International Community Health Services

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - HIV PREVENTION AND CARE PROJECT INTERNATIONAL COMMUNITY HEALTH SERVICES P.O. BOX 3007, SEATTLE, WA 98114-3007 TERESITA BATAYOLA, PRESIDENT & CEO VOICE – (206) 788-3646; FAX – (206) 490-4011 TERESITAB@ICHS.COM WWW.ICHS.COM HEALTH CENTER PROGRAM, PRIMARY CARE HIV PREVENTION H80CS00437 INTERNATIONAL COMMUNITY HEALTH SERVICES’ (ICHS’) HIV PREVENTION AND CARE PROJECT WILL INCREASE RATES OF HIV TESTING, PREP PRESCRIBING, AND LINKAGE OF PATIENTS DIAGNOSED AS HIV POSITIVE TO CARE AND TREATMENT WITHIN 30 DAYS IN KING COUNTY, WASHINGTON. ICHS IS A FEDERALLY QUALIFIED HEALTH CENTER WITH TEN IN-SCOPE LOCATIONS, INCLUDING FOUR FULL-SERVICE MEDICAL/DENTAL CLINICS WHICH WILL BE THE FOCUS OF THE PROJECT. TWO OF THESE CLINICS ARE LOCATED IN SEATTLE: ONE IN THE INTERNATIONAL DISTRICT AND ONE IN THE HOLLY PARK NEIGHBORHOOD. THE IS ONE CLINIC LOCATED IN THE SUBURBAN CITY OF SHORELINE AND ONE IN BELLEVUE, KING COUNTY’S SECOND-LARGEST CITY. THE PROPOSED PROJECT WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV BY INITIATING AN OUTREACH PROGRAM TO ENSURE THAT ALL ICHS PATIENTS BETWEEN THE AGES OF 15 AND 65 ARE TESTED FOR HIV AT LEAST ONCE. PATIENTS AT HIGH RISK OF HIV WILL THEN BE SCREENED AT INTERVALS OF 3-12 MONTHS. THIS PROJECT WILL IMPROVE ON THE CURRENT ICHS SCREENING RATE OF 38%. THERE IS STILL A LOT OF STIGMA ASSOCIATED WITH HIV, EVEN WITH SCREENING FOR IT, AND THIS IS COMPOUNDED BY LINGUISTIC AND CULTURAL BARRIERS AS WELL AS LACK OF UNDERSTANDING OF HIV. CONSEQUENTLY, THE PROJECT WILL USE OUTREACH COORDINATORS AS WELL AS HEALTH EDUCATION SPECIALISTS TO HELP INCREASE THE UPTAKE OF FIRST TIME HIV SCREENING. MEDICAL LEADERSHIP WILL WORK WITH OUR CLINICAL INFORMATICS TEAM TO ENSURE THAT HIV SCREENING IS LISTED AS PART OF THE CARE GAPS USED IN OUR ELECTRONIC MEDICAL RECORD SYSTEM TO ENSURE THAT ALL PROVIDERS SCREEN THEIR PATIENTS AT LEAST ONCE. BY OFFERING HIV SCREENING SERVICES, WE WILL BE MORE ATTUNED TO WHO IS AT INCREASED RISK OF GETTING HIV. ICHS WILL IMPROVE OUR COLLECTION OF SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI) AND DRUG-USE DATA TO IDENTIFY WHO IS AT HIGHER RISK OF GETTING HIV AND CAN BENEFIT FROM PREP. PREP MEDICATIONS ARE ALREADY READILY AVAILABLE IN ICHS’ PHARMACY SITES FOR SAME-DAY PICKUP. WE WILL OFFER WALK-IN AND POINT-OF-CARE TESTING TO ALLOW FOR SAME-DAY PREP INITIATION. THIS WILL RESULT IN AN INCREASE OF THE NUMBER OF ICHS PATIENTS WHO ARE PRESCRIBED PREP, WHICH WAS 103 AS OF NOVEMBER 30, 2021. BY INCREASING THE NUMBER OF PEOPLE SCREENED FOR HIV, WE WILL IDENTIFY MORE NEW CASES OF HIV. ICHS HAS AN HIV SPECIALIST THAT CAN MANAGE HIV, AND WE WILL ALSO WORK WITH LOCAL ORGANIZATIONS, INCLUDING HIV CLINICS AND CASE MANAGEMENT ORGANIZATIONS TO ENSURE THAT PATIENTS ARE LINKED TO HIV CARE WITHIN 30 DAYS. IN ORDER TO ENSURE THAT ICHS STAFF AND PROVIDERS ARE AWARE OF THE INITIATIVE, ICHS WILL APPOINT HIV PREVENTION CLINICIAN CHAMPIONS AT ITS CLINICAL SITES, AS WELL AS A PROGRAM MANAGER TO OVERSEE THE EFFORT. ICHS IS A FEDERALLY QUALIFIED HEALTH CENTER THAT SERVES EVERYONE. HOWEVER, SINCE 84% OF ICHS PATIENTS WITH KNOWN INCOMES ARE LOW-INCOME (WITH INCOMES AT 200% OF THE FEDERAL POVERTY LIMIT OR LOWER) AND 60% ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, THESE POPULATIONS WILL REPRESENT A HIGH PERCENTAGE OF THOSE SERVED. IN ADDITION, APPROXIMATELY 68% OF ICHS PATIENTS ARE OF ASIAN ETHNICITY, SO MANY OF THOSE SERVED IN THIS PROJECT WILL REPRESENT THIS POPULATION.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - INTERNATIONAL COMMUNITY HEALTH SERVICES (ICHS) PROVIDES COMPREHENSIVE HEALTHCARE TO RESIDENTS OF SEATTLE AND THE SURROUNDING AREAS. DEEPLY ROOTED IN THE ASIAN PACIFIC ISLANDER COMMUNITY, ICHS PROVIDES CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH AND WELLNESS SERVICES AND PROMOTES HEALTH EQUITY FOR ALL. IN 2023, ICHS SERVED A TOTAL OF 31,147 UNDUPLICATED PATIENTS. OF THIS TOTAL, 78% WERE PEOPLE OF COLOR, 78% HAD INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LIMIT, AND 58% WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, SPEAKING OVER 70 LANGUAGES. BECAUSE OF OUR DIVERSE PATIENT POPULATIONS AND ROOTS, OUR VISION AT ICHS IS “HEALTHIER PEOPLE. THRIVING FAMILIES. EMPOWERED COMMUNITIES. A JUST SOCIETY.” PART OF THIS VISION IS ENSURING THAT WE ARE ADDRESSING THE BEHAVIORAL HEALTH NEEDS OF OUR PATIENTS AND FAMILIES. OVER THE LAST FEW YEARS, PARTLY DUE TO COVID-19, THE BEHAVIORAL HEALTH NEEDS OF OUR PATIENTS AND THE COMMUNITY HAS INCREASED, WHILE AT THE SAME TIME, ACCESS TO BEHAVIORAL HEALTH IN OUTPATIENT SETTINGS HAS DECREASED OR HAS BEEN UNABLE TO KEEP UP WITH THE DEMAND. AS A RESULT OF THIS, ICHS IS SEEING MORE PATIENTS IN THE PRIMARY CARE SETTING WITH COMPLEX MENTAL HEALTH AND SUBSTANCE USE NEEDS. WITH THIS PROJECT, WE WILL INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT, WHILE AT THE SAME TIME ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH OF OUR PATIENTS, AND PROVIDING MORE TRAINING AND SUPPORT TO OUR EMPLOYEES. IN ORDER TO ACCOMPLISH THIS EXPANSION, ICHS WILL HIRE BEHAVIORAL HEALTH CARE COORDINATORS TO SUPPORT TRACKING AND FOLLOW-UP OF MORE COMPLEX PATIENTS, A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER TO SUPPORT PROVIDERS AND PROVIDE PSYCHIATRIC SERVICES TO PATIENTS, AND A SUBSTANCE USE DISORDER (SUD) PROFESSIONAL TO BETTER SUPPORT PATIENTS WHO NEED SUD SERVICES AND/OR MEDICATIONS FOR OPIOID USE DISORDER (MOUD). IN ADDITION, ICHS WILL USE GRANT FUNDS TO PROVIDE TRAINING AND CONSULTATION THAT WILL HELP STAFF WORK AT THE TOP OF THEIR LICENSES AND IMPROVE UNDERSTANDING OF THE PRIMARY CARE BEHAVIORAL HEALTH AND COLLABORATIVE CARE MODELS. THE NEW PERSONNEL AND TRAINING WILL INCREASE ICHS’ CAPACITY TO PROVIDE COMPREHENSIVE, INTEGRATED, AND EFFECTIVE MENTAL HEALTH AND SUD SERVICES, WHICH WILL BE LINGUISTICALLY AND CULTURALLY APPROPRIATE. THIS WILL RESULT IN MORE INTERNAL REFERRALS OF MEDICAL PATIENTS TO NECESSARY BEHAVIORAL HEALTH CARE AND AN INCREASE IN PATIENTS WHO NEWLY ACCESS MENTAL HEALTH SERVICES, SUD SERVICES, AND MOUD AT ICHS, AS MEASURED IN ICHS’ 2025 UNIFORM DATA SYSTEM (UDS) REPORT. ALL PATIENTS WILL EXPERIENCE AN IMPROVEMENT IN ACCESS TO BEHAVIORAL HEALTH SERVICES, BUT GIVEN ICHS’ PATIENT POPULATION, THE PATIENTS THAT WILL SEE THE GREATEST BENEFIT WILL BE PEOPLE OF COLOR AND MEMBERS OF LOW-INCOME AND LIMITED ENGLISH PROFICIENT COMMUNITIES. ICHS' HEALTH CENTER PROGRAM GRANT NUMBER IS H80CS00437.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CAPITAL DEVELOPMENT

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

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

CAPITAL DEVELOPMENT