Freeman Health System

URGENT BEHAVIORAL SOLUTIONS (UBS)

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

AFFORDABLE CARE ACT: PRIMARY CARE RESIDENCY EXPANSION

WILL'S PLACE

OZARK CENTER RECOVERY UP

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT TITLE: OZARK CENTER’S THCGME EXPANSION DISCIPLINE: PSYCHIATRY TYPE OF APPLICATION: EXPANSION APPLICANT ORGANIZATION: OZARK CENTER ? ADDRESS: 1105 E 32ND ST., JOPLIN, MO 64804-2879 PROJECT DIRECTOR: NAUMAN ASHRAF, M.D. ? PHONE: (417) 347-7603 ? FAX: 417-347-9810 EMAIL: NASHRAF@FREEMANHEALTH.COM ? WEBSITE: WWW.OZARKCENTER.COM FUNDS REQUESTED: 4.00 FTE IS REQUESTED FOR EACH YEAR OF GRANT FUNDING AT $160,000/RESIDENT/YEAR ($6.4 THOUSAND) FOR 7.1.22 THROUGH 6.30.26 OR THE ESTABLISHED APPROVED AMOUNT PER RESIDENT AS APPROVED BY THE FEDERAL GOVERNMENT. ABSTRACT THE TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PROGRAM AT OZARK CENTER IS A 4 YEAR PSYCHIATRY RESIDENCY PROGRAM ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). KCU-GME CONSORTIUM IS THE PROGRAMS ACCREDITED SPONSORING INSTITUTION. ESTABLISHED AS A COMMUNITY MENTAL HEALTH CENTER (CMHC) IN 1965, OZARK CENTER PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO CHILDREN, ADULTS, AND FAMILIES IN A FOUR COUNTY AREA SURROUNDING JOPLIN, MISSOURI AND IS NOW A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC). JASPER, NEWTON, BARTON, AND MCDONALD COUNTIES ARE LOCATED IN THE SOUTHWEST CORNER OF MISSOURI, ALONG THE FOUR STATE AREA BORDER (MISSOURI, KANSAS, ARKANSAS, AND OKLAHOMA). THE AREA DESCRIBED ABOVE IS CLASSIFIED AS RURAL. THIS GEOGRAPHIC AREA QUALIFIES AS A HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AND INCLUDES AREAS CLASSIFIED AS MEDICALLY UNDERSERVED. 75% OF INDIVIDUALS SERVED AT OZARK CENTER ARE UNDERINSURED OR UNINSURED. AN INTEGRAL PART OF FREEMAN HEALTH SYSTEM IN JOPLIN, OZARK CENTER PROVIDED CARE TO 14,739 INDIVIDUALS IN 2021. FREEMAN IS A 407-BED, THREE-HOSPITAL COMMUNITY MEDICAL CENTER, WHICH INCLUDES ONE CRITICAL ACCESS HOSPITAL (CAH). IT IS ALIGNED WITH OTHER RURAL MEDICAL FACILITIES INCLUDING ACCESS FAMILY CARE (AN FQHC) AND THE COMMUNITY CLINIC (A SECTION 303 LOOK-ALIKE). OVER THE PAST 48 YEARS, OZARK CENTER HAS CULTI VATED ITS PATIENT-CENTERED APPROACH TO CARE IN CONCERT WITH THESE MEDICAL FACILITIES. RESIDENTS AT OZARK CENTER HAVE THE OPPORTUNITY TO TRAIN IN MULTIPLE SETTINGS. PATIENTS DIAGNOSED WITH A SUBSTANCE USE DISORDER, INCLUDING OPIOID DEPENDENCY, ARE OFFERED COUNSELING SERVICES AND MEDICATION-ASSISTED TREATMENT TO ASSIST WITH THEIR SYMPTOMS UTILIZING A WELL-BALANCED APPROACH. THE CRISIS OUTREACH PROGRAM IS AVAILABLE 24 HOURS PER DAY, 7 DAYS PER WEEK AND IS ACCESSIBLE BY MOBILE TEXTING TO ADDRESS PATIENT’S NEED TO HAVE SERVICES IN URGENT AND EMERGENT SITUATIONS. THE CHILD PSYCHIATRY EXPERIENCE IS ENRICHED BY THE OPPORTUNITY FOR RESIDENTS TO WORK AT THE BILL & VIRGINIA LEFFEN CENTER FOR AUTISM WHERE STAFF USE APPLIED BEHAVIOR ANALYSIS IN THE TREATMENT OF AUTISM. THE RESIDENTS RECEIVE EXPERIENCE IN TRAUMA-INFORMED THERAPY DURING THEIR OUTPATIENT PSYCHIATRY ROTATIONS. THIS VARIETY OF CLINICAL EXPERIENCES ALSO STIMULATES AREAS OF RESEARCH. TO PROMOTE RESIDENCY WELLNESS, AN INNOVATIVE WELLNESS PROGRAM HAS BEEN INTEGRATED FOCUSING ON MENTAL WELLBEING. THE IDEA FOR THIS PROJECT STEMMED FROM RESEARCH CONDUCTED WITHIN THE RESIDENCY PROGRAM. OZARK CENTER’S PSYCHIATRY RESIDENCY PROGRAM STARTED IN 2012 AND WAS ORIGINALLY ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA) BUT IS NOW ACCREDITED BY THE ACCREDITATION COUNCIL OF GRADUATE MEDICAL EDUCATION (ACGME). OZARK CENTER HAS RECEIVED FUNDING THROUGH THE THCGME PROGRAM SINCE 2012, GRADUATING FOURTEEN TO DATE. OZARK CENTER IS REQUESTING EXPANSION FUNDING FOR 4.00 ADDITIONAL RESIDENT POSITIONS (1-1-1-1). FOR AY 2022-2023 THE 4.00 FTE POSITIONS WILL BE ADDED TO CREATE THE OVERALL COUNT TO BE 4-4-4-4 WITH THE CURRENT THCGME GRANT FUNDING. THIS FUNDING WILL HELP THE PROGRAM ADD MORE MEDICAL PERSONAL TO MEET THE PRIMARY CARE NEEDS OF THE RURAL AREAS OF THE UNITED STATES.

OZARK CENTER CONNECT WILL EXPAND A SUCCESSFUL CO-RESPONDER UNIT PROGRAM TO INCREASE ACCESS TO TREATMENT AND RECOVERY FOR HIGH-RISK ADULTS WITH OPIOID USE DISORDER IN SOUTHWEST MISSOURI. - OZARK CENTER, A CERTIFIED COMMUNITY BEHAVIORAL HEALTH ORGANIZATION, WILL EXPAND THE CONNECT NETWORK, A CO-RESPONDER UNIT PROGRAM, ACROSS BARTON, JASPER, NEWTON, AND MCDONALD COUNTIES IN SOUTHWEST MISSOURI, A SERVICE AREA OF APPROXIMATELY 216,000 RESIDENTS, TO INCREASE ACCESS TO TREATMENT AND RECOVERY FOR ADULTS WITH OPIOID USE DISORDERS. OZARK CENTER WILL SERVE 2,500 UNDUPLICATED INDIVIDUALS OVER THE PROJECT PERIOD, INCLUDING HOMELESS AND HIGH-RISK ADULTS WITH SUBSTANCE USE AND CO-OCCURRING BEHAVIORAL HEALTH CONDITIONS, IMPLEMENTING FIVE EVIDENCE-BASED PRACTICES: PEER RECOVERY SUPPORT, MEDICATION FOR OPIOID USE DISORDER (MOUD), INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS, CARE COORDINATION, AND TELEHEALTH. BY SEPTEMBER 2031, THE PROJECT WILL PROVIDE SCREENING AND MOUD OR RECOVERY SUPPORT SERVICES TO ALL 2,500 INDIVIDUALS, INITIATE BUPRENORPHINE TREATMENT FOR AT LEAST 750 PEOPLE DIAGNOSED WITH OPIOID USE DISORDER (OUD), AND REFER 100% OF THOSE APPROPRIATE FOR METHADONE TO REGIONAL OPIOID TREATMENT PROGRAMS. AT LEAST 80% OF MOUD RECIPIENTS WILL BE CONNECTED TO A PEER RECOVERY SUPPORT SPECIALIST, 90% OF THOSE WITH CO-OCCURRING CONDITIONS WILL RECEIVE INTEGRATED OR COORDINATED CARE, AND 25% INITIATING MOUD WILL REMAIN ENGAGED AT 120 DAYS. THE PROJECT WILL DISTRIBUTE AT LEAST 1,500 NALOXONE KITS, INSTALL 12 MEDICATION LOCK BOXES, AND ESTABLISH FORMAL REFERRAL AGREEMENTS WITH FIVE LAW ENFORCEMENT AGENCIES TO EXPAND ACCESS IN RURAL COMMUNITIES.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HEALTH CARE AND OTHER FACILITIES

RURAL HOSPITAL PROVIDER ASSISTANCE PROGRAM - FREEMAN HEALTH SYSTEM-SILOAM SPRINGS MEDICAL CENTER IS LOCATED IN SILOAM SPRINGS (BENTON COUNTY) ARKANSAS. RURAL HOSPITAL PROVIDER ASSISTANCE FUNDS WILL BE USED TO MAINTAIN HEALTH CARE PROVIDERS AND ESSENTIAL SERVICES. THE PROGRAM HELPS ADVANCE MAKE AMERICAN HEALTHY AGAIN (MAHA) PRIORITIES BY STRENGTHENING THE LOCAL HEALTH WORKFORCE AND ADVANCING PREVENTATIVE, COMMUNITY-BASED CARE TO REDUCE CHRONIC DISEASE AND ENSURE SUSTAINED ACCESS TO HIGH-QUALITY HEALTH SERVICES IN RURAL COMMUNITIES.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

HOMELESS ASSISTANCE