Rural Health Care Services Outreach Grant Program - Terry Reilly Health Services (TRHS) proposes to provide medical, dental, behavioral health and navigation/case management services to our target population - individuals living in and around the City of Parma, Idaho through applying for the Regular Track of the Rural Health Care Services Outreach Program. Parma Idaho is a rural community in Southwest Idaho with 6,578 individuals living in and around the city. Parma is located within Canyon County Idaho and was incorporated in 1957 with a low population density of 1,699 people per square mile. Demographic information for our population of focus includes: • The most common occupation is agriculture worker. • 9.8% are foreign-born • The median household income in Parma is $47,798 – less than half of the Idaho State rate of $74,636 • 20.2% live below the poverty line; twice as many as the State of Idaho rate • 31% identify as Hispanic, 2.5 times the rate in Idaho. Like other small rural cities in Idaho and the nation, health outcomes are negatively impacted, and Parma is no exception. Parma has worse outcomes than the county they reside in – Canyon County. We see worse overall health outcomes, higher risk behaviors, and higher levels of disabilities. This is consistent with the other communities that TRHS serves where there is a high level of poverty, higher levels of negative social drivers of health and a high level of persons identifying as Hispanic. TRHS is a private not-for-profit organization providing quality care to all, with discounted fees available, based on family size and income. Services are available in English and Spanish as well as other languages. Our model of care is an evidence-based integrated patient-centered health home. We are committed to serving all people but especially populations facing barriers elsewhere, the uninsured, migrant and seasonal farm workers, homeless, elderly and working families. We are governed by the communities we serve through a representative Board of Directors. Specific evidence-based models we utilize that are wrapped into our integrated patient-centered health home model include: Patient Centered Medical Home (PCMH) model, Chronic Disease Self-Management Program (CDSMP), Motivational Interviewing (MI), Health Promotion and Disease Prevention, Oral Health Integration into Primary Care, Services Integration, and Social Drivers of Health. Our goals are (1) Expand the delivery of health care services to include new and enhanced services in Parma, ID, (2) Deliver health care services through a strong consortium, in which every consortium member organization is actively involved and engaged in the planning and delivery of services, (3) Use community engagement and evidence-based models in the delivery of health care services, and (4) Improve population health and demonstrate health outcomes and sustainability. TRHS has been serving rural Southwest Idaho communities since 1971. Through the years, we have developed a wholistic, patient-centered approach to serving underserved and rural communities. We began working with the Parma community in 2022 on their need for the services we provide. These meetings ramped up in 2024 with the closure of the only medical office in Parma. Our partnership with the Parma community has been building over the last year and a consortium of community entities has been developed to identify and provide evidence based health care services identified by the community for the community. TRHS qualifies for two of the three funding preferences: • Our project is located in a Health Professional Shortage area (HPSA) • The project focuses on Primary Care, and Wellness and Prevention Strategies through the delivery and grant funding of primary care medical/dental services and prevention strategies provided by medical and dental clinicians and patient navigators/case management.
