Brownsville Community Development Corporation

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - THE PROJECT SITE IS CALLED THE BROWNSVILLE HEALTH AND WELLNESS HUB PROJECT AND WILL DESIGN, CONSTRUCT AND OUTFIT WITH FURNITURE AND EQUIPMENT A NEW STANDALONE HEALTH CENTER SPACE TO RE-DEVELOPMENT AND EXPAND THE BMS FLAGSHIP HEALTH CENTER LOCATED IN THE BROWNSVILLE COMMUNITY BY CREATING AN ADDITIONAL 25,000 SF OF SPACE FOR A TOTAL OF 50,000 SF OF USABLE STANDALONE HEALTH CENTER SPACE. BMS WILL UTILIZE VACANT LAND OWNED BY THE ORGANIZATION, WHICH IS ADJACENT TO ITS EXISTING HEALTH CENTER, TO DEVELOP A NEW 50,000 SF STATE-OF-THE-ART HEALTH CENTER WITH UNDERGROUND PARKING AND WITH THE GOAL OF EXPANDING ACCESS TO HEALTH CARE AND IMPROVING THE HEALTH CARE EXPERIENCE FOR HEALTH CENTER PATIENTS. THE NEW HEALTH CENTER WILL BE LOCATED AT 594 ROCKAWAY AVENUE; BROOKLYN, NY 11212 AND WILL INCLUDE UNDERGROUND PARKING. THE NEW FACILITY WILL BE CAPABLE OF ACHIEVING BMS’ MISSION; AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH WHILE CONTRIBUTING TO THE OVERALL IMPROVEMENT OF HEALTH OUTCOMES IN CENTRAL BROOKLYN AS PART OF THE VITAL BROOKLYN INITIATIVE WHICH CONSOLIDATED THREE AREA HOSPITALS TO CREATE THE ONE BROOKLYN HEALTH CENTER AND PARTNERSHIPS WITH LOCAL HEALTH CARE INSTITUTIONS IT IMPROVE HEALTH CARE FACILITIES AFTER MANY YEARS OF DISINVESTMENT AND MISUSE OF THE HOSPITALS AND EMERGENCY DEPARTMENTS FOR PREVENTION CARE RATHER THAN EMERGENCY CARE. BMS ENVISIONS THIS NEWLY RENOVATED AND EXPANDED STATE-OF-THE-ART HEALTH CENTER WILL ENABLE BMS TO ACHIEVE ITS’ MISSION AND CONTRIBUTE TO THE OVERALL IMPROVEMENT OF HEALTH OUTCOMES IN CENTRAL BROOKLYN. THE CENTER WILL CREATE A MULTI-PURPOSE HEALTH CENTER SPACE THAT ADDRESSES SOCIAL DETERMINANTS OF HEALTH AND WILL INCLUDE 59 EXAM ROOMS, MEDICAL LAB, PHYSICAL THERAPY DEPARTMENT, WAITING ROOM, CONFERENCE CENTER, CLOTHING BOUTIQUE, MULTI-PURPOSE ROOM, CLINICAL SUPPORT OFFICE SPACES, STAFF BREAK AND LOCKER AREA, ADA RESTROOMS AND STORAGE SPACE. THE CENTER WILL BE DESIGNED WITH INNOVATION AND EFFICIENCY AND IN ACCORD ANCE WITH THE MOST RECENT NEW YORK CITY BUILDINGS DEPARTMENT REGULATIONS. THIS PROJECT WILL COST APPROXIMATELY $72,000,000 AND THE FUNDING SOURCES WILL INCLUDE STATE FUNDING FROM THE NEW YORK STATE DEPARTMENT OF HEALTH $10,356,150, FEDERAL FUNDING FROM THE HUMAN RESOURCE SERVICES ADMINISTRATION $2,200,000, BMS LAND CONTRIBUTION OF $2,000,000, LOW INCOME HOUSING TAX CREDITS OF $14,000,000, OTHER FUNDING FROM CITY AND PRIVATE DONATIONS OF $12,000,000 AND MORTGAGE UNDERWRITTEN BY LENDER OF APPROXIAMTELY $31,443,850.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CARE AND OTHER FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT PROJECT TITLE: BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER APPLICANT ORGANIZATION NAME: BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION (BCDC) ADDRESS: 592 ROCKAWAY AVENUE, BROOKLYN, NEW YORK 11212 PROJECT DIRECTOR NAME: MICHELLE EVERETT-OXLEY, PRESIDENT AND CHIEF EXECUTIVE OFFICER CONTACT NUMBERS PHONE: (718) 345-5000, EXT. 1123, FAX: (718) 345-5794 EMAIL ADDRESS: MOXLEY@BMSFHC.ORG WEBSITE ADDRESS: WWW.BMSFHC.ORG HEALTH CENTER PROGRAM NUMBER: H80CS00589 GRANT PROGRAM FUNDS REQUESTED: BEHAVIORAL HEALTH SERVICES EXPANSION $600,000 YEAR 1; $500,000 YEAR 2 SERVICE AREA CITY AND STATE: BROOKLYN, NEW YORK THE BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION (BCDC) IS A 501(C)(3) NONPROFIT INCORPORATED IN 1974. IN 1982, BCDC ESTABLISHED AND CONTINUES AS THE BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER (BMS). BMS IS A NEW YORK STATE CERTIFIED ARTICLE 28 PROVIDER SERVING THE COMMUNITIES OF BROWNSVILLE, OCEAN HILL, EAST NEW YORK AND PARTS OF BEDFORD STUYVESANT, CROWN HEIGHTS, AND CANARSIE IN BROOKLYN. THE CORRESPONDING ZIP CODES (11212, 11207, 11208, 11213, 11233, 11236 AND 11239) HAVE A COMBINED TOTAL POPULATION OF 558,000. NEARLY 75% OF OUR PATIENTS RESIDE IN BROWNSVILLE (11212) AND EAST NEW YORK (11207 AND 11208), WHICH CORRESPOND TO U.S. CONGRESSIONAL DISTRICTS 9 AND 8, RESPECTIVELY. OUR TARGET POPULATION IS PRIMARY BLACK/AFRICAN AMERICAN AND LATINX, LOW INCOME, UNINSURED AND UNDER-INSURED AND MEDICALLY UNDERSERVED. OUR TARGET POPULATION IS ADDITIONALLY CHARACTERIZED BY LOW LEVELS OF EDUCATIONAL ATTAINMENT AND HIGH LEVELS OF UNEMPLOYMENT AND UNDER-EMPLOYMENT. DUE TO SOCIAL DETERMINANTS OF HEALTH INCLUDING POVERTY AND SYSTEMIC RACISM, AREA RESIDENTS HAVE HIGHER MORTALITIES DUE TO DISEASES AND CONDITIONS THAT ARE PREVENTABLE AND TREATABLE. DISEASE RATES FAR EXCEED NATIONAL, STATE AND COUNTY RATES. PSYCHIATRIC HOSPITALIZATION RATES IN BROWNSVILLE AND EAST NEW YORK ARE THREE TIMES AS HIGH BOROUGH-WIDE AND TWICE AS HIGH CITYWIDE. BMS PR OVIDES INTEGRATED, COMPREHENSIVE PRIMARY CARE, PREVENTIVE, SPECIALTY, AND SOCIAL SERVICES AT NINE EASILY ACCESSIBLE, HRSA-APPROVED SITES. SERVICES FOR THE ADULT POPULATION, AS DOCUMENTED ON THE UDS, INCLUDE MENTAL HEALTH AND MEDICATION FOR OPIOID USE DISORDER (MOUD). SUBSTANCE USE DISORDER (SUD) SERVICES ARE PROVIDED BY BEHAVIORAL HEALTH PROVIDERS AND ARE CAPTURED IN THE SELECTED SERVICE DETAIL ADDENDUM OF THE UDS DUE TO EXISTING BILLING, CODING, AND STAFFING ALLOCATION PRACTICES AND POLICIES. OUR BEHAVIORAL HEALTH DEPARTMENT INCLUDES LICENSED CLINICAL SOCIAL WORKERS, A PART-TIME CONTRACTED PSYCHIATRIC NURSE PRACTITIONER AND A PART-TIME PSYCHIATRIST. IN 2023, THE BEHAVIORAL HEALTH DEPARTMENT SERVED 540 ADULT PATIENTS. THROUGH THE FY 2024 BEHAVIORAL HEALTH SERVICES EXPANSION FUNDING, BMS SEEKS TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES BY EXPANDING PROVISION OF MENTAL HEALTH SERVICES TO ADOLESCENTS FROM THE AGE OF 12 TO 17. IF GRANTED FUNDING, WE WILL HIRE A FULL-TIME LICENSED MENTAL HEALTH COUNSELOR, AND A CASE AIDE AND COMMUNITY HEALTH WORKER (CHW) TO ADDRESS THE MENTAL HEALTH AND SOCIAL SERVICE NEEDS OF THIS POPULATION. WE WILL ALSO IMPLEMENT QI INITIATIVES TO MAXIMIZE UTILIZATION OF MENTAL HEALTH SERVICES IN OUR ADULT PATIENT POPULATION. WE WILL INCREASE THE NUMBER OF MOUD PATIENTS BY IMPROVING INTERNAL AND EXTERNAL COORDINATION AND REFERRALS, AND BY REDUCING PATIENT ATTRITION. FINALLY, WE WILL BEGIN EFFECTIVELY CAPTURING SUD SERVICES BY REALLOCATING EXISTING STAFF RESOURCES AND BY MODIFYING OUR CODING AND BILLING PRACTICES TO ACCURATELY REFLECT THE DEDICATED PROVISION OF SUD SERVICES. WE WILL ALSO INCREASE THE NUMBER OF CONTRACTED HOURS PROVIDED BY THE PSYCHIATRIC NURSE PRACTITIONER WHO CURRENTLY PROVIDES TREATMENT AND OVERSEES CARE COORDINATION SERVICES. BMS WILL USE A FAMILY SYSTEMS PERSPECTIVE FOR ADOLESCENTS AND PARENTS TO RECEIVE MENTAL HEALTH AND SUD SERVICES. IN THIS WAY, FAMILIES ARE STRENGTHENED TO OVERCOME ADVERSE SOCIAL DETE RMINANTS OF HEALTH.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION IS A 501(C)(3) NON-PROFIT INCORPORATED IN 1974 BY COMMUNITY ACTIVISTS IN THE BROWNSVILLE SECTION OF BROOKLYN, NY. IN 1982, BCDC ESTABLISHED THE BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER (BMS) IN RESPONSE TO A COMMUNITY SURVEY. BMS HAS SINCE GROWN FROM A 1-EXAM ROOM, SINGLE PHYSICIAN CLINIC TO A $33 MILLION ENTERPRISE WITH 264 EMPLOYEES OPERATING OUT OF 7 SERVICE SITES (4 OF THEM CLINICAL SITES). A STATE-LICENSED ARTICLE 28 AND A FEDERALLY QUALIFIED HEALTH CENTER ACCREDITED SINCE 1999 BY THE JOINT COMMISSION, THE HEALTH CENTER HAS A HRSA-APPROVED SERVICE AREA THAT INCLUDES SEVEN (7) ZIP CODES, WITH A TOTAL POPULATION OF 500,000. THE ZIP CODES CORRESPOND WITH THE COMMUNITIES OF BROWNSVILLE, OCEAN HILL, EAST NEW YORK, AND PARTS OF BEDFORD STUYVESANT AND CROWN HEIGHTS. TARGETED RESIDENTS OF THESE ZIP CODES ARE PRIMARILY AFRICAN AMERICAN AND HISPANIC; POOR AND LOW INCOME; UNDEREDUCATED; UNDERINSURED; AND MEDICALLY UNDERSERVED. BMS’ MISSION IS “TO PROVIDE AND PROMOTE INTEGRATIVE AND HIGH QUALITY MEDICAL, DENTAL, AND SOCIAL SERVICES TO ENABLE EVERY INDIVIDUAL AND FAMILY IN THE COMMUNITIES WE SERVE TO ACHIEVE TOTAL HEALTH AND WELLNESS.” OVER THE COURSE OF ITS 40-YEAR HISTORY, THE HEALTH CENTER HAS INVESTED HEAVILY IN IMPROVING AND DIVERSIFYING ITS SERVICES, EXPANDING, AND MODERNIZING ITS SITES, INSTITUTING BEST PRACTICES, AND STRENGTHENING ITS NETWORK OF COMMUNITY SERVICE PROVIDERS TO IMPROVE COORDINATION AND CONTINUITY OF CARE. BMS’ PLANNED GROWTH IS VERY STRATEGIC – IT IS ALIGNED WITH BMS’ MISSION AS A FEDERALLY QUALIFIED HEALTH CENTER, BUT ALSO IT TACKLES THE EVER-PRESENT SOCIAL DETERMINANTS OF HEALTH. ECONOMIC STATUS IS A SOCIAL DETERMINANT OF HEALTH AND NOW ACCESS TO TECHNOLOGY AMONG OTHERS. IN URBAN AREAS WE HAVE BEEN RELYING ON TECHNOLOGY TO SCHEDULE APPOINTMENTS, DOCUMENT AND MAINTAIN OUR HEALTH RECORDS, AND NOW ALSO TO VISIT OUR DOCTORS VIRTUALLY WHEN ALLOWABLE, APPROPRIATE AND FOR INCREASED ACCESS. BMS HAS BEEN ON THE FRONTLINE FOR BROWNSVILLE TAKING NOTE OF THE UNIQUE NEEDS OF OUR RESIDENTS FOR 40 YEARS– APPLYING FOR FUNDING AND PARTNERING WITH COMMUNITY AND GOVERNMENT ORGANIZATIONS TO MEET THE NEEDS OF OUR COMMUNITY (STAFF AND PATIENTS). TO ENSURE THAT THE BMS STAFF, PATIENTS AND RESIDENTS OF THE BROWNSVILLE COMMUNITY ARE PREPARED FOR THE OPPORTUNITIES OF TOMORROW. BMS WILL UTILIZE APPROXIMATELY 3,052 SF OF SPACE ON THE CELLAR/BASEMENT LEVEL AT THE 408 ROCKAWAY AVENUE; BROOKLYN, NY 11212 LOCATION, TO DEVELOP A WORKFORCE DEVELOPMENT AND TRAINING CENTER (THE CENTER).THE PURPOSE OF THE CENTER IS TO HAVE A STATE-OF-THE-ART FACILITY TO TRAIN STAFF IN HEALTHCARE TECHNOLOGY AND CONTINUING EDUCATION AS THE HEALTHCARE INDUSTRY CONTINUES TO EVOLVE; THE CENTER WILL ALSO SUPPORT BMS PATIENTS AND RESIDENTS IN BROWNSVILLE WITH RESOURCES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH RELATED TO ECONOMIC STATUS AND TECHNOLOGY ACCESS THROUGH COORDINATED AND FACILITATED PARTNERSHIPS. BMS BELIEVES THE CENTER CAN ALSO SERVE AS A RECRUITMENT LOCATION FOR INDIVIDUALS SEEKING FUTURE EMPLOYMENT IN THE HEALTHCARE INDUSTRY AND/OR SEEKING TO LEARN OTHER SKILLS THAT WILL PREPARE THEM FOR INDUSTRIES THAT WE RELY ON FOR DAILY SURVIVAL AND ALLOW THEM TO EARN LIVING WAGES. THE CENTER WILL ALSO SERVE AS A MULTIPURPOSE ROOM FOR STAFF AND COMMUNITY MEETINGS TO ENSURE THAT SPACES FOR APPROPRIATE AND ADEQUATE COMMUNICATION EXIST, TO THE EXTENT IT IMPACTS THE EMPLOYMENT EXPERIENCE FOR OUR STAFF AND QUALITY OF LIFE FOR OUR STAFF, PATIENTS AND BROWNSVILLE RESIDENTS. THE CENTER WILL CREATE A MULTI-PURPOSE SPACE CAPABLE OF SETTING UP A MINIMUM OF TWENTY (20) TRAINING SPACES, ONE (1) STAFF BREAK AREA, 1-2 OFFICES, TWO (2) ADA COMPLIANT RESTROOMS AND STORAGE SPACE. THE CENTER WILL BE DESIGNED WITH INNOVATION AND EFFICIENCY AND IN ACCORDANCE WITH THE MOST RECENT NEW YORK CITY BUILDINGS DEPARTMENT REGULATIONS.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM