Community Health Service Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER DEMONSTRATION GRANTS -- ALASKA INITIATIVE

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER DEMONSTRATION GRANTS -- ALASKA INITIATIVE

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START APPLICATION

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

PA-22 FYPD PA-20

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEAD START & EARLY HEAD START

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

HEALTH CENTER PROGRAM

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

HEAD START AND EARLY HEAD START

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

CAPITAL DEVELOPMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

ADVANCING AND EXPANDING THE CURRENT CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PROGRAM WITHIN RURAL NORTH CAROLINA - PROJECT NAME: CCBHC ADVANCEMENT GRANT IN RURAL EASTERN NORTH CAROLINA. SUMMARY OF PROJECT: THE SIGNIFICANCE OF THE STATISTICS PRESENTED BELOW WILL DEMONSTRATE THE NEED TO COMBAT THE MENTAL HEALTH CRISIS BY INCREASING ACCESS TO HIGH QUALITY COMMUNITY MENTAL HEALTH AND SUD TREATMENT SERVICES WITHIN MCHS’S RURAL AND IMPOVERISHED CATCHMENT AREA. MENTAL HEALTH AMERICA PUBLISHED THE 2022 STATE OF MENTAL HEALTH AMERICA REPORT IN WHICH NORTH CAROLINA RANKED 38TH OUT OF 51 FOR ACCESS TO MENTAL HEALTH CARE (A HIGHER RANKING DEMONSTRATES MORE NEED). WITHIN THE SAME REPORT, NORTH CAROLINA RANKED 42ND OUT OF 51 FOR YOUTH MENTAL HEALTH AND PLACED 31ST OUT OF 51 FOR OVERALL MENTAL HEALTH.1 THE COVID-19 PANDEMIC HAS ALSO GREATLY IMPACTED THE MENTAL WELLBEING OF THE ENTIRE WORLD AND NORTH CAROLINA IS NO EXCEPTION. IN 2021 35% OF ADULTS IN NORTH CAROLINA REPORTED SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER. FOR COMPARISON, IN 2015 16% PER 100,000 INDIVIDUALS DIED DUE TO DRUG OVERDOSE HOWEVER IN 2020 THAT INCREASED TO 31% PER 100,000 INDIVIDUALS. POPULATIONS TO BE SERVED: ALONG WITH BEING DESIGNATED AS A MUA, EACH OF THE FIVE COUNTIES ARE DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). BEAUFORT COUNTY IS DESIGNATED AS A LOW-INCOME POPULATION HPSA, HYDE COUNTY IS DESIGNATED AS A HIGH NEED GEOGRAPHIC HPSA, MARTIN COUNTY IS DESIGNATED AS A LOW-INCOME HPSA, TYRRELL COUNTY IS DESIGNATED AS A LOW-INCOME POPULATION HPSA, AND WASHINGTON COUNTY IS DESIGNATED AS A GEOGRAPHIC HPSA. ALL OF THE LISTED HPSA DESIGNATIONS ARE SPECIFIC TO MENTAL HEALTH. THE COUNTIES ARE DESIGNATED WITH ADDITIONAL HPSA DESIGNATION TYPES FOR DENTAL AND PRIMARY CARE. APPROXIMATELY 43% OF THE POPULATION WITHIN THE CATCHMENT AREA IS CATEGORIZED AS LOW-INCOME WHICH MEANS THIS PERCENTAGE OF THE POPULATION LIVES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). OF THE NEARLY 146,000 RESIDENTS LIVING WITHIN THE ENTIRE CATCHMENT AREA, APPROXIMATELY 62,000 OF THESE RESIDENTS ARE LOW-INCOME. ADDITIONALLY, 20% OF THE POPULATION LIVES IN POVERTY, 12% ARE UNINSURED, 22% CLASSIFY AS HAVING A DISABILITY, AND OVER 19% OF ADULTS HAVE NO USUAL SOURCE OF CARE.4 THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH PROVIDED THE NUMBER OF OPIOID POISONING EMERGENCY DEPARTMENT (ED) VISITS WITHIN THE CATCHMENT AREA. GOALS & OBJECTIVES: GOAL 1: TO INCREASE ACCESS TO HIGH QUALITY COMMUNITY MENTAL HEALTH AND SUD TREATMENT FOR INDIVIDUALS WITH SMI, SUD, SED, AND COD IN RURAL EASTERN NORTH CAROLINA WITH A FOCUS ON VULNERABLE POPULATIONS. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS WILL HAVE CONTACTED OVER 500 INDIVIDUALS THROUGH PROGRAM OUTREACH; 2) BY THE END OF YEAR 2, MCHS WILL HAVE SCREENED AND ASSESSED OVER 850 INDIVIDUALS; AND 3) MCHS WILL SERVE 700 UNDUPLICATED INDIVIDUALS IN YEAR 1; 850 UNDUPLICATED INDIVIDUALS IN YEAR 2; AND 1,550 UNDUPLICATED INDIVIDUALS’ TOTAL. GOAL 2: TO REDUCE THE NUMBER OF EMERGENCY DEPARTMENT VISITS BY PREVENTING OR MINIMIZING RECURRENT ACUTE EPISODES OF SMI AND SED. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS’S CERTIFIED ACT TEAM WILL HAVE SERVED OVER 100 INDIVIDUALS AND 2) BY THE END OF YEAR 2, THE NUMBER OF SMI AND SED EMERGENCY ROOM VISITS IN THE SERVICE AREA WILL DECREASE BY 20%. GOAL 3: TO DECREASE THE NUMBER OF OPIOID-RELATED EMERGENCY DEPARTMENT VISITS BY INCREASING THE NUMBER OF INDIVIDUALS RECEIVING SUD TREATMENT. OBJECTIVES: 1) BY THE END OF YEAR 2, MCHS’S RAPID RESPONSE TEAM WILL HAVE SERVED OVER 200 INDIVIDUALS; 2) BY THE END OF YEAR 2, MCHS’S MAT PROVIDERS WILL HAVE SERVED OVER 400 NEW INDIVIDUALS; AND 3) BY THE END OF YEAR 2, THE NUMBER OF OPIOID RELATED EMERGENCY DEPARTMENT VISITS WILL DECREASE BY 20%.

CCBHC EXPANSION IN RURAL EASTERN NORTH CAROLINA

CAPITAL DEVELOPMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - THIS WEST SIDE COMMUNITY HEALTH SERVICES, INC. DBA MINNESOTA COMMUNITY CARE - FARMINGTON RURAL HEALTH VIRTUAL CARE EPICENTER IS DESIGNED TO PROVIDE 24 HOUR CARE ACCESS FOR A BROAD REACH OF PATIENTS SEEKING ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES VIA VARIOUS DIGITAL AND MOBILE MODALITIES.

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

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT ABSTRACT PROJECT TITLE: RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – MEDICATION ASSISTED TREATMENT ACCESS - NEW ACCESS POINT REQUESTED AWARD AMOUNT: $3,000,000 METROPOLITAN COMMUNITY HEALTH SERVICES, INC. DBA AGAPE HEALTH SERVICES 120 W MARTIN LUTHER KING JR. DRIVE, WASHINGTON, NC, 27889 FEDERALLY QUALIFIED HEALTH CENTER (501C3 NON PROFIT) DR. MICHAEL MCDUFFIE, EXECUTIVE DIRECTOR WEB SITE: AGAPECHC.ORG METROPOLITAN COMMUNITY HEALTH SERVICES (MCHS) IS A NONPROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) THAT PROVIDES INTEGRATED PRIMARY MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH SERVICES INCLUDING MEDICATED ASSISTED TREATMENT (MAT) TO VULNERABLE, LOW-INCOME POPULATIONS OF EASTERN NORTH CAROLINA ON A SLIDING FEE SCALE. MCHS SERVES FIVE COUNTIES OF EASTERN NORTH CAROLINA, BEAUFORT, MARTIN, TYRRELL, WASHINGTON, AND HYDE. CURRENTLY, MCHS OFFERS MAT SERVICES IN TWO LOCATIONS: WASHINGTON, NC (BEAUFORT COUNTY) AND WILLIAMSTON (MARTIN COUNTY). MCHS IS PROPOSING TO ESTABLISH A NEW ACCESS POINT FOR MAT SERVICES IN PLYMOUTH, NC, LOCATED IN WASHINGTON COUNTY. THIS NEW ACCESS POINT WILL OFFER OUD AND AUD TREATMENT SERVICES AS WELL AS BEHAVIORAL HEALTH SUPPORT SERVICES IN ADDITION TO PRIMARY CARE AND DENTAL SERVICES WHICH ARE CURRENTLY BEING OFFERED. MCHS WILL OFFER SERVICES DURING OFFICE VISITS AT THE MCHS LOCATION IN PLYMOUTH, VIA TELEHEALTH AND WILL ALSO USE THE MCHS MOBILE UNIT TO TAKE THESE SERVICES TO MOST RURAL AND DESOLATE AREAS OF THE REGION TO SERVE THOSE WITH TRANSPORTATION CHALLENGES. MCHS WILL ALSO OFFER EXTENDED HOURS TO ENSURE ACCESSIBILITY TO THE TARGET POPULATION. MCHS WILL BUILD COMMUNITY CAPACITY AND INFRASTRUCTURE TO SUPPORT MORE EFFECTIVE AND EFFICIENT MAT SERVICE PROVISION BY PARTNERING WITH LOCAL LAW ENFORCEMENT AND JAILS, A LOCAL HOSPITAL EMERGENCY DEPARTMENT, THE NC OFFICE OF RURAL HEALTH, AND A LOCAL PHARMACY. THESE PARTNERSHIPS WILL HELP IDENTIFY THOSE INDIVIDUALS IN NEED OF MAT SERVICES FOR REFERRAL, AID IN THE RECRUITMENT OF QUALIFIED CLINICIANS TO DELIVER SERVICES, AND ACT AS AN ADDITIONAL RESOURCE FOR ACCESS TO PRESCRIBED MEDICATIONS FOR CLIENTS. MCHS WILL USE EVIDENCE-BASED PRACTICES AND FDA-APPROVED MEDICATION OPTIONS FOR OUD, INCLUDING BUPRENORPHINE AND NALTREXONE TO MOST EFFECTIVELY MEET THE NEEDS OF THE INDIVIDUAL THE TARGETED REGION FOR THIS NEW ACCESS POINT WILL INCLUDE WASHINGTON, MARTIN, TYRRELL, AND HYDE COUNTIES ACCORDING TO THE UNIFORM DATA SYSTEM MAPPER REPORT OF MCHS’S RURAL SERVICE AREA, OVER 44% OF THE POPULATION (40,544 RESIDENTS) ARE LOW-INCOME RESIDENTS WITH INCOMES UNDER 200% OF THE FEDERAL POVERTY LEVEL, 24% LIVE IN POVERTY, AND 18% ARE UNINSURED. IN THE TOWN OF PLYMOUTH, 49.48% WERE LOW-INCOME IN 2017. ACCORDING TO THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH, IN MCHS’S SERVICE AREA, THERE WERE NO OPIATE POISONING DEATHS IN 1999 BUT THIS NUMBER HAS BEEN GROWING EACH YEAR, AND FROM 1999 THROUGH 2016, THERE WERE A TOTAL OF 90 DEATHS DUE TO OPIATE POISONING IN THESE COUNTIES. ACCORDING TO THE NORTH CAROLINA INJURY & VIOLENCE PREVENTION BRANCH, THE SERVICE AREA, THE NUMBER OF OPIATE POISONING EMERGENCY DEPARTMENT (ED) VISITS MORE THAN DOUBLED FROM 17 IN 2008 TO 35 IN 2016, AND THERE WERE 217 TOTAL OPIATE POISONING ED VISITS DURING THIS PERIOD AND 81 MORTALITIES RELATED TO UNINTENTIONAL DRUG POISONINGS IN 2017 ALONE. ALSO, FROM 2004 THROUGH 2016, THERE WERE OVER 220 OPIATE POISONING HOSPITALIZATIONS IN MCHS’S SERVICE AREA. THE NEED FOR A STRONG OPIOID TREATMENT PROGRAM IS EXACERBATED AS ALL FOUR COUNTIES ARE DESIGNATED AS TIER 1 BY HRSA AND AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - PHYSICAL LOCATION: 1010 EAST LAKE STREET IN MINNEAPOLIS, MINNESOTA, 55407 DESCRIPTION OF SCOPE: PURCHASE OF FURNITURE, FIXTURES, AND EQUIPMENT PROPERTY ACTIVITY: SOUTHSIDE COMMUNITY HEALTH SERVICES IS DEVELOPING A 30,000 SQUARE FOOT CLINIC TO SERVE OUR GROWING PATIENT BASE, EXPAND SERVICES, AND BRING SOUTHSIDE’S SERVICES (PRIMARY MEDICAL, DENTAL, VISION, AND INTEGRATED BEHAVIORAL HEALTH) UNDER ONE ROOF TO BETTER MEET THE COMMUNITY’S HEALTHCARE NEEDS. SOUTHSIDE IS A FEDERALLY QUALIFIED HEALTH CENTER, AUTHORIZED BY FEDERAL LAW AND FUNDING TO DELIVER HEALTH CARE TO UNDERSERVED COMMUNITIES. CURRENTLY, SOUTHSIDE IS MAKING DO WITH AN INADEQUATE MEDICAL AND BEHAVIORAL HEALTH CLINIC FACILITY. INSUFFICIENT SPACE, LIMITED HOURS OF OPERATION, AND A RECURRING RODENT PROBLEM MEAN STAFF AND PATIENTS ARE POORLY SERVED IN THE EXISTING CLINIC. SPECIFICATIONS: THE NEW CLINIC IS IN A PRIMARY CARE, MENTAL HEALTH, AND DENTAL HEALTH PROVIDER SHORTAGE AREA IN SOUTH MINNEAPOLIS. AS A SAFETY-NET COMMUNITY CLINIC, SOUTHSIDE WILL PROVIDE AFFORDABLE ACCESS TO PRIMARY MEDICAL, DENTAL, VISION, AND BEHAVIORAL HEALTH CARE TO APPROXIMATELY 14,000 UNIQUE PATIENTS (100% LOW INCOME) ANNUALLY IN THE NEW SITE. TYPE OF CONSTRUCTION: EQUIPMENT ONLY. EQUIPMENT: MEDICAL, DENTAL, AND VISION CLINICAL EQUIPMENT. SEE ATTACHMENT FOR COMPLETE LISTING.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

POSTDOCTORAL TRAINING IN GENERAL, PEDIATRIC AND PUBLIC HEALTH DENTISTRY AND DENTAL HYGIENE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

OP EARLY INTERVENTION SVCS W/ RESPECT TO HIV DISEASE

REACHR-RESPOND TO OUR TARGETED POPULATIONE-EDUCATE ON RISK BEHAVIORSA-ACHIEVE TARGETED GOALSC- CARE FOR AND TREAT HIV + INDIVIIDUALSH - HALT THE SPREAD OF HIV - HEARTLAND CARES, INC, IS A NON-PROFIT ORGANIZATION, WITH A 501(C)(3) STATUS WITH THE IRS, PROVIDING COMPREHENSIVE, CLIENT-CENTERED,QUALITY HEALTH CARE, SUPPORT SERVICES, PREVENTION AND EDUCATION, AND HIV TESTING. QUALITY HEALTH CARE IS PROVIDED TO PERSONS LIVING WITHHIV/AIDS, SUPPORT SERVICES ARE PROVIDED TO CLIENTS AND THEIR FAMILIES, AND PREVENTION EDUCATION AND TESTING ARE PROVIDED TO CLIENTS, THEIRFAMILIES, AND THE COMMUNITY AT LARGE. WITHIN THE COMMUNITY, WE STRIVE TO PREVENT NEW INFECTIONS AND REDUCE THE STIGMA ASSOCIATED WITHTHIS DISEASE BY PROMOTING AWARENESS, ACCEPTANCE, AND EQUALITY.OUR PRINCIPAL CLINIC IS LOCATED IN PADUCAH, KY. IN ADDITION, WE PARTNER WITH TWO OTHER ORGANIZATIONS TO OPERATE SATELLITE CLINICS IN ORDER TOPROVIDE MEDICAL SERVICES IN CLOSER PROXIMITY TO THESE CLIENTS. HEARTLAND CARES PARTNERS WITH JACKSON COUNTY (IL) HEALTH DEPARTMENT INMURPHYSBORO, ILLINOIS, AND WITH ST. LUKE?S FREE CLINIC IN HOPKINSVILLE, KENTUCKY, TO PROVIDE CLINIC HOURS IN EACH LOCATION ONE DAY PERMONTH. WE CURRENTLY SERVICE 26 COUNTIES IN WESTERN KENTUCKY AND 17 COUNTIES IN SOUTHERN ILLINOIS. WE HAVE TWO CONTRACTED INFECTIOUSDISEASES PROVIDERS AND WHEN FULLY STAFFED, HCI HAS 27 EMPLOYEES ON STAFF. OUR RURAL SERVICE AREA CONSISTS OF MORE THAN 16,000 SQUAREMILES WITH A POPULATION OF MORE THAN ONE MILLION PERSONS.HEARTLAND CARES SEEKS FUNDING FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION THROUGH THE COMPREHENSIVE HIGH-IMPACT HIVPREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS (CDC-FRA-PS21-2102). FUNDING WILL BE UTILIZED TO INCREASE CAPACITY TOPERFORM HIV AND OTHER INTEGRATED VIRAL HEPATITIS, STD AND TB TESTING WITH A SPECIFIC TARGET OF RURAL, BLACK/AFRICAN AMERICAN MALES HAVINGSEXUAL CONTACT WITH OTHER MALES (MSM). ACCORDING TO RESEARCH, NEARLY FIFTEEN (15) PERCENT OF AFRICAN AMERICANS WITH HIV ARE UNAWARETHEY HAVE IT. INDIVIDUALS WHO DO NOT KNOW THEY HAVE HIV ARE MORE LIKELY TO TRANSMIT IT TO OTHERS. THIS TARGETED GROUP ALSO HAS HIGHERRATE S OF SOME SEXUALLY TRANSMITTED DISEASES (STDS), WHICH INCREASES AN INDIVIDUAL?S CHANCE OF GETTING OR TRANSMITTING HIV.HEARTLAND CARES IS COMMITTED TO CONTINUING TO PROVIDE EXEMPLARY SERVICE IN THE EFFORTS TO REDUCE THE SPREAD OF HIV. WE CURRENTLYPROVIDE A COMPREHENSIVE PLAN FOR HIV PREVENTION SERVICES TO IDENTIFY PERSONS WITH HIV AND HIGH-RISK HIV NEGATIVE PERSONS IN OURPREVENTION AND OUTREACH PROGRAM. GIVEN THE OPPORTUNITY TO WORK WITH THE CDC TO IMPLEMENT ACTIVITIES UNDER THIS PROGRAM, WE WILLIMPLEMENT STRATEGIES THAT ALIGN WITH THE NATION?S ENDING THE HIV EPIDEMIC INITIATIVE (EHE): A PLAN FOR AMERICA ? DIAGNOSE, TREAT,PREVENT, AND RESPOND.WITH MORE THAN 40,000 BLACK/AFRICAN AMERICAN MALES CURRENTLY LIVING IN OUR SERVICE AREA, HEARTLAND CARES WILL INCREASE THE NUMBER OFPERSONS WHO ARE AWARE OF THEIR HIV STATUS AND INCREASE THE RECEIPT OF INTEGRATED SCREENINGS TO THOSE IN THIS POPULATION. ASSURING THATINDIVIDUALS ARE AWARE OF THEIR STATUS IS A PRIMARY GOAL OF THIS STRATEGY. THOSE WHO ARE NEWLY DIAGNOSED WITH HIV WILL BE IMMEDIATELYLINKED TO CARE AND ANTIRETROVIRAL THERAPY (ART) AND WILL RECEIVE COMPREHENSIVE SERVICES IN OUR PRINCIPAL CLINIC OR ONE OF OUR SATELLITECLINICS. THOSE WHO ARE PREVIOUSLY DIAGNOSED BUT ARE NOT IN CARE, WILL BE RE-ENGAGED IN THESE COMPREHENSIVE SERVICES. WE WILL ALSO WORKWITH HIV-NEGATIVE INDIVIDUALS WHO CONTINUE TO PARTICIPATE IN BEHAVIORS THAT PUT THEM AT-RISK TO EMPLOY STRATEGIES THAT WILL INCREASE THEIRLIKELIHOOD OF REMAINING HIV NEGATIVE.

OP EARLY INTERVENTION SVCS W/ RESPECT TO HIV DISEASE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

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

RYAN WHITE TITLE IV PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION FOR YOUNG LATINX MEN WHO HAVE SEX WITH MEN

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

EHS FY09 ARRA EXAPNSION

LEGACY COMMUNITY HEALTH COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECT FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN AND YOUNG TRANSGENDER PERSONS OF COLOR

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

PS10-1003 HIV PREVENTION PROJECTS FOR CBO'S

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

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

HIV PREVENTION FOR YMSM OF COLOR

PENINSULA COMMUNITY HEALTH SERVICES MEDICATION ASSISTED TREATMENT (MAT) PRESCRIPTION DRUG AND OPIOID ADDICTION PROJECT

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CHOICES - ABSTINENCE - ONLY YOUTH EDUCATION PROGRAM

EXPANDING AND ENHANCING ACCESS TO MEDICATION ASSISTED TREATMENT (MAT) IN RURAL EASTERN NORTH CAROLINA

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - HIV PREVENTION AND CARE PROJECT INTERNATIONAL COMMUNITY HEALTH SERVICES P.O. BOX 3007, SEATTLE, WA 98114-3007 TERESITA BATAYOLA, PRESIDENT & CEO VOICE – (206) 788-3646; FAX – (206) 490-4011 TERESITAB@ICHS.COM WWW.ICHS.COM HEALTH CENTER PROGRAM, PRIMARY CARE HIV PREVENTION H80CS00437 INTERNATIONAL COMMUNITY HEALTH SERVICES’ (ICHS’) HIV PREVENTION AND CARE PROJECT WILL INCREASE RATES OF HIV TESTING, PREP PRESCRIBING, AND LINKAGE OF PATIENTS DIAGNOSED AS HIV POSITIVE TO CARE AND TREATMENT WITHIN 30 DAYS IN KING COUNTY, WASHINGTON. ICHS IS A FEDERALLY QUALIFIED HEALTH CENTER WITH TEN IN-SCOPE LOCATIONS, INCLUDING FOUR FULL-SERVICE MEDICAL/DENTAL CLINICS WHICH WILL BE THE FOCUS OF THE PROJECT. TWO OF THESE CLINICS ARE LOCATED IN SEATTLE: ONE IN THE INTERNATIONAL DISTRICT AND ONE IN THE HOLLY PARK NEIGHBORHOOD. THE IS ONE CLINIC LOCATED IN THE SUBURBAN CITY OF SHORELINE AND ONE IN BELLEVUE, KING COUNTY’S SECOND-LARGEST CITY. THE PROPOSED PROJECT WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV BY INITIATING AN OUTREACH PROGRAM TO ENSURE THAT ALL ICHS PATIENTS BETWEEN THE AGES OF 15 AND 65 ARE TESTED FOR HIV AT LEAST ONCE. PATIENTS AT HIGH RISK OF HIV WILL THEN BE SCREENED AT INTERVALS OF 3-12 MONTHS. THIS PROJECT WILL IMPROVE ON THE CURRENT ICHS SCREENING RATE OF 38%. THERE IS STILL A LOT OF STIGMA ASSOCIATED WITH HIV, EVEN WITH SCREENING FOR IT, AND THIS IS COMPOUNDED BY LINGUISTIC AND CULTURAL BARRIERS AS WELL AS LACK OF UNDERSTANDING OF HIV. CONSEQUENTLY, THE PROJECT WILL USE OUTREACH COORDINATORS AS WELL AS HEALTH EDUCATION SPECIALISTS TO HELP INCREASE THE UPTAKE OF FIRST TIME HIV SCREENING. MEDICAL LEADERSHIP WILL WORK WITH OUR CLINICAL INFORMATICS TEAM TO ENSURE THAT HIV SCREENING IS LISTED AS PART OF THE CARE GAPS USED IN OUR ELECTRONIC MEDICAL RECORD SYSTEM TO ENSURE THAT ALL PROVIDERS SCREEN THEIR PATIENTS AT LEAST ONCE. BY OFFERING HIV SCREENING SERVICES, WE WILL BE MORE ATTUNED TO WHO IS AT INCREASED RISK OF GETTING HIV. ICHS WILL IMPROVE OUR COLLECTION OF SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI) AND DRUG-USE DATA TO IDENTIFY WHO IS AT HIGHER RISK OF GETTING HIV AND CAN BENEFIT FROM PREP. PREP MEDICATIONS ARE ALREADY READILY AVAILABLE IN ICHS’ PHARMACY SITES FOR SAME-DAY PICKUP. WE WILL OFFER WALK-IN AND POINT-OF-CARE TESTING TO ALLOW FOR SAME-DAY PREP INITIATION. THIS WILL RESULT IN AN INCREASE OF THE NUMBER OF ICHS PATIENTS WHO ARE PRESCRIBED PREP, WHICH WAS 103 AS OF NOVEMBER 30, 2021. BY INCREASING THE NUMBER OF PEOPLE SCREENED FOR HIV, WE WILL IDENTIFY MORE NEW CASES OF HIV. ICHS HAS AN HIV SPECIALIST THAT CAN MANAGE HIV, AND WE WILL ALSO WORK WITH LOCAL ORGANIZATIONS, INCLUDING HIV CLINICS AND CASE MANAGEMENT ORGANIZATIONS TO ENSURE THAT PATIENTS ARE LINKED TO HIV CARE WITHIN 30 DAYS. IN ORDER TO ENSURE THAT ICHS STAFF AND PROVIDERS ARE AWARE OF THE INITIATIVE, ICHS WILL APPOINT HIV PREVENTION CLINICIAN CHAMPIONS AT ITS CLINICAL SITES, AS WELL AS A PROGRAM MANAGER TO OVERSEE THE EFFORT. ICHS IS A FEDERALLY QUALIFIED HEALTH CENTER THAT SERVES EVERYONE. HOWEVER, SINCE 84% OF ICHS PATIENTS WITH KNOWN INCOMES ARE LOW-INCOME (WITH INCOMES AT 200% OF THE FEDERAL POVERTY LIMIT OR LOWER) AND 60% ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, THESE POPULATIONS WILL REPRESENT A HIGH PERCENTAGE OF THOSE SERVED. IN ADDITION, APPROXIMATELY 68% OF ICHS PATIENTS ARE OF ASIAN ETHNICITY, SO MANY OF THOSE SERVED IN THIS PROJECT WILL REPRESENT THIS POPULATION.

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

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

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

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - GRANT #: H80CS00677 ORGANIZATION HISTORY/INFORMATION: PENINSULA COMMUNITY HEALTH SERVICES (PCHS) IS A COMMUNITY BASED NONPROFIT ORGANIZATION OPERATING UNDER THE MISSION, “PCHS EXEMPLIFIES A CULTURE OF COMMUNITY SERVICE.” THE HEALTH CENTER PROVIDES ACCESSIBLE, AFFORDABLE, COMPASSIONATE, QUALITY HEALTH CARE AND WELLNESS SERVICES THROUGHOUT KITSAP, MASON, AND RURAL PIERCE (KEY PENINSULA) COUNTIES. FOUNDED IN 1989 AS A COMMUNITY CLINIC IN DOWNTOWN BREMERTON, PCHS BECAME A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 1993. IT IS THE OLDEST AND LARGEST HEALTH CENTER SERVING THE KITSAP PENINSULA AND SURROUNDING AREA, LOCATED TO THE WEST AND ACROSS PUGET SOUND FROM SEATTLE. PCHS OPERATES 41 SITES INCLUDING 11 SCHOOL-BASED HEALTH CENTERS, 6 MOBILE UNITES, AND 2 ADMINISTRATION SITES IN BREMERTON, BELFAIR, KINGSTON, PORT ORCHARD, POULSBO, SILVERDALE, SHELTON, AND GIG HARBOR. PCHS OFFERS A PATIENT-CENTERED MEDICAL AND DENTAL HOME WITH INTEGRATED BEHAVIORAL HEALTH SERVICES, MEDICALLY ASSISTED TREATMENT FOR SUBSTANCE USE DISORDER, PHARMACY, LAB, AND DENTAL CARE. POPULATION SERVED: PCHS’ TARGET POPULATION IS LOW-INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS, INCLUDING INDIVIDUALS COVERED BY MEDICAID AND MEDICARE. FUNDING FROM THIS GRANT WILL SUPPORT PCHS' EFFORTS TO STRENGTHEN TRANSITIONS IN CARE FOR INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION, INCREASING THEIR ACCESS TO COMMUNITY-BASED, HIGH QUALITY PRIMARY CARE SERVICES. FUNDING FROM THIS GRANT WILL SUPPORT THE PURCHASE OF PRESCRIBED, NUTRITIOUS FOOD BASKETS, AND ALLOW PCHS TO HIRE THE FOLLOWING POSITIONS: 1.0 FTE ADVANCED PRACTICE CLINICIAN TO PROVIDE PRIMARY CARE; 1.0 FTE LICENSED MENTAL HEALTH COUNSELOR FOR MENTAL HEALTH CARE; 1.0 FTE SUBSTANCE USE DISORDER PROFESSIONAL TO PROVIDE SUD TREATMENT; 2.0 FTE BEHAVIORAL HEALTH TECHNICIANS TO SUPPORT MENTAL HEALTH AND SUD SCREENING AND FACILITATE CARE; 1.0 FTE ENGAGEMENT SPECIALIST TO FACILITATE ACCESS TO SPECIALTY CARE; AND 0.20 FTE PATIENT NAVIGATOR TO ASSIST PATIENTS SIGN UP FOR MEDICAID, MEDICARE, AND OTHER GOVERNMENT BENEFITS.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - LEGACY COMMUNITY HEALTH (LCH) SEEKS A GRANT OF $1,000,000 FOR THE IMPLEMENTATION AND TRANSITION TO A NEW ELECTRONIC HEALTH RECORDS (EHR) SYSTEM - EPIC. LCH IS A FEDERALLY QUALIFIED HEALTH CENTER BASED IN HOUSTON, TEXAS THAT PROVIDES A RANGE OF PRIMARY CARE SERVICES. THIS INITIATIVE IS FUNDAMENTAL IN OUR EFFORT TO ENHANCE THE QUALITY AND COORDINATION OF CARE, REDUCE MEDICAL ERRORS, IMPROVE PATIENT SAFETY AND HEALTH OUTCOMES, AND PROMOTE HEALTH EQUITY IN OUR COMMUNITY. THE PRESENT EHR SYSTEM AT LCH IS NOT OPTIMALLY EFFECTIVE FOR MANAGING THE INCREASING VOLUME OF PATIENTS OR OUR EVOLVING REQUIREMENTS FOR DATA SHARING, ANALYTICS, AND INTEROPERABILITY WITH OTHER HEALTHCARE ORGANIZATIONS. THIS SITUATION NOT ONLY IMPACTS SERVICE EFFICIENCY AND HEALTH OUTCOMES BUT ALSO HAMPERS OUR EFFORTS IN MEETING FEDERAL REPORTING AND COMPLIANCE REQUIREMENTS. THE IMPLEMENTATION OF THE EPIC EHR SYSTEM, KNOWN FOR ITS COMPREHENSIVE FUNCTIONALITIES AND ROBUST DATA MANAGEMENT CAPABILITIES, WILL SIGNIFICANTLY RESOLVE THESE ISSUES.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

PERSISTENT POVERTY DHCS GRANT - CONACT SEC 379G DELTA HEALTH CARE SERVICES GRANT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

RYAN WHITE TITLE IV PROGRAM

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

COMMUNITY HEALTH WORKER TRAINING PROGRAM - ADDRESS: 220 FIFTH AVE EAST, HENDERSONVILLE, NC 28792-4377 PROJECT DIRECTOR NAME: KENETT MELGAR CONTACT PHONE NUMBER: (828) 692-4289 EMAIL ADDRESS: KMELGAR@BRCHS.COM WEBSITE ADDRESS: HTTPS://BRCHS.COM GRANT PROGRAM FUNDS REQUESTED: $833,792 BRIEF OVERVIEW OF THE PROJECT: THE GOAL OF THE COMMUNITY HEALTH WORKER AND PEER SUPPORT SPECIALIST TRAINING PROGRAM IS TO EXPAND THE CAPACITY OF THE PUBLIC HEALTH WORKFORCE BY TRAINING COMMUNITY HEALTH WORKERS (CHW) AND PEER SUPPORT SPECIALISTS (PSS) TO PROVIDE IMPROVED COMMUNITY HEALTH OUTREACH AND ACHIEVE HEALTH EQUITY IN WESTERN NORTH CAROLINA (WNC). TO REACH THIS GOAL, BLUE RIDGE COMMUNITY HEALTH SERVICES, INC. WILL PARTNER WITH BLUE RIDGE COMMUNITY COLLEGE TO: CREATE, ENHANCE, AND IMPLEMENT CURRICULA FOR TRAINING NEW AND UPSKILLING EXISTING CHWS AND PSS IN THE CLASSROOM AND ON-THE-JOB; EMPLOY CHWS AND PSS AS APPRENTICES; AND PROVIDE FINANCIAL AND SOCIAL DETERMINANTS OF HEALTH (SDOH) SUPPORT TO TRAINEES. IN IMPLEMENTING THESE ACTIVITIES, BRCHS AND BRCC WILL PREPARE AND CERTIFY 20 CHWS OR PSS EACH YEAR WITH THE SKILLSETS NECESSARY TO PROVIDE VULNERABLE COMMUNITIES WITH HEALTH EDUCATION, CARE COORDINATION, AND LINKAGE TO SOCIAL SUPPORTS, HEALTH CARE, AND LOCAL RESOURCES. THESE SERVICES WILL BRIDGE GAPS IN CARE FOR AT-RISK POPULATIONS INCLUDING HISPANIC/LATINX, BLACK/AFRICAN AMERICAN, LOW-INCOME, UNINSURED/UNDERINSURED, AND HOUSING INSECURE INDIVIDUALS, AS WELL AS THOSE WITH A SUBSTANCE USE DISORDER, WHO FACE HIGHER RATES OF HEALTH DISPARITIES DUE TO SDOH IN WNC. BY INCREASING THE NUMBER OF CHWS/PSS AVAILABLE IN THE REGION, THE PUBLIC HEALTH WORKFORCE WILL BE BETTER EQUIPPED TO IMPROVE THE HEALTH EQUITY AND LITERACY OF THESE POPULATIONS AND REMOVE BARRIERS TO CONSISTENT, QUALITY, AND AFFORDABLE HEALTH CARE.

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

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

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2023 BRIDGE ACCESS PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE BLUE RIDGE HEALTH BEHAVIORAL HEALTH EXPANSION PROGRAM WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD BY 2400 OVER THE TWO YEAR PERIOD OF THE GRANT. THE EXPANSION WILL OCCUR IN SEVERAL AREAS: 1) HAVE REFERRALS FOR BEHAVIORAL HEALTH SERVICES IMMEDIATELY CONTACTED BY A CARE MANAGER WHO IS ALSO A PERSON WITH LIVED EXPERIENCES, 2) CONNECT PEOPLE WITH ASSESSMENT, 3) INCREASE THE AVAILABILITY OF PSYCHOLOGICAL TESTING TO REDUCE THE WAITING LISTS, 4) ADD TRAINING IN THE AREAS OF EATING DISORDERS AND AUTISM, 5) INCREASE THE NUMBER OF CLINICIANS THAT ARE DUAL LICENSED, AND 6) COVER THE COSTS OF SUPERVISION TIME FOR INDIVIDUALS HIRED WITH PROVISIONAL LICENSES AS A MEANS OF INCREASING THE NUMBER OF LICENSED CLINICIANS. THE SERVICE AREA COVERED BY THIS PROGRAMMING WILL BE 8 COUNTIES IN THE APPALACHIAN REGION OF WESTERN NORTH CAROLINA. TO ACCOMPLISH THESE GOALS BLUE RIDGE COMMUNITY HEALTH (BLUE RIDGE) WILL HAVE A CARE MANAGER FOR BEHAVIORAL HEALTH SERVICES AVAILABLE FOR EACH OF THE 8 COUNTIES TO ASSIST THOSE IDENTIFIED WITH MENTAL HEALTH NEEDS OR SUD AND REFERRED BY BLUE RIDGE PRIMARY CARE PROVIDERS. THE CARE MANAGER WILL HELP THOSE REFERRED ACCESS THE ASSESSMENT PROCESS AND COMMUNITY RESOURCES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH RELATED TO THE MENTAL HEALTH OR SUBSTANCE USE. THE INITIAL CONTACT IS A MEANS OF PROVIDING IMMEDIATE SUPPORT FOR THOSE IN NEED. BLUE RIDGE WILL EXPAND THE CARE MANAGEMENT CURRENTLY PROVIDED AND HIRE THREE CARE MANAGERS TO COVER THREE ADDITIONAL COUNTIES .THE IMMEDIATE CONTACT IS EXPECTED TO INCREASE THE NUMBER OF PATIENTS SERVED FOR BEHAVIORAL HEALTH OR SUD. TO ACCOMMODATE THE INCREASE, AN ADDITIONAL ASSESSMENT CLINICIAN WILL BE HIRED. BLUE RIDGE CURRENTLY HAS A WAITING LIST FOR THOSE WHO NEED SPECIFIC OR SPECIALIZED PSYCHOLOGICAL TESTING, SO TO INCREASE THE NUMBER OF PATIENTS SERVED, BLUE R IDGE WILL INCREASE THE CURRENT PART-TIME POSITION IN PSYCHOLOGICAL TESTING TO A FULL TIME POSITION. TO ADDRESS THE NEED FOR INCREASED SERVICES, BLUE RIDGE WILL INCREASE TRAINING FOR SPECIALIZATIONS SUCH AS AUTISM AND EATING DISORDERS AND WORK WITH CLINICIANS TO BE DUAL-LICENSED IN VARIOUS SUBDISCIPLINES. BLUE RIDGE WILL ASSESS THE IMPACT OF THESE ADDITIONAL SERVICES THROUGH OUR QUALITY IMPROVEMENT PLAN, SPECIFICALLY TRACKING THE PRIMARY CARE PROVIDERS' REFERRALS AND TREATMENT (MEDICATION OR NOT) AND CHANGES IN THE PHQ9. BLUE RIDGE CURRENTLY HAS IN PLACE A SYSTEM TO TRACK THE REFERRALS TO COMMUNITY RESOURCES MADE BY CARE MANAGERS AND WILL CONTINUE TO USE THAT PROCESS TO EVALUATE THE EXPANSION OF SERVICES.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION APPLICANT NAME: BAPTIST COMMUNITY HEALTH SERVICES ADDRESS: 4960 ST. CLAUDE AVENUE, NEW ORLEANS, LA 70117 PROJECT DIRECTOR NAME: JEREMY SIMMONS, CHIEF EXECUTIVE OFFICER PHONE: 504.533.4999 E-MAIL: JSIMMONS@BCHS.ORG WEBSITE: WWW.BCHSNOLA.ORG AMOUNT AND TYPE OF HRSA FUNDING REQUESTED: $1.1 MILLION (2 YEARS) HEALTH CENTER PROGRAM GRANT NUMBER (H80CSXXXXX) BAPTIST COMMUNITY HEALTH SERVICES IS A NON-PROFIT COMMUNITY-BASED HEALTH CARE PROVIDER THAT SERVES THE PRIMARY CARE NEEDS OF UNDERSERVED RESIDENTS OF NEW ORLEANS’ LOWER NINTH WARD (L9W), AND MANDEVILLE NEIGHBORHOOD. BCHS DELIVERS PRIMARY, BEHAVIORAL, AND SUPPORTIVE SERVICES TO COMMUNITIES WHERE 44.2% OF THE POPULATION IS LOW-INCOME AND 40% OF CHILDREN LIVE IN POVERTY. ACCESS TO BEHAVIORAL HEALTH SERVICES CONTINUES TO VEX AREA RESIDENTS. NEW ORLEANS’ MENTAL HEALTH PROVIDER TO PATIENT RATIO IS 557:1, COMPARED TO THE STATE AVERAGE OF 304:1. RECENT RESIDENT SURVEYS INDICATE THAT INDIVIDUALS WITH MENTAL HEALTH NEEDS, ESPECIALLY CHILDREN AND MEDICAID PATIENTS, EXPERIENCE LONG WAIT LISTS FOR THERAPISTS. INDIVIDUALS WITH SUBSTANCE USE DISORDERS REPORT INADEQUATE SERVICES, PARTICULARLY FOR DETOX AND MEDICATION ASSISTED THERAPIES. THE CHILDREN’S HOSPITAL CITED MENTAL HEALTH ISSUES AS ITS TOP REASONS FOR INPATIENT HOSPITALIZATION IN 2021. DRUG OVERDOSE DEATHS HEAVILY CONTRIBUTE TO PREMATURE MORTALITY: THE NEW ORLEANS CORONER’S OFFICE REPORTED 499 AND 492 ACCIDENTAL DRUG-RELATED DEATHS IN 2022 AND 2021, RESPECTIVELY, WITH FENTANYL DETECTED IN 89 PERCENT OF DEATHS. ITS DRUG OVERDOSE DEATH RATE IS 41%. THE CITY CONTINUES TO BATTLE FENTANYL. IN 2022, NEW ORLEANS ATTRIBUTED THE PERMEATION OF FENTANYL TO 2,502 NONFATAL OVERDOSES, 4,046 VIOLENT CRIMES, 169 HOMICIDES, 125 FATAL SHOOTINGS, 630 NONFATAL SHOOTINGS, 261 CAR JACKINGS, 377 ARMED ROBBERIES, AND 1,159 DRUG VIOLATIONS. WITH THE BEHAVIORAL HEALTH SERVICE EXPANSION GRANT, BCHS WILL CONTINU E TO BE ONE OF THE CITY’S CRITICAL AND TRUSTED BEHAVIORAL HEALTH PARTNERS AS IT WORKS TO ENSURE THAT RESIDENTS REPORT LIVING HAPPY, HEALTHY AND FULFILLING LIVES. BCHS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES BY: • INCREASING EDUCATION ON AND DISTRIBUTION OF MEDICATIONS FOR OPIOID USE DISORDERS. • EXPANDING TELEHEALTH TO INCREASE ACCESS TO TREATMENT FOR OUDS AND ANY CO-OCCURRING SUBSTANCE USE OR MENTAL HEALTH CONDITION. • PROVIDING ONSITE THERAPEUTIC INDIVIDUAL, GROUP, AND FAMILY SESSIONS FOR MENTAL HEALTH NEEDS INCLUDING ANXIETY, DEPRESSION, AND POST-TRAUMATIC STRESS DISORDERS. • INCREASING TREATMENT AND RECOVERY SUPPORT SERVICES INCLUDING INTENSIVE OUTPATIENT TREATMENT, AND OUTPATIENT THERAPY/COUNSELING. • HIRING ADDITIONAL SOCIAL WORKERS AND OTHER BEHAVIORAL HEALTH WORKERS TO INCREASE ACCESS TO WRAP-AROUND SERVICES FOR INDIVIDUALS IN RECOVERY. 1. GREATER NEW ORLEANS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT 2.NOFD 2020-2021 CAD DATA; NOPD/OPSD HOMICIDE TRACKER; HIDTA OD MAP