Quality Home Care Services Inc

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM FOR COMMUNITY-BASED ORGANIZATIONS - FOUNDED IN 2005, QUALITY HOME CARE SERVICES (QHCS) IS A NON-PROFIT 501(C)3 ORGANIZATION SERVING A MULTI-COUNTY REGION THAT TOUCHES SEVEN DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS) IN AND SURROUNDING CHARLOTTE, NORTH CAROLINA. QHCS IS DEDICATED TO ADDRESSING VARIOUS HEALTH RELATED CHALLENGES THAT SIGNIFICANTLY AFFECT THE COMMUNITY?S HEALTH AND WELLNESS. IN CONJUNCTION WITH ITS HEALTH AND HUMAN SERVICE INITIATIVES, THE ORGANIZATION OFFERS A FULL CONTINUUM OF CARE RANGING FROM INITIAL OUTREACH TO SERVICE PROVISION. QHCS? CONTINUUM OF SERVICES INCLUDES A FULL HIV CONTINUUM OF CARE/TREATMENT CASCADE, PRIMARY HEALTH CARE, HIV/STI TESTING, PREVENTION, MEDICAL CASE MANAGEMENT AND COUNSELING, SUBSTANCE USE/MISUSE TREATMENT, MENTAL HEALTH SERVICES, AND IN-HOME CARE. QHCS IS COMMITTED TO PROVIDING EVIDENCE-BASED INTERVENTIONS AND CULTURALLY COMPETENT COMPREHENSIVE HEALTH CARE TO UNDERSERVED PATIENTS THROUGHOUT THE GREATER CHARLOTTE REGION. QHCS IS APPLYING TO THE CENTERS FOR DISEASE CONTROL FOR FUNDING UNDER CDC-RFA-PS21-2102: COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS. QHCS? PROPOSED PROGRAM WILL SUPPORT PROGRESS ALONG THE HIV CARE CONTINUUM TO IMPROVE THE HEALTH, ADHERENCE TO CARE, AND LIFE SPAN OF HIV POSITIVE AND HIGH-RISK BLACK/AFRICAN AMERICAN MSM. OUR PROPOSED PROGRAM WILL ACCOMPLISH THE OUTCOMES AND GOALS FOR PS21-2102, INCLUDING: - DIAGNOSE: PROVIDE TARGETED HIV TESTING AND INTEGRATED SCREENING.- TREAT: PROVIDE LINKAGE TO HIV MEDICAL CARE, RE-ENGAGEMENT, PARTNER SERVICES, AND MEDICATION ADHERENCE (TO ACHIEVE VIRAL SUPPRESSION).- PREVENT: PROVIDE REFERRALS TO PREP/NPEP, HEALTH EDUCATION/RISK REDUCTION, AND CONDOM DISTRIBUTION.- RESPOND: PROVIDE SUPPORT FOR THE HEALTH DEPARTMENT CLUSTER DETECTION AND RESPONSE ACTIVITIES. IN ADDITION, PROGRAM PROMOTION, OUTREACH, AND RECRUITMENT, CDC RECOMMENDED EVIDENCE-BASED INTERVENTIONS AND REFERRAL TO ESSENTIAL SUPPORT SERVICES WILL ACCOMPANY ALL PROJECT ACTIVITIES.Q HCS? DIVERSE QUALIFICATIONS AND UNIQUE SERVICE MODEL IS IN HIGH DEMAND FOR THE HIV POSITIVE AND HIGH-RISK MSM COMMUNITY. QHCS SUPPORTS ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA (EHE) BY LEVERAGING SCIENTIFIC AND EVIDENCE-BASED ADVANCES IN HIV PREVENTION, DIAGNOSIS, TREATMENT, AND OUTBREAK RESPONSE. FOR THE PAST TEN YEARS, QHCS HAS BEEN INSTRUMENTAL IN CONTRIBUTING SURVEILLANCE DATA AND PREVENTION EFFORTS IN THE GEOGRAPHIC HOTSPOT, MECKLENBURG COUNTY. EVIDENCE OF OUR CONTRIBUTIONS CAN BE SEEN BY OUR COORDINATED HHS PROGRAMMING, WHERE WE LEVERAGE GRANT PROGRAMS FROM HRSA, CDC, SAMHSA AS WELL AS STATE AND COUNTY EFFORTS TO DIAGNOSE, TREAT, PREVENT AND RESPOND.

QUALITY HOME CARE SERVICES ASSISTANCE TO HOMELESS INDIVIDUALS INITIATIVE

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

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

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM

QCHC MAI SUD IN EHE PRIORITY JURISDICTION MECKLENBURG COUNTY NC - QCHC'S PROPOSED PROGRAM WILL INCREASE ENGAGEMENT IN CARE FOR A TOTAL OF 90 RACIAL AND ETHNIC MEDICALLY UNDERSERVED INDIVIDUALS WITH SUD AND/OR CO-OCCURRING SUD AND MENTAL HEALTH CONDITIONS (COD) WHO ARE AT RISK FOR OR LIVING WITH HIV. QCHC WILL IMPLEMENT A SYNDEMIC APPROACH TO SUD, HIV, AND VIRAL HEPATITIS BY PROVIDING SUD TREATMENT TO MEDICALLY UNDERSERVED RACIAL AND ETHNIC INDIVIDUALS AT RISK FOR OR LIVING WITH HIV. WITH THIS PROGRAM, QCHC AIMS TO REDUCE THE PREVALENCE OF SUD, HIV AND VIRAL HEPATITIS WHILE INCREASING ACCESS AND LINKAGE TO HIV TREATMENT FOR THE POPULATION OF FOCUS. QCHC WILL ENGAGE THE FOLLOWING STRATEGIES THAT ARE CENTRAL TO OUR ORGANIZATION'S IMPLEMENTATION OF HIV AND SUD RELATED PROGRAMMING INCLUDING A STATUS-NEUTRAL APPROACH THAT FOCUSES ON MEETING PEOPLE WHERE THEY ARE THROUGH A "WHOLE" PERSON APPROACH TO CARE AND PUTTING THE NEEDS OF THE PERSON AHEAD OF THEIR HIV STATUS. QCHC'S STATUS NEUTRAL SERVICE PROVISION IS POSSIBLE THROUGH OUR EVIDENCE-BASED ONE-STOP SHOP SERVICE DELIVERY MODEL THAT WEAVES TOGETHER RESOURCES FROM ACROSS PUBLIC HEALTH DOMAINS. BUILDING ON THIS APPROACH, QCHC HAS INVESTED IN OUR STAFF AND HEALTH CARE COMMUNITY TO PROVIDE COMPREHENSIVE, CLIENT-CENTERED SERVICES THAT EMPHASIZE GENDER-AFFIRMING CARE, HEALTHCARE EMPOWERMENT, MOTIVATIONAL INTERVIEWING, HARM REDUCTION, PEER SUPPORT, TELEHEALTH, TRAUMA-INFORMED CARE, INTIMATE PARTNER VIOLENCE, AND MEANINGFUL INVOLVEMENT OF PEOPLE LIVING WITH HIV.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

COMMUNITY HEALTH WORKER TRAINING PROGRAM - PROJECT ABSTRACT QUALITY HOME CARE SERVICES, INC (QHCS) D/B/A QUALITY COMPREHENSIVE HEALTH CENTER (QCHC) 3552 BEATTIES FORD ROAD, CHARLOTTE, NC 28216 LISA WIGFALL, CEO & PROJECT DIRECTOR LWIGFALL@QCHEALTH.ORG ~ (704) 394-8968 WWW.QCHEALTH.NET TOTAL FUNDING REQUEST: $1,238,783 (TOTAL FOR 3 YEAR PROJECT LIFE). FUNDING PREFERENCE #1 AND #2 QUALITY HOME CARE SERVICES, INC (QHCS) D/B/A QUALITY COMPREHENSIVE HEALTH CENTER (QCHC) IS PROPOSING TO TARGET AND RECRUIT EXISTING AND FUTURE COMMUNITY HEALTH WORKERS (CHWS) AND HEALTH SUPPORT WORKERS WHO ARE FROM DISADVANTAGED BACKGROUNDS (INCLUDING UNDERREPRESENTED RACIAL AND ETHNIC MINORITIES) TO JOIN THE PUBLIC HEALTH WORKFORCE IN THE SELECTED COMMUNITY. UPON COMPLETION OF THE PROGRAM, QCHC WILL WORK WITH GRADUATES TO SECURE EMPLOYMENT IN MECKLENBURG COUNTY, NORTH CAROLINA, A TRADITIONALLY UNDERSERVED AREA WITH A HIGH SHORTAGE OF HEALTH PROFESSIONALS. THE PURPOSE OF THE PROPOSED PROGRAM IS TO INCREASE THE NUMBER OF CHWS AND HEALTH SUPPORT WORKERS AND EQUIP THEM WITH THE SKILL SETS NEEDED TO PROVIDE EFFECTIVE COMMUNITY OUTREACH, BUILD TRUST WITH COMMUNITIES, SUPPORT CONNECTIONS TO AND RETENTION IN CARE AND SUPPORT SERVICES, AND OTHER STRATEGIES TO INCREASE ACCESS TO CARE AND TO ASSIST INDIVIDUALS IN PREVENTION SERVICES, AND RECOVERY FROM THE COVID-19 PANDEMIC AND OTHER PUBLIC HEALTH EMERGENCIES IN UNDERSERVED COMMUNITIES. THESE COMBINED EFFORTS ARE INTENDED TO ADVANCE PUBLIC HEALTH, STRENGTHEN THE PUBLIC HEALTH WORKFORCE, REDUCE HEALTH DISPARITIES, AND HELP UNDERSERVED POPULATIONS ACHIEVE HEALTH EQUITY. QCHC WILL TARGET A TRAINEE POPULATION THAT IS REFLECTIVE OF OUR AGENCY’S TARGET PATIENT POPULATION AND THOSE WITH THE GREATEST NEED FOR CHWS - HISTORICALLY MARGINALIZED LOW-INCOME BLACK/AFRICAN AMERICANS, WITH A FOCUS ON INDIVIDUALS WHO ARE REPRESENTATIVE OF SOME OF THE MOST DIFFICULT TO REACH POPULATIONS, INCLUDING BUT NOT LIMITED TO MSM, LGBTQ+, JUSTICE INVOLVED, HIV POSITIVE/HIGH-RISK NEGATI VE, FAITH-BASED COMMUNITY MEMBERS, PEERS (INCLUDING INDIVIDUALS RECOVERED FROM SUD/OUD AND THOSE WHO HAVE EXPERIENCE HOMELESSNESS). QCHC IS REQUESTING A FUNDING PREFERENCE UNDER PREFERENCE 1 AND 2 AS OUTLINED IN THE NOFO. TOTAL FUNDING REQUEST FOR THE THREE-YEAR GRANT PERIOD IS $1,238,783.

QCHC ENHANCING STI AND SEXUAL HEALTH CLINIC INFRASTRUCTURE (ESSHCI)

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - QCHC IS REQUESTING $144,689 FOR HIV CARE INNOVATION, COORDINATION OF HIV PRIMARY CARE WITH ORAL HEALTH AND BEHAVIORAL HEALTH CARE. SINCE QCHC ALREADY OFFERS INTEGRATED PRIMARY AND BEHAVIORAL HEALTHCARE FOR OUR RWHAP CLIENTS, THE CENTRAL FOCUS OF THIS REQUEST IS TO EXPAND THESE INTEGRATED SERVICES AND TO COORDINATE WITH ORAL HEALTH SERVICES. IN 2023 QCHC WILL BE MOVING SERVICES TO A NEW BUILDING ON OUR HEALTH CARE CAMPUS LOCATED ON THE CATS BUS ROUTE ON BEATTIES FORD ROAD IN THE HISTORIC WEST END OF CHARLOTTE. THE NEW FULLY ACCESSIBLE BUILDING HAS BEEN OUTFITTED WITH DENTAL SERVICES IN MIND, WITH THE REQUIRED CAPACITY AND INFRASTRUCTURE. QCHC WILL COORDINATE OUR EXISTING INTEGRATED PRIMARY AND BEHAVIORAL HEALTHCARE SERVICES FOR PEOPLE LIVING WITH HIV IN THEIR BODIES WITH ORAL HEALTH BY CONTRACTING WITH AN ORAL HEALTH PROVIDER TO OFFER SERVICES AT QCHC’S NEW FACILITY ON A WEEKLY BASIS. QCHC HAS DEVELOPED THE PROPOSED PROGRAM WITH THE FOLLOWING OBJECTIVES: 1). ESTABLISH INTEGRATED ORAL HEALTH WITH QCHC’S EXISTING HIV PRIMARY/BEHAVIORAL CARE SERVICES; 2). PROVIDE INTEGRATED ORAL HEALTH CARE SERVICES FOR AT LEAST 50 UNDUPLICATED HIV POSITIVE CLIENTS THROUGHOUT THE PROJECT YEAR; 3). INCREASE RETENTION IN CARE AND OVERALL HEALTH OUTCOMES FOR 50 HIV POSITIVE INDIVIDUALS IN THE CHARLOTTE TGA WITH INTEGRATED PRIMARY, BEHAVIORAL AND ORAL HEALTH CARE SERVICES; AND, 4). ENSURE COMPLIANCE WITH RWHAP PART C CAPACITY DEVELOPMENT. THIS PROPOSED ACTIVITY WILL ADDRESS MULTIPLE STAGES OF THE HIV CONTINUUM OF CARE INCLUDING LINKAGE TO CARE, IMPROVED RETENTION IN CARE AND ACHIEVED/MAINTAINED VIRAL SUPPRESSION BY REDUCING BARRIERS TO CARE AND ENSURING A TRULY “ONE STOP SHOP” FOR ALL HEALTHCARE NEEDS FOR THE TGA’S HIV POSITIVE POPULATION, WITH A PARTICULAR FOCUS ON BLACK/AFRICAN AMERICANS. QCHC HAS PROVIDED HIV PREVENTION AND CARE SERVICES SINCE THE AGENCY’S INCEPTION IN 2005. QCHC IS LOCATED IN THE HISTORIC WEST END OF CHARLOTTE, NC, IN THE MIDST OF ZIP CODES MOS T THREATENED BY COMMUNICABLE AND CHRONIC DISEASE. THE ORGANIZATION BEGAN AS A MEDICAID AGENCY AND IMMEDIATELY BEGAN SERVING UNINSURED POPULATIONS, INCLUDING WICY. THE GROWING NUMBER OF NEW HIV/AIDS CASES IN MECKLENBURG COUNTY AND THE TGA GENERATED A GROWTH SPURT WITHIN QCHC AND NEW PROGRAMMING WAS DEVELOPED IN RESPONSE TO COMMUNITY NEEDS. THE AGENCY NOW OFFERS A FULL INTERNAL HIV CONTINUUM OF CARE INCLUDING PRIMARY CARE, BEHAVIORAL HEALTH (MENTAL HEALTH SERVICES, AND SUBSTANCE ABUSE SERVICES), HIV CARE (HIV PRIMARY CARE, MEDICAL CASE MANAGEMENT, MEDICAL TRANSPORTATION, PSYCHOSOCIAL SUPPORT, ART) AND HIV PREVENTION SERVICES (HIV TESTING AND COUNSELING, HIP INTERVENTIONS, ARTAS, PREP, CONDOM DISTRIBUTION), AND CLIENT SERVICES (BENEFITS NAVIGATION, TRANSPORTATION AND FINANCIAL ASSISTANCE, ETC.). WE ARE PROUD TO HOST THE POWERHOUSE PROJECT AND DROP-IN CENTER, THE FIRST SAFE SPACE FOR BLACK/AFRICAN AMERICANS WITH HIV IN THE WEST END. POWERHOUSE IS PARTICULARLY KEY TO ENGAGING AND RETAINING INDIVIDUALS IN CARE, AND OFFERS PEER SUPPORT OPPORTUNITIES, CONTINUING EDUCATION/WORKPLACE DEVELOPMENT OPPORTUNITIES AND COMMUNITY BUILDING. QCHC SERVICES APPROXIMATELY 3,000 INDIVIDUALS ANNUALLY INCLUDING 300 HIV POSITIVE MEMBERS OF THE CHARLOTTE TRANSITIONAL GRANT AREA (TGA).

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - QUALITY HOME CARE SERVICE (QHCS) D/B/A QUALITY COMPREHENSIVE HEALTH CENTER (QCHC) IS REQUESTING $149,985 IN FUNDING UNDER THE HIV INNOVATION CATEGORY, STRATEGIC PARTNERSHIPS, TO STRENGTHEN PARTNERSHIPS WITH ORGANIZATIONS BEYOND THE TRADITIONAL HEALTHCARE SETTING INCLUDING BUT NOT LIMITED TO HOMELESS SHELTERS, HOUSING AND EMPLOYMENT SERVICES, AND SOCIAL SERVICE AGENCIES TO ACCESS HARD-TO-REACH POPULATIONS AND PROVIDE A MORE WHOLE PERSON CARE SUPPORT SYSTEM. THE FOCUS WILL BE ON UNHOUSED INDIVIDUALS/PEOPLE EXPERIENCING HOMELESSNESS WITH HIV. THE PROPOSED COLLABORATIONS OUTLINED IN THIS PROPOSAL WILL HELP QCHC IDENTIFY AND ADDRESS BARRIERS TO CARE, SUCH AS STIGMA, TRANSPORTATION, CHILDCARE, HOUSING, AND ECONOMIC INSTABILITY, WHICH DISPROPORTIONATELY AFFECT PEOPLE WITH HIV. BY LEVERAGING THE TRUST AND REACH OF THESE NON-TRADITIONAL PARTNERS, QCHC WILL CREATE MORE EFFECTIVE, CULTURALLY COMPETENT, AND SUSTAINABLE PATHWAYS TO RE-ENGAGEMENT, ENSURING THAT PEOPLE WITH HIV RECEIVE THE COMPREHENSIVE CARE THEY NEED TO ACHIEVE OPTIMAL HEALTH OUTCOMES. QCHC WILL LEVERAGE ITS EXISTING RWHAP PART A AND PART C PROGRAMS AS WELL AS ITS CDC-FUNDED HIV SCREENING/TESTING EFFORTS TO SUPPORT THE PROPOSED PART C CAPACITY DEVELOPMENT ACTIVITIES AS IT WORKS TO RE-ENGAGE AND LINK HIGH ACUITY AND HARD TO REACH POPULATIONS WITH COMPREHENSIVE HIV CARE. QUALITY HOME CARE SERVICE (QHCS) D/B/A QUALITY COMPREHENSIVE HEALTH CENTER (QCHC) IS REQUESTING FUNDING UNDER THE HIV INNOVATION CATEGORY, STRATEGIC PARTNERSHIPS, TO STRENGTHEN PARTNERSHIPS WITH ORGANIZATIONS BEYOND THE TRADITIONAL HEALTHCARE SETTING INCLUDING BUT NOT LIMITED TO HOMELESS SHELTERS, HOUSING AND EMPLOYMENT SERVICES, AND SOCIAL SERVICE AGENCIES TO ACCESS HARD-TO-REACH POPULATIONS AND PROVIDE A MORE WHOLE PERSON CARE SUPPORT SYSTEM. THE FOCUS WILL BE ON UNHOUSED INDIVIDUALS/PEOPLE EXPERIENCING HOMELESSNESS WITH HIV. THE PROPOSED COLLABORATIONS OUTLINED IN THIS PROPOSAL WILL HELP QCHC IDENTIFY AND ADDRESS BARRIERS TO CARE, SUCH AS STIGMA, TRANSPORTATION, CHILDCARE, HOUSING, AND ECONOMIC INSTABILITY, WHICH DISPROPORTIONATELY AFFECT PEOPLE WITH HIV. BY LEVERAGING THE TRUST AND REACH OF THESE NON-TRADITIONAL PARTNERS, QCHC WILL CREATE MORE EFFECTIVE, CULTURALLY COMPETENT, AND SUSTAINABLE PATHWAYS TO RE-ENGAGEMENT, ENSURING THAT PEOPLE WITH HIV RECEIVE THE COMPREHENSIVE CARE THEY NEED TO ACHIEVE OPTIMAL HEALTH OUTCOMES. QCHC WILL LEVERAGE ITS EXISTING RWHAP PART A AND PART C PROGRAMS AS WELL AS ITS CDC-FUNDED HIV SCREENING/TESTING EFFORTS TO SUPPORT THE PROPOSED PART C CAPACITY DEVELOPMENT ACTIVITIES AS IT WORKS TO RE-ENGAGE AND LINK HIGH ACUITY AND HARD TO REACH POPULATIONS WITH COMPREHENSIVE HIV CARE.

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

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS