Swope Health Services

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

CAPITAL DEVELOPMENT

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT TITLE: SWOPE HEALTH HIV PREVENTION IN PRIMARY CARE PROJECT APPLICANT ORGANIZATION NAME: SWOPE HEALTH SERVICES GRANT # H80CS00599 ADDRESS: 3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130 PROJECT DIRECTOR NAME: JERON RAVIN, JD PRESIDENT & CEO CONTACT PHONE NUMBER: (816) 599-5550 EMAIL: JLRAVIN@SWOPEHEALTH.ORG WEBSITE ADDRESS: WWW.SWOPEHEALTH.ORG FUNDING REQUESTED: CHC - $248,300 HCH - $ 76,700 TOTAL: $325,000 ANNUALLY ($650,000) FOR OVER 50 YEARS, SWOPE HEALTH SERVICES HAS DELIVERED PRIMARY CARE SERVICES TO THE KANSAS CITY METROPOLITAN AREA’S LOW-INCOME POPULATION. OUR SERVICE AREA INCLUDES FOUR MISSOURI COUNTIES (CASS, CLAY, JACKSON, PLATTE) AND WYANDOTTE COUNTY IN KANSAS. WE OPERATE FIVE FULLTIME CLINICS IN THE MISSOURI SIDE OF THE SERVICE AREA AND TWO FULLTIME CLINICS IN KANSAS. THE KANSAS CITY METROPOLITAN AREA IS A TRANSITIONAL GRANT AREA. TESTING: SWOPE HEALTH FOLLOWS USPTF GUIDELINES AND EMPLOYS STANDING ORDERS TO SCREEN ALL PATIENTS AGE 15 TO 65 FOR HIV AS PART OF ROUTINE PREVENTIVE SCREENINGS USING THE OPT-OUT METHOD. PERSONS AT INCREASED RISK ARE SCREENED ANNUALLY. OUR 2020 UDS SHOWED THAT 43% OF PATIENTS HAD BEEN TESTED FOR HIV AT LEAST ONCE, INCLUDING 1,495 PRENATAL PATIENTS. IN THIS PROJECT, WE PROPOSE TO INCREASE THE NUMBER OF PATIENTS TESTED FOR HIV BY IMPLEMENTING ONGOING, UNIFORM CLINICAL STAFF TRAINING ON SWOPE’S OPT-OUT TESTING POLICY AND PROCEDURES, WITH SCRIPTING AS NEEDED. SWOPE HEALTH HAS EXPERIENCED SIGNIFICANT TURNOVER DURING THE COVID-19 PANDEMIC AND ALL CLINICAL SUPPORT STAFF WILL NEED TRAINING/RETRAINING. A COMMUNITY HEALTH WORKER WILL FOLLOW UP WITH PATIENTS THAT DECLINE TESTING. PREP: WE PROPOSE TO INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP FROM ONE PATIENT IN 2020 THROUGH ENHANCED PROVIDER TRAINING FROM OUR CLINICAL CHAMPIONS AND CONTINUING MEDICAL AND NURSING EDUCATION OPPORTUNITIES, INCLUDING THOSE FROM THE MIDWEST AIDS EDUCATION & TRAINING CENTER. WE WILL BEGIN LINKING ADDITIONAL PATIENTS THAT WOULD BENEFIT FROM PREP THROUGH IN-PERSON AND TELEHEALTH PROVIDER CONSULTATIONS. A HIV NURSE CARE MANAGER WILL FOLLOW-UP WITH ALL PREP PATIENTS AND ASSURE THAT THEY ACCESS MEDICATION ASSISTANCE PROGRAMS AND RECOMMENDED LABS. OUR HEPATITIS C NURSE AND MEDICAID HEALTH HOME NURSES WILL ASSIST THE NURSE CARE MANAGER, ALONG WITH OUR PHARMACISTS. THE CHW WILL ASSURE THAT ALL PREP PATIENTS COMPLETE A PRAPARE SCREENING FOR BARRIERS TO FOLLOWING THROUGH WITH CARE. TREATMENT: SWOPE HEALTH NOW PROVIDES PRIMARY CARE SERVICES TO 31 HIV+ PATIENTS, BUT WE REFER ALL NEWLY DIAGNOSED PATIENTS TO ANOTHER FQHC, KC CARE HEALTH CENTER OR ANOTHER OUTSIDE FACILITY, WHICH HAS A HIV TREATMENT TEAM. PATIENTS ARE REFERRED THROUGH THE LINKAGE TO CARE PROGRAM. SWOPE DIAGNOSES LESS THAN 10 NEW HIV+ PATIENTS ANNUALLY AND UNTIL 2020, 80% TO 100% OF NEWLY DIAGNOSED PATIENTS SUCCESSFULLY ENTERED TREATMENT. A SWOPE HEALTH PROVIDER IS COMPLETING A FELLOWSHIP TO BECOME A CERTIFIED HIV CARE PROVIDER THROUGH THE MIDWEST AETC AT KC CARE, AND WE INTEND TO BECOME A TREATMENT RESOURCE FOR OUR PATIENTS LIVING WITH HIV. WHEN OUR 2021 BASELINE DATA IS CAPTURED, WE WILL SET GOALS ON ALL HIV MEASURES AND REVIEW THEM QUARTERLY AS PART OF OUR ANNUAL QI PLAN. WE WILL INCLUDE HIV PREVENTION OUTCOMES IN PEER REVIEWS AND PERFORMANCE ASSESSMENTS. WE ALSO PLAN TO PROMOTE THE AVAILABILITY OF HIV TESTING, PREP AND MEDICATION ASSISTANCE PROGRAMS, AND ULTIMATELY HIV TREATMENT SERVICES ON OUR WEBSITE AND SOCIAL MEDIA.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

PROJECT YOUR CHOICE (PYC)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

CAPITAL DEVELOPMENT

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

FY 2023 EXPANDING COVID-19 VACCINATION

CONNECTING KIDS TO COVERAGE HEALTHY KIDS 2022 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS - SWOPE HEALTH SERVICES, A FEDERALLY QUALIFIED HEALTH CENTER/FEDERAL HEALTH SAFETY NET ORGANIZATION, REQUESTS SUPPORT FOR THE CONNECTING KIDS TO COVERAGE PROJECT TO ENROLL UNDERSERVED, LOW-INCOME CHILDREN AND PREGNANT WOMEN IN MISSOURI’S MEDICAID PROGRAM, MO HEALTHNET, AND TO HELP THEM RE-ENROLL AND MAINTAIN COVERAGE OVER THE THREE-YEAR COOPERATIVE AGREEMENT. WE PROPOSE TO ASSIST MEDICAID-ELIGIBLE PERSONS IN THE FOUR WESTERN MISSOURI COUNTIES OF CASS, CLAY, JACKSON AND PLATTE. OUR GOALS INCLUDE: 1) ASSEMBLE A TRAINED MEDICAID APPLICATION ASSISTANCE TEAM TO PROVIDE OUTREACH AND DIRECT TECHNICAL ASSISTANCE TO CONSUMERS IN SWOPE HEALTH’S FOUR COUNTY MISSOURI SERVICE AREA; 2) DEVELOP AN OUTREACH CAMPAIGN FOR THE MISSOURI SERVICE AREA THAT INCLUDES COLLABORATIONS WITH COMMUNITY ORGANIZATIONS AND THE USE OF SOCIAL MEDIA TO PROMOTE AWARENESS ABOUT THE BENEFITS OF MEDICAID/CHIP COVERAGE; 3) ASSIST OVER 1,400 LOW-INCOME FAMILIES WITH CHILDREN AGE 1 TO 18 WITH SUBMITTING MEDICAID/CHIP APPLICATIONS OVER THE THREE-YEAR COOPERATIVE AGREEMENT; 4) ASSIST OVER 1,400 LOW-INCOME, PREGNANT WOMEN WITH OBTAINING MEDICAID COVERAGE FOR THEIR PREGNANCY CARE AND FOR THEIR INFANT; AND 5) ASSIST MEDICAID AND CHIP ELIGIBLE CHILDREN’S PARENTS WITH MEDICAID APPLICATIONS, WHEN THEY ARE ELIGIBLE, AS PART OF THE FAMILY APPLICATION PROCESS. OUR CKC PROJECT TEAM, HIRED AND TRAINED DURING THE 90-DAY PLANNING PERIOD, WILL INCLUDE A FULLTIME PROJECT DIRECTOR AND TWO FULLTIME PATIENT ADVOCATES. ALL CKC WILL BE TRAINED TO ASSIST CONSUMERS WITH SUBMITTING MO HEALTHNET APPLICATIONS AND ADDED AS TIER ONE EMPLOYEES TO THE MISSOURI DEPARTMENT OF SOCIAL SERVICES’ MISSOURI ELIGIBILITY DETERMINATION AND ENROLLMENT SYSTEM (MEDES) TO CHECK APPLICATION STATUS AS CITED UNDER OUR EXISTING MEMORANDUM OF UNDERSTANDING WITH MO DSS. THE CKC PROJECT STAFF WILL JOIN SWOPE HEALTH’S EXISTING MEDICAID SPECIALISTS, PATIENT ADVOCATES AND CMS-FUNDED NAVIGATORS IN EXPANDING INSURANCE COVERAGE FOR THE AREA’S LOW- INCOME, UNDERSERVED POPULATION. OUR TARGET POPULATION IS LOW-INCOME CHILDREN AND PREGNANT WOMEN THAT MET MO HEALTHNET INCOME GUIDELINES FOR PROGRAMS OFFERING COMPREHENSIVE SERVICES. THIS POPULATION INCLUDES MEMBERS OF OUR 41,000-PLUS PATIENT POPULATION WHO ARE 69% RACIAL MINORITY AND 21% HISPANIC, OF WHOM 61% HAVE INCOMES BELOW 200% FEDERAL POVERTY LEVEL. SWOPE HEALTH CURRENTLY DOES NOT HAVE STAFF TO ASSIST PATIENTS AND CONSUMERS AT OUR SATELLITE CLINICS OR TO TRAVEL WITH OUR MOBILE HEALTH TEAMS TO COMMUNITY SITES. CURRENTLY, 6% OF CASS COUNTY CHILDREN, 4.8% OF CLAY COUNTY CHILDREN, 6.2% OF JACKSON COUNTY CHILDREN AND 5.2% OF PLATTE COUNTY CHILDREN ARE ESTIMATED TO BE UNINSURED. WE WILL WORK WITH OUR COMMUNITY COLLABORATORS, WHICH INCLUDE HEAD STARTS AND SCHOOL DISTRICTS, MANY OF WHOM ARE REACHED BY OUR MOBILE HEALTH TEAMS, TO PROMOTE NATIONAL CAMPAIGN ACTIVITIES, INCLUDING BACK-TO-SCHOOL AND YEAR-ROUND ENROLLMENT AS WELL AS MAINTAINING ENROLLMENT. SWOPE HEALTH ALSO HOLDS ITS OWN EVENTS FOR THE URBAN COMMUNITY, WHICH WILL INCLUDE THE CKC TEAM PRESENCE. WITH A 53-YEAR HISTORY OF EXEMPLARY SERVICE TO LOW-INCOME RESIDENTS IN NEED, SWOPE HEALTH SERVICES HAS THE ORGANIZATIONAL CAPACITY, THE EXPERIENCE, AND THE FULL COMMITMENT OF THE ENTIRE AGENCY TO INCREASE THE NUMBER OF CHILDREN AND PREGNANT WOMEN NEWLY ENROLLED IN AND RENEWED FOR MEDICAID COVERAGE. SWOPE HEALTH IS APPLYING AS AN INDIVIDUAL APPLICANT. OUR TOTAL REQUEST FOR THE THREE-YEAR COOPERATIVE AGREEMENT IS $739,918 WITH $248,203 REQUESTED IN YEAR 1, $242,488 REQUESTED IN YEAR 2 AND $249,227 REQUESTED IN YEAR 3. THESE FUNDS WILL BE USED TO SUPPORT THE THREE CKC PROJECT STAFF, THEIR TRAVEL ACROSS THE COMMUNITY, SOCIAL MEDIA TRAINING AND SUPPLIES, INCLUDING LAPTOP COMPUTERS AND CELLPHONES AND THE PRINTING OF NATIONAL CAMPAIGN EDUCATION AND PROMOTION MATERIALS.

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

SWOPE HEALTH SERVICES: CMHC PROGRAM - SWOPE HEALTH SERVICES, A FEDERALLY QUALIFIED HEALTH CENTER, DELIVERS INTEGRATED PRIMARY HEALTH CARE SERVICES TO RESIDENTS OF THE GREATER KANSAS CITY METROPOLITAN AREA. OUR BEHAVIORAL HEALTH SERVICES IS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH ORGANIZATION (CCBHO) AND A COMMUNITY MENTAL HEALTH CENTER (CHMC) THROUGH THE MISSOURI DEPARTMENT OF MENTAL HEALTH. OUR CHILDREN’S SERVICES AREA WITHIN BEHAVIORAL HEALTH SERVICES- THE GRANT PROGRAM LOCATION - DELIVERS PSYCHIATRY, OUTPATIENT THERAPY, A CHILDREN’S COMMUNITY PSYCHIATRIC REHABILITATION PROGRAM (C-CPRP) FOR PSYCHOSOCIAL REHABILITATION AND CASE MANAGEMENT AND AN ADOLESCENT SUBSTANCE USE DISORDER PROGRAM. SEGMENTS OF OUR CHILDREN’S SERVICES PATIENTS AGES 10 TO 19 WILL BE THE POPULATION OF FOCUS FOR OUR CMHC GRANT PROGRAM. SPECIFICALLY, OUR PROGRAM WILL FOCUS ON 1) CHILDREN AND YOUTH WITH SERIOUS MENTAL ILLNESS (SMI) AND SERIOUS EMOTIONAL DISTURBANCE (SED) WITH OR WITHOUT CO-OCCURRING DISORDERS THAT ENTER SERVICES AFTER SEPTEMBER 2021, 2) HIGH-RISK YOUTH WITH CHRONIC SMI AND SED CURRENTLY RECEIVING SERVICES AT SWOPE HEALTH; AND 3) CHILDREN AND YOUTH REFERRED FOR SERVICES FROM YOUTH-SERVING ORGANIZATIONS IN THE COMMUNITY. IN 2020, CHILDREN’S SERVICES PATIENTS WERE 62% BLACK, 27% WHITE, 2% ALL OTHER RACIAL MINORITIES, WITH 9% NOT REPORTING A RACE. NEARLY 5% REPORTED HISPANIC ETHNICITY. OVER 70% RESIDED IN HOUSEHOLDS WITH INCOMES BELOW 200% FEDERAL POVERTY LEVEL. OUR FIRST PROJECT GOAL IS TO INCREASE THE CAPACITY OF CHILDREN’S SERVICES STAFF TO PROVIDE HIGH QUALITY, TRAUMA INFORMED SERVICES THAT INCREASE ACCESS TO CARE AND FOLLOW THROUGH IN RECEIVING SERVICES (I.E. PATIENT NAVIGATION AND COORDINATED CARE) FOR YOUTH WITH SMI/SED WITH OR WITHOUT CO-OCCURRING DISORDERS BY AUGUST 2022. WE WILL ACCOMPLISH THESE GOALS BY OUR CHILDREN’S SERVICES THERAPISTS’ COMPLETION OF EVIDENCE-BASED TRAININGS TO IMPROVE INTERVENTION SERVICES. OUR SECOND PROJECT GOAL IS TO ENHANCE OUR CAPACITY TO SCREEN FOR AND PREVENT SUICIDE AMONG YOUTH RECEIVING BEHAVIORAL HEALTH SERVICES AT SWOPE HEALTH AS WELL AS UNSERVED YOUTH IN THE COMMUNITY BY AUGUST 2022. WE WILL ACCOMPLISH THIS GOAL BY HIRING A FULLTIME, GRANT-FUNDED POSITION TO CONDUCT INTAKE SCREENINGS FOR SERVICES AT YOUTH-SERVING ORGANIZATIONS IN THE COMMUNITY AND TO PROVIDE SUICIDE PREVENTION TRAININGS FOR YOUTH-SERVING ORGANIZATION STAFF AND CONSTITUENT YOUTH. WE PROPOSE TO DELIVER SERVICES TO 200 YOUTH DURING THE LIFE OF THE PROJECT.

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

FY 2023 BRIDGE ACCESS PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM