Advocates For A Healthy Community Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

CAPITAL DEVELOPMENT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - FUNDING THROUGH THE HRSA-22-134 OPPORTUNITY WILL SUPPORT THE CONSTRUCTION OF AN AMBULATORY SURGERY CENTER – INCLUDING 16 PRE- AND POST-OPERATIVE ROOMS AND 4 FULL OPERATING SUITES – AND A WOMEN AND CHILDREN’S CLINIC, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, OPTOMETRY, AND OTHER PROCEDURE/EXAMINATION ROOMS. THIS FACILITY WHERE THE CDS CONSTRUCTION PROJECT WILL TAKE PLACE IS LOCATED AT 1720 WEST GRAND STREET IN SPRINGFIELD, MISSOURI. THE PRIMARY PROPOSED ACTIVITIES INCLUDE THE IMPROVEMENT AND RECONFIGURATION OF THE INTERIOR ARRANGEMENTS OF AN EXISTING FACILITY. THE 50,000-SQUARE-FOOT FACILITY AT 1720 WEST GRAND STREET WAS ORIGINALLY PURCHASED BY THE HEALTH CENTER TO SUPPORT A RAPID EXPANSION OF COVID-19 TESTING, TREATMENT, AND VACCINATION EFFORTS. IN LOOKING BEYOND THE COVID-19 PANDEMIC, AND UPON AN EVALUATION OF SERVICE AREA NEEDS, THIS FACILITY WAS IDENTIFIED AS AN IDEAL LOCATION FOR THE EXPANSION OF JORDAN VALLEY’S WOMEN AND CHILDREN’S SERVICES, AND THE CREATION OF AN AMBULATORY SURGERY CENTER TO PROVIDE ORAL SURGERY AND OTHER OUTPATIENT PROCEDURES.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HEALTH CARE AND OTHER FACILITIES

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT ABSTRACT - FISCAL YEAR 2024 BEHAVIORAL HEALTH SERVICE EXPANSION ADVOCATES FOR A HEALTHY COMMUNITY, INC. DBA JORDAN VALLEY COMMUNITY HEALTH CENTER ADVOCATES FOR A HEALTHY COMMUNITY, INC. DBA JORDAN VALLEY COMMUNITY HEALTH CENTER HAS PROVIDED ACCESSIBLE AND COMPREHENSIVE HEALTHCARE SERVICES TO LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS SINCE OPENING AS A FEDERALLY QUALIFIED HEALTH CENTER IN 2002. JORDAN VALLEY’S BEHAVIORAL HEALTH MODEL UTILIZES A MULTIDISCIPLINARY TEAM OF CLINICAL AND SUPPORT STAFF TO PROVIDE INTEGRATED MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES ACROSS MULTIPLE SERVICE LINES. DESPITE OUR HIGHLY INTEGRATED MODEL OF CARE, THERE IS A MARKED NEED FOR EXPANDED BEHAVIORAL HEALTH SERVICES AMONG JORDAN VALLEY’S PATIENT POPULATION AND WITHIN OUR SERVICE AREA. THE MOST RECENT NATIONAL SURVEY ON DRUG USE AND HEALTH FOUND THAT IN THE SOUTHWEST MISSOURI REGION, OVER 22% OF ADULTS EXPERIENCED A MENTAL HEALTH CONDITION, AND NEARLY 7% OF INDIVIDUALS AGED 12 AND OVER EXPERIENCED AN SUD IN THE PAST YEAR. THE MISSOURI DEPARTMENT OF MENTAL HEALTH, SAMHSA, AND CDC ESTIMATE THAT IN MISSOURI, NEARLY 30% OF ADULTS WITH A MENTAL HEALTH CONDITION AND 16% OF INDIVIDUALS WITH SUD ARE UNABLE TO RECEIVE THE TREATMENTS THEY NEED. FURTHER, APPROXIMATELY 60% OF JORDAN VALLEY PATIENTS WITH A HISTORY OF MENTAL HEALTH AND SUD DIAGNOSES DID NOT RECEIVE BEHAVIORAL HEALTH SERVICES IN 2023. JORDAN VALLEY REQUESTS FUNDING UNDER THE FISCAL YEAR 2024 BEHAVIORAL HEALTH SERVICE EXPANSION OPPORTUNITY TO SUPPORT STRATEGIES THAT INCREASE THE NUMBER OF INDIVIDUALS IN OUR SERVICE AREA WHO ACCESS MENTAL HEALTH AND SUD SERVICES. JORDAN VALLEY’S PROJECT PLAN INCLUDES ACTIVITIES THAT EXPAND OUR MENTAL HEALTH AND SUD WORKFORCE, INCREASE SERVICE ACCESS, AND IMPROVE THE QUALITY AND INTEGRATION OF BEHAVIORAL HEALTH SERVICES ACROSS SERVICE LINES. OUR PROJECT WILL PRIMARILY EXPAND ADOLESCENT AND ADULT BEHAVIORAL HEALTH SERVICES, PRIORITIZING ACCESS FOR GROUPS DISPROPORTIONATELY IMPACTED BY MENTAL HEALTH CONDITIONS AND SUD. WORKFORCE: JORDAN VALLEY WILL RECRUIT AND HIRE NEW FULL-TIME EMPLOYEES (FTE) TO SUPPORT BEHAVIORAL HEALTH SERVICE EXPANSION. A VIRTUAL PSYCHIATRIST WILL PROVIDE MEDICATION MANAGEMENT FOR MENTAL HEALTH CONDITIONS AND SUDS, EVENTUALLY BECOMING A PHYSICIAN COLLABORATOR TO EXPAND JORDAN VALLEY’S BEHAVIORAL HEALTH TEAM FURTHER. A PSYCHOLOGIST WILL PROVIDE INTEGRATED INDIVIDUAL AND GROUP THERAPY SERVICES. SUD INTAKE COORDINATORS WILL PERFORM FUNCTIONS TO INCREASE SUD SERVICE ACCESS, QUALITY, AND INTEGRATION. ACCESS AND AFFORDABILITY: JORDAN VALLEY WILL INCREASE THE NUMBER OF PRIMARY CARE CLINICIANS WITH AN ACTIVE DEA LICENSE ACROSS ALL CLINIC LOCATIONS, EXPANDING ACCESS TO SUD SERVICES—INCLUDING MOUD—THROUGH PRIMARY CARE. ADDITIONALLY, SUD INTAKE COORDINATORS WILL CONDUCT OUTREACH TO ESTABLISH SUD REFERRAL PATHWAYS BETWEEN JORDAN VALLEY AND COMMUNITY-BASED ORGANIZATIONS. THESE FTES WILL CONDUCT SUD INTAKES TO PROVIDE SAME-DAY ACCESS TO TREATMENT AT OUR REGIONAL CLINICS. JORDAN VALLEY WILL ALSO EXPLORE OPPORTUNITIES TO IMPROVE BEHAVIORAL HEALTH ACCESS THROUGH VIRTUAL SERVICE EXPANSION. QUALITY, PATIENT CARE, SAFETY, AND INTEGRATED SERVICES: JORDAN VALLEY WILL DEVELOP AND IMPROVE PROTOCOLS AND WORKFLOWS FOR BEHAVIORAL HEALTH SCREENING, ENSURING PROMPT LINKAGE TO CARE AND CONTINUITY OF BEHAVIORAL HEALTH SERVICES FOR PATIENTS TRANSITIONING BETWEEN SERVICE LINES. BEHAVIORAL HEALTH EDUCATION AND NETWORKING OPPORTUNITIES WILL ALSO BE INCORPORATED INTO THE ORGANIZATION’S ONGOING EDUCATION SCHEDULE FOR PATIENT-FACING STAFF. WITH THE EXPANSION AND DEVELOPMENT OF OUR BEHAVIORAL HEALTH TEAMS, IMPROVEMENTS TO REFERRAL AND SCREENING PROTOCOLS, AND THE ESTABLISHMENT OF COMMUNITY REFERRAL PATHWAYS, JORDAN VALLEY EXPECTS TO PROVIDE ACCESSIBLE, INTEGRATED BEHAVIORAL HEALTH SERVICES TO A MINIMUM OF 1,560 UNDUPLICATED NEW PATIENTS IN THE CALENDAR YEAR 2025.

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT ABSTRACT FISCAL YEAR 2025 EXPANDED HOURS ADVOCATES FOR A HEALTHY COMMUNITY, INC. DBA JORDAN VALLEY COMMUNITY HEALTH CENTER ADVOCATES FOR A HEALTHY COMMUNITY, INC. DBA JORDAN VALLEY COMMUNITY HEALTH CENTER ("JORDAN VALLEY") HAS PROVIDED ACCESSIBLE AND COMPREHENSIVE HEALTHCARE SERVICES TO LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS SINCE OPENING AS A FEDERALLY QUALIFIED HEALTH CENTER IN 2002. OUR MULTIDISCIPLINARY CLINICAL AND SUPPORT TEAM PROVIDES HIGH-QUALITY, INTEGRATED MEDICAL, BEHAVIORAL, AND DENTAL CARE TO OVER 67,000 PATIENTS ANNUALLY AT CLINICS IN SPRINGFIELD, HOLLISTER, REPUBLIC, LEBANON, AND MARSHFIELD, MISSOURI. JORDAN VALLEY OFFERS VARIOUS ANCILLARY SERVICES AT SELECT SERVICE LOCATIONS, INCLUDING MEDICATION-ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER AND PEDIATRIC EXPRESS CARE FOR ACUTE MEDICAL SERVICES. ACUTE MEDICAL SERVICES THROUGH JORDAN VALLEY’S PEDIATRIC EXPRESS CARE ARE AVAILABLE AT THE GRAND CLINIC SITE, LOCATED AT 1720 W. GRAND AVE. THE GRAND CLINIC CURRENTLY OPERATES FOR 40 HOURS PER WEEK. HOWEVER, INCREASED DEMAND FOR ACUTE SERVICES, EXACERBATED HEALTH DISPARITIES, AND SIGNIFICANT BARRIERS TO CARE OCCURRING AMONG CHILDREN AND THEIR FAMILIES RESIDING NEAR THE CLINIC DEMONSTRATE A NEED TO INCREASE HOURS OF OPERATION. WALK-IN MAT SERVICES ARE INTEGRATED WITH PRIMARY CARE, BEHAVIORAL HEALTH, AND ENABLING SERVICES AT THE BENTON CLINIC SITE, LOCATED AT 618 N. BENTON AVE. IN SPRINGFIELD. THE BENTON CLINIC CURRENTLY OPERATES FOR 40 HOURS PER WEEK. THROUGH A COMMUNITY PARTNERSHIP, JORDAN VALLEY ALSO HOUSES A RECOVERY CARE NAVIGATOR (RCN) AT THE GREENE COUNTY JAIL (LISTED IN HRSA FORM 5B AS CORRECTIONAL FACILITY SITE) TO COORDINATE MEDICAL, MENTAL HEALTH, AND MAT SERVICES AT THE BENTON CLINIC FOR INMATES UPON RELEASE FROM INCARCERATION. THE RCN ALSO PROVIDES OUTREACH AND ENABLING SERVICES AS NEEDED TO SUPPORT ACCESS TO CARE. SERVICES ARE CURRENTLY PROVIDED AT THE GREENE COUNTY JAIL FOR 4 HOURS PER WEEK. DEMAND FOR SERVICES AT THE BENTON CLINIC IS CONSISTENTLY GROWING, WITH 50 OR MORE NEW PATIENTS ESTABLISHING CARE EACH MONTH. FURTHER, CONSULTATION WITH THE GREENE COUNTY SHERIFF’S OFFICE REVEALED A NEED FOR ADDITIONAL RCN SERVICES AT THE GREENE COUNTY JAIL AT PEAK RELEASE TIMES TO ENSURE INDIVIDUALS HAVE COORDINATED ACCESS TO MAT SERVICES UPON RELEASE. JORDAN VALLEY REQUESTS FUNDING UNDER THE FISCAL YEAR 2025 EXPANDED HOURS OPPORTUNITY TO EXTEND THE HOURS OF OPERATION FOR THE GRAND CLINIC, BENTON CLINIC, AND CORRECTIONAL FACILITY SERVICE SITES LISTED IN HRSA FORM 5B. EXPANDED HOURS FUNDING WILL SUPPORT THE EXPANSION OF MEDICAL, MENTAL HEALTH, SUBSTANCE USE DISORDER, AND ENABLING SERVICES TO JORDAN VALLEY PATIENTS WHO HAVE A DEMONSTRATED NEED FOR THESE SERVICES OUTSIDE OF OUR CURRENT HOURS OF OPERATION. THROUGH THIS OPPORTUNITY, JORDAN VALLEY WILL EXPAND THE HOURS OF THESE SITES AS FOLLOWS: ACUTE MEDICAL SERVICES AND ENABLING SERVICES WILL BE AVAILABLE AT THE GRAND CLINIC’S PEDIATRIC EXPRESS CARE MONDAY THROUGH FRIDAY FROM 7:30 AM TO 6:30 PM, EXPANDING THE SITE’S OPERATING HOURS BY 15 HOURS PER WEEK. WALK-IN SUBSTANCE USE DISORDER, MEDICAL, MENTAL HEALTH, AND ENABLING SERVICES FOR INDIVIDUALS WITH OPIOID USE DISORDER WILL BE AVAILABLE AT THE BENTON CLINIC MONDAY THROUGH FRIDAY FROM 7:00 AM TO 7:00 PM, EXPANDING THE SITE’S OPERATING HOURS BY 20 HOURS PER WEEK. OUTREACH AND ENABLING SERVICES WILL BE AVAILABLE AT THE GREENE COUNTY JAIL MONDAY THROUGH FRIDAY FROM 11:00 AM TO 7:00 PM, EXPANDING THE CORRECTIONAL FACILITY SITE’S OPERATING HOURS BY 36 HOURS PER WEEK. IN TOTAL, 56 HOURS WILL BE ADDED WITHIN THE FIRST SIX MONTHS OF THE AWARD, AND THE REMAINING 15 HOURS WILL BE ADDED WITHIN THE FIRST 18 MONTHS. BY EXPANDING THE HOURS OF THESE SERVICE SITES, JORDAN VALLEY WILL AIM TO PROVIDE CARE FOR MORE PATIENTS, REDUCE BARRIERS TO CARE, AND MEET THE EVOLVING NEEDS OF OUR PATIENT POPULATION.

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

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

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - JORDAN VALLEY COMMUNITY HEALTH CENTER TEACHING HEALTH CENTER GRADUATION MEDICAL EDUCATION PROGRAM HRSA-25-077 ABSTRACT ADVOCATES FOR A HEALTHY COMMUNITY, INC. DBA JORDAN VALLEY COMMUNITY HEALTH CENTER (HEREAFTER, "JORDAN VALLEY") IS A FEDERALLY QUALIFIED HEALTH CENTER (HEREAFTER, "FQHC") IN SPRINGFIELD, MISSOURI. THE HEALTH CENTER'S CENTRAL FOCUS IS TO PROVIDE ACCESSIBLE AND COMPREHENSIVE HEALTHCARE SERVICES TO THOSE IN THE COMMUNITY. THE HEALTH CENTER EMPLOYS MULTIDISCIPLINARY CLINICAL AND SUPPORT TEAMS AND PROVIDES HIGH-QUALITY, INTEGRATED MEDICAL, BEHAVIORAL, AND DENTAL CARE TO OVER 67,000 PATIENTS ANNUALLY AT SPRINGFIELD, HOLLISTER, REPUBLIC, LEBANON, AND MARSHFIELD, MISSOURI CLINICS. JORDAN VALLEY IS LOCATED WITHIN A HEALTHCARE PROVIDER SHORTAGE AREA (HPSA) WITH A WELL-DOCUMENTED NEED FOR PROVIDERS OF ALL SPECIALTIES TO MEET THE SERVICE AREA'S NEEDS. DATA SHOWS THAT PHYSICIANS WHO TRAIN IN A RURAL OR UNDERSERVED AREA (SAFETY NET) ARE MORE LIKELY TO STAY AND PRACTICE IN A SIMILAR AREA. TO THIS END, JORDAN VALLEY HAS PARTNERED WITH COXHEALTH TO EXPAND GRADUATE MEDICAL EDUCATION IN SPRINGFIELD, MISSOURI. BY CREATING THE SOUTHWEST MISSOURI CONSORTIUM FOR GRADUATE MEDICAL EDUCATION (HEREAFTER, "SMC GME"), JORDAN VALLEY AND COXHEALTH WILL ESTABLISH AN ACGME-ACCREDITED FAMILY MEDICINE RESIDENCY PROGRAM (HEREAFTER FMR AT JVCHC). THE PRIMARY EDUCATION SITE WILL BE AT JORDAN VALLEY'S PRIMARY ADMINISTRATIVE LOCATION, 440 E. TAMPA STREET, SPRINGFIELD, MO. JORDAN VALLEY IS AWAITING PROGRAMMATIC ACCREDITATION THROUGH THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME); THE ORGANIZATION PLANS TO RECRUIT THE FIRST CLASS FOR THE 2025-2026 ACADEMIC YEAR. ALL INFORMATION ON THE RESIDENCY PROGRAM CAN BE FOUND AT HTTPS://WWW.JORDANVALLEY.ORG/CAREERSEDUCATION/RESIDENCIES. AS AN FQHC, THE FMR AT JVCHC WILL FOCUS ON RESIDENT EDUCATION AND PROVIDING INTEGRATED CARE TO THOSE WITHIN THE SERVICE AREA. THE FMR AT JVCHC WILL HAVE TWO RESIDENTS (2X0X0) FOR THE ACADEMIC YEAR 2025-2026. THE REMAINING YEARS OF FUNDING WILL ALLOW THE PROGRAM TO MATURE INTO A 4X4X4 MODEL. BASED ON THIS MODEL, THE FMR AT THE JVCHC PROGRAM WILL PROVIDE 27 RESIDENT FTE DURING THE THCGME FUNDING CYCLE. RESIDENTS OF THE SMC GME PROGRAM WILL FOCUS THEIR EDUCATION AND PRACTICE MANAGEMENT ON PROVIDING CARE WITHIN AN FQHC SETTING AND SERVING A DIVERSE PATIENT POPULATION. THE JORDAN VALLEY TAMPA LOCATION WILL BE THE PRIMARY EDUCATION SITE, BUT RESIDENTS WILL ALSO ROTATE TO COXHEALTH AND THE ARC OF THE OZARKS FOR ADDITIONAL LEARNING EXPERIENCES. JORDAN VALLEY REQUESTS $4.32 MILLION FROM HRSA THROUGH THE THCGME FUNDING OPPORTUNITY HRSA-25-077 TO EXPAND ACCESS TO HEALTHCARE AND GRADUATE MEDICAL EDUCATION. THE FUNDING WILL ALLOW JORDAN VALLEY AND THE SMC GME TO GROW THE HEALTHCARE WORKFORCE AND EDUCATION IN AN AREA WITH UNMET HEALTHCARE NEEDS.