Valley Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CENTRAL VALLEY COLLABORATIVE - TEEN AGED PREGNANCY PREVENTION

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT TITLE ONE HEALTH RCORP-MAT ACCESS PROJECT REQUESTED AWARD AMOUNT $3,000,000 FOR 3 YEARS APPLICANT ORGANIZATION NAME BIGHORN VALLEY HEALTH CENTER, INC. DBA ONE HEALTH APPLICANT ORGANIZATION ADDRESS 10 4TH STREET WEST, HARDIN, MONTANA 59034 APPLICANT ORGANIZATION FACILITY TYPE FEDERALLY QUALIFIED HEALTH CENTER PROJECT DIRECTOR NAME AND TITLE PATTI JO HILL, MSW, LCSW ONE HEALTH, BEHAVIORAL HEALTH STAFF PROJECT DIRECTOR CONTACT INFORMATION PHONE: (406) 629-3015 EMAIL: PATTI.HILL@ONECHC.ORG OUR PARTNERS IN THIS PROJECT INCLUDE CENTRAL MONTANA HEALTH DISTRICT, BIG SANDY PHARMACY, AND MEADOWLARK COUNSELING SERVICES. WE PROPOSE TO ESTABLISH FOUR NEW MEDICATION ASSISTED TREATMENT (MAT) ACCESS POINTS (STANFORD, MT; HARLOWTON, MT; SHERIDAN, WY; AND CENTRAL MONTANA MOBILE MEDICAL CLINIC BASED OUT OF FERGUS COUNTY, MT) WITHIN OUR PROPOSED SERVICE AREA WHICH COMPRISES EIGHT ENTIRELY RURAL COUNTIES IN CENTRAL MONTANA AND NORTHEASTERN WYOMING: BIG HORN COUNTY, MT, FERGUS COUNTY, MT, GOLDEN VALLEY COUNTY, MT, JUDITH BASIN COUNTY, MT, MUSSELSHELL COUNTY, MT, PETROLEUM COUNTY, MT, WHEATLAND COUNTY, MT, AND SHERIDAN COUNTY, WY. MAT WILL BE DELIVERED IN A MODEL THAT INTEGRATES SUPPORTIVE MENTAL HEALTH SERVICES, ALONG WITH MEDICAL, DENTAL, AND HEALTHCARE NAVIGATOR SERVICES. ENCOUNTERS WITH MAT PRESCRIBERS WILL OCCUR VIA TELEHEALTH AND ROTATING IN-PERSON VISITS. THREE TARGET POPULATIONS HAVE BEEN IDENTIFIED FOR THIS PROJECT: AMERICAN INDIANS (12.6% OF SERVICE POPULATION), PREGNANT, PARENTING, OR OTHER WOMEN OF CHILD-BEARING AGE, AND YOUTH. ALL THREE POPULATIONS WERE SPECIFICALLY CHOSEN: HIGH RATES OF SERVICE AREA YOUTH REPORTING EARLY INITIATION OF DRUG USE; THE PERCENTAGE OF PREGNANT WOMEN RECEIVING PRENATAL CARE IS LOW, AND ACCURATE DATA REGARDING PREVALENCE OF SUD AMONG PREGNANT WOMEN ARE SCARCE; AND THE CROW RESERVATION LIES WITHIN THE SERVICE AREA. TRIBAL MEMBERS ARE KEY STAKEHOLDERS IN THIS PROPOSAL, AND ARE INVOLVED USING A RANGE OF STRATEGIES, INCLUDING PARTNERING WITH TRIBAL ORGANIZATIONS. WE WILL USE INCORPORATE MULTIPLE APPROACHES TO LEVERAGE THE LIMITED AVAILABILITY OF LICENSED MAT PRESCRIBERS INCLUDING USE OF CLINICAL PHARMACY, BEHAVIORAL HEALTH CARE MANAGERS, AND CERTIFIED BEHAVIORAL HEALTH PEER SUPPORTERS. WE ANTICIPATE THE MODEL WILL ATTAIN FINANCIAL SUSTAINABILITY BY THE END OF THE PERFORMANCE PERIOD.

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SVHC MAT PDOA - THE SACOPEE VALLEY HEALTH CENTER (SVHC) WILL SERVE INDIVIDUALS WITH OPIOID USE DISORDER (OUD) AGES 16 AND OVER LIVING IN 12 RURAL TOWNS LOCATED WITHIN THREE COUNTIES IN MAINE AND ONE IN NEW HAMPSHIRE. SVHC WILL EXPAND AND ENHANCE ACCESS TO EVIDENCE-BASED MEDICATION ASSISTED TREATMENT (MAT) SERVICES AND PSYCHOSOCIAL AND RECOVERY SUPPORT SERVICES TO INCREASE THE NUMBER OF INDIVIDUALS RECEIVING MAT AND TO DECREASE ILLICIT DRUG USE AND OPIOID PRESCRIPTION MISUSE.

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - PAPER SUBMISSION, ALL INFO ENTERED AS PROVIDED BY APPLICANT.

HEALTH CENTER CONTROLLED NETWORKS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EXPANDING ACCESS TO INTEGRATED MEDICATION ASSISTED TREATMENT IN FRONTIER MONTANA

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - OUR PROPOSED PROJECT INCLUDES THE HIRING OF A DIRECTOR OF BEHAVIORAL HEALTH AND 2 THERAPISTS. UNDER THE STEWARDSHIP OF A DIRECTOR, WE HOPE TO INCREASE OUR TOTAL MH/SUD FTES FROM 1.75 TO 4.75. ADDING A DIRECTOR OF BEHAVIORAL HEALTH WILL AID OUR SERVICES IN MATURING IN RESPONSE TO THE NEEDS IN OUR SERVICE AREA. IN ADDITION TO CREATING A RECRUITMENT AND RETENTION STRATEGY FOR BEHAVIORAL HEALTH CLINICIANS, THE DIRECTOR WILL BE TASKED WITH THE DESIGN OF A CONTINUING EDUCATION PLAN THAT IS RESPONSIVE TO THE SPECIFIC NEEDS OF OUR PATIENT POPULATION AND CONTINUES TO EVOLVE AS THOSE NEEDS CHANGE. THE GROWTH OF THIS DEPARTMENT INCLUDES THE ADDITION OF SUBSTANCE USE DISORDER SERVICES IN THE THERAPEUTIC ENVIRONMENT. THE HIRING OF A DESIGNATED BEHAVIORAL HEALTH PATIENT SERVICE REPRESENTATIVE WILL IMPROVE BEHAVIORAL HEALTH SCHEDULES AND ALLOW FOR CLOSER MANAGEMENT OF PATIENT PANELS, CREATING EFFICIENCIES AND MAXIMIZING ACCESS TO SERVICES. THE ADDITION OF A 0.6 FTE FNP TO OUR PRESCRIBING TEAM WOULD INCREASE THE NUMBER OF PATIENTS WE CAN PROVIDE WITH MOUD SERVICES. AT THIS TIME WE HAVE A VERY SMALL MOUD PANEL (ABOUT 23 PATIENTS). ADDING A PRESCRIBER AND OFFERING ADDITIONAL TRAINING ON MOUD SERVICES IN THE PRIMARY CARE SETTING WOULD ALLOW US TO EXPAND OUR SERVICES IN A SAFE AND DELIBERATE WAY; PROVIDER EDUCATION BEING PARAMOUNT TO SUCCESS. THE REACH INSTITUTE’S BEHAVIORAL HEALTH IN PRIMARY CARE COURSE IS AN EXAMPLE OF THIS TYPE OF TRAINING. IT IS DESIGNED FOR PRIMARY CARE PROVIDERS TREATING PATIENTS WITH BEHAVIORAL HEALTH NEEDS. PATIENT CALL VOLUME, PRESCRIPTION REFILL REQUESTS, AND GENERAL TRIAGE NEEDS WILL INCREASE WITH THE EXPANSION OF MOUD AND MH/SUD SERVICES. THE ADDITION OF 1.0 FTE RN TRIAGE NURSE TO THE TEAM WILL HELP ABSORB THIS ADDED VOLUME. WITH ADDED STAFF AND EXPANDED SERVICES, WE WOULD NEED TO HIRE A DIRECTOR OF OPERATIONS. WE HAVE A VERY SMALL ADMINISTRATIVE TEAM WHO WEAR MANY HATS, BUT WITH GROWTH IN SERVICES, WE WILL NECESSARILY NEED TO EXPAND M ANAGEMENT. WE PROPOSE ADDING 1.0 FTE DIRECTOR OF OPERATIONS WITH FUNDS FROM THIS GRANT. OUR MISSION AS A CHC IS TO FIND WAYS TO PROVIDE SERVICES TO ALL, WITHOUT BARRIERS. WE UNDERSTAND THAT LIVING A HEALTHY LIFE REQUIRES MORE THAN PROVIDING TRADITIONAL MEDICAL AND BEHAVIORAL HEALTH SERVICES – WE ALSO NEED TO CONNECT OUR PATIENTS TO THE RESOURCES THEY NEED TO LIVE THEIR HEALTHIEST LIVES. THIS IS OFTEN FOOD AND HOUSING RESOURCES, TRANSPORTATION PLANNING, OR CONNECTION TO AFFORDABLE MEDICATIONS. THIS MAY MEAN PROVIDING TRANSLATION OR INTERPRETATION SERVICES, OR HAVING ADA COMPLIANT BUILDINGS. WE CURRENTLY ASSIST OUR PATIENTS IN ALL OF THESE WAYS, AND WE HIRED A COMMUNITY HEALTH WORKER WHO WILL RESPOND TO THE SOCIAL DETERMINANTS OF HEALTH SCREENERS PERFORMED DURING ROUTINE MEDICAL VISITS AND RESPOND TO DIRECT REFERRALS. THIS WILL BE AN ADDED LAYER OF SUPPORT FOR OUR PATIENTS – CONNECTING THEM WITH SERVICES AND RESOURCES THEY NEED TO BE PHYSICALLY WELL, MENTALLY WELL, SAFE, AND IN MANY CASES WHAT WILL ULTIMATELY LEAD TO THEIR SUCCESS IN SOBRIETY. WE WORK HARD TO REDUCE STIGMA ASSOCIATED WITH RECEIVING CARE. THE BEAUTY OF PROVIDING ALL SERVICES UNDER ONE ROOF IS NO ONE KNOWS WHAT SERVICE YOU ARE AT THE HEALTH CENTER TO RECEIVE. IT ALSO MEANS THAT YOUR CARE TEAM, OFTEN COMPRISED OF A PRIMARY CARE PROVIDER, PSYCHIATRIC NURSE PRACTITIONER, AND THERAPIST, ALL WORK TOGETHER IN THE SAME EHR ENSURING REAL TIME ACCESS TO ONE ANOTHER FOR CONSULTATION. ALL MEDICAL AND BEHAVIORAL HEALTH PROVIDERS ALSO MEET MONTHLY FOR INTEGRATED BEHAVIORAL HEALTH MEETINGS TO DISCUSS COMPLEX CASES AND BRAINSTORM WAYS TO BEST HELP PATIENTS SUCCEED. WE FEEL VERY CONFIDENT IN OUR MODEL, BUT KNOW THAT THERE ARE WAYS THAT WE CAN BECOME STRONGER AND SERVE MORE PATIENTS. WE HOPE THAT BY ADDING MORE PROVIDERS AND SUPPORT STAFF, WE WILL BE ABLE TO PROVIDE EVEN BETTER CARE THAT IS MORE RESPONSIVE, MORE ROBUST, AND CONTINUES TO BREAK DOWN BARRIERS TO CARE.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - MUSKINGUM VALLEY HEALTH CENTERS (MVHC) 33 SOUTH 5TH STREET, ZANESVILLE, OHIO 43701 FQHC PROGRAM MANAGER: JEANIE BLAKE, CHIEF PATIENT EXPERIENCE OFFICER, 740-891-9059 JBLAKE@MVHEALTHCENTERS.ORG WWW.MVHCCARES.ORG PROPOSED SERVICE REGION: MUSKINGUM COUNTY, OHIO, 43701 ABSTRACT MUSKINGUM VALLEY HEALTH CENTERS (MVHC) IS A 330(E)-FUNDED, FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN SOUTHEASTERN OHIO. MVHC OPERATES ELEVEN HEALTH CENTER LOCATIONS WITHIN A FOUR-COUNTY REGION OF MUSKINGUM, COSHOCTON, MORGAN, AND GUERNSEY COUNTIES. MVHC LOCATIONS ARE IN ZANESVILLE (MUSKINGUM COUNTY), MALTA (MORGAN COUNTY), CAMBRIDGE (GUERNSEY COUNTY), AND COSHOCTON (COSHOCTON COUNTY). MVHC PROVIDES A FULL RANGE OF MEDICAL PRIMARY CARE SERVICES INCLUDING ADULT HEALTH, PEDIATRIC HEALTH, WOMEN’S HEALTH, BEHAVIORAL HEALTH, SUBSTANCE ABUSE TREATMENT, PODIATRY, DENTAL HEALTH, AND CLINICAL PHARMACY SERVICES. MVHC BECAME AN FQHC NEW START IN 2008 AND HAS EXPERIENCED A STEADY INCREASE IN PATIENT VOLUME SINCE OPENING. MUSKINGUM VALLEY HEALTH CENTERS’ MISSION IS TO PROVIDE AFFORDABLE, ACCESSIBLE, AND QUALITY HEALTHCARE. MVHC HAS CORPORATE RECOGNITION AS A LEVEL 3 PATIENT CENTERED MEDICAL HOME (PCMH). MVHC PROVIDERS AND STAFF WORK CLOSELY WITH UNDERSERVED POPULATIONS IN ALL FOUR COUNTIES TO CONTINUE TO BUILD RELATIONSHIPS WITH PATIENTS THAT WILL IMPACT AND IMPROVE THE HEALTH AND WELLNESS OF LOCAL COMMUNITIES. MVHC SERVES POPULATIONS WITHIN RURAL OHIO WHO DEMONSTRATE HIGH RISK HEALTH BEHAVIORS AND POOR HEALTH OUTCOMES. MVHC CONTINUES TO ASSESS NEW WAYS TO BETTER SERVE AND PROVIDE ACCESS TO HEALTHCARE IN THE MVHC SERVICE AREA. MUSKINGUM VALLEY HEALTH CENTERS IS THE LARGEST HEALTH CENTER IN THE STATE OF OHIO, SERVING 72,415 PATIENTS IN 2023. WITHIN MVHC’S LARGE, RURAL PATIENT POPULATION, THERE IS AN IDENTIFIED NEED FOR INCREASED ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES IN MUSKINGUM COUNTY. TO MEET THIS NEED FOR INCREASED ACCESS, MVHC LOOKS TO EXPAND MENTAL H EALTH AND SUD SERVICES AT OUR FACILITIES LOCATED AT 716 ADAIR AVENUE AND 915 PUTNAM AVENUE IN ZANESVILLE, OHIO. THE EXPANSION OF BEHAVIORAL HEALTH SERVICES AT THESE TWO FACILITIES WILL ALLOW US TO REACH A LARGE PATIENT POPULATION OF ALL AGES, DEMOGRAPHICS, AND SOCIOECONOMIC BACKGROUNDS. MVHC PLANS TO ADD A PSYCHIATRIST, A NURSE PRACTITIONER, AN RN NURSE NAVIGATOR, AND FOUR LPNS AT THE ADAIR FACILITY AND TO ADD TWO LSWS TO THE PUTNAM URGENT CARE FACILITY. THE TWO LSWS WILL BE DEDICATED TO BEHAVIORAL HEALTH AND OUR ADDICTION SERVICES PROGRAMS. A CLINICAL DIRECTOR WILL BE DESIGNATED TO LEAD THE EXPANSION AND TO OVERSEE ALL EFFORTS OF THE BEHAVIORAL HEALTH SERVICE LINES. GRANT DOLLARS WOULD SUPPORT MVHC’S ABILITY TO RECRUIT AND EMPLOY THESE KEY PERSONNEL TO ENSURE THE NEED FOR INCREASED ACCESS TO THESE VITAL SERVICES CAN BE MADE IN THE MUSKINGUM COUNTY COMMUNITY.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE BIGHORN VALLEY HEALTH CENTER, INC. DBA ONE HEALTH (ONE HEALTH), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN RURAL MONTANA AND WYOMING, IS APPLYING FOR BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) FUNDS TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) IN A SIXTEEN-COUNTY AREA OF RURAL MONTANA AND WYOMING. FOUNDED BY PHYSICIAN LEADERS IN RESPONSE TO COMMUNITY NEEDS, ONE HEALTH OPENED ITS DOORS IN HARDIN, MONTANA, IN OCTOBER 2012 AND HAS BEEN CONSISTENTLY GUIDED BY ITS MISSION TO IMPROVE THE WELLBEING OF EVERYONE BY PROVIDING ACCESSIBLE, QUALITY HEALTH CARE TO THE WHOLE COMMUNITY. WITH THIS PROPOSAL WE INTEND TO MAKE STRATEGIC INVESTMENTS TO SCALE UP AN INNOVATIVE APPROACH TO DELIVERING A MODEL OF COORDINATED, EVIDENCE-BASED, TRAUMA-INFORMED MENTAL HEALTH AND SUD SERVICES TO COMMUNITY MEMBERS LIVING IN OUR RURAL SERVICE AREA. WE WILL BUILD ON SUCCESSFUL WORK WITH EXISTING COLLABORATORS TO CONNECT WITH THE PRIMARY TARGET POPULATION OF THIS PROJECT, WHICH INCLUDES ALL RESIDENTS OF THE DESIGNATED SERVICE AREA. BHSE FUNDS WILL SUPPORT THE ADDITION OF 5.0 FTE NEW BEHAVIORAL STAFF, INCLUDING FOUR LICENSED BEHAVIORAL HEALTH CLINICIANS. BY DECEMBER 31, 2025, WE EXPECT TO PROVIDE MENTAL HEALTH SERVICES TO 1,187 NEW PATIENTS, SUD SERVICES TO 172 NEW PATIENTS, INCLUDING MOUD TO 137 NEW PATIENTS ACROSS OUR SERVICE AREA.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ANDERSON VALLEY HEALTH CENTER (AVHC), A NON-PROFIT, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, ESTABLISHED 45 YEARS AGO TO SERVE SOUTHWEST MENDOCINO COUNTY, CALIFORNIA, IS REQUESTING $600,000 IN YEAR 1 AND $500,000 IN YEAR 2 THROUGH THE FY24 BEHAVIORAL HEALTH SERVICE EXPANSION GRANT. AVHC WILL EXPAND ACCESS TO BEHAVIORAL HEALTH (BH) AND SUBSTANCE USE DISORDER (SUD) TREATMENT FOR THE LOW-INCOME, GENERAL COMMUNITY POPULATION AND MIGRANT AND SEASONAL FARMWORKERS (MSFW) THROUGHOUT ITS EXISTING SERVICE AREA OF ANDERSON VALLEY IN SOUTHWESTERN MENDOCINO COUNTY. THE TARGET POPULATION EXPERIENCES LIMITED ACCESS TO CULTURALLY APPROPRIATE SERVICES DUE TO LIVING IN A GEOGRAPHICALLY ISOLATED AND IMPOVERISHED RURAL AND FRONTIER AREA. IN LINE WITH THE PRESIDENT’S STRATEGY TO ADDRESS THE NATIONAL MENTAL HEALTH CRISIS, AVHC PROPOSES TO STRENGTHEN OUR ORGANIZATIONAL CAPACITY TO RESPOND TO BOTH SUD AND MH NEEDS. AVHC WILL RESPOND TO SUD NEEDS BY TRAINING TWO BILINGUAL SOCIAL WORKER ASSOCIATES, A COMMUNITY HEALTH OUTREACH WORKER (CHW) AND A PHARMACIST IN SUD SCREENING, OUTREACH AND TREATMENT. INCREASING ACCESS TO TREATMENT WILL PROVIDE CULTURALLY APPROPRIATE OPTIONS FOR PEER COUNSELING, MEDICATION MANAGEMENT AND COUNSELING AND TARGETED INDIVIDUAL COUNSELING FOR SUD DISORDERS. AVHC WILL USE ITS STRONG PARTNERSHIPS WITH THE LOCAL AV MIDDLE, HIGH AND ADULT SCHOOLS, THE UKIAH ADVENTIST HOSPITAL’S ER DISCHARGE TEAM, THE SAFE RX COALITION, AND THE MENDOCINO COUNTY AIDS AND VIRAL HEPATITIS NETWORK TO IDENTIFY NEW PATIENTS, INCLUDING YOUTH, IN NEED OF SUD SERVICES. AVHC HAS AN MD CERTIFIED IN ADDICTION MEDICINE AND A PSYCHIATRIC NURSE PRACTITIONER WHO WILL PROVIDE CARE FOR NEWLY IDENTIFIED SUD PATIENTS. ADDITIONALLY, AVHC HAS IDENTIFIED A NEED FOR ADDITIONAL TREATMENT OPTIONS FOR MENTAL HEALTH (MH) SERVICES. AVHC SAW A LARGE JUMP FOLLOWING THE COVID-19 PANDEMIC IN THE NUMBER OF PATIENTS EXPERIENCING ANXIETY AND OTHER MH DISORDERS. AVHC BEGAN SCREENING USING THE GAD-7 LAST YEAR, AND WILL CONTINUE TO IMPROVE SCREENING FOR MH DISORDERS. AVHC WILL INCREASE ACCESS TO MH CARE FOR ALL PATIENTS, AND IN PARTICULAR, WILL EXPAND ACCESS TO YOUTH AND SPANISH SPEAKING PATIENTS. AVHC WILL USE ITS BILINGUAL CHW TO CONDUCT OUTREACH AND INCREASE UNDERSTANDING IN THE COMMUNITY OF MH SIGNS AND SYMPTOMS AND OPTIONS FOR TREATMENT. AVHC WILL EXPAND MH SUPPORT THROUGH BETTER INTEGRATION OF THE BH DEPARTMENT USING ITS EXISTING TWO BILINGUAL ASWS AND MEDICAL PROVIDERS TO COLLABORATE ON PATIENT CARE PLANS. AVHC WILL INCREASE MEDICATION MANAGEMENT FOR COMPLEX MH NEEDS THROUGH ITS PSYCHIATRIC NURSE PRACTITIONER. FINALLY, THROUGH OUR STRONG RELATIONSHIP WITH THE SCHOOLS, AVHC WILL INTRODUCE AWARENESS AND EDUCATION OF MH SIGNS AND SYMPTOMS AND SUICIDE PREVENTION THROUGH AN EXISTING GROUP OF TEEN REPRESENTATIVES WHO ARE CURRENTLY PROVIDING PEER-TO-PEER EDUCATION ABOUT OUR TEEN REPRODUCTIVE HEALTH SERVICES. AVHC WILL ADD 115 NEW PATIENTS IN MH SERVICES, 90 NEW PATIENTS IN SUD SERVICES, AND 45 NEW PATIENTS IN MOUD SERVICES. THIS INCLUDES 30 MIGRANT AND SEASONAL FARM WORKERS.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-PSYCHOSTIMULANT SUPPORT

RURAL HEALTH OPIOID PROGRAM

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FY 2023 EARLY CHILDHOOD DEVELOPMENT

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

ADVANCED NURSING EDUCATION - SEXUAL ASSAULT NURSE EXAMINERS PROGRAM - MUSKINGUM VALLEY HEALTH CENTERS (MVHC) 33 SOUTH 5TH STREET, ZANESVILLE, OHIO 43701 FQHC PROGRAM MANAGER: JEANIE BLAKE, CHIEF PATIENT EXPERIENCE OFFICER, 740-891-9059 JBLAKE@MVHEALTHCENTERS.ORG WWW.MVHCCARES.ORG PROPOSED SERVICE REGION: GUERNSEY COUNTY, OHIO, 43725 ABSTRACT MUSKINGUM VALLEY HEALTH CENTERS (MVHC) IS A 330(E)-FUNDED, FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN SOUTHEASTERN OHIO. MVHC OPERATES ELEVEN HEALTH CENTER LOCATIONS WITHIN A FOUR-COUNTY REGION OF MUSKINGUM, COSHOCTON, MORGAN, AND GUERNSEY COUNTIES. MVHC LOCATIONS ARE IN ZANESVILLE (MUSKINGUM COUNTY), MALTA (MORGAN COUNTY), CAMBRIDGE (GUERNSEY COUNTY), AND COSHOCTON (COSHOCTON COUNTY). MVHC PROVIDES A FULL RANGE OF MEDICAL PRIMARY CARE SERVICES INCLUDING ADULT HEALTH, PEDIATRIC HEALTH, WOMEN’S HEALTH, BEHAVIORAL HEALTH, SUBSTANCE ABUSE TREATMENT, PODIATRY, DENTAL HEALTH, AND CLINICAL PHARMACY SERVICES. MVHC BECAME AN FQHC NEW START IN 2008 AND HAS EXPERIENCED A STEADY INCREASE IN PATIENT VOLUME SINCE OPENING. MUSKINGUM VALLEY HEALTH CENTERS’ MISSION IS TO PROVIDE AFFORDABLE, ACCESSIBLE, AND QUALITY HEALTHCARE. MVHC HAS CORPORATE RECOGNITION AS A LEVEL 3 PATIENT CENTERED MEDICAL HOME (PCMH). MVHC PROVIDERS AND STAFF WORK CLOSELY WITH UNDERSERVED POPULATIONS IN ALL FOUR COUNTIES TO CONTINUE TO BUILD RELATIONSHIPS WITH PATIENTS THAT ARE FOCUSED ON IMPROVING THE HEALTH AND WELLNESS OF LOCAL COMMUNITIES. MVHC SERVES POPULATIONS WITHIN RURAL OHIO WHO DEMONSTRATE HIGH RISK HEALTH BEHAVIORS AND POOR HEALTH OUTCOMES. MVHC CONTINUES TO ASSESS NEW WAYS TO BETTER SERVE AND PROVIDE ACCESS TO HEALTHCARE IN THE REGIONS OF OPERATION. MUSKINGUM VALLEY HEALTH CENTERS IS THE LARGEST HEALTH CENTER IN THE STATE OF OHIO, SERVING 72,415 PATIENTS IN 2023. WITHIN MVHC’S LARGE, RURAL PATIENT POPULATION, IT HAS BEEN IDENTIFIED THAT THERE IS CRUCIAL NEED FOR GREATER ACCESS TO SEXUAL ASSAULT NURSE EXAMINERS (SANE). GUERNSEY COUNTY HAS AN IMMEDIATE NEED FOR AN INCREASE IN THE NUMBER OF INDIVIDUALS W HO ARE SANE TRAINED AND CERTIFIED. LOCAL ORGANIZATIONS, WHO SUPPORT SEXUAL ASSAULT VICTIMS, IN THE GUERNSEY COUNTY COMMUNITY HAVE EXPRESSED A VITAL NEED FOR MORE SANE ACCESS. THESE LOCAL ORGANIZATIONS CONSIST OF THE CHILDREN’S ADVOCACY CENTER OF GUERNSEY COUNTY, HAVEN OF HOPE, OHIOHEALTH SOUTHEASTERN MEDICAL CENTER, AND BRAVE BEGINNINGS, IN MUSKINGUM COUNTY. TO ENHANCE AND SUPPORT THESE LOCAL ORGANIZATIONS, MVHC WILL CREATE A SPACE IN OUR CAMBRIDGE FACILITY TO HAVE THE ABILITY TO CARRY OUT SANE EXAMS BY OUR SANE TRAINED STAFF. WHILE GUERNSEY COUNTY IS THE FOCUS OF THIS GRANT CONSORTIUM, SANE SERVICES WILL EXTEND INTO COUNTIES WITHIN MVHC’S SERVICE AREA INCLUDING MUSKINGUM, MORGAN, AND COSHOCTON COUNTIES. MVHC OPERATES A TRANSPORTATION PROGRAM THAT WOULD ALLOW PATIENTS TO TRAVEL TO OUR CAMBRIDGE FACILITY FREE OF COST TO ACCESS SANE SERVICES. ADDITIONALLY, PATIENTS WILL HAVE ACCESS TO OTHER VITAL SUPPORT SERVICES INCLUDING WOMEN’S HEALTH, ADULT HEALTH, PEDIATRIC HEALTH, DENTAL HEALTH, BEHAVIORAL HEALTH, PODIATRY, SUBSTANCE ABUSE TREATMENT, AND PHARMACY SERVICES. AS AN FQHC, MVHC CAN UNIQUELY SERVE OUR COMMUNITY BY PROVIDING HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. MVHC IS EAGER TO PARTNER WITH THESE LOCAL ORGANIZATIONS TO BETTER SERVE OUR COMMUNITY BY ENSURING THAT ALL PATIENTS ARE RECEIVING ACCESS TO VITAL HEALTH CARE SERVICES.

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CONNECTING KIDS TO COVERAGE OUTREACH & ENROLLMENT COOPERATIVE AGREEMENTS

RURAL TRIBAL COVID-19 RESPONSE

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE

PRIMARY CARE

RURAL HEALTH OPIOID PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - TARGET POPULATION: OUR TARGET POPULATION WILL BE THE RESIDENTS OF BIG HORN COUNTY, MONTANA, WITH A FOCUS ON TWO HIGH-RISK SUBPOPULATIONS, AMERICAN INDIANS AND LOW-INCOME RESIDENTS. THE COUNTY’S POPULATION IN 2024 WAS 12,851, OF WHOM 66% SELF-IDENTIFY AS AMERICAN INDIAN & ALASKA NATIVE (AI/AN), AND 56% ARE LOW-INCOME (UNDER 200% FPL). BIG HORN COUNTY IS A FRONTIER COUNTY (POPULATION DENSITY 2.6 PERSONS/MILE) ENCOMPASSING MOST OF THE CROW INDIAN RESERVATION. IT IS AN IMPOVERISHED AREA, WITH A MEDIAN HOUSEHOLD INCOME OF $49,100, 26% OF PERSONS LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL), AND 56% LIVING BELOW 200% OF FPL. CHRONICALLY FACING SHORTAGES OF HEALTH PROFESSIONALS IN THE AREA, OUR COMMUNITY IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). WE SUFFER FROM AN EXCESSIVELY HIGH RATE OF POOR HEALTH OUTCOMES, WITH MARKED HEALTH DISPARITIES ALONG RACIAL AND ETHNIC LINES. OUR COMMUNITY’S MENTAL HEALTH PICTURE IS BLEAK, WITH TRAGICALLY HIGH RATES OF DEPRESSION AND SUICIDE, INTRICATELY LINKED TO THE EPIDEMIC RATES OF ADVERSE CHILDHOOD EXPERIENCES. NUMBER OF CONSORTIUM MEMBERS: 4 LIST OF CONSORTIUM MEMBERS: BIGHORN VALLEY HEALTH CENTER, INC. DBA “ONE HEALTH,” BIG HORN COUNTY PUBLIC HEALTH DEPARTMENT, BIG HORN HOSPITAL ASSOCIATION, BIG HORN COUNTY AMBULANCE EVIDENCE-BASED PRACTICE MODEL: COMMUNITY HEALTH WORKERS (CHW). WE WILL IMPLEMENT CHWS AT EIGHT COMMUNITY SITES IN OUR SERVICE AREA. EXPECTED OUTCOMES: ANTICIPATED OUTCOMES INCLUDE: EXPANDING ACCESS FOR COMMUNITY MEMBERS TO INTEGRATED HEALTHCARE, INCLUDING MENTAL HEALTH CARE AND SUBSTANCE USE DISORDER (SUD) TREATMENT; IMPROVING SCREENING RATES FOR DEPRESSION, SEXUALLY TRANSMITTED INFECTIONS (STI) AND SUD AMONG OUR SCHOOL-AGED YOUTH; INCREASING ACCESS TO COMPREHENSIVE FAMILY PLANNING EDUCATION AND BIRTH CONTROL FOR SCHOOL-AGED YOUTH; AND IMPROVING RE-INTEGRATION OF JUSTICE-INVOLVED COMMUNITY MEMBERS WITH SUD. CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: THE LEAD ORGANIZATION, BIGHORN VALLEY HEALTH CENTER, INC. DBA “ONE HEALTH,” HAS BEEN PROVIDING COMPREHENSIVE, INTEGRATED PRIMARY CARE—INCLUDING MEDICAL, BEHAVIORAL HEALTH/SUBSTANCE USE DISORDER TREATMENT AND DENTAL—TO RESIDENTS OF RURAL AND FRONTIER COUNTIES IN CENTRAL AND EASTERN MONTANA SINCE ITS INCEPTION IN 2012. ALL THE CONSORTIUM MEMBERS ARE LOCATED IN A FRONTIER COUNTY AND HAVE BEEN PROVIDING CARE TO RESIDENTS FOR DECADES. FUNDING PREFERENCE: BIGHORN VALLEY HEALTH CENTER, INC. DBA “ONE HEALTH” IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. BIG HORN COUNTY IS IN A DESIGNATED HPSA.

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

DLT OPIOID GRANTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

TELEMEDICINE GRANT

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH INFORMATION TECHNOLOGY (HIT) PLANNING GRANTS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY FACILITY

ORGANIZATIONAL CAPACITY

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM - PROJECT ABSTRACT PROJECT TITLE: RYAN WHITE HIV/AIDS PROGRAM PART C EARLY INTERVENTION SERVICES PROGRAM: NEW GEOGRAPHIC SERVICE AREAS – HRSA-22-016 APPLICANT: GOLDEN VALLEY HEALTH CENTERS 737 W. CHILDS AVENUE, MERCED, CA 95341 CONTACT: ANDREW BARNETT PHONE #: 209-620-4979 E-MAIL: ABARNETT@GVHC.ORG WEBSITE: WWW.GVHC.ORG REQUEST YEAR 1: $266,969 YEAR 2: $283,139 YEAR 3: $289,466 FOR NEARLY 50 YEARS, GOLDEN VALLEY HEALTH CENTERS (GVHC) HAS PROVIDED HIGH-QUALITY HEALTH CARE TO UNDERSERVED PATIENT POPULATIONS IN CALIFORNIA’S CENTRAL VALLEY. NEARLY ALL OF GVHC’S PATIENTS ARE CONSIDERED LOW-INCOME WITH 98% BELOW 200% THE FEDERAL POVERTY LEVEL; APPROXIMATELY 80% IDENTIFY AS RACIAL OR ETHNIC MINORITIES; ROUGHLY ONE-THIRD REQUIRE CARE IN A LANGUAGE OTHER THAN ENGLISH; AND MORE THAN 20% ARE MIGRANT AND AGRICULTURAL WORKERS. IN ADDITION TO A GENERAL HEALTHCARE SHORTAGE THROUGHOUT THE CENTRAL VALLEY, CARE FOR PATIENTS LIVING WITH HIV/AIDS IS LIMITED IN BOTH AVAILABILITY AND SCOPE. GVHC IS REQUESTING PART C. EIS FUNDING TO PROVIDE COMPREHENSIVE HIV PRIMARY CARE FOR PATIENTS IN STANISLAUS AND MERCED COUNTIES. KEY SERVICES TO BE SUPPORTED THROUGH GRANT FUNDING INCLUDE COUNSELING, TESTING, AND REFERRAL (CTR) SERVICES; ANTIRETROVIRAL THERAPY; CASE MANAGEMENT; REFERRAL TO GVHC PRIMARY CARE, BEHAVIORAL HEALTH, DENTAL, AND OTHER SPECIALTY SERVICES; REFERRAL TO AND COORDINATION WITH EXTERNAL SPECIALTY PROVIDERS AND SUPPORT SERVICES. FUNDING IS BEING SPECIFICALLY REQUESTED TO BOLSTER THE ORGANIZATION’S GROWING HIV SERVICES PROGRAM BY HIRING A PROGRAM MANAGER AND A PROGRAM SPECIALIST. FURTHERMORE, GVHC WILL UTILIZE GRANTED FUNDS TO IDENTIFY A CLINIC AND PROVIDER TO ACT AS AN HIV CLINICAL LEAD IN MERCED COUNTY. THIS WILL ALLOW THE ORGANIZATION TO MIRROR THE ALREADY ESTABLISHED HIV SERVICES ON OFFER FOR PATIENTS IN STANISLAUS COUNTY. WHILE SERVICES WILL BE AVAILABLE FOR ANY PATIENT WITH HIV, THE ORGANIZATION HOPES THAT FUNDING WILL HELP WITH INCREASED ENTRY INTO AND RETEN TION IN CARE AMONG LATINX PATIENTS WHO MAKE UP A DISPROPORTIONATE AND GROWING NUMBER OF NEW HIV CASES IN CALIFORNIA AND PATIENTS WHO LACK STABLE HOUSING AND THUS FACE ADDITIONAL BARRIERS TO CARE.