North Carolina Discretionary Awards

Project Title: MCH Workforce Centers

Grant Number: UE7MC26282
Project Start Date: September 01, 2013
Project End Date: August 31, 2021
Organization: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Address: Airport Dr Chapel Hill NC 27599
Project Director: Dorothy Cilenti
Phone Number: (919) 843-5427
Email: cilenti@email.unc.edu

Project Description

Health transformation continues to cause shifts in health care and public health systems. Title V must demonstrate impact and work across silos to provide leadership for MCH outcomes. A Center is needed to strengthen the capacity and skills of the current and future MCH workforce.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC00068
Project Start Date: February 01, 2002
Project End Date: March 31, 2024
Organization: UNIVERSITY OF NORTH CAROLINA AT PEMBROKE
Address: University Rd Pembroke NC 28372
Project Director: Erica Little
Phone Number: (910) 521-6181
Email: erica.little@uncp.edu

Project Description

Robeson County has a diverse population with high rates of infant mortality and morbidity, and negative risk behaviors both during and outside of pregnancy. There is a high rate of Medicaid funded recipients, as well as WIC and TANF, which reflects the higher poverty rate in the community. The project will provide case management and health education through home visitation, outreach and education. The project will also offer transportation to medical visits as it is a high need in the county, which is very rural and does not have public transportation. The project will also work to build Collective Impact as there is a need for agencies to work together.

Project Title: State Maternal Health Innovation Support and Implementation Program

Grant Number: U7CMC33636
Project Start Date: September 30, 2019
Project End Date: September 29, 2024
Organization: University of North Carolina at Chapel Hill
Address: 104 Airport Drive Suite 2200 Cb 1350 Chapel Hill NC 27599
Project Director: Dorothy Cilenti
Phone Number: (919) 843-5427
Email: cilenti@email.unc.edu

Project Description

The Supporting Maternal Health Innovation Program will serve as a national resource center and provide capacity building assistance to HRSA’s maternal health grantees and other stakeholders as they engage in efforts to reduce maternal mortality and severe maternal morbidity through innovative and evidence-informed strategies.

Project Title: Sickle Cell Treatment Demonstration Program

Grant Number: U1EMC31108
Project Start Date: September 01, 2017
Project End Date: August 31, 2021
Organization: CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY, THE
Address: Blythe Blvd Charlotte NC 28203
Project Director: IFEYINWA OSUNKWO
Phone Number: (704) 330-9373
Email: ify.osunkwo@atriumhealth.org

Project Description

Education and Mentoring to Bring Access to Care for Sickle Cell Disease a regional collaborative approach to enhance access to evidence based care, provide education and peer mentoring to providers to increase number of providers caring for persons living with SCD and engaging the community and provider team around medical home and transition using the chronic disease management model and facilitated via decision support tools, ECHO clinics and telemedicine and establishing systems that endure using quality improvement so that every patient with sickle cell disease every time has access to high quality evidence based care.

Project Title: Screening and Treatment for Maternal Depression and Related Behavioral Disorders Program

Grant Number: UK3MC32240
Project Start Date: September 30, 2018
Project End Date: September 29, 2023
Organization: Health & Human Services, North Carolina Department Of
Address: 2001 Mail Service Ctr Raleigh NC 27699
Project Director: Belinda Pettiford
Phone Number: (919) 707-5699
Email: belinda.pettiford@dhhs.nc.gov

Project Description

Perinatal depression, defined as depressive symptoms occurring either during pregnancy or 4-6 weeks after pregnancy (postpartum), is a common and costly health concern with serious implications. Based on findings from the North Carolina Office of Rural Health, 35 of our 100 counties are classified as Mental Health Professional Shortage Areas. Though not designated, there are additional counties that have a very low supply of mental health professionals in proportion to the population. Barriers and limitations of screening and treatment for maternal depression and related behavioral disorders impact maternal and child health.

Project Title: Leadership Education in Neurodevelopmental and Related Disorders Training Program

Grant Number: T73MC00030
Project Start Date: July 01, 1995
Project End Date: June 30, 2021
Organization: UNIV OF NORTH CAROLINA @ CHAPEL HILL
Address: Airport Dr Chapel Hill NC 27599
Project Director: Jackson Roush
Phone Number: (919) 966-9467
Email: jroush@med.unc.edu

Project Description

The healthcare needs of families and children with ASD/DD present significant challenges in North Carolina. The work force and systems of care available to meet these challenges are lacking, a reality that is contributing to delays in diagnosis and treatment, misdiagnosis, and increased morbidity.

Project Title: Pediatric Mental Health Care Access Program

Grant Number: U4CMC32315
Project Start Date: September 30, 2018
Project End Date: September 29, 2023
Organization: Health & Human Services, North Carolina Department Of
Address: 2001 Mail Service Ctr Raleigh NC 27699
Project Director: Kelly Kimple
Phone Number: (919) 707-5512
Email: kelly.kimple@dhhs.nc.gov

Project Description

North Carolina is the ninth largest state by population and has the second largest rural population with approximately 4,000,000 citizens living in rural regions. Of the 100 counties in the state, 80 are considered rural with approximately 920,000 children living in one of the 80 rural counties. Based on findings from the North Carolina Office of Rural Health, 35 of our 100 counties are classified as Mental Health Professional Shortage Areas. These needs are highlighted by the fact that North Carolina has a severe shortage of child and adolescent psychiatrists with only 13/100,000 people. Of the 100 counties in the state, 65 do not have a child and adolescent psychiatrist, and 64 of these counties are rural. Many of these 64 rural counties are situated several hours away from a clinic or facility that has access to a child and adolescent psychiatrist.

Project Title: State Maternal Health Innovation Program

Grant Number: U7AMC33712
Project Start Date: September 30, 2019
Project End Date: September 29, 2024
Organization: Health & Human Services, North Carolina Department Of
Address: 2001 Mail Service Ctr Raleigh NC 27699
Project Director: Belinda Pettiford
Phone Number: (919) 707-5699
Email: belinda.pettiford@dhhs.nc.gov

Project Description

The State Maternal Health Innovation Program will assist states in addressing disparities in maternal health and improving maternal health outcomes, with an emphasis on preventing and reducing maternal mortality and severe maternal morbidity.

Project Title: Maternal and Child Health Field-Initiated Research Program

Grant Number: R40MC32880
Project Start Date: July 01, 2019
Project End Date: June 30, 2020
Organization: University of North Carolina at Chapel Hill
Address: 104 Airport Drive Suite 2200 Cb 1350 Chapel Hill NC 27599
Project Director: Wanqing Zhang
Phone Number: (919) 962-4069
Email: wanqing_zhang@med.unc.edu

Project Description

Investigating how race and region are associated with variations in hospital care and subsequent clinical outcomes for pediatric patients with opioid use disorders (OUD).

Project Title: State Grants for ASD Services for Children & Youth

Grant Number: H6MMC33235
Project Start Date: September 01, 2019
Project End Date: August 31, 2023
Organization: University of North Carolina at Chapel Hill
Address: 104 Airport Drive Ste 2200 Chapel Hill NC 27599
Project Director: Rhonda C Fuquay
Phone Number: (919) 962-9873
Email: rhonda_fuquay@unc.edu

Project Description

The purpose is to implement innovative, evidence-based strategies (including Family Navigation and Provider Education) that improve access to coordinated and integrated care in North Carolina for young children with/ at risk for ASD/DD and their families in medically underserved areas and populations by working with primary care practices and caregivers.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC00088
Project Start Date: July 01, 2001
Project End Date: March 31, 2024
Organization: NC DEPARTMENT OF HEALTH & HUMAN SERVICES
Address: Six Forks Rd Raleigh NC 27609
Project Director: Tonya N Daniel
Phone Number: (919) 707-5686
Email: tonya.daniel@dhhs.nc.gov

Project Description

North Carolina is one of several southern states with high rates of infant mortality and morbidity. North Carolina was ranked 38th in the U.S in 2018. In 2018, the state’s infant mortality rate was 6.8 deaths per 1,000 live births, which is a slight decrease from the 2017 rate of 7.1. The state’s white infant death rate of 5.0 deaths per 1000 live births remains steady for 2018 with no change from 2017. While there have been some improvements in the overall infant mortality rate in the past, racial disparities in infant mortality continue to persist. African American women of reproductive age (15-44 years) in North Carolina continue to experience an infant mortality rate more than double that of the white population, with a 2018 rate of 12.2 infant deaths per 1,000 live births, a decrease from the 2017 rate of 12.5. The purpose of the North Carolina Baby Love Plus program (BLP) is to improve birth outcomes and the health of women of reproductive age and address perinatal disparity.

Project Title: Family Professional Partnership/CSHCN

Grant Number: H84MC31691
Project Start Date: June 01, 2018
Project End Date: May 31, 2022
Organization: Family Resource Center South Atlantic
Address: BARRETT DR RALEIGH NC 27609
Project Director: Derrick W Byrd
Phone Number: (919) 834-9300 Extn-101
Email: dbyrd@frcsa.org

Project Description

Families of CYSHCN often: 1) Lack knowledge and information to seek care; 2) Have little to no experience dealing with health care system; 3) Have little to no decision making choices for their family’s care; 4) Lack access to support systems; 5) Have Little to no skills to advocate on their behalf; and 6) Have no clear link to professionals that serve CYSHCN.

Project Title: Universal Newborn Hearing and Screening

Grant Number: H61MC00043
Project Start Date: April 01, 2000
Project End Date: March 31, 2020
Organization: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES
Address: Mail Service Ctr Raleigh NC 27699
Project Director: Jude Williams
Phone Number: (919) 707-5646
Email: jude.williams@dhhs.nc.gov

Project Description

2014 NC EHDI survey data show the rate of completion of the screening process by one month of age is 97.9%. Of the diagnostic results reported, 54.8% are completed by 3 months of age. Of those infants found to have a hearing loss, 57.1% were enrolled in EI services by 6 months of age. NC EHDI still faces challenges in reaching the 3-6 benchmarks. Continued efforts in parental, professional and public education are needed to ensure that the system of care is meeting the needs of families and their children. The overall Program aims are: 1) > by 30% the # of newborns who are diagnosed by 3 months of age; 2) > by 25% the # of infants who received timely referral to EI services; 3)> by 20% the # of infants enrolled in EI services, and 4) develop a formal partnership with a family support organization.

Project Title: Maternal, Infant and Early Childhood Home Visiting Grant Program

Grant Number: X10MC33599
Project Start Date: September 30, 2019
Project End Date: September 29, 2021
Organization: Health & Human Services, North Carolina Department Of
Address: 5601 Six Forks Rd Raleigh NC 27609
Project Director: Christopher Bryant
Phone Number: (919) 707-5640
Email: christopher.bryant@dhhs.nc.gov

Project Description

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program supports the delivery of coordinated and comprehensive high-quality and voluntary early childhood home visiting services to eligible families living in at-risk communities. The Health Resources and Services Administration (HRSA), which administers this program in partnership with the Administration for Children and Families, funds states, territories, and tribal entities to develop and implement evidence-based programs that best meet the needs of their communities.

Project Title: MCHB State Systems Development Initiative

Grant Number: H18MC00037
Project Start Date: October 01, 1993
Project End Date: November 30, 2022
Organization: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES
Address: Mail Service Ctr Raleigh NC 27699
Project Director: Kelly Kimple
Phone Number: (919) 707-5512
Email: kelly.kimple@dhhs.nc.gov

Project Description

The Women's and Children's Health Section (WCHS) proposes to use State Systems Development Initiative (SSDI) funding to maintain the current SSDI Project Coordinator's position. The primary role of this position is to help develop, enhance, and expand the Section's MCH data capacity, in order to make data-driven decisions and prioritizations, and to be good stewards of resources.

Project Title: Maternal and Child Health Field-Initiated Research Program

Grant Number: R40MC32754
Project Start Date: July 01, 2019
Project End Date: June 30, 2022
Organization: WAKE FOREST UNIVERSITY HEALTH SCIENCES
Address: Medical Center Blvd, Winston Salem NC 27157
Project Director: Savithri Nageswaran
Phone Number: (336) 716-6508
Email: snageswa@wakehealth.edu

Project Description

Children with medical complexity (CMC) (children with complex chronic conditions, technology-dependent, or medically fragile children) are a sub-group of CSHCN with very high needs for health and support services. CMC have conditions that involve multiple organ systems and encompass a broad range of conditions. For various reasons, more CMC are being discharged to home care. Home health nursing care (skilled nursing care by a licensed nurse that is either intermittent or continuous at the recipient’s home) is an important service for CMC at home. However, our qualitative research among caregiver and home health nurses (HHN) found that the quality of home health nursing was not optimal and lack of good-quality home health nursing negatively affected quality of care for CMC and increased caregiver burden. Several strategies and solutions were identified by caregivers and HHNs to improve quality of care delivered to CMC – one being greater collaboration between HHN and other clinicians.

Project Title: Healthy Tomorrows Partnership for Children Program

Grant Number: H17MC28295
Project Start Date: March 01, 2015
Project End Date: February 29, 2020
Organization: WAKE FOREST UNIVERSITY
Address: MEDICAL CENTER BLVD. WINSTON SALEM NC 27157
Project Director: Savithri Nageswaran
Phone Number: (336) 716-6508
Email: snageswa@wakehealth.edu

Project Description

Children with medical complexity (CMC) receive a variety of services, such as medical, educational, social and family-support services through various agencies for a prolonged period. Unfortunately, coordination of care between providers serving these children is often lacking, resulting in gaps and inefficiencies in care, as well as duplication, and fragmentation of services. Improving the health care system to provide family-centered, comprehensive, coordinated care to children with special health care needs is one of the national Healthy People 2020 objectives (Objective MICH-31). The American Academy of Pediatrics recognizes care coordination to be the most essential aspect of care for children with special needs. The Community-based Pediatric Enhanced Care Program is an innovative community-based care coordination service for implemented in 8 counties in western North Carolina. In the current project, we will implement this model in 2 additional counties.

Project Title: EMSC Partnership Grants

Grant Number: H33MC06732
Project Start Date: March 01, 2006
Project End Date: March 31, 2022
Organization: N.C. Dept. of Health and Human Services
Address: Mail Service Ctr Raleigh NC 27699
Project Director: Tom Mitchell
Phone Number: (919) 920-0326
Email: tom.mitchell@dhhs.nc.gov

Project Description

Address the needs for improvement in the operational capacity of both prehospital and acute care to manage pediatric medical and trauma emergencies. It will ensure that standards and policies are developed and implemented and will increase training.

Project Title: Healthy Start Initiative-Eliminating Racial/Ethnic Disparities

Grant Number: H49MC32721
Project Start Date: April 01, 2019
Project End Date: March 31, 2024
Organization: PIEDMONT HEALTH SERVICES AND SICKLE CELL AGENCY
Address: 1102 E Market St Greensboro NC 27401
Project Director: Kathy Norcott
Phone Number: (336) 274-1507
Email: knorcott@piedmonthealthservices.org

Project Description

The purpose of the Healthy Start Triad Baby Love Plus program (HS Triad BLP) is to improve birth outcomes and the health of 600 African American women of childbearing age and 100 fathers/partners through strengthening the perinatal systems of care, strengthening family resilience, promoting quality services, and building community capacity to address perinatal disparity. The overall goals are 1) to improve birth outcomes in the African American population; 2) to strengthen existing perinatal systems of care; and 3) to build community capacity to address perinatal disparity while carrying out the services required by the Federal Healthy Start Program. The Healthy Start Triad BLP program will improve women’s health by providing case management and home visiting services to 300 pregnant, 300 preconception and interconception women including their children up to 18 months and 100 fathers/male partners associated with the women and/or children.

Project Title: Maternal and Child Health Public Health Training Program

Grant Number: T76MC00004
Project Start Date: June 01, 2013
Project End Date: May 31, 2020
Organization: UNIV OF NORTH CAROLINA @ CHAPEL HILL
Address: Airport Dr Chapel Hill NC 27599
Project Director: Sandra Martin
Phone Number: (919) 966-5973
Email: sandy_martin@unc.edu

Project Description

Transformations in health care, financing, and public health systems are driving unprecedented challenges to the public health workforce in an era of health reform. Continued MCH advancement requires adaptive leaders, trained in the science of implementation, evidence-based decision making, and systems thinking.

Project Title: Providing support for the Collabortive Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality

Grant Number: UF3MC31239
Project Start Date: September 30, 2017
Project End Date: September 29, 2020
Organization: University of North Carolina at Chapel Hill
Address: 104 Airport Drive, Suite 2200, CB 1350, Chapel Hill NC 27599
Project Director: Sarah Verbiest
Phone Number: (919) 843-2455
Email: sarahv@med.unc.edu

Project Description

The science supporting the significance of preconception health is well established; however, the importance of this care is not widely understood, or adopted. A paradigm shift focusing on preconception wellness is a critical response to stagnating US infant mortality rates, increasing maternal mortality and morbidity, and high numbers of unintended pregnancies. Women of color and low-income women at the greatest risk for poor health outcomes. This CoIIN project is in alignment with the National Preconception Health and Health Care Initiative’s (PCHHC) vision that all women and men of reproductive age will achieve optimal health and wellness, fostering a healthy life course for them and any children they may have. The proposed Preconception CoIIN aims to develop, implement, and disseminate a woman-centered, clinician-engaged approach to the well-woman visit to improve the preconception health status of women of reproductive age, particularly low-income women and women of color.

Project Title: EMSC Targeted Issue Grants

Grant Number: H34MC30234
Project Start Date: September 01, 2016
Project End Date: August 31, 2023
Organization: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Address: Airport Dr Chapel Hill NC 27599
Project Director: Jane H Brice
Phone Number: (919) 843-3045
Email: jane_brice@med.unc.edu

Project Description

EMS technicians rarely have contact with high-risk pediatric patients with time-sensitive critical illnesses and/or injuries. In order to ensure and improve treatment, our project plans to implement a focused program of online education and performance improvement feedback tools.

Date Last Reviewed:  November 2020