Sterling Health Solutions Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - APPLICANT NAME: STERLING HEALTH SOLUTIONS, INC. ADDRESS: 236 W. MAIN ST., STERLING, KY 40353 ORGANIZATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER PROJECT DIRECTOR NAME: TINA BRYANT, CEO PHONE NUMBERS: (V) (859) 404-7686 EXT. 556 E-MAIL ADDRESS: TBRYANT@STERLINGHEALTHKY.ORG REQUESTED AWARD AMOUNT: $3,000,000 STERLING HEALTH SOLUTIONS, INC. (STERLING HEALTH), HEADQUARTERED IN MT. STERLING, KY, PROVIDES COMPREHENSIVE HEALTH SERVICES TO UNDERSERVED, LOW-INCOME AND DISADVANTAGED POPULATIONS IN RURAL KENTUCKY. STERLING HEALTH SERVICES INCLUDE COMPREHENSIVE PRIMARY CARE INCLUDING PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, OBSTETRICS, DENTAL, MENTAL HEALTH, SUBSTANCE USE DISORDER WITH MAT, PHARMACY SERVICES, AND ENABLING SERVICES INCLUDING TRANSPORTATION, CARE MANAGEMENT, OUTREACH AND ENROLLMENT, AND TRANSLATION SERVICES. NO PATIENT IS DENIED CARE BECAUSE OF INABILITY TO PAY FOR SERVICES. IN 2021, STERLING HEALTH SERVED 25,170 UNDUPLICATED PATIENTS. THE MAJORITY ARE WHITE, NON-HISPANIC (89%) AND POOR – ONLY 15 PERCENT OF PATIENTS ARE KNOWN TO HAVE INCOMES ABOVE 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL). STERLING HEALTH IS PROPOSING TO OPEN THREE NEW MEDICATION ASSISTED TREATMENT (MAT) CLINICS IN RURAL APPALACHIAN KENTUCKY COUNTIES: MONTGOMERY, NICHOLAS, AND MENIFEE. THE MENIFEE SITE WILL BE A MOBILE UNIT. THE OPIOID EPIDEMIC HAS RAVAGED APPALACHIAN KENTUCKY FOR DECADES AND HAS WORSENED DURING THE COVID-19 PANDEMIC. THE COVID PANDEMIC HAS CAUSED BOTH AN INTERRUPTION IN ALREADY LIMITED OPIOID USE DISORDER TREATMENT AND PREVENTION SERVICES AND A WORSENING IN SOCIAL AND ECONOMIC STRESSORS THAT ARE ASSOCIATED WITH INCREASED OPIOID AND OTHER SUBSTANCE USE DISORDERS.ACCORDING TO DATA COMPILED BY THE UNIVERSITY OF CHICAGO, THE RATE OF FATAL DRUG OVERDOSES IN MONTGOMERY COUNTY IS SIGNIFICANTLY HIGHER THAN THE STATE AND NATIONAL RATES. FROM 2015 TO 2019, PRIOR TO THE COVID-19 PANDEMIC, THE DRUG OVERDOSE MORTALITY RATE AMONG INDIVIDUALS AGED 15-64 WA S 63.6 IN MONTGOMERY COUNTY, 31% HIGHER THAN STATEWIDE DRUG OVERDOSE MORTALITY RATE (48.5) AND 122% OF THE NATIONAL DRUG OVERDOSE MORTALITY RATE (28.7). THE TREND WAS MORE DRAMATIC FOR OPIOIDS. THE OPIOID OVERDOSE MORTALITY RATE IN MONTGOMERY COUNTY (52.4) WAS 46% HIGHER THAN IN KENTUCKY (36.0) AND 160% HIGHER THAN IN THE UNITED STATES (20.2). STERLING HEALTH WILL MODEL THE PROGRAM AFTER ITS MAT PROGRAM OPERATING IN OTHER RURAL KENTUCKY COUNTIES. EACH SITE CLINIC SITE WILL HAVE A MAT TEAM MADE UP OF A PRIMARY CARE PROVIDER (PCP) WITH A DRUG ADDICTION TREATMENT ACT OF 2000 (DATA) WAIVER TO TREAT OPIOID USE DISORDER WITH MEDICATIONS SPECIFICALLY APPROVED BY THE U.S. FOOD AND DRUG ADMINISTRATION (FDA), A LICENSED CLINICAL SOCIAL WORKER (LSCW), CHEMICAL AND ALCOHOL DEPENDENCY COUNSELOR, AND A PEER SUPPORT SPECIALIST. A PSYCHIATRIST, A PSYCH NURSE PRACTITIONER (NP), AND A CLINICAL PHARMACIST ARE AVAILABLE FOR CONSULTATION. PCPS PRESCRIBE BUPRENORPHINE/NALOXONE AND VIVITROL, AND PROVIDE NARCAN TO ALL PARTICIPANTS AND THEIR FRIENDS AND FAMILIES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - ORGANIZATIONAL HISTORY/SERVICE AREA/TARGET POPULATION: STERLING HEALTH SOLUTIONS, INC. (SHS), HEADQUARTERED IN MT. STERLING, KY, PROVIDES COMPREHENSIVE HEALTH SERVICES TO UNDERSERVED, LOW-INCOME AND DISADVANTAGED POPULATIONS IN RURAL KENTUCKY. SHS HAS BEEN A FEDERALLY QUALIFIED HEALTH CENTER SINCE 2012. SHS SERVICES INCLUDE COMPREHENSIVE PRIMARY CARE INCLUDING PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, OBSTETRICS, DENTAL, VISION, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER WITH MAT, INTENSIVE OUTPATIENT PROGRAMS, PHARMACY SERVICES, AND ENABLING SERVICES INCLUDING TRANSPORTATION, CARE MANAGEMENT, LIFE SKILL CLASSES, OUTREACH AND ENROLLMENT, AND TRANSLATION SERVICES. NO PATIENT IS DENIED CARE BECAUSE OF INABILITY TO PAY FOR SERVICES. SERVICE AREA: SHS SERVICES THE KENTUCKY COUNTIES OF BATH, BOURBON, CLARK, MENIFEE, MONTGOMERY, NICHOLAS, AND POWELL. SHS PROVIDES SCHOOL-BASED HEALTH SERVICES TO BATH, BOURBON, MONTGOMERY, NICHOLAS, AND POWELL COUNTIES IN KENTUCKY. SERVICE AREA NEEDS: THE TARGET POPULATION IS IMPACTED BY A WIDE ARRAY OF HEALTHCARE CONCERNS. THE BARRIERS TO CARE RANGE FROM LACK OF UNDERSTANDING THE AVAILABILITY OF CARE, HEALTHCARE LITERACY, TRANSPORTATION, AND OTHER SOCIAL DETERMINANTS OF HEALTH. PROPOSAL: THIS PROPOSAL AIMS TO ADDRESS THE PRESSING NEED FOR COMPREHENSIVE PRIMARY HEALTHCARE, BEHAVIORAL HEALTH, DENTAL, AND SUBSTANCE USE DISORDER (SUD) SERVICES FOR SOON TO BE RELEASED INCARCERATED RESIDENTS WITHIN SHS’S SERVICE AREA. SHS’S GOAL IS TO EXPAND OUR CURRENT PROGRAMS IN THE MONTGOMERY COUNTY JAIL TO PROVIDE ACCESS TO TRANSITIONAL HEALTHCARE TO INCARCERATED INDIVIDUALS SCHEDULED TO BE RELEASED WITHIN A 90-DAY PERIOD. RECOGNIZING THE PROFOUND IMPACT OF HYPERTENSION ALONG WITH OTHER ACUTE AND CHRONIC HEALTHCARE NEEDS, SUCH AS MENTAL HEALTH WITH SUD, OF THIS POPULATION IS CRITICAL TO PROVIDE A PATHWAY FOR THEIR SUCCESSFUL TRANSITION BACK INTO THE COMMUNITY.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - GRANT #: H80CS24168 ORGANIZATIONAL HISTORY / SERVICE AREA / TARGET POPULATION – HEADQUARTERED IN MOUNT STERLING, KY, STERLING HEALTH SOLUTIONS, INC. (SHS) PROVIDES COMPREHENSIVE HEALTH SERVICES TO UNDERSERVED, LOW-INCOME AND DISADVANTAGED POPULATIONS IN RURAL KENTUCKY. SHS HAS BEEN AN FQHC SINCE 2012. SINCE ITS INCEPTION, SHS HAS DEMONSTRATED A SOLID COMMITMENT TO THE COMMUNITY, QUALITY, AND SUSTAINABILITY. THE SERVICE AREA INCLUDES BATH, BOURBON, CLARK, MENIFEE, NICHOLAS, POWELL, AND MONTGOMERY COUNTIES IN THE GATEWAY AREA DEVELOPMENT DISTRICT OF KENTUCKY, NEAR THE APPALACHIAN MOUNTAINS. SHS CURRENTLY OPERATES 35 HEALTH CENTER SITES OF WHICH 27 ARE SCHOOL-BASED HEALTH CENTERS SERVICE. SHS ALSO HAS AN ADMINISTRATIVE SITE IN MOUNT STERLING. THE TARGET POPULATION IS DEFINED AS LOW-INCOME, UNINSURED AND UNDERINSURED (INCLUDES PEOPLE COVERED BY MEDICAID AND MEDICARE), AND MIGRANT AND SEASONAL AGRICULTURAL WORKERS (MSAW) WHICH REPRESENTS MORE THAN HALF OF THE AREA RESIDENTS. SERVICE AREA NEED: THE TARGET POPULATION SUFFERS FROM A WIDE ARRAY OF HEALTH NEEDS AND POOR HEALTH OUTCOMES, AND MANY HAVE SUBSTANCE ABUSE DISORDERS INCLUDING OPIOID DISORDERS. THE BARRIERS TO CARE INCLUDE HEALTH DISPARITIES, POVERTY, AND LIMITED TRANSPORTATION. THE MIGRANT POPULATION HAVE EXPERIENCED DIFFICULTY IN ACCESSING CARE IN THE PAST DUE TO LANGUAGE AND CULTURAL BARRIERS. PROPOSAL: FUNDING FROM THIS GRANT WILL ALLOW SHS TO EXPAND ITS MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES BY FUNDING 3.5 FTE LICENSED CLINICAL SOCIAL WORKERS TO PROVIDE MENTAL HEALTH AND SUBSTANCE USE DISORDER CLINICAL SERVICES AND 4.0 FTE PEER SUPPORT STAFF TO PROVIDE TREATMENT AND RECOVERY SUPPORT SERVICES, AND IMPLEMENT CLINIC-WIDE TRAINING ON INTEGRATING MH AND SUD SERVICES. BY THE END OF 2025, SHS WILL SERVE 3,085 MENTAL HEALTH PATIENTS (894 NEW); 525 SUD PATIENTS (290 NEW); AND 473 PATIENTS WITH MEDICATION TO TREAT OPIOID DISORDER (208 NEW). IN TOTAL, SHS WILL SERVE AN ADDITIONAL 600 UNDUPLICATED PATIENTS AS A RESULT OF THIS F UNDING.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - ORGANIZATIONAL CAPACITY: STERLING HEALTH SOLUTIONS, INC. (SHS), HEADQUARTERED IN MT. STERLING, KY, PROVIDES COMPREHENSIVE HEALTH SERVICES TO UNDERSERVED, LOW-INCOME AND DISADVANTAGED POPULATIONS IN RURAL KENTUCKY. SHS HAS BEEN A FEDERALLY QUALIFIED HEALTH CENTER SINCE 2012. SHS PROVIDES HEALTHCARE SERVICES TO OVER 30,000 INDIVIDUALS IN OUR SERVICE AREA. SHS SERVICES INCLUDE COMPREHENSIVE PRIMARY CARE INCLUDING PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, OBSTETRICS, DENTAL, VISION, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER WITH MAT, PHARMACY SERVICES, AND ENABLING SERVICES INCLUDING TRANSPORTATION, CARE MANAGEMENT, LIFE SKILL CLASSES, OUTREACH AND ENROLLMENT, AND TRANSLATION SERVICES. SHS IS PARTNERING WITH THE HEALTH DEPARTMENTS IN MONTGOMERY, POWELL, AND BOURBON COUNTIES TO HELP EXPAND ACCESS TO DIABETES EDUCATION. ALSO, SHS IS COLLABORATING WITH THE BARNSTABLE BROWN DIABETES CENTER AT THE UNIVERSITY OF KENTUCKY TO PROVIDE PATIENTS WITH ADDITIONAL RESOURCES TO HELP WITH THEIR DIABETES CARE. THESE PARTNERSHIPS ARE BASED UPON YEARS OF EXPERIENCE WORKING WITH EACH ORGANIZATION TO IMPLEMENT OTHER INITIATIVES IN THE COMMUNITIES WE SERVE. TARGET POPULATION: SHS SERVICES THE KENTUCKY COUNTIES OF BATH, BOURBON, CLARK, MENIFEE, MONTGOMERY, NICHOLAS, AND POWELL. THE TARGET POPULATION ARE THE UNDERSERVED, LOW INCOME, AND DISADVANTAGED RESIDENTS IN THE COUNTIES WITH DIABETES OR ARE PRE-DIABETIC. THIS POPULATION INCLUDES THE SUB-POPULATION OF MIGRATORY, DISABLED AND OR HOMELESS INDIVIDUALS IN THE COMMUNITIES. THESE INDIVIDUALS ARE IMPACTED BY A HIGH PREVALENCE OF DIABETES, ALONG WITH ASSOCIATED COMORBIDITIES SUCH AS LOSS OF VISION, NERVE DAMAGE, ETC. EVIDENCE BASED MODEL: SHS WILL UTILIZE THE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) PROGRAM AS OUR EVIDENCED BASED MODEL. THE DSMES MODEL PROVIDES AN EVIDENCE-BASED FOUNDATION TO HELP PEOPLE WITH DIABETES NAVIGATE THEIR HEALTH. THIS INCLUDES ITEMS SUCH AS DAILY MANAGEMENT OF BLOOD SUGAR LEVELS, IMPROVING OVERALL HEALTH AND PREVENTING OR DELAYING DIABETES COMPLICATIONS. THE PROGRAM WILL PROVIDE EDUCATION TO HELP PATIENTS MANAGE DIABETES THROUGH HEALTH EDUCATION, NUTRITION, MEDICATION ADHERENCE, AND PHYSICAL ACTIVITY. IN CONJUNCTION THIS MODEL WILL INCORPORATE SHS’S PATIENT-CENTERED MEDICAL HOME (PCMH) CLINICS TO CREATE A TEAM-BASED CARE MODEL THAT COORDINATES ALL ASPECTS OF PATIENT CARE, FOCUSING ON PREVENTION, MANAGEMENT, AND COMMUNICATION. GOALS AND OBJECTIVES: UTILIZING THE DSMES MODEL THE GOAL IS TO IMPROVES GLYCEMIC CONTROL, REDUCES HOSPITALIZATIONS AND DIABETES RELATED COMPLICATIONS, ENHANCE THE QUALITY OF LIFE FOR INDIVIDUALS WITH DIABETES, AND INCREASES PATIENT CONFIDENCE IN MANAGING THEIR CONDITION. EXPECTED OUTCOME: THE DESIRED OUTCOME IS TO IMPROVE THE OVERALL HEALTH OUTCOME FOR INDIVIDUALS IMPACTED BY DIABETES. SHS AND OUR PARTNERS WILL STRIVE TO ELIMINATE BARRIERS TO CARE RANGING FROM TRANSPORTATION, AFFORDABILITY OF CARE, TO HEALTHCARE LITERACY. FUNDING PREFERENCE: SHS QUALIFIES FOR REGULAR TRACK FUNDING PREFERENCE BECAUSE HRSA HAS DESIGNATED THE COUNTIES WE SERVE AS HEALTH PROFESSIONAL SHORTAGE AREAS AND 6 OUT OF 7 COUNTIES AS MEDICALLY UNDERSERVED COMMUNITIES. ALSO, THE RURAL SERVICE AREA PROPOSED, BATH, BOURBON, CLARK, MONTGOMERY, MENIFEE, NICOLAS, AND POWELL COUNTIES, ARE ALL HRSA DESIGNATED RURAL AREAS.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM