University Health System Inc

HIV EMERGENCY RELIEF PROJECT GRANTS

ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA ? RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

INTEGRATED MATERNAL HEALTH SERVICES

BABY BEXAR: HEALING FAMILIES AND BUILDING COMMUNITY IN BEXAR COUNTY AND BEYOND - EXPECTANT AND POST-PARTUM MOTHERS IN SOUTH-CENTRAL TEXAS FACE A COMBINATION OF ADVERSE MATERNAL HEALTH OUTCOMES, SOCIOECONOMIC CONDITIONS, AND THE CHRONIC DISEASE TRIAD OF OBESITY, HYPERTENSION AND DIABETES. OVER 5,000 PREGNANT AND POSTPARTUM WOMEN ARE SEEN ANNUALLY AT UNIVERSITY HEALTH: MORE THAN 80% ARE HISPANIC AND OVER 85% ARE UNINSURED OR ON MEDICAID. HISPANIC WOMEN EXPERIENCE SOME OF THE HIGHEST RATES OF SEVERE MATERNAL MORBIDITY (SMM), NEARLY 30% HIGHER THAN NON-HISPANIC WHITE WOMEN. SOME OF THE HIGHEST RATES OF SMM IN TEXAS ARE AMONG WOMEN WITHOUT PRIVATE PAYER INSURANCE COVERAGE. BY INTEGRATING SOCIAL SERVICES THAT SUPPORT EXPECTANT AND POST-PARTUM WOMEN INTO PERINATAL AND POST-PARTUM CARE, WE CAN HELP MOTHERS OVERCOME THESE AND OTHER CHALLENGES THEY FACE IN RAISING A HEALTH FAMILY. UNIVERSITY HEALTH PROPOSES THE BABY-BEXAR (PRONOUNCED BEAR): HEALING FAMILIES AND BUILDING COMMUNITY, AN INTEGRATED PERINATAL-COMSS PROGRAM. USING A HEALTH EQUITY, CULTURALLY-COMPETENT, TRAUMA-INFORMED LENS TAILORED TO THE POPULATION OF FOCUS, BABY-BEXAR WILL MAKE A MEASURABLE IMPACT ON MATERNAL AND INFANT HEALTH OUTCOMES BY A) INCREASING ACCESS TO HEALTHCARE INCLUDING MENTAL HEALTHCARE, B) MITIGATING THE EFFECTS OF OBESITY, HYPERTENSION AND DIABETES ON PREGNANCY, MATERNAL AND INFANT HEALTH OUTCOMES, AND C) CONNECTING WOMEN AND FAMILIES TO SUPPORTIVE SERVICES THAT REDUCE THE NEGATIVE IMPACTS OF SDOH. BABY-BEXAR WILL BE DEPLOYED AT UNIVERSITY HEALTH WOMEN’S HEALTH CLINICS THROUGHOUT BEXAR COUNTY WHICH ANNUALLY SERVE OVER 5,000 EXPECTANT AND POSTPARTUM MOTHERS FROM BEXAR AND 27 SURROUNDING COUNTIES IN TEXAS PUBLIC HEALTH REGION 8. EVERY EXPECTANT AND POST-PARTUM MOTHER SEEN AT A UNIVERSITY HEALTH CLINIC WILL BE SCREENED FOR CONNECTION TO PROGRAM SERVICES, WITH A FOCUS ON MOTHERS WHO ARE ETHNIC OR RACIAL MINORITIES, MOTHERS WHO ARE MEDICALLY HIGH-RISK DUE TO OBESITY, HYPERTENSION, OR DIABETES OR OTHER CONDITIONS, MOTHERS WITH DEPRESSION, AND MOTHERS WHO ARE UNINSURED OR MEDICAID BENEFICIARIES. EACH BABY-BEXAR MOTHER WILL BE ASSIGNED A COMMUNITY HEALTH WORKER WHO WILL PROVIDE EDUCATION AND INFORMATION, ENSURE MEDICAL CARE FOLLOW-UP, AND CONNECT THE MOM TO COMSS PARTNERS AS APPROPRIATE (EDUCATION INCLUDES A PREGNANCY COMPANION SMART-PHONE APP INTEGRATED WITH THE ELECTRONIC HEALTH RECORD SYSTEM THAT PROVIDES PATIENT EDUCATION DURING THE PRE-AND POST-NATAL PERIODS WITH SPECIAL MODULES FOR GESTATIONAL DIABETES, BLOOD PRESSURE, AND WEIGHT GAIN). BABY-BEXAR PARTICIPATING MOTHERS WILL HAVE ACCESS TO A PERINATAL NURSE WHO WILL EDUCATE THEM AND THEIR AND FAMILIES ABOUT SELF-CARE AND INFANT CARE, RESOLVE MEDICAL QUESTIONS, AND CONDUCT HOME VISITS AS NEEDED. MOTHERS WHO CHOOSE TO DO SO WILL BE MATCHED WITH A DOULA FOR PRENATAL, POSTPARTUM, LABOR AND DELIVERY SUPPORT, COURTESY OF THE PARTNERSHIP WITH CATHOLIC CHARITIES AND SAN ANTONIO BIRTH DOULAS. THOSE MOTHERS WHO SCREEN POSITIVE FOR DEPRESSION OR ANXIETY WILL RECEIVE MENTAL WELLNESS SUPPORT VIA THE PARTNERSHIP WITH FAMILY SERVICE. MOTHERS WHO SCREEN POSITIVE FOR OTHER SDOH WILL BE CONNECTED TO WRAP-AROUND SUPPORT SERVICES, INCLUDING SUPPORT FOR FAMILIES OF CHILDREN WITH A MEDICAL DIAGNOSIS THROUGH OUR PARTNERSHIP WITH ANY BABY CAN, AND OTHER WRAP-AROUND SDOH SUPPORT, SUCH TRANSPORTATION AND FOOD THROUGH COLLABORATION WITH FAMILY SERVICE, CATHOLIC CHARITIES AND ALAMO REGIONAL TRANSIT. INCENTIVES, SUCH AS DIAPERS AND OTHER HELPFUL ITEMS, WILL BE USED TO ENCOURAGE PATIENT ENGAGEMENT. UNIVERSITY HEALTH AND PARTNERS ARE EXCITED TO IMPLEMENT BABY-BEXAR AND ACHIEVE IMPROVED HEALTH OUTCOMES AND HEALTH EQUITY FOR THE FAMILIES, MOTHERS, AND BABIES OF SOUTH-CENTRAL TEXAS.

COSPLAY-COMPREHENSIVE SUICIDE PREVENTION BLUEPRINT FOR ADULTS AND YOUTH - UNIVERSITY HEALTH’S COSPLAY (COMPREHENSIVE SUICIDE PREVENTION BLUEPRINT FOR ADULTS AND YOUTH) PROGRAM WILL IMPLEMENT A COMPREHENSIVE PUBLIC HEALTH APPROACH TO PREVENTION WITH THE AIM TO REDUCE SUICIDE MORBIDITY AND MORTALITY AMONG YOUTH, AGES 10 – 24, ESPECIALLY IN SEXUAL AND GENDER IDENTITY MINORITIES. BY EMPLOYING COMMUNITY-BASED, HEALTHCARE-BASED, AND UPSTREAM PREVENTIONS, THE COSPLAY PROGRAM SEEKS TO ADDRESS HEALTH DISPARITIES AFFECTING YOUTH IN OUR COMMUNITY, WHO ARE DISPROPORTIONALLY AFFECTED BY SUICIDE. COSPLAY WILL FOCUS OF FACTORS THAT INFLUENCE SOCIAL DETERMINANTS OF HEALTH, REDUCE RISK FACTORS, AND INCREASE PROTECTIVE FACTORS FOR SUICIDE RISK. POPULATION: THE COSPLAY PROGRAM WILL SCREEN 50,000 YOUTH, AGES 10 TO 24, INCLUDING SEXUAL AND GENDER IDENTITY MINORITIES, WHO ARE AT-RISK FOR SUICIDE ACROSS 21 AMBULATORY CLINICS, INCLUDING THOSE BEING SEEN AT WOMEN AND CHILDREN’S CLINICS, IN FIVE REGIONAL AREAS. OF THOSE 50,000, IT IS ESTIMATED 6,000 WILL SCREEN POSITIVE FOR SUICIDALITY. INTERVENTIONS: YOUTH WHO SCREEN POSITIVE FOR SUICIDE RISK WILL PARTICIPATE IN A COMPREHENSIVE SUICIDE PREVENTION APPROACH BASED ON COMMUNITY AND HEALTHCARE-BASED INTERVENTIONS, AND UPSTREAM PREVENTION STRATEGIES. THIS APPROACH WILL BE GUIDED BY THE SHORT, MEDIUM, AND LONG-TERM GOALS OF THE PROJECT. THE COMMUNITY-BASED INTERVENTION THAT WILL BE EMPLOYED IS TO IDENTIFY AND SUPPORT PEOPLE AT-RISK BY IMPLEMENTING GATEKEEPER TRAININGS: QUESTION PERSUADE, AND REFER AND MENTAL HEALTH FIRST AID IN SCHOOLS AND SCHOOL-BASED UNIVERSITY HEALTH CLINICS. COSPLAY WILL ALSO LESSON HARMS AND PREVENTION FUTURE RISK BY COMMUNICATING SAFE MESSAGING. HEALTHCARE-BASED INTERVENTIONS INCLUDE EXPANDING THE CURRENT ZERO SUICIDE MODEL TO STRENGTHEN ACCESS AND DELIVERY OF CARE AT UNIVERSITY HEALTH FOR YOUTH, CREATING PROTECTIVE ENVIRONMENTS BY PROVIDING COUNSELING ON ACCESS TO LETHAL MEANS, AND CONDUCTING ACTIVE FOLLOW-UP APPROACHES TO SUPPORT YOUTH AT-RISK AND PREVENT REATTEMPTS. LASTLY , THE UPSTREAM PREVENTION STRATEGY THAT WILL BE USED BY COSPLAY WILL BE TO TEACH YOUTH COPING AND PROBLEM-SOLVING SKILLS BY EMPLOYING SOCIAL-EMOTIONAL LEARNING PROGRAMS SUCH AS YOUTH AWARE MENTAL HEALTH PROGRAM (YAMH). GOALS AND OBJECTIVES: THE PRIMARY GOAL OF COSPLAY IS TO REDUCE SUICIDE ATTEMPTS (MORBIDITY) AND DEATHS (MORTALITY) IN YOUTH PARTICIPATING IN COSPLAY. SHORT-TERM GOALS: (1) INCREASE COSPLAY’S UTILIZATION OF STRATEGIES FROM THE TECHNICAL PACKAGE TO ADDRESS RISK AND PROTECTIVE FACTORS AMONG YOUTH; AND (2) INCREASE COSPLAY’S USE OF INDICATORS AND METRICS TO TRACK IMPACT OF STRATEGIES IN YOUTH. MEDIUM-TERM GOALS: (1) DECREASE RISK FACTORS AND (2) INCREASE PROTECTIVE FACTORS AMONG YOUTH. LONG-TERM GOAL: 10% REDUCTION IN SUICIDE MORBIDITY AND MORTALITY IN YOUTH, AGES 10 – 24 YEARS OLD.

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM

OPIOID TREATMENT AND RECOVERY SERVICES (OTRS) - UNIVERSITY HEALTH (UH) OPIOID TREATMENT AND RECOVERY SERVICES (OTRS) PROJECT WILL EXPAND ACCESS TO MEDICATION FOR OPIOID USE DISORDER (MOUD) FOR 400 ADULTS WITH AN OPIOID USE DISORDER (OUD) OR CO-OCCURRING OUD/MENTAL HEALTH DISORDER (COD), ACROSS TEXAS PUBLIC HEALTH DISTRICT REGION 8 (R-8). OTRS AIMS TO REDUCE OVERALL OPIOID USE, DEPENDENCE, AND DEATHS BY PROVIDING MOUD IN COMBINATION WITH COMPREHENSIVE SERVICES INCLUDING OUTPATIENT COUNSELING, PEER RECOVERY SUPPORT SERVICES (PRSS), AND BRIEF STRENGTH-STRENGTH BASED CASE MANAGEMENT (BSBCM). POPULATION: WITH A FOCUS ON R-8 RESIDENTS, OTRS WILL SERVE 400 RACIAL/ETHNIC MINORITY ADULTS, AGES 18 AND OLDER, WHO HAVE AN OUD, OR COD AND ARE LIVING IN ONE OF 28 COUNTIES WITHIN R-8. UNDUPLICATED CLIENTS SERVED PER YEAR IS AS FOLLOWS: 65 YEAR 1; 90 YEAR 2; 90 YEAR 3; 80 YEAR 4; AND 75 YEAR 5. EVIDENCE-BASED OPIOID USE SCREENING AND REFERRALS WILL BE ACCEPTED FROM DIVERSE COMMUNITY SECTORS, INCLUDING 12 UH PRIMARY CARE CLINICS, AIDS SERVICE ORGANIZATIONS (ASOS), RIVERCITY REHABILITATION CENTER (RCR), ROSETTA’S KEY (RK), AND BEXAR COUNTY FELONY DRUG COURT (FDC). INTERVENTIONS: PROSPECTIVE CLIENTS, WHO SCREEN POSITIVE ON THE TEXAS CHRISTIAN UNIVERSITY DRUG SCREENER 5 (TCU-DS-5) (ONLY THOSE WHO REPORT OPIOID USE) OR ON BOTH THE TCU-DS-5 AND PATIENT HEALTH QUESTIONNAIRE - 9 (PHQ-9) WILL BE REFERRED TO THE OTRS PROGRAM MANAGER, A LICENSED BEHAVIORAL HEALTH PROVIDER, FOR CLINICAL ASSESSMENT AND ENROLLMENT INTO OTRS. IN PARTNERSHIP WITH RCR, UNINSURED/UNDERINSURED OTRS CLIENTS WILL RECEIVE SIX MONTHS OF MOUD. IN PARTNERSHIP WITH RK, UNINSURED/UNDERINSURED OTRS CLIENTS WILL RECEIVE EITHER FIVE INDIVIDUAL OR TEN GROUP OUTPATIENT-COUNSELING SESSIONS ON AVERAGE. INTERNALLY, OTRS STAFF WILL PROVIDE AN AVERAGE OF THREE PRSS SESSIONS WITH ADDITIONAL SESSIONS AVAILABLE AS NEEDED. ADDITIONALLY, OTRS STAFF WILL PROVE BSBCM TO PARTICIPANTS AS NEEDED. BSBCM WILL ASSIST WITH REDUCING BARRIERS TO CARE INCLUDING BUT NOT LIMITED TO ENROLLMENT IN HEALTH INSURANCE, EMPLOYMENT, HOUSING, ETC. OTRS CLIENTS WILL RECEIVE MOUD FROM RCR, AND RURAL/UH PRACTITIONERS TRAINED BY THE TEXAS MEDICATION FOR OPIOID USE DISORDER TRAINING ORGANIZED BY UT HEALTH SAN ANTONIO, WHO HAVE OBTAINED APPLICABLE DATA WAIVER, AND COMPLY WITH TEXAS’ PRESCRIPTION DRUG MONITORING PROGRAM. OUTPATIENT COUNSELING, BSBCM, AND PRSS TELEHEALTH SERVICES WILL BE IMPLEMENTED WITH RURAL AND RESOURCES LIMITED COUNTIES TO IMPROVE ACCESS AND RETENTION IN MOUD. HARM REDUCTION SERVICES (E.G. HIV TESTING/TEST-KITS, AND SAFE-SEX KITS) WILL BE COORDINATED THROUGH COLLABORATION WITH ASOS AND TEXAS WEARS CONDOMS (TWC). DATA ON KEY OUTCOME MEASURES WILL BE COLLECTED AND ANALYZED TO REDUCE DISPARITIES IN ACCESS, SERVICE USE, AND OUTCOMES. CLIENTS WILL RECEIVE A $30 GIFT CARD FOR COMPLETING A SIX-MONTH FOLLOW-UP ASSESSMENT. GOALS AND OBJECTIVES: THE PRIMARY GOAL OF OTRS IS TO INCREASE ACCESS TO AND RETENTION IN MOUD TREATMENT AND RELATED RECOVERY SUPPORT SERVICES AND DECREASE OPIOID MISUSE AMONG DIVERSE RESIDENTS ACROSS R-8 (GOAL #1). IT IS EXPECTED THAT AT 6-MONTH FOLLOW-UP PARTICIPANTS WILL REPORT INCREASED ACCESS TO MOUD TREATMENT AND PRSS COMPARED TO BASELINE (OBJ 2.3). (GOAL #2). IT IS EXPECTED AT 6-MONTH FOLLOW-UP, PARTICIPANTS WILL REPORT DECREASED DAYS OF ILLICIT OPIOID DRUG USE AND OPIOID MISUSE, AND INCREASED ABSTINENCE COMPARED TO BASELINE (OBJ. 2.4).

COMMUNITY PROJECT GRANTS CONGRESSIONALLY DELEGATED

HUSTLE (HELPING UNDERREPRESENTED POPULATIONS WITH SUBSTANCE ABUSE TREATMENT & LINKAGE TO CARE) - HUSTLE WILL INCREASE ENGAGEMENT IN SUBSTANCE ABUSE TREATMENT, BEHAVIORAL HEALTH, AND HIV SERVICES FOR 400 ADULT RACIAL/ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE/CO-OCCURRING DISORDERS, INCLUDING GAY, BISEXUAL, NON-BINARY AND TRANSGENDERED INDIVIDUALS, IN BEXAR COUNTY, TEXAS WHO ARE AT RISK OR LIVING WITH HIV/AIDS THROUGH THE USE OF SCREENING, ASSESSMENT, BRIEF STRENGTH-BASED CASE MANAGEMENT (BSCM), RECOVERY SUPPORT SERVICES (RSS), AND WHOLE HEALTH ACTION MANAGEMENT (WHAM). POPULATION: HUSTLE WILL SERVE 400 ADULT RACIAL/ETHNIC INDIVIDUALS, WHO HAVE SUBSTANCE USE OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDER AND ARE LIVING WITH, OR AT RISK FOR HIV/AIDS AND RESIDE IN BEXAR COUNTY, TEXAS. FIFTY INDIVIDUALS WILL BE ENROLLED IN YR01, 100 IN YR02, 100 IN YR03, 100 IN YR04, AND 50 IN YR05. RECRUITMENT WILL TAKE PLACE THROUGH VARIED REFERRAL SOURCES. INTERVENTIONS: PROSPECTIVE CLIENTS WILL BE SCREENED FOR SUBSTANCE USE USING THE TEXAS CHRISTIAN UNIVERSITY DRUG SCREEN-5 (TCU-DS-5) AND MENTAL HEALTH USING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-3/9). IF AN INDIVIDUAL SCREENS POSITIVE, THEY WILL BE OFFERED THE OPPORTUNITY TO ENROLL IN HUSTLE AND GIVEN A COMPREHENSIVE INTAKE ASSESSMENT, UTILIZING THE GPRA TOOL, AND OTHER LOCAL MEASURES. AFTER INTAKE, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE A MULTICOMPONENT, CULTURALLY COMPETENT, AND TRAUMA-INFORMED SERVICES FROM UNIVERSITY HEALTH STAFF AND PARTNER ORGANIZATIONS, NAMELY ROSETTA’S KEY, LIFETIME RECOVERY, ALAMO CENTER EDUCATION AND TREATMENT, UNIVERSITY MEDICINE ASSOCIATES AND KIND CLINIC. THE INTEGRATED SERVICES INCLUDE, WHOLE HEALTH ACTION MANAGEMENT, BRIEF STRENGTH-BASED CASE MANAGEMENT, RECOVERY SUPPORT SERVICES, SUBSTANCE USE AND MENTAL HEALTH TREATMENT, AND HIV AND VIRAL HEPATITIS (B & C) TESTING AND LINKAGE TO CARE. CLIENTS WILL COMPLETE 6- AND 12-MONTH FOLLOW-UP ASSESSMENTS AND RECEIVE A $30 GIFT CARD FOR COMPLETING EACH FOLLOW-UP. GOALS AND OBJECTIVES: THE PRIMARY GOAL OF HUSTLE IS TO PREVENT/REDUCE THE USE OF SUBSTANCES AND/OR MAINTAIN ABSTINENCE AMONG HUSTLE PARTICIPANTS (GOAL #1). IT IS EXPECTED THAT AT 6- AND 12-MONTH FOLLOW-UP A SIGNIFICANTLY LOWER PROPORTION OF ADULTS WILL REPORT FEWER DAYS OF BINGE DRINKING AND ILLICIT DRUG USE AND INCREASED ABSTINENCE COMPARED TO BASELINE. BY 6- AND 12-MONTH FOLLOW-UP IT IS ALSO EXPECTED THAT CLIENTS WILL REPORT INCREASED ACCESS AND ENGAGEMENT IN HIV/SUD/COD CARE AND IMPROVED MENTAL HEALTH COMPARED TO BASELINE (GOAL #2).

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE PURPOSE OF THIS PROJECT IS TO CONSTRUCT A NEW, FREE-STANDING RURAL EMERGENCY DEPARTMENT (ED) IN RURAL FENTRESS COUNTY, TN. SPECIFICALLY, THIS CLINIC WILL: 1. PROVIDE HEALTHCARE SERVICES TO A RURAL, UNDERSERVED COUNTY IN EASTERN TENNESSEE. 2. PROVIDE RESIDENTS ACCESS TO EMERGENCY ROOM, SELECT IMAGING, AND PRIMARY CARE SERVICES SINCE THE CLOSURE OF THEIR ONLY HOSPITAL NEARLY TWO YEARS AGO. 3. PROVIDE RESIDENTS ACCESS TO MEDICAL SPECIALISTS, CURRENTLY UNAVAILABLE, VIA TELEMEDICINE CAPABILITIES. 4. REDUCE THE COST OF EMS SERVICES TO RESIDENTS, THE COUNTY, AND PATIENTS BY INCREASING ACCESS AND REDUCING COSTS. THE INITIATION OF A FREE-STANDING ED WILL PROVIDE LIFE-SAVING ACCESS TO RESIDENTS WHO MUST TRAVEL AT LEAST 45 MINUTES TO THE NEAREST HOSPITAL TO RECEIVE EMERGENCY ROOM TREATMENT. THIS STRAINS THE EMERGENCY MEDICAL SERVICES (EMS) PERSONNEL, AMBULANCES, ETC., AS WELL AS THE COUNTY FINANCIAL RESOURCES THAT IT TAKES TO PROVIDE ADDITIONAL CREWS TO TRANSPORT PATIENTS OUT OF THE COUNTY.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE PURPOSE OF THIS PROJECT IS TO RENOVATE THE EXISTING EMERGENCY DEPARTMENT (ED) ON UT MEDICAL’S MAIN CAMPUS IN KNOXVILLE. THE SPECIFIC SCOPE FOR WHICH $2,000,000 IS REQUESTED (OF A TOTAL $9,000,000 BUDGET) IS TO COVER THE ARCHITECTURAL/ENGINEERING COSTS AS WELL AS A PORTION OF THE CONSTRUCTION COSTS ASSOCIATED WITH A MAJOR ED RENOVATION. SPECIFICALLY, THIS PROJECT WILL: 1) EXPAND THE RESUSCITATIVE CAPABILITY OF THE ED AT UT TO DEAL WITH THE INCREASED NUMBER OF TRAUMA PATIENTS AS WELL AS PATIENTS WITH OTHER TIME-SENSITIVE DISEASES, SUCH AS STROKE AND ACUTE MYOCARDIAL INFARCTIONS. 2) IMPROVE THE AREA IN THE ED TO CARE FOR PATIENTS WITH MEDICAL AND PSYCHIATRIC ISSUES, WHICH HAVE ALSO INCREASED DURING THE PANDEMIC. 3) CREATE AN AREA TO BETTER DEAL WITH NOVEL INFECTIOUS DISEASES IN THE ED. 4) IMPROVE THE DECONTAMINATION CAPABILITIES OF THE ED.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - MINORITY HIV/AIDS FUND

CONNECTING KIDS TO COVERAGE HEALTHY KIDS 2022 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENT - THE CONNECTING KIDS TO COVERAGE (CKC) HEALTHY KIDS 2022 OUTREACH AND ENROLLMENT PROGRAM PROVIDES OPPORTUNITIES FOR CHILDREN AND PREGNANT INDIVIDUALS NOT ENROLLED, BUT ELIGIBLE FOR HEALTH CARE COVERAGE TO, ENROLL IN MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP). ASSISTANCE WITH ENROLLMENT WILL ALSO BE PROVIDED TO CHILDREN PREVIOUSLY ENROLLED TO RE-ENROLL IN MEDICAID/CHIP. UNIVERSITY HEALTH PROVIDES CARE TO RESIDENTS OF BEXAR COUNTY REGARDLESS OF SOCIOECONOMIC STATUS. OUR GOAL FOR THE PROJECT INCLUDES PARTNERING WITH ORGANIZATIONS TO BRING AWARENESS AND INCREASE KNOWLEDGE OF MEDICAID, CHIP, AND OTHER HEALTH CARE INSURANCE OPTIONS; TO INCREASE ENROLLMENT OF ELIGIBLE CHILDREN AND PREGNANT INDIVIDUALS IN THESE HEALTH INSURANCE PROGRAMS, TO RETAIN CHILDREN IN MEDICAID OR CHIP BY PROVIDING MEDICAID/CHIP APPLICATION ASSISTANCE AND TO PROVIDE ENROLLMENT MESSAGING YEAR ROUND. THROUGH OUR PREVIOUS CKC PROGRAM IMPLEMENTATION, WE GAINED INVALUABLE EXPERIENCE, AND LOOK TO EXPAND TO COUNTIES IMMEDIATELY SURROUNDING BEXAR COUNTY. WE WILL ALSO CONTINUE TO UTILIZE THE VIRTUAL OPTIONS THAT WERE DEVELOPED DURING PANDEMIC PEAKS, AND MAINTAIN OUR SUCCESSFUL COLLABORATIONS WITH SCHOOL DISTRICTS, COMMUNITY ORGANIZATIONS AND THE SAN ANTONIO FOOD BANK, TO REACH AND ENROLL FAMILIES. OVERALL, PROJECT GOALS ARE TO REACH, EDUCATE, ENROLL, AND RE-ENROLL CHILDREN AND PREGNANT INDIVIDUALS OF BEXAR COUNTY AND IMMEDIATE SURROUNDING COUNTIES IN MEDICAID, CHIP, OR OTHER HEALTH CARE COVERAGE THEY MAY QUALIFY FOR. THE TOTAL BUDGET TO IMPLEMENT THIS PROJECT IS $1,500,000. THERE ARE NO CLINICAL PARTICIPANTS INVOLVED IN THIS PROJECT. WE WILL USE GRANT FUNDS TO ORGANIZE HEALTH FAIRS, OPEN HOUSES, COORDINATE INFORMATIONAL SESSIONS, ORGANIZE ENROLLMENT FAIRS, PROVIDE OUTREACH EVENTS, AND CONDUCT WORKSHOPS IN PERSON OR VIRTUALLY, TO PROMOTE THE PROGRAM. FUNDS WILL BE USED FOR STAFFING AND STAFF-APPROPRIATE TRAINING TO ENSURE STAFF PROVIDE SUITABLE SERVICES. THE FUNDS WILL ALS O BE USED TO PROMOTE ACTIVITIES THROUGH SOCIAL MARKETING, DIGITAL AND MEDIA OUTLETS, AND PURCHASING MALL KIOSK ADS.

HEALTH CARE AND OTHER FACILITIES

CONNECTING KIDS TO COVERAGE 2019 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENT (UHS)

STRONGARM (ADDICTION RECOVERY FOR MEN)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

SOUTH TEXAS OVERDOSE PREVENTION PROGRAM (STOP) - HARM REDUCTION OPPORTUNITY: PROJECT STOP (SOUTH TEXAS OVERDOSE PREVENTION) AS PART OF THE TRAUMA-INFORMED CONTINUUM OF CARE, UNIVERSITY HEALTH’S SOUTH TEXAS OPIOID PREVENTION (STOP) PROJECT WILL ENHANCE AND EXPAND OVERDOSE PREVENTION AND OTHER HARM REDUCTION SERVICES AND ACTIVITIES FOR MINORITY INDIVIDUALS WITH, OR AT RISK OF DEVELOPING SUBSTANCE USE DISORDERS (SUD). USING AN ONLINE PLATFORM INCREASE REACH AND ACCESS TO UNDERSERVED POPULATIONS, STOP STAFF WILL IMPLEMENT EVIDENCE-BASED PRACTICES TO SCREEN, PROVIDE BRIEF SUD EDUCATION/INTERVENTION, DISTRIBUTE HARM REDUCTION SUPPLIES (E.G. NALOXONE KITS, HIV TEST KITS, SAFER SEX KITS, ETC.), AND REFERRAL TO TREATMENT. POPULATION: 5000 (1000 Y1; 2000 Y2; 2000 Y3) RACIAL/ETHNIC MINORITY ADULTS (AGES 18+) AT RISK FOR OR WITH SUBSTANCE USE DISORDERS (SUD) LIVING IN SOUTH TEXAS REGION 8, WITH SPECIAL FOCUS ON INDIVIDUALS FROM RURAL OR LGBTQ+ COMMUNITIES. INTERVENTION: GUIDED BY THE HARM REDUCTION TA CENTER AND ADVISORY COUNCIL, THE SOUTH TEXAS OPIOID PREVENTION (STOP) PROJECT WILL IMPLEMENT OUTREACH, EDUCATION, AND DISTRIBUTION OF HARM REDUCTION SUPPLIES THROUGH THE STOP WEBSITE. INDIVIDUALS AT RISK FOR OR LIVING WITH SUD WILL ALSO BE IDENTIFIED THROUGH UNIVERSITY HEALTH’S NETWORK OF PRIMARY/URGENT CARE CLINICS AS WELL AS OTHER COMMUNITY PROVIDERS. PEER SUPPORT WORKERS/NAVIGATORS WILL CONDUCT TRAUMA-INFORMED SCREENING USING THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) MODEL, PROVIDE BRIEF EDUCATION/INTERVENTION, AND MAIL HARM REDUCTION SUPPLIES. STOP STAFF WILL PROVIDE LINKAGES AND REFERRALS TO SUD/HIV/VIRAL HEPATITIS (VH) TREATMENT AND OTHER VACCINATION AND SUPPORT SERVICES. WORKING COLLABORATIVELY AND STRATEGICALLY WITH THE PARTNERING ORGANIZATIONS (E.G. SAN ANTONIO AIDS FOUNDATION, ALAMO CENTER EDUCATION+TREATMENT, ETC.) AND OTHER COMMUNITY STAKEHOLDERS (E.G. BEXAR AREA HARM REDUCTION COALITION, TEXAS DEPARTMENT OF STATE HEALTH SERVICES-REGION 8 HIV/AIDS PROGRAM, ETC.), STOP WILL MOBILIZE ACCESS TO RESOURCES (VIA WEBSITE) AND INCREASE/IMPROVE SA/HIV/VH PREVENTION RESOURCES. GOALS: 1) INCREASE REFERRALS AND LINKAGES TO HARM REDUCTION SUPPORT SERVICES; 2) INCREASE DISTRIBUTION AND ACCESS TO HARM REDUCTION SUPPLIES (I.E. HIV TEST KITS, SAFER SEX KITS, WOUND CARE KITS, ETC.); AND 3) EXPAND AND ENHANCE EVIDENCE-BASED SERVICES FOR UNDERSERVED, MINORITY ADULTS AT RISK OR WITH SUD.

BUILDING BRIDGES TO BETTER HEALTH - UNIVERSITY HEALTH SERVES A 28 COUNTY SERVICE REGION IN SOUTH TEXAS THAT INCLUDES BEXAR COUNTY, TEXAS. BEXAR COUNTY IS THE LARGEST POPULATION CENTER OF SOUTH TEXAS WITH A TOTAL POPULATION OF ALMOST 2 MILLION RESIDENTS AND INCLUDES THE SAN ANTONIO METROPOLITAN REGION (THE SEVENTH LARGEST IN THE U.S.). IN 2021, SAN ANTONIO WAS THE FOURTH LARGEST DESTINATION FOR AFGHAN EVACUEES DUE TO THE LARGE AFGHAN COMMUNITY ALREADY RESIDING IN THE CITY. SINCE THE MAJORITY OF NON-ENGLISH SPEAKING INDIVIDUALS IN BEXAR COUNTY SPEAK SPANISH, THIS COMMUNITY HAS BEEN OVERLOOKED AND HAS NOT HAD THE BENEFIT OF EASY ACCESS TO LANGUAGE SERVICES IN PASHTO. THIS IS THE CASE FOR SEVERAL LESS COMMONLY SPOKEN LANGUAGES IN BEXAR COUNTY INCLUDING ARABIC, SWAHILI, AND NUMEROUS ASIAN LANGUAGES. TO ACCOMMODATE THE ANTICIPATED GROWTH IN NEED OF ADDITIONAL SERVICES FOR LIMITED ENGLISH PROFICIENT (LEP) PATIENTS, BEXAR COUNTY HOSPITAL DISTRICT DBA UNIVERSITY HEALTH PROPOSES BUILDING BRIDGES TO BETTER HEALTH, A PROGRAM TO PROVIDE EQUITABLE ACCESS TO HEALTHCARE AMONG LEP POPULATIONS BY IMPLEMENTING A CERTIFIED MEDICAL INTERPRETER PROGRAM TO SERVE THIS GROWING IMMIGRANT COMMUNITY. BUILDING BRIDGES TO BETTER HEALTH CONSISTS OF A COMMUNITY AWARENESS CAMPAIGN TO INCREASE LOCAL KNOWLEDGE OF MEDICAL INTERPRETATION CAREERS IN POPULATIONS WITH A HIGH PROPORTION OF LEP INDIVIDUALS AND AN EXPANSION OF UNIVERSITY HEALTH’S LANGUAGE SERVICES TO UNDERSERVED LEP POPULATIONS. THE AWARENESS CAMPAIGN WILL LEVERAGE EXISTING RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS WHO ARE ALREADY EMBEDDED WITHIN THESE POPULATIONS TO BROADEN ITS REACH AND PENETRATION. SIMULTANEOUSLY, UNIVERSITY HEALTH WILL OPEN FOUR FULL-TIME, NON-SPANISH MEDICAL INTERPRETER POSITIONS AND UTILIZE THE AWARENESS CAMPAIGN TO RECRUIT HIGHLY QUALIFIED CANDIDATES. THE MEDICAL INTERPRETER RECRUITS WILL BE REQUIRED TO COMPLETE A 40 TO 60-HOUR MEDICAL INTERPRETATION TRAINING COURSE AND RECEIVE A MEDICAL INTERPRETER CERTIFICATION FROM THE CERTIFICATION COMMISSION FOR HEALTHCARE INTERPRETERS (CCHI) WHICH IS ACCREDITED BY THE NATIONAL COMMISSION FOR CERTIFYING AGENCIES (NCCA). THIS WILL BE FOLLOWED BY ORIENTATION AND TRAINING IN UNIVERSITY HEALTH’S PROCESSES AND POLICIES. THE TEAM WILL BE DEPLOYED TO THE AREAS OF GREATEST NEED BASED ON AN INTERNAL SURVEY OF UNIVERSITY HEALTH’S HOSPITAL AND 26 OUTPATIENT CLINICS, WHERE 1) CULTURAL SENSITIVITY MAY REQUIRE AN INTERPRETER OF A PARTICULAR GENDER (E.G. OB-GYN VISITS), 2) THERE ARE HIGH RATES OF AD-HOC INTERPRETERS OR NO INTERPRETER PRESENT FOR LEP INDIVIDUALS, 3) THE CURRENT AVAILABLE MODES OF INTERPRETATION ARE INADEQUATE FOR THE KIND OF MEDICAL VISIT OR PROCEDURE BEING PERFORMED. THREE INTERPRETERS WILL BE ASSIGNED TO A CENTRALIZED LOCATION TO PROVIDE VIDEO AND PHONE INTERPRETATION AND ONE INTERPRETER WILL BE ASSIGNED TO PROVIDE LIVE INTERPRETATION SERVICES ON A ROTATING BASIS AT A CLINICAL SITE. THE LIVE INTERPRETER WILL BE SCHEDULED TO A UNIVERSITY HEALTH CAMPUS FOR THE DAY BASED ON THE INTERNAL SURVEY ABOVE, THE DAILY SCHEDULE OF LEP INDIVIDUALS, AND INTERPRETATION REQUESTS. THE LIVE INTERPRETER WILL ALSO SERVE AS THE ON-CALL INTERPRETER FOR THE ASSIGNED CAMPUS IN THE CASE OF EMERGENCIES OR WALK-INS. BASELINE DATA ON THE USE OF INTERPRETERS AND MODE OF INTERPRETATION FOR THE TARGETED LEP POPULATIONS WILL BE GATHERED TO DETERMINE THE QUANTITATIVE INCREASE IN LANGUAGE SERVICES PERFORMED. ADDITIONALLY, A SURVEY WILL BE SENT TO CLINIC MANAGERS AND PROVIDERS TO ASCERTAIN THE QUALITATIVE EFFECTIVENESS OF THE PROGRAM INCLUDING EASE OF SCHEDULING, PERFORMANCE OF VIDEO INTERPRETATION, AND PERFORMANCE OF LIVE INTERPRETATION. FEEDBACK ON IMPROVEMENTS TO THE BUILDING BRIDGES TO BETTER HEALTH PROGRAM WILL BE SOLICITED AND THE PROGRAM WILL BE RE-EVALUATED BASED ON THIS DATA. IMPROVEMENTS THAT COME TO LIGHT IN THESE PROCESSES WILL BE IMPLEMENTED IN THE THIRD YEAR WITH THE GOAL OF INCREASING LIVE INTERPRETATION BY 20% OVER THE SECOND YEAR OF THE PROGRA

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

TELEMEDICINE GRANT

SMASH (SUBSTANCE MISUSE AWARENESS AND SEXUAL HEALTH) - SUMMARY: SUBSTANCE MISUSE AWARENESS AND SEXUAL HEALTH (SMASH) WILL UTILIZE A NAVIGATION APPROACH TO PROVIDE COMPREHENSIVE AND CULTURALLY APPROPRIATE SERVICES FOR 350 RACIAL/ETHNIC MINORITY MEN IN BEXAR COUNTY, TEXAS WHO ARE AT RISK FOR SUBSTANCE MISUSE, HIV/AIDS, AND HEPATITIS. CENTRALIZED IN UNIVERSITY HEALTH’S OUTPATIENT PRIMARY CARE CLINIC, SMASH WILL IMPLEMENT AN ARRAY OF EVIDENCE-BASED PREVENTION SERVICES (E.G. SBIRT, WHAM) TO EFFECTIVELY ADDRESS THE NEEDS OF AT-RISK RACIAL/ETHNICITY MEN. POPULATION: SMASH WILL SERVE 350 (50 Y1, 75 Y2, 75 Y3, 75 Y4, 75 Y5) PREDOMINATELY HISPANIC AND BLACK MINORITY MEN, AGES 18 YEARS AND OLDER, ESPECIALLY MALES AT RISK FOR HIV/AIDS, MALES WHO HAVE SEX WITH OTHER MALES (MSM), AND INDIVIDUALS WITH UNSTABLE HOUSING, AND RESIDE IN BEXAR COUNTY, TEXAS. CLIENTS WILL BE RECRUITED FROM UNIVERSITY HEALTH’S OUTPATIENT CLINIC AS WELL AS THROUGH COMMUNITY PARTNERS. INTERVENTIONS: SMASH PREVENTION SERVICES WILL BE IMPLEMENTED BY A PREVENTION NAVIGATOR WHO WILL PROVIDE OUTREACH, NAVIGATION, HIV/VH TESTING, EVIDENCE-BASED PREVENTION EDUCATION, AND REFERRALS FOR HOUSING SUPPORT SERVICES. SOCIAL MEDIA STRATEGIES, INCLUDING AWARENESS CAMPAIGNS, AND COMMUNITY OUTREACH WILL BE IMPLEMENTED TO RECRUIT, ENGAGE, FACILITATE BEHAVIOR CHANGE, AND REDUCE STIGMA. GOALS AND OBJECTIVES: GUIDED BY THE STRATEGIC PREVENTION FRAMEWORK (SPF) PROCESS, THE PURPOSE OF SMASH IS TO PREVENT SUBSTANCE MISUSE AND THE TRANSMISSION OF HIV AND HEPATITIS AMONG THE HIGH RISK POPULATION OF FOCUS. TO ACCOMPLISH THIS GOAL, SMASH WILL IMPLEMENT THREE PRIMARY OBJECTIVES: 1) PROVIDE CULTURALLY, GENDER, AND AGE-APPROPRIATE EVIDENCED-BASED HIV, VH AND SUBSTANCE MISUSE PREVENTION INTERVENTIONS TO A MINIMUM OF 350 MINORITY MALES INCLUDING MSMS (AGES 18+) IN BEXAR COUNTY OVER 5 YEARS; 2) IMPLEMENT SOCIAL MEDIA/OUTREACH STRATEGY TO CREATE AN IMPACTFUL AWARENESS CAMPAIGN THAT FACILITATES POSITIVE BEHAVIOR CHANGE (HEALTHIER DECISIONS), INCREASED UPTAKE OF TESTING, CONDOM USE, ETC. AND REDUCES STIGMA AMONG THE POPULATION OF FOCUS; 3) COLLABORATE WITH LOCAL COMMUNITY ORGANIZATIONS TO PROVIDE A CONTINUUM OF CARE SERVICES TO MEET THE NEEDS OF THE POPULATION OF FOCUS.

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

MUJERES CON CONFIANZA, WOMEN WITH CONFIDENCE, AN EVIDENCE-BASED PROGRAM TO IMPROVE WOMEN'S HEALTH - UNIVERSITY HEALTH SERVES A 28 COUNTY SERVICE REGION IN SOUTH TEXAS THAT INCLUDES BEXAR COUNTY, TEXAS. BEXAR COUNTY IS THE LARGEST POPULATION CENTER OF SOUTH TEXAS WITH A TOTAL POPULATION OF ALMOST 2 MILLION RESIDENTS AND INCLUDES THE SAN ANTONIO METROPOLITAN REGION (THE SEVENTH LARGEST IN THE U.S.). RESIDENTS IN THIS AREA ARE DISPROPORTIONATELY IMPACTED BY NUMEROUS HEALTH DISPARITIES INCLUDING POOR MATERNAL HEALTH, HIGH RATES OF PRETERM BIRTHS, AND HIGH RATES OF DELIVERIES BY CAESAREAN SECTION. TO ADDRESS THESE DISPARITIES AND IMPROVE AND ADVANCE MATERNAL HEALTH AND HEALTH EQUITY FOR WOMEN IN BEXAR COUNTY, TEXAS, BEXAR COUNTY HOSPITAL DISTRICT DBA UNIVERSITY HEALTH PROPOSES THE MUJERES CON CONFIANZA PROGRAM, AN EDUCATION-FOCUSED INTERVENTION DESIGNED TO IMPROVE DIAGNOSIS AND TREATMENT OF ENDOMETRIOSIS, POLYCYSTIC OVARY SYNDROME, AND FIBROIDS IN WOMEN OF CHILDBEARING AGE. MUJERES CON CONFIANZA CONSISTS OF BOTH PROVIDER AND PATIENT EDUCATION ON ENDOMETRIOSIS, PCOS, AND FIBROIDS. FOR THE PROVIDER EDUCATION COMPONENT, A CLINICAL CHAMPION WILL BE CHOSEN FOR EACH PARTICIPATING PROGRAM SITE. THE CLINICAL CHAMPIONS WILL USE SYSTEMATIC PRACTICE-BASED INTERVENTIONS TO EDUCATE HEALTH CARE PROVIDERS AND STAFF ABOUT 1) SCREENING AND TREATMENT GUIDELINES AND UPDATES, 2) BARRIERS TO ACCESSING SCREENING AND TREATMENT, 3) THE NEED TO INCREASE SCREENING, PARTICULARLY AMONG AT-RISK AND ETHNIC GROUPS, 4) REVIEW THE MOST RECENT USPSTF GUIDELINE RECOMMENDATIONS, AND 5) PROVIDE TREATMENT PROTOCOLS. PROVIDERS AND STAFF AT PARTICIPATING CLINICS WILL RECEIVE TAILORED EDUCATION FACILITATED BY MEMBERS OF THEIR TEAM ALONG WITH THE MEDICAL DIRECTOR AND ADMINISTRATIVE LEADERSHIP. IN-PERSON EDUCATION SESSIONS AND SELF-PACED MODULES ON UNIVERSITY HEALTH’S LEARNING CENTRAL WILL BE CREATED AND ASSIGNED, ANNUALLY, FOR COMPLETION TO CLINIC PROVIDERS AND STAFF. PHYSICAL EDUCATION MATERIALS WITH CONTENT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND NATIONAL INSTITUTES OF HEALTH (NIH) WILL BE USED TO INCREASE PROVIDER AND STAFF KNOWLEDGE PROMOTING POSITIVE CHANGE. THE MUJERES CON CONFIANZA PROGRAM CURRICULUM AND EDUCATIONAL RESOURCES FOR PATIENTS ON ENDOMETRIOSIS, PCOS AND FIBROIDS WILL BE DEVELOPED UTILIZING NIH AND CDC RESOURCES AND A REVIEW OF EVIDENCE BASED LITERATURE. THE CURRICULUM WILL CONSIST OF THREE EDUCATIONAL SESSIONS FOCUSED ON 1) AWARENESS OF ENDOMETRIOSIS, PCOS, AND FIBROIDS, 2) DIAGNOSIS AND TREATMENT OPTIONS FOR THESE CONDITIONS AND 3) PATIENT ACTIVATION/SELF-ADVOCACY. PATIENTS WILL RECEIVE EDUCATION FROM A BILINGUAL, CULTURALLY COMPETENT HEALTH EDUCATOR WHO IS FROM THE LOCAL COMMUNITY AND SHARES LIFE EXPERIENCES WITH THE TARGET POPULATION. THE CURRICULUM SESSIONS WILL BE COMPLETED IN ONE-ON-ONE AND GROUP SETTINGS BOTH IN PERSON AND VIRTUALLY, GIVING PATIENTS AN OPPORTUNITY TO SELECT THE MOST CONVENIENT OPTION AND WILL BE OFFERED ON A MONTHLY BASIS. PATIENTS WILL BE RECRUITED VIA EMAIL AND POSTAGE MAIL INVITATIONS AS WELL AS MAILING INSERTS IN THEIR MONTHLY BILL. THE PROGRAM’S HEALTH EDUCATOR WILL FOLLOW UP WITH PHONE CALLS TO ANSWER QUESTIONS, ENCOURAGE ENROLLMENT AND OBTAIN REGISTRATION INFORMATION. ONE SESSION WILL BE PRESENTED WEEKLY FOR A TOTAL OF THREE DIFFERENT CLASSES EACH MONTH. TO COMPLETE THE PROGRAM, THE PATIENT MUST COMPLETE ALL THREE SESSIONS AS WELL AS THE PRE AND POST SURVEYS. INCENTIVES WILL BE PROVIDED TO PATIENTS AT THE COMPLETION OF EACH PRE AND POST SURVEY. ADDITIONALLY, A PROGRAM HEALTH EDUCATOR WILL ATTEND COMMUNITY EVENTS AND ACTIVITIES TO REACH COMMUNITY MEMBERS WITH CULTURALLY SENSITIVE EDUCATIONAL RESOURCES ON ENDOMETRIOSIS, FIBROIDS AND PCOS.

RECOVERY OPPORTUNITIES AND REENTRY SERVICES PLUS (ROARS+)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

NEXT: NAVIGATE. ENGAGE. CONNECT. TEST

CKC CONNECTING KIDS TO HEALTH INSURANCE IN BEXAR COUNTY - UNIVERSITY HEALTH (SAN ANTONIO, TX) IS A NATIONALLY RECOGNIZED ACADEMIC HEALTH SYSTEM AND NETWORK OF MORE THAN TWO DOZEN PRIMARY CARE, SPECIALTY, PREVENTIVE AND SCHOOL-BASED HEALTH CENTERS. AS A LEVEL 1 TRAUMA CENTER AND LEADER IN OUR COMMUNITY, WE ARE DEDICATED TO SERVING OUR COMMUNITY AND MEETING THEIR NEEDS THROUGH A VARIETY OF OUTREACH AND EDUCATION PROGRAMS. OUR GOAL FOR THE CONNECTING KIDS TO COVERAGE (CKC) PROGRAM IS TO INCREASE ENROLLMENT OF ELIGIBLE CHILDREN AND PREGNANT WOMEN IN MEDICAID OR CHIP. WE WILL ACCOMPLISH THIS BY COLLABORATING WITH COMMUNITY ORGANIZATIONS AND SCHOOLS TO BRING AWARENESS AND INCREASE KNOWLEDGE OF MEDICAID, CHIP, AND OTHER HEALTH INSURANCE OPTIONS TO UNINSURED RESIDENTS. WE WILL CONTINUE OUR EFFORTS TO RETAIN CHILDREN IN MEDICAID OR CHIP BY PROVIDING MEDICAID/CHIP APPLICATION ASSISTANCE AND PROVIDING ENROLLMENT MESSAGING YEAR-ROUND. THROUGH OUR PREVIOUS CKC PROGRAM IMPLEMENTATION, WE GAINED INVALUABLE EXPERIENCE AND REGULARLY SURPASSED OUR ENROLLMENT GOALS. WE WILL CONTINUE TO SERVE BEXAR COUNTY AND THE COUNTIES IMMEDIATELY SURROUNDING BEXAR COUNTY. WE WILL ALSO CONTINUE TO UTILIZE THE VIRTUAL OPTIONS THAT WERE DEVELOPED DURING PANDEMIC PEAKS, AND MAINTAIN OUR SUCCESSFUL COLLABORATIONS WITH SCHOOL DISTRICTS, COMMUNITY ORGANIZATIONS AND THE SAN ANTONIO FOOD BANK, TO REACH AND ENROLL FAMILIES. OVERALL, PROJECT GOALS ARE TO REACH, EDUCATE, ENROLL, AND RETAIN CHILDREN AND PREGNANT WOMEN OF BEXAR COUNTY AND IMMEDIATE SURROUNDING COUNTIES IN MEDICAID, CHIP, OR OTHER HEALTH CARE COVERAGE. THE TOTAL BUDGET TO IMPLEMENT THIS PROJECT IS $3,000,000. WE WILL USE GRANT FUNDS FOR STAFFING AND APPROPRIATE TRAINING TO ENSURE STAFF PROVIDE EXCEPTIONAL APPLICATION ASSISTANCE. STAFF WILL ATTEND HEALTH FAIRS, OPEN HOUSES, AND COMMUNITY EVENTS; COORDINATE INFORMATIONAL SESSIONS AND ENROLLMENT FAIRS; PROVIDE OUTREACH AND CONDUCT WORKSHOPS IN PERSON OR VIRTUALLY, TO PROMOTE THE PROGRAM AND BE AVAILABLE TO EDUCATE FAMILIES ABOUT COVERAGE. STAFF WILL PROVIDE ENROLLMENT ASSISTANCE AND WORK CLOSELY WITH FAMILIES UNTIL THE APPLICATION RECEIVES FINAL RESOLUTION. THE FUNDS WILL ALSO BE USED TO PROMOTE ENROLLMENT ACTIVITIES THROUGH LOCAL MARKETING INCLUDING FLYERS, POSTERS AND EVENT ADS.

LUCHA (LINKING AND UNITING COMMUNITIES FOR HEALTHY ACTIONS)

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE TEMPLE UNIVERSITY HEALTH SYSTEM, INC. (TUHS) IS A PENNSYLVANIA NOT-FOR-PROFIT 501 (C) (3) CORPORATION WITH A MISSION OF PROVIDING ACCESS TO THE HIGHEST QUALITY HEALTH CARE IN BOTH THE COMMUNITY AND ACADEMIC SETTINGS. TUHS OWNS AND OPERATES TEMPLE UNIVERSITY HOSPITAL, A PRIVATE NOT-FOR-PROFIT HOSPITAL, WHICH OPERATES AT THREE CAMPUSES, INCLUDING ITS EPISCOPAL CAMPUS AT 100 EAST LEHIGH AVENUE IN PHILADELPHIA, PENNSYLVANIA. AT TEMPLE UNIVERSITY HOSPITAL’S EPISCOPAL CAMPUS, OVER 30% OF PATIENTS HAVE BOTH A SUBSTANCE USE DISORDER AND BEHAVIORAL HEALTH CONDITION; OVER 30% ARE HOMELESS; AND OVER 85% ARE UNEMPLOYED. EPISCOPAL HANDLES ABOUT 40,000 INPATIENT DAYS AND ABOUT 45,000 EMERGENCY VISITS ANNUALLY. TO IMPROVE DELIVERY OF CARE TO ITS COMMUNITY, TEMPLE UNIVERSITY HOSPITAL-EPISCOPAL CAMPUS IS EXPANDING AND MODERNIZING ITS INPATIENT AND OUTPATIENT CARE AREAS. THIS INCLUDES IMPROVEMENTS TO OUR EMERGENCY ROOM, WHICH WAS DESIGNED DECADES AGO TO ACCOMMODATE 25,000 PATIENTS ANNUALLY, TO ONE THAT CAN ACCOMMODATE OUR CURRENT VOLUME. THE FACILITY’S INTERIOR FOOTPRINT WILL INCREASE BY ABOUT 60%, ENABLING US TO ADD NEW REST AND SUPPORT FACILITIES FOR CLINICAL AND SUPPORT STAFF; RECONFIGURE AND EXPAND WAITING, TRIAGE AND REGISTRATION AREAS TO ENHANCE PATIENT EXPERIENCE, EXPAND THE NUMBER OF TREATMENT STATIONS FROM 14 TO 31. THESE RENOVATIONS, ALONG WITH THE PROCUREMENT OF MODERN MEDICAL EQUIPMENT AND UPGRADES TO INPATIENT UNITS, WILL ENABLE TEMPLE UNIVERSITY HOSPITAL’S EPISCOPAL CAMPUS TO PRESERVE AND ENHANCE ACCESS TO MUCH NEEDED BEHAVIORAL AND PHYSICAL HEALTH CARE AND EMERGENCY TREATMENT FOR ONE OF PENNSYLVANIA’S MOST VULNERABLE POPULATIONS. NEARLY 90% OF PATIENTS SERVED BY TEMPLE UNIVERSITY HOSPITAL’S EPISCOPAL CAMPUS ARE COVERED UNDER MEDICARE AND MEDICAID. THE EPISCOPAL CAMPUS ALSO SERVES AS THE MAIN CLINICAL TRAINING SITE FOR THE PSYCHIATRIC RESIDENCY PROGRAM OF TEMPLE UNIVERSITY MEDICAL SCHOOL, THE PSYCHIATRIC CLINICAL ROTATION FOR HUNDREDS OF ME DICAL, NURSING, SOCIAL WORK STUDENTS OF TEMPLE UNIVERSITY AND NUMEROUS OTHER AREA COLLEGES. TEMPLE UNIVERSITY HOSPITAL’S EPISCOPAL CAMPUS IS A CRITICAL PART OF THE COMMONWEALTH’S EFFORTS TO ADDRESS BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER. EPISCOPAL IS AN IMPORTANT COMPONENT OF PENNSYLVANIA’S COORDINATED MEDICATION ASSISTED TREATMENT (PACMAT) PROGRAM ALONG WITH TEMPLE’S DEPARTMENT OF FAMILY MEDICINE’S TEMPLE RECOVERY USING SCIENTIFIC TREATMENT (TRUST) CLINIC. THE TRUST CLINIC MENTORS LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, CITY DISTRICT HEALTH CENTERS AND OTHER COMMUNITY PROVIDERS ON MEDICATION ASSISTED TREATMENT AND CONNECT PATIENTS WITH SOCIAL SUPPORTS, EXPANDED CASE MANAGEMENT AND OTHER SERVICES. OUR EPISCOPAL CAMPUS IS ALSO AN IMPORTANT COMPONENT OF THE CITY OF PHILADELPHIA’S DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL DISABILITY SERVICES MISSION OF HELPING INDIVIDUALS AND FAMILIES LIVE HEALTHY, SELF-DETERMINED LIVES.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE HIV/AIDS PROGRAM PART A COVID-19 RESPONSE

COMMUNITY PROJECT GRANTS CONGRESSIONALLY DELEGATED

TELEMEDICINE GRANT

NATIONAL TRAINING AND TECHNICAL ASSISTANCE

COMMUNITY PROJECT GRANTS CONGRESSIONALLY DELEGATED

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE HIV/AIDS PROGRAM PART D WICY COVID-19 RESPONSE

MAINTAIN THE CADRE OF MEDICAL PROFESSIONALS WHO SERVE AND ADVISE THE NHTSA REGION 5 OFFICE AS ASBI CHAMPIONS.INCREASE THE NUMBER OF MEDICAL/N

PRECIOUS

UNIVERSITY HEALTH SYSTEM ZERO SUICIDE PROGRAM