East Hill Family Medical Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - EAST HILL FAMILY MEDICAL DBA EAST HILL MEDICAL CENTER HEALTH CENTER PROGRAM GRANT #H80CS24163 PROJECT SUMMARY EAST HILL MEDICAL CENTER (EH) BASED IN AUBURN, NY SEEKS $600,000 IN YEAR 1 AND $500,000 IN YEAR 2 TO EXPAND BEHAVIORAL HEALTH SERVICES IN CAYUGA COUNTY. EH IS AN ESSENTIAL COLLABORATOR IN THE LOCAL CONTINUUM OF CARE TO ADVANCE HEALING OF INDIVIDUALS WITH MENTAL ILLNESS AND/OR SUBSTANCE USE DISORDER. NEEDS TO BE ADDRESSED THIS PROJECT WILL ADDRESS THE BEHAVIORAL HEALTH PROVIDER SHORTAGE AND NEED FOR EXPANDED BEHAVIORAL HEALTH AND SUD SERVICES IN CAYUGA COUNTY. DEMAND FOR SERVICES EXPLODED DURING THE PANDEMIC AND REMAINS ELEVATED, ESPECIALLY AMONG YOUTH. ACCORDING TO CAYUGA COUNTY DATA, YOUTH SUICIDE ATTEMPTS INCREASED BY 50% FROM 2019 TO 2023. 16% OF THE 1,057 CRISIS VISITS MANAGED BY CAYUGA COUNTY MENTAL HEALTH CENTER IN 2022 WERE FOR CHILDREN AND YOUTH IN CRISES. WITHIN THE LAST MONTH, EH STAFF WITNESSED A SUICIDE ATTEMPT BY A YOUTH WHO JUMPED OFF A PARKING GARAGE ROOF ACROSS FROM THE HEALTH CENTER. PRIOR TO THAT, ANOTHER YOUTH COMMITTED SUICIDE BY SETTING THEMSELVES ON FIRE AND JUMPING OFF THAT SAME ROOF. ADDICTION TO DRUGS AND/OR ALCOHOL AND MENTAL HEALTH ISSUES WERE IDENTIFIED AS THE TOP TWO HEALTH-RELATED PROBLEMS WITHIN CAYUGA COUNTY IN THE COUNTY HEALTH DEPARTMENT’S 2022-2024 COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN PREPARED WITH AUBURN COMMUNITY HOSPITAL. ACCESS TO MENTAL HEALTH AND SUD SERVICES WERE IDENTIFIED IN THE TOP FIVE HEALTH SYSTEM ISSUES FACING THE COMMUNITY. RECURRING TRENDS IDENTIFIED INCLUDE NEWBORNS WITH NEONATAL WITHDRAWAL SYMPTOMS, TOBACCO USAGE, AND SUICIDE MORTALITY RATES. CAYUGA COUNTY IS ILL-EQUIPPED TO MEET THE BEHAVIORAL HEALTH NEEDS OF ITS RESIDENTS. THE COUNTY IS A HRSA-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA FOR MENTAL HEALTH ALONG WITH PRIMARY CARE AND DENTAL. PROVIDER SHORTAGES CAUSE LONG WAIT TIMES AMIDST GROWING COMMUNITY NEED; CASELOADS ARE OVERLOADED PLACING PROVIDERS AT RISK OF BURNOUT. PROPOSED SERVICES THIS PROJECT WILL INCREASE THE NUMBER OF EH PATIENTS RECEIVING MENTAL HEALTH AND SUD SERVICES INCLUDING MOUD TREATMENT, THROUGH PLANNING, STAFFING, FURNISHING OF ADDITIONAL OFFICE/CLINICAL SPACE, TRAINING, ACCESS TO MEDICATION AND COMMUNITY PROGRAMMING. EH WILL HIRE A BEHAVIORAL HEALTH PRACTICE CONSULTANT WELL VERSED IN OPERATIONAL BEST PRACTICES TO ASSESS CURRENT OPERATIONS AND PROVIDE RECOMMENDATIONS TO IMPROVE SCREENING, CARE NAVIGATION, WORKFLOWS, BILLING, ETC. EH WILL USE FUNDS TO FURNISH AN ADDITIONAL SUD EXAM ROOM, THERAPY ROOM, AND TWO ADDITIONAL OFFICE SPACES TO SUPPORT NEW HIRES. EH WILL CONTRACT WITH A BOARD-CERTIFIED OUTPATIENT CHILD AND ADOLESCENT PSYCHIATRIST WHO HAS BEEN IDENTIFIED, BRINGING A RARE AND COVETED RESOURCE INTO OUR RURAL COMMUNITY. EH WILL ALSO HIRE A FULL-TIME LMHC/LMSW/LCSW WITH SUD EXPERTISE. FUNDS WILL BE USED TO PROVIDE MAT TRAINING TO EH PROVIDERS AND NURSING STAFF. TO MITIGATE INCOME AND/OR INSURANCE-RELATED BARRIERS TO CARE, EH WILL UTILIZE A POOL OF FUNDS FOR MEDICATIONS DEEMED NECESSARY FOR TREATMENT WHERE COST IS A BARRIER FOR PATIENTS. FUNDS WILL ALSO BE USED TO SUPPORT COMMUNITY PROGRAMMING AND RELATED EXPENSES INCLUDING SUPPLIES AND PERSONNEL. PROGRAMMING IDEAS INCLUDE IN-SCHOOL EDUCATION ON DRUG ABUSE AND THE IMPACT ON FUNCTIONING, OPERATION OF A YOUTH SUBSTANCE USE GROUP, SUMMER ART THERAPY PROGRAM, ADOLESCENT DBT GROUP, AND IN-SCHOOL YOUTH EDUCATION ON DEALING WITH TRAUMA OR COPING WITH LOSS OR ANY VARIETY OF TOPICS. POPULATION GROUPS TO BE SERVED SERVICES WILL BE OFFERED THROUGHOUT THE SERVICE AREA. POPULATIONS OF FOCUS INCLUDE CHILD AND ADOLESCENT YOUTH, JUSTICE-INVOLVED, UNHOUSED OR HOUSING VULNERABLE, LGBTQIA+, PEOPLE OF COLOR, FIRST RESPONDERS AND VETERANS. EH SERVES PRIMARILY RESIDENTS OF RURAL CAYUGA COUNTY, OVER THREE QUARTERS OF PATIENTS ARE PUBLICLY INSURED THROUGH MEDICAID, MEDICARE AND/OR CHIPS. TWO-THIRDS HAVE HOUSEHOLD INCOMES BELOW 200 PERCENT OF THE FEDERAL POVERTY LI NE.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - EAST HILL FAMILY MEDICAL DBA EAST HILL MEDICAL CENTER HEALTH CENTER PROGRAM GRANT #H80CS24163 PROJECT SUMMARY EAST HILL MEDICAL CENTER BASED IN AUBURN, NY SEEKS $500,000 IN YEAR 1 AND $500,000 IN YEAR 2 TO EXPAND HOURS OF OPERATION AT THREE SITES LOCATED AT 144 GENESEE STREET AND 13 NORTH FULTON STREET IN AUBURN NEW YORK. THIS PROJECT EXPANDS ESSENTIAL HEALTHCARE SERVICES IN AUBURN AND CAYUGA COUNTY BY INCREASING PATIENT ACCESS TO PRIMARY CARE FOR CHILDREN AND ADULTS AND DENTAL CARE. NEEDS TO BE ADDRESSED CAYUGA COUNTY, EAST HILL’S PRIMARY SERVICE AREA, IS A HRSA-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA FOR PRIMARY CARE, MENTAL HEALTH AND DENTAL. EXPANSION OF CLINICAL HOURS WILL SUPPORT ONBOARDING OF ADDITIONAL PROVIDERS TO MEET COMMUNITY NEEDS. PATIENT SURVEYS AND COMMUNITY FORUMS SPEAK TO THE NEED FOR MORE PROVIDERS AND EXTENDED HOURS OF OPERATION. WITHIN THE CAYUGA COUNTY HEALTH DEPARTMENT’S 2022-2024 COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN PREPARED WITH AUBURN COMMUNITY HOSPITAL, 30.6% OF OVER 1200 SURVEY RESPONDENTS RATED THE AVAILABILITY OF LOCAL HEALTHCARE SERVICES IN THE COUNTY FAIR TO POOR. NEARLY HALF OF RESPONDENTS (48.4%) SHARED THEY EXPERIENCED LONG WAITS FOR AN APPOINTMENT WITHIN THE LAST THREE YEARS, TRAVELED LONG DISTANCES TO ACCESS CARE (23.3%), HAD DIFFICULTY GETTING TO A MEDICAL APPOINTMENT DUE TO OFFICE HOURS (18.9%), AND/OR DIFFICULTY FINDING A PROVIDER WHO ACCEPTS THEIR INSURANCE (17.5%). EAST HILL EXAMINED 2023 DATA FOR PATIENT VISITS TO URGENT CARE OR EMERGENCY DEPARTMENTS AND DISCOVERED MORE THAN 3,400 VISITS BY PATIENTS TO OVER A DOZEN AREA HOSPITALS AND URGENT CARES, WITH LESS THAN 15% RESULTING IN ADMISSION. EAST HILL AND AUBURN COMMUNITY HOSPITAL RECOGNIZE THE NEED TO WORK COLLABORATIVELY TO REDUCE UNNECESSARY VISITS; AN AGREEMENT IS IN PLACE FOR THIS PURPOSE. THIS PROJECT WILL BENEFIT AREA HOSPITALS INCLUDING AUBURN COMMUNITY HOSPITAL BY DIVERTING NONURGENT EMERGENCY DEPARTMENT VISITS “AFTER HOURS” TO MORE APPROPRIATE AND LESS COSTLY CARE THROUGH EXPANSION OF HEALTH CENTER HOURS. PROPOSED SERVICES EAST HILL WILL EXPAND ITS PRIMARY CARE HOURS TO PROVIDE A MORE CONSISTENT SCHEDULE FOR THOSE FAMILIES LOOKING FOR CARE OUTSIDE OF REGULAR BUSINESS HOURS. EAST HILL WILL PROVIDE PRIMARY CARE FOR ADULTS AND CHILDREN IN THE EVENING FOUR DAYS A WEEK. THE ADULT MEDICINE OFFICE WILL ONBOARD CLINICAL AND NONCLINICAL STAFF TO OFFER HEALTH SERVICES CONSISTENTLY FROM 8 AM TO 8 PM MONDAY THROUGH THURSDAY, ON TOP OF ITS REGULAR HOURS FROM 8 AM TO 4:30 PM. THE ADDITION OF A FAMILY NURSE PRACTITIONER AND RECEPTIONIST AT SUMMIT PEDIATRICS WILL RESULT IN BEING ABLE TO SERVE FAMILIES FROM 8 AM TO 6 PM FOUR DAYS A WEEK, ON TOP OF FRIDAY HOURS FROM 8 AM TO 4:30 PM. THE ADDITIONAL OF A DENTIST, DENTAL ASSISTANT, DENTAL TECHS, AND IN-HOUSE 3D PRINTING TECHNOLOGY WILL HELP ADDRESS THE SEVERE DENTAL PROFESSIONAL SHORTAGE IN THE COUNTY AND EXPAND HOURS AND ACCESS TO SERVICES. SERVING PATIENTS OUTSIDE TRADITIONAL BUSINESS HOURS MAY REQUIRE TRANSPORTATION ASSISTANCE FOR THOSE RELYING ON PUBLIC TRANSPORTATION. POPULATION GROUPS TO BE SERVED THIS PROJECT WILL BENEFIT ALL CURRENT AND FUTURE EAST HILL PATIENTS, WORKING FAMILIES AND MEDICALLY UNDERSERVED RESIDENTS OF RURAL CAYUGA COUNTY. OF THE 8,641 UNIQUE PATIENTS SERVED IN 2023 THROUGH EAST HILL’S FIVE PRACTICES, 51% WERE INSURED THROUGH MEDICAID, 13% THROUGH MEDICARE, 8% DUALLY THROUGH BOTH MEDICAID AND MEDICARE, 4% THROUGH CHIP (MEDICAID), 19% THROUGH PRIVATE INSURANCE, AND 5% WERE UNINSURED. TWO-THIRDS HAVE HOUSEHOLD INCOMES BELOW 200 PERCENT OF THE FEDERAL POVERTY LINE. POPULATIONS OF FOCUS INCLUDE CHILD AND ADOLESCENT YOUTH, JUSTICE-INVOLVED, UNHOUSED OR HOUSING VULNERABLE, LGBTQIA+, BIPOC, FIRST RESPONDERS AND VETERANS.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM