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The Atlanta Long COVID Collaborative: A Multi-Health System Long COVID Coordinated Care Model Serving a Diverse Metropolitan Population

Award Number: U18HS029944
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)
PERIOD OF PERFORMANCE START DATE: 09/30/2023
PERIOD OF PERFORMANCE END DATE: 09/29/2028

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The Atlanta Long COVID Collaborative: A Multi-Health System Long COVID Coordinated Care Model Serving a Diverse Metropolitan Population - Project Summary Long COVID is a highly prevalent disease that can lead to significant impairments in quality of life and function. Poor care coordination has been identified as a key barrier to optimizing health outcomes in Long COVID, resulting in increased healthcare costs and delays in care delivery. These challenges have profound impacts on underserved, minority populations that have a long-standing history of poor access to affordable, quality healthcare. Limited acceptance of Long COVID among clinicians and members of the community contributes to delays in diagnosis and impacts triage to appropriate services. High rates of anxiety, depression, and PTSD are observed in this population and behavioral health services are often limited and disjointed. The Atlanta Long COVID Collaborative leverages the city’s coordinated COVID-19 and Long COVID response, and brings together major academic and healthcare institutions in the Atlanta metro area, including Emory Healthcare System, Grady Healthcare System, and Morehouse School of Medicine (MSM). Atlanta is rich in diversity and is home for key COVID-19 at-risk populations including African American and Hispanic populations, underserved communities, and those with significant preexisting comorbidities. Our site is uniquely suited to engage clinical and community stakeholders from our well-established Atlanta RECOVER infrastructure, and from our Grady and Emory Long COVID clinical network. This project aims to increase access to care, improve person-centered care coordination, and expand multidisciplinary networks and behavioral health support. This will be achieved by 1.) increasing primary Long COVID care access through expanded in-person and virtual visit capacity and increasing provider-based referrals through a coordinated education series, 2.) adding dedicated care coordination, social services, and language interpretive staff, 3.) expanding the existing Long COVID-specific subspecialty network and establishing multidisciplinary case conferences to improve collaboration and expedited care of complex cases, 4.) integrating dedicated behavioral health staff and implementing behavioral health and rehabilitation group series, 5.) engaging community support systems including patient advocacy groups and community alliances to improve access to and retention of care and to ensure Long COVID perspectives are integrated into this comprehensive patient-centered medical home (PCMH) model. Clinic evaluation activities will be iterative and include ongoing quantitative and qualitative evaluation of 4 key element domains, including Long COVID care access, person-centered care, multidisciplinary and behavioral health network access, and evidence-based medicine.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $1,000,000 )
2026	2026	EMORY UNIVERSITY	201 DOWMAN DR NE	ATLANTA	GA	30322	DEKALB	USA	Research on Healthcare Costs, Quality and Outcomes	000	4	9/14/2026	NON-COMPETING CONTINUATION	$1,000,000
														Subtotal = $1,000,000

Issue Date FY: 2025 ( Subtotal = $1,000,000 )
2025	2025	EMORY UNIVERSITY	201 DOWMAN DR NE	ATLANTA	GA	30322	DEKALB	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	9/11/2025	NON-COMPETING CONTINUATION	$1,000,000
														Subtotal = $1,000,000

Issue Date FY: 2024 ( Subtotal = $1,000,000 )
2024	2024	EMORY UNIVERSITY	201 DOWMAN DR NE	ATLANTA	GA	30322	DEKALB	USA	Research on Healthcare Costs, Quality and Outcomes	001	2	8/6/2024	NON-COMPETING CONTINUATION	$1,000,000
2024	2023	EMORY UNIVERSITY	201 DOWMAN DR	ATLANTA	GA	30322	DEKALB	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	11/21/2023	NEW	$0
														Subtotal = $1,000,000

Issue Date FY: 2023 ( Subtotal = $1,000,000 )
2023	2023	EMORY UNIVERSITY	201 DOWMAN DR	ATLANTA	GA	30322	DEKALB	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	9/20/2023	NEW	$1,000,000
														Subtotal = $1,000,000

Grand Total All Awards = $4,000,000

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The Atlanta Long COVID Collaborative: A Multi-Health System Long COVID Coordinated Care Model Serving a Diverse Metropolitan Population

Award Number: U18HS029944

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

PERIOD OF PERFORMANCE START DATE: 09/30/2023

PERIOD OF PERFORMANCE END DATE: 09/29/2028

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