North Orange County Regional Health Foundation

HEALTH CENTER PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - DESCRIPTION OF THE PROPOSED PROJECT NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION – DBA FAMILY HEALTH MATTERS (FHM) IS PROPOSING A PCHP PROGRAM THAT WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV, THE NUMBER OF PATIENTS PRESCRIBED PREP, AND THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT THROUGHOUT CENTRAL ORANGE COUNTY, CALIFORNIA. THESE OBJECTIVES WILL BE COMPLETED THROUGH THE HEALTH CENTER’S IMPLEMENTATION OF PREP PRESCRIBING, OUTREACH; TESTING; AND WORKFORCE DEVELOPMENT. NEEDS TO BE ADDRESSED AND POPULATION GROUPS TO BE SERVED FHM’S PCHP PROGRAM WILL EXPAND HIV PREVENTION SERVICES THAT DECREASE THE RISK OF HIV TRANSMISSION IN ORANGE COUNTY, CALIFORNIA, IN SUPPORT OF ENDING THE HIV EPIDEMIC IN THE U.S. THE PROGRAM WILL ADDRESS THE NEED FOR ALL FHM PATIENTS WITH HIV TO BE DIAGNOSED AS EARLY AS POSSIBLE AFTER TRANSMISSION; THE NEED FOR FHM PATIENTS WITH HIV TO BE RAPIDLY TREATED AND EFFECTIVELY REACHED TO SUSTAIN VIRAL SUPPRESSION; AND THE NEED TO PREVENT NEW TRANSMISSIONS BY USING PROVEN INTERVENTIONS, INCLUDING PRE-EXPOSURE PROPHYLAXIS (PREP). THE POPULATION GROUPS TO BE SERVED INCLUDE THE FOLLOWING: - HEALTH CENTER’S LARGELY HISPANIC PATIENTS AGES 13-64. - HEALTH CENTER PATIENTS AT RISK OF ACQUIRING HIV INCLUDING (1) THOSE WHO HAVE BEEN DIAGNOSED WITH ANOTHER SEXUALLY TRANSMITTED INFECTION, HEPATITIS, OR TUBERCULOSIS; (2) BLACKS/AFRICAN AMERICANS AND HISPANICS/LATINOS; AND (3) INJECTION DRUG USERS. PROPOSED SERVICES PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP INCLUDE: - SUPPORT PREP ACCESS THROUGH CARE COORDINATION. - ENHANCE WORKFLOWS AND UTILIZE TECHNOLOGY, INCLUDING TELEPREP, TO IMPROVE PREP ACCESS, MONITORING, FOLLOW UP, AND REPORTING. - LEVERAGE PARTNERSHIP WITH THE ORANGE COUNTY HEALTH CENTER CONTROLLED NETWORK. PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV: - ENHANCE WORKFLOWS TO SUPPORT UNIVERSAL AND RAPID ACCESS TO HIV TESTING, INCLUDING THE PURCHASE OF HIV HOME-TESTS OR HOME SPECIMEN COLLECTION KITS. - ENHANCE THE EHR TO SUPPORT HIV TESTING BY INCLUDING DOMAINS TO RECORD HIV RISK FACTORS, POST-HOSPITALIZATION OR EMERGENCY DEPARTMENT FOLLOW UP, AND HISTORY OF RELATED CO-OCCURRING CONDITIONS, INCLUDING INFECTIOUS DISEASES AND SUBSTANCE USE DISORDERS. - SUPPORT CULTURALLY APPROPRIATE AND TRAUMA-INFORMED HIV PREVENTION SERVICES. PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT: - HIRE PCHP HIV PRIMARY CARE PROVIDER AND CARE COORDINATORS TO SUPPORT THE DELIVERY OF INTEGRATED HIV AND PRIMARY CARE SERVICES. - DEVELOP DATA COLLECTION AND REPORTING PROCESSES THAT FOSTER REAL-TIME USE OF CLINICAL DATA, LEVERAGE STRATEGIC PARTNERSHIPS. - PROVIDE PROFESSIONAL DEVELOPMENT, INCLUDING TRAINING AND ACCREDITED CONTINUING EDUCATION, FOR RISK-BASED HIV TESTING AND FOLLOW UP; PREP; TAKING SEXUAL HEALTH HISTORIES; SCREENING FOR COMMON CO-OCCURRING CONDITIONS; SUPPORTING PATIENTS’ BEHAVIOR CHANGES TO REDUCE RISK; MAXIMIZING THE SUCCESS OF PREP; AND IMPLEMENTING EFFECTIVE HIGH-IMPACT HIV PREVENTION INTERVENTIONS. BRIEF DESCRIPTION OF HOW THE PROPOSED PROJECT WILL FOCUS ON THE TARGETED GEOGRAPHIC LOCATIONS. FHM WILL IMPLEMENT THE PCHP PROGRAM WITHIN ITS PERMANENT HEALTH CENTER LOCATED AT 1182 N. EUCLID STREET, ANAHEIM, CA 92801-1900 AND WILL INCORPORATE THE PROGRAM INTO THE HEALTH CENTER’S PRIMARY CARE SERVICES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ROCIO NÚÑEZ-MAGDALENO, CHIEF EXECUTIVE OFFICER ROCIO.MAGDALENO@NOCRHF.ORG 714-392-6626 H80CS33647 BEHAVIORAL HEALTH SERVICE EXPANSION $600,000 FHM IS PROUD TO PROPOSE EXPANDING OUR MENTAL HEALTH, SUD AND MOUD SERVICES FOR OUR MOST VULNERABLE TARGET POPULATIONS WITH THE LEAST ACCESS TO VITAL, AND OFTEN, LIFE-SAVING TREATMENT. THE HEALTH CENTER WILL EXPAND ACCESS TO MENTAL HEALTH AND SUD TREATMENT AT THE FIXED SITE FOR FHM’S CURRENT PATIENTS AND THE MATCONNECT PATIENTS, AND ONBOARD THE MOBILE WELLNESS CENTER (MWC) FOR HOMELESS PATIENTS, FHM’S REQUESTED MOBILE MAT/MEDICAL CLINIC THAT WILL BE COLLOCATED AT TWO HOMELESS SERVICE SITES. MENTAL HEALTH - TO EXPAND ACCESS FOR FHM’S SERVICE AREA TARGET POPULATION AND CURRENT PATIENTS TO MENTAL HEALTH SERVICES, FHM IS EXPANDING LICENSED CLINICAL SOCIAL WORKER (LCSW) FTES THAT ARE AVAILABLE TO FHM’S PATIENTS FROM 0.35 FTES (2023 UDS) TO 1.35 FTES (2025 UDS). THIS WILL ENABLE INCREASED ACCESS TO MENTAL HEALTH SERVICES FOR AN ADDITIONAL 200 PATIENTS STARTING IN CY 2025, WITH 150 OF THESE BEING MAT PATIENTS AND 50 REGULAR MENTAL HEALTH PATIENTS. VISITS WILL BE PROVIDED IN PERSON AND VIA TELEHEALTH, AS INDICATED FOR INCREASED ACCESS AND IMPROVED OUTCOMES. SUD/MOUD TREATMENT - FHM’S BHSE PROGRAM WILL PROVIDE NEW ACCESS TO SUD/MOUD TREATMENT THROUGH ADDING THREE MAT PROVIDERS, EXPANDING FTES FROM 0.0 (2023 UDS) TO 0.6 (2025 UDS). THE MAT PROVIDERS WILL PROVIDE ACCESS TO NEW SUD/MOUD SERVICES IN CONJUNCTION WITH MAT TO FHM PATIENTS AT THE HEALTH CENTER AND ONBOARD THE MWC.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - THE NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION (NOCRHF) DBA FAMILY HEALTH MATTERS COMMUNITY HEALTH CENTER (FHM) MAINTAINS A SERVICE AREA THAT EXTENDS THROUGHOUT CENTRAL ORANGE COUNTY AND IS LOCATED WITHIN THE CITIES OF ANAHEIM, BUENA PARK, FULLERTON, LA HABRA, AND PLACENTIA, INCLUDING TEN ZCTAS: 90621, 90631, 92801, 92804, 92805, 92806, 92831, 92832, 92833, AND 92870. THE SERVICE AREA’S TOTAL POPULATION IS 544,322, AND FHM’S TARGET POPULATION FOR THE FQHC PROGRAM ARE THOSE LIVING BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), TOTALING 180,850, OR 33.2%, OF THE RESIDENTS. THE EXPANDED HOURS POPULATIONS OF FOCUS ARE THOSE 65+ YEARS OF AGE, AND THOSE NEWLY INSURED THROUGH MEDI-CAL EXPANSION TO PROVIDE MEDICAID COVERAGE TO CALIFORNIA RESIDENTS 26 THROUGH 49 YEARS OF AGE ACCESS TO FULL SCOPE MEDI-CAL SERVICES, WITHOUT REGARD TO IMMIGRATION STATUS. FAMILY HEALTH MATTERS COMMUNITY HEALTH CENTER, THE FIXED SITE, CURRENTLY OPERATES FROM MONDAY - FRIDAY, 8:00 AM - 12:00 NOON, 1:00 PM - 5:00 PM, AND SATURDAY, 9:00 AM - 1:00 PM. THE EXPANDED HOURS PROGRAM WILL EXPAND CLINIC HOURS FROM 7:00 AM - 7:00 PM MONDAY - SATURDAY, PROVIDING AN ADDITIONAL HOUR IN THE EARLY MORNINGS AND TWO HOURS IN THE EVENINGS DURING THE WEEK AND STRETCHING SATURDAY TO A FULL 12 HOURS, REPRESENTING A 70% INCREASE IN HOURS OF OPERATION. SERVICES CURRENTLY AVAILABLE AT FHM FIXED CLINIC SITE AND THOSE THAT WILL BE EXPANDED OR ADDED THROUGH THE BHSE PROGRAM INCLUDE THE FOLLOWING: • PRIMARY MEDICAL CARE – ADULT, GYN, VOLUNTARY FAMILY PLANNING, ACUTE ILLNESS/INFECTION, CHRONIC DISEASE CHECKS • VISION CARE SERVICES – FULL-SERVICE VISION CARE INCLUDES COMPREHENSIVE EXAMS AND DISPENSING OF NEEDED VISUAL AIDS. DISPENSING OF NEEDED VISION AIDS, AND DIAGNOSTIC OF DISEASES AND PREVALENT CONDITIONS FOR THE POPULATION. • INTEGRATED MENTAL HEALTH SERVICES – PROVIDED IN PERSON AND VIA TELEHEALTH. • DIAGNOSTIC LABORATORY – ONSITE LABORATORY TESTING AND SPECIMEN COLLECTION WILL BE PROVIDED. • PHARMACY – FHM’S INHOUSE PHARMACY AND WILL EXPAND OPERATION TO PROVIDE PHARMACY SERVICES INCLUDING DISPENSING OF MEDICATIONS AND PHARMACY CONSULTS. FHM’S CONTRACT PHARMACY WILL CONTINUE TO DELIVER PRESCRIBED MEDICATIONS TO THE HEALTH CENTER OR PATIENTS’ HOME DURING THE PHARMACY HOURS WHICH OVERLAP WITH FHM’S ADDITIONAL HOURS. • SPECIALTY REFERRALS – NECESSARY REFERRALS WILL BE COMPLETED, AS POSSIBLE, DURING THE EXPANDED HOURS. THIS WILL INCLUDE THOSE REFERRAL SOURCES THAT UTILIZE ONLINE SCHEDULING AND OTHER ONLINE PORTAL ACCESS. • HEALTH CARE NAVIGATION – SUPPORT WILL BE PROVIDED TO INDIVIDUALS NEEDING ASSISTANCE WITH APPLYING FOR THE STATE’S MEDICAID EXPANSION, MEDI-CAL, COVERED CA, AND OTHER PAYMENT PROGRAMS TO SUPPORT EXPANDED COVERAGE AND ACCESS TO LOW AND NO COST HEALTH CARE SERVICES. • HEALTH COACH – LIKE A HEALTH EDUCATOR, THE HEALTH COACH PROVIDES INFORMATION ON HOW TO BE HEALTHIER AND INFORMATION ON HOW TO INTEGRATE THE INFORMATION INTO EACH PATIENTS’ LIFE TO ENSURE SUCCESSFUL CHANGE. • ENHANCED CARE MANAGEMENT (ECM) – ECM WILL BE PRESCRIBED TO ADULTS WITH CHRONIC CONDITIONS AND THOSE EXPERIENCING HOMELESSNESS.

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