Hospice Inc

CARE AND SUPPORT TO IMPROVE PATIENT OUTCOMES

TO PROVIDE SUPPORT TO THE PALLIATIVE CARE PROGRAM FOR SOUTH AFRICA

VANA BATWANA

INCREASING PATIENT AND SYSTEM VALUE WITH COMMUNITY BASED PALLIATIVE CARE

THE PURPOSE OF THIS MODIFICATION IST O OBLIGATE $1 125 000 TO FULLY FUND THE INSTRUMENT FOR CONTINUED PERFORMANCE. TOTAL OBLIGATION TO DATE IS $3 00

PALLIATIVE CARE MEASURES PROJECT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ORGANIZATION NAME: REGIONAL HOSPICE AND HOME CARE OF WESTERN CONNECTICUT, INC. (“REGIONAL HOSPICE”) PROJECT TYPE: ALTERATION/RENOVATION OF AN EXISTING FACILITY PROJECT NAME: REGIONAL HOSPICE RENOVATION OF CENTER FOR COMFORT CARE & HEALING TOTAL CPF/CDS FUNDING REQUEST: $1,999,421 TOTAL PROJECT COST: $1,999,421 REGIONAL HOSPICE ORIGINALLY REQUESTED FEDERAL FUNDS TO REMODEL OUR 34,158 SQUARE-FOOT CENTER FOR COMFORT CARE & HEALING (“CENTER”) IN DANBURY, CONNECTICUT TO BUILD TWO PATIENT SUITES DEDICATED TO CARING FOR TERMINALLY ILL CHILDREN. HOWEVER, AFTER A THOROUGH EVALUATION OF OUR CAPITAL PLAN AND CRITICAL FEEDBACK FROM FAMILIES WHO TOLD US THAT THEY PREFER THEIR CHILDREN DIE AT HOME, WE HAVE DECIDED TO FOCUS ON EXPANDING OUR PEDIATRIC PROGRAM IN THE COMMUNITY RATHER THAN BUILD TWO PEDIATRIC SUITES AT THE CENTER. WE NOW PROPOSE TO USE FEDERAL FUNDS FOR ESSENTIAL RENOVATIONS TO THE CENTER WHICH WAS BUILT IN 2014 AND OPENED IN JANUARY 2015. THE CENTER IS A RESIDENTIAL HOSPICE CARE FACILITY DEDICATED TO PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO BABIES, CHILDREN AND ADULTS WITH LIFE-LIMITING ILLNESS, NEEDED RESPITE FOR CAREGIVERS, AND A SUPPORTIVE ENVIRONMENT FOR FAMILIES AND LOVED ONES FACING CHALLENGING LOSS. UNLIKE ANY OTHER FACILITY IN OUR REGION, THE CENTER HAS 12 PRIVATE SUITES THAT ACCOMMODATE FAMILIES OVERNIGHT AND PROVIDES 24/7 CARE IN A BEAUTIFUL, HOMELIKE ENVIRONMENT. OUR INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, HOSPICE AIDES, CHAPLAINS, BEREAVEMENT COUNSELORS, AND HOSPICE-TRAINED VOLUNTEERS SERVES APPROXIMATELY 200 PATIENTS EACH YEAR AT THE CENTER. ALTHOUGH PATIENTS AT THE CENTER ARE PRIMARILY RESIDENTS OF CONNECTICUT AND NEW YORK, THERE ARE NO GEOGRAPHIC LIMITATIONS TO ADMISSION. THE CENTER CONSISTS OF 12 INDIVIDUAL PATIENT SUITES WITH ADJOINING BATHROOMS, 2 NURSING STATIONS, A SPACIOUS FAMILY LIVING ROOM AND KITCHEN, A LARGE COMMERCIAL KITCHEN, A LIBRARY, STAFF OFFICES, CONFERENCE AND MEETIN G ROOMS, A 4,000 SQUARE-FOOT PERENNIAL GARDEN WITH A CHILDREN’S PLAYGROUND, AND A CHEF’S GARDEN. THE PROJECT (“PROJECT”) INCLUDES RENOVATIONS TO THE CENTER NECESSARY TO ENHANCE PHYSICAL SECURITY, UPGRADE TECHNOLOGY, IMPROVE ENERGY EFFICIENCY, REPLACE ITEMS THAT HAVE OUTLIVED THEIR USEFUL LIFESPANS, ENLARGE OUR NURSING STATIONS FOR GREATER PRODUCTIVITY AND REPAIR BROKEN EXTERIOR SPACES. AS THE BUILDING IS NOW 10 YEARS OLD, MUCH OF THE CONSTRUCTION IS NECESSARY TO MAINTAIN THE CENTER AS THE STATE-OF-THE-ART FACILITY AS ORIGINALLY BUILT AND TO CONTINUE TO PROVIDE PATIENTS WITH THE HIGHEST QUALITY END-OF-LIFE EXPERIENCE POSSIBLE. AS PART OF THE PROJECT, WE WILL BE PURCHASING CERTAIN MOVEABLE EQUIPMENT SUCH AS NEW LAPTOPS AND DOCKING STATIONS, NEW SERVERS AND OTHER TECHNOLOGY UPGRADES. THIS COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING (CPF/CDS) APPLICATION REQUESTS $1,999,421 TO COVER THE TOTAL COST OF THE RENOVATION.

PURPOSE: THE OVERALL PURPOSE OF THE OLDER ADULT HOME MODIFICATION PROGRAM (OAHMP) IS TO ASSIST EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES IN UNDERTAKING COMPREHENSIVE PROGRAMS THAT MAKE SAFETY AND FUNCTIONAL HOME MODIFICATIONS REPAIRS AND RENOVATIONS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS. THE GOAL OF THE HOME MODIFICATION PROGRAM IS TO ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND TO IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THIS WILL ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES, THAT IS, TO “AGE IN PLACE,” RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; ACTIVITIES TO BE PERFORMED: HUD’S OFFICE OF LEAD HAZARD CONTROL AND HEALTHY HOMES IS MAKING AVAILABLE GRANT FUNDS AND TRAINING RESOURCES TO NON-FEDERAL ENTITIES. UNDER THE OAHMP AWARD, EXPERIENCED NONPROFIT ORGANIZATIONS, STATE AND LOCAL GOVERNMENTS, AND PUBLIC HOUSING AUTHORITIES WILL DELIVER HOME MODIFICATION SERVICES TO QUALIFIED BENEFICIARIES. THE OAHMP MODEL FOCUSES ON LOW-COST, HIGH-IMPACT HOME MODIFICATIONS. EXAMPLES OF THESE HOME MODIFICATIONS INCLUDE INSTALLATION OF GRAB BARS, RAILINGS, AND LEVER-HANDLED DOORKNOBS AND FAUCETS, AS WELL AS THE INSTALLATION OF ADAPTIVE EQUIPMENT, SUCH AS TEMPORARY RAMP, TUB/SHOWER TRANSFER BENCH, HANDHELD SHOWER HEAD, RAISED TOILET SEAT, RISERS FOR CHAIRS AND SOFAS, AND NON-SLIP STRIPS FOR TUB/SHOWER OR STAIRS. THE OAHMP MODEL PRIMARILY RELIES ON THE EXPERTISE OF A LICENSED OCCUPATIONAL THERAPIST (OT) TO ENSURE THAT THE HOME MODIFICATION ADDRESSES THE CLIENT’S SPECIFIC GOALS AND NEEDS AND PROMOTES THEIR FULL PARTICIPATION IN DAILY LIFE ACTIVITIES. THE OT IS TRAINED TO EVALUATE CLIENTS’ FUNCTIONAL ABILITIES AND THE HOME ENVIRONMENT AND HAS KNOWLEDGE OF THE RANGE OF LOW-COST, HIGH-IMPACT ENVIRONMENTAL MODIFICATIONS AND ADAPTIVE EQUIPMENT USED TO OPTIMIZE THE HOME ENVIRONMENT AND INCREASE INDEPENDENCE. THE GRANTEES, WHICH ARE EXPERIENCED IN PROVIDING SERVICES TO SENIORS, WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES IN BOTH URBAN COMMUNITIES AND COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS.; EXPECTED OUTCOMES: PROVIDED THROUGH HUD’S OLDER ADULTS HOME MODIFICATION PROGRAM (OAHMP), THESE GRANTS ENABLE LOW-INCOME ELDERLY PERSONS TO REMAIN IN THEIR HOMES THROUGH LOW-COST, LOW BARRIER, HIGH IMPACT HOME MODIFICATIONS TO REDUCE OLDER ADULTS’ RISK OF FALLING, IMPROVE GENERAL SAFETY, INCREASE ACCESSIBILITY, AND IMPROVE THEIR FUNCTIONAL ABILITIES IN THEIR HOME. THESE INVESTMENTS WILL DELIVER HOME MODIFICATION SERVICES TO MORE THAN 1,900 SENIOR FAMILIES TO ENABLE OLDER ADULTS TO REMAIN IN THEIR HOMES – TO “AGE IN PLACE” – RATHER THAN MOVE TO NURSING HOMES OR OTHER ASSISTED CARE FACILITIES.; INTENDED BENEFICIARIES: THE OAHMP PROVIDE FUNDING TO EXPERIENCED NON-PROFITS, STATES, LOCAL GOVERNMENTS, AND PUBLIC HOUSING AGENCIES FOR SAFETY AND FUNCTIONAL HOME MODIFICATION REPAIRS TO MEET THE NEEDS OF LOW-INCOME ELDERLY HOMEOWNERS TO ENABLE THEM TO REMAIN IN THEIR RESIDENCES AT LEAST ONE HALF OF THE FUNDS SHALL BE AVAILABLE TO COMMUNITIES WITH SUBSTANTIAL RURAL POPULATIONS. INTENDED TO BENEFIT ELIGIBLE LOW-INCOME HOMEOWNERS WHO ARE AT LEAST 62 YEARS OLD FOR WORK IN THEIR PRIVATE PRIMARY RESIDENCE.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE CONNECTICUT HOSPICE, INC. (CT HOSPICE) WILL USE THE $1,940,000 IN FEDERAL FUNDS PROVIDED THROUGH CPF/CDS FOR CRITICAL INFRASTRUCTURE IMPROVEMENTS TO SUPPORT EMERGENCY OPERATIONS AT CT HOSPICE. THE CT HOSPICE FACILITY IS LOCATED AT 100 DOUBLE BEACH ROAD IN BRANFORD, CT. THE PROJECT DIRECTOR IS KAMILA BRETTMAN, CT HOSPICE CONTROLLER. KBRETTMAN@HOSPICE.COM. TELEPHONE: 203-315-7532. FAX 203-315-7609. THE CT HOSPICE WEBSITE IS WWW.HOSPICE.COM THE CT HOSPICE SERVES ALL RESIDENTS OF THE STATE OF CONNECTICUT AS WELL AS PATIENTS FROM OTHER STATES WHO COME TO THE BRANFORD INPATIENT HOSPITAL FACILITY FOR END-OF-LIFE CARE. IN 1974 CT HOSPICE INC., A 501(C)(3) NOT FOR PROFIT, FOUNDED AMERICA’S HOSPICE MOVEMENT. THE CT HOSPICE CONTINUES TO SET THE NATIONAL STANDARD FOR HOME AND INPATIENT HOSPICE CARE AND HAS BECOME A LEADER IN PALLIATIVE CARE. THE CT HOSPICE COMPREHENSIVE APPROACH TO THE CARE OF PEOPLE WITH ADVANCED ILLNESSES HELPS ENSURE THE PHYSICAL AND EMOTIONAL WELL-BEING OF THOSE WE SERVE. THE CT HOSPICE CARE PROVIDED IN PATIENT HOMES OR AT THE BRANFORD INPATIENT FACILITY IS A MEDICALLY DIRECTED, NURSE-COORDINATED, INTERDISCIPLINARY TEAM APPROACH THAT CONTINUES TO PROVIDE SUPPORT THROUGH BEREAVEMENT. THE CT HOSPICE “TEAM” APPROACH RELIES ON PHYSICIANS, NURSES, PHARMACISTS, SOCIAL WORKERS, CLERGY, ARTISTS, AND TRAINED VOLUNTEERS TO ACTIVELY ASSIST EACH PATIENT AND FAMILY TO NAVIGATE THE MYRIAD OF CHALLENGES SURROUNDING IRREVERSIBLE ILLNESS. ANYONE WITH A TERMINAL ILLNESS (I.E., AN ILLNESS THAT CANNOT BE CURED BY MEDICAL INTERVENTION) IS ELIGIBLE TO RECEIVE HOSPICE CARE. FLEXIBLE PLANS OF CARE ENABLE PATIENTS TO MOVE BACK AND FORTH BETWEEN HOME-BASED AND IN-PATIENT SERVICES. CT HOSPICE PROVIDES APPROPRIATE MEDICAL, NURSING, AND ALTERNATIVE INTERVENTIONS TO DECREASE SYMPTOMS AND DISCOMFORT. THE FACILITY IS LEASED FROM THE JOHN D. THOMPSON HOSPICE INSTITUTE FOR EDUCATION, TRAINING AND RESEARCH. THE CT HOSPICE RELOCATED IN 2000 TO A BUILDING FORMERLY OCCUPIED BY THE ECHLIN CORPORATION FOR TWENTY YEARS. RENOVATIONS AT THAT TIME DID NOT UPGRADE ESSENTIAL BUILDING INFRASTRUCTURE THAT HAS SINCE BECOME CRITICAL TO OPERATIONS OF THE CT HOSPICE INPATIENT FACILITY, HOME CARE HEADQUARTERS AND ADMINISTRATIVE OFFICES. THE PLANNED IMPROVEMENTS WILL BE EXCEPTIONALLY IMPORTANT DURING EMERGENCIES RESULTING FROM NATURAL DISASTER SO THAT CT HOSPICE CAN CONTINUE TO DELIVER PATIENT CARE FROM ITS HOME CARE HEADQUARTERS AND DOES NOT HAVE TO RELOCATE PATIENTS FROM ITS BRANFORD INPATIENT HOSPITAL. DUE TO ITS LOCATION DIRECTLY ON THE SHORE OF LONG ISLAND SOUND, CT HOSPICE'S INPATIENT FACILITY HAS SUSTAINED DAMAGE OVER TIME FROM SALT WATER AND STORM DAMAGE THAT, COMBINED WITH THE PASSAGE OF TIME, REQUIRES THE AGING BUILDING INFRASTRUCTURE TO BE REFURBISHED. THE SAFE OPERATION OF THE CT HOSPICE REQUIRES THAT EMERGENCY GENERATOR UPGRADES BE COMPLETED, AND TRANSFER SWITCHES BE INSTALLED. UNDERGROUND FUEL TANKS THAT SUPPLY THE EMERGENCY GENERATOR HAVE REACHED THE END OF THEIR USEFUL LIFE AND MUST BE REMOVED/REPLACED TO ELIMINATE ENVIRONMENTAL DANGERS. WINDOW REPLACEMENT/REGLAZING OF WINDOWS IS NECESSARY TO SECURE THE BUILDING ENVELOPE. BUILDING SECURITY ENHANCEMENTS AND MODERNIZATION OF VIDEO SURVEILLANCE EQUIPMENT TO HEIGHTEN SECURITY OF THE PREMISES. HVAC UPGRADES INCLUDING COOLING TOWER REPLACEMENT ARE INTEGRAL TO MAINTAINING THE SAFETY AND COMFORT OF PATIENTS, VISITORS, AND STAFF. THESE PROJECTS REQUIRE THE INSTALLATION OF PERMANENTLY AFFIXED EQUIPMENT; MODIFICATIONS AND/OR REPAIRS TO THE BUILDING EXTERIOR (INCLUDING WINDOWS); HEATING, VENTILATION, AND AIR-CONDITIONING (HVAC) MODIFICATIONS, INCLUDING THE INSTALLATION OF CLIMATE CONTROL MECHANISMS; ELECTRICAL UPGRADES AND/OR PLUMBING WORK.

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE NONPROFIT HOSPICE OF HILO DBA HAWAI`I CARE CHOICES CELEBRATES 40 YEARS OF SERVING THE EAST HAWAI`I REGION THROUGH OUR MISSION OF IMPROVING THE LIVES OF THOSE WE TOUCH THROUGH COMPASSIONATE CARE OF MIND, BODY AND SPIRIT. IN 2010 WE BUILT A 14,130SQUARE FOOT MEDICARE CERTIFIED HOSPICE INPATIENT FACILITY ON 3.5 ACRES OF STATE DLNR LAND WITH A 65-YEAR LEASE. THE BUILDING IS A CUSTOM-DESIGNED HEALTH CARE FACILITY MEETING ALL OF THE STATE AND FEDERAL LIFE SAFETY CODES INTENDED FOR POST-ACUTE CARE. THERE ARE 12PRIVATE PATIENT SUITES WITH ADA BATHROOMS AND PRIVATE LANAI/GARDEN PATIOS. APPROXIMATELY 30% OF THE BUILDING IS COMMUNAL AREA DESIGNED AS A HOME-LIKE ATMOSPHERE AND INCLUDES A DINING ROOM, A FULL-SERVICE CERTIFIED KITCHEN AND LAUNDRY, A FAMILY GATHERING ROOM WITH A REFRESHMENT STATION, A KEIKI (CHILDREN) ROOM, A SPA, A MEDIATION CHAPEL, AS WELL AS STAFF AREAS. IN DESIGNING THE BUILDING, A CENTRAL AIR CONDITIONING SYSTEM WAS INSTALLED THAT HAS PROVEN TO BE COSTLY TO MAINTAIN AND SUSTAIN. TOWARDS THAT END, AND WITH DECREASED UTILIZATION, THERE WAS A DECISION TO PAUSE PATIENT CARE IN THE BUILDING IN NOVEMBER OF 2022. WE ARE NOW LOOKING AT RE-IMAGINING THE UNMET NEED IN OUR EAST HAWAI`I COMMUNITY OF ELDER CARE, WITH A FOCUS ON INDIVIDUALS LIVING WITH DEMENTIA/ALZHEIMERS, AS WELL AS THOSE WITH SERIOUS OR TERMINAL ILLNESS. TO MAKE THAT A REALITY, THE ORIGINAL AC CHILLER SYSTEM NEEDS TO BE REPLACED WITH A MORE SUSTAINABLE COST-EFFECTIVE SPLIT-LEVEL AIR CONDITIONING SYSTEM. AS A COMMUNITY-BASED NONPROFIT WITH NARROW PROFITABILITY MARGINS, THE FUNDS REQUIRED FOR A PROJECT OF THIS NATURE ARE NOT READILY AVAILABLE TO US. IT IS OUR DESIRE TO PUT THE BUILDING TO USE AS SOON AS POSSIBLE BECAUSE IT IS A VALUABLE COMMUNITY ASSET FOR OUR ISLAND AND POSSIBLY THE ENTIRE STATE.

DAPPPER DADS -- DADS AS PARENTS, PARTNERS AND PROVIDERS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - THIS PROJECT WILL SUPPORT VNA HOME HEALTH & HOSPICE DBA NORTHERN LIGHT HOME CARE & HOSPICE (HCH) TO ACQUIRE A MINIMUM OF 428 REMOTE PATIENT MONITORING UNITS VIA A THREE-YEAR LEASE. THIS PROJECT IS STATEWIDE AND WILL SUPPORT VULNERABLE INDIVIDUALS THROUGHOUT ALL OF MAINE’S 16 COUNTIES (ANDROSCOGGIN, AROOSTOOK, CUMBERLAND, FRANKLIN, HANCOCK, KENNEBEC, KNOX, LINCOLN, PENOBSCOT, PISCATAQUIS, OXFORD, SAGADAHOC, SOMERSET, WALDO, WASHINGTON, AND YORK). ELIGIBLE MAINE RESIDENTS FOR WHOM HOME CARE OR HOSPICE SERVICES ARE APPROPRIATE WILL HAVE ACCESS TO RECEIVE IN-HOME SYNCHRONOUS VIDEO/AUDIO TELEHEALTH CONSULTATION PAIRED WITH PATIENT VITALS MONITORING. THIS PROJECT INCREASES HEALTH CARE ACCESS, IMPROVES HEALTH OUTCOMES, AND LOWERS COSTS FOR MAINE RESIDENTS. CONCURRENTLY, IN-HOME TELEHEALTH SERVICES CAN BETTER ALIGN MAINE’S SCARCE HEALTH CARE RESOURCES WITH THE SPECIFIC PHYSICAL AND MENTAL HEALTH NEEDS OF PATIENTS RECEIVING HOME HEALTH OR HOSPICE CARE, AND INDIVIDUALS OTHERWISE LIMITED IN THEIR ABILITY TO ACCESS TRADITIONAL CARE SETTINGS. TECHNOLOGIES ALLOWING HOME CARE AND HOSPICE PROVIDERS TO SEE AND SPEAK TO PATIENTS AND THEIR FAMILY MEMBERS IN A LIVE AND SYNCHRONOUS WAY IS VITAL IN MAINE. MAINE COMMUNITIES FACE DISPROPORTIONATELY HIGH LEVELS OF CHRONIC ILLNESS AND ADVERSE MENTAL HEALTH CONDITIONS. MAINE ALSO REMAINS ONE OF THE STATES WITH THE OLDEST POPULATION IN THE U.S. AND ITS CITIZENS LIVE IN SOME OF THE NATION’S MOST RURAL COUNTIES WITH CHALLENGING GEOGRAPHY AND CLIMATE, AND LITTLE TO NO PUBLIC TRANSPORTATION INFRASTRUCTURE. COMPOUNDING THESE BARRIERS, MAINE IS EXPERIENCING CRIPPLING RURAL WORKFORCE SHORTAGES LIMITING THE NUMBER OF QUALIFIED STAFF ABLE TO CARE FOR PATIENTS. THIS INTENSIFIES THE NEED FOR TELEHEALTH SERVICES AS FEWER PROVIDERS ARE AVAILABLE TO CARE FOR MORE PATIENTS. IN ADDITION TO IN-HOME ACCESS TO SYNCHRONOUS VIDEO TELEHEALTH CONSULTATION AND PATIENT VITALS MONITORING, THESE TOOLS WILL ALSO BE USED IN THE PROVISION OF S YNCHRONOUS IN-HOME HOSPICE SERVICES WHICH INCLUDE MENTAL HEALTH SUPPORTS SUCH AS SUCH SCREENING, SOCIAL WORK, GRIEF SUPPORT, AND SPIRITUAL SUPPORT. CAREGIVERS AND FAMILY MEMBERS CAN USE THESE TOOLS TO ACCESS PROVIDERS FOR GRIEF SUPPORT, UNDERSTANDING THEIR LOVED ONES’ CONDITION AND SUPPORTING ADHERENCE TO TREATMENT PLANS, AND SPIRITUAL COUNSELING. THE TARGET POPULATION OF THIS INITIATIVE ARE INDIVIDUALS WHO MEET MEDICARE GUIDELINES FOR HOMEBOUND STATUS, PEOPLE WHO ARE CONSIDERED NON-TRADITIONAL HOME CARE PATIENTS AND WHO WILL BENEFIT FROM MORE INTENSIVE MONITORING AND INTERACTION, PATIENTS WHO NEED HOME HEALTH CARE FOR PALLIATIVE, CHRONIC, OR ACUTE CONDITIONS, AND/OR PATIENTS AT RISK FOR RE-HOSPITALIZATION DUE TO DISEASE SPECIFICATIONS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - HOSPICE OF MICHIGAN’S CAREGIVER SUPPORT CENTER IS A GROUNDBREAKING INITIATIVE DESIGNED TO PROVIDE INVALUABLE ASSISTANCE TO FAMILIES NAVIGATING THE COMPLEXITIES OF CAREGIVING, PARTICULARLY IN A HOME SETTING. CAREGIVING OFTEN PRESENTS A UNIQUE SET OF CHALLENGES, LEAVING FAMILY MEMBERS FEELING OVERWHELMED AND UNCERTAIN ABOUT HOW TO BEST CARE FOR THEIR LOVED ONES. RECOGNIZING THIS, HOSPICE OF MICHIGAN HAS ESTABLISHED THE CAREGIVER SUPPORT CENTER AS A HUB OF SUPPORT AND GUIDANCE, AVAILABLE 24/7 TO ADDRESS THE NEEDS OF BOTH PATIENTS AND CAREGIVERS ALIKE. AT THE HEART OF THE CAREGIVER SUPPORT CENTER IS THE NORTHSTAR TRIAGE SERVICE, STAFFED BY HOSPICE-TRAINED REGISTERED NURSES WHO ARE ADEPT AT QUICKLY AND SKILLFULLY ASSESSING PATIENTS' NEEDS AND PROVIDING GUIDANCE TO CAREGIVERS. THIS TELEPHONIC RESOURCE OFFERS A LIFELINE FOR CAREGIVERS, ALLOWING THEM TO SEEK ASSISTANCE AND ALLEVIATE ANXIETIES WHENEVER THE NEED ARISES. ADDITIONALLY, THE VIRTUAL CARE TEAM, ACCESSIBLE THROUGH THE NORTHSTAR LINC CUSTOM APP, PROVIDES ROUND-THE-CLOCK ACCESS TO A TEAM OF HOSPICE-TRAINED NURSES VIA CHAT, VIDEO CONFERENCE, OR CALL-BACK. THIS VIRTUAL SUPPORT ENSURES THAT CAREGIVERS HAVE ACCESS TO EXPERT ADVICE AND GUIDANCE, REGARDLESS OF THE TIME OR THEIR LOCATION. FURTHERMORE, THE INCLUSION OF SIMULATION AND SKILLS LABS OFFERS A UNIQUE OPPORTUNITY FOR CAREGIVERS TO ENHANCE THEIR CAREGIVING ABILITIES THROUGH REAL-TIME SKILLS TRAINING AND EDUCATIONAL TOOLS. THIS INNOVATIVE COMPONENT EQUIPS CAREGIVERS WITH THE KNOWLEDGE AND CONFIDENCE THEY NEED TO PROVIDE THE BEST POSSIBLE CARE TO THEIR LOVED ONES. OVERALL, THE CAREGIVER SUPPORT CENTER IS A TESTAMENT TO HOSPICE OF MICHIGAN'S COMMITMENT TO SUPPORTING FAMILIES THROUGH EVERY STEP OF THE CAREGIVING JOURNEY. BY ADDRESSING THE PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL STRESSES OF CAREGIVING, THE CENTER SERVES AS A VITAL RESOURCE FOR FAMILIES, HEALTHCARE PROVIDERS, AND THE HEALTHCARE SYSTEM AS A WHOLE.

LOWER CAPE FEAR LIFECARE WILL EXPAND AND SUSTAIN OUR MEMORY PARTNERS PROGRAM TO ADDRESS MICRO AND MACRO-LEVEL MANAGEMENT OF ALZHEIMER?S DISEASE AND RELATED DEMENTIAS.

BLUEGRASS CARE NAVIGATORS PROGRAM FOR PERSONS LIVING WITH ADRD AND THEIR CAREGIVERS

THE SUPPORTIVE CARE FOR DEMENTIA (SCD) PROJECT WILL EXPAND HOSPICE OF THE VALLEY'S EXISTING DEMENTIA-CAPABLE SYSTEM SERVING PERSONS LIVING WITH ADRD AND THEIR CAREGIVERS IN CENTRAL ARIZONA.

EXPANDING DEMENTIA-CAPABLE HOME AND COMMUNITY-BASED SERVICES AND EDUCATION IN CENTRAL ARIZONA

PALLIATIVE CARE CURRICULUM FOR MEDICAL RESIDENTS

PROMOTING RESPONSIBLE FATHERHOOD

HEALTH CARE AND OTHER FACILITIES

TELEMEDICINE GRANT

HOSPICE OUTREACH AND EDUCATION PROJECT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - BLUE RIDGE INDEPENDENCE AT HOME WILL PROVIDE PARTICIPANTS ENROLLED IN OUR PACE PROGRAM WITH ALL MEDICAL AND SUPPORTIVE SERVICES ACROSS THE ENTIRE CONTINUUM OF CARE WITH THE GOAL OF MAINTAINING THEIR INDEPENDENCE IN THEIR HOME AND THE COMMUNITY FOR AS LONG AS POSSIBLE. PARTICIPANTS WILL RECEIVE HOME HEALTH AND PERSONAL CARE, ALL NECESSARY PRESCRIPTION DRUGS, SOCIAL SERVICES, HOSPITAL AND NURSING HOME CARE WHEN NECESSARY, AND MEDICAL SPECIALTY CARE SUCH AS AUDIOLOGY, DENTISTRY, OPTOMETRY, PODIATRY, AND SPEECH THERAPY. OUR PACE PROGRAM WILL ALSO PROVIDE ADULT DAY CARE OFFERING PHYSICAL, OCCUPATIONAL, AND RECREATIONAL THERAPIES, MEALS, NUTRITION COUNSELING, SOCIAL WORK, AND PERSONAL CARE, AS WELL AS SAFE, DOOR-TO-DOOR TRANSPORTATION TO AND FROM OUR PACE CENTER. THE STATE-OF-THE-ART FACILITY INCLUDES STIMULATING DAILY LIVING COMMON AREAS DESIGNED TO ENCOURAGE SOCIALIZATION, A FULLY-EQUIPPED REHABILITATION FACILITY, AN INDUSTRIAL KITCHEN, A PERSONAL CARE FACILITY, AND A COMPLETE MEDICAL CLINIC FEATURING A TRIAGE AREA, OBSERVATION ROOM, AND 5 EXAM ROOMS — ALL FULLY EQUIPPED AND STAFFED TO ACCOMMODATE PARTICIPANTS' NEEDS.

RURAL PACE PROVIDER GRANT PROGRAM

EDI SPECIAL PROJECTS

LIMITED COMPETITION FOR AFFORDABLE CARE ACT CONSUMER ASSISTANCE PROGRAM GRANTS- EXPANDED MAINE CAP

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE GRANT REQUEST IS FOR A CONSTRUCTION PROJECT TO IMPROVE VARIOUS ASSETS WITHIN THE HUBBARD HOSPICE HOUSE. THE FACILITY IS LOCATED AT 1001 CURTIS PRICE WAY, CHARLESTON, WV 25311 AND HAS BEEN IN OPERATION, SERVING HOSPICE PATIENTS THROUGHOUT SOUTHERN WEST VIRGINIA FOR OVER 20 YEARS. THE BUILDING IS ROUGHLY 35,000 SQUARE FEET AND OFFERS 24 HOSPICE BEDS. HUBBARD HOSPICE HOUSE IS OWNED BY KANAWHA HOSPICE CARE, INC., A NOT FOR PROFIT, 501(C)(3) HEADQUARTERED IN CHARLESTON, WEST VIRGINIA. KANAWHA HOSPICE CARE, INC. WAS FOUNDED IN 1981 TO PROVIDE HOSPICE AND PALLIATIVE CARE SERVICES THROUGHOUT SOUTHERN WEST VIRGINIA. THE CONSTRUCTION PROJECTS REQUESTED ARE A NEW ROOF, NEW HVAC SYSTEM AND A PARKING LOT REFURBISHMENT. THE NEW ROOF WILL COST APPROXIMATELY $153,700 INCLUDING LABOR AND MATERIALS. THE NEW HVAC SYSTEM WILL COST APPROXIMATELY $199,360 INCLUDING LABOR AND MATERIALS. THE PARKING LOT REFURBISHMENT WILL COST APPROXIMATELY $127,800 INCLUDING LABOR AND MATERIALS. THESE ASSETS HAVE NOT BEEN REFURBISHED OR REPLACED SINCE THE FACILITY OPENED. IT IS CRITICAL WE ARE ABLE TO COMPLETE THESE UPGRADES IN A TIMELY MANNER SO THAT WE MAY CONTINUE SERVICE HOSPICE PATIENTS THROUGHOUT OUR 16-COUNTY SERVICE TERRITORY IN WEST VIRGINIA. KANAWHA HOSPICE CARE, INC. SERVES OVER 3,000 PATIENTS AND FAMILIES A YEAR WITH HOSPICE SERVICES. OUR HOSPICE SERVICES ARE OFFERED TO ALL INDIVIDUALS WITHIN OUR SERVICE TERRITORY REGARDS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, OR AGE. KANAWHA HOSPICE CARE, INC. IS WEST VIRGINIA’S OLDEST HOSPICE AND IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS.

HEALTH CARE AND OTHER FACILITIES

IMPROVING END OF LIFE CARE THROUGH TECHNOLOGY

HEALTH CARE AND OTHER FACILITIES

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

HOMELESS ASSISTANCE

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

DLT OPIOID GRANTS

A DEMONSTRATION PROJECT: ASSESSING THE SIGNIFICANCE AND IMPACT OF UTILIZING A NOVEL TELEMEDICINE APPLICATION IN THE DELIVERY OF COMMUNITY BASED PALLIATIVE CARE IN A RURAL SERIOUSLY ILL POPULATION.

HEALTH CARE AND OTHER FACILITIES

AFFORDABLE CARE ACT ? CONSUMER ASSISTANCE PROGRAM GRANTS

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - THE HOME HEALTH & HOSPICE NURSE NAVIGATOR PROGRAM SEEKS TO TRANSFORM RURAL HEALTHCARE IN GRAFTON AND COOS COUNTIES BY ENSURING THAT PATIENTS AT RISK FOR HOSPITAL READMISSION RECEIVE TIMELY HOME VISITS FROM HOME HEALTH, PALLIATIVE, OR HOSPICE CARE NURSES. THE PROGRAM AIMS TO ALIGN PATIENTS WITH THE APPROPRIATE CARE PROGRAMS, ENHANCING CARE QUALITY AND REDUCING READMISSION RATES. ADDITIONALLY, IT WILL EDUCATE MEDICAL PROVIDERS IN LOCAL HOSPITALS, NURSING HOMES, AND CARE FACILITIES ON THE IMPORTANCE OF PALLIATIVE AND END-OF-LIFE CARE DISCUSSIONS. THIS EDUCATION WILL EQUIP PROVIDERS WITH THE KNOWLEDGE AND TOOLS NEEDED TO CONDUCT THESE ESSENTIAL CONVERSATIONS, ADDRESSING A CRITICAL GAP IN PATIENT CARE AND EDUCATION IN RURAL AREAS WITH LIMITED MEDICAL ACCESS.

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

DESIGNATED HEALTH PROJECTS

AMERICAN ACADEMY OF CANCER EDUCATION ANNUAL MEETINGS - 2006, 2007, 2008

TELEMEDICINE GRANT

LIMITED COMPETITION FOR AFFORDABLE CARE ACT CONSUMER ASSISTANCE PROGRAM GRANTS

HEALTH CARE AND OTHER FACILITIES

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

DRUG FREE COMMUNITIES SUPPORT PROGRAM

CENTER FOR COMPASSIONATE CARE/CAREGIVER TRAINING

TELEMEDICINE GRANT

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

PEDIATRIC MENTAL HEALTH SERVICES IN HOSPICE, INCLUDING MENTAL HEALTH PROFESSIONALS IN THE PEDIATRIC HOSPICE PROGRAM AND SUPPORTING A CHILDREN’S GRIEF SUPPORT CAMP, CAMP BRAVEHEART - HOPEHEALTH HOSPICE & PALLIATIVE CARE REQUESTS SUPPORT FOR MENTAL HEALTH COUNSELING AND SERVICES TO ADDRESS THE UNIQUE NEEDS OF CHILDREN AND THEIR FAMILIES SERVED BY HOPEHEALTH’S PEDIATRIC SUPPORTIVE SERVICES PROGRAM, A HOSPICE PROGRAM FOR CHILDREN IN RHODE ISLAND AND SOUTHEASTERN MASSACHUSETTS WHO HAVE A TERMINAL ILLNESS, AND FOR CHILDREN WHO HAVE LOST A LOVED ONE. HOPEHEALTH PEDIATRIC SUPPORTIVE SERVICES OFFERS MENTAL HEALTH CARE THROUGH SOCIAL WORKERS, CHAPLAINS AND PROFESSIONAL GRIEF COUNSELORS FOR CHILDREN AND ADULTS, AND HOPEHEALTH OFFERS COMPREHENSIVE GRIEF COUNSELING SERVICES IN ENGLISH, SPANISH AND PORTUGUESE, INCLUDING A CHILDREN’S GRIEF CAMP, CAMP BRAVEHEART. PROPOSED SERVICES INCLUDE: • HOME VISITS BY A CONSISTENT TEAM OF SOCIAL WORKERS, CHAPLAINS AND GRIEF COUNSELORS TO SUPPORT THE WHOLE FAMILY THROUGH THE COURSE OF A CHILD’S ILLNESS; • SOCIAL-EMOTIONAL AND SPIRITUAL SUPPORT FOR PATIENTS, SIBLINGS, PARENTS OR GUARDIANS, INCLUDING PET THERAPY. • INDIVIDUALIZED AND AGE-APPROPRIATE ONE-ON-ONE GRIEF SUPPORT COUNSELING FOR FAMILIES FOR UP TO 13 MONTHS FOLLOWING THE LOSS OF A CHILD; • GRIEF SUPPORT GROUPS TAILORED TO THE NEEDS OF DIFFERENT FAMILY MEMBERS FOR AS LONG AS NEEDED, INCLUDING LOSS OF A YOUNG CHILD AND GRIEF SUPPORT GROUPS FOR CHILDREN AND TEENS. • CHILDREN’S GRIEF CAMP, CAMP BRAVEHEART, OFFERED FREE FOR KIDS 4-17 WHO HAVE EXPERIENCED A LOSS.

COMMUNITY FACILITY GRANTS

THIS GRANT WILL FUND WEEKLY SUPPORT GROUPS AS WELL AS HOME BASED CARE SERVICES TO 250 PEOPLE.

THIS GRANT WILL FUND ADHERENCE CLUBS TO 270 PLHIV AND TARGETED PREVENTION CALLED YAZI YOUTH IN THE KNOW PROGRAM TO 540 PEOPLE OVER A 12 MONTH PERIOD.

AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE STATE OF THE SCIENCE IN HOSPICE AND PALLIATIVE CARE RESEARCH SYMPOSIUM - PROJECT SUMMARY IN RESPONSE TO THE GROWING NUMBER OF PEOPLE LIVING WITH SERIOUS AND LIFE THREATENING ILLNESS, AND THE NEED TO ENHANCE THE EVIDENCE BASE TO IMPROVE CLINICAL CARE, THE AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE (AAHPM) IS CONVENING THE THIRD STATE OF THE SCIENCE (SOTS) IN HOSPICE AND PALLIATIVE CARE RESEARCH SYMPOSIUM ON MARCH 2-3, 2026 IN SAN DIEGO, CA. HIGH QUALITY CLINICAL PRACTICE, SUPPORTED BY SCIENCE, FOR PEOPLE LIVING WITH SERIOUS ILLNESS (SI) ACROSS THE LIFESPAN, ESPECIALLY THE RISING NUMBER OF OLDER ADULTS, IS CRITICAL. THE NUMBER OF AMERICANS LIVING WITH SI IS INCREASING, INCLUDING THOSE WITH A COMBINATION OF FRAILTY, PROGRESSIVE PHYSICAL AND/OR COGNITIVE DISABILITIES, MULTIPLE CHRONIC ILLNESSES, FUNCTIONAL LIMITATIONS,1 CANCER, AND CHILDREN WITH ILLNESSES THAT BENEFIT FROM PALLIATIVE CARE. THE FIELD OF PALLIATIVE CARE IS UNIQUELY POSITIONED TO ADDRESS THE NEEDS AND IMPROVE CARE FOR ALL PEOPLE LIVING WITH SI. ROBUST RESEARCH AND EXPERTLY TRAINED SCIENTISTS ARE NEEDED TO ADDRESS CRITICAL KNOWLEDGE GAPS, WHICH INCLUDE BEST PRACTICES IN PROMOTING ACCESS, CAREGIVING, AND RESEARCH METHODOLOGY.2 THE SOTS RESEARCH SYMPOSIUM SEEKS TO ADDRESS THE TRANS- NIH GOAL TO SUPPORT PALLIATIVE CARE SCIENCE ACROSS THE LIFESPAN3 BY BRINGING TOGETHER PALLIATIVE CARE SCIENTISTS FROM MULTIPLE DISCIPLINES REPRESENTING MEDICINE, NURSING, SOCIAL WORK, PHARMACY, CHAPLAINCY, REHABILITATION THERAPY, PSYCHOLOGY, HEALTH SCIENCES, AND OTHERS TO FACILITATE RESEARCH DISSEMINATION, MENTORSHIP, CAREER DEVELOPMENT, AND RESEARCH COLLABORATION TO INFORM AND ADDRESS ISSUES RELATED TO PROGRESSION AND PROGNOSIS OF DISEASE AND DISABILITY. TARGET AUDIENCE INCLUDES INTERDISCIPLINARY RESEARCHERS ACROSS CAREER STAGES. THE SOTS PLANNING COMMITTEE, MADE UP OF VOLUNTEERS WHO ARE CONSIDERED EXPERTS IN THEIR FIELD, PROVIDE OVERSIGHT OF THE PLANNING AND IMPLANTATION AND ENSURE SCIENTIFIC RIGOR, AND WILL PREPARE A PEER-REVIEWED REPORT SUMMARIZING PRESENTATIONS AND PANEL DISCUSSIONS AT THE RESEARCH SYMPOSIUM. THE REPORT WILL EXAMINE SCIENTIFIC CONTENT AND METHODS, HIGHLIGHT RESEARCH GAPS, PROVIDE RECOMMENDATIONS FOR FUTURE RESEARCH, AND INFORM 2027 SOTS PLANNING. THE SOTS WILL BE IMMEDIATELY FOLLOWED BY AAHPM'S ANNUAL ASSEMBLY OF HOSPICE AND PALLIATIVE CARE, CO-HOSTED BY THE HOSPICE AND PALLIATIVE NURSES ASSOCIATION. THIS STRATEGIC SCHEDULING MAKES IT EASIER FOR RESEARCHERS AND PRACTITIONERS TO ATTEND BOTH EVENTS, REDUCING COSTS AND TRAVEL TIME.

THIS GRANT WILL SUPPORT THE IMPLEMENTATION OF HIV-RELATED HOME SERVICES, ADHERENCE CLUBS AND HIV TESTING.

THIS GRANT WILL FUND PROVISION OF SUPPORT GROUP SERVICES TO 160 PEOPLE OVER 12 MONTHS.

THIS GRANT WILL FUND HIV RELATED HOME SERVICES TO 240 PEOPLE LIVING WITH HIV (PLHIV) AND HIV POSITIVE CHILDREN OVER 12 MONTHS.

TELEMEDICINE GRANT

THIS GRANT WILL FUND HOME BASED CARE TO 270 PLHIV AND OVCY OVER A PERIOD OF ONE YEAR.

THIS GRANT FUND SUPPORT GROUPS, IACT ADHERENCE CLUBS AND TWO DISCLOSURE AND LEADERSHIP CAMPS FOR YOUTH.

THIS GRANT WILL FUND THE PROVISION OF HOME BASED CARE FOR 250 PEOPLE BY PROVIDING FACILITATION COSTS FOR THE CARE TEAM.

THIS GRANT WILL FUND SUPPORT GROUPS, ADHERENCE CLUBS AND HOME BASED CARE.

TO CONDUCT 12 BI-WEEKLY I-ACT ADHERENCE CLUBS FOR HIV POSITIVE ADULTS, HIV POSITIVE CHILDREN AND YOUTH, WITH 30 PEOPLE ATTENDING EACH ADHERENCE CLUB 12 MONTHS, TO TOTALLY REACH 360 PEOPLE.

THIS GRANT WILL FUND THE IMPLEMENTATION OF HIV-RELATED HOME SERVICES FOR HIV POSITIVE ADULTS, HIV POSITIVE CHILDREN AND ORPHAN AND VULNERABLE CHILDREN.

THIS GRANT WILL FUND HIV TESTING FOR 8000 BENEFICIARIES

THIS GRANT WILL FUND HIV-RELATED HOME-BASED CARE SERVICES TO PLHIV AND HIV POSITIVE CHILDREN, OVER 12 MONTHS.

THIS GRANT WILL FUND THE PROVISION OF COUNSELING SERVICES, CLINICAL SERVICES, ADHERENCE CLUBS AND YAZI 'YOUTH IN THE KNOW' WORKSHOPS OVER 12 MONTHS.

THIS GRANT WILL FUND THE PROVISION OF HOME BASED CARE SERVICES TO 375 PEOPLE OVER 12 MONTHS.

THIS GRANT WILL PROVIDE HOME BASED CARE SERVICES TO CATEGORY TWO AND THREE PLHIV ADULTS AND CHILDREN.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - HOPEHEALTH HOSPICE & PALLIATIVE CARE RESPECTFULLY REQUESTS SUPPORT FOR 1) FURNISHINGS, MEDIA, TOYS AND BOOKS FOR THE CHILDREN’S PLAYROOM IN THE HOPEHEALTH HULITAR HOSPICE CENTER, THE ONLY FREESTANDING INPATIENT HOSPICE CENTER IN THE REGION, 2) PEDIATRIC EQUIPMENT AND MATERIALS FOR PEDIATRIC SUPPORTIVE SERVICES, A SPECIAL HOSPICE SERVICE FOR OUR YOUNGEST PATIENTS—FROM INFANCY TO AGE 21—AND THEIR FAMILIES, AND 3) DURABLE SUPPLIES FOR CAMP BRAVEHEART, A CHILDREN’S GRIEF CAMP FOR KIDS 4-17 WHO HAVE LOST A LOVED ONE.

THIS GRANT WILL FUND ADHERENCE SUPPORT GROUPS IN THREE LOCATIONS, A RENOVATED CONTAINER AND EQUIPMENT FOR PROGRAM IMPLEMENTATION, OVC GROUP WORKSHOPS

THIS GRANT WILL FUND HOME BASED CARE, AS WELL AS DAILY COMMUNITY AND FACILITY BASED HIV TESTING AND COUNSELING.

THIS GRANT WILL FUND COMMUNITY-BASED HTS.

COMMUNITY FACILITY GRANTS

THIS GRANT WILL FUND 16 BI-WEEKLY PSYCHOSOCIAL SUPPORT GROUPS FOR CHILDREN, YOUTH AND ADOLESCENTS, PARENTS OF OVC, PEOPLE LIVING WITH HIV, CAREGIVERS FOR PLHIV TO TOTALLY REACH 480 PEOPLE, OVER 12 MONTHS.

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

TO IMPROVE ACCESS TO QUALITY PALLIATIVE CARE SERVICES IN ISINGORO DISTRICT FOR THE REFUGEE COMMUNITIES BY 2019

TO OVERCOME THE STIGMA ATTACHED TO DISABLED POPULATIONS IN GRODNO BY IMPROVING THE QUALITY OF LIFE OF THE TERMINALLY AND CHRONICALLY ILL CHILDREN AND

PROMOTING VOLUNTEERISM AND PARTICIPATION OF THE COMMUNITY IN IMPROVING THE LIFE OF TERMINALLY ILL CHILDREN

TO ASSIST SMALL GRASSROTS COMMUNITY-RUN PROJECTS TO STRENGTHEN HEALTH CARE SERVICE DELIVERY AND CARE IN COMMUNITIES AFFECTED BY HIV AND AIDS.

THIS GRANT WILL FUND VHUTSHILO 2 FOR 2000 BENEFICIARIES

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

TO ASSIST SMALL GRASSROOTS COMMUNITY-RUN PROJECTS TO STRENGTHEN HEALTHCARE SERVICE DELIVERY AND CARE IN COMMUNITIES AFFECTED BY HIV AND AIDS.

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

OBLIGATION - CF HURRICANE DISASTER ASSISTANCE FY 06 - LOAN/GRANT COMBO

HOMELESS ASSISTANCE

EDI SPECIAL PROJECTS

EXPANSION OF A NATIONAL DATA COLLECTION SYSTEM FOR IMPROVING CARE AT THE END OF LIFE

CCF TARGETED CAPACITY BUILDING - RURAL

ORHP SPECIAL PROJECTS

SIOUXLAND PACE