Rural Health Medical Program Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CF CONGRESSIONALLY DIRECTED GRANTS

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - BACKGROUND: RURAL HEALTH MEDICAL PROGRAM, INC. (RHMP) SERVES A PREDOMINANTLY UNDERSERVED POPULATION IN THE RURAL BLACK BELT OF ALABAMA, WHERE RATES OF POVERTY AND HEALTH DISPARITIES ARE AMONG THE HIGHEST IN THE NATION. A SIGNIFICANT PORTION OF THIS POPULATION SUFFERS FROM UNTREATED MENTAL HEALTH AND SUBSTANCE USE DISORDERS (SUD), EXACERBATED BY LIMITED ACCESS TO BEHAVIORAL HEALTH SERVICES. PROJECT OBJECTIVE: THE “WHOLE CARE, WHOLE COMMUNITY: INTEGRATING BEHAVIORAL HEALTH WITH RURAL PRIMARY CARE” PROJECT AIMS TO COMPREHENSIVELY EXPAND MENTAL HEALTH AND SUD SERVICES INTO RHMP’S EXISTING PRIMARY CARE FRAMEWORK ACROSS ITS 9 LOCATIONS AND THROUGH A MOBILE HEALTH UNIT. THIS TWO-YEAR INITIATIVE SEEKS TO SIGNIFICANTLY INCREASE THE NUMBER OF PATIENTS RECEIVING THESE CRITICAL SERVICES, THUS IMPROVING OVERALL COMMUNITY HEALTH OUTCOMES. ACTIVITIES: SERVICE EXPANSION: ESTABLISH OR EXPAND MENTAL HEALTH AND SUD SERVICES ACROSS ALL RHMP LOCATIONS. MOBILE HEALTH UNIT DEPLOYMENT: UTILIZE A MOBILE HEALTH UNIT TO EXTEND BEHAVIORAL HEALTH SERVICES TO REMOTE AND UNDERSERVED AREAS, ENSURING ACCESS TO CARE FOR THE MOST ISOLATED PATIENTS. STAFF TRAINING AND DEVELOPMENT: ENHANCE CAPABILITIES OF EXISTING PRIMARY CARE PROVIDERS THROUGH TARGETED TRAINING IN MENTAL HEALTH AND SUD MANAGEMENT, INCLUDING THE ADMINISTRATION OF MEDICATIONS FOR OPIOID USE DISORDER (MOUD). COMMUNITY ENGAGEMENT AND EDUCATION: CONDUCT OUTREACH AND EDUCATION CAMPAIGNS TO REDUCE STIGMA ASSOCIATED WITH BEHAVIORAL HEALTH ISSUES AND PROMOTE SERVICE AVAILABILITY. EXPECTED OUTCOMES: INCREASE IN THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES BY 50%. INCREASE IN THE NUMBER OF PATIENTS RECEIVING SUD SERVICES BY 50%, INCLUDING THOSE TREATED WITH MOUD. IMPROVED INTEGRATION OF BEHAVIORAL HEALTH INTO PRIMARY CARE SETTINGS, LEADING TO BETTER PATIENT OUTCOMES AND REDUCED HEALTHCARE COSTS. SUSTAINABILITY: BEYOND THE GRANT PERIOD, RHMP WILL SUSTAIN EXPANDED SERVICES THROUGH A MIX OF PATIENT REVENUE, CON TINUED GRANT FUNDING STRATEGIES, AND PARTNERSHIPS WITH LOCAL AND STATE HEALTH ORGANIZATIONS. THIS PROJECT ALIGNS WITH HRSA'S GOALS UNDER THE BEHAVIORAL HEALTH SERVICE EXPANSION PROGRAM BY ADDRESSING CRITICAL GAPS IN SERVICE PROVISION, ENHANCING CARE QUALITY, AND REDUCING BARRIERS TO ACCESS FOR ONE OF ALABAMA’S MOST VULNERABLE POPULATIONS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

TELEHEALTH NETWORK GRANT PROGRAM - BACKGROUND: RURAL HEALTH MEDICAL PROGRAM, INC. (RHMPI) SERVES RURAL AND MEDICALLY UNDERSERVED COMMUNITIES ACROSS ALABAMA’S BLACK BELT, INCLUDING DALLAS, PERRY, WILCOX, MARENGO, MONROE, AND CLARKE COUNTIES. MANY PATIENTS EXPERIENCE POVERTY, TRANSPORTATION BARRIERS, PROVIDER SHORTAGES, LIMITED SPECIALTY ACCESS, AND HIGH RATES OF NUTRITION-RELATED CHRONIC DISEASE. DIABETES, HYPERTENSION, OBESITY, AND CARDIOVASCULAR DISEASE REMAIN MAJOR HEALTH CONCERNS ACROSS THE SERVICE AREA. ACCESS TO REGISTERED DIETITIANS, MEDICAL NUTRITION THERAPY (MNT), NUTRITION SCREENING, AND ONGOING NUTRITION COUNSELING IS LIMITED IN MANY RURAL COMMUNITIES. PROJECT OBJECTIVE: THE RURAL TELE-NUTRITION NETWORK FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT IN ALABAMA’S BLACK BELT WILL EXPAND ACCESS TO INTEGRATED NUTRITION SERVICES THROUGH RHMPI’S TELEHEALTH NETWORK. OVER THE FIVE-YEAR PROJECT PERIOD, RHMPI WILL INTEGRATE REGISTERED DIETITIAN-LED MNT, NUTRITION SCREENINGS, INDIVIDUAL COUNSELING, GROUP EDUCATION, COMMUNITY HEALTH WORKER-SUPPORTED FOLLOW-UP, AND A TARGETED HYBRID REMOTE PATIENT MONITORING AND TELEHEALTH TRACKING MODEL INTO PRIMARY CARE, CARE COORDINATION, BEHAVIORAL HEALTH, MOBILE OUTREACH, AND SPECIALTY REFERRAL WORKFLOWS. THE PROJECT WILL FOCUS ON PATIENTS WITH DIABETES, HYPERTENSION, OBESITY, AND CARDIOVASCULAR DISEASE. THIS MODEL DIRECTLY SUPPORTS THE NOFO’S FOCUS ON CHRONIC DISEASE PREVENTION AND TREATMENT BY COMBINING TELE-NUTRITION SERVICES WITH TARGETED RPM AND TELEHEALTH-ENABLED TRACKING TO MONITOR PATIENT PROGRESS, STRENGTHEN CARE TEAM COORDINATION, AND EVALUATE OUTCOMES OVER TIME. ACTIVITIES: TELE-NUTRITION SERVICE EXPANSION: PROVIDE MNT, INDIVIDUAL COUNSELING, GROUP EDUCATION, AND NUTRITION SCREENINGS THROUGH TELEHEALTH FOR PATIENTS WITH IDENTIFIED CHRONIC DISEASE RISKS. CARE TEAM INTEGRATION: EMBED NUTRITION REFERRAL PATHWAYS INTO PRIMARY CARE AND SPECIALTY CARE WORKFLOWS, INCLUDING CHRONIC DISEASE FOLLOW-UP, CARE COORDINATION, BEHAVIORAL HEALTH, WOMEN’S HEALTH, PEDIATRICS, ANNUAL WELLNESS VISITS, AND MOBILE UNIT ENCOUNTERS. REGISTERED DIETITIAN AND CHW MODEL: SUPPORT AT LEAST 1.0 FTE REGISTERED DIETITIAN AND AT LEAST 0.5 FTE COMMUNITY HEALTH WORKER TO DELIVER NUTRITION SERVICES, COORDINATE REFERRALS, SUPPORT ENGAGEMENT, AND ADDRESS BARRIERS TO CARE. TARGETED HYBRID RPM AND TELEHEALTH TRACKING: USE PATIENT-OWNED DEVICES WHEN AVAILABLE, LIMITED LOANER BLOOD PRESSURE CUFFS AND SCALES FOR HIGH-RISK PATIENTS, CLINIC- AND MOBILE-UNIT-BASED BIOMETRIC MONITORING, CHW CHECK-INS, ATHENAHEALTH EHR DOCUMENTATION, AND AZARA DRVS REGISTRY REPORTING TO TRACK A1C, BLOOD PRESSURE, BMI, WEIGHT, VISIT COMPLETION, AND PATIENT PROGRESS. EXPECTED OUTCOMES: RHMPI EXPECTS TO INCREASE ACCESS TO REGISTERED DIETITIAN-LED NUTRITION SERVICES; INCREASE NUTRITION SCREENINGS, MNT, COUNSELING, AND GROUP EDUCATION; IMPROVE INTEGRATION OF NUTRITION SERVICES INTO PRIMARY AND SPECIALTY CARE; STRENGTHEN TELEHEALTH NETWORK CAPACITY; IMPROVE PATIENT ENGAGEMENT IN CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND GENERATE DATA TO EVALUATE SERVICE DELIVERY, PATIENT OUTCOMES, AND SUSTAINABILITY. SUSTAINABILITY: RHMPI WILL SUSTAIN TELE-NUTRITION SERVICES THROUGH THIRD-PARTY REIMBURSEMENT WHEN AVAILABLE, INTEGRATION INTO PRIMARY CARE AND CHRONIC DISEASE WORKFLOWS, CARE COORDINATION SUPPORT, CONTINUED USE OF ATHENAHEALTH AND AZARA DRVS REPORTING, FUTURE GRANT OPPORTUNITIES, AND PARTNERSHIPS WITH RURAL HEALTH, PUBLIC HEALTH, AND COMMUNITY-BASED ORGANIZATIONS. THIS PROJECT ALIGNS WITH HRSA’S GOALS BY EXPANDING NUTRITION SERVICES IN RURAL AND MEDICALLY UNDERSERVED COMMUNITIES, INCREASING TELEHEALTH NETWORK CAPACITY, INTEGRATING NUTRITION INTO PRIMARY AND SPECIALTY CARE, AND GENERATING DATA TO EVALUATE PROGRAM ACTIVITIES AND OUTCOMES.

TELEHEALTH NETWORK GRANT PROGRAM - BACKGROUND: RURAL HEALTH MEDICAL PROGRAM, INC. (RHMPI) SERVES RURAL AND MEDICALLY UNDERSERVED COMMUNITIES ACROSS ALABAMA’S BLACK BELT, INCLUDING DALLAS, PERRY, WILCOX, MARENGO, MONROE, AND CLARKE COUNTIES. MANY PATIENTS EXPERIENCE POVERTY, TRANSPORTATION BARRIERS, PROVIDER SHORTAGES, LIMITED SPECIALTY ACCESS, AND HIGH RATES OF NUTRITION-RELATED CHRONIC DISEASE. DIABETES, HYPERTENSION, OBESITY, AND CARDIOVASCULAR DISEASE REMAIN MAJOR HEALTH CONCERNS ACROSS THE SERVICE AREA. ACCESS TO REGISTERED DIETITIANS, MEDICAL NUTRITION THERAPY (MNT), NUTRITION SCREENING, AND ONGOING NUTRITION COUNSELING IS LIMITED IN MANY RURAL COMMUNITIES. PROJECT OBJECTIVE: THE RURAL TELE-NUTRITION NETWORK FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT IN ALABAMA’S BLACK BELT WILL EXPAND ACCESS TO INTEGRATED NUTRITION SERVICES THROUGH RHMPI’S TELEHEALTH NETWORK. OVER THE FIVE-YEAR PROJECT PERIOD, RHMPI WILL INTEGRATE REGISTERED DIETITIAN-LED MNT, NUTRITION SCREENINGS, INDIVIDUAL COUNSELING, GROUP EDUCATION, COMMUNITY HEALTH WORKER-SUPPORTED FOLLOW-UP, AND A TARGETED HYBRID REMOTE PATIENT MONITORING AND TELEHEALTH TRACKING MODEL INTO PRIMARY CARE, CARE COORDINATION, BEHAVIORAL HEALTH, MOBILE OUTREACH, AND SPECIALTY REFERRAL WORKFLOWS. THE PROJECT WILL FOCUS ON PATIENTS WITH DIABETES, HYPERTENSION, OBESITY, AND CARDIOVASCULAR DISEASE. THIS MODEL DIRECTLY SUPPORTS THE NOFO’S FOCUS ON CHRONIC DISEASE PREVENTION AND TREATMENT BY COMBINING TELE-NUTRITION SERVICES WITH TARGETED RPM AND TELEHEALTH-ENABLED TRACKING TO MONITOR PATIENT PROGRESS, STRENGTHEN CARE TEAM COORDINATION, AND EVALUATE OUTCOMES OVER TIME. ACTIVITIES: TELE-NUTRITION SERVICE EXPANSION: PROVIDE MNT, INDIVIDUAL COUNSELING, GROUP EDUCATION, AND NUTRITION SCREENINGS THROUGH TELEHEALTH FOR PATIENTS WITH IDENTIFIED CHRONIC DISEASE RISKS. CARE TEAM INTEGRATION: EMBED NUTRITION REFERRAL PATHWAYS INTO PRIMARY CARE AND SPECIALTY CARE WORKFLOWS, INCLUDING CHRONIC DISEASE FOLLOW-UP, CARE COORDINATION, BEHAVIORAL HEALTH, WOMEN’S HEALTH, PEDIATRICS, ANNUAL WELLNESS VISITS, AND MOBILE UNIT ENCOUNTERS. REGISTERED DIETITIAN AND CHW MODEL: SUPPORT AT LEAST 1.0 FTE REGISTERED DIETITIAN AND AT LEAST 0.5 FTE COMMUNITY HEALTH WORKER TO DELIVER NUTRITION SERVICES, COORDINATE REFERRALS, SUPPORT ENGAGEMENT, AND ADDRESS BARRIERS TO CARE. TARGETED HYBRID RPM AND TELEHEALTH TRACKING: USE PATIENT-OWNED DEVICES WHEN AVAILABLE, LIMITED LOANER BLOOD PRESSURE CUFFS AND SCALES FOR HIGH-RISK PATIENTS, CLINIC- AND MOBILE-UNIT-BASED BIOMETRIC MONITORING, CHW CHECK-INS, ATHENAHEALTH EHR DOCUMENTATION, AND AZARA DRVS REGISTRY REPORTING TO TRACK A1C, BLOOD PRESSURE, BMI, WEIGHT, VISIT COMPLETION, AND PATIENT PROGRESS. EXPECTED OUTCOMES: RHMPI EXPECTS TO INCREASE ACCESS TO REGISTERED DIETITIAN-LED NUTRITION SERVICES; INCREASE NUTRITION SCREENINGS, MNT, COUNSELING, AND GROUP EDUCATION; IMPROVE INTEGRATION OF NUTRITION SERVICES INTO PRIMARY AND SPECIALTY CARE; STRENGTHEN TELEHEALTH NETWORK CAPACITY; IMPROVE PATIENT ENGAGEMENT IN CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND GENERATE DATA TO EVALUATE SERVICE DELIVERY, PATIENT OUTCOMES, AND SUSTAINABILITY. SUSTAINABILITY: RHMPI WILL SUSTAIN TELE-NUTRITION SERVICES THROUGH THIRD-PARTY REIMBURSEMENT WHEN AVAILABLE, INTEGRATION INTO PRIMARY CARE AND CHRONIC DISEASE WORKFLOWS, CARE COORDINATION SUPPORT, CONTINUED USE OF ATHENAHEALTH AND AZARA DRVS REPORTING, FUTURE GRANT OPPORTUNITIES, AND PARTNERSHIPS WITH RURAL HEALTH, PUBLIC HEALTH, AND COMMUNITY-BASED ORGANIZATIONS. THIS PROJECT ALIGNS WITH HRSA’S GOALS BY EXPANDING NUTRITION SERVICES IN RURAL AND MEDICALLY UNDERSERVED COMMUNITIES, INCREASING TELEHEALTH NETWORK CAPACITY, INTEGRATING NUTRITION INTO PRIMARY AND SPECIALTY CARE, AND GENERATING DATA TO EVALUATE PROGRAM ACTIVITIES AND OUTCOMES.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS