Sunset Park Health Council Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

CAPITAL DEVELOPMENT

ENHANCED TREATMENT AND RECOVERY (ENTRY) PROGRAM - SUNSET PARK MENTAL HEALTH CENTER, PART OF THE SUNSET PARK HEALTH COUNCIL, INC., DBA THE FAMILY HEALTH CENTERS AT NYU LANGONE (FHC) BEHAVIORAL HEALTH PROGRAM (BHP), IS A NYS OFFICE OF MENTAL HEALTH CERTIFIED CMHC. SAMHSA FUNDING WILL SERVE CHILDREN, ADOLESCENTS, AND ADULTS WITH SED, SMI, AND COD THROUGH THE ENHANCED TREATMENT AND RECOVERY (ENTRY) PROGRAM, LED BY DR. W. GORDON FRANKLE, PRINCIPAL INVESTIGATOR. COMMUNITY RESIDENTS ARE PREDOMINANTLY MINORITY (HISPANIC/LATINO, AFRICAN AMERICAN, AND ASIAN IMMIGRANTS) FACING SOCIOECONOMIC AND SOCIOCULTURAL BARRIERS TO CARE. THE ENTRY PROGRAM WILL: GOAL 1. STRENGTHEN TRAUMA-INFORMED SCREENING, ASSESSMENT, DIAGNOSIS, PATIENT-CENTERED TREATMENT PLANNING, AND TREATMENT DELIVERY. OBJ.1.1. IDENTIFY AND HIRE 12 CLINICAL AND ADMINISTRATIVE STAFF BY MONTH 3. OBJ.1.2. CONDUCT INITIAL TRAINING IN TRAUMA-INFORMED CARE, STIGMA REDUCTION, CONFIDENTIALITY, AND CULTURAL COMPETENCY TO ALL STAFF SUPPORTING PROGRAM IMPLEMENTATION BY MONTH 3. OBJ.1.3. IDENTIFY STAFF TO LEAD PARTICIPANT OUTREACH AND RECRUITMENT ACTIVITIES BY MONTH 3. OBJ.1.4. OPTIMIZE RAPPORT AND SUSTAIN PROCEDURES WITH REFERRING ORGANIZATIONS BY MONTH 4. OBJ. 1.5. CONDUCT NEW PATIENT OUTREACH TO 1000 UNDUPLICATED COMMUNITY MEMBERS WITHIN THE SERVICE AREA BY MONTH 12 ANNUALLY. OBJ. 1.6. SCREEN, ASSESS, DIAGNOSE, AND TREAT 500 UNDUPLICATED PATIENTS BY MONTH 12 ANNUALLY. GOAL 2. STRENGTHEN THE IMPLEMENTATION OF OUTPATIENT SERVICES AND ONGOING PATIENT MONITORING. OBJ.2.1. ESTABLISH DEDICATED PATHWAYS OF TREATMENT FOR THOSE WITH SED/SMI/COD, AND/OR TRAUMA EXPOSURE TO REDUCE BARRIERS TO OUTPATIENT CARE BY MONTH 4. OBJ.2.2. PROVIDE INDIVIDUALIZED PSYCHOEDUCATION TO THE PARTICIPANT ON DIAGNOSIS, EARLY INTERVENTION, ADHERENCE TO TREATMENT, AND RECOVERY BY MONTH 4. OBJ.2.3. PROVIDE CLINICAL AND RECOVERY SUPPORT FACILITATED BY 2 PEER NAVIGATORS BY MONTH 4. OBJ.2.4. CONDUCT ONGOING DIDACTIC STAFF TRAINING IN EVIDENCE-BASED PRACTICES RELEVANT TO SED/SMI/COD/TRAUMA BEGINNING IN MONTH 4. OBJ.2.5. SUSTAIN AND EXPAND THE EXISTING TECHNICAL INFRASTRUCTURE TO PROVIDE AUDIO AND AUDIO-VISUAL HIPAA COMPLIANT TELEHEALTH VIA A COMMUNITY-BASED MOBILE TELEHEALTH TEAM BY MONTH 6. OBJ.2.6. ESTABLISH A LAI AND CLOZAPINE CLINIC BY MONTH 6. GOAL 3. ADDRESS STAFF MENTAL HEALTH NEEDS THROUGH EVIDENCE-INFORMED PROTOCOLS AND RESOURCES. OBJ.3.1. 30 FHC BHP STAFF PER MONTH WILL COMPLETE TRAINING ON EVIDENCE-BASED SELF-CARE PRACTICES FOR HEALTH CARE PROVIDERS BY MONTH 4, FROM THE SAMHSA FUNDED MENTAL HEALTH TECHNOLOGY TRANSFER CENTER NETWORK - PROVIDER WELL-BEING INITIATIVE. OBJ.3.2. MONTHLY STAFF WELLNESS AND RESILIENCY PROGRAMMING ALONG WITH A CONSULTANT FOR STAFF SUPPORT AND WELLNESS WILL BE IMPLEMENTED BY MONTH 6. OBJ.3.3. IMPLEMENT A CAMPAIGN TO INCREASE AWARENESS OF PROVIDER BURNOUT AND IDENTIFY REMEDIES ON HOW TO REDUCE BURNOUT/IMPROVE WELL-BEING BY MONTH 4. THE PROGRAM WILL SERVE 500 UNDUPLICATED PERSONS ANNUALLY FOR A TOTAL OF 1,000 PERSONS (YEARS 1-2).

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

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

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

MAT-PDOA 2.0 - SUNSET PARK HEALTH COUNCIL, INC., DBA FAMILY HEALTH CENTERS AT NYU LANGONE (FHC) SERVES BROOKLYN RESIDENTS ACROSS A VAST NETWORK OF COMMUNITY-BASED CLINICS AND PROGRAMS. THE FHC AT MAT-PDOA 2.0 PROGRAM WILL RECRUIT AND SERVE ADULTS WITH OUD, COMORBID CHRONIC DISEASE, COD, AND SUD, AS WELL AS PERSONS LIVING WITH HIV/AIDS AND CHRONIC MENTAL HEALTH CONCERNS, WITH A FOCUS ON LATINO AND MARGINALIZED COMMUNITIES (I.E., MANDARIN- AND ARABIC-SPEAKING). FHC WILL IMPLEMENT THE PROPOSED PROGRAM FULFILLING SAMHSA’S PURPOSE TO EXPAND ACCESS TO MAT SERVICES FOR THE TARGET POPULATION SEEKING OR RECEIVING MAT. - GOAL 1. INCREASE THE NUMBER OF ADULTS WITH OUD RECEIVING MAT. - OBJECTIVE 1. BY MONTH 4 (1/30/2022) DEVELOP OUTREACH AND ENGAGEMENT STRATEGIES DELIVERED BY PROGRAM STAFF TO INCREASE CLIENT PARTICIPATION IN AND ACCESS TO MAT. - OBJECTIVE 2. BY MONTH 4 (1/30/2022) DEVELOP A PLAN TO ROUTINELY CHECK THE NEW YORK STATE “I-STOP” (PMP) FOR EACH NEW PATIENT ADMISSION IN COMPLIANCE WITH NYS REGULATIONS. - OBJECTIVE 3. ANNUALLY SCREEN A MINIMUM OF 5,000 PATIENTS ACROSS THE FHC NETWORK TO DETERMINE RISK FOR OUD, SUD, COD, AND MENTAL DISORDERS AS WELL AS THE DELIVERY/COORDINATION OF ANY SERVICES DETERMINED TO BE NECESSARY FOR THE INDIVIDUAL PATIENT TO ACHIEVE AND SUSTAIN RECOVERY. - OBJECTIVE 4. ANNUALLY ASSESS A MINIMUM OF 100 PATIENTS TO DETERMINE PERSONS SPECIFICALLY MEETING THE DIAGNOSTIC CRITERIA FOR OUD RELATIVE TO MAT. - OBJECTIVE 5. BY THE END OF YEAR 5 (9/29/2026) PROVIDE MAT USING BUPRENORPHINE/NALOXONE IN COMBINATION WITH COMPREHENSIVE OUD PSYCHOSOCIAL SERVICES FOR A TOTAL OF 250 PARTICIPANTS. - OBJECTIVE 6. BY THE END OF YEAR 1 (9/29/2022) INCREASE THE NUMBER OF: A) PROVIDERS RECEIVING TRAINING, B) PROVIDERS WHO OBTAIN A DATA WAIVER, AND C) WAIVERED PROVIDERS ACTUALLY PRESCRIBING BUPRENORPHINE FOR PARTICIPANTS WITH OUD. - GOAL 2. PREVENT DIVERSION THROUGH STAFF ADHERENCE TO PROGRAM PROTOCOLS FOR PARTICIPANTS WITH OUD RECEIVING MAT. - OBJECTIVE 1. BY MONTH 6 (3/31/2022) EXPAND AND IMPLEMENT A PLAN TO MITIGATE DIVERSION RISK AND ENSURE THE APPROPRIATE USE/DOSE OF MEDICATION BY PARTICIPANTS. - GOAL 3. DECREASE ILLICIT OPIOID DRUG USE AND PRESCRIPTION OPIOID MISUSE, AS MEASURED BY PARTICIPANTS’ SIX-MONTH FOLLOW-UP VISIT DATA (WITH AN EXPECTED 80% SIX-MONTH FOLLOW-UP RATE). - OBJECTIVE 1: BY MONTH 4 (1/30/2022) USE TELEHEALTH TO SUPPORT: A CONSULTATION MODEL BETWEEN NEWLY TRAINED AND NEWLY WAIVERED PHYSICIANS/ADVANCED PRACTICE CLINICIANS AND THE PROJECT DIRECTOR/MEDICAL DIRECTOR AND PHYSICIAN CHAMPION; AND TELEPSYCHIATRY CONSULTATIONS AND/OR ASSESSMENTS WITH PARTICIPANTS WITH COD, ESPECIALLY OUD. - OBJECTIVE 2: BY MONTH 6 (3/31/2022) PROVIDE PEER NAVIGATION SERVICES TO IMPROVE ACCESS TO AND RETENTION IN MAT AND LONG-TERM RECOVERY. - OBJECTIVE 3: BY MONTH 6 (3/31/2022) COLLABORATE WITH THE NYU LANGONE HOSPITAL-BROOKLYN ED AND CONSULTATION LIAISON PSYCHIATRY SERVICE TO SUPPORT A ROBUST AND INTEGRATED SERVICE DELIVERY MODEL, MORE EFFECTIVELY ABLE TO IDENTIFY, ENGAGE, AND RETAIN INDIVIDUALS IN SUD/COD/OUD TREATMENT AND FACILITATE LONG-TERM RECOVERY. - PROGRAM STAFF WILL ANNUALLY SCREEN A MINIMUM OF 5,000 INDIVIDUALS; AND OF THOSE SCREENED, IDENTIFY 250 UNDUPLICATED INDIVIDUALS (50 PER YEAR) OVER THE 5-YEAR PERIOD FOR TREATMENT AND SERVICES.

ARRA - CAPITAL IMPROVEMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - - NAME OF THE TRAINING PROGRAM/TITLE: FHC INTERNAL MEDICINE RESIDENCY PROGRAM EXPANSION - DISCIPLINE OF RESIDENCY PROGRAM: INTERNAL MEDICINE - TYPE OF APPLICATION: THCGME EXPANSION APPLICANT - ELIGIBLE ENTITY TYPE: SUNSET PARK HEALTH COUNCIL, INC. (DBA FAMILY HEALTH CENTERS AT NYU LANGONE OR FHC), FEDERALLY QUALIFIED HEALTH CENTER, FHC OPERATES THE RESIDENCY PROGRAM ALONE NOT AS A GME CONSORTIUM - ADDRESS: 150 55TH STREET, BROOKLYN, NY 11220-2508 - PRINCIPAL INVESTIGATOR: RAMIRO JERVIS, MD, RESIDENCY PROGRAM DIRECTOR - CONTACT PHONE NUMBER: (VOICE) 718-630-7095 - EMAIL ADDRESS: RAMIRO.JERVIS@NYULANGONE.ORG - WEBSITE ADDRESS: HTTPS://NYULANGONE.ORG/LOCATIONS/FAMILY-HEALTH-CENTERS-AT-NYU-LANGONE - YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: JULY 2014 - TOTAL FTE POSITIONS REQUESTED TO BE FUNDED FOR ALL YEARS OF TRAINING: FUNDING IS REQUESTED TO SUPPORT 54 FTES ACROSS FOUR YEARS: SIX (YEAR 1), 12 (YEAR 2), 18 (YEAR 3), AND 18 (YEAR 4) - FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023: 6 (6-0-0) - ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $8,640,000 - OVERVIEW OF RESIDENCY PROGRAM: AS A PRINCIPAL PROVIDER OF PRIMARY CARE IN BROOKLYN, SUNSET PARK HEALTH COUNCIL, INC. (DBA FAMILY HEALTH CENTERS AT NYU LANGONE OR FHC), IS THE INSTITUTIONAL SPONSOR OF AN ACCREDITED ACGME INTERNAL MEDICINE RESIDENCY PROGRAM, LED BY RAMIRO JERVIS, MD, RESIDENCY PROGRAM DIRECTOR. FHC IS APPROVED BY ACGME TO SUPPORT 18 INTERNAL MEDICINE RESIDENT POSITIONS AND ALL POSITIONS HAVE BEEN FILLED FOR AY 2021-2022 (12 OF WHICH ARE CURRENTLY SUPPORTED WITH THCGME FUNDS). FHC PROPOSES TO DOUBLE ITS RESIDENT FTES IN THE EXISTING INTERNAL MEDICINE RESIDENCY PROGRAM, EXPANDING BY SIX FTES IN EACH YEAR (PGY1, PGY2, PGY3) FOR A TOTAL OF 18 NEW THCGME-SUPPORTED RESIDENT FTES AT THE END OF THE PERIOD OF PERFORMANCE. THE FULL BREADTH OF FHC CLINICS WILL BE UTILIZED IN RESIDENCY ROTATIONS FOR THE PROPOSED THCGME PROGRAM, INCLUDING NINE PRIMARY CARE AND SP ECIALTY CLINICS AND 12 COMMUNITY MEDICINE SITES WHICH SERVE INDIVIDUALS EXPERIENCING HOMELESSNESS. THE ADULT MEDICINE-SUNSET PARK FHC LOCATION (150 55TH STREET, BROOKLYN, NY 11220) WILL SERVE AS THE PRIMARY TRAINING SITE WITH NYU LANGONE-HOSPITAL BROOKLYN AS A HOSPITAL TRAINING PARTNER. THE INTERNAL MEDICINE RESIDENCY’S MISSION AND CORE PURPOSE IS TO TRAIN RESIDENTS TO BE HIGHLY PROFICIENT IN COMMUNITY-BASED CARE FOR THE MEDICALLY UNDERSERVED AND VULNERABLE, WITH AN ACUTE UNDERSTANDING OF HEALTH DISPARITIES. PROGRAM EXPANSION WILL ALLOW FOR A DEEPER FOCUS ON ACHIEVING HEALTH EQUITY, CONDUCTING COMMUNITY-BASED RESEARCH, AS WELL AS THE SKILLS REQUIRED TO SUPPORT TRANSITIONS IN CARE, FROM HOSPITAL TO HOME. AS ONE OF THE LARGEST FQHC NETWORKS IN THE U.S., FHC DRAWS PATIENTS FROM COMMUNITIES THROUGHOUT BROOKLYN (KINGS COUNTY). THE PRIMARY SERVICE AREA INCLUDES THE NEIGHBORHOODS OF SUNSET PARK, EAST FLATBUSH-FLATBUSH, PARK SLOPE, RED HOOK, BROWNSVILLE, AND BEDFORD STUYVESANT-CROWN HEIGHTS (ACROSS 14 ZIP CODES) WITH OVER 900,000 RESIDENTS. SUNSET PARK, EAST FLATBUSH-FLATBUSH, AND BEDFORD STUYVESANT-CROWN HEIGHTS ARE HRSA-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS FOR PRIMARY CARE. THE SUNSET TERRACE FHC LOCATION, THE NETWORK HUB OF CO-LOCATED PRIMARY CARE INCLUDING HIV/AIDS PRIMARY CARE AS WELL AS BEHAVIORAL HEALTH CARE SERVICES, IS LOCATED IN A MEDICALLY UNDERSERVED AREA. IN 2020, FHC SERVED 131,237 PATIENTS, A POPULATION COMPRISED OF PREDOMINANTLY MINORITY HOUSEHOLDS WITH LARGE SUBPOPULATIONS OF HISPANIC/LATINO, AFRO-CARIBBEAN, RUSSIAN, ARABIC, AND CHINESE IMMIGRANTS. THE SUNSET PARK NEIGHBORHOOD RANKS NEAR THE BOTTOM (54TH) OF ALL NYC NEIGHBORHOODS (59 TOTAL) IN SELF-REPORTED HEALTH STATUS. SOCIAL DETERMINANTS OF HEALTH (I.E., LOW EDUCATIONAL ATTAINMENT, UNSTABLE HOUSING, POOR PHYSICAL NEIGHBORHOOD CONDITIONS, DISPROPORTIONATE INCARCERATION RATES, PATTERNS OF RESIDENTIAL SEGREGATION) CONTRIBUTE TO HIGH INCIDENCE AND PREVALENCE

HEALTHY FUTURES: A HIGH-IMPACT, CULTURALLY COMPETENT HIV PREVENTION PROGRAM SERVING MSM IN BROOKLYN, NEW YORK - SUNSET PARK HEALTH COUNCIL, INC. (DBA FAMILY HEALTH CENTERS AT NYU LANGONE ABBREVIATED FHC) SERVES MORE THAN 900,000 RESIDENTS IN ITS NETWORK OF EIGHT HEALTH CENTERS AND DENTAL CLINICS. AS A CONTINUATION OF THE STRONG PROGRESS UNDER CDC PS10-1003 AND PS15-1502, FHC WILL IMPLEMENT CDC PS21-2102 ?COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM FOR COMMUNITY-BASED ORGANIZATIONS? TARGETING MSM WHO ARE OF HISPANIC/LATINO ORIGIN AND/OR WHO ARE BLACK, MULTI-RACIAL, OR OF UNKNOWN RACE) WHO IDENTIFY AS MALE OR TRANSGENDER (MALE TO FEMALE) AGES 13-49 YEARS. TOGETHER, FHC AND ITS THREE COMMUNITY-BASED PARTNERS (TURNING POINT, BROOKLYN IN SUNSET PARK; BROOKLYN COMMUNITY PRIDE CENTER IN BEDFORD-STUYVESANT; AND JENNIFER ORELLANA, AN OUTREACH CONSULTANT FOCUSING ON HISPANIC/LATINO MSM AND TRANSGENDER INDIVIDUALS) WILL FULFILL A PRIMARY PURPOSE TO ENHANCE THEIR INDIVIDUAL AND COLLECTIVE CAPACITY TO INCREASE HIV TESTING AND REFERRALS TO PARTNER SERVICES; LINK PERSONS WITH HIV TO HIV MEDICAL CARE AND ART; PROVIDE/REFER PREVENTION/ESSENTIAL SERVICES; AND INCREASE PROGRAM MONITORING AND ACCOUNTABILITY. ULTIMATELY, THIS PROGRAM WILL REDUCE HIV TRANSMISSION, INCREASE ACCESS TO CARE, AND IMPROVE HEALTH OUTCOMES (REDUCING MORBIDITY, MORTALITY, AND HEALTH RELATED DISPARITIES) IN ALIGNMENT WITH NYS?S INTEGRATED HIV PREVENTION AND CARE PLAN (2017-2021). IMPLEMENTATION OF THE COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM IN THE BROOKLYN SERVICE AREA (INCLUSIVE OF 12 ZIP CODES ACROSS SUNSET PARK, DOWNTOWN RED HOOK?PARK SLOPE, CROWN HEIGHTS, EAST FLATBUSH, FLATBUSH, BOROUGH PARK AND BAY RIDGE) IS FULLY ALIGNED WITH THE ENDING THE HIV EPIDEMIC INITIATIVE AND CDC DIVISION OF HIV/AIDS PREVENTION STRATEGIC PLAN TO: REDUCE THE NUMBER OF PEOPLE DIAGNOSED WITH HIV; INCREASE ACCESS TO CARE AND OPTIMIZE HEALTH OUTCOMES FOR PEOPLE WITH HIV; AND REDUCE HIV-RELATED HEALTH DISPARITIES. IN THE SHORT-TERM, FHC PROPOSES TO SUPPORT ROBUST: 1) DIAGNOSIS, 2) TREATMENT, 3) PREVENTION, 4) RE SPONSE, AND 5) PROGRAM PROMOTION, RECRUITMENT, AND OUTREACH. THE LONG-TERM OUTCOMES WILL INCLUDE: REDUCING HIV INCIDENCE, IMPROVED HEALTH OUTCOMES FOR PERSONS IN THE TARGET POPULATION WITH DIAGNOSED HIV; REDUCED HIV-RELATED HEALTH DISPARITIES; AND REDUCED DEATH AMONG THE TARGET POPULATION. FHC IS COMMITTED TO QUALITY IMPROVEMENT AND IS CONSTANTLY STRIVING TO PROVIDE THE HIGHEST LEVEL OF HIV PREVENTION AND PREVENTIVE PRIMARY CARE BY ASSESSING ALL ASPECTS OF SERVICE PROVISION, DEVELOPING QUALITY IMPROVEMENT PROTOCOLS, MEASURING OUTCOMES, AND IMPLEMENTING QUALITY IMPROVEMENT STRATEGIES BASED ON THESE OUTCOMES.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

COMMUNITY HEALTH WORKER TRAINING PROGRAM - - ADDRESS: 150 55TH STREET, BROOKLYN, NY 11220-2508 - PRINCIPAL INVESTIGATOR: SHELDON SERKIN; PROJECT DIRECTOR NAME: LENA JAFFE - CONTACT PHONE NUMBERS: P: 718-630-7150; F: 718-630-7295 - EMAIL ADDRESS: SHELDON.SERKIN@NYULANGONE.ORG; LENA.JAFFE@NYULANGONE.ORG - WEBSITE ADDRESS: HTTPS://NYULANGONE.ORG/LOCATIONS/FAMILY-HEALTH-CENTERS-AT-NYU-LANGONE - LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $2,062,494 - IF REQUESTING A FUNDING PREFERENCE, PRIORITY, OR SPECIAL CONSIDERATION AS OUTLINED IN SECTION V. 2. OF THE PROGRAM-SPECIFIC NOFO, INDICATE HERE: FHC REQUESTS CONSIDERATION FOR FUNDING PREFERENCE QUALIFICATION 1 AND FUNDING PREFERENCE QUALIFICATION 2. AS A LEAD PROVIDER OF CARE IN BROOKLYN, SUNSET PARK HEALTH COUNCIL, INC. (DBA FAMILY HEALTH CENTERS AT NYU LANGONE OR FHC), AIMS TO FULFILL HRSA’S PURPOSE TO EXPAND THE PUBLIC HEALTH WORKFORCE THROUGH THE TRAINING OF NEW COMMUNITY HEALTH WORKERS (CHWS) AND HEALTH SUPPORT WORKERS (HSWS) AND TO EXTEND THE KNOWLEDGE AND SKILLS OF CURRENT CHWS AND OTHER HSWS. AS ONE OF THE LARGEST FQHC NETWORKS IN THE U.S., FHC DRAWS PATIENTS FROM COMMUNITIES THROUGHOUT BROOKLYN (KINGS COUNTY). THE PRIMARY SERVICE AREA INCLUDES THE NEIGHBORHOODS OF SUNSET PARK, EAST FLATBUSH-FLATBUSH, PARK SLOPE, RED HOOK, BROWNSVILLE, AND BEDFORD STUYVESANT-CROWN HEIGHTS (ACROSS 14 ZIP CODES) WITH OVER 900,000 RESIDENTS. SUNSET PARK, EAST FLATBUSH-FLATBUSH, AND BEDFORD STUYVESANT-CROWN HEIGHTS ARE HRSA-DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS FOR PRIMARY CARE. THE SUNSET TERRACE FHC LOCATION, THE NETWORK HUB OF CO-LOCATED PRIMARY CARE INCLUDING HIV/AIDS PRIMARY CARE AS WELL AS BEHAVIORAL HEALTH CARE SERVICES, IS LOCATED IN A MEDICALLY UNDERSERVED AREA. THE SERVICE AREA POPULATION IS COMPRISED OF PREDOMINANTLY MINORITY HOUSEHOLDS WITH LARGE SUBPOPULATIONS OF HISPANIC/LATINO, AFRO-CARIBBEAN, RUSSIAN, ARABIC, AND CHINESE IMMIGRANTS. THE SUNSET PARK NEIGHBORHOOD RANKS NEAR THE BOTTOM (54TH) OF ALL NYC NEIGHBORHOODS (59 TOTAL) IN SELF-REPORTED HEALTH STATUS. SOCIAL DETERMINANTS OF HEALTH (I.E., LOW EDUCATIONAL ATTAINMENT, UNSTABLE HOUSING, POOR PHYSICAL NEIGHBORHOOD CONDITIONS, DISPROPORTIONATE INCARCERATION RATES, PATTERNS OF RESIDENTIAL SEGREGATION) CONTRIBUTE TO HIGH INCIDENCE AND PREVALENCE OF CHRONIC DISEASES AND OTHER POOR HEALTH OUTCOMES. IN THE PERIOD OF PERFORMANCE (09/15/2022 – 09/14/2025) THROUGH A NETWORK OF PARTNERSHIPS INCLUDING THE CITY UNIVERSITY OF NEW YORK-KINGSBOROUGH COMMUNITY COLLEGE (EDUCATIONAL PARTNER) AND 1199 SEIU TRAINING AND EDUCATION FUNDS (APPRENTICESHIP PARTNER), THE FULL-TIME PROJECT DIRECTOR, SUPPORTED BY THE PRINCIPAL INVESTIGATOR (SHELDON SERKIN, DIRECTOR OF CHILDREN AND FAMILY SERVICES), A FULL-TIME DATA COLLECTION COORDINATOR AND OTHER PROGRAM SUPPORT STAFF, WILL ACCOMPLISH FOUR PRIMARY GOALS TO: 1) EXPAND THE PUBLIC HEALTH WORKFORCE BY TRAINING NEW CHWS WITH SPECIALIZED TRAINING (SO THAT 75% OF PARTICIPANTS BECOME NEWLY CREDENTIALED CHWS AND HSWS) AND FINANCIAL SUPPORT TO OFFSET EXPENSES THAT WOULD IMPEDE SUCCESS IN TRAINING; 2) EXTEND AND UPSKILL THE PUBLIC HEALTH WORKFORCE BY ENHANCING EXISTING CURRICULA TO INCREASE THE SKILLS AND COMPETENCIES OF 15 EXISTING CHWS AND HSWS; 3) INCREASE CHW AND HSW EMPLOYMENT READINESS THROUGH FIELD PLACEMENTS AND APPRENTICESHIPS DEVELOPED IN COLLABORATION WITH A NETWORK OF PARTNERSHIPS; AND 4) ADVANCE HEALTH EQUITY AND SUPPORT IN UNDERSERVED COMMUNITIES, INCLUDING SUNSET PARK BROOKLYN, BY INCREASING THE NUMBER OF CHWS AND HSWS THAT ARE EMPLOYED AS INTEGRAL MEMBERS OF INTEGRATED CARE TEAMS. THE PROPOSED PROGRAM WILL SUPPORT MEASURABLE OBJECTIVES FOR: 1) EXPANSION; 2) EXTENSION/UPSKILLING; 3) EMPLOYMENT; AND 4) HEALTH EQUITY. THE PROPOSED PROGRAM, WITH THE FULL SUPPORT OF FHC’S EXECUTIVE LEADERSHIP, WILL SUPPORT THE FY2019-2022 HRSA STRATEGIC PLAN AND HHS PRIORITIES FOR HEALTH EQUITY BY INCREASING ACCESS TO CARE, IMPROVING PUBLIC HEALTH EMERGENCY RESPONSE, AND ADDRESSING THE PUBLIC

HEALTH CENTER INFRASTRUCTURE SUPPORT

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

FAMILY HEALTH CENTERS AT NYU LANGONE CENTER FOR CHILD TRAUMA TREATMENT (FHC-N-CT) - SUNSET PARK HEALTH COUNCIL, INC., DBA FAMILY HEALTH CENTERS AT NYU LANGONE (FHC) SERVES BROOKLYN RESIDENTS ACROSS A VAST NETWORK OF COMMUNITY-BASED CLINICS AND PROGRAMS, AND THROUGH ITS EXPANSIVE BEHAVIORAL HEALTH PROGRAM. THE FHC AT NYU LANGONE CENTER FOR CHILD TRAUMA TREATMENT (FHC-N-CT), IN COLLABORATION WITH FHC COMMUNITY-BASED PROGRAMS, THE SCHOOL HEALTH PROGRAM, AND THE NYU CCTS IN CHILD WELFARE AND MENTAL HEALTH, WILL SERVE CHILDREN, ADOLESCENTS, AND THEIR FAMILIES EXPERIENCING TRAUMA. - GOAL 1. CONDUCT OUTREACH, ENGAGEMENT, AND PREVENTION SERVICES FOR THE TARGET POPULATION. OBJ. 1.1. THE FHC-N-CT WILL MEET WITH STAFF AND GRANT COLLABORATORS (BY MONTH 4). OBJ. 1.2. CONDUCT OUTREACH AND ENGAGEMENT TO 600 INDIVIDUALS (YEAR 1) AND 800 INDIVIDUALS PER YEAR (YEARS 2-5). OBJ. 1.3. PROVIDE PREVENTION, EDUCATION, AND TREATMENT SERVICES TO 100% OF THE TARGET POPULATION IDENTIFIED AS AT RISK FOR PSYCHOLOGICAL CONDITIONS DUE TO TRAUMATIC EPISODES (YEARS 1-5). - GOAL 2. PROVIDE DIRECT EVIDENCE-BASED MENTAL DISORDER TREATMENT AND SERVICES INCLUDING SCREENING, ASSESSMENT, CARE MANAGEMENT, THERAPY, AND PREVENTION THROUGH INDIVIDUAL AND GROUP OUTPATIENT AND INTENSIVE OUTPATIENT CLINICAL PROGRAMS. OBJ. 2.1. SCREEN 300 CHILDREN AND ADULT PRIMARY CAREGIVERS (YEAR 1) AND 400 CHILDREN AND ADULT PRIMARY CAREGIVERS ANNUALLY (YEARS 2-5) TO IDENTIFY THOSE THAT HAVE EXPERIENCED TRAUMA. OBJ. 2.2. OF THE INDIVIDUALS IDENTIFIED AND REFERRED, ENGAGE THEM IN EVALUATION FOR THE TREATMENT PROGRAM (75 IN YEAR 1 AND 100 ANNUALLY IN YEARS 2-5). OBJ. 2.3. PROVIDE CARE MANAGEMENT WITH REFERRALS TO SUPPORT AND PREVENTION SERVICES, AS NEEDED TO 100% OF INDIVIDUALS IDENTIFIED (YEARS 1-5). OBJ. 2.4. PROVIDE INDIVIDUAL AND GROUP TELE-MENTAL HEALTH AS AN OPTIONAL TREATMENT MODALITY AND OPTIONAL IN-HOME SERVICES TO INCREASE RETENTION IN CARE FOR 80% OF INDIVIDUALS RECEIVING THERAPY AND TREATMENT (YEARS 1-5). OBJ. 2.5. THREE STAFF WILL RECEIVE ANNUAL TRAINING IN TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY TO SUPPORT PROGRAM GOALS AND OBJECTIVES (YEARS 1-5). - GOAL 3. UTILIZE EXPERTISE IN TRAUMA-INFORMED PRACTICES TO POSITIVELY IMPACT CHILD-SERVING SERVICE SYSTEMS IN BROOKLYN AND NYC. OBJ. 3.1. SHARE BEST PRACTICES WITH AND INCREASE KNOWLEDGE OF THE SERVICE NEEDS OF THE TARGET POPULATION AMONG CHILD-SERVING AGENCIES TO FURTHER TRAUMA-INFORMED PRACTICES (YEARS 1-5). - GOAL 4. COLLABORATE WITH THE NYU CCTS IN CHILD WELFARE AND MENTAL HEALTH (NCTSI-CATEGORY II, TSA) AND OTHER NCTSI-II TSAS TO ADAPT INTERVENTIONS THAT IMPROVE ENGAGEMENT AND OUTCOMES FOR THE TARGET POPULATION. OBJ. 4.1. RECEIVE EXPERT CONSULTATION ON THE IMPLEMENTATION OF TRAUMA SYSTEMS THERAPY AT A MINIMUM OF 130 HOURS ANNUALLY (YEARS 1-5). OBJ. 4.2. RECEIVE FACILITATED INTEGRATION WITHIN THE NCTSN AND WITH NCTSI-II TSA PARTNERS. - GOAL 5. IMPLEMENT A COMPREHENSIVE PROCESS AND OUTCOME EVALUATION TO ASSESS PROGRESS ON PROGRAM GOALS AND OBJECTIVES. OBJ. 5.1. THE PROGRAM EVALUATOR WILL MONITOR DATA COLLECTION, CONDUCT PERFORMANCE ASSESSMENT, AND IMPLEMENT PROGRAM EVALUATION AT A MINIMUM OF 780 HOURS ANNUALLY (YEARS 1-5). - PROGRAM STAFF WILL CONDUCT OUTREACH AND ENGAGEMENT TO 3,800 INDIVIDUALS; SCREEN 1,900 INDIVIDUALS; AND OF THOSE SCREENED, IDENTIFY 475 UNDUPLICATED INDIVIDUALS OVER THE 5-YEAR PERIOD FOR TREATMENT AND SERVICES.

OPTIMIZING VIRTUAL CARE

COMMUNITY BASED DENTAL PARTNERSHIP

HEALTH CENTER CLUSTER

BROOKLYN MAI-SI

HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANI

FHC'S PROJECT LAUNCH - SUNSET PARK HEALTH COUNCIL, INC. (DBA FAMILY HEALTH CENTERS AT NYU LANGONE OR FHC) WILL IMPLEMENT PROJECT LAUNCH TO: IDENTIFY EARLY BEHAVIORAL/DEVELOPMENTAL CONCERNS IN YOUNG CHILDREN (0-8 YEARS), MENTAL/BEHAVIORAL HEALTH DISORDERS AMONG PARENTS/CAREGIVERS (P/C), IMPROVE COORDINATION ACROSS CHILD/FAMILY-SERVING PROGRAMS, PROVIDE P/C AND PROVIDER TRAININGS, PROVIDE EXPERT CONSULTS, AND IMPLEMENT A PUBLIC AWARENESS PLAN. THE BROOKLYN (NY) TARGET POPULATION WILL INCLUDE PREDOMINANTLY RACIAL/ETHNIC MINORITIES; IMMIGRANTS; PERSONS SERVED IN A NON-ENGLISH LANGUAGE; AND PERSONS WITH LOW HOUSEHOLD INCOMES. WITH 4 PROGRAM PARTNERS―FHC’S DEPARTMENT OF COMMUNITY-BASED PROGRAMS; FHC’S SAMHSA FUNDED CENTER FOR CHILDHOOD TRAUMA TREATMENT (FHC-N-CT); TOGETHER GROWING STRONG (TGS); AND THE DEPARTMENT OF CHILD AND ADOLESCENT PSYCHIATRY (DCAP) AT HASSENFELD CHILDREN’S HOSPITAL AT NYU LANGONE―LED BY, AARON RELIFORD, MD, PRINCIPAL INVESTIGATOR, FHC PROPOSES: GOAL 1. TO ENHANCE FHC’S EARLY CHILDHOOD PARENT ADVISORY GROUP (YOUNG CHILD WELLNESS COUNCIL OR YCWC). OBJ. 1.1. IN MONTH (M) 4, TO IMPLEMENT A MEETING SCHEDULE TO ENSURE PROGRAM PLANNING AND IMPLEMENTATION INCLUDES SERVICE AREA RESIDENTS’ VOICES. OBJ. 1.2. BEGINNING IN M5, TO INCREASE REPRESENTATION OF THE YCWC BY 10% WITH MEMBERS OF HEALTH, PUBLIC HEALTH, BEHAVIORAL HEALTH, EDUCATION, HEAD START, EARLY INTERVENTION, ETC. GOAL 2. TO IMPLEMENT A PLAN TO IMPROVE COORDINATION AND COLLABORATION ACROSS CHILD AND FAMILY-SERVING SYSTEMS. OBJ. 2.1. BEGINNING IN M4, TO PROVIDE CASE MANAGEMENT WITH REFERRALS TO SOCIAL SUPPORT/PREVENTION SERVICES TO 100% OF PARTICIPANTS WITH FHC’S DEP’T. OF COMMUNITY-BASED PROGRAMS. GOAL 3. TO CONDUCT CULTURALLY AND LINGUISTICALLY APPROPRIATE, VALIDATED SCREENING TO IDENTIFY EARLY BEHAVIORAL AND DEVELOPMENTAL CONCERNS IN YOUNG CHILDREN AND SCREENING FOR MENTAL/BEHAVIORAL HEALTH DISORDERS AMONG P/C. OBJ. 3.1. AT M4, TO CONDUCT INITIAL MEETINGS WITH 100% OF STAFF AND GRANT COLLABORATORS. OBJ. 3.2. BEGINNING IN M5, STAFF WILL CONDUCT OUTREACH AND ENGAGEMENT TO 600 CHILDREN/P/C (Y 1) AND 1,100 PER YEAR (Y 2-5). OBJ. 3.3A. BEGINNING IN M5 (Y 1) AND M1 (Y 2-5), STAFF WILL INITIALLY SCREEN AND ASSESS 100% OF THE TARGET POPULATION (YOUNG CHILDREN AND P/C). OBJ. 3.3B. OF THE CHILDREN SCREENED AND INITIALLY IDENTIFIED FOR RISK OF BEHAVIORAL AND/OR DEVELOPMENTAL CONCERNS, INCLUDING ASD, THE TEAM WILL ENGAGE THEM IN FORMAL DEVELOPMENTAL EVALUATION, TREATMENT PLANNING, AND/OR ADVANCED TREATMENT ACCESS/REFERRAL SUPPORT TO AGENCIES SPECIALIZING IN THE SUPPORT OF CHILDREN WITH DEVELOPMENTAL CONCERNS (75 CHILDREN IN Y 1, 100 ANNUALLY IN Y 2-5). OBJ. 3.3C. OF THE P/C SCREENED AND IDENTIFIED FOR MENTAL AND BEHAVIORAL HEALTH CONCERNS, THE TEAM WILL MAKE A REFERRAL FOR FURTHER EVALUATION AND TREATMENT PLANNING (75 P/C IN Y 1, 100 ANNUALLY IN Y 2-5). OBJ. 3.4. BEGINNING IN M5, THE PROJECT LAUNCH SOCIAL WORKER WILL MAKE REFERRALS TO FHC-N-CT AS NEEDED TO 100% OF CHILDREN, P/C, AND FAMILIES IDENTIFIED WHO HAVE EXPERIENCED TRAUMA (Y 1-5). GOAL 4. TO PROVIDE TRAINING TO P/C AND PROVIDERS WITH CONSULTATION SERVICES TO PROVIDERS TO ENSURE COMPETENT CLINICIANS WITH RESOURCES TO ADDRESS THE NEEDS IDENTIFIED. OBJ. 4.1. BEGINNING IN M5 OF Y 1 AND ONGOING, 50 FAMILY AND P/C TRAININGS WILL BE HELD. OBJ. 4.2. BEGINNING IN M4 IN Y 1, 2 PROVIDER TRAININGS WILL BE HELD. OBJ. 4.3. BEGINNING IN M2 OF Y 1, THE DCAP TEAM WILL PROVIDE 4 MENTAL HEALTH PROVIDER CONSULTS MONTHLY. GOAL 5. TO EXPAND IMPLEMENTATION OF A PUBLIC AWARENESS PLAN IN MULTIPLE LANGUAGES. OBJ. 5.1. BEGINNING IN M5 OF Y 1, TO LEVERAGE TGS’ COMMUNICATION MODALITIES TO 500 SERVICE AREA P/C WEEKLY. GOAL 6. TO IMPLEMENT PROCESS AND OUTCOME EVALUATION TO ASSESS PROGRESS ON GOALS AND OBJECTIVES. OBJ. 6.1. THE PROJECT EVALUATOR/DATA MANAGER WILL MONITOR DATA COLLECTION AND CONDUCT PERFORMANCE ASSESSMENT IN Y 1-5. FHC WILL OUTREACH TO 5,000 UNDUPLICATED INDIVIDUALS AND IDENTIFY 470 UNDUPLICATED INDIVIDUALS FOR SERVICES (Y1-5).

THE SUNSET TERRACE INTEGRATION AND RECOVERY PROGRAM (STIR)

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - - NAME OF THE TRAINING PROGRAM/TITLE: THE FHC ADULT PSYCHIATRY RESIDENCY PROGRAM - DISCIPLINE OF THE RESIDENCY PROGRAM: PSYCHIATRY - TYPE OF APPLICATION: NEW THCGME APPLICANT - ELIGIBLE ENTITY TYPE: SUNSET PARK HEALTH COUNCIL, INC. (DBA FAMILY HEALTH CENTERS AT NYU LANGONE OR FHC), FEDERALLY QUALIFIED HEALTH CENTER, FHC OPERATES THE RESIDENCY PROGRAM ALONE NOT AS A GME CONSORTIUM - ADDRESS: 150 55TH STREET, BROOKLYN, NY 11220-2508 - PRINCIPAL INVESTIGATOR NAME: ISAAC DAPKINS, MD, CHIEF MEDICAL OFFICER - CONTACT PHONE NUMBERS (VOICE, FAX): VOICE (718-630-7906), FAX (718-492-5090) - EMAIL ADDRESS: ISAAC.DAPKINS@NYULANGONE.ORG - WEBSITE ADDRESS: HTTPS://NYULANGONE.ORG/LOCATIONS/FAMILY-HEALTH-CENTERS-AT-NYU-LANGONE - YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: JULY 2022 - TOTAL FTE POSITIONS REQUESTED TO BE FUNDED FOR ALL YEARS OF TRAINING: 12 RESIDENTS ACROSS FOUR YEARS (THREE PER YEAR). HRSA THCGME FUNDING IS REQUESTED TO SUPPORT 30 FTES ACROSS FOUR YEARS: THREE (YEAR 1), SIX (YEAR 2), NINE (YEAR 3), AND 12 (YEAR 4) - FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023: 3 (3-0-0-0) - LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $4,800,000 - FUNDING PREFERENCE: FHC REQUESTS CONSIDERATION FOR FUNDING PRIORITY 1-HEALTH PROFESSIONAL SHORTAGE AREA AND FUNDING PRIORITY 2-MEDICAL UNDERSERVED COMMUNITY - AN OVERVIEW OF THE RESIDENCY PROGRAM: SUNSET PARK HEALTH COUNCIL, INC. (DBA FAMILY HEALTH CENTERS AT NYU LANGONE OR FHC), FOUNDED IN 1967, HAS EXPONENTIALLY EXPANDED FROM ONE SITE (IN SUNSET PARK, BROOKLYN, NY) TO ONE OF THE LARGEST FEDERALLY QUALIFIED HEALTH CENTER (FQHC) NETWORKS IN THE U.S. THE FHC ADULT PSYCHIATRY RESIDENCY PROGRAM OBTAINED INITIAL ACCREDITATION STATUS FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) EFFECTIVE APRIL 23, 2021 (PROGRAM# 4003500001). FHC DRAWS PATIENTS FROM COMMUNITIES THROUGHOUT CENTRAL, NORTHWEST, AND SOUTHWEST BROOKLYN (KINGS COUNTY). THE PRIMARY SERVICE AREA E NCOMPASSES THE NEIGHBORHOODS OF SUNSET PARK, EAST FLATBUSH-FLATBUSH, PARK SLOPE, RED HOOK, BROWNSVILLE, AND BEDFORD STUYVESANT-CROWN HEIGHTS (ACROSS 14 ZIP CODES) WITH OVER 900,000 RESIDENTS. FHC MAINTAINS HRSA-DESIGNATIONS FOR FACILITY HPSAS IN PRIMARY CARE (HRSA ID 13699936A3) WITH A HPSA SCORE OF 19 AND MENTAL HEALTH (HRSA ID 7369993666) WITH A HPSA SCORE OF 20. FHC SERVES PREDOMINANTLY MINORITY HOUSEHOLDS WITH LARGE SUBPOPULATIONS OF HISPANIC/LATINO, AFRO-CARIBBEAN, RUSSIAN, ARABIC, AND CHINESE IMMIGRANTS IN ONE OF THE LARGEST MEDICAID RECIPIENT TRACKS IN THE U.S. IN SUNSET PARK (LOCATED IN FHC’S PRIMARY SERVICE AREA), PREVALENCE OF FAIR OR POOR HEALTH IS GREATER SUCH THAT SUNSET PARK RANKS NEAR THE BOTTOM (54TH) OF ALL (59 TOTAL) NYC NEIGHBORHOODS IN SELF-REPORTED HEALTH STATUS. SOCIAL DETERMINANTS OF HEALTH SUCH AS LOW EDUCATIONAL ATTAINMENT, UNSTABLE HOUSING, POOR PHYSICAL NEIGHBORHOOD CONDITIONS, DISPROPORTIONATE INCARCERATION RATES, AND PATTERNS OF RESIDENTIAL SEGREGATION ALL CONTRIBUTE TO THE HIGH INCIDENCE AND PREVALENCE OF POOR HEALTH AND MENTAL HEALTH SEQUELAE. FHC SERVES AS THE INSTITUTIONAL SPONSOR AND COMMUNITY-BASED AMBULATORY PATIENT CARE CENTER (FQHC) FOR THE ADULT PSYCHIATRY RESIDENCY, LED BY SAMUEL T. STROUPE, MD, ACGME PROGRAM DIRECTOR, WITH TWO PARTICIPATING HOSPITAL SITES—NYC HEALTH+HOSPITALS/BELLEVUE AND NYU LANGONE HOSPITAL-BROOKLYN. THE PROGRAM IS APPROVED TO TRAIN A MAXIMUM NUMBER OF 12 RESIDENTS ACROSS FOUR YEARS (THREE PER YEAR). THE FULL BREADTH OF FHC CLINICS WILL BE UTILIZED IN RESIDENCY ROTATIONS FOR THE PROPOSED PROGRAM. SUNSET TERRACE FHC (514 49TH STREET, BROOKLYN, NY 11220) IS ONE OF NINE PRIMARY CARE AND SPECIALTY SITES, WITHIN THE FHC NETWORK, IN WHICH SERVICE AREA PATIENTS RECEIVE A COMPREHENSIVE ARRAY OF CLINICAL SERVICES, AND IN WHICH THE ADULT PSYCHIATRY RESIDENTS WILL ROTATE.

PROJECT YEP

FY 2023 EXPANDING COVID-19 VACCINATION

SUNSET PARK SEXUAL RISK AVOIDANCE EDUCATION PROGRAM

NYU LUTHERAN FAMILY HEALTH CENTERS - IN THE KNOW

FAMILY HEALTH CENTERS AT NYU LANGONE MAT-PDOA PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FAMILY HEALTH CENTERS AT NYU LANGONE PREVENTION NAVIGATION PROJECT

PROJECT SAFE - SEXUAL RISK AVOIDANCE EDUCATION

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

INCREASING ORAL CANCER SCREENING BY DENTISTS:QUALITATIVE RESEARCH ON PRACTITIONER

COMMUNITY BASED DENTAL PARTNERSHIP

ARRA - CAPITAL IMPROVEMENT PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - DESCRIPTION OF PROPOSED PROJECT. SUNSET PARK HEALTH COUNCIL, INC. (DBA THE FAMILY HEALTH CENTERS AT NYU LANGONE OR FHC) REQUESTS FUNDING FROM THE HRSA BUREAU OF HEALTH WORKFORCE, DIVISION OF MEDICINE AND DENTISTRY, MEDICAL TRAINING AND GERIATRICS BRANCH, FOR THE “PRIMARY CARE TRAINING AND ENHANCEMENT-RESIDENCY TRAINING IN STREET MEDICINE (PCTE-RTSM)” (HRSA-25-078) PROGRAM TO ENHANCE TRAINING IN STREET MEDICINE FOR RESIDENTS ENROLLED IN THE FHC’S ACGME ACCREDITED PRIMARY CARE RESIDENCY PROGRAM. IN ACCORDANCE WITH HRSA’S GOAL, THE FHC WILL UTILIZE HRSA-25-078 FUNDING TO INCREASE THE NUMBER OF PHYSICIANS TRAINED IN INTERNAL MEDICINE WHO ARE PREPARED TO PROVIDE CARE FOR PEOPLE EXPERIENCING HOMELESSNESS, BY BRINGING CARE TO PEOPLE OUTSIDE OF TRADITIONAL CLINICAL SETTINGS. PROJECT OBJECTIVES INCLUDE: 1) TO DEVELOP OR ENHANCE TRAININGS, CLINICAL ROTATIONS, AND DIDACTIC AND CLINICAL CURRICULA CONTENT TO TRAIN RESIDENTS IN STREET MEDICINE TO PROVIDE SENSITIVE AND QUALITY CARE FOR PEOPLE EXPERIENCING HOMELESSNESS. ATTENTION TO MENTAL HEALTH AND SUBSTANCE USE DISORDERS IS EXPECTED; 2) TO INCREASE RESIDENTS’ KNOWLEDGE AND SKILLS TO MEET THE UNIQUE NEEDS OF PEOPLE EXPERIENCING HOMELESSNESS AND ASSIST PATIENTS WITH NAVIGATION OF THE MEDICAL, BEHAVIORAL HEALTH, LEGAL, AND SOCIAL SUPPORT SYSTEMS RELATED TO CLINICAL CARE; AND 3) TO INCREASE RESIDENTS’ KNOWLEDGE AND SKILLS TO WORK IN INTERPROFESSIONAL TEAMS, INCLUDING CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH, SUBSTANCE USE, AND MEDICAL-LEGAL INTERPROFESSIONAL TEAMS, TO ADDRESS THE SDOH THAT IMPACT PATIENT CARE. AS THE INSTITUTIONAL SPONSOR OF A HRSA-FUNDED THCGME PROGRAM IN INTERNAL MEDICINE SINCE 2014, THE FHC HAS THE REQUISITE INFRASTRUCTURE AND CAPACITY TO CONTINUOUSLY EXPAND ITS DIDACTIC AND EXPERIENTIAL TRAINING TO INTERNAL MEDICINE RESIDENTS UTILIZING INNOVATIVE AND CONTEXTUALLY RELEVANT APPROACHES. NEEDS TO BE ADDRESSED. FHC DRAWS PATIENTS FROM COMMUNITIES THROUGHOUT CENTRAL, NORTHWEST, AND SOUTHWEST BROOKLYN (KINGS COUNTY), WITH A PRIMARY SERVICE AREA ENCOMPASSING THE NEIGHBORHOODS OF SUNSET PARK, EAST FLATBUSH-FLATBUSH, PARK SLOPE, RED HOOK, BROWNSVILLE, AND BEDFORD STUYVESANT-CROWN HEIGHTS ACROSS 14 ZIP CODES WITH OVER 915,000 RESIDENTS. THE PRIMARY SERVICE AREA CONSISTS OF LOW-INCOME, MINORITY HOUSEHOLDS WITH LARGE SUBPOPULATIONS OF HISPANIC/LATINO, AFRO-CARIBBEAN, RUSSIAN, ARABIC, AND CHINESE (MANDARIN-SPEAKING) IMMIGRANTS WITH BARRIERS TO NEEDED HEALTH SERVICES. SOCIAL DETERMINANTS OF HEALTH (SDOH) SUCH AS LOW EDUCATIONAL ATTAINMENT, UNSTABLE HOUSING, POOR PHYSICAL CONDITIONS OF NEIGHBORHOODS, DISPROPORTIONATE INCARCERATION RATES, AND PATTERNS OF RESIDENTIAL SEGREGATION ALL CONTRIBUTE TO THE HIGH INCIDENCE AND PREVALENCE OF CHRONIC DISEASES AND OTHER POOR HEALTH OUTCOMES. POORER HEALTH OUTCOMES ARE PRONOUNCED FOR INDIVIDUALS LIVING WITH OR AT RISK FOR HIV AND/OR HEPATITIS, AND HOMELESSNESS WITHIN NYC IS ON THE RISE, FURTHER EXACERBATING LONG ENTRENCHED HEALTH INEQUITIES FACED IN THE SERVICE AREA. POPULATION GROUPS TO BE SERVED. THE PROPOSED PROGRAM WILL TARGET PHYSICIAN RESIDENTS IN FHC’S INTERNAL MEDICINE PROGRAM, TRAINING THEM TO PROVIDE CARE FOR PEOPLE EXPERIENCING HOMELESSNESS IN THE SERVICE AREA, INCLUDING THOSE LIVING IN SHELTERS SERVED BY FHC’S COMMUNITY MEDICINE PROGRAM AND THOSE IN UNSHELTERED SETTINGS WHO COULD BENEFIT FROM STREET MEDICINE. FUNDING PRIORITY OR PREFERENCE. FHC REQUESTS A FUNDING PREFERENCE BASED ON A “A HIGH RATE OF PLACEMENT OF GRADUATES IN PRACTICE SETTINGS THAT PRIMARILY FOCUS ON SERVING RESIDENTS OF MEDICALLY UNDERSERVED COMMUNITIES” (NOFO P. 37). DOCUMENTATION OF ELIGIBILITY FOR THIS FUNDING PREFERENCE IS INCLUDED IN ATTACHMENT 6 OF THIS APPLICATION.

ACCELERATING CANCER SCREENING - APPLICANT NAME: SUNSET PARK HEALTH COUNCIL, INC. DBA FAMILY HEALTH CENTERS FAMILY HEALTH CENTERS AT NYU LANGONE (FHC-NYUL) ADDRESS: 150 55TH STREET, 1ST FLOOR, BROOKLYN, NY 11220 PROJECT DIRECTOR NAME: RAMIRO JERVIS, MD CONTACT PHONE NUMBERS (VOICE, FAX): 718-630-7095 EMAIL ADDRESS: RAMIRO.JERVIS@NYULANGONE.ORG WEBSITE ADDRESS: HTTPS://NYULANGONE.ORG/LOCATIONS/FAMILY-HEALTH-CENTERS-AT-NYU-LANGONE LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: $500,000 FHC-NYUL, SITUATED IN HIGH-NEED SECTORS THAT ARE OVERBURDENED WITH CANCER, CHRONIC DISEASES, AND MAJOR OBSTACLES RELATED TO SOCIAL DETERMINANTS OF HEALTH, IN THE SOUTHWEST AREA OF THE BOROUGH OF BROOKLYN, PROPOSES TO INCREASE BREAST AND COLORECTAL CANCER SCREENING AND ENHANCED PATHWAYS TO TREATMENT ACCESS IN UNDERSERVED, UNDER-RESOURCED, AND MARGINALIZED PATIENT POPULATIONS, INCLUDING UNDERHOUSED, IN SHELTERS, AND HOMELESS. THE OVERARCHING GOAL OF THE PROPOSED INITIATIVE ALIGNS WITH THE INTENT OF THE FY 2022 ACCELERATING CANCER SCREENING (AXCS) PROGRAM, WHICH IS TO: A.) MEASURABLY INCREASE EQUITABLE ACCESS TO CANCER SCREENING; AND B.) INCREASE REFERRAL CONNECTIONS WITH ESSENTIAL, TIMELY TREATMENT AND RECOVERY OPPORTUNITIES FOCUSED ON ECONOMICALLY, CIRCUMSTANTIALLY, SOCIALLY, ETHNICALLY, AND CULTURALLY RESPONSIVE AND ACCESSIBLE CONTINUUMS OF CARE THAT INCLUDE SUPPORTIVE AND ENABLING SERVICES. IN KEEPING WITH THIS PURPOSE, FHC-NYUL WILL PARTNER WITH A WELL-ESTABLISHED NCI-DESIGNATED CANCER CENTER TO MAXIMIZE THE EFFECTIVENESS OF COMMUNITY HEALTH WORKER NAVIGATORS, WHO WILL COOPERATIVELY FACILITATE A SEAMLESS PATH FROM SCREENING TO TREATMENT LINKED TO SUPPORT SERVICES AND COMMUNITY RESOURCES. THE AXCS INITIATIVE WILL INCREASE EQUITABLE ACCESS TO CANCER SCREENING AND REFERRAL FOR CARE AND TREATMENT AND MEASURABLE OBJECTIVES, 1: INCREASE FROM 70% TO 72%, PATIENTS SCREENED FOR BREAST CANCER BY THE END OF THE PROJECT. 2: INCREASE FROM 55.8% TO 58%, PATIENTS SCREENED FOR COLOR ECTAL CANCER BY THE END OF THE PROJECT. 3: INCREASE FROM 46.1% TO 52.9%, PATIENTS RECEIVING FOLLOW-UP CARE WITHIN 30 DAYS OF AN ABNORMAL BREAST CANCER SCREENING TEST RESULT BY THE END OF THE PROJECT. 4: INCREASE FROM 14.5% TO 27.6%, PATIENTS RECEIVING FOLLOW-UP CARE WITHIN 30 DAYS OF AN ABNORMAL COLORECTAL CANCER SCREENING TEST RESULT BY THE END OF THE PROJECT. FHC-NYUL WILL REDUCE INEQUITABLE BURDENS OF CANCER FOR AT-RISK, HIGH-NEED, AND ECONOMICALLY DISADVANTAGED POPULATIONS THROUGH BETTER MANAGED REFERRAL LOOPS BETWEEN SCREENING AND TREATMENT OPTIONS, INCREASING DATA COLLECTION TOOLS AND METHODOLOGIES TO INFORM CLINICAL AND PATIENT-BASED RESEARCH, ENHANCE AND BROADEN CONNECTIONS WITH COMMUNITY STAKEHOLDERS THROUGH INTEGRATIVE, AND EFFECTIVE, RELEVANT CONTINUUM FOCUSED TRAINING AND EDUCATION FOR HEALTH CARE PROVIDERS. THROUGH THE DEPLOYMENT OF COMMUNITY HEALTH WORKERS AT FHC-NYUL AND THE AXCS NCI PARTNER, PERLMUTTER CANCER CENTER, PATIENTS WILL BE PROVIDED CULTURALLY APPROPRIATE HEALTH EDUCATION, HEALTHCARE SYSTEM NAVIGATION, SOCIAL AND MORAL SUPPORT, AND RESOURCE LINKAGES TO INCREASE THEIR ACCESS TO CANCER SCREENING AND REFERRAL TO CARE AND TREATMENT. COMMUNITY HEALTH WORKERS ARE TRAINED FRONTLINE HEALTH WORKERS WHO SERVE AS A BRIDGE BETWEEN COMMUNITIES AND HEALTHCARE SYSTEMS WITH A CLOSE UNDERSTANDING OF THE COMMUNITIES THEY SERVE. TO SUPPORT ACCESS TO ENABLING SERVICES, ALONG WITH COMMUNITY PARTNERS, FHC-NYUL’ S DEPARTMENT OF COMMUNITY-BASED PROGRAMS WILL FURTHER STRENGTHEN AND SUPPORT THE PATIENT-CENTERED CONTINUUM OF CARE TO BE ACCOMPLISHED THROUGH ADVOCACY, HEALTH LITERACY EDUCATION, CASE MANAGEMENT, AND CULTURALLY RESPONSIVE AND ENABLING SERVICES AND RESOURCES. THE FAMILY SUPPORT CENTER IS A MULTI-SERVICE SITE DESIGNED TO OFFER AN ARRAY OF FAMILY STRENGTHENING SERVICES UNDER ONE ROOF. THESE INCLUDE FAMILY SUPPORT AND CASE MANAGEMENT; A BIWEEKLY FOOD PANTRY; ADULT EDUCATION; HOME VISITING TO SUPPORT PARENTING AND SCHOOL READINESS; AND WORKFORCE READINESS .

CAPITAL DEVELOPMENT

PROMISE NEIGHBORHOODS

HEALTH CARE AND OTHER FACILITIES

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - FAMILY HEALTH CENTERS AT NYU LANGONE (FHC), DUE TO ITS STRONG COMMITMENT TO FULL INTEGRATION OF SERVICES FOR PLWH, REQUESTS FY 2025 RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM FUNDING TO STRENGTHEN ITS ORGANIZATIONAL CAPACITY TO IMPROVE INTEGRATION OF HEALTH CARE SERVICES, AND TO ENHANCE ACCESS TO HIGH QUALITY HIV PRIMARY HEALTH CARE SERVICES FOR LOW-INCOME, UNINSURED, AND UNDERSERVED PLWH IN CENTRAL AND SOUTHWESTERN BROOKLYN. THE PROPOSED PROJECT WOULD BE AN EXPANSION OF OUR CURRENTLY FUNDED RYAN WHITE PART C HIV CARE INNOVATION PROJECT (HRSA-24-062) WITH THE SELECTED ACTIVITY, COORDINATION OR INTEGRATION OF HIV PRIMARY CARE WITH ORAL HEALTH AND/OR BEHAVIORAL HEALTH CARE. THE PROPOSED PROJECT WOULD DIRECTLY ADDRESS STAGE 2 (LINKAGE TO HIV MEDICAL CARE) AND STAGE 3 (RETENTION IN CARE) OF THE HIV CARE CONTINUUM BY EXPANDING CLINICAL DENTAL CARE FOR PLWH, WHO OFTEN HAVE EXTENSIVE TREATMENT NEEDS, AND STRENGTHEN THE COORDINATION AND INTEGRATION OF HIV PRIMARY CARE AND DENTAL CARE AT THE FHC. PROPOSED SERVICES: FHC WILL IMPROVE HEALTH OUTCOMES FOR PEOPLE LIVING WITH HIV/AIDS (PLWHA) BY EXPANDING THE HIV-DENTAL HEALTH DASHBOARD TO CREATE A HOLISTIC VIEW OF PATIENT HEALTH TO IMPROVE INDIVIDUAL AND POPULATION HEALTH THROUGH LINKAGES TO CARE, ADHERENCE TO TREATMENT PLANS, RETENTION, AND ADDRESSING SOCIAL DETERMINANT BARRIERS. THE FHC WILL ALSO CREATE A PLWHA DENTAL HEALTH SCORECARD TO EVALUATE PERFORMANCE METRICS BY PROVIDER AND SITE TO IMPROVE OUTCOMES THROUGH QUALITY INITIATIVES AND PROVIDE TRAINING AND SUPPORT TO PROVIDERS FOR TREATING PLWHA FUNDING PREFERENCE: FHC, REQUESTS A FUNDING PREFERENCE, UNDER QUALIFICATION #2 “UNDERSERVED POPULATIONS”, REFLECTING THE ORGANIZATION’S HISTORICAL COMMITMENT TO PROVIDING PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION IN CENTRAL AND SOUTHWESTERN BROOKLYN, NEW YORK AND DUE TO ITS PLACE AS A PRINCIPAL HIV PRIMARY CARE AND SUPPORT SERVICES PROVIDER IN THE CATCHMENT AREA.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: “FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM” FUNDS REQUESTED: $150,000 PERFORMANCE PERIOD: SEPTEMBER 1, 2023 – AUGUST 31, 2024 FAMILY HEALTH CENTERS AT NYU LANGONE (FHC), DUE TO ITS STRONG COMMITMENT TO FULL INTEGRATION OF SERVICES FOR PLWH, REQUESTS FY 2023 RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM FUNDING TO STRENGTHEN ITS ORGANIZATIONAL CAPACITY TO IMPROVE INTEGRATION OF HEALTH CARE SERVICES, AND TO ENHANCE ACCESS TO HIGH QUALITY HIV PRIMARY HEALTH CARE SERVICES FOR LOW-INCOME, UNINSURED, AND UNDERSERVED PLWH IN CENTRAL AND SOUTHWESTERN BROOKLYN. THE PROPOSED PROJECT WOULD BE AN EXPANSION OF OUR CURRENTLY FUNDED RYAN WHITE PART C HIV CARE INNOVATION PROJECT WITH THE SELECTED ACTIVITY, COORDINATION OR INTEGRATION OF HIV PRIMARY CARE WITH ORAL HEALTH AND/OR BEHAVIORAL HEALTH CARE. THE PROPOSED PROJECT WOULD DIRECTLY ADDRESS STAGE 2 (LINKAGE TO HIV MEDICAL CARE) AND STAGE 3 (RETENTION IN CARE) OF THE HIV CARE CONTINUUM BY EXPANDING CLINICAL DENTAL CARE FOR PLWH, WHO OFTEN HAVE EXTENSIVE TREATMENT NEEDS, AND MEANINGFULLY STRENGTHEN THE COORDINATION AND INTEGRATION OF HIV PRIMARY CARE AND DENTAL CARE AT FHC. PROPOSED SERVICES: FHC WILL INCREASE THE NUMBER AND PROPORTION OF PLWH WHO RECEIVE HIGH-QUALITY DENTAL SERVICES, INCLUDING REGULAR PREVENTIVE CARE AND TREATMENT PLAN COMPLETION, BY EXPANDING NETWORK DENTAL CAPACITY FOR PLWH AND ADDRESSING BARRIERS TO ACCESSING AND RECEIVING CONTINUITY OF DENTAL CARE VIA THE ENHANCEMENT OF THE RESPONSIBILITIES OF THE PROGRAM SUPERVISOR. FHC WILL ALSO AIM TO IMPROVE ORAL HEALTH SERVICES FOR PLWH BY ENRICHING THE TRAINING AND EDUCATION OF DENTAL RESIDENTS AND FACULTY TO INCLUDE COLLABORATIVE CASE STUDY MEETINGS WITH PRIMARY CARE PROVIDERS FOCUSED ON CASE ANALYSIS AND BEST PRACTICES IN CARING FOR PLWH. FUNDING PREFERENCE: FHC, REQUESTS A FUNDING PREFERENCE, UNDER QUALIFICATION #2 “UNDERSERVED POPULATIONS”, REFLECTING THE ORGANIZATION’S HISTORICAL COMMITMENT TO PROV IDING PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION IN CENTRAL AND SOUTHWESTERN BROOKLYN, NEW YORK AND DUE TO ITS PLACE AS A PRINCIPAL HIV PRIMARY CARE AND SUPPORT SERVICES PROVIDER IN THE CATCHMENT AREA.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FHC'S CFP PLANNING PROJECT

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

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - DEMONSTRATION/IMPLEMENTATION SITES

CAPITAL DEVELOPMENT

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

THE SUNSET TERRACE INTEGRATION AND RECOVERY PROGRAM (STIR)