Lasante Health Center Inc

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

HEALTH CENTER PROGRAM - ORGANIZATION/SERVICE AREA/TARGET POPULATION: LASANTE HEALTH CENTER, INC. (LHC) IS A 501(C)(3) NON-PROFIT FQHC LOOK-ALIKE (LAL) THAT RECEIVED INITIAL LAL DESIGNATION FROM HRSA IN 2018. LHC WAS ORGANIZED TO RESPOND TO THE DWINDLING OF PRIMARY CARE RESOURCES FOR LOW-INCOME, UNINSURED RESIDENTS OF BROOKLYN NY, ESPECIALLY THOSE IN NEED OF AFFORDABLE, CULTURALLY AND LINGUISTICALLY COMPETENT PRIMARY CARE. ACCORDING TO THE PATIENT ORIGIN STUDY COMPLETED FOR THE 2023 UDS REPORT, THE SERVICE AREA CURRENTLY INCLUDES 24 OF THE 47 ZIP CODES IN BROOKLYN (KINGS COUNTY NY). HRSA GEOCARE NAVIGATOR INDICATES THAT THE TOTAL POPULATION OF THE SERVICE AREA IS 1,862,485, AND 37.8% OF RESIDENTS HAVE INCOME AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES (FPG). PER THE US CENSUS, 19.8% OF BROOKLYN RESIDENTS LIVE AT OR BELOW 100% OF FPG. GEOCARE NAVIGATOR DATA INDICATES THAT THERE ARE 425,452 LOW-INCOME RESIDENTS IN THE SERVICE AREA WHO ARE NOT SERVED BY A HEALTH CENTER. IN ADDITION TO LOW-INCOME, MANY RESIDENTS MUST OVERCOME LANGUAGE AND CULTURAL BARRIERS TO ACCESS CARE. PER CURRENT US CENSUS DATA, 35.3% OF BROOKLYN RESIDENTS ARE FOREIGN BORN, AND 44.2% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE MAJORITY OF THE IMMIGRANT POPULATION IN THE SERVICE AREA IS FROM HAITI, JAMAICA AND TRINIDAD, AND MANY ARE BETTER SERVED IN HAITIAN CREOLE, OR SPANISH THAN ENGLISH. THERE ARE ALSO LARGE NUMBERS OF ORTHODOX JEWS WHO SPEAK YIDDISH AS THEIR FIRST LANGUAGE LIVING IN THE SERVICE AREA WHO REQUIRE CULTURALLY AND LINGUISTICALLY COMPETENT SERVICES IN ORDER TO ACCESS CARE. THE SERVICE AREA ALSO HAS LARGE NUMBERS OF HOMELESS PEOPLE, AND LARGE PUBLIC HOUSING DEVELOPMENTS WITHOUT READY ACCESS TO A HEALTH CENTER. HEALTH DISPARITIES IN THE SERVICE AREA INCLUDE MORTALITY RATES FOR PREVENTABLE COMPLICATIONS OF DIABETES, CARDIOVASCULAR DISEASE, ASTHMA AND INFECTIOUS DISEASES FAR EXCEEDING NATIONAL AVERAGES. RESPONSE TO NEED: LHC IS APPLYING TO HRSA FOR NEW ACCESS POINT (NAP) FUNDING IN ORDER TO INCREASE THE VOLUME OF ACCESSIBLE AND AFFORDABLE CARE PROVIDED TO THE MEDICALLY UNDERSERVED AND VULNERABLE RESIDENTS OF THE SERVICE AREA. LHC OPERATES IN FULL COMPLIANCE WITH ALL HRSA REQUIREMENTS FOR HEALTH CENTERS. LHC PROVIDES COMPREHENSIVE PRIMARY CARE, ORAL HEALTH, BEHAVIORAL HEALTH AND VISION SERVES ALL PEOPLE REGARDLESS OF ABILITY TO PAY; PROVIDES SERVICES ON A SLIDING FEE SCALE FOR PATIENTS WITH INCOME AT OR BELOW 200% OF FPG; AND ACCEPTS MEDICARE, MEDICAID AND PRIVATE INSURANCE. LASANTE EMPLOYS BI-CULTURAL AND BI-LINGUAL STAFF TO MEET THE NEEDS OF PATIENTS BETTER SERVED IN SPANISH, HAITIAN CREOLE OR YIDDISH. THE AFFORDABLE, LINGUISTICALLY AND CULTURALLY COMPETENT CARE PROVIDED BY LASANTE OFFERS LOW-INCOME, LINGUISTICALLY ISOLATED PATIENTS AN APPEALING ALTERNATIVE TO COSTLY EMERGENCY ROOM CARE WHICH DOES NOT ADDRESS UNDERLYING HEALTH ISSUES OR PREVENTIVE CARE NEEDS. LHC’S MAIN SITE IS LOCATED AT 672 PARKSIDE AVENUE, BROOKLYN NY11226, AND HAS 22 EXAM ROOMS, 5 DENTAL OPERATORIES, A BEHAVIORAL HEALTH AREA, 3 OPTOMETRY SUITES, AND A LARGE MEETING/HEALTH EDUCATION ROOM TO PROVIDE INTEGRATED PRIMARY, BEHAVIORAL, ORAL HEALTH AND VISION SERVICES. LHC HAS A SATELLITE DENTAL SITE LOCATED AT 5309 18TH AVENUE, BROOKLYN NY 11204, AND THE ADMINISTRATIVE OFFICES ARE LOCATED AT 640 PARKSIDE AVENUE, BROOKLYN NY 11226. WE PROPOSE TO ADD THE HOMELESS AND PUBLIC HOUSING PRIMARY CARE (PCHC), SPECIAL POPULATIONS DESIGNATIONS TO OUR SCOPE OF SERVICES. LHC HAS BEEN WORKING WITH THE RESIDENT ASSOCIATION OF THE MARLBORO PUBLIC HOUSING DEVELOPMENT TO PLAN SERVICES. BECAUSE THE STATE REQUIRES MORE THAN THE 240 DAYS ALLOWED BY HRSA TO APPROVE A BRICK-AND-MORTAR SITE FOR OPERATION, WE WILL ADD A MOBILE UNIT TO SERVE THE PHPC RESIDENTS UNTIL A FIXED SITE CAN BE APPROVED. THE MOBILE WILL THEN BE USED TO INCREASE OUTREACH TO THE HOMELESS. IN 2023, LHC SERVED 31,084 UNDUPLICATED PATIENTS. WITH NAP FUNDING WE PROPOSE TO INCREASE THIS NUMBER TO AT LEAST 58,706 UNDUPLICATED PATIENTS BY DECEMBER 31, 2026.

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