Project Grant G2047062

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - APPLICANT ORGANIZATION INFORMATION: EL DORADO COUNTY COMMUNITY HEALTH CENTERS 4327 GOLDEN CENTER DRIVE PLACERVILLE, CA 95667 FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WWW.EDCCHC.ORG DESIGNATED PROJECT DIRECTOR INFORMATION: ALICIA KELLEY, M.P.H. DIRECTOR OF COMPLIANCE & QUALITY OFFICE: (530) 621-7700 EXTENSION 5055 E-MAIL: AKELLEY@EDCHC.ORG QUALITY IMPROVEMENT PROJECT: TITLE: THE EL DORADO MILLION HEARTS PROJECT GOAL: TO REDUCE HEART DISEASE AND STROKE AMONG 3,500 LOW-INCOME ADULTS LIVING IN DESIGNATED RURAL AREAS OF EL DORADO COUNTY. REQUESTED AWARD AMOUNT: $200,000 EACH YEAR OF THE FOUR-YEAR GRANT PERIOD SERVICE AREA: DESIGNATED RURAL AREAS OF EL DORADO COUNTY, CALIFORNIA: PLACERVILLE 95667, CAMERON PARK 95682, SHINGLE SPRINGS 95682, EL DORADO 95623, RESCUE 95672, COLOMA 95613, DIAMOND SPRINGS 95667, CAMINO 95709, POLLOCK PINES 95726, GRIZZLY FLATS 95636, SOMERSET 95684, AND KYBURZ 95720. CENSUS TRACTS: 030801, 030803, 030804, 030808, 030809, 030810, 030901, 030902, 031000, 031200, 031502, 031503, 031504, 031301, 031302, 031402, 031405, 031406, AND 031900. TARGET POPULATION: LOW-INCOME ADULTS LIVING IN RURAL AREAS OF EL DORADO COUNTY WHO ARE AT RISK FOR HEART DISEASE AND STROKE AND PATIENTS OF EL DORADO COUNTY COMMUNITY HEALTH CENTERS (EDCCHC). NETWORK PARTNERSHIPS (IF APPLICABLE): ACCESS EL DORADO (ACCEL), A COLLABORATIVE OF AGENCIES THAT SEEK TO CREATE HEALTHIER COMMUNITIES. QUALITY IMPROVEMENT MODEL(S): THE MODEL FOR IMPROVEMENT AND PLAN, DO, STUDY, ACT (PDSA) PROJECT ACTIVITIES/SERVICES: THE EL DORADO MILLION HEARTS PROJECT WILL IMPLEMENT LOCALLY THE NATIONAL MILLION HEARTS INITIATIVE. PRIORITIES WILL INCLUDE: BUILDING HEALTHY COMMUNITIES, OPTIMIZING CARE, AND FOCUSING ON HEALTH EQUITY. WORKING WITH ACCESS EL DORADO (ACCEL), AN EXISTING RURAL COMMUNITY COLLABORATIVE, THE PROJECT WILL BUILD HEALTHY COMMUNITIES THROUGH REDUCTIONS IN TOBACCO USE, PHYSICAL INACTIVITY, AND PARTICLE POLLUTION EXPOSURE. THE PROJECT WILL FOCUS ON OPTIMI ZING CARE FOR PATIENTS AT RISK FOR HEART DISEASE AND STROKE BY IMPLEMENTING THE ABCS OF CARDIOVASCULAR DISEASE PREVENTION WHICH ARE: 1) APPROPRIATE ASPIRIN AND ANTICOAGULANT USE, 2) BLOOD PRESSURE CONTROL, 3) CHOLESTEROL MANAGEMENT, AND 4) SMOKING CESSATION. THE PROJECT WILL ALSO FOCUS ON HEALTH EQUITY BY IMPLEMENTING POLICIES AND PRACTICES THAT WILL ENSURE EQUAL ACCESS TO HEALTHCARE SERVICES AND RESOURCES THROUGH SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING AND REFERRALS TO COMMUNITY HUBS. EXPECTED OUTCOMES: PROJECT EXPECTED OUTCOMES ALIGN WITH THOSE OF THE NATIONAL MILLION HEARTS INITIATIVE. OUTCOMES ARE CATEGORIZED BY THREE IMPACT AREAS: IMPROVED HEALTH OUTCOMES, EXPANDED CAPACITY FOR ESSENTIAL HEALTHCARE SERVICES, AND INCREASED FINANCIAL SUSTAINABILITY. THE PROJECT WILL IMPROVE HEALTH OUTCOMES AMONG PARTICIPANTS THROUGH 20% REDUCTIONS IN TOBACCO USE, PHYSICAL INACTIVITY, AND EXPOSURE TO PARTICULATE POLLUTION AND A 20% IMPROVEMENT IN THE ABCS OF CARDIOVASCULAR DISEASE PREVENTION. 70% OF PROJECT PARTICIPANTS WILL RECEIVE CARDIAC REHABILITATION AND REFERRAL FOR SDOH. ESSENTIAL HEALTHCARE WILL BE EXPANDED BY IMPROVED INTER-AGENCY REFERRAL PRACTICES, INTEGRATION OF THE ABCS OF CARDIOVASCULAR DISEASE PREVENTION, AND MORE CESSATION AND EDUCATION CLASSES. FINANCIAL SUSTAINABILITY WILL BE INCREASED THROUGH AN EXPERIENCED ACCEL COLLABORATIVE CAPABLE OF SECURING FUNDING, INCREASED PATIENT VISITS, AND IMPROVEMENT IN HEALTH PLAN INCENTIVIZED MEASURES. FUNDING PREFERENCE: EL DORADO COUNTY COMMUNITY HEALTH CENTERS IS REQUESTING A FUNDING PREFERENCE. EL DORADO COUNTY IS DESIGNATED AS A HIGH NEEDS GEOGRAPHIC HPSA (MENTAL HEALTH HPSA) AND IS A PROJECT FOCUSED ON PRIMARY CARE AND WELLNESS AND PREVENTION STRATEGIES.