Wyckoff Heights Medical Center

WYCKOFF POSITIVE HEALTH IMPACT (IMPROVING ACCESS TO COMPREHENSIVE TREATMENT)

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN AND THEIR PARTNERS AGED 13-34 IN BROOKLYN, NY

IMPACT (IMPROVING ACCESS TO COMPREHENSIVE TREATMENT) PROGRAM - WYCKOFF PROPOSES A CONTINUATION AND EXPANSION OF OUR HIGHLY SUCCESSFUL IMPACT (IMPROVING ACCESS TO COMPREHENSIVE TREATMENT) PROGRAM, A COMMUNITY-BASED COLLABORATIVE EFFORT ESTABLISHED IN 2017 TO EXPAND AND ENHANCE SUBSTANCE USE DISORDER (SUD) AND CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDER (COD) SERVICES FOR RACIAL, ETHNIC, GENDER, AND SEXUAL MINORITIES AT RISK FOR OR LIVING WITH HIV AND/OR HEPATITIS B/C (HCV/HBV) IN BROOKLYN, NEW YORK CITY (NYC). IMPACT WILL SERVE 75 UNIQUE CLIENTS ANNUALLY FOR A TOTAL OF 375 UNIQUE CLIENTS DURING THE 5-YEAR ANTICIPATED FUNDING PERIOD. IMPACT WILL FOCUS ON THE FOLLOWING POPULATIONS: BLACK AND HISPANIC YOUNG MEN AND WOMEN (AGES 18-35); BLACK AND HISPANIC MEN WHO HAVE SEX WITH MEN (MSM) AND TRANSGENDER INDIVIDUALS OF ANY AGE; AND BLACK AND HISPANIC OLDER ADULTS AGED 50+ WHO HAVE EXPERIENCED SIGNIFICANT ISOLATION AND DISRUPTION TO HEALTHCARE AND BEHAVIORAL HEALTH SERVICES, ESPECIALLY IN THE AFTERMATH OF THE COVID-19 PANDEMIC. THESE CLIENTS WILL BE ACTIVELY EXPERIENCING OR AT RISK FOR DEVELOPING SUBSTANCE USE DISORDERS (SUD), INCLUDING AT RISK OF OR PREVIOUSLY SURVIVED OPIOID OVERDOSE, AND MAY BE LIVING WITH OR AT RISK FOR INFECTIOUS DISEASES (HIV, SEXUALLY TRANSMITTED INFECTIONS, VIRAL HEPATITIS). AS WITH MOST OF THE CLIENTS WYCKOFF SERVES, MANY WILL BE LIVING IN POVERTY. FUNDING WILL SUPPORT DIRECT SERVICES TO THESE CLIENTS, SUCH AS ROUTINE SUD, COD AND MENTAL HEALTH SCREENINGS AND REFERRALS TO ON-SITE COUNSELING AND EVIDENCE-BASED TREATMENT MODALITIES AND OFF-SITE MORE INTENSIVE TREATMENTS; NAVIGATION, CASE MANAGEMENT AND SUPPORT FOR ALL PROGRAM CLIENTS TO ADDRESS BOTH HEALTH AND SOCIAL SERVICE NEEDS SUCH AS HOUSING AND NUTRITION; REFERRALS AND ON-SITE LINKAGE TO HIV, VIRAL HEPATITIS AND STI TESTING, TREATMENT AND BIOMEDICAL PREVENTION SERVICES SUCH AS PREP AND PEP, AVAILABLE TO EVERYONE REGARDLESS OF INSURANCE STATUS; AND ONGOING CLIENT EDUCATION AND SUPPORT RELATED TO HARM REDUCTION, OVERDOSE PREVENTION AND REVERSAL THROUGH DISTRIBUTION OF TANGIBLE LIFE-SAVING TOOLS SUCH AS NALOXONE AND CRISIS INTERVENTION COUNSELING. SOME OF THE PROGRAM FUNDING WILL BE USED TO PROVIDE ONGOING TRAININGS AND CAPACITY BUILDING TO WYCKOFF MEDICAL PROVIDERS, RESIDENTS, NURSING AND FRONTLINE STAFF ON LOCAL EPIDEMIOLOGIC DATA IMPACTING OUR PATIENTS AND BEST PRACTICES IN SCREENING AND RECOMMENDED TREATMENTS FOR SUD, CODS, MENTAL HEALTH, HIV AND VIRAL HEPATITIS. WYCKOFF WILL ALSO USE FUNDING FROM THIS GRANT PROGRAM TO COORDINATE AND SUBMIT REQUIRED HIV AND VIRAL HEPATITIS REPORTING TO THE STATE AND LOCAL HEALTH AGENCIES, NYC DOHMH AND NYS DOH.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

POSITIVE HEALTH MANAGEMENT COUNSELLING, OUTREACH, REFERRAL & EDUCATION (PHMCORE)

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

PRIMARY CARE TRAINING AND ENHANCEMENT

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

PRIMARY CARE TRAINING AND ENHANCEMENT

WYCKOFF INITIATIVE FOR SEXUAL HEALTH (WISH) PROGRAM, A COLLABORATIVE PROJECT TO INCREASE ACCESS TO QUALITY COMPREHENSIVE SEXUAL HEALTH SERVICES AND STIGMA-FREE STI CARE IN BROOKLYN, NY

WYCKOFF POSITIVE HEALTH IMPACT (IMPROVING ACCESS TO COMPREHENSIVE TREATMENT)

EDI SPECIAL PROJECTS

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

DENTAL REIMBURSEMENT PROGRAM - THE HRSA DENTAL REIMBURSEMENT PROGRAM WILL PROVIDE WYCKOFF HEIGHTS MEDICAL CENTER (WHMC) WITH FUNDING THAT WE WILL INVEST BACK INTO PATIENT DIRECT SERVICES AND PATIENT EDUCATION AND OUTREACH ABOUT DENTAL SERVICES AVAILABLE TO HIV PATIENTS AT WHMC. DURING THE PROJECT REPORTING PERIOD (JULY 1, 2022-JUNE 30, 2023), THE WHMC DENTAL CLINIC SERVED 368 UNIQUE HIV+ PATIENTS; HOWEVER WE ENCOUNTERED AN ESTIMATED $387,787 IN UNREIMBURSED COSTS ASSOCIATED WITH THE ORAL HEALTH CARE SERVICES PROVIDED TO THESE PATIENTS. THE TOTAL NUMBER OF VISITS FOR WHMC FROM 07/01/2022-06/30/2023 = 1226 TOTAL COST PER VISIT $340 TOTAL COST OF ALL VISITS = TOTAL VISITS (1226) X COST PER VISIT ($40) = $416,840 TOTAL REIMBURSEMENT RECEIVED (MEDICAID (NON-HMO/NON-MANAGED CARE, MEDICAID (HMO/MANAGED CARE), MEDICARE, OTHER PUBLIC INSURANCE, PRIVATE INSURANCE, INCLUDING HMO/MANAGED CARE, SELF-PAY OR CASH, OTHER AND UNKNOWN ) ( REFER TO THE DRP REPORT, SECTION 2 “ FUNDING AND PAYMENT COVERAGE TABLE“– QUESTION 19) = $29,093 TOTAL COST OF ALL VISITS ($416,840) – TOTAL REIMBURSEMENT RECEIVED ($29,093) = TOTAL UNREIMBURSED COST ($387,787) THE DENTAL CLINIC AT WHMC IS CONVENIENTLY LOCATED WITHIN THE HOSPITAL. THE CLINIC IS THE ONLY SITE WHERE OUR DENTAL RESIDENTS AND ATTENDINGS PROVIDE DIRECT PATIENT CARE TO ALL PATIENTS OF OUR COMMUNITY INCLUDING THOSE LIVING WITH HIV/AIDS. THE DEPARTMENT OF DENTAL MEDICINE WORKS CLOSELY WITH THE POSITIVE HEALTH (HIV SERVICES) DEPARTMENT OF THE INSTITUTION IN THE COORDINATION OF THE DENTAL CARE OF OUR PATIENTS LIVING WITH HIV/AIDS. THE POSITIVE HEALTH MANAGEMENT DEPARTMENT AT WYCKOFF IS THE HIV SERVICES DEPARTMENT THAT PROVIDES COMPREHENSIVE HIV PRIMARY CARE, HIV PREVENTION, AND SEXUAL HEALTH SERVICES TO PATIENTS LIVING WITH HIV OR AIDS WE WILL UTILIZE FUNDS FROM THE HRSA DENTAL REIMBURSEMENT PROGRAM TO ENHANCE OUR DENTAL STUDENT AND RESIDENT EDUCATION AND TRAINING PROGRAM FOR BOTH STAFF AND PATIENTS, AND TO PURCHASE OR REPLACE DENTAL CLINIC SUPPLI ES SO THAT WE CAN CONTINUE TO SERVE WITH THE HIGHEST QUALITY EQUIPMENT ALL DENTAL PATIENTS AT WHMC INCLUDING THOSE LIVING WITH HIV/AIDS.

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM - THE HRSA DENTAL REIMBURSEMENT PROGRAM WILL PROVIDE WYCKOFF HEIGHTS MEDICAL CENTER (WHMC) WITH FUNDING THAT WE WILL INVEST BACK INTO PATIENT DIRECT SERVICES AND PATIENT EDUCATION AND OUTREACH ABOUT DENTAL SERVICES AVAILABLE TO HIV PATIENTS AT WHMC. DURING THE PROJECT REPORTING PERIOD (JULY 1, 2020-JUNE 30, 2021), THE WHMC DENTAL CLINIC SERVED 117UNIQUE HIV+ PATIENTS HOWEVER WE ENCOUNTERED AN ESTIMATED $132,886 IN UNREIMBURSED COSTS ASSOCIATED WITH THE ORAL HEALTH CARE SERVICES PROVIDED TO THESE PATIENTS. DURING THE PERIOD OF 07/01/2020– 06/30/2021 WHMC WAS ONE OF THE FEW HOSPITALS THAT WAS PROVIDING DENTAL TREATMENT DURING THE COVID 19 PANDEMIC IN NEW YORK CITY. DURING THAT TIME THE COST PER DENTAL CLINIC INCREASED DUE TO THE IMPLEMENTATION OF ADDITIONAL INFECTION CONTROL MEASURES REQUIRED TO PROVIDE DENTAL TREATMENT IN A SAFE ENVIRONMENT THAT PROTECTS OUR DENTAL PRACTITIONERS, SUPPORTING STAFF AND PATIENTS. THE TOTAL NUMBER OF VISITS PROVIDED BY WHMC FOR HIV+ PATIENTS FROM 07/01/2020 TO 06/30/2021 = 457 TOTAL COST PER VISIT $315 TOTAL COST OF ALL VISITS = TOTAL VISITS (457) X COST PER VISIT ($315) = $143,955 TOTAL REIMBURSEMENT RECEIVED ( MEDICAID ( NON-HMO/NON-MANAGED CARE, MEDICAID( HMO/MANAGED CARE), OTHER PUBLIC INSURANCE, PRIVATE INSURANCE, INCLUDING HMO/MANAGED CARE, SELF-PAY OR CASH, ADAP AND MEDICARE HMO = $11,106 TOTAL COST OF ALL VISITS ($143,955) – TOTAL REIMBURSEMENT RECEIVED ( $11,106) = TOTAL UNREIMBURSED COST ( $132,849) THE DENTAL CLINIC AT WHMC IS CONVENIENTLY LOCATED WITHIN THE HOSPITAL. THE CLINIC IS THE ONLY SITE WHERE OUR DENTAL RESIDENTS AND ATTENDINGS PROVIDE DIRECT PATIENT CARE TO ALL PATIENTS OF OUR COMMUNITY INCLUDING THOSE LIVING WITH HIV/AIDS. THE DEPARTMENT OF DENTAL MEDICINE WORKS CLOSELY WITH THE POSITIVE HEALTH (HIV SERVICES) DEPARTMENT OF THE INSTITUTION IN THE COORDINATION OF THE DENTAL CARE OF OUR PATIENTS LIVING WITH HIV/AIDS. THE POSITIVE HEALTH MANAGEMENT DEPARTMENT AT WYCKOFF IS THE HIV SERVICES DEPAR TMENT THAT PROVIDES COMPREHENSIVE HIV PRIMARY CARE, HIV PREVENTION, AND SEXUAL HEALTH SERVICES TO PATIENTS LIVING WITH HIV OR AIDS WE WILL UTILIZE FUNDS FROM THE HRSA DENTAL REIMBURSEMENT PROGRAM TO ENHANCE OUR DENTAL STUDENT AND RESIDENT EDUCATION AND TRAINING PROGRAM FOR BOTH STAFF AND PATIENTS, AND TO PURCHASE OR REPLACE DENTAL CLINIC SUPPLIES SO THAT WE CAN CONTINUE TO SERVE WITH THE HIGHEST QUALITY EQUIPMENT ALL DENTAL PATIENTS AT WHMC INCLUDING THOSE LIVING WITH HIV/AIDS.

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM - THE HRSA DENTAL REIMBURSEMENT PROGRAM WILL PROVIDE WYCKOFF HEIGHTS MEDICAL CENTER (WHMC) WITH FUNDING THAT WE WILL INVEST BACK INTO PATIENT DIRECT SERVICES AND PATIENT EDUCATION AND OUTREACH ABOUT DENTAL SERVICES AVAILABLE TO HIV PATIENTS AT WHMC. DURING THE PROJECT REPORTING PERIOD (JULY 1, 2023-JUNE 30, 2024), THE WHMC DENTAL CLINIC SERVED 59 UNIQUE HIV+ PATIENTS; HOWEVER WE ENCOUNTERED AN ESTIMATED $57,726 IN UNREIMBURSED COSTS ASSOCIATED WITH THE ORAL HEALTH CARE SERVICES PROVIDED TO THESE PATIENTS. THE TOTAL NUMBER OF VISITS FOR WHMC FROM 07/01/2023 TO 06/30/2024 = 182 TOTAL COST PER VISIT $340 TOTAL COST OF ALL VISITS = TOTAL VISITS (182) X COST PER VISIT ($340) = $ 61,880 TOTAL REIMBURSEMENT RECEIVED ( MEDICAID ( NON-HMO/NON-MANAGED CARE, MEDICAID( HMO/MANAGED CARE), OTHER PUBLIC INSURANCE, PRIVATE INSURANCE, INCLUDING HMO/MANAGED CARE, SELF-PAY OR CASH, AND MEDICARE - REFER TO PARTIAL COVERAGE “ FUNDING AND PAYMENT COVERAGE" TABLE = $4,154. TOTAL COST OF ALL VISITS ($61,880) – TOTAL REIMBURSEMENT RECEIVED ( $4,154) = TOTAL UNREIMBURSED COST ($57,726) THE DENTAL CLINIC AT WHMC IS CONVENIENTLY LOCATED WITHIN THE HOSPITAL. THE CLINIC IS THE ONLY SITE WHERE OUR DENTAL RESIDENTS AND ATTENDINGS PROVIDE DIRECT PATIENT CARE TO ALL PATIENTS OF OUR COMMUNITY INCLUDING THOSE LIVING WITH HIV/AIDS. THE DEPARTMENT OF DENTAL MEDICINE WORKS CLOSELY WITH THE POSITIVE HEALTH (HIV SERVICES) DEPARTMENT OF THE INSTITUTION IN THE COORDINATION OF THE DENTAL CARE OF OUR PATIENTS LIVING WITH HIV/AIDS. THE POSITIVE HEALTH MANAGEMENT DEPARTMENT AT WYCKOFF IS THE HIV SERVICES DEPARTMENT THAT PROVIDES COMPREHENSIVE HIV PRIMARY CARE, HIV PREVENTION, AND SEXUAL HEALTH SERVICES TO PATIENTS LIVING WITH HIV OR AIDS WE WILL UTILIZE FUNDS FROM THE HRSA DENTAL REIMBURSEMENT PROGRAM TO ENHANCE OUR DENTAL STUDENT AND RESIDENT EDUCATION AND TRAINING PROGRAM FOR BOTH STAFF AND PATIENTS, AND TO PURCHASE OR REPLACE DENTAL CLINIC SUPPLIES SO THAT WE CAN CONTINUE TO SERVE WITH THE HIGHEST QUALITY EQUIPMENT ALL DENTAL PATIENTS AT WHMC INCLUDING THOSE LIVING WITH HIV/AIDS.

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

PRIMARY CARE AND ORAL HEALTH