Stigler Health And Wellness Center Inc

HEAD START AND EARLY HEAD START

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY2023 ADULT REENTRY PROGRAM - PROJECT ABSTRACT SUMMARY: EXPANDING EXISTING PROGRAMS, SHWC WILL USE AWARDED ADULT REENTRY PROGRAM FUNDS TO PROVIDE CASE MANAGEMENT AND SUD TREATMENT & RECOVERY SERVICES TO ADULTS IN LOCAL JAILS WITH A DIAGNOSED SUD WHO ARE PREPARING FOR COMMUNITY REENTRY AND TO ADULTS WITH SUD WHO ARE ON PAROLE/PROBATION AND AT RISK OF RE-INCARCERATION. THE TARGET SERVICE AREA WILL BE HASKELL, LATIMER, LEFLORE, PITTSBURG, SEQUOYAH, AND MCINTOSH COUNTIES IN EASTERN OKLAHOMA. APPLICANT INFORMATION: STIGLER HEALTH AND WELLNESS CENTER (SHWC) 1505 E. MAIN ST STIGLER, OK 74462-2913 PHONE: 918-967-3368 EMAIL: CGROTHE@HEALTHWELLNESSOK.COM PROJECT NAME: FY 2023 ADULT REENTRY PROGRAM SHWC CURRENTLY OFFERS SOME SUD TREATMENT AND RECOVERY SERVICES TO JAIL DETAINEES AND MENTAL HEALTH OR DRUG COURT PARTICIPANTS IN LATIMER, HASKELL, MCINTOSH, AND SEQUOYAH COUNTIES. BUT MORE HELP IS NEEDED. TAKING ADVANTAGE OF THE OPPORTUNITY TO INCREASE SERVICES, SHWC WOULD LIKE TO EXPAND CURRENT OPERATIONS TO INCLUDE MORE EXTENSIVE PRE-RELEASE PLANNING FOR INMATES WITH SUBSTANCE USE DISORDERS. WITH EXPANSION, SHWC’S CASE MANAGERS AND PEER RECOVERY SUPPORT STAFF WOULD HAVE OPPORTUNITIES TO IDENTIFY AND ADDRESS UNMET NEEDS OF INCARCERATED INDIVIDUALS BEFORE THEY ARE RELEASED INTO THE COMMUNITY WITHOUT ADEQUATE SUPPORT TO MEET THEIR IMMEDIATE AND SHORT-TERM NEEDS. A POSITION THAT INCREASES THE RISK OF SUBSTANCE USE AND POSSIBLY RECIDIVISM. UPON RELEASE, SHWC’S EXPANDED PROGRAM WILL OFFER IMMEDIATE ACCESS TO BEHAVIORAL HEALTH SERVICES WITH APPOINTMENTS FOR MENTAL HEALTH AND/OR SUBSTANCE USE TREATMENT SERVICES ARRANGED FOR THE DAY OF RELEASE. AS PART OF THE EFFORT TO IMPROVE DECREASE THE RATE OF RECIDIVISM, SHWC STAFF WILL ALSO LINK PROJECT PARTICIPANTS WITH RECOVERY HOUSING. FOR THOSE NEEDING LOW-COST RENTAL HOUSING OR WHO ARE HOMELESS, SHWC WILL LINK THE PARTICIPANT WITH THE LOCAL COMMUNITY ACTION AGENCY WHICH OPERATES AS THE COC LINKAGE IN THE RURAL SERVICE AREA. ADDITIONAL SERVICES OFFERED OVER TIME WILL INCLUDE ACCESS TO JOB TRAINING/DEVELOPMENT (THROUGH A LINKAGE BETWEEN SHWC AND THE REGIONAL WORKFORCE DEVELOPMENT OFFICE), TRANSPORTATION VOUCHERS TO GET TO CONTINUING APPOINTMENTS FOR SUD TREATMENT, WORK, THE GROCERY STORE, MEDICAL/DENTAL SERVICES, OR OTHER PLACES THAT MAY BE IMPORTANT IN HELPING INDIVIDUALS SUCCESSFULLY NAVIGATE THE ROAD TO RECOVERY. GOALS INCLUDE INCREASING THE ABILITY TO IDENTIFY SUD AMONG SENTENCED ADULTS; IMPROVING ACCESS TO SUD TREATMENT; AND BUILDING A NETWORK TO SUPPORT SUCCESSFUL COMMUNITY REENTRY. WITH THIS, SHWC PROJECTS 33-44 PEOPLE WILL BE SERVED YEARLY (FOR A TOTAL OF 209 OVER THE 5-YEAR PERIOD).

AMERICAN RESCUE PLAN

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

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HEALTH CENTER PROGRAM GRANT NUMBER: H80CS04286 BRIEF DESCRIPTION OF THE PROPOSED PROJECT INCLUDING THE NEEDS TO BE ADDRESSED WHILE STIGLER HEALTH & WELLNESS CENTER, INC. (SHWC) HAS MENTAL HEALTH AND SUD PROGRAMS IN PLACE, THE HEALTH CENTER IS REQUESTING FUNDING TO EXPAND CURRENT SERVICES. THIS IS NECESSARY GIVEN OKLAHOMA RANKS 5TH IN THE NATION FOR ANY MENTAL ILLNESS, AND THE STATE’S RATE FOR ANY SUBSTANCE USE DISORDERS IS 16.1%. IN SHWC’S SERVICE AREA AN ESTIMATED 30,986 PEOPLE (18+) NEED BUT ARE NOT RECEIVING BEHAVIORAL HEALTH SERVICES. (WWW.ODMHSAS.ORG/EDA/PREVALENCE.HTM) HIGHLIGHTING WHY WE MUST ACT, THE NATIONAL INSTITUTE ON DRUG ABUSE PUBLISHED A STUDY IN 2022 SHOWING INTENTIONAL DRUG OVERDOSES (SUICIDES) ARE INCREASING AMONG THE ELDERLY POPULATION. AND NATIONAL DATA SHOWS OF THE 2.2 MILLION ADULTS AGED 50+ YEARS, 54% USED MARIJUANA, 28% MISUSED PRESCRIPTION DRUGS, AND 17% USED OTHER ILLICIT DRUG. ON ANOTHER TOPIC, ALZHEIMER’S DISEASE IS A GROWING CONCERN, WITH RECENT DATA SHOWING STATEWIDE, 71,000 PEOPLE AGED 65 AND OLDER ARE LIVING WITH ALZHEIMER’S. ADDED TO THIS, 24,300 FAMILY CAREGIVERS ARE INVOLVED IN DEMENTIA RELATED CARE. OF THESE CAREGIVERS, 57.2% ARE 55 YEARS OLD OR OLDER; 14.2% HAVE FREQUENT POOR MENTAL HEALTH; AND 24.4% HAVE A HISTORY OF DEPRESSION. IN OUR 7-COUNTY SERVICE AREA, AN ESTIMATED 5,100 PEOPLE AGED 65+ ARE LIVING WITH ALZHEIMER’S DEMENTIA. (HTTPS://WWW.AHA.ORG/NEWS/HEADLINE/2022-02-02-STUDY-OVERDOSE-SUICIDES-CLIMBING-AMONG-YOUNG-ELDERLY-AND-BLACK-WOMEN; HTTPS://WWW.ALZ.ORG/PROFESSIONALS/PUBLIC-HEALTH/STATE-OVERVIEW/OKLAHOMA; DHANA ET AL., ALZHEIMER’S & DEMENTIA, 2023; ALZHEIMER’S ASSOCIATION. DEMENTIA CAREGIVING IN OKLAHOMA. DATA FROM THE 2021 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM) IN THE PROPOSED PLAN, SHWC WILL IMPLEMENT A MIXED PRIMARY CARE/HOME-BASED HEALTH PROGRAM TO ADDRESS UNMET BEHAVIORAL HEALTH NEEDS AMONG THE OLDER ADULT (55+ YEARS OLD) POPULATION. KNOWING OLDER ADULTS ARE LIKELY TO AVOID BEHAVIORAL HEALTH ISSUES, SHWC WILL IMPLEMENT PROCEDURES ENTAILING ASSESSMENT OF BEHAVIORAL HEALTH NEEDS/ISSUES FOR EVERY MEDICAL PATIENT AGE 55+. THOSE WHO SCREEN POSITIVE WILL BE CONNECTED WITH BH STAFF USING EXISTING INTERACTIVE SCREENS IN EXAM ROOMS. IN THE HOME SETTING, SHWC WILL UTILIZE COMMUNITY HEALTH WORKERS (CHWS) TO SPEARHEAD A TELEHEALTH PROGRAM FOR THOSE WHO FIND OFFICE VISITS DIFFICULT. THIS SERVICE SHOULD BE ESPECIALLY USEFUL FOR PEOPLE WITH DEMENTIA AND THEIR CAREGIVERS, AS LEAVING THE HOME CAN BE A TRAUMATIC EVENT. PROPOSED SERVICES, AND THE POPULATION GROUP(S) TO BE SERVED SHWC’S EXISTING BH PROGRAM OFFERS OUTPATIENT MENTAL HEALTH SERVICES, OUTPATIENT AND RESIDENTIAL SUD TREATMENT, DETOX SERVICES, AND RECOVERY HOUSING, WITH 30% OF PROVIDERS OFFERING BH SERVICES, INCLUDING MOUD. THAT SAID, SHWC DOES NOT HAVE ANY PROGRAMS DIRECTLY TARGETING OLDER ADULTS, EVEN THOUGH THIS GROUP HAS SIGNIFICANT NEEDS AND UNIQUE CHALLENGES. THUS, SHWC INTENDS TO INITIATE SERVICES TAILORED TO PEOPLE 55 YEARS AND OLDER BY PROVIDING ACCESS TO OFFICE OR HOME-BASED BEHAVIORAL HEALTH SERVICES, DEPENDING ON PATIENT NEEDS. HOW PROPOSED PROJECT WILL: • INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND OVER THE 2-YEAR PROJECT PERIOD, SHWC PROJECTS THIS PROGRAM WILL PROVIDE MENTAL HEALTH SERVICES TO 864 NEW PATIENTS BY THE END OF 2025. IN COMPARISON, INTERNAL DATA SHOWS SHWC PROVIDED 582 PEOPLE IN THE NOTED AGE RANGE BEHAVIORAL HEALTH SERVICES IN THE PAST 12 MONTHS. • INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD DATA SHOWS 5.0% OF MEDICARE PATIENTS IN THE SERVICE AREA HAVE A DRUG USE DISORDER (U.S. RATE IS 3%) AND 3.9% HAVE OUD (U.S. RATE IS 2%). WITH HIGHER THAN NATIONAL PREVALENCE, SHWC PROJECTS 36 NEW PATIENTS WILL RECIVE SUD BY THE END OF 2025, AND OF THESE 11% WILL RECEIVE MOUD SERVICES.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

SHWC MENTAL HEALTH AID TRAINING - PROJECT ABSTRACT SUMMARY: TO INCREASE THE RECOGNITION OF AND RESPONSE TO MENTAL CRISES, STIGLER HEALTH AND WELLNESS CENTER, INC. (SHWC) PLANS TO USE MHAT FUNDS TO PROVIDE MENTAL HEALTH FIRST AID TRAINING FOR LOCAL SCHOOL STAFF, LAW ENFORCEMENT PERSONNEL, EMERGENCY RESPONSE TEAMS AND OTHER INTERESTED PARTIES LIVING AND WORKING IN HASKELL, LATIMER, LEFLORE, PITTSBURG, SEQUOYAH, MUSKOGEE, AND MCINTOSH COUNTIES IN EASTERN OKLAHOMA. APPLICANT INFORMATION: STIGLER HEALTH AND WELLNESS CENTER 1505 E. MAIN ST STIGLER, OK 74462-2913 PHONE: 918-967-3368 CONTACT EMAIL: THUGGINS@THWCINC.COM PROJECT NAME: MENTAL HEALTH AID TRAINING (MHAT) SHWC PLANS TO IMPLEMENT AN AMBITIOUS PROGRAM THAT WILL PROVIDE MENTAL HEALTH FIRST AID TRAINING FOR LOCAL SCHOOL STAFF, LAW ENFORCEMENT OFFICERS, EMERGENCY RESPONDERS, SOCIAL SERVICE AGENCIES, AND POSSIBLY HEAD START FACILITY STAFF IN A 7-COUNTY AREA IN RURAL OKLAHOMA. BY FOCUSING ON THE PRECEDING GROUPS, SHWC WILL PROVIDE MONTHLY MENTAL HEALTH FIRST AID TRAINING SESSIONS TO PEOPLE WHO WILL BE INTERACTING WITH THE POPULATION OF FOCUS – CHILDREN WITH UNRECOGNIZED OR UNDIAGNOSED MENTAL HEALTH ISSUES, ADULTS WITH ANY MENTAL ILLNESS, ESPECIALLY THOSE NOT CURRENTLY RECEIVING TREATMENT, AND INDIVIDUALS WITH CO-OCCURRING MENTAL HEALTH/SUBSTANCE ABUSE ISSUES – AND WHO MIGHT BE THE LINK TO GUIDING INDIVIDUALS IN CRISIS INTO APPROPRIATE CARE SETTINGS. WHILE DEMOGRAPHIC DATA AND CLINICAL CHARACTERISTICS OF THE POPULATION WITH MENTAL HEALTH ISSUES IS DIFFICULT TO COME BY FOR RURAL OKLAHOMA COMMUNITIES, DATA FROM THE OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (ODMHSAS) SHOWS IN THE 7-COUNTY SERVICE AREA, 17,073 PEOPLE OF ALL AGES (7,388 CHILDREN AGED 0-17 YEARS, AND 9,653 ADULTS AGED 18+ YEARS) RECEIVED ODMHSAS-FUNDED SERVICES IN FY2020. OF GREATER CONCERN, DATA FROM THE SAMHSA BEHAVIORAL HEALTH BAROMETER: OKLAHOMA, VOLUME 6 REPORT SUGGESTS THE NUMBER OF PEOPLE IN NEED OF SERVICES IS MUCH HIGHER; AMONG YOUTH AGED 12–17 DURING 2016–2019 WITH A MAJOR DEPRESSIVE EPISODE (MDE) IN THE PAST YEAR, JUST 40.0% RECEIVED DEPRESSION CARE IN THE PAST YEAR, AND AMONG ADULTS 18+, THE AVERAGE ANNUAL PERCENTAGE WITH ANY MENTAL ILLNESS WHO RECEIVED MENTAL HEALTH SERVICES IN THE PAST YEAR WAS 42.7% (2017-2019). PROJECT GOALS INCLUDE PROVIDING 500 COMMUNITY MEMBERS WITH MHFA TRAINING EACH YEAR OF THE PROJECT, WITH THE TOTAL NUMBER OF PEOPLE TRAINED PROJECTED TO BE 2,500 OVER THE LIFE OF THE PROJECT.

RURAL HEALTH OPIOID PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

ACCELERATING CANCER SCREENING - STIGLER HEALTH & WELLNESS CENTER, INC. ADDRESS: 1505 E. MAIN STIGLER, OK 74462-2913 PROJECT DIRECTOR: TERESA HUGGINS, CEO CONTACT NUMBERS: (VOICE) 918-967-3368 (FAX) (918) 967-4582 EMAIL: THUGGINS@HEALTHWELLNESSOK.COM WEBSITE: HTTPS://HEALTHWELLNESSOK.COM/ LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: $379,414.22 GRANT NUMBER: H80CS04286 DESCRIPTION OF THE PROPOSED PROJECT. WITH CANCER MORTALITY BEING HIGH THROUGHOUT OKLAHOMA, STIGLER HEALTH & WELLNESS CENTER, INC. (SHWC) IS STEPPING UP ITS EFFORTS TO IMPROVE CANCER SCREENING RATES IN HASKELL, LATIMER, LEFLORE, MCINTOSH, MUSKOGEE, PITTSBURG AND SEQUOYAH COUNTIES; A PRIMARILY RURAL REGION OF EASTERN OKLAHOMA WHERE FAR TOO MANY PEOPLE ARE FORGOING CANCER SCREENING. FOR THE PROPOSED PROJECT, SHWC INTENDS TO FOCUS ON IMPROVING SCREENING AND REFERRAL RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCER BY TARGETING WOMEN 25 – 65 YEARS OLD FOR CERVICAL CANCER SCREENING (EXCLUDING WOMEN WHO HAVE HAD CERVIX REMOVED FOR NON-CANCER RELATED REASONS); WOMEN 45- 70 OLD FOR BREAST CANCER SCREENING (UPPER AGE RANGE MAY CHANGE BASED ON LIFE EXPECTANCY); AND ALL PATIENTS 45-75 YEARS OLD FOR COLORECTAL CANCER SCREENING. AS IT CURRENTLY CAN TAKE 3 WEEKS OR LONGER TO RECEIVE FOLLOW-UP CARE RELATED TO ABNORMAL CANCER SCREENING TESTS, SHWC WILL ALSO WORK WITH STEPHENSON CANCER CENTER STAFF TO DEVELOP MORE EFFICIENT AND EFFECTIVE PROTOCOLS AND PRACTICES FOR REFERRAL AND FOLLOW-UP CARE. SUMMARY OF HOW PROJECT INCREASES ACCESS AND ADDRESSES BARRIERS TO CANCER SCREENING AND REFERRAL TO CARE GIVEN THE FACT THAT CANCER SCREENING SERVICES ARE AVAILABLE IN THE REGION, ALTHOUGH NOT PLENTIFUL, THE PROPOSED PROJECT WILL PUT GREAT FOCUS ON ADDRESSING BARRIERS TO CARE THAT LIMIT ACCESS TO SCREENING AND FOLLOW-UP CARE FOR THE LOW-INCOME POPULATION WHILE SIMULTANEOUSLY ADDRESSING THE HEALTH CENTER’S PATIENT ENGAGEMENT STRATEGIES AND WORK FORCE NEEDS. TO ADDRESS BARRIERS TO CARE, SHWC AND THE CANCER CENTER WILL BUILD BETTER LINKAGES TO PROGRAMS THAT MAKE LOW COST/NO-COST CANCER SCREENING AND CARE AND TREATMENT AVAILABLE. ON SHWC’S PART, THE HEALTH CENTER WILL UTILIZE THE UNITE US PLATFORM TO LINK WITH OVER 400 SOCIAL SERVICE/HEALTH-RELATED AGENCIES IN OKLAHOMA, ENSURING PATIENTS HAVE ACCESS TO ALMOST ANY TYPE OF ASSISTANCE THEY MAY NEED TO FREE UP THEIR MIND AND SPIRIT WHEN CONFRONTED WITH THE POSSIBILITY OF A GREATLY FEARED DIAGNOSIS. TO ADDRESS WORK FORCE NEEDS, SHWC WILL ALSO HIRE A PATIENT NAVIGATOR, A SCREENING COORDINATOR AND A PATIENT ACCESS CENTER SCREENING SPECIALIST (TO HANDLE SCHEDULING), ALL OF WHOM WILL RECEIVE TRAINING AND MENTORING FROM STEPHENSON CANCER CENTER STAFF. THE CANCER CENTER WILL ALSO PROVIDE ADDITIONAL TRAINING FOR SHWC’S INTEGRATED CARE SPECIALISTS AND CARE COORDINATORS, AND MAY PROVIDE SHWC WITH SPECIALIZED CANCER SCREENING TEMPLATES FOR USE WITH THE HEALTH CENTER’S CARE MESSAGE SYSTEM – A BI-DIRECTIONAL SYSTEM THAT WILL ALLOW SHWC TO SEND PATIENT REMINDERS AND OTHER CONTENT RECOMMENDING ON-TIME CANCER SCREENINGS. DESCRIPTION OF PROPOSED PARTNERSHIPS, INCLUDING WITH AN NCI-DESIGNATED CANCER CENTER FOR THIS PROJECT, SHWC IS PARTNERING ONLY WITH THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER, STEPHENSON CANCER CENTER, OKLAHOMA’S ONLY NCI-DESIGNATED CANCER CENTER. IN THIS PARTNERSHIP, THE CANCER CENTER WILL DEPLOY OUTREACH SPECIALIST AND A PATIENT NAVIGATOR TO SHWC’S SERVICE AREA QUARTERLY. AS A ADDITIONAL MEANS OF IMPROVING COMMUNICATION BETWEEN THE ORGANIZATIONS, LEADERS AND STAFF FROM BOTH SHWC AND THE CANCER CENTER WILL ALSO ENGAGE IN BI-MONTHLY VIRTUAL MEETINGS TO DISCUSS CHALLENGING ISSUES BEING ENCOUNTERED IN RELATION TO INCREASING CANCER SCREENING RATES AND DEVELOPING EFFICIENT AND EFFECTIVE REFERRAL FOR CARE AND TREATMENT PRACTICES.

RURAL HEALTH OPIOID PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FISCAL YEAR 2025 EXPANDED HOURS. - HEALTH CENTER PROGRAM GRANT NUMBER: H80CS04286 DESCRIPTION OF PROJECT INCLUDING NEEDS TO BE ADDRESSED WHILE STIGLER HEALTH & WELLNESS CENTER, INC. (SHWC) OFFERS EARLY MORNING HOURS (CLINICS OPEN AT 07:30 A.M. MONDAY THROUGH FRIDAY), THE HEALTH CENTER IS REQUESTING FUNDING TO EXPAND HOURS EVEN MORE. IN RESPONSE TO PATIENT STATEMENTS (IN-PERSON AND VIA PATIENT SURVEY COMMENTS), SHWC WOULD LIKE TO OPEN 6 OF OUR EXISTING CLINIC SITES AT 07:00 A.M. THIS WOULD MAKE IT MUCH EASIER FOR FAMILIES WITH SCHOOL AGE CHILDREN AND ADULTS WORKING FROM 8:00 A.M. TO 5:00 P.M. TO ACCESS CARE. IN ADDITION, THE EARLIER TIME FRAME MEETS THE NEEDS AND WISHES OF OUR OLDER ADULT POPULATION, MANY OF WHOM PREFER TO ACCOMPLISH DAILY TASKS AS EARLY IN THE DAY AS POSSIBLE. PROPOSED SERVICES ACKNOWLEDGING THAT 30 MINUTES A DAY DOES NOT SOUND LIKE A LOT OF TIME, SHWC NOTES THIS EXTRA TIME WILL MAKE A BIG DIFFERENCE FOR OUR PATIENTS. AS PLANNED, THE FOLLOWING STAFF WILL BE AVAILABLE TO PROVIDE SERVICES DURING THIS ADDITIONAL WINDOW OF TIME: 1. SALLISAW CLINIC WILL ADD A COMMUNITY HEALTH WORKER (CHW) TO PERFORM HEALTH RISK AND SOCIAL DETERMINANT OF HEALTH ASSESSMENTS, 2 NURSES TO DRAW BLOOD FOR NEEDED LAB TESTS, A PATIENT CARE MANAGER TO PROVIDE CARE COORDINATION AND HEALTH RISK ASSESSMENTS, AND A REGISTRATION STAFF MEMBER TO ENSURE ALL PATIENTS ARE PROPERLY LOGGED INTO THE SYSTEM; 2. WILBURTON SITE WILL ADD A CHW (ASSESSMENTS), A NURSE (LABS), AND REGISTRATION STAFF MEMBER; 3. CHECOTAH CLINIC WILL ADD A PATIENT CARE MANAGER (CARE COORDINATION/ASSESSMENTS) AND A REGISTRATION STAFF MEMBER; 4. STIGLER CLINIC WILL ADD 2 NURSES (LABS), 2 PATIENT CARE MANAGERS (CARE COORDINATION), AND A REGISTRATION STAFF MEMBER; 5. EUFAULA CLINIC WILL ADD 4 NURSES (LABS), AND A REGISTRATION STAFF MEMBER, AND; 6. POTEAU CLINIC WILL ADD 3 NURSES (LABS), AND A REGISTRATION STAFF MEMBER. POPULATION TO BE SERVED WHILE THE EXPANDED HOURS WILL BE AVAILABLE TO ANY ONE WHO WANTS OR NEEDS TO ACCESS CARE AS EARLY AS POSSIBLE, SHWC BELIEVES THE 7:00 A.M. START TIME WILL BE MOST BENEFICIAL FOR OUR ELDERLY PATIENTS WHO PREFER TO START THE DAY EARLY, PEOPLE NEEDING LAB TESTS DONE, ESPECIALLY THOSE WHO MUST REFRAIN FROM EATING OR DRINKING PRIOR TO THE BLOOD DRAW (NO ONE LIKES TO HAVE THEIR FOOD AND FLUID INTAKE LIMITED), PARENTS WHO ARE TRYING TO GET THEIR CHILD IN FOR A VISIT BEFORE THE SCHOOL DAY STARTS, AND PEOPLE WITH JOBS THAT DO NOT OFFER THE FLEXIBILITY TO TAKE TIME OFF FOR A DOCTOR VISIT AND THOSE WHO SIMPLY CANNOT ABSORB ANY LOSS IN PAY. THIS IS ESPECIALLY TRUE WHEN ONE CONSIDERS A DOCTOR’S APPOINTMENT THAT STARTS AT 8:00 A.M. CAN EASILY RUN UNTIL 9:00 A.M., AND BY THE TIME THE PERSON GETS TO WORK THEY HAVE LOST 2 OR EVEN 3 HOURS OF PAY. BRIEF SUMMARY OF HOW PROPOSAL FOR INCREASING HOURS OF OPERATION WILL MEET IDENTIFIED NEEDS BY OPENING 6 CLINIC SITES AT 7:00 A.M. VERSUS 7:30 A.M. FIVE DAYS A WEEK, SHWC CAN ADD 15 MORE HOURS OF SERVICE A WEEK, WITH THE ADDED CAPACITY SPREAD ACROSS THE SERVICE AREA. IN THIS PLAN, THE ONLY CLINIC NOT EXPANDING EARLY MORNING HOURS WILL BE THE WARNER CLINIC (MUSKOGEE COUNTY), SHWC’S SMALLEST CLINIC AND A SITE WHERE THE PATIENT POPULATION HAS NOT VOICED A NEED FOR MORE HOURS. AS TO HOW THE PROPOSED CHANGE WILL MEET IDENTIFIED NEEDS, IN OPENING EARLIER SHWC CAN ENSURE THE PATIENTS WITH THE GREATEST NEED HAVE ADEQUATE TIME TO COMPLETE SDOH AND HEALTH RISK ASSESSMENTS PRIOR TO SEEING THE PROVIDER, THEREBY IMPROVING THE SERVICES THAT ARE PROVIDED. AFTER ALL, QUALITY CARE CANNOT BE PROVIDED IF PROVIDERS AND STAFF LACK THE FULL SCOPE OF PATIENT/FAMILY NEEDS. ON A DIFFERENT FRONT, BY OPENING EARLIER, FAMILIES TRYING TO GET CHILDREN TO SCHOOL, PEOPLE TRYING TO GET TO WORK ON TIME, AND WORKERS WHO CANNOT AFFORD A LOSS IN PAY CAN BE READY TO SEE THE PROVIDER EARLIER, MEANING APPOINTMENTS CAN BE COMPLETED SOONER, THUS LIMITING IMPACTS ON SCHOOL OR WORK ATTENDANCE.

ENDING THE HIV/AIDS EPIDEMIC (ETHE) PLANNING PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM