Community Health Foundation Inc

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

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

FY 2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT (CCBHC-PDI) - PROJECT NAME: PUERTO RICO CCBHC THE PUERTO RICO CCHBC WILL BE ESTABLISHED THROUGH PLANNING, DEVELOPMENT, AND IMPLEMENTATION DURING THE FIRST YEAR OF FUNDING AND WILL BE ESTABLISHED TO PROVIDE COMPREHENSIVE, COORDINATED, PERSON-AND FAMILY-CENTERED, INTEGRATED BEHAVIORAL HEALTH CARE TO THE 282,154 LOW-INCOME RESIDENTS OF LIVING ON THE NORTHERN SIDE OF THE TERRITORY OF PUERTO RICO, JUST TO THE WEST OF TERRITORY’S CAPITAL SAN JUAN, WITHIN THE MUNICIPALITIES OF BAYAMON, CATAÑO, DORADO, GUAYNABO, TOA BAJA, AND VEGA ALTA. THE TARGET POPULATION IS 99.9% HISPANIC WITH THE LARGEST AGE GROUPS, 25-44 AND 45-64 YEARS OF AGE, TOTALING 26% OF THE POPULATION EACH, 52% TOGETHER. THOSE 65 YEARS AND OLDER HAVE WITNESSED THE LARGEST CHANGE FROM 2000 TO 2019 REACHING AN INCREASE OF 45.6%. OVER HALF, OR 54%, OF THE TARGET POPULATION LIVE BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG). OF THOSE LIVING BELOW 200% FPG, 16%, OR 73,189 HAVE DISABILITIES AND 32% ARE NOT IN THE LABOR FORCE. SERVICE MEMBERS TOTAL 529 MEMBERS OF THE SERVICE AREA, AND 27.8% RECEIVE MEDICAID AND AN ADDITIONAL 20% HAVE MEDICARE. A STAGGERING 19.0% OF PUERTO RICO HOUSEHOLDS HAVE A VEHICLE SHORTAGE INCLUDING THE 13.9%, OR 19,017, OF HOUSEHOLDS LOCATED IN CHFPR’S SERVICE AREA THAT DO NOT HAVE A VEHICLE AVAILABLE FOR USE AT ALL. THESE TOTALS FAR EXCEED THE UNITED STATES TOTAL OF 13.5% AND 8.6% RESPECTIVELY. PROJECT GOALS AND OBJECTIVES: GOAL 1: IMPLEMENT CCHBC PROGRAM WITHIN CHFPR. OBJ 1.1: DEVELOP AN OPERATIONAL PLAN TO SUPPORT IMPLEMENTATION AND OPERATION. OBJ 1.2: COMPLETE INFRASTRUCTURE DEVELOPMENT ACTIVITIES OBJ 1.3: COMPLETE INITIAL NEEDS ASSESSMENT OBJ 4: PROVIDE FIVE CORE CCHBC SERVICES WITHIN SIX MONTHS. OBJ 1.5: PROVIDE REMAINING FOUR CORE CCHBC SERVICES WITHIN 12 MONTHS. OBJ 1.6: ESTABLISH CONSUMER AND FAMILY MEMBER ADVISORY WORK GROUP (AWG). OBJ 1.7: COMPLETE CCBHC CERTIFICATION. OBJ 1.8: FOLLOW-UP & UPDATE OF NEEDS ASSESSMENT, GRANT ACTIVITIES, STAFFING PLAN, AND TRAINING PLAN OBJ 1.9: ASSESS PROGRAM DEVELOPMENT AND IMPLEMENTATION MONTHLY. OBJ 1.10: UPDATE CCHBC CERTIFICATION ATTESTATION. GOAL 2: PROVIDE CCBHC SERVICES TO 1042 TOTAL UNDUPLICATED PATIENTS DURING THE FOUR-YEAR GRANT PERIOD. OBJ 2.1: HIRE STAFF. OBJ 2.2: DEVELOP AND DISTRIBUTE REFERRAL SOURCE PROGRAM INFORMATION TO ASSURE ALL PARTNER ORGANIZATION UNDERSTAND THE PROGRAM’S COLLABORATIVE AND INTEGRATIVE APPROACH, THE PATHWAY FOR ENTRY FOR THE FULL SPECTRUM OF CCHBC SERVICES. OBJ 2.3, 2.4, 2.5, 2.6: RECRUIT AND PROVIDE SERVICES TO THE FOLLOWING NUMBER OF PATIENTS PER YEAR FOR THE FOUR-YEAR GRANT PERIOD: YR 1: 233; YR 2:299; YR 3: 255, YR 4: 255 GOAL 3: ESTABLISH CCO PROGRAM TO SUPPORT PATIENT ACCESS/CARE AND DATA COLLECTION. OBJECTIVE 3.1: FINALIZE CARE COORDINATION PROCESSES TO SUPPORT THE REFERRAL AND COORDINATION OF CARE FOR CCBHC PATIENTS THROUGH THE DEVELOPMENT OF PROCESSES FOR THE EXCHANGE OF DATA AND A FORMAL AGREEMENT WITH EACH OF THE ENTITIES TO ASSURE COORDINATED AND TIMELY EXCHANGE OF INFORMATION. OBJECTIVE 3.2: IMPLEMENT CCO PROCESSES WITHIN THE CCBHC PROGRAM TO ASSURE COORDINATION OF CARE AND DATA EXCHANGE. GOAL 4: PLAN FOR THE FUTURE OF CHFPR’S CCHBC THROUGH THE DEVELOPMENT OF A SUSTAINABILITY PLAN. OBJECTIVE 4.1: COMPLETE FEDERAL PROCUREMENT PROCESS TO IDENTIFY AND HIRE CCBHC CONSULTANTS TO COMPLETE THE DEVELOPMENT OF A SUSTAINABILITY PLAN. OBJECTIVE 4.2: REVIEW COMPLETED PLAN AND DISCUSSION WITH BOARD AND STAFF. OBJECTIVE 4.3: IMPLEMENT THE SUSTAINABILITY PLAN. OBJECTIVE 4.4: UPDATE SUSTAINABILITY PLAN ANNUALLY

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - COMMUNITY HEALTH FOUNDATION OF PUERTO RICO, INC. – H80CS33662 THE COMMUNITY HEALTH FOUNDATION OF PUERTO RICO, INC. (CHFPR) IS PROPOSING TO EXPAND THE MENTAL HEALTH SUD/MOUD SERVICES AVAILABLE TO THE THE 282,154 LOW-INCOME RESIDENTS, THOSE LIVING BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), WHO RESIDE WITHIN THE TERRITORY OF PUERTO RICO’S MUNICIPALITIES INCLUDING BAYAMÓN, CATAÑO, DORADO, GUAYNABO, TOA BAJA, AND VEGA ALTA (ZCTAS 00646, 00692, 00949, 00952, 00956, 00957, 00958, 00959, 00961, 00962, 00963, 00965, AND 00971). CHFPR’S SERVICE AREA IS IN NORTHEASTERN PUERTO RICO, JUST TO THE WEST OF THE TERRITORY’S CAPITAL OF SAN JUAN, SEE FIGURE 1. LOCATED JUST TO THE WEST OF THE CAPITAL CITY OF SAN JUAN, THE SERVICE AREA IS 133.1 SQUARE MILES IN SIZE WITH 96.9% OF THE AREA LOCATED WITHIN AN OPPORTUNITY ZONE, 87% LOCATED WITHIN A MUA/MUP, AND 35.3% LOCATED WITHIN A HEALTH PROFESSIONAL SERVICE AREA (HPSA). THE PROPOSED BHSE PROGRAM WILL ALSO ENABLE CHFPR TO BRING ON OUR NEW PARTNER, UNIVERSIDAD CENTRAL DEL CARIBE, FELLOWSHIP IN ADDICTION MEDICINE (FELLOWSHIP PROGRAM), TO SUPPORT OUR GROWING SUD/MOUD PROGRAM. CHFPR PROPOSES WITH THE BHSE PROGRAM TO EXPAND 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 CLINIC SITE THREE DAYS PER WEEK FOR CHFPR’S CURRENT PATIENTS, SATURDAYS AT THE ANEXO FOR NEW MAT PATIENTS, AND ONBOARD THE MOBILE MEDICAL CLINIC TO PROVIDE INTEGRATED MENTAL HEALTH, SUD, AND MOUD TREATMENT TO NEW PATIENTS AT PARTNER SITES THROUGHOUT THE SERVICE AREA. MENTAL HEALTH TO EXPAND ACCESS FOR CHFPR’S SERVICE AREA TARGET POPULATION AND CURRENT PATIENTS TO MENTAL HEALTH SERVICES, CHFPR IS EXPANDING MENTAL HEALTH LICENSED CLINICAL SOCIAL WORKER (LCSW) FTES FROM 1.6 FTES (2023 UDS) TO 2.6 FTES (2025 UDS). IN ADDITION, CHFPR WILL EXPAND MENTAL HEALTH LICENSED CLINICAL PSYCHOLOGISTS FTES FROM 1.98 FTES (2023 UDS) TO 2.98 FTES (2025 UDS). THE ADDITIONAL STAFF WILL ENABLE INCREASED ACCESS TO MENTAL HEALTH SERVICES FOR AN ADDITIONAL 300 PATIENTS ANNUALLY STARTING IN CY 2025, WITH 100 OF THESE BEING SUD AND 30 BEING MAT PATIENTS. VISITS WILL BE PROVIDED IN PERSON AND VIA TELEHEALTH, AS INDICATED FOR INCREASED ACCESS AND IMPROVED OUTCOMES. SUD/MOUD TREATMENT CHFPR’S BHSE PROGRAM WILL PROVIDE NEW ACCESS TO SUD/MOUD TREATMENT THROUGH ADDING TWO MAT PROVIDERS, EXPANDING FTES FROM 0.0 (2023 UDS) TO 2.0 (2025 UDS). THE MAT PROVIDERS WILL EXPAND ACCESS TO NEW SUD/MOUD SERVICES IN CONJUNCTION WITH MAT TO 100 CHFPR PATIENTS ANNUALLY THROUGH ACCESS AT THE HEALTH CENTER, THE SATURDAY ANEXO CLINICS, AND ONBOARD THE MOBILE MEDICAL CLINIC.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** INDIVIDUALS WITH LOW INCOMES FACE GREAT BARRIERS, INCLUDING LIMITED ACCESS TO HEALTHY AND AFFORDABLE FOOD RETAILERS, WHICH IMPACTS THE HEALTH AND WELL-BEING OF THE ENTIRE FAMILY. ACCORDING TO A VULNERABLE POPULATIONS STUDY, ALLEN COUNTY, INDIANA HAS 37 CENSUS TRACTS THAT ARE BOTH LOW INCOME AND THAT HAVE AT LEAST 33% OF THE POPULATION (500 INDIVIDUALS) WHO LIVE WITH LIMITED ACCESS TO NEARBY FOOD RETAILERS (I.E., FOOD DESERTS). IN A PILOT PROJECT, WE IMPLEMENTED A DOUBLE-UP SNAP PROGRAM WITH LOCAL FOOD MARKETS, DOUBLING THE VALUE OF THE SNAP BENEFITS IF THE MONEY WAS USED TO PURCHASE FRESH FRUIT OR VEGETABLES. IN THIS PROJECT, WE EXTEND THE DOUBLE-UP PROGRAM TO ALSO INCLUDE A COMMERCIAL RETAILER LOCATED IN LOW-INCOME CENSUS TRACTS (SAVE-A-LOT GROCERY) TO INCREASE THE ACCESSIBILITY OF FRUITS AND VEGETABLES TO THOSE WITH SNAP BENEFITS.OUR MEASURES OF EFFECTIVENESS INCLUDE: (1) THE REACH OF OUR PROGRAM, AS EVIDENCED BY PENETRATION TO ADDITIONAL MARKETS IN THE LOCAL COMMUNITY AND SNAP BENEFICIARIES' KNOWLEDGE OF THE DOUBLE UP PROGRAM, (2) THE NUMBER OF COMMUNITY PARTNERS ADDED TO THE PROJECT, AND (3) THE PERCENTAGE OF TRANSACTIONS AT FOOD MARKETS AND SAVE-A-LOT GROCERY THAT ARE DOUBLED AS PART OF THIS PROGRAM. THROUGH EXTENSIVE MARKETING TO RETAILERS AND CONSUMERS WHO RECEIVE SNAP BENEFITS, WE HOPE TO INCREASE OUR SNAP MATCH DOLLARS FROM 4% TO 50% OF TOTAL SALES, WHICH WILL BE MEASURED ELECTRONICALLY, VIA RECORDS OF POINT-OF-SALE PURCHASES. WE ALSO INTEND TO INCREASE COMMUNITY BUY-IN AND PROGRAM VISIBILITY, AS MEASURED BY COMMUNITY PARTNERSHIPS AND INTERNET TRAFFIC RELATED TO OUR WEBSITE. THE ULTIMATE GOAL OF THE PROJECT IS TO INCREASE THE AVAILABILITY OF PRODUCE IN FOOD DESERTS AND INCENTIVIZE THE PURCHASED PRODUCE, ADDRESSING ACCESS AND AFFORDABILITY CONCERNS FOR THOSE IN LOW-INCOME POPULATIONS. IF OUR INTERVENTION IS SUCCESSFUL, THE MODEL CAN BE EXTENDED TO OTHER FOOD MARKETS AND COMMERCIAL RETAILERS IN LOW-INCOME FOOD DESERTS ACROSS THE NATION, WHICH MAY HELPTO INCREASE HEALTH AND WELLNESS IN LOW-INCOME POPULATIONS AND INCREASE DEMAND FOR FRESH PRODUCE, WHICH MAY HAVE A DOWNSTREAM EFFECT ON U.S. AGRICULTURE.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

UNANTICIPATED ARRIVIALS

FY 2023 EXPANDING COVID-19 VACCINATION

WINDSOR AREA COMMUNITY PARTNERSHIP 2007

SUPPLEMENTAL SERVICES FOR RECENTLY ARRIVED REFUGEES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

REFUGEE AGRICULTURAL PARTNERSHIP PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

FY 2023 EXPANDING COVID-19 VACCINATION

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

RBDG RURAL BUSINESS COOP RURAL ENTERPRISE GRANT

FARM TO SCHOOL GRANT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

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