Sun River Health Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

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

CAPITAL DEVELOPMENT

FY 2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT - SUN RIVER HEALTH, INC. (DBA HUDSON RIVER HEALTHCARE) IS SEEKING TO PROVIDE COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTH CARE BY ESTABLISHING A NEW CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROGRAM WITH ITS PRIMARY SERVICE LOCATION IN SHIRLEY, NY. PROJECT TITLE: SUN RIVER HEALTH CCBHC PLANNING, DEVELOPMENT AND IMPLEMENTATION, SHIRLEY, NY. POPULATIONS TO BE SERVED: THE TARGET POPULATION INCLUDES THOSE LIVING IN THE COMMUNITY SURROUNDING SUN RIVER HEALTH'S SHIRLEY HEALTH CENTER IN SUFFOLK COUNTY, NEW YORK, WITH A SPECIAL FOCUS ON INDIVIDUALS RECOVERING FROM SUBSTANCE USE DISORDER (SUD) AND THOSE WITH COOCCURRING MENTAL AND SUBSTANCE USE DISORDERS (COD), THOSE WITH SERIOUS MENTAL ILLNESS (SMI), AND CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). STRATEGIES/INTERVENTIONS: SUN RIVER HEALTH WILL CONDUCT A PLANNING AND DEVELOPMENT PROCESS TO IMPLEMENT A NEW CCBHC THAT MEETS SAMHSA CCHBC CERTIFICATION CRITERIA. TO DO THIS SUN RIVER HEALTH WILL PROVIDE A COMPREHENSIVE RANGER OF OUTREACH, SCREENING, TREATMENT, CARE COORDINATION, AND RECOVERY SUPPORTS ALIGNED WITH CCBHC CERTIFICATION CRITERIA. SERVICES ALSO INCLUDE PHQ9 DEPRESSION SCREENING, COLUMBIA SUICIDE SEVERITY SCALE, GAD-7 ANXIETY SCREENING, MODIFIED SIMPLE SCREENING INSTRUMENT FOR SUBSTANCE ABUSE (MSSI-SA), ALCOHOL USE DISORDERS IDENTIFICATION TEST (AUDIT), AND RAPID OPIOID DEPENDENCE SCREEN (RODS), AS WELL AS COMPREHENSIVE PSYCHOSOCIAL ASSESSMENTS AND PSYCHIATRIC EVALUATIONS. PROJECT GOALS AND OBJECTIVES: THROUGH THE PROJECT, SUN RIVER HEALTH WILL: DEVELOP AND IMPLEMENT A SUSTAINABLE CCBHC SERVICE DELIVERY MODEL THAT IS RESPONSIVE TO THE MENTAL HEALTH AND SUBSTANCE USE NEEDS OF THE COMMUNITY AND THOSE MOST AT RISK FOR BEHAVIORAL HEALTH DISPARITIES; IMPROVE ACCESS TO COMPREHENSIVE BEHAVIORAL HEALTH CARE, TREATMENT, AND SUPPORTS FOR MEMBERS OF THE TARGET POPULATION THROUGH THE FULL IMPLEMENTATION OF THE NINE (9) CORE CCBHC SERVICES; DEVELOP, IMPLEMENT, AND MAINTAIN EFFECTIVE CCHBC-WIDE DATA-DRIVEN CONTINUOUS QUALITY IMPROVEMENT (CQI) PLAN FOR CLINICAL SERVICES AND CLINICAL MANAGEMENT TO ENSURE SERVICES DELIVERED THROUGH THE CCBHC PROGRAM ARE OF THE HIGHEST QUALITY; AND ACHIEVE COMPLIANCE WITH ALL CCBHC CRITERIA.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

MEDICATION-ASSISTED TREATMENT ? PRESCRIPTION DRUG AND OPIOID ADDICTION - HUDSON RIVER HEALTHCARE, INC. (DBA SUN RIVER HEALTH) IS A NY STATE LICENSED ARTICLE 28 DIAGNOSTIC AND TREATMENT CENTER, ARTICLE 32 OUTPATIENT SUBSTANCE USE TREATMENT PROGRAM, AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING PRIMARY, PREVENTIVE, BEHAVIORAL AND ORAL HEALTH CARE TO 245,000 PATIENTS ANNUALLY. SUN RIVER HEALTH IS SEEKING TO EXPAND AND ENHANCE ITS MEDICATION ASSISTED TREATMENT (MAT) PROGRAM FOR OPIOID USE DISORDER IN STATEN ISLAND, NY. PROJECT TITLE - MEDICATION-ASSISTED TREATMENT – PRESCRIPTION DRUG AND OPIOID ADDICTION POPULATIONS TO BE SERVED - SUN RIVER HEALTH’S TARGET POPULATIONS FOR THE PROPOSED PROJECT ARE THOSE STRUGGLING WITH OPIOID USE DISORDER (OUD) IN THE STATEN ISLAND BOROUGH OF NEW YORK CITY, SPECIFICALLY THOSE WHO ARE LOW-INCOME, UNINSURED, AND-OR MEDICAID ENROLLEES. THE HEALTH CENTER’S SERVICES TARGET RACIALLY AND ETHNICALLY DIVERSE, HEALTH DISPARITY POPULATIONS INCLUDING INDIVIDUALS EXPERIENCING HOMELESSNESS, RESIDENTS OF PUBLIC HOUSING, NEW IMMIGRANT DAY LABORERS, NEW AND EXPECTANT MOTHERS, THOSE LIVING WITH HIV-AIDS, AND OTHER PERSONS AT-RISK. STRATEGIES/INTERVENTIONS - SUN RIVER HEALTH WILL PROVIDE MAT FOR INDIVIDUALS WITH OUD AT THE IDENTIFIED PROJECT SITES THROUGH THE PRESCRIPTION OF FDA-APPROVED PHARMACOTHERAPY (BUPRENORPHINE). SERVICES ALSO INCLUDE - CLINICAL OPIATE WITHDRAWAL SCALE (COWS) FLOW SHEET ASSESSMENT, ONGOING COUNSELING, CASE CONFERENCING, CARE MANAGEMENT, ONGOING MONITORING AND DRUG TESTING, OPIOID OVERDOSE PREVENTION EDUCATION, INTRODUCTION TO NALOXONE, RISK AND HARM REDUCTION EDUCATION, AND REFERRALS WHERE APPROPRIATE. THE PROGRAM ALSO UTILIZES OTHER EVIDENCE-BASED PRACTICES: SBIRT, MOTIVATION INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY (CBT), AND STAGES OF CHANGE. PROJECT GOALS AND MEASURABLE OBJECTIVES - THROUGH THE PROJECT, SUN RIVER HEALTH SEEKS TO: - INCREASE ACCESS TO TEAM-BASED, COMPREHENSIVE MAT SERVICES FOR PERSONS WITH AN OPIOID USE DISORDER, USING FDA-APPROVED MEDICATIONS – THE HEALTH CENTER, IN PARTNERSHIP WITH COMMUNITY HEALTH ACTION OF STATEN ISLAND (CHASI), WILL EXPAND AND ENHANCE ACCESS TO MAT SERVICES IN STATEN ISLAND, ENROLLING 110 INDIVIDUALS IN YEAR 1, AND 525 OVER THE ENTIRE PROJECT PERIOD. - BUILD A SERVICE DELIVERY MODEL WITH OTHER ORGANIZATIONS (HOSPITAL EDS, CBOS) TO EFFECTIVELY IDENTIFY, ENGAGE, AND RETAIN INDIVIDUALS IN OUD TREATMENT AND LONG-TERM RECOVERY – SUN RIVER HEALTH WILL SUBCONTRACT WITH CHASI TO PROVIDE ENHANCED ACCESS TO THEIR LOW-THRESHOLD MAT PROGRAM DELIVERED IN A COMMUNITY-BASED SETTING THAT IS COLLOCATED WITH A SYRINGE EXCHANGE AND HARM REDUCTION SERVICES. THIS ARRANGEMENT WILL ESTABLISH COUNTY-WIDE REACH FOR THE INITIATIVE. - ESTABLISH EVIDENCE-BASED, PEER RECOVERY SUPPORT WITH TRAINED PEER RECOVERY COACHES – SUN RIVER HEALTH AND CHASI WILL RECRUIT AND HIRE PEERS TO ASSIST INDIVIDUALS WITH OUD IN CREATING AND NAVIGATING INDIVIDUALIZED RECOVERY PATHWAYS. - INTEGRATE EXPANDED MAT SERVICES INTO SUN RIVER HEALTH’S QA/QI PROGRAM, AND ENSURE APPROPRIATE MONITORING OF DATA COLLECTION, PROGRAM ASSESSMENT, PROGRESS TOWARDS GOALS.

CHILDREN'S HEALTH INSURANCE PROGRAM OUTREACH AND ENROLLMENT GRANT.

FY 2023 EXPANDING COVID-19 VACCINATION

HRHCARE TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

OPTIMIZING VIRTUAL CARE

FY 2022 MINORITY AIDS INITIATIVE: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS - PROJECT ABSTRACT SUN RIVER HEALTH, INC. (DBA HUDSON RIVER HEALTHCARE) IS SEEKING TO INCREASE ENGAGEMENT IN CARE FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS (COD) WHO ARE AT RISK FOR, OR LIVING WITH, HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT IN THE BRONX, NEW YORK, AND ENDING THE HIV EPIDEMIC PRIORITY JURISDICTION. PROJECT TITLE MINORITY AIDS INITIATIVE SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH-RISK FOR HIV/AIDS POPULATIONS TO BE SERVED SUN RIVER HEALTH'S TARGET POPULATIONS FOR THE PROPOSED PROJECT ARE RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR, OR ARE LIVING WITH, HIV/AIDS IN THE BRONX, NEW YORK. THE HEALTH CENTER'S SERVICES TARGET RACIALLY AND ETHNICALLY DIVERSE, HEALTH DISPARITY POPULATIONS INCLUDING INDIVIDUALS EXPERIENCING HOMELESSNESS, RESIDENTS OF PUBLIC HOUSING, NEW IMMIGRANT DAY LABORERS, NEW AND EXPECTANT MOTHERS, THOSE LIVING WITH HIV/AIDS AND OTHER PERSONS AT-RISK. STRATEGIES/INTERVENTIONS: SUN RIVER HEALTH WILL CONDUCT HIV AND HCV TESTING AND LINKAGE TO CARE, ACCESS TO PREP AND CARE AND TREATMENT FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) INCLUDING THE PRESCRIPTIONS OF MEDICATION ASSISTED TREATMENT (MAT) FOR INDIVIDUALS WITH OUD AT THE IDENTIFIED PROJECT SITES. SERVICES ALSO INCLUDE: CLINICAL OPIATE WITHDRAWAL SCALE (COWS) FLOW SHEET ASSESSMENT, ONGOING COUNSELING, CASE CONFERENCING, CARE MANAGEMENT, ONGOING MONITORING AND DRUG TESTING, OPIOID OVERDOSE PREVENTION EDUCATION, INTRODUCTION TO NALOXONE, RISK AND HARM REDUCTION EDUCATION, AND REFERRALS WHERE APPROPRIATE. THE PROGRAM ALSO UTILIZES OTHER EVIDENCE-BASED PRACTICES: SBIRT, PARTNERSHIP FOR HEALTH, MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY (CBT), AND STAGES OF CHANGE. PROJECT GOALS AND OBJECTIVES THROUGH THE PROJECT, SUN RIVER HEALTH SEEKS TO INCREASE THE NUMBER OF RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE LIVING WITH OR AT RISK FOR HIV AND/OR VIRAL HEPATITIS WHO RECEIVE THE FOLLOWING: HIV/HEPATITIS TESTING AND CARE AND TREATMENT FOR HIV AND/OR VIRAL HEPATITIS IF TESTING POSITIVE; LINKAGE TO HARM REDUCTION/PREVENTION SERVICES, INCLUDING PREP AS INDICATED; DIAGNOSIS AND TREATMENT FOR COD; AND, ACCESS TO MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER USING FDA-APPROVED MEDICATIONS. ADDITIONALLY THE PROJECT SEEKS TO INTEGRATE MAI-HIGH RISK POPULATIONS PROGRAM SERVICES INTO SUN RIVER HEALTH'S QA/QI PROGRAM, AND ENSURE APPROPRIATE MONITORING OF DATA COLLECTION, PROGRAM ASSESSMENT, PROGRESS TOWARDS GOALS AND OBJECTIVE, AND REPORTING.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

BRIGHT CONNECTIONS PREVENTION NAVIGATION PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

HRHCARE TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: EXPANDED HOURS APPLICANT NAME: SUN RIVER HEALTH, INC. ADDRESS: 1037 MAIN STREET, PEEKSKILL, NY 10566-2913 PROJECT DIRECTOR NAME: ANNE K. NOLON, MPH, CHIEF EXECUTIVE OFFICER PHONE NUMBERS: VOICE: 914-734-8747 / FAX: 914-734-8614 E-MAIL ADDRESS: ANOLON@SUNRIVER.ORG WEBSITE: WWW.SUNRIVER.ORG HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00313 FUNDING AMOUNT REQUESTED: $500,000 - NEEDS TO BE ADDRESSED: DESPITE EXPERIENCING AN INCREASED BURDEN OF CHRONIC DISEASE, MANY OF THE LOW-INCOME AND UNDERSERVED POPULATIONS TARGETED BY SUN RIVER HEALTH (“SRH”) LACK ACCESS TO AFFORDABLE PRIMARY MEDICAL CARE SERVICES. ASIDE FROM THE COMPREHENSIVE PRIMARY MEDICAL CARE SERVICES OFFERED BY SRH, THE TARGET POPULATION IN THE HEALTH CENTER’S SERVICE AREA TYPICALLY STRUGGLE TO ACCESS HEALTH CARE PROVIDERS WHO ACCEPT MEDICAID AND/ OR OFFER SLIDING FEE DISCOUNT SCHEDULES FOR LOW-INCOME UNINSURED PATIENTS AND EVEN FEWER WHO OFFER BILINGUAL SERVICES FOR THOSE WITH LIMITED ENGLISH PROFICIENCY. WHILE SRH PROVIDES QUALITY AND AFFORDABLE, CULTURALLY AND LINGUISTICALLY COMPETENT PRIMARY MEDICAL CARE SERVICES, THE HEALTH CENTER HAS STRUGGLED WITH A HIGH VACANCY RATE AND SUBSTANTIAL PROVIDER AND SUPPORT STAFF RECRUITMENT CHALLENGES DUE TO THE CURRENT HEALTH CARE LABOR MARKET. THIS HAS LIMITED SRH’S CAPACITY TO MEET THE CONSIDERABLE DEMAND FOR QUALITY PRIMARY CARE SERVICES IN SEVERAL SERVICE SITE COMMUNITIES. INDEED, THE NEED FOR ADDITIONAL PRIMARY CARE SERVICE HOURS, INCLUDING EARLY MORNING AND EVENING HOURS, HAS BEEN REINFORCED THROUGH THE DIRECT FEEDBACK OF CURRENT SRH PATIENTS AND COMMUNITY PARTNERS. - PROPOSED SERVICES: SRH IS PROPOSING TO USE EXPANDED HOURS (EH) FUNDING TO SUPPORT AN ENHANCED PROVIDER AND SUPPORT STAFF RECRUITMENT STRATEGY TO ADDRESS CURRENT WORKFORCE BARRIERS AND ADD THE HEALTH CENTER STAFFING CAPACITY TO EXPAND HOURS OF OPERATION AT SEVERAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SITES. TO THIS END, SRH WILL ADD INTERNAL RECRUITMENT STAFF AND EXTERNAL RECRUITMENT SUPPORT TO SUPPLEMENT THE HEALTH CENTER’S EXISTING RECRUITMENT TEAM WHICH IS CURRENTLY FUNCTIONING AT CAPACITY. THIS ADDITIONAL SUPPORT WILL ENABLE SRH TO EXPAND PRIMARY CARE STAFFING CAPACITY AS NEEDED TO ADD A CUMULATIVE 43 OPERATING HOURS FOR GENERAL PRIMARY MEDICAL CARE ACCESS ACROSS FIVE (5) FQHC SITES – THE WHITE PLAINS, NEW ROCHELLE, COPIAGUE, BRENTWOOD, AND CORAM (ELSIE OWENS) HEALTH CENTERS. SRH WILL ALSO ADD CALL CENTER STAFFING CAPACITY TO ACCOMMODATE THE ADDITIONAL DEMAND ASSOCIATED WITH THE EXPANDED HOURS. - HOW EXPANDED HOURS WILL MEET COMMUNITY NEED: SRH IS PROPOSING TO EXPAND ITS HEALTH CENTER OPERATING HOURS BY 43 HOURS PER WEEK ACROSS FIVE (5) FQHCS WHERE WORKFORCE CHALLENGES HAVE BEEN PARTICULARLY IMPACTFUL IN LIMITING THE WEEKLY HOURS OF OPERATION. EXPANDING SRH’S FQHC HOURS OF OPERATION WILL PROVIDE ADDITIONAL PRIMARY MEDICAL CARE CAPACITY IN COMMUNITIES WITH SUBSTANTIAL PRIMARY CARE GAPS AND PROVIDER SHORTAGES AND WILL PROVIDE INCREASED FLEXIBILITY FOR APPOINTMENT SCHEDULING TO IMPROVE ACCESS TO CARE FOR THOSE PATIENTS WITH INFLEXIBLE WORK SCHEDULES, FAMILY COMMITMENTS, BEHAVIORAL HEALTH COMPLEXITIES, AND OTHER CONSTRAINTS THAT OFTEN SERVE AS BARRIERS TO CARE. IN ADDITION TO EXPANDING ACCESS TO EXISTING HEALTH CENTER PATIENTS, THE EH PROJECT WILL PROVIDE THE CAPACITY TO ADD 1,200 NEW PATIENTS BY DECEMBER 2025. - POPULATION GROUPS TO BE SERVED: THE PROJECT WILL TARGET THE PATIENTS CURRENTLY SERVED BY SRH AS WELL AS OTHER MEMBERS OF THE TARGET POPULATION. ACCORDINGLY, THE TARGET POPULATION WILL COMPRISE LOW-INCOME INDIVIDUALS & FAMILIES IN FIVE (5) COMMUNITIES LOCATED IN NEW YORK’S HUDSON VALLEY AND LONG ISLAND REGIONS, WITH SUBSTANTIAL REPRESENTATION FROM RACIAL AND ETHNIC MINORITY COMMUNITIES, PREDOMINANTLY THOSE WHO ARE AFRICAN AMERICAN AND HISPANIC/LATINO. THE HEALTH CENTER ALSO SERVES PARTICULARLY VULNERABLE AND COMPLEX POPULATIONS INCLUDING INDIVIDUALS WITH MENTAL ILLNESS AND/ OR SUBSTANCE USE DISORDER.

CAPITAL DEVELOPMENT

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - - PROJECT TITLE: FY 2025 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM - APPLICANT NAME: SUN RIVER HEALTH, INC. - ADDRESS: 1037 MAIN STREET, PEEKSKILL, NY 10566-2913 - PROJECT DIRECTOR NAME: ANNE K. NOLON, MPH, CHIEF EXECUTIVE OFFICER - PHONE NUMBERS VOICE: 914-734-8747 FAX: 914-734-8745 - E-MAIL ADDRESS: ANOLON@SUNRIVER.ORG WEBSITE: WWW.SUNRIVER.ORG - FUNDING AMOUNT REQUESTED FOR ONE-YEAR PROJECT PERIOD: $150,000 - STATUTORY PREFERENCE: QUALIFICATION 2: UNDERSERVED POPULATIONS SUN RIVER HEALTH IS A NEW YORK STATE-LICENSED DIAGNOSTIC & TREATMENT CENTER AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), RECOGNIZED BY THE NCQA AS A PATIENT CENTERED MEDICAL HOME. SUN RIVER HEALTH HAS BEEN PROVIDING COMPREHENSIVE HIV CARE & TREATMENT FOR APPROXIMATELY 35 YEARS. - IDENTIFICATION OF THE SELECTED CATEGORY: SUN RIVER HEALTH IS SEEKING PART C CAPACITY DEVELOPMENT FUNDING TO IMPLEMENT AN INFRASTRUCTURE DEVELOPMENT PROJECT. - NEEDS TO BE ADDRESSED: PEOPLE WITH HIV ARE AT A HIGHER RISK FOR ORAL HEALTH PROBLEMS DUE TO A WEAKENED IMMUNE SYSTEM, MAKING IT CRITICAL TO PRIORITIZE DENTAL CARE AND MAINTAIN GOOD ORAL HYGIENE. IN ADDITION TO THE ORAL HEALTH CONDITIONS THEMSELVES, UNRESOLVED ORAL HEALTH ISSUES CAN LEAD TO OTHER HEALTH PROBLEMS. DESPITE THESE ESCALATED NEEDS, LOW-INCOME AND VULNERABLE INDIVIDUALS WITH HIV IN SUN RIVER HEALTH’S SERVICE AREA HAVE LIMITED ACCESS TO CARE DUE TO A LACK OF DENTAL PROVIDERS (ASIDE FROM SUN RIVER) WHO ACCEPT MEDICAID OR ARE ABLE TO ACCOMMODATE THE UNIQUE NEEDS OF SPECIAL POPULATIONS SUCH AS INDIVIDUALS EXPERIENCING HOMELESSNESS. WHILE SUN RIVER HEALTH OFFERS COMPREHENSIVE DENTAL CARE AT SEVERAL OF ITS PART C PROGRAM SITES, THESE DENTAL PRACTICES ARE OPERATING AT CAPACITY, AND PATIENTS WITH HIV OFTEN WAIT MONTHS FOR A DENTAL APPOINTMENT. - SUMMARY OF PROPOSED ACTIVITY/PROPOSED SERVICES: SUN RIVER HEALTH IS PROPOSING A DENTAL EQUIPMENT FOR EXPANDING DENTAL SERVICE CAPACITY ACTIVITY TO IMPROVE THE HEALTH CENTER’S CAPACITY TO ENHANCE AND EXPAND ACCESS TO HIGH-QUALITY DENTAL CARE FOR LOW-INCOME INDIVIDUALS WITH HIV. THROUGH THIS PROJECT, SUN RIVER HEALTH IS SEEKING TO PURCHASE AND IMPLEMENT INTRAORAL SCANNERS AT EIGHT (8) OF THE HEALTH CENTER’S PART C EARLY INTERVENTION SERVICES (EIS) PROGRAM SITES OFFERING COMPREHENSIVE DENTAL CARE TO IMPROVE THE ACCURACY AND EFFICIENCY OF THE DENTAL IMPRESSIONS REQUIRED IN COMMON RESTORATIVE DENTAL PROCEDURES (E.G., DENTURES, CROWNS, BRIDGES, ETC.). THE USE OF THIS TECHNOLOGY WILL ENABLE THE HEALTH CENTER TO IMPROVE THE EFFICIENCY OF RESTORATIVE DENTAL PROCEDURES, REDUCING THE AVERAGE VISIT TIME AS WELL AS THE NUMBER OF VISITS REQUIRED FOR EACH VISIT, THEREBY FREEING UP ADDITIONAL DENTAL APPOINTMENT TIMES FOR INDIVIDUALS WITH HIV AND EXPANDING ACCESS TO COMPREHENSIVE ORAL HEALTH CARE SERVICES FOR THIS POPULATION. IN ADDITION, THE IMPACT OF IMPROVEMENTS WILL DIRECTLY CONTRIBUTE TO THE HEALTH CENTER’S OVERALL PART C PROGRAM GOAL OF IMPROVING PATIENT VIRAL LOAD SUPPRESSION BY STREAMLINING THE INTAKE FOR HIV PROGRAM PARTICIPANTS WHO ENCOUNTER THE PROGRAM DUE TO THE EXPANDED DENTAL SERVICE CAPACITY. - POPULATION GROUP TO BE SERVED: THE PROPOSED PROJECT TARGETS THE MORE THAN 2,500 PATIENTS WITH HIV SERVED THROUGH SUN RIVER HEALTH’S PART C PROGRAM IN THE HUDSON VALLEY, NEW YORK CITY, AND LONG ISLAND, PARTICULARLY THOSE RECEIVING THEIR HIV CARE AND TREATMENT AT 8 PART C SITES OFFERING ONSITE DENTAL CARE, AS WELL AS LOW-INCOME AND VULNERABLE RESIDENTS OF THE SURROUNDING COMMUNITIES WITH HIV WHO ARE IN NEED OF ACCESS TO QUALITY AND AFFORDABLE DENTAL CARE. THE PATIENTS WITH HIV SERVED AT SUN RIVER HEALTH’S PROJECT SITES REFLECT THOSE COMMON AMONG UNDERSERVED POPULATIONS; THEY EXPERIENCE SUBSTANTIAL ECONOMIC DISTRESS WITH 93.1% OF THOSE WHOSE POVERTY STATUS IS KNOWN LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 98.3% BELOW 200% FPL. IN ADDITION, 43.3% OF THESE PATIENTS ARE MEDICAID ENROLLEES AND 22.5% ARE EXPERIENCING HOMELESSNESS.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - - PROJECT TITLE: FY 2024 RWHAP PART C CAPACITY DEVELOPMENT - APPLICANT NAME: SUN RIVER HEALTH, INC. - ADDRESS: 1037 MAIN STREET, PEEKSKILL, NY 10566-2913 - PROJECT DIRECTOR NAME: ANNE K. NOLON, MPH, CHIEF EXECUTIVE OFFICER - PHONE NUMBERS VOICE: 914-734-8747 FAX: 914-734-8745 - E-MAIL ADDRESS: ANOLON@SUNRIVER.ORG WEBSITE: WWW.SUNRIVER.ORG - FUNDING AMOUNT REQUESTED FOR ONE-YEAR PROJECT PERIOD: $150,000 - STATUTORY PREFERENCE: QUALIFICATION 2: UNDERSERVED SUN RIVER HEALTH IS A NEW YORK STATE-LICENSED DIAGNOSTIC & TREATMENT CENTER AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), RECOGNIZED BY THE NCQA AS A PATIENT CENTERED MEDICAL HOME. SUN RIVER HEALTH HAS BEEN PROVIDING COMPREHENSIVE HIV CARE & TREATMENT FOR APPROXIMATELY 35 YEARS. - IDENTIFICATION OF THE SELECTED CATEGORY: SUN RIVER HEALTH IS SEEKING PART C CAPACITY DEVELOPMENT FUNDING TO IMPLEMENT AN INFRASTRUCTURE DEVELOPMENT PROJECT – TELEHEALTH TO SUPPORT A PURCHASE OF TWO (2) FIREWALL SYSTEM CPU/HARDWARE UNIT TO UPGRADE TELEMEDICINE SECURITY AND IMPROVE TELEMEDICINE CAPACITY. - NEEDS TO BE ADDRESSED: SUN RIVER HEALTH SERVES OVER 2,500 PEOPLE LIVING WITH HIV, ACROSS A LARGE GEOGRAPHIC AREA OF SOUTHEASTERN NEW YORK STATE. THE HEALTH CENTER’S PART C PATIENT POPULATION EXPERIENCES MYRIAD ECONOMIC, SOCIAL, AND STRUCTURAL CHALLENGES TO ACCESSING HEALTH CARE SERVICES. TELEMEDICINE HAS MADE A SIGNIFICANT IMPACT ON PROVIDING INCREASED ACCESSIBILITY TO OUR HEALTH CENTER SERVICES THAT WOULD OTHERWISE BE CHALLENGING FOR OUR PATIENTS WITH HIV. THE HEALTH CENTER SERVES A SIGNIFICANT MINORITY POPULATION AS WELL AS POPULATIONS EXPERIENCING POVERTY, WHO TEND TO EXPERIENCE GREATER CHALLENGES RESULTING FROM SOCIAL DETERMINANTS OF HEALTH (SDOH), AND THE INCREASED AVAILABILITY OF TELEMEDICINE AS AN OPTION FOR THESE PATIENTS HAS RESULTED IN IMPROVED NO-SHOW RATES, AS WELL AS POSITIVE PATIENT FEEDBACK AS PATIENTS HAVE EXPERIENCED IMPROVED OPTIONS AND FLEXIBILITY FOR SCHEDULING T HEIR VISITS. TELEMEDICINE HAS BEEN A PARTICULARLY IMPORTANT SOURCE OF IMPROVED ACCESS FOR PEOPLE WITH HIV, WHICH HAS MADE SUBSTANTIAL IMPACTS ON HEALTH EQUITY. THAT INCREASED ACCESS AND USAGE, HOWEVER, HAS ALSO RESULTED IN THE NEED FOR A LARGER CAPACITY AND MORE ROBUST INTERNET SECURITY APPARATUS. IN ADDITION, SUN RIVER HEALTH’S CURRENT FIREWALL SYSTEM IS AT ITS “END OF LIFE,” MEANING THE VENDOR WILL SOON NO LONGER PROVIDE ONGOING SUPPORT AND MAINTENANCE AND WILL NO LONGER SUPPORT SOFTWARE UPGRADES TO SUN RIVER HEALTH’S CURRENT HARDWARE. - PROPOSED SERVICES: SUN RIVER HEALTH IS REQUESTING RYAN WHITE PART C CAPACITY DEVELOPMENT FUNDING TO PURCHASE UPGRADED FIREWALL SYSTEM CPU/HARDWARE UNITS AS WELL AS THE INITIAL LICENSING FEES AND VENDOR SUPPORT AND MAINTENANCE SERVICES FOR THE DURATION OF THE IMPLEMENTATION PERIOD. THESE FIREWALL UNITS WILL ALLOW FOR HIGHER AVAILABILITY AND REDUNDANCY OF TELEMEDICINE SERVICES. BY UPGRADING OUR CURRENT SYSTEMS, THE HEALTH CENTER WILL BE ABLE TO INTERCEDE TO STOP MALICIOUS ACTORS ATTEMPTING TO COMPROMISE OUR INFRASTRUCTURE TO ACCESS PROTECTED HEALTH INFORMATION, INTERRUPT OPERATIONS, AND CREATE RANSOMWARE EVENTS. THE INCREASED THROUGHPUT WILL ENABLE AN EXPANSION OF THE QUANTITY OF DATA THAT CAN BE PROCESSED AND PASSED THROUGH THE FIREWALL, WHICH WILL IMPROVE TELEMEDICINE CAPACITY. THROUGH THE RESULTING TELEMEDICINE SECURITY AND CAPACITY UPDATE, SUN RIVER HEALTH’S PROJECT WILL ADDRESS CRITICAL GAPS IN HIV CARE IN TREATMENT IN UNDERSERVED COMMUNITIES, AND ULTIMATELY IMPROVE PATIENT EXPERIENCE AND HEALTH OUTCOMES AMONG THE TARGET POPULATION THROUGHOUT SOUTHEASTERN NEW YORK STATE. - POPULATION GROUP TO BE SERVED: SUN RIVER HEALTH’S PROPOSED PROJECT TARGETS THE MORE THAN 2,500 PEOPLE LIVING WITH HIV SERVED AT OUR 16 PART C-FUNDED PROGRAM SITES ACROSS THE HUDSON VALLEY, NEW YORK CITY, AND LONG ISLAND.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

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

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM