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Project Name: Black Lung/Coal Miner Clinics Program (H37)
Applicant Title: CANYONLANDS COMMUNITY HEALTH CARE
Abstract Text: Organization name and full address: Canyonlands Community Healthcare (CCHC), 827 Vista Avenue, P.O. Box 1625, Page, AZ 86040 Entity type/type of facility: Federally Qualified Community Health Center Organization Website URL: www.canyonlandschc.org Proposed service region: Service Area A: Apache, Coconino, Navajo Counties (Page, Kayenta and Chilchinbeto) Funds requested: $401,684 Population served: NABLCP will serve retired/unemployed/relocated miners and their family members in northern Arizona and the four corners area, who are predominantly Native American, living on and off tribal nations, to reduce morbidity and mortality from occupation related coal mine dust lung disease (CMDLD), or black lung disease. The majority of affected miners live on the Navajo Nation in rural/frontier communities with high rates of co-occurring chronic disease and social vulnerability. Description of Service Area: CCHC’s most recent needs assessment reveals significant health disparities and health related social needs in Service Area A (Apache, Coconino, and Navajo Counties in Arizona), indicating ongoing need for CMDLD services to affected miners in some of the most remote and isolated areas in the U.S. Numerous barriers to care exist in the target population including economic, geographic, language accessibility, cultural factors, and a lack of transportation. Furthermore, communities of focus are federally designated rural/frontier, Health Professional Shortage Areas and Medically Underserved Areas making service delivery and continuity of care challenging. Proposed project goals and objectives: The overarching goal of the NABLCP is to reduce morbidity and mortality associated with CMDLD in affected miners in the service area. Goals include: Deliver a patient-centered, and integrated system of care that delivers the required and additional BLCP services that meet the needs of the communities served. In years 1-5, increase identification and provision of CMDLD health education to affected individuals and family members by 20% through culturally centered outreach, tailored education, and health promotion activities. Improve continuity of care by enhancing screening, assessment, and follow up care by reducing barriers to care through outreach and assistance, telemedicine and use of mobile health units to reach affected miners in remote communities. Expected Outcomes: Short term outcomes include increased outreach, CMDLD health education/promotion activities; increase in affected miners identified, screened, treated and engaged in follow up medical care; addressing health related social needs of affected miners; access to wellness and peer support activities; expanded mobile health care screening and assessment, case management and benefits counseling services and service capacity. Medium term outcomes include reduction of barriers to care for affected miners and family members; increased CMDLD knowledge, understanding and skills among participants; improved satisfaction, access and continuity of care for affected miners and family members; and increased number of affected miners and their families apply for and receive benefits. Long term outcome is improved morbidity and mortality for miners affected by CMDLD.