Brockton Neighborhood Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - BROCKTON NEIGHBORHOOD HEALTH CENTER (BNHC) WILL IMPLEMENT THE BROCKTON REENTRY CARE COLLABORATIVE (BRCC) IN PARTNERSHIP WITH PLYMOUTH COUNTY CORRECTIONAL FACILITY (PCCF) TO ADDRESS THE HEALTH AND SOCIAL NEEDS OF JUSTICE-INVOLVED INDIVIDUALS. THE POPULATION OF FOCUS WILL BE ADULTS WITH 90 DAYS OF RELEASE AND RETURNING TO THE GREATER BROCKTON AREA. AN EVALUATION OF NEEDS FOR THE BRCC PROGRAM REVEALED SUBSTANTIAL HEALTH DISPARITIES RELATED TO CHRONIC CONDITIONS AND BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE IN BROCKTON AND SURROUNDING AREAS. RESIDENTS ARE DISPROPORTIONATELY IMPACTED BY DIABETES, CARDIOVASCULAR DISEASE, OVERDOSE, AND HEALTH-RELATED SOCIAL NEEDS, AS WELL AS DISRUPTED ACCESS TO MEDICAL CARE DUE TO UNFORESEEN HEALTH CARE ECOSYSTEM CHANGES. CURRENT JUSTICE-INVOLVED PATIENTS AND CARCERAL PARTNERS AT PCCF DESCRIBED THE NEED FOR ACCESS TO REENTRY-CENTERED PRIMARY CARE, INREACH, AND INTEGRATED BEHAVIORAL HEALTH. THEY DESCRIBED BARRIERS RELATED TO LACK OF TRANSPORTATION, HOUSING INSECURITY, AND INSUFFICIENT SOCIAL SUPPORT AND COMMUNITY CONNECTIONS. EXISTING PROGRAMS PROVIDE EVIDENCE-BASED STRATEGIES FOR MEETING THE NEEDS OF THE JUSTICE-INVOLVED POPULATION. THE TRANSITIONS CLINIC IN CALIFORNIA ATTRIBUTES DEDICATED PROGRAMMING FOR RETURNING INDIVIDUALS, STAFF TRAINING, AND THE ROLE OF A REENTRY COMMUNITY HEALTH WORKER (CHW) WITH LIVED EXPERIENCE WITH CARCERAL-SYSTEM INVOLVEMENT TO ITS SUCCESS IN ENGAGING RECENTLY-RELEASED PATIENTS.14-16 RHODE ISLAND’S PROJECT BRIDGE PROMOTED FOLLOW UP AMONG RETURNING INDIVIDUALS LIVING WITH HIV BY CONDUCTING INREACH WITHIN THE CORRECTIONAL FACILITY.17,18 BNHC WILL INTEGRATE THESE LESSONS INTO ITS PROGRAM. BRCC WILL BE INTENTIONALLY DESIGNED TO MEET THE NEEDS OF RETURNING INDIVIDUALS. PROGRAM STAFF MEMBERS WILL UNDERGO TRAINING TO UNDERSTAND THE UNIQUE NEEDS OF JUSTICE-INVOLVED PATIENTS. BNHC AND PCCF WILL COLLABORATE ON LOGISTICAL PLANNING, IDENTIFYING ELIGIBLE PARTICIPANTS, INSURANCE ENROLLMENT, SHARING HEALTH RECORDS WITH PATIENT CONSENT, AND COORDINATING REENTRY PLANS. THE TREATMENT TEAM WILL CONSIST OF A PROVIDER, BEHAVIORAL HEALTH CLINICIAN, AND REENTRY CHW WHO WILL CONDUCT INREACH AT PCCF. THE PROVIDER WILL COLLECT MEDICAL HISTORIES AND MEDICATION LISTS AND CREATE INDIVIDUALIZED TREATMENT PLANS. PATIENTS MAY INITIATE COUNSELING AND COMPLETE INTAKES FOR PSYCHIATRIC REFERRALS, IF DESIRED. THE REENTRY CHW WILL EXECUTE REFERRALS TO COMMUNITY AGENCIES TO ADDRESS PARTICIPANTS’ SOCIAL NEEDS. PRIOR TO RELEASE, PARTICIPANTS WILL HAVE SCHEDULED MEDICAL APPOINTMENTS AT BNHC. TRANSPORTATION WILL BE ARRANGED TO FACILITATE ATTENDANCE OF SAME-DAY APPOINTMENTS WHEN POSSIBLE. WALK-IN APPOINTMENTS WILL ALSO BE OFFERED TO ENSURE LOW-THRESHOLD AVAILABILITY IN BNHC’S ADULT MEDICINE SPECIAL POPULATIONS POD, DESIGNED TO INTEGRATE PRIMARY CARE, INFECTIOUS DISEASE, SUD, AND BEHAVIORAL HEALTH SERVICES FOR HIGHEST RISK PATIENTS. THE CHW WILL FACILITATE REFERRALS TO PARTNERING HEALTH CENTERS FOR PATIENTS RETURNING TO LOCATIONS OUTSIDE OF BNHC’S SERVICE AREA. BRCC APPOINTMENTS WILL BE OFFERED FOR ALL JUSTICE-INVOLVED PATIENTS, NOT ONLY THOSE RELEASED FROM PCCF, AS WELL AS ADULT FAMILY MEMBERS OF PARTICIPANTS. PEDIATRIC APPOINTMENTS WILL BE SCHEDULED FOR PARTICIPANTS’ CHILDREN, WHICH IS A NEED IDENTIFIED FROM PATIENT AND COMMUNITY PARTNER INTERVIEWS. PARTNERSHIPS WITH FATHER BILL’S AND MAINSPRING SHELTER, BROCKTON COMPREHENSIVE TREATMENT CENTER, AND OLD COLONY YMCA WILL HELP BNHC ADDRESS HEALTH-RELATED SOCIAL NEEDS BY ADDRESSING HOUSING INSECURITY, SUD TREATMENT, AND THE DESIRE FOR COMMUNITY SUPPORT AND CONNECTION. BNHC MAINTAINS PRIOR EXPERIENCE IN THE SCOPE OF THIS PROJECT. FROM 2018 UNTIL 2020, THE RIZE FOUNDATION ENABLED BNHC TO STATION A REENTRY COORDINATOR AT PCCF TO FACILITATE REFERRALS TO SUBSTANCE USE TREATMENT UPON RELEASE. THE REENTRY COORDINATOR REACHED 298 UNIQUE INDIVIDUALS. BNHC EXPECTS THAT PREVIOUS INREACH EFFORTS WILL CONTRIBUTE TO THE FUTURE SUCCESS OF THE BRCC.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

CED HEALTHY FOOD FINANCING INITATIVE

COMMUNITY ECONOMIC DEVELOPMENT PROJECTS (CED)

BROCKTON NEIGHBORHOOD HEALTH CENTER PHASE III EXPANSION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FY 2023 EXPANDING COVID-19 VACCINATION

CAPITAL DEVELOPMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - BROCKTON NEIGHBORHOOD HEALTH CENTER PROJECT ABSTRACT FY 2025 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM BROCKTON NEIGHBORHOOD HEALTH CENTER (BNHC) IS REQUESTING $150,000 FROM THE RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM, HRSA-25-049, WITHIN THE CATEGORY OF INCLUSIVE CARE FOR UNDERREPRESENTED COMMUNITIES WITH DISPROPORTIONATELY HIGH RATES OF HIV, TO SUPPORT OUR INITIATIVE TO IMPROVE SOCIAL DRIVERS OF HEALTH (SDOH) SCREENING FOR PEOPLE LIVING WITH HIV (PLWH). THIS FUNDING WOULD COVER A PORTION OF TIME FOR THE THREE MEDICAL ASSISTANTS WHO SUPPORT OUR THREE INFECTIOUS DISEASE PHYSICIANS, TO GIVE THEM THE TIME NEEDED TO SCREEN PLWH PATIENTS. THIS FUNDING WILL ALSO SUPPORT A PORTION OF TIME FOR 4 CASE MANAGERS WHO WORK IN OUR HIV PROGRAM, TO GIVE THEM THE TIME NEEDED TO DEVELOP A LIST OF SDOH SERVICES AVAILABLE AT BNHC AND IN THE COMMUNITY AND TO WORK WITH PLWH TO CONNECT THEM TO THESE SERVICES AND TO TRAIN THEM TO USE THE SCREENING TOOL. TO STREAMLINE THIS PROCESS AND MAKE THE BEST USE OF THE AUTOMATION AVAILABLE TO US, THIS PROJECT ALSO INCLUDES TIME FOR ONE OF OUR EPIC BUILDER STAFF TO CUSTOMIZE AN SDOH TEMPLATE, TRAIN STAFF TO USE THE TEMPLATE, RUN REPORTS, AND PUSH THE SCREENING TOOL AND MESSAGING TO PATIENTS THROUGH OUR EPIC PORTAL. THE IMPACT OF THIS PROJECT WILL BE TO DOUBLE OUR SDOH SCREENINGS FOR PLWH FROM 148 PATIENTS IN 2024 TO 296 OF OUR CURRENT 402 PATIENTS IN THE PROJECT YEAR, AN INCREASE FROM 37% TO 74%. THIS PROJECT WILL ALSO IMPACT THESE PATIENTS BY PROVIDING THEM WITH RESOURCES DOCUMENTS AND GUIDANCE FROM CASE MANAGERS TO HELP ADDRESS SDOH NEEDS AS THEY ARE IDENTIFIED WITH THE SCREENING TOOL. SINCE 2001, BNHC HAS BEEN THE RECIPIENT OF RYAN WHITE HIV/AIDS PART C PROGRAM FUNDING. CURRENTLY, APPROXIMATELY 402 PEOPLE LIVING WITH HIV (PLWH) RECEIVE COMPREHENSIVE PRIMARY HEALTH CARE AND SUPPORT SERVICES AT BNHC. BNHC PROVIDED CARE TO 60 NEW PATIENTS IN 2024 AND HAS ALREADY SEEN 11 NEW PATIENTS IN JUST THE FIRST 2 MONTHS OF 2025. FOR 24 YEARS, BNHC HAS OFFERED SPECIALIZED PRIMARY CARE AND SUPPORTIVE SERVICES FOR PLWH, INCLUDING MEDICAL CARE, DENTAL VISITS, NUTRITION, ADHERENCE SUPPORT, CARE MANAGEMENT, SOCIAL SERVICES, BEHAVIORAL HEALTH, AND A VARIETY OF SUPPORT SERVICES.

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

ARRA - CAPITAL IMPROVEMENT PROGRAM