Rural Health Network Development Planning Grant Program - Applicant Organization Name: Bingham Healthcare Main and Physical Address: 98 Poplar Street Blackfoot, ID 83221 Facility Type: Critical Access Hospital and Primary Care Website: https://www.binghamhealthcare.org Co-Project Directors: Jenilee Johnson, PharmD, and Rachel Armstrong, PharmD, Phone number: 208-785-3866 / jejohnson@binghammemorial.org / rarmstrong@binghammemorial.org Network Name: Pharmacy Population Health Integrated Rural Enhancement (PPHIRE). Focus Area: The PPHIRE Network will focus on developing a blueprint for prediabetes and diabetes population health management and care coordination by leveraging pharmacy stewardship strategies in a rural delivery setting. PPHIRE Network intends to work with consortium members to design and test a diabetes population health management protocol and intervention utilizing clinical pharmacists with primary care teams to increase access to clinical pharmacy services. Legislative Aims: The PPHIRE Network will target the following legislative aims: 1) achieve efficiencies as communication and coordination channels are optimized through the consortium among various agencies participating in patient care; 2) expand access to, coordinate, and improve the quality of essential health services as health professionals and non-health professionals are trained in diabetes population health management with pharmacy stewardship; and 3) strengthen the rural health system as a whole as the consortium builds capacity to care for complex and high need patients with significant diabetes and pharmacy needs in the in-patient, out-patient, and community care setting. Proposed Service Region: All target service areas are in Idaho and designated rural: Blackfoot and Shelley in Bingham County, Soda Springs in Caribou County, Salmon in Lemhi County, Shoshone in Lincoln County and Arco in Butte County. Target Population: This project will address the needs of complex patients who are pre-diabetic patients with A1c 5.7-6.4 (Insulin Resistance) and poorly controlled diabetic patients with A1C over 9. In the United States Preventive Service Task Force’s (USPSTF) in 2015 reported that diabetes screening guidelines missed 55% of high-risk individuals with prediabetes or diabetes. USPSTF guidelines recommend that patients between ages 40 and 70 who are overweight or obese should be screened for diabetes. Network and Consortium Partners: Bingham Healthcare a CAH and RHC, Lost Rivers Medical Center a CAH/RHC, Steel Memorial Medical Center a CAH/RHC, Public Health District 6 is the Southeastern Public Health District, Shoshone Family Medical Center a RHC, and Cornerstone Whole Healthcare Organization a private non-profit. All reside in rural areas. Experience in Serving Rural Underserved Populations: Bingham Healthcare is a non-profit health system, established in 1950, Bingham Healthcare system has grown to into an integrative health system that includes over 140 medical providers and offers over 100 types of patient services, including inpatient, outpatient, critical care, emergency care, rehabilitation, same-day surgery, and transitional care services. Bingham has become one of the leading and award-winning healthcare providers in east Idaho, supporting the surrounding rural/frontier communities. As the largest network of doctors, surgeons and specialists in the region, Bingham Healthcare services include a growing number of hospitals, surgery centers, and physician offices in Idaho Falls, Ammon, Shelley, Soda Springs, Blackfoot, Chubbuck, and Pocatello, Idaho. Funding Preference Request 1. Bingham Healthcare (BH) is requesting a funding preference based on identification as a Primary Care Health Professional Shortage Area. 2. Bingham Healthcare (BH) is requesting a funding preference based on a focus on primary care and wellness and prevention strategies.