Family Medical Center

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

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

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CONTROLLED NETWORKS

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

OPEN DOOR'S YOUTH AND FAMILY TREE - BRIEF SUMMARY: OPEN DOOR FAMILY MEDICAL CENTER (OPEN DOOR) WILL ENHANCE COMPREHENSIVE BILINGUAL TREATMENT AND RECOVERY SERVICES FOR VULNERABLE ADOLESCENTS AND TRANSITIONAL YOUTH WITH SUD AND/OR COD AND THUS REDUCE DIFFERENCES IN ACCESS, USE, AND OUTCOMES OF TREATMENT AND RECOVERY SERVICES AMONG MINORITY POPULATIONS, AS WELL S GIRLS AND WOMEN. "OPEN DOOR'S YOUTH AND FAMILY TREE" PROJECT WILL ENSURE YOUTH ARE SUPPORTED AS THEY MOVE THROUGH RECOVERY, INCLUDING ENGAGING THEIR FAMILIES, AND PROVIDING AGE-APPROPRIATE, TECHNOLOGY-BASED SUPPORTS THAT THEY CAN ACCESS AT WILL, ALL UNDER A COMPREHENSIVE PATIENT CENTERED MEDICAL HOME MODEL. POPULATION TO BE SERVED: OPEN DOOR WILL SERVE VULNERABLE ADOLESCENTS AND TRANSITIONAL YOUTH AGES 12-25 AND THEIR FAMILIES/CAREGIVERS, TARGETED AMONG THE ORGANIZATION'S 60,000 PATIENTS. THESE PATIENTS EXHIBIT SIGNIFICANT NEGATIVE SOCIAL DETERMINANTS OF HEALTH: NINE IN TEN LIVE BELOW 200% FPL WHILE A MAJORITY LIVE IN OUTRIGHT POVERTY IN A HIGH-COST OF LIVING AREA; 43% ARE UNINSURED, MORE THAN TWICE THE NEW YORK STATE AVERAGE FOR FEDERALLY QUALIFIED HEALTH CENTERS; A MAJORITY IDENTIFY AS RACIAL/ETHNIC MINORITIES (82% AS LATINX/HISPANIC WITHIN THE YOUTH COHORT); AND 71% ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. USING INTERNAL DATA, WE ESTIMATE THAT A MAJORITY OF PATIENTS 12-25 REPORT POLY-SUBSTANCE USE, INCLUDING CANNABIS, ALCOHOL, OPIOIDS, AND OTHERS; AMONG YOUNG PATIENTS WITH SUD, 50% HAVE A CO-OCCURRING MENTAL HEALTH DIAGNOSIS. STRATEGIES/INTERVENTIONS: OPEN DOOR WILL LEVERAGE INTEGRATED MENTAL HEALTH, MEDICAL, AND WRAPAROUND SERVICES WITHIN SIX SITES TO OFFER AN "ALL UNDER ONE ROOF" APPROACH USING FAMILY-CENTERED COMPREHENSIVE OUTPATIENT CARE, EARLY INTERVENTION, SCREENING AND COUNSELING, MEDICATION ASSISTED TREATMENT, RECOVERY SUPPORT, AND EDUCATION ON HEALTHY CHOICES. EVIDENCE-BASED PRACTICES WILL INCLUDE: COGNITIVE BEHAVIORAL THERAPY AND TRAUMA-FOCUSED CBT; DIALECTICAL BEHAVIORAL THERAPY GROUPS FOR SUD; MOTIVATIONAL INTERVIEWING; SEEKING SAFETY; MATRIX MODEL FOR TEENS & YOUNG ADULTS; BRIEF STRATEGIC AND MULTIDIMENSIONAL FAMILY THERAPY; AND NURTURING PARENTING. GOALS & OBJECTIVES: THE PROPOSED PROJECT WILL SERVE 450 YOUTH OVER THE PROJECT LIFETIME, BROKEN OUT AS 50 SERVED IN YEAR ONE AND 100 PER YEAR FOR PROJECT YEARS 2-5, AND THEIR FAMILIES. PROJECT GOALS ARE AS FOLLOWS: GOAL 1 - INCREASE ACCESS TO HIGH QUALITY, PATIENT CENTERED SUD AND COD SERVICES; GOAL 2 - MAXIMIZE RETENTION IN CARE; GOAL 3 - IDENTIFY AND ADDRESS ELEVATED HEALTH RISKS BY PROVIDING SPECIALIZED CARE AND SUPPORTS; GOAL 4 - IMPROVE SELF-REPORTED ASSESSMENT OF WELLNESS AND FUNCTIONING AMONG ADOLESCENTS AND TRANSITIONAL YOUTH WITH SUD, MH, AND/OR CO-OCCURRING DISORDERS. MEASURABLE OBJECTIVES INCLUDE 90%-PLUS SCREENING AND DOCUMENTED TREATMENT PLAN RATES; 100% ASSESSMENT AND OFFERING FOR MAT; 80% RETENTION AND DIGITAL RECOVERY APP ENROLLMENT RATES; 100% SCREENING FOR ADVERSE CHILDHOOD EVENTS, ASSESSMENT FOR THOSE AT RISK FOR STI, PREGNANCY, AND GENDER SPECIFIC RISKS; 70% SERVED WITH MAJOR DEPRESSIVE DISORDER SHOWING REDUCTION IN PHQ-9 SCORES; 80% ACHIEVEMENT OF PATIENT-ARTICULATED 6-MONTH TREATMENT GOALS AND 80% OF PATIENTS "FEELING BETTER" AFTER SIX MONTHS IN THE PROGRAM.

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

HEALTH CENTER CONTROLLED NETWORKS

"OPEN DOOR P4S"OPEN DOOR'S PARTNERSHIPS "4" SUCCESS PROJECT

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - CUMBERLAND FAMILY MEDICAL CENTER, INC. (CFMC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH A 30- COUNTY SERVICE AREA THROUGHOUT SOUTH-CENTRAL, CENTRAL, AND NORTH-CENTRAL KENTUCKY. AS THE LARGEST FQHC IN THE STATE, CFMC SERVES A PREDOMINATELY RURAL POPULATION WHO RESIDE IN ONE OF THE LEAST HEALTHY AREAS OF THE STATE. A GROWING RISK AMONG HEALTH CARE CHALLENGES FOR THIS POPULATION ARE TRENDS IN HIV-RELATED STIGMA; LACK OF ACCESS TO HIV PREVENTION, TESTING, AND TREATMENT; AND A LACK OF AWARENESS THAT HIV REMAINS A SIGNIFICANT PUBLIC HEALTH THREAT. COUPLED WITH LOW SOCIO-ECONOMIC STATUS, LACK OF BASIC SERVICES, AND TRANSPORTATION CHALLENGES, MAKING AVAILABLE ADVANCES IN THE SUCCESSFUL HIV TREATMENT REGIMENS AND PREVENTION STRATEGIES HAVE THE POTENTIAL FOR TREMENDOUS IMPACT FOR OUR PATIENT POPULATION. CFMC STANDS UNIQUELY QUALIFIED TO EXPAND HIV PREVENTION SERVICES SUCH AS PRE-AND POST-EXPOSURE PROPHYLAXIS AND ANTIRETROVIRAL THERAPY IN COUNTIES WITHIN OUR SERVICE AREA THAT ARE IDENTIFIED AS AMONG THE TOP 220 MOST VULNERABLE COUNTIES IN THE NATION FOR RAPID DISSEMINATION OF HIV/HCV INFECTIONS. AS A FQHC, CFMC IS A KEY POINT OF ENTRY TO HIV PREVENTION AND TREATMENT SERVICES. THROUGH SUCCESSFUL FUNDING OF THIS GRANT OPPORTUNITY, CFMC WILL HAVE THE ABILITY TO NOT ONLY TEST PATIENTS FOR HIV, BUT ALSO TO SUCCESSFULLY LINK THEM TO TREATMENT WITHIN 30 DAYS AT ONE OF OUR CLINIC LOCATIONS. LOCALIZED TESTING AND QUICK AVAILABILITY TO TREATMENT OPTIONS WILL SERVE TO REDUCE STIGMA AND ENHANCE THE SUCCESS RATE OF THOSE LIVING WITH HIV. SERVICES OFFERED IN LOCAL RURAL AREAS SUCH AS THOSE PROVIDED BY CFMC INCREASES ACCESS TO CARE, REDUCES STIGMA, AND DECREASES BARRIERS TO CARE CREATED BY LACK OF TRANSPORTATION, INABILITY TO AFFORD TREATMENT, AND CULTURAL FEARS OF SEEKING CARE OUTSIDE OF ONE’S HOME COMMUNITY. IF FUNDED, CFMC WILL UTILIZE THE AWARD TO SUPPORT HIV ACTIVITIES THROUGHOUT OUR SERVICE AREA WITH A FOCUS ON OUR TARGETED PATIENT POPULATION OF THOS E LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL WHILE RESIDING IN GEOGRAPHICALLY ISOLATED RURAL COMMUNITIES. OUR FOCUS WILL BE ON THE DIRECT HIRE OF PRIMARY CARE AND/OR ENABLING SERVICE PROVIDERS TO SUPPORT THE DELIVERY OF INTEGRATED PRIMARY AND HIV CARE SERVICES, LINKAGE TO TREATMENT, AND CARE COORDINATION NECESSARY FOR PERSONS WHO TEST POSITIVE FOR HIV, INCLUDING INTERNAL AND EXTERNAL REFERRALS FOR APPROPRIATE TREATMENT. OF THE 220 MOST VULNERABLE COUNTIES IN THE NATION FOR HIV, 54 ARE IN KY AND 16 ARE IN THE CFMC SERVICE AREA. WITH CONSIDERATION OF THE SOCIAL DETERMINATES OF HEALTH (SDOH) THAT AFFECT OUR TARGETED POPULATION, ECONOMIC STABILITY AND HEALTH CARE ACCESS WILL BE MADE AVAILABLE AND WILL HAVE A POSITIVE EFFECT ON THE FUNCTIONING AND THE QUALITY-OF-LIFE OUTCOMES OUR PATIENTS FACE ON A DAILY BASIS. WE PROJECT THAT WE CAN HIRE AN ADDITIONAL TWO (2) MEDICAL PROVIDERS WHO WILL BE PLACED IN OUR AREAS OF GREATEST NEED FOR HIV TESTING, TREATMENT, AND PREVENTION EDUCATION. BY PARTNERING WITH OUR ALREADY ESTABLISHED SERVICES, PATIENTS WILL ALSO HAVE ACCESS TO NECESSARY BEHAVIOR AND MENTAL HEALTH PROVIDERS/TREATMENT, OTHER MEDICATION-ASSISTED THERAPIES AS NEEDED, AND ONE-ON-ONE PERSONAL ASSISTANCE IN ASCERTAINING PRIMARY CARE, ASSISTANCE IN SECURING HOUSING, EMPLOYMENT, AND OTHER DAILY PERSONAL SERVICES AS NEEDED.

HEALTH CENTER INFRASTRUCTURE SUPPORT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - CUMBERLAND FAMILY MEDICAL CENTER, INC. (CFMC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING 32 RURAL COUNTIES IN SOUTH-CENTRAL AND NORTH-CENTRAL KENTUCKY. PULASKI COUNTY, THE STATE’S THIRD LARGEST COUNTY BY AREA AND THE 14TH LARGEST BY POPULATION (65,795 RESIDENTS), IS PART OF OUR FEDERALLY DESIGNATED SERVICE AREA. IN THIS COUNTY, WE PROVIDE DENTAL, OB/GYN, PEDIATRICS, BEHAVIORAL HEALTH, PRIMARY CARE, SUBSTANCE USE DISORDER (SUD) SERVICES, AND MEDICALLY-ASSISTED TREATMENT (MAT) ACROSS FIVE CLINIC LOCATIONS IN THE COUNTY SEAT OF SOMERSET. WITH A MISSION TO PROVIDE AFFORDABLE, ACCESSIBLE, HIGH QUALITY HEALTH CARE TO ALL PATIENTS REGARDLESS OF INCOME OR ABILITY TO PAY, WE ARE APPLYING FOR THE “QUALITY IMPROVEMENT FUND – TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATION” (QIF-TJI) GRANT. IF FUNDED, CFMC WILL PARTNER WITH THE PULASKI COUNTY DETENTION CENTER TO STRENGTHEN THE TRANSITION IN CARE FOR INDIVIDUALS WHO ARE WITHIN 90-DAYS OF RELEASE, OR SCHEDULED RELEASE, FROM INCARCERATION, BY INCREASING THEIR ACCESS TO COMMUNITY-BASED PRIMARY CARE SERVICES WITHIN THE DETENTION CENTER AND PRIOR TO RELEASE. WITH A LARGE INMATE POPULATION OF APPROXIMATELY 320 AT THE TIME OF THIS APPLICATION, PULASKI COUNTY HOUSES ONE OF THE LARGEST NUMBERS OF COUNTY LEVEL DETAINEES IN OUR SERVICE AREA WITH SPACE FOR DETAINEES FROM BOTH PULASKI AND LINCOLN COUNTIES – BOTH WITHIN OUR CFMC SERVICE AREA. TO IMPLEMENT THIS PROJECT AND MEET TRANSITIONAL NEEDS IN CARE, WE WILL BUILD UPON EXISTING EVIDENCE-BASED MODELS TO PILOT AND EVALUATE INNOVATIVE APPROACHES THAT CONNECT JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY TO IN-SCOPE HEALTH CENTER SERVICES THAT ADDRESS THEIR UNIQUE CRITICAL HEALTH AND HEALTH RELATED SOCIAL NEEDS. TO ACCOMPLISH THIS GOAL, WE WILL USE GRANT FUNDING TO HIRE DESIGNATED MEDICAL AND SUPPORT STAFF TO PARTNER WITH THE COUNTY JAIL AND OTHER LOCAL SOCIAL SUPPORT GROUPS IN PULASKI COUNTY. BY CREATING A BRIDGE BETWEEN THE DETENTION SETTING AND RE-ENTRY INTO THE COMMUNITY, WE CAN ENSURE THAT NO GAPS IN HEALTH SERVICES ARE CREATED, AND SOCIAL DETERMINANTS OF HEALTH ARE MET FOR BOTH THE DETAINEES RETURNING TO THE COMMUNITY AND THEIR FAMILIES WHO ARE ALSO AFFECTED BY THEIR INCARCERATION. THOSE RECEIVING CARE FOR CHRONIC CONDITIONS (I.E., DIABETES, HEART DISEASE) AS WELL AS THOSE REQUIRING ASSISTANCE WITH ADDICTIVE AND/OR BEHAVIORAL DISORDERS, WILL BE PROVIDED A CONTINUITY OF CARE THROUGH HEALTH CENTER SERVICES PROVIDED PRE-RELEASE AND THEN CONTINUED POST-RELEASE THROUGH THE CLINICAL OPTIONS AVAILABLE TO THEM THROUGH CFMC LOCATIONS IN PULASKI COUNTY INCLUDING OUR PROMISE COMMUNITY HEALTH CENTER THAT FOCUSES ON THE INTEGRATION OF PRIMARY CARE AND BEHAVIOR HEALTH FOR THOSE RECOVERING AND IN RECOVERY FROM ADDICTIVE ISSUES OR WHO MAY BENEFIT FROM INDIVIDUAL OR FAMILY THERAPY. OUR PROJECT WILL BE UNIQUE IN THAT IT IS A PILOT PROJECT FOR THIS AREA AND WILL NOT SUPPLANT OR DUPLICATE ANY FUNDING FOR HEALTH SERVICES CURRENTLY PROVIDED AS REQUIRED BY THE COUNTY OR STATE FOR DETAINEES. OUR ADDITIONAL PARTNERSHIPS WITH LOCAL SOCIAL SERVICE AGENCIES WILL ENSURE THAT OUR PATIENTS IN THIS PROJECT WILL ALSO HAVE APPROPRIATE ASSISTANCE ASCERTAINING EMPLOYMENT, HEALTH INSURANCE, EDUCATION, HOUSING, AND TRANSPORTATION NEEDS AS THEY TRANSITION BACK INTO THE COMMUNITY. LOCATED IN ONE OF THE MOST IMPOVERISHED US CONGRESSIONAL DISTRICTS IN THE NATION IN A STATE THAT RANKS 46TH OUT OF 50 FOR BEING THE LEAST HEALTHY, PULASKI COUNTY RANKS 75 OUT OF 120 KENTUCKY COUNTIES FOR QUALITY OF LIFE. THIS PROJECT WILL BRING MUCH NEEDED ATTENTION AND SERVICES TO A DEMOGRAPHIC OF PEOPLE THAT ARE CURRENTLY AMONG THE LEAST HEALTHY AND THE MOST UNDER-SERVED. IT IS OUR GOAL TO CHANGE THAT.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

TELEMEDICINE GRANT

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

TECHNOLOGY INTEGRATION FOR RURAL SUBSTANCE ABUSE TREATMENT PROVISION

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

PS04-064, HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR CBOS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

OPEN DOOR FAMILY MEDICAL CENTER/OSSINING COMMUNITIES THAT CARE DRUG FREE COMMUNITIES SUPPORT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - CUMBERLAND FAMILY MEDICAL CENTER, INC. (CFMC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING 32 RURAL COUNTIES IN SOUTH-CENTRAL AND NORTH-CENTRAL KENTUCKY THAT INCLUDES PULASKI AND METCALFE COUNTIES, BOTH OF WHICH LIE WITHIN THE APPALACHIAN REGION. AS PART OF THE CFMC SERVICE AREA, THESE TWO COUNTIES HAVE ACCESS TO HIGH-QUALITY COMMUNITY HEALTH CENTER SERVICES PROVIDED IN AN AFFORDABLE, ACCESSIBLE MANNER REGARDLESS OF THE PATIENT’S INCOME OR ABILITY TO PAY. AS PART OF OUR MISSION AS A FQHC, WE SEEK TO PROVIDE SERVICES IN THE MOST ACCESSIBLE MANNER POSSIBLE – INCLUDING MUCH NEEDED BEHAVIORAL HEALTH CARE. FOR THIS REASON, WE ARE APPLYING FOR THE FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION GRANT (BHSE). IF FUNDED CFMC, WILL EXPAND OUR CURRENTLY ESTABLISHED AND EVIDENCED-BASED BEHAVIORAL HEALTH CARE PROGRAM INTO NEW CLINIC LOCATIONS IN PULASKI AND METCALFE COUNTIES WHERE PROVIDERS CAN BE WELL POSITIONED TO ADDRESS BARRIERS TO CARE AND ENSURE ACCESS TO A CONTINUUM OF BEHAVIORAL HEALTH SERVICES THAT INCLUDES BEHAVIORAL HEALTH SERVICES AS WELL AS SERVICES FOR THOSE AFFECTED WITH SUBSTANCE USE DISORDERS (SUD) WHO MAY BENEFIT FROM TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD). ACCORDING TO THE HEALTH RESOURCE SERVICE ADMINISTRATION (HRSA) BOTH PULASKI AND METCALFE COUNTIES ARE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH WITH A COMBINED SHORTAGE OF APPROXIMATELY 11 MENTAL HEALTH PROVIDERS TO MEET THE POPULATION NEED. TO EXPAND OUR BEHAVIORAL HEALTH PROGRAM THROUGH THIS FUNDING OPPORTUNITY, WE WILL USE FUNDING TO PROVIDE DIRECT HIRE LICENSED MEDICAL AND MENTAL HEALTH PROVIDERS ALONG WITH CASE MANAGEMENT STAFF TO INTEGRATE BEHAVIORAL HEALTH, SUD, AND MOUD SERVICES INTO ESTABLISHED PRIMARY CARE AND WOMEN’S HEALTH CLINIC LOCATIONS IN PULASKI AND METCALFE COUNTIES. BY DOING SO, WE WILL BE BUILDING UPON EXISTING EVIDENCE-BASED MODELS CURRENTLY IN USE AT OTHER CFMC LOCATIONS TO ENSURE PATIENTS HAVE THE MOST ACCESSIBLE MEANS OF RECEIVING BEHAVIORAL HEALTH SERVICES THROUGH INTEGRATION WITH PRIMARY CARE SERVICES. BY CREATING A HEALTH CARE ENVIRONMENT OF INTEGRATED CARE, STIGMAS RELATED TO BEHAVIORAL HEALTH CAN BE DECREASED OR ELIMINATED ENTIRELY. THOSE RECEIVING CARE FOR THEIR CHRONIC CONDITIONS (I.E., DIABETES, HEART DISEASE) OR WOMEN’S HEALTH ISSUES WILL HAVE THE ABILITY TO ALSO ADDRESS ANY BEHAVIORAL OR ADDICTIVE ISSUES AT THE SAME LOCATION THROUGH ON-SITE AND IMMEDIATE ACCESS TO PROVIDERS TRAINED IN CULTURALLY APPROPRIATE MANNERS TO BEST ADDRESS CONCERNS AND TRADITIONS SPECIFIC TO THE APPALACHIAN CULTURE. ACCORDING TO THE APPALACHIAN REGIONAL COMMISSION, THE AVERAGE ADULT IN APPALACHIA KENTUCKY REPORTS FEELING MENTALLY UNHEALTHY 25% MORE OFTEN THAN THE AVERAGE AMERICAN YET HAS SIGNIFICANTLY DECREASED MEANS OF ACCESSING CARE FOR MENTAL HEALTH. LOCALIZED STUDIES OF APPALACHIAN WOMEN SEEKING BEHAVIORAL HEALTH CARE FROM PRIMARY CARE PROVIDERS YIELDED RATES AS HIGH AS 44% (RESEARCHGATE.NET). THIS PROPOSAL, IF FUNDED, WILL SERVE TO REDUCE BEHAVIORAL HEALTH DISPARITIES IN THE TARGETED COUNTIES BY INCREASING THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS IN PRIMARY CARE AND WOMEN’S HEALTH SETTINGS. IN TURN AN INCREASE IN BEHAVIORAL HEALTH PATIENTS, SUD PATIENTS, AND PATIENTS RECEIVING MOUD SERVICES IN AN ACCESSIBLE, AFFORDABLE MANNER THAT IS SENSITIVE TO THE CULTURAL AND TRADITIONS OF THE PATIENT POPULATION WILL ALSO BE EVIDENCED.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ABSTRACT PROJECT TITLE: BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) ORGANIZATION: CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC. ADDRESS: 527 W. 3RD ST., KONAWA, OK 74849 PROJECT DIRECTOR: BRENDA WARE, CEO; PHONE: 580-925-3286 FAX: 580-925-9149 E-MAIL: BRENDA.WARE@COFMC.ORG WEB SITE: WWW.COFMC.COM; PROGRAM FUNDS REQUESTED: BHSE FUNDING - $600,000; BRIEF HISTORY OF THE ORGANIZATION, COMMUNITY TO BE SERVED, AND TARGET POPULATION. COFMC WAS ESTABLISHED IN RESPONSE TO A MAJOR TORNADO THAT HIT KONAWA, HEIGHTENING THE NEED FOR HEALTH SERVICES. AS A 501(C)3 ORGANIZATION, COFMC RECEIVED 330 FUNDING IN 1984 WITH HEALTH CENTER OPERATIONS BEGINNING FEBRUARY 1, 1985. THE SERVICE AREA IS PRIMARILY A RURAL AREA, CONSISTING OF SEMINOLE, PONTOTOC AND GARVIN COUNTIES WITH PORTIONS OF EIGHT ADJACENT COUNTIES, AND INCLUDES THIRTY-SEVEN ZCTAS THAT COVER 2,833 SQUARE MILES. OF THE SERVICE AREA’S ELEVEN COUNTIES, ALL ARE FEDERALLY-DESIGNATED AS A MUA AS WELL AS MOST HAVING A PRIMARY CARE, DENTAL, AND MENTAL HEALTH HPSA. APPROXIMATELY 40.2% OF THE SERVICE AREA POPULATION IS AT OR BELOW 200% FPG COMPARED TO 28.80% NATIONALLY AND 35.48% FOR OKLAHOMA. THE UNINSURED POPULATION IS 18.17%, MUCH HIGHER THAN THE NATION (8.68%) AND THE STATE (13.93%). MAJOR HEALTH CARE NEEDS TO BE ADDRESSED BY THE PROJECT. COFMC WILL ADDRESS THE MENTAL HEALTH NEEDS AS THE TARGET POPULATION SUFFERS FROM A HIGH RATE OF TOBACCO USAGE AT 21.22%, HIGHER THAN THE NATION AND STATE (13.50% AND 18.28% RESPECTIVELY). THE SUICIDE RATE IS 20.4/100,000 COMPARED TO THE NATIONAL RATE OF 13.8. THE HIGH RATE OF DRUG POISONING MORTALITY IS 26/100,000 FOR THE SERVICE AREA (21.4-OK; 24.0-US). PROPOSED SERVICES AND POPULATION GROUPS TO BE SERVED. COFMC, A TJC-AMBULATORY CARE ACCREDITED PCMH HAVING 18 TOTAL SITES IN KONAWA, SEMINOLE, STRATFORD, AND ADA, PROVIDES COMPREHENSIVE PRIMARY CARE, PEDIATRICS, AND WOMEN’S HEALTH. SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING MAT, PLUS DEPRESSION, ANXIETY/PTSD AND DISRUPTIVE BEHAVIOR SERVICES ARE PROVIDED AS WELL AS DENTAL AND PHARMACEUTICAL SERVICES TO INCLUDE 340B. PROPOSED BHSE FUNDING WILL BE USED TO ADD BEHAVIORAL HEALTH PROFESSIONALS AND STAFF TO INCREASE ACCESS TO MENTAL HEALTH SERVICES, SUD, AND MEDICATIONS FOR OPIOID USE DISORDER (MOUD). PROJECT FUNDING WILL ENABLE THE PURCHASE OF TELEHEALTH SERVICES EQUIPMENT, SECURE ADDITIONAL PHARMACY STAFFING, AND COMPLETE RENOVATIONS TO CURRENT SPACES. COFMC SERVES THE LOW-INCOME, UNINSURED AND MEDICAID POPULATION USING A SLIDING FEE DISCOUNT SCALE. INCREASE IN PATIENTS RECEIVING MENTAL HEALTH SERVICES, SUD SERVICES, AND MOUD TREATMENT. THE INCREASE IN NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES WILL BE 500 INDIVIDUALS (200 NEW PATIENTS AND 300 ESTABLISHED PATIENTS WHO ARE CURRENTLY ON A REFERRAL LIST). THE INCREASE OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MOUD, WILL BE 400 INDIVIDUALS WITH 300 OF THOSE PATIENTS RECEIVING BOTH MH AND SUD SERVICES. THE TOTAL PATIENTS RECEIVING MH, SUD, AND MOUD SERVICES FOR THE FIRST TIME WILL BE 600. CURRENTLY, COFMC PROVIDES BH SERVICES WITH TWO LICENSED CLINICAL SOCIAL WORKERS, THREE LICENSED PROFESSIONAL COUNSELORS, THREE CERTIFIED BH CASE MANAGERS, ONE SUD PHYSICIAN, ONE PSYCHIATRIC NURSE PRACTITIONER, AND ONE PSYCHIATRIST. TO ACCOMPLISH THE BHSE OBJECTIVES, COFMC WILL USE THE FUNDING TO EMPLOY THREE NEW LICENSED BH STAFF, ONE FRONT DESK STAFF, ONE PEDIATRIC PSYCHIATRIC NURSE PRACTITIONER, AND ONE NURSE. PHARMACY SERVICES WILL BE EXPANDED TO ENSURE CAPACITY FOR MOUD SERVICES. EXISTING COFMC SPACE BECAME AVAILABLE FOR ADDITIONAL BH PROVIDERS WHEN THE HEALTH CENTER OPENED A NEW ADA FACILITY IN JANUARY TO HOUSE A PHARMACY, DENTAL CLINIC, AND SOME DIAGNOSTIC SERVICES. BY HAVING FACILITY CAPACITY IN PLACE, COFMC IS POSITIONED TO ACCOMPLISH BHSE OBJECTIVES ONCE PROJECT FUNDING IS AWARDED.

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

FY 2023 EXPANDING COVID-19 VACCINATION

FISCAL YEAR 2025 EXPANDED HOURS. - CUMBERLAND FAMILY MEDICAL CENTER, INC. (CFMC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING 32 RURAL COUNTIES IN SOUTH-CENTRAL AND NORTH-CENTRAL KENTUCKY INCLUDING BARREN COUNTY IN THE WESTERN MOST PORTION OF OUR HRSA DESIGNATED SERVICE AREA. AS PART OF THE CFMC SERVICE AREA, THIS COUNTY HAS ACCESS TO HIGH-QUALITY COMMUNITY HEALTH CENTER SERVICES PROVIDED IN AN AFFORDABLE, ACCESSIBLE MANNER REGARDLESS OF THE PATIENT’S INCOME OR ABILITY TO PAY. OUR MISSION AS A FQHC, ENSURES THAT WE PROVIDE SERVICES IN THE MOST ACCESSIBLE MANNER POSSIBLE – INCLUDING MUCH NEEDED ACCESS TO CLINIC HOURS WHEN CARE IS MOST NEEDED. FOR THIS REASON, WE ARE APPLYING FOR THE FY 2025 EXPANDED HOURS GRANT (EH). IF FUNDED CFMC, WILL EXPAND OUR CURRENT HOURS OF OPERATION AT OUR ESTABLISHED GLASGOW PEDIATRIC HEALTHCARE HEALTHY KIDS CLINIC IN BARREN COUNTY. AS THE ONLY FQHC OR FQHC LOOK-ALIKE IN THIS LARGE, RURAL COUNTY, OUR PEDIATRIC PROVIDERS SERVE THIS POPULATION OF OVER 41,000, WITH AFFORDABLE, ACCESSIBLE, HIGH-QUALITY CARE REGARDLESS OF INCOME, INSURANCE STATUS, OR ABILITY TO PAY. WE ARE THE ONLY HEALTH CARE ENTITY IN THE COUNTY TO OFFER A SLIDING FEE DISCOUNT SCALE AND 340B DISCOUNT PHARMACY SERVICES. THE ADDITION OF PEDIATRIC PROVIDERS AT OUR DESIGNATED LOCATION WOULD BE WELL POSITIONED TO ADDRESS BARRIERS TO CARE AND ENSURE THAT ACCESS TO A CONTINUUM OF BEHAVIORAL HEALTH, PRIMARY CARE, AND CHILD WELLNESS EXTENDS TO ALL CHILDREN IN BARREN COUNTY. ACCORDING TO THE HEALTH RESOURCE SERVICE ADMINISTRATION (HRSA) BARREN COUNTY IS A GEOGRAPHIC HIGH NEEDS AREA AND IS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE, DENTAL HEALTH AND MENTAL HEALTH. TO EXPAND OUR PEDIATRIC SERVICES TO OUR MOST VULNERABLE POPULATION OF PATIENTS, THROUGH THIS FUNDING OPPORTUNITY, WE WILL USE THE GRANT AWARD TO PROVIDE DIRECT HIRE LICENSED PEDIATRIC AND MENTAL HEALTH CARE PROVIDERS ALONG WITH CASE MANAGEMENT AND SUPPORT STAFF TO FURTHER INTEGRATE PRIMARY CARE, BEHAVIORAL HEALTH, AND CHILD WELLNESS SERVICES. BY DOING SO, WE WILL BE BUILDING UPON EXISTING EVIDENCE-BASED MODELS CURRENTLY IN USE AT OUR CFMC PEDIATRIC LOCATIONS AND SCHOOL-BASED HEALTH CENTER SITES TO ENSURE OUR YOUNG PATIENTS HAVE THE MOST ACCESSIBLE MEANS OF RECEIVING HEALTH SERVICES REGARDLESS OF WHEN THE NEED ARISES. BY EXPANDING CLINIC HOURS EACH DAY BY ONE HOUR AND CREATING ACCESS TO SATURDAY HOURS, THIS FUNDING WILL ALLOW US TO PROVIDE HIGH QUALITY CARE TO CHILDREN AT THIS LOCATION AN ADDITIONAL 15 HOURS PER WEEK BEYOND THE SITE’S CURRENT HOURS OF OPERATION. THE CREATION OF ADDITIONAL AVENUES TO ACCESS CARE ENSURES THAT CFMC’S PATIENTS ARE SEEN PROMPTLY WHEN NEEDED BY THEIR ESTABLISHED PEDIATRIC PROVIDER THUS REDUCING COSTLY EMERGENCY ROOM VISITS, MISSED WORK HOURS BY PARENTS, AND MISSED ACADEMIC TIME FROM SCHOOL FOR DOCTOR APPOINTMENTS. ACCORDING TO RECENT DATA, 46% OF HOUSEHOLDS NATIONWIDE REPORT NEGATIVE HEALTH CONSEQUENCES AS A RESULT OF NOT BEING ABLE TO GET AN APPOINTMENT DURING THE HOURS NEEDED. AS A RESULT, DELAYED CARE IS OFTEN THE RESULT OF BARRIERS SUCH AS LACK OF HEALTH INSURANCE, LACK OF ACCESS TO TRANSPORTATION, LACK OF AVAILABILITY OF APPOINTMENTS AND INABILITY TO TAKE TIME OFF WORK TO ATTEND APPOINTMENT. IN A COUNTY WHERE 26.3% OF ALL CHILDREN LIVE IN POVERTY AND 56% RESIDE IN LOW-INCOME HOMES (KY YOUTH ADVOCATES 2023), ACCESS TO AFFORDABLE, ACCESSIBLE HEALTH CARE FOR THE CHILDREN OF BARREN AND SURROUNDING COUNTIES IS KEY TO COMBATING KENTUCKY’S POOR HEALTH RANKINGS AND THE ONLY MEANS BY WHICH A HEALTHIER POPULATION CAN BE CREATED. IF FUNDED, THIS PROJECT WOULD ALLOW CFMC TO EXPAND ACCESS TO CARE THROUGH THE ADDITION OF EXTENDED HOURS TO BETTER CREATE ACCESSIBILITY TO AFFORDABLE, HIGH QUALITY HEALTH CARE FOR OUR CHILDREN.

COMMUNITY PROJECT GRANTS CONGRESSIONALLY DELEGATED

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

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

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

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

CAPITAL DEVELOPMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

CAPITAL DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

THE OSSINING COMMUNITIES THAT CARE (OCTC)

FY 2023 BRIDGE ACCESS PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

DRUG FREE COMMUNITIES SUPPORT PROGRAM

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

OPEN DOOR FAMILY MEDICAL CENTERS OSSINING COMMUNITIES THAT CARE STOP ACT GRANT

OPEN DOOR FAMILY MEDICAL CENTER'S OSSINING COMMUNITIES THAT CARE STOP ACT GRANT

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2023 BRIDGE ACCESS 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

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

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM