Healthfirst Family Care Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - SSTAR WILL PARTNER WITH THE BRISTOL COUNTY JAIL AND HOUSE OF CORRECTION, THE CITY OF FALL RIVER, AND COMMUNITY PARTNERS TO IMPLEMENT REVIVE, RE-ENTER, RESTART (RRR): RECONNECTING AND WELLNESS PROJECT. THE PROJECT’S OVERARCHING GOAL IS TO DEMONSTRATE REDUCED RATES OF RECIDIVISM FOR JUSTICE INVOLVED-RETURNING (JI-R) INDIVIDUALS BY ENSURING THEY HAVE ACCESS TO TOOLS AND RESOURCES TO HELP THEM MANAGE PRIMARY AND CHRONIC HEALTH CONDITIONS, PREVENT/SCREEN/DIAGNOSE/TREAT HCV, HIV, AND OTHER INFECTIOUS DISEASES, REDUCE DRUG OVERDOSE RISK, ADDRESS MENTAL HEALTH AND SUD TREATMENT NEEDS, AND LINKAGES TO OTHER BASIC NEEDS THAT CORRELATE TO HEALTH OUTCOMES INCLUDING FOOD, HOUSING, AND TRANSPORTATION. RRR WILL UTILIZE THE CRITICAL TIME INTERVENTION (CTI) EVIDENCE-BASED MODEL TO PLAN AND IMPLEMENT A RANGE OF SERVICES THAT STRENGTHEN TRANSITIONS IN CARE FOR INDIVIDUALS BEING RELEASED FROM INCARCERATION INCLUDING INCREASING THEIR ACCESS TO HIGH-QUALITY PRIMARY CARE SERVICES. CTI FACILITATES COMMUNITY INTEGRATION AND CONTINUITY OF CARE BY ENSURING THAT RE-RETURNING JUSTICE INVOLVED POPULATIONS (JI-R) HAVE TIES TO THEIR COMMUNITY AND SYSTEMS OF SUPPORT DURING THE CRITICAL RE-ENTRY PERIOD. TO ENSURE FIDELITY TO THE CTI MODEL, THE PROJECT WILL OPERATE THROUGH A PHASED-BASED APPROACH INCLUDING A PRE-PHASE, PHASE 1 (TRANSITION), PHASE 2 (TRY-OUT) AND PHASE 3 (TRANSFER OF CARE). DURING THE PRE-PHASE WE WILL WORK WITH THE BRISTOL COUNTY JAIL AND HOUSE OF CORRECTION TO PROVIDE IN-REACH ACTIVITIES AND BUILD TRUST WITH PATIENTS. DURING PHASE 1 WE WILL CONNECT PATIENTS TO SSTAR CLINICIANS AND OTHER KEY STAFF WHO WILL ASSUME PRIMARY ROLES OF SUPPORT FOR EACH PATIENT’S CTI DURATION; IN PHASE 2 WE WILL MONITOR AND STRENGTHEN THE SUPPORT NETWORK AND PATIENT’S SKILLS, WHILE MEDIATING CONFLICTS BETWEEN PATIENTS AND PROVIDERS; IN PHASE 3 WE WILL ENSURE THE PATIENT AND THEIR IDENTIFIED SUPPORTS CAN FUNCTION SAFELY AND IN-PLACE, AND WILL HOLD FINAL MEETINGS WITH PATIENTS AND SUPPORT PROVIDERS TO TRANSFER CARE. (HTTPS://WWW.CRITICALTIME.ORG/CTI-MODEL/CTI-IMPLEMENTATION-FAQS/) THE PROJECT WILL FOCUS ON THE FOLLOWING CRITICAL HEALTH NEEDS FOR JI-R INDIVIDUALS: MANAGING CHRONIC CONDITIONS, PREVENTING, SCREENING, DIAGNOSIS AND TREATMENT OF HCV, HIV, AND OTHER INFECTIOUS DISEASES, REDUCING DRUG OVERDOSE RISK, AND ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT NEEDS. IN ADDITION, WE WILL PROVIDE CASE MANAGEMENT AND SERVICES SPECIFIC TO LACK OF TRANSPORTATION, ACCESS TO TRANSPORTATION, FOOD INSECURITY AND HOUSING INSECURITY. ACROSS RRR, QUALITATIVE AND QUANTITATIVE EVALUATIVE MEASURES SUCH AS INTERVIEWS, FOCUS GROUPS, AND SURVEYS WILL BE USED TO MEASURE IMPACT. THROUGHOUT THE PROJECT, WE WILL STRIVE TO DEVELOP AND MAINTAIN TRUSTING RELATIONSHIPS WITH EACH CLIENT, VALIDATING THEIR EXPERIENCES, AND LISTENING TO THEIR NEEDS. SSTAR WILL TAKE A COMMUNITY-BASED PARTICIPATORY APPROACH, WORKING WITH ALL STAKEHOLDERS ON ALL ASPECTS OF THE PROJECT INCLUDING COLLECTING DATA, ANALYZING RESULTS, AND DISSEMINATING FINDINGS. IN ADDITION, SSTAR WILL UTILIZE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS) STANDARDS, A SET OF 15 GUIDELINES ESTABLISHED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES, (HHS) TO BRIDGE THE GAP IN HEALTHCARE ACCESS AND QUALITY FOR PEOPLE FROM VARIOUS CULTURAL AND LINGUISTIC BACKGROUNDS BY ENSURING RESPECTFUL AND RESPONSIVE SERVICE DELIVERY.

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

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT ABSTRACT TITLE: EXPANSION OF OPERATIONAL HOURS TO ENHANCE HEALTHCARE ACCESS  OVERVIEW: HEALTHFIRST AND SSTAR ARE EXPANDING THEIR OPERATIONAL HOURS TO ADDRESS SIGNIFICANT BARRIERS TO HEALTHCARE ACCESS FOR UNDERSERVED POPULATIONS, INCLUDING LOW-INCOME, UNDERINSURED, AND UNINSURED RESIDENTS. THIS PROJECT AIMS TO IMPROVE ACCESS TO ESSENTIAL HEALTHCARE SERVICES, SUCH AS MEDICAL, URGENT CARE, DENTAL, BEHAVIORAL HEALTH, AND PEDIATRIC CARE, BY EXTENDING SERVICE HOURS BASED ON COMMUNITY NEEDS AND PREFERENCES. BACKGROUND: THE NEED FOR EXPANDED HOURS WAS IDENTIFIED THROUGH COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS, PATIENT SURVEYS, AND UTILIZATION DATA. MOST PATIENTS EXPRESSED A PREFERENCE FOR EARLY MORNING AND LATE EVENING APPOINTMENTS, WITH A SIGNIFICANT DEMAND FOR SERVICES ON MONDAYS, WEDNESDAYS, AND SATURDAYS. CURRENT OPERATIONAL HOURS HAVE BEEN INSUFFICIENT TO MEET THESE NEEDS, LEADING TO LONG WAIT TIMES, HIGH NO-SHOW RATES, AND A BACKLOG OF PATIENTS AWAITING CARE, PARTICULARLY AT SSTAR. IMPLEMENTATION PLAN: - HEALTHFIRST: INCREASE OPERATIONAL HOURS BY FIVE HOURS PER WEEK. - SSTAR: INCREASE OPERATIONAL HOURS BY TWELVE HOURS PER WEEK. - STAFFING: ADD 0.85 FTE FOR CLINICAL STAFF AND 1.60 FTE FOR NON-CLINICAL STAFF AT HEALTHFIRST, AND 1.6 FTE FOR CLINICAL SUPPORT AND EXTEND HOURS FOR KEY NON-CLINICAL POSITIONS AT SSTAR. IMPLEMENT AN INCENTIVE PROGRAM WITH "BONUS" PAY ADJUSTMENTS TO ENSURE STAFFING FLEXIBILITY AND SATISFACTION. - FACILITIES: COMPLETE NECESSARY ALTERATIONS AND RENOVATIONS, INCLUDING NEW CUBICLES, WAITING ROOM FLOORING, AND ADDITIONAL EXAM ROOMS, WITHIN 12 MONTHS TO ACCOMMODATE INCREASED PATIENT VOLUME. EVALUATION AND MONITORING: - QUALITY ASSURANCE: THE QUALITY IMPROVEMENT (QI) AND QUALITY ASSURANCE (QA) COMMITTEES WILL REVIEW DATA ON KEY INDICATORS SUCH AS PATIENT VOLUME, NO-SHOW RATES, AND ED USE FOR NON-URGENT CARE. THESE REVIEWS WILL OCCUR BI-MONTHLY, WITH MONTHLY DATA REVIEWS AND ADJUSTMENTS AS NEEDED. - PATIENT FEEDBACK: CONTINUOUS MONITORING THROUGH PATIENT SATISFACTION SURVEYS FOCUSING ON ACCESS AND HOURS OF OPERATION WILL ENSURE THE NEW HOURS MEET PATIENT NEEDS. INDICATORS WILL BE REVIEWED REGULARLY TO INFORM MANAGEMENT AND IMPLEMENT NECESSARY ADJUSTMENTS. - UTILIZATION AND OUTCOMES: MONITOR WAITLIST REDUCTIONS, IMPROVED IMMUNIZATION RATES AMONG PEDIATRIC PATIENTS, AND DECREASED NON-URGENT ED VISITS TO MEASURE THE IMPACT OF EXPANDED HOURS. ANTICIPATED OUTCOMES: THE EXPANSION IS PROJECTED TO SERVE AN ADDITIONAL 624 PATIENTS ANNUALLY, SIGNIFICANTLY REDUCING WAIT TIMES AND NO-SHOW RATES, AND IMPROVING OVERALL PATIENT SATISFACTION. ENHANCED ACCESS TO PREVENTIVE AND ROUTINE CARE IS EXPECTED TO DECREASE NON-URGENT ED VISITS, LEADING TO BETTER HEALTH OUTCOMES FOR THE COMMUNITY. CONCLUSION: BY EXTENDING OPERATIONAL HOURS AND ENHANCING SERVICE AVAILABILITY, HEALTHFIRST AND SSTAR AIM TO IMPROVE HEALTHCARE ACCESS FOR UNDERSERVED POPULATIONS. THIS INITIATIVE, SUPPORTED BY STRATEGIC STAFFING INCREASES, FACILITY UPGRADES, AND CONTINUOUS QUALITY MONITORING, SEEKS TO CREATE A SUSTAINABLE MODEL FOR COMPREHENSIVE, PATIENT-CENTERED CARE THAT ADDRESSES THE IDENTIFIED NEEDS OF THE COMMUNITY.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NORTHERN BORDER RURAL WORKFORCE - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NORTHERN BORDER RURAL WORKFORCE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - CAPITAL IMPROVEMENT PROGRAM

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - PHYSICAL LOCATION OF CONSTRUCTION PROJECT: 831 CENTRAL STREET, FRANKLIN, NH 03235-2026 OUR COMMUNITY HEALTH CENTER, DEDICATED TO PROVIDING AFFORDABLE HEALTHCARE AND PROMOTING WELLNESS IN THE FRANKLIN, NH AREA AND SURROUNDING TOWNS, IS EXCITED TO APPLY FOR FUNDING TO SUPPORT THE EXPANSION OF OUR FACILITIES. THE ACQUISITION OF AN ADJACENT BUILDING NEXT TO OUR EXISTING HEALTH CENTER, WHICH HEALTHFIRST REFERS TO AS "THE ANNEX," PRESENTS A SIGNIFICANT OPPORTUNITY TO EXPAND AND ENHANCE OUR SERVICES AND IMPACT IN THE AREA THAT HAS CONSIDERABLE NEED. THIS BUILDING IS AN OLD STRUCTURE, ORIGINALLY BUILT AS A PIZZA RESTAURANT THEREFORE WE NEED TO DO A CONSIDERABLE AMOUNT OF WORK TO RENOVATE AND CONNECT THIS BUILDING TO OUR EXISTING HEALTH CENTER. OUR CURRENT HEALTH CENTER, WE HAVE OPERATED FOR THE LAST 28 YEARS, IS LOCATED AT 841 CENTRAL STREET, FRANKLIN, NH, THE ANNEX BUILDING, RECENTLY PURCHASED IS ADJACENT AT 831 CENTRAL STREET, FRANKLIN, NH. THE SIZE OF THE PROJECT PROPERTY, WHICH WAS PURCHASED IN JULY 2024, IS 2.65 ACRES, WITH AN EXISTING BUILDING (THE ANNEX) WHICH HAS AN EFFECTIVE SQUARE FOOTAGE AREA OF 2,121. THE ENTIRE 2,121 SQUARE FEET OF THE BUILDING WILL BE PART OF THIS CONSTRUCTION PROJECT, AS WELL AS A NEW, APPROXIMATELY 800 TO 1,000 SQ. FT. ADDITION TO THE BUILDING TO CREATE A CONNECTION TO OUR EXISTING HEALTH CENTER. EXPANDING THE FRANKLIN HEALTHFIRST FAMILY CARE CENTER INTO A TWO-BUILDING HEALTH CAMPUS HAS BEEN A VISION OF THE LEADERSHIP TEAM FOR SEVERAL YEARS. THE RECENT ACQUISITION OF AN ADJACENT PROPERTY (THE ANNEX) NOW PROVIDES AN OPPORTUNITY FOR HEALTHFIRST TO EXPAND IN A STRATEGIC WAY, RATHER THAN IN PIECE MEAL FASHION DUE TO FORMERLY BEING LANDLOCKED WITH NO SPACE TO EXPAND. HAVING A ROBUST HEALTH CAMPUS WILL ALLOW HEALTHFIRST TO OFFER EVEN MORE ESSENTIAL SERVICES TO THE COMMUNITY SUCH AS PRIMARY CARE, PEDIATRICS, BEHAVIORAL HEALTH, MEDICATION ASSISTED TREATMENT, AND MORE. THIS CONSTRUCTION, RENOVATION AND EXPANSIO N PROJECT INVOLVES BRIDGING OR CONNECTING THE NEWLY ACQUIRED NEXT DOOR BUILDING (THE ANNEX) WITH OUR EXISTING HEALTH CENTER AT 841 CENTRAL STREET IN FRANKLIN, NH. AS FOR RENOVATION, THE ANNEX WILL GET A COMPLETE RECONFIGURATION AND UPGRADE TO ALL ASPECTS OF THE BUILDING. THE PURPOSE IS TO CREATE AN EXPANDED SPACE FOR INTEGRATION OF SUPPORT SERVICES FOR PATIENTS AND STAFF SINCE OUT EXISTING HEALTH CENTER FACILITY IS AT FULL CAPACITY. THE “ANNEX” WILL PRIMARILY HOUSE DIRECT PATIENT SUPPORT TEAMS, LIKE HEALTHFIRST’S QUALITY & CARE MANAGEMENT DEPARTMENT, PATIENT SERVICES – ADVOCACY & OUTREACH, AND SOME INDIRECT SERVICES SUCH AS THE HEALTH CENTER’S ADMINISTRATIVE, FINANCE AND BILLING STAFF. THE ANNEX WILL ALSO CONTAIN A TRAINING SPACE FOR OUR STAFF, AND A COMMUNITY MEETING AND WELLNESS CENTER. THIS COMPREHENSIVE APPROACH WILL ENABLE US TO NOT ONLY IMPROVE ACCESS TO HEALTHCARE BUT ALSO ADVANCE OUR COMMITMENT TO COMMUNITY WELLNESS THROUGH PHYSICAL, MENTAL, AND NUTRITIONAL INITIATIVES. THERE IS ONLY ONE (1) PROJECT INVOLVED WITH THIS FUNDING. ALSO, THIS IS THE ONLY FUNDING FOR THIS PROJECT, THEREFORE ALL THE $250,000 IN GRANT FUNDS WILL GO TOWARD ALL ASPECTS OF THIS WORK AS DESCRIBED BELOW AND IN THE BUDGET NARRATIVE. - EXPAND ACCESS TO AFFORDABLE HEALTHCARE BY ACCOMMODATING AN ADDITIONAL MEDICAL PROVIDER. - ENHANCE EMPLOYEE RETENTION AND RECRUITMENT THROUGH UPGRADED FACILITIES AND WELLNESS AMENITIES. - PROVIDE EXPANDED LEARNING OPPORTUNITIES FOR HEALTHCARE STAFF, FOSTERING PROFESSIONAL GROWTH AND DEVELOPMENT. - ESTABLISH A WELLNESS CENTER AND COMMUNITY MEETING SPACE TO PROMOTE HOLISTIC WELL-BEING AMONG RESIDENTS.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

RURAL HEALTH NETWORKS