Premier Community Healthcare Group Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

QUALITY IMPROVEMENT FUND - PREMIER COMMUNITY HEALTHCARE GROUP, INC. (PREMIER), A FEDERALLY QUALIFIED HEALTH CENTER SERVING PASCO AND HERNANDO COUNTIES, FLORIDA, REQUESTS FY 2026 QUALITY IMPROVEMENT FUND SUPPORT TO IMPLEMENT PROJECT C.A.L.M. - COMFORTABLE, ADAPTED, LOW-STIMULATION, MY-PACE. THE PURPOSE OF THE PROJECT IS TO IMPROVE ACCESS TO COMPREHENSIVE DENTAL SERVICES FOR CHILDREN UNDER AGE 21 WITH NEURODEVELOPMENTAL DISORDERS (NDDS) BY CREATING AN ADAPTED, EVIDENCE-INFORMED DENTAL HOME MODEL WITHIN PREMIER’S EXISTING COMMUNITY HEALTH CENTER SYSTEM. THE PROJECT ADDRESSES A SIGNIFICANT AND DOCUMENTED ACCESS GAP. PREMIER’S 1,216-SQUARE-MILE SERVICE AREA INCLUDES HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS, AND NO OTHER FQHC IN PASCO OR HERNANDO COUNTY CURRENTLY OPERATES AN NDD-SPECIFIC PEDIATRIC DENTAL PROGRAM. PREMIER HAS IDENTIFIED 1,720 PEDIATRIC PATIENTS WITH NDD DIAGNOSES. ONLY 38.6% RECEIVED A DENTAL VISIT AT PREMIER IN THE PAST 12 MONTHS, AND ONLY 38% HAVE AN ESTABLISHED DENTAL TREATMENT PLAN, LEAVING MORE THAN 1,000 NDD CHILDREN WITHOUT A DENTAL HOME OR CURRENT TREATMENT PLAN. FLORIDA DEPARTMENT OF EDUCATION DATA FURTHER SHOW 2,446 CHILDREN WITH AUTISM SPECTRUM DISORDER AND 6,549 CHILDREN WITH CORE NDD DIAGNOSES ENROLLED IN PASCO AND HERNANDO COUNTY PUBLIC SCHOOLS. PROJECT C.A.L.M. WILL BE IMPLEMENTED AT PREMIER’S SPRING HILL, NEW PORT RICHEY, AND DADE CITY DENTAL SITES. KEY ACTIVITIES INCLUDE ADAPTING DENTAL WORKFLOWS; CREATING LOW-STIMULATION CARE ENVIRONMENTS; TRAINING DENTAL PROVIDERS AND SUPPORT STAFF IN NDD-RESPONSIVE CARE; ENGAGING CAREGIVERS IN CARE PLANNING AND EDUCATION; STRENGTHENING CARE COORDINATION; AND ESTABLISHING REFERRAL PATHWAYS FOR CHILDREN WHO NEED SPECIALTY SERVICES. THESE ACTIVITIES ARE DESIGNED TO REDUCE SENSORY, BEHAVIORAL, FINANCIAL, GEOGRAPHIC, AND PROVIDER-CAPACITY BARRIERS THAT PREVENT CHILDREN WITH NDDS FROM RECEIVING TIMELY PREVENTIVE AND RESTORATIVE ORAL HEALTH CARE. THE PRIMARY BENEFICIARIES ARE CHILDREN WITH NDDS CURRENTLY SERVED BY PREMIER, WITH EXPANDED REACH THROUGH PARTNERSHIPS WITH THE EARLY LEARNING COALITION OF PASCO AND HERNANDO COUNTIES, JOHNS HOPKINS ALL CHILDREN’S HOSPITAL AND ITS AUTISM PROGRAM, THE PASCO COUNTY SCHOOL BOARD, AND THE HERNANDO COUNTY SCHOOL BOARD. AS AN FQHC, PREMIER SERVES PATIENTS REGARDLESS OF INCOME OR INSURANCE STATUS AND ACCEPTS MEDICAID AND CHIP, SUPPORTING ACCESS FOR FAMILIES MOST LIKELY TO EXPERIENCE BARRIERS TO PRIVATE DENTAL CARE. BY AUGUST 31, 2028, PREMIER EXPECTS TO INCREASE THE PERCENTAGE OF NDD PEDIATRIC PATIENTS WITH A DENTAL VISIT IN THE PAST 12 MONTHS FROM 38.6% TO 80%; INCREASE THE PERCENTAGE WITH AN ESTABLISHED OR UPDATED DENTAL TREATMENT PLAN FROM 38% TO 80%; TRAIN 100% OF DESIGNATED DENTAL PROVIDERS AND SUPPORT STAFF IN NDD-SPECIFIC DENTAL CARE IN YEAR 1, WITH TRAINING FOR NEW HIRES THEREAFTER; CONDUCT AT LEAST FOUR CAREGIVER ENGAGEMENT SESSIONS EACH YEAR; AND ACHIEVE CAREGIVER EXPERIENCE RATINGS OF 80% GOOD OR EXCELLENT IN YEAR 1 AND 85% IN YEAR 2. PREMIER HAS THE ORGANIZATIONAL CAPACITY TO IMPLEMENT AND SUSTAIN THE PROJECT THROUGH ITS AAAHC ACCREDITATION, PATIENT CENTERED MEDICAL HOME RECOGNITION, ACTIVE H80 AWARD, INTEGRATED BEHAVIORAL HEALTH MODEL, EPIC EHR INFRASTRUCTURE, CARE COORDINATION TEAMS, ESTABLISHED DENTAL NETWORK SERVING NEARLY 18,000 PATIENTS ANNUALLY, AND STRONG COMMUNITY PARTNERSHIPS. PROJECT C.A.L.M. WILL BE SUSTAINED THROUGH MEDICAID AND CHIP BILLING OPTIMIZATION, INTEGRATION INTO PREMIER’S OPERATING BUDGET, AND STANDARDIZED PROTOCOLS, WORKFLOW MAPS, AND EPIC BUILD NOTES THAT SUPPORT REPLICATION ACROSS SITES. THE PROJECT WILL ADVANCE PREMIER’S MISSION TO PROVIDE ACCESSIBLE HEALTHCARE SERVICES FOR ALL BY REDUCING ORAL HEALTH DISPARITIES AND MAKING THE COMMUNITY HEALTH CENTER A TRUSTED DENTAL HOME FOR CHILDREN WITH NDDS AND THEIR FAMILIES.

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

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

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

FY 2023 EXPANDING COVID-19 VACCINATION

FISCAL YEAR 2025 EXPANDED HOURS. - ORGANIZATIONAL OVERVIEW, THE COMMUNITY TO BE SERVED, AND THE TARGET POPULATION. SINCE 1979, PREMIER COMMUNITY HEALTHCARE GROUP, INC. (PREMIER) HAS BEEN DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING COMPREHENSIVE PRIMARY, PREVENTIVE, AND SUPPLEMENTAL HEALTH SERVICES TO MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS. THE MISSION OF PREMIER IS TO PROVIDE ACCESSIBLE HEALTHCARE SERVICES FOR ALL. PREMIER’S TOTAL SERVICE AREA INCLUDES ADJACENT PASCO AND HERNANDO COUNTIES ON THE NATURE COAST OF FLORIDA, LOCATED NORTH OF TAMPA AND BORDERED BY THE GULF OF MEXICO, AND SPREAD ACROSS 1,216 SQUARE MILES. ACCREDITED BY THE ASSOCIATION OF AMBULATORY HEALTH CARE AND RECOGNIZED AS A PATIENT-CENTERED MEDICAL HOME FOR USING EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG-TERM PARTICIPATIVE RELATIONSHIPS, PREMIER IS A SAFETY NET FOR ANYONE IN THE COMMUNITY IN NEED OF AFFORDABLE AND ACCESSIBLE HEALTH CARE SERVICES. PASCO AND HERNANDO COUNTIES, WHERE THE PROPOSED EXPANDED HOURS (EH) SITES WILL BE LOCATED, REPRESENT A MIX OF SEMI-RURAL AND A CONCENTRATION OF SEMI-URBAN DEVELOPMENT POPULATIONS. THE HEALTH CENTER SERVICE AREA POPULATION CONSISTS OF THIRTY CENSUS TRACTS IN PASCO COUNTY (301-331) WITH A POPULATION ESTIMATE OF 632,996 AND SIXTEEN CENSUS TRACTS IN HERNANDO COUNTY (401-416) WITH A POPULATION ESTIMATE OF 212,807 (US CENSUS QUICK FACTS, 2020). THE TARGET POPULATION AND SERVICE AREA FOR THE PROPOSED EH PROJECT INCLUDES UNDERSERVED POPULATIONS SEEKING PRIMARY, PREVENTIVE, AND TREATMENT SERVICES. WHILE PREMIER IS A MEDICAL HOME TO OVER 40,500 PATIENTS BASED ON THE MOST RECENT UDS YEAR DATA, ONLY 22.5% OF THE LOW-INCOME PERSONS IN THE SERVICE AREA ACCESSED CARE THROUGH A HEALTH CENTER PROGRAM. THE PROJECT GOAL WILL BE TO INCREASE ACCESS TO CARE THROUGH EXPANDED HOURS OF SERVICE. PREMIER PROPOSES TO ADD THREE EVENING HOURS OF SERVICE DELIVERY TO THREE DAYS FOR MEDICAL, BEHAVIORAL HEALTH, AND PHARMACY SERVICES AT MULTIPLE COMMUNITY HEALTH CENTER LOCATIONS. IN ADDITION TO ONE EVENING CURRENTLY, THE THREE ADDITIONAL EVENING HOURS FOR THIS PROPOSED PROJECT WILL ENABLE PREMIER TO OFFER SERVICES FOR TWELVE HOURS A DAY, FOUR DAYS A WEEK FROM 7AM-7PM. CARE RECEIVED OUTSIDE OF THE USUAL BUSINESS HOURS IS ASSOCIATED WITH IMPROVED PATIENT OUTCOMES AND LOWER EMERGENCY DEPARTMENT USE FOR NON-URGENT PROBLEMS. THE NEW OPERATING HOURS WILL INCREASE ACCESS TO CARE AND SUPPORT PATIENTS IN LIVING HEALTHIER LIVES BY RECEIVING PRIMARY CARE AND SUPPLEMENTAL HEALTH SERVICES, THEREBY REDUCING AVOIDABLE VISITS TO THE EMERGENCY DEPARTMENT. THE PROPOSED SERVICE DELIVERY SITES AND LOCATIONS; AND EXPANDED HOURS OF SERVICE TO BE PROVIDED. THE PROPOSED EXPANDED HOURS OF SERVICE WILL INCLUDE PRIMARY CARE, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER SERVICES, AND PHARMACY SERVICES AT MULTIPLE COMMUNITY-BASED HEALTH CENTER LOCATIONS STRATEGICALLY LOCATED THROUGHOUT PREMIER’S SERVICE AREA. EXPANDED HOURS OF SERVICE WILL BE IMPLEMENTED IN THREE EXISTING HEALTH CENTER LOCATIONS. THE TARGETED LOCATIONS INCLUDE DADE CITY, ZEPHYRHILLS, AND NEW PORT RICHEY. HOW THE EH PROJECT WILL IMPACT THE TARGET POPULATION SEEKING HEALTH SERVICES IN PRIMARY CARE SETTINGS. ADDITIONAL HOURS OF OPERATION DURING THE EVENING WILL INCREASE ACCESS TO CARE FOR COMMUNITY MEMBERS WHILE REDUCING BARRIERS BASED ON SOCIAL DETERMINANTS OF HEALTH. BARRIERS SUCH AS TRANSPORTATION, LACK OF AVAILABLE APPOINTMENTS, AND THE INABILITY TO TAKE TIME OFF WORK WILL BE ADDRESSED THROUGH THE PROPOSED EXPANDED HOURS. DURING THE PROPOSED EH OF CARE, PREMIER’S PATIENT-CENTERED MODEL OF CARE WILL INCLUDE SAFE AND TIMELY TRIAGE, ACCESSIBILITY FOR PATIENTS, CONTINUITY, AND COORDINATION WITH THE PROVIDERS AND THE HEALTH CENTER'S VARIOUS SERVICE LINES.

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CAPITAL DEVELOPMENT

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS