Wednesday, April 2, 2025
4/2/2025
Rural Maternity and Obstetrics Management Strategies Program - Applicant Organizational Name: Mariposa Community Health Center, FQHC / 820 N. Grand Ave., Suite 100, Nogales, Arizona 85621 Designated Project Director: Dan Prevost, CEO/ 520-761-2128/ dprevost@mariposachc.net Project: Arizona Rural Maternity and Obstetrics Management Strategies Network Goals: 1) Improve maternal and neonatal outcomes in rural Arizona; 2) Utilize a network approach to develop a rural continuum of maternal and obstetric care from preconception through prenatal, pregnancy, labor and delivery and post-partum services; 3) Improve delivery environments for perinatal patients and infants, including access to specialty care; 4) Develop sustainable financing models for maternal and obstetrics care in Arizona’s rural hospitals and communities. Requested Amount: YR1: $1,000,000; YR2: $1,000,000; YR3: $1,000,000; YR4: $1,000,000 Network Composition: The AZ RMOMS will be a newly established network comprised of three Critical Access Hospitals, two Federally Qualified Health Centers, and one OB-GYN provider and support organization. These six network members have signed both a Memorandum of Understanding and a Data Sharing Agreement. Target Service Area: Santa Cruz County, Graham County, and Gila County. All three counties are designated as rural, Medically Underserved Areas. They are all HRSA designated Health Professional Shortage Areas with Maternal Care Health Professional Target Area scores ranging from 18-22. Target Population: The target populations of AZ RMOMS counties have higher rates of unemployment, and lower median household incomes, compared to state averages. They have more residents living below 200% Federal Poverty Levels (42%-51%), than the state of Arizona (33%). Santa Cruz County is 83% Hispanic; Graham County is 30% Hispanic/16% American Indian, and Gila County is 17% Hispanic, 11% American Indian. Service Delivery: Preconception, prenatal, and postpartum care are provided by the local Federally Qualified Health Centers. Labor and delivery care are provided at the Critical Access Hospitals. Specialty and emergency care are referred/transported to providers/facilities in Tucson and Phoenix, the nearest urban centers. Capacity to Serve Rural Underserved Populations: MCHC was established in 1980. MCHC’s purpose is to improve the health of its patients and communities by providing a patient-centered health care home that ensures access to culturally appropriate, primary care and community-based education regardless of an individual’s ability to pay. MCHC has six locations in the nearby communities and currently has 26,562 patients. MCHC was recognized by the National Rural Health Association as the 2014 Outstanding Rural Health Program in the U.S. for its innovative use of CHWs and its many cross-sector partnerships. It was also named the 2019 Outstanding CHW Organization by the Arizona Community Health Outreach Worker Association. Mariposa has led numerous collaborative projects in Santa Cruz County, including two HRSA Rural Network Development Planning projects, and has nine years of Network Development funding and program management experience. MCHC has received four HRSA Rural Communities Opioid Response Program awards. Project Activities/Services: The first year will be dedicated to network start-up and infrastructure activities. An assessment identifying areas of risk provider training needs will be evaluated, and implementation plans will be developed. In Years 2-5, each partner site will test their models, track data, and make necessary adjustments. The work plan will be revised annually, and a Sustainability Plan will be finalized by the end of the performance period. Expected Outcomes: Increased access to maternal care and improved maternal and neonatal outcomes in the target communities. A network-driven model for a maternal and obstetric continuum of care, including sustainable financial models, will be developed to best meet the needs of rural Arizona. NOFO Notification: HRSA
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).