Heartland Community Health Clinic

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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 - HEARTLAND COMMUNITY HEALTH CLINIC, INC., DBA HEARTLAND HEALTH SERVICES, INC. (HHS) WILL UTILIZE $1,000,375 IN FUNDING TO EXPAND ITS BEHAVIORAL HEALTH (BH) PROGRAM’S CAPACITY THROUGH INVESTMENTS IN NEW PERSONNEL AND A MOBILE UNIT. WITH THESE RESOURCES, THE ORGANIZATION WILL INCREASE ACCESS TO TIMELY, CULTURALLY COMPETENT BEHAVIORAL HEALTH CARE FOR UNDERSERVED PATIENTS IN CENTRAL ILLINOIS. THE OVERALL AIMS OF THIS GRANT ARE TO INCREASE BH CARE ACCESS FOR THE HHS PATIENTS AND TARGET POPULATION, IMPROVE MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) OUTCOMES, AND HELP REDUCE BH INEQUITIES AND DISPARITIES IN THE ILLINOIS TRI-COUNTY AREA. HHS ESTIMATES SERVING AN ADDITIONAL 150+ PATIENTS WITH MENTAL HEALTH SERVICES AND 200+ PATIENTS WITH SUBSTANCE USE DISORDER SERVICES DURING THE TWO-YEAR GRANT PERIOD. AS A FEDERALLY QUALIFIED HEALTH CENTER (H80CS02457), HHS HAS EXTENSIVE EXPERIENCE MEETING THE NEEDS OF UNDERSERVED PATIENTS. SINCE 1991, HHS HAS FULFILLED ITS MISSION “TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES ACCESSIBLE TO ALL” BY PROVIDING COMPREHENSIVE CARE THROUGH A PATIENT-CENTERED, INTEGRATED MODEL. THE ORGANIZATION SERVES PATIENTS IN 22 ZCTAS IN PEORIA, TAZEWELL, AND WOODFORD COUNTIES IN ILLINOIS, THROUGH 7 SERVICE SITES. MENTAL HEALTH CARE NEEDS IN THIS SERVICE AREA ARE SIGNIFICANT AND COMPLEX. DATA FROM THE PEORIA COUNTY CORONER’S OFFICE INDICATES THE OPIOID TREND IS INCREASING IN PEORIA COUNTY. THE PARTNERSHIP FOR A HEALTHY COMMUNITY’S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT CONFIRMS THAT MENTAL HEALTH HAS BECOME A MORE PERVASIVE ISSUE IN THE COMMUNITY. BETWEEN 2019 AND 2022, THE NUMBER OF PEOPLE EXPERIENCING DEPRESSION HAS INCREASED BY 12%, AS HAS THE NUMBER OF PEOPLE EXPERIENCING STRESS/ANXIETY. DESPITE THE SIGNIFICANT NEED, ACCESS TO BH SERVICES IS LIMITED; IN THE TARGETED SERVICE AREA, THERE ARE FOUR DESIGNATED MENTAL HEALTH HEALTH PROFESSIONAL SHORTAGE AREAS. ACCESS IS EVEN MORE DIFFICULT FOR LOW-INCOME AND MEDICALLY UNDERSERVED POP ULATIONS, DEMOGRAPHICS LARGELY SERVED BY HHS. OF ITS PATIENT POPULATION WITH A KNOWN INCOME IN 2022, 98% WERE LIVING AT OR BELOW THE 200% OF THE FEDERAL POVERTY LINE. TO MEET THESE NEEDS, HHS PROVIDES MENTAL HEALTH AND SUD SERVICES, INCLUDING MEDICATION-ASSISTED THERAPY, THROUGH A COMPREHENSIVE, TEAM-BASED APPROACH IN WHICH BH AND MEDICAL STAFF WORK SIDE-BY-SIDE TO OFFER A CONTINUUM OF CARE. IN 2023, HHS ESTIMATES PROVIDING MENTAL HEALTH SERVICES TO 1,231 PATIENTS AND SERVICES TO 150 PATIENTS LIVING WITH SUD OR OPIOID USE DISORDER. HOWEVER, THE ORGANIZATION FACES A CAPACITY GAP AND IS UNABLE TO MEET INCREASING NEEDS. CURRENT WAITLISTS FOR NEW BH PATIENTS EXCEED THREE MONTHS, AND ITS PATIENT POPULATION’S SOCIAL DETERMINANTS OF HEALTH CREATE ACCESS BARRIERS. MANY PATIENTS ARE AT A HEIGHTENED RISK FOR THE NEGATIVE IMPACTS OF MENTAL HEALTH ISSUES, SUCH AS PREGNANT PATIENTS OR THOSE WHO IDENTIFY AS LGBTQ+. AS SUCH, HHS WILL UTILIZE SERVICE EXPANSION FUNDS TO SUPPORT THE RESOURCES NECESSARY TO KEEP UP WITH THE SIGNIFICANT NEED IN THE SERVICE AREA AND AMONG PATIENTS. IN YEAR ONE, HHS WILL HIRE THREE NEW CLINICIANS, INCLUDING ONE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER, ONE LICENSED CLINICAL SOCIAL WORKERS (LCSW) OR LICENSED CLINICAL PROFESSIONAL COUNSELORS (LCPC), AND ONE MEDICATION-ASSISTED TREATMENT (MAT) LCSW/LCPC. HHS WILL ALSO PURCHASE A MOBILE HEALTH UNIT TO PROVIDE BH SERVICES TO POPULATIONS WHO FACE BARRIERS TO ACCESSING TRADITIONAL HEALTH CENTER LOCATIONS. IN YEAR TWO, HHS WILL CONTINUE TO SUPPORT THE NEW POSITIONS, AS WELL AS AN ADDITIONAL LCSW OR LCPC. DURING THE GRANT PERIOD, IN ADDITION TO STAFFING THE MOBILE UNIT, THESE CLINICIANS WILL LIKELY SPEND MOST OF THEIR TIME AT HHS’S EAST BLUFF AND OLT SITES. HIRES WILL BE MADE WITH A FOCUS ON MEETING SEVERAL GAPS WITHIN THE ORGANIZATION, TO POTENTIALLY INCLUDE A SPANISH-SPEAKING THERAPIST TO ADDRESS LANGUAGE BARRIERS AND/OR A THERAPIST FOCUSED ON CHILD/ADOLESCENT POPULATIONS.

FISCAL YEAR 2025 EXPANDED HOURS. - HEARTLAND COMMUNITY HEALTH CLINIC, INC., DBA HEARTLAND HEALTH SERVICES, INC. (HHS) WILL UTILIZE $1,000,000 IN FUNDING TO EXPAND HOURS TO INCLUDE EVENING AND WEEKENDS AT FOUR OF ITS SERVICE SITES IN CENTRAL ILLINOIS. THE ORGANIZATION WILL INCREASE ACCESS TO TIMELY, CULTURALLY COMPETENT CARE FOR UNDERSERVED INDIVIDUALS AT ITS EAST BLUFF, CARVER, GARDEN, HSC AND TAZWOOD SITES. THIS PROPOSAL WOULD BE AN INCREASE OF 72.5 HOURS PER WEEK ACROSS HHS, REPRESENTING AN 25% INCREASE IN OPERATING HOURS AND AN INCREASE TO MORE THAN HALF OF THE ORGANIZATION’S HEALTH CENTERS. THE OVERALL AIM OF THIS GRANT IS TO EXPAND ACCESS AND ALLEVIATE BARRIERS TO TIMELY, CULTURALLY COMPETENT, AND HIGH-QUALITY PRIMARY CARE BY EXPANDING THE NUMBER OF HOURS DURING WHICH HHS PROVIDES PRIMARY CARE SERVICES TO PATIENTS. THIS WORK WILL ULTIMATELY IMPROVE HEALTH OUTCOMES FOR THE TARGET POPULATION IN THE ILLINOIS TRI-COUNTY AREA, WHILE HELPING TO REDUCE INEQUITIES AND DISPARITIES FACED BY UNDERSERVED INDIVIDUALS IN THE REGION. THE FIVE SITES WERE SELECTED BASED ON PATIENT NEED IN THE SURROUNDING NEIGHBORHOODS, ESPECIALLY FOR PRIMARY CARE APPOINTMENT AVAILABILITY AT THE TAZWOOD LOCATION. ADDITIONALLY, THE EAST BLUFF AND GARDEN SITES ALREADY OPERATE SUCCESSFUL WALK-IN CLINICS. THE PATIENTS SERVED AT THESE SITES FACE BARRIERS WHICH PLACE THEM AT A HIGHER RISK OF HEALTH CHALLENGES. SEVENTY-ONE PERCENT (71%) ARE ON MEDICAID OR SELF-PAY, 50% IDENTIFIED AS A PERSON OF COLOR, AND 5% SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH. EXPANDING HOURS AT THE EAST BLUFF, CARVER, GARDEN, HSC, AND TAZWOOD SITES WOULD ENSURE PRIMARY CARE ACCESS FOR PATIENTS WHO MAY NOT OTHERWISE RECEIVE CARE. HHS WILL MEET THESE NEEDS BY EXPANDING ACCESS TO CARE, ADDING THREE AND A HALF ADDITIONAL HOURS OF EVENING CARE, THREE TIMES PER WEEK (MONDAYS, WEDNESDAYS, AND FRIDAYS FROM 4:30 PM TO 8 PM) AND FOUR HOURS OF WEEKEND CARE ON SATURDAYS FROM 8 AM TO 12 PM. THIS PROJECT WILL BUILD UPON HHS’S SUCCESSFUL AFTER HOURS PROGRAM, WHICH SERVED 2,630 UNIQUE PATIENTS THROUGH 3,295 ENCOUNTERS FROM JUNE 1, 2023, TO MAY 31, 2024. AS SUCH, HHS WILL UTILIZE EXPANDED HOURS FUNDS TO HIRE FOUR TO FIVE NURSE PRACTITIONERS (4.0-5.0 FTES) TO WORK FLEXIBLE SCHEDULES TO INCLUDE THE AFTER-HOURS SHIFTS. TO INCENTIVIZE POTENTIAL HIRES IN THE FACE OF CLINICAL WORKFORCE SHORTAGES, HHS WILL OFFER A $10,000 SIGN-ON BONUS TO NEW HIRES, AS WELL AS A $10 SHIFT DIFFERENTIAL DURING THE EXPANDED HOURS. THE AFTER-HOURS CLINICS WILL ALSO BE STAFFED WITH EXISTING REGISTERED NURSES, CERTIFIED MEDICAL ASSISTANTS, AND REGISTRATION STAFF. THE ORGANIZATION WILL PAY OVERTIME FOR THESE HOURS, IF NEEDED, AND WILL OFFER A $10 SHIFT DIFFERENTIAL DURING AFTER HOURS. ADDITIONAL EXPENSES INCLUDE HIRING SECURITY PERSONNEL OR PAYING FOR A SECURITY CONTRACT WITH A LOCAL COMPANY, ADVERTISING EXPENSES, AND THE COSTS FOR DEPARTMENT BUILD IN THE ORGANIZATION’S EPIC ELECTRONIC HEALTH RECORD. AS A FEDERALLY QUALIFIED HEALTH CENTER (H80CS02457), HHS HAS EXTENSIVE EXPERIENCE MEETING THE NEEDS OF UNDERSERVED PATIENTS. SINCE 1991, HHS HAS FULFILLED ITS MISSION “TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES ACCESSIBLE TO ALL” BY PROVIDING COMPREHENSIVE CARE THROUGH A PATIENT-CENTERED, INTEGRATED MODEL. THE ORGANIZATION SERVES PATIENTS IN 22 ZCTAS IN PEORIA, TAZEWELL, AND WOODFORD COUNTIES IN ILLINOIS, THROUGH 7 SERVICE SITES.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CARE AND OTHER FACILITIES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY - FACILITATED EXCHANGES.

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM