Portland Community Health Center

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

PORTLAND CHC PROPOSES A TWO-TIERED (MAT-PDOA) PROGRAM AS AN INTERMEDIATE PHASE OF OUR CURRENT OUTPATIENT MAT PROGRAM. - MEDICATED ASSISTED TREATMENT-PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA) IS AN INTERMEDIATE PHASE OF INTENSIVE OUTPATIENT MAT THAT FILLS A SERVICE GAP IN PORTLAND COMMUNITY HEALTH CENTER'S EXISTING MAT PROGRAM. PORTLAND CHC PROPOSES ADDING TWO INTERMEDIATE LEVELS TO SERVE AS THE BRIDGE BETWEEN OUR MOST INTENSIVE PHASE-1 OF MAT AND THE MORE TRADITIONAL OFFICE-BASED PHASES 4 AND 5 OF OUR GREATER PATHWAYS PROGRAM. MAT-PDOA WILL PROVIDE TARGETED PHARMACOTHERAPY WITH PSYCHOSOCIAL SUPPORTS AND COMMUNITY-BASED RECOVERY RESOURCES TO DECREASE DIVERSION FROM TREATMENT PLANS AND MISUSE OF MEDICATION. THE PATIENTS WITH THE STRONGEST NEED FOR THESE SERVICES ARE RESIDENTS OF THE GREATER PORTLAND, MAINE AREA, SPECIFICALLY THOSE WHO LIVE IN RESOURCE-LIMITED NEIGHBORHOODS WHERE OPIOID USE DISORDER (OUD) IS MOST PREVALENT. THE MAT-PDOA PROGRAM BRIDGES A SERVICE GAP IN OUR CURRENT MAT PROGRAMMING TO SERVE PATIENTS WHO FALL BETWEEN OUR MOST INTENSIVE DAILY SUPERVISED DOSING PROGRAM OR MORE TRADITIONAL OFFICE-BASED MAT PROGRAMS. STRATEGIES AND INTERVENTIONS OF THE PROGRAM INCLUDE A FLEXIBLE RANGE OF SERVICE TIMES, ACCESS TO SPECIALIZED MEDICAL AND BEHAVIORAL HEALTH PROVIDERS, INDIVIDUAL COUNSELING, OUTREACH AND PEER SUPPORT, CASE MANAGEMENT, AND LINKAGES TO A ROBUST SUITE OF COMMUNITY RECOVERY AND SUPPORT RESOURCES. GOALS OF THE PROJECT INCLUDE: (1) EXPANDING AND ENHANCING PORTLAND CHC’S SUITE OF TREATMENT AND RECOVERY SUPPORT SERVICES TO MORE EFFECTIVELY IDENTIFY, ENGAGE, AND RETAIN INDIVIDUALS IN OUD TREATMENT AND FACILITATE LONG-TERM RECOVERY; (2) EXPANDING REGIONAL ACCESS TO MAT FOR OUDS TO INCREASE THE NUMBER OF INDIVIDUALS WITH OUD RECEIVING MAT; AND (3) INCREASING THE NUMBER OF PATIENTS SUCCESSFULLY ENGAGING IN MAT AND LONG-TERM MAINTENANCE TO DECREASE ILLICIT OPIOID AND PRESCRIPTION OPIOID MISUSE AND FACILITATE LONG-TERM RECOVERY. OBJECTIVES INCLUDE: (1) IMPLEMENTING REFERRAL AND SERVICE DELIVERY MODELS SPECIFICALLY SURROUNDING THE MAT-PDOA PROGRAM VIA OUTREACH TO GREATER PORTLAND ADDICTION COLLABORATIVE PARTNERS; (2) ESTABLISHING FUNDING MECHANISMS AND SERVICE DELIVERY MODELS FOR THE MAT-PDOA PROGRAM WITH PREBLE STREET RESOURCE CENTER AND UNIVERSITY OF SOUTHERN MAINE; (3) HIRING ALL VACANT KEY PERSONNEL AND IMPLEMENT FORMALIZED POLICIES FOR INTAKE AND TREATMENT WITHIN THE FIRST YEAR OF FUNDING; (4) DELIVERING SERVICES FOR UP TO 25 UNIQUE PATIENTS WITHIN THE FIRST YEAR OF FUNDING; (5) INCREASING THE NUMBER OF UNIQUE PATIENTS WITH OUD THAT PORTLAND CHC’S WAIVERED PROVIDERS DELIVER MAT SERVICES TO BY 25 WITHIN THE SECOND YEAR OF FUNDING; (6) PROVIDING SUBLOCADE PHARMACOTHERAPY AND URINE SCREENING FOR UP TO THREE UNINSURED PROGRAM PARTICIPANTS WITHIN THE FIRST YEAR; (7) DEMONSTRATING A DECREASE IN ILLICIT DRUG AND PRESCRIPTION OPIOID MISUSE IN 50% OF PARTICIPANTS AT 6-MONTH FOLLOW-UPS; (8) MAINTAINING AN AVERAGE OF 25 UNIQUE MAT PATIENTS AT ANY GIVEN TIME DURING THE 5-YEAR GRANT CYCLE (125 TOTAL).

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - PORTLAND COMMUNITY HEALTH CENTER HRSA-24-110: COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING (CPF/CDS): FACILITIES AND/OR EQUIPMENT PROJECTS H80CS25680 PORTLAND COMMUNITY HEALTH CENTER (PORTLAND CHC) SEEKS FUNDING TO RENOVATE AND EQUIP NEW DENTAL SUITES AT ITS 295 PARK AVENUE LOCATION IN PORTLAND, MAINE. THIS PROJECT AIMS TO EXPAND ACCESS TO DENTAL CARE FOR UNDERSERVED POPULATIONS IN THE GREATER PORTLAND AREA, ADDRESSING CRITICAL GAPS IN ORAL HEALTH SERVICES. PORTLAND CHC SERVES OVER 16,300 COMMUNITY MEMBERS, INCLUDING IMMIGRANTS, REFUGEES, ASYLEES, THOSE EXPERIENCING HOMELESSNESS, THOSE UNDER AND UN-INSURED, AND MORE. THE NEW DENTAL SUITE WILL INCREASE ACCESS TO DENTAL CARE TO ALL COMMUNITY MEMBERS, PARTICULARLY LOW-INCOME INDIVIDUALS WHO FACE THE GREATEST BARRIERS TO DENTAL CARE. BY INCREASING THE NUMBER OF DENTAL SITES, PORTLAND CHC AIMS TO REDUCE APPOINTMENT WAIT TIMES AND IMPROVE ACCESS TO DENTAL SERVICES FOR ALL COMMUNITY MEMBERS, REGARDLESS OF THEIR ABILITY TO PAY. THERE IS A SIGNIFICANT NEED FOR ACCESSIBLE DENTAL CARE IN GREATER PORTLAND WITH LIMITED PROVIDER AVAILABILITY AND FEW PROVIDERS WHO ACCEPT MAINECARE, THE STATE’S MEDICAID. WITH THE RECENT EXPANSION OF MAINECARE DENTAL COVERAGE TO INCLUDE PREVENTATIVE AND COMPREHENSIVE CARE, THERE IS AN INCREASED DEMAND FOR DENTAL SERVICES. THE PROPOSED PROJECT WILL HELP ALLEVIATE THIS SHORTAGE AND PROVIDE COMPREHENSIVE DENTAL CARE TO VULNERABLE POPULATIONS. THE RENOVATED SPACE WILL INCLUDE FOUR DENTAL OPERATORIES, A DENTAL TEAM ROOM, A LAB AND STERILIZATION ROOM, AN X-RAY ROOM, AND A STORAGE AREA. THESE FACILITIES WILL ENABLE PORTLAND CHC TO OFFER A WIDE RANGE OF DENTAL SERVICES, INCLUDING PREVENTIVE CARE, DIAGNOSTICS, AND TREATMENTS. THE RENOVATION WILL ALSO INCLUDE THE INSTALLATION OF MODERN, NON-MOVABLE DENTAL EQUIPMENT SUCH AS A 2D X-RAY MACHINE, DENTAL CHAIRS, AND A METAL STERILIZATION CENTER. THE RENOVATION WILL INVOLVE DEMOLITION OF EXISTING WALLS AND CONSTRUCTI ON OF NEW WALLS TO CREATE SEPARATE ROOMS FOR STERILIZATION, STORAGE, AND X-RAY. NEW EGRESS PATHS TO EXTERIOR FIRE EXITS WILL BE ADDED, AND A DOOR WILL BE INSTALLED TO SEGREGATE THE DENTAL SUITE FROM COMMON AREAS. THE PROJECT INCLUDES UPDATES TO FLOORING, PAINTING, AND MODIFICATIONS TO THE SPRINKLER AND FIRE ALARM SYSTEMS TO MEET SAFETY STANDARDS. THE FLOOR’S CONCRETE BASE AND BASEMENT BELOW WILL FACILITATE EASY INSTALLATION OF ADDITIONAL ELECTRICAL AND PLUMBING SYSTEMS REQUIRED FOR THE DENTAL SUITE. A THIRD-PARTY CONSTRUCTION MANAGER AND AN ARCHITECT WILL OVERSEE THE DESIGN AND CONSTRUCTION PHASES. PORTLAND CHC’S PROJECT MANAGER AND PROCUREMENT COORDINATOR WILL COORDINATE WITH THE CONSTRUCTION MANAGER TO ENSURE TIMELINES ARE MET AND MAINTAIN COMMUNICATION WITH STAFF AND VENDORS. THE PROPOSED PROJECT WILL ALSO INCLUDE EQUIPMENT ESSENTIAL FOR THE DENTAL SUITE, SUCH AS DENTAL CHAIRS, X-RAY MACHINES, STERILIZATION CENTERS, MAINTENANCE SYSTEMS, STERILIZERS, AND SPECIALIZED DENTAL TOOLS AND MACHINERY.

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

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ADDRESS: 180 PARK AVENUE, PORTLAND, ME 04102 PROJECT DIRECTOR: ANN TUCKER, CEO CONTACT PHONE NUMBERS: T - 207-805-3886, F - 207-761-3829 EMAIL ADDRESS: ATUCKER@GREATERPORTLANDHEALTH.ORG WEBSITE ADDRESS: HTTPS://WWW.GREATERPORTLANDHEALTH.ORG/ FUNDS REQUESTED: $106,621.10 PORTLAND COMMUNITY HEALTH CENTER (PORTLAND CHC) PROVIDES COMPREHENSIVE PRIMARY HEALTH CARE WITH INTEGRATED BEHAVIORAL HEALTH AND SPECIALTY SERVICES TO THE MOST VULNERABLE POPULATIONS IN THE GREATER PORTLAND, MAINE AREA. AS THE ONLY RYAN WHITE PART C PROVIDER AND FQHC IN MAINE’S MOST URBANIZED AREA, PORTLAND CHC PLAYS A KEY ROLE IN PROVIDING CRUCIAL DENTAL SERVICES FOR UNDERSERVED POPULATIONS WHO HAVE VERY LIMITED CHOICES IN THE REGION. THIS IS ESPECIALLY TRUE FOR THE RYAN WHITE PATIENT POPULATION WHO ARE AT HIGHER RISK FOR A NUMBER OF ORAL DISORDERS, AS WELL AS INCREASED COMORBIDITY RELATED TO POOR DENTAL HEALTH. THERE ARE CURRENTLY SIGNIFICANT GAPS IN OUR AGED DENTAL EQUIPMENT INFRASTRUCTURE THAT INTERFERE WITH PORTLAND CHC’S ABILITY TO PROVIDE QUALITY CARE TO THE GREATEST NUMBER OF PATIENTS IN NEED. MUCH OF THE EQUIPMENT AT OUR 63 PREBLE STREET LOCATION WHERE ALL OF OUR RYAN WHITE PATIENTS ARE SERVED HAS BEEN INHERITED OR DONATED FROM THE CITY OF PORTLAND AND HAS SEEN EXCESSIVE USE WITH AGE. THESE ITEMS OFTEN BREAK DOWN, REQUIRING COSTLY REPAIRS. AS ALL OF THE REPLACEMENT EQUIPMENT REQUESTED IN THIS PROPOSAL IS DEEMED ESSENTIAL, ANY REPAIRS ON THE AGED EQUIPMENT MUST BE PERFORMED IMMEDIATELY TO AVOID LAPSES IN OUR RYAN WHITE PATIENTS’ DENTAL SERVICES. REPLACING AGED EQUIPMENT WITH NEW EQUIPMENT UNDER WARRANTY WILL HELP ELIMINATE SERVICE GAPS AND SUBSTANTIALLY REDUCE ONGOING REPAIR COSTS. WE REQUEST SUPPORT TO ENHANCE AND EXPAND OUR RYAN WHITE PROGRAM’S ORAL HEALTH SERVICES INFRASTRUCTURE THROUGH THE PURCHASE AND INSTALLATION OF ESSENTIAL DENTAL EQUIPMENT FOR THE HEALTH CENTER’S THREE DENTAL OPERATORIES AT OUR 63 PREBLE STREET LOCATION. THE PURPOSE OF THIS PROJECT IS T O IMPROVE OUR AGED DENTAL EQUIPMENT INFRASTRUCTURE IN ORDER TO EFFECTIVELY MEET THE NEEDS OF THE TARGET POPULATION: OUR EXISTING RYAN WHITE PATIENTS AND THE UNDERSERVED POPULATIONS AT GREATEST RISK FOR HIV. THESE CAPACITY-BUILDING ENHANCEMENTS WILL ALLOW PROVIDERS MORE CHAIRSIDE TIME FOR EDUCATION, NEXT STEPS, OR NAVIGATING REFERRALS—THUS BUILDING A RELATIONSHIP OF TRUST BETWEEN PORTLAND CHC, RWHAP PATIENTS, AND THE COMMUNITY. NEW EQUIPMENT WILL ENHANCE AND EXPAND EXISTING DENTAL SERVICES BY INCREASING EFFICIENCY AND SAFETY, IMPROVING RYAN WHITE PATIENT EXPERIENCES, AND PROVIDING MORE IN-DEPTH SCREENINGS. THE OUTCOME OF THIS CAPACITY BUILDING PROJECT WILL BE BETTER OVERALL HEALTH OUTCOMES AND INCREASED ACCESS TO QUALITY ORAL HEALTHCARE FOR RYAN WHITE PATIENTS AND UNDERSERVED POPULATIONS AT GREATEST RISK FOR HIV IN THE GREATER PORTLAND AREA.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - 100 BRICKHILL AVENUE SUITE 303 SOUTH PORTLAND, ME 04106 PROJECT DIRECTOR: ANN TUCKER, CHIEF EXECUTIVE OFFICER PHONE: (207) 874-2141 FAX: (207) 761-3829 WWW.GREATERPORTLANDHEALTH.ORG HRSA-24-062 RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM, HIV CARE INNOVATION PORTLAND COMMUNITY HEALTH CENTER (PORTLAND CHC) IS A 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER. WE ARE REQUESTING FUNDING FROM THE RYAN WHITE HIV/AIDS PROGRAM PART C CAPACITY DEVELOPMENT PROGRAM UNDER THE STREAMLINING ELIGIBILITY FOR RYAN WHITE HIV/AIDS PROGRAM SERVICES ACTIVITY WITHIN THE HIV CARE INNOVATION CATEGORY (HRSA-25-049). OUR PROPOSED PROJECT AIMS TO ENHANCE AND STREAMLINE THE ELIGIBILITY DETERMINATION PROCESS FOR RWHAP SERVICES, ENSURING TIMELY ACCESS TO HIGH-QUALITY HIV PRIMARY CARE FOR UNDERSERVED POPULATIONS. PORTLAND CHC, THE SOLE RYAN WHITE PART C PROVIDER IN GREATER PORTLAND, MAINE’S MOST POPULOUS AREA, PLAYS A VITAL ROLE IN PROVIDING HEALTHCARE TO UNDERSERVED POPULATIONS. THE PROJECT WILL TARGET IMPROVING THE EFFICIENCY AND ACCESSIBILITY OF ELIGIBILITY VERIFICATION PROCESSES, REDUCING ADMINISTRATIVE BARRIERS, AND INCREASING ENROLLMENT AND RETENTION OF LOW-INCOME INDIVIDUALS WITH HIV IN HEALTHCARE SERVICES. BY IMPLEMENTING A STREAMLINED ELIGIBILITY SYSTEM, PORTLAND CHC SEEKS TO ENHANCE SERVICE COORDINATION, MINIMIZE DELAYS IN CARE, AND ADDRESS DISPARITIES IN HEALTHCARE ACCESS FOR PEOPLE WITH HIV. THIS INITIATIVE WILL LEVERAGE TECHNOLOGY AND STANDARDIZED WORKFLOWS TO ENSURE A MORE EFFICIENT, PATIENT-CENTERED APPROACH TO ELIGIBILITY DETERMINATION. THE EXPECTED IMPACT INCLUDES IMPROVED CONTINUITY OF CARE, INCREASED PATIENT ENGAGEMENT, AND REDUCED GAPS IN SERVICES FOR VULNERABLE POPULATIONS AFFECTED BY HIV. WE ARE REQUESTING $105,000.00 IN FUNDING FOR THIS ONE-YEAR PROJECT TO SUPPORT THE IMPLEMENTATION OF THESE PROCESS IMPROVEMENTS, INCLUDING STAFF TRAINING, TECHNOLOGY ENHANCEMENTS, AND WORKFLOW REDESIGN. THIS INITIATIVE ALIGNS WITH NATIONAL GOALS TO OPTIMIZE HIV CARE DELIVERY, ENSURING THAT PEOPLE WITH HIV RECEIVE TIMELY, COMPREHENSIVE, AND UNINTERRUPTED CARE IN A RAPIDLY EVOLVING HEALTHCARE LANDSCAPE. EXPECTED OUTCOMES INCLUDE STREAMLINED ELIGIBILITY VERIFICATION WORKFLOWS, IMPROVED DATA INTEGRATION, REDUCED ADMINISTRATIVE BURDEN, AND ENHANCED STAFF TRAINING TO ENSURE EFFICIENT IMPLEMENTATION. ADDITIONALLY, THE PROJECT WILL ENHANCE COORDINATION WITH PARTNERS, IMPROVE PATIENT ACCESS TO CARE, AND ESTABLISH SUSTAINABLE PROCESSES FOR LONG-TERM IMPACT.

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS