SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - APPLICANT ORGANIZATION INFORMATION: LOGAN MINGO AREA MENTAL HEALTH, INC. (DBA MOUNTAIN LAUREL INTEGRATED HEALTH), 174 LMAMH CENTER ROAD, LOGAN, WV 25601, COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH CENTER AND FEDERALLY-QUALIFIED HEALTH CENTER LOOK-ALIKE, WWW.LMAMH.ORG/ DESIGNATED PROJECT DIRECTOR INFORMATION: DONNA J. COOKE, M.A., CHIEF EXECUTIVE OFFICER PHONE: 304-792-7130 FAX: 304-896-5183 DCOOKE@LMAMH.ORG QUALITY IMPROVEMENT PROJECT: MLIH IS SEEKING SUPPORT TO LAUNCH ITS OWN PHARMACY AS PART OF A BROADER SHIFT TOWARDS INTEGRATED CARE. GOALS: THE HEALTH CENTER'S GOAL IS TO MOVE TOWARDS COMPREHENSIVE MEDICATION MANAGEMENT WITH AN INTEGRATED HEALTHCARE APPROACH AND INCREASE ADHERENCE THROUGH THE LAUNCH OF AN IN-HOUSE PHARMACY AND RELATED INTERVENTIONS. REQUESTED AWARD AMOUNT: $200,000 PER YEAR FOR FOUR YEARS SERVICE AREA: THIS PROJECT WOULD SERVE AN AREA IN SOUTHERN WEST VIRGINIA WHICH STRUGGLES WITH LOW LEVELS OF INCOME AND EDUCATIONAL ATTAINMENT, LIMITED ACCESS TO NECESSARY HEALTHCARE SERVICES, AND A VARIETY OF NEGATIVE HEALTH OUTCOMES. LOGAN COUNTY, MINGO COUNTY TARGET POPULATION: FOR THE PURPOSES OF THIS PROJECT, MLIH HAS IDENTIFIED A TARGET POPULATION OF AT-RISK PATIENTS SUFFERING FROM HEART DISEASE, UNINTENTIONAL INJURY BY SUBSTANCE USE, AND DIABETES IN THE RURAL COUNTIES OF LOGAN AND MINGO. DATA COLLECTION FROM THE HEALTH CENTER'S ELECTRONIC HEALTH RECORD HAS IDENTIFIED 1,073 OF ITS PATIENTS ARE DIAGNOSED WITH THESE CONDITIONS. COMBINED, PATIENTS SUFFERING WITH THESE HEALTH DISPARITIES MAKE UP AN OVERALL PERCENTAGE OF 40.7% OF THE HEALTH CENTER'S TOTAL POPULATION. NETWORK PARTNERSHIPS: N/A QUALITY IMPROVEMENT MODEL(S): THE PROJECT WILL USE THE PLAN-DO-STUDY-ACT (PDSA) METHOD TO SUPPORT BETTER HEALTH OUTCOMES AND DELIVER HIGH-QUALITY PATIENT CARE. PROJECT ACTIVITIES/SERVICES: -WORK WITH ITS EXISTING PHARMACY CONSULTANT TO DEVELOP PROJECT IMPLEMENTATION PLANS -WORK TOWARD SECURING ALL LICENSES AND UNDERGOING INSPECTIONS NECESSARY -MOVE TO HIRE ONE PHARMACIST AND TWO PHARMACY TECHNICIANS -LAUNCH IN-HOUSE PHARMACY SERVICES -EXPAND PHARMACY SERVICES TO INCLUDE PATIENT EDUCATION VIA TELEHEALTH AND FACE-TO-FACE -PROVIDE ADDITIONAL TRAINING TO CARE MANAGERS TO ENSURE INTEGRATED SERVICE DELIVERY -PROVIDE TRANSPORTATION FOR MEDICATION DELIVERY -SIMPLIFY PATIENT MEDICATION REGIMENS BY UTILIZING LABELED BUBBLE PACKAGING AND LIMITING REFILLS TO ENSURE MEDICATION COMPLIANCE -WORK TOWARD COMPREHENSIVE MEDICATION MANAGEMENT SERVICES TO IMPROVE ADHERENCE -DUPLICATE THIS HIGH-QUALITY SERVICE FOR OTHER AREAS WORK PLAN INCLUDES: -SELECT PHARMACY CONSULTANT AND SUBSEQUENTLY WORK WITH THEM AROUND DEVELOPING IMPLEMENTATION PLANS -HIRE PHARMACIST -SECURE ALL LICENSES AND UNDERGO INSPECTIONS -DEVELOP MARKETING PLAN -PURCHASE INVENTORY CONTROL AND COMPLIANCE SYSTEM -PURCHASE INVENTORY -SYNTHESIZE BILLING SYSTEM -IMPLEMENT PATIENT ENGAGEMENT PROGRAM AND RISK STRATIFICATION PROGRAMS -IMPLEMENT COMPREHENSIVE MEDICATION MANAGEMENT FOR IDENTIFIED AT-RISK PATIENTS -LAUNCH IN-HOUSE PHARMACY -BEGIN PLANNING FOR 340B PRICING SYSTEM -PROVIDE ADDITIONAL TRAINING FOR CARE MANAGERS -EXTEND RISK STRATIFICATION AND COMPREHENSIVE MEDICATION MANAGEMENT PROGRAM -LAUNCH 340B PRICING SYSTEM -USE ELECTRONIC HEALTH RECORDS TO MEASURE DEFINED OUTCOMES -HIRE ADDITIONAL STAFF -PROVIDE TRANSPORTATION TO PATIENTS FOR PHARMACY SERVICES -IMPLEMENT COMPREHENSIVE MEDICATION MANAGEMENT SERVICES TO IMPROVE ADHERENCE AND REDUCE MEDICATION ERRORS -DUPLICATE HIGH-QUALITY SERVICE FOR OTHER AREAS -REVIEW DATA COLLECTED TO ANALYZE PROJECT'S EFFECT ON HEALTH OUTCOMES FUNDING PREFERENCE: MOUNTAIN LAUREL INTEGRATED HEALTH IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. LOGAN AND MINGO COUNTIES ARE IN A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. THE ORGANIZATION ALSO MEETS QUALIFICATION 2 (THE AREA HAS MEDICALLY UNDERSERVED COMMUNITY/POPULATIONS), AND QUALIFICATION 3 (FOCUS ON PRIMARY CARE AND WELLNESS AND PR