Staywell Health Care Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

CLINICAL COMMUNITY INTEGRATION PROGRAM ADDRESSING SDOH AND MENTAL HEALTH - STAYWELL HEALTH CARE INC: CLINICAL COMMUNITY INTEGRATION PROGRAM ADDRESSING SDOH AND MENTAL HEALTH ABSTRACT STAYWELL HEALTH CARE, INC. IS EXPANDING THE CLINICAL COMMUNITY INTEGRATION PROGRAM IN WATERBURY, CT. THIS INNOVATIVE INITIATIVE EMPLOYS A TWO-STEP APPROACH TO SIGNIFICANTLY ENHANCE CASE MANAGEMENT, REFERRALS, AND CARE COORDINATION. FOCUSED ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH), MENTAL HEALTH, AND SUBSTANCE USE DISORDERS, THE PROGRAM AIMS TO EXPAND ACCESS TO ESSENTIAL SERVICES AND SUPPORT WITHIN THE COMMUNITY. UNINSURED CLIENTS WHO DEMONSTRATE EXTENSIVE NEEDS AND HOSPITAL RECIDIVISM THROUGH SCREENING WILL BE REFERRED INTO THE COMMUNITY CARE TEAM (CCT) AND THEIR HOSPITAL UTILIZATION WILL BE ANALYZED FOR IMPROVED OUTCOMES. CLIENTS MAY BE REFERRED TO AN ARRAY OF COMMUNITY OR CLINICAL PROVIDERS BY PROGRAM STAFF, INCLUDING INTERNALLY TO STAYWELL HEALTH CENTER FOR PRIMARY, DENTAL OR BEHAVIORAL HEALTH CARE AS APPLICABLE. THIS PROJECT WILL SERVE A TOTAL OF 960 UNDUPLICATED ADULT INDIVIDUALS ANNUALLY AND DURING THE FUNDING PERIOD. POPULATION OF FOCUS: ADULT UNINSURED/MEDICAID RECIPIENTS OF ANY GENDER IDENTITY WHO HAVE A.) POSITIVE SCREENING RESULTS ON MULTIPLE INDICATORS OF THE PRAPARE SOCIAL DETERMINANT OF HEALTH SCREENING TOOL AND NO MEDICAL HOME; B.) >=6 EMERGENCY DEPARTMENT VISITS IN A PERIOD OF 4 MONTHS; C.) HOMELESSNESS AND D.) DUAL DIAGNOSES OF MENTAL HEALTH DISORDER AND CHRONIC CONDITIONS OR SUBSTANCE USE DISORDER. THE GEOGRAPHIC CATCHMENT AREA IS WATERBURY, CT WITH A POPULATION OF 114,403 RESIDENTS. DEMOGRAPHICS OF WATERBURY: WHITE 37,760 (33%;) BLACK 22,269 (19%); LATINO 45,281 (40%); ASIAN 2,349 (2%); NATIVE AMERICAN 307 (<1%); OTHER RACE/ETHNICITY 6,437 (6%) (US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY 2016-20). CLINICAL CHARACTERISTICS OF THE WATERBURY, CT AREA: 16% OF WATERBURY ADULTS, AGES 18-64 HAVE NO HEALTH INSURANCE, AND 40% ARE ON MEDICAID. [5] OVERALL, 18% OF WATERBURY ADULTS REPORT EXPERIENCING ANXIETY REGULARLY AND 15% REPORT BEING IMPACTED BY DEPRESSION. PRIOR TO THE PANDEMIC, 26.5% OF ADULTS WITH ANY MENTAL ILLNESS IN CONNECTICUT REPORTED HAVING MEDICAID COVERAGE IN THE PAST YEAR. [6] IN 2016 AND 2017, 51% OF THE DRUG OVERDOSE DEATHS IN WATERBURY INVOLVED FENTANYL; IN 2020 AND 2021, THIS SHARE WAS 87%. [7] WATERBURY HAS A 22% POVERTY RATE AND THE LIFE EXPECTANCY IS ONE OF THE LOWEST IN THE STATE AT JUST 76.8 YEARS CONSEQUENTLY, THE POPULATION IN NEED REQUIRES A WHOLE-PERSON INTENSIVE CASE MANAGEMENT APPROACH FROM MANY ENTITIES TO PUT IN PLACE THE FOUNDATIONAL SUPPORTS OF INCOME, HEALTH INSURANCE, IDENTIFICATION, TRANSPORTATION AND MEDICAL HOME BEFORE THE FOCUS CAN SHIFT TO ADDRESSING THE MORE SIGNIFICANT ISSUES OF MENTAL HEALTH TREATMENT, MEDICATION ADHERENCE, AND SUBSTANCE ABUSE TREATMENT. PROJECT GOALS INCLUDE INCREASED SCREENING OF THE UNINSURED FOR SDOH AND EXPEDITING CLIENTS TO MENTAL HEALTH RESOURCES/REFERRING THEM TO CCT AS NECESSARY; CREATING OPPORTUNITIES TO SERVE MORE CCT CLIENTS THROUGH THOUGHTFUL DISCHARGE PROCESSES; DEVELOPING IMPROVED OUTCOME DATA DEMONSTRATING LINKAGES TO CARE AND REDUCTION IN HOSPITAL RECIDIVISM; MAINTAINING ADHERENCE TO EQUITABLE AND CULTURALLY COMPETENT CARE AND SERVICES ALIGNED WITH CLAS STANDARDS. THE PROJECT WILL ADDRESS THESE GOALS AND NEEDS THROUGH INNOVATIVE COLLABORATION THAT SETS PARTICIPANTS ON A PATH OF INDEPENDENCE, STABLE HOUSING, SECURITY, EMPLOYMENT AND HEALTH WHILE IMPARTING AN IMPROVED QUALITY OF LIFE, WHILE SAVING MONEY IN THE OVERALL HEALTH SYSTEM.

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CAPITAL DEVELOPMENT

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - STAYWELL HEALTH CENTER (STAYWELL) WILL LEAD AN INFRASTRUCTURE DEVELOPMENT PROJECT TO ADDRESS ORAL HEALTH FOR ITS 270 PLWH PATIENTS AND THE REMAINING 3,092 PLWH IN STAYWELL’S CATCHMENT AREA WHO OTHERWISE HAVE LIMITED ACCESS TO CARE THAT IS INEFFICIENT AND PRONE TO PAIN AND DISCOMFORT. THE BURDEN OF HIV/AIDS IN STAYWELL’S CATCHMENT AREA IS INTENSIFIED BY THE LARGE NUMBER OF PLWHA LIVING IN POVERTY, WHO ARE AFFECTED WITH OTHER MEDICAL CONDITIONS, AND LACK HEALTH INSURANCE – INCLUDING A POPULATION OF PLWH WHO ARE NOT ELIGIBLE FOR INSURANCE UNDER MOST PUBLICLY-FUNDED PROGRAMS AND REQUIRE SEVERAL MEDICAL AND SOCIAL SUPPORT SERVICES TO BE ABLE TO SURVIVE. STAYWELL’S RWHAP C PROGRAM ADDRESSES HEALTH INEQUITIES OF HIV BY PROVIDING MEDICAL CASE MANAGEMENT, ORAL HEALTH, EIS, OUTPATIENT/AMBULATORY HEALTH SERVICES, MEDICAL NUTRITION THERAPY, NON-MEDICAL CASE MANAGEMENT, OUTREACH, CTR, TREATMENT ADHERENCE AND GYNECOLOGICAL CARE TO SUPPORT THE MOST IMPACTED AND VULNERABLE POPULATION WHO HAVE UNIQUE CHALLENGES, POORER HEALTH OUTCOMES AND CARRY A DISPROPORTIONATE BURDEN OF THE EPIDEMIC. ALTERNATIVES ARE LIMITED FOR PATIENTS GIVEN THE NEAREST DENTAL PROVIDER FOR PLWH IS 38 MINUTES AWAY. FOR THE 50% OF STAYWELL’S PLWH WHO RECEIVE AN ANNUAL DENTAL EXAM, THE NEED FOR RESTORATIVE CARE IS EXTENSIVE. IN TREATING PATIENTS WITH ADVANCED DECAY, TIME IS OFTEN A FACTOR—DELAYED TREATMENT CAN LEAD TO WORSENED DENTAL AND MEDICAL CONDITIONS. WITH CLINICAL TEAM MEMBERS AND CASE MANAGERS WORKING WITH PATIENTS ON THE UPHILL BATTLE AGAINST LIMITED APPOINTMENT AVAILABILITY, PATIENT FEARS, MEDICAID COVERAGE RESTRICTIONS AND INCREASED INFECTION RISKS, OFFERING SUBPAR CARE BECOMES ANOTHER DISINCENTIVE FOR PATIENTS. THIS PROJECT WILL GIVE DENTISTS AND HYGIENISTS THE MODERN EQUIPMENT TO MORE RAPIDLY AND LESS PAINFULLY COMPLETE THE EXTENSIVE AND COMPLEX WORK NEEDED BY MANY PATIENTS. THIS PROPOSAL DIRECTLY ADDRESSES CHALLENGES TO DENTAL CARE BY EQUIPPING TARGETED DENTAL CLINICS WITH ADVANCED TECHNOLOGICAL TOOLS TO ENSURE SAFE, HIGH-IMPACT ORAL HEALTHCARE FOR PLWHA WITH REDUCED PAIN, RADIATION EXPOSURE AND EXCESSIVE VISITS. INVESTING IN UPGRADED EQUIPMENT NOT ONLY ADDRESSES CURRENT DENTAL ISSUES BUT ALSO SUPPORTS LONG-TERM ORAL HEALTH. WITH MORE ACCURATE DIAGNOSTIC TOOLS AND EFFICIENT TREATMENT OPTIONS, WE CAN HELP PREVENT FUTURE DENTAL ISSUES IN PATIENTS WHO HAVE HAD YEARS OF NEGLECT. UPGRADED EQUIPMENT IMPROVES TREATMENT EFFICIENCY, ALLOWING US TO PERFORM MORE DETAILED AND EFFECTIVE PROCEDURES IN LESS TIME. THIS MEANS WE CAN TREAT MORE PATIENTS WHO ARE IN URGENT NEED OF CARE, REDUCING WAIT TIMES AND IMPROVING OVERALL PATIENT SATISFACTION. AN INVESTMENT OF $150,000 FOR DENTAL INFRASTRUCTURE WILL HAVE A SIGNIFICANT AND ONGOING POSITIVE IMPACT ON THE ORAL HEALTH OF PATIENTS.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM