Montefiore Medical Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

MONTEFIORE MEDICAL CENTER HEALTH PROFESSIONS OPPORTUNITY GRANT PROJECT

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

CONSEQUENCES OF PROLONGED FEBRILE SEIZURES IN CHILDHOOD

MINORITY-BASED COMMUNITY ONCOLOGY RESEARCH PROGRAM

RYAN WHITE TITLE IV PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

MONTEFIORE MEDICAL CENTER RESPONSIBLE FATHERHOOD PROGRAM

MONTEFIORE MEDICAL CENTER SUPPORTING HEALTHY RELATIONSHIPS PROGRAM

THE BRONX BEHAVIORAL HEALTH INTEGRATION PROJECT (B-HIP): ACROSS THE LIFESPAN IN URBAN SAFETY NET PRIMARY CARE SETTINGS

MONTEFIORE MEDICAL CENTER HEALTHY MARRIAGE AND RELATIONSHIP EDUCATION PROGRAM

ADDICTION MEDICINE FELLOWSHIP

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

A REGIONAL PARTNERSHIP FOR NEW YORK CITY TO IMPROVE CHILD WELFARE OUTCOMES AMONG SUBSTANCE ABUSING FAMILIES

A REGIONAL PARTNERSHIP FOR NEW YORK CITY TO IMPROVE CHILD WELFARE OUTCOMES AMONG PREGNANT WOMEN AT RISK OF SUBSTANCE MISUSE AND THEIR NEWBORNS

ECOG-ACRIN INTEGRATED LEUKEMIA TRANSLATIONAL RESEARCH CENTER

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS - BACKGROUND: THE BRONX, THE POOREST BOROUGH IN NEW YORK CITY, (NYC) WITH A MEDIAN HOUSEHOLD INCOME OF $38,085, ACCORDING TO THE 2014-2018 US CENSUS. SELF-IDENTIFIED MEN WHO HAVE SEX WITH MEN (MSM) CONSTITUTED 71.4% OF NEW HIV DIAGNOSIS AMONG NEW YORK CITY MEN, IN 2018. THE LARGEST NUMBER WITHIN THIS GROUP ARE 20-39 YEARS OF AGE . TO REDUCE NEW HIV INFECTIONS, INCREASE ACCESS TO HEALTH CARE, AND REDUCE HEALTH DISPARITIES AMONG BRONX RESIDING BLACK AND LATINO MSM, OUR CDC-MODELED HIGH IMPACT HIV PREVENTION (HIP) PROGRAM WILL PROVIDE RAPID HIV TESTING IN COMMUNITY-SETTINGS, ON-SITE AT THE MONTEFIORE PREVENTION CENTER (MPC), AT OUR FEDERALLY QUALIFIED HEALTH CENTERS AND VIA SELF-TEST HOME KITS (MAILED OR PICKED UP). WE WILL IMMEDIATELY LINK PARTICIPANTS TO MEDICAL CARE AND, PREVENTION AND ESSENTIAL SERVICES (ESS) FOR HIV-POSITIVE AND MEN WHO HAVE SEX WITH MEN (MSM) AND TRANSGENDER AND/OR GENDER-NON-CONFORMING (TGNB), 13-49 YEARS OLD AND OF COLOR WITHIN THE STRUCTURE OF THE MONTEFIORE HIV PREVENTION PROGRAM, (MHPP). THE MHPP LOCATED IN THE MPC, HAS UTILIZED THEIR PROJECT SPACE TO PROVIDE INNOVATIVE APPROACHES (MOVIE NIGHT, CLOTHING DRIVES, FASHION SHOWS, ETC.) TO ENGAGE HARD TO REACH POPULATIONS. OUR TARGET POPULATIONS ARE BLACK AND HISPANIC/LATINX MSM AND TGNB, 13-49 YEARS OLD, RESIDENTS OF NORWOOD, CROTONA-TREMONT, FORDHAM-BRONX PARK, HIGHBRIDGE, MORRISANIA, MORRIS HEIGHTS, MELROSE, WEST FARMS, AND OTHER AREAS OF THE BRONX AND NYC WHERE MSM AND TGNB CONGREGATE. THE BRONX NEIGHBORHOODS MENTIONED HAVE THE HIGHEST NUMBER OF HIV DIAGNOSES, AND HIGH RATES OF POVERTY. BRONX-BASED MSM AND TGNB EXPERIENCE SOCIAL, CULTURAL, AND ECONOMIC BARRIERS TO PREVENTION, TREATMENT AND CARE, INCLUDING A LACK OF KNOWLEDGE OF HIV STATUS; AWARENESS OF RISK AND RISK REDUCTION STRATEGIES; NON-DISCLOSURE OF POSITIVE HIV STATUS; MINIMAL ACCESS TO HEALTH INSURANCE AND CARE; UNSTABLE HOUSING; HOMOPHOBIA; LIMITED EDUCATIONS; HIV AND SEXUAL ORIENTATION AND GENDER IDENTIFI CATION RELATED STIGMA; RACISM; FINANCIAL HARDSHIP; AND LACK OF FAMILY AND SOCIAL SUPPORT. THESE EXPERIENCES DE-PRIORITIZE HEALTH AND HEATH CARE AND PREVENT MSM FROM SEEKING AND ACCESSING SERVICES. OBJECTIVES: THE MONTEFIORE HIV PREVENTION PROGRAM (MHPP) PROPOSES THE DELIVERY OF HIGH-IMPACT HIV PREVENTION SERVICES, GOVERNED IN PART BY THE COMMUNITY ENGAGEMENT GROUP (CEG) WHO WILL INFORM THE PROGRAM AT VARIOUS LEVELS OF SERVICE DELIVERY FROM PROGRAM PROMOTION MESSAGING TO TARGETING VENUES FOR OUTREACH AND SO FORTH. PREVENTION SERVICES WILL ALIGN WITH THE GOALS OF THE NATIONAL ENDING THE EPIDEMIC (ETE) BY FOCUSING EFFORTS ON THE FOUR OUTLINED COMPONENTS: TESTING, TO IDENTIFY UNDIAGNOSED HIV + INDIVIDUALS; TREATMENT, TO FACILITATE VIRAL SUPPRESSION; PREVENTION, BY INITIATING PREP CARE FOR THOSE TESTING HIV NEGATIVE AND BY ACHIEVING VIRAL SUPPRESSION FOR HIV + INDIVIDUALS WHO ARE IMMEDIATELY LINKED TO CARE AND ESS, PROVIDED VIA STATUS-NEUTRAL NAVIGATION, IN COLLABORATION WITH THE BRONX COMMUNITY HEALTHCARE NETWORK?S COMMUNITY HEALTH WORKERS (CHW?S) TO ADDRESS SOCIAL DETERMINANTS OF HEALTH ; AND RESPOND, TO COLLABORATE WITH THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, (DOHMH), TO COLLABORATE ON A COORDINATED PLAN FOR RESPONDING TO IDENTIFIED CLUSTER OUTBREAKS OF HIV DIAGNOSIS TO RAPIDLY DEPLOY TESTING STAFF AND IMMEDIATELY LINK THOSE TESTING POSITIVE TO HIV MEDIAL CARE AND THOSE TESTING NEGATIVE TO PREP AND NPEP WITHIN 72 HOURS.

A REGIONAL PARTNERSHIP FOR NEW YORK CITY TO IMPROVE WELL-BEING AND CHILD WELFARE OUTCOMES AMONG FAMILIES AT RISK OF SUBSTANCE MISUSE THROUGH FATHERHOOD ENGAGEMENT

MEDICAL SURVEILLANCE TECHNOLOGY - CLINICAL LOOKING GLASS

PROJECT ACTS: ENGAGING SOUTH AFRICAN YOUTH IN HIV COUNSELING, TESTING, CARE & PRE

MOLECULAR-NUTRIENT INTERACTIONS IN INTESTINAL CANCER

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

THE DIVISION OF SUBSTANCE ABUSE (DOSA) OF THE ALBERT EINSTEIN COLLEGE OF MEDICINE PROPOSES BRONX LINKAGE TO INTEGRATED CARE (BLINC). THIS PROGRAM WILL PROVIDE INTEGRATED ADDICTION, BEHAVIORAL HEALTH, PREVENTION, AND HIV MEDICAL SERVICES FOR SOUTH BRONX MINORITY POPULATIONS WHO ARE AT HIGH RISK FOR CO-OCCURRING HIV, SUBSTANCE USE, AND PSYCHIATRIC DISORDERS, USING TEAMCARE AND PEER-BASED SERVICES AS THE PRIMARY INTERVENTIONS. BLINC WILL HAVE A ROBUST IMPACT ON THE HIV CARE CONTINUUM FOR AFRICAN AMERICAN AND HISPANIC INJECTION DRUG USERS (IDUS) AND THEIR PARTNERS IN THE SOUTH BRONX, WHICH IS HOME TO NEW YORK CITY'S HIGHEST CONCENTRATIONS OF MINORITIES AT RISK FOR THESE CONDITIONS. AT THE CORE OF BLINC IS TEAMCARE, AN EVIDENCE-BASED PRACTICE THAT IS BEING ADAPTED SPECIALLY FOR THIS POPULATION. TEAMCARE WILL BE AN INTENSIVE PROGRAM OF PATIENT SUPPORT THAT INCLUDES WEEKLY-TO-MONTHLY PSYCHIATRIC CARE, HIV PRIMARY CARE, OTHER MEDICAL SERVICES, SOCIAL WORKER MANAGED COORDINATED CARE, AND PEER-LED PATIENT NAVIGATION. PATIENTS WHOSE NEEDS ARE NOT AS SEVERE WILL HAVE ACCESS TO PEER NAVIGATION AND PSYCHIATRIC SUPPORT AS NEEDED, AND PATIENTS WHO HAVE ALREADY ACHIEVED VIRAL LOAD SUPPRESSION WILL HAVE IN BLINC A BACKSTOP SOURCE OF SUPPORT IN THE EVENT THEIR CIRCUMSTANCES CHANGE. BLINC'S GOALS ARE TO (1) ENSURE THAT HIV -POSITIVE INDIVIDUALS SUBJECT TO CO-OCCURRING SUBSTANCE USE AND MENTAL ILLNESS RECEIVE WRAP-AROUND CARE THAT WILL (2) LEAD TO BETTER HEALTH OUTCOMES ACROSS ALL CONDITIONS, REDUCING OR ELIMINATING THE IMPACT OF EACH CONDITION, AND (3) REDUCE OR ELIMINATE THE LINKAGE-TO-CARE GAP IN DOSA'S HIV CONTINUUM OF CARE. BLINC WILL HELP PATIENTS MANAGE THEIR HIV INFECTION WITH ARV THERAPY TO ACHIEVE SUPPRESSED VIRAL LOADS, MANAGE SUBSTANCE USE DISORDERS THROUGH MEDICATION ASSISTED OPIOID TREATMENT, AND MANAGE DEPRESSION AND OTHER PSYCHIATRIC DISORDERS THROUGH TREATMENT WITH THE BLINC PSYCHIATRIST.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ADDICTION MEDICINE FELLOWSHIP - TITLE: EXPANDING TRAINING IN ADDICTION MEDICINE APPLICANT ORGANIZATION: MONTEFIORE MEDICAL CENTER, 111 EAST 210TH STREET, BRONX, NY 10467 PROJECT DIRECTOR: KRISTINE TORRES-LOCKHART, MD, CONTACT: (PHONE), 888-757-7421 (FAX), EMAIL: KTORRESLOC@MONTEFIORE.ORG GRANT FUNDS REQUESTED: $4,000,000 ($800,000/YEAR X 5 YEARS) FUNDING PREFERENCE: PHS ACT SECTION 760(D)(1) FUNDING PRIORITY 3: RURAL, TRIBAL OR UNDERSERVED COMMUNITIES PHS ACT SECTION 791 FUNDING PREFERENCE QUALIFICATION 1: HIGH MUC PLACEMENT RATE PROJECT ABSTRACT LESS THAN 20 PERCENT OF PEOPLE WITH SUBSTANCE USE DISORDERS (SUDS) RECEIVE EVIDENCE-BASED TREATMENT. EXPANDING THE ADDICTION MEDICINE WORKFORCE IS NEEDED TO INCREASE TREATMENT CAPACITY AND ACCESS, REDUCE STIGMA, AND IMPROVE SUD TREATMENT INTEGRATION IN PRIMARY CARE AND MENTAL HEALTH COMMUNITY BASED-SETTINGS. COLLABORATION WITH INTERPROFESSIONAL TEAMS AND THE DEVELOPMENT OF NOVEL PARTNERSHIPS ARE NEEDED TO ADDRESS THE ROLE OF STRUCTURAL DETERMINANTS OF HEALTH (SDOH) AND LEGAL CHALLENGES FOR THOSE WITH SUDS. THE PROPOSED PROJECT WILL BUILD ON PRIOR SUCCESSES ACHIEVED WITH HRSA FUNDING TO ACHIEVE THREE OVERARCHING GOALS: 1) INCREASE THE NUMBER OF ADDICTION MEDICINE SPECIALISTS WITH ROBUST CLINICAL TRAINING IN MEDICALLY UNDERSERVED COMMUNITIES AND RURAL SETTINGS PROVIDING INTEGRATED PRIMARY CARE, MENTAL HEALTH, AND SUD PREVENTION AND TREATMENT SERVICES, 2) INCREASE FELLOWS’ KNOWLEDGE AND ABILITY TO ASSIST THEIR PATIENTS IN NAVIGATING SOCIAL AND LEGAL SYSTEMS RELATED TO THEIR CLINICAL CARE AND NEEDS, AND 3) INCREASE AWARENESS OF ADDICTION MEDICINE AS A SUBSPECIALTY AND DECREASE STIGMA TO EXPAND THE PIPELINE OF ADDICTION SPECIALISTS THROUGH EXPOSURE TO CLINICAL ROTATIONS AND EDUCATION. FOUNDED IN 2019, THE MONTEFIORE-EINSTEIN ADDICTION MEDICINE FELLOWSHIP (AMF) PROGRAM IS A SUCCESSFUL ONE-YEAR PROGRAM THAT PROVIDES UNIQUELY RIGOROUS CLINICAL TRAINING IN COMMUNITY-BASED, INPATIENT, AND OUTPATIENT SETTINGS INCLUDING: LONGITUDINAL CLINICAL EXPERIENCES IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), OPIOID TREATMENT PROGRAMS (OTPS), AND CLINICS IN MEDICALLY UNDERSERVED COMMUNITIES (MUCS) AND RURAL AREAS, AND ENGAGEMENT WITH COMMUNITY-BASED ORGANIZATIONS. TRAINING IS SUPERVISED BY AN INTERPROFESSIONAL TEAM OF NATIONALLY-RECOGNIZED ADDICTION MEDICINE FACULTY. WE HAVE A TRACK RECORD OF SUCCESSFULLY PREPARING GRADUATING FELLOWS TO ENTER THE ADDICTION WORKFORCE AS PHYSICIAN LEADERS IN INTEGRATED, INTERPROFESSIONAL SUD PREVENTION AND TREATMENT IN MUCS. TRAINING SITES ARE LOCATED IN HIGH NEED URBAN AND RURAL AREAS OF NEW YORK, INCLUDING: THE BRONX, ITHACA, MONTOUR FALLS, AND CORTLAND. THE BRONX IS A COUNTY OF HIGH NEED, WITH THE HIGHEST DRUG OVERDOSE DEATH RATE IN ALL NEW YORK CITY, 18 HRSA-DESIGNATED MEDICALLY UNDERSERVED AREAS, AND 8 HRSA-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS. THIS PROGRAM MEETS THE CRITERIA FOR SECTION 760(D)(1) STATUTORY FUNDING PREFERENCE FOR SUBSTANTIALLY BENEFITTING A MEDICALLY UNDERSERVED POPULATION AND FUNDING PREFERENCE QUALIFICATION FOR HIGH MEDICALLY UNDERSERVED COMMUNITY PLACEMENT RATE FOR RECENT GRADUATES (75% FOR 2023-2024 ACADEMIC YEAR [AY]).

MODULATION OF INTESTINAL HOMEOSTASIS AND CANCER

AFFORDABLE CARE ACT: PRIMARY CARE RESIDENCY EXPANSION

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

PRIMARY CARE TRAINING AND ENHANCEMENT

DIETARY RISK FOR COLON CANCER IN THE MOUSE

?BRONX-PEACH? (BRONX?PROMOTE EITC TO SUPPORT AT-RISK CHILDREN) PROJECT

FACULTY DEVELOPMENT IN PRIMARY CARE

MOUNT VERNON HOSPITAL HEALTH INTERVENTION AND PREVENTION PROGRAM

MONTEFIORE MEDICAL CENTER'S HERO DADS PROGRAM - MONTEFIORE MEDICAL CENTER WILL IMPLEMENT THE HERO DADS PROGRAM TO SERVE LOW-INCOME FATHERS IN THE BRONX, PROVIDING 24 HOURS OF CORE WORKSHOPS FOCUSED ON RESPONSIBLE PARENTING, HEALTHY RELATIONSHIPS, AND ECONOMIC STABILITY. THE PROGRAM WILL DELIVER PARENTING EDUCATION, RELATIONSHIP SKILLS TRAINING, AND EMPLOYMENT SERVICES THROUGH A COMBINATION OF GROUP WORKSHOPS AND INDIVIDUALIZED COACHING SESSIONS. MONTEFIORE WILL SERVE 920 COMMUNITY FATHERS AND REENTERING FATHERS OVER FIVE YEARS, WITH SERVICES DELIVERED BOTH IN-PERSON AND VIRTUALLY FROM THEIR CENTRALLY LOCATED BRONX FACILITY. THE PROGRAM EXPECTS TO PLACE 384 PARTICIPANTS IN JOBS AND PROVIDE AN AVERAGE OF 34 HOURS OF PROGRAMMING PER PARTICIPANT, HELPING FATHERS BUILD STRONGER RELATIONSHIPS WITH THEIR CHILDREN AND CO-PARENTS WHILE ACHIEVING GREATER ECONOMIC STABILITY.

PS10-1003 HIV PREVENTION PROJECTS FOR CBO'S

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - MINORITY HIV/AIDS FUND - PROGRAM ABSTRACT PROJECT TITLE: BRONX HEALTH OUTCOMES PROJECT (BHOP) APPLICANT ORGANIZATION: MONTEFIORE MEDICAL CENTER ADDRESS: 1525 BLONDELL AVE. BRONX, NY, 10461 PRINCIPAL INVESTIGATOR: LARRY BERNSTEIN, MD. CONTACT: MARCY SEDLACEK, PHD., PROJECT DIRECTOR PHONE:718-405-8530 EMAIL MSEDLACE@MONTEFIORE.ORG FUNDING REQUESTED: YEAR 1-$500,000; YEAR 2, YEAR 3 AND YEAR 4- $700,000 INTRODUCTION UNDER THE AUSPICES OF MONTEFIORE MEDICAL CENTER, THE BRONX HEALTH OUTCOMES PROJECT (BHOP) IS A DYNAMIC BRONX-WIDE INITIATIVE THAT BRINGS TOGETHER MAJOR HEALTH CARE PROVIDERS AND COMMUNITY ORGANIZATIONS TO IMPROVE HEALTH OUTCOMES FOR PEOPLE LIVING WITH HIV (PLWH). THIS PROJECT SEEKS TO ENHANCE BHOP'S EFFORTS BY ADOPTING A SYNDEMIC APPROACH TO HIV CARE, FOCUSING ON LINKING AND RETAINING RACIAL AND ETHNIC MINORITY GROUPS WHO ARE OUT OF CARE OR AT RISK OF BEING LOST TO CARE. BY ADDRESSING INTERCONNECTED EPIDEMICS SUCH AS HIV, MENTAL HEALTH CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH, THE PROJECT AIMS TO IMPROVE ENGAGEMENT AND RETENTION IN CARE, REDUCE HEALTH DISPARITIES, AND ENHANCE THE QUALITY OF LIFE FOR THE PRIORITY POPULATIONS IN THE BRONX. BHOP GOALS AND OBJECTIVES INCLUDE: 1. IMPROVE VIRAL SUPPRESSION RATES AMONG PRIORITY POPULATIONS TO AN AVERAGE SCORE OF 80%. 2. ENHANCE ACCESS TO MENTAL HEALTH AND SUPPORT SERVICES SO THAT 90% OF PEOPLE NEEDING THESE SERVICES BASED ON BHOP ARTAS ARE LINKED TO SUCH CARE THROUGH BHOP BHIP. A. ACHIEVE TREAT-TO-TARGET GOALS FOR 50% OF CLIENTS RECEIVING BHIP INTERVENTION ARM. 3. ADDRESS FOOD INSECURITY, POVERTY, AND IPV AS CRITICAL SOCIAL DETERMINANTS OF HEALTH SUCH THAT 85% OF BHOP CLIENTS SHOW IMPROVEMENT IN THEIR NEEDS: A. RECORDED IN Z-CODES BY BHOP STAFF THROUGH ARTAS AND B. AS REPORTED THROUGH CLIENT SURVEYS. 4. REDUCE HIV STIGMA AND INCREASE ENGAGEMENT IN CARE: A. AS REPORTED BY CLIENTS RESPONDING TO BHOP SURVEYS AND B. BASED ON ENGAGEMENT WITH THE HEALTHCARE CAMPAIGN. 5. BUILD A SUSTAINABLE, INTEGRATED CARE MODEL THAT CAN BE REPLICATED IN OTHER JURISDICTIONS. BHOP WILL IMPLEMENT A COMBINATION OF EVIDENCE-BASED AND EMERGING INTERVENTIONS TO ADDRESS THE IDENTIFIED NEEDS: 1. ADAPTED ARTAS INTERVENTION: STRENGTHS-BASED, CULTURALLY COMPETENT HIV CARE, INCLUDING LINKAGES TO MENTAL HEALTH AND SUPPORT SERVICES. 2. CUSTOMIZED BEHAVIORAL HEALTH INTEGRATION PROJECT (BHIP): SCREENING, REFERRAL, AND TREATMENT FOR DEPRESSION, ANXIETY, AND SUICIDALITY. 3. HEALTHCARE CAMPAIGN: SOCIAL MEDIA AND PRINT MEDIA CAMPAIGN TO ADDRESS HIV STIGMA AND ENCOURAGE ENGAGEMENT IN CARE. BHOP IS AN INNOVATIVE SYNDEMIC AND EQUITY DEMONSTRATION PROJECT DESIGNED TO ADDRESS THE COMPLEX HEALTH NEEDS OF KEY POPULATIONS IN THE BRONX, A MAJORITY-MINORITY JURISDICTION CHARACTERIZED BY HIGH POVERTY, HIGH CRIME, AND LIMITED ACCESS TO HEALTHCARE. BHOP AIMS TO IMPROVE HEALTH OUTCOMES BY ADDRESSING THE INTERSECTING SOCIAL DETERMINANTS OF HEALTH, INCLUDING HIV STIGMA, BEHAVIORAL HEALTH, AND INTIMATE PARTNER VIOLENCE (IPV), WHICH EXACERBATE THE HEALTH DISPARITIES FACED BY THE BRONX’S DIVERSE POPULATIONS. THIS PROJECT LEVERAGES EVIDENCE-BASED AND EMERGING EVIDENCE-INFORMED INTERVENTIONS USING HAB’S IMPLEMENTATION SCIENCE FRAMEWORK TO CREATE A COMPREHENSIVE, MULTI-LEVEL EVALUATION STRUCTURE THAT TARGETS THE UNIQUE NEEDS OF THE PRIORITY POPULATIONS IDENTIFIED THROUGH OUR NEEDS ASSESSMENT. BHOP LEVERAGES A ROBUST EXISTING INFRASTRUCTURE COMPOSED OF KEY CLINICAL AND SUPPORT SERVICE PROVIDERS, INCLUDING THE FAMILY IMMUNOLOGY CENTER (FIC), MONTEFIORE BEHAVIORAL HEALTH CENTER (MBHC), AND LINCOLN MEDICAL AND MENTAL HEALTH CENTER (LMMC). THESE INSTITUTIONS ARE PART OF THE BRONX FAMILY ADOLESCENT AND CHILDREN CONSORTIUM (BFACC), A WELL-ESTABLISHED NETWORK FUNDED BY THE RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PARTS A, B, AND D. BHOP AIMS TO BUILD ON THIS FOUNDATION, INTEGRATING AND ENHANCING EXISTING SERVICES TO ADDRESS PERSISTENT GAPS IN CARE AND SUPPORT FOR PEOPLE LIVING WITH HIV.

POSTDOCTORAL TRAINING IN GENERAL PEDIATRIC AND PUBLIC HEALTH DENTISTRY AND DENTAL HYGIENE

MOLECULAR BASIS OF REPLICATION ORIGIN ACTIVATION/SILECING DURING TISSUE-SPECIFIC

REDUCTION OF ANNEXIN A5 IN ANTIPHOLIPID PREGNANCY LOSS

LEADERSHIP EDUCATION IN BEHAVIORAL PEDIATRICS

ARRA - FACILITY INVESTMENT PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT

RESIDENCY TRAINING IN PRIMARY CARE

NOVEL BIOMARKERS FOR MECHANISTIC DIAGNOSIS OF THE ANTIPHOSPHOLIPID SYNDROME

MEDICAL SURVEILLANCE TECHNOLOGY - "CLINICAL LOOKING GLASS"

MECHANISMS OF THYMIDE PHOSPHORYLASE ANGIOGENESIS

SIGNALING IN INTESTINAL CANCER

MOLECULAR MECHANISMS OF HEXACARBON-INDUCED AXON ATROPHY

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

CNS/IGF-AXIS IN MODULATION OF BODY COMPOSITION IN AGING

PRIMARY CARE MEDICINE AND DENTISTRY CLINICIAN EDUCATOR CAREER DEVELOPMENT AWARDS

RESIDENCY TRAINING IN PRIMARY CARE

ARRA - CAPITAL IMPROVEMENT PROGRAM

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

MONTEFIORE MENTAL HEALTH FIRST AID TRAINING - MONTEFIORE MEDICAL CENTER PROPOSES TO DELIVER MENTAL HEALTH FIRST AID (MHFA) TRAINING TO AT LEAST 1,140 FRONT-LINE STAFF SERVING VULNERABLE INDIVIDUALS IN THE BRONX AND WESTCHESTER WITH A TOTAL POPULATION OF 2.4 MILLION PEOPLE. THERE IS AN ENORMOUS NEED FOR THIS TRAINING AS THE PREVALENCE OF MENTAL DISORDERS IS VERY HIGH IN THIS REGION, AND EVEN THOUGH THERE IS A PLETHORA OF MENTAL HEALTH SPECIALTY TREATMENT PROVIDERS, THE VAST MAJORITY OF TREATMENT IS DELIVERED IN PRIMARY CARE SETTINGS WHICH LEADS TO NON-ADHERENCE WITH TREATMENT AND ADVERSE OUTCOMES. CONSEQUENTLY, WE PROPOSE TO: 1) IMPROVE THE CAPABILITY AND KNOWLEDGE OF FRONT-LINE GOVERNMENTAL, EDUCATIONAL, AND MEDICAL STAFF LOCATED IN THE BRONX AND WESTCHESTER TO IDENTIFY EARLY SIGNS OF MILD AND SEVERE MENTAL ILLNESS; AND 2) INCREASE THE NUMBER OF PEOPLE WITH MH DISORDERS REFERRED FOR SPECIALTY MH TREATMENT. AS MONTEFIORE AND OUR AFFILIATES CURRENTLY DELIVER 60% OF THE MENTAL HEALTH CARE IN THE REGION (AND ARE A NYS-CERTIFIED MENTAL HEALTH PROVIDER), WE AIM TO IMPROVE THE PROCESS OF REFERRING ADULTS AND CHILDREN WITH MENTAL HEALTH PROBLEMS INTO SPECIALTY MH CLINICS – BOTH MONTEFIORE AND NON-MONTEFIORE TREATMENT PROGRAMS. MONTEFIORE HAS CONSIDERABLE EXPERIENCE AND EXPERTISE IN MANAGING THE MENTAL HEALTH REFERRAL PROCESS AS WE CURRENTLY OVERSEE MORE THAN 40,000 REFERRALS ANNUALLY INTO SPECIALTY MH TREATMENT. MHFA IS AN EVIDENCE-BASED CURRICULUM THAT IS LISTED IN SAMHSA’S NATIONAL REGISTRY OF EVIDENCE-BASED PROGRAMS AND PRACTICES. IT TEACHES PARTICIPANTS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS. WE PROPOSE TO DELIVER A BLENDED CURRICULUM, WHICH ASSIGNS PARTICIPANTS 2-HOURS OF PRE-WORK, AND THEN 4.5 HOURS OF IN-PERSON CLASSROOM CURRICULUM IN COHORTS OF 10 TRAINEES. ALL TRAINEES WILL RECEIVE A CERTIFICATE UPON COMPLETION (LASTING 3 YEARS), AND ELIGIBLE TRAINEES WILL RECEIVE CONTINUING EDUCATION CREDIT. MONTEFIORE IS CONFIDENT THAT WE CAN BEGIN DELIVERING THIS TRAINING PRIOR TO MONTH 4 AND MEET THE VOLUME PROJECTIONS SINCE WE HAVE 2 EDUCATORS WHO ARE ALREADY CERTIFIED TO DELIVER MHFA TRAINING. THE FRONT-LINE STAFF TO BE TRAINED INCLUDE MEDICAL PERSONNEL IN MONTEFIORE’S OUTPATIENT CLINICS, SCHOOL AND COLLEGE PERSONNEL, AND GOVERNMENTAL EMPLOYEES, INCLUDING LAW ENFORCEMENT. WE HAVE COMMITMENTS FROM OUR COMMUNITY PARTNERS WHO HAVE IDENTIFIED STAFF THAT ARE ELIGIBLE AND INTERESTED IN MHFA TRAINING, WHICH IS WHY WE EXPECT TO EXCEED OUR VOLUME PROJECTIONS. IN ADDITION TO THE MHFA TRAINING, ALL PARTICIPANTS WILL HAVE ACCESS TO AN UPDATED RESOURCE GUIDE THAT DESCRIBES THE PROCEDURES FOR MAKING MH REFERRALS IN THE REGION. GIVEN MONTEFIORE’S EXPERIENCE WITH FEDERAL GRANTS, MONTEFIORE WILL BE ABLE TO PROVIDE ALL NECESSARY DATA ON ATTENDANCE IN TRAINING AND VOLUME OF MH TREATMENT REFERRALS.

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** FRESH TAKES!: ADDRESSING HEALTH OUTCOMES FOR PATIENTS WITH DIABETES AND PREDIABETES BY COMBATING FOOD INSECURITY

NUTRITIONAL MECHANISMS AND INTESTINAL TUMORIGENESIS

CAPITAL DEVELOPMENT

ASSESSMENT OF CLINICAL RETINOID ACTIVITY IN LEUKEMIA

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

DENTAL REIMBURSEMENT PROGRAM

FACULTY DEVELOPMENT IN PRIME CARE

APPLIED HEALTH INFORMATION TECHNOLOGIES-CLINICAL LOOKING GLASS(CLG)

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM - FY 2005 RWHAP PART F DENTAL REIMBURSEMENT PROGRAM THE MONTEFIORE MEDICAL CENTER'S DENTAL PROGRAM ELIMINATES BARRIERS TO ACCESSING ORAL HEALTH CARE SERVICES AND TREATMENT FOR LOW-INCOME AND UNINSURED INDIVIDUALS WITH HIV/AIDS. THE OVERALL GOAL IS TO SUPPORT THE DELIVERY OF OPTIMAL DENTAL CARE TO THE HIV/AIDS PATIENT POPULATION IN A PATIENT-CENTRIC, WELCOMING, NON-JUDGMENTAL ENVIRONMENT THAT PROMOTES THE BEST PRACTICES IN THE ORAL HEALTH CARE OF OUR PATIENTS. THE MEDICAL CENTER'S DENTAL NETWORK CONTINUOUSLY PROVIDES ENHANCED COMPREHENSIVE DENTAL CARE WITH STATE-OF-THE-ART TREATMENT AND DIAGNOSTIC EQUIPMENT. OUR GOAL IS TO MAINTAIN OUR HIV/AIDS PATIENTS' DENTITION BY OFFERING THE HIGHEST LEVEL OF PREVENTATIVE AND DEFINITIVE DENTAL CARE. THIS IS ACCOMPLISHED BY OFFERING SPECIALTY CARE IN ORAL & MAXILLOFACIAL SURGERY, ENDODONTICS, PERIODONTICS, PROSTHODONTICS, PEDIATRICS, AND GENERAL DENTISTRY SERVICES.**FY 2005 RWHAP PART F DENTAL REIMBURSEMENT PROGRAM** THE MONTEFIORE MEDICAL CENTER'S DENTAL PROGRAM AIMS TO ELIMINATE BARRIERS TO ACCESSING ORAL HEALTH CARE SERVICES FOR LOW-INCOME AND UNINSURED INDIVIDUALS LIVING WITH HIV/AIDS. THE MAIN OBJECTIVE IS TO ENSURE THE DELIVERY OF OPTIMAL DENTAL CARE IN A PATIENT-CENTERED, WELCOMING, AND NON-JUDGMENTAL ENVIRONMENT THAT PROMOTES BEST PRACTICES IN ORAL HEALTH FOR OUR PATIENTS. THE MEDICAL CENTER'S DENTAL NETWORK CONSISTENTLY PROVIDES ENHANCED COMPREHENSIVE DENTAL CARE USING STATE-OF-THE-ART TREATMENT AND DIAGNOSTIC EQUIPMENT. WE STRIVE TO PRESERVE THE DENTAL HEALTH OF OUR HIV/AIDS PATIENTS BY OFFERING THE HIGHEST LEVEL OF PREVENTIVE AND DEFINITIVE DENTAL CARE. THIS INCLUDES PROVIDING SPECIALTY SERVICES IN ORAL & MAXILLOFACIAL SURGERY, ENDODONTICS, PERIODONTICS, PROSTHODONTICS, PEDIATRICS, AND GENERAL DENTISTRY. THE TOTAL UNREIMBURSED COST OF ORAL HEALTH CARE PROVIDED TO PATIENTS WITH HIV/AIDS FROM JULY 1, 2023, THROUGH JUNE 30, 2024, WAS $1,462,066.00

DENTAL REIMBURSEMENT PROGRAM

OPTIMIZING THE EMERGENCY DEPARTMENT DIAGNOSIS AND TREATMENT OF MIGRAINES

HEALTHY BEHAVIORS IN WOMEN

DENTAL REIMBURSEMENT PROGRAM

ONCOGENIC RAS, STAT1 AND CHEMOPREVENTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

DENTAL REIMBURSEMENT PROGRAM

A TRIAL TO TEST THE EFFICACY OF A TAILORED INTENSIVE SMOKING CESSATION INTERVENTI

PRIMARY CARE MEDICINE AND DENTISTRY CLINICIAN EDUCATOR CAREER DEVELOPMENT AWARDS

COMPARATIVE EFFECTIVENESS OF BIOLOGIC AGENTS IN ETHNIC MINORITIES WITH COLORECTAL CANCER

DENTAL REIMBURSEMENT PROGRAM

GERIATRIC ACADEMIC CAREER AWARDS

GERIATRIC ACADEMIC CAREER AWARDS

FLUOXETINE IN PEDIATRIC BODY DYSMORPHIC DISORDER

THE ROLE OF ANTIPHOSPHOLIPID ANTIBODIES IN TUMOR PROGRESSION TO MALIGNANCY IN BREAST CANCER

THE ROLE OF ANTIPHOSPHOLIPID ANTIBODIES IN TUMOR PROGRESSION TO MALIGNANCY IN BREAST CANCER

DENTAL REIMBURSEMENT PROGRAM

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

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

CRITICAL ROLE OF MYBL2 IN SPONTANEOUS AND SHORT-CHAIN FATTY ACID-INDUCED INTESTIN

VITAMIN D3 AND INTESTINAL TUMORIGENESIS

DENTAL REIMBURSEMENT PROGRAM - NOT REQUIRED.

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

COLON CELL DIFFERENTIATION: NAB AND MUC2 GENE EXPRESSION

DENTAL REIMBURSEMENT PROGRAM

ARRA - EQUIPMENT TO ENHANCE TRAINING FOR HEALTH PROFESSIONALS

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

A JANUS ROBOTIC MULTI-ASSAY SYSTEM FOR QUANTITATIVE BIOMARKER RESEARCH

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

DENTAL REIMBURSEMENT PROGRAM - FY 2004 RWHAP PART F DENTAL REIMBURSEMENT PROGRAM THE MONTEFIORE MEDICAL CENTER'S DENTAL PROGRAM ELIMINATES BARRIERS TO ACCESSING ORAL HEALTH CARE SERVICES AND TREATMENT FOR LOW-INCOME AND UNINSURED INDIVIDUALS WITH HIV/AIDS. THE OVERALL GOAL IS TO SUPPORT THE DELIVERY OF OPTIMAL DENTAL CARE TO THE HIV/AIDS PATIENT POPULATION IN A PATIENT-CENTRIC, WELCOMING ENVIRONMENT. THE MEDICAL CENTER'S DENTAL NETWORK CONTINUOUSLY PROVIDES ENHANCED COMPREHENSIVE DENTAL CARE WITH THE LATEST DENTAL AND DIAGNOSTIC EQUIPMENT. OUR GOAL IS TO MAINTAIN HIV/AIDS PATIENTS' DENTITION BY OFFERING THE HIGHEST LEVEL OF PREVENTATIVE AND DEFINITIVE DENTAL CARE, OFFERING SPECIALTY CARE IN ORAL & MAXILLOFACIAL SURGERY, ENDODONTICS, PERIODONTICS, PROSTHODONTICS, PEDIATRIC, AND GENERAL DENTISTRY. THE TOTAL UNREIMBURSED COSTS OF ORAL HEALTH CARE PROVIDED TO PATIENTS WITH HIV FROM JULY 1, 2022, THROUGH JUNE 30, 2023, WAS $736,565.00.

ARRA - EQUIPMENT TO ENHANCE TRAINING FOR HEALTH PROFESSIONALS

CRITERION BASED TRAINING TO REDUCE SURGICAL ERRORS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

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

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

RYAN WHITE HIV/AIDS PROGRAM PART D WICY COVID-19 RESPONSE

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

GERIATRIC ACADEMIC CAREER AWARDS

INTERNATIONAL PEDIATRIC NEPHROLOGY ASSOCIATION (IPNA) EIGHTH SYMPOSIUM ON GROWTH

FY 2023 BRIDGE ACCESS PROGRAM

DENTAL REIMBURSEMENT PROGRAM

BRONX LINKAGE TO CARE (BLINC)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - MONTEFIORE MEDICAL CENTER (MMC) IS A NATIONALLY RENOWNED HEALTH SYSTEM, HEADQUARTERED IN THE BRONX, NEW YORK. IT IS THE ACADEMIC MEDICAL CENTER AND UNIVERSITY HOSPITAL FOR THE ESTEEMED ALBERT EINSTEIN COLLEGE OF MEDICINE. SINCE ITS FOUNDING IN 1884, MMC HAS BEEN PROVIDING CARE TO THE BRONX COMMUNITY, AS WELL AS PATIENTS FROM ALL OVER THE COUNTRY. OUR MISSION IS: "TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE." WE PURSUE OUR MISSION THROUGH A PHILOSOPHY OF CARE DEFINED BY THE FOLLOWING VALUES: HUMANITY, INNOVATION, TEAMWORK, DIVERSITY, AND EQUITY. FUNDING FROM CONGRESSIONALLY DIRECTED SPENDING (CDS) FOR CONSTRUCTION PROJECTS THROUGH HRSA WILL ALLOW MMC TO MAKE SIGNIFICANT IMPROVEMENTS TO THE MONTEFIORE SCHOOL HEALTH PROGRAM (MSHP), THE LARGEST FULL-SERVICE SCHOOL-BASED NETWORK IN THE COUNTRY. MSHP, FIRST ESTABLISHED IN 1985, PROVIDES A COMPREHENSIVE AND EVIDENCE-BASED MODEL OF CARE. IT OFFERS COORDINATED PRIMARY AND PREVENTIVE HEALTHCARE TO PUBLIC ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS THROUGHOUT THE BRONX AND SOUTHERN WESTCHESTER COUNTY. OVER THE YEARS IT HAS GROWN TO ITS CURRENT 38 HEALTH CENTERS SERVING 99 PUBLIC SCHOOLS IN THE BRONX AND TWO IN YONKERS (JUST NORTH OF THE). THE MSHP PROVIDES ACCESS TO CARE TO THE ESTIMATED 42,000 THAT ATTEND SCHOOLS SERVED BY OUR SCHOOL-BASED HEALTH CENTERS. IN 2019, MSHP RECORDED 96,498 PATIENT VISITS. DURING THE NEXT TWO YEARS, DESPITE THE TREMENDOUS IMPACT OF COVID AND SCHOOLS STAYING LARGELY CLOSED, MSHP RECORDED 56,203 VISITS IN 2020 AND 42,230 IN 2021, INCLUDING BOTH VIRTUALLY AND IN-PERSON. MSHP PARTNERS WITH STUDENTS’ PRIMARY AND SPECIALTY PROVIDERS TO TAILOR SERVICES TO THE NEEDS OF EACH INDIVIDUAL STUDENT. AS STUDENTS IN OUR PROGRAM APPROACH ADOLESCENCE, WE CONTINUE TO EDUCATE AND EMPOWER THEM TO TAKE RESPONSIBILITY FOR THEIR OWN CARE, CREATING A HEALTHIER SCHOOL AND COMMUNITY ENVIRONMENT. OUR PROPOSED TELEHEALTH CONNECTED CARE (TCC) PROJECT WILL MODERNIZE THE MSHP BY ADDING STABLE BROADBAND CONNECTIVITY, BANDWIDTH, AND WI-FI CAPACITY TO OUR INTEGRATED SYSTEM OF 38 HEALTH CARE SETTINGS. CURRENTLY, THE MSHP SITES HAVE BEEN OPERATING WITHOUT WI-FI, WHICH BECAME AN ENORMOUS CHALLENGE DURING THE HEIGHT OF THE PANDEMIC. BY ENHANCING TELEHEALTH TECHNOLOGY, WE CAN EXPAND CARE CONNECTIONS FOR PATIENTS ACROSS A BROAD SERVICE AREA, PROVIDE UNINTERRUPTED ACCESS TO CARE, EXTEND SERVICES TO THEIR FAMILIES, LINK PATIENTS TO THE NEAREST MMC AMBULATORY SITE, AND PROVIDE REFERRALS WITH FOLLOW-UP TO SOCIAL SERVICES TO ADDRESS OTHER NEEDS THAT MAY BE PRESENT. THERE ARE 38 DIFFERENT LOCATIONS IN THE STATE OF NEW YORK ASSOCIATED WITH THIS IMPROVEMENT PROJECT, 36 LOCATED WITHIN PUBLIC SCHOOLS IN THE BRONX AND TWO IN NEIGHBORING YONKERS IN WESTCHESTER COUNTY. THESE ARE COMMUNITIES WITH MAJORITY MINORITY POPULATIONS, HIGH POVERTY RATES COMPARED TO STATE AND NATIONAL DATA, AND LIMITED ACCESS TO QUALITY CARE. THIS PROPOSED PROJECT IS ALIGNED WITH THE PURPOSE OF HRSA'S CDS SPENDING AS IT ENTAILS RENOVATIONS TO "HEALTH CARE AND OTHER FACILITIES". IT IS ALSO ALIGNED WITH HRSA'S MISSION AND GOALS RELATED TO ACHIEVING HEALTH EQUITY, AND IMPROVING PUBLIC HEALTH AND ACCESS TO QUALITY HEALTH SERVICES. BY MODERNIZING AND RENOVATING MSHP'S SITES TO PROVIDE TELEHEALTH TECHNOLOGY, WE CAN MAKE AN ENORMOUS IMPACT ON THIS SERVICE AREA WHICH FACES MANY CHALLENGES RELATED TO THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING ECONOMIC STABILITY AND ACCESS TO HEALTH CARE.

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CAREERS ADOPT A SCHOOL DEMONSTRATION PROGRAM