Health Coaching Outcomes for Veterans in Iowa
GrantID: 75870
Grant Funding Amount Low: Open
Deadline: Ongoing
Grant Amount High: Open
Summary
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Grant Overview
Iowa’s Health Coaching Workforce Constraints and Readiness Standards
Iowa maintains 99 counties, 70 of which are designated rural by the state. The Iowa Department of Public Health reports that 48 counties have fewer than one primary-care physician per 3,000 residents, a ratio that directly affects veterans managing diabetes, hypertension, and post-deployment conditions. Existing VA community-based outpatient clinics operate in only 11 locations, leaving large portions of the western and southern regions dependent on distant providers.
Health coaching programs must therefore recruit coaches who already hold Iowa nursing or behavioral-health licenses and who can travel to multiple counties. The state’s aging population means that 29 percent of veterans are over age 65, increasing the need for coaches trained in chronic-disease protocols rather than acute mental-health interventions alone.
The funding requires grantees to place coaches within existing critical-access hospitals or federally qualified health centers that meet state Medicaid enrollment criteria. Proposals must include letters from county boards of health confirming that the organization can access electronic health-record systems used by the Iowa Veterans Affairs system.
Iowa reviewers differ from those in Kansas or Nebraska by mandating that at least half of all coaching encounters occur in person at sites located outside the Des Moines and Cedar Rapids metropolitan areas. Remote-only models receive lower priority because broadband coverage remains below 70 percent in 22 counties.
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