Wellspace Health

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

WELLSPACE HEALTH CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - THE WELLSPACE HEALTH (WSH) CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROJECT BRINGS ACCESSIBLE BEHAVIORAL HEALTH EQUITY TO THE VULNERABLE POPULATION OF SACRAMENTO COUNTY. THERE IS A SHORTAGE OF BEHAVIORAL HEALTH PROFESSIONALS IN THE SACRAMENTO AREA, WHOSE POPULATION IS 1.6 MILLION (2019). THE NUMBER OF LICENSED MENTAL HEALTH PROFESSIONALS PER 100,000 POPULATION FOLLOWS: 3.7 LICENSED PROFESSIONAL CLINICAL COUNSELORS; 57 LICENSED CLINICAL SOCIAL WORKERS; 76 MARRIAGE AND FAMILY THERAPISTS; 0.3 PSYCHIATRIC NURSES; 15 PSYCHIATRISTS; AND 35 PSYCHOLOGISTS. CERTIFIED SUBSTANCE USE DISORDERS COUNSELORS ARE ALSO IN HIGH DEMAND. DURING THE YEAR 2021, WSH PROVIDED MEDICAL AND BEHAVIORAL HEALTH CARE SERVICES TO 125,000 PEOPLE THROUGH OVER 400,000 VISITS. NINETY-TWO PERCENT OF WSH’S PATIENTS LIVE NEAR OR BELOW 100% OF THE FEDERAL POVERTY LEVEL, ALL ARE BELOW 200%. TWENTY-SEVEN THOUSAND SIX-HUNDRED ONE (27,601) PATIENTS ARE HISPANIC OR LATINO/A, ELEVEN THOUSAND THREE-HUNDRED EIGHTY-ONE (11,381) PATIENTS ARE BLACK/AFRICAN AMERICAN, ELEVEN THOUSAND TWENTY-FIVE (11,025) PATIENTS ARE ASIAN, AND SIX-HUNDRED THIRTY-SIX (636) ARE INDIGENOUS PEOPLES. FOUR THOUSAND THREE-HUNDRED FIVE (4,305; 3%) PATIENTS EXPERIENCE HOMELESSNESS. NEARLY TWELVE THOUSAND (12,000; 10%) PATIENTS REMAIN UNINSURED. RECOVERY ORIENTATION IS FOUNDED ON A CULTURE OF HOPE AND STRENGTHS WITH A HOLISTIC AND PERSONALIZED APPROACH TO CARE. WHERE APPROPRIATE, WSH SEEKS TO INCLUDE FAMILY, CAREGIVERS, SUPPORT NETWORKS AND SIGNIFICANT OTHERS IN CARE AND MAINTAINS A RECOVERY ORIENTATION AS FOUNDATIONAL TO ALL OF ITS SERVICES, BE THEY HEALTH OR BEHAVIORAL HEALTH. WSH’S COMPREHENSIVE BEHAVIORAL HEALTH CO-OCCURRING CONTINUUM ENSHRINES A RECOVERY-ORIENTED CARE MODEL INCLUDING A BROAD SPECTRUM OF MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT AND PREVENTION SERVICES. TO PROMOTE ACCESS TO CARE THROUGHOUT THE CARE DELIVERY PROCESS, WSH COMMUNITY HEALTH CENTERS INCLUDE INTEGRATED BEHAVIORAL HEALTH AND ARE EMBEDDED IN LOCAL NEIGHBORHOODS THROUGHOUT THE GREATER SACRAMENTO REGION, WITH ADDITIONAL REGIONAL BEHAVIORAL HEALTH-FOCUSED CENTERS PROVIDING SERVICE HUBS IN THE NORTH, CENTRAL, AND SOUTH REGIONS. EACH POINT OF CARE WITHIN THE CO-OCCURRING CONTINUUM IS CLIENT-DIRECTED AND COORDINATED WITH A CARE TEAM TO ENSURE BOTH CLINICALLY SOUND CARE AND RECOVERY SUPPORT IN AN EVER LESS RESTRICTIVE ENVIRONMENT. WSH’S CONTINUUM ALLOWS FOR LESS RESTRICTIVE ENVIRONMENTS BASED ON INTENSITY OF CARE BASED ON ‘DOSAGE’ AND PHYSICAL LEVEL OF CARE AS WELL AS STAFFING INCLUDING AN TEAM INCLUSIVE OF PERSONS WITH LIVED EXPERIENCE, RECOGNIZING CLIENTS OFTEN FEEL MOST COMFORTABLE ENGAGING WITH STAFF WHO HAVE ‘WALKED THE SAME OR SIMILAR WALK.’ WSH ACTIVELY RECRUITS FROM THE COMMUNITIES IT SERVES AND ITS OWN CLIENT / PATIENT POPULATIONS TO ENSURE ITS STAFF REFLECTS THE COMMUNITY CULTURALLY, ETHNICALLY/RACIALLY, AND THROUGH LIVED EXPERIENCE. WHILE BEING A LARGE REGIONAL HEALTH AND BEHAVIORAL HEALTH PROVIDER, ‘BRAIDING’ FUNDING STILL ALLOWS FOR FUNDING SILOS. WSH’S GOAL OF TRULY INTEGRATED CARE ACROSS OF REGIONAL SYSTEM OF CARE IS ONLY POSSIBLE AS A CCNBH). TO THIS END, CCBHC PROJECT GOALS ARE: CCBHC CERTIFICATION; COMPREHENSIVE OUTREACH, SCREENING, ASSESSMENT, TREATMENT, AND RECOVERY-ORIENTED CARE; RECOVERY FROM MENTAL ILLNESS AND SUD DELIVERED BY CARE THAT IS UNENCUMBERED BY CURRENT ‘SILOED’ FUNDING PUBLIC AND GRANT-FUNDED REVENUE STREAMS; BRINGING HEALTH SERVICE EQUITY TO ALL PEOPLE. THE GOALS WILL BE MEASURED BY THE ANNUAL UDS REPORT ON CLINICAL RESULTS, PATIENT VISITS, AND CHART NOTES ON RECOVERY. WELLSPACE PROJECTS TO SERVE 2,900 UNDUPLICATED CLIENTS DURING YEAR ONE AND A PROGRESSIVE FIVE PERCENT INCREASE IN THE SUBSEQUENT YEARS, CAPPING AT 12,500 DUE TO FACILITY SPACE AND STAFFING.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

WELLSPACE HEALTH'S STI AND SEXUAL HEALTH CENTER

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

ACCELERATING CANCER SCREENING - WELLSPACE HEALTH AND U.C. DAVIS HEALTH COMPREHENSIVE CANCER CENTER (NCI-DESIGNATED CANCER CENTER) WILL ADDRESS BREAST CANCER IN THE GREATER SACRAMENTO COUNTY REGION. THE PROJECT WILL INCREASE BREAST CANCER SCREENING AND REFERRAL FOR CARE AND TREATMENT THROUGH COMMUNITY OUTREACH, PATIENT NAVIGATION, AND MEDICAID ENROLLMENT. DURING THE 2021 YEAR, 9,092 WELLSPACE HEALTH (WSH) PATIENTS WHO ACCESS PRIMARY CARE SERVICES QUALIFIED FOR A MAMMOGRAM ACCORDING TO UNIVERSAL DATA SET (UDS) REPORTED TO THE U.S. HEALTH RESOURCES SERVICES ADMINISTRATION (HRSA). WSH PROVIDED 2,751 PATIENTS WITH A COMPLETED MAMMOGRAM SCREENING, WHICH IS 30% OF QUALIFIED PATIENTS. THEREFORE, 6,341 PATIENTS WHO QUALIFIED FOR A MAMMOGRAM WENT WITHOUT. PATIENTS HAVE RESPONDED THAT THEY DID NOT GET A MAMMOGRAM DUE TO INABILITY TO GET TIME OFF WORK, LACK OF TIME DUE TO FAMILY OBLIGATIONS, A LACK OF TRANSPORTATION, AND DISBELIEF IN THE NEED THE TEST. THE WELLSPACE HEALTH BREAST CANCER SCREENING, CARE, AND TREATMENT PROGRAM WILL IMPROVE BREAST CANCER SCREENING RATES FOR QUALIFYING PATIENTS WHILE EXPANDING SCREENING AND CARE TO NEW PATIENTS AND THOSE WHO MAY NOT HAVE BEEN IDENTIFIED AS MEETING CRITERIA FOR A MAMMOGRAM. WSH WILL SPECIFICALLY SEEK TO IMPROVE SCREENING RATES AMONG THOSE WHO ARE UNINSURED AND THOSE WHO ARE EXPERIENCING HOMELESSNESS. APPROXIMATELY 15% OF WSH PATIENTS REMAIN UNINSURED. WSH WILL UTILIZE INTERNAL REFERRALS TO NEW MAMMOGRAPHY SCREENING FOR THESE INDIVIDUALS, RECOGNIZING THAT THE OUT-OF-POCKET COST OF ACCESSING CARE WITH A REFERRING PROVIDER PRESENTED SIGNIFICANT (IF NOT ABSOLUTE) BARRIERS TO CARE. FURTHER, GRANT FUNDS WILL BE BUDGETED TO COVER THE UNCOMPENSATED COST OF SCREENINGS AT U.C. DAVIS FOR THOSE WITH ABNORMAL BREAST CANCER SCREENING FINDINGS. WSH USES THE POPULATION HEALTH MANAGEMENT TOOLS IN NEXTGEN TO BETTER IDENTIFY AND ENGAGE WOMEN WHO MEET CRITERIA FOR CANCER SCREENING. ADDITIONAL CARE TEAM TRAINING WILL BE PROVIDED TO IMPROVE UTILIZATION OF THE QUALITY TEMPLATE TO ENSURE THEY CAN EASILY SEE WHEN A PATIENT IS DUE FOR A MAMMOGRAM WHEN THEY SEEK CARE FOR OTHER REASONS. TO ENSURE THERE ARE NO MISSED OPPORTUNITIES, PATIENTS WILL BE ALLOWED TO ACCESS SAME-DAY WALK-IN MAMMOGRAMS WITHOUT A REFERRAL. FOR THOSE PATIENTS WHO MISS APPOINTMENTS, THE WSH PATIENT PORTAL, TEXT MESSAGING, AND FOLLOW-UP CALLS WILL BE UTILIZED TO RESCHEDULE THEIR SCREENING/FOLLOW-UP VISIT AND INCREASE RATES OF SCREENING, CARE, AND TREATMENT. THE WSH BREAST CANCER SCREENING TEAM CONSISTS OF A PROJECT MANAGER, OUTREACH COORDINATOR, AND INTERNS. THE WSH TEAM WILL COORDINATE ITS ACTIVITIES WITH THE UC DAVIS TEAM. BOTH TEAMS WILL CONDUCT BREAST CANCER SCREENING OUTREACH, HEALTH SYSTEM NAVIGATION, PUBLIC HEALTH INSURANCE ENROLLMENT, FOLLOW-UP APPOINTMENTS, CARE, AND TREATMENT. BREAST CANCER SCREENING WILL CONTINUE AFTER THE TWO-YEAR GRANTS FUNDING. BUILDING ON THE PROGRAM DESIGNED UNDER THIS GRANT OPPORTUNITY AND UTILIZING NEW MAMMOGRAM EQUIPMENT, WELLSPACE HEALTH WILL CONTINUE TO ONBOARD VOLUNTEERS TO FACILITATE PERSONALIZED PHONE CALLS. IN ADDITION, TEXT MESSAGE CAMPAIGNS WILL BE USED BASED ON BEST PRACTICES ESTABLISHED IN THE PROGRAM PERIOD. MAMMOGRAM EVENTS WILL CONTINUE TO BE HELD IN LOCAL COMMUNITIES WHERE THE HIGHEST NUMBER OF PATIENTS ARE DUE FOR A MAMMOGRAM. FURTHER, USING THE PATIENT ACTIVATE AUTOMATED BREAST CANCER SCREENING ENGAGEMENT WITH PATIENTS WILL CONTINUE.

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

WELLSPACE HEALTH - 988 CRISIS CENTER FOLLOW-UP IMPROVEMENT PROJECT - WELLSPACE HEALTH’S 988 CRISIS CENTER FOLLOW-UP IMPROVEMENT PROJECT WILL EXPAND STRUCTURED FOLLOW-UP FOR PEOPLE AT RISK OF SUICIDE, OVERDOSE, AND RECURRING BEHAVIORAL HEALTH CRISIS. THE PROJECT WILL BEGIN IN SACRAMENTO COUNTY AND EXPAND TO ALL 30 COUNTIES BY YEAR 3. GRANT FUNDS WILL INCREASE FOLLOW-UP STAFFING, STRENGTHEN PHONE/TEXT/CHAT CAPACITY, IMPROVE REFERRAL PATHWAYS, AND EXTEND FOLLOW-UP FROM 90 DAYS TO UP TO 12 MONTHS WHEN CLINICALLY APPROPRIATE AND WITH CONSENT. WELLSPACE HEALTH WILL IMPLEMENT THE PROJECT THROUGH ITS 988 SUICIDE AND CRISIS LIFELINE CENTER, WHICH PROVIDES 24/7 CRISIS CALL, CHAT, AND TEXT SERVICES AS PART OF THE NATIONAL 988 LIFELINE NETWORK. CAPACITY DEVELOPMENT IS NEEDED BECAUSE DEMAND FOR 988 FOLLOW-UP EXCEEDS CURRENT STAFFING, TECHNOLOGY, AND REFERRAL INFRASTRUCTURE, ESPECIALLY AS MORE INDIVIDUALS REQUIRE CONTINUED SUPPORT AFTER 988 CONTACT, EMERGENCY DEPARTMENT DISCHARGE, LAW ENFORCEMENT OR 911/PUBLIC SAFETY ANSWERING POINT INVOLVEMENT, ACCESS LINE CRISIS CONTACT, OR OVERDOSE-RELATED REFERRAL. THE POPULATION OF FOCUS INCLUDES YOUTH, ADULTS, OLDER ADULTS, VETERANS, AND CAREGIVERS CONTACTING 988 ON BEHALF OF SOMEONE ELSE. SERVICES WILL SUPPORT INDIVIDUALS EXPERIENCING SUICIDAL IDEATION, SUICIDAL BEHAVIOR, SUICIDE RISK, OVERDOSE RISK, SERIOUS EMOTIONAL DISTRESS, SUBSTANCE USE CRISIS, OR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE NEEDS. THE PROJECT WILL SERVE ALL ELIGIBLE HELP-SEEKERS WHILE STRENGTHENING TEXT AND CHAT FOLLOW-UP FOR YOUNGER POPULATIONS, INCLUDING AGES 10 TO 14 AND 25 TO 34, WHERE SUICIDE IS THE SECOND-LEADING CAUSE OF DEATH. PROJECT STRATEGIES INCLUDE ADDITIONAL FOLLOW-UP STAFFING; AN UPGRADED CRM SYSTEM WITH TEXT AND CHAT CAPACITY; FOLLOW-UP INITIATED WITHIN 24 HOURS OF REFERRAL OR CARE TRANSITION; ONGOING SUICIDE AND OVERDOSE RISK ASSESSMENT; SAFETY PLANNING; RESOURCE NAVIGATION; AND WARM HANDOFFS TO BEHAVIORAL HEALTH, SUBSTANCE USE TREATMENT, RECOVERY, CRISIS STABILIZATION, AND COMMUNITY SUPPORTS. WELLSPACE HEALTH WILL ALSO STRENGTHEN REFERRAL PARTNERSHIPS WITH SACRAMENTO COUNTY, CA BRIDGE CONNECT, SUTTER HEALTH, EMERGENCY DEPARTMENTS, ADVICE NURSES, LAW ENFORCEMENT, ACCESS LINE CRISIS FOLLOW-UP, OVERDOSE PREVENTION ORGANIZATIONS, CRISIS RESPONSE PROVIDERS, AND OTHER SYSTEM PARTNERS. PROJECT GOALS ARE TO EXPAND FOLLOW-UP INFRASTRUCTURE, STRENGTHEN REFERRAL PATHWAYS, INCREASE STAFF AND PARTNER CAPACITY, AND REDUCE FUTURE CRISIS EVENTS. OBJECTIVES INCLUDE INCREASING FOLLOW-UP STAFFING AND IMPLEMENTING AN UPGRADED CRM SYSTEM BY THE END OF YEAR 1; CREATING AT LEAST 10 FORMAL AGREEMENTS OR REFERRAL PATHWAYS BY THE END OF YEAR 2; TRAINING 100% OF FOLLOW-UP STAFF ANNUALLY; CROSS-TRAINING AT LEAST 10 REFERRAL PARTNERS PER YEAR; EXPANDING TO ALL 30 COUNTIES BY YEAR 3; AND ENSURING AT LEAST 70% OF PARTICIPANTS ARE NOT READMITTED TO THE HOSPITAL DURING FOLLOW-UP PARTICIPATION.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS