Project Grant CPIMP241396
- This federal Project Grant award of $708,678, provided by the National Heart, Lung and Blood Institute (CFDA 93.837 Cardiovascular Diseases Research), aims to conduct a Sequential Multiple Assignment Randomized Trial (SMART) to reduce food insecurity and improve adherence in patients with hypertension. The key products and services to be delivered under this grant include: Determining the most effective initial food insecurity intervention (resource information or community health worker...
- This Project Grant award from the Agency for Healthcare Research and Quality (AHRQ) under the Research on Healthcare Costs, Quality and Outcomes program (CFDA 93.226) supports a $400,000 randomized trial to evaluate the impact of a "whole person navigation" intervention for adults with multiple chronic conditions. The intervention combines predictive modeling to identify high-risk patients with a navigation strategy to help guide them in accessing social services and overcoming...
- This federal Project Grant award of $130,065 was provided by the National Heart Lung and Blood Institute under the Cardiovascular Diseases Research federal grant program (CFDA 93.837) to conduct systematic economic analyses on the costs associated with implementing a chronic care model for patients with hypertension. The grant supports a study led by principal investigator Dr. Elaine Khoong and collaborators Dr. Dhruv Kazi, Dr. Lina Tieu, and Dr. Lisa Ochoa-Frongia. The project aims to...
- This federal Project Grant award from the Department of Health and Human Services' Health Resources and Services Administration (HRSA) under the Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement program (CFDA 93.912) provides $300,000 to Self Regional Healthcare (SRH) to lead the Lakelands Collaborative Care Initiative in South Carolina. The project aims to expand chronic care management (CCM) services for rural residents...
- The Bureau of Primary Health Care, a division of the U.S. Department of Health and Human Services, awarded a $3,000,000 Project Grant under the Grants for New and Expanded Services under the Health Center Program (CFDA 93.527) to Southside Medical Center, Inc. in Atlanta, Georgia. The award, effective from December 1, 2024 to November 30, 2026, will fund Southside Medical Center's "Justice Involved Transitions for Health Plan" to provide comprehensive medical, mental health, and social...
- The Tri-County Health Network (TCHNetwork) has been awarded a $300,000 Rural Health Care Services Outreach Grant (CFDA 93.912) from the U.S. Department of Health and Human Services' Health Resources and Services Administration (HRSA). The grant will fund a 4-year project to expand healthcare services in rural southwestern Colorado, with a focus on addressing stroke, heart disease, cancer, chronic lower respiratory disease, unintentional injury, and maternal health. TCHNetwork will offer...
- This $631,589 Project Grant award from the National Heart Lung and Blood Institute under the Cardiovascular Diseases Research program (CFDA 93.837) will examine the implementation, effectiveness, and cost-effectiveness of two strategies for integrating a community health worker-facilitated hypertension telehealth intervention into primary health centers in Kenya. The goal is to address multi-level barriers to effective hypertension treatment and management. The two implementation approaches are:...
- The University of Alabama at Birmingham (UAB) received a $222,750 Project Grant from the National Heart, Lung, and Blood Institute (CFDA 93.837 Cardiovascular Diseases Research) to develop a clinical decision support questionnaire to identify barriers to blood pressure control. The project aims to address the high rates of uncontrolled hypertension in the U.S., which is a leading cause of morbidity, mortality, and substantial healthcare costs. The award, with a performance period from July...
- The U.S. Department of Health and Human Services' Health Resources and Services Administration (HRSA) awarded a $250,000 Rural Health Care Services Outreach Grant to Southern Healthcare Collaboration, Inc. (SHC), a non-profit organization operating in rural southeast Georgia. This grant, funded under HRSA's Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement program (CFDA 93.912), will enable SHC to expand healthcare services...
- The U.S. Department of Health and Human Services (HHS), through the Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement program (CFDA 93.912), awarded a $300,000 project grant to Wellstar Health System, Inc., a non-profit healthcare provider in Georgia. The grant, effective from August 1, 2025 to July 31, 2029, will fund Wellstar's Rural Healthcare Access Partnership Program (RHAP). The RHAP project aims to address maternal and...
INVERTING THE BURDEN OF NAVIGATING HEALTH AND SOCIAL SERVICES WITH COMMUNITY RESOURCE HUBS: A METRO-WIDE PATIENT-CENTERED SOCIAL NEEDS REFERRAL NETWORK - IN THE METRO ATLANTA AREA, RESIDENTS MANAGING CHRONIC CONDITIONS ARE FACED WITH MANY BARRIERS TO OPTIMAL HEALTH AND WELL-BEING. INADEQUATE HEALTH AND ACADEMIC EDUCATION AND ACCESS TO QUALITY HEALTH CARE SERVICES HAS CREATED DISPARATE CONDITIONS AMONG METRO ATLANTA RESIDENTS. GEORGIA WAS RANKED AMONG THE 13TH HIGHEST MORTALITY RATE DUE TO HYPERTENSION, WITH 56% OF NON-HISPANIC BLACK ADULTS IN GEORGIA LIVING WITH HIGH BLOOD PRESSURE. (CENTERS FOR DISEASE CONTROL AND PREVENTION, 2022; GEORGIA DEPARTMENT OF PUBLIC HEALTH, 2023) FOR MANY MANAGING HYPERTENSION, THE CONDITION IS COMPOUNDED BY FOOD INSECURITY AND HUNGER. IN GEORGIA, 1 IN 9 (10.7%) PEOPLE WHO ARE FOOD INSECURE. (ATLANTA COMMUNITY FOOD BANK, 2024) THESE CONDITIONS ARE EXACERBATED BY DISCONNECTED MEDICAL AND SOCIAL SERVICE SYSTEMS THAT DO NOT CENTER THE INDIVIDUAL. UNABLE TO NAVIGATE THE SYSTEM WITH EASE, RESIDENTS ARE FORCED INTO A CYCLE OF POOR HEALTH AND THE SYSTEM IS BURDENED WITH INCREASED EMERGENCY ROOM UTILIZATION, AND UNDERUTILIZED PREVENTATIVE HEALTH AND SOCIAL SERVICES. THE ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT (ARCHI) PROPOSES TO ADDRESS THIS PROBLEM WITH THE FOLLOWING PROJECT: INVERTING THE BURDEN OF NAVIGATING HEALTH AND SOCIAL SERVICES WITH COMMUNITY RESOURCE HUB: A METRO-WIDE PATIENT-CENTERED SOCIAL NEEDS REFERRAL NETWORK. THE COMMUNITY RESOURCE HUB (CRH) PLACES THE PATIENT WITH A COMMUNITY HEALTH WORKER AT THE CENTER OF CARE, EMBEDS THE CHW IN A LOCAL HEALTH SYSTEM FOCUSED ON A SPECIFIC MARGINALIZED COMMUNITY, AND ESTABLISHES A REAL-TIME CLOSED-LOOP LOOP REFERRAL NETWORK WITH COMMUNITY-BASED ORGANIZATIONS TO OPTIMIZE COMMUNITY LINKAGES TO ADDRESS SOCIAL DRIVERS OF HEALTH. OUR GOAL IS TO (1) IMPROVE HYPERTENSION CONTROL FOR HIGH-NEED PATIENTS AND (2) ADDRESS FOOD INSECURITY / HUNGER AND OTHER SOCIAL DETERMINANTS OF HEALTH THROUGH FOUR DIFFERENT CRH SITES EACH YEAR, SUPPORTING AT LEAST 500 PREVIOUSLY UNDERSERVED PATIENTS PER YEAR. BY CENTERING THE PATIENT AND PROVIDING INCREASED ACCESS TO HEALTH CARE, HEALTH EDUCATION AND SOCIAL SERVICES, AND SHARING DATA AMONG SERVICE AND MEDICAL ORGANIZATIONS, THIS PROJECT WILL IMPROVE MONITORING TO DEMONSTRATE SYSTEM-LEVEL OUTCOMES AS WELL AS PROCESS AND IMPACT IMPROVEMENTS IN HYPERTENSION CONTROL AND FOOD INSECURITY. OUR LEARNINGS AND BEST PRACTICES WILL BE DISSEMINATED TO PARTNERS, KEY STAKEHOLDERS, THE COMMUNITY, AND THOSE LIVING WITH CHRONIC CONDITIONS TO FOSTER MEDICAL AND SOCIAL SERVICE SYSTEMS THAT CENTER THE INDIVIDUAL AND IMPROVE PREVENTATIVE HEALTH SERVICES AND DECREASES DISPARATE CONDITIONS AMONG BLACK RESIDENTS.
Mod # | Description | ReasonForModification | Federal Obligation | Date |
|---|---|---|---|---|
| Not listed | $600.0k | 9/24/25 | ||
| Not listed | $600.0k | 8/16/24 |
GrantNumber | Description | Subgrantee | Prime Award | Dollars Obligated | Updated At |
|---|---|---|---|---|---|
SP0001672403S | Health Education, Assessment And Leadership, Inc. (\"H.e.a.l.,Inc.\") | Project Grant CPIMP241396 | $50.0k | 6/25/25 | |
SP0001672402S | Mosaic Health Center, Inc. | Project Grant CPIMP241396 | $50.0k | 4/2/25 | |
SP0001672401S | Saint Joseph's Mercy Care Services, Inc. | Project Grant CPIMP241396 | $49.9k | 12/12/24 |