Tennessee Discretionary Awards

Project Title: Family Professional Partnership/CSHCN

Grant Number: H84MC00004
Project Start Date: June 01, 2002
Project End Date: May 31, 2022
Organization: TENNESSEE DISABILITY COALITION
Address: Woodland St Nashville TN 37206
Project Director: Kara Adams
Phone Number: (615) 515-8634
Email: kara_a@tndisability.org

Project Description

The identified needs focus on: 10 access to a medical home for CYSHCN and their families, 2) underserved and/or under-resourced CYSHCN and their families' knowledge of medical home and systems of care and 3) collaborative decision- making between CYSHN/their families and health care professionals. This proposal will continue to build the TN F2F Health Information System. The goals: 1) increase the knowledge and skills of families of CYSHCN to successfully navigate the health system with an emphasis on those who are underserved, under resourced, under represented; 2) increase family engagement in health systems and 3) increase collaboration with healthcare professionals.

Project Title: Healthy Tomorrows Partnership for Children Program

Grant Number: H17MC28296
Project Start Date: March 01, 2015
Project End Date: February 29, 2020
Organization: EAST TENNESSEE STATE UNIVERSITY
Address: Gilbreath Dr Johnson City TN 37614
Project Director: Karen Schetzina
Phone Number: (423) 439-6222
Email: schetzin@etsu.edu

Project Description

The problems that we are addressing with this project include unhealthy eating, inactive lifestyles, lack of reading, and unsafe environments/practices influenced by parent/caregiver knowledge, attitudes, and perceptions. In addition, we are addressing communication barriers and lack of resources in the primary care setting for addressing these topics. Finally, we are addressing the lack of community resources and opportunities for families with young children to learn about raising healthy child and experience peer support.

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

Grant Number: H49MC32719
Project Start Date: April 01, 2019
Project End Date: March 31, 2024
Organization: NASHVILLE & DAVIDSON COUNTY, METROPOLITAN GOVERNMENT OF
Address: PO BOX 196300 Nashville TN 37219
Project Director: D'Yuanna Allen-Robb
Phone Number: (615) 340-0487
Email: dyuanna.allen-robb@nashville.gov

Project Description

Tennessee’s infant mortality rates (IMR) continue to be worse than most other industrialized nations. Tennessee’s poor showing is due to the disturbing birth outcomes in the major urban areas, of which Nashville/Davidson County is the second largest. The 2013 – 2015 overall Davidson County Infant Mortality Rate (IMR) is 7.1 infant deaths (per 1,000 live births), however, the burden of infants dying before their 1st birthday is not evenly distributed. Infants born in the target 7 zip code area (37115, 37207, 37208, 37210, 37216, 37218, and 37221) are 1.3 times more likely to die before their first birthday than anywhere else in Davidson County as evidenced by the infant mortality rate of 9.4 infant deaths (per 1,000 live births). Among families living in the target area, nearly 22% of individuals depended on an income that is the below federal poverty level, representing densely concentrated poverty and limited economic mobility within Davidson County.

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

Grant Number: T73MC00038
Project Start Date: July 01, 1989
Project End Date: June 30, 2021
Organization: UNIVERSITY OF TENNESSEE
Address: White Ave Knoxville TN 37996
Project Director: Toni M. Whitaker
Phone Number: (901) 448-6512
Email: twhitak1@uthsc.edu

Project Description

The Universal Goal of this LEND project is to improve the health of infants, children and adolescents with, or at risk for, neurodevelopmental and related disabilities (NDD), with special attention to autism spectrum disorders (ASD), through preparation of graduate level trainees, enhancing skills of practicing professionals and empowering families. Trainees are prepared to command leadership roles and to increase the capacity of communities to evaluate, diagnose and treat children with NDD/ASD and support their families. The University of Tennessee Health Science Center (UTHSC) and the Boling Center for Developmental Disabilities (BCDD) are in a region, state and community where problems facing children, including those with NDD and other special healthcare needs, are especially pronounced.

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

Grant Number: H49MC27830
Project Start Date: September 01, 2014
Project End Date: March 31, 2024
Organization: CENTERSTONE OF TENNESSEE, INC.
Address: 6th Ave N Nashville TN 37208
Project Director: E. Ann Ingram
Phone Number: (931) 490-1555
Email: eann.ingram@centerstone.org

Project Description

HSTN’s target area 2013-15 (IMR) is 9.3, well above the U.S. rate (5.9) (TDOH, 2015-2017; CDC WONDER, 2018). IMR is affected by health care access, nutrition, housing, environment, etc. and is impacted by women’s health, before, during, and after pregnancy. IMR is linked to the child’s wellbeing in the first year and the family’s experiences during pregnancy, birth, and postpartum. Racial/ ethnic minorities experience disparities in IMR, with children of non-Hispanic black women at twice the risk of those of non-Hispanic white women. Preterm births (PTB) account for up to 75% of this gap, with risk factors (e.g., maternal smoking, poor nutrition, poverty, stress, poor social support) disproportionately affecting minorities and other disadvantaged groups (HHS, 2013; MacDorman & Mathews, 2011). These factors increase perinatal/postnatal risk. Accomplish by: 1. Improve Women's Health; 2. Improve Family Health and Wellness; 3. Promote Systems Change 4. Assure Impact and Assessment.

Project Title: EMSC Partnership Grants

Grant Number: H33MC31540
Project Start Date: July 01, 2017
Project End Date: March 31, 2022
Organization: Vanderbilt University Medical Center
Address: West End Ave Nashville TN 37203
Project Director: Cristina Estrada
Phone Number: (615) 936-4450
Email: cristina.estrada@Vanderbilt.Edu

Project Description

TN EMSC has primarily been focused on EMSC institutionalization and improvement to the quality and availability of emergency care for the pediatric population. Although Tennessee has seen significant advances in pediatric emergency care, grant funding is needed to continue to meet the goal of each performance measure and to permanently incorporate and sustain EMSC within the state.

Project Title: Maternal and Child Environmental Health Network

Grant Number: UG4MC27861
Project Start Date: September 01, 2014
Project End Date: August 31, 2022
Organization: ORGANIZATION OF TERATOLOGY INFORMATION SPECIALISTS
Address: Thoroughbred Ln Brentwood TN 37027
Project Director: Kenneth L Jones
Phone Number: (858) 822-1963
Email: klyons@ucsd.edu

Project Description

The Organization of Teratology Information Specialists (OTIS) will work with HRSA to expand upon the MCEHN to decrease maternal and child morbidity and mortality associated with pre-and post-natal environmental exposures. OTIS will support a network of national and regional teratogen information service (TIS) centers which will cover the 10 HRSA Regions, provide research data, and answer consumer and provider exposure inquiries related to drugs, environmental toxins, household products, vaccines, medications, herbal products, infections, and maternal medical conditions before and during pregnancy, as well as during breastfeeding.

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

Grant Number: H6MMC33236
Project Start Date: September 01, 2019
Project End Date: August 31, 2023
Organization: Vanderbilt University Medical Center
Address: 3319 West End Ave Ste 970 Nashville TN 37203
Project Director: Zachary E Warren
Phone Number: (615) 875-6070
Email: zachary.e.warren@vanderbilt.edu

Project Description

Early identification and treatment of young children with Autism Spectrum Disorder (ASD) and related developmental disabilities (DD) represents a pressing need. Unfortunately, large numbers of children are still not screened and waits for specialized diagnostic assessment are very long. Children from traditionally underserved communities are much more likely to be diagnosed at lager ages. Although developmental screening practices have improved over the past decade, most children identified as at-risk for ASD by their pediatricians in Tennessee still do not receive prompt, accurate diagnostic assessments or have access to evidence-based interventions in their first years of life. This project will form a learning and family navigation care system that will leverage physician and care provider education, early intervention, and telepresence/telemedicine to improve care coordination for children with ASD/DD across medically underserved areas of TN.

Project Title: MCHB State Systems Development Initiative

Grant Number: H18MC00047
Project Start Date: October 01, 1993
Project End Date: November 30, 2022
Organization: TENNESSEE STATE DEPARTMENT OF HEALTH
Address: James Robertson Pkwy Nashville TN 37219
Project Director: Morgan McDonald
Phone Number: (615) 532-8672
Email: morgan.mcdonald@tn.gov

Project Description

The purpose of this project is to develop, enhance, and expand state maternal and child health data capacity, enabling data informed decisions to be made that will impact the health of the maternal and child population in Tennessee.

Project Title: Universal Newborn Hearing and Screening

Grant Number: H61MC00066
Project Start Date: March 31, 2001
Project End Date: March 31, 2020
Organization: TENNESSEE STATE DEPARTMENT OF HEALTH
Address: James Robertson Pkwy Nashville TN 37219
Project Director: Rachael Stough
Phone Number: (615) 253-0005
Email: Rachael.Stough@tn.gov

Project Description

Each year between 80,000 - 90,000 infants are born in Tennessee hospitals, birthing centers and private residences. 94-98% of babies born in the state received newborn hearing screening in 2008- 2015. Among those not screened in 2015, roughly 1,500 infants or 22% expired shortly after birth and another 10% parents' refused hearing tests. Based on state rates of hearing loss, TDH expected 2 infants to have hearing loss among those not screened in 2015. On average about 80 infants were identified with permanent hearing loss each year from 2008 to 2015. The rate of referral to Part C intervention (i.e., Tennessee Early Intervention System housed in the Department of Education) increased from 45% in 2008 to 85% in 2015. In earlier years the referral rate in Tennessee was lower than the national average, which was around middle 80%, and it improved in recent years. In 2015, 62.6% of infants with a confirmed hearing loss were enrolled in Part C. Variations in enrollment continue.

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

Grant Number: X10MC33610
Project Start Date: September 30, 2019
Project End Date: September 29, 2021
Organization: Health, Tennessee Dept Of
Address: 710 James Robertson Parkway 6th Floor Andrew Johnson Tower Nashville TN 37243
Project Director: Carla Snodgrass
Phone Number: (615) 532-0204
Email: carla.snodgrass@tn.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: Maternal and Child Health Nutrition Training Program

Grant Number: T79MC09805
Project Start Date: July 01, 2008
Project End Date: June 30, 2023
Organization: The University of Tennessee
Address: White Ave Knoxville TN 37996
Project Director: Marsha L Spence
Phone Number: (865) 974-6265
Email: mspence@utk.edu

Project Description

To improve health equity and nutrition-related health outcomes of MCH populations, MCH public health nutritionists and community-based registered dietitian/nutritionists (RDNs) must be highly skilled in public health perspectives and methodologies, interdisciplinary collaboration, family-centered approaches, and as leaders in their fields. Graduate-level public health nutrition education and training, technical assistance (TA) and collaboration with State Title V programs and other MCH-related agencies, and continuing education (CE) for workforce development are needed to improve the health of MCH populations.

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

Grant Number: T73MC30767
Project Start Date: April 30, 2016
Project End Date: June 30, 2021
Organization: VANDERBILT UNIVERSITY MEDICAL CENTER
Address: Childrens Way Nashville TN 37232
Project Director: Tyler Reimschisel
Phone Number: (615) 936-0269
Email: tyler.reimschisel@vumc.org

Project Description

The purpose of the Vanderbilt Consortium LEND (VCL) is to train trainees from a variety of disciplines to prepare them to assume leadership roles in the field of Neurodevelopmental Disabilities, and to provide culturally sensitive, patient- and family-centered, interdisciplinary care to individuals with ASD/NDD. An insufficient number of health professionals are being adequately trained to provide culturally sensitive, family-centered, interdisciplinary care to children and youth with special health care needs (CYSHCN), especially ASD/NDD. The Vanderbilt Consortium LEND seeks to improve the health of infants, children, and adolescents who have or are at risk for developing neurodevelopmental and related disorders by preparing trainees from a variety of disciplines to assume leadership roles and to ensure high levels of interdisciplinary clinical competence in a culturally diverse workforce.

Date Last Reviewed:  November 2020