Tapestry 360 Health

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

OPTIMIZING VIRTUAL CARE

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - TAPESTRY 360 HEALTH (T360H)—H80CS00215—PROPOSES TO INCREASE THE NUMBER OF INDIVIDUALS RECEIVING MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDER (SUD) SERVICES BY ADDRESSING CURRENT GAPS IN CARE FOR PATIENTS AND EXPANDING OUTREACH IN THE COMMUNITY. T360H IS A CHICAGO-BASED COMMUNITY HEALTH CENTER THAT SERVED 28,384 PATIENTS IN CY2023. T360H OFFERS A FULL CONTINUUM OF TRAUMA-INFORMED AND CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE THROUGH AN INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH (BH) CARE MODEL. THE MODEL INCLUDES A WARM HAND OFF FROM PRIMARY CARE TO LICENSED BEHAVIORAL HEALTH CONSULTANTS (BHCS) TO ADDRESS MENTAL HEALTH, SUD, AND HEALTH RELATED SOCIAL NEEDS. BH SERVICES ENCOMPASS PSYCHIATRY, MENTAL HEALTH SCREENINGS, INDIVIDUAL AND GROUP COUNSELING, MEDICATED ASSISTED TREATMENT FOR OPIOID USE DISORDER (OUD), PEER SUPPORT, WELLNESS CLASSES, CARE COORDINATION AND CASE MANAGEMENT. THE MAJORITY OF T360H PATIENTS ARE PEOPLE OF COLOR, UNINSURED, MANY ARE REFUGEES AND IMMIGRANTS WITH LIMITED ENGLISH PROFICIENCY, AND 89% LIVE IN POVERTY. THESE DEMOGRAPHICS RESULT IN A HIGHER PREVALENCE OF MENTAL HEALTH ISSUES AND A GREATER NEED FOR A HIGHER LEVEL OF CARE AND SOCIAL SUPPORTS. PATIENTS AND RESIDENTS RESIDING IN THE T360H SERVICE AREA ARE TARGETED BY THIS INTERVENTION. THE HOMELESS POPULATION AND COMMUNITIES ON CHICAGO’S WEST SIDE ADJACENT TO THE T360H SERVICE ARE ALSO TARGETED GIVEN THE HIGH PREVALENCE OF SUDS AND OUDS IN THIS POPULATION AND GEOGRAPHY. THERE ARE TWENTY-ONE CONTIGUOUS ZIP CODES THAT MAKE UP THE T360H’S SERVICE AREA: 60053, 60076, 60077, 60202, 60613, 60614, 60618, 60625, 60626, 60630, 60639, 60640, 60641, 60645, 60647, 60651, 60657, 60659, 60660, 60712, AND 60714. THE WEST SIDE, WHOSE ZIP CODES—60612, 60623, 60624, 60644—ARE ADJACENT TO T360H’S SERVICE AREA, HAS AMONG THE HIGHEST OVERDOSES AND MORTALITY RATES IN CHICAGO. THERE IS ALSO A HIGH UNMET NEED FOR INDIVIDUALS EXPERIENCING PSYCHOLOGICAL DISTRESS. IN TWO-THIRDS OF TH E ZIP CODES THE NEED IS WORSE THAN THE AVERAGE FOR CHICAGO (74.3%) OVERALL. OTHER HEALTH INDICATORS AFFECTING THESE COMMUNITIES INCLUDE ADULT LONELINESS, BINGE DRINKING, ALCOHOL RELATED MORTALITY, PHYSICAL INACTIVITY, FRUIT AND VEGETABLES CONSUMPTION, EDUCATION LEVEL, POVERTY, AND LIMITED ENGLISH-SPEAKING POPULATION. CARE COORDINATION AND CASE MANAGEMENT HAS BEEN IDENTIFIED AS A SIGNIFICANT GAP AT T360H. BHCS CURRENTLY PROVIDE BOTH MENTAL HEALTH COUNSELING AND CARE COORDINATION/CASE MANAGEMENT. GIVEN THE DEMAND FOR COUNSELING, BHCS HAVE LIMITED AVAILABILITY TO PROVIDE CARE COORDINATION AND CASE MANAGEMENT CAUSING A GAP IN SUPPORT FOR PATIENTS TO OBTAIN NEEDED FOLLOW-UP CARE AND SUPPORTS. T360H PROPOSES TO CREATE A NEW BEHAVIORAL HEALTH CARE COORDINATION AND CASE MANAGEMENT ROLE TO IMPROVE PATIENT CARE AND INCREASE ACCESS. THIS WILL ALLOW THE BHCS TO FOCUS ON COUNSELING AND TO SEE NEW COUNSELING PATIENTS, AND BETTER HELPING PATIENTS ACCESS SPECIALTY CARE, HIGHER-LEVELS OF CARE, AND HEALTH-RELATED SOCIAL NEEDS. T360H WILL PARTNER WITH LOCAL COMMUNITY GROUPS TO PROMOTE COMMUNITY AWARENESS OF T360HS BH SERVICES AND INCREASE ACCESS TO CARE BY CREATING REFERRAL ARRANGEMENTS AND ENGAGING THEIR CLIENTS IN GROUP CLASSES AND PROGRAMMING. T360H WILL ALSO PARTNER WITH STREET SAMARITANS, A NON-PROFIT FOCUSED ON STREET OUTREACH AND ACCESS TO CARE AND SUPPORTS FOR THE HOMELESS POPULATION, TO INCREASE THE NUMBER OF INDIVIDUALS WITH SUDS AND OUDS RECEIVING TREATMENT AND SERVICES FROM T360H. FUNDS WILL BE USED TO SUPPORT TWO BH CASE MANAGERS, ONE BH CONSULTANT, INSTRUCTORS FOR GROUP CLASSES, TWO STAFF DEDICATED TO STREET OUTREACH TO THE HOMELESS, A PEER RECOVERY SPECIALIST, AND TO SUPPORT SALARIES OF EXISTING TEAM MEMBERS TO CARRY OUT THE OBJECTIVES OF THE PLAN.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ACCELERATING CANCER SCREENING - HEARTLAND INTERNATIONAL HEALTH CENTERS—DBA AS HEARTLAND HEALTH CENTERS (HHC) —IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH EIGHTEEN LOCATIONS, INCLUDING SEVEN COMMUNITY HEALTH CENTERS, SEVEN SCHOOL-BASED HEALTH CENTERS, AND FOUR INTEGRATED CARE CENTERS SERVING CHICAGO’S NORTH SIDE AND NEARBY SUBURBS. HHC’S MISSION IS TO IMPROVE THE WELL-BEING OF THE COMMUNITIES IT SERVES BY PROVIDING ACCESSIBLE, HIGH-QUALITY HEALTHCARE. AMONG HHC’S 27,000 REGISTERED PATIENTS, THE MAJORITY ARE LOW-INCOME, WITH 89% OF PATIENTS FALLING BELOW 100% OF FEDERAL POVERTY LEVEL. TWENTY-SIX PERCENT (26%) ARE UNINSURED, AND 52% ARE MEDICAID INSURED. DEMOGRAPHICALLY, HHC PATIENTS ARE: 44% HISPANIC/LATINX, 22% BLACK/AFRICAN AMERICAN; 16% WHITE; 7% ASIAN; AND WITH 10% NOT IDENTIFYING WITH A PARTICULAR RACE OR ETHNICITY. HHC SERVES A CONSIDERABLE NUMBER OF IMMIGRANTS AND REFUGEES, BOTH DOCUMENTED AND UNDOCUMENTED TWENTY-NINE PERCENT (29%) OF HHC PATIENTS ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. OVER THE PAST 2 YEARS, LIKE MANY OTHER CLINICS, HHC’S PRIORITIES AND RESOURCES HAVE BEEN FOCUSED ON CONTINUALLY CHANGING DEMANDS DUE TO COVID19. HOWEVER, FOCUS IS ONCE AGAIN SHIFTING TO WHAT PRIMARY CARE PROVIDERS PREFER TO CONCENTRATE ON: PREVENTION, INCREASING ACCESS TO GENERAL CARE, PREVENTIVE SCREENINGS, TESTING, AND FOLLOW UP CARE FOR ABNORMAL RESULTS IS ONCE AGAIN A FOCUS FOR CARE TEAMS. WITH THIS IN MIND, HEARTLAND HEALTH CENTERS AIMS TO MAKE SIGNIFICANT IMPROVEMENTS IN ITS CURRENT CANCER SCREENING RATES FOR BOTH COLORECTAL AND BREAST CANCER. UDS DATA FOR HHC IN 2021 SHOW COLORECTAL SCREENING RATES AT 37.6% AND BREAST CANCER SCREENING AT 35%. HHC IS IN A UNIQUE POSITION TO LEVERAGE SEVERAL TECHNOLOGY PLATFORMS, PRIMED CARE TEAMS AND POPULATION HEALTH AND DATA STRUCTURES THAT WERE NOT PRESENT IN PAST EFFORTS TO IMPROVE CANCER SCREENING MEASURES. BASED ON EFFORTS FROM 2015-2017 IN COLLABORATION WITH IL COOK CARES, HHC LEARNED THE IMPACT OF DATA GIVEN TO CARE TEAMS, THE BENEFITS OF STANDING ORDERS TO LIMIT BARRIERS TO CARE, AND STAFF EDUCATION AS A METHOD TO MOVE THE NEEDLE ON COLORECTAL CANCER SCREENING. HHC HOPES TO UTILIZE AND EXPAND THESE LESSONS TO BREAST AND COLORECTAL CANCER SCREENING RATES OVER THE NEXT TWO YEARS. HEARTLAND HEALTH CENTERS RECOGNIZES THERE ARE MANY BARRIERS TO PATIENTS COMPLETING CANCER SCREENING. IN THIS REGARD, HHC AIMS TO FORGE NEW PARTNER RELATIONSHIPS, COORDINATE WITH INTERNAL COMMUNITY HEALTH WORKERS, AND PROVIDE RESOURCES MEANT TO ADDRESS SOME OF THE NOTED BARRIERS TO CANCER SCREENING CARE. EDUCATION FOR BOTH STAFF AND PATIENTS IS PART OF THE AGREED TERMS WITH THE PROJECT’S NCI COLLABORATOR UCHICAGO MEDICINE COMPREHENSIVE CANCER CENTER (UCCCC). WITH UCCCC’S GUIDANCE, HHC WILL DIRECT EDUCATIONAL SESSIONS AND PATIENT TAILORED EDUCATION TO PROMOTE SCREENING COMPLETION. AS A MAIN COMPONENT OF THIS PROPOSAL ARE THE POSITIONS OF BREAST AND COLORECTAL HEALTH NAVIGATORS WHICH WILL PROVIDE SPECIFIC TRACKING AND LINKAGE TO SERVICES. ADDITIONALLY, A PART TIME CARE COORDINATOR POSITION IS BUDGETED TO ASSIST WITH OUTREACH AND SCHEDULING ASPECTS. THESE POSITIONS DEDICATED TO CANCER SCREENING ASPECTS ARE A LYNCH PIN TO ENSURING FOCUS REMAINS DIRECTED TO PATIENT-TAILORED SOLUTIONS. HHC AIMS TO IMPROVE CANCER SCREENING RATES THAT HAVE BEEN SEVERELY IMPACTED DURING THE COVID-19 PANDEMIC. THIS PROPOSAL GUARANTEES A REFOCUSED EFFORT ON CANCER SCREENING MECHANISMS THAT WILL PROVE BENEFICIAL FOR THE COMMUNITIES AND PATIENTS SERVED BY HEARTLAND HEALTH CENTERS AND THE GREATER CHICAGOLAND AREA.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - THE COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING (CPF/CDS) FUNDS WILL BE USED TO SUPPORT TAPESTRY 360 HEALTH’S (T360H) PROJECT TO RELOCATE AND EXPAND THE EXISTING T360H SCHOOL-BASED HEALTH CENTER (SBHC) LOCATED AT GALE ELEMENTARY SCHOOL IN CHICAGO. THE PROPOSED PROJECT RELOCATES THE EXISTING CLINIC TO A NEW SPACE WITHIN THE SCHOOL IN A MORE ACCESSIBLE LOCATION. T360H OFFERS COMPREHENSIVE, AFFORDABLE, QUALITY HEALTH CARE SERVICES ACROSS SIXTEEN FACILITIES INCLUDING SIX SCHOOL-BASED CLINICS AT CHICAGO PUBLIC SCHOOLS. THE T360H GALE SBHC IS IN ONE OF THE HIGHEST NEED CENSUS TRACTS ON CHICAGO'S NORTHSIDE. THE AREA POVERTY RATE IS 26.7% OVERALL BUT IS SIGNIFICANTLY HIGHER FOR THE BLACKS/AFRICAN AMERICANS WHO MAKE UP 38.6% OF THE POPULATION AND HAVE A POVERTY RATE OF 51.7%. ADDITIONALLY, 18% OF THE POPULATION HAVE LESS THAN A HIGH SCHOOL DEGREE, 18.1% HAVE A DISABILITY AND 28.6% ARE LIMITED ENGLISH SPEAKERS. OF THE GALE STUDENT POPULATION, 71% ARE LOW-INCOME, 29% ARE ENGLISH LEARNERS AND 48% ARE CHRONICALLY TRUANT. THE PROJECT IS IMPORTANT TO THE LOCAL COMMUNITY AS IT WILL EXPAND HEALTHCARE SERVICES FOR STUDENTS AND OPEN-UP ACCESS TO THE COMMUNITY. THE PROPOSED SPACE HAS EXPANDED SQUARE FOOTAGE WHICH ALLOWS FOR THE NUMBER OF EXAM ROOMS TO BE INCREASED FROM TWO TO FOUR, AND FOR A BEHAVIORAL HEALTHCARE OFFICE TO BE ADDED. THERE WILL ALSO BE A SEPARATE ADA COMPLIANT ENTRANCE FOR THE COMMUNITY SO LOCAL RESIDENTS CAN ACCESS HEALTH SERVICES AT THE CLINIC. THIS WILL PROVIDE STUDENTS AND THE COMMUNITY WITH THE NEEDED ACCESS TO PRIMARY AND BEHAVIORAL HEALTH CARE. SBHC’S ALSO IMPROVE ATTENDANCE AND GRADUATION RATES, MAKING THE GALE CLINIC CRITICAL FOR ACADEMIC SUCCESS. ANNUAL PATIENT NUMBERS ARE EXPECTED TO DOUBLE TO APPROXIMATELY 500 PATIENTS ANNUALLY. THE NEW REVENUE THAT WILL BE GENERATED FROM LOCAL AREA RESIDENTS WILL ALSO HELP ENSURE THE LONG-TERM SUSTAINABILITY OF THE CLINIC AS A SERVICE TO THE COMMUNITY. THE NEW SPACE HAS THE AD DED BENEFIT OF A PROPERLY WORKING HVAC SYSTEM. AT THE EXISTING SPACE, THE SYSTEM IS IN NEED OF REPLACEMENT. PRIMARY CARE AND URGENT CARE WILL BE PROVIDED AT THE NEW T360H GALE SBHC. SOME SPECIFIC SERVICES INCLUDE VACCINES, MENTAL HEALTH COUNSELING, PSYCHIATRY, MEDICATION MANAGEMENT, REPRODUCTIVE HEALTH SERVICES, VISION AND HEARING SCREENING, AND NUTRITION AND REPRODUCTIVE HEALTH EDUCATION.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM