Rural Child Poverty Telehealth Network Grant Program

and should be supported by the use of county and sub-county level data to describe the poverty levels in their target area and the unmet needs of children to be served. Many of the largest drivers of health care costs fall outside the clinical care environment.[1]  These non-medical drivers have costly implications for health care utilization: 500,000 hospitalizations would be averted annually if the rate of preventable hospitalizations were the same for residents of low-income neighborhoods as for those of high-income neighborhoods,[2] and hospital readmission rates are more closely related to community characteristics than to hospital characteristics.[3]  For the purposes of this FOA, applicant networks should include human/social service providers to the extent that the provision of those services can be tied directly back to improving the health care status of low-income rural children served via telehealth and distance learning technology.  For the purpose of this funding, human/social services are defined as early childhood development, food and nutrition support and education, economic support programs related to the family of the children served including awareness and counseling and or referral related to available job training and economic support, housing and other social service supports.  In providing services beyond the clinical setting, applicants will be required to demonstrate how the provision of information and referral for those human/social services through the telehealth network will ultimately benefit the health of children served through this grant funding.   The goal of the RCP-TNGP is to demonstrate how telehealth networks can expand access to, coordinate and improve the quality of health care services for children living in impoverished rural areas and in particular how such networks can be enhanced through the integration of social and human service organizations.   [1] Milstein B, Homer J, Briss P, Burton D, Pechacek T. Why behavioral and environmental interventions are needed to improve health at lower cost. Health Affairs. 2011 May;30(5):823–32; McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion. Health Affairs. 2002 Mar-Ap;21(2):78–93 [2] Moy E, Chang E, Barrett M.  Potentially preventable hospitalizations – United States, 2001–2009.  MMWR. 2013 November; 62(3);139-143. [3] Herrin J, St Andre J, Kenward K, Joshi MS, Audet AM, Hines SC. Community factors and hospital readmission rates. Health Serv Res 2014 April 9 (Epub ahead of print).