Housing Works Health Services Iii Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

OPTIMIZING VIRTUAL CARE

CARE YOUR WAY - SINCE 1990, HOUSING WORKS (HW) HAS WORKED TIRELESSLY TO PROVIDE SERVICES AND INCREASE HEALTHCARE ACCESS TO HISTORICALLY UNDERSERVED AND MARGINALIZED POPULATIONS IN NEW YORK CITY (NYC). AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH A HEALTH CARE FOR THE HOMELESS PROGRAM, HW PROVIDES PRIMARY, BEHAVIORAL HEALTH, AND SOCIAL CARE SERVICES TO PEOPLE WITH CO-OCCURRING CHRONIC CONDITIONS SUCH AS HIV/AIDS, BEHAVIORAL HEALTH CONDITIONS, SUBSTANCE USE DISORDERS, HOMELESSNESS, AND OTHER SOCIAL SERVICE NEEDS. AS MEDICAID REFORM ADVANCED IN NEW YORK STATE, HW AND OTHER COMMUNITY-BASED PROVIDERS CAME TOGETHER TO ESTABLISH THE ENGAGEWELL INDEPENDENT PRACTICE ASSOCIATION (EW IPA). TODAY, EW IS A WELL-ESTABLISHED NETWORK OF 20 NON-PROFIT ORGANIZATIONS, MANY OF WHOM WERE MEMBERS OF THE ADVOCACY GROUPS, THAT PILOTS AND EVALUATES INNOVATIVE HEALTH EQUITY INTERVENTIONS THAT HOPE TO BREAK THE LINKS BETWEEN POVERTY, STRUCTURAL RACISM, AND POOR HEALTH, AND NEGOTIATES MANAGED CARE CONTRACTS THAT ENHANCE OR EXPAND MEDICAID SERVICES. IN JULY 2022, EW LAUNCHED AN AMBITIOUS, PILOT INITIATIVE, DUBBED “CARE YOUR WAY,” (CYW) INTEGRATING MEDICAL CARE, BEHAVIORAL HEALTH, AND SOCIAL DETERMINANT OF HEALTH (SDOH) SERVICES THROUGH A TARGETED, POPULATION-HEALTH APPROACH USING SMARTPHONE-BASED SDOH SERVICES AND ON-DEMAND VIRTUAL MEDICAL CARE TO ITS HIGHEST-NEED CLIENTS. THE OVERARCHING AND UNIFYING AIM OF EW IS TO IMPROVE HEALTH DISPARITIES BASED ON RACE AND SOCIOECONOMIC STATUS. EW’S CYW MODEL DIRECTLY ADDRESSES HEALTH DISPARITIES EXPERIENCED BY BLACK AND LATINX NEW YORKERS. HW, WITH THE EW IPA AS THE LEAD PROJECT ADMINISTRATOR, SEEKS TO SUPPORT THE CONTINUATION AND SPECIALIZATION OF CYW, WITH A FOCUS ON ADDRESSING TWO LEADING HEALTH INDICATORS (LHIS)—HIGH-BLOOD PRESSURE AND FOOD INSECURITY. IN THE BROADER PUBLIC HEALTH CONTEXT, THE CYW PROJECT INTEGRATES SDOH INTO OUTPATIENT PRIMARY CARE. THIS IS PARTICULARLY SIGNIFICANT FOR UNDERSERVED AND MINORITY POPULATIONS WHO HAVE BEEN SYSTEMICALLY AND HISTORICALLY DENIED ACCESS TO PREVENTIVE HEALTHCARE AND RESOURCES THAT PROMOTE HEALTH. THE LHIS ARE IMPACTED BY HEALTH CARE ACCESS AND QUALITY (SDOH 1) AND ECONOMIC STABILITY (SDOH 2). POVERTY AND SOCIOECONOMIC STRESSORS, LIKE FOOD AND FINANCIAL INSECURITY, ARE COMMON BARRIERS TO INITIATION AND SUSTAINED ENGAGEMENT IN MEDICAL CARE AND BEHAVIORAL HEALTH TREATMENT. THE OVERARCHING GOAL OF THE PROPOSED PROGRAM IS TO DEMONSTRATE THAT THE THREE (3) COMMUNITY LEVEL AND DIGITAL HEALTH INNOVATIONS THAT MAKE UP CYW—FOOD SECURITY, MEDICATION ADHERENCE, AND VIRTUAL MEDICAL SCREENING AND REFERRAL—WHICH ARE AUGMENTED BY DIGITAL HEALTH TECHNOLOGY AND WRAPAROUND COMMUNITY HEALTH WORKER SUPPORT, INCREASE THE USE OF PREVENTIVE HEALTH SERVICES, MAKE PROGRESS TOWARD THE SELECTED LHI TARGETS FOR RACIAL AND ETHNIC MINORITIES, AND IMPROVE THE SELECTED SDOHS. EW IPA WILL ALSO IMPLEMENT A COMPREHENSIVE EVALUATION THAT DEMONSTRATES A PROOF OF CONCEPT AND RETURN ON INVESTMENT TO SUPPORT SUSTAINABILITY AND SCALABILITY THROUGH MANAGED CARE CONTRACTING. OVER THE 4-YEAR PROJECT, 1,200 UNIQUE CLIENTS WILL PARTICIPATE IN WELLTH (MEDICATION ADHERENCE INTERVENTION) AND/OR TANGELO (FOOD SECURITY INTERVENTION), AND EW IPA WILL COMPLETE 1,200 VIRTUAL HEALTH SCREENINGS IN NON-CLINICAL SETTINGS VIA ROCKET DOCTOR (VIRTUAL MEDICAL SCREENING AND REFERRAL INTERVENTION).

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FISCAL YEAR 2025 EXPANDED HOURS. - HOUSING WORKS HEALTH SERVICES III, INC., DOING BUSINESS AS HOUSING WORKS COMMUNITY HEALTHCARE (HWCH), IS PROPOSING AN EXPANDED HOURS PROJECT TO INCREASE HEALTH CENTER OPERATING HOURS TO BETTER MEET CLIENT AND COMMUNITY NEEDS. SPECIFICALLY, HWCH WILL INCREASE HOURS AT ITS FIVE SITES IN NEW YORK CITY (NYC), INCLUDING THE DOWNTOWN BROOKLYN HEALTH CENTER (DBHC), THE EAST NEW YORK COMMUNITY HEALTH CENTER (ENY), THE WESTSIDE HEALTH CENTER (WSHC), THE W. 37TH STREET HEALTH CENTER (W. 37TH), AND THE EAST HARLEM COMMUNITY HEALTH CENTER (EHCHC). EXPANDED HOURS WILL INCLUDE THE FOLLOWING: • DBHC WILL OFFER SATURDAY HOURS (10 AM – 2PM) AND EVENING HOURS (5 PM – 7 PM) ONE EVENING PER WEEK, PROVIDING ADULT AND PEDIATRIC HEALTH CARE SERVICES. • ENY, WHICH CURRENTLY OFFERS SATURDAY HOURS (10 AM – 2 PM) EVERY OTHER SATURDAY, WILL UTILIZE THE FUNDING TO OFFER SATURDAY HOURS EVERY SATURDAY, PROVIDING ADULT HEALTH CARE SERVICES. • WSHC WILL INCREASE HOURS TO OFFER 1 EVENING PER WEEK FROM 5 PM – 7PM, PROVIDING ADULT HEALTH CARE SERVICES. • W. 37TH ST., WHICH IS CO-LOCATED WITH HWCH’S GINNY SHUBERT HARM REDUCTION CENTER, WILL INCREASE HOURS TWO EVENING PER WEEK FROM 5 PM – 8 PM, PROVIDING ACCESS TO HEALTH CARE SERVICES AND BEHAVIORAL HEALTH CARE SERVICES, INCLUDING MEDICATION ASSISTED TREATMENT (MAT). • EHCHC WILL INCREASE HOURS TO OFFER 1 EVENING PER WEEK FROM 5 PM – 7PM, PROVIDING ADULT HEALTH CARE SERVICES. THE FUNDING WILL ALLOW HWCH TO SUPPORT STAFFING AT EACH SITE TO PROVIDE NEEDED HEALTH CARE AND BEHAVIORAL HEALTH SERVICES DURING THE EXPANDED HOURS. STAFFING WILL INCLUDE A CLINICAL PROVIDER (PHYSICIAN, PSYCHIATRIC NURSE PRACTITIONER, ETC.), REGISTERED NURSE, MEDICAL ASSISTANT, PATIENT SERVICES REPRESENTATIVE, AND A CLINIC OPERATIONS MANAGER. HWCH HAS SERVED NYC’S LOW-INCOME AND UNDERSERVED RESIDENTS FOR 34 YEARS. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH A HEALTHCARE FOR THE HOMELESS DESIGNATION SINCE 1998, HWCH PROVIDES HIGH-QUALITY PRIMARY MEDICAL HEALTH CARE SERVICES, INCLUDING PREVENTION SERVICES, ACUTE CARE, CHRONIC DISEASE TREATMENT, CARE COORDINATION, AND FOLLOW-UP CARE. HWCH EFFECTIVELY ADDRESSES THE NEEDS OF A DIVERSE PATIENT POPULATION, INCLUDING LOW-INCOME AND HOMELESS INDIVIDUALS AND FAMILIES, PEOPLE WITH CHRONIC MENTAL ILLNESS AND/OR SUBSTANCE USE DISORDERS, INDIVIDUALS MANAGING COMPLEX, CHRONIC MEDICAL CONDITIONS INCLUDING HIV/AIDS, AT-RISK YOUTH, AND FORMER OFFENDERS RE-ENTERING THE COMMUNITY. HWCH IS LICENSED AS AN ARTICLE 28 DIAGNOSTIC AND TREATMENT CENTER UNDER THE NEW YORK STATE (NYS) DEPARTMENT OF HEALTH (DOH), AN ARTICLE 31 OUTPATIENT MENTAL HEALTH CLINIC UNDER THE NYS OFFICE OF MENTAL HEALTH (OMH), AND AN ARTICLE 32 OUTPATIENT CHEMICAL DEPENDENCE TREATMENT PROGRAM, UNDER THE NYS OFFICE OF ADDICTION SERVICES AND SUPPORTS (OASAS). THE PROPOSED EXPANDED HOURS PROJECT WILL ENSURE HWCH IS ABLE TO MEET THE HEALTHCARE NEEDS OF ITS CLIENTS AND OTHER COMMUNITY MEMBERS THROUGHOUT ITS SERVICE AREA. ACROSS THE PROPOSED SITES, HWCH HAS A WAIT LIST OF MORE THAN 30 COMMUNITY MEMBERS. FURTHER, MANY OF THESE SITES, INCLUDING THE WSHC AND W. 37TH ST., ARE IN HIGH-TRAFFIC AREAS WITH COMMUNITY MEMBERS WHO ARE ACTIVE SUBSTANCE USERS, AND MAY BE ACCESSING HIV/STI SCREENING AND HARM REDUCTION SERVICES SUCH AS SYRINGE EXCHANGE, AND WOULD BENEFIT FROM IMMEDIATE LINKAGE TO A PROVIDER FOR STI TREATMENT, OR MAT SERVICES. THE EXPANSION OF HOURS TO INCLUDE SATURDAYS WILL SIGNIFICANTLY INCREASE ACCESS TO SERVICES FOR PEDIATRIC PATIENTS AT DBHC, PARTICULARLY FOR SCHOOL-AGED CHILDREN AND WORKING PARENTS, WHO MAY FIND IT DIFFICULT TO ATTEND PEDIATRIC APPOINTMENTS DURING WEEKDAYS. THROUGH THE EXPANDED HOURS PROJECT, HWCH ANTICIPATES ACHIEVING THE FOLLOWING OUTCOMES: INCREASED ACCESS TO SERVICES; INCREASED ENGAGEMENT IN SERVICES; INCREASED RETENTION IN SERVICES; REDUCED EMERGENCY ROOM VISITS; AND ENHANCED CLIENT SATISFACTION.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM