Unity Healthcare

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 PROGRAM

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER PROGRAM

CASCADE COMMUNITY HEALTHCARE CCBHC EXPANSION GRANT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CCBHC IMPROVEMENT AND ADVANCEMENT - THROUGH THE CCBHC-IMPROVEMENT AND ADVANCEMENT PROGRAM, NORTHWEST ESSEX COMMUNITY HEALTHCARE NETWORK (NECHN) WILL SERVE INDIVIDUALS LIVING WITH BEHAVIORAL HEALTH (BH) NEEDS IN ESSEX COUNTY, NJ. THE PRIMARY FOCUS OF OUR CCBHC-IMPROVEMENT AND ADVANCEMENT PROGRAM IS TO SUPPORT GREATER ACCESS TO BH SERVICES IN ESSEX COUNTY FOR THE DIVERSE POPULATIONS EXPERIENCING THE MOST SIGNIFICANT NEEDS AND GREATEST DISPARITIES. WE WILL PRIORITIZE OUTREACH TO THE MOST MARGINALIZED COMMUNITIES, INCLUDING THOSE WHO ARE BLACK AND LATINO, THOSE WHO ARE UN/UNDER-INSURED, AND CHILDREN, YOUTH, AND FAMILIES. THESE POPULATIONS ARE DISPROPORTIONATELY IMPACTED BY LACK OF ACCESS TO BH SERVICES AND POOR OUTCOMES, AND THESE DISPARITIES HAVE ONLY BEEN EXACERBATED BY THE COVID-19 PANDEMIC. FOR CCBHC-IMPROVEMENT AND ADVANCEMENT, WE WILL SERVE 500 INDIVIDUALS EACH YEAR, FOR A TOTAL OF 1,550 UNDUPLICATED CLIENTS SERVED OVER THE FOUR YEARS (NUMBERS DO NOT SUM DUE TO CLIENTS WHO ARE SERVED OVER MULTIPLE YEARS). AS A PROVIDER OF BH SERVICES IN ESSEX COUNTY AND THE SURROUNDING COUNTIES SINCE 1958, WE HAVE A LONG HISTORY OF CONTINUALLY ASSESSING AND RESPONDING TO LOCAL NEEDS IN OUR AREA. OUR CCBHC-IMPROVEMENT AND ADVANCEMENT GOALS ARE IN DIRECT ALIGNMENT WITH THE MOST PRESSING COUNTY NEEDS TODAY: GOAL 1: OFFER RAPID ACCESS TO AND SUPPORT ENGAGEMENT IN CCBHC SERVICES FOR INDIVIDUALS WITH BH CONDITIONS: 1.1: DEVELOP A CCBHC ACCESS CENTER IN Y1, SO THAT 90% OF NEW CLIENTS WILL BE CONNECTED TO A RISK SCREENING AND SCHEDULED FOR INTAKE AT THE TIME OF THEIR OUTREACH VIA A SINGLE CONTACT; 1.2: 100% OF CCBHC CLIENTS WILL RECEIVE ACCESS TO CCBHC SERVICES WITHIN 10 BUSINESS DAYS FOR ROUTINE NEEDS OR WITHIN 1 BUSINESS DAY FOR URGENT NEEDS; 1.3: 100% OF THOSE WHO DO NOT SHOW UP FOR A CCBHC APPOINTMENT WILL RECEIVE UP TO THREE OUTREACH ATTEMPTS TO (RE)ENGAGE THEM AND ASSIST WITH REMOVING BARRIERS (I.E., CHILDCARE); 1.4: 90% OF CLIENTS WITH TRANSPORTATION BARRIERS WILL BE CONNECTED TO TRANSPORTATION SUPPORTS; AND 1.5: 60% OF THOSE WHO COMPLETE A CCBHC INTAKE WILL BE ENGAGED FOR AT LEAST 3 MONTHS. GOAL 2: ADDRESS THE INTEGRATED CARE NEEDS OF CLIENTS BY EXPANDING CASE MANAGEMENT (CM) SERVICES: 2.1: EXPAND NECHN'S CM TEAM BY HIRING TWO CASE MANAGERS WITHIN THE FIRST 6 MONTHS; 2.2: 100% OF CLIENTS WILL BE ENGAGED IN A CM ASSESSMENT TO IDENTIFY/ADDRESS HOLISTIC NEEDS; 2.3: 80% OF THOSE WHO DO NOT HAVE ONE WILL BE REFERRED TO A PCP THAT MEETS THEIR NEEDS; AND 2.4: 75% OF THOSE WHO HAVE SDOH-RELATED NEEDS WILL REPORT HAVING THOSE NEEDS MET WITHIN 6 MONTHS OF BEING ENGAGED IN OUR CCBHC. GOAL 3: REDUCE BH DISPARITIES FOR PRIORITY POPULATIONS LIVING IN ESSEX COUNTY: 3.1: ENHANCE NECHN'S CCBHC TEAM BY TRAINING ONE MEMBER OF OUR CM TEAM TO BECOME A CHW SO THAT THEY CAN SUPPORT TARGETED OUTREACH TO COMMUNITIES WITH BH DISPARITIES; 3.2: BUILD CAPACITY TO SUPPORT FAMILIES AT OUR CCBHC BY TRAINING 100% OF CCBHC CLINICAL STAFF ON INTERNAL FAMILY SYSTEMS DURING THE FIRST YEAR; 3.3 PROVIDE PEER SERVICES TO 75% OF CLIENTS IN OUR TARGET SUBPOPULATIONS WITH SMI AND SUD; AND 3.4: SUPPORT 80% OF UN/UNDERINSURED CLIENTS TO CONNECT WITH PUBLIC BENEFITS BASED ON ELIGIBILITY.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT ABSTRACT: VISION FOR CONTINUED GROWTH & SUSTAINABILITY: SIMPSON GENERAL HOSPITAL SIMPSON GENERAL HOSPITAL 1842 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114 PROJECT DIRECTOR: SHELLY RILEY, CFO/CONTROLLER CONTACT: 601-847-7130 (OFFICE); SHELLY.RILEY@SIMPSONGENERAL.COM (EMAIL) WWW.SIMPSONGENERAL.COM SIMPSON GENERAL HOSPITAL IS A 25-BED, PRIVATELY OWNED CRITICAL ACCESS HOSPITAL (CAH) IN SIMPSON COUNTY, MISSISSIPPI – MISSISSIPPI’S RURAL SOUTH-CENTRAL REGION. THE HOSPITAL OPENED IN SEPTEMBER 1958 AS A 25-BED HOSPITAL WITH THE GOAL OF PROVIDING QUALITY, ACCESSIBLE MEDICAL CARE AT AN AFFORDABLE COST FOR THE PEOPLE OF SIMPSON COUNTY AND SURROUNDING AREAS. TODAY, IN ADDITION TO THE 25-BED ACUTE CARE AND SWING BED UNIT, THE FACILITY HAS A 24-HOUR EMERGENCY DEPARTMENT, 10-BED INPATIENT SENIOR CARE UNIT, A PARTIAL HOSPITALIZATION PROGRAM, FOUR RURAL HEALTH CLINICS, AND AN INTENSIVE OUTPATIENT PROGRAM (IOP) SERVICE. SIMPSON GENERAL HOSPITAL SERVES THE NEEDS OF THE COMMUNITY BY PROVIDING 24-HOUR EMERGENCY CARE SERVICES SEVEN DAYS A WEEK WITH APPROXIMATELY 6,000 ANNUAL EMERGENCY DEPARTMENT VISITS. SGH IS COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY AND PROVIDING A CONTINUUM OF HIGH-QUALITY HEALTHCARE AND LIFE ENHANCEMENT SERVICES. THE JOB OPPORTUNITIES PROVIDED BY THE HOSPITAL FOR NEARLY 225 EMPLOYEES BOOST THE LOCAL ECONOMY AND IMPROVE THE STANDARD OF LIVING FOR ALL RESIDENTS. THE VISION FOR CONTINUED GROWTH & SUSTAINABILITY: SIMPSON GENERAL HOSPITAL IS TO ENSURE THE HOSPITAL’S MISSION OF DELIVERING QUALITY, ACCESSIBLE CARE CAN CONTINUE WITH A FACILITY THAT IS MODERNIZED ENOUGH TO RESPOND TO THE ONGOING ADVANCEMENTS IN HEALTHCARE AS WELL AS FUTURE GROWTH TO CONTINUE SERVING THE COMMUNITY FOR DECADES TO COME. GOALS OF THE PROJECT INCLUDE: - INCREASING ACCESSIBILITY FOR DISABLED PATIENTS AND A GROWING ELDERLY POPULATION THROUGH AN IMPROVED SYSTEM OF COVERED AWNINGS AND ENTRANCES. - IMPROVING EMERGENCY ROOM ACCESS BY RELOCATIN G THE DEPARTMENT TO THE FRONT OF THE HOSPITAL FOR TIMELIER ADMISSION OF PATIENTS VIA AMBULANCE AND WALK-IN TRAFFIC. - RELOCATION OF THE OUTPATIENT ADMISSIONS AREA TO THE FRONT OF THE HOSPITAL TO ALLOW EASIER ACCESS FOR PATIENTS WHO REQUIRE OUTPATIENT LABORATORY AND RADIOLOGY SERVICES. - ADDITION OF A NEW ACUTE CARE PATIENT WING, WHICH WILL FEATURE 25 PRIVATE ROOMS. - DEMOLITION OF OLD HOMES THAT ARE NO LONGER IN USE ON THE HOSPITAL’S PRIMARY AND NEARBY PROPERTIES. - MODERNIZATION OF PATIENT-FACING AREAS SUCH AS THE SENIOR CARE UNIT, RESPIRATORY THERAPY DEPARTMENT, RADIOLOGY DEPARTMENT, LABORATORY DEPARTMENT AND PARTIAL HOSPITALIZATION PROGRAM SPACE. - UPDATING VARIOUS SPACES INCLUDING THE MAIN LOBBY, PHARMACY, AND ADMINISTRATIVE OFFICES, WHICH HAVE NOT BEEN UPDATED SINCE THE HOSPITAL’S FOUNDING, TO ENSURE THAT EMPLOYEES HAVE THE SPACE AND RESOURCES NEEDED TO MEET THEIR FULL POTENTIAL. - RELOCATION OF THE HELICOPTER PAD WITH INCREASED PROXIMITY TO THE NEW ER LOCATION. - RENOVATION OF A NEW SPACE AND FUTURE HOME TO THE HARRISVILLE CLINIC, FOLLOWED BY RELOCATION FROM ITS EXISTING FACILITY TO THE NEW SPACE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CASCADE COMMUNITY HEALTHCARE CCBHC IMPROVEMENT AND ADVANCEMENT - CASCADE COMMUNITY HEALTH CARE PROPOSES A FOUR-YEAR PROJECT TO IMPROVE AND ADVANCE THE CURRENT CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) TO ENHANCE THE STANDARD OF BEHAVIORAL HEALTH SERVICES AVAILABLE TO LEWIS COUNTY RESIDENTS IN WASHINGTON STATE. THIS PROGRAM IS DESIGNED FOR INDIVIDUALS OF ALL AGES WHO HAVE OR ARE AT RISK FOR A BEHAVIORAL HEALTH CONDITION. AS PART OF THE IMPROVEMENT AND ADVANCEMENT OF THIS PROGRAM, CASCADE WILL IMPLEMENT A VARIETY OF QUALITY IMPROVEMENT INITIATIVES TO INCREASE PROGRAM FIDELITY AND RAISE THE STANDARD OF CARE OFFERED. THE POPULATION OF FOCUS INCLUDES CHILDREN AND ADULTS EXPERIENCING SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE-USE DISORDERS (SUD), AND CO-OCCURRING DISORDERS (COD). TARGETED SUBPOPULATIONS FOR THIS PROJECT INCLUDE LOW-ENGLISH PROFICIENCY (LEP) INDIVIDUALS AND MEMBERS OF THE LATINX COMMUNITY, VETERANS AND THEIR FAMILIES, AND UNINSURED AND UNDERINSURED INDIVIDUALS WHO FALL BELOW THE NATIONAL POVERTY LEVEL. THE FIRST PROJECT GOAL IS TO STRENGTHEN AND EXPAND ORGANIZATIONAL CAPACITY AND STAFF RETENTION TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES ACCORDING TO CLIENT NEEDS. TO ACCOMPLISH THIS, CASCADE WILL ADVERTISE ALL VACANCIES AND DEVELOP A RETENTION PLAN THAT INCLUDES TRAINING PERSONNEL TO ENSURE CAPACITY. GOAL TWO FOCUSES ON IMPROVING HEALTHCARE SERVICES AND EXPAND ACCESS TO HIGH QUALITY INTEGRATED CARE AND COMPREHENSIVE BEHAVIORAL HEALTH CARE SERVICES TO MEET THE NEEDS OF ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR INSURANCE STATUS. FOR THIS GOAL, WE HAVE DEVELOPED SEVERAL OBJECTIVES, WHICH INCLUDE ENSURING PERSONNEL CAPACITY TO INCREASE SUD, CAP, AND PRIMARY CARE SERVICES, AS WELL AS EXPANDING TELEHEALTH SERVICES AT ALL LOCATIONS. GOAL THREE IS TO DEVELOP AND IMPLEMENT A STRATEGIC COMMUNITY OUTREACH CAMPAIGN TO INCREASE PRESENCE WITHIN THE COMMUNITY AND DECREASE THE STIGMA ASSOCIATED WITH BEHAVIORAL HEALTH. THE OBJECTIVES FOR THIS GOAL FOCUS ON ENGAGING A MINIMUM OF 300 NEW CLIENTS IN SUD TREATMENT PER YEAR. THE FINAL GOAL FOR THIS PROGRAM IS TO IMPROVE THE QUALITY HEALTH CARE SERVICES OFFERED TO THE COMMUNITY BY UTILIZING QUALITY IMPROVEMENT MEASURES TO LEVERAGE DATA AND OUTCOMES OF THE CCBHC PROGRAM TO ADDRESS HEALTH DISPARITIES AND IMPROVE LONG-TERM HEALTH OUTCOMES. THIS WILL BE ACCOMPLISHED THROUGH A QUALITY IMPROVEMENT TEAM AND MONTHLY DATA MEETINGS. THROUGH THIS PROGRAM CASCADE WILL SERVE 500 NEW CLIENTS PER YEAR, WITH A TOTAL OF 2,000 CLIENTS OVER THE FOUR-YEAR PERIOD.

NORTHWEST ESSEX CCBHC EXPANSION PROGRAM

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

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES GET COVERED COLLABORATIVE

HEALTH CENTER CLUSTER

ADVANCED NURSING EDUCATION NURSE PRACTITIONER RESIDENCY INTEGRATION PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS

HEALTH CENTER CONTROLLED NETWORK - ADDRESS: SOUTH DAKOTA OFFICE: 196 E 6TH STREET, SUITE 200, SIOUX FALLS, SD 57104; AND NORTH DAKOTA OFFICE: 216 N 2ND STREET, SUITE 104, BISMARCK, ND 58501 PROJECT DIRECTOR NAME: SHELLY TEN NAPEL CONTACT PHONE NUMBERS: BECKY WAHL, PROJECT MANAGER, 701-712-8623 E-MAIL: BECKY@COMMUNITYHEALTHCARE.NET WEB ADDRESS: WWW.COMMUNITYHEALTHCARE.NET GRANT PROGRAM FUNDS REQUESTED: $1,500,000 HCCN GRANT NUMBER: AWARD RECIPIENT H2QCS33123-03-01 PROPOSED NUMBER OF PHCS:11 HEALTH CENTER PROGRAM AWARD RECIPIENTS COMMUNITY HEALTHCARE ASSOCIATION OF THE DAKOTAS (CHAD) SUBMITS THIS APPLICATION AS THE STATE PRIMARY CARE ASSOCIATION FOR NORTH DAKOTA AND SOUTH DAKOTA, IN PARTNERSHIP WITH THE WYOMING PRIMARY CARE ASSOCIATION, FOR A GRANT WITH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) PURSUANT TO CFDA NO. 93.527. THE GREAT PLAINS HEALTH DATA NETWORK (GPHDN) IS A COLLABORATION THAT HARNESSES THE STRENGTH OF THE HEALTH CENTER CONTROLLED NETWORKS (HCCN) PROGRAM TO SUPPORT THE TECHNICAL CAPACITY OF SOME OF THE MOST REMOTE AND UNDER-RESOURCED HEALTH CENTERS IN THE COUNTRY. COMMUNITY-BASED HEALTH CARE SERVICE DELIVERY CONTINUES TO BE A CHALLENGE IN NORTH DAKOTA, SOUTH DAKOTA, AND WYOMING DUE TO ITS WIDELY DISPERSED AND INCREASINGLY DIVERSE POPULATIONS. THESE THREE STATES HAVE A COMBINED LAND MASS OF NEARLY 246,000 MILES WITH ONLY A LITTLE OVER 2.2 MILLION RESIDENTS. THE PRIMARILY URBAN HEALTH CENTERS IN THE DAKOTAS AND WYOMING SERVE A HIGHER PERCENTAGE OF PEOPLE WHO ARE UNINSURED, LIVING IN POVERTY, ARE IMMIGRANTS AND REFUGEES AND EXPERIENCING HOMELESSNESS. RURAL AND FRONTIER CENTERS OFTEN SERVE A MORE ELDERLY PATIENT POPULATION AND THERE CAN BE SIGNIFICANT OVERLAP WITH RURAL NATIVE AMERICAN POPULATIONS AND A LARGE PROPORTION OF VETERANS SERVED. THE MISSION OF THE GPHDN IS TO SUPPORT ITS MEMBERS THROUGH COLLABORATION AND SHARED RESOURCES, EXPERTISE, AND DATA TO IMPROVE CLINICAL, FINANCIAL, AND OPERATIONAL PERFORMANCE. THE GPHDN BRINGS TOGETHER 11 HEALTH CENTERS, WHICH ARE SECTION 330 FUNDED, SERVING 74 SITES. THEY COLLECTIVELY SERVE 99,849 TOTAL PATIENTS. THE GPHDN REPRESENTS NEARLY ALL THE HEALTH CENTERS OPERATING IN THE THREE STATES. WITHIN THE GPHDN THERE ARE SIX ELECTRONIC HEALTH RECORDS (EHRS) WHICH LIMITS THE DATA AVAILABLE TO THE NETWORK AND THE SUPPORT THAT CAN BE PROVIDED TO THE HEALTH CENTERS FOR QUALITY IMPROVEMENT EFFORTS. OFTEN THESE EHRS HAVE LIMITED ABILITY TO PROVIDE ACTIONABLE REPORTS AND WORKFLOWS TO CAPTURE THE DATA IN A STRUCTURED MANNER WHICH CAN BE CUMBERSOME AND INEFFICIENT. ADDITIONALLY, HEALTH CENTER STAFF OFTEN HAVE COMPETING PRIORITIES OR SIMPLY DO NOT HAVE THE SYSTEMS IN PLACE TO PROVIDE PERFORMANCE IMPROVEMENT ACTIVITIES AND EVALUATE WAYS THAT PRIMARY CARE COULD BE DELIVERED IN A MORE EFFICIENT MANNER. THE GPHDN WILL SUPPORT HEALTH CENTERS WITH LEVERAGING HEALTH INFORMATION TECHNOLOGY (HIT) AND DATA TO DELIVER HIGH-QUALITY, CULTURALLY COMPETENT, EQUITABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE. YEAR ONE OF THE PROJECT PERIOD WILL USE RESOURCES PROVIDED BY THE HCCN FUNDING TO CONTINUE IMPLEMENTING AND OPTIMIZING AZARA; PROVIDE TECHNICAL ASSISTANCE TO HEALTH CENTERS TO INCREASE THE UTILIZATION OF SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING TOOLS; AND DEVELOP ORGANIZATIONAL DATA STRATEGIES FOR EACH HEALTH CENTER. THE PROJECT WILL ALSO EXPLORE THE HEALTH CENTERS GOALS AND OPPORTUNITIES FOR INCREASING PATIENT-CENTERED VIRTUAL CARE. YEARS TWO AND THREE WILL BE FOCUSED ON CONSOLIDATING AND INTEGRATING DATA ACROSS PARTICIPATING HEALTH CENTERS AND WITH OUTSIDE DATA RESOURCES. THE GOAL OF THIS PROJECT IS TO INCREASE HIT UTILIZATION TO ALLOW PARTICIPATING HEALTH CENTERS AND THE GPHDN TO BECOME DATA DRIVEN ORGANIZATIONS THAT UTILIZE DATA TO PROVIDE SECURE, HIGH QUALITY, PATIENT-CENTERED CARE IN A CARE TEAM ENVIRONMENT.

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

GET COVERED COLLABORATIVE WILL PROVIDE NAVIGATOR SERVICES STATEWIDE IN SOUTH DAKOTA.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

HEALTH CENTER CONTROLLED NETWORK

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

PROJECT THRIVE (TRANSFORMING HEALTH RESOURCES FOR INCLUSIVITY, VITALITY, AND EMPOWERMENT) - PURPOSE: WE ARE PROUD TO SHARE OUR INNOVATIVE INITIATIVE, PROJECT THRIVE (TRANSFORMING HEALTH RESOURCES FOR INCLUSIVITY, VITALITY, AND EMPOWERMENT). THRIVE REPRESENTS OUR GOAL OF CREATING A SUPPORTIVE AND INCLUSIVE ENVIRONMENT WHERE BLACK MSM AND BLACK TRANS WOMEN CAN ACCESS THE RESOURCES THEY NEED TO LIVE HEALTHY AND EMPOWERED LIVES. THE PURPOSE OF THIS PROJECT IS TO INCREASE ENGAGEMENT IN SUBSTANCE USE/MENTAL HEALTH TREATMENT FOR RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD) WHO ARE AT RISK FOR OR ARE LIVING WITH HIV/AIDS. WE HAVE POSITIONED OURSELVES WITHIN A NETWORK OF PROVIDERS TO ENSURE THAT OUR PROGRAM PARTICIPANTS RECEIVE CULTURALLY AFFIRMING HIV/AIDS PREVENTION AND TREATMENT; PRIMARY MEDICAL CARE; AND MENTAL HEALTH & SUBSTANCE ABUSE TREATMENT. POPULATION TO BE SERVED: FORTUNATELY, THE PROJECT WILL ENSURE THE DELIVERY OF TREATMENT AND ENHANCED ACCESS FOR OUR TARGET POPULATION BY LICENSED AGENCIES IN THE COMMUNITY, THIS HIGH IMPACT PREVENTION/CARE PROJECT WILL ADDRESS THE PREVENTION/CARE NEEDS OF PRIORITIZED TARGET POPULATIONS IN THE ST. LOUIS METROPOLITAN STATISTICAL AREA (THAT INCLUDES TWO MISSOURI COUNTIES AND ST. CLAIR COUNTY ILLINOIS OR THE METRO-EAST REGION OF SOUTHERN ILLINOIS). THESE TARGETED POPULATIONS ENCOMPASS LOW-INCOME COMMUNITIES OF COLOR WITH LIMITED LITERACY SKILLS AND A VARIETY OF HEALTH DISPARITIES. BELOW IS A FULL DEMOGRAPHIC PROFILE OF OUR POPULATION OF FOCUS: *SEXUAL ORIENTATION, GENDER IDENTITY, & SEX: BMSM, BLACK TRANS WOMEN, NON-IDENTIFIED BMSM, BI- SEXUAL BLACK MEN, AND BMSM/TRANSGENDER WOMEN WHO HAVE A SUBSTANCE USES DISORDERS (SUDS) OR CO- OCCURRING DISORDERS (COD) OR WHO ARE HIV POSITIVE OR AT RISK FOR HIV/AIDS. *AGE: 18 AND UP *RACE: THE PROJECT WILL SERVE AFRICAN AMERICAN/BLACKS IN EAST ST. LOUIS, ST. CLAIR COUNTY, ILLINOIS, AND THE METROPOLITAN ST. LOUIS AREA. ETHNICITY: THE ETHNICITY OF THE POPULATION TO BE SERVED IS BLACK-NON-HISPANIC. *LANGUAGE: ENGLISH IS THE LANGUAGE SPOKEN BY ALL THE BMSM/TRANS WOMEN TO BE SERVED BY THE PROJECT. SOCIOECONOMIC CHARACTERISTICS: EAST ST. LOUIS, AREAS OF ST. CLAIR COUNTY, AND VARIOUS ST. LOUIS CITY AND COUNTY REGIONS TO BE SERVED ARE ECONOMICALLY DEVASTATED. SOME AREAS RECEIVED THE “ENTERPRISE COMMUNITY” DESIGNATION FROM HUD, AN INDICATOR OF EXTREME POVERTY. STRATEGIES/INTERVENTIONS: PROJECT STAFF ARE FAMILIAR WITH THE USE OF RECOVERY-ORIENTED SYSTEMS OF CARE, TRAUMA INFORMED CARE, IMPLEMENTING EBP AROUND BEHAVIORAL HEALTH INTERVENTIONS AND CDC HIV PREVENTION/CARE INTERVENTIONS. RECRUITMENT THROUGH SOCIAL NETWORK STRATEGIES (SNS) WILL BE CONDUCTED TO ENSURE THAT THE TARGETED POPULATION IS REACHED IN SUFFICIENT NUMBERS THROUGHOUT THE FUNDING PERIOD. THE PROJECT EVALUATOR WILL COLLECT AND ANALYZE DATA, INCLUDING THE GPRA AND THE CONSUMER OUTCOME STUDY, AND PROVIDE PERIODIC FEEDBACK TO HELP MONITOR AND IMPROVE OUTCOMES. PROJECT GOALS: THE GOALS OF THE PROJECT ARE TO INCREASE ACCESS AND AVAILABILITY OF SERVICES TO 12635 PARTICIPANTS OVER THE 5-YEAR PROJECT. GOAL 1. PROVIDE AT LEAST 300 GIPRA SCREENINGS FOR SUBSTANCE USE AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS AND ACTIVE INTERNAL OR EXTERNAL REFERRALS TO ALL APPROPRIATE PROGRAMMING. GOAL 2 PROVIDE CDC APPROVED COMPREHENSIVE HEALTH SCREENINGS AND LINKAGE TO CARE SERVICES TO 2490 TARGETED PROJECT PARTICIPANTS. GOAL 3. PROVIDE 2345 BEHAVIORAL INTERVENTIONS AND LINKAGE OF TREATMENT SERVICES FOR TARGETED PROJECT PARTICIPANTS. GOAL 4: PROVIDE CONDOM DISTRIBUTION SERVICES TO 7500 PROJECT PARTICIPANTS. MEASURABLE OBJECTIVES: PROVIDE SCREENINGS FOR CO-OCCURRING CONDITIONS TO AT LEAST 300 PARTICIPANTS OVER 5-YEAR PROJECT. 80% OF PARTICIPANTS WILL RECEIVE FOLLOW UP ASSESSMENTS. 90% OF PARTICIPANTS WITH A MENTAL HEALTH/SUBSTANCE ABUSE DIAGNOSES WILL BE CONNECTED TO TREATMENT SERVICES. OVERALL, GOAL IS 50% OF ALL TREATMENT REFERRALS TO SUCCESSFULLY COMPLETE MENTAL HEALTH/SUBSTANCE ABUSE TREATMENT.

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

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

ARRA - FACILITY INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

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

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - FUNDING OPPORTUNITY: FISCAL YEAR 2025 QUALITY IMPROVEMENT FUND – TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS, APPLICANT NAME: COMMUNITY HEALTHCARE NETWORK, ADDRESS: 60 MADISON AVE., 5TH FL, NEW YORK, NY 10010, CONTACT NAME: CHRISTINE RUTKOSKI, (P) 212.545.2400 (F) 646.312.0481, EMAIL ADDRESS: CRUTKOSKI@CHNNYC.ORG, WEB SITE ADDRESS: WWW.CHNNYC.ORG, CONGRESSIONAL DISTRICTS WITHIN SERVICE AREA: 6,10,11,14,15,16, HRSA FUNDING: COMMUNITY HEALTH CENTER (330), RYAN WHITE– PART C, TEACHING HEALTH CENTER PLANNING GRANT, INTEGRATED SUBSTANCE USE DISORDER TRAINING PROGRAM, ADVANCED NURSING EDUCATION NURSE PRACTITIONER RESIDENCY INTEGRATION PROGRAM COMMUNITY HEALTHCARE NETWORK (CHN) HAS BEEN COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES FOR LOW-INCOME AND UNINSURED NEW YORKERS FOR OVER 40 YEARS. CHN IS A NOT-FOR-PROFIT, 501(C)3 ORGANIZATION THAT PROVIDES ACCESS TO QUALITY, CULTURALLY COMPETENT, AND COMPREHENSIVE COMMUNITY-BASED PRIMARY CARE, MENTAL HEALTH SERVICES, AND SOCIAL SERVICES FOR DIVERSE POPULATIONS IN UNDERSERVED COMMUNITIES IN FOUR BOROUGHS OF NEW YORK CITY. AS A NETWORK OF TWELVE HEALTH CENTERS, TWO MEDICAL MOBILE UNITS, AND TWO SCHOOL-BASED HEALTH CENTERS, CHN REACHES OVER 85,000 INDIVIDUALS EACH YEAR THROUGH ITS CLINICAL AND COMMUNITY-BASED PROGRAMS. THE PRIMARY CATCHMENT AREAS FOR CHN’S CURRENT HEALTH CENTERS INCLUDE THE FOLLOWING NEIGHBORHOODS: WILLIAMSBURG/BUSHWICK, EAST NEW YORK, AND CROWN HEIGHTS/BEDFORD STUYVESANT IN BROOKLYN; THE LOWER EAST SIDE, CENTRAL HARLEM, AND WASHINGTON HEIGHTS IN MANHATTAN; JAMAICA AND LONG ISLAND CITY, QUEENS; AND TREMONT AND THE SOUTH BRONX. IN ADDITION, CHN’S MOBILE UNITS PROVIDE FAMILY PLANNING, SEXUAL HEALTH, AND MENTAL HEALTH SERVICES TO HARD-TO-REACH POPULATIONS IN MANHATTAN, BROOKLYN, AND QUEENS. CHN SERVES HIGH-RISK NEIGHBORHOODS THAT ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS/MEDICALLY UNDERSERVED POPULATIONS. CHN’S TARGETED AREAS ARE DISPROPORTIONATELY IMPACTED BY PREVENTABLE AND TREATABLE ILLNESSES INCLUDING CARDIOVASCULAR DISEASE, DIABETES, ASTHMA AND RESPIRATORY DISEASE, HIV/STIS, AND POOR BIRTH OUTCOMES. A DISPROPORTIONATE AMOUNT OF CHN’S PATIENTS ARE IMPACTED BY SOCIAL DETERMINANTS OF HEALTH, INCLUDING INSURANCE ACCESS, LOW INCOMES/UNEMPLOYMENT, FOOD INSECURITY, AND UNSTABLE HOUSING. THESE PATIENTS INCLUDE WOMEN AND THEIR PARTNERS, INFANTS AND CHILDREN, THE ELDERLY, HIGH-RISK INDIVIDUALS, NEW IMMIGRANTS, THE HOMELESS, SUBSTANCE USERS, AND ADOLESCENTS. THROUGH THIS FUNDING OPPORTUNITY, CHN AIMS TO EXPAND ITS PROGRAMMING FOR JUSTICE-INVOLVED POPULATIONS, INCLUDING ENGAGEMENT AND RETENTION IN CARE, CARE COORDINATION, CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH CARE, SUD/MAT SERVICES, AND OTHER MEDICAL SERVICES AS NEEDED. BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR HIGH-RISK POPULATIONS IN NEW YORK CITY. TO ACHIEVE THIS, CHN WILL EXPAND STAFFING AND TRAINING INITIATIVES FOCUSED ON ENGAGING JUSTICE-INVOLVED INDIVIDUALS THROUGH PARTNERSHIPS WITH THE STATE CARCERAL SYSTEM AND COMMUNITY ORGANIZATIONS SERVING THE JUSTICE INVOLVED POPULATION. THE PROGRAM WILL ALSO INCLUDE A COMPREHENSIVE SOCIAL DETERMINANTS OF HEALTH SCREENING AND REFERRAL SYSTEM, INCORPORATING CRITICAL RESOURCE PARTNERS TO ADDRESS SDOH NEEDS INCLUDING FOOD ACCESS, INTIMATE PARTNER VIOLENCE, INCOME SUPPORT, AND HOUSING. IN 2023, CHN PROVIDED 229,459 VISITS TO OVER 40,000 UNIQUE PATIENTS. CHN CURRENT HEALTH JUSTICE NETWORK PROGRAM HAS REACHED OVER 1,000 INDIVIDUALS. THIS GRANT WILL HELP SUPPORT THE EXPANSION SERVICES THROUGHOUT CHN SITES.

DLT CONGRESSIONALLY DIRECTED SPENDING - GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HEALTHCARE WORKFORCE TRG

CASCADE COMMUNITY HEALTHCARE AOT PROGRAM - CASCADE COMMUNITY HEALTHCARE INTENDS TO SUBMIT A PROPOSAL TO THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) FOR THE FY 2024 ASSISTED OUTPATIENT TREATMENT (AOT) GRANT. THIS PROJECT WILL SPAN AT LEAST FOUR YEARS AND WILL FOCUS ON PROVIDING OUTPATIENT TREATMENT UNDER CIVIL COURT ORDER TO INDIVIDUALS WITH SEVERE MENTAL ILLNESS (SMI) WHO HAVE DEMONSTRATED DIFFICULTY ENGAGING WITH TREATMENT ON A VOLUNTARY BASIS. CASCADE WILL BE PARTNERING WITH LEWIS COUNTY SUPERIOR COURT, PROVIDENCE CENTRALIA HOSPITAL, AND OUR LOCAL DESIGNATED CRISIS RESPONDERS TO FULFILL THE COMPLETE SCOPE OF CARE NECESSARY TO MEET THE REQUIREMENTS OF THE AOT CRITERIA. THE TARGET POPULATION TO BE SERVED WITH GRANT FUNDS WILL BE ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), AND SUBSTANCE USE OR CO-OCCURRING DISORDERS (SUD AND COD) RESIDING IN LEWIS COUNTY WHO HAVE DEMONSTRATED DIFFICULTY ENGAGING WITH TREATMENT ON A VOLUNTARY BASIS. THE TARGETED SUBPOPULATIONS FOR THE PROJECT WILL BE COMPRISED OF INDIVIDUALS WITH LOW ENGLISH PROFICIENCY (LEP) AND VETERANS AND THEIR FAMILIES. LEWIS COUNTY IS DESIGNATED AS BOTH A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND A MEDICALLY-UNDERSERVED AREA (MUA), AND AS SUCH THERE IS A STRONG NEED FOR IMPROVED ACCESS TO COMPREHENSIVE HEALTHCARE FOR MEDICAID RECIPIENTS AND UNINSURED OR UNDERINSURED INDIVIDUALS OF ALL AGES. HIGH LEVELS OF POVERTY AND MEDICAID ELIGIBILITY RATES HAVE RESULTED IN SIGNIFICANT BARRIERS TO ACCESSING EQUITABLE HEALTHCARE, ESPECIALLY BEHAVIORAL HEALTH SERVICES.

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

HEALTH CENTER INFRASTRUCTURE SUPPORT

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

HEALTHY SCHOOLS HEALTHY FAMILIES IS DESIGNED TO PROMOTE HEALTHY LIFESTYLE BEHAVIOR AMONG ELEMENTARY SCHOOL STUDENTS, STA

HEALTH CARE AND OTHER FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

CAPITAL DEVELOPMENT

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

FY 2023 EXPANDING COVID-19 VACCINATION

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FISCAL YEAR 2025 EXPANDED HOURS. - ORGANIZATIONAL OVERVIEW, THE COMMUNITY TO BE SERVED, AND THE TARGET POPULATION. SINCE 1979, PREMIER COMMUNITY HEALTHCARE GROUP, INC. (PREMIER) HAS BEEN DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING COMPREHENSIVE PRIMARY, PREVENTIVE, AND SUPPLEMENTAL HEALTH SERVICES TO MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS. THE MISSION OF PREMIER IS TO PROVIDE ACCESSIBLE HEALTHCARE SERVICES FOR ALL. PREMIER’S TOTAL SERVICE AREA INCLUDES ADJACENT PASCO AND HERNANDO COUNTIES ON THE NATURE COAST OF FLORIDA, LOCATED NORTH OF TAMPA AND BORDERED BY THE GULF OF MEXICO, AND SPREAD ACROSS 1,216 SQUARE MILES. ACCREDITED BY THE ASSOCIATION OF AMBULATORY HEALTH CARE AND RECOGNIZED AS A PATIENT-CENTERED MEDICAL HOME FOR USING EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG-TERM PARTICIPATIVE RELATIONSHIPS, PREMIER IS A SAFETY NET FOR ANYONE IN THE COMMUNITY IN NEED OF AFFORDABLE AND ACCESSIBLE HEALTH CARE SERVICES. PASCO AND HERNANDO COUNTIES, WHERE THE PROPOSED EXPANDED HOURS (EH) SITES WILL BE LOCATED, REPRESENT A MIX OF SEMI-RURAL AND A CONCENTRATION OF SEMI-URBAN DEVELOPMENT POPULATIONS. THE HEALTH CENTER SERVICE AREA POPULATION CONSISTS OF THIRTY CENSUS TRACTS IN PASCO COUNTY (301-331) WITH A POPULATION ESTIMATE OF 632,996 AND SIXTEEN CENSUS TRACTS IN HERNANDO COUNTY (401-416) WITH A POPULATION ESTIMATE OF 212,807 (US CENSUS QUICK FACTS, 2020). THE TARGET POPULATION AND SERVICE AREA FOR THE PROPOSED EH PROJECT INCLUDES UNDERSERVED POPULATIONS SEEKING PRIMARY, PREVENTIVE, AND TREATMENT SERVICES. WHILE PREMIER IS A MEDICAL HOME TO OVER 40,500 PATIENTS BASED ON THE MOST RECENT UDS YEAR DATA, ONLY 22.5% OF THE LOW-INCOME PERSONS IN THE SERVICE AREA ACCESSED CARE THROUGH A HEALTH CENTER PROGRAM. THE PROJECT GOAL WILL BE TO INCREASE ACCESS TO CARE THROUGH EXPANDED HOURS OF SERVICE. PREMIER PROPOSES TO ADD THREE EVENING HOURS OF SERVICE DELIVERY TO THREE DAYS FOR MEDICAL, BEHAVIORAL HEALTH, AND PHARMACY SERVICES AT MULTIPLE COMMUNITY HEALTH CENTER LOCATIONS. IN ADDITION TO ONE EVENING CURRENTLY, THE THREE ADDITIONAL EVENING HOURS FOR THIS PROPOSED PROJECT WILL ENABLE PREMIER TO OFFER SERVICES FOR TWELVE HOURS A DAY, FOUR DAYS A WEEK FROM 7AM-7PM. CARE RECEIVED OUTSIDE OF THE USUAL BUSINESS HOURS IS ASSOCIATED WITH IMPROVED PATIENT OUTCOMES AND LOWER EMERGENCY DEPARTMENT USE FOR NON-URGENT PROBLEMS. THE NEW OPERATING HOURS WILL INCREASE ACCESS TO CARE AND SUPPORT PATIENTS IN LIVING HEALTHIER LIVES BY RECEIVING PRIMARY CARE AND SUPPLEMENTAL HEALTH SERVICES, THEREBY REDUCING AVOIDABLE VISITS TO THE EMERGENCY DEPARTMENT. THE PROPOSED SERVICE DELIVERY SITES AND LOCATIONS; AND EXPANDED HOURS OF SERVICE TO BE PROVIDED. THE PROPOSED EXPANDED HOURS OF SERVICE WILL INCLUDE PRIMARY CARE, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER SERVICES, AND PHARMACY SERVICES AT MULTIPLE COMMUNITY-BASED HEALTH CENTER LOCATIONS STRATEGICALLY LOCATED THROUGHOUT PREMIER’S SERVICE AREA. EXPANDED HOURS OF SERVICE WILL BE IMPLEMENTED IN THREE EXISTING HEALTH CENTER LOCATIONS. THE TARGETED LOCATIONS INCLUDE DADE CITY, ZEPHYRHILLS, AND NEW PORT RICHEY. HOW THE EH PROJECT WILL IMPACT THE TARGET POPULATION SEEKING HEALTH SERVICES IN PRIMARY CARE SETTINGS. ADDITIONAL HOURS OF OPERATION DURING THE EVENING WILL INCREASE ACCESS TO CARE FOR COMMUNITY MEMBERS WHILE REDUCING BARRIERS BASED ON SOCIAL DETERMINANTS OF HEALTH. BARRIERS SUCH AS TRANSPORTATION, LACK OF AVAILABLE APPOINTMENTS, AND THE INABILITY TO TAKE TIME OFF WORK WILL BE ADDRESSED THROUGH THE PROPOSED EXPANDED HOURS. DURING THE PROPOSED EH OF CARE, PREMIER’S PATIENT-CENTERED MODEL OF CARE WILL INCLUDE SAFE AND TIMELY TRIAGE, ACCESSIBILITY FOR PATIENTS, CONTINUITY, AND COORDINATION WITH THE PROVIDERS AND THE HEALTH CENTER'S VARIOUS SERVICE LINES.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

BIG BEAR VALLEY EMERGENCY MEDICAL SERVICES TRAINING PROGRAM - THE BIG BEAR VALLEY (BBV) EMERGENCY MEDICAL SERVICES (EMS) TRAINING PROGRAM IS TARGETING THE DESIGNATED RURAL BIG BEAR VALLEY REGION OF SOUTHERN CALIFORNIA. THE OVERARCHING GOAL OF THE BBV EMS TRAINING PROGRAM IS TO CREATE A BETTER PREPARED LOCAL EMS WORKFORCE IN ADDRESSING THE NEEDS OF INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) AND CO-OCCURRING DISORDERS (COD) SUBSTANCE USE AND MENTAL DISORDERS. THE BIG BEAR VALLEY IS LOCATED IN A MOUNTAINOUS REGION OF SAN BERNARDINO COUNTY, WHICH IS THE LARGEST COUNTY BY AREA IN THE CONTIGUOUS UNITED STATES. THIS RURAL COMMUNITY IS GEOGRAPHICALLY ISOLATED, WITH FEWER THAN 20,000 FULL-TIME RESIDENTS. WITH OVER 40% OF THOSE UNDER THE AGE OF 24 LIVING IN POVERTY, THE REGION IS AT HIGH RISK FOR SUBSTANCE USE DISORDER. ACCORDING TO THE BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT (BVCHD) —THE LEAD OF THIS PROGRAM, THE NUMBERS OF PATIENTS PRESENTING WITH OVERDOSES CONTINUES TO INCREASE. OVER 10% OF BVCHD’S EMERGENCY DEPARTMENT PATIENT VISITS WERE OPIOID USE/SUBSTANCE USE DISORDER RELATED AND NEARLY 97% WERE RESIDENTS OF THIS RURAL COMMUNITY. THERE IS A SHORTAGE OF EMERGENCY MEDICAL SUPPORT (EMS) STAFFING THROUGHOUT SAN BERNARDINO COUNTY AND WITH THE GEOGRAPHIC ISOLATION OF BIG BEAR, THIS SHORTAGE IS EVEN MORE PRONOUNCED. THE BBV EMS TRAINING PROGRAM IS TARGETING THE FOLLOWING GOALS AND OBJECTIVES: GOAL 1: TO TRAIN EMS PERSONNEL SERVING THE BIG BEAR VALLEY IN ADDRESSING SUD AND COD SUBSTANCE USE AND MENTAL HEALTH DISORDERS. OBJECTIVE 1.1: BY THE END OF THE FIRST QUARTER, THERE WILL BE A TRAINING CALENDAR DEVELOPED IN COORDINATION WITH THE LOCAL EMS PROVIDERS, THE BEAR VALLEY UNIFIED SCHOOL DISTRICT, AND PARTNERING PUBLIC SAFETY ACADEMIES. OBJECTIVE 1.2: BY THE END OF YEAR ONE, ALL TRAINING ACTIVITIES/LESSONS WILL HAVE BEEN DEVELOPED WITH MANY BEING MADE AVAILABLE UTILIZING DISTANCE-LEARNING SYSTEMS. OBJECTIVE 1.3: BY THE END OF YEAR ONE, ALL TRAINING ACTIVITIES/LESSONS WILL HAVE BEEN COMPLETED AT LEAST ONCE. OBJECTIVE 1.4: BY THE END OF YEAR TWO, ALL TRAINING ACTIVITIES WILL HAVE BEEN COMPLETED AT LEAST TWICE OVER THE COURSE OF THE TWO-YEAR GRANT. GOAL 2: TO INCREASE THE NUMBER OF EMS PERSONNEL REFRESHED IN THE USE OF NALOXONE (NARCAN) IN THE FIELD OBJECTIVE 2.1: BY THE END OF YEAR ONE, 40% OF EMS PERSONNEL WILL BE REFRESHED IN THE USE OF NALOXONE (NARCAN). OBJECTIVE 2.2: BY THE END OF YEAR TWO, 75% OF EMS PERSONNEL WILL BE REFRESHED IN THE USE OF NALOXONE (NARCAN). GOAL 3: TO INCREASE THE NUMBER OF COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TRAINED IN THE USE OF NALOXONE (NARCAN) AND IN POSSESSION OF NALOXONE (NARCAN). OBJECTIVE 3.1: BY THE END OF YEAR ONE, 50 INDIVIDUALS FROM COMMUNITY-BASED ORGANIZATIONS OR THE COMMUNITY, IN GENERAL WILL HAVE RECEIVED TRAINING IN THE USE OF NALOXONE (NARCAN). OBJECTIVE 3.2: BY THE END OF YEAR TWO, A TOTAL OF 100 INDIVIDUALS FROM COMMUNITY-BASED ORGANIZATIONS OR THE COMMUNITY, IN GENERAL, WILL HAVE RECEIVED TRAINING IN THE USE OF NALOXONE (NARCAN). OBJECTIVE 3.3: BY THE END OF YEAR TWO, A TOTAL OF 100 INDIVIDUALS FROM COMMUNITY-BASED ORGANIZATIONS OR THE COMMUNITY, IN GENERAL, WILL HAVE NALOXONE (NARCAN) FOR USE. GOAL 4: TO INCREASE THE NUMBER OF INDIVIDUALS QUALIFIED TO SERVE IN AN EMS AGENCY. OBJECTIVE 3.1: AFTER COMPLETION OF THE PROGRAM, 40 LOCAL HIGH SCHOOL STUDENTS WILL HAVE COMPLETED TRAINING TO BECOME CERTIFIED NURSING ASSISTANTS. THIS TRAINING WILL PROVIDE A STRONG FOUNDATION FOR INDIVIDUALS INTERESTED IN EMS EMPLOYMENT. UPON COMPLETION OF THE FIRST YEAR, AND SECOND YEAR OF THE BBV EMS TRAINING PROGRAM, A TOTAL OF 80 UNDUPLICATED EMS STAFF WHO ARE SERVING THE RURAL COMMUNITY OF THE BIG BEAR VALLEY WILL BE TRAINED IN MENTAL AND SUBSTANCE USE DISORDERS AND TRAUMA -INFORMED, RECOVERY-BASED CARE FOR PEOPLE WITH SUCH DISORDERS IN EMERGENCY SITUATIONS

HEALTH CARE AND OTHER FACILITIES

AMERICAN RESCUE PLAN ACT FUNDING FOR PCAS

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

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

CAPITAL DEVELOPMENT

FY 2023 EXPANDING COVID-19 VACCINATION

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CARE AND OTHER FACILITIES

RURAL HEALTH OUTREACH SPECIAL INITIATIVE

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

SECTION 6006 COMMUNITY FACILITIES (CF) TECHNICAL AND TRAINING (TAT) GRANT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - FACILITY INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

COMMUNITY ACCESS PROGRAM

ASSISTANCE TO FIREFIGHTERS GRANT

TECHNICAL & NON-FINANCIAL ASSISTANCE TO CH/MHCS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM