 | | | | | | | | |
 |  |  |  |  | | |||
 |  |  |  |  | | |||
 | | |||||||
 |
|
|
|
 |
|
||
 |
|
||
 |
|
||
 |
 |
|
|
 |
|
||
 |
 |
|
|
 |
|
||
 |
|
||
 |
|
||
 |
|
||
|
Setup Instructions |
2008 Outreach Directory
- printer-friendly 2008 Outreach directory (pdf, 1.2 MB)
ALABAMA
Troy University
Grant Number: D04RH06959
Topic AreasObesity Project PeriodMay 1, 2005 – April 30, 2008 Funding Level Expected Per Year· Year 1 - 200,000.00 · Year 2 - 200,000.00 · Year 3 - 200,000.00 Partners to the ProjectThe network partners consist of eight members of the Pike County Consortium and four members of the Bullock County Consortium; and community supporters in both counties. Areas ServedRural Pike and Bullock counties. Target Population ServedThe project will target students in grades 3 through 5 in rural Pike and Bullock counties where unmet health needs and at-risk behaviors present serious health risks and contribute to educational and social problems. The target populations will be multicultural, representing all racial, social, and economic backgrounds in the two counties. |
Program Director Terry Watkins Troy University PO Box 928 Troy, Alabama 36081 Phone: (334) 808-2886 Fax: (334) 566-5015
Troy University Troy, AL 36082-0001
ORHP Contact: Nisha Patel Project Officer HRSA/ORHP 5600 Fishers Lane Rockville, MD 20857 301-443-6894 npatel@hrsa.gov
|
Project Summary
Troy University has initiated a partnership of community agencies committed to the development and implementation of a comprehensive, countywide health risk prevention and outreach project. The project will focus on preventing school-age obesity and increasing physical activity using the Coordinated Approach to Child Health Model, a school-based nutrition program. Goals of the project are (1) to form a supporting network to the consortia in Alabama’s Bullock and Pike counties that reflects the growing cultural diversity; (2) to advance the scope of the existing rural health promotion program to prevent obesity in school-age children; (3) to implement a health prevention and education project in the public schools that will provide school children with the information and skills they need to avoid health-damaging behaviors and to live healthy lifestyles; and (4) to encourage parents and extended family participation in health risk prevention and education programs to dissolve barriers to healthy lifestyles.
The project will target students in grades 3 through 5 in rural Pike and Bullock counties where unmet health needs and at-risk behaviors present serious health risks and contribute to educational and social problems. The target populations will be multicultural, representing all racial, social, and economic backgrounds in the two counties. Contributing to the overall ill health of community youth is the lack of parental awareness concerning health topics and detached parental involvement in child health issues. Implementation of the project will provide students with the skills they need to make healthy choices for life and will strengthen communities by increasing collaboration among parents, teachers, and other school partners.
Access barriers include inadequate or lack of health insurance, lack of Medicaid providers, cultural and spiritual barriers, lack of education and awareness, language barriers, and difficulty getting to a health care facility due to the lack of public transportation. In the past, this project made a significant difference in the lives of youth in Pike County. By expanding this program to Bullock County, more students will be given a head start on a healthier life. Bullock County is designated as a Medically Underserved Area for dental and primary health care professionals.
Topic AreasHeart disease, Chronic Obstructive Pulmonary Disease, Diabetes, Hypertension, Disease management, Faith-based health advocacy Project PeriodMay 1, 2006 – April 30, 2009 Funding Level Expected Per Year· Year 1 - 150,000.00 · Year 2 - 125,000.00 · Year 3 - 100,000.00 Partners to the ProjectParish Nurse Disease Management Program Areas ServedThe target population of under and uninsured residents of Talladega County, Alabama with chronic diseases of Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Diabetes and/or Hypertension. Target Population ServedThe goal of this project is to increase the quality and years of life for individuals with chronic diseases of CHF, COPD, Diabetes and/or Hypertension. Project SummaryThe goal of this project is to increase the quality and years of life for individuals of the target population of under and uninsured residents of Talladega County, Alabama with chronic diseases of Congestive |
Program Director Margaret Morton, Ed.S., Executive Director Sylacauga Alliance for Family Enhancement, Inc. P.O. Box 1122 Sylacauga, Alabama 35150 Phone: (256) 245-4343 Fax: (256) 245-3675 E-mail: mortonm@safesylacaupa.com
Sylacauga Alliance for Family Enhancement, Inc. Sylacauga, AL 35150
ORHP Contact: Lakisha Smith Project Officer HRSA/ORHP 5600 Fishers Lane Rockville, MD 20857 301-443-0837 lsmith3@hrsa.gov |
Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Diabetes and/or Hypertension. The vehicle by which is through a community partnership using a computer-assisted Parish Nurse Disease Management Program (PNDMP). This PNDMP provides a community based holistic approach and extends the impact of the Parish Nurses with the use of Family Health Advocates (FHAs) using laptop computers to access the management information system. The use of FHAs will expand an existing innovative community disease management program of parish nursing by enabling more clients to be enrolled for a longer period of time. Utilization of a management information system (MIS) by the community consortium providers, a parish nurse and the family health advocates will allow for efficient and effective exchange of information and standardization of data collection in a community setting. Indicators of success of this project will be a 94 percent increase in enrollment, achievement of one or more of individual health goals, an improvement in quality of life as indicated by results of a SF36 survey, a 30 percent increase in pharmaceutical support (or $250,000), a 50 percent increase in the number of social and health services provided to the target population and a 30 percent increase in the utilization of the community health network MIS. This project builds on existing research on the relationship between spirituality and health, the effectiveness of lay community health workers, and enabling technology. The further development and expansion of a PNDMP in addition to meeting real needs in this rural community provide a replicable model for use in other rural communities.
Topic AreasHealth care Project PeriodMay 1, 2006 – April 30, 2009 Funding Level Expected Per Year· Year 1 - 124,122.00 · Year 2 - 123,292.00 · Year 3 - 100,000.00 Partners to the ProjectRural Assistance Program for Churches and Schools (RAPCS). Areas ServedGreen, Sumter, and Marengo Counties. These counties are rural, medically underserved, and have a large African American population. Target Population ServedThe target population includes school students, churchgoers, senior citizens, parents, and the working poor. The project consortium includes local hospitals, health centers, school systems, churches, and community-based organizations. Project Summary |
Program Director Marcia Antoinette Lankster, R.N., B.S.N. Tombigbee Healthcare Authority Bryan W. Whitfield Memorial Hospital 105 Highway 80 East Demopolis, AL 36732 Phone: (334) 287-2579 Fax: (334) 287-2594
Tombigbee Healthcare Authority Demopolis, AL 36732
ORHP Contact: Lakisha Smith Project Officer HRSA/ORHP 5600 Fishers Lane Rockville, MD 20857 301-443-0837 lsmith3@hrsa.gov |
The Rural Assistance Program for Churches and Schools (RAPCS) will provide access to health care for disadvantaged populations in Green, Sumter, and Marengo Counties. These counties are ranked among the poorest in the State and the Nation. They are rural, medically underserved, and have a large African American population. The prevalence rates of numerous chronic health disorders are higher in this area than other comparable areas in Alabama, which overall has higher rates than other States. In addition to higher rates of chronic disease, the area suffers from inaccessibility to health care due to the unavailability of public transportation. There also are major behavioral and social problems, such as teen pregnancy, low birth weight, high tobacco use, and alcohol and drug abuse problems. According to the most recent census data, the average median household income is 36 percent of the State average. These persons also are the ones without health insurance coverage. Those who are covered have government-provided insurance such as Medicare and Medicaid. Census data also show that individuals in the targeted counties have a high school graduation average of 67 percent—below the State average. Low education and employment perpetuate the economic problems and often result in poor health practices and local of knowledge about accessing and using health care resources. These factors and others provide insurmountable barriers to health care in this region of Alabama.
The purpose of this project is two-fold: 1) To improve access to health care by establishing outreach health care sites throughout the counties in schools and churches where people are isolated and lack direct access to health care, and 2) To implement a health education campaign that would increase public awareness of health care resources and services in the community. These goals will be achieved by providing nursing services in local schools and churches; making primary health care services available in schools and churches; and increasing access to preventive health education programs. The target population includes school students, churchgoers, senior citizens, parents, and the working poor. The project consortium includes local hospitals, health centers, school systems, churches, and community-based organizations.
Topic AreasMental Health Project PeriodMay 1, 2007 – April 30, 2010 Funding Level Expected Per Year· Year 1 - 139,785.00 · Year 2 - 124,971.00 · Year 3 - 99,993.00 Partners to the ProjectThis project is a joint effort of a consortium with 3 member agencies, Coosa County Public Schools, Cheaha Mental Health, and the Alabama Parent Education Center. These partners are completing work on an Integrating Mental Health in Public Schools planning grant from the U.S. Department of Education. The planning grant provided the consortia with the opportunity to meet frequently with each other and other key stakeholders to identify mental health needs in our community. Our community has been designated as a medically underserved community because of the limited mental health services available. Areas ServedThe entire community of Coosa County has been a part of the development of this project. When we began to identify the limited mental health services in our community as a problem |
Program Director Lucy Browning Coosa Board of Education P.O. Box 37 Rockford, AL Phone: (256) 377-2385 Fax: (256) 377-2385 E-mail: lbrowning@coosaschools.k12.al.us
Coosa County Board of Education Rockford, AL 35136-0373
ORHP Contact: Kristin Martinsen Project Officer HRSA/ORHP 5600 Fishers Lane Rockville, MD 20857 (301) 594-4438 kmartinsen@hrsa.gov |
|
community as a problem, we formed the Coosa County Partnership for Youth. Target Population ServedCoosa County is a small, rural, isolated county in central Alabama. According to the U.S. Census, the population is 11,500 in a county that covers 652 square miles. The population density is 19 people per square mile and approximately 9 housing units per square mile. Our county has approximately 4,682 households, 30% of which have children under the age of 18 in the home. Project SummaryThe Coosa County Partnership for Youth is an exciting opportunity for our community. We are committed to improving the lives of youth by examining and improving the systems and processes for accessing mental health services in Coosa County. Funding from this application will allow us to work collaboratively to identify strategies for getting kids to more effective, evidence-based treatment as we build a system that eliminates the barriers to learning that all youth face. We will maximize that opportunity by working to inform the entire community about mental health issues, the importance of early identification, and how to access services. Coosa County will become a pioneer in Alabama for effective and collaborative strategies to improve the link between families, schools and mental health services. |
|
Topic AreasElderly, Telehealth Project PeriodMay 1, 2006 – April 30, 2009 Funding Level Expected Per Year· Year 1 - 150,000.00 · Year 2 - 125,000.00 · Year 3 - 100,000.00 Partners to the ProjectCommunity Health Aide/Practitioners Areas ServedAlaska Target Population ServedTo meet the healthcare needs of elders so they can remain in their communities and stay connected to their homes and families for as long as possible. Project SummaryThe service area of this proposed project is the 34 rural communities within the Bristol Bay Area Health Corporation (BBAHC) medical care system in Alaska. Some 8,072 people live in the area, of whom 6,865 are all or part Native. The target population is the 555 persons over the age of 62 that reside in the region. The most significant |
Program Director Rose Heyano President/Chief Executive Officer Bristol Bay Area Health Corporation P.O. Box 130 Dillingham, AK 99576 Phone: (907) 842-5201 Fax: (907) 842-9409 E-mail: rheyano@bbahc.org
Bristol Bay Area Health Corporation Dillingham, AK 99576
ORHP Contact: Sherilyn Pruitt Project Officer HRSA/ORHP 5600 Fishers Lane Rockville, MD 20857 301-594-0819 spruitt@hrsa.gov |
|
barriers to care for the elderly are language and travel to advanced medical care. Some 62 percent of elders in the service area speak a language other than English. Of those, 9 percent do not speak English at all, and 19 percent do not speak English well. There are no connecting roads or bridges between any of the villages either intraregional or to the hospital in Dillingham.
Community Health Aide/Practitioners (CHAP) provide medical services in most of the village clinics, with a few of the subregional clinics staffed with mid-level practitioners that also travel to the smaller villages and provide itinerant care. Telehealth is used increasingly to provide quality health care without the need for the patient to travel. Dillingham has the most accessible hospital; however there is no geriatric specialist available. More advanced care must be sought in Anchorage or beyond. Many elders have to move out of their villages and region as their medical needs increase because of a lack of healthcare services, distance, and travel expenses. This means that an elder is removed from his or her culture, way of life, and family, causing a great deal of stress for both the elder and family members. In the Yup’ik Eskimo and Aleut cultures, the wisdom, knowledge, and life experiences of the elderly are appreciated and acknowledged by the younger generation.
The overall goal of this proposed project is to meet the healthcare needs of elders so they can remain in their communities and stay connected to their homes and families for as long as possible. There are five program goals: 1) To increase access to specialized medical care for persons over the age of 62; 2) To increase patient translation and advocacy services for persons over the age of 62; 3) To increase provider staff knowledge of geriatrics; 4) To increase public awareness and knowledge of geriatric issues; and 5) Increase Medicare enrollment in the target population. Strategies to meet these goals include contracting with an itinerant physician specializing in gerontology or internal medicine; referring elders for assessments and treatment; providing transportation for elders to the specialty clinic; and using telehealth capabilities to provide services to elders in the remote villages; hiring two FTE Patient Advocate/Translators to assist elders in accessing care; providing staff with in-service training and community education regarding geriatric issues; and providing education to identified patients regarding the benefits of applying for Medicare coverage.
The realization of these goals will greatly enhance and improve all aspects of health care for the elderly, which will allow them to remain in their villages and to continue benefiting the entire community. Another benefit of accomplishing these goals is that medical providers, elders, and community members in general will have an increased awareness and knowledge of elder health care issues. Medical staff will be able to provide higher quality health care services with an increased understanding of geriatric assessment and treatment. It is anticipated that this project will be self-sustaining at the end of the 3-year project period. |
|
Topic AreasColorectal cancer Project PeriodMay 1, 2006 – April 30, 2009 Funding Level Expected Per Year· Year 1 - 150,000.00 · Year 2 - 125,000.00 · Year 3 - 100,000.00 Partners to the ProjectKenaitze Indian Tribe (KIT), the Ninilchik Traditional Council, and the Alaska Native Tribal Health Consortium (ANTHC). Areas ServedRural Alaska communities of Kenai, Soldotna, Nikiski, Kasilof, Sterling, Cooper Landing, Hope, Ninilchik, Anchor Point, and Homer. Target Population ServedThe consortium will serve more than 1,200 Native Alaskan/Native American adults aged 50 to 80 years residing in the rural Alaska communities of Kenai, Soldotna, Nikiski, Kasilof, Sterling, Cooper Landing, Hope, Ninilchik, Anchor Point, and Homer. |
Program Director Diana Turner Executive Director Kenaitze Indian Tribe P.O. Box 988 Kenai, AK 99611 Phone: (907) 283-3633 E-mail: dturner@kenaitze.org
Kenaitze Indian Tribe Kenai, AK 99611
ORHP Contact: Sheila Warren Project Officer HRSA/ORHP 5600 Fishers Lane Rockville, MD 20857 301-443-0246 swarren@hrsa.gov |
Project SummaryThis project will form a Colorectal Cancer Screening Consortium through the Kenaitze Indian Tribe (KIT), the Ninilchik Traditional Council, and the Alaska Native Tribal Health Consortium (ANTHC). Cancer has been identified as the leading cause of death among Alaska Natives, with colorectal cancer as the second leading cause of cancer mortality. For the 5-year period from 1996-2000, Alaska Natives were more than twice as likely to be diagnosed with colorectal cancer as U.S. Whites. A high proportion of Alaska Native colorectal cancers are diagnosed beyond the local stage, suggesting the need for improved screening.
The consortium will serve more than 1,200 Native Alaskan/Native American adults aged 50 to 80 years residing in the rural Alaska communities of Kenai, Soldotna, Nikiski, Kasilof, Sterling, Cooper Landing, Hope, Ninilchik, Anchor Point, and Homer. Lack of flexible sigmoidoscopy services in our tribal health clinics and distance from colorectal screening services in Anchorage are significant barriers to access. Within 3 years, the consortium will increase the percentage of Native Alaskan/Native American adults over age 50 living in the central and southern Kenai peninsula who complete screening for colorectal cancer from the current rate of under 4 percent to a target rate of 50 percent. This goal will be accomplished by developing a flexible sigmoidoscopy clinic at KIT health clinic; sending one advanced nurse practitioner and one registered nurse to ANTHC for approved training in flexible sigmoidoscopy procedures; and conducting weekly flexible sigmoidoscopy clinics to over 500 patients in the next 3 years, with additional colonoscopy referrals to Alaska Native Medical Center.
The consortium will monitor project progress, identify and problem-solve barriers, develop local capacity, and seek ways to expand outreach, networking, and public education. ANTHC will provide intensive training in flexible sigmoidoscopy procedures, as well as onsite follow-up and technical assistance with both Tribes. The two Tribes will set up a referral mechanism, as well as patient pre-screening and flow charts to be placed in patient medical records so that individual patient progress and follow-up can be tracked by medical care providers in each clinic. KIT also will add the Colorectal Cancer package to its RPMS tracking system. Both Tribes will provide patient education and preparation, reminder calls prior to procedures, and assistance with transportation through the low-cost area transit system or mileage reimbursements. Each Tribe will implement public education and outreach.
The project will coordinate its efforts with our local health and social service provider network, the Kenai Health Services Opportunities Collaborative, State Office of Rural Health, State Colorectal Cancer Task Force, and Alaska Tribal/rural providers. |
|
Topic AreasHospice/Medicare Project PeriodMay 1, 2007 – April 30, 2010 Funding Level Expected Per Year· Year 1 - 150,000.00 · Year 2 - 125,000.00 · Year 3 - 100,000.00 Partners to the ProjectEastern Aleutian Tribes, Providence Hospice, Aleutian Pribilof Islands Association, and Alaska Native Tribal Health Consortium this demonstration will allow Eastern Aleutian Tribes (EAT) to expand access to hospice services for rural Alaskan residents by using its mid-level practitioners and health aides to provide in-home hospice services. Areas ServedBoth tribal and non-tribal members, who reside within the Eastern Aleutian Tribes and Aleutian Pribilof Islands Association service area. Target Population ServedAccording to the Alaska Native Epidemiology Center, malignant neoplasms accounted for 50% of the total Alaska Native death count in the Aleutians East Borough between 1998 and 2002. (Alaska Native Epidemiology Center, Regional Health Profile for Eastern Aleutian |
Program Director Liam Chris Devlin 3380 C Street, Suite 100 Anchorage, AK Phone: (907) 564-2501 Fax: (907) 277-1446 E-mail: chrisd@eatribes.net
Rural Alaska Hospice Outreach Project Anchorag |