Fund For Public Health In New York Inc

NYC NEIGHBORHOOD HEALTH CORPS - OVER A YEAR AFTER COVID-19 ARRIVED IN NEW YORK CITY (NYC), THE WELL-DOCUMENTED DISPARATE IMPACT OF THE PANDEMIC ON COMMUNITIES OF COLOR REMAINS UNCHANGED. ACCORDING TO DATA FROM NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH), BLACK AND LATINO NEW YORKERS ARE STILL TWICE AS LIKELY AS WHITE NEW YORKERS TO BE HOSPITALIZED AND DIE FROM CORONAVIRUS (NYCDOH, 2021). DOHMH HAS BUILT ON ITS DEEP HISTORY OF NEIGHBORHOOD-BASED WORK AND COMMUNITY PARTNERSHIPS, OFTEN EXECUTED IN PARTNERSHIP WITH ITS BONA FIDE FIDUCIARY AGENT, THE FUND FOR PUBLIC HEALTH IN NEW YORK CITY (FPHNYC), TO LAUNCH A HYPERLOCAL PANDEMIC RESPONSE STRATEGY FOCUSED ON CLOSING THESE EQUITY GAPS. THIS COMMUNITY ENGAGEMENT STRATEGY IS GROUNDED IN AN OVERARCHING FOCUS ON RACIAL AND SOCIAL JUSTICE TO ENSURE THAT THE COVID RESPONSE AND VACCINATION CAMPAIGN IS EQUITABLE, INFORMED BY COMMUNITY PARTNERS, AND RESPONSIVE TO THE NEEDS OF MARGINALIZED NEW YORKERS. FPHNYC/DOHMH PLANS TO FORMALIZE THIS STRATEGY THOUGH THE DEVELOPMENT OF A NEIGHBORHOOD HEALTH CORPS (NHC) OF COMMUNITY HEALTH WORKERS, IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS. THE NHC WILL USE A MULTIPRONGED COMMUNITY ENGAGEMENT STRATEGY TO INCREASE ACCESS TO COVID-19 PREVENTION, TREATMENT, AND VACCINATION SERVICES; ADDRESS COVID-19 RISK FACTORS INCLUDING CHRONIC DISEASE, SOCIAL DETERMINANTS OF HEALTH AND RACISM; AND TO BUILD COLLECTIVE ACTION TO ADDRESS RACIAL DISPARITIES AND RESOURCE NEEDS. THESE EFFORTS WILL BE FOCUSED IN 9-10 NEIGHBORHOODS SELECTED FOR HIGH COVID-19 DEATH RATES, LOW COVID-19 VACCINATION RATES, AND HIGH SCORES ON A COMBINED SOCIAL AND HEALTH-BASED METRIC ASSESSING BURDEN OF CHRONIC DISEASE, UNMET SOCIAL NEEDS, AND COVID-19 WAVE 1 IMPACT. THE OUTCOMES OF INTEREST INCLUDE IMPROVED FPHNYC/DOHMH CAPACITY AND SERVICES TO PREVENT AND CONTROL COVID-19 TRANSMISSION AMONG POPULATIONS AT HIGHER RISK AND THAT ARE MARGINALIZED, INCLUDING RACIAL AND ETHNIC MINORITY GROUPS, AND REDUCED COVID-19-RELATED HEALTH DISPARITIES. IN ALL, THE NHC WILL PROVIDE A SUSTAINABLE, ORGANIZED BACKBONE OF CBO PARTNERSHIPS THAT CAN ADDRESS HEALTH DISPARITIES AT THE NEIGHBORHOOD LEVEL, BETTER INTEGRATE DISEASE-SPECIFIC PROGRAMS INTO THE COMMUNITY, AND JUMPSTART RESPONSES TO FUTURE CRISES.

FY10 ANNOUNCEMENT OF AVAILABILITY OF FUNDS FOR THE HOSPITAL PREPAREDNESS PROGRAM (HPP)

PUBLIC PREVENTION HEALTH FUND: COMMUNITY TRANSFORMATION GRANTS

NEW YORK CITY REGIONAL EXTENSION CENTER

CATEGORY B: COMMUNITIES PUTTING PREVENTION TO WORK

HEALTH CARE INNOVATION CHALLENGE

CATEGORY A: COMMUNITIES PUTTING PREVENTION TO WORK

ELIMINATING DISPARITIES IN PERINATAL HEALTH

2008 U3R HOSPITAL PREPARDNESS

JOIN THE BEAT: BE ACTIVE, EAT HEALTHY, ACT ON HEALTH RISKS AND TAKE PRESCRIBED MEDICATION

STRATEGIES TO OPERATIONALIZE THE PREVENTION OF OVERDOSE DEATH (STOP OD) - NEW YORK CITY (NYC), LIKE THE REST OF THE NATION, CONTINUES TO EXPERIENCE AN INCREASE IN DRUG OVERDOSE DEATHS. THE RATE OF UNINTENTIONAL DRUG OVERDOSE DEATH IN NYC HAS INCREASED BY 80% SINCE 2019 AND 25% SINCE 2020, FROM 21.9 PER 100,000 RESIDENTS IN 2019 TO 39.4 PER 100,000 RESIDENTS IN 2021. AN OPIOID WAS INVOLVED IN 84% OF OVERDOSE DEATHS IN NYC IN 2021, COMPARED TO 75% NATIONALLY. IF THESE TRENDS CONTINUE, MORE OVERDOSE DEATHS WILL HAVE OCCURRED IN 2022 IN NYC THAN DURING ANY PRIOR YEAR ON RECORD. NYC’S DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH) HAS SUCCESSFULLY IMPLEMENTED SEVERAL INTERVENTIONS AND PROGRAMS TO ADDRESS THE OVERDOSE EPIDEMIC. HOWEVER, SUSTAINED HIGH RATES OF OVERDOSE DEATH IN NYC WARRANT THE EXPANSION OF CURRENT INITIATIVES AND THE IMPLEMENTATION OF NEW STRATEGIES. IN RESPONSE TO THE FUNDING OPPORTUNITY CDC-RFA-CE-23-0003: OVERDOSE DATA TO ACTION: LIMITING OVERDOSE THROUGH COLLABORATIVE ACTIONS IN LOCALITIES (OD2A-L), NYC DOHMH WILL APPLY FOR FUNDING FOR COMPONENTS A AND B, AS WELL AS THE OCME SUPPLEMENT WITH COMPONENT B. NYC DOHMH WILL NOT BE APPLYING FOR COMPONENT C. TO STRENGTHEN NYC’S RESPONSE TO THE OVERDOSE EPIDEMIC AND REDUCE OVERDOSE DEATHS, WE ARE PROPOSING A PORTFOLIO OF CROSS-CUTTING AND INNOVATIVE ACTIVITIES, INCLUDING: COMPONENT A ENHANCE OVERDOSE PREVENTION, EDUCATION, AND LINKAGE TO SUBSTANCE USE TREATMENT AND CARE IN HCV PROGRAMS UTILIZING PEER AND PATIENT NAVIGATORS CONDUCT OVERDOSE PREVENTION AND HCV DATA-TO-CARE CLINICAL CAPACITY-BUILDING PROJECTS WITH NYC HEALTH CARE FACILITIES PROVIDE NURSE CARE MANAGER NAVIGATOR SUPPORT AND PROGRAM SUPPORT FOR OCCUPATIONAL THERAPY TRAINING AT AN NYC ORGANIZATION THAT PROVIDES SUBSTANCE USE AND MENTAL HEALTH TREATMENT AND HARM REDUCTION SERVICES CONDUCT A NEEDS ASSESSMENT TO DESCRIBE RECOVERY CAPITAL IN A NEIGHBORHOOD WITH ENDEMICALLY HIGH OVERDOSE RATES AND PROVIDE SUPPORT TO IMPLEMENT RECOMMENDATIONS INTEGRATE HARM REDUCTION EDUCATION AND TOOLS INTO OUTREACH WITH PEOPLE EXPERIENCING HOMELESSNESS AND PROVIDE APPROPRIATE LINKAGE TO CARE SUPPORT OVERDOSE EDUCATION TRAINING AND NALOXONE DISTRIBUTION TO PEOPLE WHO USE DRUGS AND PEOPLE WHO MAY WITNESS AND RESPOND TO OVERDOSE ENHANCE FENTANYL AND XYLAZINE TEST STRIP DISTRIBUTION TO PEOPLE WHO ARE NOT ENGAGED WITH SSPS AND THOSE WHO MIGHT BE OPIOID NAÏVE ENHANCE NYC’S EXISTING INFRARED SPECTROMETRY DRUG-CHECKING PROGRAM SUPPORT SYSTEM'S CHAMPIONS FOR SUD AND PAIN CARE IN HEALTHCARE SYSTEMS STRENGTHEN REAL-TIME DRUG-RELATED MORBIDITY SURVEILLANCE AND ENHANCE PRESCRIPTION DRUG MONITORING PROGRAM SURVEILLANCE COMPONENT B ENHANCE DRUG PRODUCT AND PARAPHERNALIA TESTING FOR DRUG SUPPLY SURVEILLANCE IMPROVE MEDICAL EXAMINER AND CORONER INVESTIGATION OF DRUG OVERDOSE DEATHS NYC DOHMH HAS BEEN AT THE FOREFRONT OF DRUG SURVEILLANCE AND RESEARCH ACROSS THE COUNTRY FOR THE PAST 20 YEARS AND HAS ESTABLISHED A COMPREHENSIVE PUBLIC HEALTH SURVEILLANCE SYSTEM WITH BROAD AND DEEP RELEVANT EXPERTISE TO MONITOR, TRACK, AND RESPOND TO DRUG-RELATED HARMS IN NYC. NYC DOHMH HAS A LONG HISTORY OF COLLABORATION WITH STAKEHOLDERS ACROSS MULTIPLE SECTORS AND LEVELS OF GOVERNMENT, WHICH IS A CRUCIAL TOOL IN THE AGENCY’S EFFORTS TO REDUCE OVERDOSE DEATH AND IMPROVE THE WELLBEING OF PEOPLE WHO USE DRUGS.

TAKE ACTION ABCD: IMPROVE A1C CONTROL, BLOOD PRESSURE CONTROL, CHOLESTEROL MANAGEMENT AND DIABETES PREVENTION

NEW YORK CITY TEENS CONNECTION: REPLICATING EVIDENCE-BASED TEEN PREGNANCY PREVENTION PROGRAMS TO SCALE IN COMMUNITIES WITH THE GREATEST NEED (TIER 1B

PROJECT INSPIRE NYC (INNOVATE AND NETWORK TO STOP HCV AND PREVENT COMPLICATIONS VIA INTEGRATING CARE, RESPONDING TO NEEDS AND ENGAGING PATIENTS AND P

STRATEGIES TO OPERATIONALIZE THE PREVENTION OF OVERDOSE DEATH (STOP OD)

ELIMINATING DISPARITIES IN PERINATAL HEALTH

BRONX TEENS CONNECTION: COMMUNITY-WIDE, MULTI-COMPENENT TEEN PREGNANCY PREVENTION

THE NEW YORK CITY PARTNERSHIP TO IMPROVE HEALTH PROGRAMS

NEW YORK CITY TEENS CONNECTION EXPANSION - NEW YORK CITY (NYC) HAS SEEN TEEN PREGNANCY RATES DROP BY 79% SINCE 2000, BUT DISPARITIES PERSIST: THE TEEN PREGNANCY RATE REMAINS FOUR TO FIVE TIMES HIGHER AMONG AFRICAN AMERICAN AND LATINA TEENS THAN THEIR WHITE-NON-HISPANIC AND ASIAN PEERS. AMONG TEENS AGED 15-19, 80% REPORTED THAT THEIR PREGNANCIES WERE UNINTENDED. AFRICAN AMERICAN AND LATINO COMMUNITIES SUFFER DISPROPORTIONATELY FROM HIGH RATES OF STIS: THE RATE OF CHLAMYDIA RANGES FROM 1,292 TO 3,497 PER 100,000 FEMALES AGED 15-19 COMPARED TO 201 TO 229 AMONG WHITE, NON-HISPANIC AND ASIAN/PACIFIC ISLANDER TEENS. ADDITIONALLY, AFRICAN AMERICAN AND LATINO COMMUNITIES FREQUENTLY LIVE IN THE POOREST AND MOST SEGREGATED NEIGHBORHOODS OF THE CITY. THESE NEIGHBORHOODS ARE HISTORICALLY AND DISPROPORTIONATELY IMPACTED BY LOW EDUCATIONAL ATTAINMENT, HIGH RATES OF INFANT AND MATERNAL MORTALITY, DIABETES, ASTHMA, AND INCARCERATION. THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) DEVELOPED AN EFFECTIVE MODEL FOR DECREASING TEEN PREGNANCY RATES IN LOW-RESOURCED NEIGHBORHOODS THAT CAN BE SCALED UP. NEW YORK CITY TEENS CONNECTION , A ROBUST PROGRAM WHICH WORKS WITH HUNDREDS OF SCHOOLS, OVER 100 CLINICS AND DOZENS OF YOUTH -SERVING ORGANIZATIONS, IMPLEMENT EVIDENCE-BASED TEEN PREGNANCY PREVENTION PROGRAMS FOR AT LEAST 15,000 YOUTH ANNUALLY. NYCTC INCREASES ACCESS TO HIGH-QUALITY AND TEEN-FRIENDLY COMPREHENSIVE HEALTH CARE FOR AT-RISK YOUTH. SINCE 2010, NYCTC HAS REACHED OVER 70,000 YOUTH IN NEIGHBORHOODS WITH THE HIGHEST RATES OF TEEN PREGNANCY WITH EVIDENCE-BASED PROGRAMS AND LINKAGES TO HEALTH CARE. WHILE WE ARE PROUD OF OUR IMPACT IN DECREASING UNINTENDED TEEN PREGNANCY RATES ACROSS THE CITY, MORE MUST BE DONE TO CLOSE REMAINING DISPARITIES. IF FUNDED, NYCTC WILL REACH MORE YOUTH, SATURATING THE NEIGHBORHOODS WHERE THEY LIVE, PROVIDING CRUCIAL SEXUAL AND REPRODUCTIVE HEALTH EDUCATION, AND INVESTING IN COMMUNITY HEALTH, EDUCATION, AND SELF-EFFICACY TO ENSURE SUSTAINABILITY. NYCTC WILL WORK THROUGH PARTNERSHIPS AND SYSTEMS TO BRING EVIDENCE-BASED PROGRAMS AND CLINIC LINKAGES TO REACH OVER 65,000 YOUTH AGED 11-20 BY 2028. WORK WILL BE FOCUSED IN THE SOUTH BRONX AND NORTH AND CENTRAL BROOKLYN WHERE TEEN BIRTH RATES AND STI RATES ARE ABOVE THE NATIONAL AND CITYWIDE AVERAGES. NYCTC PROPOSES TO IMPLEMENT EIGHT EVIDENCE-BASED PROGRAMS – REDUCING THE RISK (RTR), MAKING PROUD CHOICES! (MPC), TEEN HEALTH PROJECT (THP), POSITIVE PREVENTION PLUS (PP+), SEVENTEEN DAYS (17D), PLAN A, SEXUAL HEALTH & ADOLESCENT RISK PREVENTION (SHARP), AND LINKING FAMILIES AND TEENS (LIFT) – IN THREE SETTINGS – SCHOOLS, CLINICS, AND A VARIETY OF YOUTH-SERVING ORGANIZATIONS (YSOS).RTR, MPC, 17D, AND PLAN A WILL BE DELIVERED TO STUDENTS IN TRADITIONAL HIGH SCHOOLS. THP, 17D, AND PLAN A WILL BE DELIVERED TO STUDENTS IN TRANSFER HIGH SCHOOLS, WHICH SERVE STUDENTS WHO ARE OVER-AGE AND UNDER-CREDITED FOR GRADUATION. THP WILL BE DELIVERED TO STUDENTS IN INTERNATIONAL HIGH SCHOOLS. MPC AND 17D WILL BE DELIVERED TO MIDDLE SCHOOL STUDENTS. PP+ WILL BE DELIVERED TO STUDENTS IN DISTRICT 75 SCHOOLS WITH SPECIAL NEEDS STUDENTS. 17D AND PLAN A WILL BE DELIVERED TO YOUTH IN CLINICS. 17D, PLAN A, SHARP, AND THP WILL BE DELIVERED INA VARIETY OF YSO SETTINGS. LASTLY, LIFT WILL BE DELIVERED TO PARENTS AND THEIR ADOLESCENT CHILDREN THROUGH SCHOOL PARENT GROUPS. ALL YOUTH IN PARTNERING SCHOOLS AND YSOS WILL ALSO BE LINKED TO LOCAL, HIGH-QUALITY, “TEEN-FRIENDLY” CLINICS THAT PROVIDE QUALITY SEXUAL AND REPRODUCTIVE HEALTH SERVICES TO YOUTH; LASTLY EVERY SCHOOL CLASSROOM AND YSO SETTING WILL INCORPORATE A VISIT TO THEIR LINKED CLINIC. NYCTC WILL CONTINUE TO PARTNER WITH DOE’S OFFICE OF SCHOOL WELLNESS PROGRAMS TO RECRUIT AND SUPPORT ALL SCHOOLS, SATURATING SCHOOLS IN THE CATCHMENT AREAS, AND WITH THE EXISTING 100+ NYCTC CLINICAL PARTNERS TO PROVIDE HEALTH CARE LINKAGES WITH SCHOOL PARTNERS.

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** MORE THAN 1.6 MILLION OF NEW YORK CITY'S (NYC) 8.5 MILLION RESIDENTS RELY ON THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) TO PURCHASE FOOD AND OVER 1.2 MILLION RESIDENTS EXPERIENCED FOOD INSECURITY IN 2017.[1] DUE TO THE ECONOMIC IMPACT OF THE COVID-19 PANDEMIC, THE NUMBER OF FOOD INSECURE NEW YORKERS IS ON THE RISE. INCOME AND FOOD SECURITY STATUS ARE ASSOCIATED WITH FRUIT AND VEGETABLE CONSUMPTION AND PREVALENCE OF DIET-RELATED CHRONIC DISEASES. IN 2017, NEW YORKERS WITH LOW INCOMES CONSUMED AN AVERAGE OF ONE DAILY SERVING LESS OF FRUITS AND VEGETABLES THAN ADULTS WITH HIGH INCOMES.[2] NEW YORKERS WITH OBESITY, HYPERTENSION AND DIABETES REPORTED HIGHER RATES OF FOOD INSECURITY THAN RESIDENTS WITHOUT THE DIET-RELATED CONDITIONS.[3] EATING FRUITS AND VEGETABLES EVERY DAY CAN LOWER RISK FOR HEART DISEASE AND POSSIBLY SOME CANCERS.[4] YET, MANY NEW YORKERS CANNOT AFFORD THE FRUITS AND VEGETABLES THEY NEED FOR A HEALTHY DIET.THE BIG APPLE INCENTIVES PROGRAM (BAI) WILL MAKE MORE THAN $5.6 MILLION AVAILABLE IN POINT OF PURCHASE INCENTIVES FOR FRUITS AND VEGETABLES ALL YEAR BY 1) INCREASING THE RATIO OF THE NYC HEALTH DEPARTMENT'S LONGSTANDING FARMERS MARKET INCENTIVE PROGRAM TO $2 IN HEALTH BUCKS FOR EVERY $2 SPENT IN SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP); 2) INTRODUCING A 50% DISCOUNT ON SNAP PURCHASES OF FOOD BOXES, PRE-PACKAGED BAGS OF HIGH-QUALITY LOCALLY-GROWN PRODUCE; AND 3) EXPANDING THE NUMBER OF INDEPENDENTLY OWNED GROCERY STORES PARTICIPATING IN GET THE GOOD STUFF, DOHMH'S ELECTRONIC INCENTIVE PROGRAM, TO PROVIDE MORE SHOPPERS USING SNAP WITH A DOLLAR-FOR-DOLLAR MATCH ON FRUITS, VEGETABLES, AND BEANS. ALL BAI PROJECTS WILL MAKE FRUITS AND VEGETABLES MORE AFFORDABLE FOR SHOPPERS USING SNAP SO THAT THEY CAN MORE EASILY PUT HEALTHY FOOD ON THE TABLE FOR THEMSELVES AND THEIR FAMILIES. BAI WILL EVALUATE THE VARIOUS INCENTIVE STRATEGIES TO DETERMINE BEST PRACTICES AND IMPACT ON FRUIT AND VEGETABLE PURCHASES. THE KNOWLEDGE GAINED WILL CONTRIBUTE TO USDA'S AND THE NYC HEALTH DEPARTMENT'S UNDERSTANDING OF HOW TO MOST EFFECTIVELY INCREASE FRUIT AND VEGETABLE PURCHASES BY INDIVIDUALS WITH SNAP AND WILL INFORM FUTURE PROGRAMS. BAI WILL HAVE LASTING EFFECTS ON NYC COMMUNITIES WITH LOW INCOMES. INVESTMENTS IN INCENTIVES AT FARMERS MARKETS AND FOOD BOXES WILL LEAD TO MORE SNAP PURCHASES OF LOCAL PRODUCE BENEFITING REGIONAL FARMERS AND WILL HELP SUSTAIN LOCAL FOOD ACCESS POINTS. INCREASED DEMAND FOR FRUIT AND VEGETABLES FROM PARTICIPANTS USING SNAP MAY LEAD GROCERY STORES TO STOCK MORE FRESH PRODUCE, THEREBY INCREASING HEALTHY FOOD OPTIONS FOR EVERYONE.[1] NEW YORK CITY HUMAN RESOURCES ADMINISTRATION, JUNE 2020[2] NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, COMMUNITY HEALTH SURVEY, 2017.[3] NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, NYC SOCIAL DETERMINANTS OF HEALTH (SDH) SURVEY, 2017.[4] U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND U.S. DEPARTMENT OF AGRICULTURE. 2015 - 2020 DIETARY GUIDELINES FOR AMERICANS. 8TH EDITION. DECEMBER 2015.

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** GET THE GOOD STUFF NYC AIMS TO INCREASE THE PURCHASE AND CONSUMPTION OF FRUITS AND VEGETABLES BY NEW YORKERS PARTICIPATING IN SNAP BY PROVIDING ELECTRONIC POINT OF PURCHASE INCENTIVES AT INDEPENDENT GROCERY STORES IN NEIGHBORHOODS DISPROPORTIONATELY IMPACTED BY THE COVID-19 PANDEMIC. THE PROPOSED PROJECT BUILDS OFF THE GET THE GOOD STUFF PROGRAM EXPANSION CURRENTLY UNDERWAY THROUGH THE ORIGINAL GUSNIP GRANT. IT WILL EXPAND THE GET THE GOOD STUFF DOLLAR-FOR-DOLLAR MATCH ON SNAP PURCHASES OF ELIGIBLE FRESH, FROZEN, CANNED AND DRIED FRUITS, VEGETABLES AND BEANS TO 10 ADDITIONAL GROCERY STORES, FOR A TOTAL OF 24 STORES, AND INCREASE THE NUMBER OF NEW YORKERS PARTICIPATING IN THE PROGRAM FROM 14,000 TO 30,000.SINCE GET THE GOOD STUFF LAUNCHED IN JUNE 2019, OVER 8,000 NEW YORKERS WITH SNAP HAVE ENROLLED IN THE PROGRAM AND REDEEMED MORE THAN $1.2M WORTH OF FRUIT AND VEGETABLE INCENTIVES. GET THE GOOD STUFF NYC EXTENDS THE REACH OF THIS SUCCESSFUL PRODUCE INCENTIVE PROGRAM TO MORE NEW YORKERSWITH SNAP AND RESPONDS TO LONG-STANDING COMMUNITY DEMAND FOR EXPANSION OF GROCERY STORE-BASED NUTRITION INCENTIVES. THE NYC DOHMH WILL PARTICIPATE IN THE COMPREHENSIVE GUSNIP PROGRAM EVALUATION AND WILL CONDUCT PROCESS AND OUTCOME SELF-EVALUATIONS.

EXPANSION OF NEW YORK CITY TEENS CONNECTION TO SUPPORT TEEN PREGNANCY PREVENTION

ADVANCING CARE AND EQUITY FOR DIABETES (ACED) PREVENTION AND MANAGEMENT - THE FUND FOR PUBLIC HEALTH IN NEW YORK, INC (FPHNY) IS APPLYING FOR COMPONENT B (STRATEGIES1, 3, 4, 5, 10, 13) OF THIS OPPORTUNITY. THE PROPOSED PROJECT WILL FOCUS ON 22 NYC NEIGHBORHOODS LOCATED IN THE “HIGH RISK” COUNTIES - THE BRONX, QUEENS, AND KINGS (BROOKLYN) COUNTY. THE BURDEN AND RISK OF DIABETES IS LINKED TO THE CONDITIONS IN WHICH PEOPLE LIVE, WORK, PLAY AND PRAY. THESE CIRCUMSTANCES ARE SHAPED BY RACIAL, SOCIAL, AND ECONOMIC INJUSTICES THAT DRIVE HEALTH INEQUITIES. IN NEW YORK CITY (NYC), DIABETES HAS RISEN FROM THE TENTH LEADING CAUSE OF DEATH IN 1990 TO THE THIRD IN 2019. THE THREE “HIGH NEEDS” COUNTIES IDENTIFIED BY THE CENTER OF DISEASE CONTROL AND PREVENTION (CDC) – BRONX, KINGS, AND QUEENS – ARE DISPROPORTIONATELY IMPACTED BY DIABETES WITH OVERALL DIABETES PREVALENCE OF 15.8%, 12.4%, AND 12.8%, RESPECTIVELY. WITHIN THESE COUNTIES, THE BURDEN AND RISK OF DIABETES AS WELL AS THE SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT DRIVE INEQUITIES ARE MORE PRONOUNCED IN SPECIFIC NEIGHBORHOODS. ADVANCING CARE AND EQUITY FOR DIABETES PREVENTION AND MANAGEMENT, REFERRED TO AS “ACED”, IS A NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) INITIATIVE TO DECREASE RISK FOR TYPE 2 DIABETES THROUGH IMPROVED SCREENING FOR DIABETES RISK AND INCREASE ACCESS AND COMPLETION OF COMMUNITY CHANGE PROGRAMS FOR THOSE AT RISK; DECREASE THE PROPORTION OF PEOPLE WITH DIABETES THAT HAVE AN A1C>9% AND INCREASE EARLY DETECTION OF DIABETES-RELATED COMPLICATIONS THROUGH IMPROVED SELF-CARE PRACTICES AND QUALITY OF CARE; AND ADVANCE HEALTH EQUITY BY ADDRESSING THE SDOH THAT IMPACTS PRIORITY POPULATIONS. ACED CAN POTENTIALLY REACH NEARLY 802,000 ADULTS, OF WHOM OVER 87,000 HAVE DIABETES, LIVING IN PRIORITY NEIGHBORHOODS THROUGH A COLLECTIVE IMPACT APPROACH AND BUILDING ON ACHIEVEMENTS, PARTNERSHIPS, AND LESSONS LEARNED FROM PREVIOUS CDC GRANTS, DP14-1422-PPHF14 AND CFDA:93.435 DP18-1817, DOHMH WILL PARTNER WITH COMMUNITY AND CLINICAL ORGANIZATIONS TO EXPAND ACCESS TO SUSTAINABLE SERVICES THAT PREVENT DIABETES, FOSTER SELF-MANAGEMENT AMONG PEOPLE WITH OR AT RISK FOR DIABETES, AND IMPLEMENT EVIDENCE-BASED INTERVENTIONS TO IMPROVE THE MANAGEMENT OF DIABETES. ACED CAN POTENTIALLY REACH NEARLY 802,000 ADULTS, OF WHOM OVER 87,000 HAVE DIABETES, LIVING IN PRIORITY NEIGHBORHOODS. THE PROPORTION OF PEOPLE WITH DIABETES THAT HAVE AN A1C>9% WILL DECREASE FROM 18.0% TO 11.6%, A DECREASE OF 36% OVER THE FIVE YEARS. FURTHER, 743 MORE COMPLETERS SERVED BY CDC-RECOGNIZED NATIONAL DIABETES PREVENTION PROGRAM WILL REDUCE THEIR RISK FOR TYPE 2 DIABETES. COMBINED, THERE WILL BE 68 ORGANIZATIONS, INCLUDING 41 NEW PARTNER ORGANIZATIONS, IMPLEMENTING DSMES, DIABETES SUPPORT, AND NATIONAL DPP PROGRAMS/SERVICES THAT ARE TAILORED FOR PRIORITY POPULATIONS, RESULTING IN INCREASED ACCESS FOR 10,400 ADULTS IN PRIORITY NEIGHBORHOODS TO DSMES, DIABETES SUPPORT, AND NATIONAL DPP PROGRAMS/SERVICES TAILORED FOR PRIORITY POPULATIONS. FURTHER, 150 MORE CLINICAL ORGANIZATIONS WILL SCREEN FOR SDOH INCREASING ACCESS TO SDOH SCREENINGS IN CLINICAL ORGANIZATIONS FOR 401,553 ADULTS IN PRIORITY NEIGHBORHOODS, OVER 40,000 OF WHICH HAVE DIABETES. ADDITIONALLY, 182 MORE COMMUNITY AND CLINICAL RESOURCES SERVING PRIORITY POPULATIONS WILL HAVE GAINED ACCESS TO AND ACTIVELY USED MULTIDIRECTIONAL E-REFERRAL SYSTEMS.

THE NEW YORK CITY PARTNERSHIP TO IMPROVE HEALTH PROGRAMS

THE CARDIOVASCULAR HEALTH INNOVATION PROGRAM (CHIP) - THE RISK AND BURDEN OF CARDIOVASCULAR DISEASE (CVD) IS NOT EQUALLY SHARED. CVD IS THE LEADING CAUSE OF DEATH IN THE UNITED STATES AND NEW YORK CITY (NYC), AND PERSISTENT DISPARITIES IN PREVALENCE AND OUTCOMES HAVE ONLY WIDENED AMONG RACIAL AND ETHNIC GROUPS AND HISTORICALLY MARGINALIZED POPULATIONS. THESE DISPARITIES ARE CAUSED BY THE SOCIAL DETERMINANTS OF HEALTH (SDOH) AND INSTITUTIONAL RACISM. EFFECTIVE ACTION – INCREASING ACCESS TO RESOURCES FOR SOCIAL DETERMINANTS AND PROVEN EFFECTIVE PROGRAMS THAT HAVE BEEN TAILORED FOR THE COMMUNITY – REQUIRES INVESTING SPECIFICALLY IN HISTORICALLY DIS-INVESTED COMMUNITIES, INCREASING ACCESS TO EVIDENCE-BASED INTERVENTIONS, AND ADDRESSING THE SDOH. THE CARDIOVASCULAR HEALTH INNOVATION PROGRAM, REFERRED TO AS “CHIP”, IS A NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) PLACE-BASED INITIATIVE THAT TARGETS NYC HISTORICALLY MARGINALIZED POPULATIONS, PARTICULARLY BLACK POPULATIONS, AT GREATEST RISK FOR CVD AND RELATED POOR OUTCOMES, DEFINED THROUGH CENSUS TRACTS WITH PREVALENCE OF HYPERTENSION (HTN) GREATER THAN 53%. DOHMH WILL MAXIMIZE USE OF EXISTING PROGRAMS/SERVICES AND THROUGH TECHNICAL ASSISTANCE, TRAINING, COACHING, AND CONTRACTS FOR DIRECT SERVICE DELIVERY TO BUILD INFRASTRUCTURE, FILL THE GAPS TO IMPROVE AND PROMOTE EQUITY IN CVD OUTCOMES. USING A COLLECTIVE IMPACT APPROACH, DOHMH WILL PARTNER WITH 3 COMMUNITY AND 65 CLINICAL ORGANIZATIONS TO IMPLEMENT AN ARRAY OF EVIDENCED-BASED APPROACHES (I.E., OPTIMIZING/USING/ADVANCING ELECTRONIC HEALTH RECORDS [EHR]; HEALTH INFORMATION TECHNOLOGY [HIT]; GIS OR OTHER GEO-MAPPING TOOLS; TEAM-BASED CARE; SDOH SCREENING, REFERRAL, AND REFERRAL FOLLOW-UP; SELF-MEASURED BLOOD PRESSURE MONITORING WITH CLINICAL SUPPORT; CLINICAL-COMMUNITY LINKAGES; AND COMMUNITY HEALTH WORKERS) TO IDENTIFY, TRACK, AND ADDRESS AND/OR IMPROVE CVD CARE, OUTCOMES AND SDOH NEEDS. DOHMH WILL ALSO BUILD A DATA-DRIVEN AND ACTION-ORIENTED LEARNING COLLABORATIVE COMPRISED OF MULTIDISCIPLINARY STAKEHOLDERS TO SUPPORT IMPROVEMENT EFFORTS AND CONDUCT A RIGOROUS PROCESS AND OUTCOMES EVALUATIONS OF PROGRAM STRATEGIES. IN FIVE YEARS, CHIP WILL REACH NEARLY 261,118 ADULTS FROM THE POPULATION OF FOCUS. OVERALL HTN CONTROL WILL INCREASE BY OVER 17% (FROM 67.5% TO 79%). HTN CONTROL AMONG THE BLACK POPULATION WILL INCREASE ALMOST 25% (FROM 61.8% TO 76.9%). DISPARITIES IN HTN CONTROL BETWEEN THE TWO GROUPS WITH THE HIGHEST HTN CONTROL AT BASELINE, ASIAN (77.3%) AND WHITE (71.6%) ADULTS COMPARED TO BLACK (61.8%) ADULTS, WHO HAVE THE LOWEST RATE, WILL DECREASE BY 12.4% AND 6.7% POINTS, RESPECTIVELY. 7,605 ADULTS WILL BE REFERRED TO AND ACCESS SOCIAL SUPPORT SERVICES. ADDITIONALLY, CHIP WILL ACHIEVE THE FOLLOWING: ALL 65 CLINICS WILL HAVE POLICIES/PROTOCOLS IN PLACE REQUIRING THE USE OF EHRS AND STANDARDIZED CLINICAL QUALITY MEASURES TO TRACK HTN CONTROL MEASURES BY RACE, ETHNICITY, AND OTHER POPULATIONS OF FOCUS; 52 (80%) OF CLINICS WILL USE STANDARDIZED PROCESSES OR TOOLS TO IDENTIFY, ASSESS, TRACK, AND ADDRESS THE SOCIAL SERVICES SUPPORT NEEDS; ALL 65 CLINICS WILL HAVE POLICIES/PROTOCOLS IN PLACE REQUIRING THE USE OF CLINICAL DATA FROM EHRS OR HIT TO SUPPORT COMMUNICATION WITHIN THE CARE TEAM TO COORDINATE CARE FOR HTN AND HIGH CHOLESTEROL; 239,368 ADULTS WILL BE SERVED BY CLINICS THAT USE MULTIDISCIPLINARY CARE TEAMS THAT ADHERE TO EVIDENCE-BASED GUIDELINES; THERE WILL BE 3,050 SOCIAL SERVICES AND 222 TYPE OF SOCIAL SERVICES THAT ADDRESS SOCIAL NEEDS; 17,500 ADULTS WILL BE REFERRED TO LIFESTYLE CHANGE PROGRAMS OR SOCIAL SERVICES AND SUPPORT; 75 CHWS (OR THEIR EQUIVALENT) WILL ENGAGE WITH COMMUNITY ORGANIZATIONS TO PROVIDE A CONTINUUM OF CARE BY EXTENDING CLINICAL INTERVENTIONS AND ADDRESSING SOCIAL SERVICES AND SUPPORT NEEDS; AND 132,610 ADULTS WILL PARTICIPATE IN SELF-MEASURED BLOOD PRESSURE MONITORING WITH CLINICAL SUPPORT.

JOIN THE BEAT: BE ACTIVE, EAT HEALTHY, ACT ON HEALTH RISKS AND TAKE PRESCRIBED MEDICATION

INCENTIVIZING FRUIT AND VEGETABLE CONSUMPTION IN THE BIG APPLE: NYC`S STRATEGY TO INCREASE ACCESS AND IMPROVE HEALTH IN HIGH NEED NEIGHBORHOODS

NEW YORK CITY PROJECT LAUNCH

EMERGENCY RESPONSE

PANDEMIC INFLUENZA HEALTHCARE PREPAREDNESS IMPROVEMENTS FOR STATES

BUILDING A HEALTHY NATION - STRATEGIC ALLIANCE FOR HEALTH

SODIUM REDUCTION IN COMMUNITIES - NEW YORK CITY

BIOTERRORISM- HOSPITAL PREPAREDNESS PROGRAM

BROWNSVILLE COMMUNITY + CLINICAL LINKAGES ACTION

REDUCING SODIUM IN NEW YORK CITY

ASSESSING THE USE PRACTICE FACILITATION TO OPTIMIZE SCALE UP OF CDS FOR HYPERTENSION MANAGEMENT

ADVANCING FOODBORNE ILLNESS PREVENTION AND OUTBREAK RESPONSE IN THE NEW YORK CITY RETAIL FOOD SERVICE ENVIRONMENT

BUILDING RESILIENCE AGAINST CLIMATE EFFECTS: ENHANCING COMMUNITY RESILIENCE BY IMPLEMENTING HEALTH ADAPTATIONS- NEW YORK CITY

EVALUATING INTERVENTIONS TO IMPROVE FOOD SAFETY PRACTICES ACROSS NYC RESTAURANTS AND MOBILE FOOD VENDORS

AN EVALUATION OF THE IMPACT OF RESTAURANT SANITARY GRADE POSTING ON HEALTH HAZARD

BUILDING CLIMATE HEALTH RESILIENCE IN NEW YORK

MINORITY SA/HIV/HEP STRATEGIC PREVENTION FRAMEWORK (SPF)

SODIUM REDUCTION IN COMMUNITIES IN NEW YORK

** AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** THE MÁS VERDURAS (MORE VEGETABLES) PROGRAM WILL TAKE PLACE IN THE SOUTH BRONX. PATIENTS AT OUR HEALTHCARE PARTNER, URBAN HEALTH PLAN, WHO HAVE UNCONTROLLED DIABETES, RECEIVE MEDICARE, AND SCREEN POSITIVE FOR FOOD INSECURITY WILL BE REFERRED INTO THE PROGRAM. PARTICIPANTS WILL GET $100 PER MONTH FOR 12 MONTHS IF THEIR HOUSEHOLD IS 1-2 PEOPLE AND $150 PER MONTH FOR 12 MONTHS IF THEIR HOUSEHOLD IS 3 PLUS PEOPLE. ONCE ENROLLED IN THE PROGRAM, PARTICIPANTS WILL RECEIVE A CARD, SUPPLIED AND PROGRAMMED BY A USDA-RECOMMENDED VENDOR, TO PURCHASE FRESH FRUITS AND VEGETABLES AT LOCAL GROCERY STORES IN NYC. PARTICIPANTS WILL ALSO MEET WITH AN ASSIGNED COMMUNITY COORDINATOR MONTHLY TO DISCUSS ANY ISSUES THEY ARE HAVING WITH THEIR BENEFITS. PARTICIPANTS WILL ALSO HAVE THE CHANCE TO PARTICIPATE IN DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) CLASSES. EFFECTIVENESS WILL BE MEASURED THROUGH PRE/POST PARTICIPATION SURVEYS, CLINICAL DATA, AND MEDICAL CLAIMS DATA.

VIRAL HEPATITIS TESTING AND LINKAGE TO CARE FOR PERSONS WITH HBV & HCV IN NYC

SODIUM REDUCTION IN COMMUNITIES IN NEW YORK

FY09 ESAR-VHP FOA

BUILDING CLIMATE HEALTH RESILIENCE IN NEW YORK