Community Health Center Of Buffalo Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

CAPITAL DEVELOPMENT

IMPROVING ACCESS TO BEHAVIORAL HEALTH AND CRISIS CARE IN THE GREATER BUFFALO AREA - THE COMMUNITY HEALTH CENTER OF BUFFALO, INC. (CHCB) WILL TRANSFORM BEHAVIORAL HEALTH SERVICES IN ERIE AND NIAGARA COUNTIES BY ESTABLISHING A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC WITHIN A FEDERALLY QUALIFIED HEALTH CENTER. NEW SERVICES WILL FILL MAJOR GAPS IN ACCESS TO CULTURALLY SENSITIVE PERSON-CENTERED, RECOVERY-FOCUSED CARE TARGETING LOW-INCOME BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC), SERVICE MEMBERS/VETERANS, REFUGEES, AND THE RE-ENTRY POPULATIONS. BEHAVIORAL HEALTH IS A CRITICAL BUT FREQUENTLY UNADDRESSED CONCERN FOR LOW-INCOME BIPOC. THE TARGETED POPULATION IS AT HIGHER RISK FOR BEHAVIORAL HEALTH DISORDERS AND TRAUMA WITH SYMPTOMS THAT ARE UNDIAGNOSED, UNDER-DIAGNOSED OR MISDIAGNOSED FOR CULTURAL, RACIAL OR LINGUISTIC REASONS. PATIENTS SEEK OUT CHCB’S SERVICES “BECAUSE STAFF LOOK LIKE US AND RESPECT US.” NUMBER TO BE SERVED: YEAR 1 (1,000); YEAR 2 (1,100); YEAR 3 (1,200); YEAR 4 (1,200). TOTAL = 4,500 (> 60% BIPOC). GOAL 1: WITHIN 4 MONTHS, COMPLETE A COMMUNITY NEEDS ASSESSMENT (& DURING THE THIRD YEAR). OBJECTIVE 1: WITHIN 3 MONTHS, COMPLETE ASSESSMENT OF BEHAVIORAL SERVICES IN ERIE/NIAGARA. OBJECTIVE 2: WITHIN 4 MONTHS, CONDUCT FOCUS GROUPS IN BUFFALO AND NIAGARA FALLS TO IDENTIFY CULTURAL, LINGUISTIC, AND TREATMENT NEEDS AND UNDERSTAND RACIAL DISPARITIES. OBJECTIVE 3: WITHIN 4 MONTHS, CONDUCT INTERVIEWS WITH 20 REPRESENTATIVES OF THE TARGET POPULATION. OBJECTIVE 4: WITHIN 4 MONTHS, CONDUCT A CONSUMER AND FAMILY MEMBER SURVEY (50 PEOPLE). OBJECTIVE 5: WITHIN 4 MONTHS, COMPLETE A BEHAVIORAL HEALTH WORKFORCE ASSESSMENT AND SELECT AT LEAST ONE JOB TITLE TO INCLUDE IN CHCB’S WORKFORCE TRAINING PROGRAM. OUTCOME: UTILIZE THE NEEDS ASSESSMENT TO INFORM STAFFING AND CCBHC SERVICES DEVELOPMENT. GOAL 2: INCREASE ACCESS TO COLLABORATIVE, PERSON-CENTERED CULTURALLY COMPETENT CCBHC NINE CORE SERVICES BUTTRESSED BY CARE COORDINATION AND COMMUNITY PARTNERS FOR 4,500 INDIVIDUALS (4 YEARS). OBJECTIVE 1: WITHIN 4 MONTHS FORM A CCBHC ADVISORY BOARD CONSISTING OF 51% CONSUMERS. OBJECTIVE 2: WITHIN 4 MONTHS, DEVELOP A PLAN, HIRE X NEW STAFF, AND BEGIN TRANSFORMING EXISTING BEHAVIORAL HEALTH SERVICES BY EXPANDING EXISTING SERVICES AND ADDING NEW CCBHC SERVICES. OBJECTIVE 3: WITHIN 4 MONTHS, INITIATE CCBHC PERFORMANCE MEASUREMENT FRAMEWORK (CQI). OBJECTIVE 4: WITHIN 4 MONTHS EXPAND HEALTH BEHAVIOR AND MEDICATION ADHERENCE ASSESSMENTS OBJECTIVE 5: WITHIN 6 MONTHS, BEGIN IMPLEMENTING CCBHC 9 CORE SERVICES. OBJECTIVE 6: WITHIN 12 MONTHS, DEVELOP, AND IMPLEMENT A SUSTAINABILITY PLAN. GOAL 3: REDUCE HEALTH DISPARITIES BY WORKING WITH DIVERSE PARTNERSHIPS TO DEVELOP PROGRAMMING. OBJECTIVE 1: WITHIN 60 DAYS, INITIATE OUTREACH PLANS TO WORK WITH WORK COMMUNITY ORGANIZATIONS SERVING PEOPLE OF COLOR AND OVERCOME STIGMA BY DISSEMINATING TESTIMONIALS. OBJECTIVE 2: PROVIDE SERVICES FOR AT LEAST 60 SERVICE MEMBERS/VETERANS ANNUALLY (WORK WITH VA). OBJECTIVE 3: ENTER INTO ARRANGEMENTS WITH THE TUSCARORA INDIAN HEALTH SERVICES AND THE URBAN INDIAN INSTITUTE TO SERVE AT LEAST 40 NATIVE AMERICANS ANNUALLY AND PROVIDE EDUCATION. OBJECTIVE 4: PROVIDE CULTURAL/LINGUISTICALLY COMPETENT CCBHC FOR AT LEAST 100 REFUGEES ANNUALLY. OBJECTIVE 5: PROVIDE CCBHC SERVICES FOR AT LEAST 100 CRIMINAL JUSTICE RE-ENTRY CITIZENS ANNUALLY. GOAL 4: REDUCE BEHAVIORAL HEALTH HOSPITAL ADMISSIONS/30-DAY READMISSIONS. OBJECTIVE 1: REDUCE SUICIDE ATTEMPTS AND DEATHS BY PROVIDING: SUICIDE SAFER CARE TRAINING, COMMUNITY SCREENINGS; EARLY INTERVENTION; TREATMENT, AND MENTAL HEALTH FIRST AID TRAINING. OBJECTIVE 2: TRACK WHEN ADMISSIONS AND DISCHARGES FROM PSYCHIATRIC INPATIENT FACILITIES AND SCHEDULE APPOINTMENTS WITHIN 7 DAYS OR SOONER BASED ON THE DISCHARGE PLAN. OBJECTIVE 3: CREATE A DEDICATED CCBHC INTERDISCIPLINARY TRANSITIONS OF CARE TEAM, THAT INCLUDES PEER SPECIALISTS TO REDUCE 30-DAY READMISSIONS BY WORKING WITH HIGH RISK INDIVIDUALS. OUTCOMES: INCREASED ACCESS TO COLLABORATIVE

ON MAY 14, 2022, IN THE CITY OF BUFFALO, NY, A MASS SHOOTING OCCURRED KILLING 10 PEOPLE AND PHYSICALLY INJURING 3 OTHERS. THE MAJORITY OF THOSE KILLED AND INJURED WERE AFRICAN AMERICANS. THE ERIE COUNTY DISTRICT ATTORNEYS OFFICE AND THE U.S. ATTORNEYS OFFICE FOR THE WESTERN DISTRICT OF NEW YORK ARE JOINTLY PROSECUTING THIS CASE AND ARE THEREFORE SHARING THE LEAD IN THE VICTIM COMPONENT OF THE RESPONSE TO THE SHOOTING. THE DAS OFFICE TOOK THE EARLY LEAD AND IS USING NEW YORK STATES (NYS) OFFICE FOR VICTIM SERVICES (OVS) DEFINITION OF VICTIMS AND HAS DETERMINED THAT ALL PEOPLE WHO WERE PRESENT IN THE TOPS GROCERY STORE AT THE TIME OF THE SHOOTING WILL BE CONSIDERED A VICTIM OF THIS CRIME. THIS INCLUDES THE 3 INJURED VICTIMS AND 94 INDIVIDUALS WHO WERE PRESENT INSIDE THE STORE OR IN THE PARKING LOT BUT NOT PHYSICALLY INJURED (PNI), AS WELL AS THE FAMILIES OF THE DECEASED, INJURED, AND PNIS. THE AEAP GRANT WILL INCLUDE PEOPLE WHO WERE PRESENT IN A 1-BLOCK RADIUS OF THE GROCERY STORE AT THE TIME OF THE SHOOTING AS INDIRECT VICTIMS DUE TO PROXIMITY TO THE SIGHTS AND SOUNDS OF THE INCIDENT AND THOSE FLEEING THE SCENE. AEAP WILL INCLUDE THE EMPLOYEES OF THE TOPS JEFFERSON AVENUE STORE WHO WERE ASSIGNED TO THAT STORE BUT WERE NOT PRESENT THAT DAY AS INDIRECT VICTIMS, DUE TO THE INTERACTIONS THEY WILL HAVE ON A DAILY BASIS WITH THOSE EMPLOYEES WHO WERE PRESENT.RESPONDERS TO THE INCIDENT, INCLUDING TRADITIONAL FIRST RESPONDERS (POLICE, DISPATCH, EMS) AND NON-TRADITIONAL RESPONDERS WHO WORKED WITH DIRECT AND INDIRECT VICTIMS AT RESPONSE LOCATIONS SUCH AS THE FAMILY ASSISTANCE CENTER (FAC) AT THE RESOURCE COUNCIL OF WESTERN NEW YORK (RCWNY), THE JOHNNIE B WILEY CENTER, AND THE MERRIWEATHER LIBRARY HAVE BEEN IDENTIFIED AS INDIRECT VICTIMS AND WILL ALSO BE ELIGIBLE FOR SERVICES AT THE BUFFALO UNITED RESILIENCY CENTER (BURC). THE COMMUNITY HEALTH CENTER OF BUFFALO, INC. (CHCB) IS A FIVE SITE, MULTI-SERVICE ORGANIZATION UNDER THE LEADERSHIP OF DR LAVONNE ANSARI WHO ACTS AS THE CHIEF EXECUTIVE OFFICER AND EXECUTIVE DIRECTOR. USING SOCIAL DETERMINANTS OF HEALTH AND COORDINATED CARE SERVICE SCHEMATICS AS HER GUIDE, DR. ANSARI HAS ADDED PROGRAMMING AND DEVELOPED PARTNERSHIPS THAT ADDRESS ISSUES SUCH AS PREVENTION AND WELLNESS, RE-ENTRY, CHRONIC DISEASE MANAGEMENT AND MENTAL HEALTH EDUCATION, PHYSICAL THERAPY, HIV/AIDS COUNSELING AND CARE, GRIEF COUNSELING, AND TELEMEDICINE. ON 5/14/2022, CHCB STEPPED UP IMMEDIATELY TO CARE FOR THEIR PATIENTS TO MEET THEIR INCIDENT-SPECIFIC SPECIFIC NEEDS. MANY IDENTIFIED VICTIMS HAVE BEEN PATIENTS OF THE CLINICS FOR YEARS AND RELIED ON THEIR ESTABLISHED RELATIONSHIPS AND CAREGIVERS TO ASSIST WITH THEIR REACTIONS. THE CHCB WAS SELECTED AT THIS POINT TO RECEIVE THE AEAP GRANT DUE TO ITS WORK IN THE COMMUNITY, CONNECTIONS TO THE NEIGHBORHOOD, AND ABILITY TO PROVIDE THE SERVICES NEEDED FOR THE VICTIMS OF 5/14. THE CHCB WAS SPECIFICALLY SELECTED BECAUSE OF THE TRUST COMMUNITY PARTNERS PLACED IN THE EXECUTIVE DIRECTOR OF THE CHCB AND THE CULTURALLY APPROPRIATE LEADERSHIP AND PROGRAMMING AVAILABLE AT CHCB. NYS IS PROVIDING FUNDING TO THE BUFFALO URBAN LEAGUE (BUL) FOR WORK WITH COMMUNITY MEMBERS AND VICTIMS WITHIN THE IDENTIFIED 1-BLOCK RADIUS OF THE GROCERY STORE. THEY WILL WORK IN COLLABORATION WITH CHCB AND THE STEERING COMMITTEE TO AVOID DUPLICATION OF SERVICES AND ENSURE THAT THE NEEDS OF THE COMMUNITY-AT-LARGE ARE ADEQUATELY MET. IN ADDITION TO SERVING DIRECT AND INDIRECT VICTIMS (DECEASED, INJURED AND PNI), CHCB WILL MAINTAIN A NO WRONG DOOR POLICY FOR THOSE VICTIMS WITHIN THE 1-BLOCK RADIUS AND SERVE THEM IF THEY ARE EITHER CURRENT PATIENTS OR THEY EXPRESS A COMFORT LEVEL WITH CHCB. A MEMORANDUM OF UNDERSTANDING (MOU) BETWEEN CHCB AND BUL WILL CLEARLY IDENTIFY THE TASKS AND RESPONSIBILITIES OF EACH AGENCY. FURTHER, CHCB AND THE BUL WILL USE THE SAME VICTIM TRACKING DATABASE TO ENSURE VICTIMS ARE NOT RECEIVING DUPLICATIVE SERVICES. CHCB WILL BE THE RECIPIENT OF THE AEAP GRANT, WITH BESTSELF AS A SUBGRANTEE. CHCB WILL OVERSEE THE OPERATIONS OF THE BURC WHICH WILL BE LOCATED AT 1001 EAST DELAVAN ST IN BUFFALO, WITH PROGRAM STAFF OVERSEEING VICTIM ADVOCACY AND VICTIM COMPENSATION CLAIMS. THE BURC WILL PROVIDE A CENTRALIZED PLACE FOR VICTIMS TO HAVE THEIR NEEDS IDENTIFIED AND BE SUPPORTED TO EFFICIENTLY ACCESS SERVICES. THE BURC WILL PROACTIVELY SUPPORT AND RESPOND TO VICTIMS WHO OFTEN EXPERIENCE REACTIONS TO SHOOTINGS IN RESPONSE TO SIGNIFICANT ANNIVERSARIES OR EVENTS, SUCH AS THE ONE YEAR MARK, EVENTS WITHIN THE COMMUNITY THAT INCREASE STRESS AND AWARENESS OF THE PASSAGE OF TIME (GRADUATIONS, HOLIDAYS, FESTIVALS), AND INCIDENTS THAT OCCUR AROUND THE WORLD THAT TRIGGER REACTIONS FOR VICTIMS. PROGRAMMING AND LINKAGE TO SERVICES WILL NEED TO TAKE INTO ACCOUNT THIS POTENTIAL INCREASE IN STRESS AND TRAUMA BY DEALING WITH MULTIPLE CHALLENGES AT THE SAME TIME AND REMAINING FLEXIBLE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

ACCELERATING CANCER SCREENING - NAME OF ORGANIZATION: COMMUNITY HEALTH CENTER OF BUFFALO, INC. (CHCB) ADDRESS: 34 BENWOOD AVE. BUFFALO NY 14214 PROJECT DIRECTOR NAME: DR. ANN MARIE JOHN, DIRECTOR, PREVENTION AND WELLNESS CENTER CONTACT PHONE NUMBERS: 716 986-9199 (V) AND 716 835-9357 (F) EMAIL ADDRESS AMJOHN@CHCB.NET WEBSITE ADDRESS: WWW.CHCB.NET HEALTH CENTER PROGRAM GRANT NUMBER (H80CS00157) COMMUNITY HEALTH CENTER OF BUFFALO, INC. (CHCB), WILL PARTNER WITH NCI-DESIGNATED CANCER CENTER: ROSWELL PARK COMPREHENSIVE CANCER CENTER (ROSWELL PARK), TO INCREASE PATIENT SCREENING, REFERRAL FOR CARE AND TREATMENT OF COLORECTAL AND CERVICAL CANCERS. THE PROJECT WILL DEPLOY TWO OUTREACH SPECIALISTS AND TWO TRAINED AND SUPERVISED PATIENT NAVIGATORS TO PROVIDE PATIENT EDUCATION, CASE MANAGEMENT, OUTREACH, AND OTHER ENABLING SERVICES TARGETING THE LOW-INCOME, UNDERSERVED POPULATIONS IN ERIE AND NIAGARA COUNTIES (NEW YORK STATE) SERVED BY THE FEDERALLY QUALIFIED HEALTH CENTER. FROM A DEMOGRAPHIC AND SOCIO-ECONOMIC PERSPECTIVE, THE REGION’S KEY CITIES OF BUFFALO, AND NIAGARA FALLS HAVE LARGE NUMBERS OF UNDERSERVED MINORITY AND REFUGEE POPULATIONS. POVERTY LEVELS EXCEED 24% OF THE POPULATION. THE CHCB WILL INCREASE EQUITABLE ACCESS TO CANCER SCREENING AND REFERRAL FOR CARE AND TREATMENT USING TARGETED CULTURALLY TAILORED PATIENT ENGAGEMENT STRATEGIES, PATIENT EDUCATION, CASE MANAGEMENT, OUTREACH, AND OTHER ENABLING SERVICES, IN CLOSE PARTNERSHIP WITH ROSWELL PARK. OUTREACH SPECIALISTS AND CANCER PATIENT NAVIGATORS WILL ENGAGE UNDERSERVED POPULATIONS IN THE BUFFALO-NIAGARA SERVICE AREA TO IMPROVE CANCER HEALTH OUTCOMES TO ACHIEVE THE FOLLOWING OBJECTIVES. 1) INCREASE THE NUMBER AND PERCENTAGE OF PATIENTS SCREENED FOR COLORECTAL CANCER (CRC). 2) INCREASE THE NUMBER AND PERCENTAGE OF PATIENTS SCREENED FOR CERVICAL CANCER. 3) INCREASE THE NUMBER OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE (E.G., DIAGNOSTIC SERVICES, THERAPIES, CLINICAL TRIALS) WITHIN 30 DAYS OF RECEIVING AN ABNORMAL COLORECTAL OR CERVICAL CANCER SCREENING TEST RESULTS. CHCB AND ROSWELL PARK WILL ADVANCE PROGRESS ON THESE AXCS OBJECTIVES BY IMPLEMENTING ACTIVITIES WITHIN EACH OF THE FOUR FOCUS AREAS: 1) ACCESS AND AFFORDABILITY TO CANCER PREVENTION AND TREATMENT SERVICES; 2) PATIENT ENGAGEMENT AND EXPERIENCE; 3) SCREENING; AND 4) WORKFORCE DEVELOPMENT INCLUDING INDIVIDUALS FROM THE EXISTING EMPLOYEES AT CHCB, ROSWELL PARK, AND THE COMMUNITY IN THE POOL OF PROSPECTIVE CANDIDATES FOR THE AXCS PROJECT. THE PROJECT WILL IMPACT 3,500 PATIENTS AGED 50 THROUGH 75 AND 5,000 FEMALE PATIENTS 23-64 YEARS OF AGE. BASED ON CHCB CURRENT PATIENT DEMOGRAPHICS, > 80% WILL BE BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). COLORECTAL AND CERVICAL CANCER SCREENINGS WILL INCREASE BY AT LEAST 50%. REFERRAL FOR CARE AND TREATMENT FOR COLORECTAL AND CERVICAL ABNORMAL FINDINGS WILL ALSO INCREASE BY AT LEAST 25%. CHCB EVALUATION PLAN INTEGRATES QUALITY ASSURANCE REVIEW (PROCESS) AND IMPACT (EFFECTIVENESS) ASSESSMENTS. THIS PROJECT WILL SERVE AS A MODEL TO SIGNIFICANTLY REDUCE HEALTH DISPARITIES AND DISEASE BURDEN AMONG UNDERSERVED LOW-INCOME INDIVIDUALS BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH BARRIERS AND IDENTIFYING FACILITATORS TO IMPROVED HEALTH OUTCOMES.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

IMPROVED MENTAL HEALTH EFFORTS REGIONAL EVALUATION (IM HERE)

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM