Harbor Community Clinic Inc

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HARBOR COMMUNITY HEALTH CENTERS (HARBORCHC) PROPOSES TO EXPAND OUR BEHAVIORAL HEALTH CARE PROGRAM, INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES. HARBORCHC OFFERS WRAPAROUND, WHOLE-PERSON CARE IN A PATIENT-CENTERED MEDICAL HOME TO OUR TARGET POPULATION OF LOW-INCOME ADULTS, CHILDREN AND FAMILIES IN THE SOUTH BAY REGION OF LOS ANGELES COUNTY (LAC), SERVICE PLANNING AREA (SPA) 8. OUR OVERARCHING GOAL IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR UNDERSERVED PEOPLE IN OUR COMMUNITY. FUNDS WILL HELP COVER SALARIES FOR PROJECT STAFF. THE NEED FOR BEHAVIORAL SERVICES IN LAC IS GROWING. ACCORDING TO THE LAC DEPARTMENT OF PUBLIC HEALTH, FROM 2019 - 2020, THE LATINX POPULATION (WHICH REPRESENTS THE MAJORITY OF OUR PATIENTS) SAW A 48% INCREASE IN OVERDOSE DEATH RATES. COMMUNITIES OF COLOR IN OUR REGION EXPERIENCE HIGH RATES OF ANXIETY, DEPRESSION, SERIOUS MENTAL HEALTH CONDITIONS, BINGE DRINKING, OPIOID AND OTHER SUBSTANCE MISUSE, AND CHRONIC HEALTH CONDITIONS. NEARLY A THIRD OF OUR PATIENTS SUFFER FROM AT LEAST ONE CHRONIC DISEASE AND/OR MENTAL HEALTH DISORDER. ALTHOUGH MANY PEOPLE NEED BEHAVIORAL TREATMENT AND SUPPORTIVE SERVICES IN SPA 8, THERE ARE VERY LIMITED LOW- OR NO-COST BEHAVIORAL OPTIONS AVAILABLE. THE PATIENTS WE INTEND TO SERVE THROUGH THIS PROGRAM — NEARLY ALL OF WHOM ARE LOW-INCOME — ALSO FACE MANY ADDED OBSTACLES TO ACCESSING QUALITY CARE, INCLUDING LANGUAGE BARRIERS, STIGMA AND LACK OF TRUST IN SERVICE PROVIDERS. THERE IS ALSO A SEVERE LACK OF LICENSED ADDICTION MEDICINE PROVIDERS NATIONWIDE, WITH ONLY 900 ACROSS THE COUNTRY. THIS PROGRAM FUNDING WILL ALLOW HARBORCHC TO EXPAND BEHAVIORAL HEALTH CARE SERVICE DELIVERY IN OUR COMMUNITY BY PROVIDING MENTAL HEALTH SCREENINGS, THERAPEUTIC TREATMENTS, TREATMENTS WITH MEDICATIONS FOR OPIOID USE (MOUD), REFERRALS AND SUPPORT SERVICES FOR PATIENTS IN NEED. WE HAVE TWO FELLOWSHIP-TRAINED ADDICTION MEDICINE PHYSICIANS ON SITE. CREATING A CLEAR PATH FORWARD WILL HELP PATIENTS STAY ON TRACK WITH THEIR TREATMENT. EARLY ON IN THEIR HARBORCHC CARE JOURNEY, EACH PATIENT’S CARE TEAM WILL DEVELOP AN INDIVIDUALIZED CARE PLAN TO ADDRESS MENTAL HEALTH AND/OR SUD CONCERNS. IF A PATIENT’S INDIVIDUALIZED CARE PLAN INCLUDES MOVING THROUGH DIFFERENT CARE SETTINGS, SUCH AS A RECOVERY CENTER, HOSPITAL OR OTHER SITE, OUR TEAM WILL COORDINATE WITH PROVIDERS IN THESE SETTINGS TO ENSURE THE PATIENT RECEIVES THE APPROPRIATE CARE, HELP MONITOR PROGRESS AND ADJUST THE PLAN AS NEEDED. BHSE PATIENTS WILL BE SUPPORTED BY A MULTIDISCIPLINARY HARBORCHC TEAM INCLUDING AN LCSW, PSYCHOLOGIST, PSYCHIATRIST, MEDICAL ASSISTANT AND A CASE MANAGER. THIS CARE TEAM WORKS TOGETHER TO ENSURE PATIENTS HAVE THE CARE SERVICES THEY NEED. THIS TEAM ALSO MONITORS EACH PATIENT TO HELP THEM FOLLOW THEIR CARE PLANS AND BEGIN THEIR HEALING JOURNEY. WE AIM TO REDUCE THE STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH TREATMENT FOR OUR PATIENTS, AND TO ENHANCE ACCESS AND IMPROVE TREATMENT OUTCOMES. OUR HIGHLY QUALIFIED BEHAVIORAL HEALTH TEAM WILL BE SPECIALLY TRAINED TO PROVIDE CARE TO PATIENTS WITH THE UNIQUE NEEDS OF OUR TARGET POPULATION. BECAUSE MANY OF OUR PATIENTS SPEAK SPANISH AS THEIR PRIMARY LANGUAGE, WE EMPLOY STAFF WHO ARE BILINGUAL IN ENGLISH AND SPANISH. ADDITIONALLY, OUR SERVICES ARE CULTURALLY AFFIRMING, TRAUMA-INFORMED AND OFFERED ON A SLIDING FEE SCALE. THROUGH THIS PROGRAM, WE WILL SERVE LOW-INCOME RESIDENTS OF THE CITIES OF SAN PEDRO, WILMINGTON, HARBOR CITY, LOMITA, CARSON AND LONG BEACH. IN 2023, 97% OF THOSE WE SERVED LIVED IN HOUSEHOLDS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, 12% WERE UNINSURED AND 68% HAD MEDI-CAL. APPROXIMATELY 76% IDENTIFY AS A RACIAL AND/OR ETHNIC MINORITY, INCLUDING 65% WHO IDENTIFY AS LATINX.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FISCAL YEAR 2025 EXPANDED HOURS. - HARBOR COMMUNITY CLINIC DBA HARBOR COMMUNITY HEALTH CENTERS (HARBORCHC) PROPOSES TO EXPAND ACCESS TO HIGH-QUALITY HEALTH SERVICES IN SAN PEDRO, CALIFORNIA, BY ADDING 14 HOURS PER WEEK TO OUR OPERATING HOURS. HARBORCHC OFFERS WRAPAROUND, WHOLE-PERSON CARE IN A PATIENT-CENTERED MEDICAL HOME TO OUR TARGET POPULATION OF LOW-INCOME INDIVIDUALS IN THE SOUTH BAY REGION OF LOS ANGELES COUNTY (LAC), SERVICE PLANNING AREA (SPA) 8. OUR GOAL IS TO INCREASE ACCESS TO COMPREHENSIVE, HIGH-QUALITY HEALTH CARE FOR UNDERSERVED PEOPLE IN OUR AREA. FUNDS WILL SUPPORT SALARIES FOR PROJECT STAFF, SUCH AS PHYSICIANS, MEDICAL ASSISTANTS AND SUPPORT STAFF. THE NEED FOR AFFORDABLE, ACCESSIBLE HEALTH CARE IN OUR IMMEDIATE SERVICE AREA IS SIGNIFICANT. IN 2023, WE SERVED 7,367 INDIVIDUALS THROUGH 30,271 PATIENT VISITS. HOWEVER, IN OUR PRIMARY SERVICE AREA OF SAN PEDRO, THERE ARE 14,468 LOW-INCOME INDIVIDUALS WHO ARE NOT SERVED BY A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). MOREOVER, WITHIN OUR BROADER SERVICE AREA, OF THE LOW-INCOME INDIVIDUALS WHO DELAYED OR DIDN’T GET MEDICAL CARE, 36% REPORTED THE PRIMARY REASON AS THE HEALTH CARE SYSTEM, PROVIDER ISSUES OR OTHER BARRIERS (INCLUDING BARRIERS RELATED TO HOURS AND ACCESS). ALTHOUGH MANY PEOPLE NEED PRIMARY AND BEHAVIORAL HEALTH CARE IN SPA 8, THERE ARE LIMITED LOW- OR NO-COST OPTIONS AVAILABLE. OUR SERVICE AREA ENCOMPASSES MULTIPLE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS, INDICATING A SHORTAGE OF PRIMARY CARE HEALTH SERVICES. THE PATIENTS WE INTEND TO SERVE THROUGH THIS PROGRAM — NEARLY ALL OF WHOM ARE LOW-INCOME — FACE MANY ADDED OBSTACLES TO ACCESSING QUALITY CARE, INCLUDING LANGUAGE BARRIERS, STIGMA AND LACK OF TRUST IN PROVIDERS. THERE IS ALSO A SEVERE LACK OF PROVIDERS IN OUR SERVICE AREA: THE MAJORITY OF OUR SERVICE AREA IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA, AREAS DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AS HAVING A SHORTAGE OF PRIMARY CARE, DENTAL AND/OR MENTAL HEALTH PROVIDERS. THROUGH LANDSCAPE ANALYSES, PATIENT SURVEYS, PATIENT COUNCILS AND MORE, WE DETERMINED THAT EXPANDING HOURS ON WEEKNIGHTS AND ADDING A FULL DAY OF SERVICE ON SATURDAYS WOULD HELP US BETTER SERVE OUR PATIENT POPULATION. IN THESE EXPANDED HOURS, WE WILL OFFER CARE FOR BOTH PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES AT OUR PRIMARY SITE AT 593 WEST 6TH ST., SAN PEDRO, CA 90731. APPOINTMENTS WILL BE AVAILABLE FOR ADULTS. THESE APPOINTMENTS WILL ALLOW PATIENTS TO RECEIVE PREVENTIVE AND PRIMARY MEDICAL CARE, FAMILY PLANNING, ROUTINE DISEASE SCREENING, INTENSIVE CHRONIC CONDITIONS MANAGEMENT, IMMUNIZATIONS, MENTAL HEALTH SCREENING AND COUNSELING, SUBSTANCE ABUSE SCREENING AND REFERRAL AND MORE. BECAUSE HARBORCHC OFFERS SERVICES ACROSS THE CARE CONTINUUM, WE WILL ALSO BE ABLE TO CONNECT OUR PATIENTS AND THEIR FAMILIES WITH SUPPLEMENTARY CARE AND SPECIALIZED SERVICES DURING OUR EXISTING OPERATING HOURS — INCLUDING DENTAL CARE, PEDIATRIC CARE, PODIATRY, OBSTETRICS AND GYNECOLOGY, CASE MANAGEMENT, HEALTH INSURANCE ELIGIBILITY ASSISTANCE, CARE COORDINATION, COMMUNITY OUTREACH AND TRANSPORTATION SERVICES TO HELP ADDRESS GAPS IN ACCESS AND PROMOTE LONG-TERM HEALTH. WE ANTICIPATE THAT THOSE WE WILL SERVE THROUGH THIS PROJECT WILL CLOSELY REFLECT THE DEMOGRAPHICS OF HARBORCHC’S CURRENT PATIENT POPULATION. WE SERVE LOW-INCOME RESIDENTS OF THE CITIES OF SAN PEDRO, WILMINGTON, HARBOR CITY, LOMITA, CARSON AND LONG BEACH. IN 2023, 97% OF THOSE WE SERVED LIVED IN HOUSEHOLDS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, 12% WERE UNINSURED AND 68% HAD MEDI-CAL. APPROXIMATELY 76% OF OUR PATIENTS IDENTIFY AS A RACIAL AND/OR ETHNIC MINORITY, INCLUDING 65% WHO IDENTIFY AS LATINX. HARBORCHC PRIORITIZES INCLUSIVE, EQUITABLE CARE. BECAUSE MANY OF OUR PATIENTS SPEAK SPANISH AS THEIR PRIMARY LANGUAGE, WE EMPLOY STAFF WHO ARE BILINGUAL IN ENGLISH AND SPANISH. OUR SERVICES ARE CULTURALLY AFFIRMING, TRAUMA-INFORMED AND OFFERED ON A SLIDING FEE SCALE.

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - WITH CONGRESSIONALLY DIRECTED SPENDING (CDS) - CONSTRUCTION PROJECTS FUNDING, HARBOR COMMUNITY CLINIC (HCC) WILL EXPAND HEALTH CARE INFRASTRUCTURE BY RENOVATING SPACE ON THE GROUND FLOOR OF A MIXED-USE AFFORDABLE HOUSING DEVELOPMENT IN ORDER TO ESTABLISH A NEW COMMUNITY HEALTH CENTER. LINC HOUSING AND NATIONAL COMMUNITY RENAISSANCE HAVE PARTNERED TO BUILD A MIXED-USE AFFORDABLE HOUSING DEVELOPMENT (CURRENTLY UNDER CONSTRUCTION) IN SAN PEDRO, CALIFORNIA TO ADDRESS HOUSING AND HEALTH NEEDS IN THIS UNDERSERVED AREA. THIS HOUSING DEVELOPMENT WILL BE ANCHORED WITH A COMMUNITY HEALTH CENTER OPERATED BY HCC. HCC WAS APPROACHED BY LINC HOUSING TO JOIN AS A PARTNER IN THIS EXCITING PROJECT. HCC WILL BE RESPONSIBLE FOR RENOVATING THE SPACE (TO BE DELIVERED TO HCC IN A BROOM CLEAN CONDITION IN 2023) AND OPERATE THE HEALTH CENTER. ON THE GROUND FLOOR OF THE HOUSING DEVELOPMENT LOCATED AT 456 WEST 9TH STREET IN SAN PEDRO, CALIFORNIA, HCC WILL BE RESPONSIBLE FOR RENOVATING THE APPROXIMATELY 5,000 SQ. FT.COMMERCIAL SPACE INTO A CLINIC COMPLETE WITH LOBBY, RECEPTION AREA, PATIENT AND STAFF RESTROOMS, 6 EXAM ROOMS, 4 OFFICES TO PROVIDE CASE MANAGEMENT AND BEHAVIORAL HEALTH SERVICES, PROVIDER AND MANAGER OFFICES, MEDICAL ASSISTANT STATIONS, PHARMACY STATION, BREAK ROOM, AND UTILITY/LAB STATION. THE TOTAL COST OF THE RENOVATION PROJECT IS $2,038,957 HCC REQUESTS $1,000,000 IN HRSA CDS FUNDING TO SUPPORT A PORTION OF THE RENOVATION COST. THE RENOVATION PROJECT WILL BE COMPLETED BY FEBRUARY 1, 2024. AT FULL CAPACITY, THE HEALTH CENTER “456 WEST” WILL SERVE APPROXIMATELY 3,000 UNDUPLICATED PATIENTS ANNUALLY.