Sgoh Acquisition Inc

Rural Health Care Coordination Network Program - Sgoh Acquisition Inc Dba Ozarks Community Hospital 1101 Jackson ST SW Gravette, Ar 72736-9121 Www.ochonline.com Health System Tressie Gilmore, Project Director, 417-425-2577, Tgilmore@ochonline.com Kathryn Ryan, Network Director, 417-837-2053, Kathryn@ozarksnewhope.org Request: $300,000 Per Year Heart Disease Mcdonald County, Mo; Webster County, Mo; Newton County, Mo; Lawrence County. Patient Population: Impoverished Counties in Southwest Missouri. Barriers of Transportation, Housing, Food, Lack of Mental Health Supports, High Incidence of Heart Disease, Diabetes, Teen Pregnancy, Lung Disease and Sexually Transmitted Infections. Patient Population Culturally & Linguistically Diverse. Network: Ozarks Community Care Coordination Inc. Is a Rural Care Coordination Network That Includes 7 Total Member Organizations: - Sgoh Acquisition Inc Dba Ozarks Community Hospital (mua/mup), 1101 Jackson ST SW Gravette, Ar 72736-9121, Ein: 43-1592082 - Ozarks New Hope, Inc., 102 S. Hickory ST Mount Vernon, Mo 65712, Ein: 47-2948707 - Mcdonald County Health Department, 500 Olin Street, Pineville, Mo 64856, Ein: 44-6000554 - Webster County Health Unit, 233 E Washington, Marshfield, Mo 65706, EIN:43-1533477 - Newton County Health Department, 812 W. Harmony, Neosho, Mo 64850, Ein: 44-6005202 - Alps Pharmacy, 704 S Highway 59, Ste C, Anderson, Mo 64831, Ein: 45-0507132 - Mitchell’s Drug Stores, 719 S Neosho BLVD, Neosho, Mo 64850, Ein: 05-0554155 Activities: This Network Syncs Care Coordination Between Rural Health Care Providers, Rural County Health Departments and Rural Pharmacies to Increase Medication Adherence and Improve Health Outcomes for Patients With Heart Disease. Network Members Are Currently Hindered by Data Systems That Do Not Interface. Network Will Align Care Coordination Staff; Purchase Technology to Interface Data Systems; Provide Remote Patient Monitoring Equipment to Capture Real-time Data to Improve Medication Adherence; and Create a CR Oss-sectional Care Team to Improve Health Outcomes. Outcomes: Project Outcomes Align With Goals for the Rural Health Care Coordination Program: 1.EXPAND Access and Quality of Equitable Health Care Services Through Care Coordination in Rural Southwest Missouri Areas; 2.USE Evidence-based Care Models: Forh’s Small Healthcare Provider Quality Improvement Model, West Virginia’s Partners in Health Network Model and California’s Health Care Foundation Regional Collaborative Services for Homeless Model to Improve Health Outcomes; 3.STRENGTHEN Partnerships Built During COVID-19 Pandemic to Increase Medication Adherence Related to Heart Disease, Capture Regular Blood Pressure Readings to Improve Care Coordination, and Decrease Preventable Hospital Readmissions; 4.INCREASE Collaboration Among Multi-sector and Multidisciplinary Network Partnerships to Address the Underlying Factors of Heart Disease Related to Social Determinants of Health Through Data Sharing; and 5.DEVELOP Deliberate and Sustainable Strategies of Care Coordination Among the Network Members to Ensure Rapid Identification of At-risk Patients. Care Models: Project Implements Evidence-based Care Models to Connect With Members and Achieve Rural Coordination of Care Through Modification of Three Models: Forh’s Small Healthcare Provider Quality Improvement Model Expanding Beyond Health Department Work to Clinical Providers and Pharmacies; West Virginia’s Partners in Health Network Model; and Building on California’s Health Care Foundation Regional Collaborative Services for Homeless Model to Improve Patient Health Outcomes. Capacity to Serve Rural Underserved Populations: Rural Care Coordination Has Been Successful Within Each Organization to Address Social Determinants of Health - This Funding Enables Network Members to Connect Missing Link: Data Sharing to Create a Comprehensive Rural Care Coordination Model. Funding Opportunity Was Presented Through State Office of Rural Health Notice. Qualifies for All THR Ee Funding Preferences.