Shelby County Health Care Corporation

EARLY INTERVENTION SERVICES

EARLY INTERVENTION SERVICES

HEALTHY START INITIATIVE - REGIONAL ONE HEALTH 877 JEFFERSON AVENUE MEMPHIS, TN 38103 PROJECT DIRECTOR NAME: ANGELA ADAIR PHONE NUMBER: 901-545-8237 EMAIL: AADAIR@REGIONALONEHEALTH.ORG WEBSITE: REGIONALONEHEALTH.ORG FEDERAL FUNDS REQUESTED FOR THE HEALTHY START INITIATIVE: ELIMINATING DISPARITIES IN PERINATAL HEALTH FUNDING OPPORTUNITY: $5,499,735 OVER A 5-YEAR PERIOD. THE PURPOSE OF THE REGIONAL ONE HEALTH HEALTHY START (ROHHS) PROGRAM IS TO IMPROVE HEALTH OUTCOMES FOR WOMEN, INFANTS, AND FAMILIES BEFORE, DURING, AND AFTER PREGNANCY AND REDUCE THE RACIAL/ETHNIC DIFFERENCES IN RATES OF INFANT DEATH AND ADVERSE PERINATAL OUTCOMES IN SHELBY COUNTY, TENNESSEE. SHELBY COUNTY IS AN URBAN AREA THAT EXPERIENCES HIGH RATES OF INFANT DEATH, LOW BIRTHWEIGHT BIRTH, AND PRETERM BIRTH. BASED ON THE RATE OF INFANT DEATH IN THE PROJECT AREA, ROHHS WILL TARGET AFRICAN AMERICANS LIVING IN SHELBY COUNTY, A POPULATION THAT EXPERIENCES INFANT MORTALITY RATES MORE THAN DOUBLE THAT OF THE NATIONAL AVERAGE. REGIONAL ONE HEALTH (ROH) IS THE IDEAL HEALTH SYSTEM TO IMPLEMENT A HEALTHY START INITIATIVE IN SHELBY COUNTY. ROH OPERATES A HIGH-RISK OBSTETRICS CENTER OF EXCELLENCE AND A LEVEL III NEONATAL INTENSIVE CARE UNIT; IS CERTIFIED BY THE TENNESSEE INITIATIVE FOR PERINATAL QUALITY CARE; AND HAS BEEN DESIGNATED BY THE TENNESSEE DEPARTMENT OF HEALTH AS THE REGIONAL PERINATAL CENTER FOR WEST TENNESSEE. IN ADDITION TO THESE HEALTHCARE CAPABILITIES, ROH IS A REGIONAL LEADER IN PROVISION OF ENABLING SERVICES FOR POPULATIONS THAT EXPERIENCE HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT AFFECT ACCESS TO CARE. ROH WORKS WITH AGENCIES ACROSS THE COMMUNITY THAT PROVIDE SOCIAL SERVICES THAT INCREASE OUR CAPACITY TO REDUCE ADVERSE OUTCOMES FOR UNDERSERVED POPULATIONS. THESE ORGANIZATIONS ADDRESS FOOD INSECURITY, TRANSPORTATION ACCESS, SAFETY FOR WOMEN AND CHILDREN EXPERIENCING VIOLENCE; LONG- AND SHORT-TERM HOUSING NEEDS; AND BENEFITS ENROLLMENT. IN IMPLEMENTING THIS PROGRAM, ROH WILL PAR TNER WITH THE EARLY SUCCESS COALITION (ESC), AN ORGANIZATION THAT ADDRESSES DISPARITIES IN PERINATAL HEALTH THROUGH MULTIPLE COMMUNITY OUTREACH PROGRAMS. THE ESC BRINGS TOGETHER MORE THAN 65 PUBLIC AND PRIVATE AGENCIES WITH A COLLECTIVE MISSION OF INCREASING ACCESS TO HIGH-QUALITY PREVENTION AND WELLNESS PROMOTION SERVICES FOR CHILDREN AND THEIR FAMILIES. ROH WILL ALSO WORK WITH METHODIST LE BONHEUR COMMUNITY OUTREACH, A NONPROFIT SUBSIDIARY OF LE BONHEUR CHILDREN’S HOSPITAL WITH OVER 40 YEARS OF EXPERIENCE ADDRESSING THE HEALTH NEEDS OF CHILDREN AND FAMILIES THROUGH COMMUNITY STRATEGIES THAT SERVE LOW-INCOME WOMEN AND CHILDREN. ROHHS WILL OFFER DIRECT AND ENABLING SERVICES USING A CARE TEAM THAT CONSISTS OF A CASE MANAGER, SOCIAL WORKER, CARE COORDINATOR, AND COMMUNITY HEALTH EDUCATORS. THIS GROUP WILL PROVIDE NAVIGATION TO HIGH QUALITY MEDICAL CARE (INCLUDING MENTAL HEALTH CARE); LINKAGE TO COMMUNITY-BASED RESOURCES THAT PROVIDE SOCIAL SERVICES; AND GROUP-BASED HEALTH AND PARENTING EDUCATION. EDUCATION WILL INCREASE THE UPTAKE OF HEALTHY BEHAVIORS, PREPARE WOMEN FOR CHILDBIRTH, AND INFORM FAMILIES OF SAFE INFANT AND TODDLER CARE PRACTICES. PARTICIPANTS WILL BE ABLE TO CHOOSE THE PROGRAM SERVICES THAT FIT THEIR NEEDS AND INTERESTS. NON-ESSENTIAL PROGRAM SERVICES WILL BE AVAILABLE IN-PERSON AND VIRTUALLY. THE EARLY SUCCESS COALITION WILL SUPPORT THESE EFFORTS BY LEADING A COMMUNITY CONSORTIUM THAT WILL IDENTIFY KEY AREAS THAT LEAD TO POOR PERINATAL HEALTH OUTCOMES IN THE PROJECT AREA AND HELP INFORM ROHHS PROGRAM STRATEGIES. ROHHS WILL SERVE MORE THAN 700 WOMEN, CHILDREN, AND FAMILIES ANNUALLY. AT ROH, OUR MISSION IS TO IMPROVE THE HEALTH AND WELLBEING OF THE PEOPLE WE SERVE BY PROVIDING COMPASSIONATE CARE AND EXCEPTIONAL SERVICES. THIS MISSION WILL BE THE BASIS OF OUR HEALTHY START INITIATIVE AS WE WORK WITH COMMUNITY MEMBERS TO ENSURE ACCESS TO HIGH QUALITY AND EQUITABLE HEALTH AND SOCIAL SERVICES THAT IMPROVE OUTCOMES FOR THOSE MOST AT RISK FOR ADVERSE PERINATA L OUTCOMES.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ABSTRACT SHELBY COUNTY HEALTH CARE CORPORATION DBA REGIONAL ONE HEALTH 877 JEFFERSON AVENUE MEMPHIS, TN 38103-2807 TISH TOWNS, PROJECT DIRECTOR 901-545-7676 – WORK 901-545-6999 – FAX LTOWNS@REGIONALONEHEALTH.ORG WWW.REGIONALONEHEALTH.ORG GRANT PROGRAM REQUEST FOR HRSA-22-134 REGIONAL ONE HEALTH’S REQUEST FOR FUNDING TO ENHANCE QUALITY OF CARE AND ACCESS TO CARE IS BASED ON THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT, A REQUIREMENT FOR NONPROFIT HOSPITAL ORGANIZATIONS, ASKS COMMUNITY MEMBERS TO IDENTIFY THE TOP 5 MOST PRESSING HEALTH ISSUES IN THEIR COMMUNITY AND TO SELECT THE MOST SIGNIFICANT OF THOSE HEALTH ISSUES. AMONG THE TOP HEALTH ISSUES IDENTIFIED WERE: ACCESSING HEALTH CARE SERVICES, MATERNAL AND INFANT HEALTH, AND UNINTENTIONAL INJURIES AND VIOLENCE AND MOTOR VEHICLE ACCIDENTS. ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE SERVICES IS IMPORTANT FOR PROMOTING AND MAINTAINING HEALTH, PREVENTING AND MANAGING DISEASE, REDUCING UNNECESSARY DISABILITY AND PREMATURE DEATH, AND ACHIEVING HEALTH EQUITY FOR ALL AMERICANS. ACCESS TO COMPREHENSIVE QUALITY HEALTH CARE ISN’T JUST ABOUT COVERAGE BUT IS ALSO ABOUT HEALTH CARE SERVICES AND TIMELINESS. OUTDATED EQUIPMENT CONTRIBUTES TO THE HEALTH EQUITY ISSUES PLAGUING THIS NATION. THE DELAY IN TIME BETWEEN IDENTIFYING A NEED FOR A SPECIFIC TEST OR TREATMENT AND ACTUALLY RECEIVING THOSE SERVICES CAN NEGATIVELY IMPACT HEALTH AND COSTS OF CARE. REGIONAL ONE HEALTH REMAINS COMMITTED TO PROVIDING QUALITY CARE TO ALL MEMBERS OF OUR COMMUNITY. IMPROVING HEALTH CARE SERVICES INCLUDES INCREASING ACCESS TO AND USE OF EVIDENCE-BASED PREVENTIVE SERVICES AND EMERGENCY MEDICAL CARE. REGIONAL ONE HEALTH’S REQUEST FOR FUNDING WILL ALLOW SHELBY COUNTY’S ONLY ESSENTIAL ACCESS HOSPITAL THE MONEY NEEDED FOR PRIORITY CLINICAL ENHANCEMENTS THAT IMPROVE ACCESS AND QUALITY OF CARE FOR VULNERABLE, ILL AND SEVERELY INJURED RESIDENTS. THIS FUNDING WILL ALLOW REGIONAL ONE HEALTH TO UPDATE ULT RASOUNDS, MEDICATION CARTS, ENHANCE DIAGNOSTIC IMAGING, AND ENSURE A1C POINT OF CARE TESTING. THESE CRITICAL EQUIPMENT PURCHASES ENSURE: - CLINICIANS ARE ABLE TO OFFER A FULL RANGE OF DIAGNOSTICS AND TREATMENT FOR WOMEN WITH PREGNANCY COMPLICATIONS AND PATIENTS IN JEOPARDY OF LOSING LIFE OR LIMB. - THE SAFE DISTRIBUTION OF CONTROLLED SUBSTANCES. - PREVENTION OF MEDICATION ERRORS AND HELP NURSES AND PHARMACISTS ACCOUNT FOR THE RECEIPT, USAGE, DISPOSITION AND RECONCILIATION OF CONTROLLED SUBSTANCE. - DRAMATICALLY SHORTER TURNAROUND TIMES FOR IMAGES IN EMERGENT AND TRAUMA SITUATIONS. - IMPROVED ACCESS TO TIMELY, QUALITY MONITORING AND MANAGEMENT FOR DIABETIC PATIENTS. REGIONAL ONE HEALTH’S PATIENTS ALL FACE A MYRIAD OF SOCIAL BARRIERS SUCH AS HOUSING, FOOD, RACE, AND INCOME THAT MAKE HEALTHY LIFESTYLES MUCH HARDER TO ACHIEVE. REGIONAL ONE HEALTH’S PATIENTS ARE DISPROPORTIONATELY UNINSURED, PREDOMINANTLY PEOPLE OF COLOR, AND MEDICALLY AND SOCIALLY COMPLEX. REGIONAL ONE HEALTH SEES ARGUABLE THE MOST MARGINALIZED AND VULNERABLE MEN AND WOMEN IN THE REGION. ALMOST 24 PERCENT OF PATIENTS AT REGIONAL ONE HEALTH ARE CLASSIFIED AS “SELF-PAY” AND THE HEALTH SYSTEM PROVIDES OVER $300,000,000 IN CHARITY CARE ANNUALLY. FOR THOUSANDS OF COMMUNITY MEMBERS, ROH IS THE ONLY PLACE THEY TRUST TO RECEIVE THEIR CARE.

NURSING WORKFORCE DEVELOPMENT (NWD) - REGIONAL ONE HEALTH (ROH) PROPOSES THE LEARN, EARN, AND ADVANCE IN PRACTICE (LEAP) PROGRAM, A FOUR-YEAR NURSING WORKFORCE DEVELOPMENT INITIATIVE DESIGNED TO INCREASE NURSING EDUCATION OPPORTUNITIES, RETENTION, GRADUATION, AND WORKFORCE ENTRY FOR STUDENTS FROM DISADVANTAGED BACKGROUNDS IN MEMPHIS, SHELBY COUNTY, AND THE MID-SOUTH REGION. LEAP ALIGNS WITH THE HRSA NURSING WORKFORCE DEVELOPMENT PROGRAM GOAL OF INCREASING THE NUMBER OF INDIVIDUALS FROM DISADVANTAGED BACKGROUNDS WHO ENROLL IN AND GRADUATE FROM NURSING DEGREE PROGRAMS THROUGH COMPREHENSIVE STUDENT SUPPORT SERVICES AND EVIDENCE-BASED WORKFORCE DEVELOPMENT STRATEGIES. THE MID-SOUTH CONTINUES TO EXPERIENCE SIGNIFICANT NURSING WORKFORCE SHORTAGES WHILE MANY PROSPECTIVE NURSING STUDENTS FACE FINANCIAL HARDSHIP, TRANSPORTATION CHALLENGES, CAREGIVING RESPONSIBILITIES, ACADEMIC BARRIERS, AND LIMITED ACCESS TO MENTORSHIP AND PROFESSIONAL NETWORKS. THESE CHALLENGES CAN IMPEDE ENROLLMENT, PERSISTENCE, GRADUATION, AND SUCCESSFUL ENTRY INTO THE NURSING WORKFORCE. LEAP WILL ADDRESS THESE BARRIERS THROUGH A STRUCTURED ACADEMIC-PRACTICE PARTNERSHIP BETWEEN REGIONAL ONE HEALTH AND SOUTHWEST TENNESSEE COMMUNITY COLLEGE (STCC). THE PROGRAM WILL SUPPORT 16 UNDUPLICATED NURSING STUDENTS FROM DISADVANTAGED BACKGROUNDS WHO ARE ENROLLED IN OR ACCEPTED INTO STCC’S ASSOCIATE OF APPLIED SCIENCE (A.A.S.) IN NURSING PROGRAM. PARTICIPANTS WILL ENGAGE IN AN EARN-AS-YOU-LEARN MODEL THAT COMBINES NURSING EDUCATION WITH PAID WORK-BASED LEARNING AND SUPERVISED CLINICAL EXPERIENCES AT REGIONAL ONE HEALTH. STUDENTS WILL RECEIVE INDIVIDUALIZED BARRIER ASSESSMENTS, STUDENT SUCCESS PLANNING, MENTORING, TUTORING, ACADEMIC SUPPORT, WORKFORCE READINESS ACTIVITIES, PRECEPTOR-GUIDED CLINICAL TRAINING, AND FINANCIAL ASSISTANCE DESIGNED TO REDUCE BARRIERS TO EDUCATIONAL SUCCESS. SUPPORT MAY INCLUDE TUITION AND FEES, BOOKS AND EDUCATIONAL SUPPLIES, UNIFORMS, TRANSPORTATION ASSISTANCE, CHILDCARE ASSISTANCE, HEALTH INSURANCE SUPPORT, AND EMERGENCY FINANCIAL ASSISTANCE. LEAP WILL BE HOUSED WITHIN REGIONAL ONE HEALTH’S NURSING RESIDENCY PROGRAM AND WILL LEVERAGE THE ORGANIZATION’S EXISTING NURSING EDUCATION, MENTORSHIP, CLINICAL TRAINING, AND TRANSITION-TO-PRACTICE INFRASTRUCTURE. STUDENTS WILL RECEIVE EXPERIENTIAL LEARNING IN A HIGH-ACUITY SAFETY-NET HEALTH SYSTEM THAT SERVES MEDICALLY VULNERABLE POPULATIONS THROUGHOUT THE MID-SOUTH. CLINICAL EXPERIENCES WILL EXPOSE PARTICIPANTS TO TRAUMA CARE, EMERGENCY SERVICES, MATERNAL AND NEWBORN CARE, INPATIENT AND OUTPATIENT CARE, COMPLEX CARE MANAGEMENT, AND INTERPROFESSIONAL TEAM-BASED PRACTICE. PROGRAM OBJECTIVES ARE TO: (1) INCREASE ENROLLMENT, RETENTION, AND GRADUATION OF NURSING STUDENTS FROM DISADVANTAGED BACKGROUNDS; (2) STRENGTHEN ACADEMIC, SOCIAL, AND FINANCIAL SUPPORTS THAT IMPROVE EDUCATIONAL SUCCESS; AND (3) RECRUIT, TRAIN, AND RETAIN NURSE PRECEPTORS AND MENTORS WHO ENHANCE LEARNING ENVIRONMENTS AND SUPPORT STUDENT ACHIEVEMENT. ROH WILL TRACK PARTICIPANT OUTCOMES, GRADUATION, WORKFORCE ENTRY, AND CONTINUED EDUCATION FOR AT LEAST ONE YEAR FOLLOWING PROGRAM COMPLETION. BY CREATING A STRUCTURED PATHWAY FROM NURSING EDUCATION THROUGH WORKFORCE ENTRY, LEAP WILL STRENGTHEN THE REGIONAL NURSING WORKFORCE PIPELINE, IMPROVE OPPORTUNITIES FOR STUDENTS FROM DISADVANTAGED BACKGROUNDS, AND INCREASE THE NUMBER OF NURSES PREPARED TO SERVE MEDICALLY VULNERABLE COMMUNITIES THROUGHOUT THE MID-SOUTH.

REGIONAL ONE HEALTHS RX FOR CHANGE IS A HOSPITAL-BASED VICTIM SERVICES INITIATIVE IN SHELBY COUNTY, TENNESSEE THAT PROVIDES COMPREHENSIVE SUPPORT SERVICES TO CRIME VICTIMS OF GUN VIOLENCE AND OTHER VIOLENT BEHAVIORS. THIS PROJECT ADDRESSES THE CRITICAL NEED FOR VICTIM SERVICES IN A COMMUNITY WITH ONE OF THE NATION'S HIGHEST VIOLENT CRIME RATES. THE PROGRAM INCLUDES THREE INTEGRATED PHASES OF CARE: ACUTE CARE IN THE HOSPITAL SETTING WHERE PROGRAM LIAISONS IDENTIFY AND ENGAGE VICTIMS AND DEVELOP A SAFETY PLAN; HOSPITAL DISCHARGE WHEN LIAISONS COORDINATE CRITICALLY NEEDED SERVICES THROUGH LINKAGE TO COMMUNITY RESOURCES; AND THE RECOVERY PERIOD DURING WHICH LIAISONS PROVIDE INTENSIVE CASE MANAGEMENT TO HELP VICTIMS ACHIEVE STABILITY AND PURSUE PERSONAL GOALS. RX FOR CHANGE PROVIDES ESSENTIAL SERVICES THAT HELP VICTIMS RECOVER PHYSICALLY AND EMOTIONALLY.

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE