Fair Haven Community Health Clinic Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III: EARLY INTERVENTIONS SERVICES

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

RYAN WHITE TITLE III: EARLY INTERVENTIONS SERVICES

AFFORDABLE CARE ACT: NURSE MANAGED HEALTH CLINICS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - BACKGROUND: SINCE 1971, FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. (FHCHC) HAS PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES TO COMMUNITIES THROUGHOUT GREATER NEW HAVEN CT. THE JOINT COMMISSION (TJC) HAS ACCREDITED FHCHC SINCE 1999. FHCHC IS DUALLY RECOGNIZED AS A PATIENT CENTERED MEDICAL HOME BY TJC AND THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). IN 2023, FHCHC PROVIDED CARE TO 34,391 PATIENTS THROUGH 138,108 PATIENT VISITS. THE HEALTH CENTER SERVES A POPULATION OF 91% RACIAL AND/OR ETHNIC MINORITY; 61% SELF-REPORT AS LATINO, AND 24% AS AFRICAN AMERICAN. NINETY-FOUR PERCENT OF PATIENTS LIVE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES. THIRTY PERCENT OF FHCHC PATIENTS OVER THE AGE OF 18 ARE UNINSURED. FORTY-TWO PERCENT OF PATIENTS PREFER TO RECEIVE CARE IN A LANGUAGE OTHER THAN ENGLISH, PREDOMINANTLY SPANISH. WITH A $45 MILLION OPERATING BUDGET AND A STAFF OF NEARLY 300 EMPLOYEES ACROSS ITS 20 SITES, FHCHC PROVIDES INTEGRATED, PATIENT-CENTERED CARE TO THOSE WHO NEED IT MOST. NEEDS TO BE ADDRESSED: MENTAL ILLNESS AND UNHEALTHY SUBSTANCE USE AFFECT INDIVIDUALS AT ALL SOCIOECONOMIC LEVELS BUT DISPROPORTIONATELY AFFECT PEOPLE WITH LOW INCOMES. IN CONNECTICUT, MORE THAN ONE IN FOUR ADULTS HAS A MENTAL HEALTH CONDITION, WITH 32% NOT RECEIVING TREATMENT, PRIMARILY DUE TO COST AND STIGMA. ILLICIT OPIOIDS AND STIMULANTS ARE THE LEADING CAUSE OF DRUG OVERDOSE IN THE STATE, WITH BLACK AND HISPANIC POPULATIONS HAVING THE HIGHEST MORTALITY. TARGET POPULATION: THE PROJECT WILL SERVE INDIVIDUALS RESIDING IN THE FHCHC SERVICE AREA OF NEW HAVEN, EAST HAVEN, AND BRANFORD, CT. NEW HAVEN RESIDENTS HAVE A DISPROPORTIONATE NEED FOR MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES, ACCOUNTING FOR 7.1% OF MENTAL HEALTH SERVICES DELIVERED BY THE CONNECTICUT DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES, 5.0% OF SUD SERVICES, AND 8.7% OF THOSE RECEIVING BOTH, WHILE THE POPULATION OF NEW HAVEN COMPRISES ONLY 3.8% OF THE STATE'S POPULATION. IN CY 22, THERE WERE 32 DEATHS DUE TO OPIOID OVERDOSE IN THE FAIR HAVEN SECTION OF NEW HAVEN, THE MAIN AREA SERVED BY FHCHC. PROPOSED SERVICES: FHCHC WILL USE BHSE FUNDING ($600,000 IN YEAR 1; $500,000 IN YEAR 2) TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND THOSE RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER. CURRENTLY, FHCHC EMPLOYS 24 BILINGUAL (SPANISH) BH CLINICIANS INCLUDING 3 PSYCHOLOGISTS, .6 FTE ADULT PSYCHIATRIST AND 1 MEDICATION PRESCRIBING APRN. IN CY 23, 2,323 PATIENTS RECEIVED MH SERVICES IN 18,702 VISITS. CURRENTLY THERE ARE HUNDREDS OF PATIENTS ON A WAITING LIST FOR BH SERVICES. WITH THIS FUNDING, WE WILL EXPAND SERVICES TO INCLUDE “WALK-IN” SERVICES FOR ANYONE WITH URGENT NEEDS AND WILL EXPAND THE HOURS WHEN BH SERVICES ARE PROVIDED. WALK-IN SERVICES WILL BE PROVIDED BY LICENSED BH AND SUD WORKERS MONDAY THROUGH FRIDAY AND WILL INCLUDE EVENING HOURS MONDAY THROUGH FRIDAY AND A PARTIAL DAY OF WALK-IN SERVICES ON SATURDAY. THE FHCHC PROJECT TEAM WILL INCLUDE A 0.4 FTE PSYCHIATRIST, A 0.50 FTE APRN, TWO 1.0 FTE MENTAL HEALTH THERAPISTS, A 1.0 FTE ADDICTION THERAPIST, A 1.0 FTE CASE MANAGER, AND A 1.0 FTE PEER SUPPORT SPECIALIST. IN-KIND SUPPORT OF 1.0 FTE BILLING CLERK AND 1.0 FTE FRONT DESK CLERK WILL FACILITATE PATIENT FLOW AND RECEIPT OF REVENUE FOR BILLABLE SERVICES. MOUD SERVICES WILL BE PROVIDED BY APRN AND PSYCHIATRIST, ALONG WITH 11 MEDICAL STAFF ALREADY TRAINED IN DELIVERY OF THIS SERVICE. FHCHC WILL INTEGRATE PROGRAM STAFF INTO ITS EXISTING BICULTURAL AND BILINGUAL, GENDER-AFFIRMING MODEL OF CARE SERVING CHILDREN, YOUTH, AND ADULTS. THE EXPANDED FOCUS ON MENTAL HEALTH AND SUD TREATMENT WILL DOVETAIL WITH A FHCHC HARM REDUCTION CENTER SCHEDULED TO OPEN IN THE FALL OF 2024 AT A SITE ADJACENT TO ITS MAIN CLINIC AT 374 GRAND AVE NEW HAVEN.

ACCELERATING CANCER SCREENING - TITLE: ACCELERATING CANCER SCREENING FAIR HAVEN COMMUNITY HEALTH CLINIC (FHCHC), LOCATED IN NEW HAVEN CONNECTICUT, IN PARTNERSHIP WITH THE YALE CANCER CENTER (YCC), AN NCI-DESIGNATED CANCER CENTER, WILL IMPROVE SCREENING AND REFERRAL TO CARE AND TREATMENT FOR BREAST, CERVICAL AND COLORECTAL CANCERS AMONG A TARGET POPULATION OF PREDOMINANTLY LOW INCOME, MINORITY INDIVIDUALS. FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. H80CS00741 374 GRAND AVENUE, NEW HAVEN CT 06513 AUTHORIZING OFFICIAL: SUZANNE LAGARDE MD FHCHC CURRENTLY SERVES OVER 31,000 PATIENTS ANNUALLY, OVER 60% OF WHOM ARE HISPANIC, AND OVER 90% LIVE BELOW 200% FEDERAL POVERTY LEVEL. FULLY 16% OF FHCHC PATIENTS ARE UNINSURABLE. FHCHC SCREENING RATES FOR BREAST (52%), CERVICAL (68%) AND COLORECTAL (45%) CANCER ARE SIGNIFICANTLY LOWER COMPARED WITH NATIONAL AVERAGES. ADDITIONALLY, BARRIERS TO TIMELY REFERRAL TO CARE AND TREATMENT SUFFERS, WITH DELAYED TREATMENT OR WORSE, NO TREATMENT FREQUENTLY OCCURRING. WITH THIS FUNDING, FHCHC WILL HIRE PERSONNEL TO OVERSEE A ROBUST CANCER CARE PROGRAM. WE WILL HIRE A PROGRAM MANAGER AND A COMMUNITY HEALTH WORKER (CHW). THE PROGRAM MANAGER WILL BE RESPONSIBLE FOR CANCER SCREENING AT FHCHC, WITH ATTENTION TO INTEGRATION INTO THE VARIOUS WORKFLOWS OF THE CLINIC. THE MANAGER WILL TRACK DATA, ENSURE THAT CHWS, CARE COORDINATORS AND CLINICAL STAFF ARE AWARE OF THE PROGRAM AND THE GUIDELINES FOR SCREENING FOR BREAST, CERVICAL AND COLORECTAL CANCER. THE MANAGER WILL WORK WITH STAFF OF THE YALE CANCER CENTER TO ENSURE PROPER TRAINING OF FHCHC CHWS IN CANCER NAVIGATION. UNDER THE MANAGER’S SUPERVISION, THE CHW WILL BE ONE OF FHCHC’S CANCER NAVIGATORS, WORKING WITH PATIENTS TO OVERCOME BARRIERS TO CARE. PATIENT TRANSPORTATION NEEDS FOR SCREENINGS/TESTS WILL BE PAID FOR WITH THESE FUNDS. IN AN EFFORT TO ENSURE THAT OUR LARGELY HISPANIC POPULATION UNDERSTANDS THE IMPORTANCE OF VARIOUS CANCER SCREENING STRATEGIES, A ROBUST CULTURALLY SENSITIVE MARKETING CAM PAIGN WILL TAKE PLACE THROUGHOUT THE YEAR, WITH A SPECIAL EMPHASIS ON MESSAGING DURING THE MONTHS OF PUBLIC AWARENESS CAMPAIGNS FOR BREAST (OCTOBER), CERVICAL (JANUARY) AND COLORECTAL (MARCH) CANCERS. KEY TO THE SUCCESS OF THIS PROJECT WILL BE THE STRONG COLLABORATION WITH THE YALE CANCER CENTER (YCC) WHICH WILL DEPLOY CANCER CENTER PERSONNEL TO WORK WITH FHCHC CHWS WITHIN OUR SERVICE AREA. TOGETHER, YCC AND FHCHC WILL 1. INCREASE THE NUMBER AND PERCENTAGE OF RACIAL/ETHNIC MINORITY, LOW-INCOME PATIENTS SCREENED FOR THE FOLLOWING THREE CANCER TYPES: CERVICAL, BREAST, AND COLORECTAL; AND 2. INCREASE THE NUMBER AND PERCENTAGE OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE WITHIN 30 DAYS OF RECEIPT OF AN ABNORMAL CANCER SCREENING TEST RESULT. ADDITIONALLY, FHCHC WILL COLLABORATE WITH PROJECT ACCESS-NEW HAVEN, A NON-PROFIT WHICH PROVIDES NAVIGATED, SPECIALTY CARE TO THE UNINSURED, AND WITH THE CT DEPARTMENT OF PUBLIC HEALTH, CANCER COMPREHENSIVE PROGRAM, WHO ARE COMMITTED TO REFERRING PATIENTS TO FHCHC FOR CANCER SCREENINGS. BY DECEMBER 2023, FHCHC WILL HAVE SHOWN AN INCREASE IN BREAST CANCER SCREENING FROM 52% TO 60%, AN INCREASE IN CERVICAL CANCER SCREENING FROM 68% TO 75% AND AN INCREASE IN COLORECTAL CANCER SCREENING FROM 45% TO 55%. PATIENTS REFERRED TO YCC FOR CARE AND TREATMENT OF ABNORMAL SCREENINGS AND/OR A CANCER DIAGNOSIS WILL INCREASE AND PATIENTS WITH ABNORMAL CANCER SCREENING WILL BE SEEN FOR NAVIGATION WITHIN A 30-DAY WINDOW. METRICS WILL BE TRACKED AND REPORTED.

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: EXPANDED HOURS APPLICANT NAME: FAIR HAVEN COMMUNITY HEALTH CLINIC, INC., HCP GRANT # H80CS00741 PROJECT DIRECTOR: SUZANNE LAGARDE MD, CHIEF EXECUTIVE OFFICER FUNDING REQUESTED: $240,613 IN YEAR 1; $274,370 IN YEAR 2. BACKGROUND: SINCE 1971, FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. (FHCHC) HAS PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES TO COMMUNITIES THROUGHOUT GREATER NEW HAVEN CT. THE JOINT COMMISSION (TJC) HAS ACCREDITED FHCHC SINCE 1999. FHCHC IS DUALLY RECOGNIZED AS A PATIENT CENTERED MEDICAL HOME BY TJC AND THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). IN 2023, FHCHC PROVIDED CARE TO 34,391 PATIENTS THROUGH 138,108 PATIENT VISITS. THE HEALTH CENTER SERVES A POPULATION OF 91% RACIAL AND/OR ETHNIC MINORITY; 61% SELF-REPORT AS LATINO, AND 24% AS AFRICAN AMERICAN. NINETY-FOUR PERCENT OF PATIENTS LIVE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES. THIRTY PERCENT OF FHCHC PATIENTS OVER THE AGE OF 18 ARE UNINSURED. FORTY-TWO PERCENT OF PATIENTS PREFER TO RECEIVE CARE IN A LANGUAGE OTHER THAN ENGLISH, PREDOMINANTLY SPANISH. WITH A $50 MILLION OPERATING BUDGET AND A STAFF OF OVER 300 EMPLOYEES ACROSS ITS 21 SITES, FHCHC PROVIDES INTEGRATED, PATIENT-CENTERED CARE TO THOSE WHO NEED IT MOST. NEEDS TO BE ADDRESSED: THROUGH QUARTERLY PATIENT SATISFACTION SURVEYS AND MONTHLY FOCUS GROUPS, FHCHC PATIENTS HAVE INDICATED A STRONG NEED FOR SERVICES ON WEEKENDS. REQUESTS FOR PHARMACY TIME IN THE EVENINGS HAVE ALSO BEEN NOTED. DEMAND FOR SERVICES DURING THESE “OFF HOUR” SESSIONS IS EXTREMELY HIGH. ADDITIONALLY, PATIENTS HAVE REQUESTED DENTAL AND BEHAVIORAL HEALTH SERVICES DURING SATURDAY SESSIONS. TARGET POPULATION: THE PROJECT WILL SERVE INDIVIDUALS RESIDING IN THE FHCHC SERVICE AREA OF NEW HAVEN, EAST HAVEN, AND BRANFORD, CT. PROPOSAL: WITH FUNDING FROM THIS OPPORTUNITY, FHCHC WILL EXPAND HOURS AT 3 OF ITS LOCATIONS CURRENTLY IN SCOPE. SATURDAY MORNING HOURS WILL BE EXPANDED AT FOLLOWING SITES: 1) 374 GRAND AVENUE NEW HAVEN CT. ADULT, PEDIATRIC AND BEHAVIORAL HEALTH CLINICIANS, ALONG WITH A CARE COORDINATOR, WILL PROVIDE SERVICES 52 WEEKS/YEAR. THE PROPOSED CHANGES REPRESENT AN INCREASE IN BOTH HOURS AND TYPES OF SERVICES OFFERED ON WEEKENDS. 2) 50 GRAND AVENUE NEW HAVEN CT. THIS IS THE LOCATION OF FHCHC’S SOLE DENTAL CLINIC. DENTISTS AND DENTAL HYGIENISTS WILL PROVIDE SERVICES EVERY OTHER SATURDAY, I.E. 26 WEEKS/YEAR. THE PROPOSED CHANGE REPRESENTS AN INCREASE IN BOTH HOURS AND TYPES OF SERVICES OFFERED ON WEEKENDS. 3) SHORELINE FAMILY HEALTH CARE AT 221 W. MAIN ST. BRANFORD CT. ADULT, PEDIATRIC AND BEHAVIORAL HEALTH CLINICIANS, ALONG WITH A CARE COORDINATOR, WILL PROVIDE SERVICES EVERY SATURDAY, I.E. 52 WEEKS/YEAR. ADDITIONALLY, FHCHC’S IN-HOUSE PHARMACY AT THIS LOCATION WILL EXTEND HOURS DAILY BY 30 MINUTES, MONDAY THROUGH FRIDAY. THE PROPOSED CHANGES REPRESENT AN INCREASE IN HOURS AND TYPES OF SERVICES OFFERED ON WEEKENDS. IN ORDER TO ACCOMMODATE THESE ADDITIONAL HOURS, FHCHC WILL INCREASE CLINICAL TIME AND WILL INTRODUCE MEDICAL, BEHAVIORAL HEALTH, DENTAL AND CARE COORDINATION SERVICES ON SATURDAYS. PHARMACY TIME WILL BE EXTENDED INTO EARLY EVENINGS. SUPPORT STAFF CONSISTING OF A PRACTICE MANAGER, FRONT DESK PERSONNEL, MEDICAL ASSISTANTS, NURSES, DENTAL ASSISTANTS, PHARMACY TECHNICIANS AND SECURITY WILL BE HIRED TO SUPPORT THE CLINICAL OPERATIONS. ADDITIONAL WEEKEND HOURS WILL FACILITATE VISITS FOR A SIGNIFICANT PORTION OF FHCHC’S CURRENT PATIENT POPULATION. IT IS ESTIMATED THAT BECAUSE OF THESE ADDITIONAL HOURS OF OPERATION, FHCHC WILL PROVIDE AN ADDITIONAL 1638 VISITS BY THE END OF CALENDAR YEAR 2025 AND WILL SERVE AN ADDITIONAL 100 NEW PATIENTS DURING THIS TIME PERIOD.

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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