Greater Sioux Community Health Center 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 - GREATER SIOUX COMMUNITY HEALTH CENTER DBA PROMISE COMMUNITY HEALTH CENTER (H80CS24171) GREATER SIOUX COMMUNITY HEALTH CENTER DBA PROMISE COMMUNITY HEALTH CENTER OPENED IN JULY 2008, BECAME AN FQHC LOOK ALIKE IN LATE 2008, AND HAS BEEN A HEALTH CENTER PROGRAM GRANTEE SINCE 2012. WE PROVIDE PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO MORE THAN 6,400 UNDERSERVED INDIVIDUALS IN RURAL SIOUX COUNTY, IOWA, LOCATED IN THE FAR NORTHWEST CORNER OF THE STATE. THE MAJORITY OF OUR PATIENTS ARE LOW-INCOME AND ARE UNINSURED OR MEDICAID BENEFICIARIES. MORE THAN HALF OF OUR PATIENTS ARE HISPANIC/LATINO AND ARE BEST PROVIDED CARE IN A LANGUAGE OTHER THAN ENGLISH. WE CURRENTLY PROVIDE INTEGRATED MEDICAL AND BEHAVIORAL HEALTH SERVICES TO HELP PATIENTS ASSESS CURRENT COPING SKILLS, ADDRESS EMOTIONAL NEEDS, AND WORK THROUGH LIFELONG PATTERNS. WE EMPLOY A BOARD CERTIFIED PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, WHO PROVIDES SPECIALTY CARE IN THE AREAS OF PSYCHIATRIC CONSULTATION, EVALUATION, AND PSYCHIATRIC MEDICATION MANAGEMENT. WE OFFER THERAPY FOR INDIVIDUALS, CHILDREN, COUPLES, AND FOR WOMEN’S ISSUES, AS WELL AS SERVICES TO ADDRESS TRAUMA AND POST-TRAUMATIC STRESS DISORDER. WE CURRENTLY DO NOT HAVE THE CAPACITY TO PROVIDE MEDICATIONS FOR OPIOID USE DISORDER (MOUD) SERVICES. IN 2023, WE PROVIDED MENTAL HEALTH SERVICES TO 293 PATIENTS AND SUD SERVICES TO 0 PATIENTS, BUT DEMAND FOR SERVICES EXCEEDS OUR CURRENT CAPACITY. THE NUMBER OF MENTAL HEALTH THERAPY AND MEDICATION MANAGEMENT VISITS AT PROMISE NEARLY DOUBLED BETWEEN 2022 AND 2023. DUE TO LIMITED STAFF CAPACITY, OUR WAIT LIST FOR THERAPY SERVICES HAS BEEN STEADILY RISING AND CURRENTLY INCLUDES MORE THAN 50 PATIENTS. THE LACK OF OTHER PROVIDERS IN THE COUNTY THAT ARE EASILY ACCESSIBLE AND ARE ABLE TO ACCEPT REFERRALS HAS INCREASED THE NEED FOR ONSITE SERVICES AT OUR HEALTH CENTER. MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS ARE AN INCREASING CONCERN AMONG OUR PATIENTS AND THROUGHOUT SIOUX COUNTY. OVER THE PAST SEVERAL YEARS, THE COUNTY HAS EXPERIENCED AN INCREASE IN POOR MENTAL HEALTH DAYS, FREQUENT MENTAL DISTRESS, AND BINGE/HEAVY DRINKING AMONG ADULTS, AS WELL AS A RISING SUICIDE RATE. AN INCREASING NUMBER OF MIDDLE AND HIGH SCHOOL STUDENTS ARE ALSO REPORTING POOR MENTAL HEALTH AND ILLICIT SUBSTANCE USE, WHICH IS HIGHER AMONG HISPANIC/LATINO STUDENTS. AN ONGOING BEHAVIORAL HEALTH WORKFORCE SHORTAGE AT OUR HEALTH CENTER AND THROUGHOUT SIOUX COUNTY HAS MADE IT CHALLENGING TO MEET THESE GROWING NEEDS. THE DIVERSE POPULATIONS WE SERVE OFTEN FACE STIGMA ASSOCIATED WITH SEEKING OUT OR EVEN TALKING ABOUT MENTAL HEALTH AND SUBSTANCE USE ISSUES. THESE POPULATIONS INCLUDE HISPANIC/LATINO, RECENT IMMIGRANTS, AND VICTIMS OF TRAUMA, DOMESTIC VIOLENCE, AND/OR SEXUAL ABUSE. EVEN THOSE WHO HAVE LIVED THEIR ENTIRE LIVES IN OUR RURAL COMMUNITY, WHERE EVERYONE KNOWS EACH OTHER, ARE OFTEN RELUCTANT TO SEEK CARE FOR BEHAVIORAL HEALTH CONCERNS. OUR PATIENTS FACE ADDITIONAL BARRIERS TO ACCESSING SERVICES, INCLUDING LANGUAGE/CULTURAL DIFFERENCES, LACK OF TRANSPORTATION, AND LOWER EDUCATION AND LITERACY LEVELS. BHSE FUNDING WILL ALLOW US TO PROVIDE ACCESS TO MENTAL HEALTH SERVICES FOR 155 ADDITIONAL PATIENTS, SUD SERVICES FOR 30 PATIENTS, AND MOUD FOR 5 PATIENTS. A TOTAL OF 45 NEW UNDUPLICATED PATIENTS WILL BE SERVED THROUGH THIS FUNDING. THIS PATIENT TARGET WILL BE ACHIEVED BY: -HIRING A LICENSED MENTAL HEALTH COUNSELOR, SOCIAL WORKER, AND SPANISH INTERPRETER; -TRAINING CURRENT PRIMARY CARE STAFF AND PSYCHIATRIC NURSE PRACTITIONER TO PROVIDE SUD, MOUD; AND -IMPROVING OUR BEHAVIORAL HEALTH SCREENING PROCESSES FOR PATIENTS AGE 12 AND OLDER.

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FISCAL YEAR 2025 EXPANDED HOURS. - GREATER SIOUX COMMUNITY HEALTH CENTER DBA PROMISE COMMUNITY HEALTH CENTER (H80CS24171) GREATER SIOUX COMMUNITY HEALTH CENTER DBA PROMISE COMMUNITY HEALTH CENTER OPENED IN JULY 2008, BECAME AN FQHC LOOK ALIKE IN LATE 2008, AND HAS BEEN A HEALTH CENTER PROGRAM GRANTEE SINCE 2012. WE PROVIDE PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO MORE THAN 6,400 UNDERSERVED INDIVIDUALS IN RURAL SIOUX COUNTY, IOWA. LOCATED IN THE FAR NORTHWEST CORNER OF THE STATE, THE MAJORITY OF OUR PATIENTS ARE LOW-INCOME AND ARE UNINSURED OR MEDICAID BENEFICIARIES. MORE THAN HALF OF OUR PATIENTS ARE HISPANIC/LATINO AND ARE BEST PROVIDED CARE IN A LANGUAGE OTHER THAN ENGLISH.  AS OUR PATIENT POPULATION HAS BECOME MORE DIVERSE, WE HAVE SEEN AN INCREASED NEED FOR MORE NON-TRADITIONAL HOURS FOR DENTAL SERVICES AND ADDITIONAL CAPACITY DURING OUR CURRENT EVENING HOURS FOR MEDICAL SERVICES TO MEET THE NEEDS OF PATIENTS WHO HAVE WORK AND SCHOOL SCHEDULES WITH LIMITED FLEXIBILITY.  THE NEED FOR ADDITIONAL DENTAL CAPACITY IN OUR SERVICE AREA IS DEMONSTRATED THROUGH SIOUX COUNTY’S DESIGNATION AS A DENTAL HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). IN 2022, THE COUNTY REPORTED A POPULATION-TO-DENTIST RATIO OF 1,900:1 – HIGHER THAN THE STATE (1,410) AND NATIONAL (1,360) AVERAGES. BECAUSE OF THIS DENTAL WORKFORCE SHORTAGE, UNDERSERVED INDIVIDUALS – THOSE WHO HAVE LESS ANNUAL INCOME OR WHO ARE HISPANIC – ARE MUCH LESS LIKELY TO HAVE VISITED A DENTIST IN THE PAST YEAR.  ADDITIONALLY, BETWEEN 2019 AND 2022 SIOUX COUNTY REPORTED A DECREASE IN THE PERCENTAGE OF MEDICAID CHILDREN WHO RECEIVED ANY ORAL HEALTH OR DIAGNOSTIC DENTAL SERVICES IN THE PAST YEAR. BECAUSE WE ARE THE ONLY DENTAL PROVIDER IN THE SERVICE AREA THAT ACCEPTS MEDICAID PATIENTS, THERE IS A NEED TO INCREASE ACCESS FOR LOW-INCOME CHILDREN AND ADULTS. SIOUX COUNTY REPORT A HIGHER PERCENTAGE OF ADULTS WITH NO PERSONAL HEALTH CARE PROVIDER AND MORE DAYS DURING WHICH THEIR PHYSICAL HEALTH WAS NOT GOOD COMPARED WITH THE STATE AVERAGE. MANY ADULTS IN THE SERVICE AREA – BOTH PATIENTS AND NON-PATIENTS – WORK FOR COMPANIES WITH SHIFTS DURING ALL HOURS OF THE DAY, WHICH MAKES ACCESSING SERVICES DURING NORMAL OFFICE HOURS DIFFICULT, IF NOT IMPOSSIBLE.  ACCESS TO SERVICES DURING REGULAR OFFICE HOURS IS ALSO A CHALLENGE FOR SCHOOL-AGE CHILDREN AND THEIR PARENTS, MANY OF WHOM MUST TRAVEL 15-30 MINUTES TO SIOUX CENTER FOR APPOINTMENTS. APPOINTMENTS AFTER 4PM AND INTO THE EARLY EVENING BETTER FIT THESE PATIENTS’ SCHEDULES. TO ADDRESS THESE NEEDS, EXPANDED HOURS FUNDING WILL BE USED TO:  • INCREASE ACCESS TO DENTAL SERVICES BY ADDING EARLY MORNING HOURS FROM 7AM-8AM TUESDAY-FRIDAY.  • INCREASE ACCESS TO DENTAL SERVICES DURING OUR EXISTING EVENING HOURS WHEN CURRENTLY ONLY MEDICAL SERVICES ARE PROVIDED FROM 5PM-7PM MONDAY-WEDNESDAY. • INCREASE ACCESS TO MEDICAL SERVICES DURING OUR EXISTING EVENING HOURS FROM 5-6PM MONDAY AND 6-7PM WEDNESDAY. WE ESTIMATE AN ADDITIONAL 345 NEW UNDUPLICATED PATIENTS WILL BE SERVED IN 2025.

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM