Project Grant D0649163

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM - THE HEALTHY COMMUNITIES COALITION (HCC)IS A GRASSROOTS BASED PARTNERSHIP WHOSE VISION IS TO MOBILIZE, SHARE, AND COLLABORATE FOR HEALTHY COMMUNITIES WHERE ALL HAVE OPPORTUNITIES TO GROW, LIVE AND LEARN. OUR MISSION IS TO STRIVE TO PROMOTE AND SUPPORT SUSTAINABLE, CULTURALLY INCLUSIVE PREVENTION SERVICES, COMMUNITY INITIATIVES, AND CAPACITY BUILDING SYSTEMS THAT ADDRESS ALL FACTIONS OF A HEALTHY COMMUNITY FOR ALL MEMBERS. HCC IS LOCATED AT 209 DAYTON VALLEY ROAD, DAYTON, NV 89403 (HTTPS://HEALTHYCOMM.ORG/), AND IS REQUESTING $300,000 PER YEAR FOR 4 YEARS. THE PROJECT DIRECTOR IS SARAH DANIEL. SHE IS WITH HIGH SIERRA AHEC AND CAN BE REACHED AT 775-507-4022, SARADANIEL@HIGHSIERRAAHEC.ORG. THERE IS ONE OTHER KEY STAFF MEMBER, NETWORK DIRECTOR NOEL CHOUNET. SHE CAN BE REACHED AT 775-246-7550, NOEL@HCCLSC.ORG. HCC IS PROPOSING AN INITIATIVE DECREASE THE IMPACT OF METABOLIC SYNDROME AND PREVENT METABOLIC DISEASE THROUGH EDUCATION, ENGAGEMENT, AND HEALTH CARE IN THE COMMUNITY, HOME, AND PRIMARY CARE SETTINGS IN THE TARGETED SERVICE AREA OF LYON AND STOREY COUNTIES IN NEVADA. THE DESIRED OUTCOME IS TO DECREASE THE RATE OF METABOLIC SYNDROME AND ITS RELATED DRIVERS (HYPERTENSION, HIGH BLOOD SUGAR, OBESITY, CHOLESTEROL) AMONG INDIVIDUALS RECEIVING SERVICES, THUS IMPROVING OVERALL COMMUNITY HEALTH STATUS AND REDUCING THE BURDEN OF DISEASE. THE FOCUS AREA IS PRIMARY AND INTEGRATED CARE. TARGET POPULATION. THE TARGET POPULATION IS ALL SERVICE AREA RESIDENTS LIVING WITH OR AT RISK OF METABOLIC SYNDROME, PARTICULARLY THOSE WITH LONG-TERM COMPLEX CONDITIONS WHO COULD BENEFIT FROM HOME AND COMMUNITY-BASED SERVICES. THE PROJECT AREA INCLUDES THE ENTIRETY OF LYON AND STOREY COUNTIES (100% RURAL). NETWORK MEMBERS. MEMBERS PARTICIPATING IN THE PROPOSED INITIATIVE: HEALTHY COMMUNITIES COALITION (DAYTON); COMMUNITY CHEST (VIRGINIA CITY); FOOD BANK OF NORTHERN NEVADA (SPARKS; PHYSICALLY LOCATED IN STOREY COUNTY); HIGH SIERRA AHEC (RENO); RURAL NEVADA HEALTH NETWORK ( DAYTON), FACILITATED BY TURNING POINT, INC. (VIRGINIA CITY); NEVADA RURAL HOSPITAL PARTNERS (RENO). NETWORK PROJECT ACTIVITIES/SERVICES. THE PROJECT WILL PROVIDE OUTREACH, EDUCATION, ENGAGEMENT AND REFERRAL SERVICES THROUGH COMMUNITY HEALTH WORKERS INITIALLY, EVENTUALLY BLENDING IN COMMUNITY PARAMEDICS AS THE MOBILE INTEGRATED HEALTHCARE MODEL IS OPERATIONALIZED. EXPECTED OUTCOMES DOMAIN 1 OUTCOME: INCREASE IN ACCESS TO HEALTH CARE AND COMMUNITY-BASED SUPPORT SERVICES FOR PATIENTS AT-RISK OF METABOLIC SYNDROME. DOMAIN 2 OUTCOME: INCREASE IN INTERPROFESSIONAL TEAMS (CHW/CP/PRIMARY CARE) SUPPORTING PATIENTS WITH METABOLIC SYNDROME IN HOME AND COMMUNITY SETTINGS. DOMAIN 3 OUTCOMES: 1) IMPROVED HEALTH LITERACY AND HEALTH MANAGEMENT SKILLS IN PATIENTS. 2) REDUCTION IN COSTS TO HEALTHCARE SYSTEM AND PATIENTS WHO RECEIVE EDUCATION. DOMAIN 4 OUTCOME: FUNDING FOR THE PROJECT IS DIVERSIFIED, AND INCLUDES BOTH PUBLIC, PRIVATE SOURCES-A MIX OF PUBLIC ASSISTANCE, PRIVATE INSURERS, GRANTS, AND OTHER SUPPORT. CAPACITY TO SERVE. THE HCC IS A REGIONAL NETWORK FORMED AND EXPANDED OVER THE PAST 20 YEARS. HCC CURRENTLY MANAGES 14 GRANTS FROM LOCAL, STATE AND FEDERAL FUNDERS, AND HAS A COLLECTIVE PURPOSE TO IMPROVE HEALTH AND QUALITY OF LIFE IN ITS RURAL SERVICE AREA. HCC ORGANIZES ITS WORK AROUND THE END CONDITIONS SOUGHT FOR THOSE WHO LIVE IN OUR COMMUNITY AND THOSE RECEIVING SERVICES. RESULTS-BASED DECISION-MAKING USES RESULTS (THE DESIRED CONDITIONS OF WELL-BEING) AS THE STARTING POINT FOR MAKING DECISIONS. IT IS A BUSINESS-LIKE PROCESS THAT STARTS WITH ENDS AND WORKS BACKWARDS TO MEANS. BY UTILIZING A NETWORK APPROACH, HCC DRAWS UPON THE COLLECTIVE EXPERTISE OF MEMBERS AND EFFICIENTLY UTILIZES SERVICES AVAILABLE IN THE MEDICALLY UNDERSERVED REGION. THIS HELPS TO SUPPORT NOT ONLY PATIENT AND POPULATION LEVEL OUTCOMES BUT HELPS TO PRESERVE THE WORKFORCE AND REDUCE RISK OF BURNOUT. FUNDING PREFERENCE: HCC IS REQUESTING A PREFERENCE BASED ON QUALIFICATION 1 & 2: LOCATED IN A HPSA AND MUA.