World Community

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

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

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ONEWORLD MEDICAID OUTREACH AND ENROLLMENT PROJECT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ONEWORLD COMMUNITY HEALTH CENTERS (ONEWORLD) IS A 501(C) 3, NON-PROFIT ORGANIZATION LOCATED IN OMAHA, NEBRASKA. ONEWORLD BEGAN AS A FREE HEALTH CLINIC IN 1970, INITIALLY STAFFED BY VOLUNTEER PHYSICIANS. SINCE HRSA INITIALLY AWARDED GRANT FUNDS TO ONEWORLD AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 2001, THE SCOPE AND BREADTH OF SITES AND SERVICES HAVE EXPANDED SIGNIFICANTLY. ONEWORLD SERVED 51,913 PATIENTS IN 2023. ONEWORLD’S TARGET POPULATION INCLUDES INDIVIDUALS RESIDING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL), THE UNINSURED AND THE MEDICALLY UNDERSERVED. IN 2023, 42% OF ONEWORLD’S PATIENTS WITH KNOWN INCOME, 98% REPORTED INCOMES UNDER 200% OF THE FPL. ADDITIONALLY, 69% WERE HISPANIC AND 34% BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. MANY OF THEM LACKED THE RESOURCES TO ACCESS SUD AND BEHAVIORAL HEALTH SERVICES. FURTHER BARRIERS TO CARE INCLUDE POVERTY, LACK OF TRANSPORTATION, COST, STIGMA, LANGUAGE AND CULTURE. THE HEALTH CENTER IS EXPERIENCING INCREASING DEMAND FOR BEHAVIORAL HEALTH, SUD, MOUD SERVICES, THAT ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE. ONEWORLD HELPS BREAK DOWN PATIENT BARRIERS BY SERVING ALL PEOPLE, WITHOUT REGARD FOR INSURANCE STATUS OR ABILITY TO PAY, AS WELL AS LOCATING SITES AND SERVICES THROUGHOUT THE COMMUNITY IN EFFORTS TO SUPPORT CARE THAT IS MORE CONVENIENT. ONEWORLD PROVIDERS WORK PASSIONATELY TO MEET THE HEALTH NEEDS OF THE COMMUNITY WITHIN THE SERVICE AREA. ONEWORLD OPERATES 17 CLINIC LOCATIONS, INCLUDING A THREE-FACILITY CAMPUS IN OMAHA, LOCATED IN AN UNDERSERVED HISPANIC COMMUNITY, FOUR CLINICS IN HIGH-POVERTY CITIES SURROUNDING OMAHA, FIVE INNER CITY SCHOOL BASED HEALTH CENTERS, ONE MOBILE MEDICAL SCHOOL-BASED CLINIC, TWO MOBILE DENTAL CLINICS AND TWO TEEN AND YOUNG ADULT (STAND-ALONE) CLINICS. MENTAL HEALTH RANKED AS THE NUMBER ONE CONCERN IN THE MOST RECENT REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT; SUBSTANCE USE RANKED AS THE THIRD HIGHEST CONCERN. ONEWORLD’S SERVICE AREA COVERS A DESIGNATED MEDICALLY UNDERSERVED AREA/POPULATION (MUAP), INCLUDING SARPY COUNTY WHERE THERE ARE 158 MENTAL HEALTH PROVIDERS PER 100,000. ONEWORLD PROPOSES TO ACCELERATE ACCESS TO HIGH-QUALITY INTEGRATED BEHAVIORAL HEALTH SERVICES, INCLUDING PREVENTION AND TREATMENT OF MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDER. ONEWORLD WILL HIRE 1 FTE PSYCHIATRIC NURSE FOR USE OF MEDICATIONS FOR OPIOID DISORDER (MOUD), 3 FTE BEHAVIORAL HEALTH THERAPISTS, TWO OF WHICH WILL BE LICENSED DRUG AND ALCOHOL COUNSELORS, .3 PSYCHIATRIST AND A SOCIAL SERVICES NAVIGATOR. IN ADDITION, ONEWORLD WILL LEVERAGE COMMUNITY RELATIONSHIPS TO ADDRESS GAPS IN CARE FOR UNDERSERVED POPULATIONS. THE NEW PROVIDERS WILL WORK WITHIN A MULTIDISCIPLINARY TEAM EXPANDING AND BUILDING ON ONEWORLD’S SUCCESSFUL IMPLEMENTATION OF PRIMARY AND BEHAVIORAL HEALTH INTEGRATION. TO INCREASE BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER CAPACITY, ONEWORLD WILL USE TRADITIONAL BEHAVIORAL HEALTH THERAPY, THE COLLABORATIVE CARE MODEL BASED ON THE UNIVERSITY OF WASHINGTON (AIMS), AS WELL AS MEDICATIONS FOR OPIOID USE DISORDER (MOUD). ONEWORLD IS REQUESTING BEHAVIORAL HEALTH SERVICES EXPANSION FUNDING FOR A PROPOSED TWO-YEAR PERIOD TO EXPAND CRITICALLY NEEDED CULTURALLY RESPECTFUL AND LINGUISTICALLY AND COMPETENT BEHAVIORAL HEALTH AND SUD TREATMENT, INCLUDING MOUD TO CURRENT CLINICAL AND SCHOOL SITES IN OMAHA, NE. THE TARGET POPULATION FOR THIS PROJECT ARE THE STUDENTS, FAMILIES AND COMMUNITIES SERVED BY ONEWORLD. THIS EXPANSION WILL SERVE AN ESTIMATED ADDITIONAL 2,115 BEHAVIORAL HEALTH PATIENTS INCLUDING 480 SUD PATIENTS (89% INCREASE) AND 180 MOUD (50% INCREASE), BRINGING ONEWORLD TO 7,718 TOTAL BEHAVIORAL HEALTH PATIENTS,AN INCREASE OF 27.4% OVER THE TWO YEAR PERIOD. WITH PATIENT-CENTRIC APPROACHES, NAVIGATION, CARE MANAGEMENT AND COORDINATION, ONEWORLD WILL DEMONSTRATE SUCCESS IN OVERCOMING COMMON BARRIERS TO PATIENTS INITIATING AND CONTINUING BEHAVIORAL HEALTH SUD AND MOUD SERVICES.

FY 2023 EXPANDING COVID-19 VACCINATION

FISCAL YEAR 2025 EXPANDED HOURS. - ONEWORLD COMMUNITY HEALTH CENTERS (ONEWORLD) IS A 501(C)(3), NON-PROFIT ORGANIZATION LOCATED IN OMAHA, NEBRASKA. ONEWORLD BEGAN AS A FREE HEALTH CLINIC IN 1970, INITIALLY STAFFED BY VOLUNTEER PHYSICIANS. SINCE HRSA INITIALLY AWARDED GRANT FUNDS TO ONEWORLD AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 2001, THE SCOPE AND BREADTH OF SITES AND SERVICES HAVE EXPANDED SIGNIFICANTLY. ONEWORLD SERVED 51,913 PATIENTS IN 2023. ONEWORLD’S SERVICE AREA COVERS A DESIGNATED MEDICALLY UNDERSERVED AREA/POPULATION (MUA) AND A TARGET POPULATION THAT INCLUDES INDIVIDUALS RESIDING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL), THE UNINSURED AND THE MEDICALLY UNDERSERVED. IN 2023, 42% OF ONEWORLD’S PATIENTS WERE UNINSURED. OF PATIENTS WITH KNOWN INCOME, 98% REPORTED INCOMES UNDER 200% OF THE FPL. ADDITIONALLY, 69% WERE HISPANIC AND 34% SERVED IN A LANGUAGE OTHER THAN ENGLISH. FURTHER BARRIERS TO CARE AMONG OUR TARGET POPULATION INCLUDE POVERTY, PERCEIVED COST, LACK OF TRANSPORTATION, AND LACK OF ACCESS TO AFFORDABLE CARE, FEAR OF VISITING A CLINIC DUE TO UNCERTAIN IMMIGRATION STATUS, LANGUAGE AND CULTURE. ONEWORLD IS ONE OF TWO FQHCS IN OMAHA, NEBRASKA, THAT IS MISSION-DRIVEN TO INCREASE ACCESS TO QUALITY HEALTHCARE FOR UNDERSERVED POPULATIONS. AS A RESULT, THE HEALTH CENTER IS EXPERIENCING TREMENDOUS DEMAND FOR HEALTH CARE. THE 2021 METRO AREA COMMUNITY HEALTH NEEDS ASSESSMENT 2021 REPORTED THAT 11% OF OMAHA RESIDENTS REPORTED INCONVENIENT OFFICE HOURS AS A BARRIER TO CARE. ADDITIONALLY, 23% OF THE HISPANIC POPULATION HAD NOT RECEIVED PRIMARY CARE IN THE PAST YEAR AND 19.3% OF VERY LOW-INCOME PEOPLE HAD NOT VISITED A DENTIST. COMMUNITY ORGANIZATIONS,THROUGH KEY INFORMANT SURVEYS, REPORTED THAT LOCATION, TIME, AVAILABILITY, INSURANCE AND TRANSPORTATION WERE BARRIERS TO ACCESSING CARE. ACCORDING TO THE NEBRASKA HEALTH AND HUMAN SERVICES 2021 REPORT ON ORAL HEALTH, 58% OF NEBRASKA THIRD-GRADE CHILDREN HAD DENTAL DECAY AND 24% HAD UNTREATED DECAY. ADDITIONALLY AMONG CHILDREN, 58% HAD NOT RECEIVED DENTAL SEALANTS. LOWER-INCOME MINORITY SCHOOLCHILDREN HAD A SIGNIFICANTLY HIGHER PREVALENCE OF DECAY. ONEWORLD HELPS BREAK DOWN PATIENT BARRIERS BY LOCATING SITES AND SERVICES WITHIN THE COMMUNITY IN EFFORTS TO SUPPORT CONVENIENT ACCESS TO CARE, WHERE POSSIBLE. ONEWORLD WORKS PASSIONATELY TO MEET THE HEALTH NEEDS OF THE COMMUNITY WITHIN THE SERVICE AREA AND OPERATES 17 CLINIC LOCATIONS, INCLUDING A THREE-FACILITY CAMPUS IN OMAHA, LOCATED IN AN UNDERSERVED HISPANIC COMMUNITY, FOUR CLINICS IN HIGH POVERTY CITIES SURROUNDING OMAHA, FIVE INNER CITY SCHOOL BASED HEALTH CENTERS, ONE MOBILE MEDICAL SCHOOL-BASED CLINIC, TWO MOBILE DENTAL CLINICS, TWO TEEN CLINICS AND ONE PEDIATRIC DENTAL CLINIC. WE ARE REQUESTING EXPANSION OF HOURS FUNDING FOR A PROPOSED TWO-YEAR PERIOD TO EXPAND CRITICALLY NEEDED CULTURALLY RESPECTFUL AND LINGUISTICALLY AND COMPETENT ORAL HEALTHCARE FOR CHILDREN. THE TARGET POPULATION FOR THIS PROJECT ARE THE STUDENTS, FAMILIES AND COMMUNITIES SERVED BY ONEWORLD. THIS EXPANSION INCLUDES EARLY MORNING AND EVENING HOURS FOUR DAYS A WEEK AND WEEKEND HOURS AS WELL AS DAYTIME HOURS AND AN ESTIMATED 1,500 PATIENTS. A NEW PEDIATRIC DENTAL CARE TEAM WILL BE HIRED AND SERVE PATIENTS 7:30 A.M. TO 7:00 P.M. MONDAY - THURSDAY AND SATURDAYS. . IN ADDITION TO THE PEDIATRIC DENTIST, ONEWORLD WILL ADD THREE DENTAL ASSISTANTS, A HYGIENIST AND A PATIENT REGISTRATION STAFF MEMBER. THE NEW PROVIDERS WILL WORK WITH A MULTIDISCIPLINARY TEAM EXPANDING AND BUILDING ON ONEWORLD’S SUCCESSFUL IMPLEMENTATION OF ORAL HEALTH INTEGRATION WITH PRIMARY MEDICAL CARE.

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

FY 2023 BRIDGE ACCESS PROGRAM

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM