Ryan Community Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

CAPITAL DEVELOPMENT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - RYAN HEALTH | WOMEN & CHILDREN’S CENTER (W&C CENTER) IS LOCATED AT 801 AMSTERDAM AVENUE IN NEW YORK CITY AND IS ONE OF SIX PRIMARY AND SPECIALTY CARE LOCATIONS THAT RYAN HEALTH OPERATES. THE HEALTHCARE SERVICES THAT ARE AVAILABLE AT W&C CENTER: PEDIATRICS; WOMEN’S HEALTH; WOMEN, INFANTS, AND CHILDREN (WIC) NUTRITION PROGRAM; AND, THE MENTAL HEALTH CLINIC KNOWN AS THE EMOTIONAL WELLNESS CENTER. IN 2021, RYAN HEALTH NEGOTIATED A LEASE AMENDMENT FOR ADDITIONAL SPACE WITHIN THE 801 AMSTERDAM BUILDING ON THE FIRST FLOOR. THIS ADDITIONAL SPACE IS BEING RENOVATED TO EXPAND THE OVERALL FOOTPRINT OF THE W&C CENTER, WHICH INCLUDES THE ADDITION OF A FIRST-FLOOR LOCATION TO HOUSE A RELOCATED EMOTIONAL WELLNESS CENTER. SPECIFICALLY, THROUGH THE CONSTRUCTION GRANT AWARD, RYAN HEALTH WILL MEET ITS PRIMARY OBJECTIVE OF RELOCATION OF THE EMOTIONAL WELLNESS CENTER FROM THE LOWER LEVEL, AND NEW CONSTRUCTION INTO A MUCH LARGER AND ACCESSIBLE LOCATION ON THE FIRST FLOOR, MORE THAN DOUBLING THE SIZE OF THE EXISTING 1,500 SQ. FT. CENTER TO 3,600 SQ. FT. PROJECT FUNDING WILL INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH TREATMENT AND SERVICES FOR LOW-INCOME MEDICALLY UNDERSERVED ADULTS AND ADOLESCENTS IN NEW YORK CITY, AND WILL HELP MEET THE GROWING NEED FOR THESE SERVICES THAT HAS BECOME PARTICULARLY EVIDENT SINCE THE ADVENT OF THE COVID-19 PANDEMIC. IN SUM, TO MEET ITS MENTAL HEALTH CLINIC OBJECTIVES, RYAN HEALTH WILL: A) LEASE NEW SPACE ON THE FIRST FLOOR OF THE 801 AMSTERDAM AVENUE BUILDING; B) RELOCATE MENTAL HEALTH SERVICES (FROM THE LOWER LEVEL) TO THE NEWLY LEASED SPACE ON THE FIRST FLOOR; C) RELOCATE THE WIC PROGRAM (FROM THE SECOND FLOOR) TO THE NEWLY LEASED SPACE ON THE FIRST FLOOR; AND D) REORGANIZE AND INCREASE THE OVERALL FOOTPRINT OF THE PEDIATRICS AND WOMEN’S HEALTH DEPARTMENTS (ON THE SECOND FLOOR) FOR OPERATIONAL EFFICIENCY. RECONFIGURATION WILL ALSO IMPROVE ADA ACCESSIBILITY, VISITOR MOVEMENTS THROUGHOUT THE FACILITY, SECURITY AND PRIVACY FOR PATIENTS AND STAFF, AND NEW SIGNAGE WILL MAKE THE FACILITY FEEL WELCOMING. THE NEW MENTAL HEALTH CLINIC WILL HAVE SEPARATE AND DIRECT ACCESS FROM THE STREET AS WELL AS ACCESS FROM THE EXISTING RYAN HEALTH LOBBY AND THE NEWLY-CONSTRUCTED SPACE WILL CONSIST OF: ONE ADULT WAITING ROOM; ONE YOUTH WAITING ROOM; ONE REGISTRATION AREA; ONE QUIET-ROOM; ONE INTAKE ROOM; ONE CASE WORKER ROOM; TWO PSYCHOTHERAPY GROUP ROOMS; SIX PSYCHOTHERAPY PRIVATE CONSULT ROOMS; ONE VITALS ROOM; ONE PRESCRIBER/MEDICATION OFFICE; (AND, PATIENT TOILETS; TWO STAFF OFFICES; PANTRY; STORAGE; JANITOR CLOSET; AND IDF/IT ROOM). THE DEDICATED INTAKE AND DE-ESCALATION ROOMS ARE NEW ADDITIONS AS PER “BEST PRACTICES” IN MENTAL HEALTH. THE HVAC SYSTEM ON THE FIRST FLOOR WILL BE BRAND NEW IN THE PREVIOUSLY UNOCCUPIED SHELL SPACE. FIRE PROTECTION AND SPRINKLER SYSTEMS WILL BE INSTALLED. HEATING AND COOLING WILL BE CONTROLLED BY A NEW BUILDING MANAGEMENT SYSTEM (BMS) THAT WILL COMMUNICATE WITH THE RYAN HEALTH BMS SYSTEM IN OTHER FACILITIES. THE ELECTRICAL INFRASTRUCTURE FOR THE SPACE WILL BE UPGRADED AND THERE WILL BE A NEW PLUMBING SYSTEM BRANCHING OFF FROM THE BASE BUILDING INCLUDING COLD/HOT WATER, SANITARY DRAINING AND VENTS, AND NEW PLUMBING DEVICES INCLUDING SINKS AND TOILETS. IN EARLY 2021, FORMAL PLANNING FOR THE PROJECT BEGAN AND BY JULY 2021 A COMPETITIVE RFP PROCESS WAS COMPLETED. RYAN HEALTH HIRED AN ARCHITECTURAL FIRM AND AN ENGINEERING FIRM WHICH COMPLETED SCHEMATICS AND DESIGN WORK. THE CONSTRUCTION MANAGER WAS HIRED SHORTLY THEREAFTER, AND UPON DESIGN COMPLETION, BIDS WERE SOLICITED FROM SUBCONTRACTORS AND TRADES LEADING TO A GMP IN PLACE AT THE BEGINNING OF 2022, AND A CONSTRUCTION START DATE OF APRIL 2022. THE PROJECT IS ON TRACK FOR A FALL 2022 COMPLETION DATE.

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

ARRA - CAPITAL IMPROVEMENT PROGRAM

SUBSTANCE ABUSE AND HIV PREVENTION READY-TO-RESPOND INITIATIVE IN COMMUNITIES

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

PATIENT NAVIGATOR OUTREACH AND CHRONIC DISEASE PREVENTION PROGRAM

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

ARRA - INCREASE SERVICES TO HEALTH CENTERS

MINORITY SA/HIV/HEP SPF

FY 2023 EXPANDING COVID-19 VACCINATION

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

FY 2023 EARLY CHILDHOOD DEVELOPMENT

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. H80CS00061 RYAN HEALTH - FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION ACCORDING TO THE MOST RECENT SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SA MHSA) NATIONAL SURVEY ON DRUG USE AND HEALTH, PUBLISHED IN NOVEMBER 2023, NEARLY ONE IN FOUR (23%) ADULT NEW YORKERS EXPERIENCES A MENTAL HEALTH DISORDER IN A GIVEN YEAR. OVERDOSE DEATHS AND SUBSTANCE USE-RELATED HARMS CONTINUE TO BE A PUBLIC HEALTH CRISIS - EVERY THREE HOURS, SOMEONE DIES OF A DRUG OVERDOSE IN NEW YORK CITY (NYC). IN 2022, 3,026 NEW YORKERS DIED FROM AN UNINTENTIONAL DRUG OVERDOSE – THE HIGHEST NUMBER SINCE REPORTING BEGAN IN 2000. FENTANYL, A HIGHLY POTENT SYNTHETIC OPIOID HAS BEEN INCREASINGLY FOUND IN UNREGULATED NYC DRUGS AND CONTINUES TO DRIVE OVERDOSE MORTALITY. RYAN HEALTH PROPOSES TO IMPLEMENT A MOBILE ENGAGEMENT UNIT OUTREACH MODEL, OPERATING IN NEIGHBORHOODS WITH A VERY HIGH CONCENTRATION OF OPIOID OVERDOSE MORTALITY. THROUGH THIS APPLICATION, RYAN HEALTH IS REQUESTING FUNDING FOR A MOBILE COMMUNITY OUTREACH VAN THAT WILL BE STAFFED WITH 1 FTE COMMUNITY HEALTH WORKER TO PROVIDE STREET OUTREACH, EDUCATION AND SCREENING, BRIEF INTERVENTION AND REFERRAL (SBIRT) FOR MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) TREATMENT – A SINGLE APPROACH TO ADDRESS BOTH THE MENTAL HEALTH CRISIS AND THE OPIOID OVERDOSE CRISIS AFFLICTING NYC. TO SUPPORT THE EXPANSION OF ITS BEHAVIORAL HEALTH SERVICES, RYAN HEALTH WILL HIRE ONE FULLTIME CASAC LICENSED CLINICAL SOCIAL WORKER (LCSW) TO JOIN ITS BEHAVIORAL HEALTH INTEGRATION (BHI) PROGRAM. THE CASAC LCSW WILL RECEIVE REFERRALS FROM THE COMMUNITY HEALTH WORKER AND COMPLETE A COMPREHENSIVE ASSESSMENT TO DIAGNOSE BOTH SUBSTANCE USE DISORDERS AS WELL AS ANOTHER POSSIBLE MENTAL HEALTH DISORDER, REDUCING THE CHANCE OF A MISSED DIAGNOSIS AND PROVIDING THE RIGHT TREATMENT. THIS WILL ALLOW THE BEHAVIORAL HEALTH TEAM TO SCREEN AND ASSESS MORE PATIENTS FOR SUBSTANCE ABUSE AND MENTAL HEALTH NEEDS, AND ENROLL MORE PATIENTS IN ONGOING CARE, INCLUDING RYAN HEALTH’S MEDICALLY ASSISTED TREATMENT (MAT) PROGRAM. RYAN HEALTH WILL HIRE 1 FTE RN – SUBSTANCE USE DISORDER (SUD) NURSE CARE MANAGER (NCM), WHO WILL OVERSEE ALL DAY-TO-DAY ASPECTS OF THE MAT PROGRAM. ADDITIONALLY, 1 PTE ADDICTION MEDICINE PHYSICIAN – TRAINED AND CERTIFIED TO PROVIDE COMPREHENSIVE CARE FOR ADDICTION AND SUBSTANCE RELATED DISORDERS WILL BE HIRED, PRESCRIBING BUPRENORPHINE TREATMENT AND PROVIDING MEDICAL CARE WITHIN THE BIO-PSYCHO-SOCIAL FRAMEWORK FOR PERSONS WITH ADDICTION. IT IS ANTICIPATED THAT ENGAGEMENT IN RYAN HEALTH’S EXPANDED BEHAVIORAL HEALTH TREATMENT PROGRAM WILL IMPACT MODIFIABLE SOCIAL DETERMINANTS OF HEALTH, INCLUDING INCOME, EDUCATION, HOUSING, CRIMINAL JUSTICE INVOLVEMENT AND LEAD TO IMPROVED OUTCOMES IN MANY AREAS. IF SELECTED FOR FUNDING, RYAN HEALTH EXPECTS TO INCREASE THE PROVISION OF BEHAVIORAL HEALTH SERVICES BY AT LEAST 275 NEW PATIENTS.

HEALTH CONNECTIONS

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

CAPITAL DEVELOPMENT

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2023 BRIDGE ACCESS PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM