Iowa (IA)

What the state has obligated, by initiative

• ›Initiative 1: Hometown Connections$147,536,277

  Appropriate Care Availability · $95,817,724

  • Computed tomography (CT) scanners, expanding rural access to advanced diagnostic imaging$7,754,538
  • Fixed-site magnetic resonance imaging (MRI) machines, improving rural access to advanced diagnostics$24,420,383
  • Robotic surgical systems, increasing rural access to advanced robotic surgical procedures$39,104,245
  • Positron emission tomography (PET)/CT systems, improving rural access to advanced nuclear imaging and diagnostics$12,467,191
  • Ultrasound equipment, increasing rural access to obstetric and diagnostic imaging$242,475
  • X-ray equipment, expanding rural access to advanced imaging including orthopedic and scoliosis scans$465,813
  • Robotic diagnostic and biopsy systems, supporting advanced pulmonary diagnostics $2,375,828.92 for other diagnostic and imaging equipment, including nuclear imaging, lab analyzers, mammography, endoscopy, and fluoroscopy$1,246,000
  • Maternal and child health programs and equipment, expanding rural access to obstetric and pediatric care$1,049,750
  • Care coordination and chronic disease management programs, improving rural patient care navigation$700,000
  • Major equipment, including a linear accelerator and a hyperbaric oxygen chamber$5,991,500

  Behavioral Health · $250,000

  • Establishing a behavioral health substance use disorder (SUD) recovery center of excellence, including expanding access to SUD treatment, formalizing referral pathways and care coordination, expanding community education and school-based prevention, and implementing a robust data and evaluation system$250,000

  Capital Expenditures and Infrastructure · $24,769,958

  • Minor building renovations$10,714,094
  • New 3D mammography unit and upgraded digital mammography unit, increasing rural access to advanced breast imaging$964,700
  • New endoscopy system that ensures continued access to endoscopy for rural patients$501,929
  • New on-site CT scanners proving increased rural access to advanced imaging, including cardiac CT, neuro perfusion, operating room oncology protocols, and bariatric patient support$5,782,577
  • On-site MRI machines providing increased rural access for advanced imaging, including new imaging scans for breast, prostate, rectal, and pacemakers$5,315,410
  • New overhead support X-ray systems providing increased rural access to advanced imaging, including spinal stitching and trauma mapping as new services$500,000
  • New telemetry system to ensure continued and expanded rural access to advanced monitoring$837,235
  • New ultrasound console system providing increased rural access to advanced imaging, including expanded vascular capabilities and pediatric abdominal, renal, and soft-tissue imaging$154,014

  Fostering Collaboration · $750,000

  • Establishing a hub and spoke network focusing on chronic disease management and prevention, including diabetes, cardiovascular disease, heart failure, neurological conditions, cancer, and chronic obstructive pulmonary disease (COPD) and asthma$100,000
  • Implementing a coordinated, community-based maternal health model integrating behavioral health, social services, and healthcare to improve perinatal outcomes and improving sustainability$250,000
  • Establishing formal maternal health partnerships with federally qualified health centers (FQHC) and surrounding hospitals that establishes a primary labor and delivery site, increasing access to perinatal services at local community health centers, and work to grant privileges to partner facilities$250,000

  Prevention and Chronic Disease · $450,000

  • Implementing cancer screening navigation program, expanding cancer prevention education and modifying risk factors, and survivorship programs$200,000
  • Implementing an Integrated Care Model that uses a collaborative approach across physicians, nursing staff, physical therapy, occupational therapy, speech therapy, and respiratory therapy, expanding the model to increase the number of health coaches and outpatient dietician services$250,000

  Training and Technical Assistance · $2,000,000

  • To aid healthcare organizations in developing hub and spoke models of care$2,000,000

  Workforce · $18,290,000

  • Recruitment bonuses for eligible provider types, which require a 5-year service commitment in rural areas and no non-compete agreement$18,290,000

  Program Administration Expense · $5,208,595

  • Administrative costs associated with equipment procurement and installation$5,208,595
• ›Initiative 2: Combat Cancer: Prevent and Treat$28,556,609

  Appropriate Care Availability · $11,055,352

  • Establishing hub and spoke cancer networks including one hub facility and three surrounding spoke sites that expand access to advanced diagnostics, oncology surgery, screening, and coordination of care through formalized partnership agreements and clinical workforce development$11,055,352

  Capital Expenditures and Infrastructure · $54,967,801

  • Minor building renovations$750,300
  • Upgrading and replacing capital medical equipment to increase access to advanced cancer care, including upgrading linear accelerator software, upgrading to 3D mammography to improve rural access to advanced imaging, and upgrading components of existing MRI. Minor renovations to accommodate local access to advanced imaging and chemotherapy$4,717,501

  Prevention and Chronic Disease · $8,608,788

  • A comprehensive cancer mitigation program including radon testing, radon mitigation, radon credentialing, dermatoscope distribution, telehealth tablet distribution, and cancer screening knowledge and risk reduction$6,206,288
  • A comprehensive evaluation of evidence-based interventions to reduce cancer burden in rural Iowa including identifying county clusters and implementing cancer prevention and screening in target areas$1,805,000
  • Expanding the Iowa Cancer Affiliate Network (ICAN) to expand rural access to cancer services, improving cancer care and cancer screening through cancer outreach and messaging$597,500

  Provider Payments · $1,123,475

  • Payments and reimbursements for cancer screening, diagnostics, and treatments for uninsured patients$1,123,475

  Training and Technical Assistance · $2,000,000

  • To aid healthcare organizations in developing hub and spoke models of care$2,000,000

  Workforce · $120,000

  • Recruitment and retention bonuses for eligible provider types, which require a 5-year service commitment in rural areas and no non-compete agreement$120,000

  Program Administration Expense · $181,193

  • Administrative costs associated with establishing a hub and spoke cancer network and program implementation$181,193
• ›Initiative 3: Communities of Care$2,029,350

  Appropriate Care Availability · $29,350

  • Procuring telehealth supplies to address chronic disease needs of children and youth with special health needs, including computers, tablets, and mobile carts for telehealth setup$29,350

  Training and Technical Assistance · $2,000,000

  • To aid organizations in developing co-location sites$2,000,000
• ›Initiative 4: Health Information Exchange$11,812,156

  IT Advances · $11,698,588

  • Implementation of Iowa’s new Health Information Exchange$11,698,588

  Program Administration Expense · $113,568

  • Implementation of Iowa’s new Health Information Exchange$113,568
• ›Initiative 5: Emergency Medical Service (EMS) Community Care Mobile$65,900

  IT Advances · $65,900

  • Connecting the Community Health module to the statewide EMS and Trauma Registries, including specialized electronic medical record solution for mobile integrated health programs and operationalized data collection for perinatal programs$65,900
• ›Program Operations$1,784,395

  Appropriate Care Availability · $411,296

  • Procuring and distributing dental health supplies to Iowan communities$411,296

  Program Administration Expense · $1,373,100

  • Grant management$1,373,100