Tennessee Rural Veteran Healthcare Workforce Outcomes
GrantID: 75980
Grant Funding Amount Low: $500
Deadline: Ongoing
Grant Amount High: $5,000
Summary
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Grant Overview
Tennessee's workforce constraints in rural veteran healthcare center on the 51 counties designated as Health Professional Shortage Areas for primary care. These counties contain 38 percent of the state's 460,000 veterans yet retain only 19 percent of licensed physicians accepting VA Community Care Network patients. Mobile clinic and telehealth capacity remains limited by the Appalachian terrain and average one-way drive times exceeding 90 minutes to the nearest VA medical center.
Workforce data show that 64 percent of rural Tennessee VA community providers operate part-time contracts. Tennessee requires applicants to submit current credentialing lists demonstrating that proposed telehealth physicians hold active Tennessee medical licenses and maintain admitting privileges at a hospital within 60 miles of the service area. Programs must also document existing relationships with at least two of the state's 12 Veterans Service Organizations that operate county-level posts.
Infrastructure constraints include broadband download speeds below 25 Mbps in 47 percent of the target counties. Applicants must therefore budget for cellular-enabled tablets and include coverage maps from the two primary carriers serving the Cumberland Plateau and West Tennessee. Tennessee further mandates that mobile clinic routes be approved in advance by the Department of Veterans Affairs Tennessee Valley Healthcare System.
Readiness requirements stipulate that applicants already operate at least one fixed-site clinic or telehealth platform serving 200 or more unique veterans annually. Annual outcome reporting must include VA-provided metrics on emergency-department utilization and preventable hospitalizations, disaggregated by county.
Tennessee's review differs from Kentucky's by requiring simultaneous coordination with both the VA and the state's three regional trauma centers due to the number of rural veterans living in counties without Level I facilities.
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