Floating Hospital Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

THE FLOATING HOSPITAL TITLE X PROJECT

ARRA - CAPITAL IMPROVEMENT PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - SUMMARY: WITH FUNDS FROM HRSA’S ENDING THE HIV EPIDEMIC PROGRAM THE FLOATING HOSPITAL (TFH) WILL: EXPAND ITS OUTREACH INTO THE COMMUNITIES MOST AFFECTED BY HIV; INCREASE TESTING AND PREP USE AMONG THOSE COMMUNITIES; AND THROUGH ITS ID TEAM, IDENTIFY THOSE PATIENTS WHO TEST POSITIVE, AND RAPIDLY MOVE THEM INTO A TREATMENT MODALITY. TFH CURRENTLY SERVES HOMELESS FAMILIES, THE PUBLIC HOUSING RESIDENTS OF QUEENSBRIDGE HOUSES (THE LARGEST PUBLIC HOUSING PROJECT IN THE UNITED STATES) AND MEMBERS OF THE NORTHWEST QUEENS COMMUNITY – ALL POPULATIONS THAT CONTAIN LARGER-THAN-AVERAGE PERCENTAGES OF THOSE ENGAGING IN UNSAFE SEX PRACTICES, AND RECREATIONAL DRUG USE – BOTH FACTORS IN INCREASED HIV TRANSMISSION. HOMELESS WOMEN AND TEENS, SUFFERING FROM LOW SELF-ESTEEM, ARE PARTICULARLY VULNERABLE. NORTHWEST QUEENS HAS SEEN AN UPTAKE IN HIV POSITIVITY RATES AS WELL. THE FLOATING HOSPITAL IS A CHARITABLE FQHC, WHO, IN ADDITION TO FULLY INTEGRATED PRIMARY MEDICAL AND BEHAVIORAL HEALTH CARE (AS WELL AS DENTAL, AND OTHER SPECIALTIES), PROVIDES EXTENSIVE HEALTH EDUCATION, FREE TRANSPORTATION, AND NECESSITIES LIKE CLOTHES, HYGIENE PRODUCTS AND BABY SUPPLIES TO YOUNG MOTHERS LIVING IN HOMELESS SHELTERS AND RELATED TEMPORARY HOUSING, PUBLIC HOUSING AND DOUBLED UP WITHIN THE COMMUNITY. TFH WILL PROVIDE THROUGH THIS GRANT INTEGRATED HIV MEDICAL SERVICES WITHIN THIS STRUCTURE THROUGH DIRECT CARE THROUGH ITS OWN INFECTIOUS DISEASE DOCTOR, COUNSELING, PATIENT TRANSPORTATION, CLINICAL EVALUATION, INTAKE AND ALL RELATED AND NECESSARY SERVICES. AS ONE OF THE OLDEST PROVIDERS OF HEALTHCARE AMONG UNDERSERVED POPULATIONS IN NYC, TFH’S OUTREACH IS EXTENSIVE, AND CAN HELP MANAGE, AND ULTIMATELY REDUCE, NEW INFECTIONS. THE FLOATING HOSPITAL WILL USE THE FUNDS TO PAY AN “ID TEAM” OF 0.6 FTE INFECTIOUS DISEASE MD; 1.0 FTE LGBTQ OUTREACH COORDINATOR; AND 1.0 FTE LGBTQ CASE MANAGER – AS WELL AS SUPPLIES AND OUTREACH MATERIALS.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

THE FLOATING HOSPITAL TITLE X PROJECT

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - FOUNDED IN 1866 AS ONE OF NEW YORK CITY’S FIRST PEDIATRIC HEALTHCARE CHARITIES, THE FLOATING HOSPITAL (TFH) BEGAN ITS MISSION BY PROVIDING QUALITY CARE TO IMMIGRANTS, NEWSBOYS, CHILD LABORERS AND OTHER FORGOTTEN YOUTH ABOARD ITS SHIP. TODAY, TFH OPERATES A SERIES OF HOMELESS, COMMUNITY, AND PUBLIC HOUSING CLINICS IN NEW YORK CITY. IT IS LICENSED UNDER NYS ARTICLE 28 AND ARTICLE 31. UNDER ITS FQHC UMBRELLA, TFH OPERATES 330(E), 330(H) AND 330(I) PROGRAMS. TFH’S MISSION IS FULFILLED THROUGH: A MAIN CLINIC IN QUEENS SERVING HOMELESS FAMILIES, PUBLIC HOUSING RESIDENTS AND LOW-INCOME COMMUNITY RESIDENTS; THREE CLINICS SERVING PUBLIC HOUSING AND COMMUNITY RESIDENTS (INCLUDING A FREE-STANDING CLINIC IN QUEENSBRIDGE, THE LARGEST PUBLIC HOUSING PROJECT IN THE U.S.); AND FOUR CLINICS BASED IN FAMILY HOMELESS SHELTERS IN BROOKLYN AND THE BRONX. TFH SERVES PATIENTS FROM 250+ DIFFERENT HOMELESS SHELTERS AND DOMESTIC VIOLENCE SAFE HOUSES LOCATED THROUGHOUT ALL FIVE NYC BOROUGHS. THIS IS ACHIEVED THROUGH THE DILIGENT IMPLEMENTATION OF OUTREACH AND TRANSPORTATION PROGRAMS. ITS PATIENT BASE EXPERIENCES TYPICAL PROBLEMS FACING INNER CITY POPULATIONS: POVERTY, LACK OF SOCIO-ECONOMIC OPPORTUNITIES, SUBSTANCE ABUSE, DOMESTIC VIOLENCE, AND POOR NUTRITION AND HEALTHCARE. IN RESPONSE, TFH PROVIDES PRIMARY MEDICAL, MENTAL HEALTH AND DENTAL SERVICES TO ALL WHO NEED THEM, REGARDLESS OF ABILITY TO PAY. TFH’S HEALTH CARE TEAM CONSISTS OF A CHIEF MEDICAL OFFICER, FAMILY PRACTICE AND INTERNAL MEDICINE-PEDIATRICS PHYSICIANS, FAMILY NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, DENTISTS AND SUPPORTING STAFF CONSISTING OF BENEFITS COUNSELORS, OUTREACH WORKERS, MEDICAL ASSISTANTS, DENTAL ASSISTANTS, AND HEALTH EDUCATORS/CASE MANAGERS. ADMINISTRATIVE AND RELATED STAFF SUPPORT THE PROGRAM’S OPERATIONS, AND THERE ARE ALSO ANCILLARY SERVICES SUCH AS MEDICAID MANAGED CARE ENROLLERS. TFH’S PROGRAM OFFERS PRIMARY HEALTH CARE SERVICES, ORAL HEALTH CARE, MENTAL HEALTH SERVICES, SUBSTANCE ABUSE COUNSELING, HEALTH EDUCATION, AND ENTITLEMENTS COUNSELING. SPECIALTY SERVICES OFFERED INCLUDE CARDIOLOGY AND PODIATRY, AND TFH WILL BE ADDING OPTOMETRY AND OPHTHALMOLOGY TO ITS SCOPE AS WELL. IN ITS MOST RECENT UDS REPORTING PERIOD (JANUARY 1, 2021 TO DECEMBER 31, 2021), TFH’S FQHC PROGRAM PROVIDED 64,372 ENCOUNTERS TO 29,196 PATIENTS, INCLUDING 48,023 MEDICAL ENCOUNTERS AND 12,543 MENTAL HEALTH AND SUBSTANCE ABUSE ENCOUNTERS. IN ITS ROLE AS ONE OF NYC’S LAST FEW CHARITY HOSPITALS, TFH REMAINS A BEACON OF HOPE TO MANY COMMUNITIES. THROUGH CONTINUOUS QUALITY IMPROVEMENT AND PROVIDING EVER-MORE COMPREHENSIVE SERVICES TO ITS PATIENT BASE, TFH PLANS ON FURTHER SUCCESSES. THIS PROJECT WILL PROVIDE BOTH CAPITAL EQUIPMENT AND CAPITAL EXPENSES BELOW $5,000 TREATED AS CAPITAL EXPENSE UNDER TFH’S EXISTING WRITTEN ACCOUNTING POLICIES. THE REQUESTED PROJECT FULLY UPDATES TFH’S IT INFRASTRUCTURE, INCLUDING SERVERS, SOFTWARE AND COMPUTER EQUIPMENT; PROVIDES VITALLY NEEDED DENTAL, OPTOMETRY, MOBILE MAMMOGRAM MACHINE AND ULTRASOUND EQUIPMENT FOR THE POOR AND THE COMMUNITIES OF COLOR WHO MOST OFTEN STRUGGLE TO FIND SUCH SERVICES; AND TWO NEW MINIBUSES TO REPLACE OLDER MODELS THAT ARE USED TO REACH PATIENTS AND BRING THEM TO HEALTHCARE AT OUR MAIN CLINIC SITE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS