"Particularly for those who need the systems most, it's almost as if we conspired to create the most complex system with the greatest number of barriers to improving outcomes."
- Dr. Tsai, Dir. Center for Medicaid & CHIP
Why go it alone?
- developing mission, metrics & marketing
- developing procedures, policies & people
- deployment staffing & sustainability
A message from Travis:
I'm continually surprised and saddened by the sheer number of people in our country who lack access to healthcare. The causes are varied - no insurance, no transportation, geography, limited providers, or other challenges - but I find they do have something in common; many have no one else in their corner. And being alone is the worst feeling, isn't it?
We are here for one reason - use our time and talents to lend a hand to the most vulnerable and underserved people in our society by assisting FQHCs and health systems as they provide comprehensive high-touch care with mobile clinics.
Travis A. LeFever, CEO
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Technical Assistance Partnership (TAP)
If you're worried about the increased operational challenges of launching a mobile health clinic, TAPs program planning and management works with you to reduce the risk that the energy and enthusiasm around your new mobile clinic program cannot overcome the operational challenges.
Top Twelve TAP Requests
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- Stakeholder Lunch & Learns
- Team-building for Mobile Health
- Community Needs Assessments
- Program Priorities (where, when, and who)
- Budget Templates (current funding)
- Sustainability Plan (future funding)
- Standardized marketing services
- Community Partner Engagement
- Grant modules for Mobile Health
- Data collection & reporting
- Policy & Procedure templates
- Operational Assistance Contracts
Drive Decisions with Data
If a Community Health Center, State or local entity is going to deploy a mobile health clinic, why not use UDS or GIS data to find the people that need you most?
For a Level 1 example, NC data shows two counties have healthcare complexity - poor health outcomes and a high population of uninsured.
At a high level, targeted deployment of mobile outreach, education or primary care efforts would improve outcomes and reduce Payer spending with minimal investment or risk.
Level 2 Planning
Further analysis can be made to guide deployment efforts.
For example, when availability of buprenorphine services are mapped, 40% of counties have 0 waivered providers. Depicted in this report from OIG, "a swath of the United States from the Upper Midwest region and Great Plains to Texas and the Southeast have large areas of low to no capacity to provide buprenorphine services."
Correlated with the 381 US counties with the highest indicators of opioid misuse and abuse counties, you find areas likely to be facing the most critical need for treatment services (12 percent of all counties nation-wide). 62% of these highest-need counties are in rural areas.
Level 3 Planning
From the same data set, two high-need counties in Arizona can be highlighted. Notice nearly all waivered providers were driven by economic incentives to locate offices near the major population centers of Phoenix and Tuscon. Persons living and working in the same county may still not have adequate access to waivered providers.
For example, individuals with SUD residing in southwest Maricopa County would have to drive an estimated 115 miles (2 hours) to access buprenorphine services in the Phoenix area. This same individual would have the same access issues if attempting to see a waivered provider in neighboring counties.
Deploying an SUD-oriented mobile clinic in this county to provide outreach, education, and navigation services would be recommended.
Grants.gov
Open Grants
HRSA fulfills its mission through grants and cooperative agreements.
Find more information at HRSA Funding Opportunities including Service Area competitions
Rural Assistance Center
Federally Qualified Health Centers (FQHCs) and the Health Center Program – Funding & Opportunities
Find more information at the Rural Assistance Center (link to all open funding opportunities).
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Health Center
New Access Points
Health Center Program New Access Points (NAP) funding provides operational support for new service delivery sites for the provision of comprehensive primary health care services (i.e., new access points).
Find more information at Health Center Program New Access Point Grant
Dental Grant
Opportunties
DentaQuest Foundation
Rural Assistance Center (oral health funding opportunities)
ADA (American Dental Association) Foundation
HRSA Dentistry/Oral Health Grants
Healthy Smiles Healthy Children (Foundation of the American Academy of Pediatric Dentistry)
Multidisciplinary and Collaborative Research Consortium to Reduce Oral Health Disparities in Children: A Multilevel Approach (UH2/UH3)
Ryan White
Supplemental Grants
The Health Resources and Services Administration (HRSA) will issue a non-competitive program expansion supplement to up to 115 Ryan White HIV/AIDS Part D program grantees to support interventions that will positively impact the HIV health outcomes of women, infants, children, and youth in communities where Part D grantees are located.
Find more information at Supplemental Ryan White Part D Funding
The Robert Wood Johnson Foundation creates grants and grant programs that inspire bold ideas, encourage creative solutions, and demonstrate transformative potential.
Find more information at Robert Wood Johnson Foundation.
USDA Guaranteed Loans
This program provides loan guarantees to eligible lenders to develop essential community facilities in rural areas.
Find out more: Rural Community Facility
Community Facility Grants
This program provides affordable funding to develop essential community facilities in rural areas.
Find our more at Community Facility Grants through USDA Rural Development
Healthy Tomorrows Partnership for Children Program
The program supports community-based partnerships to promote access to health care for under-resourced and underserved children, youth, and their families nationwide, through new or enhanced community-based projects.
Find out more at Healthy Tomorrows Partnership for Children Program
Ryan White
Early Intervention
The Ryan White HIV/AIDS Program (RWHAP) Part C provides grants to community-based organizations. Grants include:
Find out more at HIV Early Intervention Services (EIS) Program Existing Geographic Service Areas (EISEGA)
Rural Economic
Development Grants
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