Project Grant D6049280

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA) - APPLICANT ORGANIZATION INFORMATION: ARCARE APPLICANT ORGANIZATION ADDRESS: 117 SOUTH 2ND STREET AUGUSTA, AR 72006 APPLICANT ORGANIZATION FACILITY TYPE: FQHC APPLICANT WEBSITE: WWW.ARCARE.NET PROJECT DIRECTOR NAME AND TITLE: DR. STEVEN COLLIER, CEO PHONE: 870-347-3304 FAX: 870-347-2882 EMAIL: STEVEN.COLLIER@ARCARE.NET DELTA STATES RURAL DEVELOPMENT NETWORK PROGRAM PROJECT TITLE: HEALTHY HEARTS PROJECT GOALS: 1) IMPROVE HEALTH OUTCOMES FOR ADULTS WITH OR AT-RISK FOR CARDIOVASCULAR DISEASE IN ARKANSAS SERVICE REGION B, AND 2) TO STRENGTHEN THE RURAL HEALTHCARE SYSTEM IN THIS REGION PROPOSED SERVICE REGION: ARKANSAS SERVICE REGION B; BRIEF DESCRIPTION OF TARGET POPULATION: THE TARGET POPULATION CONSISTS OF RESIDENTS AGE 50-74 WITH/OR AT-RISK OF A CARDIOVASCULAR DISEASE DIAGNOSIS LIVING IN ARKANSAS SERVICE REGION B. THE TOTAL SERVICE AREA POPULATION IS 569,812. THE REGION CONTAINS MORE THAN 14,000 SQUARE MILES. THE SERVICE AREA HAS HIGH RATES OF ISSUES RELATED TO CHRONIC DISEASE, POVERTY, UNEMPLOYMENT, LOW INCOMES, AND LOW RATES OF INSURANCE AS WELL AS BARRIERS TO HEALTHCARE. THE CDC AND THE ARKANSAS DEPARTMENT OF HEALTH HAVE IDENTIFIED HEART DISEASE AS THE NUMBER ONE CAUSE OF DEATH IN ARKANSAS, RESPONSIBLE FOR ALMOST ONE-QUARTER OF ALL DEATHS STATEWIDE. PRIMARY FOCUS AREA: CARDIOVASCULAR DISEASE; NETWORK PARTNERSHIPS: THE NETWORK'S NAME IS THE ARKANSAS HEALTH IMPROVEMENT COALITION. THE COALITION WAS FORMED IN 2013 TO PROVIDE A SEAMLESS AND SYSTEMATIC COLLABORATION IN MEETING THE HEALTH NEEDS OF RESIDENTS IN RURAL ARKANSAS (ARKANSAS SERVICE REGION B). THE COALITION FOR THIS PROJECT CONSISTS OF FOUR ORGANIZATIONS INCLUDING 3 FEDERALLY QUALIFIED HEALTH CENTERS AND 1 COMMUNITY ACTION AGENCY. ALL COALITION MEMBERS HAVE SIGNED THE MEMORANDUM OF UNDERSTANDING. CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: FOR THE PAST TEN YEARS, COALITION MEMBERS HAVE COLLABORATED AS NETWORK TO IDENTIFY GAPS IN SERVICES, DEVELOP STRATEGIES TO ALLEVIATE SOCIAL DETERMINANTS OF HEALTH, AND MEET THE NEEDS FOR ACCESSIBLE AND AFFORDABLE HEALTH CARE IN THE DELTA COUNTIES THAT COMPRISE ARKANSAS SERVICE REGION B. THE THREE FQHCS IN THE COALITION HAVE SERVED THEIR RESPECTIVE COMMUNITIES FOR MORE THAN 30 YEARS. COALITION MEMBERS ALL HAVE YEARS OF EXPERIENCE FORMING, ADAPTING, AND SERVING IN DIFFERENT COLLABORATIVE STRUCTURES TO ACHIEVE COMMON GOALS IN THE SERVICE AREA. THE LEAD APPLICANT AND OTHER COALITION MEMBERS HAVE EXTENSIVE ORGANIZATIONAL EXPERIENCE AND CAPACITY TO DELIVER THE PROPOSED SCOPE OF WORK. HOW RURAL POPULATIONS WILL BE SERVED: THE RURAL COMMUNITIES WHERE OUR PARTNERS LIVE AND WORK WILL BENEFIT FROM THE COALITION'S OPERATIONS BY RECEIVING MORE EFFECTIVE HEALTHCARE, EXPERIENCING INCREASED ACCESS TO PROVIDERS, LOWER COSTS OF CARE, AND THE DECADES OF EXPERIENCE OUR TEAMS HAVE IN LINKING RESIDENTS TO ESSENTIAL SUPPORTIVE SERVICES OUTSIDE OF HEALTHCARE TO IMPROVE QUALITY OF LIFE. EVIDENCE-BASED MODEL: ALL PROJECT SERVICES ARE EVIDENCE-BASED, AS DOCUMENTED BY THE PROJECT NARRATIVE, INCLUDING CHRONIC CARE MANAGEMENT, TEAM-BASED CARE, TRANSITIONAL CARE MANAGEMENT, MEDICATION THERAPY MANAGEMENT, REMOTE PATIENT MONITORING, AND INTENSIVE BEHAVIORAL THERAPY FOR CARDIOVASCULAR DISEASE. THE MODELS ARE FLEXIBLE ENOUGH THAT NO TAILORING WILL BE NECESSARY TO ADAPT FOR THIS PROJECT. PROJECT ACTIVITIES: THE ACTIVITIES TO BE DELIVERED ARE THOSE LISTED ABOVE IN THE SECTION ON EVIDENCE-BASED MODELS. EXPECTED OUTCOMES: EXPECTED OUTCOMES INCLUDE IMPROVED PATIENT CLINICAL MEASURES RELATED TO CARDIOVASCULAR DISEASE, AN INCREASE IN PRIMARY CARE PROVIDERS FOLLOWING EVIDENCE-BASED PRACTICES IN DELIVERING CVD CARE, AND A REDUCTION IN HOSPITAL READMISSIONS FOR CVD ISSUES. FUNDING PREFERENCE: THE PROJECT MEETS QUALIFICATION 1: HPSA. THE APPLICANT IS IN AN OFFICIALLY DESIGNATED HPSA AS DOCUMENTED IN ATTACHMENT 10.