Existing Projects in High Risk Counties in Arkansas

Transcription

1 Existing Projects in High Risk Counties in Arkansas Arkansas Act 790 Red County Action Planning Committee October 2012

2 Table of Contents Page Summary 3 Index 5 Appendix A: Individual Projects by Agency Area Agency on Aging A-1 Arkansas Children s Hospital A-19 Arkansas Department of Education A-28 Arkansas Department of Environmental Quality A-49 Arkansas Department of Health A-76 Arkansas Department of Higher Education A-160 Arkansas Department of Human Services A-162 Arkansas Department of Workforce Services A-171 Arkansas Minority Health Commission A-177 Arkansas State Highway and Transportation Department A-181 Partners for Inclusive Communities A-196 University of Arkansas Cooperative Extension Service A-230 University of Arkansas for Medical Sciences Area Health Education Centers A-241 College of Public Health A-255 Appendix B: Arkansas Act 790 of

3 Summary The Red County Action Planning Committee, in accordance with Arkansas Act 790 of 2011, has completed an inventory of programs operated in the 17 red counties those counties identified as having a life expectancy 6-10 years less than the county with the best life expectancy, Benton. Across the 14 agencies, a total of 194 distinct projects were identified, many being operated in multiple counties. The number of programs by county is depicted in Figure 1. The greatest number of projects were reported in four counties: Desha (76); Ouachita (71); Union (62); and Chicot (60) counties. Between 30 and 54 programs were reported in each of 9 counties: Phillips (54); St. Francis (49); Crittenden (47); Dallas (41); Jackson (41); Poinsett (41); Lee (39); Mississippi (39); Monroe (39); Woodruff (32); Fulton (30); and Polk (30) counties. The remaining counties were reported to have more than 20 but fewer than 30 programs each. The smallest number of programs reported for any county was 27 (Little River County). Figure 1. Number of projects by county Types of programs. Of the 194 programs, the large majority (134; 69%) were related to health education and promotion. Twelve (12; 6%) were related to environmental health, 27 (14%) to health care or access to care, 16 (8%) to transportation, and 5 (3%) to employment. Funding sources. Funding for the projects derived from a variety of sources. The majority of the programs (101, 52%) reported funding from State funds (from general revenue, excise taxes, Master Settlement Funds). Federal sources (including grants and other funds) were used for 93 (48%) of the programs, and fees or program income helped fund 12 (6%) programs. Private sources (philanthropy, private insurance) contributed funding to 20 (10%) programs and 18 (9%) received funding from other miscellaneous sources. The estimated total dollars being spent in the red counties is $817,386,659. 3

4 Because of variation in the reporting of funding for the individual projects, it is not possible to determine funds expended within specific counties. The reader is referred to the individual project summaries that are included with this summary report. Recommendations This reporting effort represents the first time that state agencies have come together to identify the health promoting activities already present in our counties with the greatest health challenges. The Red County Action Planning Committee looks forward to the next steps in this effort, and anticipates that the synthesis of this information will help inform both current activities and the collaborative project being planned under the auspices of Act 798. Comprehensive recommendations will be included in future reports. 4

5 INDEX Red County Chicot County Crittenden County Dallas County Desha County Fulton County Jackson County Lee County Little River County Mississippi County Monroe County Ouachita County Pages with Templates Reflecting on Ongoing Project in the County 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 20, 21, 22, 25, 26, 27, 39, 41, 42, 44, 46, 50, 55, 59, 62, 64, 65, 67, 69, 73, 77, 80, 86, 89, 91, 161, 163, 165, 168, 191, 195, 205, 221, 232, 234, 235, 236, 239, 242, 243, 244, 257, 259, , 21, 24, 27, 37, 41, 42, 44, 46, 50, 52, 54, 55, 57, 59, 62, 64, 65, 67, 69, 73, 78, 80, 82, 83, 86, 88/257, 89, 93, 95, 138, 161, 163, 165, 168, 185, 197, 215, 223, 231, 232, 235, 236, 239, 240, 242, 243, , 21, 25, 26, 27, 39, 41, 42, 44, 46, 50, 52, 55, 57, 59, 64, 65, 67, 69, 73, 78, 79, 80, 83, 86, 99, 100, 101, 102, 161, 163, 165, 168, 189, 193, 219, 227, 235, 236, 238, 258, 260 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 20, 21, 22, 23, 24, 25, 26, 27, 39, 41, 42, 44, 46, 50, 52, 54, 55, 59, 64, 65, 67, 69, 73, 77, 79, 80, 82, 84, 86, 89, 91, 98, 137, 153, 154, 155, 156, 157, 158, 159, 161, 163, 165, 168, 187, 195, 207, 215, 216, 222, 223, 232, 235, 236, 242, 243, 244, 257, , 21, 25, 27, 41, 42, 44, 46, 50, 55, 59, 62, 64, 65, 67, 69, 73, 80, 86, 140, 161, 163, 165, 168, 174, 236, 238, 239, , 21, 24, 25, 26, 27, 29, 37, 39, 41, 42, 44, 46, 50, 52, 54, 55, 59, 64, 65, 67, 69, 73, 79, 80, 86, 91, 143, 161, 163, 165, 168, 186, 215, 216, 231, 235, 236, 239, , 42, 44, 46, 50, 54, 55, 59, 64, 65, 67, 69, 73, 79, 80, 81, 86, 88/251, 92, 94, 96, 161, 163, 165, 168, 174, 188, 194, 203, 218, 232, 236, 242, 243, 244, 256, 258, 260, , 42, 44, 46, 50, 52, 55, 57, 59, 62, 64, 65, 67, 69, 73, 80, 161, 163, 165, 168, 174, 231, 235, 236, 238, 239, 246, , 21, 24, 27, 37, 39, 41, 42, 44, 46, 50, 52, 54, 55, 57, 59, 62, 64, 65, 67, 69, 73, 80, 82, 86, 88/257, 92, 145, 161, 163, 165, 168, 173, 199, 215, 236, 239, 240, , 26, 27, 32, 41, 42, 44, 46, 50, 55, 59, 64, 65, 67, 69, 73, 79, 80, 85, 86, 88/251, 92, 161, 163, 165, 174, 188, 201, 228, 234, 235, 236, 240, 242, 243, 244, 259, , 21, 24, 25, 26, 27, 39, 41, 42, 44, 46, 50, 55, 57, 59, 62, 64, 65, 67, 73, 80, 86, 87, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 161, 163, 165, 168, 188, 190, 226, 231, 234, 236, 239, 240, 249, 250, 252, 253, 260 5

6 Red County Phillips County Poinsett County Polk County St. Francis County Union County Woodruff County Pages with Templates Reflecting on Ongoing Project in the County 20, 21, 24, 25, 27, 29, 34, 37, 41, 42, 44, 46, 50, 52, 54, 55, 57, 59, 64, 65, 67, 69, 73, 78, 79, 80, 83, 86, 88/257, 89, 91, 92, 97, 161, 163, 165, 168, 174, 188, 190, 209, 215, 223, 231, 232, 234, 235, 236, 238, 240, 242, 243, 244, 259, , 24, 25, 26, 27, 29, 32, 35, 36, 39, 41, 42, 44, 46, 50, 52, 55, 57, 59, 62, 64, 65, 67, 69, 73, 80, 86, 148, 161, 163, 165, 168, 211, 215, 231, 234, 235, 236, 239, 247, , 33, 37, 39, 41, 42, 44, 46, 50, 55, 57, 59, 62, 64, 65, 67, 73, 78, 80, 83, 86, 161, 163, 165, 168, 172, 234, 236, 238, , 21, 22, 24, 25, 27, 39, 41, 42, 44, 46, 52, 54, 55, 57, 59, 64, 65, 67, 73, 79, 80, 86, 88/251, 92, 94, 161, 163, 165, 168, 180, 194, 213, 215, 220, 231, 232, 236, 239, 240, 242, 243, 244, 256, 260, , 21, 22, 24, 25, 26, 27, 29, 32, 37, 39, 41, 42, 44, 46, 50, 52, 54, 55, 57, 59, 64, 65, 67, 69, 73, 80, 82, 86, 90, 91, 97, 103, 104, 105, 106, 107, 108, 161, 163, 165, 168, 178, 182, 183, 184, 189, 192, 193, 221, 223, 225, 231, 232, 235, 236, 249, 250, 251, 252, 253, , 24, 26, 27, 41, 42, 44, 46, 50, 52, 55, 59, 62, 64, 65, 67, 69, 73, 79, 80, 86, 88/257, 151, 161, 163, 165, 168, 224, 235, 236, 239, 247 6

7 AREA AGENCY ON AGING A-1

8 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Targeted Case Management DESCRIPTION Targeted case management deals with a person on the holistic approach. Targets individuals that are 60 years old or older. TCM will assist clients in gaining access to all needed Medicaid, social, educational and other services, including services provided under the Arkansas State Plan. Services individuals that have limited functional compatibility resulting from difficulty with two or more ADL s or IADL s which results in the need for coordination of multiple services and/or resources. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid EXPENDITURES ALLOCATED $42, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-2

9 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Home Delivered Meals DESCRIPTION Hot or frozen home-delivered meals for homebound older persons who are unable to shop or prepare their own meals. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid & Private Pay EXPENDITURES ALLOCATED $949,903 for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-3

10 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY DESCRIPTION PERS (Personal Emergency Response System) Personal Emergency Response System. Helping an individual maintain their independence at home. It is a voice connection personal response system that is installed in the home. It gives the individual an instant and direct link to an on-call response operator to assure needed care or help when needed. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid & Private Pay EXPENDITURES ALLOCATED $133, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-4

11 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Medical Transport - SEAT DESCRIPTION SEAT transports Southeast Arkansas residents from home to medical appointments or a variety of community resources. SEAT provides Medicaid transportation for qualified Medicaid enrollees who have no other means of transportation, who go to the nearest qualified provider and who go to the medical services paid for by Medicaid TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid & Private Pay EXPENDITURES ALLOCATED $1,908, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-5

12 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Skill Nursing DESCRIPTION With doctor s orders, a trained registered nurse will provide nursing care within the patient s home. Nurses provide a wide range of medical services. These services provide the patient good nursing care which helps reduce additional physician office visits, re-hospitalizations and repetitiveness of chronic illnesses. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicare & Medicaid EXPENDITURES ALLOCATED $20, A-6

13 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Personal Care DESCRIPTION Personal care services are available for individuals needing assistance with bathing, personal grooming and dressing. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid & Private Pay EXPENDITURES ALLOCATED $2,312, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-7

14 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Homemaking DESCRIPTION Homemaking services are available for individuals needing assistance with house cleaning, laundry, errands and meal preparation. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid & Private Pay EXPENDITURES ALLOCATED $858, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-8

15 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Needy Meds DESCRIPTION Program set up with various drug companies that assist qualified individuals to receive medications at little or no cost. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Grant EXPENDITURES ALLOCATED No cost associated A-9

16 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Prescription Drug Assistance DESCRIPTION Monies allocated through the State Attorney General s office to assist in purchasing specific medications for a client. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Attorney General Allocation EXPENDITURES ALLOCATED $4,672 for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-10

17 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Medicare Part D DESCRIPTION Program set up through the State s Insurance Department which provide assistance and information in choosing Medicare Part D companies and other supplemental policies. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties SHIIP Funding EXPENDITURES ALLOCATED $7,736 for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-11

18 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY MIPPA DESCRIPTION Monies allocated through the state to assist in community events which provide a wide range of services, topics and information pertaining to an individual s well being. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties State Funding EXPENDITURES ALLOCATED $11, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-12

19 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Adult Protective Services DESCRIPTION Based on a written and physical assessment by a trained case manager, a referral is made to APS for a client at risk in current home environment or at risk to self or others. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Partnership No Funding EXPENDITURES ALLOCATED No cost associated A-13

20 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY SAS Material Aid DESCRIPTION Monies available through state funding to help in emergency situations. Based on the situations, monies may be used to purchase materials for ramps, medications, eyeglasses, food etc. Monies are limited and have restrictions. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Grant EXPENDITURES ALLOCATED $6, A-14

21 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Adult Companion (Respite) DESCRIPTION Program that provides one-on-one support and group assistance for family members who help care for aging or sick relatives. There are requirements to qualify. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid & Private Pay EXPENDITURES ALLOCATED $494, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-15

22 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY ElderChoices DESCRIPTION State program which requires an application. Upon approval of submitted application, applicant may be approved for a variety of services. Examples are: Adult Companion, Homemaker, Personal Care, Home Delivered Meals and Respite. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid EXPENDITURES ALLOCATED $85, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-16

23 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY AAPD DESCRIPTION Program designed to help individuals that are between the ages of This is a Medicaid program designed specifically for the physically disabled and allows the consumer to direct their in-home care or receive in-home care through traditional agency model. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Medicaid EXPENDITURES ALLOCATED $363, for all ten counties* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-17

24 Red County Report Area Agency on Aging of Southeast Arkansas, Inc. 709 East 8 th Avenue PO Box 8569 Pine Bluff AR Prepared by: Sharon Dickerson, Director of Home Care Services (870) FISCAL YEAR July 1, 2011 thru June 30, 2012 LIST NAME OF ACTIVITY Client Rep DESCRIPTION A program under which a client s needs are assessed and services are provided. Examples: outreach, referral for legal assistance, providing information on and determining eligibility for public benefits, such as, QMB and SMB information assistance, assisting with applications and paperwork and attending meetings on behalf of clients. TARGETED RED COUNTIES FUNDING SOURCE Chicot & Desha Counties Grant EXPENDITURES ALLOCATED $239, for all ten counties and various programs* *Some of the expenditures are in total for the ten-county area. Many are not listed per county. A-18

25 ARKANSAS CHILDREN S HOSPITAL A-19

26 Red County Reporting Template (in accordance to Act 790 of 2011) FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) Healthcare services rendered Outpatient and inpatient healthcare services to residents of Red Counties, including regional clinics in Jackson and Phillips County Arkansas Chicot Crittenden Cross Dallas Desha Fulton Jackson Jefferson Mississippi Monroe Ouachita Perry Phillips Poinsett St. Francis Sevier Union Woodruff Arkansas Children s Hospital funds, Medicaid, private insurance, and philanthropy 81.2 million USD were provided in services A-20

27 FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) Angel One Transport Ambulance and helicopter transport services to patients living in Red Counties TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Arkansas Chicot Crittenden Cross Dallas Desha Fulton Jackson Jefferson Mississippi Monroe Ouachita Perry Phillips Poinsett St. Francis Sevier Union Woodruff Arkansas Children s Hospital funds, Medicaid, private insurance, and philanthropy $1.54 million USD A-21

28 FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) ACH Dental Sealant program School- based dental sealant program TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Chicot, Desha, St. Francis, Union Arkansas Children s Hospital funds and Blue & You for a Healthier Arkansas grant Approximately $21,000 A-22

29 FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) ACH Dental Outreach Mobile dental clinics TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Jefferson, Arkansas, Desha Arkansas Children s Hospital funding and private philanthropy Approximately $400,000 A-23

30 FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) HealthTeacher.com curriculum Web- based health literacy curriculum for the schools and on- site training for health teachers Arkansas Chicot Crittenden Cross Dallas Desha Fulton Jackson Jefferson Mississippi Monroe Ouachita Perry Phillips Poinsett St. Francis Sevier Union Woodruff Arkansas Children s Hospital funds $35,000 A-24

31 FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) Injury Prevention Center Baby Safety Showers, Teen Driving Safety, Motor Vehicle Safety, Child Passenger Seat safety, All- terrain vehicle safety, Bullying prevention Arkansas Chicot Crittenden Cross Dallas Desha Fulton Jackson Jefferson Mississippi Monroe Ouachita Perry Phillips Poinsett St. Francis Sevier Union Woodruff Arkansas Children s Hospital, National Highway Traffic Safety Administration (NHTSA), private philanthropy Approximately $200,000 in awareness and education efforts, materials, events, and staff time A-25

32 FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) Community Outreach School healthy habits presentations, Fitness and Nutrition Club, Fire Safety House, Child Passenger Safety, and informational booths at events Arkansas Chicot Crittenden Cross Dallas Desha Fulton Jackson Jefferson Mississippi Monroe Ouachita Perry Phillips Poinsett St. Francis Sevier Union Woodruff Arkansas Children s Hospital and philanthropy Approximately $12,000 provided in presentations, giveaways, and educational materials A-26

33 FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Arkansas Children s Hospital 1 Children s Way Little Rock, Arkansas Prepared by: Scott Gordon, Executive Vice President; Fidel Samour, Project Coordinator Analyst Fiscal year 2012 (July 1- June 30, 2012) Maternal Infant and Early Childcare Home Visiting program Home visiting services using various curricula: Parents as Teachers, Healthy Families America, THRIVE, Following Baby Back Home Arkansas Chicot Crittenden Cross Dallas Desha Fulton Jackson Jefferson Mississippi Monroe Ouachita Perry Phillips Poinsett St. Francis Sevier Union Woodruff Federal Grant: Maternal Infant and Early Childcare Home Visiting program N/A A-27

34 ARKANSAS DEPARTMENT OF EDUCATION A-28

35 Red County Reporting Template FISCAL YEAR LISTNAMEOF ACTIVITY DESCRIPTION June 2012 Active Coordinated School Health How to become a Coordinated School Health School in Arkansas A school district may receive Coordinated School Health status, as recognized by the Arkansas Department of Education, by participating in a Coordinated School Health Orientation Training and submitting the agreement and assurances document to the Office of Coordinated School Health located at, 2020 W. 3rd Street, Suite 320, Little Rock, AR Minimum requirements for Coordinated School Health site (active status) A school district may be considered a Coordinated School Health (CSH) site if the following is met each year: 1. Designate/employ a CSH Coordinator; 2. CSH Coordinator and district administrator shall attend a CSH orientation training (sites will re-attend if administration and/or Coordinator changes). 3. Coordinated School Health Coordinator or designee shall attend quarterly coordinators' meetings and are encouraged to attend other trainings that the Office of Coordinated School Health provides related to Act 1220, Joint Use Agreement, CSH Components, etc; 4. The district's wellness committees include but are not limited to membership from the fo llowing positions; school board member, administrator, student, community member, school nurse, parent, food service pers01mel, physical education/health teacher, special education supervisor and alternative education supervisor, school staff personnel and transpotiation supervisor; 5. The wellness committee documents regularly scheduled meetings. No less than one week prior to these meetings, each school will submit the date, time, place and agenda to the Coordinated School Health Office. Each school wi ll hold a minimum of two committee meetings per year, one each semester. However, additional meetings are encouraged for continued reflection and growth. After each meeting, a sign in sheet should be vided to the Coordinated A-29 School Health Offi

36 6. Participate in the Annual Coordinated School Health Evaluation; 7. If selected, participate in Youth Risk Behavior Survey (YRBS), Youth Tobacco Survey (YTS), School Health Profiles, Arkansas Prevention Needs Assessment (APNA) etc; 8. For each school year, the following materials shall be submitted to the Coordinated School Health Office will include; November 15th each year: Agenda, minutes and sign-in sheets documenting all district wellness committee meetings. Wellness priority in ACSIP School Health Index CSH Grant Expenditures June 15th each year: Agenda, minutes and sign-in sheet documenting all district well ness committee meetings. Work plan progress CSH Grant Yearly Expenditures 9. For all first year Coordinated School Health Schools, the district's wellness committee will develop a one year action plan to implement a minimum of two CSH components. Then, each year schools should demonstrate progress toward adding the other six components. Eight Components of Coordinated School Health Health education Health services Nutrition services Staff wellness Physical education Mental health /social services Healthy & safe environment Family & community involvement Individually, each of these components can contribute to students' health and well being. However, when all of the individual components work together to support t he adoption of health-enhancing behaviors, students' health and learning a re improved. ( NOTE: Completion of requirements will be assessed bi-annually by Coordinated School Health State Team. All requirements and deadlines must be met to be eligible to apply for School Based Health Center Grants. Those schools who do not meet specific deadlines and/or requirements may continue to receive technical support from the Coordinated School Health Office as long as progress is shown. A-30

37 Recommended for CSH sites 1. Apply for the grants that would help support your Coordinated Health School. Examples are as follows: CWIP grant, Fresh Fruits and Vegetables grant, Joint Use Agreement Grant, Blue & You Foundation for a Healthier Arkansas Grant. 2. Strive to increase the number of components implemented over time with the intent to institutionalize Coordinated School Health. TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED Jackson County (Newport School District) Phillips County (Barton-Lexa School District, Marvell School District) Poinsett County (Harrisburg School District) Polk County (Ouachita River School District) Union County (El Dorado School District) No funding has been provided to these schools. The Office of Coordinated School Health (funded by a federal grant from Center for Disease Control and Prevention) has provided the fo llowing: Teclmical Assistance Trainings Professional Development Orientation Meeting (requirement to all new schools) Quarterly Coordinators Meetings (all coordinators must attend a minimum of two per year) Resources The Office of Coordinated School Health absorbs the cost of the meeting spaces, materials provided, guest speakers, equipment use etc. A-31

38 Red County Reporting Template FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION TARGETED RED COUNTY(IES) FUNDING SOURCE EXPENDITURES ALLOCATED June June 2012 Joint Use Agreements "The Joint Use Agreement Grant is a new grant funded through the Tobacco Excise Tax and is available through the Department of Education. The purpose of Joint Use Agreement funding, is to promote healthy lifestyles tlu-ough community partnerships by encouraging schools and other community organizations to share indoor and outdoor spaces like gymnasiums, athletic fields, playgrounds and walking tracks to increase opportunities for children and adults to become more physically active and lead healthier lifestyles." Momoe County (Clarendon School District), Union County (EI Duradu Sehoul District), Poinsett County (Harrisburg School District) Tobacco Excise Tax: Allocated to Coordinated School Health/Joint Use Agreement $10,000 per district A-32

39 Red County Reporting Template FISCAL YEAR LISTNAMEOF ACTIVITY DESCRIPTION June June 2012 Active School Based Health Center Ouachita River Wellness Center-Acorn Elementary Campus Ouachita River Wellness Center is located on the Acorn Elementary campus. The wellness center has pattnered with local medical providers to provide basic preventative and acute health care for students and staff within the district. Services that are offered within the School Based Health Center (SBHC) are as follows: Ouachita River Wellness Center offers 3 medical exam rooms, 2 counseling rooms. Acorn Elementary has a full time school nurse who works 37.5 hours per week and cares for 495 students. Partnerships have been formalized between the Acorn School District and Healthy Connection to provide dental and physical services to students and staff. Acorn Elementary is a Title I school, which means low income families represent a large pmtion of this population. Polk County Tobacco Excise Tax: Allocated to Coordinated School Health/School Based Health Centers EXPENDITURES ALLOCATED $150,000 Granted in June 20 II $120,000 Granted in June 2012 A-33

40 Red County Reporting Template FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION Fall of2011 Making Proud Choices! and Reducing The Risk Kathleen Courtney, HIV I AIDS Education Coordinator Arkansas Department of Education Kathleen Courtney provided two cuniculum trainings in collaboration between Arkansas Department of Education, BankCorp and the Delta Area Health Education Center (AHEC). These trainings provided support and curriculum implementation for all secondary health teachers in Phillips County using two STD/Teen pregnancy prevention curricula. Making Proud Choices! and Reducing The Risk. Both are eviuenced-based programs proven to be effective in reducing sexual activity and postponing initiation of sexual activity among adolescents. TARGETED RED COUNTY FUNDING SOURCE EXPENDITURES ALLOCATED Phillips County Local Funds (BankCorp and Delta Area AHEC) Collaboration between Arkansas Department of Education, BankCorp and the Delta Area AHEC to support the training. Funds secured by BankCorp were provided to support training and cutticulum. Federal PREP (Personal Responsibility Education Program) Funds, which targets youth at greatest risk of teen pregnancy and geographic areas with high teen birth rates. A-34

41 Red County Reporting Template FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION Teen Pregnancy Prevention, State STD Data, Sexual Health Resource Packet Kathleen Courtney, HIV I AIDS Education Coordinator Arkansas Department of Education Kathleen Courtney provided training to regional education teachers on Teen Pregnancy prevention, State STD Data, and provided them resources in the Sexual Health Resource Packet. This training was to inform teachers about the latest statics on STD's and the importance of teaching preventive within the schools. TARGETED RED COUNTY FUNDING SOURCE EXPENDITURES ALLOCATED Poinsett County Arkansas Department of Education No financial expenditures from ADE were used specifically for the trainings, however, time, travel and resources that were used to prepare for, and deliver the trainings were contributed by ADE. Federal funds from a CDC Cooperative Agreement that supports Coordinated School Health and HIV /STD Prevention Education were used. A-35

42 Red County Reporting Template LISTNAMEOF ACTIVITY DESCRIPTION A~ day workshop was provided to classroom teachers in the Crowley's Ridge Education Cooperative titled, "Integrating Technology into Health Education Instruction". Kathleen Courtney, HIV I AIDS Education Coordinator Arkansas Depattment of Education Information (data) was presented to raise the awareness of teen pregnancy and STD Rates in Arkansas. Classroom resources focused on the utilization of teaching with technology and student engagement were shared. She also provided them resources in the Sexual Health Resource Packet. TARGETED RED COUNTY EXPENDITURES ALLOCATED Poinsett County No financial expenditures from ADE were used specifically for the workshop, however, time, travel and resources that were used to prepare for, and deliver the workshop were contributed by ADE. Federal funds from a CDC Cooperative Agreement that supp01ts Coordinated School Health and HIV /STD Prevention Education were used. A-36

43 Red County Reporting Template FISCAL YEAR LISTNAMEOF ACTIVITY DESCRIPTION Child Wellness Intervention Project PURPOSE The Arkansas Tobacco Settlement Commission (A TSC) and the Arkansas Department of Education (ADE) Office of Coordinated School Health in collaboration with Arkansas Children's Hospital launched the "Child Wellness Intervention Proj ect" (CWIP) in 2010 to promote health and wellness in Arkansas public schools. According to a report by Arkansas Center for Health Improvement in 20.4 percent of children and adolescents in Arkansas are considered obese. The CWIP grant is the first of its kind specifically designed to tackle this epidemic across the state. CWIP uses proven methods to increase time spent in physical activity through providing quality physical education programs. Students who are more physically active tend to be healthier and perform better academically. Over time, CWIP schools can expect to see a reduction on overall BMI, a decrease in discipline and absenteeism, and an increase in learning efficiency. In order to achieve the goals within CWIP, schools must develop, sustain and expand on constructive changes in the school physical education environment. The most critical of these changes deals with the time students spend participating in moderate to vigorous physical activity (MVP A). Increasing MVP A is the only proven method to positively impact and reduce BMI. This grant opportunity provides schools with cutticulum, training and resources based on the Arkansas Standards for Physical Education to be taught by licensed physical education teachers to equip your school in the battle to combat childhood obesity. A-37

44 TARGETED RED COUNTY(IES) Polk County 2010 Ode Maddox Elementary -$9, Ode Maddox Elementary - $9, Union County Rison Elementary - $8, Rison High - $13, Phillips County West Side Elementary-$ 9, West Side Elementary -$9, Crittenden County Earl Elementary - $9, Earl Elementary - $9, Earl Pre-K - $7, Mississippi County Armorel High - $13, sceola Academic Center- $9, Osceola Academic Center - $ Osceola Academic Center - $ Jackson County Newport Junior High - $13, FUNDING SOURCE EXPENDITURES ALLOCATED Tobacco Settlement Commission Amounts per county and school are listed above. A-38

45 Red County Reporting Template (in accordance to Act 790 of 2011 ) FISCAL YEAR June June 2012 LIST NAME OF ACTIVITY DESCRIPTION Fresh Fruits and Vegetable Program Grants The Fresh Fruit and Vegetable Program is a U.S. Department of Agriculture program that provides reimbursement for fresh fruits and fresh vegetables served free to elementary students during the school day (not before school or after school) and outside the lunch and breakfast meals. The fresh fruits and vegetables cannot be served at regular student meal periods. GOALS OF THE FRESH FRUIT AND VEGETABLE PROGRAM ARE TO: Create healthier school environments by providing healthier food choices Expand the variety of fruits and vegetables children experience Increase children's fruit and vegetable consumption Make a difference in children's diets to impact present and future health SCHOOL SELECTION CRITERIA fnclude: Must be an elementary school (U.S. Department of Agriculture definition of elementary is any school with a combination of grades K-8) Operate the National School Lunch Program Submit an application for patiicipation that meets all criteria Must have 50 percent or more of the school's students eligible for free/reduced price meals Be chosen based on the percentage of free/reduced price students with the highest priority given to schools with the highest percentages of low-income students, to the maximum extent practicable. The selection of elementary schools will be based on applications as submitted by schools with the highest evaluation scores and using criteria required by federal regulations. The level of funding provided is based on official school enrollment at a level ranging between $50 to $75 per student. Please note, this federal funding level may be adjusted by the Congressional Budget process for approval of the USDA federal budget beginning October I. Funding is contingent upon receipt of federal funds by the ADE Child Nutrition Unit fro m the U.S. Department of Agriculture. Pre-school enrollment will only be funded if the pre-school program is a part of a district funded e A-39 schoo l.

46 TARGETED RED COUNTY(IES) FUNDING SOURCE Jackson County (Newport School District) Poinsett County (East Poinsett County School District), (Marked Tree School District) Mississippi County (South Mississippi County School District) St. Francis County (Forrest City School District) Desha County (McGehee School District) Chicot County (Dermott School District) Dallas County (Fordyce School District) Ouachita County (Bearden School District), (Harmony Grove School District) Union County (Strong School District) Polk County (Ouachita River School District), (Mena School District) Grant Funded: The Fresh Fruit and Vegetable Program is a U.S. Depariment of Agriculture program that provides reimbursement for fresh fruits and fresh vegetables served free to elementary students during the school day. EXPENDITURES ALLOCATED A-40

47 Red County Reporting Template LIST NAME OF ACTIVITY DESCRIPTION Earthquake Preparedness The Arkansas Department of Emergency Management (ADEM) provided an overview and history of earthquakes for school counselors at each education service cooperative (fifteen locations) across the state. The New Madrid Earthquake of and 1812 and the devastation it caused were discussed. The potential of having another earthquake similar to the one experienced l 00 years ago is likely in the state of Arkansas. School counselors were given information on identifying potential hazards ahead of time and how to prepare for an earthquake. Knowing what to do before, during, and after an earthquake can reduce the dangers of serious injury or loss of life. Even though earthquakes occur frequently in the State of Arkansas and the potential for a major earthquake is possible, there are no requirements for earthquake drills to take place in our schools. Awareness and knowledge is a key factor in knowing what to do and not to do in an earthquake. Presenters from ADEM were Renee Preslar, Public information Officer and Katy Wilson, Program Manager. ADEM covered the cost for the presenters including travel, materials, and training. TARGETED RED COUNTY(IES) Fulton, Dallas, Little River, Momoe, Polk, St. Francis, Desha, Union, Lee, Crittenden, Chicot, Jackson, Woodruff, Ouachita, Mississippi, Poinsett, and Phillips. FUNDING SOURCE ADEM covered the cost for the presenters including travel, materials, and training. EXPENDITURES ALLOCATED ADEM covered the cost for the presenters including travel, materials, and training. A-41

48 Red County Reporting Template FISCAL YEAR LIST NAM E OF ACTIVITY DESCRIPTION Scoliosis Screenings, Refenals and Exam Results by County and School District Scoliosis Screening Data for Red Counties Act 41 of 1987 and Act 95 of 1989 require Scoliosis screenings in public, charter and private schools in Arkansas. The latest revision of the Rules and Regulations fo r Scoliosis Screening (November 1, 2007) from the Arkansas Department of Health requires females in grades six and eight and males in grade eight be screened am1ually. The Scoliosis Screening Training is provided by the Community Health Nurse Specia lists (CHNS) housed in each educational school cooperative in the state as well as the Tridistrict region in central Arkansas. These CHNS are Registered Nurses (RN) employed by the Arkansas Department of Health (ADII) and provide the Scoliosis Screening Training for all school nurses. School nurses enter Scoliosis screening results for students into the Student Information System of the Arkansas Public School Computer Network (APSCN). Data analysts with the Arkansas Department of Education provided the data aggregation for this report. The following data are provided for each district within the "RED" counties: Total number of students screened in required grades for the district; Total number of students failing the Scoliosis screening and referred to a physician or orthopedic surgeon; and Total number of students who received an exam provided by a physician or orthopedic surgeon.,.,,.,.. I.,,...,. School District ~ Exams received and [ Cmmty ~""' Screened physician or reported to the school nurse orthopedic _ ~u r$~n CIIICOT LAKESIDE SD(CHICOT) CRITTENDEN EARLESD CRITTENDEN WEST MEMPHIS SD CRITTENDEN MARION SD DALLAS FORDYCE SD DESHA DUMASSD DESHA M CGEHEE SD FULTON MAMMOTH SPRING SD FULTON SA LEM SD A-42

49 TARGETED RED COUNTY(JES) FUNDING SOURCE EXPENDITUR ES ALLOCATED FULTON V IOLA SD JACKSON NEWPORT SD I JACKSON JACKSON CO. SD LEE LEE COUNTY SD LITTLE RIVER ASHDOWN SD LITTLE RIVER FOREMAN SD 60 I 0 M ISS ISSIPPI ARMOREL SD M ISS ISSIPPI BL YTHEV!LLE SD 276 I I M ISS ISSIPPI SO. M ISS. COUNTY SD MISSISSIPPI GOSNELL SD MISSISSIPPI MANILASD MISSISSIPPI OSCEOLASD I I 0 MONROE BRINKLEY SD MONROE CLARENDON SD OUACHITA BEARDEN SD OUACHITA CAMDEN FAIRVIEW SD OUACHITA HARMONY GROVE SD 123 I I OUACHITA STEPHENS SD PH ILLIPS BARTON-LEXA SD PHILLIPS HELENN W.HELENA SO PH ILLIPS M ARVELL SD PHILLIPS KIPP DELTA PUBLIC SCHOOLS POINSETT HARRISBURG SO POINSETT MARKED TREE SD POINSETT TRUMANN SO POINSETT EAST POINSETr CO. SU. 75 I 0 POLK MENASD POLK OUACHITA RIVER SO POLK COSSATOT RIVER SO ST FRANCIS FORREST CITY SO ST FRANCIS HUGHES SO ST FRANCIS PALESTINE-WHEATLEY SCH I D!ST. UNION ELDORADO SO 535 I I UNION JUNCT ION C ITY SO 70 I 0 UNION NORPHLET SO 60 I I UNION PARKERS CHAPEL SD UNION SMACKOVER SO UNION STRONG-HUTTIG SD WOODRUFF AUGUSTA SO WOODRUFF M CCRORY SD Summary 6, Chicot, Crittenden, Dallas, Desha, Fulton, Jackson, Lee, Little River, Mississippi, Monroe, Ouachita, Phillips, Poinsett, Polk, St. Francis, Union, Woodruff No Funding Source A-43

50 Red County Reporting Template FISCAL YEAR LIST NAME OF ACTIVITY DESCRIPTION Vision Screenings, Referrals and Exam Results by County and School District Vision Screening Data for Red Counties Act 1438 of2005 requires all students emolled in Pre-Kindergarten, Kindergatien, grades one, two, four, six, and eight as well as all transfer students be screened annually for vision. This requirement is for all Arkansas public and charter schools. The Eye and Vision Commission provided expertise in the development of the Vision Screening Training received by the Community Health Nurse Specialists (CHNS) housed in each educational service cooperative in the state as well as the Tri-district region in central Arkansas. These CHNS are Registered Nurses (RN) employed by the Arkansas Depatiment of Health (ADH) and provide the Vision Screening Training for all school nurses. School nurses enter vision screening results for students into the Student Information System of the Arkansas Public School Computer Network (APSCN). Data analysts with the Arkansas Department of Education provided the data aggregation for this report. The following data are provided for each district within the "RED" counties: Total number of students screened in required grades for the di strict; Total number of students failing the vision screening and referred to an eye doctor or physician; and Total number of students who received a vision exam provided by an eye doctor or physician. County Name School 0--ist:J r-ct - - Screened Students r Referrals to a Physician or Eye Doctor CH ICOT ---L--::o-=ER::-:M-:-0=-::TT =-::S-:: 0 -~ ~ 7 CH ICOT CRITTENDEN CRITTENDEN CRITTENDEN DALLAS DES HA DES IIA LAKES IDE SD(CHICOT) EARLE SO WEST MEMPH IS SO MAR ION SO FORDYCE SO DUMAS SO MCGEHEE SO A ,524 2, Vision Exams received and reported to school nurse

51 TARGETED RED COUNTY(IES) FULTON MAMMOTH SPRING SD FULTON SALEM SD S I FULTON VIOLASD JACKSON NEWPORTSD 1, JACKSON JACKSON CO. SD LEE LEE COUNTY SD LITTLE ASHDOWN SD RIVER LITTLE FOREMAN SD RIVER MISSISSIPPI ARMORELSD MISSISSIPPI BLYTHEVILLE SD 1, MISSISSIPPI SO. MISS. COUNTY SD MISSISSIPPI GOSNELLSD MISS ISSIPPI MAN ILASD MISSISSIPPI OSCEOLA SD MONROE BRINKLEY SD MONROE CLARENDON SD OUACH ITA BEARDEN SD OUACH ITA CAMDEN FAIRV IEW SD. 1, OUACH ITA HARMONY GROVE SD OUACHITA STEPHENS SD PHILLI PS BARTON-LEXA SD PHI LLIPS HELENA/ W. HELENA SD. 1, PHILLIPS MARVELLSD PHILLIPS KIPP DELTA PUBLIC SCHOOLS POINSETT HARRISBURG SD ~3 POINSETT MARKED TREE SD II POINSETT TRUMANN SD I, POINSETT EAST POINSETT CO. SD POLK MENASD 1, POLK OUACHITA RIVER SD POLK COSSATOT RIVER SD ST FRANCIS FORREST CITY SD 1, ST FRANCIS HUGHESSD ST FRANCIS PALESTINE WHEATLEY SD UN ION EL DORADO SD 2, UN ION JUNCTION CITY SD 271 I 0 UNION NORPHLETSD UNION PARKERS CHAPEL SD UNION SMACKOVER SD 4 14 I 0 UNION STRONG-HUTTIG SD WOODRUFF AUGUSTASD I I WOODRUFF MCCRORYSD Summar y 36,677 2,967 1,114 Chicot, Crittenden, Dallas, Desha, Fulton, Jackson, Lee, Little River, Mississippi, Monroe, Ouachita, Phillips, Poinsett, Polk, St. Francis, Union, Woodruff FUNDING SOURCE EXPENDITURES ALLOCATED No Funding Source A-45