Community Health Clinic Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

CAPITAL DEVELOPMENT

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

HEALTH CENTER PROGRAM

TERRY REILLY HEALTH SERVICES CCBHC - TERRY REILLY HEALTH SERVICES, INC. (TRHS) SUBMITS THIS APPLICATION TO ESTABLISH A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROGRAM SERVING CANYON COUNTY IN SOUTHEAST IDAHO. CANYON COUNTY IS HOME TO NEARLY 250,000 RESIDENTS AND SUFFERS FROM A SIGNIFICANT LACK OF BEHAVIORAL HEALTH RESOURCES, INCLUDING INSUFFICIENT CRISIS SERVICES AND A MENTAL HEALTH PROVIDER TO POPULATION RATIO THAT IS 30% LESS THAN THE STATEWIDE AVERAGE IN IDAHO AND 55% LESS THAN U.S. STATES WITH THE HIGHEST LEVELS OF ACCESS (COMMUNITY HEALTH RANKINGS 2021). THIS LACK OF RESOURCES RESULTS IN DISPROPORTIONATE RATES OF BEHAVIORAL HEALTH DISPARITIES IN CANYON COUNTY, INCLUDING HIGHER RATES OF MENTAL DISTRESS AND REPORTED POOR MENTAL HEALTH DAYS, SUICIDE INCIDENCE AND RISK, AND UNTREATED SUBSTANCE USE DISORDER (NATIONAL SURVEY ON DRUG USE AND HEALTH, 2021). BY ESTABLISHING THE PROPOSED CCBHC PROGRAM, TRHS AIMS TO EXPAND INTEGRATED BEHAVIORAL HEALTH CARE IN CANYON COUNTY WITH A PARTICULAR FOCUS ON THOSE WHO NEED SERVICES THE MOST; INDIVIDUALS WITH HIGH NEEDS, INCLUDING ADULTS WITH SERIOUS MENTAL ILLNESS (SMI) AND CHILDREN WITH SEVERE EMOTIONAL DISTURBANCE (SED) AND THOSE WITH CO-OCCURRING ILLNESS, AND SUB-POPULATIONS THAT FREQUENTLY EXPERIENCE HEIGHTENED BARRIERS TO ACCESSING CARE IN CANYON COUNTY, INCLUDING HISPANIC/LATINO POPULATIONS (APPROXIMATELY 25% OF THE CANYON COUNTY POPULATION), LGBTQ+ POPULATIONS (APPROXIMATELY 2.8% OF THE CANYON COUNTY POPULATION), THOSE WHO ARE HOMELESS AND/OR UNSTABLY HOUSED (APPROXIMATELY 633 INDIVIDUALS IN THE CANYON COUNTY REGION AS OF THE 2021 IDAHO POINT-IN-TIME HOMELESS COUNT), AND THOSE WHO ARE LIVING IN POVERTY (APPROXIMATELY 38% OF CANYON COUNTY RESIDENTS). KEY STRATEGIES THAT TRHS WILL IMPLEMENT TO EXPAND ACCESS TO NEEDED BEHAVIORAL HEALTH CARE SERVICES INCLUDE (1) STRENGTHENING THE IDAHO REGION III (CANYON COUNTY) CRISIS CONTINUUM OF CARE TO DE-ESCALATE MENTAL HEALTH AND SUBSTANCE USE CRISIS AND DIVERT UNNECESSARY INPATIENT OR EMERGENCY DEPARTMENT USAGE BY CONNECTING USERS TO OUTPATIENT CARE; (2) EXPANDING ACCESS TO INTEGRATED BEHAVIORAL HEALTH SERVICES FOR UNDERSERVED POPULATIONS THROUGH INCREASING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT PROVIDERS WHO ARE TRAINED IN PROVIDING CARE TO MARGINALIZED POPULATIONS; AND, (3) EXPANDING THE CAPACITY OF BEHAVIORAL HEALTH SERVICES AVAILABLE TO YOUTH AND ADOLESCENTS UNDER THE AGE OF 18. TRHS ANTICIPATES SERVING 200 UNIQUE INDIVIDUALS IN YEAR 1; 450 UNIQUE INDIVIDUALS IN YEAR 2; 750 UNIQUE INDIVIDUALS IN YEAR 3; AND 1,100 UNIQUE INDIVIDUALS BY YEAR 4. TRHS IS WELL-POSITIONED TO ESTABLISH A FULLY-COMPLIANT CCBHC PROGRAM WITHIN ONE YEAR OF AWARD AND ALREADY PROVIDES A SIGNIFICANT ARRAY OF INTEGRATED MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES. TRHS HAS SERVED THE COMMUNITIES IN SOUTHEAST IDAHO FOR 51 YEARS AND IS AN NCQA LEVEL III PATIENT-CENTERED MEDICAL HOME AND JOINT COMMISSION PRIMARY CARE AND BEHAVIORAL HEALTH HOME—ONE OF THE FIRST ORGANIZATIONS IN IDAHO TO RECEIVE THIS DESIGNATION. TRHS SERVED 34,424 UNIQUE PATIENTS IN 2021, INCLUDING PROVIDING 6,292 PATIENTS WITH BEHAVIORAL HEALTH CARE; 25,100 PATIENTS WITH PRIMARY CARE MEDICAL SERVICES, AND 10,032 PATIENTS WITH DENTAL CARE. IT IS WELL-EXPERIENCED IN SERVING MARGINALIZED POPULATIONS, WITH 73% OF PATIENTS SERVED IN 2021 LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL), 38% ENROLLED IN MEDICAID, AND 34% OF PATIENTS UNINSURED.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III: EARLY INTERVENTIONS SERVICES

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III: EARLY INTERVENTIONS SERVICES

TERRY REILLY CHILD TRAUMATIC STRESS PROJECT - THE TERRY REILLY CHILD TRAUMATIC STRESS PROJECTS OVERARCHING VISION IS TO INCREASE THE CAPACITY AT TRHS TO PROVIDE AND INCREASE ACCESS TO EFFECTIVE TRAUMA-FOCUSED TREATMENT AND SERVICES SYSTEMS IN CANYON COUNTY FOR CHILDREN AND ADOLESCENTS, AND THEIR FAMILIES WHO EXPERIENCE TRAUMATIC EVENTS. WE ANTICIPATE SERVING 700 UNDUPLICATED CLIENTS OVER THE FIVE YEARS OF THE GRANT. SPECIFIC GOALS FOR THE PROJECT INCLUDE THE FOLLOWING: GOALS: - EXPAND ACCESS FOR CHILDREN AND THEIR FAMILIES TO TRAUMA INFORMED INTEGRATED BEHAVIORAL HEALTH SERVICES THAT USE EVIDENCE-BASED PRACTICES FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES THAT EXPERIENCE HEIGHTENED BARRIERS TO TRAUMA INFORMED CARE AND BEHAVIORAL HEALTH DISPARITIES TO IMPROVE HEALTH OUTCOMES. - ENHANCE CAPACITY TO PROVIDE OUTPATIENT TRAUMA SERVICES TO ADOLESCENTS (UNDER AGE 18) IN CANYON COUNTY TO REDUCE INCIDENCE OF SUD AND/OR MH CRISIS AMONG THIS POPULATION. - EXPAND OUR ABILITY TO COORDINATE WITH COMMUNITY LEVEL CHILD-SERVING SYSTEMS AND OTHER COMMUNITY LEVEL AGENCIES TO INCREASE AWARENESS OF, PARTICIPATION IN, AND ACCESS TO, TRAUMA AND GRIEF TREATMENT AND SERVICES FOR CHILDREN, ADOLESCENTS AND THEIR FAMILIES WITH AN EMPHASIS ON HISPANIC FAMILIES AND FAMILIES LIVING IN POVERTY SPECIFIC ACTIVITIES INCLUDE: - IDENTIFY AND IMPLEMENT COMMUNITY-BASED ENGAGEMENT/OUTREACH STRATEGIES TO INCREASE AWARENESS OF, PARTICIPATION IN, AND ACCESS TO, TRAUMA AND GRIEF TREATMENT AND SERVICES FOR AT-RISK CHILDREN, ADOLESCENTS, AND THEIR FAMILIES AND THOSE FROM DIVERSE RACIAL AND ETHNIC COMMUNITIES. - PROVIDE DIRECT EVIDENCE-BASED MENTAL HEALTH RELATED TREATMENT AND SERVICES, INCLUDING SCREENING, DIAGNOSTIC ASSESSMENT, CARE MANAGEMENT, THERAPY, AND PREVENTION FOR AT-RISK CHILDREN AND ADOLESCENTS, INCLUDING THOSE FROM RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES, WHO HAVE HAD TRAUMA-RELATED EXPERIENCES. - COORDINATE WITH CHILD-SERVING SYSTEMS TO PROVIDE TRAUMA- AND GRIEF-INFORMED SERVICES AT THE LOCAL OR REGIONAL LEVELS. - DEVELOP AND IMPLEMENT PROCEDURES TO ENSURE THAT TREATMENT PROVIDERS ARE COMPETENT AND KNOWLEDGEABLE ABOUT THE IMPACT OF COMPLEX TRAUMA ON YOUTH DEVELOPMENT.

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

AFFORDABLE CARE ACT: NURSE MANAGED HEALTH CLINICS

TERRY REILLY CABHI

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - PROJECT TITLE: QUALITY IMPROVEMENT FUND- TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS APPLICANT ORGANIZATION NAME: MENDOCINO COMMUNITY HEALTH CLINIC, INC. GRANT NUMBER: H80CS00628 PROJECT DIRECTOR NAME: RODNEY GRAINGER MENDOCINO COMMUNITY HEALTH CLINIC (MCHC HEALTH CENTER), A COMMUNITY-BASED NONPROFIT, WAS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 1992. MCHC HEALTH CENTER HAS BEEN ENGRAINED IN RURAL NORTHERN CALIFORNIA’S NORTH COAST REGION (DEL NORTE, HUMBOLDT, MENDOCINO, SONOMA, MARIN, AND LAKE COUNTIES) FOR MORE THAN THREE DECADES, PROVIDING A COMPREHENSIVE RANGE OF SERVICES FOR SERVICE AREA RESIDENTS FROM BIRTH THROUGH THE GERIATRIC YEARS, REGARDLESS OF ABILITY TO PAY. AS AN FQHC, MCHC HEALTH CENTER HAS IMPLEMENTED AN ARRAY OF MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. FURTHERMORE, MCHC HEALTH CENTER OFFERS MEDICATION ASSISTED TREATMENT (MAT) FOR PATIENTS EXPERIENCING A SUBSTANCE USE DISORDER (SUD), WOMEN’S HEALTH SERVICES, INCLUDING MIDWIFERY CARE, HIV/AIDS SERVICES (THROUGH ITS RYAN WHITE PROGRAM), AS WELL AS CHIROPRACTIC, ORTHOPEDICS, PODIATRY, CASE MANAGEMENT, AND HEALTH EDUCATION SERVICES. OVER THE YEARS, AS A RESULT OF MCHC HEALTH CENTER’S DEDICATION TO PROVIDING THE HIGHEST STANDARDS IN PATIENT CARE, SAFETY, AND QUALITY, MCHC HEALTH CENTER IS NOW THE HEALTHCARE PROVIDER OF CHOICE FOR NEARLY 30,000 ECONOMICALLY AND SOCIALLY VULNERABLE INDIVIDUALS AND FAMILIES LIVING IN THE RURAL NORTH COAST OF CALIFORNIA. TODAY, WITH A STAFF OF ABOUT 300 EMPLOYEES, MCHC HEALTH CENTER HAS FOUR SERVICE DELIVERY SITES. THROUGH THIS INITIATIVE, MCHC HEALTH CENTER WILL STRENGTHEN TRANSITIONS IN CARE FOR INDIVIDUALS WHO ARE SCHEDULED OR EXPECTED TO BE RELEASED FROM INCARCERATION WITHIN 90 DAYS, INCREASING THEIR ACCESS TO COMMUNITY-BASED, HIGH-QUALITY PRIMARY CARE SERVICES. MCHC HEALTH CENTER WILL BUILD UPON EXISTING EVIDENCE-BASED MODELS TO PILOT AN INNOVATIVE APPROACH THAT CONNECTS (OR RECONNECTS) JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R) TO IN-SCOPE HEALTH CENTER SERVICES THAT ADDRESS CRITICAL HEALTH AND HEALTH-RELATED SOCIAL NEEDS. MCHC HEALTH CENTER PROPOSES TO USE FUNDS FOR DIRECT HIRE PERSONNEL, STAFF EDUCATION AND TRAINING, AND ENHANCED CARE MODULES, TO EXPAND THE PROGRAM’S SCOPE TO INCREASE CAPACITY TO PROVIDE ADDITIONAL SUPPORT AND LINKAGES TO CARE FOR INDIVIDUALS SOON TO BE RELEASED FROM INCARCERATION. IN PARTNERSHIP WITH THE MENDOCINO COUNTY SHERIFF’S OFFICE, THE CARCERAL AUTHORITY IN MENDOCINO COUNTY, AND IN COLLABORATION WITH OTHER COUNTY- AND COMMUNITY-BASED ORGANIZATIONS, MCHC HEALTH CENTER WILL BUILD UPON EXISTING PROGRAMS AND SERVICES TO PROVIDE SERVICES TO THE JI-R POPULATION IN PREPARATION FOR THEIR RELEASE BACK INTO THE COMMUNITY. USING A PATIENT-CENTERED MEDICAL HOME APPROACH, MCHC HEALTH CENTER WILL BE ABLE TO RETAIN PATIENTS IN TREATMENT, PROVIDE COMPREHENSIVE HEALTH CARE THROUGHOUT THE LIFECYCLE, AND ADDRESS SOCIAL DETERMINANTS OF HEALTH SERVICES, INCLUDING, BUT NOT LIMITED TO, ENGAGEMENT WITH COMMUNITY RESOURCES TO ADDRESS HEALTH RELATED SOCIAL NEEDS, WHICH INCLUDE HOUSING INSECURITY, LACK OF TRANSPORTATION, FOOD INSECURITY, AND FINANCIAL CHALLENGES. MCHC HEALTH CENTER CURRENTLY UTILIZES A COMBINATION OF PERFORMANCE MEASURES TO EVALUATE ITS PROGRAM'S EFFICACY IN TREATING PATIENTS, WHICH WE WILL LEVERAGE FOR THIS INITIATIVE. THESE METRICS INCLUDE, BUT ARE NOT LIMITED TO, PATIENT RETENTION RATES, SUBSTANCE USE FREQUENCY, AND TREATMENT ADHERENCE, WHICH PROVIDE OBJECTIVE DATA ON OUTCOMES. MCHC HEALTH CENTER ALSO LOOKS AT CLINICIAN AND PATIENT FEEDBACK, AND OBSERVATIONAL STUDIES, WHICH OFFER VALUABLE INSIGHTS INTO SUBJECTIVE EXPERIENCES AND PERCEPTIONS OF BOTH PATIENTS AND PROVIDERS. THIS COMPREHENSIVE APPROACH WILL ENSURE A ROBUST UNDERSTANDING OF THE PROGRAM'S IMPACT AND ENABLE CONTINUOUS REFINEMENT TO OPTIMIZE PATIENT CARE AND OUTCOMES.

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

AN INTEGRATIVE APPROACH TO COMMUNITY-BASED LONG-TERM RECOVERY - THE PROJECT TITLED "AN INTEGRATIVE APPROACH TO COMMUNITY-BASED LONG-TERM RECOVERY" IS A NEW GRANT-FUNDED INITIATIVE AIMED AT ENHANCING LONG-TERM RECOVERY FOR INDIVIDUALS IN TAOS COUNTY, NM. THIS INNOVATIVE PROGRAM LEVERAGES MIND-BODY MEDICINE AS ITS CORE METHOD, SUPPLEMENTED BY GROUP ACUPUNCTURE TREATMENT, GROUP KETAMINE THERAPY, COMPREHENSIVE CASE MANAGEMENT, AND RECOVERY SELF-CARE EDUCATION AND TRAINING. BY INTEGRATING THESE HOLISTIC PRACTICES, THE PROGRAM ASPIRES TO PROVIDE SUSTAINABLE RECOVERY SOLUTIONS AND SIGNIFICANTLY IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. OPIATE USE DISORDER REMAINS A CRITICAL ISSUE IN TAOS COUNTY, MARKED BY A TROUBLING RATE OF DRUG OVERDOSE DEATHS, CURRENTLY AT 29.2 FATALITIES PER 100,000 PEOPLE ANNUALLY. FURTHERMORE, THERE ARE 136.9 DRUG OVERDOSE-RELATED EMERGENCY DEPARTMENT VISITS PER 100,000 PEOPLE, SIGNIFICANTLY HIGHER THAN THE STATE AVERAGE OF 50.6. MANY INDIVIDUALS WITH SUBSTANCE USE DISORDERS ALSO FACE CO-OCCURRING MENTAL HEALTH CHALLENGES, SUCH AS PTSD AND MAJOR DEPRESSIVE DISORDER, COMPLICATING THEIR RECOVERY PROCESS. ADDITIONALLY, BARRIERS TO ACCESSING SERVICES, INCLUDING LIMITED AVAILABILITY OF PRIMARY CARE PROVIDERS AND LONG WAITLISTS AT CLINICS, EXACERBATE THE STRUGGLE FOR EFFECTIVE TREATMENT. THESE FACTORS UNDERSCORE THE URGENT NEED FOR A COMPREHENSIVE AND INTEGRATED APPROACH TO SUBSTANCE ABUSE TREATMENT IN THE REGION. THE "INTEGRATIVE APPROACH TO COMMUNITY-BASED LONG-TERM RECOVERY" PROGRAM OFFERS NUMEROUS BENEFITS TO INDIVIDUALS, THEIR FAMILIES, AND THE BROADER COMMUNITY. BY ADDRESSING BOTH THE PHYSICAL AND MENTAL HEALTH ASPECTS OF RECOVERY, THE PROGRAM PROVIDES A COMPREHENSIVE SUPPORT SYSTEM. GROUP ACUPUNCTURE AND KETAMINE THERAPY SESSIONS ALLEVIATE PHYSICAL AND PSYCHOLOGICAL SYMPTOMS, PROMOTING OVERALL WELL-BEING. SELF-CARE EDUCATION EMPOWERS INDIVIDUALS WITH TOOLS AND STRATEGIES TO MAINTAIN LONG-TERM SOBRIETY, WHILE CASE MANAGEMENT ENSURES ACCESS TO PRIMARY CARE SERVICES AND RESOURCES, FACILITATING A SEAMLESS RECOVERY PROCESS. THE PRIMARY POPULATION TARGETED BY THIS PROJECT COMPRISES ADULT RESIDENTS OF TAOS COUNTY WHO ARE CURRENTLY COMPLETE WITH THEIR MEDICAL DETOX PROCESS FOR OPIATE USE DISORDER. THESE INDIVIDUALS ARE SELECTED BASED ON THE UNDERSTANDING THAT MAINTAINING LONG-TERM SOBRIETY OFTEN REQUIRES ADDRESSING UNDERLYING CONDITIONS SUCH AS PTSD AND MAJOR DEPRESSIVE DISORDER. BY PROVIDING INTEGRATED SERVICES THAT CATER TO BOTH PHYSICAL AND MENTAL HEALTH NEEDS, THE PROGRAM AIMS TO SUPPORT THESE INDIVIDUALS IN ACHIEVING SUSTAINED RECOVERY AND IMPROVING THEIR QUALITY OF LIFE. INDIVIDUALS BENEFIT BY RECEIVING TREATMENT THAT ADDRESSES THEM ON PHYSICAL, MENTAL AND EMOTIONAL LEVELS, WHILE ALSO LEARNING HOW TO MAINTAIN LONG TERM RECOVERY. FAMILIES BENEFIT FROM THE IMPROVED HEALTH AND STABILITY OF THEIR LOVED ONES, AND THE COMMUNITY SEES A REDUCTION IN DRUG-RELATED INCIDENTS AND ENHANCED PUBLIC HEALTH AND SAFETY. BY FOSTERING A SUPPORTIVE ENVIRONMENT AND ADDRESSING THE ROOT CAUSES OF SUBSTANCE USE DISORDERS, THE PROGRAM AIMS TO CREATE LASTING CHANGE AND PROMOTE A HEALTHIER, MORE RESILIENT COMMUNITY.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT DIRECTOR NAME: JASON WALLACE CONTACT PHONE NUMBER: 956-548-7473 CONTACT EMAIL ADDRESS: JWALLACE@BROWNSVILLECHC.ORG WEBSITE: HTTPS://BROWNSVILLECHC.ORG HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00717 ADDRESS: 191 E PRICE ROAD CITY & STATE: BROWNSVILLE, TX 78521 BCHC IS A NON-PROFIT 501 (C)3 ORGANIZATION SERVING AS A COMMUNITY AND MIGRANT HEALTH CENTER AND HAS SERVED AS THE MEDICAL HOME FOR THOUSANDS OF LOW-INCOME AND UNINSURED FAMILIES IN THIS BORDER COMMUNITY SINCE 1972. BROWNSVILLE COMMUNITY HEALTH CENTER WAS ORIGINALLY ESTABLISHED BY A VOLUNTEER GROUP OF LOCAL HEALTH CARE PROFESSIONALS AND WAS FUNDED BY THE CITY OF BROWNSVILLE. IN 1987, BCHC BECAME AN INDEPENDENT NON-PROFIT ORGANIZATION. TO MEET THE GROWING DEMAND FOR ACCESSIBLE AND AFFORDABLE MEDICAL CARE SERVICES, BCHC STAFF HAVE GROWN TO 241 EMPLOYEES, WITH 17 MEDICAL DOCTORS, 11 MID-LEVEL PRACTITIONERS, 3 LICENSED PROFESSIONAL COUNSELORS AND 2 DENTISTS AND 2 HYGIENISTS. ON SITE ANCILLARY SERVICES INCLUDE A CLIA CERTIFIED LABORATORY, RADIOLOGY, A CLASS A PHARMACY, SOCIAL SERVICES, CASE MANAGEMENT, PATIENT EDUCATION AND ELIGIBILITY ASSISTANCE. IN 2022, THE BCHC EYE CLINIC WAS ADDED AND EXPANDED PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES. BROWNSVILLE COMMUNITY HEALTH CENTER (BCHC) PROUDLY PROVIDES HEALTHCARE SERVICES TO THE POPULATION RESIDING ON THE SOUTHERNMOST TIP OF TEXAS, DIRECTLY ON THE UNITED STATES/MEXICO BORDER. AS THE MAIN PROVIDER OF CARE FOR THE LOW-INCOME, UNINSURED FAMILIES IN BROWNSVILLE, BCHC CLINICS ARE INTENTIONALLY LOCATED IN THE CENTRAL AND SOUTHERN AREAS OF THE CITY, LESS THAN 15 MINUTES FROM MOST AREAS OF THE CITY. THE POPULATION OF THIS BORDER COMMUNITY IS PRIMARILY HISPANIC (94%). THE FAMILY AND CULTURAL TIES TO MEXICO ARE STRONG, WITH MANY FAMILIES HAVING RELATIVES ON BOTH SIDES OF THE BORDER. SPANISH IS THE PRIMARY LANGUAGE SPOKEN IN OVER 85% OF THE HOMES IN BROWNSVILLE. IN 2023, BCHC SERVED 15,073 UNIQUE PATIENTS OF WHICH 97% WERE HISPANIC. 248 MIGRA NT WORKERS WERE SERVED IN THE SAME YEAR AND 20% OF PATIENTS WERE HOMELESS. BCHC SERVED 583 UNIQUE PATIENTS WITH A MENTAL HEALTH DIAGNOSIS IN 2023 AND 154 PATIENTS WITH A SUBSTANCE USE DISORDER DIAGNOSIS. BCHC BEHAVIORAL HEALTH PROVIDERS WORK COLLABORATIVELY ALONGSIDE PRIMARY CARE PHYSICIANS TO ENSURE COMPREHENSIVE CARE OF BOTH MIND AND BODY. SERVICES PROVIDED INCLUDE MENTAL HEALTH EVALUATION AND REFERRAL, BRIEF SOLUTION FOCUSED THERAPY, PSYCHIATRY CONSULTATION, DEPRESSION SCREENING AND CASE MANAGEMENT, SUBSTANCE ABUSE ASSESSMENT AND REFERRAL, AND TREATMENT OF CO-OCCURRING DISORDERS. BCHC OFFERS ON SITE INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS ALL HEALTH CENTER LOCATIONS. BCHC WILL LEVERAGE HRSA BHSE FUNDS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH THE EXPANSION OF MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES. PROJECT ACTIVITIES INCLUDE: - LEVERAGING COMMUNITY PARTNERSHIPS TO BETTER SERVE UNDERSERVED POPULATIONS (THOSE WHO ARE UNINSURED, PERSONS EXPERIENCING HOMELESSNESS); - INTEGRATING PRIMARY CARE, DENTAL, AND BEHAVIORAL HEALTH, CONDUCTING ASSESSMENTS AND CONNECTING CLIENTS WITH PEER SUPPORT SPECIALISTS TO EXPAND ACCESS TO SUPPORTIVE SERVICES; - GO BEYOND PROVIDING MEDICAL CARE BY ADDRESSING SOCIAL DRIVERS OF HEALTH THROUGH COMMUNITY COLLABORATIONS (HOUSING INSECURITY, FOOD INSECURITY, FINANCIAL STRAIN); - EXPAND THE ROLE OF PRIMARY CARE PROVIDERS IN THE USE OF FDA-APPROVED MEDICATIONS FOR TREATMENT OF OPIOID USE DISORDER THROUGH TRAINING AND EDUCATION; - HIRE ADDITIONAL BEHAVIORAL HEALTH STAFF TO EXPAND ACCESS, MEET THE GROWING DEMAND; - BROADEN THE USE OF MOBILE SERVICES ACROSS BCHC SITES. PROGRAM GOALS TO BE ACHIEVED VIA THE PROJECT ACTIVITIES LISTED ABOVE INCLUDE: - 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)

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 24 BEHAVIORAL HEALTH SERVICES EXPANSION (HRSA-24-078) APPLICANT ORGANIZATION NAME: MENDOCINO COMMUNITY HEALTH CLINIC, INC. GRANT NUMBER: H80CS00628 PROJECT DIRECTOR NAME: RODNEY GRAINGER MENDOCINO COMMUNITY HEALTH CLINIC, INC. (MCHC HEALTH CENTER) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH MORE THAN 30 YEARS OF EXPERIENCE ADDRESSING THE HEALTHCARE NEEDS OF LOW-INCOME, UNINSURED, AND UNDER-INSURED INDIVIDUALS AND FAMILIES IN MENDOCINO COUNTY, CALIFORNIA. MCHC HEALTH CENTER EARNED ITS FQHC DESIGNATION IN 1992, WITH AN EMPHASIS ON COMMUNITY HEALTH CENTER (CHC), MIGRANT HEALTH CENTER (MHC), AND HEALTHCARE FOR THE HOMELESS (HCH) SPECIAL POPULATIONS. WITH ITS FIVE FIXED SERVICE DELIVERY SITES, ONE ADMINISTRATIVE/SERVICE DELIVERY SITE, AND SIX ADMINISTRATIVE ONLY SITES SERVING UKIAH, WILLITS, LAKEPORT, AND SURROUNDING COMMUNITIES, MCHC HEALTH CENTER PROVIDES ACCESS TO PATIENT CARE TO MORE THAN 29,000 PEOPLE EACH YEAR. MCHC HEALTH CENTER’S SERVICE AREA CONSISTS OF 12 ZIP CODES, WHERE MORE THAN 83.6% OF CURRENT PATIENTS RESIDE. ITS TARGET POPULATION IS MORE THAN ONE-QUARTER (29.3%) OF LOW-INCOME RESIDENTS LIVING BELOW 200% FEDERAL POVERTY GUIDELINES WHO RESIDE IN THE SERVICE AREA. THROUGH THE FY24 BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) INITIATIVE, MCHC HEALTH CENTER WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH (MH) SERVICES AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING PATIENTS RECEIVING MEDICATIONS FOR OPIOID USE DISORDER (MOUD). MCHC HEALTH CENTER WILL FOCUS OUR EFFORTS ON SERVING LOW-INCOME, UNINSURED ADULTS AND CHILDREN WITH A BEHAVIORAL HEALTH (BH) DIAGNOSIS. WITH FUNDING, MCHC HEALTH CENTER WILL EXPAND ACCESS TO MH AND SUD SERVICES AT ALL ITS FIXED SERVICE DELIVERY LOCATIONS, INCLUDING EXPANDING ACCESS TO TELEHEALTH SERVICES. THROUGH ITS EXTENSIVE LIST OF EXISTING COMMUNITY PARTNERS, MCHC HEALTH CENTER WILL BE ABLE TO EXPAND ITS REACH TO PATIENTS IN NEED OF BEHAVIORAL HEALTH SERVICES, INCLUDING CONDUCTING OUTREACH AND EDUCATION THROUGH ITS BACKPACK STREET MEDICINE PROGRAM, IN COLLABORATION WITH LAW ENFORCEMENT, AND OTHER COMMUNITY-BASED AND COUNTY-BASED HEALTH SERVICES. AS ILLUSTRATED IN OUR 2023 UNIFORM DATA SYSTEM (UDS) REPORT, MCHC HEALTH CENTER PROVIDED MH SERVICES TO 2,339 PATIENTS VIA 14,287 VISITS (6,370 CLINIC VISITS AND 7,917 VIRTUAL VISITS). WHILE WE HAD ZERO (0) SUD PATIENTS, WE HAD 380 PATIENTS WHO RECEIVED MEDICATIONS FOR OPIOID USE DISORDER (MOUD) DISORDER DURING THE REPORTING PERIOD. WITH FY24 BHSE FUNDING, MCHC HEALTH CENTER WILL BE ABLE TO INCREASE THE NUMBER OF PATIENTS RECEIVING MH AND MOUD SERVICES, AS WELL AS OFFER SUD ONLY SERVICES. MCHC HEALTH CENTER IS A TRUSTED COMMUNITY MEDICAL HOME AND THEREFORE, IS WELL POSITIONED TO ADDRESS THE GAPS IN BH ACCESS AND CARE. FUNDS WILL GO TOWARD PERSONNEL (EXISTING AND NEW) IN ORDER TO EXPAND OUR BEHAVIORAL HEALTH PROGRAM SCOPE TO INCREASE OUR CAPACITY TO PROVIDE MORE MH AND SUD SERVICES FOR PATIENTS IN THE SERVICE AREA. AS WE BUILD OUR BEHAVIORAL HEALTH WORKFORCE, MCHC HEALTH CENTER WILL LOOK TO RECRUIT PROVIDERS AND STAFF WHO ARE EXPERIENCED WORKING WITH ETHNIC POPULATIONS, WITH AN EMPHASIS ON BILINGUAL PROVIDERS. PER OUR CURRENT FORM 5A: SERVICES PROVIDED, MCHC HEALTH CENTERS PROVIDES HCH REQUIRED SUD SERVICES, MH SERVICES AND PSYCHIATRY SERVICES IN COLUMN I. THEREFORE, A CHANGE IN SCOPE OR SCOPE ADJUSTMENT WILL NOT BE NEEDED.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PEOPLES COMMUNITY HEALTH CLINIC (PCHC) FIRST RECEIVED HEALTH CENTER PROGRAM FUNDING IN 1976 TO PROVIDE PRIMARY CARE SERVICES IN BLACK HAWK COUNTY LOCATED IN NORTHEAST IOWA. SINCE THEN, PCHC CONTINUED TO GROW TO MEET THE NEEDS OF THE UNDERSERVED, INCLUDING ADDING A SITE IN RURAL CLARKSVILLE (BUTLER COUNTY) IN 2008 AND ADDING A SCHOOL-BASED CLINIC FOR BEHAVIORAL HEALTH IN CLARKSVILLE (BUTLER COUNTY) IN 2023. PCHC’S LONG HISTORY IN THE REGION ALLOWS FOR A UNIQUE UNDERSTANDING OF THE NEEDS OF THE PATIENTS IN THIS SERVICE AREA. FUNDING THROUGH THE FY2024 BEHAVIORAL HEALTH SERVICE EXPANSION OPPORTUNITY WILL ASSIST SERVING INDIVIDUALS IN THE PCHC SERVICE AREA, INDIVIDUALS WITH INCOMES AT OR BELOW 200% FPG, THE UNINSURED AND UNDER-INSURED, AND INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE PATIENTS IN THIS SERVICE AREA HAVE SIGNIFICANT HEALTHCARE CHALLENGES INCLUDING ACCESS TO SUBSTANCE USE DISORDER AND MENTAL HEALTH SERVICES. THIS FUNDING WILL ALLOW PCHC TO FURTHER ADDRESS THESE NEEDS. PCHC BEGAN PROVIDING PSYCHIATRIC SERVICES IN 2017, SUBSTANCE USE DISORDER SERVICES IN 2018, AND MAT IN 2019. IN 2024, PCHC COMPLETED A 20,000-SF ADDITION AT THE WATERLOO SITE TO CREATE SPACE FOR A DEDICATED BEHAVIORAL HEALTH DEPARTMENT. WITH THE EXPANSION, THE CLINIC HAS THE NEED AND SPACE TO USE THESE GRANT FUNDS TO ADD A 1.0 FTE PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER (PMHNP), 2.0 FTE BEHAVIORAL HEALTH COUNSELORS, 1.0 FTE BEHAVIORAL HEALTH THERAPIST, AND 1.0 FTE BEHAVIORAL HEALTH RN/LPN TO THE EXISTING BEHAVIORAL HEALTH TEAM. THE ADDITIONAL BEHAVIORAL HEALTH COUNSELORS WILL PROVIDE NEEDED INTEGRATED BEHAVIORAL HEALTH SUPPORT FOR THE SATELLITE CLINIC, DENTAL DEPARTMENT, URGENT CARE DEPARTMENT, AND BEHAVIORAL HEALTH DEPARTMENT. THE ADDITIONAL PMHNP AND THERAPIST WILL CREATE MUCH NEEDED ACCESS FOR PATIENTS WITH MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDERS (SUD) FOR TREATMENT, MONITORING, AND SUPPORT. THE PMHNP WILL PROVIDE ADDITIONAL ACCESS FOR PATIENTS NEEDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD). AS STAFF ARE ADDED, A MARKETING CAMPAIGN WILL ENSUE TO CREATE AWARENESS, INCREASE KNOWLEDGE, AND PROMOTE ACCESS TO THE CLINIC SERVICES AROUND SUD AND MOUD. THIS GRANT WILL PROVIDE EDUCATIONAL FUNDING TO TRAIN NEW BEHAVIORAL HEALTH STAFF ON ACCELERATED RESOLUTION THERAPY (ART) FOR PATIENTS EXPERIENCING POSTTRAUMATIC STRESS DISORDER (PTSD). ART WILL ALLOW A UNIQUE OPTION AND ACCESS FOR NEW AND EXISTING PATIENTS SUFFERING WITH PTSD. FUNDING FOR UP TO 8 HOURS OF CEU’S FOR ALL PROVIDERS ON OPIOID/SUD EDUCATION WILL ALSO BE PROVIDED. THE SUD PROGRAM WILL BE ENHANCED BY USING THE GRANT FUNDS TO MODIFY THE STANDARD 12 DRUG SCREENING KIT TO A 16-PANEL SCREENING THAT WOULD INCLUDE TOXICOLOGY SCREENING FOR SYNTHETIC OPIOIDS LIKE FENTANYL. MANY OF OUR BEHAVIORAL HEALTH PATIENTS USE MULTIPLE MEDICATIONS THROUGHOUT THE DAY AND WITH DIFFERENT PRESCRIBING TIMES. THIS CAN LEAD TO CONFUSION AND MISMANAGEMENT OF MEDICATIONS. PCHC WILL USE THESE GRANT FUNDS TO PURCHASE A PRESCRIPTION MACHINE THAT WILL SYNCHRONIZE AND PACKAGE THE PATIENT’S MEDICATIONS IN CONVENIENT POUCHES MARKED BY DOSAGE, DAY, DATE, AND TIME. THIS WILL ASSIST THE PATIENT TO KNOW EXACTLY WHAT AND WHEN TO TAKE THEIR DIFFERENT MEDICATIONS. IT IS NOT ANTICIPATED THAT THE PROJECTS COVERED WITH THE GRANT FUNDS WILL REQUIRE A SCOPE ADJUSTMENT OR CHANGE IN SCOPE FOR HEALTH CENTER SERVICES OR SITES. THE STAFFING IMPACT WILL BE A WORKFORCE INCREASE OF 5.0 FTES. THE PROGRAM IS EXPECTED TO INCREASE MENTAL HEALTH SERVICE PATIENTS BY 100, SUD PATIENTS BY 10 AND MAT PATIENTS BY 10. THE OVERALL NUMBER OF UNDUPLICATED NEW PATIENTS TO PCHC IS ESTIMATED AT 120 BY THE END OF CALENDAR YEAR 2025.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - BACKGROUND: SINCE 1971, FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. (FHCHC) HAS PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES TO COMMUNITIES THROUGHOUT GREATER NEW HAVEN CT. THE JOINT COMMISSION (TJC) HAS ACCREDITED FHCHC SINCE 1999. FHCHC IS DUALLY RECOGNIZED AS A PATIENT CENTERED MEDICAL HOME BY TJC AND THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). IN 2023, FHCHC PROVIDED CARE TO 34,391 PATIENTS THROUGH 138,108 PATIENT VISITS. THE HEALTH CENTER SERVES A POPULATION OF 91% RACIAL AND/OR ETHNIC MINORITY; 61% SELF-REPORT AS LATINO, AND 24% AS AFRICAN AMERICAN. NINETY-FOUR PERCENT OF PATIENTS LIVE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES. THIRTY PERCENT OF FHCHC PATIENTS OVER THE AGE OF 18 ARE UNINSURED. FORTY-TWO PERCENT OF PATIENTS PREFER TO RECEIVE CARE IN A LANGUAGE OTHER THAN ENGLISH, PREDOMINANTLY SPANISH. WITH A $45 MILLION OPERATING BUDGET AND A STAFF OF NEARLY 300 EMPLOYEES ACROSS ITS 20 SITES, FHCHC PROVIDES INTEGRATED, PATIENT-CENTERED CARE TO THOSE WHO NEED IT MOST. NEEDS TO BE ADDRESSED: MENTAL ILLNESS AND UNHEALTHY SUBSTANCE USE AFFECT INDIVIDUALS AT ALL SOCIOECONOMIC LEVELS BUT DISPROPORTIONATELY AFFECT PEOPLE WITH LOW INCOMES. IN CONNECTICUT, MORE THAN ONE IN FOUR ADULTS HAS A MENTAL HEALTH CONDITION, WITH 32% NOT RECEIVING TREATMENT, PRIMARILY DUE TO COST AND STIGMA. ILLICIT OPIOIDS AND STIMULANTS ARE THE LEADING CAUSE OF DRUG OVERDOSE IN THE STATE, WITH BLACK AND HISPANIC POPULATIONS HAVING THE HIGHEST MORTALITY. TARGET POPULATION: THE PROJECT WILL SERVE INDIVIDUALS RESIDING IN THE FHCHC SERVICE AREA OF NEW HAVEN, EAST HAVEN, AND BRANFORD, CT. NEW HAVEN RESIDENTS HAVE A DISPROPORTIONATE NEED FOR MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES, ACCOUNTING FOR 7.1% OF MENTAL HEALTH SERVICES DELIVERED BY THE CONNECTICUT DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES, 5.0% OF SUD SERVICES, AND 8.7% OF THOSE RECEIVING BOTH, WHILE THE POPULATION OF NEW HAVEN COMPRISES ONLY 3.8% OF THE STATE'S POPULATION. IN CY 22, THERE WERE 32 DEATHS DUE TO OPIOID OVERDOSE IN THE FAIR HAVEN SECTION OF NEW HAVEN, THE MAIN AREA SERVED BY FHCHC. PROPOSED SERVICES: FHCHC WILL USE BHSE FUNDING ($600,000 IN YEAR 1; $500,000 IN YEAR 2) TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND THOSE RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER. CURRENTLY, FHCHC EMPLOYS 24 BILINGUAL (SPANISH) BH CLINICIANS INCLUDING 3 PSYCHOLOGISTS, .6 FTE ADULT PSYCHIATRIST AND 1 MEDICATION PRESCRIBING APRN. IN CY 23, 2,323 PATIENTS RECEIVED MH SERVICES IN 18,702 VISITS. CURRENTLY THERE ARE HUNDREDS OF PATIENTS ON A WAITING LIST FOR BH SERVICES. WITH THIS FUNDING, WE WILL EXPAND SERVICES TO INCLUDE “WALK-IN” SERVICES FOR ANYONE WITH URGENT NEEDS AND WILL EXPAND THE HOURS WHEN BH SERVICES ARE PROVIDED. WALK-IN SERVICES WILL BE PROVIDED BY LICENSED BH AND SUD WORKERS MONDAY THROUGH FRIDAY AND WILL INCLUDE EVENING HOURS MONDAY THROUGH FRIDAY AND A PARTIAL DAY OF WALK-IN SERVICES ON SATURDAY. THE FHCHC PROJECT TEAM WILL INCLUDE A 0.4 FTE PSYCHIATRIST, A 0.50 FTE APRN, TWO 1.0 FTE MENTAL HEALTH THERAPISTS, A 1.0 FTE ADDICTION THERAPIST, A 1.0 FTE CASE MANAGER, AND A 1.0 FTE PEER SUPPORT SPECIALIST. IN-KIND SUPPORT OF 1.0 FTE BILLING CLERK AND 1.0 FTE FRONT DESK CLERK WILL FACILITATE PATIENT FLOW AND RECEIPT OF REVENUE FOR BILLABLE SERVICES. MOUD SERVICES WILL BE PROVIDED BY APRN AND PSYCHIATRIST, ALONG WITH 11 MEDICAL STAFF ALREADY TRAINED IN DELIVERY OF THIS SERVICE. FHCHC WILL INTEGRATE PROGRAM STAFF INTO ITS EXISTING BICULTURAL AND BILINGUAL, GENDER-AFFIRMING MODEL OF CARE SERVING CHILDREN, YOUTH, AND ADULTS. THE EXPANDED FOCUS ON MENTAL HEALTH AND SUD TREATMENT WILL DOVETAIL WITH A FHCHC HARM REDUCTION CENTER SCHEDULED TO OPEN IN THE FALL OF 2024 AT A SITE ADJACENT TO ITS MAIN CLINIC AT 374 GRAND AVE NEW HAVEN.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HEARTLAND COMMUNITY HEALTH CLINIC, INC., DBA HEARTLAND HEALTH SERVICES, INC. (HHS) WILL UTILIZE $1,000,375 IN FUNDING TO EXPAND ITS BEHAVIORAL HEALTH (BH) PROGRAM’S CAPACITY THROUGH INVESTMENTS IN NEW PERSONNEL AND A MOBILE UNIT. WITH THESE RESOURCES, THE ORGANIZATION WILL INCREASE ACCESS TO TIMELY, CULTURALLY COMPETENT BEHAVIORAL HEALTH CARE FOR UNDERSERVED PATIENTS IN CENTRAL ILLINOIS. THE OVERALL AIMS OF THIS GRANT ARE TO INCREASE BH CARE ACCESS FOR THE HHS PATIENTS AND TARGET POPULATION, IMPROVE MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) OUTCOMES, AND HELP REDUCE BH INEQUITIES AND DISPARITIES IN THE ILLINOIS TRI-COUNTY AREA. HHS ESTIMATES SERVING AN ADDITIONAL 150+ PATIENTS WITH MENTAL HEALTH SERVICES AND 200+ PATIENTS WITH SUBSTANCE USE DISORDER SERVICES DURING THE TWO-YEAR GRANT PERIOD. AS A FEDERALLY QUALIFIED HEALTH CENTER (H80CS02457), HHS HAS EXTENSIVE EXPERIENCE MEETING THE NEEDS OF UNDERSERVED PATIENTS. SINCE 1991, HHS HAS FULFILLED ITS MISSION “TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES ACCESSIBLE TO ALL” BY PROVIDING COMPREHENSIVE CARE THROUGH A PATIENT-CENTERED, INTEGRATED MODEL. THE ORGANIZATION SERVES PATIENTS IN 22 ZCTAS IN PEORIA, TAZEWELL, AND WOODFORD COUNTIES IN ILLINOIS, THROUGH 7 SERVICE SITES. MENTAL HEALTH CARE NEEDS IN THIS SERVICE AREA ARE SIGNIFICANT AND COMPLEX. DATA FROM THE PEORIA COUNTY CORONER’S OFFICE INDICATES THE OPIOID TREND IS INCREASING IN PEORIA COUNTY. THE PARTNERSHIP FOR A HEALTHY COMMUNITY’S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT CONFIRMS THAT MENTAL HEALTH HAS BECOME A MORE PERVASIVE ISSUE IN THE COMMUNITY. BETWEEN 2019 AND 2022, THE NUMBER OF PEOPLE EXPERIENCING DEPRESSION HAS INCREASED BY 12%, AS HAS THE NUMBER OF PEOPLE EXPERIENCING STRESS/ANXIETY. DESPITE THE SIGNIFICANT NEED, ACCESS TO BH SERVICES IS LIMITED; IN THE TARGETED SERVICE AREA, THERE ARE FOUR DESIGNATED MENTAL HEALTH HEALTH PROFESSIONAL SHORTAGE AREAS. ACCESS IS EVEN MORE DIFFICULT FOR LOW-INCOME AND MEDICALLY UNDERSERVED POP ULATIONS, DEMOGRAPHICS LARGELY SERVED BY HHS. OF ITS PATIENT POPULATION WITH A KNOWN INCOME IN 2022, 98% WERE LIVING AT OR BELOW THE 200% OF THE FEDERAL POVERTY LINE. TO MEET THESE NEEDS, HHS PROVIDES MENTAL HEALTH AND SUD SERVICES, INCLUDING MEDICATION-ASSISTED THERAPY, THROUGH A COMPREHENSIVE, TEAM-BASED APPROACH IN WHICH BH AND MEDICAL STAFF WORK SIDE-BY-SIDE TO OFFER A CONTINUUM OF CARE. IN 2023, HHS ESTIMATES PROVIDING MENTAL HEALTH SERVICES TO 1,231 PATIENTS AND SERVICES TO 150 PATIENTS LIVING WITH SUD OR OPIOID USE DISORDER. HOWEVER, THE ORGANIZATION FACES A CAPACITY GAP AND IS UNABLE TO MEET INCREASING NEEDS. CURRENT WAITLISTS FOR NEW BH PATIENTS EXCEED THREE MONTHS, AND ITS PATIENT POPULATION’S SOCIAL DETERMINANTS OF HEALTH CREATE ACCESS BARRIERS. MANY PATIENTS ARE AT A HEIGHTENED RISK FOR THE NEGATIVE IMPACTS OF MENTAL HEALTH ISSUES, SUCH AS PREGNANT PATIENTS OR THOSE WHO IDENTIFY AS LGBTQ+. AS SUCH, HHS WILL UTILIZE SERVICE EXPANSION FUNDS TO SUPPORT THE RESOURCES NECESSARY TO KEEP UP WITH THE SIGNIFICANT NEED IN THE SERVICE AREA AND AMONG PATIENTS. IN YEAR ONE, HHS WILL HIRE THREE NEW CLINICIANS, INCLUDING ONE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER, ONE LICENSED CLINICAL SOCIAL WORKERS (LCSW) OR LICENSED CLINICAL PROFESSIONAL COUNSELORS (LCPC), AND ONE MEDICATION-ASSISTED TREATMENT (MAT) LCSW/LCPC. HHS WILL ALSO PURCHASE A MOBILE HEALTH UNIT TO PROVIDE BH SERVICES TO POPULATIONS WHO FACE BARRIERS TO ACCESSING TRADITIONAL HEALTH CENTER LOCATIONS. IN YEAR TWO, HHS WILL CONTINUE TO SUPPORT THE NEW POSITIONS, AS WELL AS AN ADDITIONAL LCSW OR LCPC. DURING THE GRANT PERIOD, IN ADDITION TO STAFFING THE MOBILE UNIT, THESE CLINICIANS WILL LIKELY SPEND MOST OF THEIR TIME AT HHS’S EAST BLUFF AND OLT SITES. HIRES WILL BE MADE WITH A FOCUS ON MEETING SEVERAL GAPS WITHIN THE ORGANIZATION, TO POTENTIALLY INCLUDE A SPANISH-SPEAKING THERAPIST TO ADDRESS LANGUAGE BARRIERS AND/OR A THERAPIST FOCUSED ON CHILD/ADOLESCENT POPULATIONS.

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - HEARTLAND COMMUNITY HEALTH CLINIC, INC., DBA HEARTLAND HEALTH SERVICES, INC. (HHS) WILL UTILIZE $1,000,000 IN FUNDING TO EXPAND HOURS TO INCLUDE EVENING AND WEEKENDS AT FOUR OF ITS SERVICE SITES IN CENTRAL ILLINOIS. THE ORGANIZATION WILL INCREASE ACCESS TO TIMELY, CULTURALLY COMPETENT CARE FOR UNDERSERVED INDIVIDUALS AT ITS EAST BLUFF, CARVER, GARDEN, HSC AND TAZWOOD SITES. THIS PROPOSAL WOULD BE AN INCREASE OF 72.5 HOURS PER WEEK ACROSS HHS, REPRESENTING AN 25% INCREASE IN OPERATING HOURS AND AN INCREASE TO MORE THAN HALF OF THE ORGANIZATION’S HEALTH CENTERS. THE OVERALL AIM OF THIS GRANT IS TO EXPAND ACCESS AND ALLEVIATE BARRIERS TO TIMELY, CULTURALLY COMPETENT, AND HIGH-QUALITY PRIMARY CARE BY EXPANDING THE NUMBER OF HOURS DURING WHICH HHS PROVIDES PRIMARY CARE SERVICES TO PATIENTS. THIS WORK WILL ULTIMATELY IMPROVE HEALTH OUTCOMES FOR THE TARGET POPULATION IN THE ILLINOIS TRI-COUNTY AREA, WHILE HELPING TO REDUCE INEQUITIES AND DISPARITIES FACED BY UNDERSERVED INDIVIDUALS IN THE REGION. THE FIVE SITES WERE SELECTED BASED ON PATIENT NEED IN THE SURROUNDING NEIGHBORHOODS, ESPECIALLY FOR PRIMARY CARE APPOINTMENT AVAILABILITY AT THE TAZWOOD LOCATION. ADDITIONALLY, THE EAST BLUFF AND GARDEN SITES ALREADY OPERATE SUCCESSFUL WALK-IN CLINICS. THE PATIENTS SERVED AT THESE SITES FACE BARRIERS WHICH PLACE THEM AT A HIGHER RISK OF HEALTH CHALLENGES. SEVENTY-ONE PERCENT (71%) ARE ON MEDICAID OR SELF-PAY, 50% IDENTIFIED AS A PERSON OF COLOR, AND 5% SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. EXPANDING HOURS AT THE EAST BLUFF, CARVER, GARDEN, HSC, AND TAZWOOD SITES WOULD ENSURE PRIMARY CARE ACCESS FOR PATIENTS WHO MAY NOT OTHERWISE RECEIVE CARE. HHS WILL MEET THESE NEEDS BY EXPANDING ACCESS TO CARE, ADDING THREE AND A HALF ADDITIONAL HOURS OF EVENING CARE, THREE TIMES PER WEEK (MONDAYS, WEDNESDAYS, AND FRIDAYS FROM 4:30 PM TO 8 PM) AND FOUR HOURS OF WEEKEND CARE ON SATURDAYS FROM 8 AM TO 12 PM. THIS PROJECT WILL BUILD UPON HHS’S SUCCESSFUL AFTER HOURS PROGRAM, WHICH SERVED 2,630 UNIQUE PATIENTS THROUGH 3,295 ENCOUNTERS FROM JUNE 1, 2023, TO MAY 31, 2024. AS SUCH, HHS WILL UTILIZE EXPANDED HOURS FUNDS TO HIRE FOUR TO FIVE NURSE PRACTITIONERS (4.0-5.0 FTES) TO WORK FLEXIBLE SCHEDULES TO INCLUDE THE AFTER-HOURS SHIFTS. TO INCENTIVIZE POTENTIAL HIRES IN THE FACE OF CLINICAL WORKFORCE SHORTAGES, HHS WILL OFFER A $10,000 SIGN-ON BONUS TO NEW HIRES, AS WELL AS A $10 SHIFT DIFFERENTIAL DURING THE EXPANDED HOURS. THE AFTER-HOURS CLINICS WILL ALSO BE STAFFED WITH EXISTING REGISTERED NURSES, CERTIFIED MEDICAL ASSISTANTS, AND REGISTRATION STAFF. THE ORGANIZATION WILL PAY OVERTIME FOR THESE HOURS, IF NEEDED, AND WILL OFFER A $10 SHIFT DIFFERENTIAL DURING AFTER HOURS. ADDITIONAL EXPENSES INCLUDE HIRING SECURITY PERSONNEL OR PAYING FOR A SECURITY CONTRACT WITH A LOCAL COMPANY, ADVERTISING EXPENSES, AND THE COSTS FOR DEPARTMENT BUILD IN THE ORGANIZATION’S EPIC ELECTRONIC HEALTH RECORD. AS A FEDERALLY QUALIFIED HEALTH CENTER (H80CS02457), HHS HAS EXTENSIVE EXPERIENCE MEETING THE NEEDS OF UNDERSERVED PATIENTS. SINCE 1991, HHS HAS FULFILLED ITS MISSION “TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES ACCESSIBLE TO ALL” BY PROVIDING COMPREHENSIVE CARE THROUGH A PATIENT-CENTERED, INTEGRATED MODEL. THE ORGANIZATION SERVES PATIENTS IN 22 ZCTAS IN PEORIA, TAZEWELL, AND WOODFORD COUNTIES IN ILLINOIS, THROUGH 7 SERVICE SITES.

ACCELERATING CANCER SCREENING - TITLE: ACCELERATING CANCER SCREENING FAIR HAVEN COMMUNITY HEALTH CLINIC (FHCHC), LOCATED IN NEW HAVEN CONNECTICUT, IN PARTNERSHIP WITH THE YALE CANCER CENTER (YCC), AN NCI-DESIGNATED CANCER CENTER, WILL IMPROVE SCREENING AND REFERRAL TO CARE AND TREATMENT FOR BREAST, CERVICAL AND COLORECTAL CANCERS AMONG A TARGET POPULATION OF PREDOMINANTLY LOW INCOME, MINORITY INDIVIDUALS. FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. H80CS00741 374 GRAND AVENUE, NEW HAVEN CT 06513 AUTHORIZING OFFICIAL: SUZANNE LAGARDE MD FHCHC CURRENTLY SERVES OVER 31,000 PATIENTS ANNUALLY, OVER 60% OF WHOM ARE HISPANIC, AND OVER 90% LIVE BELOW 200% FEDERAL POVERTY LEVEL. FULLY 16% OF FHCHC PATIENTS ARE UNINSURABLE. FHCHC SCREENING RATES FOR BREAST (52%), CERVICAL (68%) AND COLORECTAL (45%) CANCER ARE SIGNIFICANTLY LOWER COMPARED WITH NATIONAL AVERAGES. ADDITIONALLY, BARRIERS TO TIMELY REFERRAL TO CARE AND TREATMENT SUFFERS, WITH DELAYED TREATMENT OR WORSE, NO TREATMENT FREQUENTLY OCCURRING. WITH THIS FUNDING, FHCHC WILL HIRE PERSONNEL TO OVERSEE A ROBUST CANCER CARE PROGRAM. WE WILL HIRE A PROGRAM MANAGER AND A COMMUNITY HEALTH WORKER (CHW). THE PROGRAM MANAGER WILL BE RESPONSIBLE FOR CANCER SCREENING AT FHCHC, WITH ATTENTION TO INTEGRATION INTO THE VARIOUS WORKFLOWS OF THE CLINIC. THE MANAGER WILL TRACK DATA, ENSURE THAT CHWS, CARE COORDINATORS AND CLINICAL STAFF ARE AWARE OF THE PROGRAM AND THE GUIDELINES FOR SCREENING FOR BREAST, CERVICAL AND COLORECTAL CANCER. THE MANAGER WILL WORK WITH STAFF OF THE YALE CANCER CENTER TO ENSURE PROPER TRAINING OF FHCHC CHWS IN CANCER NAVIGATION. UNDER THE MANAGER’S SUPERVISION, THE CHW WILL BE ONE OF FHCHC’S CANCER NAVIGATORS, WORKING WITH PATIENTS TO OVERCOME BARRIERS TO CARE. PATIENT TRANSPORTATION NEEDS FOR SCREENINGS/TESTS WILL BE PAID FOR WITH THESE FUNDS. IN AN EFFORT TO ENSURE THAT OUR LARGELY HISPANIC POPULATION UNDERSTANDS THE IMPORTANCE OF VARIOUS CANCER SCREENING STRATEGIES, A ROBUST CULTURALLY SENSITIVE MARKETING CAM PAIGN WILL TAKE PLACE THROUGHOUT THE YEAR, WITH A SPECIAL EMPHASIS ON MESSAGING DURING THE MONTHS OF PUBLIC AWARENESS CAMPAIGNS FOR BREAST (OCTOBER), CERVICAL (JANUARY) AND COLORECTAL (MARCH) CANCERS. KEY TO THE SUCCESS OF THIS PROJECT WILL BE THE STRONG COLLABORATION WITH THE YALE CANCER CENTER (YCC) WHICH WILL DEPLOY CANCER CENTER PERSONNEL TO WORK WITH FHCHC CHWS WITHIN OUR SERVICE AREA. TOGETHER, YCC AND FHCHC WILL 1. INCREASE THE NUMBER AND PERCENTAGE OF RACIAL/ETHNIC MINORITY, LOW-INCOME PATIENTS SCREENED FOR THE FOLLOWING THREE CANCER TYPES: CERVICAL, BREAST, AND COLORECTAL; AND 2. INCREASE THE NUMBER AND PERCENTAGE OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE WITHIN 30 DAYS OF RECEIPT OF AN ABNORMAL CANCER SCREENING TEST RESULT. ADDITIONALLY, FHCHC WILL COLLABORATE WITH PROJECT ACCESS-NEW HAVEN, A NON-PROFIT WHICH PROVIDES NAVIGATED, SPECIALTY CARE TO THE UNINSURED, AND WITH THE CT DEPARTMENT OF PUBLIC HEALTH, CANCER COMPREHENSIVE PROGRAM, WHO ARE COMMITTED TO REFERRING PATIENTS TO FHCHC FOR CANCER SCREENINGS. BY DECEMBER 2023, FHCHC WILL HAVE SHOWN AN INCREASE IN BREAST CANCER SCREENING FROM 52% TO 60%, AN INCREASE IN CERVICAL CANCER SCREENING FROM 68% TO 75% AND AN INCREASE IN COLORECTAL CANCER SCREENING FROM 45% TO 55%. PATIENTS REFERRED TO YCC FOR CARE AND TREATMENT OF ABNORMAL SCREENINGS AND/OR A CANCER DIAGNOSIS WILL INCREASE AND PATIENTS WITH ABNORMAL CANCER SCREENING WILL BE SEEN FOR NAVIGATION WITHIN A 30-DAY WINDOW. METRICS WILL BE TRACKED AND REPORTED.

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TERRY REILLY HEALTH SERVICES COVI-19 AND SUICIDE PREVENTION PROJECT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CAPITAL DEVELOPMENT

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CARE AND OTHER FACILITIES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - TERRY REILLY HEALTH SERVICES (TRHS) PROPOSES TO PROVIDE MEDICAL, DENTAL, BEHAVIORAL HEALTH AND NAVIGATION/CASE MANAGEMENT SERVICES TO OUR TARGET POPULATION - INDIVIDUALS LIVING IN AND AROUND THE CITY OF PARMA, IDAHO THROUGH APPLYING FOR THE REGULAR TRACK OF THE RURAL HEALTH CARE SERVICES OUTREACH PROGRAM. PARMA IDAHO IS A RURAL COMMUNITY IN SOUTHWEST IDAHO WITH 6,578 INDIVIDUALS LIVING IN AND AROUND THE CITY. PARMA IS LOCATED WITHIN CANYON COUNTY IDAHO AND WAS INCORPORATED IN 1957 WITH A LOW POPULATION DENSITY OF 1,699 PEOPLE PER SQUARE MILE. DEMOGRAPHIC INFORMATION FOR OUR POPULATION OF FOCUS INCLUDES: • THE MOST COMMON OCCUPATION IS AGRICULTURE WORKER. • 9.8% ARE FOREIGN-BORN • THE MEDIAN HOUSEHOLD INCOME IN PARMA IS $47,798 – LESS THAN HALF OF THE IDAHO STATE RATE OF $74,636 • 20.2% LIVE BELOW THE POVERTY LINE; TWICE AS MANY AS THE STATE OF IDAHO RATE • 31% IDENTIFY AS HISPANIC, 2.5 TIMES THE RATE IN IDAHO. LIKE OTHER SMALL RURAL CITIES IN IDAHO AND THE NATION, HEALTH OUTCOMES ARE NEGATIVELY IMPACTED, AND PARMA IS NO EXCEPTION. PARMA HAS WORSE OUTCOMES THAN THE COUNTY THEY RESIDE IN – CANYON COUNTY. WE SEE WORSE OVERALL HEALTH OUTCOMES, HIGHER RISK BEHAVIORS, AND HIGHER LEVELS OF DISABILITIES. THIS IS CONSISTENT WITH THE OTHER COMMUNITIES THAT TRHS SERVES WHERE THERE IS A HIGH LEVEL OF POVERTY, HIGHER LEVELS OF NEGATIVE SOCIAL DRIVERS OF HEALTH AND A HIGH LEVEL OF PERSONS IDENTIFYING AS HISPANIC. TRHS IS A PRIVATE NOT-FOR-PROFIT ORGANIZATION PROVIDING QUALITY CARE TO ALL, WITH DISCOUNTED FEES AVAILABLE, BASED ON FAMILY SIZE AND INCOME. SERVICES ARE AVAILABLE IN ENGLISH AND SPANISH AS WELL AS OTHER LANGUAGES. OUR MODEL OF CARE IS AN EVIDENCE-BASED INTEGRATED PATIENT-CENTERED HEALTH HOME. WE ARE COMMITTED TO SERVING ALL PEOPLE BUT ESPECIALLY POPULATIONS FACING BARRIERS ELSEWHERE, THE UNINSURED, MIGRANT AND SEASONAL FARM WORKERS, HOMELESS, ELDERLY AND WORKING FAMILIES. WE ARE GOVERNED BY THE COMMUNITIES WE SERVE THROUGH A REPRESENTATIVE BOARD OF DIRECTORS. SPECIFIC EVIDENCE-BASED MODELS WE UTILIZE THAT ARE WRAPPED INTO OUR INTEGRATED PATIENT-CENTERED HEALTH HOME MODEL INCLUDE: PATIENT CENTERED MEDICAL HOME (PCMH) MODEL, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP), MOTIVATIONAL INTERVIEWING (MI), HEALTH PROMOTION AND DISEASE PREVENTION, ORAL HEALTH INTEGRATION INTO PRIMARY CARE, SERVICES INTEGRATION, AND SOCIAL DRIVERS OF HEALTH. OUR GOALS ARE (1) EXPAND THE DELIVERY OF HEALTH CARE SERVICES TO INCLUDE NEW AND ENHANCED SERVICES IN PARMA, ID, (2) DELIVER HEALTH CARE SERVICES THROUGH A STRONG CONSORTIUM, IN WHICH EVERY CONSORTIUM MEMBER ORGANIZATION IS ACTIVELY INVOLVED AND ENGAGED IN THE PLANNING AND DELIVERY OF SERVICES, (3) USE COMMUNITY ENGAGEMENT AND EVIDENCE-BASED MODELS IN THE DELIVERY OF HEALTH CARE SERVICES, AND (4) IMPROVE POPULATION HEALTH AND DEMONSTRATE HEALTH OUTCOMES AND SUSTAINABILITY. TRHS HAS BEEN SERVING RURAL SOUTHWEST IDAHO COMMUNITIES SINCE 1971. THROUGH THE YEARS, WE HAVE DEVELOPED A WHOLISTIC, PATIENT-CENTERED APPROACH TO SERVING UNDERSERVED AND RURAL COMMUNITIES. WE BEGAN WORKING WITH THE PARMA COMMUNITY IN 2022 ON THEIR NEED FOR THE SERVICES WE PROVIDE. THESE MEETINGS RAMPED UP IN 2024 WITH THE CLOSURE OF THE ONLY MEDICAL OFFICE IN PARMA. OUR PARTNERSHIP WITH THE PARMA COMMUNITY HAS BEEN BUILDING OVER THE LAST YEAR AND A CONSORTIUM OF COMMUNITY ENTITIES HAS BEEN DEVELOPED TO IDENTIFY AND PROVIDE EVIDENCE BASED HEALTH CARE SERVICES IDENTIFIED BY THE COMMUNITY FOR THE COMMUNITY. TRHS QUALIFIES FOR TWO OF THE THREE FUNDING PREFERENCES: • OUR PROJECT IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) • THE PROJECT FOCUSES ON PRIMARY CARE, AND WELLNESS AND PREVENTION STRATEGIES THROUGH THE DELIVERY AND GRANT FUNDING OF PRIMARY CARE MEDICAL/DENTAL SERVICES AND PREVENTION STRATEGIES PROVIDED BY MEDICAL AND DENTAL CLINICIANS AND PATIENT NAVIGATORS/CASE MANAGEMENT.

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: EXPANDED HOURS APPLICANT NAME: FAIR HAVEN COMMUNITY HEALTH CLINIC, INC., HCP GRANT # H80CS00741 PROJECT DIRECTOR: SUZANNE LAGARDE MD, CHIEF EXECUTIVE OFFICER FUNDING REQUESTED: $240,613 IN YEAR 1; $274,370 IN YEAR 2. BACKGROUND: SINCE 1971, FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. (FHCHC) HAS PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES TO COMMUNITIES THROUGHOUT GREATER NEW HAVEN CT. THE JOINT COMMISSION (TJC) HAS ACCREDITED FHCHC SINCE 1999. FHCHC IS DUALLY RECOGNIZED AS A PATIENT CENTERED MEDICAL HOME BY TJC AND THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). IN 2023, FHCHC PROVIDED CARE TO 34,391 PATIENTS THROUGH 138,108 PATIENT VISITS. THE HEALTH CENTER SERVES A POPULATION OF 91% RACIAL AND/OR ETHNIC MINORITY; 61% SELF-REPORT AS LATINO, AND 24% AS AFRICAN AMERICAN. NINETY-FOUR PERCENT OF PATIENTS LIVE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES. THIRTY PERCENT OF FHCHC PATIENTS OVER THE AGE OF 18 ARE UNINSURED. FORTY-TWO PERCENT OF PATIENTS PREFER TO RECEIVE CARE IN A LANGUAGE OTHER THAN ENGLISH, PREDOMINANTLY SPANISH. WITH A $50 MILLION OPERATING BUDGET AND A STAFF OF OVER 300 EMPLOYEES ACROSS ITS 21 SITES, FHCHC PROVIDES INTEGRATED, PATIENT-CENTERED CARE TO THOSE WHO NEED IT MOST. NEEDS TO BE ADDRESSED: THROUGH QUARTERLY PATIENT SATISFACTION SURVEYS AND MONTHLY FOCUS GROUPS, FHCHC PATIENTS HAVE INDICATED A STRONG NEED FOR SERVICES ON WEEKENDS. REQUESTS FOR PHARMACY TIME IN THE EVENINGS HAVE ALSO BEEN NOTED. DEMAND FOR SERVICES DURING THESE “OFF HOUR” SESSIONS IS EXTREMELY HIGH. ADDITIONALLY, PATIENTS HAVE REQUESTED DENTAL AND BEHAVIORAL HEALTH SERVICES DURING SATURDAY SESSIONS. TARGET POPULATION: THE PROJECT WILL SERVE INDIVIDUALS RESIDING IN THE FHCHC SERVICE AREA OF NEW HAVEN, EAST HAVEN, AND BRANFORD, CT. PROPOSAL: WITH FUNDING FROM THIS OPPORTUNITY, FHCHC WILL EXPAND HOURS AT 3 OF ITS LOCATIONS CURRENTLY IN SCOPE. SATURDAY MORNING HOURS WILL BE EXPANDED AT FOLLOWING SITES: 1) 374 GRAND AVENUE NEW HAVEN CT. ADULT, PEDIATRIC AND BEHAVIORAL HEALTH CLINICIANS, ALONG WITH A CARE COORDINATOR, WILL PROVIDE SERVICES 52 WEEKS/YEAR. THE PROPOSED CHANGES REPRESENT AN INCREASE IN BOTH HOURS AND TYPES OF SERVICES OFFERED ON WEEKENDS. 2) 50 GRAND AVENUE NEW HAVEN CT. THIS IS THE LOCATION OF FHCHC’S SOLE DENTAL CLINIC. DENTISTS AND DENTAL HYGIENISTS WILL PROVIDE SERVICES EVERY OTHER SATURDAY, I.E. 26 WEEKS/YEAR. THE PROPOSED CHANGE REPRESENTS AN INCREASE IN BOTH HOURS AND TYPES OF SERVICES OFFERED ON WEEKENDS. 3) SHORELINE FAMILY HEALTH CARE AT 221 W. MAIN ST. BRANFORD CT. ADULT, PEDIATRIC AND BEHAVIORAL HEALTH CLINICIANS, ALONG WITH A CARE COORDINATOR, WILL PROVIDE SERVICES EVERY SATURDAY, I.E. 52 WEEKS/YEAR. ADDITIONALLY, FHCHC’S IN-HOUSE PHARMACY AT THIS LOCATION WILL EXTEND HOURS DAILY BY 30 MINUTES, MONDAY THROUGH FRIDAY. THE PROPOSED CHANGES REPRESENT AN INCREASE IN HOURS AND TYPES OF SERVICES OFFERED ON WEEKENDS. IN ORDER TO ACCOMMODATE THESE ADDITIONAL HOURS, FHCHC WILL INCREASE CLINICAL TIME AND WILL INTRODUCE MEDICAL, BEHAVIORAL HEALTH, DENTAL AND CARE COORDINATION SERVICES ON SATURDAYS. PHARMACY TIME WILL BE EXTENDED INTO EARLY EVENINGS. SUPPORT STAFF CONSISTING OF A PRACTICE MANAGER, FRONT DESK PERSONNEL, MEDICAL ASSISTANTS, NURSES, DENTAL ASSISTANTS, PHARMACY TECHNICIANS AND SECURITY WILL BE HIRED TO SUPPORT THE CLINICAL OPERATIONS. ADDITIONAL WEEKEND HOURS WILL FACILITATE VISITS FOR A SIGNIFICANT PORTION OF FHCHC’S CURRENT PATIENT POPULATION. IT IS ESTIMATED THAT BECAUSE OF THESE ADDITIONAL HOURS OF OPERATION, FHCHC WILL PROVIDE AN ADDITIONAL 1638 VISITS BY THE END OF CALENDAR YEAR 2025 AND WILL SERVE AN ADDITIONAL 100 NEW PATIENTS DURING THIS TIME PERIOD.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY - FACILITATED EXCHANGES.

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CARE AND OTHER FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM APPLICANT NAME: MENDOCINO COMMUNITY HEALTH CENTERS, INC. ADDRESS: 1165 SOUTH DORA STREET, UKIAH, CA 85482 PROJECT DIRECTOR NAME: RODNEY GRAINGER CONTACT PHONE NUMBERS: 707 472 4667 EMAIL ADDRESS: MCHC_ADMIN@MCHCINC.ORG WEBSITE ADDRESS: HTTPS://MCHCINC.ORG/ FUNDING REQUEST: $77,153 - IDENTIFICATION OF THE CATEGORY (HIV CARE INNOVATION OR INFRASTRUCTURE DEVELOPMENT) AND THE SELECTED ACTIVITY. MENDOCINO COMMUNITY HEALTH CLINIC, INC. (MCHC) IS PROPOSING INFRASTRUCTURE DEVELOPMENT – TELEMEDICINE ACTIVITIES FOR THIS CAPACITY DEVELOPMENT OPPORTUNITY. - A SUMMARY OF THE PROPOSED ACTIVITY AND ITS INTENDED IMPACT (I.E., HOW THE ACTIVITY WILL DEVELOP, ENHANCE, OR EXPAND ACCESS TO HIGH-QUALITY HIV PRIMARY CARE SERVICES FOR LOW-INCOME AND UNDERSERVED PEOPLE WITH HIV). MCHC’S HIV TWO-COUNTY SERVICE AREA CONSISTS OF MENDOCINO AND LAKE COUNTIES IN NORTHERN CALIFORNIA; A RURAL AREA OCCUPIED BY 38.3 PEOPLE / SQUARE MILE, OR APPROXIMATELY 159,000 PEOPLE LIVING IN 5,000 SQUARE MILES (UNITED STATES CENSUS BUREAU, 2022). THIS SERVICE AREA IS CHARACTERIZED BY MOUNTAINS, LAKES, FORESTS, AND COASTLINE WITH A FEW ISOLATED TOWNS SCATTERED IN VARIOUS POPULATION CENTERS, AND WHERE MORE THAN TWO-THIRDS (39.8%) OF THE GENERAL POPULATION HAVE INCOMES AT LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINE (FPG). MCHC IS PROPOSING TO UTILIZE RW-PART C CAPACITY DEVELOPMENT FUNDS TO SUPPORT ITS TELEHEALTH EQUITY AND ACCESS FOR COMMUNITY HEALTH (TEACH) PROJECT THAT WILL PURCHASE TELEHEALTH EQUIPMENT AND TRAINING FOR MCHC’S PROVIDER NETWORK, MCHC STAFF, AND INVITED COMMUNITY PARTNER TEAM LEADERS THAT CONDUCT DIRECT HOMELESS OUTREACH SERVICES, STREET MEDICINE AND HIV TESTING THROUGHOUT THE SERVICE AREA. MCHC’S TEACH PROJECT THAT WILL FOCUS ON EXPANDING HEALTHCARE ACCESS FOR ITS 1) EXISTING RYAN WHITE (RW) PATIENTS AND 2) NEWLY IDENTIFIED HIV+ PEOPLE (OR FORMER PATIENTS THAT FALL OUT OF CARE) THAT ARE EXPERIENCIN G HOMELESS AND ARE REFERRED TO MCHC FROM ITS PARTNERS FOR HIV TREATMENT, CARE, AND ENROLLMENT INTO RW PROGRAMS. FOR EXISTING RW PATIENTS, MCHC STAFF WILL CONDUCT IN-REACH, ASSESS TECHNOLOGY NEEDS, CONNECT WITH RESOURCES, AND EDUCATE AND TRAIN PATIENTS ON AVAILABLE TELEHEALTH SERVICES, INCLUDING HOME-VISITS AS NEEDED. ADDITIONALLY, MCHC WILL COLLABORATE WITH LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE DIRECT SERVICES (INCLUDING HIV TESTING) TO PEOPLE EXPERIENCING HOMELESS THROUGHOUT THE SHARED SERVICE AREAS. THE TEACH PROJECT WILL PROVIDE TELEHEALTH EQUIPMENT, TRAINING, AND INTERNET CONNECTIVITY TO ITS PROJECT PARTNERS WHO WILL WORK WITH PATIENTS IN THE FIELD WHO CANNOT TRAVEL FOR INITIAL HIV CARE AND WILL CONNECT THEM DIRECTLY TO MCHC RW STAFF, OR A PROVIDER/ SPECIALIST. THERE ARE NOT ANY OTHER ORGANIZATIONS IN THE SERVICE AREA WITH A COMPREHENSIVE HIV PROGRAM, AND MCHC AIMS TO HELP PROVIDE THE TOOLS THE OUTREACH TEAMS NEED TO CONNECT NEW AND OUT OF CARE PATIENTS TO IS RWHAP. - THE FUNDING AMOUNT REQUESTED FOR THE ONE-YEAR PERIOD OF PERFORMANCE $77,153 FOR THE 1 YEAR GRANT TERM. MCHC ARE REQUESTING FUNDING PREFERENCE FOR RURAL AREAS.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER PLANNING GRANTS

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 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

HEALTH CARE AND OTHER FACILITIES

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

COMMUNITY FACILITY GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME ? FACILITY IMPROVEMENTS GRANT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM