Friday, April 4, 2025
4/4/2025
Integrating Behavioral Health into Primary Care through Telehealth Evidence-Based Telehealth Network - a. Hawai‘i Rural Telebehavioral Health Network b. I Ola Lahui, Inc (IOL) c. 1441 Kapi‘olani Blvd, Ste 1802, Honolulu, HI 96814 d. iolalahui.org e. $350,000/year; 5-year Total : $1,750,000 f. 501(c)(3) non-profit; Outpatient mental health providers g. A. Aukahi Austin Seabury, Ph.D., Executive Director h. O:808-525-6255; E: aaustin@iolalahui.org i. A, B, and C. (A) IOL and its telehealth network sites are all community-based organizations. (B) The project will enhance and establish telehealth networks for mental health care. (C) The project will include the Native Hawaiian Health Systems (NHHS) and Ko‘olauloa Health Center (KHC), a FQHC, which all are currently funded in part by HRSA and the HHS. j. IOL will partner with KHC, Hui No Ke Ola Pono (HNKOP), Hui Malama Ola Na ‘Oiwi (HMONO), and Ke Ola Mamo (KOM). The project will serve Maui County (Wailuku and Hana), Hawai‘i County (Hilo), and Honolulu County (Kahuku). Honolulu County (IOL, KHC, and KOM) has 14 primary care HPSAs, 13 dental and mental health HPSAs, and 7 Medically Underserved Areas (MUA). Kahuku (KHC) has 2,371 residents. Maui County (HNKOP) has 8 primary care, dental and mental health HPSAs, and 4 full and partial designated MUA. In 2021, Hana had 657 residents. Wailuku has 15,700 residents. Hawai’i County (HMONO) has 10 primary care, dental and mental health HPSAs and is a MUA. Hawai’i County has 200,468 residents. k. Rural areas face significant challenges recruiting providers for remote areas with limited resources. Residents require air transportation to access specialty care and crisis mental health care. The purpose is to integrate behavioral health (BH) services in primary care in rural and underserved communities and to improve access to quality BH services through: 1) innovative integration and expansion of tele-BH networks in rural and underserved areas, 2) increased data on the effectiveness of integrating tele-BH services into primary care, and 3) increasing the BH workforce using a trainee model. Impacts could include increased: access to care, data leading to policy changes related to the effectiveness of tele-BH services in rural areas, and workforce development. l. 3 m. Unduplicated patients served in 2023: IOL: 663; HNKOP: 1,897; HMONO: 2,459; KHC: 3,035; KOM: 325. The 5-year total unduplicated patients seen = 500. This is 5% of total patients seen across all sites, similar to the median % of unduplicated patients seen by HRSA Health Center Program awardees in Hawai‘i in 2022. Estimated unduplicated patients served by site: O/S Y1 Y2 Y3 Y4 Y5 HNKOP 75 100 100 120 120 KHC 100 175 200 210 210 HMONO 50 75 100 110 110 KOM 25 50 50 60 60 Total 250 400 450 500 500 n. Progress measures: Process and outcome indicators using qualitative and quantitative data from multiple sources such as partner organizations, patients, trainees, and stakeholders. Quality controls ensure data accuracy. o. Added value to healthcare using telehealth include: 1) Impact on government and insurance policies, 2) Sustainability: Increased support for a BH workforce competent in integrated tele-BH, 3) Increased access and support for tele-BH services in rural communities, and 4) Positive impact on patient care through a generalizable model. p. IOL will train originating sites on using data to inform practice and sustain services, trauma-informed care and community engagement. This requires 50 hrs of content development, coordination, and delivery. We will provide additional support as needed. q. IOL plans for sustainability from the start with partners and will continue to rely on insurance reimbursement as a key component. We consult with our partner sites in-kind to help effectively bill for BH services. IOL supports our graduates in-kind to transition to serving rural, underserved communities. r. No s. No t. Grants.gov u. Yes; support from Office of Primary Care and Rural Health
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).