Medisys Health Network Inc

FLUSHING CCBHC-IA - FLUSHING HOSPITAL MEDICAL CENTER (FHMC), LOCATED IN QUEENS, NEW YORK (NY), PROPOSES TO CONTINUE OPERATION OF THE FLUSHING CCBHC IN COLLABORATION WITH 7 PARTNERS. THE PROPOSED PROJECT, FLUSHING CCBHC-IA, WILL PROVIDE BEHAVIORAL HEALTH SERVICES (PSYCHIATRIC AND SUBSTANCE USE DISORDERS [SUD]) TO ANY INDIVIDUAL WHO SEEKS CARE. A SUB-POPULATION OF FOCUS INCLUDES INDIVIDUALS ACROSS THE LIFESPAN WHO BELONG TO NON-WHITE MINORITY GROUPS. FHMC, WITH ARMS ACRES, NYC HEALTH+HOSPITALS/ELMHURST, JAMAICA HOSPITAL MEDICAL CENTER, NADAP, THE NY STATE OFFICE OF MENTAL HEALTH NY CITY FIELD OFFICE FOR ACT, THE UNITED STATE DEPARTMENT OF VETERANS AFFAIRS VA NY HARBOR HEALTHCARE SYSTEM, AND TRANSITIONAL SERVICES FOR NY, PROPOSES THE FOLLOWING: GOAL 1: TOGETHER WITH PARTNERS, CONTINUE TO PROVIDE ACCESS TO CULTURALLY AND LINGUISTICALLY COMPETENT, COMMUNITY-BASED MENTAL HEALTH AND SUD TREATMENT AND SUPPORT, INCLUDING 24/7 CRISIS SERVICES AS A CCBHC. OBJ. 1.1: BY MONTH 4, UPDATE MOUS, AS APPLICABLE, WITH DESIGNATED COLLABORATING ORGANIZATIONS (DCO) TO PROVIDE SERVICES THAT ARE NOT PROVIDED BY FHMC. OBJ. 1.2: MAINTAIN CCBHC CERTIFICATION. OBJ. 1.3: AT LEAST 500 PATIENTS WITH SMI, CODS, OR SUD WILL RECEIVE CCBHC SERVICES BY THE END OF THE PROJECT PERIOD. OBJ. 1.4: INCREASE REPRESENTATION OF CONSUMERS ON THE FLUSHING CCBHC ADVISORY COUNCIL BY ADDING THREE PEER ADVOCATES WITH LIVED EXPERIENCE TO FURTHER IMPROVE OPERATIONS. - GOAL 2: IMPROVE TREATMENT COMPLIANCE AND FOLLOW-UP FOR PATIENTS WITH SUD TREATED AT THE FLUSHING CCBHC, PARTICULARLY FOR THOSE IN MINORITY GROUPS. OBJ. 1.1: REDUCE THE PERCENTAGE OF PATIENTS THAT LEAVE THE FHMC INPATIENT CHEMICAL DEPENDENCY UNIT AGAINST MEDICAL ADVICE (AMA) FROM 35% TO 25%. OBJ. 1.2: AT LEAST 70% OF SUD PATIENTS REFERRED FOR PSYCHIATRIC REHABILITATION SERVICES AFTER DETOX WILL RECEIVE DIRECT CONTACT FROM CCBHC STAFF TO CONFIRM INITIATION OF AND IMPROVE RETENTION IN TREATMENT. OBJ. 1.3: MAINTAIN ANCILLARY WITHDRAWAL MANAGEMENT PROGRAM ACCORDING TO NYS OASAS PROTOCOLS. OBJ. 1.4: IMPROVE VALIDITY AND RELIABILITY OF PATIENT DEMOGRAPHIC DATA COLLECTED IN EPIC TO 100% THROUGH A CROSS-REFERENCE OF PATIENT SURVEYS AND EPIC DATA BY THE END OF THE PROJECT PERIOD. - GOAL 3: IMPROVE HEALTH OUTCOMES FOR MINORITY PATIENTS WITH SMI AND SUD, AND FOR PATIENTS WHO ARE AT INCREASED RISK FOR DIABETES, METABOLIC SYNDROME, CARDIOVASCULAR AND RESPIRATORY DISEASES, HIV, AND VIRAL HEPATITIS. OBJ. 3.1: 100% OF PATIENTS WITH SMI WHO ARE USING ANTIPSYCHOTIC MEDICATIONS WILL BE SCREENED FOR DIABETES. OBJ. 3.2: 100% OF PATIENTS WILL BE SCREENED FOR TOBACCO USE AND RECEIVE A CESSATION INTERVENTION. OBJ. 3.3: MONTHLY, GENERATE ONE EPIC REPORT EACH FOR PATIENTS WITH DIABETES, HYPERTENSION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), AND OTHER COD TO PROVIDE OPPORTUNITIES FOR ENHANCED CARE TO SPECIALIZED GROUPS OF PATIENTS. OBJ. 3.4: MONTHLY, GENERATE ONE EPIC REPORT BASED ON RACE/ETHNICITY, TO PROVIDE OPPORTUNITIES FOR ENHANCED CARE TO MINORITY PATIENTS. - GOAL 4: CONTINUE TO EXPAND PREVENTION SERVICES FOR PATIENTS AT RISK FOR OUD; IMPROVE ACCESS TO OUD TREATMENT SERVICES AND IMPROVE TREATMENT OUTCOMES FOR PATIENTS WITH OUD. OBJ. 4.1: 100% OF CCBHC HEALTH CARE PROVIDERS WILL OBTAIN AND MAINTAIN A BUPRENORPHINE WAIVER. OBJ. 4.2: AT LEAST 50% OF CLINIC PATIENTS WITH OUD WILL RECEIVE MAT. THIS PROGRAM WILL SERVE 200 INDIVIDUALS IN YEAR 1, AND 100 INDIVIDUALS ANNUALLY IN YEARS 2-4, TOTALING 500 UNDUPLICATED INDIVIDUALS OVER THE 4-YEAR BUDGET PERIOD.

FLUSHING HOSPITAL CCBHC

FLUSHING MAT-PDOA - FLUSHING HOSPITAL MEDICAL CENTER (FHMC), A 299-BED NOT-FOR-PROFIT TEACHING HOSPITAL, HAS SERVED AS THE PRINCIPAL PROVIDER OF HIGH-QUALITY PRIMARY AND MENTAL HEALTH SERVICES TO ITS COMMUNITY FOR NEARLY 140 YEARS). FHMC WILL LEAD AN INITIATIVE TO EXPAND ACCESS TO MAT NETWORKWIDE FOR PATIENTS WITH OUD. THE PROGRAM WILL RECRUIT AND SERVE ADULT CLIENTS WITH COMORBID CHRONIC DISEASE, COD, SUD, AND OUD, WITH A FOCUS ON WOMEN OF CHILDBEARING AGE. THIS INITIATIVE WILL HAVE A LARGE FOOTPRINT WITHIN THE EXPANSIVE INTEGRATED HEALTH SYSTEM ENCOMPASSING THE: 1) FHMC DEPARTMENT OF INTERNAL MEDICINE; THE FHMC EMERGENCY DEPARTMENT (ED); ALL FHMC MENTAL HEALTH CLINIC SITES; AND AMBULATORY CARE CLINICS; AND THE 2) JHMC DEPARTMENTS OF FAMILY MEDICINE AND INTERNAL MEDICINE, JHMC ED, AMBULATORY CARE CLINICS, AND THE 25 TJH MEDICAL SERVICES, PC CLINIC SITES. UNDER THE LEADERSHIP OF PRINCIPAL INVESTIGATOR, DANIEL CHEN, MD, CHAIRMAN, DEPARTMENT OF PSYCHIATRY AND ADDICTION SERVICES, FHMC PROPOSES THE FOLLOWING GOALS AND OBJECTIVES TO SERVE THE TARGET POPULATION. - GOAL 1. INCREASE THE NUMBER OF ADULTS WITH OUD IN THE SERVICE AREA RECEIVING MAT. OBJECTIVE 1.1. BY MONTH 4 (1/30/2022) IMPLEMENT PROGRAM PARTICIPANT OUTREACH AND ENGAGEMENT STRATEGIES TO INCREASE PARTICIPATION IN AND ACCESS TO MAT. OBJECTIVE 1.2. BY MONTH 4 (1/30/2022) IMPLEMENT A PLAN TO ROUTINELY CHECK THE NYS “I-STOP” (PMP) AND NYS “PSYCHIATRIC SERVICES AND CLINICAL KNOWLEDGE ENHANCEMENT SYSTEM (PSYCKES)” AT PARTICIPANT INTAKE. OBJECTIVE 1.3. ANNUALLY ASSESS AND SCREEN A MINIMUM OF 500 PARTICIPANTS TO DETERMINE RISK FOR OUD, SUD, COD, AND MENTAL DISORDERS FOR THE DELIVERY OF NEEDED SERVICES TO SUPPORT RECOVERY. OBJECTIVE 1.4. ANNUALLY ASSESS AND SCREEN 50 PARTICIPANTS (YEAR 1) AND 75 ANNUALLY (YEARS 2-5) TO DETERMINE PERSONS MEETING THE DIAGNOSTIC CRITERIA FOR OUD RELATIVE TO MAT. OBJECTIVE 1.5. BY THE END OF YEAR 5 (9/29/2026) PROVIDE MAT USING BUPRENORPHINE/NALOXONE IN COMBINATION WITH COMPREHENSIVE OUD PSYCHOSOCIAL SERVICES FOR A TOTAL OF 350 PARTICIPANTS. OBJECTIVE 1.6. BY THE END OF YEAR 5 (9/29/2026) INCREASE THE NUMBER OF DATA WAIVERED PROVIDERS PRESCRIBING MAT FOR PARTICIPANTS WITH OUD. - GOAL 2. PREVENT DIVERSION FOR PARTICIPANTS WITH OUD RECEIVING MAT. OBJECTIVE 2.1. BY MONTH 4 (1/30/2022) EXPAND CURRENT MAT DIVERSION MITIGATION PROTOCOLS. - GOAL 3. DECREASE ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE WITH AN EXPECTED 80% SIX-MONTH PARTICIPANT FOLLOW-UP RATE. OBJECTIVE 3.1. BY MONTH 4 (1/30/2022) IMPLEMENT TELEPSYCHIATRY CONSULTATIONS AND ASSESSMENTS FOR PROGRAM PARTICIPANTS. OBJECTIVE 3.2. BY MONTH 4 (3/31/2022) PROVIDE PEER RECOVERY SUPPORT SERVICES TO IMPROVE ACCESS TO AND RETENTION IN MAT AND LONG-TERM RECOVERY OF PARTICIPANTS. OBJECTIVE 3.3. BY MONTH 6 (3/31/2022) BEGIN INTEGRATED SERVICE DELIVERY WITH EXPANSION TO JHMC TO IDENTIFY, ENGAGE, AND RETAIN PARTICIPANTS IN TREATMENT AND LONG-TERM RECOVERY. THE PROPOSED PROGRAM WILL SERVE 50 PARTICIPANTS IN YEAR 1, 75 ANNUALLY IN YEARS 2-5, WITH A TOTAL OF 350 PARTICIPANTS OVER THE FIVE-YEAR GRANT PERIOD.

COMMUNITY-DRIVEN APPROACHES TO ADDRESS FACTORS CONTRIBUTING TO STRUCTURAL RACISM - PRINCIPAL INVESTIGATOR: DANIEL CHEN, MD, CHAIRMAN, FHMC DEPARTMENT OF PSYCHIATRY AND ADDICTION SERVICES ADDRESS: 4500 PARSONS BLVD., FLUSHING, NEW YORK, 11355-2205 CONTACT PHONE NUMBERS: 718-206-6291 (VOICE); 718-206-6299 (FAX) EMAIL ADDRESS: DCHEN.FLUSHING@JHMC.ORG WEBSITE ADDRESS: HTTPS://FLUSHINGHOSPITAL.ORG/ LIST GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $499,923 IN BUDGET YEAR 1 FLUSHING HOSPITAL MEDICAL CENTER (FHMC), THROUGH ITS ASIAN BEHAVIORAL HEALTH PROGRAM, WITH ITS PROJECT PARTNERS PROPOSES “COMMUNITY-DRIVEN APPROACHES TO ADDRESS FACTORS CONTRIBUTING TO STRUCTURAL RACISM”, A THREE-YEAR PROJECT TO SERVE THE UNIQUE NEEDS OF ASIAN AMERICANS AND ASIAN IMMIGRANTS RESIDING IN THE FLUSHING COMMUNITY (QUEENS, NEW YORK) UNDER THE LEADERSHIP OF PRINCIPAL INVESTIGATOR DANIEL CHEN, MD, CHAIRMAN, FHMC DEPARTMENT OF PSYCHIATRY AND ADDICTION SERVICES. SIGNIFICANT COLLABORATION WITH TWO PROJECT PARTNERSELIZABETH BRONDOLO, PHD, PROFESSOR, DEPARTMENT OF PSYCHOLOGY, ST. JOHN’S UNIVERSITY, DIRECTOR, COLLABORATIVE HEALTH INTEGRATION RESEARCH PROGRAM (CHIRP), AND THE NATHAN KLINE INSTITUTE FOR PSYCHIATRIC RESEARCH (NKI), NEW YORK STATE OFFICE OF MENTAL HEALTH, RESEARCH FOUNDATION FOR MENTAL HYGIENEALONG WITH A VAST MULTI-SECTOR TEAM WITH REPRESENTATIVES FROM VARIOUS COMMUNITY SECTORS, WILL ENSURE THE PROJECT’S POSITIVE IMPACT IN THE VULNERABLE MINORITY AND ECONOMICALLY DISADVANTAGED PROJECT SERVICE AREA. THE OVERARCHING AIM OF THE PROPOSED PROJECT IS TO IDENTIFY WAYS IN WHICH THERE ARE BARRIERS TO SEEKING MENTAL HEALTH RESOURCES FOR ASIAN AMERICANS AND ASIAN IMMIGRANTS, AND TO SEEK TO MAKE ALTERATIONS IN THE ACCESS AND SERVICE DELIVERY MODELS THAT WOULD PERMIT: (1) IMPROVEMENTS IN MENTAL HEALTH SERVICES (REGARDLESS OF DELIVERY LOCATION), (2) IMPROVEMENTS IN MENTAL HEALTH OUTCOMES, (3) DECREASES IN STIGMATIZATION TOWARDS UTILIZATION OF MENTAL HEALTH SERVICES, AND (4) EMPOWERMENT (PATIENT ACTIVATION AND CONFIDENCE) TO ACCESS INDIVIDUAL MENTAL HEALTH CARE AND SERVICES AS NEEDED. FHMC AND ITS PARTNERS AIM TO ACCOMPLISH SIX OBJECTIVES: - OBJ 1. IN YEAR 1, POLICY PARTNER NKI WILL UTILIZE A LEGAL EPIDEMIOLOGY FRAMEWORK TO COMPLETE THE ASSESSMENT OF RELEVANT NYS MENTAL HYGIENE LAWS ALIGNED TO THE SIX POLICY AND PRACTICE OBSTACLES/THEMES IDENTIFIED THAT PERPETUATE HEALTH DISPARITIES AND CONTRIBUTE TO STRUCTURAL RACISM IN THE FHMC SERVICE AREA. - OBJ 2. IN YEARS 1-3, THE PRINCIPAL INVESTIGATOR, WITH THE ADVISORY COMMITTEE, WILL ASSEMBLE A MULTI-SECTOR TEAM, REPRESENTING A MINIMUM OF 15 AGENCIES AND ORGANIZATIONS, WHICH WILL CONVENE MONTHLY TO ADDRESS FACTORS CONTRIBUTING TO STRUCTURAL RACISM IN THE FHMC SERVICE AREA. - OBJ 3. IN YEARS 1-2, THE PRINCIPAL INVESTIGATOR WITH THE POLICY PARTNER (NKI) AND EVALUATION PARTNER (ST. JOHN’S UNIVERSITY) WILL UTILIZE THE PRECEDE-PROCEED MODEL TO IDENTIFY INTERVENTION TARGETS TO BE IMPLEMENT ED BY TRAINED COMMUNITY HEALTH WORKERS (IN YEAR 2) TO REDUCE STRUCTURAL RACISM IN THE FHMC SERVICE AREA. - OBJ 4. IN YEAR 2, UTILIZING THE TRAIN-THE-TRAINER MODEL, A LEAD TRAINER WILL TRAIN A MINIMUM OF 50 COMMUNITY STAKEHOLDERS (MINIMUM OF 150 HOURS DELIVERED ANNUALLY) BUILDING THEIR CAPACITY TO MAKE EQUITABLE DATA-DRIVEN POLICY AND PRACTICE DECISIONS INFORMED BY THE EPIDEMIOLOGICAL RESULTS OF POLICY ASSESSMENT. - OBJ 5. IN YEAR 3, THE EVALUATION PARTNER (ST. JOHN’S UNIVERSITY) WILL DEVELOP AND IMPLEMENT A MIXED METHODS PROCESS AND OUTCOMES EVALUATION PLAN TO QUANTIFY THE EXTENT OF THE MULTI-PHASE YEAR 1-2 PROJECT RESULTS. - OBJ 6. IN YEAR 3, THE PRINCIPAL INVESTIGATOR, WITH THE ADVISORY COMMITTEE, AND THE MULTI-SECTOR TEAM WILL COMMUNICATE AND DISSEMINATE PROJECT KNOWLEDGE AND FINDINGS THROUGH A MINIMUM OF 10 PLANNED VEHICLES/PLATFORMS (I.E., CONFERENCES, SYMPOSIUM, INVITED TALKS/LECTURES, PANELS, PUBLISHED JOURNALS, AND POSTERS). UTILIZING THE PARTNERSHIP SYNERGY CREATED THROUGH THE MULTI-SECTOR TEAM, THE PROJECT WILL ADVOCATE,

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - FLUSHING HOSPITAL AND MEDICAL CENTER D/B/A FLUSHING HOSPITAL MEDICAL CENTER HRSA-22-134 – CONGRESSIONALLY DIRECTED SPENDING (CDS): CONSTRUCTION PROJECT PROJECT ABSTRACT ORGANIZATION NAME: FLUSHING HOSPITAL AND MEDICAL CENTER D/B/A FLUSHING HOSPITAL MEDICAL CENTER ORGANIZATION ADDRESS: 4500 PARSONS BOULEVARD, FLUSHING, NEW YORK 11355 PROJECT DIRECTOR NAME: HANS KUENSTLER, RA, AIA, DIRECTOR OF CONSTRUCTION CONTACT PHONE NUMBER: (718) 206-6298 CONTACT EMAIL ADDRESS: KHANS@JHMC.ORG ORGANIZATION WEBSITE ADDRESS: HTTPS://FLUSHINGHOSPITAL.ORG/ LIST OF GRANT PROGRAM FUNDS REQUESTED: - HRSA HEALTH FACILITIES CONSTRUCTION AND EQUIPMENT ABSTRACT NARRATIVE (4,000 CHARACTER LIMIT): FLUSHING HOSPITAL AND MEDICAL CENTER (FHMC) WAS AWARDED $750,000 TO CONSTRUCT A NEW WOMEN’S IMAGING SUITE THAT OFFERS WOMEN IN OUR COMMUNITY AN EASILY ACCESSIBLE, STATE-OF-ART FACILITY WITH IMAGING EQUIPMENT TO HELP PROMOTE EARLY CANCER DETECTION AND OTHER DIAGNOSTIC SERVICES THAT ARE ESSENTIAL TO THE PROMOTION AND PRESERVATION OF WOMEN’S HEALTHCARE IN OUR COMMUNITY. THE NEW SUITE WILL INCLUDE IMAGING EQUIPMENT TO PERFORM 3D DIGITAL MAMMOGRAMS, STEREOTACTIC CORE BIOPSIES, AND HIGH-RESOLUTION ULTRASOUND EXAMS, ALL PROVIDED IN A PRIVATE SETTING. FLUSHING HOSPITAL AND MEDICAL CENTER HAS ALREADY SECURED FUNDING TO COVER THE COST OF THE EQUIPMENT, BUT IS REQUESTING $750,000 IN FEDERAL FUNDING TO COVER THE COSTS RELATED TO CONSTRUCTING THIS NEW SPACE.