TRACT 480200) COUNTIES TARGET POPULATION - THE TARGET POPULATION GROUP TO BE SERVED INCLUDES INDIVIDUALS RESIDING WITHIN THE 5 RURAL COUNTY SERVICE AREA THAT UTILIZE PRE-HOSPITAL AMBULATORY SERVICES AS THEIR PRIMARY CARE RESOURCE. THIS POPULATION GROUP HAS A NEED FOR INTEGRATIVE CARE COORDINATION AND A CONTINUUM OF CARE STRATEGY. - THE UNDERSERVED INDIVIDUALS WITHIN THIS REGION HAVE HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES AND HEALTH DISPARITIES DUE TO POVERTY, LOW SOCIOECONOMIC STATUS, UNINSURED/UNDERINSURED, UNDER-EDUCATED, TRANSPORTATION BARRIERS, AND LACK OF AVAILABLE HEALTHCARE RESOURCES TO MEET THEIR NEEDS. INDIVIDUALS OFTEN UTILIZE EMERGENCY MEDICAL SERVICES FOR NON-EMERGENCY SITUATIONS, BUT THEIR HEALTH CONDITIONS STILL WARRANT MEDICAL INTERVENTION, TREATMENT, AND INTEGRATIVE FOLLOW-UP CARE. NETWORK/CONSORTIUM PARTNERSHIPS: (ALL PARTNERS ARE WITHIN AN HRSA DESIGNATED RURAL AREA) - CITIZENS MEMORIAL HOSPITAL, (HOSPITAL) INCLUSIVE OF EMERGENCY MEDICAL SERVICES DEP’T (RURAL CT 960200) - MIH NETWORK: GREAT MINES HEALTH CARE (FQHC), MINERAL AREA COLLEGE (INSTITUTION OF HIGHER EDUCATION), WASHINGTON COUNTY AMBULANCE DISTRICT (EMS PROVIDER) - ELLETT MEMORIAL HOSPITAL, (HOSPITAL) - DALLAS COUNTY HEALTH DEPARTMENT (PUBLIC HEALTH DEPARTMENT) (RURAL C T 480200) ALL NETWORK PARTNERS ARE LOCATED AND PROVIDE SERVICES WITHIN HRSA-DESIGNATED RURAL AREAS/CTS TOTAL FUNDING AMOUNT REQUESTED: $1,545,000 FOR 3 YEAR PERFORMANCE PERIOD EXPERIENCE IN SERVING RURAL UNDERSERVED POPULATIONS - THE CMH EMS DEPARTMENT IS COMPRISED OF 68 PARAMEDICS AND EMTS, SERVING THE RURAL COUNTIES SURROUNDING POLK COUNTY WHERE THE HOSPITAL IS LOCATED FOR ALMOST 40 YEARS. THEIR STAFF LIVE AND WORK IN THE COMMUNITIES THEY SERVE. THEY TRANSPORT AN AVERAGE OF 7,494 INDIVIDUALS EACH YEAR. - CITIZENS MEMORIAL HOSPITAL HAS 13 RURAL HEALTH CLINICS AND 7 LONG-TERM CARE FACILITIES THROUGHOUT 5 COUNTIES THAT ARE DESIGNATED AS RURAL OR PARTIALLY RURAL. THEY HAVE SERVED THE RURAL COMMUNITY FOR 40 YEARS. - ALL CONSORTIUM MEMBERS RESIDE WITHIN A RURAL SERVICE AREA AND SERVE A RURAL POPULATION THROUGH PRE-HOSPITAL EMERGENCY SERVICES, CLINICAL TREATMENT, HOSPITAL SERVICES, AND COMMUNITY PREVENTION/EDUCATION STRATEGIES. FUNDING PREFERENCE AND SPECIAL CONSIDERATION - CITIZENS MEMORIAL HOSPITAL IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. THE 5 RURAL COUNTIES SERVED ARE WITHIN AN HPSA SHORTAGE AREA (SEE ATTACHMENT. 10) - CITIZENS MEMORIAL HOSPITAL IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 3. THE NETWORK FOCUSES ON PROVIDING WELLNESS AND PREVENTION STRATEGIES FOR THE TARGET POPULATION THROUGH EARLY INTERVENTION AND COORDINATING CARE, AND PRIMARY CARE COMPONENTS WILL BE PROVIDED THROUGH COMMUNITY PARAMEDICINE TREATMENT, TRANSPORT TO TREATMENT, AND TELEHEALTH. - CITIZENS MEMORIAL HOSPITAL IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE – MARGARETVILLE HOSPITAL COMMUNITY PARAMEDICINE PROGRAM NAME: MARGARETVILLE HOSPITAL ADDRESS: 42084 STATE HIGHWAY 28, MARGARETVILLE, NY 12455 FACILITY TYPE: CRITICAL ACCESS HOSPITAL HTTPS://WWW.MARGARETVILLEHOSP.ORG/ ADAM BILLINGSLEA PROJECT DIRECTOR 845.334.4959 ADAM.BILLINGSLEA@HAHV.ORG PROPOSED WORKFORCE TRAINING TRACK TRACK 3 COMMUNITY PARAMEDICINE TARGET SERVICE AREA MARGARETVILLE HOSPITAL SERVES 59,578 RESIDENTS IN DELAWARE COUNTY AND PEOPLE LIVING IN PARTS OF ULSTER COUNTY. DELAWARE IS A HRSA-DESIGNATED RURAL COUNTIES. PARTS OF ULSTER COUNTY ARE HRSA-DESIGNATED RURAL TOWNS/CENSUS TRACT #: SHANDAKEN, 955300; DENNING & HARDENBURGH, 950900; OLIVE, 951000; ROCHESTER 955000; WOODSTOCK 950600, 950500. LIST OF PROPOSED NETWORK PARTNER ORGANIZATIONS - OFFICE OF THE AGING DELAWARE COUNTY - OFFICE OF THE AGING ULSTER COUNTY - CATSKILL HUDSON AREA HEALTH EDUCATION CENTER (CHAHEC) - DELAWARE COUNTY EMERGENCY SERVICES - MOUNTAINSIDE RESIDENTIAL CARE SERVICES - WMCHEALTH ADVANCED PHYSICIAN SERVICES (APS) - MARGARETVILLE HOSPITAL TOTAL FUNDING AMOUNT REQUESTED FOR THE ENTIRE THREE-YEAR PERIOD OF PERFORMANCE $1,544,956 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS MARGARETVILLE HOSPITAL IS A HEALTHALLIANCE HOSPITAL AND MEMBER OF THE WMCHEALTH NETWORK, A 1,700-BED HEALTHCARE SYSTEM HEADQUARTERED IN VALHALLA, NEW YORK, WITH 10 HOSPITALS ON EIGHT CAMPUSES. MARGARETVILLE HOSPITAL IS A 15-BED CRITICAL ACCESS HOSPITAL THAT HAS BEEN SERVING DELAWARE AND ULSTER COUNTY RESIDENTS FOR NEARLY 100 YEARS PROVIDING COMPREHENSIVE MEDICAL SERVICES TO THE RESIDENTS OF DELAWARE, GREENE, ULSTER AND SCHOHARIE COUNTIES. THE HOSPITAL OFFERS PATIENTS IMMEDIATE ACCESS TO THE BEST CARE AVAILABLE INCLUDING EMERGENCY CARE, AMBULATORY CARE SERVICES, LABORATORY TESTING, MEDICAL IMAGING, PHYSICAL AND OCCUPATIONAL THERAPY, SWING BED REHABILITATION PROGRAMS, RESPITE CARE, BOARD CERTIFIED SPECIALIST OR WELLNESS AND EDUCATION. MARGARETVILLE HOSPITAL HAS A RANGE OF SERVICES TO MEET THE NEEDS OF THE COMMUNITY WITHOUT HAVING TO DRIVE MILES AWAY TO ACCESS QUALITY CARE. MARGARETVILLE HOSPITAL IS A PART OF THE DELAWARE-ULSTER SENIOR CARE NETWORK, WHICH BEGAN MEETING IN 2020 AND WAS FORMED TO IMPROVE COMMUNICATION WITH THE AGING POPULATION AND THEIR FAMILIES; IMPROVE ACCESS TO HEALTHCARE AND COMMUNITY-BASED SERVICES; AND IMPROVE HEALTH OUTCOMES. THE NETWORK MEMBERS ALSO HAVE A LONG HISTORY OF SERVING THE RESIDENTS OF DELAWARE AND ULSTER COUNTY. WHILE ONE MEMBER, WMCHEALTH ADVANCED PHYSICIAN SERVICES, IS A RELATIVE NEWCOMER TO ULSTER AND DELAWARE COUNTY, HAVING SERVED THIS AREA FOR THREE YEARS, THEY ARE COMMITTED TO ENHANCING LIVES BY BUILDING UPON THEIR STATUS AS THE UNMATCHED PROVIDER OF CHOICE FOR QUALITY HEALTHCARE. MARGARETVILLE HOSPITAL HAS THE EXPERIENCE IN MANAGING PROJECTS OF THIS SCALE AND LARGER. SPECIFICALLY, MARGARETVILLE HOSPITAL IS THE RECIPIENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) PLANNING, NEONATAL ABSTINENCE SYNDROME, AND IMPLEMENTATION GRANTS. IN ADDITION, THE HOSPITAL CURRENTLY HAS A HRSA RURAL HEALTH NETWORK DEVELOPMENT PROGRAM GRANT; AND A SAMHSA EMERGENCY MEDICAL SERVICES TRAINING GRANT. EACH OF THOSE GRANTS HAS DESIGNATED PERSONNEL TO MANAGE THE AWARD. A DEDICATED STAFF PERSON FROM THE HEALTHALLIANCE FINANCE DEPARTMENT OVERSEES ALL GRANT AWARDS AND WORKS CLOSELY WITH THE PROJECT DIRECTOR AND GRANTS MANAGER TO ENSURE THAT FUNDS ARE PROPERLY ACCOUNTED FOR REPORTING AND AUDIT PURPOSES. FUNDING PREFERENCE MARGARETVILLE HOSPITAL IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION THE FACT THAT DELAWARE COUNTY IS IN A DESIGNATED HPSA AND A MUC/MUP. MARGARETVILLE HOSPITAL IS ALSO REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U WITH ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

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

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

ASSISTANCE TO FIREFIGHTERS GRANT

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME