Camillus Health Concern Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT TITLE: ENDING THE HIV EPIDEMIC – PRIMARY CARE HIV PREVENTION APPLICANT ORGANIZATION NAME: CAMILLUS HEALTH CONCERN, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00026 ADDRESS: 336 NW 5TH STREET, MIAMI, FL 33128 PROJECT DIRECTOR NAME: FRANCIS AFRAM-GYENING, MBA, MPH, FACHE – CHIEF EXECUTIVE OFFICER CONTACT PHONE NUMBERS (VOICE, FAX): TEL: (305) 553-0189; CELL: (786) 351-3369 EMAIL ADDRESS: FAGYENING@CAMILLUS.ORG WEBSITE ADDRESS: HTTPS://CAMILLUSHEALTH.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $325,000 PER YEAR FOR TWO YEARS DESCRIPTION OF CAMILLUS HEALTH CONCERN, INC. CAMILLUS HEALTH CONCERN, INC. (CHC) IS A HEALTH CENTER PROGRAM (H80) OPERATIONAL GRANT AWARD RECIPIENT UNDER SECTIONS 330(E), (G), (H), AND/OR (I) OF THE PUBLIC HEALTH SERVICE ACT BASED IN MIAMI, FLORIDA, A TARGETED GEOGRAPHICAL LOCATION FOR THIS GRANT, AND IT DID NOT RECEIVE AN FY2020 OR FY2021 PCHP AWARD. CAMILLUS OFFERS A RANGE OF PRIMARY, PREVENTIVE AND SUPPLEMENTAL SERVICES INCLUDING PRIMARY ADULT AND PEDIATRIC MEDICAL CARE, WOMEN’S HEALTH, ORAL HEALTH, PODIATRY AND VISION SERVICES. A SPECIFIC DIFFERENTIATING FACTOR IS THE STRONG EMPHASIS ON INTEGRATED BEHAVIORAL HEALTH. ENABLING SERVICES INCLUDE TRANSPORTATION AND CASE MANAGEMENT. THE HIGH VOLUME OF CLIENTS WITH RISK FACTORS (HOMELESSNESS, HEPATITIS B AND C, BEHAVIORAL HEALTH ISSUES, AND TRANSIENCE) QUALIFIES CHC AS AN IDEAL CANDIDATE TO HELP PREVENT HIV INFECTION. CHC SERVED 6,036 PATIENTS IN 2020. OF THESE, 1,877 OR 31% WERE TESTED FOR HIV, 59 TESTED POSITIVE (3.1%) AND 16 WERE LINKED TO CARE WITHIN 30 DAYS. ANOTHER 26 PATIENTS WERE PRESCRIBED PREP. GENERAL OVERVIEW OF THE HIV EPIDEMIOLOGY IN THE ENTIRE DESIGNATED SERVICE AREA. THE SERVICE AREA IS MIAMI-DADE COUNTY, WITH FOCUS ON DOWNTOWN MIAMI, SPECIFICALLY ZIP CODES 33126 TO 33181. MIAMI-DADE COUNTY COMPRISES 23.4% OF FLORIDA’S CURRENT HIV PREVALENCE, WITH 27,319 PLWH OF FLORIDA’S 116,689 PLWH IN 2019 (SOURCE: FLORIDA HEALTH). AS OF 2020, MIA MI-DADE COUNTY CONTINUED TO RANK #1 IN THE U.S. FOR NEW HIV INFECTIONS PER 100,000 RESIDENTS. DISPARATE GROUPS ARE HISPANIC/LATINX (64% OF NEW CASES IN 2019), AFRICAN AMERICANS (27% NEW CASES) AND GAY/BISEXUAL MEN (69% NEW CASES). LINKAGE TO CARE IS CURRENTLY 73% IN THE COUNTY VS. 79% FOR THE STATE AND VIRALLY SUPPRESSED IS 62% VS. 68% FOR FLORIDA. GENERAL DESCRIPTION OF THE SERVICES TO BE SUPPORTED BY THIS REQUEST, HOW THIS PROJECT WILL INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP, LINKED TO HIV CARE AND TREATMENT WITHIN 30 DAYS OF DIAGNOSIS AND FOCUS ON TARGETED GEOGRAPHIC LOCATIONS. KEY SERVICES TO BE SUPPORTED INCLUDE PATIENT PRESCRIBED PREP, LINKAGE TO HIV CARE AND TREATMENT AND FOCUS IN THE DEFINED SERVICE AREA. THE AMOUNT OF FUNDING REQUESTED IS $325,000 PER YEAR FOR A TWO-YEAR PERIOD AND THE TARGET POPULATION INCLUDES MINORITY MALES AND FEMALES, WITH EMPHASIS ON HOMELESS OR THOSE AT RISK OF HOMELESSNESS. A SIGNIFICANT FRACTION (42.3%) LIVE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. PROPOSED ACTIVITIES. OFFER ADDITIONAL HIV SERVICES IN HOUSE, INCLUDING PREP, MORE ADVANCED TESTING, CASE MANAGEMENT, OUTREACH AND COUNSELING. WORKFORCE DEVELOPMENT/TRAINING FOR ENTIRE STAFF AND ADDITIONAL HIV SPECIFIC POSITIONS. THIS DEDICATED HIV TEAM WOULD FOLLOW THE PATIENTS ACROSS THE SPECTRUM OF TESTING, COUNSELING, PREVENTION AND TREATMENT. BUILDING ON THE FLORIDA DEPARTMENT OF HEALTH’S (FDOH) COLLABORATIVE HIV LINKAGE AND TREATMENT PROJECT, KNOWN AS THE TEST AND TREAT/RAPID ACCESS (TTRA) MODEL, FUND THE PROPOSED EHE PROJECT TO IMPROVE THE LOCAL HIV CARE CONTINUUM FOR ALL PEOPLE WITH HIV BY: (1) INFORMING THE HIV COMMUNITY OF AVAILABLE RESOURCES AND REMOVING BARRIERS TO CARE; (2) INCREASING CAPACITY OF SERVICE PROVIDERS; (3) DISSEMINATING INFORMATION THAT PROMOTES THE BENEFITS OF HIV TREATMENT; AND (4) IMPROVING DATA INFRASTRUCTURE, SHARING, AND SYSTEM LINKAGES TO AVOID DUPLICATION OF EFFORTS.

CAPITAL DEVELOPMENT

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - IN THE UNITED STATES THERE ARE OVER 1,400 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) PROVIDE AFFORDABLE, HIGH-QUALITY HEALTHCARE TO MORE THAN 31.5 MILLION PEOPLE ANNUALLY. THESE CENTERS OPERATE IN EVERY STATE, U.S. TERRITORY, AND THE DISTRICT OF COLUMBIA, OFFERING CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEY ENHANCE ACCESS TO ESSENTIAL PRIMARY CARE SERVICES BY OVERCOMING COST, LACK OF INSURANCE, DISTANCE, AND LANGUAGE BARRIERS. MIAMI-DADE COUNTY, FLORIDA, WITH A POPULATION OF OVER 2.7 MILLION, IS THE STATE'S LARGEST AND MOST POPULOUS COUNTY. THE COUNTY SPANS 1,898 SQUARE MILES AND COMPRISES 34 MUNICIPALITIES. NEARLY 13% OF FLORIDA'S POPULATION RESIDES IN MIAMI-DADE, WHERE WOMEN MAKE UP 51%, MEN COMPRISE 49%, AND THE MEDIAN AGE IS 40. THE COUNTY IS ONE OF THE MOST DIVERSE IN THE STATE, PREDOMINANTLY CONSISTING OF ETHNIC MINORITIES. HISPANICS CONSTITUTE 69% OF THE POPULATION, WHILE AMONG NON-HISPANICS, BLACKS REPRESENT 44.8%, WHITES 42.8%, AND ASIANS 4.9%. OVER HALF (54.1%) OF MIAMI RESIDENTS WERE BORN ABROAD, MAKING THE COUNTY A PRIMARY ENTRY POINT FOR IMMIGRANTS AND REFUGEES FROM SOUTH AMERICA AND THE CARIBBEAN, PARTICULARLY CUBA, HAITI, AND CENTRAL AMERICA. MORE THAN 92% OF MIAMI'S FOREIGN-BORN RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, WITH SPANISH AND HAITIAN CREOLE BEING THE MOST COMMON. ADDITIONALLY, 56.6% OF THESE RESIDENTS SPEAK ENGLISH LESS THAN "VERY WELL." THE COUNTY'S DIVERSE CULTURAL AND ETHNIC LANDSCAPE UNDERSCORES THE NECESSITY FOR AFFORDABLE, CULTURALLY COMPETENT, AND LINGUISTICALLY APPROPRIATE HEALTHCARE AND ANCILLARY SERVICES. CAMILLUS HEALTH CONCERN, INC. (CHC) OFFERS COMPREHENSIVE PRIMARY HEALTHCARE SERVICES TO PEOPLE EXPERIENCING HOMELESSNESS AND RECENTLY ARRIVED MIGRANTS IN MIAMI-DADE COUNTY. ESTABLISHED IN 1984 AS A PRIVATE, NON-PROFIT ORGANIZATION, CHC HAS PROVIDED HEALTHCARE AND RELATED SERVICES TO THE COUNTY'S HOMELESS POPULATION. SINCE 1989, CHC HAS BEEN A HEALTHCARE FOR THE HOMELESS (HCH) GRANTEE THROUGH THE BUREAU OF PRIMARY HEALTH CARE AND BECAME A DESIGNATED FQHC IN 1996. WITH 40 YEARS OF EXPERIENCE, CHC IS DEDICATED TO MEETING THE NEEDS OF ITS TARGET POPULATION, OPERATING FOUR SITES MONDAY, TUESDAY, THURSDAY, AND FRIDAY FROM 8AM TO 5PM AND WEDNESDAY FROM 8AM TO 7PM. CHC'S EXTENSIVE EXPERIENCE ENABLES IT TO DELIVER COMPREHENSIVE SERVICES ACROSS THE LIFE CYCLE, HELPING TO INCREASE ACCESS TO CARE, REDUCE HEALTH DISPARITIES, AND IMPROVE THE HEALTH STATUS OF THE COUNTY'S HOMELESS AND MIGRANT POPULATIONS. IN 2023, CHC SERVED 6,050 INDIVIDUALS, GENERATING OVER 35,000 VISITS. THESE INCLUDED 19,063 (54%) MEDICAL SERVICE VISITS, 11,321 (32%) BEHAVIORAL HEALTH VISITS, AND 5,236 (14%) ORAL HEALTH VISITS. OF THE PATIENTS SERVED, 3,490 (58%) WERE EXPERIENCING HOMELESSNESS, AND 5,717 (95%) REPORTED INCOMES AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. CHC SEEKS GRANT FUNDING TO EXPAND ACCESS AND REDUCE BARRIERS TO HIGH-QUALITY PRIMARY CARE AT ITS MAIN LOCATION (GREER BUILDING) AND ONE OF ITS SATELLITE SITES (NCL CAMPUS) BY INCREASING SERVICE HOURS FOR PRIMARY CARE, PEDIATRICS, BEHAVIORAL HEALTH, AND DENTAL CARE BASED ON PATIENT NEEDS AND COMMUNITY DEMANDS. CHC PLANS TO EXTEND ITS SERVICE HOURS AT GREER ON TUESDAYS AND WEDNESDAYS FROM 8 AM TO 7 PM, ADDING TWO ADDITIONAL HOURS FOR PRIMARY CARE, BEHAVIORAL HEALTH, AND PEDIATRICS. ADDITIONALLY, DENTAL CARE SERVICES WILL BEGIN AN HOUR EARLIER, STARTING AT 7 AM TO 5 PM, MONDAY THROUGH FRIDAY, TO ENHANCE ACCESS. AT THE NCL CAMPUS, CHC PLANS TO EXTEND ITS HOURS OF OPERATION ON MONDAYS AND WEDNESDAYS FROM 8 AM TO 7 PM, OFFERING TWO ADDITIONAL HOURS OF SERVICE IN THE EVENING. THE PROPOSED EXPANSION WAS INFORMED BY RESULTS FROM OUR PATIENT SURVEYS, ALIGNS WITH FEEDBACK FROM OUR CONSUMER ADVISORY BOARD, AND IS SUPPORTED BY KEY STAKEHOLDERS LIKE CAMILLUS HOUSE AND SALVATION ARMY, OUR COMMUNITY HOUSING PARTNERS. THIS EXPANSION WILL ENABLE CHC TO BETTER MEET COMMUNITY NEEDS AND ENHANCE HEALTH OUTCOMES.

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS