Health Center Network Of New York Inc

HEALTH CENTER CONTROLLED NETWORK - HCCN AWARD RECIPIENT: HEALTH CENTER NETWORK OF NEW YORK, INC., DBA HEALTHEFFICIENT GRANT NUMBER: H2QCS30279 NUMBER OF PHCS THAT ARE H80 GRANTEES: 44 NUMBER OF PHCS THAT ARE FQHC LOOK-ALIKES: 1 HEALTHEFFICIENT’S QUAL IT CARE ALLIANCE IS AN EXISTING HRSA-FUNDED HCCN ESTABLISHED IN AUGUST 2013, ORIGINALLY WITH 10 PARTICIPATING HEALTH CENTERS (PHCS). OUR PHC GROWTH HAS BEEN ONGOING AND SUSTAINED, AND OUR QUAL IT CARE ALLIANCE HCCN CURRENTLY PROVIDES SUPPORT TO 35 FQHCS (H80 GRANTEES) AND 1 FQHC LOOK-ALIKE. BASED ON HRSA 2020 UDS DATA, THE EXISTING PHCS COLLECTIVELY SERVED OVER 982,000 PATIENTS ACROSS 6 STATES AND THE DISTRICT OF COLUMBIA. THE SITES INCLUDE HEALTH CENTERS OF VARYING SIZES, AS WELL AS THOSE SERVING URBAN, RURAL, MIGRANT, AND SCHOOL-BASED HEALTH CENTER POPULATIONS. IF AWARDED FUNDING, WE WILL ADD 9 ADDITIONAL PHCS, INCLUDING 5 US-AFFILIATED PACIFIC ISLANDS. DURING THE PRIOR HCCN PROJECT PERIOD WE ACHIEVED NUMEROUS, SUSTAINED SUCCESSES WITH OUR PHCS THAT DIRECTLY REFLECT THE HCCN’S GOALS. WE PARTNERED WITH THE CENTER FOR CARE INNOVATIONS TO PROVIDE TRAINING AND RESOURCES TO OUR MEMBERS ON OPIOID USE DISORDER AND MEDICATION ASSISTED TREATMENT, CONDUCTED AN EXTENSIVE RFP PROCESS TO CHOOSE A NEW POPULATION HEALTH PLATFORM FOR OUR NETWORK. DEVELOPED AND ROLLED OUT PROVIDER BURNOUT SURVEYS (INCLUDING BENCHMARKING AND PRACTICE-SPECIFIC FOLLOW-UP SUPPORT), SECURITY RISK ASSESSMENTS, SEMI-ANNUAL CONFERENCES, WEBINARS, AND TRAININGS. HEALTHEFFICIENT PROPOSES TO USE THIS NEW ROUND OF HCCN FUNDING TO BUILD ON AND EXPAND THE SUCCESS OF THE EXISTING QUAL IT CARE ALLIANCE PROJECT. MANY OF THE PHCS IN THE QUAL IT CARE ALLIANCE UTILIZE THE ECLINICALWORKS EHR SYSTEM, WHICH ALLOWS US TO PROVIDE A DEEP LEVEL OF SUPPORT AND COLLABORATION TO OVERCOME TECHNICAL AND WORKFLOW CHALLENGES. IN PARTNERSHIP WITH THE DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (DCPCA), MID-ATLANTIC ASSOCIATION OF COMMUNITY HEALTH CENTERS (MACHC) AND THE PACIFIC ISLANDS PRIMARY CARE ASSOCIATION (PIPCA), HEALTHEFFICIENT WILL CONTINUE TO SUPPORT PHCS THAT ARE NOT UTILIZING ECLINICALWORKS BASED ON OUR COLLECTIVE EHR PRODUCT KNOWLEDGE AND TOPICS THAT ARE VENDOR NEUTRAL. IF AWARDED FUNDING, WE ALSO PLAN TO PARTNER WITH OTHER ORGANIZATIONS TO SERVE AS EHR-SPECIFIC EXPERTS TO SUPPORT ACHIEVEMENT OF GRANT OBJECTIVES. WITH HCCN FUNDING THROUGH THE COOPERATIVE AGREEMENT, HEALTHEFFICIENT WILL PROVIDE OPPORTUNITIES FOR PEER COLLABORATION THROUGH THESE PROPOSED COMMITTEES AND WORKGROUPS: CLINICAL QUALITY IMPROVEMENT, CMO ROUND TABLE AND STEERING COMMITTEE; HEALTH INFORMATION TECHNOLOGY; AND PATIENT ENGAGEMENT AND ACCESS. THE QUAL IT CARE ALLIANCE WILL ADDRESS COMMON HEALTH CENTER NEEDS BY ENHANCING PHC DATA ANALYTICS CAPABILITIES, INCLUDING QUALITY IMPROVEMENT DASHBOARDS FOR ADVANCED DATA STRATEGIES; PROVIDING SUPPORT TO DEVELOP NECESSARY PATIENT PRIVACY AND CYBERSECURITY POLICIES; OPTIMIZING THE USE OF PATIENT ENGAGEMENT AND DIGITAL HEALTH TOOLS, INCLUDING PATIENT PORTALS, PATIENT SELF-MONITORING DEVICES, AND TELEHEALTH; CLOSING GAPS IN CARE AND MEDICATION ADHERENCE; ASSISTING PHCS TO TRANSITION TO SUBMITTING PATIENT-LEVEL UDS DATA; IMPROVING HEALTH IT USABILITY AND ADOPTION; ENHANCING TOOLS TO CLOSE THE LOOP ON CARE COORDINATION THROUGH DATA EXCHANGE AND INTEGRATION; STRENGTHENING SUBSTANCE USE DISORDER TREATMENT PROGRAMS; AND COLLECTING AND USING SOCIAL DETERMINANTS OF HEALTH DATA. HEALTHEFFICIENT WILL ADDRESS THESE PHC NEEDS USING A COMBINATION OF ONE-ON-ONE PRACTICE FACILITATION, COLLABORATIVE WORK GROUPS, WEBINARS, TRAINING, BEST PRACTICE WORKFLOWS AND CONFIGURATION RECOMMENDATIONS, AND PRODUCING HEALTH CENTER DATA DASHBOARDS. THESE ACTIVITIES WILL PLAY A VITAL ROLE IN ENHANCING PHC ABILITY TO IMPROVE THE HEALTH STATUS OF THEIR VULNERABLE COMMUNITIES WHILE NAVIGATING THE EVOLVING VALUE-BASED PATIENT-CENTERED CARE ENVIRONMENT.

NETWORKS FOR ORAL HEALTH INTEGRATION WITHIN THE MATERNAL AND CHILD HEALTH SAFETY NET

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER CONTROLLED NETWORKS

NETWORKS FOR ORAL HEALTH INTEGRATION WITHIN THE MATERNAL AND CHILD HEALTH SAFETY NET - HEALTHEFFICIENT IS REQUESTING MATERNAL CHILD HEALTH – IMPROVING ORAL HEALTH INTEGRATION (MCH-IOHI) DEMONSTRATION PROJECT FUNDING TO SUPPORT ITS “TRANSFORMING ORAL HEALTH FOR COMMUNITIES (TOHC)” PROPOSAL. BUILDING ON THE SUCCESS OF HEALTHEFFICIENT’S ONGOING HRSA/MCH-FUNDED NETWORK FOR ORAL HEALTH INTEGRATION (NOHI) PROJECT (2019-2024), THE GOAL OF THE PROPOSED TOHC PROJECT IS TO IMPROVE ACCESS TO PREVENTIVE ORAL HEALTH CARE AND ORAL HEALTH EQUITY FOR THE TARGET POPULATION OF PREGNANT WOMEN AND INFANTS LIVING IN COMMUNITIES UNDERSERVED BY ORAL HEALTH CARE. ACCESS TO NECESSARY AND APPROPRIATE DENTAL CARE CONTINUES TO REMAIN A PROBLEM IN NY. THE TOHC PROJECT WILL IMPLEMENT A “PATIENT-CENTERED, TEAM-BASED PRIMARY ORAL HEALTH CARE” MODEL, SUPPORTED BY COMMUNITY HEALTH WORKERS (CHWS) AND OTHER CARE TEAM MEMBERS. THE OBJECTIVES OF THE TOHC PROJECT ARE TO: 1) ENHANCE STATE-LEVEL POLICY AND/OR SCOPES OF PRACTICE AIMED TO INCREASE ACCESS AND USE OF INTEGRATED PREVENTIVE ORAL HEALTH CARE; 2) INCREASE ORAL HEALTH AWARENESS AMONG HEALTH ORGANIZATIONS ACROSS THE STATE, TARGETED FOR ORGANIZATIONAL ORAL HEALTH LITERACY TRAINING AND OUTREACH; 3) IMPLEMENT STATE-LEVEL ORAL HEALTH SURVEILLANCE ENHANCEMENTS AIMED TO IMPROVE TREND ANALYSIS; AND 4) IMPLEMENT AT LOCAL LEVELS AN EVIDENCE-BASED MODEL OF CARE TO INTEGRATE PREVENTIVE ORAL HEALTH CARE AND PRIMARY CARE SERVICES, INCLUDING: PRIMARY CARE CLINICAL WORKFLOW MODIFICATIONS, PROVIDER TRAINING, AND DENTAL REFERRAL TRACKING. TO ACCOMPLISH THESE OBJECTIVES, HEALTHEFFICIENT HAS ASSEMBLED AN ALLIANCE OF EXPERIENCED KEY NY STATE STAKEHOLDERS TO DEVELOP, IMPLEMENT, AND CONTINUOUSLY EVALUATE AND IMPROVE A PROJECT MODEL TO IMPROVE ACCESS TO ORAL HEALTH SERVICES FOR THE TARGET POPULATION. THE TOHC TEAM, IN CONCERT WITH THE ALLIANCE, WILL BE RESPONSIBLE FOR CARRYING OUT THE PROJECT WORK, INCLUDING DEVELOPING MODELS AND GUIDING IMPLEMENTATION ADHERING TO THE THREE PROJECT CORE FUNCTIONS: POLICY AND PRACTICE; OUTREACH AND ED UCATION; AND DATA, ANALYSIS, AND EVALUATION. USING THE INSTITUTE FOR HEALTHCARE IMPROVEMENT’S (IHI) BREAKTHROUGH SERIES COLLABORATIVE MODEL, THE TEAM WILL LEAD THREE 12-MONTH LEARNING COLLABORATIVE (LC) CYCLES INVITING ALLIANCE MEMBERS AND APPROXIMATELY 3 CHCS IN EACH CYCLE (FOR A TOTAL OF 9 CHC PARTICIPANTS DURING THE 4-YEAR PROJECT PERIOD). THE LC CYCLES WILL BE ORGANIZED TO PROVIDE TRAINING AND IMPROVE CORE COMPETENCIES OF CHWS AND CHCS RELATED TO 1) EVIDENCE-BASED ORAL HEALTH PRACTICES; 2) COMMUNICATION AND EDUCATION; 3) INTERPROFESSIONAL COLLABORATIVE PRACTICE; AND 4) HEALTH INFORMATION TECHNOLOGY INTEGRATION AND OPTIMIZATION OF QUALITY IMPROVEMENT (QI) DATA. IN ADDITION, THE ALLIANCE WILL EXPAND ORAL HEALTH EDUCATION AND OUTREACH TO COMMUNITY ORGANIZATIONS VIA CHWS THROUGH PARTNERSHIPS BETWEEN CHCS AND OTHER ORGANIZATIONS IN NY STATE, INCLUDING WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAMS, FAMILY HOME VISITING, AND EARLY HEAD START. BY THE END OF THE 4-YEAR DEMONSTRATION PROJECT, HEALTHEFFICIENT’S TOHC PLANS TO: • ESTABLISH A STATE-LEVEL POLICY TO INCREASE THE SCOPE OF PRACTICE FOR CHWS AND SIMILAR CARE TEAM MEMBERS TO DELIVER REIMBURSABLE PREVENTIVE ORAL HEALTH SERVICES, INCLUDING FLUORIDE VARNISH; • IMPROVE ORAL HEALTH AWARENESS AMONG 85% OF TARGETED HEALTH ORGANIZATIONS WITHIN THE STATE; • IMPLEMENT AT LEAST ONE NEW PROCESS AND DATA SOURCE FOR USE IN ORAL HEALTH SURVEILLANCE OF THE TARGET POPULATION; AND • IMPLEMENT AN EVIDENCE-BASED MODEL OF CARE TO INTEGRATE PREVENTIVE ORAL HEALTH SERVICES INTO PRIMARY CARE IN 100% OF PARTICIPATING CHCS. THE TOHC PROJECT WILL ENHANCE ACCESS TO PREVENTIVE ORAL HEALTH CARE AND PROMOTE ORAL HEALTH EQUITY FOR PREGNANT WOMEN AND INFANTS IN NEW YORK'S COMMUNITIES WITH BARRIERS TO ORAL HEALTH. WE ARE CONFIDENT THAT THE PARTICIPATING HEALTHCARE ORGANIZATIONS IMPLEMENTING THIS MODEL OF PATIENT-CENTERED, TEAM-BASED PRIMARY ORAL HEALTH CARE WILL SEE IMPROVED ORAL HEALTH ACCESS AND OUTCOMES IN THEIR COMMUNITIES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS