Open Door Family Medical Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

OPEN DOOR'S YOUTH AND FAMILY TREE - BRIEF SUMMARY: OPEN DOOR FAMILY MEDICAL CENTER (OPEN DOOR) WILL ENHANCE COMPREHENSIVE BILINGUAL TREATMENT AND RECOVERY SERVICES FOR VULNERABLE ADOLESCENTS AND TRANSITIONAL YOUTH WITH SUD AND/OR COD AND THUS REDUCE DIFFERENCES IN ACCESS, USE, AND OUTCOMES OF TREATMENT AND RECOVERY SERVICES AMONG MINORITY POPULATIONS, AS WELL S GIRLS AND WOMEN. "OPEN DOOR'S YOUTH AND FAMILY TREE" PROJECT WILL ENSURE YOUTH ARE SUPPORTED AS THEY MOVE THROUGH RECOVERY, INCLUDING ENGAGING THEIR FAMILIES, AND PROVIDING AGE-APPROPRIATE, TECHNOLOGY-BASED SUPPORTS THAT THEY CAN ACCESS AT WILL, ALL UNDER A COMPREHENSIVE PATIENT CENTERED MEDICAL HOME MODEL. POPULATION TO BE SERVED: OPEN DOOR WILL SERVE VULNERABLE ADOLESCENTS AND TRANSITIONAL YOUTH AGES 12-25 AND THEIR FAMILIES/CAREGIVERS, TARGETED AMONG THE ORGANIZATION'S 60,000 PATIENTS. THESE PATIENTS EXHIBIT SIGNIFICANT NEGATIVE SOCIAL DETERMINANTS OF HEALTH: NINE IN TEN LIVE BELOW 200% FPL WHILE A MAJORITY LIVE IN OUTRIGHT POVERTY IN A HIGH-COST OF LIVING AREA; 43% ARE UNINSURED, MORE THAN TWICE THE NEW YORK STATE AVERAGE FOR FEDERALLY QUALIFIED HEALTH CENTERS; A MAJORITY IDENTIFY AS RACIAL/ETHNIC MINORITIES (82% AS LATINX/HISPANIC WITHIN THE YOUTH COHORT); AND 71% ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. USING INTERNAL DATA, WE ESTIMATE THAT A MAJORITY OF PATIENTS 12-25 REPORT POLY-SUBSTANCE USE, INCLUDING CANNABIS, ALCOHOL, OPIOIDS, AND OTHERS; AMONG YOUNG PATIENTS WITH SUD, 50% HAVE A CO-OCCURRING MENTAL HEALTH DIAGNOSIS. STRATEGIES/INTERVENTIONS: OPEN DOOR WILL LEVERAGE INTEGRATED MENTAL HEALTH, MEDICAL, AND WRAPAROUND SERVICES WITHIN SIX SITES TO OFFER AN "ALL UNDER ONE ROOF" APPROACH USING FAMILY-CENTERED COMPREHENSIVE OUTPATIENT CARE, EARLY INTERVENTION, SCREENING AND COUNSELING, MEDICATION ASSISTED TREATMENT, RECOVERY SUPPORT, AND EDUCATION ON HEALTHY CHOICES. EVIDENCE-BASED PRACTICES WILL INCLUDE: COGNITIVE BEHAVIORAL THERAPY AND TRAUMA-FOCUSED CBT; DIALECTICAL BEHAVIORAL THERAPY GROUPS FOR SUD; MOTIVATIONAL INTERVIEWING; SEEKING SAFETY; MATRIX MODEL FOR TEENS & YOUNG ADULTS; BRIEF STRATEGIC AND MULTIDIMENSIONAL FAMILY THERAPY; AND NURTURING PARENTING. GOALS & OBJECTIVES: THE PROPOSED PROJECT WILL SERVE 450 YOUTH OVER THE PROJECT LIFETIME, BROKEN OUT AS 50 SERVED IN YEAR ONE AND 100 PER YEAR FOR PROJECT YEARS 2-5, AND THEIR FAMILIES. PROJECT GOALS ARE AS FOLLOWS: GOAL 1 - INCREASE ACCESS TO HIGH QUALITY, PATIENT CENTERED SUD AND COD SERVICES; GOAL 2 - MAXIMIZE RETENTION IN CARE; GOAL 3 - IDENTIFY AND ADDRESS ELEVATED HEALTH RISKS BY PROVIDING SPECIALIZED CARE AND SUPPORTS; GOAL 4 - IMPROVE SELF-REPORTED ASSESSMENT OF WELLNESS AND FUNCTIONING AMONG ADOLESCENTS AND TRANSITIONAL YOUTH WITH SUD, MH, AND/OR CO-OCCURRING DISORDERS. MEASURABLE OBJECTIVES INCLUDE 90%-PLUS SCREENING AND DOCUMENTED TREATMENT PLAN RATES; 100% ASSESSMENT AND OFFERING FOR MAT; 80% RETENTION AND DIGITAL RECOVERY APP ENROLLMENT RATES; 100% SCREENING FOR ADVERSE CHILDHOOD EVENTS, ASSESSMENT FOR THOSE AT RISK FOR STI, PREGNANCY, AND GENDER SPECIFIC RISKS; 70% SERVED WITH MAJOR DEPRESSIVE DISORDER SHOWING REDUCTION IN PHQ-9 SCORES; 80% ACHIEVEMENT OF PATIENT-ARTICULATED 6-MONTH TREATMENT GOALS AND 80% OF PATIENTS "FEELING BETTER" AFTER SIX MONTHS IN THE PROGRAM.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

"OPEN DOOR P4S"OPEN DOOR'S PARTNERSHIPS "4" SUCCESS PROJECT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

PS04-064, HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR CBOS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

OPEN DOOR FAMILY MEDICAL CENTER/OSSINING COMMUNITIES THAT CARE DRUG FREE COMMUNITIES SUPPORT PROGRAM

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

FY 2023 BRIDGE ACCESS PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

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

THE OSSINING COMMUNITIES THAT CARE (OCTC)

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

OPEN DOOR WILL EXPAND DENTAL OPERATORIES IN THREE HEALTH CENTERS VIA THE PURCHASE OF DENTAL EQUIPMENT SPECIFICALLY SELECTED FOR ENHANCING AND EXPANDING THE ACCESS TO CARE FOR PEOPLE LIVING WITH HIV. - OPEN DOOR’S PROJECT WILL ENHANCE INFRASTRUCTURE TO BETTER SERVE PEOPLE LIVING WITH HIV UNDER THE RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM’S “DENTAL EQUIPMENT FOR EXPANDING DENTAL SERVICE CAPACITY” TRACK. IN RESPONSE TO THE RISE IN NEW HIV CASES POST-COVID IN NEW YORK AND WIDESPREAD UNMET DENTAL CARE NEEDS AMONG PEOPLE LIVING WITH HIV, OPEN DOOR WILL EXPAND DENTAL OPERATORIES IN THREE HEALTH CENTER LOCATIONS, ALL OF WHICH FEATURE CO-LOCATED ORAL HEALTH AND PRIMARY HEALTH OUTPATIENT AMBULATORY HEALTH CARE, VIA THE PURCHASE OF DENTAL EQUIPMENT SPECIFICALLY SELECTED FOR ENHANCING AND EXPANDING THE ACCESS TO CARE FOR PEOPLE LIVING WITH HIV. THE NEED FOR CAPACITY DEVELOPMENT FUNDING WITHIN OUR COMMUNITY AND ORGANIZATION HAS PERHAPS NEVER BEEN HIGHER. OPEN DOOR’S PATIENT POPULATION, WHICH HAS BEEN STEADILY GROWING FOR DECADES, HAS A RATE OF UNINSURANCE THAT IS RELIABLY DOUBLE OR EVEN TRIPLE STATE AND NATIONAL AVERAGES FOR HEALTH CENTER PROGRAM GRANTEES; ABOUT NINE IN TEN ARE LOW-INCOME, WITH A MAJORITY LIVING IN OUTRIGHT POVERTY. NEW YORK STATE DEPARTMENT OF HEALTH’S HIV/AIDS SYNDEMIC SURVEILLANCE REPORT (DECEMBER 2025) NOTES THAT NEWLY DIAGNOSED HIV CASES ARE INCREASING POST-PANDEMIC, THAT SOCIAL DETERMINANTS OF HEALTH (POVERTY/LOW-INCOME CHIEF AMONG THEM) ARE A SIGNIFICANT FACTOR, AND THAT MAJOR RACIAL/ETHNIC DISPARITIES PERSIST (MORE THAN 90% OF OPEN DOOR PATIENTS IDENTIFY AS RACIAL/ETHNIC MINORITIES). OPEN DOOR’S PROPOSED PROJECT SITES ARE LOCATED IN HIGH-NEED AREAS OF WESTCHESTER COUNTY, WHICH ACTS AS THE BRIDGE BETWEEN NEW YORK CITY AND THE REST OF THE STATE TO THE NORTH, MAKING THIS PROJECT IMPORTANT FROM A GEOGRAPHICAL PERSPECTIVE AS WELL. ENHANCED AND EXPANDED DENTAL OPERATORIES WILL HAVE A MAJOR IMPACT IN THIS CONTEXT. OPEN DOOR PROPOSES A DENTAL EQUIPMENT PROJECT WITH A SIMPLE AND DIRECT APPROACH: 1) CURATE A LIST OF ACQUIRABLE DENTAL EQUIPMENT THAT IS RESPONSIVE TO THE HEALTH NEEDS OF PEOPLE WITH HIV (LED BY CHIEF DENTAL OFFICER AND RYAN WHITE PROGRAM LEAD); 2) PURCHASE SAID EQUIPMENT IN COMPLIANCE WITH ALL REGULATIONS AND BEST PRACTICES (LED BY CHIEF FINANCE OFFICER); 3) PROVIDE ON-SITE TRAINING AND SECURE WARRANTEES FOR THE NEW EQUIPMENT AS APPROPRIATE TO ENSURE PROPER USAGE AND SUSTAINABILITY (CHIEF DENTAL OFFICER); 4) DEPLOY THE EQUIPMENT AT THE ORGANIZATION’S THREE LARGEST CO-LOCATED DENTAL SITES TO MAXIMIZE IMPACT; 5) RAISE AWARENESS OF THE PROJECT AND THE AVAILABILITY OF HIV-ORIENTED DENTAL CARE WITH POPULATIONS IMPACTED BY HIV THROUGH EXISTING CAPACITIES (CHIEF DENTAL OFFICER AND RYAN WHITE PROGRAM LEAD); 6) MONITOR PROJECT PROGRESS, EVALUATE EFFECTIVENESS, AND RESPOND AS APPROPRIATE TO THE GOAL OF ENHANCING AND EXPANDING ORAL HEALTH SERVICES AND ACCESS FOR PEOPLE WITH HIV (CHIEF DENTAL OFFICER WITH RYAN WHITE PROGRAM LEAD). THE THREE PROJECT LEADS HAVE EASILY OVER A HALF-CENTURY OF COMMUNITY SERVICE EXPERIENCE BETWEEN THEM, AND HAVE SUCCESSFULLY OVERSEEN SIMILAR EXPANSIONS AND PROJECTS IN THE PAST. ALL ASPECTS OF THE PROJECT CAN AND WILL BE ATTAINED AND COMPLETED USING EXISTING EXPERIENCED INTERNAL STAFF; NO SUB-AWARDS/PARTNERS ARE NEEDED OR REQUESTED. TAKEN TOGETHER, THESE STEPS PRESENT A CLEAR AND DIRECT PATH TOWARDS ENHANCING AND EXPANDING ORAL HEALTH SERVICES AND ACCESS FOR PEOPLE WITH HIV THAT IS BOTH ACHIEVABLE WITHIN THE 12-MONTH GRANT PERIOD AND SUSTAINABLE WELL BEYOND.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

DRUG FREE COMMUNITIES SUPPORT PROGRAM

OPEN DOOR FAMILY MEDICAL CENTERS OSSINING COMMUNITIES THAT CARE STOP ACT GRANT

OPEN DOOR FAMILY MEDICAL CENTER'S OSSINING COMMUNITIES THAT CARE STOP ACT GRANT

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM