Delta Region Maternal Care Coordination Program - Project Abstract Applicant: Methodist Le Bonheur Community Outreach (MLCO) 600 Jefferson Avenue Memphis, TN 38105 Entity Type: Hospital-affiliated nonprofit https://www.methodisthealth.org/healthcare-services/community-outreach/ Applicant’s Project Director/Contact: Cindy Hogg, Director Health Services, Cindy.Hogg@mlh.org Delta Maternal Care Coordination Project Director: Denise Bond, gbond350@gmail.com Project Overview: The purpose of GrowWell Network’s Delta Maternal Care Coordination Project is to improve and increase access to care for pregnant women and new mothers during and after pregnancy. Specific objectives are to: Deploy two trained Regional Navigators to screen, refer and link pregnant women and their providers to existing resources and programs in the region; Promote universal screening(s) by providers and home visitation programs for pregnant and postpartum women, with referrals and linkage to services for those identified to be at risk; Create an online and/or telephonic GrowWell maternal referral portal or call center for pregnant women; Provide OB-GYN providers and patient education and access to telehealth and remote patient monitoring technology; Support expansion of rural hospital and rural health clinic perinatal education; Support referrals and linkage through regional Network Navigators to mobile health unit prenatal and postpartum care visits; Promote and support utilization of development dyad models; Provide outreach and education on healthy nutrition and lifestyles to reduce risk of obesity, diabetes, and hypertension complications during and after pregnancy. Proposed Service Region: The West Tennessee service region includes 18 whole counties and one county (*) where only one rural census tract may receive services: Benton, Carroll, Chester, Decatur, Dyer, Gibson, Hardeman, Hardin, Haywood, Henderson, Henry, Lake, Lauderdale, Madison* (47113001608), McNairy, Obion, Tipton, Weakley and Crockett. Target Population: The target population is pregnant women, those within one year of the birth of a child, inter-conception woman, infants and families in the 18-county rural service region. Network Partnerships: Methodist Le Bonheur Community Outreach is a health care entity as are Henry County Medical Center, Hardeman County Community Health Center, and Lifespan Health. MLCO and the Network attest that at least 66% of the network members with signed Letters of Commitment are physically located in a HRSA-designated rural area. Project activities will result in: • Lower rates of pregnancy-related and pregnancy-associated deaths • Reduced and better managed hypertension and chronic disease in women of childbearing age • Reduced rates of suicide and homicide among women of childbearing age • Reduced rates of infant mortality, pre-term births and low-birthweight babies Capacity for Serving Rural Underserved Populations: MLCO has served rural schools in West Tennessee for more than 20 years and is the lead applicant. The other Network members include a rural hospital and two Federally Qualified Health Centers which are well-established in the region. The GrowWell TN Network partners have collaborated and provided services to the region for more than ten years. Funding Preference: Methodist Le Bonheur Healthcare is requesting a funding priority. The proposed project will deliver coordinated perinatal health care services in the following counties or parishes and census tracts with a MCTA of 20 or higher based on designated geographic primary care HPSAs: Haywood (21), Lauderdale (24), Obion/Weakley (20), Carroll (20) and Lake (21).