Lone Star Community Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

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

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF TRAINING PROGRAM: CONROE MEDICAL EDUCATION FOUNDATION PROGRAM DISCIPLINE: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER, LONE STAR COMMUNITY HEALTH CENTER, INC. CONSORTIUM INITIAL YEAR TRAINING RESIDENTS: 1983 WEBSITE: WWW.LONESTARFAMILY.ORG OVERVIEW: CONROE MEDICAL EDUCATION FOUNDATION (CMEF) IS THE SPONSORING INSTITUTION OF A FREESTANDING ACGME-APPROVED FAMILY MEDICINE RESIDENCY PROGRAM. THE CMEF RESIDENCY PROGRAM WAS FORMED IN 1979 WITH THE FIRST THREE RESIDENTS GRADUATING IN JUNE 1985. IN 2004, CMEF ENTERED INTO AN AFFILIATION AGREEMENT WITH LONE STAR COMMUNITY HEALTH CENTER, INC., DBA LONE STAR FAMILY HEALTH CENTER (LSFHC), TO OPERATE ALL BUSINESS AND EMPLOYMENT FUNCTIONS OF CMEF, INCLUDING EMPLOYMENT OF ALL PROGRAM RESIDENT AND FACULTY PHYSICIANS. LSFHC IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH A MISSION TO PROVIDE COMPASSIONATE, AFFORDABLE HEALTHCARE AND PREPARE TOMORROW'S FAMILY MEDICINE PROFESSIONALS. THE AFFILIATION BETWEEN CMEF AND LSFHC HAS BENEFITTED THE RESIDENCY PROGRAM TREMENDOUSLY AND HAS INCREASED THE NUMBER OF FAMILY PHYSICIANS IN TEXAS, MANY WITH A PASSION FOR PRACTICING IN RURAL OR UNDERSERVED COMMUNITIES. THE PRIMARY CARE OUTPATIENT TRAINING SITE IS LSFHC’S MAIN FQHC CLINIC LOCATED IN CONROE, TEXAS, WHICH HOUSES ALL CLINICAL SERVICES, INCLUDING MEDICAL, URGENT CARE, PRENATAL, PEDIATRIC WALK-IN, DENTAL, MENTAL HEALTH, NUTRITION, ANTICOAGULATION, LAB, X-RAY, AND PHARMACY. THE PRIMARY INPATIENT TRAINING SITE IS HCA HOUSTON HEALTHCARE CONROE (HCA), LOCATED NEXT DOOR TO LSFHC IN CONROE. CONROE, TEXAS IS THE COUNTY SEAT OF MONTGOMERY COUNTY, WHICH IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA FOR PRIMARY CARE, DENTAL, AND MENTAL HEALTH AND CONTAINS TWO MEDICALLY UNDERSERVED AREAS ACROSS 23 CENSUS TRACTS. CMEF SEEKS TO EXPAND THE EXISTING PROGRAM BY 2 RESIDENCY SLOTS FOR EACH YEAR OF THE THREE-YEAR TRAINING PROGRAM IN ORDER TO MEET THE GROWING NEED FOR PRIMARY CARE SERVICES IN LSFHC’S SERVICE AREA. LSFHC SERVICE AREA INCLUDES MOST OF MONTGOMERY AND WALKER COUNTIES WITH A TOTAL POPULATION OF 553,528. 40 PERCENT OF THE SERVICE AREA POPULATION IS A RACIAL OR ETHNIC MINORITY, 15 PERCENT IS UNINSURED, 30 PERCENT IS CONSIDERED LOW-INCOME, 25 PERCENT IS UNDER AGE 18, AND 12 PERCENT IS OVER AGE 64. LSFHC’S TARGET POPULATION INCLUDES LOW-INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS, INCLUDING THOSE COVERED BY MEDICAID AND MEDICARE. THE TARGET POPULATION IS ESTIMATED TO BE 161,157 BASED ON THE PERCENTAGE OF POPULATION LIVING AT OR BELOW 200 PERCENT THE FEDERAL POVERTY LEVEL (FPL). TOTAL FTE POSITIONS REQUESTED FOR ALL YEARS: 2/2/2 TOTAL FTE POSITIONS REQUESTED AY 2022-3: 2/0/0

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ADDRESS: 605 S. CONROE MEDICAL DRIVE, CONROE, TEXAS 77304-4722 PROJECT DIRECTOR: KAREN HARWELL PHONE NUMBER: 936-523-5234 EMAIL: KHARWELL@LONESTARFAMILY.ORG WEBSITE: WWW.LONESTARFAMILY.ORG AMOUNT REQUESTING: $1,100,000 GRANT #: H80CS02451 LONE STAR FAMILY HEALTH CENTER SEEKS FUNDING TO EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) TREATMENT FOR UNDERSERVED POPULATIONS IN OUR COMMUNITY. WE AIM TO ACCOMPLISH THIS GOAL BY DIVERSIFYING OUR SERVICES TO PROMOTE A HOLISTIC APPROACH TO ADDRESSING OUR PATIENTS’ BIOPSYCHOSOCIAL NEEDS, IN ALIGNMENT WITH EVIDENCE-BASED BEST PRACTICES, IMPLEMENTING AN ELECTRONIC HEALTH RECORDS (EHR) SYSTEM TRANSITION TO IMPROVE EFFICIENCY AND FORTIFY BOTH PATIENT EXPERIENCE AND PROGRAM EVALUATION, INCREASING TRAINING OPPORTUNITIES FOR TEAM MEMBERS, AND STRENGTHENING OUR RELATIONSHIPS WITH PARTNER ORGANIZATIONS IN THE COMMUNITY, ESPECIALLY FOR SUD TREATMENT. OUR MENTAL HEALTH PROGRAM RECENTLY DOUBLED IN SIZE TO SERVE MORE UNDERSERVED PATIENTS DUE TO THE LARGE NUMBER OF UNDERSERVED PATIENTS STILL IN NEED OF AFFORDABLE MENTAL HEALTH CARE IN OUR SERVICE AREA. WE HAVE DRAMATICALLY DECREASED PATIENT WAIT TIMES AND INCREASED THE NUMBER OF PATIENTS SERVED AS A RESULT. DESPITE THIS PROGRESS, ACCESS TO AFFORDABLE MENTAL HEALTH CARE AND SUD TREATMENT FOR UNDERSERVED POPULATIONS IS STILL LACKING IN OUR COMMUNITY, RELATIVE TO THE HIGH DEMAND FOR THESE SERVICES. WHEN IT COMES TO MENTAL HEALTH ACCESS, THE NEED IN OUR COMMUNITY FOR MORE ACCESS TO AFFORDABLE CARE CANNOT BE OVERSTATED. TEXAS RANKS LAST IN ACCESS TO MENTAL HEALTH CARE IN THE U.S. ACCORDING TO MENTAL HEALTH AMERICA. FURTHERMORE, HRSA DESIGNATES ALL THREE OF THE PRIMARY COUNTIES WE SERVE—HARRIS, MONTGOMERY, AND WALKER—AS MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. ACCESS TO AFFORDABLE MENTAL HEALTH CARE FOR UNDERSERVED POPULATIONS IS EVEN MORE SCARCE THAN FOR THE GENERAL POPULATION, AS TRI-COUNTY BEHAVIORAL HEALTH SERVICES IS THE ONLY OTHER FACILITY IN OUR COMMUNITY OFFERING MENTAL HEALTH SERVICES ON A SLIDING SCALE. EXPANDING ACCESS TO SUD TREATMENT IN OUR COMMUNITY IS EQUALLY URGENT. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PERFORMED IN 2022 BY HOUSTON METHODIST HOSPITAL IN THE WOODLANDS ILLUMINAT ED THE IMPORTANCE OF THIS ISSUE IN OUR COMMUNITY, IDENTIFYING BOTH MENTAL HEALTH AND SUD TREATMENT AS TOP AREAS OF CONCERN FOR OUR SERVICE AREA. THE URGENCY OF THESE ISSUES IS PERHAPS BEST ILLUMINATED BY THE RESPONSES OF THE CHNA SURVEY PARTICIPANTS, WHO IDENTIFIED DRUG USE AS THE MOST IMPORTANT FACTOR NEGATIVELY IMPACTING THEIR COMMUNITY. THE INABILITY TO ACCESS HEALTHCARE—INCLUDING MENTAL HEALTHCARE—WAS THE SECOND. ALTHOUGH WE RECENTLY DOUBLED OUR MENTAL HEALTH CARE CAPACITY, WE ARE STILL UNABLE TO MEET ALL THE DIVERSE NEEDS OF OUR PATIENT POPULATION. THROUGH THE PROPOSED PROJECT, WE AIM TO: 1) ADD A PSYCHIATRIST TO VISIT OUR CONROE CLINICAL LOCATION ONE DAY PER WEEK, 2) ADD ONE FULL-TIME BILINGUAL FEMALE LICENSED PROFESSIONAL COUNSELOR (LPC) TO MEET THE NEEDS OF OUR PATIENTS WHO PREFER TO SPEAK TO A FEMALE IN SPANISH, 3) INCREASE TRAINING FOR ALL MENTAL HEALTH TEAM MEMBERS TO ENSURE THEY ARE UTILIZING THE MOST UP-TO-DATE, EVIDENCE-BASED PRACTICES, 4) DIVERSIFY THE TYPES OF THERAPY OFFERED BEYOND INDIVIDUAL THERAPY TO INCLUDE GROUP AND FAMILY THERAPY, TO MEET EVIDENCE-BASED STANDARDS FOR BEST PRACTICES, 5) OVERSEE OUR EHR TRANSITION TO IMPROVE PATIENT EXPERIENCE, INCREASE OPERATIONAL EFFICIENCY, AND OVERHAUL OUR SCREENING, REFERRAL, AND PROGRAM EVALUATION INFRASTRUCTURE IN OUR MENTAL HEALTH DEPARTMENT, 6) AMPLIFY COLLABORATION WITH OUR MEDICAL TEAM AND COMMUNITY HEALTH WORKERS TO ADDRESS PATIENTS’ COMPLEX BIOPSYCHOSOCIAL NEEDS, 7) ADD ANCILLARY SERVICES SUCH AS MASSAGE, ACUPUNCTURE, AND YOGA TO BOLSTER PATIENTS’ HOLISTIC HEALTH AND RECOVERY NEEDS, AND 8) STRENGTHEN OUR REFERRAL PARTNERSHIPS THROUGH COLLABORATIVE MEETINGS AND LUNCH AND LEARNS TO ENSURE WE ARE MEETING OUR PATIENTS’ NEEDS.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ACCELERATING CANCER SCREENING - IN THIS PROJECT, LONE STAR COMMUNITY HEALTH CENTER, INC. (DBA LONE STAR FAMILY HEALTH CENTER), AN H80 GRANT RECIPIENT AND THE ONLY FEDERALLY QUALIFIED HEALTH CENTER HEADQUARTERED IN MONTGOMERY COUNTY, TEXAS, IS PARTNERING WITH MD ANDERSON CANCER CENTER, A NATIONALLY RECOGNIZED, AWARD-WINNING, AND NCI-DESIGNATED CANCER CENTER, TO ENHANCE SCREENING AND REFERRAL RATES FOR BREAST CANCER, COLORECTAL CANCER, AND CERVICAL CANCER IN AN UNDERSERVED PATIENT POPULATION. IN LONE STAR FAMILY HEALTH CENTER’S SERVICE AREAS OF MONTGOMERY COUNTY, HARRIS COUNTY, AND WALKER COUNTY, TEXAS, THE TARGET PATIENT POPULATION EXPERIENCES BREAST, COLORECTAL, AND CERVICAL CANCER INCIDENCE AND MORTALITY RATES THAT ARE HIGHER THAN STATE AND NATIONAL AVERAGES. DESPITE PATIENTS’ ELEVATED HEALTH RISKS, THE SCREENING AND REFERRAL RATES AT LONE STAR FAMILY HEALTH CENTER FOR ALL THREE TYPES OF CANCER ARE SIGNIFICANTLY LOWER THAN OUR GOALS. WITH THE AIM OF SUBSTANTIALLY IMPROVING THESE METRICS, LONE STAR FAMILY HEALTH CENTER WILL PARTNER WITH MD ANDERSON CANCER CENTER TO ENHANCE OUTREACH, CARE COORDINATION, ELIGIBILITY ASSISTANCE, AND PATIENT NAVIGATION SERVICES TO IMPROVE ACCESS AND MITIGATE BARRIERS TO CARE. IN ADDITION, LONE STAR FAMILY HEALTH CENTER WILL PROVIDE ACCESS TO TRANSPORTATION FOR PATIENTS AND PARTNER WITH MD ANDERSON CANCER CENTER TO PROVIDE MAIL-IN FECAL IMMUNOCHEMICAL TESTS (FIT) TO PATIENTS FOR COLORECTAL SCREENINGS. BOTH MEASURES WILL MITIGATE BARRIERS TO CARE, THEREBY SUPPORTING THE AIM OF EXPANDING ACCESS AND AFFORDABILITY. LONE STAR FAMILY HEALTH CENTER WILL AUGMENT PATIENT ENGAGEMENT AND ACTIVATION BY DEPLOYING COMMUNITY HEALTH WORKERS AND IMPROVING STAFF TRAINING TO IMPROVE PATIENT EXPERIENCE. LONE STAR FAMILY HEALTH CENTER AND MD ANDERSON CANCER CENTER WILL COLLABORATE TO TRACK PATIENT SCREENING, REFERRALS, AND FOLLOW-UP TO IMPROVE SCREENING AND REFERRAL RATES. LONE STAR FAMILY HEALTH CENTER WILL ALSO ENHANCE HEALTH IT WORKFLOWS TO MEET THE SAME OBJECTIVE. L ASTLY, LONE STAR FAMILY HEALTH CENTER WILL STRENGTHEN WORKFORCE TRAINING FOR THEIR STAFF PROVIDED BY MD ANDERSON CANCER CENTER TO BOLSTER WORKFORCE DEVELOPMENT.

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS