Kansas City Care Clinic

HEALTH CENTER PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER PROGRAM

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

RYAN WHITE TITLE IV PROGRAM

THE ALL-STARS PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS,

PROJECT I AM: HIV PREVENTION FOR YOUNG AFRICAN AMERICAN MEN WHO HAVE SEX WITH MEN

MINORITY HIV INITIATIVE OF KANSAS CITY: A SYNDEMIC APPROACH - KANSAS CITY CARE CLINIC DBA KC CARE HEALTH CENTER (KC CARE) SEEKS TO EXPAND THE BREADTH AND DEPTH OF OUR HIV SERVICES THROUGH FUNDING FROM SAMHSA'S "MINORITY AIDS INITIATIVE: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS." AS A RYAN WHITE RECIPIENT SINCE 1993, KC CARE POSSESSES BOTH THE EXPERIENCE AND THE INFRASTRUCTURE NECESSARY TO ENSURE SUCCESSFUL STEWARDSHIP OF THE FUNDS REQUESTED. THIS AWARD WILL SUPPORT ON-SITE RAPID HIV AND HEPATITIS C TESTING, CONDUCTED BOTH IN OUR CLINICAL SPACES AND ON A WALK-IN BASIS BY PREVENTION SPECIALISTS. HEPATITIS B TESTING WILL BE AVAILABLE THROUGH OUR CLINIC. AS INJECTION DRUG USE IS A MAJOR CONTRIBUTING FACTOR TO HIV AND VIRAL HEPATITIS, KC CARE WILL FOCUS THIS WORK ON PATIENTS WHO ACCESS OUR HARM REDUCTION SERVICES, PARTICULARLY THOSE WHO IDENTIFY AS BLACK, INDIGENOUS, OR PEOPLE OF COLOR (BIPOC) AND/OR LGBTQ+. KC CARE ALSO CONDUCTS TESTING ON AN OUTREACH BASIS AT NUMEROUS COMMUNITY LOCATIONS, INCLUDING SHELTERS FOR THE UNHOUSED, LONG-TERM STAY HOTELS, PUBLIC LIBRARIES, CHARITABLE NUTRITION ORGANIZATIONS, AND MORE. PEOPLE WHO TEST REACTIVE AT KC CARE, DURING AN OUTREACH EVENT, OR AT ONE OF OUR PARTNER TESTING SITES WILL IMMEDIATELY BE PUT INTO CONTACT WITH A LINKAGE-TO-CARE COORDINATOR. LINKAGE-TO-CARE COORDINATORS ARE AVAILABLE 24/7 AND RESPOND IN REAL TIME TO NEW DIAGNOSES OF HIV AND ENSURE PATIENTS WHO TEST REACTIVE ARE LINKED TO CONFIRMATORY TESTING. WHEN AN HIV DIAGNOSIS IS CONFIRMED, THE LINKAGE-TO-CARE COORDINATOR PROVIDES ALL NECESSARY REFERRALS FOR MEDICAL CARE, CONNECTS THE PATIENT TO A PEER EDUCATOR, AND PROVIDES INTENSIVE CASE MANAGEMENT FOR THE FIRST 90 DAYS AFTER THE PATIENT'S DIAGNOSIS. KC CARE'S LINKAGE-TO-CARE COORDINATORS WORK TO ENSURE PEOPLE NEWLY DIAGNOSED ARE LINKED TO CARE WITHIN 30 DAYS; HOWEVER, KC CARE'S RAPID START PROGRAM ENSURES MANY PEOPLE LEAVE OUR FACILITY WITH ANTIRETROVIRAL MEDICATION THE SAME DAY THEY TEST REACTIVE. THIS EVIDENCE-BASED PRACTICE DRAMATICALLY INCREASES THE LIKELIHOOD THAT PEOPLE WHO ARE NEWLY DIAGNOSED WILL BE ABLE TO ACHIEVE VIRAL SUPPRESSION QUICKLY. ONCE SOMEONE NEWLY DIAGNOSED WITH HIV COMPLETES THEIR FIRST 90 DAYS OF TREATMENT, THEY WILL TRANSITION TO ONE OF KC CARE'S MEDICAL CASE MANAGERS. CASE MANAGERS ARE ASSIGNED TO BEST MEET THE NEEDS OF EACH INDIVIDUAL PATIENT. BOTH LINKAGE-TO-CARE COORDINATORS AND CASE MANAGERS ALSO HELP PATIENTS ACCESS ORAL AND BEHAVIORAL HEALTHCARE THROUGH KC CARE, AND BEHAVIORAL HEALTH CONSULTANTS RESPOND IN REAL TIME TO PATIENTS WITH AND WITHOUT HIV WHO EXHIBIT SIGNS OR DISCLOSE SYMPTOMS DURING MEDICAL AND DENTAL APPOINTMENTS. KC CARE'S THERAPISTS ARE EXPERIENCED AT PROVIDING TREATMENT FOR PATIENTS WHO WISH TO DECREASE OR DISCONTINUE THEIR SUBSTANCE USE, AND WE ARE WORKING TO INCREASE THE AVAILABILITY OF MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER. THOSE WHO TEST REACTIVE FOR VIRAL HEPATITIS WILL SIMILARLY RECEIVE REFERRALS TO KC CARE'S PRIMARY CARE PROGRAM FOR TREATMENT. KC CARE OPERATES ONE OF THE MOST ROBUST VIRAL HEPATITIS TREATMENT CLINICS IN THE REGION. PATIENTS WHO ATTEND CLINICAL VISITS AT KC CARE AND DO NOT HAVE HIV BUT DISCLOSE BEHAVIORS THAT INCREASE THEIR LIKELIHOOD OF ACQUIRING HIV WILL BE REFERRED TO THE PREP NAVIGATOR. THE PREP NAVIGATOR WILL RESPOND IN REAL TIME WHENEVER POSSIBLE. KC CARE STAFF ARE ALSO KNOWLEDGEABLE ABOUT PEP AND CAN LINK PATIENTS TO MEDICATION QUICKLY THROUGH OUR ON-SITE PHARMACY. THIS STATUS-NEUTRAL APPROACH ENSURES PATIENTS WHO VISIT KC CARE WILL RECEIVE THE KNOWLEDGE AND CARE NECESSARY TO LIVE A HEALTHY AND FULFILLING LIFE, WITH OR WITHOUT HIV. THIS IS CRITICAL TO "ENDING THE HIV EPIDEMIC," A PRIMARY CONCERN OF KC CARE, AS MISSOURI IS LISTED AS ONE OF THE PRIMARY JURISDICTIONS.

THE HARM REDUCTION COALITION OF KANSAS CITY - THE HARM REDUCTION COALITION OF KANSAS CITY (THE COALITION) IS A PARTNERSHIP OF KC CARE HEALTH CENTER (KC CARE), FIRST CALL (FC), AND THE UNIVERSITY OF MISSOURI—KANSAS CITY (UMKC) DESIGNED TO INCREASE THE AVAILABILITY AND SCOPE OF HARM REDUCTION SERVICES THROUGHOUT THE KANSAS CITY (KC) METROPOLITAN AREA. THROUGH THESE EXPANDED HARM REDUCTION SERVICES, THE COALITION AIMS TO DECREASE THE NUMBER OF OVERDOSES AND ASSOCIATED HOSPITALIZATIONS AND DEATHS IN THE REGION; REDUCE THE SPREAD OF TRANSMISSIBLE ILLNESSES ASSOCIATED WITH SUBSTANCE USE DISORDER (SUD) AND CONSEQUENCES THEREOF; AND REDUCE HARM CAUSED BY SUD IN THE GREATER KC COMMUNITY. DATA FROM THE MISSOURI DEPARTMENT OF HEALTH AND HUMAN SERVICES REVEALS THAT IN THE FIRST HALF OF 2021, OVERDOSE DEATHS INCREASED 40% IN KC. THIS DATA ALSO REVEALS THAT BLACK RESIDENTS ARE INCREASINGLY MORE LIKELY TO EXPERIENCE OVERDOSE DEATHS COMPARED TO THEIR WHITE COUNTERPARTS. THE PARTNERSHIP HAS DETERMINED A CLEAR NEED FOR EXPANDED HARM REDUCTION SERVICES IN THE REGION AS A RESULT OF THESE ALARMING TRENDS. THE COALITION WILL PRIMARILY REACH UNDERSERVED RESIDENTS OF GREATER KC, INCLUDING BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITIES, INDIVIDUALS WITH ONE OR MORE CHRONIC HEALTH CONDITIONS OR DISABILITIES, MEMBERS OF THE LGBTQ+ COMMUNITY, AND THOSE WHO LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. WHILE THE COALITION WILL FILL GAPS IN HARM REDUCTION SERVICES FACED BY THOSE WHO BELONG TO UNDERSERVED COMMUNITIES, THE SERVICES OF THIS PARTNERSHIP WILL BE AVAILABLE TO ANYONE WHO SEEKS EDUCATION, TESTING, COUNSELING, OR CARE, REGARDLESS OF ABILITY TO PAY. THE COALITION EXPECTS TO REACH 1,325 CLIENTS IN THE FIRST YEAR OF THE INITIATIVE AND 4,900 OVER A THREE-YEAR PERIOD. THE COALITION WILL PROVIDE INTERVENTIONS THROUGH DISTRIBUTION AND EDUCATION ON THE USE OF FENTANYL TEST STRIPS AND NALOXONE. KC CARE WILL ADOPT NEW SCREENING PROCEDURES FOR SUD THROUGH THE ASSISTANCE OF UMKC, REFERRING CLIENTS WHO SCREEN POSITIVE FOR SUD TO FC TO BE LINKED WITH THEIR HARM REDUCTION SPECIALIST AND/OR RECOVERY ADVOCATE. FC WILL ADOPT NEW SCREENING PROCEDURES FOR TRANSMISSIBLE ILLNESSES ASSOCIATED WITH SUD WITH THE ASSISTANCE OF UMKC AND WILL REFER CLIENTS WHO SCREEN POSITIVE FOR TRANSMISSIBLE ILLNESSES TO KC CARE FOR TESTING, TREATMENT, AND COUNSELING. KC CARE WILL EXPAND THEIR ABILITY TO ADD GONORRHEA AND CHLAMYDIA TESTS TO THEIR RAPID TESTING PANELS. FC WILL FURTHER REFER CLIENTS TO KC CARE’S BEHAVIORAL HEALTH SERVICES IF THEY ARE SEEKING THERAPEUTIC OR PSYCHOLOGICAL SERVICES. THESE PROGRAMS WILL COMPLEMENT EXISTING EFFORTS OF THE PARTNERSHIP, SUCH AS DISTRIBUTING SAFER SEX KITS, INCREASING ACCESS TO AND EDUCATION ABOUT PREP, COMMUNITY OUTREACH AND EDUCATION INITIATIVES, RAPID HIV AND HEPATITIS C VIRUS (HCV) TESTING, HIV AND HCV PRIMARY CARE, LINKAGES TO SOCIAL AND SUPPORT SERVICES, ACCESS TO NALOXONE, AND KC CARE’S SYRINGE EXCHANGE PROGRAM.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

MINORITY SA/HIV/HEP SPF

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

FY 2023 EARLY CHILDHOOD DEVELOPMENT

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS,

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - KC CARE HEALTH CENTER (KC CARE) RESPECTFULLY REQUESTS $150,000 FOR A ONE-YEAR PERIOD TO SUPPORT THE PURCHASE AND INSTALLATION OF NEW AND UPDATED DENTAL EQUIPMENT. THE EQUIPMENT KC CARE WILL PURCHASE WILL EXPAND THE SCOPE AND CAPACITY OF HIGH-QUALITY DENTAL CARE AVAILABLE FOR PEOPLE WITH HIV. AS ALMOST 50% OF RYAN WHITE BENEFICIARIES NATIONWIDE ARE AGE 50 AND ABOVE, IT IS INCREASINGLY CRITICAL THAT COMMUNITY HEALTH CENTERS LIKE KC CARE GROW THEIR CAPACITY TO MEET THE DENTAL NEEDS OF PEOPLE WITH HIV. THIS IS BECAUSE THE INTERSECTIONS OF AGING AND HIV INCREASE THE RISK OF MANY DENTAL DIAGNOSES, INCLUDING PERIODONTITIS, ORAL CANCERS, AND THE NEED FOR DENTAL CROWNS. KC CARE WILL, FOREMOST, PURCHASE THE EQUIPMENT NEEDED TO INTRODUCE ENDODONTIC CARE. EQUIPMENT WILL ALSO INCLUDE AN INTRAORAL SCANNER, WHICH WILL ALLOW PROVIDERS TO TAKE RAPID 3D IMAGES OF PATIENTS’ MOUTHS TO FABRICATE DENTURES AND CROWNS. A 3D PRINTER WILL SUPPORT THE ON-SITE PRODUCTION OF DENTURES, SURGICAL GUIDES, NIGHTGUARDS, AND OTHER DENTAL APPLIANCES. AN EXTRAORAL PANORAMIC SCANNER CAPABLE OF TAKING 2D AND 3D IMAGES WILL RAPIDLY PRODUCE IMAGES NEEDED FOR ACCURATE ENDODONTIC DIAGNOSES. IMAGES FROM THE INTRAORAL AND EXTRAORAL SCANNERS CAN BE OVERLAID WITH ONE ANOTHER, SHOWING SOFT AND HARD TISSUE TOGETHER, GIVING PROVIDERS A BETTER UNDERSTANDING OF PATIENTS’ ORAL HEALTHCARE NEEDS. ALL FUNDED EQUIPMENT CAN RECEIVE SOFTWARE UPGRADES IN THE FUTURE TO ENHANCE CAPABILITIES; VENDORS EXPECT 3D PRINTERS TO BE ABLE TO PRODUCE FINAL CROWN RESTORATIONS IN THE NEAR FUTURE. EQUIPMENT WILL ALSO INTEGRATE WITH FUTURE PURCHASES, SUCH AS MACHINES TO MILL DENTAL CROWNS. A PORTABLE X-RAY MACHINE AND TWO DENTAL CHAIRS WILL ALLOW KC CARE TO MAXIMIZE THE POTENTIAL OF OUR CLINICAL SPACE. THIS PROJECT WILL ALSO UPDATE THE EQUIPMENT NEEDED TO TAKE MANUAL IMPRESSIONS OF PATIENTS’ TEETH. THE PURCHASE OF THIS EQUIPMENT INCLUDES ALL NECESSARY ACCESSORIES, SUPPLIES, TRAININGS, DELIVERY, INSTALLATION, AND INITIAL S ETUP. THIS WORK WILL BE LED BY KC CARE’S CHIEF DENTAL OFFICER WITH THE SUPPORT OF HER ORAL HEALTH MANAGER, FINANCIAL ORAL HEALTH COUNSELOR, A TEAM OF DEDICATED DENTISTS, AND THE SUPPORT OF THE RYAN WHITE PROJECT DIRECTOR. THE INCREASED EFFICIENCY THIS EQUIPMENT BRINGS WILL SUPPORT THE CONTINUED GROWTH OF KC CARE’S ORAL HEALTH PROGRAM, PARTICULARLY FOR PATIENTS WHO HAVE HIV. THE CHIEF DENTAL OFFICER AND PROJECT DIRECTOR WILL CONSISTENTLY MONITOR KEY INDICATORS TO ENSURE THAT KC CARE IS REACHING PRIORITY POPULATIONS, INCLUDING PEOPLE WHO ARE BLACK OR AFRICAN AMERICAN AND PEOPLE WHO ARE TRANSGENDER OR NONBINARY, AND THAT PATIENTS ARE RECEIVING THE CARE THEY NEED AND ACHIEVING HEALTH OUTCOMES.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ADDRESS: 3515 BROADWAY KANSAS CITY, MO. 64111 PROJECT DIRECTOR NAME: MELISSA SMITH CONTACT PHONE NUMBER: 816-777-2710 EMAIL ADDRESS: MELISSAS@KCCARE.ORG WEBSITE ADDRESS: KCCARE.ORG GRANT PROGRAM FUNDS REQUESTED: $150,000 FOR HIV CARE INNOVATION TO PROVIDE RAPID ART TITLE: FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM KANSAS CITY CARE CLINIC DBA KC CARE HEALTH CENTER FORMALLY REQUESTS $150,000 THROUGH HRSA’S FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM FOR HIV CARE INNOVATION THROUGH THE EXPANDED AVAILABILITY OF RAPID ART. KC CARE FURTHER REQUESTS FUNDING PREFERENCE FOR THIS REQUEST, AS MORE THAN 50% OF PATIENTS SERVED WILL BELONG TO UNDERSERVED POPULATIONS. KC CARE’S RAPID ART PROGRAM, SAME DAY START (SDS), WAS LAUNCHED IN JANUARY 2021 IN RESPONSE TO EVIDENCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) TRIALS DEMONSTRATING THAT SDS SHOWED GREATER EFFICACY IN HELPING PEOPLE NEWLY DIAGNOSED WITH HIV ACCESS TREATMENT, REMAIN IN CARE, AND ACHIEVE VIRAL LOAD SUPPRESSION (VLS). ACHIEVING VLS IS OF PARTICULAR IMPORTANCE AT KC CARE, AS SUBSTANTIAL DISPARITIES EXIST BASED ON AGE AND RACE/ETHNICITY AMONG PEOPLE WITH AND AT RISK OF EXPOSURE TO HIV. SPECIFICALLY, INDIVIDUALS AGES 25 TO 34 ARE AT A GREATER RISK OF HIV EXPOSURE AND ARE LESS LIKELY TO ACHIEVE VIRAL SUPPRESSION. BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) ARE ALSO AT GREATER RISK OF HIV EXPOSURE AND ACHIEVE VIRAL SUPPRESSION AT LOWER RATES THAN THEIR PEERS. THE IMPLEMENTATION OF KC CARE’S SDS PROGRAM WAS A SUCCESS, REACHING 39 PATIENTS IN THE FIRST YEAR. OF THESE 39 PATIENTS, 23 (67%) ACHIEVED VIRAL SUPPRESSION. KC CARE’S PATIENT-CENTERED APPROACH HELPED ENSURE PATIENTS’ ENROLLMENT AND RETENTION IN THE PROGRAM. UPON RECEIVING A REACTIVE TEST, A LINKAGE TO CARE (LTC) COORDINATOR MAKES FIRST CONTACT WITH A PATIENT. EDUCATION ABOUT SDS IS PROVIDED, AND IF THE PATIENT ELECTS TO PARTICIPATE, THE LTC COORDINATOR WILL ARRANGE A SAME-DAY VISIT WITH A KC CARE PROVID ER. MEDICAL VISITS ARE FOLLOWED-UP WITH A REFERRAL TO A PEER EDUCATOR, A KC CARE PROFESSIONAL WHO ASSISTS PATIENTS IN UNDERSTANDING THEIR DIAGNOSIS, ADHERING TO TREATMENT, ACHIEVING VLS, AND ACCESSING COMMUNITY RESOURCES. TO REACH MORE PATIENTS NEWLY DIAGNOSED WITH HIV AND HELP ELIMINATE DISPARITIES IN VIRAL SUPPRESSION, KC CARE SEEKS FUNDING TO EXTEND THE AVAILABILITY OF SDS TO INDIVIDUALS WHO TEST REACTIVE FOR HIV WITH ANY PROVIDER, IN THE COMMUNITY, OR USING AN AT-HOME HIV TEST IN THE KANSAS CITY TGA. FUNDS FROM THIS PROGRAM WILL BE USED TO EXPAND KC CARE’S SDS PROGRAM COMMUNITY-WIDE, CREATE MARKETING TO ENSURE PROVIDERS AND PATIENTS ARE AWARE OF SDS AT KC CARE AND TO EDUCATE THEM ABOUT THE INDIVIDUAL AND COMMUNITY HEALTH BENEFITS OF SDS, PROVIDE TRANSPORTATION ASSISTANCE FOR PATIENTS TO ATTEND THEIR SAME-DAY VISIT AT KC CARE, AND OFFER SELF-CARE KITS FOR PATIENTS WHO RECEIVE A REACTIVE HIV TEST THROUGH KC CARE OR ARE REFERRED TO KC CARE FOR SDS. THESE KITS INCLUDE ESSENTIAL ITEMS TO MAKE PATIENTS MORE COMFORTABLE DURING THEIR INITIAL HIV CARE VISIT, WHICH CAN BE STRESSFUL, SUCH AS BOTTLED WATER, SNACKS, AND A NOTEPAD AND PAPER TO TAKE NOTES ON CARE INSTRUCTIONS AND FUTURE APPOINTMENTS. FOLLOWING ONE YEAR OF EXPANDED SDS ACCESS, KC CARE WILL BE ABLE TO ABSORB THE INCREASED VOLUME OF PATIENTS AND SERVICES INTO HIV SERVICES PROGRAM INCOME AND OTHER FUNDING SOURCES, ENSURING THE SUSTAINABILITY OF THIS PROGRAM. MEDICATIONS NECESSARY FOR SDS ARE DONATED BY PHARMACEUTICAL PARTNERS, FURTHER ENSURING THE FINANCIAL STABILITY OF THIS PROGRAM.

ENGAGED, INFORMED, INVOLVED: UTILIZING NEW MEDIA FOR HIV AND SUBSTANCE ABUSE PREVENTION

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE HIV/AIDS PROGRAM PART D WICY COVID-19 RESPONSE

PROJECT I AM: HIV PREVENTION FOR YOUNG AFRICAN AMERICAN MEN WHO HAVE SEX WITH MEN

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS