Family Health Services Of Erie County

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ADDRESS: 1912 HAYES AVENUE, SANDUSKY OH, 44870 PROJECT DIRECTOR: RENEE LEBER, LISW-S PHONE: 419-502-2800 EMAIL: RENEEL@FAMILYHS.ORG WEBSITE: HTTPS://WWW.FAMILYHS.ORG/ FUNDS REQUESTED FOR 2 YEAR PERIOD: $1,100,000.00 IN THE UNITED STATES, APPROXIMATELY ONE IN FIVE ADULTS LIVING IN RURAL AREAS EXPERIENCE MENTAL ILLNESS. ALTHOUGH THE PREVALENCE IN RURAL AND URBAN AREAS IS COMPARABLE, PEOPLE LIVING IN RURAL AREAS EXPERIENCE UNIQUE INFLUENCING FACTORS WHEN IT COMES TO MANAGING THEIR MENTAL HEALTH, LEADING TO LESS ACCESS AND GREATER STIGMA (NATIONAL RURAL HEALTH ASSOCIATION, 2024). OVERALL, RURAL POPULATIONS HAVE LOWER MEDIAN HOUSEHOLD INCOMES, LEVELS OF EMPLOYMENT, AND EDUCATIONAL ATTAINMENT THAN THE GENERAL POPULATION, ALL OF WHICH INCREASE THE CHANCE OF DEVELOPING MENTAL HEALTH CONDITIONS. AND WHILE THE NEEDS EXIST, ACCESS TO THESE SERVICES IS DIFFICULT SINCE MOST RURAL COMMUNITIES STRUGGLE WITH A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. DATA FOR THE SERVICE AREA OF RURAL NORTH CENTRAL OHIO IS EVEN WORSE, WITH NEARLY ONE IN FOUR (24%) ADULTS REPORTING A DEPRESSION DIAGNOSIS, INCREASING TO NEARLY 30% FOR THOSE WITH HOUSEHOLD INCOMES UNDER $50,000 PER YEAR (ERIE AND HURON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTS). FAMILY HEALTH SERVICES OF ERIE COUNTY (FHS), HEALTH CENTER H80CS28351, HAS PROVIDED ESSENTIAL HEALTHCARE SERVICES TO THE NORTH CENTRAL OHIO COMMUNITY SINCE 2010. IN 2022, THE HEALTH CENTER PROVIDED 12,763 PATIENTS WITH PRIMARY MEDICAL, DENTAL, NUTRITION, PHYSICAL THERAPY AND BEHAVIORAL HEALTH SERVICES DELIVERED IN FOUR PERMANENT AND TEN SEASONAL, SCHOOL-BASED SITES. FAMILY HEALTH SERVICES’ PRIMARY SERVICE AREAS ARE ERIE AND HURON COUNTIES, WHICH ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH. HURON COUNTY IS ALSO A DESIGNATED HPSA FOR PRIMARY CARE FOR LOW-INCOME POPULATIONS. IN ADDITION TO HPSA DESIGNATIONS, BOTH HURON AND ERIE COUNTIES HAVE MEDICALLY UNDERSERVED POPULATION (MUP) DESIGNATIONS FROM HRSA DUE TO A SHORTAGE OF PRIMARY CARE SERVICES FOR LOW-INCOME INDIVIDUALS. FHS BEGAN INTEGRATING BEHAVIORAL HEALTH SERVICES INTO THE EXISTING PRIMARY CARE MODEL IN 2017, SERVING 61 PATIENTS AND PROVIDING 134 VISITS. SINCE THAT TIME, FHS HAS SEEN EXTENSIVE GROWTH IN THIS SPACE, CONTINUALLY INCREASING STAFFING TO ATTEMPT TO MEET THE CRITICAL NEEDS OF THE COMMUNITY, AND ENSURING PRIMARY CARE PROVIDERS ARE CERTIFIED TO PRESCRIBE MEDICATION ASSISTED THERAPY (MAT) FOR OUD. IN 2023, FHS PROVIDED BEHAVIORAL HEALTH SERVICES TO NEARLY 5,000 UNIQUE PATIENTS WITH OVER 34,000 PATIENT VISITS ACROSS FOUR CLINICAL AND TEN SCHOOL-BASED SITES, HOWEVER MORE IS STILL NEEDED. BY AUGUST 31, 2026, THE PROPOSED PROJECT WILL: 1) INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES; AND 2) INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. TO ACHIEVE THESE GOALS, FHS WILL HIRE TWO ADDITIONAL MENTAL HEALTH COUNSELORS TO PROVIDE SERVICES ACROSS CLINIC AND SCHOOL SITES IN ERIE AND HURON COUNTIES. THESE PROFESSIONALS WILL ALLOW FHS TO INCREASE THE NUMBER OF INDIVIDUALS BEING SERVED, AND WILL ESTABLISH GROUP THERAPY OPTIONS FOR PATIENTS, WHICH CAN TREAT A MULTITUDE OF CONDITIONS AND DECREASE WAIT TIMES. OVER THE TWO-YEAR PERIOD, THESE COUNSELORS WILL PROVIDE SERVICES TO AN ADDITIONAL 1,600 INDIVIDUALS WITH A DIAGNOSED MENTAL HEALTH AND/OR SUD CONDITION, AND WORK WITH FHS PRIMARY CARE PROVIDERS TO ENSURE MAT TREATMENT IS BEING PRESCRIBED AS APPROPRIATE. TO ENSURE BARRIERS TO ACCESSING CARE ARE REMOVED AND SOCIAL NEEDS ADDRESSED, WILL HIRE A COMMUNITY HEALTH WORKER TO SUPPORT PATIENTS RECEIVING MENTAL HEALTH SERVICES AT FHS.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - APPLICANT: FAMILY HEALTH SERVICES OF ERIE COUNTY ADDRESS: 1912 HAYES AVE, SANDUSKY, OH 44870 CONTACT: DAVID TATRO, CEO / EMAIL: DAVIDT@FAMILYHS.ORG / PHONE: (419) 502-2822 WEBSITE: HTTP://WWW.FAMILYHS.ORG FEDERAL FUNDING REQUEST: HRSA EXPANDING HOURS, FY 2025 FAMILY HEALTH SERVICES OF ERIE COUNTY (FHS) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) BASED IN SANDUSKY, OHIO. FHS’ DESIGNATED SERVICE AREA ENCOMPASSES MOST OF TWO NORTH-CENTRAL OHIO COUNTIES: ERIE COUNTY, WHICH BORDERS LAKE ERIE, AND HURON COUNTY; THE NEXT COUNTY SOUTH OF ERIE COUNTY. FHS WAS ESTABLISHED AS A HEALTH CENTER LOOK-ALIKE PROGRAM IN NOVEMBER OF 2010, AND IN 2014 RECEIVED FQHC FUNDING VIA A HRSA NEW ACCESS POINT AWARD. FHS PROVIDES MEDICAL PRIMARY CARE, DENTAL CARE, BEHAVIORAL HEALTH (BH) AND ENABLING SERVICES AND ALSO MAINTAINS A 340B PHARMACY PROGRAM. SINCE 2020, FHS HAS GROWN SIGNIFICANTLY, EXPANDING FROM FIVE SITES, INCLUDING TWO SCHOOL-BASED HEALTH CENTERS WITHIN SANDUSKY CITY SCHOOLS, TO A NETWORK OF 15 SITES. THE MAIN SITE FOR MEDICAL, DENTAL AND BH SERVICES AS WELL AS ADMINISTRATIVE OFFICES ARE LOCATED ON HAYES AVENUE ON THE SOUTH SIDE OF SANDUSKY. FHS OPERATES A SECOND SITE THAT SERVES MEDICAL, DENTAL AND BH SERVICES WITHIN NORWALK, IN HURON COUNTY. FHS ALSO OPERATES A SITE IN SANDUSKY, ADJACENT TO A SENIOR CENTER, THAT PROVIDES MEDICAL AND BH CARE MOSTLY TO OLDER ADULTS, AND 11 SCHOOL-BASED HEALTH CENTER (SBHC) SITES. LATER IN THE SUMMER OF 2024, FHS WILL OPEN A NEW SITE IN DOWNTOWN SANDUSKY THAT WILL PROVIDE MEDICAL, BH AND THE FIRST IN-HOUSE 340B PHARMACY OPERATED BY FHS. UNDER THIS EXPANDED HOURS APPLICATION, FHS PROPOSES TO ADD EVENING AND WEEKEND HOURS AT TWO EXISTING SITES: 1) 1912 HAYES AVE STE. D, IN SANDUSKY, OH 44870 AND 2) 265 BENEDICT AVE, NORWALK, OH 44857. THE EXPANSION AT BOTH SITES WILL ENSURE BETTER ACCESS TO CARE BY OFFERING MORE FLEXIBILITY FOR PATIENTS AND GREATER CAPACITY TO PROVIDE COMPREHENSIVE CARE TO A TARGET POPULATION PRIMARILY COMPRISED OF PEOPLE LIVING WITH INCOMES AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. AT THE HAYES AVE. FACILITY IN SANDUSKY, FHS WILL EXPAND CLINICAL HOURS TO 7:00 P.M. OR LATER TWO DAYS PER WEEK (CURRENTLY THE LATEST WEEKDAY HOURS ARE 6:00 P.M.). IN NORWALK, EXPANDED HOURS FUNDING WILL ENABLE FHS TO OFFER SATURDAY DENTAL HOURS TO ADDRESS A GROWING BACKLOG OF DENTAL APPOINTMENTS. FHS IS NOW SCHEDULING PATIENTS SEVERAL MONTHS OUT DUE TO THE DEMAND FOR DENTAL CARE. NORTHWEST AND NORTH-CENTRAL OHIO REMAINS A DENTAL SHORTAGE AREA, AND FHS’ TWO DENTAL FACILITIES IN SANDUSKY AND NORWALK OFFER TWO OF ONLY A FEW OPTIONS LOWER-INCOME POPULATIONS HAVE FOR CARE. FHS ALSO WILL EXPAND TRANSPORTATION SERVICES, PROVIDED DIRECTLY BY FHS, TO SATURDAY AS WELL TO ACCOMMODATE PATIENTS WHO NEED TRANSPORTATION FROM ANYWHERE IN THE SERVICE AREA TO THE NORWALK SITE FOR DENTAL CARE. THE EXPANSION IN HOURS AT THESE TWO LOCATIONS WILL OFFER ADDITIONAL CAPACITY FOR THE ENTIRE PATIENT AND TARGET POPULATION IN THIS MOSTLY RURAL SERVICE AREA WITH A POPULATION OF 129,591, OF WHICH 38,958, OR 30.5%, OF PEOPLE ARE LIVING WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL. SANDUSKY IS THE LARGEST AND THE MOST URBAN CITY, AND ALSO HAS THE LARGEST CONCENTRATION OF POVERTY AND URBAN BLIGHT. OF THE 40,018 RESIDENTS WHO LIVE IN THE GREATER SANDUSKY AREA, 15,019 INDIVIDUALS, OR 37.9%, OF THE POPULATION LIVE AT LOW-INCOME LEVELS. THE OVERALL POPULATION OF THE SERVICE AREA IS 87.7% WHITE OR CAUCASIAN AND 15.5% OF THE POPULATION IS CONSIDERED A RACIAL OR ETHNIC MINORITY, INCLUDING 6% WHO ARE HISPANIC OR LATINO. FHS’ SERVICE AREA HAS SEVERAL HEALTH INDICATORS THAT ARE WORSE THAN THOSE FOR THE NATION AS A WHOLE. TO ADDRESS THESE HEALTH DISPARITIES, FHS HAS MAINTAINED STEADY GROWTH OVER THE PAST FOUR TO FIVE YEARS, AND IN CY 2023 SERVED 15,142 UNDUPLICATED PATIENTS, AN INCREASE OF 18.6% OVER THE 12,763 PATIENTS SERVED IN 2022.

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