Reducing avoidable ED visits and promoting care in the community (11 grants also listed in other categories)

Grantee Organization: Lower Shore Clinic
Jurisdiction Served: Lower Shore
Grant and Amount: 16-012 ($105,000) 
Grant Project Description: This two-year grant provides funding to support the "CareLink" program that targets individuals with behavioral health needs who Present at the Peninsula Regional Medical Center (PRMC) ED in high volumes and provides intensive case management services for these individuals in a community setting post-hospital discharge. The proposal involves a partnership with PRMC and is designed to help reduce 30-day readmission rates for individuals participating in the program.  CHRC grant funds are being utilized to support the salary costs of program staff (This grant is also listed in "Increasing Access to Integrated Behavioral Health Services").
Organization Contact Information: http://www.gogettersinc.org/Lower-Shore-Clinic.html


Grantee Organization: Charles County Health Department
Jurisdiction Served: Charles
Grant and Amount: 16-013 ($400,000) 
Grant Project Description: This three-year grant supports an innovative “public health-EMS-hospital” partnership that seeks to address utilization of EMS and ED services in Charles County by assisting frequent ED/EMS users to manage their chronic conditions in a primary care setting or at home. The program is a collaboration among the Charles County Health Department, Charles EMS, and Charles Regional Hospital. Grant funding is being utilized to support a Mobile Integrated Healthcare team comprised of a paramedic, a nurse practitioner, and two community health workers (This grant is also listed in "Expanding Access to Primary Care Services"). 
Organization Contact Information: 
www.charlescountyhealth.org


Grantee Organization: Family Services, Inc. 
Jurisdiction Served: Montgomery County
Grant Amount: 15-006 ($250,000) 
Grant Project Description: This two-year grant provides funding to expand Family Services' CareLink program to Holy Cross Hospital and Holy Cross Germantown Hospital. The CareLink program was previously successfully implemented at Washington Adventist Hospital and Shady Grove Hospital. The program targets individuals at a high risk for readmission who have behavioral health needs and/or medical conditions complicated by socio-economic factors. Grant funding is utilized to support the salary costs program staff (This grant is also listed in "Increasing Access to Integrated Behavioral Health Services")​​.
Organization Contact Information: http://www.fs-inc.org/


Grantee Organization: Harford County Health Department
Jurisdiction Served: Harford County
Grant and Amount: 15-008 ($320,000)
Grant Project Description: This three-year grant provides funding to support the partnership between Harford Health Department and Upper Chesapeake Health (UCH) to identify high-risk, high-cost populations and would "integrate" the care coordination efforts of Harford Health Department with disease management efforts of UCH. Grant funds are utilized to cover the salary costs of program staff (This grant is also listed in "Expanding Access to Primary Care Services")​​. 
Organization Contact Information: http://harfordcountyhealth.com/

 
Grantee Organization: Medstar Union Memorial Hospital 
Jurisdiction Served: Baltimore City
Grant and Amount: 15-009 ($150,000) 
Grant Project Description: This two-year grant supports a hospital-community partnership to open a new FQHC site operated by Total Health Care on the grounds of Medstar Union Memorial Hospital (MUMH). The FQHC will serve patients from Baltimore City who are chronically ill and who are frequent users of the hospital ED and inpatient services. Grant funding covers the salaries of care coordinators who are embedded in the MUMH ED (This grant is also listed in "Expanding Access to Primary Care Services")​. 
Organization Contact Information: http://www.medstarunionmemorial.org/

 
Grantee Organization: Health Care Access Maryland
Jurisdiction Served:  Baltimore City 
Grants and Amount:  14-011 ($800,000) 
Grant Project Description:   This three-year grant supports a program that targets individuals with chronic disease conditions who frequently utilize the Sinai Hospital emergency departments and promotes access to primary and preventative care services in the community. The program helps residents enroll in public health care coverage and navigate the complex health care system. Grant funds are being used to support new ED diversion teams deployed in two hospitals in Baltimore City (Sinai and Northwest Hospitals) (This grant is also listed in "Expanding Access to Primary Care Services")​.
Organization Contact Information: www.healthcareaccessmaryland.org


Grantee Organization: Total Health Care
Jurisdiction Served: Baltimore City
Grant and Amount: 08-022 ($100,250) 
Grant Project Description: This one-year grant supported a program with Total Health Care to reduce ED visits for non-emergency conditions by clients accessing Maryland General Hospital's ED. The grantee placed Outreach Coordinators in the hospital's ED during peak usage hours to educate patients on appropriate ED use and to assist patients in connecting with a primary care provider in the community. The grantee reported an 8% reduction in ED visits at Maryland General Hospital from the year prior to the grant's implementation (This grant is also listed in "Expanding Access to Primary Care Services")​.
Organization Contact Information: www.totalhealthcare.org

 
Grantee Organization: University of Maryland Department of Family Medicine
Jurisdiction Served: Baltimore City
Grant and Amount: 08-023 ($499,749)
Grant Project Description: This three-year grant supported the Better Access to Care (BAC) Program aimed at reducing hospital ED visits using the Chronic Care Model for patients with diabetes, depression and asthma. Patients were referred from the UM hospital ED and other community organizations. Grant funds were used to support the salary costs of program staff (This grant is also listed in "Expanding Access to Primary Care Services")​. 
Organization Contact Information: www.medschool.umaryland.edu/familymedicine

 
Grantee Organization: Upper Chesapeake Health
Grant and Amount: 08-024 ($485,743) 
Jurisdiction Served: Harford County
Grant Project Description: This three-year grant supported the development of a comprehensive ED diversion program to redirect uninsured patients away from using emergency rooms for non-emergent visits by redirecting uninsured and underinsured patients towards a medical home for primary and preventative care, as well as linking them to a comprehensive community based continuum of care (mental health, specialty care, substance abuse, entitlement programs, etc.). The program provided a medical home for patients at the Upper Chesapeake HealthLink Primary Care Clinic. Grant funding was utilized to support staff salaries. During the three year grant period, 2,487 patients were served by the HealthLink PCC (This grant is also listed in "Expanding Access to Primary Care Services")​. 
Organization Contact Information: http://www.uchs.org/


Grantee Organization: Chase Brexton Health Services Inc.
Grant and Amount: 07-005 ($200,000)
Jurisdiction Served: Howard County 
Grant Project Description: This two-year grant supported a program aimed at reducing avoidable visits to the emergency department at Howard County General Hospital. The program employed outreach workers in the ED to connect patients to a Chase Brexton health center location for follow-up care. Funds were used to support personnel costs and to implement a digital interface between the hospital and Chase Brexton. The program served over 600 patients and provided for over 900 patient visits in ambulatory care settings (This grant is also listed in "Expanding Access to Primary Care Services")​.
Organization Contact Information: www.chasebrexton.org


Grantee Organization: Frederick Community Action Agency 
Jurisdiction Served: Frederick County 
Grant Amount: #07-006 ($353,585) 
Grant Project Description: This three-year grant supported the Access to Care Program which provided primary health care services to low-income, uninsured adults and children in Frederick County. CHRC grant funds were utilized to support salary costs for staff to implement this program. This grant allowed for 1,324 patients to be served and provided these patients with 3,740 visits in ambulatory care settings (This grant is also listed in "Expanding Access to Primary Care Services")​​.
Organization Contact Information: www.cityoffrederick.com/Index.aspx?NID=183

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