Neighborhood Health Care Incorporated

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CONTROLLED NETWORK - PROJECT TITLE: FISCAL YEAR 2022 HEALTH CENTER CONTROLLED NETWORKS (HCCN) APPLICANT ORGANIZATION: NEIGHBORHOOD HEALTH CARE NETWORK ADDRESS: 153 CESAR CHAVEZ ST, ST. PAUL, MN 55107-2226 PROJECT DIRECTOR: MARY MAERTENS CONTACT PHONE NUMBER: (507) 829-5127 EMAIL ADDRESS: MMAERTENS@FUHN.ORG WEBSITE ADDRESS: WWW.FUHN.ORG GRANT PROGRAM FUNDS REQUESTED: $500,000 PARTICIPATING HEALTH CENTERS: 10 TOTAL; 9 FQHC, 1 FQHC LOOK- ALIKE CURRENT HCCN GRANT #: H2QCS30378 THE NEIGHBORHOOD HEALTH CARE NETWORK (NCHN) DBA FEDERALLY QUALIFIED HEALTH CENTER URBAN HEALTH NETWORK (FUHN) WAS FIRST AWARDED HCCN FUNDING IN 2016 UNDER GRANT #H2QCS30378. FUHN IS A COLLABORATIVE OF NINE FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND ONE FQHC LOOK-ALIKE. ALL TEN FUHN MEMBERS PROVIDE PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND ENABLING SERVICES, AND WORK CLOSELY WITH COMMUNITY PARTNERS SUCH AS COUNTY AGENCIES, COMMUNITY MENTAL HEALTH CENTERS, RACIAL AND ETHNIC COMMUNITY ORGANIZATIONS, AND SCHOOLS TO PROVIDE WRAP-AROUND SERVICES AND ADDRESS THEIR PATIENTS’ SOCIAL DETERMINANTS OF HEALTH. ALL OF THE PARTICIPATING HEALTH CENTERS (PHCS) ARE LOCATED IN THE MINNEAPOLIS/ST. PAUL TWIN CITIES METROPOLITAN AREA OF MINNESOTA. WITH SUPPORT UNDER FUNDING OPPORTUNITY NUMBER HRSA-22-009, FUHN WILL SUPPORT THE TEN PHCS IN LEVERAGING HEALTH INFORMATION TECHNOLOGY AND DATA TO DELIVER HIGH-QUALITY, CULTURALLY COMPETENT, EQUITABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE, WITH A FOCUS ON IMPROVEMENTS IN CLINICAL QUALITY, PATIENT-CENTERED-CARE, AND PROVIDER AND STAFF WELL-BEING. FUHN HAS CONFRONTED CHALLENGES IN THE PAST FEW YEARS DUE TO THE PANDEMIC, CIVIL STRIFE IN THE TWIN CITIES AREA, AND TURNOVER IN FUHN’S QUALITY IMPROVEMENT AND DATA ANALYTICS STAFF. IN THE NEXT THREE YEARS OF THE HCCN PROJECT, FUHN WILL ENGAGE IN A DIFFERENT APPROACH TO PROVIDING SERVICES TO PHCS, SECURING KEY TECHNICAL SKILLS AND CONSULTING FROM EXTERNAL SUBJECT EXPERTS. FUHN AND THE PHCS WILL RE-COMMIT TO THEIR SHARED VIS ION AS A COMMUNITY OF PROVIDERS WITH A COLLABORATIVE VISION FOR DELIVERING HIGH-QUALITY HEALTH CARE FOR UNDERSERVED POPULATIONS IN THE TWIN CITIES. THE HCCN CREATES AN AVENUE FOR THESE COMMITMENTS TO OCCUR AROUND IMPORTANT TOPICS SUCH AS PROVIDER WORKFLOW, INTEROPERABILITY, DATA COLLECTION AND ANALYSIS, AND USING DATA TO MAKE IMPORTANT CONTRIBUTIONS TO EQUITY AND SOCIAL JUSTICE. FUHN’S PROJECT DIRECTOR IS WELL-SUITED TO MANAGE RELATIONSHIPS WITH FUHN’S STRATEGIC PARTNERS, ENSURING HIGH-QUALITY WORK IS PRODUCED IN A TIMELY MANNER BY EACH PARTNER AND THAT EACH PHC TAKES OPTIMAL ADVANTAGE OF THESE INPUTS. FUHN HAS A STRONG AND ACTIVE BOARD AND ITS COMMITTEES AND WORK GROUPS COLLABORATE ON SHARED OBJECTIVES. FUHN AND ITS STRATEGIC PARTNERS WILL FULFILL THE TEN REQUIRED PROJECT OBJECTIVES IN THIS FUNDING OPPORTUNITY, HELPING THE PHCS EFFICIENTLY USE DIGITAL HEALTH TOOLS LIKE TELEHEALTH, PATIENT PORTALS, AND ELECTRONIC HEALTH RECORDS; SHARING RESOURCES AND PROVIDE TRAINING AND TECHNICAL ASSISTANCE; PERFORM DATA ANALYTICS TO SUPPORT QUALITY INITIATIVES; SUPPORTING HEALTH INFORMATION EXCHANGE AND INTEROPERABILITY BETWEEN PLATFORMS; AND FACILITATING COST-EFFECTIVE PROCUREMENT PROCESSES BY LEVERAGING ECONOMIES OF SCALE.

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER CONTROLLED NETWORKS

ARRA - CAPITAL IMPROVEMENT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - FOUNDED IN 1980, NEIGHBORHOOD HEALTH CARE INC., DBA NEIGHBORHOOD FAMILY PRACTICE (NFP), IS A NETWORK OF EIGHT COMMUNITY HEALTH CENTERS (CHC) PROVIDING INTEGRATED PRIMARY CARE TO CLEVELAND’S DIVERSE WEST SIDE NEIGHBORHOODS AND ADJACENT AREAS. NFP IS DEDICATED TO PARTNERING WITH THE COMMUNITY FOR EVERYONE’S BEST HEALTH, MAINTAINS A PHILOSOPHY OF SERVING THE FAMILY, ADDRESSES COMMUNITY NEED, AND DELIVERS HIGH-QUALITY AND AFFORDABLE HEALTH CARE TO PEOPLE OF ALL AGES, REGARDLESS OF ABILITY TO PAY. NFP’S SITES ARE STRATEGICALLY LOCATED IN MEDICALLY UNDERSERVED NEIGHBORHOODS TO INCREASE ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTH, MIDWIFERY, DENTAL, PHARMACY, AND ENABLING SERVICES FOR LOW-INCOME INDIVIDUALS AND FAMILIES. IN CY 2020, NFP PROVIDED CARE TO 21,686 UNDUPLICATED PATIENTS, AN INCREASE OF NEARLY 2% OVER THE 2020 FIGURE DESPITE THE ONSET OF THE COVID-19 PANDEMIC. LAST YEAR, 73% OF PATIENTS LIVED WITH ANNUAL HOUSEHOLD INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL. TO PROVIDE CARE TO PATIENTS WHEN COVID-19 RESTRICTED IN-CLINIC VISITS, NFP QUICKLY IMPLEMENTED TELEHEALTH IN MARCH 2020, AND OF THE 83,218 PATIENT VISITS REPORTED, 56% OCCURRED VIRTUALLY. NFP IS AN EXPERIENCED CHC WITH A STRONG HISTORY OF PROVIDING COMPREHENSIVE PRIMARY CARE SERVICES. NFP HAS FORMULATED A PLAN TO ESTABLISH A COMPREHENSIVE HIV PROGRAM WHICH OFFERS A FULL CONTINUUM OF SERVICES FOR HIV PREVENTION, LINKAGE TO CARE, AND MANAGEMENT BY 2024. SINCE SEPTEMBER 2019, NFP HAS ONBOARDED TWO EXPERIENCED BOARD-CERTIFIED FAMILY MEDICINE PHYSICIANS, ALSO AMERICAN ACADEMY OF HIV MEDICINE SPECIALISTS, AND IN MARCH 2020 LAUNCHED ITS INTEGRATED HIV PRIMARY CARE SERVICES TO MEET THE COMPLEX NEEDS OF PEOPLE LIVING WITH HIV(PLWH). AS A SUBRECIPIENT OF RYAN WHITE PART A FUNDING THROUGH THE CUYAHOGA COUNTY BOARD OF HEALTH, NFP HAS INCORPORATED CARE COORDINATION, MEDICAL CASE MANAGEMENT, EMERGENCY FINANCIAL ASSISTANCE FOR MEDICATIONS AND MEDICAL TRANSPORTATION IN ITS CARE DELIVERY MODEL. HIV PRE VENTION STRATEGIES ARE AN IMPORTANT EXPANSION OF NFP’S PRIMARY CARE MODEL AND INTEGRAL TO THE ESTABLISHMENT OF NFP’S COMPREHENSIVE HIV PROGRAM. NFP CURRENTLY OFFERS HIV TESTING AND PREP PRESCRIPTIONS. THESE SERVICES ARE NOT GRANT FUNDED AND THERE IS SIGNIFICANT ROOM FOR EXPANSION AND CONSISTENCY OF EFFORTS. THIS CALENDAR YEAR, THROUGH NOVEMBER 30, NFP HAS PROVIDED 2,110 PATIENTS WITH HIV TESTING WITH PATIENTS WHO TESTED POSITIVE LINKED TO CARE AT NFP WITHIN 30 DAYS. WHILE, NFP’S POSITIVITY RATE IS VERY LOW FOR THOSE TESTED, THE 44102 ZIP CODE BEING TARGETED HAD THE HIGHEST RATES OF PREVALENCE AND NEW HIV INFECTIONS REPORTED IN CUYAHOGA COUNTY IN 2018.. THE DATA INDICATES A NEED TO CONTINUE TO IMPROVE EFFORTS TO IDENTIFY INDIVIDUALS WITH UNDIAGNOSED HIV AND THOSE AT GREATEST RISK FOR HIV. COLLABORATIVE EFFORTS WITH COMMUNITY PARTNERS WILL ADVANCE THESE EFFORTS. FORTY-SIX PATIENTS HAVE BEEN PRESCRIBED PREP THIS CALENDAR YEAR. PCHP FUNDS WILL LEVERAGE AN EXPANSION OF HIV PREVENTION SERVICES INTO NFP’S PRIMARY CARE SETTING WITH EFFORTS INCLUDING HIV TESTING, PRESCRIBING OF PREP, AND FOSTERING EARLY DIAGNOSIS AND LINKAGE TO HIV CARE. ACTIVITIES WILL FOCUS ON CREATING NEW STAFF ROLES AND POSITIONS, IMPROVING INTERNAL WORKFLOWS TO INTEGRATE HIV PREVENTION ACTIVITIES MORE SEAMLESSLY INTO NFP’S CURRENT SERVICE LINES, AND CONDUCTING TRAININGS AND EDUCATION FOR PROVIDERS AND ALL STAFF. OTHER PCHP-FUNDED ACTIVITIES WILL ENHANCE OUTREACH AND EDUCATION EFFORTS WITHIN NFP’S SERVICE AREA TO CONNECT A LARGER NUMBER OF HIGH-RISK INDIVIDUALS TO HIV PREVENTION SERVICES AND ONGOING PRIMARY CARE. PCHP FUNDS WILL ALLOW NFP TO PURCHASE SUPPLIES SUCH AS RAPID HIV TESTS AS WELL AS TO INCREASE THE WORKFORCE CAPACITY NEEDED TO COORDINATE AND ADVANCE CULTURALLY AND LINGUISTICALLY SENSITIVE HIV PREVENTION EFFORTS WITHIN NFP’S CARE MODEL AND ITS ENGAGEMENT WITH THE BROADER SERVICE AREA.

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

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

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

CAPITAL DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FISCAL YEAR 2025 EXPANDED HOURS. - 4115 BRIDGE AVE, STE. 300, CLEVELAND, OH 44113-3304 PROJECT DIRECTOR: TERRANCE BYRNE, 216-340-7788, TBYRNE@NFPMEDCENTER.ORG, WWW.NFPMEDCENTER.ORG PROGRAM FUNDS REQUESTED: EXPANDED HOURS, $500,000 PER YEAR FOUNDED IN 1980, NEIGHBORHOOD HEALTH CARE INC., DBA NEIGHBORHOOD FAMILY PRACTICE (NFP,) IS A NETWORK OF SEVEN COMMUNITY HEALTH CENTERS (CHC) PROVIDING HIGH-VALUE, INTEGRATED HEALTH CARE TO MEDICALLY UNDERSERVED POPULATIONS LIVING IN PRIMARY CARE, MENTAL HEALTH AND DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS IN WEST SIDE CLEVELAND, OHIO, AND ADJACENT COMMUNITIES. NFP’S SERVICE AREA INCLUDES 17 ZIP CODE TRACK AREAS COMPRISING THE CITY OF CLEVELAND AND GREATER CUYAHOGA COUNTY, THE STATE’S SECOND MOST POPULOUS COUNTY. WHILE SITES ARE CONCENTRATED IN THE WEST SIDE OF CLEVELAND AND THE INNER-RING SUBURB OF LAKEWOOD, NFP DRAWS PATIENTS FROM ALL CLEVELAND WARDS AND CUYAHOGA COUNTY DISTRICTS. NFP HAS EXTENSIVE EXPERIENCE IN USING FEDERAL AND OTHER FUNDING SOURCES TO SUCCESSFULLY INCREASE ACCESS TO CARE THROUGH EXPANSION OF SERVICES AND THE ADDITION OF SITES TO MEET IDENTIFIED COMMUNITY NEEDS. NFP BECAME AN FQHC IN 2000 AND OPENED SIX CHC BETWEEN 2005-2019. IN 2005, MIDWIFERY SERVICES WERE ADDED IN RESPONSE TO HIGH MATERNAL AND INFANT MORTALITY RATES. SINCE 2010, NFP HAS BEEN THE PROVIDER OF HEALTH SCREENINGS FOR REFUGEES RESETTLED IN CUYAHOGA COUNTY. TO DATE, OVER 8,000 REFUGEES HAVE RECEIVED SCREENINGS WITH MANY ESTABLISHING ONGOING HEALTH CARE WITH NFP PROVIDERS. NFP INCORPORATED GROUP PRENATAL SESSIONS IN 2011 AND BECAME A LEADER IN THIS SPACE, HELPING OTHER ORGANIZATIONS BUILD OUT CENTERINGPREGNANCY PROGRAMS. IN 2017, DENTAL SERVICES LAUNCHED FOLLOWED BY THE OPENING OF OUR FIRST IN-HOUSE PHARMACY IN JANUARY 2019. IN RESPONSE TO THE HIGH HIV PREVALENCE IN NFP’S SERVICE AREA, INTEGRATED HIV PRIMARY CARE SERVICES BEGAN IN FALL OF 2019 AND EXPANDED WITH FUNDING FROM HRSA RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PART A (2020) AND PART C IN (2022). IN SEPTEMBER 2022, FUNDING FROM HRSA BPHC’S ENDING THE HIV EPIDEMIC PRIMARY CARE HIV PREVENTION ALLOWED NFP TO AMPLIFY HIV PREVENTION SERVICES. A SECOND IN-HOUSE PHARMACY OPENED AT PURITAS CHC IN 2021, WITH MEDICATION HOME DELIVERY SERVICES LATER THAT YEAR. IN 2022, NFP SUCCESSFULLY RELOCATED OUR NORTH COAST CHC TO A LARGER SITE IN LAKEWOOD AND SAW A 33% GROWTH IN PATIENT VOLUME AFTER ONE YEAR. SINCE 2018, NFP HAS EXPERIENCED A 17% GROWTH IN PATIENT VOLUME FROM 18,931 TO 22,140 IN 2023. INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH (BH), MIDWIFERY, DENTAL, HIV, AND PHARMACY SERVICES ARE PROVIDED TO PEOPLE OF ALL AGES, REGARDLESS OF ABILITY TO PAY. OUR DIVERSE PATIENT POPULATION INCLUDES 29% OF PATIENTS WHO SPEAK A PREFERRED LANGUAGE OTHER THAN ENGLISH, 24% HISPANIC, 18% BLACK, 46% WHITE, 11% ASIAN, 1% MORE THAN ONE RACE. LAST YEAR, 60% OF PATIENTS LIVED WITH ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL, 57% HAD MEDICAID, 11% MEDICARE, 25% COMMERCIAL INSURANCE AND 7% UNINSURED. EVER MINDFUL OF INCREASING HEALTH CARE ACCESS AND EQUITY, NFP’S STRATEGIC PLAN PRIORITIZES SUSTAINABLE GROWTH THROUGH EXPANSION OF SERVICES AND SITES TO MEET THE NEEDS OF OUR SERVICE AREA. HRSA’S EXPANDING HOURS FUNDING WILL SUPPORT AN INCREASE IN TOTAL HOURS OF OPERATION BY 19 HOURS/WEEK (1,824 HOURS) OVER THE PROJECT PERIOD AT TWO SITES: 11 HOURS/WEEK DURING YEAR 1 WITH AN ADDITIONAL 8 HOURS/WEEK IN YEAR 2. WEEKEND HOURS WILL BE ADDED AT NFP RIDGE CHC WITH AVAILABILITY OF PRIMARY CARE AND BH SERVICES. IN ADDITION, HOURS AT NFP JEFFERSON PARK CHC, A NEW SITE WHICH IS IN SCOPE AND SCHEDULED TO OPEN IN WINTER 2024, WILL BE EXPANDED TO INCLUDE WEEKEND AND EVENING HOURS FOR PRIMARY CARE, BH, AND DENTAL SERVICES. NFP ALSO PLANS TO INCREASE PHARMACY HOURS. EXPANSION OF HOURS WILL REMOVE COMMON BARRIERS TO CARE INCLUDING THE NEED FOR TRANSPORTATION, SCHEDULING CONFLICTS DUE TO WORK AND/OR SCHOOL, AND WILL ALSO ADDRESS THE NEED FOR AFTER-HOURS OUTPATIENT SERVICES TO DECREASE EMERGENCY DEPARTMENT UTILIZATION.

FY 2023 EXPANDING COVID-19 VACCINATION

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM