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, frances.feltner@uky.edu 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 Developing a plan to expand the role of emergency medical services within the community. 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 networks sustainability and viability. Identifying and establishing ways to obtain regional and/or local community support/buy-in around the development of the network. HRSA 24 007 Abstract University of Kentucky Research Foundation 2 Focus Area The UK Center of Excellence in Rural Healths focus area is to assess the benefit and feasibility of a mobile paramedic training program in rural communities, as a way to increase access to emergency care services. 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 Kentuckys 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.