Circle The City

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - THE MISSION OF CIRCLE THE CITY (CTC) IS TO CREATE AND DELIVER INNOVATIVE HEALTHCARE SOLUTIONS THAT COMPASSIONATELY ADDRESS THE NEEDS OF ALL INDIVIDUALS FACING HOMELESSNESS IN MARICOPA COUNTY, ARIZONA. FOUNDED IN 2008, WE SERVED 9,000 INDIVIDUALS LAST YEAR. AS THE ONLY FEDERALLY QUALIFIED HEALTHCARE CENTER IN MARICOPA COUNTY THAT FOCUSES SOLELY ON SERVING INDIVIDUALS EXPERIENCING HOMELESSNESS, CIRCLE THE CITY (CTC) SEEKS A PORTION OF THE FUNDING NEEDED TO BUILD A $24 MILLION, 84-BED MEDICAL RESPITE FACILITY IN MESA, AZ THAT REPLICATES AN EXISTING, SUCCESSFUL PROGRAM IN PHOENIX. PATIENTS STABILIZED ENOUGH TO REQUIRE DISCHARGE FROM HOSPITALIZATION THAT STILL REQUIRE SIGNIFICANT MEDICAL CARE CAN BE DISCHARGED TO THIS STEP-DOWN FACILITY, BOTH ALLOWING FOR CRITICAL MEDICAL CARE AND HEALING WITHOUT DISCHARGE TO THE STREET AND PROVIDING ADDITIONAL TIME TO FIND HOUSING SOLUTIONS. INDIVIDUALS FACING HOMELESSNESS HAVE SIGNIFICANT HEALTHCARE NEEDS. THEY LIVE ON THE STREETS WITH ACUTE MEDICAL CONDITIONS AND USE HOSPITALS AT HIGHER RATES FOR LONGER PERIODS THAN HOUSED INDIVIDUALS. UNHOUSED INDIVIDUALS PRESENT A CHALLENGE TO HOSPITAL DISCHARGE PLANNERS AS THEY OFTEN STRUGGLE TO FIND SAFE AND APPROPRIATE VENUES FOR HOMELESS PATIENTS TO REST, RECUPERATE, AND RECEIVE FOLLOW-UP SERVICES AFTER THEY NO LONGER NEED ACUTE HOSPITAL CARE. THIS OFTEN RESULTS IN HOSPITAL READMISSIONS THAT COST TAXPAYERS MILLIONS OF DOLLARS EACH YEAR. CTC’S EAST VALLEY MEDICAL RESPITE CENTER (EVMRC) IS AKIN TO A SKILLED NURSING FACILITY WHERE ALL PATIENTS ARE DIRECTLY REFERRED FROM HOSPITALS OR OTHER COLLABORATING ENTITIES. SINCE 2012, CTC’S DATA SHOWS THAT NOT ONLY DOES MEDICAL RESPITE OFFER PATIENTS THE INTEGRATED MEDICAL SERVICES NEEDED TO HEAL, BUT CASE MANAGERS ALSO FACILITATE TRANSITION TO PERMANENT HOUSING, TRANSITIONAL HOUSING, FAMILY, OR SPECIALTY PROGRAMS THAT DON’T REQUIRE DISCHARGE TO THE STREET. THE EVMRC PROJECT WILL PROVIDE A NUMBER OF UNIQUE BENEFITS TO INDIVIDUALS FAC ING HOMELESSNESS AND THE MESA COMMUNITY AT LARGE: • PROVIDES PATIENTS WITH A SAFE PLACE TO REST, A CLEAN PLACE TO RECOVER, NUTRITIOUS FOOD, CLEAN WATER, SECURE STORAGE FOR MEDICATIONS, THE OVERALL ABILITY TO COMPLY WITH HOSPITAL DISCHARGE INSTRUCTIONS, AND ACCESS TO SUPPORTIVE SERVICES THAT ASSIST IN COMPLETING RECOVERY. • THIS SERVICE DOES NOT CURRENTLY EXIST IN THE EAST VALLEY AND IS BEING EMBRACED AS PART OF A LARGER SOLUTION TO TREATING HOMELESSNESS IN MESA. • TAKES THE ONUS FOR CARE AWAY FROM EMERGENCY ROOMS/EMERGENCY DEPARTMENTS, AS WELL AS EMERGENCY SHELTERS THAT CANNOT PROVIDE THE MEDICAL CARE NECESSARY FOR PATIENT RECOVERY. • HELPS PREVENT UNNECESSARY AND COSTLY EMERGENCY ROOM UTILIZATION AND HOSPITAL ADMISSIONS, WHICH PROVIDES A SIGNIFICANT BENEFIT TO TAXPAYERS AND LOCAL MUNICIPALITIES. IN A MARCH 2021 “UPDATE ON THE EVIDENCE FOR MEDICAL RESPITE CARE” BY THE NATIONAL INSTITUTE FOR MEDICAL RESPITE CARE, DATA FROM OTHER RESEARCH STUDIES DEMONSTRATED THAT HOSPITAL ADMISSIONS DECREASED BY 37%, INPATIENT DAYS DECREASED BY 70%, AND 30-DAY HOSPITAL READMISSION RATE FOR PERSONS EXPERIENCING HOMELESSNESS REDUCED BY 50.8%. • THE EAST VALLEY HOSPITAL AND HEALTH CARE SYSTEMS, ALONG WITH MULTIPLE COMMUNITY FIRST RESPONDERS, WILL EXPERIENCE LESS UTILIZATION OF EMERGENCY CALLS TO ASSIST HOMELESS CITIZENS EXPERIENCING HEALTH CARE EMERGENCIES. • APPROXIMATELY 70% OF CTC’S CURRENT MEDICAL RESPITE PATIENTS THAT COMPLETE THEIR TREATMENT CARE PLAN ARE DISCHARGED TO HOUSING, FAMILY OR OTHER PROGRAMS, RATHER THAN THE STREET. • ACCORDING TO CENSUS TRACT DATA, THE AREA SURROUNDING THE LOCATION HAS A FAMILY INCOME OF LESS THAN 70% OF AREA MEDIAN INCOME AND IS IN A FOOD DESERT. FOR THE LOCAL COMMUNITY, THE PROJECT ALSO: A. DELIVERS APPROXIMATELY 120 HIGH-PAYING JOBS, INCLUDING PHYSICIANS, NURSES, PHYSICAL THERAPISTS, CASE MANAGERS, AND A HOST OF SUPPORT STAFF. B. ADDS OVER $13 MILLION OF ANNUAL LOCAL SPENDING, INCLUDING $8.8 MILLION IN WAGES & EMPLOYEE BENEFITS.

FISCAL YEAR 2025 EXPANDED HOURS. - THE MISSION OF CIRCLE THE CITY (CTC) IS TO CREATE AND DELIVER INNOVATIVE HEALTHCARE SOLUTIONS THAT COMPASSIONATELY ADDRESS THE NEEDS OF ALL INDIVIDUALS FACING HOMELESSNESS IN MARICOPA COUNTY, ARIZONA. FOUNDED IN 2008, WE SERVED 9,000 INDIVIDUALS LAST YEAR. CTC PROVIDES INTEGRATIVE HEALTHCARE SERVICES, WHICH INCLUDE TWO MEDICAL RESPITE CENTERS, TWO FAMILY HEALTH CENTERS, FIVE MEDICAL MOBILE UNITS, AND THREE STREET MEDICINE TEAMS. BECAUSE OF THE VULNERABILITY OF THE PEOPLE WE CARE FOR AND THE LACK OF ACCESS TO CARE THEY EXPERIENCE WHILE BEING UNHOUSED, THE PATIENT PRESENTS TO US WITH COMPLEX HEALTH ISSUES AND CO-MORBIDITIES. DUE TO THE MANY COMPLEXITIES OF SOCIAL DETERMINANTS OF HEALTH (SDOH), MEDICAL AND BEHAVIORAL HEALTH CARE PROVIDED STRICTLY DURING TRADITIONAL CLINIC BUSINESS HOURS OFTEN DOES NOT ALLOW PATIENTS TO ACCESS THE CARE THEY NEED. LACK OF TRANSPORTATION, CHILDCARE NEEDS, LIMITED HOURS TO ATTEND OR OBTAIN WORK, FOOD, SHELTER, OR RESOURCE CENTER ASSISTANCE, AND ENVIRONMENTAL FACTORS SUCH AS HEAT ARE JUST SOME OF THE MANY FACTORS THAT PLAY A ROLE IN A PATIENT’S INABILITY TO OBTAIN MEDICAL OR BEHAVIORAL HEALTH CARE DURING STANDARD CLINIC HOURS. THE MARICOPA ASSOCIATION OF GOVERNMENTS’ 2024 POINT-IN-TIME HOMELESSNESS COUNT REPORT HIGHLIGHTED A SIGNIFICANT CHALLENGE: 43% OF INDIVIDUALS EXPERIENCING HOMELESSNESS IN MARICOPA COUNTY ARE UNSHELTERED. THIS MEANS THAT OUT OF THE 9,435 INDIVIDUALS SURVEYED, NEARLY HALF LACK ACCESS TO SHELTERED SETTINGS, TRANSITIONAL HOUSING, OR OTHER FORMS OF ACCOMMODATION. OUR MISSION IS TWOFOLD: TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES TO ALL UNHOUSED INDIVIDUALS IN OUR COUNTY AND TO BRIDGE THE GAP IN CARE FOR THOSE WHO ARE NOT CURRENTLY CONNECTED TO SERVICES. EXTENDING OUR OUTREACH CLINIC HOURS IS CRUCIAL TO ACHIEVING THESE GOALS. BY OFFERING EXPANDED HOURS, WE CAN REACH MORE INDIVIDUALS WHO MAY NOT HAVE REGULAR ACCESS TO HEALTHCARE DUE TO THEIR LIVING CONDITIONS. THIS INITIATIVE WILL ENABLE US TO PROVIDE MEDICAL CARE, PREVENTIVE SERVICES, AND ESSENTIAL SCREENINGS DIRECTLY TO INDIVIDUALS WHERE THEY ARE, WHETHER ON THE STREETS, IN ENCAMPMENTS, OR OTHER LOCATIONS NOT TYPICALLY SERVED BY TRADITIONAL HEALTHCARE SETTINGS. THIS PROACTIVE APPROACH NOT ONLY ENSURES THAT MORE UNHOUSED INDIVIDUALS RECEIVE TIMELY AND APPROPRIATE MEDICAL ATTENTION BUT ALSO ESTABLISHES TRUST AND CONTINUITY OF CARE. BY MEETING PEOPLE WHERE THEY ARE, WE CAN ADDRESS THEIR IMMEDIATE HEALTH NEEDS, ESTABLISH ONGOING RELATIONSHIPS, AND CONNECT THEM TO BROADER HEALTHCARE AND SOCIAL SERVICES NETWORKS. EXTENDING OUR OUTREACH HOURS IS A CRITICAL STEP TOWARD CLOSING CARE GAPS FOR THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY. THE EXPANDED HOURS GRANT WILL ALLOW CTC TO PROVIDE MEDICAL AND BEHAVIORAL HEALTH COVERAGE TO THOSE MOST VULNERABLE IN OUR COMMUNITY. IN GENERAL, THE GRANT WOULD ALLOW OUR ORGANIZATION TO STAFF A TEAM TO PROVIDE CARE AFTER STANDARD CLINIC HOURS, WITH OPTIONS FOR EVENING AND WEEKEND COVERAGE. MEDICAL AND BEHAVIORAL HEALTH PROVIDERS, WORKING WITH A MEDICAL COORDINATOR IN AN OUTREACH VEHICLE, WILL BE ABLE TO PROVIDE CARE TO PATIENTS IN A VARIETY OF AFTER-HOURS AND WEEKEND SETTINGS, INCLUDING STREET MEDICINE OUTREACH, SHELTERS, RESOURCE CENTERS, FOOD DISTRIBUTION LOCATIONS, AND HEAT RELIEF CENTERS THROUGHOUT THE CITY. THE GOAL OF THE EXPANDED HOURS WILL BE TO PROVIDE THE SAME ACCESS TO HIGH QUALITY HEALTHCARE TO INDIVIDUALS WHO CANNOT OBTAIN IT DURING NORMAL BUSINESS HOURS.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)