Bay Area Community Health

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

THE HIV EXPANSION PROJECT - PURPOSE: BAY AREA COMMUNITY HEALTH (BACH) SEEKS A GRANT OF $502,913.03 TO IMPLEMENT ITS HIV EXPANSION PROJECT (THE PROJECT), WHICH WILL ADDRESS THE HIV EPIDEMIC BY REDUCING NEW INFECTIONS, INCREASING ACCESS TO CARE, AND PROMOTING HEALTH EQUITY, WITH THE PRIMARY TARGET POPULATION OF MEN WHO HAVE SEX WITH MEN; THE PROJECT WILL ALSO SERVE TRANSGENDER WOMEN OF COLOR. THE PROJECT WILL EXPAND BACH?S ALAMEDA COUNTY, CALIFORNIA HIV PROGRAMMING INTO SANTA CLARA COUNTY (SCC), CALIFORNIA. IN ACCORDANCE WITH THE CDC NOTICE OF FUNDING OPPORTUNITY (NOFO), THE PROJECT WILL INCREASE HIV TESTING, REFERRALS TO PARTNER SERVICES, AND ACCESS TO PRE-EXPOSURE PROPHYLAXIS (PREP) AND NON-OCCUPATIONAL POST-EXPOSURE PROPHYLAXIS (NPEP); LINK PERSONS WITH HIV TO HIV MEDICAL CARE AND ANTIRETROVIRAL THERAPY (ART), INCLUDING THOSE WHO HAVE BEEN PREVIOUSLY INCARCERATED; AND PROVIDE AND/OR REFER PREVIOUSLY DIAGNOSED OR THOSE AT RISK OF HIV TO PREVENTION AND ESSENTIAL SERVICES. BACH WILL ACHIEVE THIS THROUGH THE REQUIRED STRATEGIES TO DIAGNOSE, TREAT, PREVENT, AND RESPOND TO THE HIV EPIDEMIC BY ESTABLISHING NEW ACCESS POINTS FOR OUTREACH, PROMOTION, TESTING, CARE, LINKAGES, COORDINATION, AND FOLLOW UP SERVICES.ACTIVITIES AND OUTCOMES: THE PROJECT WILL ADHERE TO ALL REQUIRED STRATEGIES AND ACTIVITIES. IT WILL HIRE IN SANTA CLARA COUNTY: 2.0 FTE OUTREACH WORKERS, 1.0 FTE LINKAGE CASE MANAGER, 1.0 FTE HIV PROGRAM SUPERVISOR, AND 0.5 FTE HIV PROGRAM MANAGER. FOR ALAMEDA COUNTY, IT WILL HIRE A 0.2 FTE TRANSVISION SUPERVISOR (WITH ANOTHER 0.2 FTE OF THAT POSITION AND A 0.2 FTE HIV PROGRAM SUPERVISOR PROVIDED IN-KIND). THE PROJECT WILL ACHIEVE THE FOLLOWING OUTCOMES:? DIAGNOSE: THE PROJECT WILL IMPLEMENT SOCIAL MARKETING, ONLINE OUTREACH AND ENGAGEMENT, PARTNERSHIP DEVELOPMENT, AND OTHER PROMOTION TO SUPPORT OUT-OF-CARE PERSONS AND THOSE AT RISK OF HIV TO ACCESS INTEGRATED HIV/STD SCREENING AND TESTING VIA SUITABLE OFF-SITE VENUES, IN-CLINIC OPT-OUT TESTING AT 29 CLINICS, AND A LARGE SC ALE TESTING EVENT. THESE ACTIVITIES WILL INCREASE: 1) THE NUMBER OF PERSONS AWARE OF THEIR HIV STATUS; AND 2) THE RECEIPT OF INTEGRATED SCREENINGS.? TREAT: THE PROJECT WILL CONDUCT TESTING, INREACH TO FIND OUT-OF-CARE PATIENTS, AND FOLLOW UP THAT LINKS NEWLY AND PREVIOUSLY DIAGNOSED PATIENTS TO HIV MEDICAL CARE WITHIN 30 DAYS. STAFF WILL REFER TO BACH AND OTHER ESSENTIAL SUPPORT SERVICE PROVIDERS, SUPPORT MEDICATION ADHERENCE AFTER THEIR FIRST APPOINTMENT, AND WILL INCREASE: 1) THE RECEIPT OF HIV MEDICAL CARE AND ART FOR NEWLY AND PREVIOUSLY DIAGNOSED PATIENTS; AND 2) ACCESS TO PARTNER SERVICES.? PREVENT: STAFF WILL EDUCATE, SUPPORT ACCESS TO, AND LINK CLIENTS TO BACH?S PREP AND NPEP SERVICES FOR THOSE AT HIGH RISK OF HIV; AND SUPPORT THOSE LINKAGES AND ACCESS WITH HIV NAVIGATION AND CARE. THE PROJECT WILL INCENTIVIZE RETENTION IN HIV CARE WITH FOOD AND GIFT CARDS. THE PROJECT WILL OFFER VENUE-BASED AND ONLINE OUTREACH, EDUCATION, LINKAGES, AND RISK REDUCTION COUNSELING THAT INCREASES: 1) ACCESS TO PREP AND NPEP; AND 2) CONDOMS.? RESPOND: STAFF WILL BUILD NEW OR DEVELOP CURRENT RELATIONSHIPS WITH PARTNER AGENCIES, INCLUDING COUNTY HEALTH DEPARTMENTS AND AGENCIES IN THE EAST BAY AND SANT CLARA COUNTY GETTING TO ZERO COALITIONS, TO SUPPORT A COORDINATED HIV RESPONSE.

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

BAY AREA COMMUNITY HEALTH SCHOOL BASED CRISIS INTERVENTION PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - BAY AREA COMMUNITY HEALTH (BACH) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING COMPREHENSIVE HEALTH SERVICES IN ALAMEDA AND SANTA CLARA COUNTIES, CALIFORNIA. BACH WAS FORMED IN 2020 OFF THE STRENGTH OF SOUTHERN ALAMEDA COUNTY’S TRI-CITY HEALTH CENTER AND SANTA CLARA COUNTY’S FOOTHILL COMMUNITY HEALTH CENTER. FORMED DURING THE MIDDLE OF THE COVID-19 PANDEMIC, BACH BRINGS MORE THAN 70 YEARS OF COMBINED SERVICE TO THE SERVICE AREA. TODAY, BACH SERVES NEARLY 80,000 PEOPLE WHO RELY ON HIGH-QUALITY HEALTHCARE SERVICES, REGARDLESS OF THEIR IMMIGRATION STATUS, RACE, ETHNICITY, DISABILITY, GENDER IDENTITY, INSURANCE STATUS, OR ABILITY TO PAY. THE TOTAL POPULATION OF BACHS' CATCHMENT AREAS IS 1,538,630, AND THE TARGET POPULATION INCLUDES THE WORKING POOR, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE LIVING WITH HIV/AIDS, TRANSGENDER INDIVIDUALS, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. BACH’S TEAM OF OVER 700 DEDICATED PROFESSIONALS PROVIDES COMPREHENSIVE PRIMARY AND PREVENTIVE MEDICAL CARE, DENTAL CARE, BEHAVIORAL HEALTH, ENABLING, AND OTHER SERVICES AT 29 CLINICAL DELIVERY SITES. IN 2021, BACH LEVERAGED A FULL INTEGRATION OF EPIC ELECTRONIC HEALTH RECORDS INTO ITS SANTA CLARA COUNTY CLINICS TO BOOST CARE COORDINATION. THE EHR IMPLEMENTATION PROVIDED BACH WITH A SINGLE SOURCE FOR MANAGING PATIENT MEDICAL, DENTAL, AND BEHAVIORAL INFORMATION ACROSS ALL 27-CLINIC SITES WITHIN ALAMEDA AND SANTA CLARA COUNTIES. AS PART OF YEAR 2 OF THE INTEGRATION PROJECT, BACH IS PROPOSING TO USE FUNDS FROM HRSA’S CONGRESSIONALLY DIRECTED SPENDING: NON-CONSTRUCTION PROJECTS TOWARDS SPECIFIC SUPPLIES AND APPLICATIONS THAT FOCUS ON PATIENT ACCESS TO PERSONAL HEALTH INFORMATION.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

HIV SUBSTANCE USE DISORDER PROJECT - THE PROJECT SEEKS TO REDUCE NEW HIV INFECTIONS WHILE ADDRESSING SUD AND MENTAL HEALTH ISSUES THAT PATIENTS EXHIBIT. BACH WILL INCREASE ACCESS TO CARE AND PROMOTE HEALTH EQUITY FOR 300 PATIENTS PER YEAR FOR THE GRANT PERIOD. BACH WILL REFER THESE 300 HIGH-NEED, MEDICALLY UNDERSERVED CLIENTS IN SOUTHERN ALAMEDA COUNTY AND SCC TO SUD SERVICES, OF WHOM 75 WILL BE REFERRED TO BACH’S MEDICALLY ASSISTED TREATMENT (MAT) PROGRAM. BACH WILL EXPAND CURRENT AND ESTABLISH NEW SERVICES, WHICH WILL INCREASE HIV TESTING, RESULTANT REFERRALS AND ACCESS TO SUD SERVICES, NALOXONE, FENTANYL DETECTION KITS, PREP AND NPEP, LINK PERSONS WITH HIV TO HIV MEDICAL CARE AND ANTIRETROVIRAL THERAPY (ART) AND PROVIDE AND/OR REFER PREVIOUSLY DIAGNOSED OR THOSE AT RISK OF HIV TO HIV AND SUD PREVENTION AND TREATMENT, INCLUDING MENTAL HEALTH SERVICES. THE PROJECT SEEKS TO REDUCE THE IMPACT OF SUD AND HIV INFECTION AND DEATH RATE, AND HIV-RELATED DISPARITIES WHILE IMPROVING HEALTH OUTCOMES DESPITE HIV STATUS. THE PROJECT WILL THUS IMPLEMENT OUTREACH AND PROMOTION IN SCC AND ALAMEDA COUNTY THAT SUPPORTS THOSE WITH OR AT RISK OF HIV TO ACCESS HIV TESTING, DURING WHICH, STAFF WILL CONDUCT CLIENT-CENTERED, TRAUMA-INFORMED SCREENINGS FOR MEDICAL AND NON-MEDICAL RISK FACTORS AND SOCIAL DETERMINANTS OF HEALTH (SDOH), INCLUDING SUD AND MENTAL HEALTH ISSUES.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - BAY AREA COMMUNITY HEALTH (BACH) REQUESTS FUNDING TO EXPAND ITS MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES. WITH FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), BACH INTENDS TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AT ITS CLINICS BY 20%, AND THE NUMBER OF PATIENTS RECEIVING SUD SERVICES BY 30%. ADDITIONALLY, IT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MEDICATION-ASSISTED TREATMENT (MAT) BY 10%. THE GOAL OF THE PROJECT IS TO INCREASE ACCESS TO HIGH QUALITY, CULTURALLY APPROPRIATE SERVICES FOR UNDERSERVED PATIENTS IN SANTA CLARA COUNTY IN CALIFORNIA THROUGH INCREASED OUTREACH, SCREENING, AND TREATMENT. TO ACHIEVE THIS, BACH WILL HIRE ADDITIONAL PERSONNEL, INCLUDING ONE FULL-TIME COMMUNITY HEALTH WORKER (CHW) TO PROVIDE STREET OUTREACH, CONDUCT SCREENINGS FOR SUD, ASSESS THE NEEDS OF PATIENTS, COORDINATE CARE, AND CONNECT PATIENTS TO RESOURCES. OUTREACH STAFF WILL ENGAGE WITH INDIVIDUALS IN PUBLIC SPACES, SUCH AS PARKS, STREETS, AND COMMUNITY CENTERS. THIS METHOD WILL BE PARTICULARLY EFFECTIVE FOR REACHING POPULATIONS WHO MAY NOT VISIT TRADITIONAL HEALTHCARE SETTINGS, INCLUDING THOSE EXPERIENCING HOMELESSNESS OR SUBSTANCE USE ISSUES. ONE FULL-TIME CERTIFIED DRUG AND ALCOHOL COUNSELOR (CDAC) WILL BE HIRED TO PROVIDE INDIVIDUAL COUNSELING, BIWEEKLY GROUP SESSIONS, AND PSYCHOEDUCATIONAL WORKSHOPS– ALL OF WHICH WILL BE PROVIDED IN BOTH MULTIPLE LANGUAGES INCLUDING ENGLISH AND SPANISH. TO REACH MORE PATIENTS WHO WOULD BENEFIT FROM MENTAL HEALTH AND/OR SUD SERVICES, BACH WILL CONDUCT BILINGUAL, CULTURALLY APPROPRIATE SOCIAL MEDIA MARKETING CAMPAIGNS IN BOTH SPANISH AND ENGLISH IN ADDITION TO ITS STREET OUTREACH. BACH WILL ALSO FORM PARTNERSHIPS WITH THE SANTA CLARA COUNTY HARM REDUCTION AND NEEDLE EXCHANGE PROGRAM AND THE SANTA CLARA COUNTY HIV PROGRAM TO PROVIDE SERVICES TO HIGH-RISK POPULATIONS, INCLUDING UNHOUSED POPULATIONS AND PEOPLE USING INTRAVENOUS DRUGS. MOREOVER, THE PROPOSE D PROJECT WILL ALLOW BACH TO ESTABLISH A DEDICATED OFFICE SPACE FOR MENTAL HEALTH SERVICES THE CLINIC INCLUDING THREE OFFICES AND ONE MEETING ROOM. A DEDICATED SPACE WILL MAKES BEHAVIORAL HEALTH SERVICES MORE ACCESSIBLE TO PATIENTS WHO ARE ALREADY VISITING THE CLINIC FOR OTHER HEALTHCARE NEEDS. THIS INTEGRATION WILL ENHANCE COORDINATION OF CARE AND REDUCES BARRIERS TO ACCESSING MENTAL HEALTH CARE, SUCH AS THE NEED TO TRAVEL TO DIFFERENT LOCATIONS OR MAKE SEPARATE APPOINTMENTS. BACH WILL TRAIN THE STAFF TO PROVIDE UNIVERSAL MENTAL HEALTH AND SUD SCREENINGS, INCLUDING PHQ-9, GAD-7, AUDIT, AND DAST FOR ADULTS AND PHQ-9A AND CRAFFT FOR ADOLESCENTS. THROUGH THE PROGRAM, BACH WILL INCREASE THE NUMBER OF MEDICATION ASSISTED TREATMENT (MAT) PROVIDERS WHO CAN PRESCRIBE MEDICATION, AND MAT TREATMENT WILL BE INTEGRATED WITH MENTAL HEALTH CARE THROUGH TRAINING STAFF IN THE ADVANCING INTEGRATED MENTAL HEALTH SOLUTIONS (AIIMS) MODEL. ULTIMATELY, IN PARTNERSHIP WITH HRSA, BACH AIMS TO RAMP UP PATIENT ACCESS BY SUBSTANTIAL PERCENTAGES, CONTRIBUTING TO A MORE VIBRANT COMMUNITY WHERE ALL INDIVIDUALS CAN THRIVE AND FLOURISH REGARDLESS OF THEIR BACKGROUND OR CIRCUMSTANCES.

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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 TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM