Imperial Beach Community Clinic

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMPREHENSIVE SUBSTANCE USE TREATMENT AT IMPERIAL BEACH COMMUNITY CLINIC - THIS PROJECT AIMS TO (1) EXPAND AND IMPROVE COMMUNITY ACCESS TO TREATMENT SERVICES FOR OPIOID USE DISORDER (OUD) AND METHAMPHETAMINE (MAP) USE, (2) DECREASE OPIOID OVERDOSES IN THE COMMUNITY THROUGH COMPREHENSIVE EVIDENCE-BASED HARM REDUCTION STRATEGIES AND (3) DECREASE MAP USE IN THE POPULATION SERVED BY IMPLEMENTING EVIDENCE BASED INTERVENTIONS. IMPERIAL BEACH COMMUNITY CLINIC (IBCC) IS A FULLY INTEGRATED FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES BEHAVIORAL, DENTAL, AND PRIMARY CARE SERVICES TO LOW INCOME AND UNINSURED RESIDENTS OF SOUTHWEST SAN DIEGO COUNTY. ITS GEOGRAPHIC SERVICE AREA FALLS WITHIN THE COUNTY’S SOUTH REGION, WHICH IS BORDERED BY MEXICO TO THE SOUTH, THE PACIFIC OCEAN TO THE WEST, THE OTAY MOUNTAINS TO THE EAST, AND THE CITY OF SAN DIEGO TO THE NORTH. IBCC’S BEHAVIORAL HEALTH DEPARTMENT, THE DIRECT SERVICE PROVIDER FOR THIS PROJECT, PROVIDES SUBSTANCE USE DISORDER (SUD), MEDICATION ASSISTED TREATMENT (MAT), AND COMPREHENSIVE COUNSELING AND PSYCHIATRIC SERVICES. SUSTAINED IN-SERVICE TRAINING HAS ENSURED PARTICIPATION AND CREDENTIALING OF PRIMARY CARE PROVIDERS AND INCREASED CAPACITY IN THE USE OF MAT FOR SUDS AMONG PROVIDERS THROUGHOUT THE CLINIC SYSTEM. A STRONG TEAM OF CARE MANAGERS ENSURES THAT CARE IS COORDINATED AND TIMELY. IBCC’S OVERALL PATIENT POPULATION IS COMPRISED PRIMARILY OF LOW-INCOME AND UNINSURED LATINX RESIDENTS OF SOUTHWEST SAN DIEGO COUNTY. THE POPULATION OF FOCUS FOR THIS PROGRAM ARE THOSE INDIVIDUALS IN SOUTHWEST SAN DIEGO COUNTY STRUGGLING WITH ANY COMBINATION OF OPIOID USE DISORDER (OUD), METHAMPHETAMINE (MAP) USE, AND ANY MENTAL ILLNESS (AMI). OVERLAP AMONG THESE CONDITIONS IS PREVALENT AMONG INDIVIDUALS IN OUR COMMUNITY AND PATIENTS DIAGNOSED WITH ONE OR MORE HAVE COMPLEX NEEDS REQUIRING A WHOLE-PERSON APPROACH TO HEALTHCARE. THIS INCLUDES THE IDENTIFICATION AND AMELIORATION OF UNDERLYING DETERMINANTS OF HEALTH THAT POSE A BARRIER TO GOOD PATIENT OUTCOMES.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - IMPERIAL BEACH COMMUNITY CLINIC (IBCC) PROPOSES TO ESTABLISH A COMPREHENSIVE HIV PREVENTION AND TREATMENT PROGRAM AT BOTH ITS CLINICS SITES IN SAN DIEGO COUNTY (A TARGETED GEOGRAPHIC LOCATION). BROADLY, THE CLINIC’S GOALS ARE TO ESTABLISH HIV PREVENTION AND TREATMENT SERVICES TO DECREASE THE RISK OF HIV IN UNDERSERVED COMMUNITIES. IBCC WILL: (1) DEVELOP A HEALTH PROMOTIONS OUTREACH TEAM WHOSE PRIMARY GOAL WILL BE TO INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV AT HIGH SCHOOLS, COLLEGES, UNIVERSITIES AND IN THE COMMUNITY; (2) INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP AND INCREASE PATIENTS’ CONTINUED USED OF PREP BY IMPLEMENTING A PRIMARY CARE AND PHARMACIST PREP PRESCRIBING PROGRAM THAT COORDINATES LABS, TESTING, PREP REFILLS, AND REFERRALS TO AN IBCC INFECTIOUS DISEASE SPECIALIST; (3) ESTABLISH AN INTERDISCIPLINARY CLINICAL AND HEALTH PROMOTIONS OUTREACH TEAM TO PROVIDE HIV EDUCATION, AWARENESS AND PREP TO THOSE PATIENTS REQUESTING PROPHYLAXIS; AND (4) IMPLEMENT AN INFECTIOUS DISEASE SPECIALTY PROGRAM THAT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING TIMELY (WITHIN 30 DAYS OF DIAGNOSIS) HIV TREATMENT. PROGRAM COMPONENTS WILL BE FULLY INTEGRATED INTO PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES TO SUPPORT WHOLE PERSON CARE AND WILL INCLUDE COMPREHENSIVE, CULTURALLY COMPETENT PATIENT EDUCATION AND SUPPORT SERVICES.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

IBCC RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM - IMPERIAL BEACH COMMUNITY CLINIC (IBCC), A FEDERALLY QUALIFIED HEALTH CENTER SERVING THE MEDICALLY UNDERSERVED SOUTH BAY REGION OF SAN DIEGO COUNTY, SEEKS $150,000 TO STRENGTHEN ITS HIV CARE INFRASTRUCTURE AND IMPROVE HEALTH OUTCOMES FOR INDIVIDUALS LIVING WITH OR AT RISK FOR HIV. IBCC SERVES LOW-INCOME, UNINSURED, UNDERINSURED, AND HISTORICALLY UNDERSERVED POPULATIONS, INCLUDING COMMUNITIES DISPROPORTIONATELY AFFECTED BY HIV. DESPITE SUCCESSFULLY ADMINISTERING HRSA ENDING THE HIV EPIDEMIC (EHE) THROUGH HRSA PRIMARY CARE HIV PREVENTION (PCHP) FUNDING SINCE 2022, IBCC HAS NEVER RECEIVED RYAN WHITE HIV/AIDS PROGRAM FUNDING AND LACKS MANY OF THE SPECIALIZED SYSTEMS AND TOOLS AVAILABLE TO RYAN WHITE-FUNDED PROVIDERS. THROUGH ITS EHE PROGRAM, IBCC HAS DEMONSTRATED STRONG PERFORMANCE, CONDUCTING 929 HIV TESTS, LINKING 100% OF NEWLY DIAGNOSED HIV-POSITIVE INDIVIDUALS TO CARE WITHIN 30 DAYS, AND REPORTING ZERO HIV SEROCONVERSIONS AMONG PREP PARTICIPANTS DURING THE MOST RECENT REPORTING PERIOD. HOWEVER, HIV REFERRALS, OUTREACH ACTIVITIES, AND PATIENT TRACKING CONTINUE TO RELY HEAVILY ON MANUAL SPREADSHEETS AND LABOR-INTENSIVE PROCESSES THAT LIMIT THE CLINIC'S ABILITY TO EFFICIENTLY COORDINATE CARE, MONITOR RETENTION, AND SUPPORT LONG-TERM PATIENT ENGAGEMENT. THE PROPOSED PROJECT WILL ADDRESS THESE GAPS BY IMPLEMENTING THE ECLINICALWORKS RYAN WHITE MODULE, INTEGRATING HRSA CAREWARE WITH THE CLINIC'S ELECTRONIC HEALTH RECORD SYSTEM, AUTOMATING HIV SCREENING AND FOLLOW-UP ALERTS, REPLACING SPREADSHEET-BASED REFERRAL TRACKING WITH AN INTEGRATED ELECTRONIC SYSTEM, STRENGTHENING LINKAGE-TO-CARE AND RETENTION WORKFLOWS, EXPANDING PARTNER DATA-SHARING CAPABILITIES, AND DEVELOPING REAL-TIME HIV POPULATION HEALTH DASHBOARDS. THESE ENHANCEMENTS WILL CREATE A COMPREHENSIVE, DATA-DRIVEN HIV CARE COORDINATION INFRASTRUCTURE THAT IMPROVES EFFICIENCY, COMMUNICATION, AND PATIENT OUTCOMES ACROSS THE HIV CARE CONTINUUM. OVER THE 12-MONTH PROJECT PERIOD, IBCC EXPECTS TO ACHIEVE FULL IMPLEMENTATION OF THE RYAN WHITE MODULE AND CAREWARE INTEGRATION, ELIMINATE MANUAL REFERRAL TRACKING, ENSURE THAT AT LEAST 90% OF HIV REFERRALS ARE TRACKED ELECTRONICALLY, IMPROVE REFERRAL FOLLOW-UP COMPLETION RATES BY AT LEAST 20%, AND STRENGTHEN RETENTION MONITORING ACTIVITIES BY AT LEAST 15%. THESE IMPROVEMENTS WILL ENABLE EARLIER IDENTIFICATION OF PATIENTS AT RISK OF DISENGAGING FROM CARE, SUPPORT TIMELY INTERVENTION AND RE-ENGAGEMENT EFFORTS, AND ENHANCE MONITORING OF VIRAL SUPPRESSION AND HIV PREVENTION OUTCOMES. THE LONG-TERM IMPACT OF THE PROJECT EXTENDS BEYOND TECHNOLOGY UPGRADES. BY BUILDING SUSTAINABLE HIV INFRASTRUCTURE, IBCC WILL STRENGTHEN ORGANIZATIONAL CAPACITY, IMPROVE CONTINUITY OF CARE, ENHANCE COLLABORATION WITH HEALTHCARE AND COMMUNITY PARTNERS, AND ADVANCE LOCAL AND FEDERAL ENDING THE HIV EPIDEMIC GOALS. THE PROJECT WILL POSITION IBCC FOR FUTURE PARTICIPATION IN THE RYAN WHITE HIV/AIDS PROGRAM WHILE CREATING A STRONGER, MORE COORDINATED SYSTEM OF HIV PREVENTION, TREATMENT, AND CARE FOR VULNERABLE POPULATIONS THROUGHOUT SOUTH BAY SAN DIEGO.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM