Zufall Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ZUFALL REQUESTS FUNDING THROUGH THE HRSA BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) FISCAL YEAR 2024 OPPORTUNITY TO EXPAND OUR BEHAVIORAL HEALTH SERVICES (BHS) PROGRAM. ZUFALL, A FEDERALLY QUALIFIED HEALTH CENTER SERVING RESIDENTS ACROSS SEVEN NORTHERN AND CENTRAL NEW JERSEY COUNTIES, PROVIDED PRIMARY MEDICAL, BEHAVIORAL HEALTH, DENTAL, AND SUPPORT SERVICES TO 48,240 PATIENTS IN 2023. OF THESE PATIENTS, 86% LIVED BELOW 200% OF THE FEDERAL POVERTY LEVEL; 50% DID NOT HAVE HEALTH INSURANCE; 76% IDENTIFIED AS HISPANIC; AND 71% WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. ZUFALL PROPOSES TARGETING IDENTIFIED LIMITATIONS IN OUR BHS PROGRAM TO OPTIMIZE ACCESSIBILITY TO AND QUALITY OF INTEGRATED BHS. ALTHOUGH ZUFALL DELIVERED MENTAL HEALTH SERVICES TO 2,602 UNIQUE PATIENTS IN 2023, SUBSTANTIAL NEEDS REMAIN. MENTAL HEALTH SERVICE GAPS HAVE BEEN IDENTIFIED ACROSS ZUFALL’S SERVICE AREA, INCLUDING FEWER MENTAL HEALTH PROVIDERS COMPARED TO THE STATE AS A WHOLE; MORE FREQUENT MENTAL DISTRESS COMPARED TO THE STATE; AND DISPROPORTIONATELY HIGH RATES OF MENTAL HEALTH CONCERNS AMONG VULNERABLE POPULATIONS. A SIGNIFICANT LIMITATION IS A LACK OF DESIGNATED PERSONNEL TO DELIVER SUBSTANCE USE DISORDER (SUD) SERVICES. WITH BHSE FUNDING, ZUFALL WILL HIRE A NEW PROVIDER TO OFFER SUD SERVICES. IN THE PAST FEW YEARS, ZUFALL HAS MADE STRIDES TO ENHANCE ACCESS TO MEDICATIONS FOR OPIOID USE DISORDER (MOUD) BY OFFERING MEDICATION-ASSISTED TREATMENT IN THE CONTEXT OF PRIMARY CARE VISITS, BEHAVIORAL HEALTH SUPPORT, AND CASE MANAGEMENT. ZUFALL HAS GAINED A REPUTATION AS ONE OF THE ONLY PROVIDERS IN OUR SERVICE AREA THAT PRESCRIBES MOUD WITHIN AN INTEGRATED SERVICE SETTING AND THE ONLY MOUD PROVIDER THAT ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. WITH ADDITIONAL RESOURCES, ZUFALL WILL HAVE THE CAPACITY TO EXPAND REACH OF MOUD SERVICES IN OUR COMMUNITIES USING THIS MODEL. BHSE ACTIVITIES WILL TARGET THE FOCUS AREAS ACCESS AND AFFORDABILITY; QUALITY, PATIENT CARE, SAFETY, AND INTEGRATED SERVICES; AND PATIENT EXPERIENCE. INCREASING STAFF CAPACITY IS INTEGRAL TO ADDRESSING SERVICE GAPS, INCLUDING CLINICAL STAFF TO DIRECTLY PROVIDE TREATMENT AND SUPPORT STAFF (INCLUDING BEHAVIORAL HEALTH CASE MANAGERS) TO PROVIDE RECOVERY SUPPORT BY ADDRESSING SOCIAL RISK FACTORS WHICH OFTEN PRESENT BARRIERS TO TREATMENT. ACCESS TO IN-HOUSE SUPPORT SERVICES ZUFALL OFFERS (E.G., 340B PROGRAM FOR DISCOUNTED MEDICATION; TRANSPORTATION SERVICES; HEALTH INSURANCE NAVIGATION/ENROLLMENT) AND RESOURCES OF LOCAL COMMUNITY-BASED ORGANIZATIONS IS LIMITED WITHOUT SUPPORT STAFF WHO FACILITATE INDIVIDUALIZED REFERRALS AND FOLLOW-UP COMMUNICATIONS. THE CURRENT CLIMATE OF MENTAL HEALTH AND SUD SERVICES CALLS FOR GREATER ACCESS TO AN INTEGRATED, STIGMA-REDUCING APPROACH IN THE CONTEXT OF PRIMARY CARE WHEREIN PATIENTS ARE AT THE FOREFRONT OF CARE DELIVERY. ZUFALL WILL HIRE CONSULTANTS TO INCREASE SUD AND MOUD KNOWLEDGE AND PROVIDE LEGAL EXPERTISE. RESPONDING TO THE FRAGMENTED SYSTEMS OF CARE THAT PRESENT AS A BARRIER TO BHS, A NEW PROGRAM MANAGER AND A NEW TELEHEALTH COORDINATOR WILL SUPPORT EFFICIENT DELIVERY OF SERVICES, COORDINATE AND TRACK BHSE ACTIVITY PROGRESS, AND MANAGE ADMINISTRATIVE TASKS. TELEHEALTH CAPACITY IS INTEGRAL TO THE DELIVERY OF ZUFALL’S BHS, AS TWO-THIRDS OF OUR MENTAL HEALTH SERVICES ARE CONDUCTED VIRTUALLY. ZUFALL’S PROPOSAL INCLUDES SOFTWARE TO IMPROVE ACCURACY AND PRECISION OF CLINICAL MEASURES, WHICH WILL SERVE AS A QUALITY ASSURANCE/QUALITY IMPROVEMENT INITIATIVE FOR THE BHSE PROGRAM. ZUFALL’S FOUNDATIONAL BHS PROGRAM APPLIES AN INTEGRATED PRIMARY CARE-BH SERVICE MODEL DELIVERED BY A TEAM OF EXPERIENCED, DEVOTED BH PROFESSIONALS, REPRESENTING AN OPPORTUNE PLATFORM FROM WHICH TO EXPAND TO MEET THE NEED FOR BHS. WITH BHSE FUNDING, ZUFALL WILL BE WELL-POSITIONED AND EAGER TO INCREASE THE NUMBER OF PATIENTS WE SERVE WHO RECEIVE MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING MOUD.

ARRA - CAPITAL IMPROVEMENT PROGRAM

CAPITAL DEVELOPMENT

FY 2023 EXPANDING COVID-19 VACCINATION

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

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

FY 2023 EARLY CHILDHOOD DEVELOPMENT

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

FY 2023 BRIDGE ACCESS PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ZUFALL HEALTH CENTER IS APPLYING FOR THE HRSA-25-049 CAPACITY DEVELOPMENT FUNDING UNDER THE INFRASTRUCTURE DEVELOPMENT CATEGORY TO EXPAND TELEHEALTH SERVICES FOR OUR RYAN WHITE HIV/AIDS PROGRAM (RWHAP). ZUFALL’S INITIATIVE AIMS TO ADDRESS BARRIERS FACED BY PEOPLE LIVING WITH HIV (PLWH) SUCH AS STIGMA, COST, GEOGRAPHIC ISOLATION, AND LIMITED ACCESS TO SPECIALIZED CARE, BY ENHANCING TELEHEALTH CAPACITY ACROSS ZUFALL’S SEVEN-COUNTY HEALTH CARE SYSTEM IN NEW JERSEY. BUILDING ON OUR EXISTING TELEHEALTH FOUNDATION, ZUFALL WILL IMPLEMENT NEW TELEHEALTH STRATEGIES, INCLUDING AN AI-POWERED MEDICAL SCRIBE, A PATIENT SELF-SCHEDULING FEATURE, UPGRADED TELEHEALTH HARDWARE FOR PROVIDER USE IN A NEW TELEHEALTH-DESIGNATED SUITE, AND PATIENT TELEHEALTH KITS. WITH 94% OF OUR RWHAP PATIENTS RETAINED IN CARE AND 94% VIRALLY SUPPRESSED, ZUFALL SEEKS TO FURTHER IMPROVE THESE OUTCOMES THROUGH IMPROVED ACCESS TO HEALTH CARE OFFERED BY EXPANDED TELEHEALTH CAPACITY. FEEDBACK MECHANISMS, SUCH AS SECURE MESSAGING, SURVEYS, AND SUPPORT GROUP MEETINGS, WILL GUIDE SERVICE ENHANCEMENTS. SUSTAINABILITY WILL BE ACHIEVED THROUGH BILLING FOR MEDICAL AND BEHAVIORAL HEALTH VISITS ONCE THE REQUESTED TELEHEALTH ITEMS ARE PURCHASED. THE PROGRAM WILL BE OVERSEEN BY ZUFALL’S DIRECTOR OF HIV SERVICES, CHIEF INFORMATION OFFICER, AND CHIEF MEDICAL OFFICER, LEVERAGING THE ORGANIZATION’S EXTENSIVE EXPERIENCE WITH PROVIDING CARE FOR PLWH, TAILORING TELEHEALTH TO POPULATIONS WITH UNIQUE NEEDS, AND GRANTS MANAGEMENT.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ZUFALL REQUESTS $150,000 FOR RYAN WHITE PART C CAPACITY DEVELOPMENT FY22 FUNDING UNDER THE CATEGORY OF HIV CARE INNOVATION, SPECIFICALLY THE ACTIVITY INTEGRATION OF HIV PRIMARY CARE WITH ORAL HEALTH, TO IMPLEMENT A PILOT PROGRAM THAT WOULD INCLUDE THE FIRST GROUP OF COMMUNITY DENTAL HEALTH WORKERS (CDHWS) TO ENHANCE ORAL HEALTHCARE FOR LOW-INCOME, UNDERSERVED PLWHA IN NJ. AS ZUFALL PROVIDES HIGH-QUALITY, AFFORDABLE MEDICAL TREATMENT TO NEW JERSEY’S WORKING POOR, UNINSURED, AND UNDERSERVED POPULATIONS, INCLUDING PLWHA, ZUFALL REQUESTS FUNDING PREFERENCE UNDER QUALIFICATION 2: UNDERSERVED POPULATIONS. IT HAS BEEN LARGELY ESTABLISHED THAT PLWHA SUFFER HIGHER BURDENS OF ORAL DISEASES WHICH ARE OFTEN CORRELATED WITH INFECTIONS, DIABETES, WEIGHT LOSS, MALNUTRITION AND CAN NEGATIVELY AFFECT INDIVIDUALS’ EATING, SLEEP, WORK PERFORMANCE, AND SOCIAL LIFE. PLWHA ALSO FACE NUMEROUS BARRIERS TO ACCESSING AFFORDABLE PREVENTIVE AND RESTORATIVE DENTAL SERVICES. INCORPORATING CDHWS INTO THE CARE TEAM WILL INCREASE ACCESS TO ORAL HEALTH SERVICES THROUGH THE INTEGRATION OF PRIMARY CARE AND ORAL HEALTH SERVICES. THIS WILL ADDRESS THE STEPS “LINKAGE TO HIV MEDICAL CARE,” “RECEIPT OF HIV MEDICAL CARE,” AND “RETENTION IN MEDICAL CARE” OF THE HIV CARE CONTINUUM. IN PARTNERSHIP WITH THE AMERICAN DENTAL ASSOCIATION (ADA), ZUFALL HEALTH WILL EXPAND ITS RECENT LAUNCH OF A CDHW TRAINING PROGRAM TO INTEGRATE HIV AND DENTAL SERVICES. ZUFALL PROPOSES TO INCORPORATE TWO CDHWS TO IMPROVE CARE FOR RW PATIENTS AT OUR HACKETTSTOWN, DOVER, MORRISTOWN, AND SOMERVILLE SITES. THE TEAM FOR THIS PROPOSAL WOULD ALSO INCLUDE AN EXISTING ZUFALL DATA ANALYST, DENTIST, AND EXISTING MEDICAL PROVIDERS, WORKING IN COLLABORATION WITH THE CHIEF DENTAL OFFICER AND HIV PROGRAM DIRECTOR. ZUFALL ANTICIPATES THAT THIS PROGRAM WILL BE SELF-SUSTAINING ONCE THE PROPOSED MOBILE DENTAL EQUIPMENT IS ACQUIRED. DURING RWHAP PATIENTS’ VISITS WITH THEIR INFECTIOUS DISEASE (ID) PROVIDER, CDHWS WOULD USE INTRAO RAL SCANNERS, INTRAORAL SENSORS, AND INTRAORAL CAMERAS TO TAKE X-RAYS, PICTURES, DIGITAL MODELS, AND GENERATE A COMPLETE ELECTRONIC RECORD OF THE PATIENT’S MOUTH. A DENTIST WOULD ASYNCHRONOUSLY REVIEW THE RECORDS TO GENERATE A TREATMENT PLAN FOR THE PATIENT AND ENGAGE THEM INTO CARE BASED ON THEIR TREATMENT NEEDS. CDHWS WOULD ALSO PROVIDE EDUCATION USING MOTIVATIONAL INTERVIEWING TECHNIQUES DURING THE INTEGRATED ID VISIT AND HELP ADDRESS OTHER BARRIERS TO CARE. AN UNDERSTANDING OF THE INFLUENCE OF SOCIAL DETERMINANTS OF HEALTH (E.G., HOUSING STATUS, RACE, ACCESS TO HEALTHY FOOD) THAT PLWHA MAY FACE HAS CONTRIBUTED TO A SHIFT IN APPROACH AND CONSEQUENTLY TO THE GROWTH OF THE ROLE OF CDHWS. CDHWS CAN WORK TO REMOVE BARRIERS OF CULTURE, LANGUAGE, AND LACK OF ACCESS TO DENTAL SERVICES THAT CONTRIBUTE TO THE POOR COORDINATION OF CARE. BECAUSE CDHWS GENERALLY COME FROM THE COMMUNITIES IN WHICH THEY WORK, THEY ARE A TRUSTED SOURCE OF HEALTH INFORMATION AND CAN CONVEY HEALTH-RELATED INFORMATION THAT HELPS ELIMINATE MULTIPLE BARRIERS TO ACCESSING AND FOLLOWING THROUGH ON DENTAL CARE.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM