Neighborhood Health Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

ARRA - FACILITY INVESTMENT PROGRAM

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM - TYPE 7

CAPITAL DEVELOPMENT

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

HEALTH CENTER PROGRAM

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH HOME HOPE (H3) PROJECT

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

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

OPTIMIZING VIRTUAL CARE

EL RIO HEALTH - HEALTH, HOME, HOPE (H3) PROJECT - THE PURPOSE OF THE HEALTH, HOME, HOPE (H3) PROJECT IS TO END THE CYCLE OF HOMELESSNESS FOR HOUSEHOLDS CURRENTLY EXPERIENCING LONG TERM UNSHELTERED HOMELESSNESS IN TUCSON AND PIMA COUNTY THROUGH THE EXPANSION, INTEGRATION, AND COORDINATION OF LOCAL COMMUNITY BH, PHYSICAL HEALTH AND HOUSING SUPPORT SYSTEMS. WE WILL PROVIDE BH AND OTHER RECOVERY-ORIENTED SERVICES TO THOSE EXPERIENCING LONG-TERM UNSHELTERED HOMELESSNESS THROUGH (1) INTENSIVE STREET OUTREACH, (2) NAVIGATION DESIGNED TO RAPIDLY CONNECT INDIVIDUALS WITH SUBSTANCE USE DISORDER AND OR COD TO MAINSTREAM TREATMENT AND RECOVERY SERVICES INCLUDING MAT, AND (3) COORDINATE HOUSING AND SERVICES THAT SUPPORT SUSTAINED RECOVERY AND WELLNESS WITHIN PERMANENT HOUSING. OUR GOAL IS TO MOVE 150 OF THE MOST VULNERABLE UNSHELTERED HOMELESS INDIVIDUALS INTO PERMANENT SUPPORTIVE HOUSING, WHILE INCREASING THEIR WELLNESS, TO INCLUDE THEIR ABILITY TO MANAGE THEIR ADDICTIONS, MENTAL HEALTH SYMPTOMS, AND ACUTE AND CHRONIC PHYSICAL CONDITIONS. THIS WILL BE ACCOMPLISHED THROUGH A CONTINUATION OF THE EXISTING EL RIO/OPCS OUTREACH TEAMS, AN INTEGRATED MULTIDISCIPLINARY COMMUNITY TEAM, INCLUDING A FNP, MEDICAL ASSISTANT, CARE COORDINATOR, NAVIGATOR, AND PEER GUIDE; MAKING BIDIRECTIONAL REFERRALS BETWEEN OPCS AND THE EL RIO SPECIALTY BH TEAM (MD/PSYCHIATRIST, BH PROFESSIONALS, AND BH CMS); AND COORDINATING THE PROVISION OF MAINSTREAM SERVICES THROUGH COLLABORATION WITH EMERGENCY SHELTER PROVIDERS. THIS TEAM WILL INITIATE APPROXIMATELY 200 CONTACTS WITH UNSHELTERED HOMELESS INDIVIDUALS EACH YEAR, OFFERING NON-EMERGENCY MEDICAL ASSISTANCE, SCREENING FOR THE PRESENCE OF ADDICTION AND MENTAL HEALTH CONCERNS, SA/COD TREATMENT AND MEDICATION MONITORING/ MAT, AND IMMEDIATE ENROLLMENT INTO MAINSTREAM BENEFITS, SUCH AS MEDICAID, TANF, AND SNAP. THIS INITIAL INTERACTION WILL BE FACILITATED BY A CERTIFIED PEER GUIDE WHO WAS RECENTLY HOMELESS FROM THIS SAME GEOGRAPHICAL AREA. ALL STAFF WILL BE GUIDED BY MOTIVATIONAL INTERVIEWING AND TRAUMA INFORMED PRACTICES. ADDITIONALLY, WE WILL PROVIDE INTENSIVE NAVIGATION ASSISTANCE TO A MINIMUM OF 50 INDIVIDUALS PER YEAR, TO INCLUDE SAME-DAY TRANSPORTATION TO BENEFITS OFFICES, ENROLLMENT/INTAKE OFFICES OF MENTAL HEALTH PROVIDERS, NON-EMERGENCY MEDICAL AND BH APPOINTMENTS, AND APPOINTMENTS WITH POTENTIAL LANDLORDS. THIS NAVIGATION ASSISTANCE WILL INCLUDE ASSISTANCE WITH COMPLETION OF DOCUMENTATION AND APPLICATIONS NEEDED TO GAIN HOUSING, BENEFITS, AND TREATMENT FOR MENTAL HEALTH, ADDICTION, AND PHYSICAL HEALTH CONDITIONS. THIS WILL RESULT IN 30 INDIVIDUALS ENTERING PERMANENT HOUSING PER YEAR, OR A TOTAL OF 150 PERSONS OVER THE FIVE-YEAR PERIOD. A MINIMUM OF 50 PATIENTS PER YEAR WILL BE SEEN FOR MEDICAL AND MH SERVICES FOR A TOTAL OF 250 OVER 5 YEARS. AS A RESULT, AT FOLLOW-UP, WE EXPECT 45% OF PARTICIPANTS TO EXPERIENCE A REDUCTION IN DAYS USING DRUGS OR ALCOHOL, 50% A REDUCTION IN CRIMINAL ACTIVITY, 75% INCREASE IN SOCIAL CONNECTEDNESS, 50% REDUCTION IN EMERGENCY ROOM USAGE, AND A 50% INCREASE IN INCOME FROM ALL SOURCES, WHICH IS BASED ON OUR PREVIOUS 4+ YEARS OF SIMILAR WORK. THE PROJECT WILL BE LED PROGRAMMATICALLY BY THE PROJECT DIRECTOR (PD) WITH ASSISTANCE FROM LEADERSHIP AT BOTH EL RIO AND OPCS, AND OUR EVALUATOR, THE UA SIROW. THE INTEGRATED PROJECT TEAM WILL MEET QUARTERLY TO REVIEW PROGRESS TOWARD OUR HOUSING GOALS, ENGAGEMENT IN ADDICTION, MENTAL HEALTH, AND PHYSICAL WELLNESS SUPPORTS, AS WELL AS OUR GENERAL IMPACT ON UNSHELTERED HOMELESSNESS IN TUCSON AND PIMA COUNTY, AND TO REVIEW ALL THE DATA COLLECTED FROM PARTICIPANTS.

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMMUNITY HEALTH WORKER TRAINING PROGRAM - APPLICANT: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. 839 W. CONGRESS STREET, TUCSON, ARIZONA 85745 PROJECT DIRECTOR: NANCY JOHNSON, PHD, RN PHONE: (520) 309-2012; NANCYJ@ELRIO.ORG WEBSITE: HTTP://WWW.ELRIO.ORG AMOUNT OF CHWTP FUNDING REQUESTED: $2,400,687.10 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. (DBA EL RIO, EL RIO HEALTH) AS THE LEAD AGENCY, AND PIMA COMMUNITY COLLEGE (PCC), AS A SUBCONTRACTOR, PLAN TO DEVELOP AND IMPLEMENT A COMMUNITY HEALTH WORKER TRAINING PROGRAM (CHWTP) IN PIMA COUNTY, ARIZONA. PIMA COUNTY IS THE 2ND LARGEST COUNTY IN ARIZONA BY POPULATION (1.04 MILLION RESIDENTS), LOCATED IN THE SOUTHERNMOST PART OF THE STATE BORDERING MEXICO, INCLUDING THE TOHONO O’ODHAM NATION AND PASCUA YAQUI TRIBE LANDS. ACCORDING TO THE CDC SOCIAL VULNERABILITY INDEX (SVI), PIMA COUNTY ARIZONA HAS AN OVERALL SVI SCORE OF 0.88, INDICATING A HIGH LEVEL OF VULNERABILITY. EACH OF THE FOUR (4) THEMES SCORED BY THE SVI ARE OVER 0.50 FOR PIMA COUNTY: 0.6061 SOCIOECONOMIC STATUS; 0.5689 HOUSEHOLD COMPOSITION & DISABILITY; 0.9277 MINORITY STATUS & LANGUAGE; AND 0.9825 HOUSING TYPE & TRANSPORTATION. GIVEN THE NEEDS IN OUR COMMUNITY AND THE WORKFORCE SHORTAGE FOR CHW, THE GOALS OF OUR PROPOSED CHW TRAINING PROGRAM (CHWTP) IN PARTNERSHIP WITH PIMA COMMUNITY COLLEGE (PCC) INCLUDE THE FOLLOWING: - EXPAND THE PUBLIC HEALTH WORKFORCE BY TRAINING NEW AND EXISTING CHWS AND HEALTH SUPPORT WORKERS WITH SPECIALIZED TRAINING AND FINANCIAL SUPPORT TO OFFSET EXPENSES THAT WOULD IMPEDE SUCCESS IN TRAINING. THE PROGRAM’S GOAL IS TO PROVIDE TRAINING SO THAT 75% OF PARTICIPANTS BECOME NEWLY CREDENTIALED CHWS AND HEALTH SUPPORT WORKERS (180 TRAINEES TOTAL). - EXTEND AND UPSKILL THE PUBLIC HEALTH WORKFORCE BY DEVELOPING NEW OR ENHANCING EXISTING CURRICULUMS TO INCREASE THE SKILLS AND COMPETENCIES OF EXISTING CHWS AND HEALTH S UPPORT WORKERS (50 TRAINEES TOTAL). - INCREASE CHW AND HEALTH SUPPORT WORKER EMPLOYMENT READINESS THROUGH FIELD PLACEMENTS AND APPRENTICESHIPS DEVELOPED IN COLLABORATION WITH A NETWORK OF PARTNERSHIPS THAT WILL ENABLE TRAINEES TO RESPOND TO AND SUPPORT ESSENTIAL PUBLIC HEALTH SERVICES AND PROVIDE THEM WITH EMPLOYMENT OPPORTUNITIES (46 APPRENTICES TOTAL). - ADVANCE HEALTH EQUITY AND SUPPORT FOR UNDERSERVED COMMUNITIES BY INCREASING THE NUMBER OF CHWS AND HEALTH SUPPORT WORKERS THAT ARE EMPLOYED AS INTEGRAL MEMBERS OF INTEGRATED CARE TEAMS THAT USE THEIR EXPANDED SKILLS TO REDUCE HEALTH DISPARITIES. THE TOTAL NUMBER OF UNDUPLICATED INDIVIDUALS TO BE SERVED BY THIS CHWTP PROPOSAL IS 230 OVER THE COURSE OF THE 3-YEAR PROJECT PERIOD. RECRUITMENT OF NEW CHW TRAINEES WILL OCCUR IN ALL AREAS OF OUR COMMUNITY IDENTIFIED AS UNDERSERVED AND/OR VULNERABLE. CURRICULUM TAUGHT AT PCC IN THE WORKFORCE DEVELOPMENT ARENA ADDRESSES COMMUNICATION SKILLS, DIVERSITY, SDOH, POLICY, COMMUNITY ASSESSMENT, BASIC PREVENTIVE SCREENINGS, VULNERABLE POPULATIONS, SOME CHRONIC DISEASES, AND HEALTH LITERACY. PCC PLANS TO EXPAND ON THIS AND WILL DEVELOP A CHW CERTIFICATE PROGRAM WITH A CURRICULUM FOCUSED ON HOLISTIC TRAINING INCORPORATING THE FOLLOWING: ALL REQUIRED COMPETENCIES INCLUDING TEAM-BASED CARE, DIGITAL LITERACY, CULTURAL COMPETENCIES, HEALTH EQUITY AND SDOH, PUBLIC HEALTH PRINCIPLES INCLUDING PANDEMIC RESPONSE AND COVID-RELATED OUTREACH AND VACCINE HESITANCY, COMMUNICATION AND CRITICAL THINKING AND JOB-READINESS SKILLS. BOTH PARTNERS HAVE PROVEN EXPERIENCES IN COLLABORATING WITH AND CONVENING EMPLOYER DRIVEN STAKEHOLDER GROUPS AND WILL WORK TO CREATE ADDITIONAL NEW APPRENTICESHIP SITES WITH THE FOUR REGIONAL FQHC, THE LOCAL COMMUNITY FOOD BANK, PCHD, AND VARIOUS BEHAVIORAL HEALTH, HOUSING, AND SOCIAL SERVICE AGENCIES SERVING VULNERABLE AND UNDERSERVED POPULATIONS. THE PROJECT WILL BE PROVIDING QUARTERLY UPDATES TO A NEWLY CREATED COMMUNITY COUNCIL REGARDING PROGRESS WI

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

HEALTH CENTER INFRASTRUCTURE SUPPORT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SYSTEM-WIDE COMPREHENSIVE MAT EXPANSION

PROJECT EXCEL (EXPANDED CARE FOR ENHANCED LIVING)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

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

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. D/B/A/ PRIMARYONE HEALTH (P1H) SEEKS $1.2 MILLION IN FUNDING TO SUPPORT THE RENOVATION OF ITS COMMUNITY HEALTH CENTER LOCATED AT 3433 AGLER ROAD IN COLUMBUS, OHIO (43219). THE RENOVATIONS WILL EXPAND THE CURRENT LEASED 11,000 SQUARE-FOOT HEALTH CENTER TO ADD AN ADDITIONAL 7,000 SQUARE FEET. THE EXPANSION AND RENOVATIONS WILL CREATE NEW SERVICES FOR PATIENTS AND THE COMMUNITY AT THE SITE, INCLUDING DENTAL, VISION, AND A PHARMACY. IT WILL INCREASE THE EXISTING BEHAVIORAL HEALTH, PEDIATRICS, AND FAMILY MEDICINE SERVICE LINES. SPECIFICALLY, THE RENOVATION PROJECT INCLUDES THREE DENTAL EXAM ROOMS, THREE VISION EXAM SPACES, TWO BEHAVIORAL HEALTH EXAM ROOMS, TWO FAMILY MEDICINE EXAM ROOMS, FOUR PEDIATRIC EXAM ROOMS, ONE LAB ROOM, ONE MEDICATION ROOM, AND ONE PHARMACY. IN 2023, THE CENTER SERVED 7,935 PATIENTS THROUGH 20,537 VISITS. P1H ANTICIPATES THAT ONCE THE RENOVATIONS ARE COMPLETED, THE HEALTH CENTER WILL HAVE THE CAPACITY TO SERVE 1,100 NEW PATIENTS THROUGH 9,300 VISITS ANNUALLY. THE AGLER ROAD RENOVATION PROJECT WILL EXPAND SERVICES TO HELP COMPREHENSIVELY ADDRESS THESE PATIENTS’ HEALTH FACTORS, SOCIAL DETERMINANTS, AND THE SYSTEMIC BARRIERS THAT LEAD TO THEM. P1H’S OVERARCHING IMPACT GOAL IS TO INCREASE HEALTH CARE ACCESS FOR PATIENTS LIVING IN THE NEW HEALTH CENTER’S SURROUNDING COMMUNITIES, TARGETING UNDERSERVED POPULATIONS WHO DISPROPORTIONATELY FACE HEALTH INEQUITIES. THE HEALTH CENTER IS LOCATED IN COLUMBUS’S 43219 ZCTA, WHICH IS ONE OF THE MOST UNDERSERVED AND UNDER-RESOURCED NEIGHBORHOODS IN URBAN FRANKLIN COUNTY, INCLUDING NORTHEAST COLUMBUS, THE AGLER ROAD NEIGHBORHOOD, AND CAPITAL PARK. IN 2023, 45.8% OF P1H PATIENTS SERVED AT THE HEALTH CENTER WHO REPORTED THEIR INCOME HAD AN INCOME AT 100% OR BELOW THE FEDERAL POVERTY LEVEL AND 40.6% WERE UNINSURED. FURTHER, SPECIFIC TO THE ZCTA, FROM 2015-19, 85.16% OF THE POPULATION IDENTIFIED AS A RACIAL/ETHNIC MINORITY, WHOSE SOCIAL DETERMINANTS OF HE ALTH PLACE THEM AT AN INEQUITABLE RISK OF HEALTH CHALLENGES. P1H HAS ROBUST EXPERIENCE AND COMMUNITY TRUST SERVING INDIVIDUALS FROM UNDER-REPRESENTED COMMUNITIES, AND WOULD BRING THIS SAME LEVEL OF CARE TO THE NEW HEALTH CENTER. IN 2023, THE AGLER ROAD HEALTH CENTER SERVED 7,935 UNIQUE PATIENTS; 76.2% IDENTIFIED AS A PERSON OF COLOR (INCLUDING 31.6% BLACK/AFRICAN AMERICAN, 20.2% HISPANIC, 12.5% MORE THAN ONE RACE, AND 7.0% SOMALI). THESE DEMOGRAPHICS DEMONSTRATE P1H'S UNIQUE ABILITY TO REACH RACIAL/ETHNIC MINORITIES WHO HAVE BEEN SYSTEMICALLY EXCLUDED AND UNDERSERVED BY THE HEALTH CARE SYSTEM. THE SPECIFIC EXPENSES TO BE FUNDED INCLUDE DESIGNING THE CLINICAL SPACE, DEMOLITION, CONSTRUCTION/RENOVATION, ROUGH & FINISHING, MILLWORK, DOORS FRAMES AND HARDWARE, GLASS AND GLAZING, DRYWALL AND DROP CEILING, FLOORING, PAINTING, LIGHTING, FIRE PROTECTION, PLUMBING, HVAC, ELECTRICAL, GENERAL CONDITIONS AND FEES, FURNITURE, FIXTURES AND EQUIPMENT (FF&E), UTILITIES, AND MEDICAL JANITORIAL SERVICES. THE CONSTRUCTION WILL BE COMPLETED BY A THIRD PARTY.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HARM-REDUCTION INTEGRATED CARE - FRANKLIN AND PICKAWAY COUNTIES IN OHIO CONTINUE TO EXPERIENCE OVERDOSE DEATHS AT DISPROPORTIONATE RATES, AND OHIO HAS EXPERIENCED A SIGNIFICANT INCREASE OF INJECTION DRUG-RELATED INFECTIOUS DISEASES. TO ADDRESS THESE ISSUES AND THE RACIAL INEQUITIES THAT ARE PREVALENT WITHIN THEM, PRIMARYONE HEALTH'S HARM REDUCTION INTEGRATED CARE PROJECT WILL INTEGRATE ENHANCED SCREENING PROTOCOLS AND EVIDENCE BASED HARM REDUCTION ACTIVITIES ACROSS ITS CONTINUUM OF CARE. PRIMARYONE HEALTH (P1H) VALUES MEETING ITS PATIENTS WHERE THEY ARE AND FUNDING TO SUPPORT A COMPREHENSIVE HARM REDUCTION STRATEGY IS CRITICAL NEXT STEP TO MEET THE NEEDS OF ITS UNDERSERVED TARGET POPULATION IN CENTRAL OHIO. AS AN FQHC, P1H SERVES A DIVERSE, UNDERSERVED POPULATION OF INDIVIDUALS WHOSE SOCIAL DETERMINANTS OF HEALTH (SDOH) CAUSE THEM TO BE AT A HIGHER RISK FOR SUD, INFECTIOUS DISEASES AND OTHER HEALTH CONSEQUENCES. WHILE PARTICIPANTS WILL PRIMARILY BE IDENTIFIED FROM P1H'S HEALTH CARE AND BEHAVIORAL HEALTH SYSTEM - WHICH SERVED 1,091 PATIENTS WITH AN SUD DIAGNOSIS IN 2021 - THE ORGANIZATION WILL SERVE INDIVIDUALS AT RISK OF OR LIVING WITH SUD WHO ARE SELF-REFERRED AND REFERRED FROM PARTNER ORGANIZATIONS. THE ORGANIZATION'S COMMUNITY HEALTH CENTERS ARE LOCATED WITHIN NEIGHBORHOODS WHICH ARE HISTORICALLY UNDERSERVED; OF THE 12 HEALTH CENTERS, 9 ARE LOCATED IN QUALIFIED CENSUS TRACTS WITH LOW INCOMES. P1H ALSO SERVES LARGE POPULATIONS OF RACIAL AND ETHNIC MINORITIES; OF PATIENTS WHO REPORTED THEIR RACE IN 2021 (72% OF PATIENTS), 46.9% WERE BLACK/AFRICAN AMERICAN, 11.1% WERE MORE THAN ONE RACE, 4.2% WERE ASIAN AND 1% WERE ANOTHER NON-WHITE RACE. P1H WILL FOCUS ON THE POPULATION OF PATIENTS SERVED BY TWO SITES FOR MORE INTENSIVE SERVICES DUE TO HIGH OVERDOSE RATES AND SERVICE GAPS IN THE SURROUNDING NEIGHBORHOODS; ITS COMMUNITY HEALTH CENTERS LOCATED AS EAST BROAD STREET (720 EAST BROAD ST., 43215) AND PARSONS AVENUE (1095 PARSONS AVE., 43207) IN COLUMBUS, FRANKLIN COUNTY, OHIO. P1H ESTIMATES THAT THE PROJECT WILL SERVE 2,251 UNDUPLICATED PATIENTS THROUGHOUT THE GRANT PERIOD. ITS GOALS ARE TO 1) INCREASE CAPACITY AND STRENGTHEN THE ABILITY TO P1H TO INTEGRATE EFFECTIVE, INNOVATIVE AND TRAUMA-INFORMED HARM REDUCTION STRATEGIES ACROSS ITS CONTINUUM OF CARE; 2) REDUCE OVERDOSE DEATHS IN FRANKLIN AND PICKAWAY COUNTIES BY DISTRIBUTING HARM REDUCTION MATERIALS AT ALL 12 HEALTH CENTERS AND AT COMMUNITY EVENTS; AND 3) IMPROVE POSITIVE HEALTH OUTCOMES FOR INDIVIDUALS EXPERIENCING RISKY SUBSTANCE USE AND OTHER RELATED BEHAVIORS THAT INCREASE THE RISK OF INFECTIOUS DISEASES, INCLUDING HIV, HEP B AND HEP C. PROPOSED ACTIVITIES TO ACHIEVE THESE GOALS INCLUDE: A) COMPLETE ORGANIZATIONAL PLANNING ACTIVITIES TO ENSURE HARM REDUCTION ACTIVITIES ARE INFORMED BY STRENGTHS, GAPS AND STAKEHOLDERS; B) INTEGRATE PEER RECOVERY SUPPORT SERVICES INTO SUD PROGRAMMING ; C) IMPLEMENT AND IMPROVE PROCESSES FOR SCREENING, REFERRAL AND LINKAGE FOR SUD, INFECTIOUS DISEASES, OTHER HEALTH NEEDS AND SOCIAL DETERMINATES OF HEALTH; D) EXPAND P1H'S NALOXONE DISTRIBUTION PROGRAM; E) EXPAND THE DISTRIBUTION OF HARM REDUCTION EQUIPMENT AND SUPPLIES AT HEALTH CENTERS; AND F) ESTABLISH A SYRINGE SERVICES PROGRAM.

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - BROCKTON NEIGHBORHOOD HEALTH CENTER (BNHC) WILL IMPLEMENT THE BROCKTON REENTRY CARE COLLABORATIVE (BRCC) IN PARTNERSHIP WITH PLYMOUTH COUNTY CORRECTIONAL FACILITY (PCCF) TO ADDRESS THE HEALTH AND SOCIAL NEEDS OF JUSTICE-INVOLVED INDIVIDUALS. THE POPULATION OF FOCUS WILL BE ADULTS WITH 90 DAYS OF RELEASE AND RETURNING TO THE GREATER BROCKTON AREA. AN EVALUATION OF NEEDS FOR THE BRCC PROGRAM REVEALED SUBSTANTIAL HEALTH DISPARITIES RELATED TO CHRONIC CONDITIONS AND BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE IN BROCKTON AND SURROUNDING AREAS. RESIDENTS ARE DISPROPORTIONATELY IMPACTED BY DIABETES, CARDIOVASCULAR DISEASE, OVERDOSE, AND HEALTH-RELATED SOCIAL NEEDS, AS WELL AS DISRUPTED ACCESS TO MEDICAL CARE DUE TO UNFORESEEN HEALTH CARE ECOSYSTEM CHANGES. CURRENT JUSTICE-INVOLVED PATIENTS AND CARCERAL PARTNERS AT PCCF DESCRIBED THE NEED FOR ACCESS TO REENTRY-CENTERED PRIMARY CARE, INREACH, AND INTEGRATED BEHAVIORAL HEALTH. THEY DESCRIBED BARRIERS RELATED TO LACK OF TRANSPORTATION, HOUSING INSECURITY, AND INSUFFICIENT SOCIAL SUPPORT AND COMMUNITY CONNECTIONS. EXISTING PROGRAMS PROVIDE EVIDENCE-BASED STRATEGIES FOR MEETING THE NEEDS OF THE JUSTICE-INVOLVED POPULATION. THE TRANSITIONS CLINIC IN CALIFORNIA ATTRIBUTES DEDICATED PROGRAMMING FOR RETURNING INDIVIDUALS, STAFF TRAINING, AND THE ROLE OF A REENTRY COMMUNITY HEALTH WORKER (CHW) WITH LIVED EXPERIENCE WITH CARCERAL-SYSTEM INVOLVEMENT TO ITS SUCCESS IN ENGAGING RECENTLY-RELEASED PATIENTS.14-16 RHODE ISLAND’S PROJECT BRIDGE PROMOTED FOLLOW UP AMONG RETURNING INDIVIDUALS LIVING WITH HIV BY CONDUCTING INREACH WITHIN THE CORRECTIONAL FACILITY.17,18 BNHC WILL INTEGRATE THESE LESSONS INTO ITS PROGRAM. BRCC WILL BE INTENTIONALLY DESIGNED TO MEET THE NEEDS OF RETURNING INDIVIDUALS. PROGRAM STAFF MEMBERS WILL UNDERGO TRAINING TO UNDERSTAND THE UNIQUE NEEDS OF JUSTICE-INVOLVED PATIENTS. BNHC AND PCCF WILL COLLABORATE ON LOGISTICAL PLANNING, IDENTIFYING ELIGIBLE PARTICIPANTS, INSURANCE ENROLLMENT, SHARING HEALTH RECORDS WITH PATIENT CONSENT, AND COORDINATING REENTRY PLANS. THE TREATMENT TEAM WILL CONSIST OF A PROVIDER, BEHAVIORAL HEALTH CLINICIAN, AND REENTRY CHW WHO WILL CONDUCT INREACH AT PCCF. THE PROVIDER WILL COLLECT MEDICAL HISTORIES AND MEDICATION LISTS AND CREATE INDIVIDUALIZED TREATMENT PLANS. PATIENTS MAY INITIATE COUNSELING AND COMPLETE INTAKES FOR PSYCHIATRIC REFERRALS, IF DESIRED. THE REENTRY CHW WILL EXECUTE REFERRALS TO COMMUNITY AGENCIES TO ADDRESS PARTICIPANTS’ SOCIAL NEEDS. PRIOR TO RELEASE, PARTICIPANTS WILL HAVE SCHEDULED MEDICAL APPOINTMENTS AT BNHC. TRANSPORTATION WILL BE ARRANGED TO FACILITATE ATTENDANCE OF SAME-DAY APPOINTMENTS WHEN POSSIBLE. WALK-IN APPOINTMENTS WILL ALSO BE OFFERED TO ENSURE LOW-THRESHOLD AVAILABILITY IN BNHC’S ADULT MEDICINE SPECIAL POPULATIONS POD, DESIGNED TO INTEGRATE PRIMARY CARE, INFECTIOUS DISEASE, SUD, AND BEHAVIORAL HEALTH SERVICES FOR HIGHEST RISK PATIENTS. THE CHW WILL FACILITATE REFERRALS TO PARTNERING HEALTH CENTERS FOR PATIENTS RETURNING TO LOCATIONS OUTSIDE OF BNHC’S SERVICE AREA. BRCC APPOINTMENTS WILL BE OFFERED FOR ALL JUSTICE-INVOLVED PATIENTS, NOT ONLY THOSE RELEASED FROM PCCF, AS WELL AS ADULT FAMILY MEMBERS OF PARTICIPANTS. PEDIATRIC APPOINTMENTS WILL BE SCHEDULED FOR PARTICIPANTS’ CHILDREN, WHICH IS A NEED IDENTIFIED FROM PATIENT AND COMMUNITY PARTNER INTERVIEWS. PARTNERSHIPS WITH FATHER BILL’S AND MAINSPRING SHELTER, BROCKTON COMPREHENSIVE TREATMENT CENTER, AND OLD COLONY YMCA WILL HELP BNHC ADDRESS HEALTH-RELATED SOCIAL NEEDS BY ADDRESSING HOUSING INSECURITY, SUD TREATMENT, AND THE DESIRE FOR COMMUNITY SUPPORT AND CONNECTION. BNHC MAINTAINS PRIOR EXPERIENCE IN THE SCOPE OF THIS PROJECT. FROM 2018 UNTIL 2020, THE RIZE FOUNDATION ENABLED BNHC TO STATION A REENTRY COORDINATOR AT PCCF TO FACILITATE REFERRALS TO SUBSTANCE USE TREATMENT UPON RELEASE. THE REENTRY COORDINATOR REACHED 298 UNIQUE INDIVIDUALS. BNHC EXPECTS THAT PREVIOUS INREACH EFFORTS WILL CONTRIBUTE TO THE FUTURE SUCCESS OF THE BRCC.

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - ADDRESS: 101 S. 10TH ST., RICHMOND, IN 47374 PROJECT DIRECTOR NAME: CARRIE MILES, CEO CONTACT PHONE NUMBERS: 260-458-2641 EMAIL ADDRESS: CARRIE.MILES@NEIGHBORHOODHC.ORG WEBSITE ADDRESS: HTTPS://WWW.NEIGHBORHOODHC.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $200,000 PER YEAR FOR 4 YEARS MOST OF THE NEIGHBORHOOD HEALTH CENTER (NHC) PATIENT POPULATION ARE LIVING IN POVERTY; 68% ARE AT OR BELOW 200% FEDERAL POVERTY LIMITS (FPL) AND 30% ARE BELOW 100% FPL AND NEARLY 8% OF PATIENTS SERVED ARE SELF-PAY WITH NO INCOME TO SUPPORT HEALTH CARE COSTS. NHC HAS SEEN THESE NUMBERS GROW OVER THE LAST FIFTEEN MONTHS AND EXPECT THIS NUMBER TO CONTINUE TO GROW IN THE COMING MONTHS, PARTLY DUE TO THE IMPACT OF THE COVID-19 PANDEMIC AND THE FACTORS THAT IMPACT RURAL COMMUNITIES MORE SIGNIFICANTLY. RURAL PATIENTS TEND TO BE HIGH-RISK PATIENTS THAT STRUGGLE WITH THEIR HEALTH AND NEED THE SUPPORT FROM A HEALTHCARE TEAM TO IDENTIFY HEALTHCARE CONCERNS, HOW TO CREATE A PLAN TO OVERCOME THESE CONCERNS AND HOW TO REMAIN COMMITTED TO THIS PLAN WHILE ACCESSING CARE AT THE ORGANIZATION AND ADDITIONAL COMMUNITY PARTNERS. NHC HAS HAD A CARE COORDINATION PROGRAM FOR THIS AT-RISK PATIENT POPULATION SINCE THE ORGANIZATION OPENED ITS DOORS IN 2018. NHC PATIENTS WHO SEE BENEFITS OF THIS PROGRAM ARE PATIENTS WHO DEAL WITH CHRONIC DISEASES DAILY AND ARE SEEN FREQUENTLY BY NHC PROVIDERS TO MANAGE THEIR HEALTH. NHC IS LOOKING FOR ASSISTANCE FROM HRSA TO EXPAND THIS PROGRAM, INCLUDE MORE COMMUNITY PARTNERS AND NHC STAFF, INCLUDING CHWS, TO EXPAND THIS PROGRAM DUE TO ITS CURRENT SUCCESS IN IMPROVING HEALTH OUTCOMES. COVID-19 HAS ADDED AN ADDITIONAL, POTENTIALLY DEADLY RISK TO NHC’S HIGHEST RISK PATIENT POPULATION. SOON AFTER THE PANDEMIC STARTED, NHC IMPLEMENTED TELEMEDICINE OPTIONS FOR THESE PATIENTS TO ALLOW THEM TO CONTINUE TO CONNECT WITH THEIR HEALTHCARE TEAM WHILE ELIMINATING THE NEED TO TRAVEL OR ENTER OUR CLINIC AND THUS INCREASING THEIR RISK EXPOSURE. TH ESE VIDEO/AUDIO VISITS PROVIDED AN OPTION FOR PATIENTS TO SEEK CARE BUT UNFORTUNATELY PATIENTS HAD CHALLENGES WITH UTILIZING THIS TECHNOLOGY DUE TO LACK OF INTERNET AND/OR LACK OF SMART PHONE ACCESS. TO BRIDGE THIS GAP, NHC IS PROPOSING THE IMPLEMENTATION OF REMOTE PATIENT MONITORING KITS THAT THE PATIENTS CAN USE AT HOME TO ELIMINATE BARRIERS IN SEEKING CARE AND PATIENT COMMITMENT TO ADHERING TO SCHEDULED APPOINTMENTS AND CARE PLANS AT HOME. IMPLEMENTING REMOTE PATIENT MONITORING IN PATIENT HOMES ALLOWS THEM TO TAKE THEIR BLOOD PRESSURE, PULSE OXIMETER, WEIGHT, TEMPERATURE AND GLUCOSE MONITORING. THIS DATA IS VITAL TO MANAGE THE PATIENT’S CARE, KEEP THEM HEALTHY AT HOME AND PREVENT HOSPITALIZATIONS. NHC IS EAGER TO SUPPORT IMPROVED HEALTHCARE OUTCOMES, EXPANDED CAPACITY AND FINANCIAL SUSTAINABILITY THROUGH THE INTEGRATION OF REMOTE PATIENT MONITORING AND COMMUNITY HEALTH WORKERS TO SUPPORT HEALTHCARE IMPROVEMENTS AND CARE COORDINATION. ADDITIONALLY, NHC HAS DEVELOPED A REPLICABLE MODEL THAT CAN BE INTEGRATED ACROSS VARIOUS POPULATIONS AND SERVICE LINES TO ENSURE HEALTH CENTERS CAN LEARN FROM EACH OTHER AND FOCUS ON IMPROVING HEALTH OUTCOMES AND CARE DELIVERY ACROSS THE COUNTRY.

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

CED HEALTHY FOOD FINANCING INITATIVE

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

COMMUNITY ECONOMIC DEVELOPMENT PROJECTS (CED)

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

BROCKTON NEIGHBORHOOD HEALTH CENTER PHASE III EXPANSION

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CARE AND OTHER FACILITIES

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THIS INITIATIVE, EXPANSION OF BH & SUD SERVICES FOR BOSTON'S UNDERSERVED COMMUNITIES, WILL SIGNIFICANTLY INCREASE HARVARD STREET’S BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER PROGRAMMING AND ITS CAPACITY TO MEET THE NEEDS OF THE LOW-INCOME, RACIALLY AND ETHNICALLY DIVERSE, AND SOCIOECONOMICALLY DISADVANTAGED POPULATIONS WE SERVE. LOCATED IN THE HEART OF BOSTON’S MOST UNDERSERVED NEIGHBORHOODS OF DORCHESTER, ROXBURY AND MATTAPAN, HARVARD STREET SERVES A POPULATION THAT IS PREDOMINANTLY BIPOC (BLACK, INDIGENOUS, PEOPLE OF COLOR) WITH MORE THAN 40% IDENTIFYING AS ETHNICALLY LATINX AND HALF PREFERRING A LANGUAGE OTHER THAN ENGLISH. MANY ARE NEW IMMIGRANTS, REFUGEES, SINGLE-MOTHER FAMILIES, AT-RISK YOUTH, MEMBERS OF THE LGBTQI+ COMMUNITY, ELDERLY, DISABLED AND OTHER VULNERABLE POPULATIONS SUCH AS UNHOUSED INDIVIDUALS, VETERANS, FORMERLY INCARCERATED, AS WELL AS THOSE ENGAGING IN HIGH-RISK DRUG ACTIVITIES OR SUFFERING FROM SUBSTANCE USE DISORDER. THE RATES OF SUBSTANCE USE DISORDER AND OPIOID OVERDOSES HAVE BEEN RISING DRAMATICALLY IN OUR COMMUNITY SINCE 2017, WITH BOSTON EXPERIENCING A 40+% INCREASE IN OPIOID-RELATED DEATHS – THE MAJORITY OF WHICH ARE FENTANYL-ASSOCIATED. THE MOST DRAMATIC INCREASES IN OVERDOSES HAVE OCCURRED IN BOSTON’S BLACK AND LATINX COMMUNITIES, WITH ANNUAL OPIOID MORTALITY RATES 66% AND 31% HIGHER THAN THEIR WHITE COUNTERPARTS, RESPECTIVELY. YOUNG ADULTS ARE PARTICULARLY VULNERABLE. LACK OF EDUCATION, ALONG WITH LACK OF ACCESS TO HARM REDUCTION, MOUD (MEDICATIONS FOR OPIOID USE DISORDER), SUD COUNSELING, PEER SUPPORT, AND INPATIENT REFERRALS ALL CONTRIBUTE TO THE CONTINUED RISE IN THE DEATHS. LIKEWISE, WE’VE WITNESSED THE ONSET OF A MENTAL HEALTH CRISIS IN BIPOC POPULATIONS, ESPECIALLY AMONG YOUTH – PARTICULARLY CONCERNING FOR TRANSGENDER YOUTH (22% ATTEMPTING SUICIDE). ALL AGES IN OUR COMMUNITY ARE AFFECTED BY DEPRESSION, ANXIETY, SELF-HARMING BEHAVIORS, OBSESSIVE-COMPULSIVE DISORDER, POST-TRAUMATIC STRESS DISORDER , SUBSTANCE USE DISORDER OR OTHER CONCERNS. MANY OF THESE DISORDERS MAY BE LINKED WITH TRAUMA, SYSTEMIC RACISM, DOMESTIC ABUSE, OR NEIGHBORHOOD VIOLENCE AND LOSS. THE NEED FOR INCREASED BH/SUD SERVICES IN BOSTON’S LOW-INCOME, COMMUNITIES OF COLOR IS CLEAR, AND YET MANY DO NOT SEEK TREATMENT DUE TO SHAME, STIGMA, LACK OF TRUST IN HEALTHCARE, INABILITY TO PAY AND CULTURAL BELIEFS. FURTHERMORE, THE SOCIAL DETERMINANTS OF HEALTH (SDOH) BARRIERS FACED BY THOSE WE SERVE ARE VAST AND INCLUDE LANGUAGE AND CULTURAL BARRIERS, ECONOMIC BARRIERS, LACK OF TRANSPORTATION OR CHILDCARE, FOOD INSECURITY, LACK OF ADEQUATE HOUSING OR DIGITAL DIVIDE. THOSE WHO ARE STRUGGLING WITH BASIC NEEDS, LIKE FOOD OR HOUSING, ARE UNLIKELY TO SEEK NEEDED CARE FOR ADDICTION OR PRIORITIZE THEIR MENTAL HEALTH. THE STRESS OF THEIR STRUGGLES ONLY DRIVES THEM FURTHER FROM TREATMENT AND RECOVERY. WE WILL ENGAGE THOSE HARDEST TO REACH WITH A CULTURALLY COMPETENT AND UNBIASED APPROACH – BOTH WITHIN THE HEALTH CENTER AND ACROSS THE COMMUNITY – THROUGH PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND VIA OUR MOBILE INFECTIOUS DISEASE TEAM. WE WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUD SERVICES, INCLUDING THOSE RECEIVING MOUD, BY ENCOURAGING REFERRALS FROM PARTNERS, BEGINNING MOUD, TRAINING STAFF, AND ADDING RECOVERY COACHING, PEER YOUTH SUPPORT, EDUCATIONAL OUTREACH, AND NALOXONE DISTRIBUTION. BY INTEGRATING BH/SUD WITH PRIMARY CARE, DENTISTRY, AND OTHER DEPARTMENTS, WE WILL BETTER SCREEN AND IDENTIFY PATIENTS IN NEED. AS AN AFFILIATE OF BOSTON MEDICAL CENTER (BMC), WE WILL REFER THOSE IN NEED OF URGENT OR RESIDENTIAL TREATMENT TO BMC’S FASTER PATHS TO TREATMENT PROGRAM AND WILL PROVIDE FOLLOW-UP RE-ENTRY SUPPORT. WE WILL HELP PATIENTS OVERCOME STIGMA, PROVIDE HARM REDUCTION MATERIALS, AND GAIN TRUST BY OFFERING NEEDED SDOH SUPPORT (FOOD PANTRY, COMPUTER LAB, TRAVEL VOUCHERS ETC.). ADDED STAFF WILL INCLUDE 3.5 SUD & BH SOCIAL WORKERS, 1 YOUTH-FOCUSED CHW, 1 RECOVERY COACH, AND A .5 FTE PSYCH NP. H80CS2900

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ST. JUDE NEIGHBORHOOD HEALTH CENTERS PROPOSES TO USE THIS FUNDING TO EXPAND BEHAVIORAL HEALTH SERVICES TO SAN BERNARDINO’S HIGH DESERT COMMUNITIES. WE HAVE OPERATED MEDICAL CLINICS IN THESE COMMUNITIES FOR SEVERAL YEARS BUT HAVE BEEN UNABLE TO ESTABLISH BEHAVIORAL HEALTH CARE SERVICES DUE TO FUNDING CONSTRAINTS. RECEIPT OF THIS GRANT WOULD ENABLE THE LAUNCH OF CRITICAL BEHAVIORAL HEALTH SERVICES. SERVICES WILL INCLUDE, CLINICAL SOCIAL WORK, SUBSTANCE USE DISORDER COUNSELING, PSYCHIATRY, AND MEDICATION ASSISTED TREATMENT FOR THOSE WITH AN OPIOID ADDICTION. SERVICES WILL BE BASED AT OUR EXISTING HEALTH CENTER IN APPLE VALLEY, CALIFORNIA AND WE WILL EXPAND SERVICE TO ADELANTO OR HESPERIA, CALIFORNIA. SERVICES WILL ALSO BE AVAILABLE VIA TELEHEALTH.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ADDRESS: 7320 SW HUNZIKER RD, STE 300, PORTLAND, OR 97223 PROJECT DIRECTOR NAME: JERI WEEKS, CHIEF EXECUTIVE OFFICER CONTACT PHONE NUMBERS (VOICE, FAX): DIRECT – 503-941-3002; FAX – 503-747-7013 EMAIL ADDRESS: WEEKSJ@NHCOREGON.ORG WEBSITE ADDRESS, IF APPLICABLE: WWW.NHCOREGON.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: CHC, MHC NEIGHBORHOOD HEALTH CENTER (NHC) IS A 501(C)3, NON-PROFIT, HEALTHCARE ORGANIZATION PROVIDING PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND CLINICAL PHARMACY SERVICES TO LOW-INCOME, UNINSURED, AND UNDERINSURED POPULATIONS OF THE PORTLAND METROPOLITAN AREA, IN THE STATE OF OREGON. HEADQUARTERED IN PORTLAND, NHC OPERATES SEVEN (7) CLINICS IN THE CITIES OF CANBY, MILWAUKIE, HILLSBORO, BEAVERTON, OREGON CITY, AND TUALATIN. NHC ALSO OPERATES THREE (3) SCHOOL-BASED HEALTH CENTERS (SBHC) AND TWO MOBILE UNITS, ONE FOR MEDICAL SERVICES AND ANOTHER FOR DENTAL SERVICES. A COMMUNITY HEALTH CENTER (CHC) AND MIGRANT HEALTH CENTER (MHC) GRANTEE, NHC IS FUNDED/DESIGNATED TO SERVE MIGRANT AND SEASONAL AGRICULTURAL WORKERS (MSAW) AND THEIR FAMILIES. THESE POPULATIONS ARE BEST SERVED BY NHC’S MOBILE UNIT, AS WELL AS ITS CANBY AND HILLSBORO LOCATIONS DUE TO THEIR PROXIMITY TO AGRICULTURAL LAND AND PRODUCTION FACILITIES. NHC’S SERVICE AREA CONSISTS OF 24 ZIP CODES, WHICH HARBORS A TOTAL POPULATION OF 894,506 RESIDENTS, 19.4% OF WHOM LIVE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES (FPG), ESTABLISHING A TARGET POPULATION OF 173,744 LOW-INCOME RESIDENTS. IN 2023, APPROXIMATELY 223 NHC STAFF MEMBERS SERVED 18,811 UNIQUE PATIENTS. 5.69 FULL TIME EMPLOYEES (FTE) MADE UP OF BEHAVIORAL HEALTH CONSULTANTS (BHC) SERVED 2,056 PATIENTS OVER 4,678 ENCOUNTERS WHEREAS 14 PROVIDERS PROVIDED MEDICATION FOR OPIOID USE DISORDER (MOUD) TREATMENT TO 96 PATIENTS. THE INTENT OF THE FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) GRANT IS TO PROVIDE EXPANDED ACCESS FOR MENTAL HEALTH SERVICES OFFERED BY BHCS AND MOUD SERVICES PROVIDED BY MEDICAL PROVIDERS, CONTRIBUTING TO AN INCREASE IN THESE PATIENT POPULATIONS AS REPORTED TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION IN NHC’S 2025 ANNUAL REPORT (I.E., UDS REPORT). OVER A TWO-YEAR PROJECT PERIOD (09/01/2024-08/31/2026), NHC IS REQUESTING $1.1 MILLION IN BHSE FUNDING ($600K IN YEAR ONE; $500K IN YEAR TWO) TO SUPPORT PERSONNEL EXPENSES OF 6.65 FTES INCLUSIVE OF TWO PROVIDERS ACTIVELY PROVIDING MOUD SERVICES, TWO BHCS ACTIVELY PROVIDING BEHAVIORAL HEALTH (BH) SERVICES (INCLUSIVE OF MENTAL HEALTH (MH) AND SUBSTANCE USE DISORDER (SUD) COUNSELING), AN ADDITIONAL BHC FOCUSED TO THE ADOLESCENT PATIENT POPULATION (TO BE HIRED), A BH REVENUE CYCLE SPECIALIST (TO BE HIRED), AND A BH TEAM ASSISTANT (TO BE HIRED). THE BH REVENUE CYCLE SPECIALIST WILL AID NHC IN AND AUDITING REIMBURSEMENT CODES SPECIFIC TO MH, SUD, AND MOUD SERVICES, THEREBY GENERATING SUFFICIENT REVENUE TO REIMBURSE RELATED EXPENSES. THE BH TEAM ASSISTANT WILL REFINE DATA SPECIFIC TO BH, SUD, AND MOUD SERVICES, ASSESS GAPS IN CARE, IDENTIFY HIGH-RISK PATIENTS, ASSESS PATIENT EMPANELMENT, PATIENT RETENTION AND SATISFACTION, AND RELATED OUTCOMES. BHSE FUNDED PERSONNEL WILL FURTHER INTEGRATION BETWEEN MEDICAL AND BEHAVIORAL HEALTH SERVICES, PROVIDE TARGETED OUTREACH TO PATIENTS IN NEED, AND EXPAND ACCESS FOR MH, SUD, AND MOUD SERVICES. NHC THAT BHSE FUNDING WILL CONTRIBUTE TO AN INCREASE OF 571 ADDITIONAL PATIENTS IN CALENDAR YEAR 2025.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE PURPOSE OF THE EL RIO HEALTH BEHAVIORAL HEALTH EXPANSION PROJECT FOR PEOPLE EXPERIENCING HOMELESSNESS IS TO PROVIDE HIGH QUALITY, COMPASSIONATE, AND COORDINATED CARE TO PEOPLE EXPERIENCING HOMELESSNESS, SUBSTANCE USE DISORDERS (SUD), AND OTHER CO-OCCURRING DISORDERS (COD) IN PIMA COUNTY, ARIZONA WORKING IN COLLABORATION WITH STREET MEDICINE OUTREACH TEAMS. EL RIO HEALTH WILL EXPAND OUR INTEGRATIVE CONSULTATIVE SERVICES TO THE COMMUNITY USING BOTH OUR INTEGRATED BEHAVIORAL HEALTH (IBH) AND SPECIALTY BEHAVIORAL HEALTH (SBH) TEAMS OFFERING BEHAVIORAL HEALTH SERVICES, MEDICATIONS FOR OPIOID USE DISORDER (MOUD) AND ADDICTION SERVICES. PATIENTS WILL BE PROVIDED INTEGRATED, PATIENT-CENTERED CARE, BY A TEAM WHO COMMITS TO MEETING THEM WHERE THEY ARE, PROMOTING RESILIENCY, RECOVERY, AND SAFETY, AND TRAUMA INFORMED CARE. EL RIO CURRENTLY PROVIDES PRIMARY CARE TO 1 IN 8 TUCSONANS, BH SERVICES TO 13,548 ADULT PATIENTS ANNUALLY, SUD SERVICES TO 197 PATIENTS, AND 11% OF PATIENTS IDENTIFY AS BEING AT RISK FOR OR CURRENTLY EXPERIENCING HOMELESSNESS (N=13,848) (UDS 2023). BETWEEN 2015-2019, THE OVERDOSE MORTALITY RATE IN PIMA COUNTY WAS 37.8 (DEATHS PER 100,000 POPULATION AGES 15-64), AND IN 2020, THERE WERE 446 OVERDOSE DEATHS IN THE COUNTY, OVER TWICE THE RATE IT WAS BACK IN 2011. FENTANYL ACCOUNTED FOR 28% OF OVERDOSE DEATHS IN 2020 AND IS THE LEADING CAUSE OF DEATH FOR YOUNG ADULTS UNDER AGE 19 (3.8% OF OVERDOSES IN 2020). OUR GOAL IS TO EXPAND OUR BH AND SUD SERVICES FOR PEOPLE EXPERIENCING HOMELESSNESS BY WORKING WITH OUR EXISTING PRIMARY CARE STREET MEDICINE OUTREACH TEAMS (FAMILY NURSE PRACTITIONER, MEDICAL ASSISTANT, CARE COORDINATOR, AND BH CONSULTANT), AND TO PROVIDE THEM WITH COMPREHENSIVE TRAUMA-INFORMED CARE THAT CONSIDERS THEIR SUD STATUS AND BARRIERS TO CARE. WE ENVISION A MODEL THAT ALLOWS A PATIENT TO RECEIVE SEAMLESS INTEGRATED CARE FROM THEIR TREATMENT TEAM, STARTING WITH INITIAL ENGAGEMENT, BUILDING RAPPORT, AND PROVIDING PRIMARY CAR E AND BH SERVICES IN THE COMMUNITY, AT HOMELESS ENCAMPMENTS, ON THE STREETS, IN SHELTERS, AND IN OTHER LOCATIONS. OUR MOUD, FAMILY MEDICINE, STREET OUTREACH, PHARMACY, LABORATORY, NURSING, HEALTH INSURANCE AND COMMUNITY RESOURCES, EXTERNAL HOUSING PARTNERS, AND SBH TEAM ALL WORK COLLABORATIVELY FOR PATIENT CARE COORDINATION AND TREATMENT PLANNING. PATIENTS WILL RECEIVE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT), ACE SURVEY (ADULT CHILDHOOD EXPERIENCES), PHQ 2/9 DEPRESSION SCREENINGS, AND THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), AT THE POINT OF CARE DURING THEIR PRIMARY CARE APPOINTMENT WITH THEIR EL RIO HEALTH STREET MEDICINE CLINICIAN. ALL POSITIVE SCREENS FOR BH/SUD ISSUES THAT INDICATE CLINICALLY SIGNIFICANT FINDINGS WILL BE REFERRED TO THE BHC FOR FURTHER EVALUATION AND REFERRED TO SBH FOR INTAKE AND SERVICES. BASED ON THIS INITIAL INTAKE, THE PATIENT WILL BE QUICKLY CONNECTED TO FOLLOW UP WITH A MOUD CLINICIAN (PRIMARY CARE OR PSYCHIATRIC DEPENDING ON INDIVIDUAL NEEDS AND PREFERENCES) AND WILL HAVE ONGOING CASE MANAGEMENT SERVICES THROUGHOUT THE DURATION OF THEIR TREATMENT WITH EL RIO. OUR MH-SUD PROGRAM WILL PRIMARILY BE HOUSED AT OUR GRANT HEALTH CENTER SITE AND WILL INCLUDE TWO (2) PSYCHIATRISTS (ONE AS MEDICAL DIRECTOR/PROJECT DIRECTOR), (2) BH CM (2) PEER RECOVERY SUPPORT SPECIALISTS (PRSS), AND LICENSED BEHAVIORAL HEALTH PROFESSIONAL (BHP). TOGETHER, THEY WILL PROVIDE MEDICAL, BH AND ADDICTION MEDICINE CARE, MOUD SERVICES, AND PATIENT EDUCATION. BH CASE MANAGERS AND PRSS WILL ALSO SUPPORT INDIVIDUALS REFERRED FOR SUD/COD SCREENING, TREATMENT, AND FOLLOW-UP BH/SUD CARE. OVERSIGHT WILL BE PROVIDED BY THE PROJECT DIRECTOR/MEDICAL DIRECTOR, CHIEF OF BEHAVIORAL HEALTH AND INTEGRATION, BH CLINICAL DIRECTOR, CHIEF OF GRANTS AND RESEARCH, AND SENIOR ACCOUNTANT.

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - TYPE 7.

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FISCAL YEAR 2025 EXPANDED HOURS. - EXPANDED HOURS AND ACCESS FOR UNDERSERVED POPULATIONS H80CS29009 HARVARD STREET SERVES A RACIALLY, ETHNICALLY, AND SOCIOECONOMICALLY DIVERSE PATIENT POPULATION IN THE LOW-INCOME BOSTON NEIGHBORHOODS OF DORCHESTER, ROXBURY AND MATTAPAN. 97% OF THOSE WE SERVE ARE LOW-INCOME (BELOW 200% OF THE FPL) WITH 72% BEING VERY LOW-INCOME (BELOW 100% OF THE FPL). THE ZIP CODES SERVICED BY HARVARD STREET HAVE BEEN IDENTIFIED AS AREAS OF HIGH UNMET NEEDS BY HRSA’S SERVICE AREA NEEDS ASSESSMENT. NEW PATIENT NUMBERS ARE RISING SIGNIFICANTLY, AS THE HEALTH CENTER WELCOMES AND CARES FOR NEWLY ARRIVING IMMIGRANT FAMILIES FROM COUNTRIES SUCH AS HAITI, DOMINICAN REPUBLIC, BRAZIL, AND CAPE VERDE. ADDITIONALLY, OUR HEALTH LITERACY OUTREACH EFFORTS – AIMED AT OVERCOMING RACIAL AND ETHNIC HEALTH DISPARITIES AND INCREASING ACCESS FOR COMMUNITIES OF COLOR – HAVE RESULTED IN POSITIVELY ENGAGING MANY NEW PATIENTS IN CARE. MEANWHILE, WE’VE SUCCESSFULLY RE-ESTABLISHED CARE FOR MANY EXISTING PATIENTS WHOSE HEALTHCARE HAD LAPSED DURING THE COVID-19 PANDEMIC. THESE ARE ALL VERY POSITIVE DEVELOPMENTS, BUT HARVARD STREET IS NOW STRUGGLING TO MEET THE GROWING DEMAND FOR APPOINTMENTS WITHIN ITS CURRENT STAFFING STRUCTURE AND OPERATING HOURS IN PART DUE TO A HIGH “NO SHOW” RATE. OUR WAITING LIST FOR NEW PATIENT APPOINTMENTS AND ANNUAL PHYSICALS IS GROWING – WITH SOME WAITING TWO MONTHS TO BE SEEN. MANY OF OUR PATIENTS AND THEIR FAMILIES STRUGGLE WITH SCHEDULING VISITS TO THE CLINIC AND, AT TIMES, POSTPONE NEEDED CARE WHICH CAN LEAD TO PREVENTABLE EMERGENCY ROOM VISITS, AS THEIR CONDITION WORSENS WITHOUT THE NECESSARY PREVENTATIVE TREATMENT. OTHERS VISIT THE ER UNNECESSARILY, SIMPLY BECAUSE IT IS OPEN LATE AND ON WEEKENDS OR BECAUSE THEY ARE UNABLE TO SCHEDULE A VISIT WITH US IN A TIMELY MANNER. STILL OTHERS SCHEDULE A CLINIC VISIT, BUT THEN CANCEL OR “NO SHOW” AS THEY ENCOUNTER INSURMOUNTABLE BARRIERS SUCH AS LACK OF WORKPLACE FLEXIBILITY OR DIFFICULTY ACCESSING TRANSPORTATION DURING A BUSY WORK/SCHOOL DAY. EXPANDED EVENING AND WEEKEND CLINIC HOURS WOULD ADDRESS THESE CHALLENGES, PROVIDE BETTER SCHEDULING OPTIONS, DECREASE NO SHOWS, AND INCREASE APPOINTMENT AVAILABILITY, THEREBY IMPROVING QUALITY OF CARE AND EFFICIENCY. HARVARD STREET PROPOSES EXPANDING ITS HOURS BY 3.5 HOURS ON THURSDAY AND FRIDAY EVENINGS, FROM 4:30–8PM, AND ADDING 2 HOURS ON SATURDAYS, FROM 3-5PM. THIS COMBINED ADDITIONAL NINE HOURS FOR PRIMARY CARE, PEDIATRIC, NUTRITION, MENTAL HEALTH AND DENTAL SERVICES WILL ENABLE PATIENTS TO MORE EASILY SCHEDULE AND KEEP APPOINTMENTS. THIS WILL PROVIDE HARVARD STREET WITH THE ADDITIONAL TIME AND CAPACITY NEEDED TO CATCH UP ON ITS WAITING LIST AND REDUCE WAIT TIMES, THEREBY IMPROVING ACCESSIBILITY AND QUALITY OF CARE FOR PATIENTS. IN ADDITION TO IN-PERSON SERVICES, WE WILL ALSO OFFER TELEHEALTH VISITS DURING THESE EXPANDED HOURS – FOR THOSE WHO PREFER AND QUALIFY FOR TELEMEDICINE. FOR SOME, TELEHEALTH CAN BE VERY HELPFUL IN ADDRESSING AND OVERCOMING OBSTACLES, SUCH AS LACK OF TRANSPORTATION AND CHILDCARE. IT HAS ALSO BEEN SHOWN TO REDUCE “NO SHOW” RATES WHEN A PATIENT IS UNABLE TO MAKE IT INTO THE HEALTH CENTER IN PERSON. AS PART OF THIS INITIATIVE, WE WILL INCREASE STAFFING FOR 1 MD, 2 NPS, 1 RN, 1 NUTRITIONIST, 1 LISCW, 2 MAS, 2 CS, 1 REFERRAL COORDINATOR, 1 DENTIST, 2 DAS, AND I HYGIENIST.

EBNHC - DFC

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT.

EBNHC-DFC.

CAPITAL DEVELOPMENT

FY 2023 EXPANDING COVID-19 VACCINATION

SUPPORT WELLNESS PROGRAM (SUBSTANCE USE PREVENTION PUBLIC OUTREACH RECOVERY TREATMENT)

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: ENHANCING ACCESS TO A SYSTEM OF INTEGRATED PRIMARY CARE IN LEHIGH VALLEY, PA APPLICANT NAME: NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY ADDRESS: 635 E BROAD STREET, BETHLEHEM, PA 18018 PROJECT DIRECTOR: MELISSA MIRANDA, RN CEO PH. NBRS: (610) 820-7605; FAX: 610-820-7606 E-MAIL: MMIRANDA@NHCLV.COM WEBSITE ADDRESS: HTTP://WWW.NHCLV.ORG CONGRESSIONAL DISTRICT: SEVENTH DISTRICT CURRENT FEDERAL FUNDING: CHC H80CS24158 OVERVIEW NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY (NHCLV) SERVES THE LEHIGH VALLEY REGION SET IN NORTHEAST PA, WITH A PROMINENT PRESENCE WITHIN THE THREE URBAN AREAS WHERE A CONCENTRATION OF POVERTY, INCOMING NEW RESIDENTS AND THOSE LIVING IN LINGUISTIC ISOLATION RESIDE. FOUR OF NHCLV’S HEALTH CENTERS ARE LOCATED WITHIN OR VERY NEAR DESIGNATED MEDICALLY UNDERSERVED AREAS (MUA) WITH THE FIFTH FUNDED BY HRSA IN A ‘NON-MUA’ AREA THAT NOW DEMONSTRATES A RAPID INCREASE IN POVERTY (ZCTA 18018). ALLENTOWN’S 2020 POPULATION OF 125,845, A 6.6% INCREASE IN THE LAST DECADE, RANKS BEHIND ONLY PHILADELPHIA AND PITTSBURGH. BETHLEHEM GREW ABOUT 1% TO 75,781; EASTON GREW BY 5% TO 28,000. LEHIGH COUNTY SAW 7.2% GROWTH (THIRD MOST IN PA) TO ABOUT 375,000 PEOPLE. THE POPULATION IN NORTHAMPTON COUNTY GREW BY 5.1% TO ABOUT 313,000 PEOPLE. RECOGNIZED AS THE HEALTH CENTER PROGRAM (HCP) GRANTEE IN 2012, NHCLV CONTINUES TO DILIGENTLY EXPAND AND ADAPT TO MEET COMMUNITY NEEDS; EXPANDING SERVICES AND LOCATIONS TO BETTER SERVE. THE NEED NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY DETERMINED, EVEN BEFORE COVID-19 PANDEMIC, THAT AN AGGRESSIVE GROWTH MODEL WAS NEEDED TO PROVIDE IMPROVED ACCESS TO THE NHCLV INTEGRATED MODEL OF CARE THAT INCLUDES PHYSICAL, BEHAVIORAL AND DENTAL HEALTH SERVICES (NOT EXCLUDING SOCIAL SERVICES AND OTHER ENABLING SERVICES). SINCE EARLY 2023, NHCLV HAS BEEN FORTUNATE TO MAKE NOTABLE HEADWAY IN HIRING SUFFICIENT PROVIDERS TO MEET THAT ASSESSED PHYSICAL HEALTH NEED, HOWEVER LAGGING RESULTS CONTINUE FOR CLINICAL SUPPORT ROLES AS WELL AS BEHAVIORAL HEALTH- AVAILABILITY OF BILINGUAL INDIVIDUALS TO SUPPORT OUR LARGELY LATINO COMMUNITY REMAINS A CONCERN. COUPLE THIS RECRUITMENT CHALLENGE WITH THE RESULTS OF THE ‘GREAT MA UNWINDING’ AND OUR COMMUNITY HAS BEEN NEGATIVELY IMPACTED, WITH AN AVERAGE 10% OF OUR COMMUNITY LOSING ACCESS TO HEALTH BENEFITS BECAUSE OF THIS SOCIAL ‘RE-SET’ POST COVID-19 PANDEMIC PERIOD. OUR LOCAL REGION WAS HIGHLIGHTED MULTIPLE TIMES DURING THE RE-SET BY PA STATE OFFICIALS TO BETTER UNDERSTAND THE BARRIERS EXPERIENCED BY OUR COMMUNITY MEMBERS IN THE REDETERMINATION PROCESS. IT IS OUR EXPERIENCE THAT MANY OF THOSE LOSING BENEFITS WERE EITHER DUE TO ADMINISTRATIVE BARRIERS (I.E. MAILED NOTICES WERE NOT TIMED WELL WITH TEXT MESSAGING,) OR LANGUAGE BARRIERS (I.E., CALL-IN SERVICE WAS NOT READILY AVAILABLE IN SPANISH LANGUAGE, NOT NECESSARILY INCOME RELATED CONCERNS. THE IMPACT OF REGIONAL GROWTH, FAMILIES LOSING ACCESS TO MEDICAL COVERAGE, AND REGIONAL CHANGES IN WORK AVAILABLE (MANY INVOLVING SHIFTS) ALL COMBINE TO CREATE BARRIERS FOR ACCESS TO PRIMARY AND PREVENTATIVE CARE. NOTABLY, NHCLV HAS WITNESSED A 30% INCREASE OF UNIQUE INDIVIDUALS SEEKING CARE OVER THE PAST 12 MONTHS, AND ANOTHER 3700+ INDIVIDUALS ASSIGNED TO NHCLV THROUGH THEIR INSURER BUT WHO HAVE YET TO BE REGISTERED FOR CARE. OUTREACH, EDUCATION, AND SERVICES ARE NEEDED. HOW THE PROJECT ADDRESSES NEED: OUR HEALTH CENTER SYSTEM’S GOAL IS TO RESPONSIBLY AND SYSTEMATICALLY EXPAND HOURS TO FACILITATE ACCESS TO OUR INTEGRATED SERVICES IN WAYS THAT ARE RESPONSIVE TO CURRENT COMMUNITY NEEDS BY EXPANDING HOURS AND SERVICES OFFERED DURING NON-TRADITIONAL BUSINESS HOURS.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

CAPITAL DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CARE AND OTHER FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - ST. JUDE NEIGHBORHOOD HEALTH CENTER (SJNHC) PROVIDES AFFORDABLE, CULTURALLY COMPETENT, HIGH-QUALITY PRIMARY CARE SERVICES IN A MEDICALLY UNDERSERVED AREAS OF ORANGE AND SAN BERNARDINO COUNTY, CALIFORNIA. SJNHC ELIMINATES MANY BARRIERS TO ACCESSING CARE CAUSED BY POVERTY, LACK OF INSURANCE, AND CULTURAL AND LINGUISTIC ISOLATION. THE DEMAND FOR HIV PREVENTION AND TREATMENT HAS INCREASED DRAMATICALLY SINCE SAFETY MANDATES HAVE SUSPENDED OR ELIMINATED INTRUSIVE SERVICES. THE SAFETY MANDATED SUSPENSION OF SERVICES HAS ALSO CREATED A COMPOUNDED PROBLEM OF LACK OF ACCESS TO CARE FOR IMMEDIATE CARE NEEDS AS WELL AS ACCESS TO REGULARLY SCHEDULED VISITS. HEALTH CARE RESOURCES FOR THE ECONOMICALLY DISADVANTAGED ARE SCARCE, ESPECIALLY REGARDING HIV. THE SERVICE AREA IS DENSELY POPULATED AND NEEDS EVEN MORE SERVICES TARGETING THE LOW-INCOME POPULATION. SJNHC ANTICIPATES A CONTINUALLY INCREASING DEMAND FOR HIV PREVENTION SERVICES FROM PUBLICLY INSURED AND UNINSURED PATIENTS.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - NEIGHBORHOOD HEALTH CENTER (NHC) IS PROPOSING A RURAL SERVICES OUTREACH PROGRAM THAT AIMS TO IMPROVE ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR RURAL, UNDERSERVED POPULATIONS IN UNION COUNTY AND RURAL AREAS OF WAYNE AND FAYETTE COUNTIES IN EASTERN INDIANA. THE PROJECT WILL UTILIZE A FULLY EQUIPPED MOBILE HEALTH UNIT TO CONDUCT OUTREACH TO AT-RISK POPULATIONS, AS WELL AS TO DELIVER PRIMARY CARE, HEALTH SCREENINGS, IMMUNIZATIONS, AND TELEHEALTH SPECIALTY SERVICES DIRECTLY TO VULNERABLE POPULATIONS. THESE EFFORTS ARE BOLSTERED BY A STRONG CONSORTIUM OF COMMUNITY PARTNERS, INCLUDING REID HEALTH, MCCULLOUGH-HYDE MEMORIAL HOSPITAL, UNION COUNTY HEALTH DEPARTMENT, GLEANERS FOOD BANK, AND UNION COUNTY LIBRARY, WHO WILL COLLABORATE TO INTEGRATE PREVENTIVE CARE WITH TELEHEALTH SPECIALTY CARE DELIVERY, HEALTH EDUCATION, FOOD ACCESS, AND SOCIAL SERVICES. RESIDENTS IN UNION COUNTY EXPERIENCE BARRIERS TO ACCESSING COMPREHENSIVE HEALTH CARE DUE TO GEOGRAPHIC, ECONOMIC, AND SOCIAL FACTORS. THE POPULATION OF UNION COUNTY IS 100% RURAL, COMPOSED OF INDIVIDUALS IMPACTED BY VARIOUS HEALTH-RELATED CHALLENGES, INCLUDING RURAL ISOLATION, LIMITED HEALTH LITERACY, AND LACK OF ACCESS TO HEALTHY FOOD, AMONG OTHER CHALLENGES. ONLY AN ESTIMATED 53.4% OF UNION COUNTY RESIDENTS HAVE ACCESS TO HIGH-SPEED INTERNET, COMPARED TO ALMOST 94% OF RESIDENTS ACROSS INDIANA. THIS OVERALL POOR CONNECTIVITY FURTHER RESTRICTS ACCESS TO TELEHEALTH SERVICES AND CAN EXACERBATE DISPARITIES IN HEALTH OUTCOMES DUE TO POOR UTILIZATION OF PREVENTIVE AND SPECIALTY CARE. OF GREAT CONCERN IS FOOD ACCESS AS 11.8% OF UNION COUNTY RESIDENTS ARE FACING FOOD INSECURITY, 71% OF WHOM ARE INELIGIBLE FOR SNAP. 14% OF UNION COUNTY CHILDREN (1 IN 7) ARE FOOD INSECURE, WITH ALMOST HALF BEING INELIGIBLE FOR FEDERAL FOOD ASSISTANCE PROGRAMS. CHRONIC CONDITION PREVALENCE IS COMPOUNDED BY POOR HEALTH LITERACY, HEALTH BEHAVIORS, AND ACCESS TO HEALTHY FOODS. APPROXIMATELY 16% OF UNION COUNTY RESIDENTS (18% OF WAYNE, 20% OF FAYETTE COUNTY) REPORT HAVING FAIR OR POOR HEALTH, COMPARED TO 14% OF THE U.S., MANY DUE TO CHRONIC CONDITIONS. NHC’S PROGRAM, ENGAGING UNDER THE REGULAR TRACK, IS DEVELOPED UNDER THE MODEL OF EVIDENCE-BASED PRACTICES THAT ARE APPROPRIATE FOR CONNECTING RURAL POPULATIONS TO HEALTH AND SOCIAL SERVICES: ENGAGEMENT OF MOBILE HEALTH CLINICS AND COMMUNITY COALITION ACTION THEORY NHC’S PROGRAM AIMS TO: - CONDUCT TARGETED OUTREACH TO INCREASE COMMUNITY ENGAGEMENT AND AWARENESS OF AVAILABLE HEALTH CARE SERVICES. - EXPAND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR UNDERSERVED RURAL POPULATIONS IN UNION COUNTY AND SURROUNDING RURAL AREAS. - ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) BY INTEGRATING HEALTH CARE DELIVERY WITH FOOD ACCESS, TRANSPORTATION SUPPORT, AND HEALTH EDUCATION. - IMPROVE HEALTH OUTCOMES FOR PATIENTS WITH CHRONIC CONDITIONS BY DELIVERING EVIDENCE-BASED AND INNOVATIVE HEALTH INTERVENTIONS. - BUILD A SUSTAINABLE MODEL FOR RURAL HEALTH CARE DELIVERY THROUGH COLLABORATION WITH CONSORTIUM PARTNERS AND COMMUNITY ENGAGEMENT. AS A FQHC-LAL, NHC HAS DEMONSTRATED ITS CAPACITY FOR EFFECTIVE PROGRAM IMPLEMENTATION, HAVING GROWN STRATEGICALLY FROM SERVING 1,800 PATIENTS IN 2018 TO 5,815 IN 2023. OF THE 5,815 PATIENTS SERVED, 930 WERE CHILDREN AND YOUTH, 1,321 WERE ADULTS 65+, 4,464 (78.47%) HAD INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL, 448 WERE SELF-PAY, 2,031 UTILIZED MEDICAID/CHIP, 1,649 UTILIZED MEDICARE, 610 (10.49%) WERE EXPERIENCING HOMELESSNESS, 35 WERE AGRICULTURAL WORKERS OR FAMILY MEMBERS, AND 2,229 WERE SERVED AT A PUBLIC HOUSING SITE OR HEALTH CENTER EASILY ACCESSIBLE BY A PUBLIC HOUSING SITE. NHC QUALIFIES FOR FUNDING PREFERENCES 1, 2, AND 3. THE NHC SERVICE AREA IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AND MEDICALLY UNDERSERVED AREA, AND IS FOCUSED ON PRIMARY CARE AND WELLNESS ACROSS THE SERVICE AREA POPULATION.

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - 1. NAME OF THE TRAINING PROGRAM - EL RIO HEALTH PSYCHIATRY RESIDENCY PROGRAM 2. DISCIPLINE OF THE RESIDENCY PROGRAM - PSYCHIATRY 3. TYPE OF APPLICATION - NEW OR CONTINUATION - NEW 4. ELIGIBLE ENTITY TYPE - FEDERALLY QUALIFIED HEALTH CENTER. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022, AND WILL SERVE AS BOTH THE SI AND THE HEALTH CENTER (HC) WHERE THE RESIDENCY CONTINUITY PRACTICE WILL BE LOCATED. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS - ESTIMATED JULY 2025 6. ORGANIZATION WEBSITE ADDRESS: HTTPS://ELRIO.ORG/CAREERS/TEACHING-HEALTH-CENTER/PSYCHIATRY-RESIDENCY-PROGRAM/ PSYCHIATRY RESIDENCY PROGRAM - EL RIO HEALTH 7. A BRIEF OVERVIEW OF THE RESIDENCY PROGRAM THAT INCLUDES THE NAME OF THE ACCREDITED SPONSORING INSTITUTION AND DESCRIPTION OF THE MAIN PRIMARY CARE TRAINING LOCATION INCLUDING POPULATIONS SERVED. THE EL RIO HEALTH PSYCHIATRY RESIDENCY PROGRAM RECEIVED INITIAL ACGME ACCREDITATION FEBRUARY 9, 2024. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022. EL RIO CLINICS WILL BE THE PRIMARY TRAINING LOCATION; PROGRAM LETTERS OF AGREEMENT (PLAS) HAVE BEEN SIGNED FOR OTHER CLINICAL ROTATION SITES. THE PSYCHIATRY RESIDENCY PROGRAM AT EL RIO HEALTH STRIVES TO PROVIDE A COMPREHENSIVE EDUCATIONAL EXPERIENCE THAT INTEGRATES CLINICAL EXCELLENCE, RESEARCH, ADVOCACY, AND COMMUNITY ENGAGEMENT TO ADDRESS THE MENTAL HEALTH NEEDS OF UNDERSERVED COMMUNITIES. OUR PROGRAM AIMS TO PRODUCE PSYCHIATRISTS WHO ARE COMMITTED TO PROVIDING HIGH-QUALITY PATIENT CARE, ADVANCING THE FIELD THROUGH RESEARCH AND SCHOLARLY ACTIVITY, AND PROMOTING MENTAL HEALTH EQUITY. AS AN FQHC, WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, CULTURALLY COMPETENT CARE TO ALL OUR PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. OUR PROGRAM’S MISSION ALIGNS WITH THE LARGER MISSION OF EL RIO HEALTH, WHICH IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO AFFORDABLE, COMPREHENSIVE, AND QUALITY HEALTHCARE. THE PSYCHIATRY RESIDENCY PROGRAM HOPES TO TRAIN PHYSICIANS WHO WILL PROMOTE THE ADVANCEMENT OF HIGH-VALUE CARE THROUGH SCHOLARLY WORK AND LIFELONG LEARNING AND SERVE AS FUTURE LEADERS IN THE FIELD OF PSYCHIATRIC MEDICINE. DURING THEIR 4 YEARS OF TRAINING, RESIDENTS WILL TRAIN IN INPATIENT PSYCHIATRY, CL PSYCHIATRY, GERIATRIC PSYCHIATRY, ADDICTION PSYCHIATRY, CHILD AND ADOLESCENT PSYCHIATRY, INTERVENTIONAL PSYCHIATRY, OUTPATIENT PSYCHIATRY, PRIMARY CARE, NEUROLOGY, EMERGENCY MEDICINE, AND INTERNAL MEDICINE. 8. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING. 40 FTE (4-4-4-4) - 4 RESIDENTS PER CLASS ACROSS 4 YEARS OF TRAINING. 9. FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR THE FIRST AY OF FUNDING (AY 2025-2026). 4-0-0-0 10. ROTATION SITES: STATE IF RESIDENTS WITHIN THE APPLICANT RESIDENCY PROGRAM WILL PERFORM ROTATIONS AT A HOSPITAL ROTATION SITE(S) THAT HAS NOT PROVIDED RESIDENT TRAINING IN ANY PRIOR AY. THE RESIDENTS WILL PERFORM ROTATIONS AT TUCSON MEDICAL CENTER AND EL DORADO SPRINGS HOSPITALS. TMC HAS PROVIDED RESIDENCY ROTATIONS TO OTHER LEARNERS, BUT NOT FOR THIS RESIDENCY PROGRAM.

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - 1. NAME OF THE TRAINING PROGRAM - EL RIO HEALTH FAMILY MEDICINE RESIDENCY PROGRAM 2. DISCIPLINE OF THE RESIDENCY PROGRAM - FAMILY MEDICINE 3. TYPE OF APPLICATION - NEW OR CONTINUATION - NEW 4. ELIGIBLE ENTITY TYPE - FEDERALLY QUALIFIED HEALTH CENTER. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022, AND WILL SERVE AS BOTH THE SI AND THE HEALTH CENTER (HC) WHERE THE RESIDENCY CONTINUITY PRACTICE WILL BE LOCATED. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS - ESTIMATED JULY 2025 6. ORGANIZATION WEBSITE ADDRESS: HTTPS://ELRIO.ORG/CAREERS/TEACHING-HEALTH-CENTER/FAMILYMEDICINERESIDENCY/ 7. A BRIEF OVERVIEW OF THE RESIDENCY PROGRAM THAT INCLUDES THE NAME OF THE ACCREDITED SPONSORING INSTITUTION AND DESCRIPTION OF THE MAIN PRIMARY CARE TRAINING LOCATION INCLUDING POPULATIONS SERVED. THE EL RIO HEALTH FAMILY MEDICINE RESIDENCY PROGRAM RECEIVED INITIAL ACGME ACCREDITATION FEBRUARY 9, 2024. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022. EL RIO CLINICS WILL BE THE PRIMARY TRAINING LOCATION; PROGRAM LETTERS OF AGREEMENT (PLAS) HAVE BEEN SIGNED FOR OTHER CLINICAL ROTATION SITES. THE FAMILY MEDICINE RESIDENCY PROGRAM AT EL RIO HEALTH STRIVES TO PROVIDE A COMPREHENSIVE EDUCATIONAL EXPERIENCE THAT INTEGRATES CLINICAL EXCELLENCE, RESEARCH, ADVOCACY, AND COMMUNITY ENGAGEMENT TO ADDRESS THE PRIMARY CARE HEALTH NEEDS OF UNDERSERVED COMMUNITIES. OUR PROGRAM AIMS TO PRODUCE FAMILY MEDICINE CLINICIANS WHO ARE COMMITTED TO PROVIDING HIGH-QUALITY PATIENT CARE, ADVANCING THE FIELD THROUGH RESEARCH AND SCHOLARLY ACTIVITY, AND PROMOTING MENTAL HEALTH EQUITY. AS AN FQHC, WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, CULTURALLY COMPETENT CARE TO ALL OUR PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. OUR PROGRAM’S MISSION ALIGNS WITH THE LARGER MISSION OF EL RIO HEALTH, WHICH IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO AFFORDABLE, COMPREHENSIVE, AND QUALITY HEALTHCARE. THE FAMILY MEDICINE RESIDENCY PROGRAM HOPES TO TRAIN PHYSICIANS WHO WILL PROMOTE THE ADVANCEMENT OF HIGH-VALUE CARE THROUGH SCHOLARLY WORK AND LIFELONG LEARNING AND SERVE AS FUTURE LEADERS IN THE FIELD OF FAMILY MEDICINE. DURING THEIR 3 YEARS OF TRAINING, RESIDENTS WILL TRAIN IN FAMILY AND COMMUNITY MEDICINE, GERIATRICS, DERMATOLOGY, CLINICAL PHARMACOLOGY AND NUTRITION, EMERGENCY MEDICINE (ADULT), ADULT MEDICINE, CRITICAL CARE MEDICINE (ADULT), STREET MEDICINE, REFUGEE HEALTH, SUBSTANCE USE DISORDERS AND ADDICTION MEDICINE, PEDIATRICS (AMBULATORY AND NEWBORN NURSERY), GENERAL SURGERY (INPATIENT), OB/GYN, AND OTHER MODALITIES. 8. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING. 24 (4-4-4) - 4 RESIDENTS PER CLASS ACROSS 3 YEARS OF TRAINING. 9. FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR THE FIRST AY OF FUNDING (AY 2025-2026) - 4-0-0 10. ROTATION SITES: STATE IF RESIDENTS WITHIN THE APPLICANT RESIDENCY PROGRAM WILL PERFORM ROTATIONS AT A HOSPITAL ROTATION SITE(S) THAT HAS NOT PROVIDED RESIDENT TRAINING IN ANY PRIOR AY. THE RESIDENTS WILL PERFORM ROTATIONS AT TUCSON MEDICAL CENTER. TMC HAS PROVIDED RESIDENCY ROTATIONS TO OTHER LEARNERS, BUT NOT FOR THIS RESIDENCY PROGRAM.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - BROCKTON NEIGHBORHOOD HEALTH CENTER PROJECT ABSTRACT FY 2025 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM BROCKTON NEIGHBORHOOD HEALTH CENTER (BNHC) IS REQUESTING $150,000 FROM THE RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM, HRSA-25-049, WITHIN THE CATEGORY OF INCLUSIVE CARE FOR UNDERREPRESENTED COMMUNITIES WITH DISPROPORTIONATELY HIGH RATES OF HIV, TO SUPPORT OUR INITIATIVE TO IMPROVE SOCIAL DRIVERS OF HEALTH (SDOH) SCREENING FOR PEOPLE LIVING WITH HIV (PLWH). THIS FUNDING WOULD COVER A PORTION OF TIME FOR THE THREE MEDICAL ASSISTANTS WHO SUPPORT OUR THREE INFECTIOUS DISEASE PHYSICIANS, TO GIVE THEM THE TIME NEEDED TO SCREEN PLWH PATIENTS. THIS FUNDING WILL ALSO SUPPORT A PORTION OF TIME FOR 4 CASE MANAGERS WHO WORK IN OUR HIV PROGRAM, TO GIVE THEM THE TIME NEEDED TO DEVELOP A LIST OF SDOH SERVICES AVAILABLE AT BNHC AND IN THE COMMUNITY AND TO WORK WITH PLWH TO CONNECT THEM TO THESE SERVICES AND TO TRAIN THEM TO USE THE SCREENING TOOL. TO STREAMLINE THIS PROCESS AND MAKE THE BEST USE OF THE AUTOMATION AVAILABLE TO US, THIS PROJECT ALSO INCLUDES TIME FOR ONE OF OUR EPIC BUILDER STAFF TO CUSTOMIZE AN SDOH TEMPLATE, TRAIN STAFF TO USE THE TEMPLATE, RUN REPORTS, AND PUSH THE SCREENING TOOL AND MESSAGING TO PATIENTS THROUGH OUR EPIC PORTAL. THE IMPACT OF THIS PROJECT WILL BE TO DOUBLE OUR SDOH SCREENINGS FOR PLWH FROM 148 PATIENTS IN 2024 TO 296 OF OUR CURRENT 402 PATIENTS IN THE PROJECT YEAR, AN INCREASE FROM 37% TO 74%. THIS PROJECT WILL ALSO IMPACT THESE PATIENTS BY PROVIDING THEM WITH RESOURCES DOCUMENTS AND GUIDANCE FROM CASE MANAGERS TO HELP ADDRESS SDOH NEEDS AS THEY ARE IDENTIFIED WITH THE SCREENING TOOL. SINCE 2001, BNHC HAS BEEN THE RECIPIENT OF RYAN WHITE HIV/AIDS PART C PROGRAM FUNDING. CURRENTLY, APPROXIMATELY 402 PEOPLE LIVING WITH HIV (PLWH) RECEIVE COMPREHENSIVE PRIMARY HEALTH CARE AND SUPPORT SERVICES AT BNHC. BNHC PROVIDED CARE TO 60 NEW PATIENTS IN 2024 AND HAS ALREADY SEEN 11 NEW PATIENTS IN JUST THE FIRST 2 MONTHS OF 2025. FOR 24 YEARS, BNHC HAS OFFERED SPECIALIZED PRIMARY CARE AND SUPPORTIVE SERVICES FOR PLWH, INCLUDING MEDICAL CARE, DENTAL VISITS, NUTRITION, ADHERENCE SUPPORT, CARE MANAGEMENT, SOCIAL SERVICES, BEHAVIORAL HEALTH, AND A VARIETY OF SUPPORT SERVICES.

FY 2020 HEALTH CENTER PROGRAM LOOK-ALIKES: EXPANDING CAPACITY FOR CORONAVIRUS TESTING

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

MOUNT VERNON NEIGHBORHOOD HEALTH CENTER BEHAVIORAL HEALTH CENTERS FOR HOMEBOUND ELDERLY AND DISABLED - MOUNT VERNON NEIGHBORHOOD HEALTH CENTER IS A LEGACY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH HAS PROVIDED QUALITY, AFFORDABLE HEALTH CARE TO VULNERABLE POPULATIONS FOR CLOSE TO 50 YEARS. MVNHC'S BEHAVIORAL HEALTH SERVICES FOR HOMEBOUND ELDERLY AND DISABLED WILL PROVIDE BEHAVIORAL HEALTH ASSESSMENTS AND PSYCHOTHERAPY TO MVNHC'S HOMEBOUND ELDERLY AND DISABLED RESIDENTS LIVING IN NY-16. THE PROGRAM WILL PROMOTE THE PREVENTION OR TREATMENT OF MENTAL HEALTH DISORDERS, INCLUDING REHABILITATION, OUTREACH, AND OTHER SUPPORT SERVICES. INITIAL HOME VISITS WILL INVOLVE A 60-MINUTE ASSESSMENT, DURING WHICH THE LCSW WILL BE ABLE TO EVALUATE EACH PATIENT’S LIVING CONDITIONS AND ADMINISTER STANDARD TESTS FOR ANXIETY AND DEPRESSION. PATIENTS DETERMINED TO BE LIVING WITH ANXIETY OR DEPRESSION WILL BE OFFERED WEEKLY 45-MINUTE THERAPY SESSIONS WHICH WILL BE CONDUCTED BY THE LCSW. THE MAJOR GOAL OF THE PROGRAM IS TO IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR HOMEBOUND ELDERLY AND DISABLED MEN AND WOMEN WHO ARE REGISTERED AS MVNHC PATIENTS AND WHO RESIDE IN NY-16. OBJECTIVES INCLUDE IDENTIFICATION OF PATIENTS AT-RISK FOR BEHAVIORAL HEALTH PROBLEMS; ASSESSMENT OF THOSE PATIENTS FOR ANXIETY AND DEPRESSION; AND ENGAGEMENT IN WEEKLY THERAPY. THE OUTBREAK OF THE COVID-19 PANDEMIC HAS HIGHLIGHTED DISPARITIES IN HEALTH CARE WHICH PRIMARILY AFFECT BLACK AND HISPANIC PEOPLE LIVING IN LOW-INCOME HOUSEHOLDS. THESE DISPARITIES ARE CATALYZED BY SOCIAL DETERMINANTS OF HEALTH (SDOH), DEFINED AS "CONDITIONS IN THE ENVIRONMENTS IN WHICH PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS". SINCE THE EARLIEST DAY OF THE PANDEMIC, MVNHC HAS SEIZED THE OPPORTUNITY TO ADDRESS SDOH WHICH AFFECT OUR PATIENTS. THAT HAS LED US TO TAKE COMMUNITY HEALTH CARE OUT OF THE HEALTH CENTER AND INTO THE SETTINGS WHERE PEOPLE LIVE AND CONGREGATE EVERY DAY. WITH NEARLY 70,000 RESIDENTS, MT. VERNON IS THE 8TH MOST POPULOUS CITY IN NEW YORK STATE. OF THE TOTAL POPULATION, 63.4% ARE BLACK OR AFRICAN-AMERICAN, 14.3% OF THE CITY’S TOTAL POPULATION ARE OF HISPANIC ORIGIN, 24.3% ARE WHITE, 3.7% ARE TWO OR MORE RACES; WHILE 1.8% ARE ASIAN, AMERICAN INDIAN AND ALASKA NATIVE, NATIVE HAWAIIAN, AND OTHER PACIFIC ISLANDER. OTHER RACES COMBINED COMPRISE 6.8% OF THE TOTAL POPULATION. THE POVERTY RATE IN MOUNT VERNON (16%) IS 6% HIGHER THAN THE NATIONAL AVERAGE; THE UNEMPLOYMENT RATE IN MOUNT VERNON (7.2%) IS 55% HIGHER THAN THE NATIONAL AVERAGE. FEWER THAN ONE-THIRD OF ADULTS LIVING IN MOUNT VERNON HAVE EARNED A BACHELOR’S DEGREE, AND 30% OF STUDENTS ENROLLED IN MOUNT VERNON’S PUBLIC HIGH SCHOOLS GRADUATE “ON-TIME” (WITHIN FOUR YEARS), WITH A DIPLOMA. A BREAKOUT OF OUR PATIENTS BY RACE/ETHNICITY REFLECTS A POPULATION THAT IS 51% AFRICAN-AMERICAN, 11% CAUCASIAN, 14% HISPANIC/LATINO, 1% ASIAN AND 23% OTHER. MORE THAN 16% ARE PEOPLE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. 38% OF OUR PATIENTS ARE OVER 65. 23% ARE UNINSURED, 66% RELY ON PUBLICLY-FUNDED INSURANCE (I.E. MEDICAID AND MEDICARE), AND 11% BENEFIT FROM COMMERCIAL INSURANCE. ACCESS TO AFFORDABLE, HIGH-QUALITY BEHAVIORAL HEALTH SERVICES IS A CHALLENGE UNDER THE BEST OF CIRCUMSTANCES. FOR HOMEBOUND ELDERLY AND DISABLED BLACK AND HISPANIC ADULTS LIVING IN LOW-INCOME HOUSEHOLDS IN NY-16, THIS CHALLENGE OFTEN BECOMES AN INSURMOUNTABLE OBSTACLE. MVNHC’S BEHAVIORAL HEALTH SERVICES FOR HOMEBOUND PATIENTS WILL HELP THEM TO OVERCOME THAT OBSTACLE AND WILL BECOME A MODEL FOR COMMUNITY-BASED BEHAVIORAL HEALTH CARE ACROSS THE NATION. MVNHC’S BEHAVIORAL HEALTH SERVICES FOR HOMEBOUND PATIENTS ADDRESSES BEHAVIORAL HEALTH PROBLEMS AMONG ELDERLY AND DISABLED, COMPASSIONATELY AND COST-EFFICIENTLY. MVNHC’S PROGRAM WILL BRING SCARCE HEALTH CARE SERVICES TO THE DOORSTEP OF THOSE WHO NEED THEM MOST. IT WILL IMPROVE THE QUALITY OF LIFE FOR OUR MOST VUL

HEALTH CARE AND OTHER FACILITIES

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

FY 2023 BRIDGE ACCESS PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

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

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - EL RIO PLANS TO USE THE $1,450,000 APPROVED CONGRESSIONALLY DIRECTED SPENDING FOR GENERAL RADIOLOGY, ULTRASOUND SERVICES AND MAMMOGRAPHY, AND DENTAL SUITES (12-OPERATORIES) AT THE EL RIO HEALTH NORTHWEST HEALTH CENTER, WHICH WILL BE UNDERGOING A LARGE-SCALE TWO-PHASE RENOVATION PROJECT BETWEEN 2023-2025. OUR INITIAL EARMARK APPLICATION WAS TO PURCHASE THESE MEDICAL SUPPLIES AND EQUIPMENT FOR A NEW SITE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS ABRAMS FAMILY MEDICINE CLINIC, OPENING JULY 2022. HOWEVER, SINCE THE TIME OF THAT INITIAL APPLICATION, IT WAS DECIDED THAT THE SPACE EL RIO WILL BE LEASING IN THAT FACILITY DOES NOT INCLUDE THE CAPACITY TO HAVE DENTAL AND RADIOLOGY SERVICES, WE WISH TO USE THIS FUNDING TO PURCHASE THOSE MEDICAL SUPPLIES/EQUIPMENT FOR OUR NORTHWEST HEALTH CENTER. CURRENTLY THE NORTHWEST HEALTH CENTER CAMPUS IS SPLIT INTO TWO BUILDINGS – THE MEDICAL/RADIOLOGY/PHARMACY BUILDING IS CURRENTLY 15,200 SF AND THE DENTAL BUILDING IS 3,006 SF. OUR EXPANSION PLAN TO BE COMPLETED BY 2025 WILL INCLUDE BUILDING AN ADDITION ONTO THE EXISTING MEDICAL CLINIC, AND REMODELING THE CURRENT SECTION, WHICH WILL THEN INCLUDE DENTAL SERVICES ON THE 2ND FLOOR. WE PLAN TO INCREASE CAPACITY FROM 34 EXAM ROOMS TO 58 EXAM ROOMS, FROM 7 DENTAL OPERATORIES TO 12, AND WILL INCREASE THE TOTAL FOOTPRINT ON THE CAMPUS BY 28,000 TO 46,000 SF. THE DIRECTOR OF FACILITIES AND EXECUTIVE LEADERSHIP HAVE JUST BEGUN THE PROCESS OF PLANNING FOR THIS EXPANSION PROJECT, SO WE DO NOT HAVE ANY ARCHITECTURAL RENDERINGS OR PLANS AT THIS TIME. THE NORTHWEST HEALTH CENTER PROVIDED CARE TO 20,605 ESTABLISHED PATIENTS FROM 6/2/2021 TO 6/1/2022, IN 58,837 ENCOUNTERS. OF THOSE WERE 3,536 DENTAL ENCOUNTERS. INCLUDED IN THE PROPOSED BUDGET ARE PURCHASES OF EQUIPMENT LIKE PANORAMIC RADIOLOGY, POWER VACUUM, STERILIZATION AUTOCLAVE, AND WATER SYSTEM FOR DENTAL; ULTRASOUND; AND 3D MAMMOGRAPHY UNIT. ALSO BUDGETED ARE MEDICAL AND DENTAL SUPPLIES INCLUDING MEDI CAL GRADE REFRIGERATORS AND FREEZERS, OFFICE FURNITURE FOR CLINICAL AREAS, AND COMPUTERS FOR DENTAL, RADIOLOGY, AND ULTRASOUND SERVICES. EL RIO HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), IS JOINT COMMISSION ACCREDITED, AND HAS ACHIEVED LEVEL 3 PATIENT-CENTERED MEDICAL HOME (PCMH) STATUS FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. THESE ACCREDITATIONS RECOGNIZE OUR COMMUNITY-BASED HEALTHCARE MODEL REFLECTIVE OF OUR MEDICAL/HEALTH HOME CONCEPT UTILIZING AN INTERDISCIPLINARY TEAM OF HEALTHCARE PROVIDERS AND PROFESSIONALS. AS A PCMH, WE CONSISTENTLY STRIVE TO MEET ALL THE HEALTH NEEDS OF ALL OUR PATIENTS, INCLUDING ADDRESSING THEIR ORAL HEALTH AND RADIOLOGY NEEDS, WITHIN FULLY INTEGRATED FACILITIES.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: 10 GOVE STREET, BOSTON, MA 02128 PROJECT DIRECTOR NAME: GREGORY WILMOT CONTACT PHONE NUMBER: 617-568-4570 CONTACT FAX NUMBER: 617-568-4615 EMAIL ADDRESS: WILMOTG@EBNHC.ORG WEBSITE ADDRESS: WWW.EBNHC.ORG GRANT FUNDS REQUESTED: $4,500,000 (CFDA 93.493) FOR FACILITIES AND EQUIPMENT RELATED TO THE CREATION OF A NEW SERVICE DELIVERY SITE. LOCATION AND FINAL PLAN TO BE DETERMINED.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PRIMARYONE HEALTH PROPOSES TO CONSTRUCT A NEW COMMUNITY HEALTH CENTER IN COLUMBUS, OHIO. PROJECT DIRECTOR: THOMAS LUFF CONTACT PHONE: 614-859-1905 EMAIL ADDRESS: THOMAS.LUFF@PRIMARYONEHEALTH.ORG WEBSITE: WWW.PRIMARYONEHEALTH.ORG FUNDING FOR THIS PROJECT MAY COME FROM VARIOUS SOURCES, INCLUDING FUNDS FROM THE APPLICANT. THE NEW 3,780 SQ. FT. COMMUNITY HEALTH CENTER WILL PROVIDE ACCESS TO SERVICES THAT IMPROVE THE HEALTH STATUS OF FAMILIES—INCLUDING PEOPLE EXPERIENCING FINANCIAL, SOCIAL OR CULTURAL BARRIERS TO HEALTHCARE. THE HEALTH CENTER WILL PROVIDE PRIMARY MEDICAL, WOMEN'S HEALTH, PEDIATRICS AND DENTAL CARE, VISION, NUTRITION, PHARMACY AND BEHAVIORAL HEALTH SERVICES. THE SOUTH EAST COLUMBUS AND SURROUNDING AREAS ARE IN NEED OF AFFORDABLE HEALTH CARE FOR MEDICAID PATIENTS AND THE UNINSURED. WE ARE SAFETY NET PROVIDERS OF COST-EFFECTIVE, HIGH-QUALITY PRIMARY AND PREVENTIVE HEALTH CARE.