El Dorado County Community Health

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - APPLICANT ORGANIZATION INFORMATION: EL DORADO COUNTY COMMUNITY HEALTH CENTERS 4327 GOLDEN CENTER DRIVE PLACERVILLE, CA 95667 FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WWW.EDCCHC.ORG DESIGNATED PROJECT DIRECTOR INFORMATION: ALICIA KELLEY, M.P.H. DIRECTOR OF COMPLIANCE & QUALITY OFFICE: (530) 621-7700 EXTENSION 5055 E-MAIL: AKELLEY@EDCHC.ORG QUALITY IMPROVEMENT PROJECT: TITLE: THE EL DORADO MILLION HEARTS PROJECT GOAL: TO REDUCE HEART DISEASE AND STROKE AMONG 3,500 LOW-INCOME ADULTS LIVING IN DESIGNATED RURAL AREAS OF EL DORADO COUNTY. REQUESTED AWARD AMOUNT: $200,000 EACH YEAR OF THE FOUR-YEAR GRANT PERIOD SERVICE AREA: DESIGNATED RURAL AREAS OF EL DORADO COUNTY, CALIFORNIA: PLACERVILLE 95667, CAMERON PARK 95682, SHINGLE SPRINGS 95682, EL DORADO 95623, RESCUE 95672, COLOMA 95613, DIAMOND SPRINGS 95667, CAMINO 95709, POLLOCK PINES 95726, GRIZZLY FLATS 95636, SOMERSET 95684, AND KYBURZ 95720. CENSUS TRACTS: 030801, 030803, 030804, 030808, 030809, 030810, 030901, 030902, 031000, 031200, 031502, 031503, 031504, 031301, 031302, 031402, 031405, 031406, AND 031900. TARGET POPULATION: LOW-INCOME ADULTS LIVING IN RURAL AREAS OF EL DORADO COUNTY WHO ARE AT RISK FOR HEART DISEASE AND STROKE AND PATIENTS OF EL DORADO COUNTY COMMUNITY HEALTH CENTERS (EDCCHC). NETWORK PARTNERSHIPS (IF APPLICABLE): ACCESS EL DORADO (ACCEL), A COLLABORATIVE OF AGENCIES THAT SEEK TO CREATE HEALTHIER COMMUNITIES. QUALITY IMPROVEMENT MODEL(S): THE MODEL FOR IMPROVEMENT AND PLAN, DO, STUDY, ACT (PDSA) PROJECT ACTIVITIES/SERVICES: THE EL DORADO MILLION HEARTS PROJECT WILL IMPLEMENT LOCALLY THE NATIONAL MILLION HEARTS INITIATIVE. PRIORITIES WILL INCLUDE: BUILDING HEALTHY COMMUNITIES, OPTIMIZING CARE, AND FOCUSING ON HEALTH EQUITY. WORKING WITH ACCESS EL DORADO (ACCEL), AN EXISTING RURAL COMMUNITY COLLABORATIVE, THE PROJECT WILL BUILD HEALTHY COMMUNITIES THROUGH REDUCTIONS IN TOBACCO USE, PHYSICAL INACTIVITY, AND PARTICLE POLLUTION EXPOSURE. THE PROJECT WILL FOCUS ON OPTIMI ZING CARE FOR PATIENTS AT RISK FOR HEART DISEASE AND STROKE BY IMPLEMENTING THE ABCS OF CARDIOVASCULAR DISEASE PREVENTION WHICH ARE: 1) APPROPRIATE ASPIRIN AND ANTICOAGULANT USE, 2) BLOOD PRESSURE CONTROL, 3) CHOLESTEROL MANAGEMENT, AND 4) SMOKING CESSATION. THE PROJECT WILL ALSO FOCUS ON HEALTH EQUITY BY IMPLEMENTING POLICIES AND PRACTICES THAT WILL ENSURE EQUAL ACCESS TO HEALTHCARE SERVICES AND RESOURCES THROUGH SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING AND REFERRALS TO COMMUNITY HUBS. EXPECTED OUTCOMES: PROJECT EXPECTED OUTCOMES ALIGN WITH THOSE OF THE NATIONAL MILLION HEARTS INITIATIVE. OUTCOMES ARE CATEGORIZED BY THREE IMPACT AREAS: IMPROVED HEALTH OUTCOMES, EXPANDED CAPACITY FOR ESSENTIAL HEALTHCARE SERVICES, AND INCREASED FINANCIAL SUSTAINABILITY. THE PROJECT WILL IMPROVE HEALTH OUTCOMES AMONG PARTICIPANTS THROUGH 20% REDUCTIONS IN TOBACCO USE, PHYSICAL INACTIVITY, AND EXPOSURE TO PARTICULATE POLLUTION AND A 20% IMPROVEMENT IN THE ABCS OF CARDIOVASCULAR DISEASE PREVENTION. 70% OF PROJECT PARTICIPANTS WILL RECEIVE CARDIAC REHABILITATION AND REFERRAL FOR SDOH. ESSENTIAL HEALTHCARE WILL BE EXPANDED BY IMPROVED INTER-AGENCY REFERRAL PRACTICES, INTEGRATION OF THE ABCS OF CARDIOVASCULAR DISEASE PREVENTION, AND MORE CESSATION AND EDUCATION CLASSES. FINANCIAL SUSTAINABILITY WILL BE INCREASED THROUGH AN EXPERIENCED ACCEL COLLABORATIVE CAPABLE OF SECURING FUNDING, INCREASED PATIENT VISITS, AND IMPROVEMENT IN HEALTH PLAN INCENTIVIZED MEASURES. FUNDING PREFERENCE: EL DORADO COUNTY COMMUNITY HEALTH CENTERS IS REQUESTING A FUNDING PREFERENCE. EL DORADO COUNTY IS DESIGNATED AS A HIGH NEEDS GEOGRAPHIC HPSA (MENTAL HEALTH HPSA) AND IS A PROJECT FOCUSED ON PRIMARY CARE AND WELLNESS AND PREVENTION STRATEGIES.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - EL DORADO COUNTY COMMUNITY HEALTH CENTER (EDCCHC) IS A NON-PROFIT FQHC PROVIDING PRIMARY CARE, BEHAVIORAL HEALTH (BH), MEDICATION ASSISTED TREATMENT (MAT) FOR SUBSTANCE USE DISORDERS (SUD), DENTAL, VISION, PHARMACY, PODIATRY, WOMEN’S HEALTH, AND TELEMEDICINE SPECIALTY SERVICES. EDCCHC OPENED IN 2003 AND OPERATES A NEW COMPREHENSIVE SITE IN PLACERVILLE AND TWO SITES IN CAMERON PARK. EDCCHC’S SERVICE AREA IS EL DORADO COUNTY (EDC) CALIFORNIA. EDC IS DESIGNATED BY HRSA AS A HIGH NEEDS GEOGRAPHIC HPSA FOR MENTAL HEALTH WITH A SHORTAGE OF 9.19 PROVIDERS AND A MENTAL HEALTH HPSA SCORE OF 22. EDCCHC IS THE LARGEST PROVIDER FOR THE LOW-INCOME, UNINSURED, AND UNDERINSURED PATIENT POPULATION. IN 2016, EDCCHC RECEIVED HRSA SUBSTANCE ABUSE SERVICE EXPANSION FUNDING TO EXPAND MAT SERVICES BEYOND ONE PROVIDER WHO PRESCRIBED SUBOXONE. WITH THIS FUNDING, EDCCHC DEVELOPED AN INTEGRATED BEHAVIORAL HEALTH SERVICE MODEL TO SUPPORT PATIENTS RECEIVING SUD SERVICES WITH BH. SINCE THIS TIME, EDCCHC HAS SIGNIFICANTLY INCREASED MENTAL HEALTH SERVICES STAFFING (14.48 FTE,1,709 PATIENTS,14,695 VISITS), WHICH HAS INCREASED THE NUMBER OF PATIENTS IDENTIFIED AS NEEDING SUD/MOUD SERVICES. UDS DATA (LINE 21) IDENTIFIES 77 SUD/MOUD PATIENTS. EDCCHC DATA IDENTIFIED 540 SUD/MOUD PATIENTS IN 2023. THERE IS A SIGNIFICANT NEED TO INCREASE BH STAFFING CAPACITY TO EXPAND THE NUMBER OF PATIENTS WHO CAN ACCESS BH AND SUD/MOUD SERVICES WITH CO-OCCURRING BH. EDCCHC IS THE LARGEST AND PRIMARY SUD/MOUD PROVIDER IN THE COUNTY. EVIDENCE OF THE NEED TO INCREASE EDCCHC’S CAPACITY IS: 1) WITH MORE BH SERVICES, THE NUMBER OF PATIENTS REFERRED FOR SUD/MOUD SERVICES HAS INCREASED SIGNIFICANTLY. EDCCHC’S DATA IDENTIFIES THAT 37% OF BH PATIENTS NEED SUD/MOUD SERVICES. SUD/MOUD/BH SERVICES ARE NEEDED FOR AN ESTIMATED 115 MORE EDCCHC PATIENTS. 2) MARSHALL HOSPITAL/ MEDICAL INFORMED EDCCHC THAT IT WOULD BE CLOSING DOWN PSYCHIATRIC SERVICES AT THE BEGINNING OF 2024 AND WOULD REFER APPROXIMATELY 3 00 PSYCHIATRIC PATIENTS TO EDCCHC FOR BH. USING EDCCHC’S RATIO OF 37% OF BH PATIENTS NEEDING SUD/MOUD SERVICES, EDCCHC HAS A NEED TO PROVIDE BH FOR UP TO 300 PATIENTS AND BH/MOUD SERVICES TO 111 MORE PATIENTS. 3) IN 2023, EDCCHC PROVIDED MEDICAL CARE TO 612 HOMELESS PATIENTS. IN JANUARY 2024, EDC INCREASED CENTRALIZED SERVICES FOR THE HOMELESS POPULATION. EDC NOW HAS A NEW TEMPORARY NAVIGATION CENTER TO PROVIDE TEMPORARY HOUSING FOR UP TO 60 HOMELESS PEOPLE AND IS PROVIDING A SAFE NEARBY PARKING AREA FOR PEOPLE LIVING IN THEIR CARS. EDCCHC’S MOBILE MEDICAL UNIT IS NOW PROVIDING HEALTH SERVICES AT THE NAVIGATION CENTER FOR ONE DAY A WEEK. THERE IS A BH THERAPIST FOR THE MOBILE MEDICAL UNIT, WHO IS IDENTIFYING HOMELESS PATIENTS IN NEED OF BH/SUD/MOUD SERVICES. THE AMERICAN ADDICTION CENTERS WEBSITE IDENTIFIES THAT AROUND 1/3 OF PEOPLE WHO ARE HOMELESS HAVE PROBLEMS WITH ALCOHOL AND/OR DRUGS, AND AROUND 2/3 OF THESE PEOPLE HAVE LIFETIME HISTORIES OF DRUG OR ALCOHOL USE DISORDERS. WITH 612 HOMELESS PATIENTS, IT CAN BE ASSUMED THAT 1/3RD OR 184 HOMELESS INDIVIDUALS ARE IN NEED OF SUD/MOUD/BH SERVICES AND A HIGHER NUMBER NEED BH. THE CALIFORNIA OVERDOSE SURVEILLANCE DASHBOARD IDENTIFIED THAT IN EDC IN 2022, THERE WERE 36 OPIOID OVERDOSE DEATHS (20.1/100K, HIGHER THAN THE STATE RATE OF 18.66), 66 (40.3/100K) EMERGENCY DEPARTMENT VISITS RELATED TO OPIOID OVERDOSE, AND 16 (9.2/100K) HOSPITALIZATIONS. THE EL DORADO COMMUNITY HEALTH NEEDS ASSESSMENT & COMMUNITY IMPROVEMENT PLAN 2023-2028 IDENTIFIES “MENTAL HEALTH / SUBSTANCE ABUSE” AS THE TOP HEALTH PRIORITY IN THE COUNTY. EDCCHC PROPOSES TO ADD BH STAFF TO INCREASE CAPACITY TO PROVIDE BH ACCESS FOR PATIENTS IDENTIFIED AS NEEDING BH AND PATIENTS IDENTIFIED AS NEEDING SUD/MOUD WITH CO-OCCURRING BH SERVICES INCLUDING PSYCHIATRY AS NEEDED. THE GOAL IS TO INCREASE CAPACITY AND ACCESS FOR EXISTING EDCCHC PATIENTS, FOR FORMER MARSHALL PATIENTS WHO CAN NO LONGER ACCESS A PSYCHIATRIST, AND FOR THE HOMELESS POPULATION.

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM