Email correspondence and application plan

Hi Eric, 

Thanks again for the conversation. I have two things for you—1 is the drafted initiative/fund for treasury to lead. Please let me know if this is aligned with your thoughts, but I think it pairs nicely. Second is a graphic we are still shaping up but gives a high level snapshot of the type of work through these initiatives and how it comes together. Hope that helps and thanks for the rapid inputs! I'm excited about the possibilities for our state.

Rural Health Care Graphic

Goal: Catalyze Innovative Care Models
Changing the way providers work together for patients in rural
NC

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Goal: Transform the Rural Care Experience

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Underlying systems-change

Goal: Create a Sustainable Rural Delivery System

Build Rural Community Care Network "Hubs"
Summary of planned projects

  • Collaborative community hubs connecting providers, FQHCs, CCHCs, schools, LHDs, and community-based organizations around rural community improvement plans
  • Design and deploy community-tailored services that address physical health, behavioral health, substance use, and upstream wellbeing needs
  • Build platforms to improve information sharing, joint training, program coordination, and group purchasing

Create Models & Capacity for Expanded Primary Care, Prevention, and Chronic Disease Management
Summary of planned projects

  • Expanded access to primary and specialists through digital-forward models
  • Care coordination and navigation supports across local networks of care
  • Upstream supports and interventions emphasizing prevention and wellness

Build a Robust & Resilient Workforce & Innovative Care Team Models for Rural Communities
Summary of planned projects

  • Expanded rural residencies and fellowships and training/certification for CHWs, peers, direct care workers and other health professionals
  • Expanded simulation and interprofessional training
  • Increased capacity for qualified training sites and faculty/teachers
  • Outreach programs and high-school-to-job pipelines
  • TA on innovative care team models

Modernize Rural Care Delivery Through Digital Forward Solutions
Summary of planned projects

  • Seamless data exchange via rural provide connectivity to the state Health
    Information Exchange (HIE)
  • New rural precision public health models
  • Expanded rural provider adoption of Al tools, virtual care models for P2P consults and complex care management in regions where specialty care is limited
  • Improved digital health literacy and digital patient tools in rural communities

Expand and Integrate Behavioral Health and SUD Services
Summary of planned projects

  • Expanded services through the CCBHC model expanded in rural counties
  • Enhanced assessment and treatment programs to address critical care gaps in: first episode psychosis, rural crisis, mobile, outreach and response, mobile opioid treatment and medication units, and school-based
  • New collaborative and non-traditional models to connect North Carolinians to care

Ensure Fiscal Sustainability of Rural Health Providers Through Innovative Financial Models
Summary of planned projects

  • Rural Medicaid VBP models via two linked programs:
    • Primary care capitation pilot
    • Rural hospital VBP capacity building
  • Reduce operating costs and inefficiencies in care delivery