Rural Health Network Development Planning Grant Program - Rural Mobile Paramedic Training Program Network

Grants and Contracts Details

Description

HRSA 24 007 Abstract HRSA-24-007: Rural Health Network Development Planning Program ABSTRACT HEADING CONTENT Applicant Organization Information University of Kentucky Research Foundation 500 South Limestone, 109 Kinkead Hall, Lexington, KY 40526-0001 on behalf of the UK Center of Excellence in Rural Health (UKCERH) 750 Morton Blvd., Hazard, KY 41701 • Rural Health Center/Academic • https://medicine.uky.edu/centers/ruralhealth/ Designated Project Director Information Dr. Frances Feltner, UK Center of Excellence in Rural Health Director, 606-439-3557, [email protected] Network Planning Project Rural Mobile Paramedic Training Program Network Legislative Aim(s) (i) achieve efficiencies: • Conducting community health and/or provider needs assessments at the regional and/or local level: o Develop and implement a needs assessment in the community; o Identify the most critical need of network members to ensure their viability: o Identify additional collaborating network members in the community/region; o Identify and develop a plan to address workforce issues; or • Identify financial resources or gaps available to support services. • Identifying opportunities for the network to better address regional and/or local population health needs. (ii) expand access to and improve the quality of basic health care services and health outcomes: • Developing a network business and/or operations plan, which may include: o A formal memorandum of agreement or understanding (MOA/MOU); o A shared mission statement; o The roles and responsibilities of the network members. • Identifying the degree to which the network members are ready to integrate their functions and share clinical and/or administrative resources • Assessing appropriateness/readiness for Patient Centered Medical Home accreditation. • Identifying strategies to communicate with the community about changes in the health care landscape and how to maintain access to viable health care services. • Developing a plan to expand the role of emergency medical services within the community, including loss of services as a result of a hospital closure/conversion. • Developing a data use and sharing agreement to facilitate strategic and sustainability planning for the intervention. (iii) strengthen the rural health care system • Identifying ways to encourage cross-organizational collaboration and leadership commitment. • Assessing the network’s sustainability and viability. University of Kentucky Research Foundation 1 HRSA 24 007 Abstract • Identifying and establishing ways to obtain regional and/or local community support/buy- in around the development of the network. Focus Area The UK Center of Excellence in Rural Health’s focus area is to increase access to emergency care services and improve health outcomes for rural residents. Proposed Service Region Rural Kentucky Counties- Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Bourbon, Boyle, Bracken, Breathitt, Breckinridge, Butler, Caldwell, Calloway, Carlisle, Carroll, Carter, Casey, Clark, Clay, Clinton, Crittenden, Cumberland, Edmonson, Elliott, Estill, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Hancock, Harlan, Harrison, Hart, Henry, Hickman, Hopkins, Jackson, Johnson, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Lincoln, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, McCracken, McCreary, McLean, Menifee, Mercer, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Owen, Owsley, Pendleton, Perry, Pike, Powell, Pulaski, Robertson, Rockcastle, Rowan, Russell, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Union, Washington, Wayne, Webster, Whitley, Wolfe and Woodford ABSTRACT BODY CONTENT Population to be Served Kentucky’s mortality rate as a result of chronic disease includes 497.9 per 100,000 (male) deaths and 325.9 per 100,000 (female) deaths annually. 1 Kentuckians have approximately 14.2 minutes by car to get to the nearest hospital, and the distance to a hospital has been found to correlate positively with a three percent increase in patient mortality. 1,2 Studies have also shown a correlation between shorter ambulance response times and increased survival when a cardiac arrest occurs at home. 3 This is unsettling as 110 out of our 120 Kentucky counties are considered to have an ambulance desert (91.7%).4 The cardiac arrest death rates in rural areas are more than twice as high as in urban areas.5 In addition to the distance to the hospital, the wait for an ambulance to arrive can be 30 minutes or longer. The factors impacting these wait times include the distance between the coverage area and terrain of rural communities, the insufficient payment for services, cost and availability of initial and continuing education, inadequate regional EMS coordination across rural areas leading to workforce shortages and disjointed oversight of EMS programs.6 Network Members Provide the organization names and facility/entity type of partner(s) who have agreed to be a part of the network. • Eastern Kentucky University- Academic • Kentucky Board of Emergency Medical Services (KBEMS)- Licensure Board • Kentucky Ambulance Provider Association (KAPA)- Membership Association • Kentucky EMS Association (KEMSA)- Membership Association Rural EMS services • HRSA requires an attestation that at least sixty-six percent (66%), or two-thirds of network members (members with signed Letters of Commitment) of the proposed project are physically located in a HRSA-designated rural area, as defined by the Rural Health Grants Eligibility Analyzer. University of Kentucky Research Foundation 2 HRSA 24 007 Abstract Each network member has confirmed their commitment and role in partnering in the planning grant through signed letters of commitment. Experience in Serving Rural Underserved Populations UK CERH also has over thirty years of working in rural communities across the Commonwealth. Established in 1990, UK CERH has worked to partner with local communities, academic partners, and funders to find ways to address workforce shortages and reduce health disparities in the rural communities of Kentucky. In recent years the Center has established a research conference, a rural health magazine, and a youth leadership and research development program. Appalachian Research Day: Come Sit on the Porch is an annual conference hosted by the UK CERH with the purpose of sharing local research findings back to the community. Healthy WAY is a leadership and research development program for high school students. The Bridge Magazine is published quarterly with the KORH, to highlight best practices and innovative solutions to Kentucky''s rural health challenges. To ensure we are on track and addressing the challenges facing the rural participants, we will solicit information from the rural providers to guide our operations plan. We also want to ensure that rural emergency management service providers are incorporated into our network and the community advisory board as it is developed. Funding Opportunity Notification Kentucky Office of Rural Health notified us of the planning grant opportunity. Funding Preference- waiting on a response on how to do this • Applicants must explicitly document a qualifying funding preference and cite the qualification that is being met (see 42 U.S.C. 254c(h)(3)) to receive a funding preference. HRSA highly recommends you include concise language making it clear to HRSA which funding preference you qualify for. If you do not qualify for a funding preference, please state that you do not qualify. • If applicable, you need to provide supporting documentation in Attachment 8. Please refer to Section V.2 for further information. 1Chronic Care Policy Alliance. (2021). State of chronic disease in Kentucky. https://chroniccarealliance.org/wp- content/uploads/2021/06/CCPA-Kentucky-State-of-Chronic-Disease-jun21.pdf 2Nicholl, J., West, J., Goodacre, S., & Turner, J. (2007). The relationship between distance to hospital and patient mortality in emergencies: An observational study.?Emergency Medicine Journal,?24(9), 665–668. https://doi.org/10.1136/emj.2007.047654 3 National Rural Health Association. (2022). Emergency Medical Services in Rural America. 2022-NRHA-Rural- EMS-Position-Paper.pdf (ruralhealth.us) 4 Jonk, Y., Milkowski, C., Croll, Z., & Pearson, K. (2023). Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services [Chartbook]. University of Southern Maine, Muskie School, Maine Rural Health Research Center. 5 Christensen, T. (2022). As cardiac arrest deaths fall, Black and rural communities lag. American Heart Association News. https://www.heart.org/en/news/2022/11/04/as-cardiac-arrest-deaths-fall-black-and-rural-communities-lag 6 Rural Policy Research Institute. (2021). Characteristics and Challenges of Rural Ambulance Agencies- A Brief Review and Policy Considerations. Characteristics-and-Challenges-of-Rural-Ambulance-Agencies-January- 2021.pdf (rupri.org) University of Kentucky Research Foundation 3
StatusActive
Effective start/end date9/30/249/29/25

Funding

  • Health Resources and Services Administration: $100,000.00

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