Access Community Health Network

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ELIMINATING DISPARITIES IN PERINATAL HEALTH

ELIMINATING DISPARITIES IN PERINATAL HEALTH

EARLY INTERVENTION SERVICES

THE ACCESS RESEARCH HUB: COMMUNITY-BASED RESEARCH FACILITY TO PROMOTE TRANSLATI

CHICAGO SBIRT PROJECT

EARLY INTERVENTION SERVICES

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

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ACCESS MAT EXPANSION - ACCESS, AN FQHC, SERVES MORE THAN 175,000 LOW INCOME PATIENTS ANNUALLY IN THE CHICAGO REGION—AN AREA WITH SOME OF THE HIGHEST OPIOID-RELATED DEATH RATES IN THE NATION. THIS PROJECT WILL IMPROVE ACCESS TO TRAUMA-INFORMED MAT SERVICES THROUGH EXPANDED PARTNERSHIPS, THE ADDITION OF A 15TH SITE TO OUR PROGRAM, AND ENHANCED RECOVERY SERVICES. OVER FIVE YEARS WE PLAN TO INCREASE OUR MAT CAPACITY BY 26 PERCENT AND SERVE A TOTAL OF 1,988 UNIQUE PATIENTS. POPULATIONS TO BE SERVED: ACCESS WILL EXPAND AND STRENGTHEN OUR MAT PROGRAM MODEL FOR OUR LOW INCOME, PREDOMINATELY MINORITY PATIENTS IN THE CITY OF CHICAGO, SUBURBAN COOK COUNTY AND DUPAGE COUNTY. SOME COMMUNITIES IN THE TARGET AREA HAVE AN OPIOID-RELATED OVERDOSE DEATH RATE NEARLY FOUR TIMES THAT OF THE NATION OVERALL, WITH EVEN HIGHER RATES SEEN AMONG BLACK INDIVIDUALS AGED 45 TO 64 YEARS. THE COVID-19 PANDEMIC HAS FURTHER EXACERBATED THE OPIOID EPIDEMIC IN THE CHICAGO REGION. THERE WAS A 20 PERCENT INCREASE IN OPIOID-RELATED OVERDOSES IN 2020 BUT A DECREASE IN THE AVAILABILITY OF TREATMENT AND RECOVERY RESOURCES. THE COMMUNITIES IMPACTED ARE HIGHLY IMPOVERISHED WITH SIGNIFICANT HEALTH INEQUITIES AND HIGH RATES OF TRAUMA AND VIOLENCE. PROJECT GOALS: 1. ENSURE CONTINUED ACCESS TO MAT SERVICES DURING THE COVID-19 PANDEMIC; 2. EXPAND ACCESS TO MAT SERVICES IN THE HARDEST HIT COMMUNITIES; 3. LOWER THE RISK OF FENTANYL-RELATED OVERDOSES; 4. EXPAND PARTNERSHIPS TO ENSURE SEAMLESS TRANSITIONS OF CARE FROM INSTITUTIONAL SETTINGS SUCH AS HOSPITALS AND THE CRIMINAL JUSTICE SYSTEM; 5. ENSURE PATIENTS RECEIVE THE RIGHT LEVEL OF CARE AT THE RIGHT TIME AT ACCESS, INCLUDING ACTIVE TREATMENT, INTENSIVE OUTPATIENT PROGRAMS, AND RECOVERY SERVICES; 6. STRENGTHEN THE INFRASTRUCTURE OF THE PROGRAM AT ACCESS TO INCLUDE DEDICATED PROGRAM OVERSIGHT AND EVALUATION TO SUSTAIN HIGH QUALITY CARE. PROJECT STRATEGIES: THESE GOALS WILL BE ACHIEVED BY: (A) EXPANDING TELEHEALTH TO INCLUDE GROUP THERAPY AND INTRODUCE INJECTABLE BUPRENORPHINE; (B) OPENING A NEW MAT PROGRAM AT AN ACCESS HEALTH CENTER WHICH IS CO-LOCATED WITH A SAFETY NET HOSPITAL IN A COMMUNITY WITH ONE OF THE HIGHEST OPIOID-MORTALITY RATES IN THE NATION; (C) UPDATING PROVIDER EDUCATION ON OVERDOSE PREVENTION AND INCREASING THE AVAILABILITY OF NALTREXONE TO ALL ACCESS SITES; (D) EXPANDING PARTNERSHIPS WITH HOSPITAL SYSTEMS AND COMMUNITY PARTNERS; (E) INTEGRATING PEER RECOVERY SPECIALISTS, CHAPLAINCY, AND LEVEL TWO SERVICES INTO THE PROGRAM AND EXPANDING GROUP SERVICES TO SPECIAL POPULATIONS SUCH AS WOMEN; AND (F) HIRING A DEDICATED MANAGER AND EVALUATION STAFF. NUMBER OF PEOPLE TO BE SERVED: THE PROJECTED UNDUPLICATED NUMBER OF PATIENTS SERVED WILL BE: YEAR 1: 725; YEAR 2: 755; YEAR 3: 785; YEAR 4: 835; AND YEAR 5; 875—A TOTAL OF 1,988 PATIENTS OVER THE FIVE-YEAR PROJECT PERIOD, WHICH ASSUMES SOME PATIENTS WILL STAY IN THE PROGRAM FOR MORE THAN ONE YEAR. PATIENTS WILL RECEIVE PATIENT-CENTERED, TRAUMA-INFORMED, EVIDENCE-BASED INTERVENTIONS WITHIN THE PRIMARY CARE SETTING. USING A HARM REDUCTION APPROACH THAT ADDRESSES PATIENTS’ INDIVIDUAL CIRCUMSTANCES, WE WILL REDUCE OPIOID USE AND IMPROVE OVERALL HEALTH OUTCOMES.

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

CHICAGO STRONG START FOR MOTHERS AND NEWBORNS

WOMEN RETURNING HOME: SUBSTANCE ABUSE TREATMENT AND HIV/AIDS SERVICES

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

SBIRT AT ACCESS

SISTAS CONNECT

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

WESTSIDE WOMEN CONNECT

RYAN WHITE TITLE IV PROGRAM

CHICAGO PARENTING INITIATIVE

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

A TOOLKIT FOR PRIMARY CARE PRACTICES TO IMPROVE THE SAFETY OF TESTING PROCESSES

FY 2023 EXPANDING COVID-19 VACCINATION

WESTSIDE CONNECT

HEALTH CARE AND OTHER FACILITIES

COMPREHENSIVE HEALTH CARE FOR REENTRY POPULATIONS IN CHICAGO S UNDERSERVED COMMUNITIES

FY 2023 EARLY CHILDHOOD DEVELOPMENT

EARMARK

THE COMMUNITY BASED DOULA PROGRAM

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

ACCESS MENTAL HEALTH FOR METROPOLITAN CHICAGO

FY 2023 BRIDGE ACCESS PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

ACCESS - MENTAL HEALTH FOR BLOOMINGDALE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH CARE AND OTHER FACILITIES

ACCESS COMMUNITY HEALTH NETWORK'S PIN-A-SISTER CAMPAIGN

HEALTH CARE AND OTHER FACILITIES

ACCESS MEDICATION ASSISTED TREATMENT PROGRAM ? DUPAGE COUNTY ENHANCEMENT - ACCESS COMMUNITY HEALTH NETWORK (ACCESS) IS ENHANCING MEDICATED ASSISTED TREATMENT (MAT) SERVICES IN DUPAGE COUNTY TO MEET THE NEEDS OF LOW-INCOME, VULNERABLE INDIVIDUALS WITH OPIOID ADDICTION AND DEPENDENCY. THE ENHANCED SERVICES AND PROGRAM FUNDED THROUGH THIS REQUEST WILL SERVE ACCESS WEST CHICAGO FAMILY HEALTH CENTER IN WEST CHICAGO AND ACCESS MARTIN T. RUSSO FAMILY HEALTH CENTER IN BLOOMINGDALE, BOTH IN DUPAGE COUNTY. ENHANCEMENTS WILL INCLUDE (1) INCREASED PROGRAM STAFF TO SUPPORT PATIENTS AND COMMUNITY MEMBERS EXPERIENCING SUBSTANCE USE DISORDER, (2) AUDITS OF OPIOID PRESCRIPTIONS ACCOMPANIED BY PROVIDER EDUCATION, AND (3) PROMOTION OF MAT SERVICES IN THE DUPAGE COMMUNITY. OPIOID OVERDOSE AND MORTALITY RATES HAVE GROWN AT AN ALARMING PACE IN DUPAGE COUNTY OVER THE LAST DECADE. THE NUMBER OF DEATHS ATTRIBUTED TO OPIATE OVERDOSES IN DUPAGE COUNTY WAS CALLED A PUBLIC HEALTH EPIDEMIC IN 2013 BY THE DUPAGE COUNTY CORONER. IN 2016, THE NUMBER OF DEATHS IN DUPAGE DUE TO FENTANYL OVERDOSE INCREASED BY 100 PERCENT FROM 2015, AND DEATHS DUE TO A COMBINATION OF HEROIN AND FENTANYL INCREASED 370 PERCENT. THERE WERE 275 OPIOID-RELATED DEATHS IN DUPAGE COUNTY IN 20192. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), PRELIMINARY NATIONAL DATA FOR THE ONE-YEAR PERIOD ENDING IN NOVEMBER 2021 PREDICTS A 15.7 PERCENT INCREASE IN DRUG OVERDOSE DEATHS. ACCORDING TO THE 2018 REPORT THE OPIOID CRISIS IN ILLINOIS: DATA AND THE STATE’S RESPONSE, DUPAGE COUNTY WAS AMONG THE ILLINOIS COUNTIES WITH THE HIGHEST NUMBER OF OPIOID-RELATED EMERGENCY DEPARTMENT VISITS WITH 410, AS WELL AS THE HIGHEST NUMBER OF HOSPITALIZATIONS WITH 178. AT THESE SITES, OUR PATIENT POPULATION IS MAJORITY HISPANIC AND WHITE WITH 67 PERCENT OF PATIENTS IDENTIFYING AS HISPANIC AND 29 PERCENT IDENTIFYING AS WHITE IN 2021. OVER HALF OF PATIENTS SEEN AT THESE SITES USE MEDICAID FOR PAYMENT. ALL ACCESS SERVICES ARE AVAILABLE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. ACCESS SERVES APPROXIMATELY 695 UNIQUE PATIENTS ANNUALLY THROUGH ITS MAT PROGRAM USING AN INTEGRATED PRIMARY AND BEHAVIORAL HEALTHCARE MODEL. THIS FUNDING WILL SUPPORT GREATER ACCESS TO MAT SERVICES FOR MORE DUPAGE COUNTY COMMUNITY MEMBERS THROUGH INCREASED PROGRAM STAFF, LOCAL OUTREACH AND EDUCATION, AND MORE NUANCED PROVIDER PRESCRIBING TRACKING AND ASSOCIATED GUIDANCE. BECAUSE FEDERALLY QUALIFIED HEALTH CENTERS SUCH AS ACCESS CAN BILL MEDICAID FOR THE MEDICATIONS AND SUPPORTIVE SERVICES THAT ARE INTEGRAL TO A SUCCESSFUL MAT PROGRAM, THIS FUNDING WILL SUPPORT SERVICES FOR PATIENTS WHO ARE NOT MEDICAID-ELIGIBLE, OR SERVICES THAT ARE NOT MEDICAID-BILLABLE. OUR MODEL INCLUDES A DESTIGMATIZED ENVIRONMENT IN A MEDICAL HOME SETTING, CULTURAL AND LINGUISTIC COMPETENCY WITH COMMUNITY-BASED STAFF, ACCESS TO ALL INDIVIDUALS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY, AND INTEGRATED RISK REDUCTION AND EDUCATION TO PREVENT OVERDOSE.

ACCESS HEART HEALTHY PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

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

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

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE