Aaa Comprehensive Healthcare Inc

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT OBJECTIVES ARE 1) INCREASE THE NUMBER OF CURRENT AND NEW PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND 2) INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES INCLUDING PATIENTS RECEIVING TREATMENT FOR MOUD. AAACHC CARED FOR 3,589 PATIENTS, AND PROVIDED 20,868 TOTAL ENCOUNTERS IN CY2023. THERE WERE 686 MENTAL HEALTH ENCOUNTERS AMONG 332 PATIENTS, AND 342 SUD ENCOUNTERS PROVIDED TO 161 PATIENTS. IN ORDER TO ACHIEVE PROJECT OBJECTIVES, AAACHC WILL UTILIZE AN ARRAY OF MENTAL HEALTH AND SUBSTANCE ABUSE SCREENING TOOLS (E.G., PHQ-9) AND PROVIDE CARE UTILIZING THREE, CRITICAL EVIDENCE-BASED PRACTICES (EBP): A) INTEGRATED BEHAVIORAL HEALTHCARE, B) MOTIVATIONAL INTERVIEWING, AND C) MEDICATED-ASSISTED TREATMENT. MH AND SUD CARE WILL BE DELIVERED BOTH IN-CLINIC, AND VIA FIELD ENCOUNTERS UTILIZING AAACHC’S (IN SCOPE) MOBILE CLINIC. ONGOING CARE AND TREATMENT WILL BE PROVIDED AT 7451 LANKERSHIM BLVD AND THROUGH MOBILE UNIT FIELD CARE. BHSE FUNDING IS BEING REQUESTED FOR FOUR, 1.0 FTE NEW, BILINGUAL BH STAFF MEMBERS, AND ONE 0.2 FTE DATA SPECIALIST. EBPS ARE UTILIZED WITH CAREFUL ATTENTION TO MODEL FIDELITY, WHILE EXERCISING APPROPRIATE FLEXIBILITY BASED ON PATIENT NEED AND CIRCUMSTANCE, INCLUDING THE USE OF EXISTING AAACHC CARE MANAGEMENT RESOURCES. AAACHC STAFF WILL UTILIZE THE FOLLOWING EBP MODELS OF CARE: INTEGRATED BEHAVIORAL HEALTHCARE (IBH) AT AAACHC RESULTS FROM A UNIFIED PRACTICE TEAM OF PRIMARY CARE AND BEHAVIORAL HEALTH CLINICIANS WORKING UNIFIED WITH PATIENTS AND FAMILIES TO PROVIDE PATIENT-CENTERED CARE. MOTIVATIONAL INTERVIEWING (MI) HELPS PATIENTS RESOLVE AMBIVALENCE, ENHANCE MOTIVATION, AND INCREASE COMMITMENT TO A SPECIFIC BEHAVIOR CHANGE. MI HAS SPECIFICALLY DEMONSTRATED EFFECTIVENESS IN THE AREAS OF ENGAGEMENT AND INCREASED PARTICIPATION IN SERVICES. MEDICATED-ASSISTED TREATMENT (MAT) IS THE USE OF MEDICATIONS (SUCH AS SUBOXONE), IN COMBINATION WITH COUNSELING AND BEHAVIORAL THERAPIES, TO PROVIDE A WHOLE-PATIENT APPROAC H TO THE TREATMENT OF MH AND SUD MALADIES, INCLUDING ADDRESSING OPIATE ABUSE. CENTRAL TO OUR PROGRAM DESIGN (PATIENT CENTERED, TEAM BASED) IS OUR DESIRE TO ACKNOWLEDGE AND ADDRESS SOCIAL DETERMINANT OF HEALTH (SDOH) AFFLICTING OUR SERVICE AREA AND TARGET POPULATION. WE WILL CONFRONT BARRIERS TO CARE AS WE EXECUTE OUR WORK PLAN AND COLLABORATE WITH NEARBY COMMUNITY HEALTH AND HUMAN SERVICE PROVIDERS TO PROVIDE COMPREHENSIVE CARE IN ADDRESS OF PATIENT SDOH. OUR FEDERAL FUNDING REQUEST FOR YEAR 1 IS $600,000, AND $500,000 FOR YEAR 2 NEEDED SERVICES INCLUDE CULTURALLY RELEVANT AND LANGUAGE APPROPRIATE (MULTI-LINGUAL) CARE; INCOME AND EDUCATION SENSITIVE HEALTHCARE (FQHC SLIDING FEE AND CARE MANAGEMENT); THE ADDRESS OF TRANSPORTATION BARRIERS (MOBILE SERVICE AND PUBLIC TRANSIT SUBSIDY); AND ADEQUATE, EXPANDED HUMAN RESOURCES (MH & SUD EXPERT STAFFING). THE STRATEGIES HAVE PROVEN EFFECTIVE, WANTING ONLY THE FINANCIAL RESOURCES TO EXPAND CARE AND CONTINUE TO ENHANCE ABILITY TO MEET EXISTING NEED. INCREASING THE NUMBER OF PERSONS RECEIVING BEHAVIORAL HEALTH CARE REQUIRES ADDITIONAL STAFF (AS PROPOSED, ONE 1.0 FTE ADVANCED PRACTICE PROVIDER NP OR PA, ONE 1.0 FTE LCSW, ONE 1.0 FTE PSYCH-MA, ONE 1.0 FTE PN/ECM, AND ONE 0.2 FTE DATA ANALYST), ADHERENCE TO GERMANE EBPS, AND A PLAN FOR SUSTAINABILITY. THE ABOVE DESCRIPTION OF THE PROPOSED, NEW AAACHC BHSE PROJECT INCLUDES BOTH FULLY-VETTED BEST PRACTICES FOR IMPROVING AND EXPANDING FULLY-INTEGRATED MH, SUD AND COD HEALTH CARE, AND ALSO INCLUDES BOTH HARD-SITE SERVICES AND FIELD SERVICES TO REACH A MOST VULNERABLE TARGET POPULATION (HOMELESS AND DISADVANTAGED PERSONS WITH NEED OF MH AND SUD CARE), DENIED IN SOME CASES BY STIGMA. THROUGH AN AGGRESSIVE WORK PLAN, AAACHC WILL SEEK TO GROW MH PATIENTS BY 447 AND SUD PATIENTS BY 51 PATIENTS IN YEAR 1, AND ANOTHER 377 MH PATIENTS AND 54 SUD PATIENTS IN YEAR 2. THIS EXPANSION WILL BE SUSTAINED LONG TERM BY BILLINGS AND ADDITIONAL, TBD GRANT FUNDING.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM