Marillac Corp

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMMUNITY HEALTH WORKER TRAINING PROGRAM - APPLICANT NAME: MARILLAC COMMUNITY HEALTH CENTERS APPLICANT ADDRESS: 3201 S. CARROLLTON AVENUE, NEW ORLEANS, LA 70118 PROJECT DIRECTOR: ELIZABETH TEAGUE CONTACT PHONE: (504) 307-1188 EMAIL ADDRESS: ETEAGUE@DCSNO.ORG WEBSITE: HTTPS://WWW.DEPAULCOMMUNITYHEALTHCENTERS.ORG/ AMOUNT OF FUNDING REQUESTED: $3,000,000 FUNDING PREFERENCE: QUALIFICATIONS 1 (INDIVIDUALS FROM DISADVANTAGED BACKGROUNDS) AND 2 (50% OR MORE OF GRADUATES' WORK IN AN MUA/MUP) ARE MET. A BRIEF OVERVIEW OF THE PROJECT AS A WHOLE: THIS PROPOSAL AIMS TO RECRUIT, EDUCATE, TRAIN AND PLACE COMMUNITY HEALTH WORKERS ACROSS THE STATE OF LOUISIANA. PROJECT PARTNERS WILL DEVELOP AND DISSEMINATE RETENTION, SUSTAINABILITY, AND HEALTH EQUITY BEST PRACTICES. LEVERAGING LONG-TIME PARTNERSHIPS WILL PROVIDE OPPORTUNITIES FOR CLASSES AND APPRENTICESHIPS TO MEET THE REQUIREMENTS OF THIS PROJECT. EFFECTIVELY REMEDIATING HEALTH DISPARITIES REQUIRES COMMUNITY-WIDE EFFORTS TO REDUCE DISCRIMINATION, INCREASE ACCESS TO HEALTH RESOURCES, INCREASE EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES, AND IMPROVE LIVING ENVIRONMENTS. IT IS IMPORTANT TO NOTE THAT ACROSS THE STATE, DIFFERENT COMMUNITIES HAVE DIFFERENT CULTURAL VALUES, THUS THE IMPORTANCE OF LOCAL CHW TRAINEES TO BRIDGE THE GAP BETWEEN THE COMMUNITY AND THE HEALTH CARE SYSTEM. CONNECTING SOCIALLY VULNERABLE POPULATIONS TO CONTINUUMS OF CARE WILL IMPROVE HEALTH OUTCOMES. DISSEMINATING MCHC'S PRACTICES AROUND THE SUSTAINABILITY OF THE WORKFORCE WILL BE INCLUDED IN THE WORK PLAN FOR THIS PROJECT. IT WILL NOT BE ENOUGH TO BUILD CAPACITY ACROSS THE STATE. HOW TO SUPPORT THE WORK OF CHWS WILL BE SHARED VIA MCHC'S RESOURCE GUIDE FOR DEVELOPING OTHER CENTER'S CHW TRAINING AND PLACEMENT PROGRAM. SPECIFIC, MEASURABLE OBJECTIVES THAT THE PROJECT WILL ACCOMPLISH: THIS FUNDING WILL ALLOW 280 INDIVIDUALS THE OPPORTUNITY FOR TRAINING AS A CHW. OF THE 280 TRAINEES, 53 WILL BE PLACED IN APPRENTICESHIPS, AND 210 WILL FIND EMPLOYMENT IN THE FIELD. HHS/HRSA CLINICAL PRIORITIES THAT THE PROJECT WILL ADDRESS: HEALTH EQUITY - IMPROVE ACCESS TO QUALITY HEALTH SERVICES - FOSTER A HEALTH CARE WORKFORCE ABLE TO ADDRESS CURRENT AND EMERGING NEEDS - ACHIEVE HEALTH EQUITY AND ENHANCE POPULATION HEALTH HOW THE PROPOSED PROJECT WILL BE ACCOMPLISHED: MCHC WILL BUILD ON ITS PRESENT COMMUNITY HEALTH FRAMEWORK TO RECRUIT, EDUCATE, TRAIN, AND PLACE CHWS WITH THEIR PARTNERS ACROSS LOUISIANA. COURSES WILL TAKE PLACE LOCALLY FOR TRAINEES OR ONLINE IN PARTNERSHIP WITH LOUISIANA STATE UNIVERSITY (80 HOURS) AND DELGADO COMMUNITY COLLEGE (180 HOURS). THIS PROJECT WILL BE RECRUITING TRAINEES IN YEAR 1, Q1 AND THE FIRST COURSES BEGIN IN YEAR 1, Q2. TRAINEES WHO HAVE AT LEAST ONE YEAR OF EXPERIENCE IN SOME ASPECT OF THE HEALTH CARE FIELD WILL BE DIRECTED TO THE LSU PROGRAM. NEWCOMERS TO THE FIELD OR RECENT GRADUATES WILL BE ACCEPTED INTO THE DELGADO PROGRAM. TRAINEES WILL BE OFFERED A STIPEND, MATERIALS, AND TECHNOLOGY AS PART OF THIS PROGRAM. APPRENTICESHIP SITES WILL OFFER ON-THE-JOB TRAINING AND MENTORING. THE APPRENTICESHIP SITES WILL WORK TOWARD ACCREDITATION WITH THE AREA HEALTH EDUCATION CENTERS. TRAINEES WILL HAVE A 1200-HOUR REQUIREMENT. BY TRAINING CHWS FROM THE COMMUNITIES THEY SERVE, THE PROJECT EXPECTS THAT THEY CAN ACT AS A CULTURALLY SENSITIVE BRIDGE TO CONNECT PATIENTS TO CARE NETWORKS. SPECIAL POPULATIONS REQUIRE OUTREACH VIA CREATIVE MEANS TO MEDIATE THEIR HEALTH DISPARITIES. MCHC WILL SHARE THE STRATEGIES WHICH HAVE WORKED FOR THEM TO MAKE A CHW WORKFORCE A SUSTAINABLE PART OF THEIR SERVICE DELIVERY SYSTEMS.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

CATALYSTS FOR INFANT HEALTH EQUITY - MICHAEL GRIFFIN, PHD, MHSA PRESIDENT AND CEO 3201 S. CARROLLTON AVE. NEW ORLEANS, LA 70178-4148 WWW.DEPAULCOMMUNITYHEALTHCENTERS.ORG (504) 207-3060; MGRIFFIN@DCSNO.ORG DEPAUL COMMUNITY HEALTH CENTERS (DCHC) PROPOSES TO DEVELOP THE DEPAUL INFANT EQUITY EDUCATION PROJECT (DIEEP) TO SUPPORT AND COORDINATE COMMUNITY ACTIVITIES TO REDUCE THE INFANT MORTALITY RATE (IMR) AMONG NON-HISPANIC BLACKS IN ORLEANS PARISH. ACCORDING TO THE LOUISIANA DEPARTMENT OF HEALTH, THE 2017-2019 IMR FOR NON-HISPANIC BLACKS WAS 10.3/1,000. DIEEP AIMS TO REDUCE IMR AMONG THE TARGET POPULATION TO 5/1,000, CONSISTENT WITH THE HEALTHY PEOPLE 2030 GOAL. THE DIEEP COALITION IS COMPOSED OF LIKE-MINDED AGENCIES IN THE NEW ORLEANS METROPOLITAN, THE LOUISIANA MATERNAL CHILD HEALTH PROGRAM, AND PARTNERS FROM OTHER SECTORS INCLUDING HOUSING, TOURISM, EDUCATION AND CHILDCARE. DIEEP WILL BUILD UPON EXISTING COLLABORATIONS OF THE CRESCENT CITY FAMILY SERVICES HEALTH SERVICES COMMUNITY ACTION NETWORK (CAN), THE NEW ORLEANS HEALTH DEPARTMENT'S HEALTHY START CAN, THE RECENTLY DEVELOPED LOCAL COALITION OF THE ALLIANCE FOR INNOVATION ON MATERNAL HEALTH COMMUNITY CARE INITIATIVE (AIM-CCI); AND THE MARCH OF DIMES' (MOD) IGNITING CHANGE CAMPAIGN. DIEEP PROPOSES TO ADDRESS TWO OF THE FIVE DOMAINS OF THE HEALTHY PEOPLE 2030 SOCIAL DETERMINANTS OF HEALTH (SDOH) INCLUDING ECONOMIC STABILITY AND HEALTH CARE ACCESS AND QUALITY. BASED UPON THE SOCIAL ECOLOGICAL MODEL OF CHANGE THEORY, DIEEP WILL IMPLEMENT PROJECT ACTIVITIES AT THE POLICY, COMMUNITY, INSTITUTIONAL, INTERPERSONAL AND INDIVIDUAL LEVELS. THROUGH FOUR WORKING GROUPS (POLICY, EQUITY, HEALTH CARE ACCESS AND QUALITY, AND ECONOMIC STABILITY). ACTIVITIES WILL BE IMPLEMENTED DIRECTLY BY DCHC AND THROUGH CONTRACTING WITH MAJOR COMMUNITY PARTNERS. THE POLICY WORKING GROUP, LED BY MOD WILL WORK ON EXTENDING THE LOUISIANA MEDICAID EXPANSION, EXTENDING THE FEDERAL CHILD TAX CREDIT PROGRAM, AND INCREASING THE MINIMUM WAGE. THE E QUITY WORKING GROUP, LED BY CRESCENT CITY FAMILY SERVICES HEALTHY START, WILL DESIGN AND IMPLEMENT A TRAINING CURRICULUM FOR DISMANTLING STRUCTURAL RACISM IN HEALTHCARE AND HOUSING, WILL PROMOTING EQUITY STRATEGIES IN ALL DIEEP ACTIVITIES AND WILL HOST TRAININGS AND PROVIDE TECHNICAL SUPPORT TO EXPAND BEST PRACTICES IN HEALTH EQUITY. THE ECONOMIC STABILITY WORKING GROUP, LED BY TRAININGGROUND, INC., WILL COORDINATE THE CONSTELLATION OF THE SOCIAL SUPPORT AGENCIES THAT PROVIDE SDOH SERVICES TO PREGNANT AND PARENTING FAMILIES TO IMPROVE QUALITY AND EFFICIENCIES IN SERVICES AND TRACK SERVICE UTILIZATION. THE ACCESS TO CARE AND QUALITY WORKING GROUP, COORDINATED BY DCHC, WILL LAUNCH A TARGETED MULTIMEDIA CAMPAIGN TO PROMOTE EARLY ENTRY INTO PRENATAL CARE AND EXTENDED POSTPARTUM VISITS, WILL WORK WITH THE PERINATAL PROVIDER COMMUNITY TO EXPAND UNIVERSAL HIGH RISK PRENATAL-POSTPARTUM SCREENING; AND ADOPT THE AIM-CCI POSTPARTUM SAFETY BUNDLES. DCHC WILL ALSO WORK WITH AREA HIGH SCHOOLS TO PROVIDE A PREGNANCY PREVENTION EDUCATION PROGRAM. DIEEP PROGRAM OUTCOMES WILL INCLUDE INCREASED UTILIZATION OF EARLY CHILD CARE SERVICES, HIGHER PARTICIPATION RATES IN PARENTING CLASSES, LOWER PERCENTAGES IN PARENTING FAMILIES WHO REPORT HOUSING AND FOOD INSECURITY, HIGHER PERCENTAGES OF NON-HISPANIC BLACKS WHO INITIATE PRENATAL CARE IN THE FIRST TRIMESTER, A DECREASE IN THE NON-HISPANIC BLACK TEEN PREGNANCY RATE, AND INCREASED COMMUNITY PERINATAL PROVIDERS WHO ADOPT UNIVERSAL HIGH RISK PERINATAL SCREENING AND THE POSTPARTUM SAFETY BUNDLES.

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

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - DESCRIPTION OF ORGANIZATION: MARILLAC CLINIC OPENED IN 1988 AS AN INDIGENT CARE CLINIC PROVIDING INTEGRATED MEDICAL, DENTAL AND BEHAVIORAL HEALTHCARE TO THE UNDERSERVED. IN MAY 2015 MARILLAC WAS AWARDED FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER STATUS (GRANT #H80CS28356). SINCE THEN, THE ORGANIZATION HAS EXPANDED INTEGRATED PRIMARY CARE SERVICES FROM 5,546 PATIENTS TO 12,074 PATIENTS (2023). STARTING IN 2019 AND ANNUALLY THEREAFTER, MARILLAC HAS BEEN RECOGNIZED AS A PATIENT CENTERED MEDICAL HOME WITH BEHAVIORAL HEALTH DISTINCTION BY THE NATIONAL COUNCIL ON QUALITY ASSURANCE. OUR SERVICE AREA IN WESTERN COLORADO CONSISTS OF DESERT, AGRICULTURAL AND MOUNTAIN AREAS. IT INCLUDES MESA COUNTY, (WHERE MOST PATIENTS RESIDE) AND THE CONTIGUOUS RURAL COUNTIES OF DELTA, MONTROSE, SAN MIGUEL, OURAY, HINSDALE AND GUNNISON. THE UNINSURED RATE FOR OUR AREA IS APPROXIMATELY 8-10%, AND ONE-QUARTER OF OUR RESIDENTS ON MEDICAID. NEEDS TO BE ADDRESSED & POPULATION TO BE SERVED: MESA COUNTY IS DESIGNATED AS A HEALTH PROVIDER SHORTAGE AREA FOR PRIMARY CARE, DENTAL AND BEHAVIORAL HEALTH SERVICES. THE 2021-2023 MESA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (MCCHNA) EMPHASIZED A STAGGERING FACT: THE TOP THREE CAUSES OF EARLY DEATH RESULT FROM INTENTIONAL SELF-HARM, NON-VEHICLE ACCIDENTS AND DRUG OVERDOSE. THE MCCHNA ALSO REFLECTS SUBSTANTIAL MENTAL HEALTH CONCERNS: 14% OF LOCAL ADULTS HAVE RECEIVED TREATMENT FOR A MENTAL HEALTH CONDITION OR EMOTIONAL PROBLEM; 21% OF ADULTS HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER. WITHIN OUR PATIENT POPULATION, THE PERCENTAGES ARE MORE THAN DOUBLE THAT. THE CORONER’S OFFICE IN MESA COUNTY REPORTED THIS SOLEMN DATA FOR 2022: 57 PERSONS TOOK THEIR OWN LIVES; FATAL VEHICLE COLLISIONS INVOLVED DRUGS AND/OR ALCOHOL 52% OF THE TIME; AND DRUG INTOXICATION WAS THE THIRD LEADING CAUSE OF ACCIDENTAL DEATHS. AN ASSESSMENT OF LOCAL YOUTH REVEALED THESE TOPMOST CONCERNS: FEELING WORRIED/STRESSED, FEELING SAD, EATING AND WEIGHT ISSUES, SUICIDE/WANTING TO HURT ONESELF AND ALCOHOL/DRUG USE. MESA COUNTY’S SUICIDE RATE OF 37/100,000 REMAINS IN THE TOP QUARTILE FOR COLORADO. IN FACT, IT IS MORE THAN DOUBLE THE NATION’S RATE OF 14.4/100,000 (CO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT). UNMET MEDICAL AND MENTAL HEALTH NEEDS (INCLUDING SUBSTANCE USE DISORDER), PERSIST THROUGHOUT THE LOWER INCOME HOUSEHOLDS OF MESA COUNTY AND THE SURROUNDING REGION. PROPOSED PROJECT: FROM 9/1/24-8/31/26, MARILLAC WILL UTILIZE $600,000 IN YEAR 1 AND $500,000 IN YEAR 2 TO DRAMATICALLY EXPAND BEHAVIORAL HEALTHCARE CAPACITY, RESULTING IN SERVICE TO 450 NEW MH PATIENTS AND 200 NEW SUD/OUD PATIENTS THROUGH 7 CLINIC SITES, INCLUDING TWO SCHOOL BASED HEALTH CENTERS ON HIGH SCHOOL CAMPUSES. THROUGHOUT THIS BEHAVIORAL HEALTH SERVICE EXPANSION, MARILLAC WILL PROVIDE PATIENT-CENTERED, CULTURALLY HUMBLE CARE THAT IS APPROPRIATE FOR PERSONS OF ALL AGES, CULTURES, AND LIFESTYLES. MARILLAC’S PROJECT WILL 1) EXPAND OUR CLINICAL WORKFORCE; 2) INCREASE IN-HOUSE PSYCHIATRIC EXPERTISE AND AVAILABILITY; 3) PROVIDE SPECIALIZED TRAINING AND ESTABLISH NEW CLINICAL JOB COMPETENCIES; 4) ESTABLISH EFFICIENT TEAM-BASED CARE PROTOCOLS, WORKFLOWS, TOOLS AND SYSTEMS FOR SCREENING, TRACKING AND TREATING SUD/OUD; 5) INCREASE SUD/OUD AWARENESS AND DESTIGMATIZE ADDICTION ACROSS THE ENTIRE ORGANIZATION; 6) ROBUSTLY ENCOMPASS SOCIAL DETERMINANTS OF HEALTH THROUGHOUT THE SCREENING, TREATMENT AND RECOVERY WE PROVIDE FOR PATIENTS; 7) CREATE SUSTAINABLE CLINICAL SERVICES THAT STRENGTHEN OUR ORGANIZATION, ADDICTION MEDICINE PARTNERSHIPS AND COLLABORATIONS TO SERVE HARD TO REACH POPULATIONS; AND 8) FURTHER DEVELOP OUR IN-HOUSE PHARMACY RESOURCES, INCLUDING A SECURE DROP BOX FOR MEDICATION SURRENDER, THE PHARMACEUTICALS NEEDED FOR MAT, AND A STOCKPILE OF NALOXONE FOR DISTRIBUTION THROUGHOUT OUR WORKFORCE AND THE POPULATIONS WE ARE PRIVILEGED TO SERVE.

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EARLY CHILDHOOD DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - NAME: MARILLAC COMMUNITY HEALTH CENTERS - MEDICINE RESIDENCY PROGRAM TYPE OF APPLICATION: NEW ELIGIBLE ENTITY TYPE: MARILLAC COMMUNITY HEALTH CENTERS IS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER. THERE IS NO CONSORTIUM INVOLVED. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: JULY 2025 ORGANIZATION WEBSITE ADDRESS: HTTPS://WWW.DCSNO.ORG/ BRIEF OVERVIEW: MARILLAC COMMUNITY HEALTH CENTERS (MCHC) FAMILY MEDICINE RESIDENCY PROGRAM IS A RESULT OF A HRSA TEACHING HEALTH CENTER PLANNING GRANT. MCHC HAS RECEIVED ACGME ACCREDITATION FOR THE PROGRAM. THE PRIMARY TRAINING LOCATION WILL BE AT THE MCHC’S SITE NEW ORLEANS EAST IN NEW ORLEANS, LOUISIANA. THE SITE SERVES A LOW-INCOME POPULATION THAT IS PRIMARILY AFRICAN-AMERICAN. TOTAL RESIDENT FTE POSITIONS REQUESTED: 12 (4-4-4) RESIDENT FTE ABOVE THE BASELINE RESIDENT FTES TRAINED BY THE PROGRAM IN THE PRIOR AY, WHICH WAS ZERO (0). RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR THE FIRST AY OF FUNDING: 4 (4-0-0) ROTATION SITES: NAME OF SPONSOR: MARILLAC COMMUNITY HEALTH CENTER DOING BUSINESS AS DEPAUL COMMUNITY HEALTH CENTERS - NEW ORLEANS PRIMARY CLINICAL SITE #1: DEPAUL COMMUNITY HEALTH CENTER - N.O. EAST [210080] PRIMARY CLINICAL SITE #2: EAST JEFFERSON GENERAL HOSPITAL [218021] PRIMARY CLINICAL SITE #3: UNIVERSITY MEDICAL CENTER NEW ORLEANS [210727] PRIMARY CLINICAL SITE #4: TOURO INFIRMARY [210193] PRIMARY CLINICAL SITE #5: CHILDREN'S HOSPITAL (NEW ORLEANS) [210731] PRIMARY CLINICAL SITE #6: ST. THOMAS COMMUNITY HEALTH CENTER [210074] PRIMARY CLINICAL SITE #7: SHIRLEY LANDRY BENSON PACE CENTER [210078] PRIMARY CLINICAL SITE #8: PRYTANIA HEALTH CENTER [210076] PRIMARY CLINICAL SITE #9: TULANE INSTITUTE OF SPORTS MEDICINE [218085]

HEALTH CARE AND OTHER FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 BRIDGE ACCESS PROGRAM

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM