Mercy Health Partners of Southwest Ohio
Grant Program
Business Description
Marcum and Wallace Hospital (MWH) is a 25-bed Critical Access Hospital located on the periphery of the economically-distressed Eastern Kentucky Coalfield Region of Central Appalachia that provides emergency acute care services for the residents of Estill, Lee, and Powell counties.
Project Abstract

Project Title:
Population Health Management Program

Project Goal:
Marcum and Wallace Hospital is proposing to achieve meaningful improvements in health care delivery within its primary service area of Estill, Lee, and Powell counties in order to reduce the disease and economic burden of chronic disease through the increased availability and accessibility of important health services.

Target Patient Population:
The Population Health Management Program is aimed at community-dwelling residents with a confirmed diagnosis of diabetes, COPD, CHF, atrial fibrillation, OUD and hepatitis (with potentially comorbid substance use disorders). Network Partnerships: Marcum and Wallace Hospital (MWH) is a 25-bed Critical Access Hospital that provides emergency acute care services for the residents of a three-county area located on the periphery of the economically-distressed Eastern Kentucky Coalfield region of Central Appalachia. MWH is applying on behalf of the Project HOME (Helpful Opportunities for Medical Enhancement) Network. The Project HOME Network is a network of providers that communicates, coordinates, cooperates, and collaborates. The Project HOME Network is a multi-dimensional purposefully designed group, collectively committed to working strategically on goals that no one member can accomplish alone.

Quality Improvement Model:
The Chronic Care Model is a well-established conceptual model that is intended to inform the design of the Population Health Management Program at MWH. Project Activities and Services: In response to the burden of chronic disease within its service area (encompassing substance use disorders and other chronic disease conditions), MWH and the Project HOME Network are proposing to provide patient-centered, longitudinal care that will improve the receipt of effective treatment services (whether in person or through telehealth) and provide patients with appropriate self-management support.

Expected Outcomes:
Anticipated results of the Population Health Management Program include a demonstrable improvement within the target service area of chronic disease outcomes, reduced utilization of the Emergency Department, and a high level of recorded patient satisfaction with the program.

Website Address
Phone Number
(606) 723-2115
Business Address
60 Mercy Court
Irvine, Kentucky
40336-1331
Pike County Memorial Hospital
Grantee Organization
Grant Program
Business Description
Pike County Memorial Hospital has proudly served the residents of Pike County, Missouri with a tradition of quality healthcare since 1928. Throughout the years the hospital has made changes to best meet the needs of the community.
Pike County Memorial Hospital is a licensed acute care facility. The hospital provides extensive inpatient and outpatient services that include the latest technologies in radiology, laboratory testing, surgery, physical therapy and much more. The hospitals clinics include services in allergy, cardiology, orthopedics, podiatry, pulmonology, gynecology and pain management.
Project Abstract

Pike County Effective Care Transitions Purpose:
To improve care transitions for chronic disease patients to improve quality, health status and costs.

Target Patient Population:
The service area for the project is Pike County and surrounding area. The target population is individuals who lack a primary care provider who seek care at Pike County Memorial Hospital’s emergency department for one of the following: diabetes, cardiovascular disease, high blood pressure or depression, and individuals who have a history of smoking or tobacco use and/or weigh outside normal parameters.

Quality Improvement Model(s):
To address the needs of the target patient population, Pike County Effective Care Transitions (ECT) will utilize several models to improve quality of care and patient health outcomes, including: Primary Care Health Home, Chronic Care Model and the Institute for Health Improvement Model in conjunction with evidence-based care transition practices. While there are multiple models being utilized, the models will work together to address specific components of care and patient management to achieve the most effective results.

Project Activities/Services
Pike County Memorial Hospital proposes to implement ECT to improve the quality and safety of health care. Through ECT, care transitions from the hospital emergency department and inpatient settings to other settings will be improved, thereby reducing hospital readmissions and inappropriate emergency department utilizations. ECT will also focus on improving coordination of care and establishing a primary care health home for chronic care patients without an identified primary care provider.

Expected Outcomes
As a result of ECT, Pike County Memorial Hospital expects to demonstrate quality and performance improvement in the delivery of care to chronic care patients through improved clinical outcomes and reduced total cost of care for the target population.

Website Address
Phone Number
(573)754-5531
Business Address
2305 Georgia Street
Louisiana, MO
63359-2559