Project Grant GE147010

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - PROJECT TITLE: MAVERICK COUNTY DIABETES ACCESS AND WELLNESS NETWORK (DAWN) PROJECT APPLICANT ORGANIZATION: MAVERICK COUNTY HOSPITAL DISTRICT ADDRESS: 3406 BOB ROGERS DRIVE, SUITE 230. EAGLE PASS, TX 78852 WEBSITE: HTTPS://WWW.MCHDEP.ORG/ FACILITY TYPE: PUBLIC ENTITY PROJECT DIRECTOR: ALMA MARTINEZ, CEO, MAVERICK COUNTY HOSPITAL DISTRICT CONTACT INFORMATION: (830) 757-4990, AR.MARTINEZ@MCHDEP.ORG FOCUS AREAS: DIABETES PROPOSED SERVICE REGION: MAVERICK COUNTY, TX (FULLY RURAL UNDER HRSA) GRANT FUNDS: $500,000 (HRSA-22-134- CONGRESSIONALLY DIRECTED SPENDING) THE DIABETES ACCESS AND WELLNESS NETWORK (DAWN) PROJECT WILL CREATE A NEW HEALTH NETWORK TO REDUCE THE PREVALENCE OF UNCONTROLLED DIABETES AND OBESITY IN MAVERICK COUNTY, A TRIANGULAR SLICE OF SOUTHWEST TEXAS BORDERLANDS CENTERED ON THE SMALL CITY OF EAGLE PASS THAT INCLUDES SOME OF STATE'S MOST RURAL AND UNDERSERVED COMMUNITIES. PROJECT LEADER MAVERICK COUNTY HOSPITAL DISTRICT (MCHD), A PUBLIC HEALTH ENTITY PROVIDING HEALTH CARE SINCE 1965 THAT FOCUSES ON CARE COORDINATION, PHYSICIAN MANAGEMENT, CARE COVERAGE AND THE SOCIAL DETERMINANTS OF HEALTH, AND ITS TWO PROJECT PARTNERS WILL USE A PROVEN OPERATIONAL STRUCTURE THAT COMBINES SITE-BASED CARE COORDINATION WITH AN IT-ENABLED COMMUNITY HEALTH INFORMATION EXCHANGE SYSTEM (CHIE) AND DIABETES SELF-MANAGEMENT EDUCATION (DSME) INTERVENTIONS. DAWN WILL EXPAND ACCESS TO CARE AND REDUCE THE LIKELIHOOD OF SERIOUS DIABETIC COMPLICATIONS HAVING A LASTING IMPACT ON LOCAL POPULATION HEALTH CONSISTENT WITH THE GOALS OF HHS'S HEALTHY PEOPLE 2030. MCHD'S CONSORTIUM PARTNERS FOR THE DAWN PROJECT ARE: THE FT. DUNCAN REGIONAL MEDICAL CENTER (FDRMC), AN INVESTOR OWNED HEALTH CENTER IN EAGLE PASS, AND ELITE PEDIATRICS, A LEAD PRIMARY CARE PROVIDER. BOTH PARTNERS WILL HAVE THE PRINCIPAL ROLES IN DAWN'S SCREENING, CARE COORDINATION AND EDUCATIONAL INTERVENTIONS FOR AT-RISK CHILDREN, ADOLESCENTS, AND FAMILIES. MCHD IS THE LEAD APPLICANT WITH OVE RALL RESPONSIBILITY FOR GRANT COMPLIANCE AND FISCAL MANAGEMENT. MCHD'S EXPERIENCED CEO WILL OVERSEE THE DAY-TO-DAY OPERATIONS OF THE DAWN TEAM AS PROJECT DIRECTOR. THE TARGET POPULATION FOR THE DAWN PROJECT IS THE DIABETIC AND PREDIABETIC POPULATION OF MAVERICK COUNTY, WITH A PARTICULAR FOCUS ON ADULTS AND CHILDREN WHOSE CONDITIONS ARE CLINICALLY UNMANAGED (AS DETERMINED BY HBA1C TESTING) OR AT RISK OF BECOMING SO FOR LACK OF APPROPRIATE CARE. BASED ON THE MOST RECENT AVAILABLE DATA FROM THE CDC, APPROXIMATELY 17.3% OF MAVERICK COUNTY ADULTS (9,600 PEOPLE) HAVE BEEN DIAGNOSED WITH DIABETES, AND THOUSANDS MORE RESIDENTS OF ALL AGES ARE PREDIABETIC OR UNDIAGNOSED. APPLYING EVIDENCE-BASED MODELS GROUNDED IN SUCCESSFUL HRSA-ENDORSED CARE COORDINATION, CHRONIC DISEASE SELF-MANAGEMENT AND COMMUNITY HEALTH INFORMATION EXCHANGE BEST PRACTICES, DAWN'S EXPECTED OUTCOME FOR THE TARGET POPULATION IS TO INCREASE THE NUMBER OF PARTICIPANTS IN ITS DIABETES EDUCATION PIPELINE BY AT LEAST 30% ANNUALLY WHILE RAISING DIAGNOSIS AND REFERRAL RATES FOR PREDIABETIC CHILDREN AND ADOLESCENTS IN THE SERVICE AREA. THE PROJECT TEAM DRAWS ON EXTENSIVE CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS. MCHD PROVIDES SAFETY NET SERVICES, FDRMC IS THE LEADING COMPREHENSIVE ACUTE CARE FACILITY IN THE REGION, WITH 101 INPATIENT BEDS AND THE LARGEST NETWORK OF AFFILIATED PHYSICIANS, NURSE PRACTITIONERS, THERAPISTS, AND OTHER HEALTH PROFESSIONALS OF ANY NEARBY PROVIDER, AND ELITE PEDIATRIC PROVIDE PRIMARY CARE.