Rural Public Health Workforce Training Network Program - ABSTRACT: CITIZENS MEMORIAL HOSPITAL HRSA 22-112 APPLICATION Project Title: Rural Mobile Health Integration and Community Paramedicine Training Network Applicant Organization Information • Citizens Memorial Hospital, 1500 N. Oakland Ave. Bolivar, MO 65613 • www.citizensmemorial.com • Facility Type: Non-profit hospital Project Director • Theron Becker, Pre-Hospital Clinical Chief, 417-597-3688, theron.becker@citizensmemorial.com Proposed Network Training Tract • Community Paramedicine Target Service Region: 5 designated HRSA Eligible Rural Counties • Missouri: Polk (Partially Rural, Census Tract 960200), Hickory (Rural), St. Clair (Rural), and Cedar (Rural), Dallas (Partially Rural, Census Tract 480200) Counties Target Population • The target population group to be served includes individuals residing within the 5 rural county service area that utilize pre-hospital ambulatory services as their primary care resource. This population group has a need for integrative care coordination and a continuum of care strategy. • The underserved individuals within this region have historically suffered from poorer health outcomes and health disparities due to poverty, low socioeconomic status, uninsured/underinsured, under-educated, transportation barriers, and lack of available healthcare resources to meet their needs. Individuals often utilize Emergency Medical Services for non-emergency situations, but their health conditions still warrant medical intervention, treatment, and integrative follow-up care. Network/Consortium Partnerships: (All partners are within an HRSA designated rural area) • Citizens Memorial Hospital, (hospital) inclusive of Emergency Medical Services Dep’t (Rural CT 960200) • MIH Network: Great Mines Health Care (FQHC), Mineral Area College (institution of higher education), Washington County Ambulance District (EMS provider) • Ellett Memorial Hospital, (hospital) • Dallas County Health Department (public health department) (Rural CT 480200) All Network partners are located and provide services within HRSA-designated rural areas/CTs Total Funding Amount Requested: $1,545,000 for 3 year performance period Experience in Serving Rural Underserved Populations • The CMH EMS Department is comprised of 68 paramedics and EMTs, serving the rural counties surrounding Polk County where the hospital is located for almost 40 years. Their staff live and work in the communities they serve. They transport an average of 7,494 individuals each year. • Citizens Memorial Hospital has 13 Rural Health Clinics and 7 long-term care facilities throughout 5 counties that are designated as rural or partially rural. They have served the rural community for 40 years. • All consortium members reside within a rural service area and serve a rural population through pre-hospital emergency services, clinical treatment, hospital services, and community prevention/education strategies. Funding Preference and Special Consideration • Citizens Memorial Hospital is requesting a funding preference based on Qualification 1. The 5 rural counties served are within an HPSA Shortage Area (see Attachment. 10) • Citizens Memorial Hospital is requesting a funding preference based on Qualification 3. The Network focuses on providing wellness and prevention strategies for the target population through early intervention and coordinating care, and Primary Care components will be provided through community paramedicine treatment, transport to treatment, and telehealth. • Citizens Memorial Hospital is requesting special consideration based on the inclusion of a signed MOA from all network partners included in Attachment 11.