Ammonoosuc Community Health Services Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ARRA - FACILITY INVESTMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

RURAL NORTHERN BORDER REGION OUTREACH PROGRAM - RURAL NORTHERN BORDER REGION OUTREACH PROGRAM • PROJECT TITLE ACHS FOOD AS MEDICINE PORTABLE TEACHING KITCHEN (FMPTK) AND TRIP MARKETPLACE FOR TRANSPORTATION (TRIP – MFT) • PROJECT GOAL • FMPTK – HABITUATE FOOD AS MEDICINE INTO THE ACTIVITIES OF DAILY COOKING AND EATING TO IMPROVE INDIVIDUAL HEALTH AND COMMUNITY POPULATION WELLNESS • TRIP – MFT – PRODUCE A HYPER-LOCAL TRANSPORTATION SOLUTION TAILORED TO THE UNIQUE NEEDS OF RURAL COMMUNITIES LEVERAGING TRUST AND IS/IT LOGISTIC APPLICATIONS. • PROJECT OBJECTIVES • FMPTK • PARTICIPANTS WILL DEVELOP THE HABIT OF FOOD AS MEDICINE IN THEIR MENU PLANNING, COOKING ROUTINES, AND CONSUMPTION OF HEALTHY FOODS. OG1 • THE METRICS FOR OBESITY, DIABETES, AND HYPERTENSION SHOW A CORRELATION OF IMPROVEMENT WITH PARTICIPATION IN ACHS FOOD AS MEDICINE PORTABLE TEACHING KITCHEN (FMPTK) EXPERIENCES. OG2 • ACHS FOOD AS MEDICINE PORTABLE TEACHING KITCHEN (FMPTK) SECURES PRIVATE/ PUBLIC SUSTAINABILITY FUNDING FOR TWO FTE CHW POST PROJECT PERIOD. OG3 • THE ACHS FOOD AS MEDICINE PORTABLE TEACHING KITCHEN (FMPTK) “META-STORY” ENABLES REPLICATION FOR OTHER UNIQUELY RURAL AREAS. THIS PROVIDES AN ROI FOR THIS FUNDING IN MULTIPLES OF THE INVESTMENT. OG4 • TRIP – MFT • THE TRIP MARKETPLACE FOR TRANSPORTATION SYSTEM WILL BE THE EASE OF USE CHOSE FOR DRIVERS AND RIDERS FOR ELIMINATING TRANSPORTATION BARRIERS AMONGST FRIENDS, FAMILIES, AND NEIGHBORS. OG1 • THE TRIP MARKETPLACE FOR TRANSPORTATION SYSTEM WILL HAVE REACHED A MARKET PENETRATION TO ENSURE STABILITY AND SUSTAINABILITY BASED ON THE DIFFUSION OF INNOVATION CURVE. OG2 • DRIVERS AND RIDERS WILL RATE THE TRIP MARKETPLACE FOR TRANSPORTATION SYSTEM ON WITH A PROMOTER RATING OF 9 AND 10 WHO ARE LOYAL ENTHUSIASTS WHO WILL MOST LIKELY TO OTHERS AND HELP ATTRACT NEW DRIVERS AND RIDERS. SCORES OF 7 AND 8 ARE PASSIVE AND SATISFIED. GREAT SCORES ARE 30-70 AND EXCELLENT IS 70-100 . OG3 • THE TRIP MARKETPLACE FOR TRANSPORTATION “META-STORY” ENABLES REPLICATION FOR OTHER UNIQUELY RUR AL AREAS. THIS PROVIDES AN ROI FOR THIS FUNDING IN MULTIPLES OF THE INVESTMENT. OG4 TARGET POPULATION THE TARGET POPULATION TO BE SERVED IS IN A 100% RURAL AREA DESIGNATED AS MEDICALLY UNDERSERVED AREA WITH A MEDICALLY UNDERSERVED POPULATION EXPERIENCING A DEARTH OF PROVIDERS AS DEMONSTRATED THROUGH THE MEDICAL, MENTAL, AND DENTAL SHORTAGE AREA DESIGNATIONS AS DOCUMENTED IN THE NARRATIVE. FOCUS AREA • THE FOCUS IS ON FOOD AS MEDICINE AND TRANSPORTATION THAT CUTS ACROSS ALL RESIDENTS AT VARIOUS TIMES AND LEVELS OF ACCESS. THE RESOLUTION OF WHICH IS SYSTEMIC WITH SIGNIFICANT CLINICAL AND FINANCIAL RETURNS ON INVESTING IN SOLUTIONS FOR THIS TWO UPSTREAM FROM HEALTH ACTIVITIES OF DAILY LIVING, VITAL CONDITIONS OF HEALTH IN THE AREA OF SOCIAL DETERMINANTS OF HEALTH. PROJECT ACTIVITIES BRIEF DESCRIPTION OF THE PROPOSED ACTIVITIES AND/OR SERVICES ACTIVITIES ARE HIGHLY PROXIMAL TO THOSE IN NEED OF HEALTHY FOODS AND TRANSPORTATION. THE ACTIVITIES ARE EXPERIENTIAL (FOOD) AND/ OR SYSTEM DEVELOPMENT (TRANSPORTATION) EXECUTED BY MINIMAL ESSENTIAL TEAM OF 2 FTE CHW AND 0.1FTE OF A PI/PD. LEVERAGING EXISTING HIGHLY MATURE (SINCE 1997) NORTH COUNTRY HEALTH CONSORTIUM EXPEDITES ACTION ALONG TUCKMAN’S EVOLUTION OF COLLABORATIVE TEAMS TO “PERFORMING. ACTIVITIES ARE IN THREE STAGES, 1) ACHS – SERVICE AREA, 2) EXPANSION THROUGH COÖS COUNTY, 3) LEVERAGING ‘META-STORY” FOR REPLICATION AND FINANCIAL SUSTAINABLY AS A BUSINESS PER FORMA AND ROI ARE PART OF THE META-STORY. EXPECTED OUTCOMES HIGH HABITUATION OF FOOD AS MEDICINE THROUGH THE ACHS FOOD AS MEDICINE PORTABLE TEACHING KITCHEN (FMPTK) RESULTING IN OPTIMAL INDIVIDUAL HEALTH AND COMMUNITY PUBLIC WELLNESS, ESPECIALLY IN CHRONIC DISEASES INCLUDING AND NOT LIMITED TO OBESITY, DIABETES AND HYPERTENSION. RESOLUTION OF THE UNIQUE RURAL TRANSPORTATION BARRIERS BY LEVERAGING HYPER-LOCAL COMMUNITIES OF TRUST WITH FEWER (1-2) DEGREES OF RELATIONAL SEPARATION AND IS/IT APPLICATION OF RIDE SHARING TO RESOLVE LOGISTICS OF DRIVERS AND RIDERS FI NDING EACH OTHER.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - AMMONOOSUC COMMUNITY HEALTH SERVICES HRSA-22-134 CDFA 93.493 COMPETITION ID 8752 OPPORTUNITY PACKAGE ID PKG00273079 ________________________________________ ABSTRACT AMMONOOSUC COMMUNITY HEALTH SERVICES, INC., (ACHS) IS REQUESTING $500,000 OF CONGRESSIONALLY DIRECTED SPENDING (CDS) FOR A CONSTRUCTION PROJECT. THE CONSTRUCTION PROJECT IS FOR THE ACHS – WHITEFIELD CARE DELIVERY SITE LOCATED AT 14 KING SQUARE WHITEFIELD, NH 03598-3346. ACHS – WHITEFIELD IS AN 1890 FRENCH MANSARD STYLE BUILDING COMPRISED OF THREE LEVELS ABOVE AND ON LEVEL BELOW STREET LEVEL GRADE. - LOWER LEVEL = 3,828 SQ FT - LEVE 1 = 3,828 SQ FT - LEVEL 2 = 1,276 SQ FT - LEVEL 3 = 1,276 SQ FT THE CDS FUNDS OF $500,000 ARE BEING LEVERAGED WITH $462,292 OF AMERICAN RESCUE PLAN (ARP) FUNDS. THIS ENABLES A MORE COMPREHENSIVE COST-EFFECTIVE RENOVATION. - $418,600 OF APR FUNDS ARE BUDGETED FOR RENOVATION OF CARE DELIVERY TO ENHANCE EFFECTIVE, EFFICIENT, AND SAFE CARE DELIVERY FOR PATIENT AND EMPLOYEE ALIKE. - $5,707 OF ARP FUNDS ARE BUDGETED FOR EMPLOYEE IDENTIFICATION CARD ACCESS CONTROL TO STANDARDIZE ACCESS AND SECURITY FOR EMPLOYEES ACROSS ALL ACHS CARE DELIVERY LOCATIONS. - $37,985 ARE BUDGETED FOR THE HVAC AND CONTROL SYSTEM INCREASING ENVIRONMENTAL COMFORT, AIR QUALITY, AND ESTABLISH THE INFRASTRUCTURE FOR FUTURE INVESTMENT IN GEO-THERMAL HEATING AND COOLING AS WE HAVE DONE AT ACHS – WOODSVILLE. THE $500,000 OF CDS FUNDS ARE BEING INVESTED IN - $20,000 IN ARCHITECTURAL AND ENGINEERING FEES. - $20,000 IN DEMOLITION FEES. - $310,000 IN CONSTRUCTION ENABLING BETTER INTEGRATION OF MEDICAL, BEHAVIORAL HEALTH WITH COMMUNITY-BASED EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND MULTIPURPOSE COMMUNITY ACTIVITY SPACE FOR NUTRITION, BONE-BUILDER, TAI CHI ETC., - $150,000 IN EQUIPMENT (HVAC SYSTEM TO ENABLE FUTURE GEO-THERMAL SYSTEM $962,292 IS THE COMBINED INVESTMENT OF CDS AND ARPA FUNDS. THE COMBINED INVESTMENT WILL ENABLE ADDRESSING THE ENTIRE BUILDING ENVELOP TOWARD OPTI MAL ENERGY EFFICIENCIES FROM WHICH ALTERNATIVE ENERGY SOURCES MAY BE CONSIDERED IN THE FUTURE INCLUDING GEOTHERMAL AND SOLAR. IN 1998 THE THEN OWNER LITTLETON REGIONAL HOSPITAL (LRH) WITH A UNITED STATES DEPARTMENT OF AGRICULTURE COMMUNITY DEVELOPMENT BLOCK GRANT. THIS INVESTMENT INCLUDED THE INSTALLATION OF AN ADA COMPLIANT ELEVATOR CONNECTING BELOW STREET GRADE, FIRST AND SECOND LEVELS.