Morgan County Health Council Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: MORGAN COUNTY HEALTH COUNCIL, INC. DBA MORGAN COUNTY MEDICAL CENTER (MCMC) HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00183 ADDRESS: 224 OLD MILL ROAD, WARTBURG, TN 37887-4163 CONTACT PHONE NUMBER (VOICE): (423) 346-6221, EXT. 224 WEBSITE ADDRESS: WWW.MORGANCOUNTYMEDICAL.COM PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1.1M IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. MORGAN COUNTY HEALTH COUNCIL, INC. DBA MORGAN COUNTY MEDICAL CENTER (MCMC), A NON-PROFIT COMMUNITY HEALTH CENTER, HAS BEEN PROVIDING ACCESSIBLE, AFFORDABLE, HIGH-QUALITY, PATIENT-FOCUSED PRIMARY HEALTH CARE TO RESIDENTS OF MORGAN CO., TN SINCE 1974. IN 2023, MCMC SERVED 6,342 TOTAL PATIENTS VIA 32,982 TOTAL ENCOUNTERS (CLINIC AND VIRTUAL) FROM ONE SERVICE DELIVERY SITE, INCLUDING 1,295 PATIENTS WITH MENTAL HEALTH (MH) SERVICES, 389 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 60 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: MCMC PRIORITIZES SERVICES TO LOW-INCOME RESIDENTS IN THE SERVICE AREA. RESIDENTS IN THESE HIGH-NEED COMMUNITIES FACE MULTIPLE BARRIERS TO HEALTH CARE, INCLUDING LACK OF CONVENIENT ACCESS POINTS FOR CARE, LACK OF FAMILY OR SOCIAL SUPPORTS TO ACCESS CARE, AND LACK OF UNDERSTANDING REGARDING THE BENEFITS OF PREVENTIVE CARE, AMONG OTHERS. AS A PRIMARY POINT OF ACCESS IN ITS SERVICE AREA, MCMC IS WELL-POSITIONED TO ADDRESS BARRIERS AND PROVIDE ACCESS TO BEHAVIORAL HEALTH SERVICES THAT INCLUDE TREATMENT AND RECOVERY SUPPORT. MORGAN COUNTY IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR MENTAL HEALTH CARE. MCMC SERVICE AREA RESIDENTS ARE EXPERIENCING RECORD LEVELS OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS. ADULTS REPORT AN AVERAGE OF 6.4 MENTALLY UNHEALTHY DAYS PER MONTH, MUCH HIGHER THAN THE STATE AVERAGE OF 5.1 OR THE US AVERAGE OF 4.5. THE SUICIDE MORTALITY RATE IS 19.6 (PER 100,000, AGE-ADJUSTED), SIGNIFICANTLY HIGHER THAN THE STATE RATE OF 16.8 AND THE NATIONAL RATE OF 13.8. MORE THAN A QUARTER OF ADULTS (25.5%, OR 4,116 INDIVIDUALS) REPORT ANY MENTAL ILLNESS, WHILE 6.9% (1,107) HAVE SERIOUS MENTAL ILLNESS (SERVICE AREA ESTIMATES BASED ON STATE-LEVEL RATES). AMONG SERVICE AREA ADULTS, 15.0% REPORT HEAVY DRINKING, WHILE 15.7% REPORT BINGE DRINKING. AN ESTIMATED 9.5% (157) OF RESIDENTS AGES 12 TO 17 AND 16.5% (2,665) OF ADULTS HAVE A SUBSTANCE USE DISORDER (SUD), INCLUDING 3.3% AND 10.2% WITH AN ALCOHOL USE DISORDER (AUD) AND 6.8% AND 9.9% WITH A DRUG USE DISORDER, RESPECTIVELY. SERVICES: MCMC PROPOSES TO EXPAND BEHAVIORAL SERVICES, INCREASING ACCESS TO MH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. MCMC CURRENTLY PROVIDES MH, AND PSYCHIATRY SERVICES DIRECTLY (COLUMN 1). IN SUPPORT OF EXPANDED SERVICES, MCMC IS PROPOSING TO HIRE: 2.0 FTE PSYCHIATRIC NPS; 1.0 FTE MASTER’S LEVEL COUNSELOR; 2.0 FTE BACHELOR'S LEVEL SOCIAL WORKERS/CASE MANAGERS (1.0 FTE MH AND 1.0 FTE SUD); 1.0 FTE PATIENT SUPPORT PERSONNEL/SCHEDULER; AND 1.0 FTE LPN/MEDICAL ASSISTANT (MH). CONTRACTED SUPPORT INCLUDES PHARMACY (340B DISPENSING FEES). OTHER REQUESTED SUPPORT INCLUDES THE COST OF MEDICAL SUPPLIES AND LAPTOPS/WORKSTATIONS FOR NEW STAFF. MCMC HAS BEEN ASKED BY REGIONAL PARTNERS TO EXPAND SERVICES TO COURT-INVOLVED INDIVIDUALS, TO EXPAND ACCESS TO SCHOOLS, AND TO COLLABORATE AS A REFERRAL PARTNER FOR MH/SUD BY OTHER PRIMARY CARE PROVIDERS IN THE COUNTY. BHSE FUNDING WILL SUPPORT EXPANDING SERVICES TO MANY ADDITIONAL PATIENTS IN NEED OF MH/SUD CARE IN THE COUNTY. POPULATION GROUP: MCMC ANTICIPATES THAT THE PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BEHAVIORAL HEALTH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 1,545 MENTAL HEALTH SERVICES PATIENTS, 470 SUD SERVICES PATIENTS, AND 100 PATIENTS RECEIVING MOUD SERVICES. OVERALL, THE CENTER ESTIMATES AN INCREASE OF 85 UNDUPLICATED NEW HEALTH CENTER PATIENTS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM