Federal Grant Award Summary

Urgent & Primary Care of Clarksdale LLC received a $350,000 Project Grant from the Federal Office of Rural Health Policy under the Rural Health Limited Geographic Areas: Delta, Appalachian Region, and Northern Border Region program (CFDA 93.619) to implement chronic care management (CCM) and remote patient monitoring (RPM) capabilities within its TEBRA electronic health record system. The award, effective September 1, 2026 through August 31, 2028, supports a two-year initiative serving 250 high-risk patients in Coahoma County, Mississippi—a predominantly Black (77.2%) and economically disadvantaged (36%) rural community with elevated chronic disease burden including 17% diabetes prevalence and elevated hypertension rates. Key deliverables include integration of CCM workflows and RPM devices (glucometers, blood pressure cuffs) into the EHR, staff training, equipment procurement, patient education, and a multidisciplinary care team led by Dr. Mary Williams.

The project targets measurable outcomes including a 15% reduction in chronic disease complications, a 1% decrease in A1C levels, and 80% RPM adherence by project completion, with progress tracked via TEBRA data and quarterly evaluations. The initiative builds on prior technical assistance provided through the Delta Region Community Health Systems Development Program (2020-2023) and incorporates sustainability planning through anticipated $126,000 in annual Medicare CCM reimbursement by year three. By expanding telehealth access and implementing evidence-based chronic disease management practices, the award advances the Delta Health Systems Implementation Program's mission to strengthen rural healthcare delivery and financial viability in underserved Delta Region communities.