Community Health Alliance

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

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT THE HEALTH RESOURCES AND SERVICES ADMINISTRATION STATES THAT HEALTH CENTERS ARE ONLY MEETING 27% OF THE ESTIMATED NEED FOR MENTAL HEALTH SERVICES AMONG THEIR PATIENTS, AND 6 PERCENT OF THE ESTIMATED NEED FOR SUD SERVICES. ALTHOUGH MENTAL HEALTH CONDITIONS COMPRISE HALF OF THE SIX MOST COMMON DIAGNOSIS AMONG PATIENTS, FEWER THAN 9 PERCENT ACCESSES MENTAL HEALTH SERVICES; AN ESTIMATED 17 PERCENT OF PATIENTS COULD BENEFIT FROM SUBSTANCE USE DISORDER SERVICES (SUD), FEWER THAN 1 PERCENT USED THEM. (HRSA, 2022. HEALTH CENTER DATA: HTTPS//DATA.HRSA.GOV/TOOLS/DATA-REPORTING/PROGRAM-DATA/NATIONAL.) COMMUNITY HEALTH ALLIANCE (CHA) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING HEALTH CARE SERVICES TO LOW-INCOME, UNINSURED, AND UNDERINSURED, AND RACIALLY AND ETHNICALLY DIVERSE, UNDERSERVED POPULATIONS, RESIDING IN WASHOE COUNTY (RENO AND SPARKS), NEVADA. SERVING 30,000 UNDUPLICATED PATIENTS ANNUALLY, IT IS CHA’S INTENT TO REQUEST FUNDING SUPPORT FROM THE HRSA BEHAVIORAL HEALTH SERVICE EXPANSION GRANT TO: 1) ESTABLISH A NEW SERVICE LINE FOR PROVIDING INTEGRATED MENTAL HEALTH AND SUD RELATED HEALTH SERVICES; 2) INCREASE THE NUMBER OF PATIENTS (UDS 2023) FROM 1212 TO 2000 UTILIZING MENTAL HEALTH SERVICES; 3) INCREASE THE NUMBER OF PATIENTS (UDS 2023) FROM 0 TO 700 UTILIZING SUD SERVICES, AND INCREASE NUMBER OF PATIENTS RECEIVING MOUD FROM 0 TO 200. NEVADA CONTINUES TO RANK LOWEST IN THE NATION FOR HEALTH INDICATORS AND FACES A NUMBER OF CHALLENGES RELATED TO MENTAL HEALTH AND SUD, INCLUDING: 1) 41% OF ADULTS REPORTED SYMPTOMS OF ANXIETY OR DEPRESSION AS AN IMPACT OF COVID-19; 164,000 ADULTS WERE UNABLE TO RECEIVE MENTAL HEALTH CARE, WITH 51% CITING COST AS A BARRIER; 2) 33,000 YOUTH AGED 12-17 HAVE DEPRESSION; 3) IN NEVADA, 109,000 ADULTS HAVE SERIOUS MENTAL ILLNESS; 4) THE PREVALENCE OF PAST-YEAR SUD WAS 9.5% OR 241,000 INDIVIDUALS; 5) THE PREVALENCE OF PAST-YEAR ALCOHOL USE DISORDER WAS 6.2% OR 157,000 INDIVIDUALS; 6) THE NUMBER OF OPIOID-RELATED DEATHS INCREASED FROM 1,023 (2022) TO 1411 (2023), A 37.93% INCREASE; 7) HEALTH OUTCOMES ARE INTERTWINED WITH LACK OF AFFORDABLE HOUSING, FOOD INSECURITY, AND A TOURISM/SERVICE INDUSTRY PAYING LESS THAN LIVING WAGES. TO SUPPORT A NEW SERVICE LINE, CHA WILL OFFER SERVICES AT ITS CENTER FOR COMPLEX CARE FACILITY LOCATED ADJACENT TO THE WELLS AVENUE HEALTH CENTER (RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AS A PATIENT CENTER MEDICAL HOME). THE PROGRAM WILL USE A MODEL OF INTEGRATED CARE, CONNECTING THE PATIENT AND MEDICAL TEAM, WITH THE INTENT OF PROVIDING HOLISTIC SUPPORT FOR THE PATIENT. BOTH HEALTH CENTER FACILITIES ARE IN A LOW-INCOME AREA WITH ACCESSIBLE LOCAL TRANSPORTATION SERVICES, ADA ACCESSIBLE FACILITIES, AND BILINGUAL STAFF, SERVING UNINSURED, UNDERINSURED, AND UNDERSERVED PATIENTS. USING AN INTEGRATED BEHAVIORAL HEALTH AND MEDICAL MODEL CHA WILL EXPAND THE ABILITY TO PROVIDE OPIATE USE DISORDER TREATMENT BY COLLABORATING WITH CLINICAL PHARMACY, MEDICAL PROVIDERS, AND DUALLY LICENSED MENTAL HEALTH THERAPISTS (CLINICAL PSYCHOLOGIST, LCSW, LMFT, PSYD WITH LADC). IT IS ANTICIPATED THAT THE ADDED STAFF WILL ALSO BE ABLE TO CONNECT AND COLLABORATE WITH EXISTING COMMUNITY ORGANIZATIONS SUCH AS THE NORTHERN NEVADA HARM REDUCTION ALLIANCE, JUVENILE REHABILITATION SERVICES, AND WASHOE COUNTY OPIATE ABATEMENT AND RECOVERY PROGRAMS. GIVEN THAT ALL OF THE REGION’S OPIATE USE TREATMENT PROGRAMS ARE COMPLETELY FULL, WITH PROLONGED WAIT TIMES AND LONG WAIT LISTS, CHA HEALTH CENTERS CAN SERVE AS AN ADDITIONAL ACCESS.

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CARE AND OTHER FACILITIES

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - COMMUNITY HEALTH ALLIANCE OF PASADENA (CHAPCARE) IS REQUESTING A PRIMARY CARE HIV PREVENTION GRANT FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO EXPAND ITS HIV PREVENTION SERVICES FOR AT-RISK AND IN-NEED COMMUNITY MEMBERS LOCATED IN THE WESTERN AND CENTRAL SAN GABRIEL VALLEY, CALIFORNIA. CHAPCARE IS AN URBAN 501 (C) (3) NON-PROFIT, FEDERALLY QUALIFIED HEALTH CENTER (FQHC). CHAPCARE WAS FORMED IN 1995 THROUGH THE GRASSROOTS COLLABORATION OF RESIDENTS, CIVIC LEADERS AND HEALTH PROFESSIONALS CONCERNED ABOUT THE LACK OF HEALTHCARE RESOURCES IN THE NORTHWEST REGION OF PASADENA. CHAPCARE LAUNCHED MEDICAL SERVICES IN 1998 AND DENTAL SERVICES IN 2001. THE AGENCY NOW OPERATES EIGHT HEALTH CENTERS AND PROVIDES OVER 64,000 PRIMARY HEALTHCARE VISITS ANNUALLY. WHILE CHAPCARE SERVES PATIENTS FROM THROUGHOUT LOS ANGELES COUNTY, ITS PRIMARY SERVICE AREA IS THE WESTERN AND CENTRAL SAN GABRIEL VALLEY. FOR THE PROPOSED PROJECT, THE PRIMARY SERVICE AREA IS THE CITIES OF PASADENA, SIERRA MADRE, MONROVIA, ARCADIA, THE UNINCORPORATED AREA OF ALTADENA, AND THE EL MONTE/SOUTH EL MONTE REGION; HOWEVER, SERVICES WILL BE AVAILABLE TO ALL COMMUNITY MEMBERS IN OUR SERVICE AREA. THE TARGET POPULATION IS LOW-INCOME, WITH MANY BEING UNINSURED. IN THE PROPOSED SERVICE AREA, THERE IS A SIGNIFICANT NEED FOR EXPANDED HIV PREVENTION SERVICES, AS WELL AS ADJUSTED SERVICES FOR POPULATIONS AFFECTED BY THE COVID-19 PANDEMIC. IN LOS ANGELES COUNTY (LAC), APPROXIMATELY 57,005 PERSONS AGED = 13 YEARS ARE LIVING WITH HIV, WITH AN ESTIMATED 5,100 (9%) OF THESE PERSONS HAVING NOT YET BEEN DIAGNOSED. THE POPULATIONS MOST IMPACTED BY THE HIV EPIDEMIC ARE LATINX MALES WHO REPRESENT 40% OF ALL PERSONS LIVING WITH DIAGNOSED HIV (PLWDH). LARGEST GAPS IN AWARENESS OF HIV-POSITIVE STATUS EXISTED FOR PERSONS AGED <35 YEARS AND PERSONS WHO INJECT DRUGS. IN 2020, THE COVID-19 PANDEMIC RESULTED IN REDUCED RECEIPT OF CARE, RETENTION IN CARE, AND VIRAL SUPPRESSION, FURTHERING HOSPITALIZATION RISK AND DEATH FOR INDIVIDUALS LIVING WITH HIV AND COINFECTED BY COVID-19. CHAPCARE’S PROPOSED PROJECT WILL HELP MEET THE CRITICAL NEED FOR HIV PREVENTION IN THE PROPOSED SERVICE AREA. CHAPCARE WILL EXPAND ITS CURRENT HIV PREVENTION PROGRAM VIA INCREASED TESTING EFFORTS AND LINKAGE TO CARE AMONG PATIENTS WITH A FIRST-EVER DIAGNOSIS. CHAPCARE ENSURES THAT 100% OF INDIVIDUALS AT HIGH RISK FOR HIV AND STIS WHO RECEIVE SERVICES WILL HAVE ACCESS TO PREP SERVICES. FOR CHAPCARE’S PROPOSED PCHP GRANT, CHAPCARE WILL TRACK AND ACHIEVE THE FOLLOWING ANNUAL PROGRESS DATA OF THE REQUIRED METRICS BY DECEMBER 31, 2023: PROVIDE 4,200 ADDITIONAL HIV TESTS ANNUALLY, INCREASE PREP PRESCRIPTION TO 140 PATIENTS ANNUALLY, AND CONTINUE TO PROVIDE 100% LINKAGE TO CARE WITHIN 30 DAYS OF A FIRST-EVER DIAGNOSIS.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM