Health Foundation Inc

PHFE CDPH ELC 2019-2024

HEALTH CENTER CLUSTER

CALIFORNIA EMERGING INFECTIONS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

CALIFORNIA ELC 2014

HEALTH CENTER CLUSTER

NEW COOPERATIVE AGREEMENT FOR USAID COMMUNITY HIV AND AIDS CARE AND TREATMENT ACTIVITY; INITIAL OBLIGATE $4,000,000 .

SAN FRANCISCO VACCINE AND PREVENTION UNIT

CALIFORNIA EMERGING INFECTIONS PROGRAM - IN THIS PROPOSAL, THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH (CDPH), THE UNIVERSITY OF CALIFORNIA, BERKELEY SCHOOL OF PUBLIC HEALTH (UCB-SPH), SELECTED LOCAL AND COUNTY HEALTH DEPARTMENTS, AND OTHER PARTNERS REQUEST AN ADDITIONAL FIVE YEARS OF SUPPORT FOR THE CALIFORNIA EMERGING INFECTIONS PROGRAM (EIP), WHICH WAS ESTABLISHED IN 1994 WITH SUPPORT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HAS BEEN RE-FUNDED FOUR TIMES SINCE THEN. WE PROPOSE TO MAINTAIN CORE DISEASE SURVEILLANCE AND RESPONSE CAPABILITIES AND TO IMPLEMENT OR CONTINUE DATA MODERNIZATION EFFORTS WITH THE ACTIVE BACTERIAL CORE SURVEILLANCE AND RELATED ACTIVITIES (ABCS); ACTIVE POPULATION-BASED LABORATORY SURVEILLANCE FOR FOODBORNE DISEASES AND RELATED ACTIVITIES (FOODNET); INFLUENZA AND RSV INFECTIONS RESULTING IN HOSPITALIZATION; POPULATION-BASED SURVEILLANCE FOR HOSPITALIZATIONS RESULTING FROM LABORATORY-CONFIRMED SARS-COV-2, (RESP-NET); SURVEILLANCE FOR AND RELATED STUDIES OF HEALTHCARE-ASSOCIATED INFECTIONS (HAI) AND ANTIMICROBIAL RESISTANCE; SURVEILLANCE FOR HPV INFECTION AND RELATED STUDIES OF THE IMPACT OF HPV VACCINE (HPV-IMPACT); SURVEILLANCE FOR PRION DISEASE, MYALGIC ENCEPHALOMYELITIS/ CHRONIC FATIGUE SYNDROME (ME/CFS) AND ME/CFS-LIKE POST-COVID CONDITIONS, AND THE MPOX VACCINE EFFECTIVENESS EVALUATION AS WELL AS MAINTAIN SURGE CAPACITY THAT CAN ASSIST IN FLEXIBLE RESPONSES TO NEWLY EMERGING INFECTIOUS DISEASE THREATS AND PARTICIPATE IN RAPID POPULATION SURVEYS. IN ADDITION, WE PROPOSE TO CONTINUE TO PROVIDE APPROPRIATE ISOLATES AND/OR SPECIMENS TO CDC; COLLABORATE WITH CDC AND OTHER EIP SITES IN THE MANAGEMENT, ANALYSIS, INTERPRETATION, AND PUBLICATION OF DATA FROM EIP PROJECTS; PROVIDE TRAINING TO WORKING PUBLIC HEALTH PROFESSIONALS, STUDENTS, AND FELLOWS; PARTICIPATE IN AN EXCHANGE PROGRAM; ACT AS A RESOURCE FOR STATES AND OTHER PARTS OF CALIFORNIA WITHOUT EIPS; AND ENSURE REVIEW OF VARIOUS EIP PROJECTS BY APPROPRIATE INSTITUTIONAL REVIEW BOARDS WHENEVER NE CESSARY (FOR CURRENT IRB APPROVALS SEE APPENDIX X). THE CALIFORNIA EIP WILL CONTINUE TO BE ADMINISTERED BY PUBLIC HEALTH FOUNDATION ENTERPRISES, INC., BASED IN THE CITY OF INDUSTRY, CALIFORNIA.

PHFE CDPH ELC 2024-2029 - ELC NWSS MPOX APPLICATION

CATEGORY B: PUBLIC HEALTH PROFESSIONALS IN STLT HDS WORKING TO IMPROVE QUALITY, PERFORMANCE, AND OUTCOMES OF INDIVIDUALS, PROGRAMS, AND ORGANIZATIONS

HEALTH CENTER CLUSTER

THE HIV/AIDS PARTNERSHIP: IMPACT THROUGH PREVENTION, PRIVATE SECTOR AND EVIDENCE-BASED PROGRAMMING (PIPPSE)

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

CALIFORNIA EMERGING INFECTIONS PROGRAM

CALIFORNIA ELC 2014

CALIFORNIA HOSPITALS COVID-19 PREPAREDNESS AND RESPONSE PROGRAM

CALIFORNIA EMERGING INFECTIONS PROGRAM

THE OVERALL OBJECTIVE OF USAID EMPOWERED COMMUNITIES ACTIVITY IS TO ACHIEVE BETTER HEALTH AND NUTRITIONAL OUTCOMES THROUGH IMPROVED COMMUNITY OWNERSHIP OF HEALTH AND STRENGTHENED SOCIAL ACCOUNTABILITY SYSTEMS AND PLATFORMS. THE ACTIVITY WILL BE PRIMARILY FUNDED WITH FAMILY PLANNING, AND MATERNAL AND CHILD HEALTH FUNDING. THEREFORE, ALL EXPECTED RESULTS AND PROPOSED INTERVENTIONS SHOULD CONTRIBUTE TO THE BETTERMENT OF THE LIVES OF WOMEN, CHILDREN, YOUTH AND MEN ULTIMATELY, IMPROVED REPRODUCTIVE, MATERNAL, NEWBORN, CHILD AND ADOLESCENT HEALTH AND NUTRITION (RMNCAH-N) OUTCOMES.

STRENGTHEN & IMPROVE THE NATION'S PUB HLT CAPACITY THROUGH NAT'L, NON-PROFIT, PR

EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES

THE PROPOSED ACTIVITY IS A FIVE-YEAR TRANSITION AWARD TO SIGNIFICANTLY REDUCE PREVENTABLE DEATHS OF MOTHERS, NEWBORNS, AND CHILDREN. THE IHP ACTIVITY WILL ENGAGE WITH GHANA’S HEALTH SYSTEM STAKEHOLDERS ACROSS PUBLIC, PRIVATE, AND FAITH-BASED SECTORS TO FOSTER IMPROVEMENTS IN HEALTH SERVICE ACCESS, DEMAND, QUALITY AND ENABLING ENVIRONMENT.

INCREMENTAL FUNDING. PROGRAM SUPPORT FOR "SUSTAINABLE STRENGTHENING OF FAMILIES OF ORPHANS AND OTHER CHILDREN."

HEALTH CENTER PROGRAM

COMMUNITY-BASED WORKFORCE TO BUILD COVID-19 VACCINE CONFIDENCE

MONTANA-WYOMING HEALTH INFORMATION TECHNOLOGY REGIONAL EXTENSION CENTER

THE AFFORDABLE CARE ACT: BUILDING EPIDEMIOLOGY LABORATORY HAI

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

HEALTH CENTER CLUSTER

SAN FRANCISCO VACCINE AND PREVENTION UNIT

IMPROVE THE WELLBIENG OF ORPHANS AND VULNERABLE CHILDREN AND TUBECLULOSIS PREVENTION.

HEALTH CENTER PROGRAM

12 MONTH AWARD FOR $6M TO PROJECT HOPE FOR A FOR PROTECTION ACTIVITIES IN HAITI (GBV, RCCE, WASH/HEALTH COMMODITIES)

PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION: EXPANDING ACCESS FOR UNDERSERVED COMMUNITIES - RHODE ISLAND EXPERIENCES HIGH RATES OF MENTAL ILLNESS AND SUBSTANCE USE AMONG UNDERSERVED POPULATIONS. THE FOCUS OF THE PROJECT “PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION: EXPANDING ACCESS FOR UNDERSERVED COMMUNITIES” IS TO IMPLEMENT INTEGRATED CARE SERVICES FOR THE LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER (LGBTQ+) COMMUNITY WITH A FOCUS ON INDIVIDUALS WHO IDENTIFY AS HISPANIC/LATINX AND OTHER UNDERSERVED POPULATIONS (I.E., THOSE WHO EXPERIENCE UNSTABLE HOUSING). SPECIFIC POPULATIONS WILL INCLUDE ADULTS WITH SERIOUS MENTAL ILLNESS (SMI), ADULTS WHO HAVE A CO-OCCURRING MENTAL ILLNESS AND PHYSICAL HEALTH CONDITION OR CHRONIC DISEASE, INDIVIDUALS WITH A SUBSTANCE USE DISORDER (SUD), AND INDIVIDUALS WITH CO-OCCURRING DISORDERS (COD). THE OVERALL GOAL OF THE PROPOSED PROGRAM IS TO IMPLEMENT BIDIRECTIONAL INTEGRATED CARE SERVICES, INCLUDING EVIDENCE-BASED SCREENING, ASSESSMENT, DIAGNOSIS, PREVENTION, TREATMENT, AND RECOVERY SERVICES FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS, AND CO-OCCURRING PHYSICAL HEALTH CONDITIONS AND CHRONIC DISEASES SUCH AS HIV, SEXUALLY TRANSMITTED INFECTIONS (STIS), AND CHRONIC HEPATITIS C VIRUS (HCV) INFECTION. THE PROPOSED PROJECT WILL AIM TO DEVELOP CULTURALLY CONGRUENT APPROACHES TO PROVIDING THESE COMPREHENSIVE SERVICES FOR THE LGBTQ+ COMMUNITY IN PROVIDENCE, RHODE ISLAND, THE EPICENTER OF MENTAL ILLNESS, SUBSTANCE USE, HIV AND OTHER CHRONIC DISEASES IN THE STATE. AT THE PRESENT TIME, THERE ARE NO INTEGRATED PROGRAMS FOR MENTAL HEALTH, SUBSTANCE USE, AND PRIMARY CARE FOR THE LGBTQ+ COMMUNITY IN RHODE ISLAND. IN RESPONSE TO THIS UNMET NEED AND TO ADDRESS DISPARITIES AMONG LGBTQ+, HISPANIC/LATINX, AND UNSTABLY HOUSED INDIVIDUALS, THE RHODE ISLAND DEPARTMENT OF HEALTH (RIDOH) IS PARTNERING WITH RHODE ISLAND PUBLIC HEALTH INSTITUTE (RIPHI), OPEN DOOR HEALTH (THE ONLY COMMUNITY-BASED LGBTQ+ CLINIC IN THE STATE), THE PROVIDENCE CENTER (THE MAIN AND LARGEST COMMUNITY-BASED BEHAVIORAL HEALTH CENTER IN PROVIDENCE) AND THE MIRIAM HOSPITAL, A MAJOR BROWN UNIVERSITY AFFILIATE. THE GOALS OF THE PROJECT INCLUDE PROVIDING CLINIC- AND COMMUNITY-BASED HEALTH SCREENINGS FOR LGBTQ+, HISPANIC/LATINX, AND OTHER UNDERSERVED COMMUNITIES (GOAL 1), PROVIDING COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE SERVICES FOR LGBTQ+, HISPANIC/LATINX, AND OTHER UNDERSERVED COMMUNITIES (GOAL 2), AND PROVIDING COMMUNITY-BASED PRIMARY CARE AND OTHER SPECIALTY CARE FOR LGBTQ+, HISPANIC/LATINX, AND OTHER UNDERSERVED COMMUNITIES (GOAL 3). WE AIM TO SCREEN OVER 1,000+ UNIQUE INDIVIDUALS ANNUALLY (5,000+ TOTAL DURING THE PROJECT) AND ENROLL APPROXIMATELY 125 AT-RISK INDIVIDUALS ANNUALLY (625 TOTAL DURING THE PROJECT).

HEALTH CENTER PROGRAM

PPHF 2013: OSTLTS PARTNERSHIPS - CBA OF THE PUBLIC HEALTH SYSTEM

CAPACITY BUILDING ASSISTANCE (CBA) FOR HIGH IMPACT HIV PREVENTION; INTEGRATED HIV ACTIVITIES AND STRUCTURAL INTERVENTIONS; COMPONENT 2, TRACK C: SUPPLEMENTAL FUNDING

TUBERCULOSIS CONTROL PROGRAM FOR CAR

CAPACITY BUILDING ASSISTANCE (CBA) TO IMPROVE THE DELIVERY AND EFFECTIVENESS OF

RECOVERY ACT GREEN JOBS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH SECURITY ACTIVITY

SPECIAL DIABETES PROGRAM FOR INDIANS

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

REPEATED-DOSE BEHAVIORAL INTERVENTION TO REDUCE OPIOID OVERDOSE: A TWO-SITE RANDOMIZED-CONTROLLED EFFICACY TRIAL

PRIME: PREP INTERVENTION FOR PEOPLE WHO INJECT METHAMPHETAMINE

FY 2022 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT (CCBHC-PDI) - PROJECT NAME: PUERTO RICO CCBHC THE PUERTO RICO CCHBC WILL BE ESTABLISHED THROUGH PLANNING, DEVELOPMENT, AND IMPLEMENTATION DURING THE FIRST YEAR OF FUNDING AND WILL BE ESTABLISHED TO PROVIDE COMPREHENSIVE, COORDINATED, PERSON-AND FAMILY-CENTERED, INTEGRATED BEHAVIORAL HEALTH CARE TO THE 282,154 LOW-INCOME RESIDENTS OF LIVING ON THE NORTHERN SIDE OF THE TERRITORY OF PUERTO RICO, JUST TO THE WEST OF TERRITORY’S CAPITAL SAN JUAN, WITHIN THE MUNICIPALITIES OF BAYAMON, CATAÑO, DORADO, GUAYNABO, TOA BAJA, AND VEGA ALTA. THE TARGET POPULATION IS 99.9% HISPANIC WITH THE LARGEST AGE GROUPS, 25-44 AND 45-64 YEARS OF AGE, TOTALING 26% OF THE POPULATION EACH, 52% TOGETHER. THOSE 65 YEARS AND OLDER HAVE WITNESSED THE LARGEST CHANGE FROM 2000 TO 2019 REACHING AN INCREASE OF 45.6%. OVER HALF, OR 54%, OF THE TARGET POPULATION LIVE BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG). OF THOSE LIVING BELOW 200% FPG, 16%, OR 73,189 HAVE DISABILITIES AND 32% ARE NOT IN THE LABOR FORCE. SERVICE MEMBERS TOTAL 529 MEMBERS OF THE SERVICE AREA, AND 27.8% RECEIVE MEDICAID AND AN ADDITIONAL 20% HAVE MEDICARE. A STAGGERING 19.0% OF PUERTO RICO HOUSEHOLDS HAVE A VEHICLE SHORTAGE INCLUDING THE 13.9%, OR 19,017, OF HOUSEHOLDS LOCATED IN CHFPR’S SERVICE AREA THAT DO NOT HAVE A VEHICLE AVAILABLE FOR USE AT ALL. THESE TOTALS FAR EXCEED THE UNITED STATES TOTAL OF 13.5% AND 8.6% RESPECTIVELY. PROJECT GOALS AND OBJECTIVES: GOAL 1: IMPLEMENT CCHBC PROGRAM WITHIN CHFPR. OBJ 1.1: DEVELOP AN OPERATIONAL PLAN TO SUPPORT IMPLEMENTATION AND OPERATION. OBJ 1.2: COMPLETE INFRASTRUCTURE DEVELOPMENT ACTIVITIES OBJ 1.3: COMPLETE INITIAL NEEDS ASSESSMENT OBJ 4: PROVIDE FIVE CORE CCHBC SERVICES WITHIN SIX MONTHS. OBJ 1.5: PROVIDE REMAINING FOUR CORE CCHBC SERVICES WITHIN 12 MONTHS. OBJ 1.6: ESTABLISH CONSUMER AND FAMILY MEMBER ADVISORY WORK GROUP (AWG). OBJ 1.7: COMPLETE CCBHC CERTIFICATION. OBJ 1.8: FOLLOW-UP & UPDATE OF NEEDS ASSESSMENT, GRANT ACTIVITIES, STAFFING PLAN, AND TRAINING PLAN OBJ 1.9: ASSESS PROGRAM DEVELOPMENT AND IMPLEMENTATION MONTHLY. OBJ 1.10: UPDATE CCHBC CERTIFICATION ATTESTATION. GOAL 2: PROVIDE CCBHC SERVICES TO 1042 TOTAL UNDUPLICATED PATIENTS DURING THE FOUR-YEAR GRANT PERIOD. OBJ 2.1: HIRE STAFF. OBJ 2.2: DEVELOP AND DISTRIBUTE REFERRAL SOURCE PROGRAM INFORMATION TO ASSURE ALL PARTNER ORGANIZATION UNDERSTAND THE PROGRAM’S COLLABORATIVE AND INTEGRATIVE APPROACH, THE PATHWAY FOR ENTRY FOR THE FULL SPECTRUM OF CCHBC SERVICES. OBJ 2.3, 2.4, 2.5, 2.6: RECRUIT AND PROVIDE SERVICES TO THE FOLLOWING NUMBER OF PATIENTS PER YEAR FOR THE FOUR-YEAR GRANT PERIOD: YR 1: 233; YR 2:299; YR 3: 255, YR 4: 255 GOAL 3: ESTABLISH CCO PROGRAM TO SUPPORT PATIENT ACCESS/CARE AND DATA COLLECTION. OBJECTIVE 3.1: FINALIZE CARE COORDINATION PROCESSES TO SUPPORT THE REFERRAL AND COORDINATION OF CARE FOR CCBHC PATIENTS THROUGH THE DEVELOPMENT OF PROCESSES FOR THE EXCHANGE OF DATA AND A FORMAL AGREEMENT WITH EACH OF THE ENTITIES TO ASSURE COORDINATED AND TIMELY EXCHANGE OF INFORMATION. OBJECTIVE 3.2: IMPLEMENT CCO PROCESSES WITHIN THE CCBHC PROGRAM TO ASSURE COORDINATION OF CARE AND DATA EXCHANGE. GOAL 4: PLAN FOR THE FUTURE OF CHFPR’S CCHBC THROUGH THE DEVELOPMENT OF A SUSTAINABILITY PLAN. OBJECTIVE 4.1: COMPLETE FEDERAL PROCUREMENT PROCESS TO IDENTIFY AND HIRE CCBHC CONSULTANTS TO COMPLETE THE DEVELOPMENT OF A SUSTAINABILITY PLAN. OBJECTIVE 4.2: REVIEW COMPLETED PLAN AND DISCUSSION WITH BOARD AND STAFF. OBJECTIVE 4.3: IMPLEMENT THE SUSTAINABILITY PLAN. OBJECTIVE 4.4: UPDATE SUSTAINABILITY PLAN ANNUALLY

HUMANITARIAN POLICY, STUDIES, ANALYSIS OR APPLICATIONS

IDENTIFYING TB TRANSMITTERS IN HIGH TB/HIV BURDENED COMMUNITIES

RYAN WHITE TITLE IV PROGRAM

DOT DIARY (D2): DEVELOPING A MOBILE APP WITH COMBINED AUTOMATED DOT AND DAILY SEXUAL DIARY FOR MONITORING AND IMPROVING PREP ADHERENCE

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

SHERO: INTEGRATING TECH-ENABLED COMSS INTO PERINATAL SYSTEMS OF CARE TO ADVANCE EQUITY IN NEW ORLEANS, LA - THE US CONTINUES TO LEAD ALL INDUSTRIALIZED NATIONS WITH THE HIGHEST RATES OF MATERNAL MORTALITY AND MORBIDITY (MMM) WITH UNRELENTING RACIAL & ETHNIC DISPARITIES. BLACK WOMEN AND THEIR BABIES DIE 3-5XS MORE THAN THEIR WHITE COUNTERPARTS. THE HIGHEST BLACK MMM RATES ARE OBSERVED IN THE DEEP SOUTH. NEW ORLEANS, LOUISIANA (NOLA) OFFERS A UNIQUE OPPORTUNITY COMBAT THESE DISPARITIES THROUGH OUR INNOVATIVE, TECH-ENABLED, COMMUNITY-BASED MATERNAL SUPPORT SERVICES PERINATAL HEALTH MODEL (COMSS); ENTER STAGE LEFT OR SWIPE RIGHT IF YOUR TECH SAVVY, SHERO “SHAPING HEALTHY EQUITABLE REPRODUCTIVE OUTCOMES” POWERED BY BIRTH BY US (BBU) IN NOLA. OUR COMSS MODEL LEVERAGES PROPRIETARY TECHNOLOGY AND A 40+ WEEK, EVIDENCE AND ASSET BASED CURRICULUM TO OFFER WEEK BY WEEK PRENATAL, POSTPARTUM AND SOCIAL SUPPORT. WE INTEGRATE THE ONLY 4 INTERVENTIONS INDIVIDUALLY SHOWN TO IMPROVE BLACK PERINATAL OUTCOMES 1) GROUP CARE & SUPPORT, 2) RACIALLY CONCORDANT CARE TEAMS, 3) DOULAS AND CHWS AND 4) HOME VISITATION) INTO ONE SYNERGISTIC SOLUTION;. WE OPERATE VIRTUALLY TO REMOVE SOCIAL DETERMINANTS OF HEALTH (SDOH) BARRIERS. OUR SHERO SQUADS (LICENSED HEALTH PROFESSIONALS, DOULAS AND COMMUNITY HEALTH WORKERS (CHWS) TAKE FULL ACCOUNTABILITY FOR OUR SHERO MOMS AND SERVE AS AN ADDITIONAL SAFETY NET FOR THE HIGHEST RISK, HIGHEST COSTS AND HIGHEST NEED POPULATIONS; THAT WE LOVINGLY CONSIDER THE HIGHEST RETURN ON IMPACT AND INVESTMENT. OUR TEAM WILL CARRY OUT THREE NOVEL OBJECTIVES OVER THE GRANT PERIOD: 1) PILOT, EVALUATE, LAUNCH, SCALE, AND SUSTAIN SHERO NOLA ACROSS THE 4 HIGHEST-RISK PARISHES IN NEW ORLEANS (ORLEANS, JEFFERSON, PLAQUEMINES, AND ST. BERNARD) TO ADVANCE EQUITY AND IMPROVE BLACK PERINATAL OUTCOMES; 2) DEVELOP AND DISTRIBUTE QUANTITATIVE AND QUALITATIVE TOOLS TO ASSESS FATHERS AND BLACK MEN’S ROLES AS KEY PERINATAL STAKEHOLDERS TO IMPROVE BLACK MATERNAL AND INFANT HEALTH; AND 3) RECRUIT, TRAIN, EMPLOY AND DEPLOY BLACK CHW’S (WOMEN AND MEN) TO PROVIDE PERINATAL SUPPORT SERVICES IN NEW ORLEANS. WE WILL SERVE OVER 8,500 BLACK MOMS, BABIES, FATHERS, AND FAMILIES IN NEW ORLEANS AND ACHIEVE OUR PRIMARY GOAL OF SUCCESS WITH 95% OF SHERO MOMS AND 90% OF SHERO INFANTS BEING ALIVE & HEALTHY AT THE TIME THEY GRADUATE FROM SHERO (12 WEEKS POST-PARTUM). OUR GRANT TEAM REPRESENTS SILICON VALLEY TECH-PIONEERS, (MOMENTUM PARK, BIRTH BY US, HELUNA HEALTH, THE UC-IRVINE) AND NEW ORLEANS EQUITY CHAMPIONS, (DOCGRIGGS ENTERPRISES, COMPASSION OUTREACH, XAVIER UNIVERSITY). THE IMPACT OF OUR PROPOSED COMMS PROJECT WILL DISRUPT THE STATUS QUO OF MATERNITY CARE AND THE OVERALL PREGNANCY EXPERIENCE OF BLACK FAMILIES IN NEW ORLEANS.

MIRTAZAPINE FOR METHAMPHETAMINE USE DISORDER: DRUG-DRUG INTERACTION STUDY

ORAL HYGIENE, PERIODONTAL DISEASE, AND INFECTIVE ENDOCARDITIS

PREVENTION UMBRELLA FOR MSM IN THE AMERICAS

CAPACITY BUILDING ASSISTANCE (CBA) FOR HIV PREVENTION PROGRAMS TO END THE HIV EPIDEMIC IN THE UNITED STATES - COMPONENT D: TECHNICAL ASSISTANCE FOR HIGH-IMPACT HIV PREVENTION PROGRAMS - SIGNIFICANT PROGRESS HAS BEEN MADE IN HIV BIOMEDICAL INTERVENTIONS OVER THE PAST DECADE. THE ENDING THE HIV EPIDEMIC (EHE) INITIATIVE HAS SET NATIONAL GOALS TO REDUCE NEW HIV INFECTIONS BY 75% BY 2025 AND 90% BY 2030. TO EFFECTIVELY END THE HIV EPIDEMIC IN THE UNITED STATES, HEALTH DEPARTMENTS AND COMMUNITY-BASED ORGANIZATIONS NEED TO ADDRESS BARRIERS IN HIV PREVENTION, CARE, AND TREATMENT. SOCIAL DETERMINANTS OF HEALTH (SDOH) PLAY A CRUCIAL ROLE IN INFLUENCING HEALTH OUTCOMES AND ARE A MAJOR FACTOR CONTRIBUTING TO HEALTH DISPARITIES AMONG POPULATIONS DISPROPORTIONATELY AFFECTED BY HIV. ACHIEVING THE GOALS OF EHE AND PROMOTING HEALTH EQUITY REQUIRES ONGOING EFFORTS TO ADDRESS HISTORICAL AND CONTEMPORARY INJUSTICES, OVERCOME ECONOMIC AND SOCIAL OBSTACLES TO HEALTHCARE, AND ELIMINATE PREVENTABLE HEALTH DISPARITIES. THE CALIFORNIA PREVENTION TRAINING CENTER (CAPTC) HAS NEARLY 3 DECADES OF EXPERIENCE WORKING DIRECTLY WITH A WIDE ARRAY OF HIV PROVIDERS IN HEALTH DEPARTMENTS (HDS) AND COMMUNITY-BASED ORGANIZATIONS (CBOS) SETTINGS. THE CAPTC HAS BEEN A NATIONAL LEADER IN DELIVERING SDOH TECHNICAL ASSISTANCE, WORKING WITH HDS AND CBOS WITH IDENTIFYING SOCIAL AND ECONOMIC INEQUITIES THAT PREVENT PRIORITY POPULATIONS FROM RECEIVING CULTURALLY RELEVANT HIV PREVENTION, CARE, AND TREATMENT SERVICES. UNDER COMPONENT D, THE CAPTC INTENDS TO STREAMLINE THE DELIVERY OF CBA TO STRENGTHEN THE CAPACITY OF HDS AND CBOS TO ASSESS AND ADDRESS PROGRAMMATIC CHALLENGES TO EFFECTIVELY PLAN, INTEGRATE, IMPLEMENT, EVALUATE, AND SUSTAIN HIV PREVENTION PROGRAMS. THE CAPTC WILL COLLABORATE WITH THE CDC AND THE CBA PROVIDER NETWORK (CPN) TO DELIVER TECHNICAL ASSISTANCE (TA) AND SERVICES TO THE CDC-FUNDED HIV PREVENTION WORKFORCE, INCLUDING HEALTH DEPARTMENT STAFF, CBOS, CLINICIANS, AND COMMUNITY PARTNERS. THROUGH COLLABORATION, COMMUNICATION, AND COORDINATION, THE CAPTC WILL FOCUS ON ADDRESSING COMPONENT D CONTENT AREAS AND SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO INEQUITIES IN HIV PREVENTION, CARE, AND TREATMENT. THE TA PROVIDED BY THE CAPTC AIMS TO STRENGTHEN THE CAPACITY OF CDC-FUNDED HIV PREVENTION PROGRAMS AND THEIR LOCAL PARTNERS IN IDENTIFYING AND ADDRESSING SYNDEMIC CONDITIONS SUCH AS VIRAL HEPATITIS, SEXUALLY TRANSMITTED INFECTIONS (STIS), MENTAL HEALTH DISORDERS, SUBSTANCE USE, AND DISPARITIES AMONG PRIORITY POPULATIONS. ADDITIONALLY, THE CAPTC WILL OFFER TA TO HELP OVERCOME CHALLENGES IN MONITORING AND EVALUATION, AIMING TO IMPROVE THE PERFORMANCE AND EFFECTIVENESS OF CDC-FUNDED HIV PREVENTION PROGRAMS. TO ENSURE COMPREHENSIVE CAPACITY BUILDING ASSISTANCE (CBA), THE CAPTC WILL CONTINUE TO BUILD ON ITS LONG HISTORY OF WORKING WITH OTHER CBA PROVIDERS TO FURTHER ENHANCE THE SKILLS OF A MULTIDISCIPLINARY HIV WORKFORCE TO ACHIEVE THE GOALS OF EHE AND HEALTH EQUITY. THE CAPTC HAS ESTABLISHED EXPERTISE IN THE SPECIFIC STRATEGIES OUTLINED IN THIS FOCUS AREA (CATEGORY D) AND LOOKS FORWARD TO CONTINUING IMPECCABLE WORKING RELATIONSHIPS WITH CDC-FUNDED HDS AND CBOS AND THEIR PARTNERS TO SUPPORT THEIR HIV PREVENTION GOALS, INCLUDING EHE RESPONSE PLANS, THROUGHOUT THE FUNDING CYCLE.

HEALTH CENTER PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

CAPACITY BUILDING ASSISTANCE FOR HIGH-IMPACT HIV PREVENTION - CATEGORY A HEALTH D

TCHER, TAKE CHARGE: INCREASING PREP AWARENESS, UPTAKE, AND ADHERENCE THROUGH HEALTH CARE EMPOWERMENT AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH AMONG RACIALLY DIVERSE TRANS WOMEN IN THE DEEP SOUTH - ABSTRACT TRANS WOMEN ARE HIGHLY UNDERSERVED IN THE RESPONSE TO HIV, ESPECIALLY IN THE DEEP SOUTH. SOUTHERN STATES ARE DISPROPORTIONATELY IMPACTED BY HIV. AMONG STATES IN THE DEEP SOUTH, WHICH FACE THE VAST MAJORITY OF NEW HIV INFECTIONS, HIV DIAGNOSIS RATES IN LOUISIANA WERE SECOND ONLY TO GEORGIA. IN NEW ORLEANS, OUR TEAM CONDUCTED THE FIRST POPULATION- BASE HIV SURVEILLANCE STUDY OF TRANS WOMEN AND 46% TESTED POSITIVE FOR HIV. THESE FINDINGS ARE CONSISTENT WITH THE MOST RECENT LOUISIANA DEPARTMENT OF HEALTH (LDH) STD/HIV ANNUAL REPORT IN 2018 THAT IDENTIFIED BLACK GAY/BISEXUAL MEN AND TRANSGENDER WOMEN AS BEARING THE LARGEST BURDEN OF HIV OF ANY POPULATION IN LOUISIANA. DESPITE THE IMPACT OF HIV ON TRANS WOMEN IN NEW ORLEANS, NO EVIDENCE-BASED PREP INTERVENTIONS OR EFFORTS ARE UNDERWAY TO MEET COMMUNITY NEEDS. IN RESPONSE TO RFA-MH-21-151 STRENGTHENING HIV PREVENTION EFFORTS FOR WOMEN IN THE SOUTHERN U.S., OUR TEAM PROPOSES TO TEST THE T'CHER, TAKE CHARGE INTERVENTION TO INCREASE PREP AWARENESS, UPTAKE, AND ADHERENCE AMONG TRANS WOMEN IN NEW ORLEANS. T'CHER BUILDS OFF THE WORK CONDUCTED TO INFORM AND IMPLEMENT THE FIRST POPULATION-BASED STUDY OF TRANS WOMEN IN 2019 WITH THE ADAPTATION OF TWO EVIDENCE-BASED INTERVENTIONS FOR TRANS WOMEN RECENTLY COMPLETED BY INVESTIGATORS. THE INTERVENTION WILL INCLUDE A SOCIAL MEDIA CAMPAIGN TO INCREASE PREP AWARENESS AMONG TRANS WOMEN. IT WILL ALSO INCLUDE PEER NAVIGATION TO BUILD TRUST AMONG TRANS PEOPLE AND PROVIDE PREP NAVIGATION. WE WILL TAILOR THE PEER NAVIGATION MODEL FROM THE STAY STUDY TO BE IMPLEMENTED DIGITALLY AND ENHANCED USING HEALTH ENAV METHODS. NAMELY, WE WILL ALSO USE MOTIVATIONAL INTERVIEWING AND EMAS TO INCREASE HEALTH CARE EMPOWERMENT AND ADDRESS SOCIAL DETERMINANTS OF HEALTH BARRIERS TO PREP UPTAKE AND ADHERENCE. WE WILL RECRUIT 200 TRANS WOMEN TO PARTICIPATE IN OUR STUDY USING METHODS PROVEN SUCCESSFUL IN OUR PRIOR HIV RESEARCH WITH TRANS WOMEN. TRANS WOMEN WILL BE ENGAGED IN THE INTERVENTION FOR 12 MONTHS, PROVIDING ENOUGH TIME TO ADDRESS BARRIERS TO PREP AND SUPPORT ADHERENCE. THE GOALS OF THIS PROPOSED T'CHER, TAKE CHARGE INTERVENTION ARE: (1) TO DEVELOP, IMPLEMENT AND MEASURE THE IMPACT OF A T'CHER, TAKE CHARGE SOCIAL MEDIA CAMPAIGN ON PREP AWARENESS AMONG TRANS WOMEN IN NEW ORLEANS, LA USING A POPULATION-BASED SAMPLE OF TRANS WOMEN; (2) TO TEST THE IMPACT OF THE T'CHER, TAKE CHARGE DIGITAL MHEALTH PEER NAVIGATION MODEL ON INCREASING PREP UPTAKE AND ADHERENCE AMONG TRANS WOMEN IN NEW ORLEANS, LA, USING A RANDOMIZED STEPPED WEDGE CROSS-OVER STUDY DESIGN; AND, (3) TO ASSESS CHANGES IN HEALTH CARE EMPOWERMENT AND SUPPORT FOR SOCIAL DETERMINANTS OF HEALTH AS MEDIATING FACTORS IN PREP UPTAKE AND ADHERENCE. OUR GOAL IS TO USED LESSONS LEARNED TO ADAPT PROMISING TRANS-SPECIFIC HIV INTERVENTIONS TO MEET THE HIV PREVENTION NEEDS OF TRANS WOMEN IN NEW ORLEANS, LOUISIANA. WITH EVIDENCE OF EFFECTIVENESS, WE ARE PREPARED TO TEST THE INTERVENTION AT SCALE THROUGHOUT LOUISIANA TO STRENGTHEN PREP ACCESS AND UTILIZATION AMONG TRANS WOMEN LOUISIANA AND THROUGHOUT THE DEEP SOUTH.

DISABILITIES - COMPONENT 1 - SERVICE DELIVERY

PPHF 2013: OSTLTS PARTNERSHIPS - CBA OF THE PUBLIC HEALTH SYSTEM

EVALUATION OF A NEW STRATEGY FOR PROTOCOLIZED ANTIBIOTIC CARE FOR SEVERE OPEN FRACTURES...NEW COOPERATIVE AGREEMENT, SIGNED 9/18/2019, EFFECTIVE 9/30/2019, DISTRIBUTED 9/19/2019, FAADC 9/19/2019

ASSESSMENT OF ANOMIA: IMPROVING EFFICIENCY AND UTILITY USING ITEM RESPONSE THEORY

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES

STRENGTHENING ECO-SYSTEM FOR SUSTAINABLE AND INCLUSIVE HEALTH FINANCING IN INDIA

MULTI-LEVEL AND INTERSECTIONAL STIGMA AND OTHER SOCIAL DETERMINANT EFFECTS ON TB CASE DETECTION, CARE, AND TREATMENT OUTCOMES: THE MISSED TB OUTCOMES STUDY - PROJECT ABSTRACT IN 2018, ~10 MILLION INDIVIDUALS DEVELOPED TB DISEASE GLOBALLY, OF WHICH ~1.5 MILLION DIED; HIV WAS THE LEADING CAUSE OF DEATH. ONGOING TRANSMISSION RESULTS FROM AN ESTIMATED 4.3 MILLION “MISSING” TB CASES ALONG WITH ACTIVE TB CASES NOT RETAINED IN CARE. WE WILL CONDUCT OUR STUDY IN SOUTH AFRICA (TB PREVALENCE=852/100,000 POPULATION; HIV CO-INFECTION=>50%), WHERE A RECENT TB CASCADE ANALYSIS AND NATIONAL TB PROGRAM INDICATORS REPORT SIGNIFICANT GAPS ALONG THE ENTIRE TB CARE CASCADE. QUALITATIVE STUDIES SUGGEST TB STIGMA AS A BARRIER TO CASE FINDING, CARE SEEKING, TREATMENT INITIATION, AND ADHERENCE. HOWEVER, FEW STUDIES HAVE QUANTIFIED THE IMPACT OF STIGMA ON THE TB CARE CASCADE, FEWER HAVE USED VALIDATED STIGMA MEASURES, AND NONE HAVE EMPLOYED PROSPECTIVE, FULL CARE CASCADE STUDY DESIGNS. WE PROPOSE A 4-AIM, RIGOROUS, MULTILEVEL, MIXED-METHODS STUDY. WE WILL PERFORM HOUSEHOLD SURVEYS, WHICH WILL BE AGGREGATED INTO COMMUNITY-LEVEL DATA AND INCORPORATED INTO THE ANALYSIS OF ALL AIMS. AIM 1: UTILIZE MIXED-METHODS TO IDENTIFY AND MEASURE INDIVIDUAL- AND COMMUNITY-LEVEL STIGMA AND SOCIAL DETERMINANTS ASSOCIATED WITH PRESENTATION FOR TB TESTING AMONG ACTIVELY REFERRED CONTACTS. WE WILL CONDUCT A PROSPECTIVE STUDY AMONGST SYMPTOMATIC HHCS ACTIVELY REFERRED FOR TESTING (N= 750) TO INVESTIGATE THE RELATIONSHIPS WITHIN AND BETWEEN THE MULTIPLE LEVELS OF TB AND HIV STIGMA AND OTHER SOCIAL DETERMINANTS AND UPTAKE OF TB TESTING. AIM 2: UTILIZE MIXED-METHODS TO IDENTIFY AND MEASURE INDIVIDUAL- AND COMMUNITY-LEVEL STIGMA AND SOCIAL DETERMINANTS ASSOCIATED WITH RETURNING FOR TEST RESULTS AMONG SYMPTOMATIC INDIVIDUALS TESTED FOR TB. WE WILL CONDUCT A PROSPECTIVE STUDY OF INDIVIDUALS WITH TB SYMPTOMS WHO PASSIVELY PRESENT TO A STUDY CLINIC AND ARE TESTED FOR TB (N= 1000) TO INVESTIGATE THE RELATIONSHIPS BETWEEN THE MULTIPLE LEVELS OF TB AND HIV STIGMA AND OTHER SOCIAL DETERMINANTS AND RETURNING FOR OR OBTAINING THE TEST RESULTS. AIM 3: UTILIZE MIXED-METHODS TO IDENTIFY AND MEASURE INDIVIDUAL- AND COMMUNITY-LEVEL STIGMA AND SOCIAL DETERMINANTS ASSOCIATED WITH LTFU AND TREATMENT OUTCOMES AMONG INDIVIDUALS INITIATED ON TB TREATMENT. WE WILL CONDUCT A PROSPECTIVE STUDY AMONG TB PATIENTS INITIATING TREATMENT (N= 1250) TO INVESTIGATE THE ASSOCIATION OF ANTICIPATED, ENACTED AND INTERNALIZED TB AND HIV STIGMA ON LTFU AND POOR TB TREATMENT OUTCOMES. QUALITATIVE METHODS WILL EXPLORE THE TRAJECTORY, PERSISTENCE, AND IMPACT OF PERCEIVED AND EXPERIENCED TB STIGMA DURING AND AFTER TREATMENT. AIM 4: UTILIZE MIXED-METHODS TO IDENTIFY AND MEASURE INDIVIDUAL- AND COMMUNITY-LEVEL STIGMA AND SOCIAL DETERMINANTS ASSOCIATED WITH LTFU FROM HIV CARE FOLLOWING TB TREATMENT AMONG CO-INFECTED INDIVIDUALS. RELEVANT DATA FOR TB/HIV CO-INFECTED PARTICIPANT PREVIOUSLY COLLECTED AS PART OF AIM 3 (N= ~600), AND ADDITIONAL HIV OUTCOME DATA WILL BE USED. THROUGH THIS, WE WILL INVESTIGATE THE PRESENCE AND POTENTIAL IMPACT OF INTERSECTING STIGMAS ON RETENTION IN HIV CARE FOLLOWING COMPLETION OF TB TREATMENT. THIS STUDY WILL ULTIMATELY INFORM TARGETED, MULTI-LEVEL INTERVENTIONS, ROOTED IN THE NEEDS AND CHALLENGES OF COMMUNITIES, THEORETICALLY INFORMED, AND FULLY CONTEXTUALIZED, TO ADDRESS THE TB CRISIS IN SOUTH AFRICA, AND INFORM SIMILAR INTERVENTIONS GLOBALLY.

HOME: A COMPREHENSIVE HIV TESTING AND LINKAGE PACKAGE FOR YOUNG MSM OF COLOR

HEALTH, PROTECTION AND WASH SERVICES TO EARTHQUAKE AFFECTED COMMUNITIES ACROSS HAITI

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

OPTIMIZING AND UNDERSTANDING SEMANTIC FEATURE ANALYSIS TREATMENT FOR APHASIA: A RANDOMIZED CONTROLLED COMPARATIVE-EFFECTIVENESS TRIAL

CHAMPS: CHOICES FOR ADOLESCENT METHODS OF PREVENTION IN SOUTH AFRICA

PREP-3D: AN INTEGRATED PHARMACY DIGITAL DIARY AND DELIVERY STRATEGY TO INCREASE PREP USE AMONG MSM

ENHANCING PREP IN COMMUNITY SETTINGS (EPIC)

EAVESDROPPING ON HEART-BRAIN CONVERSATIONS DURING SLEEP FOR EARLY DETECTION AND PREVENTION OF FATAL CARDIOVASCULAR DISEASE

THE TRANSNATIONAL COHORT: GLOBAL HIV EPIDEMIOLOGY AND PREVENTION RESEARCH FOR TRANSWOMEN.

DHAPP MULTI COUNTRY

INNOVATIONS IN CERVICAL CANCER DIAGNOSIS FOR LOW RESOURCE SETTINGS USING ADVANCED OPTICAL IMAGING AND MACHINE LEARNING DIAGNOSTIC ALGORITHMS.

MIRTAZAPINE FOR THE TREATMENT OF METHAMPHETAMINE DEPENDENCE AMONG MSM WITH HIGH-R

NALTREXONE FOR THE TREATMENT OF ACTIVELY-USING MET-DEPENDENT MSM WITH HIGH-RISK B

PROPHYLACTIC ANTIBIOTIC-COATED NAIL TO PREVENT INFECTION: A CLINICAL TRIAL.

IMPLEMENTING A MULTIMODAL PATH TO RECOVERY (IMPROVE): PRIMARY AND SECONDARY PREVENTION OF OPIOID OVERDOSE IN ACUTE CARE

COHORT STUDY OF OPIOIDS, PAIN, AND SAFETY IN AN ERA OF CHANGING POLICY (COPING)

IMPROVING HIV TESTING, LINKAGE, AND RETENTION IN CARE FOR MEN THROUGH U=U MESSAGING - PROJECT ABSTRACT INCREASING THE COVERAGE OF HIV TESTING AND TREATMENT AMONG PEOPLE LIVING WITH HIV (PLHIV) IS ESSENTIAL FOR ENDING THE GLOBAL AIDS EPIDEMIC. UNFORTUNATELY, COMPARED TO WOMEN, MEN LIVING WITH HIV (MLHIV) ARE LESS LIKELY TO KNOW THEIR HIV STATUS, START ANTI-RETROVIRAL TREATMENT, OR ACHIEVE VIRAL SUPPRESSION. GIVEN THAT NEW HIV INFECTIONS AMONG WOMEN ARE DRIVEN, IN PART, BY MEN’S TESTING AND TREATMENT GAPS, REDUCING THE GENDER GAP IN TESTING UPTAKE, TREATMENT INITIATION AND ACHIEVEMENT OF VIRAL SUPPRESSION BY MEN MUST BE PRIORITIZED IN ORDER TO ACCELERATE THE DECLINE IN HIV INCIDENCE AMONG WOMEN, IMPROVE MEN’S HIV-RELATED HEALTH OUTCOMES AND ACHIEVE THE UNAIDS 95-95-95 GOALS BY 2030. IN THIS STUDY, WE EVALUATE THE EFFECTIVENESS OF UNDETECTABLE EQUALS UNTRANSMITTABLE OR “U=U” MESSAGING FOR CLOSING THE GENDER GAP IN THE HIV CASCADE. THE U=U MESSAGE COMMUNICATES THE COMPELLING IDEA THAT PLHIV WHO TAKE ART AND HAVE AN UNDETECTABLE VIRAL LOAD (<200 COPIES/ML) CANNOT SEXUALLY TRANSMIT HIV. PARTICULARLY FOR MEN, THE U=U MESSAGE HAS THE POTENTIAL TO ACCELERATE PROGRESS TOWARDS THE 95-95-95 TARGETS BY: 1) REDUCING ANXIETY ASSOCIATED WITH HIV TESTING (1ST 95); 2) ENCOURAGING PEOPLE WHO TEST HIV-POSITIVE TO INITIATE ART (2ND 95); AND 3) REDUCING FEAR OF TRANSMITTING HIV TO SEXUAL PARTNERS BY PROMOTING TREATMENT ADHERENCE TO ACHIEVE VIRAL SUPPRESSION (3RD 95). WHILE THERE IS A GROWING KNOWLEDGE OF TREATMENT AS PREVENTION (TASP)/U=U AMONG PLWH IN WESTERN COUNTRIES, THE REACH AND PENETRATION OF THE U=U MESSAGE IN SUB-SAHARAN AFRICA HAS BEEN LIMITED AND FEW STUDIES HAVE TESTED THE IMPACTED OF ACCESSIBLE U=U MESSAGES ON ART UPTAKE AND ADHERENCE IN SUB-SAHARAN AFRICA. BUILDING ON OUR PRIOR WORK ON U=U MESSAGING INFORMED BY BEHAVIORAL ECONOMICS AND HUMAN-CENTERED DESIGN, WE PROPOSE TO CONDUCT TWO HYBRID TYPE 1 EFFECTIVENESS-IMPLEMENTATION RANDOMIZED CONTROLLED TRIALS TO EVALUATE THE IMPACT OF U=U MESSAGES ON MEN’S UPTAKE OF COMMUNITY-BASED HIV TESTING AND TREATMENT INITIATION (AIM 1), AND ACHIEVEMENT OF VIRAL SUPPRESSION (AIM 2). WE WILL ALSO CONDUCT A MULTI-METHOD EVALUATION TO INFORM FUTURE IMPLEMENTATION OF U=U MESSAGING INTERVENTIONS. TO IMPROVE THE GENERALIZABILITY OF OUR FINDINGS, WE WILL CONDUCT OUR STUDY IN TWO PROVINCES IN SOUTH AFRICA (WESTERN AND EASTERN CAPE). IF EFFECTIVE, OUR INTERVENTION CAN SHAPE GLOBAL HIV TESTING AND TREATMENT COUNSELLING GUIDELINES AND PRACTICES. OUR EXPERT, MULTI-INSTITUTIONAL COLLABORATIONS WILL ALLOW US TO APPLY PREVIOUS RESEARCH FINDINGS, LEVERAGE UNIQUE IMPLEMENTATION PLATFORMS AND RESOURCES, AND RAPIDLY DISSEMINATE OUR FINDINGS.

CAPACITY BUILDING ASSISTANCE FOR HIGH-IMPACT HIV PREVENTION - CATEGORY A HEALTH D

THE BRIDGE CLINIC: OPTIMIZING INJECTABLE PREP DELIVERY FOR TRANSGENDER AND NON-BINARY PEOPLE - PROJECT SUMMARY/ABSTRACT TRANSGENDER AND NONBINARY (TNB) PEOPLE ARE DISPROPORTIONATELY AFFECTED BY HIV, WITH INCREASING NUMBERS OF NEW DIAGNOSES FROM 2015-2019. PRE-EXPOSURE PROPHYLAXIS (PREP) HAS GREAT POTENTIAL TO REDUCE NEW HIV INFECTIONS, BUT HAS YET TO IMPROVE HIV DISPARITIES AMONG TNB POPULATIONS. WITH THE RECENT FDA APPROVAL OF LONG-ACTING INJECTABLE CABOTEGRAVIR (CAB-LA) FOR PREP, THERE IS A CRITICAL OPPORTUNITY TO LEVERAGE THIS SCIENTIFIC ADVANCE TO INCREASE PREP USE IN TNB POPULATIONS. IN PRIOR WORK, WE PILOTED A FLEXIBLE, LOW- THRESHOLD, TRANS-AFFIRMING PREP CLINIC (BRIDGE CLINIC) WHICH ACHIEVED HIGHER PREP UPTAKE AND REACHED TNB INDIVIDUALS AT HIGHER RISK FOR HIV ACQUISITION THAN THOSE RECEIVING PREP IN GENDER AFFIRMING PRIMARY CARE CLINICS. KEY COMPONENTS OF THE BRIDGE CLINIC MODEL INCLUDE A NURSE-LED PREP CLINIC WITH FLEXIBLE HOURS; PREP SUPPORT PROVIDED BY A TRANS PEER NAVIGATOR; TEXT-MESSAGING SUPPORT VIA PREPMATE, A CDC-ENDORSED EVIDENCE BASED INTERVENTION; TRANSPORTATION SUPPORT; AND A TNB COMMUNITY-LED PREP AWARENESS CAMPAIGN. IN THIS PROPOSAL, WE WILL USE RAPID-CYCLE RESEARCH (RCR) METHODS TO ENHANCE THE BRIDGE CLINIC TO INCORPORATE CAB-LA DELIVERY, REFINE THIS MODEL THROUGH ITERATIVE ADAPTATIONS, AND ASSESS KEY IMPLEMENTATION OUTCOMES. WE WILL ALSO EVALUATE FOR ANY DRUG INTERACTIONS BETWEEN GENDER AFFIRMING HORMONES AND CAB-LA, AN IMPORTANT QUESTION TO ADDRESS FOR THE TNB COMMUNITY. IN AIM 1, WE WILL CONDUCT A SERIES OF NOMINAL GROUPS WITH ENGLISH- AND SPANISH-SPEAKING TNB PEOPLE AND SEMI-STRUCTURED INTERVIEWS WITH THEIR PROVIDERS TO EXPLORE PATIENT- AND PROVIDER-IDENTIFIED BARRIERS AND FACILITATORS TO CAB-LA DELIVERY IN THE TNB COMMUNITY. WE WILL ALSO ELICIT FEEDBACK ON OUR IMPLEMENTATION STRATEGIES TO GUIDE THE ENHANCEMENT OF OUR PROTOCOL AND ENGAGEMENT APPROACHES TO INCORPORATE CAB-LA. IN AIM 2, WE WILL IMPLEMENT THE CAB-LA ENHANCED BRIDGE CLINIC MODEL IN AN OPEN COHORT OF 200 TNB INDIVIDUALS OVER A 3-YEAR PERIOD, WITH MID-COURSE ADAPTATIONS GUIDED BY THE RCR PROCESS. USING THE RE-AIM FRAMEWORK, WE WILL ASSESS THE REACH, EFFECTIVENESS, ADOPTION, IMPLEMENTATION, AND MAINTENANCE OF THE ENHANCED BRIDGE CLINIC MODEL VIA SURVEYS AND INTERVIEWS WITH PROVIDERS, STAFF, AND PATIENTS, AND MEDICAL RECORD DATA REVIEW. IN AIM 3, WE WILL ENROLL A SUBSET OF PARTICIPANTS RECEIVING INJECTABLE PREP AT THE BRIDGE CLINIC INTO TWO PHARMACOKINETIC SUBSTUDIES TO EVALUATE THE BIDIRECTIONAL EFFECTS OF GENDER AFFIRMING HORMONE THERAPY AND CABOTEGRAVIR PLASMA CONCENTRATIONS IN TNB INDIVIDUALS. OUR WORK ACROSS AIMS WILL BE GUIDED BY A STAKEHOLDER ADVISORY BOARD COMPRISED OF LOCAL AND NATIONAL COMMUNITY ACTIVISTS, LEADERS, HEALTH PROFESSIONALS, AND STAFF SERVING THE TNB COMMUNITY WHO WILL MEET QUARTERLY TO PROVIDE INPUT ON STUDY DESIGN AND IMPLEMENTATION, PRIORITIZATION OF ADAPTATIONS, AND ENSURING THE BRIDGE CLINIC MODEL IS GENERALIZABLE TO OTHER PRACTICE SETTINGS. UPON STUDY COMPLETION, WE WILL HAVE OPTIMIZED AND EVALUATED A NOVEL PREP DELIVERY MODEL TO INCREASE UPTAKE AND PERSISTENCE TO LONG-ACTING INJECTABLE PREP IN TNB PEOPLE, AND ASSESSED FOR DRUG INTERACTIONS BETWEEN GENDER AFFIRMING HORMONES AND CAB-LA IN A REAL-WORLD COHORT OF TNB INDIVIDUALS.

SICKLE CELL TREATMENT DEMONSTRATION PROGRAM

DESIGN AND DELIVERY OF COMBINATION HIV PREVENTION IN YOUNG SOUTH AFRICAN WOMEN

IMPLEMENTING NEW DIRECTIONS IN HIV PREVENTION IN SAN FRANCISCO: A COMPREHENSIVE C

EMERGENCY HEALTH, MHPSS, AND WASH SERVICES IN PARISHES OF JAMAICA AFFECTED BY HURRICANE MELISSA

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

COMMODITIES PROJECT OF $$2,000,000

TO IMPROVE ACCESS TO PRIMARY HEALTH, PROTECTION AND WATER SANITATION SERVICES ACROSS HAITI

ZERO SUICIDE FRAMEWORK IMPLEMENTATION IN RURAL SOUTHWEST MONTANA HEALTH SYSTEM - ST. PETER’S HEALTH (SPH) FOUNDATION AND OUR COMMITTED PARTNERS SEEK TO IMPLEMENT THE ZERO SUICIDE MODEL FOR ADULTS ACROSS THE HEALTH SYSTEM WITH THE AIM OF REDUCING SUICIDE IDEATION, ATTEMPTS, AND DEATHS. SPH IS AN INDEPENDENT, RURAL HEALTH SYSTEM LOCATED IN HELENA, MONTANA, SERVING FIVE RURAL COUNTIES IN SOUTHWESTERN MONTANA. SUICIDE IS THE LEADING CAUSE OF DEATH FOR MONTANANS AGED 10-44; MONTANA HAS ONE OF THE HIGHEST SUICIDE RATES IN THE COUNTRY, WITH A RATE OF 25.9 PER 100,000 PEOPLE, WHICH IS NEARLY TWICE THE NATIONAL AVERAGE. SPH HAS MADE ADDRESSING SUICIDE PREVENTION A PRIORITY AS IT IS A MAJOR CONCERN FOR OUR HEALTH SYSTEM. TOTAL EMERGENCY DEPARTMENT (ED) VISITS AT SPH WITH A MENTAL HEALTH DIAGNOSIS WERE 3197 IN 2019, 4025 IN 2020, AND 3780 IN 2021, WITH AN AVERAGE OF WEEKLY ED VISITS WITH MENTAL HEALTH DIAGNOSIS OF 61.5, 77.4, AND 72.7, RESPECTIVELY. THE SPH MOBILE CRISIS TEAM HAS COMPLETED 752 CRISIS VISITS IN THE COMMUNITY OVER THE PAST TWO YEARS, AVOIDING 592 ADDITIONAL EMERGENCY ROOM VISITS. IN 2021, WE PROVIDED 882 ACUTE VISITS, AS AN AGGREGATED NUMBER OF ER AND INPATIENT VISITS, WHERE PATIENTS WERE SEEN SPECIFICALLY FOR SUICIDE ATTEMPTS AND/OR ACTIVE SUICIDAL IDEATION; AND IN 2022, THAT NUMBER ROSE TO 1,195 VISITS, A 35% INCREASE. THE ZERO SUICIDE GRANT FROM SAMHSA WILL ALLOW SPH TO IMPLEMENT THE ZERO SUICIDE MODEL AT SPH AND EMPHASIZE THE NEED FOR SYSTEMATIC AND CONTINUOUS CARE FOR THOSE AT RISK OF SUICIDE. FULLY IMPLEMENTING THE FRAMEWORK, PARTICULARLY IN LIGHT OF THE INCREASED FUNCTIONALITY OF OUR NEW ELECTRONIC HEALTH RECORD (EHR), WOULD PROVIDE THE CONSISTENT SUPPORT AND TRAINED RESOURCES NECESSARY TO ADDRESS THE SERVICE GAPS AND DISPARITIES IN OUR COMMUNITY, AND IT WOULD HELP US BETTER CAPTURE DATA FOR AND SERVE THE POPULATION OF FOCUS, INCLUDING THOSE SUFFERING FROM DEPRESSION AND OTHER MENTAL HEALTH ISSUES. THE IMPLEMENTATION PLAN WILL FOLLOW THE ZERO SUICIDE FRAMEWORK, FOCUSING ON LEADERSHIP SUPPORT THROUGH THE ESTABLISHMENT OF A FORMAL ZERO SUICIDE STEERING COMMITTEE, ROBUST TRAINING, SYSTEMATIC IDENTIFICATION OF SUICIDE RISK, PATIENT ENGAGEMENT IN CARE PLANNING, ONGOING CONTACT AND SUPPORT THROUGH TRANSITIONS, AND CONTINUOUS PROCESS MONITORING. IMPLEMENTATION GOALS WILL INCLUDE: ESTABLISH AND IMPLEMENT A MULTIDISCIPLINARY COLLABORATIVE APPROACH TO CREATE A SUSTAINABLE SYSTEM LEVEL CULTURE CHANGE THAT LEADS TO A SIGNIFICANT REDUCTION IN SUICIDES FOR THE SPH SERVICE AREA; DEVELOP A CULTURALLY COMPETENT, SKILLED, AND CONFIDENT WORKFORCE THAT UNDERSTANDS THEIR ROLE IN SUICIDE REDUCTION; IMPLEMENT A CONSISTENT AND COMPREHENSIVE SCREENING, ASSESSMENT, AND TREATMENT FOR SUICIDE RISK IN ALL INDIVIDUALS IN CARE, USING STANDARDIZED TOOLS AND CLEAR POLICIES AND PROCEDURES; DEVELOP A COMPREHENSIVE AND COLLABORATIVE PATHWAY TO SUICIDE CARE THAT PRIORITIZES RECOVERY, SAVES LIVES, AND ENSURES SAFE HAND-OFFS BETWEEN DIFFERENT LEVELS OF CARE THROUGH STANDARDIZED AND CONTINUOUS CONTACT AND SUPPORT FOR PATIENTS; AND IMPLEMENT A COMPREHENSIVE CONTINUOUS QUALITY IMPROVEMENT PLAN THAT ENSURES FIDELITY TO EVIDENCE-BASED PRACTICES AND THE COMPONENTS OF THE ZERO SUICIDE MODEL, WHILE CONTINUALLY EVALUATING POLICIES AND PROCEDURES, PATIENT CARE OUTCOMES, AND IMPLEMENTATION METRICS. OVER THE LIFETIME OF THE FIVE-YEAR GRANT, WE ANTICIPATE SERVING A TOTAL OF 64,338 UNDUPLICATED INDIVIDUALS WITH STANDARDIZED SCREENING AND APPROPRIATE TREATMENT. IN YEAR 1, WE WILL SERVE 35,629 INDIVIDUALS, OR 60% OF THE POPULATION, INCREASING TO 100% BY YEAR 2 AND CONTINUING THIS LEVEL THROUGH THE REMAINING GRANT YEARS.

THE MOBILITY TOOLKIT: ELECTRONICALLY AUGMENTED ASSESSMENT OF FUNCTIONAL RECOVERY FOLLOWING LOWER-EXTREMITY TRAUMA

LONGITUDINAL RESEARCH TO ASSESS HIV RISK AND RESILIENCE AMONG TRANS-FEMALE YOUTH

REACH FOR EQUITY

HEALTH CARE AND OTHER FACILITIES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

OPTIMIZING ABLATION OF CERVICAL PRECANCER WITH ETHYL CELLULOSE ETHANOL TO ENABLE TRANSLATION TO WOMEN IN LOW AND MIDDLE-INCOME COUNTRIES - ABSTRACT CERVICAL CANCER AFFECTS THE LIVES OF HALF A MILLION WOMEN WORLDWIDE EACH YEAR, AND OVER HALF OF THESE WOMEN DIE. PREVENTATIVE SOLUTIONS THAT ARE WIDELY USED IN WEALTHY COUNTRIES ARE NOT PRACTICAL FOR USE IN MEDICALLY UNDERSERVED REGIONS DUE TO SOPHISTICATED TECHNOLOGIES AND EXPERTISE NEEDED TO SUSTAIN THESE SOLUTIONS. THUS, ALTERNATIVE PROTOCOLS THAT EMPLOY LOW-COST, SIMPLE-TO-USE TECHNOLOGIES ARE NEEDED TO PREVENT CERVICAL CANCER. OUR VISION IS TO DEVELOP HIGH QUALITY, LOW-COST INTERVENTIONS THAT WILL BE EFFECTIVE IN LOW AND MIDDLE-INCOME COUNTRIES (LMICS) TO ADDRESS SHORTCOMINGS OF CURRENT SOLUTIONS FOR CERVICAL CANCER PREVENTION. THE CALLA HEALTH FOUNDATION IS DEVELOPING THE TOOLS NEEDED TO HELP MEET THE WHO METRICS FOR CERVICAL CANCER ELIMINATION IN THE NEXT 100 YEARS. UNDER FAST TRACK SBIR FUNDING (R44CA240019), WE ARE DEVELOPING TOOLS FOR POINT-OF-CARE SCREENING AND DIAGNOSIS. HOWEVER, SCREENING AND DIAGNOSIS ALONE WILL NOT LEAD TO DECREASES IN CERVICAL CANCER MORTALITY IF ACCESS TO POINT-OF-CARE TREATMENT REMAINS LIMITED. WHILE LOOP ELECTROSURGICAL EXCISION PROCEDURE (LEEP) IS THE MOST WIDELY USED TREATMENT IN HIGH-INCOME SETTINGS, CRYOTHERAPY IS MORE COMMONLY USED IN LMICS. RECENTLY, THERMOCOAGULATION HAS GAINED ACCEPTANCE FOR ABLATION OF CERVICAL PRE-CANCER AS IT DOES NOT REQUIRE CONSUMABLES (CONTINUOUS SUPPLY OF PRESSURIZED LIQUID NITROGEN FOR CRYOTHERAPY) OR A STABLE POWER SUPPLY (FOR LEEP). HOWEVER, THERMOCOAGULATION IS LIMITED BY BIOHEAT TRANSFER AND THEREFORE THE DEPTH OF NECROSIS IT CAN ACHIEVE. TO DEVELOP A COMPLEMENTARY THERAPEUTIC APPROACH TO THERMOCOAGULATION, THE GOAL OF OUR PHASE I SBIR GRANT WAS TO ESTABLISH AN INJECTABLE LOW-COST ABLATIVE THERAPY BASED ON CONTROLLED DELIVERY OF A UBIQUITOUS AGENT, ETHANOL TO TREAT CERVICAL PRE-CANCER. SPECIFICALLY, WE DEVELOPED A NEW FORMULATION OF ETHANOL USING A POLYMER CALLED ETHYL CELLULOSE (EC) TO ACT AS A SLOW-RELEASE GEL LIMITING OFF TARGET TOXICITY AND AN AUTOMATED INJECTOR TO RELIABLY DELIVER ETHANOL INTO THE REGION OF INTEREST. MOVING FORWARD, THE GOAL OF OUR PHASE II SBIR GRANT IS TO DEVELOP BETA VERSIONS OF THE AUTOMATED INJECTOR, DEVELOP PACKAGING AND QUALITY CONTROL METRICS FOR EC-ETHANOL, AND ASSESS IF A COMBINATORIAL THERAPY IN WHICH SEQUENTIAL EC-ETHANOL ABLATION AND THERMOCOAGULATION ARE APPLIED TO THE CERVIX IS SYNERGISTIC AND ENHANCES EFFICACY. THIS WORK WILL INCLUDE THE FOLLOWING SPECIFIC AIMS: 1) EVALUATE USABILITY AND REPEATABILITY OF HAND-HELD INJECTORS FOR EC-ETHANOL DELIVERY; 2) ESTABLISH EC-ETHANOL STABILITY AND POTENCY TESTING PLAN AND RELEASE CRITERIA; 3) ASSESS SAFETY AND EFFICACY OF SEQUENTIAL EC-ETHANOL ABLATION AND THERMOCOAGULATION COMPARED TO MONOTHERAPIES; AND 4) ASSESS CLINICAL WORKFLOW AND POPULATION HEALTH IMPACT OF MONOTHERAPIES AND COMBINATORIAL THERAPY.

EVIDENCE-BASED TELE-BEHAVIORAL HEALTH NETWORK PROGRAM

CALIFORNIA ENVIRONMENTAL HEALTH SPECIALIST NETWORK (EHS-NET) FOOD SAFETY AND WATE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SMH SPECIAL DIABETES GRANT PROGRAM - NAVAJO HEALTH FOUNDATION – SAGE MEMORIAL HOSPITAL (SMH) IS A 25-BED ACUTE AND CRITICAL ACCESS HOSPITAL LOCATED IN GANADO, ARIZONA ON THE NAVAJO NATION. IT SERVES EIGHT SURROUNDING COMMUNITIES INCLUDING CORNFIELDS, GANADO, GREASEWOOD, KLAGETOH, KINLICHEE, STEAMBOAT, WIDE RUINS, AND NAZLINI. THE POPULATION FOR THE SERVICE AREA IS APPROXIMATELY 10,700 COMMUNITY MEMBERS AND SMH SERVES AN AVERAGE OF 9,500 PATIENTS PER YEAR. ACCORDING TO DATA EXTRACTED FROM SMH'S EHR SYSTEM, IN 2021 OVER 1,097 A1C TESTS WERE ADMINISTERED TO 885 PATIENTS. OF THESE PATIENTS, APPROXIMATELY 236 PATIENTS (27%) HAD AN A1C LEVEL BETWEEN 5.7-6.49 INDICATING THEY WERE PREDIABETIC AND 363 PATIENTS (41%) HAD AN A1C OF 6.5 AND OVER SHOWING AN INDICATION OF TYPE 2 DIABETES. FOR PATIENTS WHO HAD DIABETES, 49% WERE FEMALE AND 51% WERE MALE. FOR ALL PATIENTS WHO WERE TESTED, 68% CAME BACK WITH PREDIABETES OR HAVING DIABETES SO FAR IN 2022 (JANUARY - SEPTEMBER), 606 A1C TESTS HAVE BEEN ADMINISTERED TO 530 PATIENTS. OF THESE PATIENTS, 169 (32%) WERE PREDIABETIC, AND 218 PATIENTS (41%) SHOWED TYPE 2 DIABETES RESULTS. FOR PATIENTS WITH DIABETES, 42% WERE FEMALE AND 58% WERE MALE. RESULTS FOR ALL PATIENTS WHO WERE TESTED, 73% SHOWED THEY HAVE PREDIABETES OR HAVE DIABETES. ACCORDING TO THE ANNUAL AUDIT REPORT, DENTAL EXAMS HAVE NOT SURPASSED 40% FOR THE TARGET GROUP FOR THE PAST FIVE YEARS; THEREFORE, SMH HAS CHOSEN DENTAL EXAM AS ITS REQUIRED KEY MEASURE FOR 2023. THE GOAL IS TO INCREASE THE PERCENTAGE OF PATIENTS WHO COMPLETE THEIR ORAL EXAMS AS PART OF THEIR STANDARDS OF CARE TO AT LEAST 80%. THE DIABETES TEAM PROPOSES TO ACCOMPLISH THIS THROUGH BRIEF ORAL EXAMS DURING EACH ENCOUNTER, DESIGNATING A DAY EACH MONTH IN THE DENTAL CLINIC SPECIFICALLY FOR PATIENTS WITH DIABETES, AND THROUGH AWARENESS MESSAGING. SMH’S DIABETES PROGRAM IS DESIGNED TO ADDRESS TWO OF FIVE HIGHEST HEALTH NEEDS IDENTIFIED BY ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: DIABETES AND OBESITY. UTILIZING AMERICAN DIABETES ASSOCIATION’S STANDARDS OF MEDICAL CARE IN DIABETES AS A GUIDE FOR COMPREHENSIVE CARE, THE DIABETES TEAM WILL CONTINUE TO TAKE A PATIENT-CENTERED CARE APPROACH TO TREATMENT.

SMH PRODUCT PRESCRIPTION PILOT PROGRAM (P4)

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

HEALTHY SACRAMENTO COALITION CAPACITY BUILDING PLAN

?RECRUITING AND RETAINING A DIVERSE PUBLIC HEALTH WORKFORCE PROGRAM? (RRDPHWP) - PROJECT ABSTRACT SUMMARY THE NATIONAL HISPANIC FOUNDATION (NHHF) PROPOSES TO DEVELOP THE RECRUITING AND RETAINING A DIVERSE PUBLIC HEALTH WORKFORCE PROGRAM (RRDPHWP) IN COLLABORATION WITH THE CDC OVER FIVE YEARS, WITH THE GOAL TO DEVELOP A PROGRAM THAT RECRUITS AND RETAINS A DIVERSE PUBLIC HEALTH WORKFORCE REPRESENTING THIS COUNTRY'S RACIAL AND ETHNIC POPULATIONS. THE EXPECTED OUTCOMES OF THE RRDPHWP ARE TO INCREASE AWARENESS AND DEVELOP BEST PRACTICES/TOOLS FOR RECRUITING AND RETAINING A DIVERSE PUBLIC HEALTH WORKFORCE FOR PUBLIC HEALTH STAKEHOLDERS. A WELL-TRAINED, RACIALLY AND ETHNICALLY DIVERSE PUBLIC HEALTH WORKFORCE CAN HAVE A CENTRAL ROLE IN MITIGATING HEALTH DISPARITIES AND IS A CRITICAL COMPONENT OF ANY EQUITABLE HEALTH CARE SYSTEM. THE RRDPHWP WILL COORDINATE: 1) AN ADVISORY COMMITTEE OF A DOZEN PUBLIC HEALTH, NATIONAL ASSOCIATION AND ACADEMIC DIVERSITY EXPERTS; 2) A LITERATURE SEARCH FOR RECRUITMENT AND RETENTION AND PROGRESSION ACTIVITIES TO INCREASE DIVERSITY IN PUBLIC HEALTH; 3) THREE FACILITATED REGIONAL SUMMITS AND INTERVIEWS/FOCUS GROUPS TO OBTAIN FEEDBACK FROM KEY THOUGHT LEADERS, PUBLIC HEALTH AND ACADEMIC EXPERTS ON BEST PRACTICES AND BARRIERS TO RECRUITMENT AND RETENTION OF A RACIALLY AND ETHNICALLY DIVERSE PUBLIC HEALTH WORKFORCE; 4) DEVELOP A RECRUITMENT AND RETENTION AND PROGRESSIVE STRATEGY WITH AI IN COLLABORATION WITH MINORITY INSTITUTIONS, PUBLIC HEALTH ASSOCIATIONS AND THE CDC; 5) COORDINATE A HEALTH COMMUNICATIONS CAMPAIGN TO FIND DIVERSE PUBLIC HEALTH SCHOOL ALUMNI AND OTHERS INTERESTED IN PUBLIC HEALTH POSITIONS AT THE NATIONAL, STATE AND LOCAL LEVELS; 6) DEVELOP A TRACKING AND MONITORING SYSTEM FOR THE PROGRAM; AND 7) PRODUCE REPORTS BASED ON THE PROGRAM EVALUATION PLAN WITH CDC. THE RRDPHWP WILL USE MULTIPLE STRATEGIES TO IMPROVE THE RECRUITMENT AND RETENTION/PROGRESSION OF CLUSTERS OF RACIAL/ETHNIC CANDIDATES TO PURSUE CAREERS IN THE PUBLIC HEALTH SECTOR, EMPHASIZING UNDERREPRESENTED POPULATIONS FOR USE BY CDC AND LOCAL AND STATE PUBLIC HEALTH DEPARTMENTS. THE RRDPHWP WILL ESTABLISH PARTNERSHIPS WITH PUBLIC HEALTH SCHOOLS, MINORITY-SERVING EDUCATIONAL INSTITUTIONS (HBCUS, HSIS, TCUS), STATE, COUNTY, AND CITY HEALTH DEPARTMENTS, AND PUBLIC HEALTH MEMBERSHIP ASSOCIATIONS (APHA, AASPH, ASTHO, FASHP, NACCHO) TO SUPPORT THIS UNIQUE PROGRAM INITIATIVE.

ATRIUM HEALTH EMERGENCY MEDICINE SERVICE LINE PAIN AND ADDICTION CARE IMPROVEMENT - AT ATRIUM HEALTH WE EMBRACE THE CHALLENGE OF REDUCING PAIN, ALLEVIATING SUFFERING, AND IMPROVING FUNCTIONAL OUTCOMES FOR OUR PATIENTS, WHILE REDUCING RISKS ASSOCIATED WITH OPIOID ANALGESIA AND IMPROVING OUTCOMES FOR PATIENTS SUFFERING OPIOID USE DISORDER (OUD). WE PROPOSE TO USE A QUALITY IMPROVEMENT APPROACH TO ENHANCE PAIN MANAGEMENT THROUGH OPIOID SPARING MULTIMODAL ANALGESIA AND IMPROVE OUD CARE THROUGH INITIATION OF MEDICATIONS FOR OUD AND HARM REDUCTION. THIS PROJECT, ENTITLED ATRIUM HEALTH EMERGENCY MEDICINE SERVICE LINE PAIN AND ADDICTION CARE IMPROVEMENT, WILL FOCUS ON PATIENTS PRESENTING TO ANY OF 25 ATRIUM HEALTH EMERGENCY DEPARTMENTS (EDS) LOCATED IN NORTH CAROLINA WITH COMPLAINTS OF PAIN OR OUD. THE POPULATIONS SERVED BY ATRIUM HEALTH IN OUR INITIAL TARGET REGIONS ARE THE FIRST AND THIRD MOST POPULOUS IN NORTH CAROLINA. IN ADDITION TO THE RELATIVELY LARGE NUMBERS OF PATIENTS PRESENTING TO OUR EDS WITH PAIN CONDITIONS, THERE IS A HIGH PREVALENCE OF OUD AND OVERDOSES IN THE CATCHMENT AREA. WE PREDICT 600,780 UNIQUE PATIENTS/YEAR WILL PRESENT TO A PARTICIPATING ED WITH A PAIN COMPLAINT AND 6,217 PATIENTS/YEAR WILL PRESENT WITH OUD FOR TOTALS OF 1,802,340 PATIENTS WITH PAIN AND 18,651 PATIENTS WITH OUD DURING THE 3-YEAR PROJECT. PRESCRIBING OPIOIDS FOR THE MANAGEMENT OF PAIN GENERATES RISK FOR OUR PATIENT POPULATION TO DEVELOP BOTH OPIOID DEPENDENCE AND OUD. PREVIOUS ANALYSES OF CARE DELIVERED TO THE TARGET POPULATION HAVE DEMONSTRATED MUCH ROOM FOR IMPROVEMENT ACROSS OUR SERVICE LINE. WE NEED 1) EFFECTIVE MULTIMODAL PAIN MANAGEMENT THAT IMPROVES PAIN OUTCOMES, CONNECTS PATIENTS TO EFFECTIVE OUTPATIENT PAIN CARE, AND REDUCES THE RISKS OF OPIOID DEPENDENCE AND OUD; AND 2) TO PROVIDE MORE EFFECTIVE CARE TO PATIENTS WHO PRESENT WITH OUD, INCLUDING PROVIDING HARM REDUCTION, MEDICATIONS FOR OUD, AND CONNECTION TO ONGOING COMMUNITY-BASED TREATMENT. THIS PROJECT HAS BEEN DESIGNED TO ADDRESS THOSE NEEDS. OUR GOALS ARE TO: 1) IMPROVE MANAGEMENT OF ACUTE AND CHRONIC PAIN AMONG PATIENTS PRESENTING TO ATRIUM HEALTH EDS WHILE REDUCING THE HARMS OF OPIOIDS, AND 2) IMPROVE CARE FOR PATIENTS WITH OUD WHO PRESENT TO ATRIUM HEALTH EDS. WE WILL ACHIEVE THESE GOALS THROUGH THE FOLLOWING OBJECTIVES: - BY MONTH 4, AN EMERGENCY MEDICINE (EM) PAIN AND ADDICTION TASK FORCE WILL BE ESTABLISHED TO OVERSEE DEVELOPMENT AND IMPLEMENTATION OF STRATEGIES TO ACHIEVE GOAL 1. - IMPROVE KNOWLEDGE OF PATIENT CENTERED, TRAUMA INFORMED, OPIOID SPARING PAIN MANAGEMENT AMONG EM PROVIDERS AND NURSES AS MEASURED BY ADHERENCE TO THE PROTOCOLS AND BEST PRACTICES IMPLEMENTED. - BY MONTH 6, IMPLEMENT POLICIES AND GUIDELINES ON TREATMENT OF OUD USING HARM REDUCTION, TRAUMA INFORMED CARE, MEDICATIONS FOR OUD, AND STRONG CONNECTIONS TO COMMUNITY RESOURCES FOR ONGOING TREATMENT.

REDUCING HIV RISK AMONG EPISODIC SUBSTANCE-USING MSM

HEALTH CENTER CLUSTER

STRONG START FOR MOTHERS AND NEWBORNS

EXAMINING THE EFFECTS OF HEAD SUPPORTED MASS ON CERVICAL SPINE BIOMECHANICS AND INJURY RISK IN SPECIAL FORCES OPERATORS

PPHF 2012-EMERGING INFECTIONS PROGRAM (EIP)

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICE TO CHILDREN IN NEED

2018 ASHA GRANT COMMODITIES

SHINE STRONG: BUILDING THE PIPELINE OF HIV BEHAVIORAL SCIENTISTS WITH EXPERTISE IN TRANS POPULATION HEALTH

ADDRESSING SYNDEMICS THROUGH PROGRAM COLLABORATION AND SERVICE INTEGRATION

FY 2014 ASHA AWARD

$1,300,000.00 COMMODITIES AWARD

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

TELEHEALTH NETWORK GRANT PROGRAM

THE PATHWAYS PROJECT: COMMUNITY LEVEL INNOVATIONS FOR IMPROVING DIABETES HEALTH OUTCOMES - PROJECT HOPE PROPOSES EXPANSION OF A SUSTAINABLE COLLABORATIVE NETWORK TO IMPROVE DIABETES HEALTH OUTCOMES AMONG THE UNDERSERVED 61.3% HISPANIC/LATINO POPULATION OF BEXAR COUNTY, TEXAS. POVERTY, FOOD INSECURITY, LACK OF HEALTH INSURANCE, AND LINGUISTIC BARRIERS CONTRIBUTE TO STARK HEALTH DISPARITIES BY RACE AND ETHNICITY. TOGETHER WITH THE HEALTH COLLABORATIVE (THC), COMMUNITY INFORMATION NOW (CI:NOW), AND C3HIE, THE PATHWAYS PROJECT WILL ADDRESS TWO PRIORITY SOCIAL DETERMINANTS OF HEALTH (SDOH): 1) ECONOMIC STABILITY AND 2) HEALTHCARE ACCESS AND QUALITY, IN ORDER TO PROGRESS TOWARD THE LEADING HEALTH INDICATOR (LHI) TO REDUCE THE NUMBER OF ADULTS NEWLY DIAGNOSED WITH DIABETES EACH YEAR. BEXAR COUNTY HAS AN ESTIMATED 10.2 NEW CASES OF DIAGNOSED DIABETES PER 1,000 ADULTS ANNUALLY, IN STARK CONTRAST TO THE US BASELINE OF 5.5 PER 1,000 ADULTS (CDC 2021). FOR MORE THAN 20 YEARS, THE HEALTH COLLABORATIVE’S (THC) NETWORK OF COMMUNITY-BASED ORGANIZATIONS HAS BEEN SERVING THE BEXAR COUNTY, TEXAS REGION, AIMING TO IMPROVE HEALTH THROUGH A UNIQUE “CLINICAL-TO-COMMUNITY” CONTINUUM OF CARE. THE PATHWAYS PROJECT WILL LEVERAGE AND EXPAND THE NETWORK, IMPLEMENTING ACTIVITIES TO IMPROVE CAPACITY TO SERVE HISPANIC/LATINO PEOPLE AT-RISK FOR DIABETES (PARD). EXPERIENCED COMMUNITY HEALTH WORKERS SPECIALLY TRAINED AS BILINGUAL CARE TRANSITION COACHES (CTC) WILL SERVE AS TRUSTED MESSENGERS TO PROVIDE OUTREACH TO PARD, SCREEN FOR SDOH, AND OPEN “PATHWAYS” TO ADDRESS PRIORITY SDOH (I.E. EMPLOYMENT, EDUCATION, HOUSING, HEALTH INSURANCE, CARE COORDINATION, ETC.). CTCS WILL PROVIDE ONGOING SUPPORT AND REFERRALS TO AN EXPANDED NETWORK OF CARE COORDINATION AGENCIES (CCAS) FOCUSED ON SDOH AND DIABETES PREVENTION, WORKING TOGETHER AND USING THE CARE COORDINATION SYSTEM, A HIPAA CERTIFIED, SHARED INFORMATION PLATFORM TO TRACK PROGRESS. THE PATHWAYS PROJECT AIMS TO ACHIEVE THE FOLLOWING GOALS: 1) INCREASE THE USE OF DIABETES PREVENTATIVE SERVICES, 2) IMPROVE HEALTH OUTCOMES AND 3) REDUCE SOCIAL DETERMINANTS OF HEALTH (SDOH) BARRIERS RELATED TO A) ECONOMIC STABILITY AND B) HEALTH CARE ACCESS AND QUALITY AMONG HISPANIC/LATINO PARD IN BEXAR COUNTY, TEXAS. THE PROJECT WILL ADDRESS THE FOLLOWING OBJECTIVES: (GOAL 1) OBJECTIVE 1: IMPLEMENT COMMUNITY-LEVEL INNOVATIONS THAT WILL LINK A MINIMUM OF 700 PEOPLE AT-RISK FOR DIABETES (PARD) PER YEAR TO EVIDENCE-BASED DIABETES PREVENTION PROGRAMS (DPP), REACHING AT LEAST 2800 INDIVIDUALS OVER THE 4-YEAR PROJECT. (GOAL 2) OBJECTIVE 2: INCREASE THE HEALTH COLLABORATIVE’S CARE TRANSITION COACHES (CTCS) FROM FOUR TO EIGHT WITHIN THE FIRST YEAR OF THE PROJECT BY ONBOARDING FOUR BILINGUAL CTCS TO SERVE THE FOCUS POPULATION. (GOAL 3) OBJECTIVE 3: MAINTAIN AND EXPAND A COLLABORATIVE NETWORK OF CARE COORDINATION AGENCIES (CCAS) PROVIDING HEALTH AND SOCIAL SERVICES, AIMED AT ADDRESSING GAPS IN REDUCING SDOH AND DIABETES PREVENTION BY 2 NEW CARE COORDINATION AGENCIES PER YEAR, FOR A TOTAL OF 8 NEW CCAS OVER THE LIFE OF THE 4-YEAR PROJECT. EXPECTED PROJECT OUTCOMES INCLUDE IMPROVED ACCESS TO AND UTILIZATION OF DIABETES PREVENTION PROGRAMS, PRE-DIABETES HEALTH MANAGEMENT SERVICES, AND LINKAGES TO HEALTH AND SOCIAL SERVICES; INCREASED NUMBER OF BILINGUAL CTCS AND FORMAL CCA NETWORK PARTNERS; PERCENTAGE OF SDOH PATHWAYS IDENTIFIED AND ADDRESSED SUCCESSFULLY; AND IMPROVED HEALTH OUTCOMES TO PROGRESS TOWARD THE LHI. BUILDING UPON THIS PROVEN, SUSTAINABLE COLLABORATIVE NETWORK TO FOCUS INTERVENTIONS ON PREVENTION OF DIABETES AMONG UNDERSERVED HISPANIC/LATINO COMMUNITY MEMBERS WILL TRANSFORM ACCESS TO SERVICES AND ACHIEVE THE PROJECT’S GOALS AND OBJECTIVES. THE EXPANSION, EVALUATION, AND DISSEMINATION OF THIS EXTRAORDINARILY INNOVATIVE COLLABORATIVE NETWORK MODEL WILL HAVE FAR-REACHING IMPLICATIONS AND IMPACT ON THE FIELD OF PUBLIC HEALTH, PROVIDING A SCALABLE, REPLICABLE, BEST PRACTICE MODEL TOWARD REDUCTION OF KEY SDOH FOR INCREASED DIABETES PREVENTION AND IMPROVED HEALTH OUTCOMES AMONG HISPANIC/LATINO POPULATIONS.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - DESCRIPTION OF THE PROPOSED PROJECT NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION – DBA FAMILY HEALTH MATTERS (FHM) IS PROPOSING A PCHP PROGRAM THAT WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV, THE NUMBER OF PATIENTS PRESCRIBED PREP, AND THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT THROUGHOUT CENTRAL ORANGE COUNTY, CALIFORNIA. THESE OBJECTIVES WILL BE COMPLETED THROUGH THE HEALTH CENTER’S IMPLEMENTATION OF PREP PRESCRIBING, OUTREACH; TESTING; AND WORKFORCE DEVELOPMENT. NEEDS TO BE ADDRESSED AND POPULATION GROUPS TO BE SERVED FHM’S PCHP PROGRAM WILL EXPAND HIV PREVENTION SERVICES THAT DECREASE THE RISK OF HIV TRANSMISSION IN ORANGE COUNTY, CALIFORNIA, IN SUPPORT OF ENDING THE HIV EPIDEMIC IN THE U.S. THE PROGRAM WILL ADDRESS THE NEED FOR ALL FHM PATIENTS WITH HIV TO BE DIAGNOSED AS EARLY AS POSSIBLE AFTER TRANSMISSION; THE NEED FOR FHM PATIENTS WITH HIV TO BE RAPIDLY TREATED AND EFFECTIVELY REACHED TO SUSTAIN VIRAL SUPPRESSION; AND THE NEED TO PREVENT NEW TRANSMISSIONS BY USING PROVEN INTERVENTIONS, INCLUDING PRE-EXPOSURE PROPHYLAXIS (PREP). THE POPULATION GROUPS TO BE SERVED INCLUDE THE FOLLOWING: - HEALTH CENTER’S LARGELY HISPANIC PATIENTS AGES 13-64. - HEALTH CENTER PATIENTS AT RISK OF ACQUIRING HIV INCLUDING (1) THOSE WHO HAVE BEEN DIAGNOSED WITH ANOTHER SEXUALLY TRANSMITTED INFECTION, HEPATITIS, OR TUBERCULOSIS; (2) BLACKS/AFRICAN AMERICANS AND HISPANICS/LATINOS; AND (3) INJECTION DRUG USERS. PROPOSED SERVICES PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP INCLUDE: - SUPPORT PREP ACCESS THROUGH CARE COORDINATION. - ENHANCE WORKFLOWS AND UTILIZE TECHNOLOGY, INCLUDING TELEPREP, TO IMPROVE PREP ACCESS, MONITORING, FOLLOW UP, AND REPORTING. - LEVERAGE PARTNERSHIP WITH THE ORANGE COUNTY HEALTH CENTER CONTROLLED NETWORK. PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV: - ENHANCE WORKFLOWS TO SUPPORT UNIVERSAL AND RAPID ACCESS TO HIV TESTING, INCLUDING THE PURCHASE OF HIV HOME-TESTS OR HOME SPECIMEN COLLECTION KITS. - ENHANCE THE EHR TO SUPPORT HIV TESTING BY INCLUDING DOMAINS TO RECORD HIV RISK FACTORS, POST-HOSPITALIZATION OR EMERGENCY DEPARTMENT FOLLOW UP, AND HISTORY OF RELATED CO-OCCURRING CONDITIONS, INCLUDING INFECTIOUS DISEASES AND SUBSTANCE USE DISORDERS. - SUPPORT CULTURALLY APPROPRIATE AND TRAUMA-INFORMED HIV PREVENTION SERVICES. PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT: - HIRE PCHP HIV PRIMARY CARE PROVIDER AND CARE COORDINATORS TO SUPPORT THE DELIVERY OF INTEGRATED HIV AND PRIMARY CARE SERVICES. - DEVELOP DATA COLLECTION AND REPORTING PROCESSES THAT FOSTER REAL-TIME USE OF CLINICAL DATA, LEVERAGE STRATEGIC PARTNERSHIPS. - PROVIDE PROFESSIONAL DEVELOPMENT, INCLUDING TRAINING AND ACCREDITED CONTINUING EDUCATION, FOR RISK-BASED HIV TESTING AND FOLLOW UP; PREP; TAKING SEXUAL HEALTH HISTORIES; SCREENING FOR COMMON CO-OCCURRING CONDITIONS; SUPPORTING PATIENTS’ BEHAVIOR CHANGES TO REDUCE RISK; MAXIMIZING THE SUCCESS OF PREP; AND IMPLEMENTING EFFECTIVE HIGH-IMPACT HIV PREVENTION INTERVENTIONS. BRIEF DESCRIPTION OF HOW THE PROPOSED PROJECT WILL FOCUS ON THE TARGETED GEOGRAPHIC LOCATIONS. FHM WILL IMPLEMENT THE PCHP PROGRAM WITHIN ITS PERMANENT HEALTH CENTER LOCATED AT 1182 N. EUCLID STREET, ANAHEIM, CA 92801-1900 AND WILL INCORPORATE THE PROGRAM INTO THE HEALTH CENTER’S PRIMARY CARE SERVICES.

THE PURPOSE OF THIS MODIFICATION IS TO 1.) PROVIDE INCREMENTAL FUNDING IN THE AMOUNT OF $300,000, INCREASING THE AMOUNT OBLIGATED FROM $375,000 TO $6

CALIFORNIA HEMOGLOBINOPATHIES SURVEILLANCE INITIATIVE (CHSI)

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

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LEVERAGING PSYCHOLOGICAL AUTOPSIES TO ACCELERATE RESEARCH INTO STIMULANT OVERDOSE MORTALITY

ARIPIPRAZOLE TO REDUCE METHAMPHETAMINE USE AMONG MSM WITH HIGH-RISK HIV BEHAVIORS

SHARP: SUMMER HIV/AIDS RESEARCH PROGRAM

NUTRITION EDUCATION FOR CARDIOVASCULAR DISEASE PREVENTION IN INDIVIDUALS WITH SPI

KHULANI SIPHILE SIPHUHLE TRAINING PROGRAM IN SOUTH AFRICA (KISS-TP) - PROJECT SUMMARY/ABSTRACT SEXUAL AND GENDER MINORITIES ARE MARGINALIZED IN SOUTH AFRICA WITH LIMITED ACCESS TO HEALTH CARE OR OPPORTUNITIES TO TAKE PART IN RESEARCH ESPECIALLY CONCERNING THEIR HEALTH DISPARITIES. THIS SUPPLEMENTAL RESEARCH TRAINING PROGRAM AIMS TO BUILD ON THE PARENT AWARD, THE KHULANI SIPHILE SIPHUHLE TRAINING PROGRAM (KISS-TP), TO IMPROVE THE RESEARCH CAPACITY OF YOUNG HIV RESEARCHERS, WITH A FOCUS ON SEXUAL AND GENDER MINORITIES. IMPROVING THE SKILLS AND EXPERIENCE OF SEXUAL AND GENDER MINORITIES IN RESEARCH WILL ENABLE THEM TO AMPLIFY THEIR VOICES AND ADDRESS THE HEALTH NEEDS OF THIS VULNERABLE POPULATION. THE KISS-TP IS BASED AT THE DESMOND TUTU HEALTH FOUNDATION (DTHF) EASTERN CAPE SITE. THE DTHF IS A RENOWNED NON-PROFIT RESEARCH ORGANIZATION AFFILIATED TO THE UNIVERSITY OF CAPE TOWN, BASED IN CAPE TOWN, SOUTH AFRICA. FOR THIS SUPPLEMENTARY TRAINING PROGRAM, THE KISS-TP WILL COLLABORATE WITH THE DTHF LGBT+ HEALTH DIVISION AT THE GROOTE SCHUUR HOSPITAL CLINICAL RESEARCH SITE IN CAPE TOWN. THE DTHF LGBT+ HEALTH DIVISION PLAYS A VITAL ROLE IN PROMOTING EQUITABLE ACCESS TO HEALTHCARE FOR LGBTQI+ COMMUNITIES THROUGH RESEARCH, COMMUNITY ENGAGEMENT, AND ADVOCACY. IN LINE WITH THEIR COMMITMENT TO EMPOWERING LGBTQI+ INDIVIDUALS AND COMMUNITIES, THE DTHF LGBT+ HEALTH DIVISION WILL PROVIDE A RESEARCH TRAINING PROGRAM FOR EARLY CAREER LGBTQI+ HEALTH RESEARCHERS. THIS PROGRAM, BUILDING ON THE KISS-TP, AIMS TO ENHANCE RESEARCH CAPACITY WHILE ADDRESSING HEALTH DISPARITIES AND IMPROVING HEALTH OUTCOMES FOR SEXUAL AND GENDER MINORITIES. TRAINEES WILL BE SELECTED AT BOTH THE UNDERGRADUATE AND POSTGRADUATE LEVEL MAINLY FROM HISTORICALLY DISADVANTAGED INSTITUTIONS (HDIS) IN SOUTH AFRICA. PREFERENCE WILL BE GIVEN TO LGBTQI+ PERSONS WHO ARE MULTIPLY MARGINALIZED AND/OR TRANS AND GENDER DIVERSE. THE TRAINING PROGRAM WILL INVOLVE A MENTORED RESEARCH PROJECT WHICH WILL IDENTIFY BARRIERS TO ACCESSING HIV SERVICES AND GENDER- AFFIRMING CARE FOR TRANSGENDER POPULATIONS IN SOUTH AFRICA. TRAINEES WILL GAIN EXPERIENCE IN QUALITATIVE AND QUANTITATIVE RESEARCH METHODS, INCLUDING SURVEYS AND FOCUS GROUP DISCUSSIONS. THEY WILL PARTICIPATE IN ALL PHASES OF THE RESEARCH PROCESS, RECEIVE MENTORING FROM EXPERIENCED LGBTQI+ RESEARCHERS, AND HAVE ACCESS TO EDUCATIONAL RESOURCES, SEMINARS, AND COMMUNITY OUTREACH ACTIVITIES. THE ULTIMATE GOAL IS TO NURTURE A DIVERSE AND INCLUSIVE RESEARCH ENVIRONMENT AND DEVELOP THE NEXT GENERATION OF LGBTQI+ HEALTH RESEARCHERS.

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICES TO ADULTS WITH SPECIAL NEEDS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ENGAGES PERSONS 55 AND OLDER IN SUPPORTIVE SERVICE TO CHILDREN IN NEED

SMH NATIVE CONNECTIONS PROGRAM - SAGE MEMORIAL HOSPITAL’S NATIVE CONNECTIONS PROGRAM BUILDS A COMMUNITY-WIDE SUICIDE AND SUBSTANCE MISUSE PREVENTION PLATFORM FOR THE YOUTH RESIDING IN THE COMMUNITIES OF CORNFIELDS, GANADO, KINLICHEE, KLAGETOH, GREASEWOOD SPRINGS, STEAMBOAT, AND WIDE RUINS, ARIZONA, WHICH HAS A COMBINED COMMUNITY POPULATION OF MORE THAN 9,500 COMMUNITY MEMBERS, OF WHICH, 3,300 ARE UNDER THE AGE OF 24 YEARS OLD. THE GOAL IS TO BUILD PARTNERSHIPS WITH YOUTH SERVING AGENCIES IN THE COMMUNITY AND PROVIDE THEM WITH THE SKILLS TO IDENTIFY AND PROVIDE MENTAL HEALTH FIRST AID SO THEY ARE ABLE TO GUIDE YOUTH TO NEEDED MENTAL HEALTH SERVICES. THE OBJECTIVES ARE: 1) TO USE EVIDENCE-BASED CURRICULUMS SUCH AS YOUTH MENTAL HEALTH FIRST AID, ASIST, QPR AND CRISIS INTERVENTION TRAINING TO TRAIN STAFF AND FACULTY AT SIX LOCAL SCHOOLS OVER THE NEXT FIVE YEARS; 2) TO REVISE POLICIES AND PROCEDURES SO MHAT TRAINEES HAVE A REFERRAL PATH TO ER AND BEHAVIORAL HEALTH SERVICES; 3) SCREEN ALL YOUTH PATIENTS FOR DEPRESSION AND SUICIDE; AND 4) CREATE PROTECTIVE FACTORS TO PREVENT SUICIDE AND SUBSTANCE MISUSE AND REDUCE THE IMPACT OF TRAUMA. THIS PROGRAM EXPECTS TO SERVE OVER 2,500 YOUTH, SCHOOL STAFF AND FACULTY, PARENTS AND GUARDIANS OVER THE NEXT FIVE YEARS. THE ANTICIPATED OUTCOME IS TO IDENTIFY ALL YOUTH WHO ARE EXPERIENCING A MENTAL HEALTH CRISIS, ENSURE THEY RECEIVE COUNSELING AND/OR TREATMENT AND HAVE THE OPPORTUNITY TO PARTICIPATE IN PROGRAMS THAT ENGAGE THEM IN POSITIVE AND CULTURALLY ENRICHING ACTIVITIES.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

LEBANESE AMERICAN UNIVERSITY HEALTH FOUNDATION - LEBANESE AMERICAN UNIVERSITY MEDICAL CENTER - RIZK HOSPITAL

IMPLEMENTATION OF AN INTEGRATED DIGITAL NAVIGATION INTERVENTION TO END THE EPIDEMIC IN SAN FRANCISCO COUNTY

THE BET INTERVENTION TO REDUCE HIV PREVENTION AND CARE DISPARITIES AMONG YOUNG TRANSWOMEN IN RIO DE JANEIRO

GLUTIDE FOR ENDING METHAMPHETAMINE - PROJECT SUMMARY/ABSTRACT METHAMPHETAMINE USE AND TOXICITY HAS INCREASED SUBSTANTIALLY OVER THE PAST DECADE, WITH DEATHS ATTRIBUTED TO METHAMPHETAMINE TOXICITY, LARGELY CONSISTING OF CARDIOVASCULAR COMPLICATIONS, INCREASING 9-FOLD FROM 2012- 2021. THERE REMAINS NO FDA-APPROVED MEDICATION TO TREAT METHAMPHETAMINE USE DISORDER (MEUD), NOTWITHSTANDING DECADES OF EFFORTS. MOREOVER, MOST EXPERTS NOW FEEL THAT A COMBINATION OF AGENTS WILL BE REQUIRED TO EFFECTIVELY TREAT MEUD, ADDRESSING MULTIPLE NEUROTRANSMITTER SYSTEMS SIMULTANEOUSLY. WHILE MANY AGENTS THAT HAVE SHOWN PROMISE ARE ANTI-DEPRESSANT MEDICATIONS, GLP-1 AGENTS HAVE SIGNIFICANT POTENTIAL PROMISE AND AN ENTIRELY DISTINCT MECHANISM OF ACTION. GLP-1 AGONISTS, AND SEMAGLUTIDE IN PARTICULAR, HAVE DEMONSTRATED A MARKED ABILITY TO REDUCE CRAVING FOR PEOPLE WITH SUBSTANCE USE DISORDERS. CRAVING IS A MAJOR COMPONENT OF MEUD AND REDUCING THIS COMPONENT MAY HAVE A SIGNIFICANT IMPACT ON METHAMPHETAMINE USE. SOME CONCERNS EXIST IN THE USE OF GLP-1 AGONISTS IN THIS POPULATION, MOST NOTABLY THE WEIGHT LOSS INDUCED BY GLP-1 AGONISTS, GIVEN THE FACT THAT SOME PEOPLE WITH MEUD ARE SIGNIFICANTLY UNDERWEIGHT. HOWEVER, THIS WEIGHT LOSS MAY BE A BENEFIT FOR THE SUBSTANTIAL PROPORTION OF PEOPLE WITH MEUD WHOSE METHAMPHETAMINE USE IS AT LEAST PARTIALLY DRIVEN BY WEIGHT LOSS OR WEIGHT CONTROL BENEFITS. ABSTENTION FROM METHAMPHETAMINE USE IS ASSOCIATED WITH SUBSTANTIAL WEIGHT GAIN, WHICH MAY BE PREVENTED BY GLP-1 AGONIST TREATMENT. WE PROPOSE A TWO-PHASE STUDY OF SEMAGLUTIDE FOR MEUD. IN THE FIRST PHASE, WE WILL CONDUCT AN OPEN-LABEL SINGLE-ARM PHASE IIA TRIAL OF SEMAGLUTIDE FOR MEUD. IF THE ELIGIBLE:ENROLLMENT RATIO, MEDICATION ADHERENCE, AND WILLINGNESS TO CONTINUE THERAPY MEET PRESPECIFIED LEVELS, AND THERE IS EVIDENCE OF REDUCED METHAMPHETAMINE USE, WE WILL PROCEED TO A PHASE IIB PLACEBO-CONTROLLED RANDOMIZED TRIAL OF SEMAGLUTIDE VERSUS PLACEBO TO DETERMINE THE EFFICACY OF THIS MEDICATION IN ACHIEVING A CLINICALLY-MEANINGFUL REDUCTION IN METHAMPHETAMINE USE. THESE STUDIES WILL BE DONE UNDER FDA IND, IN ORDER TO ALLOW FOR POTENTIAL FUTURE STUDIES THAT COULD LEAD TO A NEW INDICATION FOR SEMAGLUTIDE AS THE FIRST MEDICATION APPROVED FOR MEUD.

ATRIUM HEALTH, DBA CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY, PROPOSES TO IMPLEMENT THE CITY OF CHARLOTTE AND ATRIUM HEALTH HOSPITAL- BASED VIOLENCE INTERVENTION PROGRAM. UTILIZING A TRAUMA-INFORMED APPROACH, THIS PROGRAM IS DESIGNED TO REDUCE TRAUMA RECIDIVISM AMONG PATIENTS WHO ARE VICTIMS OF COMMUNITY AND INTERPERSONAL VIOLENCE. THE HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) UTILIZES INNOVATIVE TOOLS TO WORK WITH PATIENTS TO IDENTIFY SOCIAL AND HEALTHCARE NEEDS, SET RESPONSIVE PERSONAL GOALS, AND MAKE CONNECTIONS TO TAILORED SUPPORT FROM CLINICAL AND COMMUNITY-BASED ORGANIZATIONS (CBOS). PROJECT ACTIVITIES INCLUDE CONNECTING PATIENTS WITH INTENSIVE CASE MANAGEMENT TO ADDRESS SOCIAL DETERMINANTS OF HEALTH WITHIN THE HOSPITAL SYSTEM AND OUTSIDE THE HOSPITAL, EQUIPPING HEALTHCARE PROVIDERS WITH THE SKILLS TO ADDRESS VIOLENCE-RELATED INJURIES AND RECIDIVISM, ENHANCING THE HOSPITAL SYSTEM REFERRAL NETWORK, ESTABLISHING PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, AND CONDUCTING SOCIAL DETERMINANT OF HEALTH INTERVIEWS WITH ALL PROGRAM PARTICIPANTS. EXPECTED OUTCOMES INCLUDE A REDUCTION IN RECIDIVISM, AN INCREASE IN REFERRALS FOR SOCIAL DETERMINANT OF HEALTH NEEDS FOR PROGRAM PARTICIPANTS, TRAINING FOR HEALTHCARE PROVIDERS TO RECOGNIZE THE SIGNS OF RECURRING VIOLENCE, THE DEVELOPMENT OF PROTOCOLS TO ADDRESS THE SPECIFIC NEEDS OF PATIENTS WITH VIOLENT INJURIES, AN INCREASE IN PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, AND A STREAMLINED REFERRAL PROCESS TO ENSURE SEAMLESS SUPPORT FOR PROGRAM PARTICIPANTS. THE INTENDED BENEFICIARIES OF THE PROJECT ARE PATIENTS WHO ENTER OUR LEVEL 1 TRAUMA CENTER FOR VIOLENT, PENETRATING INJURIES SURROUNDING INTERPERSONAL COMMUNITY VIOLENCE.

141051008 109527280001600 HADDON AVE

HUMANITARIAN RELIEF TO CENTRAL ASIA TAJIKISTAN AND KYRGYZSTAN FY 2013

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS CONTINUATION OVW RURAL PROGRAM PROJECT, THE KOOTENAI HEALTH FOUNDATION, IN PARTNERSHIP WITH SAFE PASSAGE CHILDREN'S ADVOCACY CENTER AND THE NORTHWEST HOSPITAL ALLIANCE, WILL IMPLEMENT KOOTENAI HEALTHS SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. THIS SANE PROJECT ADDRESSES THE FOLLOWING PURPOSE AREAS: 1, 2, 3, AND 4 FOR BENEWAH, BONNER, BOUNDARY, CLEARWATER, IDAHO, KOOTENAI, LATAH, LEWIS, NEZ PERCE, AND SHOSHONE COUNTIES. SPECIFIC PROJECT ACTIVITIES WILL INCLUDE: 1) PROVIDING 24/7 MEDICAL FORENSIC EXAMS AND TRAUMA-INFORMED MEDICAL CARE FOR ADULT SURVIVORS; 2) PROVIDING CHILD-FOCUSED FORENSIC EXAMS AND CHILD-FRIENDLY FORENSIC INTERVIEWS; 3) PROVIDING ADVOCACY AND REFERRALS FOR BEHAVIORAL HEALTH, LEGAL SERVICES AND VICTIM SUPPORT AGENCIES; AND 4) PROVIDING TRAINING AND OUTREACH TO RURAL HEALTHCARE PROVIDERS, LAW ENFORCEMENT, AND ADVOCACY ORGANIZATIONS.

PROJECT HOPE- SHANGHAI CHILDREN''S MEDICAL CENTER

DIGNITY HEALTH HUMAN TRAFFICKING VICTIM RESPONSE HOSPITAL PILOT - BAKERSFIELD

SHORT-TERM CLINICAL DETERIORATION AFTER ACUTE PULMONARY EMBOLISM

CALIFORNIA EHS-NET FOOD PROJECT- REDUCING THE RISK OF FOOD ALLERGIC EPISODES AT RETAIL FOOD ESTABLISHMENTS

THE AFFORDABLE CARE ACT: MCV/PCV & PERTUSSIS

SUICIDE AWARENESS FOR EVERYONE AND TREATMENT (SAFE-T) - COREWELL HEALTH EAST’S (CHE) PROJECT S.A.F.E.-T. (SUICIDE AWARENESS FOR EVERYONE AND TREATMENT) IS DESIGNED REDUCE IDEATION, ATTEMPTS, AND DEATHS DUE TO SUICIDE IN INDIVIDUALS AGED 25 AND OLDER IN MICHIGAN’S WAYNE, MACOMB, AND OAKLAND COUNTIES BY RAISING AWARENESS, PROVIDING JOB-RELATED TRAINING IN SUICIDE PREVENTION, AND BY STANDARDIZING THE ASSESSMENT TOOLS IN SCREENING FOR SUICIDE RISK. PROJECT SAFE-T WILL FOCUS ON PARTICULARLY HIGH-RISK POPULATIONS, INCLUDING INDIVIDUALS WHO ARE LGBTQI+, OF ARAB OR MIDDLE EASTERN DESCENT, AFRICAN AMERICAN, AMERICAN INDIAN, UNEMPLOYED, OR THOSE LIVING IN POVERTY WITHIN ITS 596 LOCATIONS. THROUGH PROJECT SAFE-T, CHE WILL PROMOTE A SYSTEM-WIDE CULTURAL SHIFT AROUND ISSUES OF BEHAVIORAL HEALTH AND SUICIDE, AND BRIDGE CULTURAL GAPS TO ADDRESS THREE CORE ISSUES: 1) LACK OF SYSTEM-WIDE BEHAVIORAL HEALTH APPROACH TO MENTAL HEALTH AND SUICIDE; 2) LACK OF PERSONNEL AND CULTURALLY RESPONSIVE TRAINING AND DEVELOPMENT TO DEAL WITH SPECIAL POPULATIONS AND SUICIDE RISK; 3). LACK OF COHESIVE DATA COLLECTION AND ANALYSIS TO INFORM COMMUNICATION & STRATEGIC DECISION MAKING. PROJECT SAFE-T IS AN EVIDENCE-BASED, TRAUMA-INFORMED, RECOVERY-FOCUSED, AND EQUITABLE AND ACCESSIBLE. THROUGH PROJECT SAFE-T, CHE WILL ACHIEVE THE FOLLOWING OBJECTIVES: 1) TO DECREASE THE NUMBER OF SUICIDE DEATHS OF INDIVIDUALS AGE 25 AND OLDER SERVED IN THE CHE SYSTEM BY 10% OVER THE BASELINE BY THE END OF YEAR ONE, AND BY AN ADDITIONAL 2% OVER THE PREVIOUS YEAR EACH SUBSEQUENT YEAR BY THE END OF YEAR FIVE. 2) TO REDUCE THE NUMBER OF NON-FATAL SUICIDE ATTEMPTS BY INDIVIDUALS 25 AND OLDER SERVED IN THE CHE SYSTEM BY 10% OVER THE BASELINE BY THE END OF YEAR ONE, AND BY AN ADDITIONAL 2% OVER THE PREVIOUS YEAR EACH SUBSEQUENT YEAR BY THE END OF YEAR FIVE. 3) TO HIRE ALL KEY PERSONNEL TO IMPLEMENT THE CREATION AND DEVELOPMENT OF THE CHE BEHAVIORAL HEALTH DEPARTMENT BY THE END OF FIRST YEAR. 4) TO SUPPORT THE SUSTAINABILITY OF THE ZERO SUICIDE MODEL AND OTHER MENTAL HEALTH CARE ACTIVITIES WITHIN THE 596 CHE SYSTEM LOCATION GENERAL OPERATING BUDGETS BY THE END OF YEAR FIVE. 5) TO TRAIN 165 HEALTHCARE PROFESSIONALS WITHIN THE CHE SYSTEM IN THE ZERO SUICIDE MODEL AND OTHER MENTAL HEALTH SUPPORT INITIATIVES BY THE END OF YEAR TWO. 6) TO SCREEN AT LEAST 3,800 INDIVIDUALS AGE 25 AND OLDER FOR SUICIDE RISK AND MENTAL HEALTH NEEDS EACH YEAR FOR FIVE YEARS AS A MEASURABLE RESULT OF THE ZERO SUICIDE INITIATIVE. 7) TO DELIVER EVIDENCE-BASED MENTAL HEALTH SERVICES TO AT LEAST 3,800 INDIVIDUALS AGE 25 AND OLDER EACH YEAR FOR FIVE YEARS AS A MEASURABLE RESULT OF THE ZERO SUICIDE INITIATIVE. 8) TO REFER AT LEAST 300 INDIVIDUALS IN IDENTIFIED, HIGH-RISK SUB-POPULATIONS OF ARAB/MIDDLE EASTERN, AFRICAN AMERICAN/BLACK, AMERICAN INDIAN, LGBTQI+, POVERTY, AND UNEMPLOYED FOR MENTAL HEALTH AND RELATED SERVICES AS A MEASURABLE RESULT OF THE ZERO SUICIDE INITIATIVE TO CHE’S “BRIDGE THE GAP” PROGRAM AND CMH PARTNERS. 9) TO DECREASE TIME FROM ADMISSION TO DISPOSITION BY 10% IN THE FIRST YEAR AND 2% IN SUBSEQUENT YEARS FOR 100% OF INDIVIDUALS WHO SCREEN POSITIVE FOR SUICIDE RISK. 10) TO ENSURE THE COMPOSITION OF A DIVERSE, EQUITABLE, AND INCLUSIVE ZERO SUICIDE IMPLEMENTATION TEAM, INCLUDING AT LEAST TWO INDIVIDUALS WHO HAVE ATTEMPTED SUICIDE OR FAMILY MEMBERS WHO HAVE LOST A LOVED ONE TO SUICIDE. 11) TO COMPLETE ANNUAL EVALUATIONS AS A PART OF AN ONGOING PROJECT IMPROVEMENT PLAN AND FOR CHE LEADERSHIP TO COMMUNICATE THEIR FINDINGS AND RECOMMENDATIONS EACH YEAR FOR FIVE YEARS.

TELEHEALTH NETWORK GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

IMPLEMENT AN INTEGRATED STATEWIDE NETWORK TO DELIVER SUSTAINABLE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS

SURVIVOR ADVOCATES IN HEALTHCARE

IMPLEMENTING NEW DIRECTIONS IN HIV PREVENTION IN SAN FRANCISCO: A COMPREHENSIVE

ARRA - CAPITAL IMPROVEMENT PROGRAM

CAROL M. WHITE PHYSICAL EDUCATION PROGRAM

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

SUBSTANCE USE OUTCOMES OF OPIOID DOSE REDUCTION AND DISCONTINUATION

PROJECT HOPE- SHANGHAI

PHASTT: A MOBILE PERSONALIZED HIV AND STI TESTING TOOL FOR YOUNG BLACK MEN

SUSTAINABLE WELLNESS HUBS FOR CDSME DELIVERY IN FLORIDA

STRENGTHENING USAID'S CAPACITY TO RESPOND TO VECTOR BONE DISEASES

2017 VECTOR BORNE DISEASE PREVENTION PROGRAM AT LASSEN VOLCANIC NATIONAL PARK

HEALTH CENTER INFRASTRUCTURE SUPPORT

2020 ASHA GRANT COMMODITIES PROJECT

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT

COMPREHENSIVE TRAUMA TRAINING OF UNITED STATES SPECIAL OPERATIONS COMMAND'S AUSTERE RESUSCITATIVE SURGICAL TEAMS THROUGH MILITARY-CIVILIAN PARTNERSHIPS AT ATRIUM HEALTH'S CAROLINA MEDICAL CENTER - ATRIUM HEALTH (AH) MAINTAINS AN ACTIVE MEDICAL TRAINING AGREEMENT (MTA) WITH THE UNITED STATES ARMY SPECIAL OPERATIONS COMMAND (USASOC) TO TRAIN, EDUCATE, AND INTEGRATE INTO CLINICAL OPERATIONS FOUR (4) TEN-PERSON AUSTERE RESUSCITATIVE SURGICAL TEAMS (ARSTS). THE GOAL OF THIS PROJECT IS TO PROVIDE COMPREHENSIVE HIGH-QUALITY TRAUMA TRAINING AND SUSTAINMENT OF HIGHLY PERISHABLE, MISSION ESSENTIAL MEDICAL SKILLS FOR THESE ACTIVE-DUTY DEPARTMENT OF DEFENSE ARSTS, WHILE ALSO ADVANCING MILITARY AND CIVILIAN PARTNERSHIPS NATIONWIDE. THE PROJECT OBJECTIVES ARE TO: 1) FULLY INTEGRATE FOUR USASOC ARSTS INTO AH CAROLINAS MEDICAL CENTER LEVEL I TRAUMA CENTER; 2) DEVELOP, IMPLEMENT, AND EVALUATE A COMPREHENSIVE TRAUMA TRAINING CURRICULUM THROUGH HIGH-FIDELITY SIMULATION, FORMAL COURSEWORK, AND HIGH-ACUITY CLINICAL PRACTICE; AND 3) DEVELOP A ROBUST INFRASTRUCTURE FOR ADVANCEMENT OF MILITARY-CIVILIAN PARTNERSHIPS, INTERNALLY AND NATIONALLY. THE EXPECTED OUTCOMES OF THIS PROJECT ARE: 1) IMPROVED OPERATIONAL READINESS AND TRAUMA RESUSCITATION CAPABILITIES OF USASOC SURGICAL TEAMS AS MEASURED BY INDIVIDUAL CRITICAL TASK LISTS (ICTLS) AND MEDICAL JOINT KNOWLEDGE SKILLS AND ABILITIES (MED-JKSA) WITH SUSTAINMENT OF HIGHLY PERISHABLE MISSION ESSENTIAL MEDICAL SKILLS FOR AUSTERE ENVIRONMENTS; AND 3) VALUE DETERMINATION OF MILITARY-CIVILIAN PARTNERSHIPS AND PUBLICATION OF BEST PRACTICES. THE PRODUCTS ARE: 1) FORMALIZED COMPREHENSIVE TRAUMA TRAINING CURRICULA FOR SPECIAL OPERATIONS COMBAT MEDICS AND MEDICAL OFFICERS; 2) ANNUAL REPORTS OF SPECIALTY-BASED CLINICAL EMPLOYMENT AND WORK METRICS FOR MILITARY PERSONNEL; 3) DATA ASSESSMENT OF SPECIALTY-SPECIFIC ICTLS AND MED-JKSA; AND 4) ABSTRACTS AND ARTICLES FOR PUBLICATION OF MILITARY-CIVILIAN PARTNERSHIPS.

NATIONAL ANTIMICROBIAL RESISTANCE MONITORING SYSTEM (NARMS) RETAIL FOOD SURVEILLANCE IN SELECTED URBAN AREAS OF NORTHERN CALIFORNIA.

- TO PROVIDE INCREMENTAL FUNDING IN THE AMOUNT OF $445,000.00 THEREBY INCREASING THE TOTAL OBLIGATED AMOUNT FROM - $336,900.00 TO $1,781,900.00; AND

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

FY 10 NEW GRANT - WUHAN UNIVERSITY

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES BY ENCOURAGING COLLABORATION AMONG VICTIM SERVICE PROVIDERS, LAW ENFORCEMENT AGENCIES, PROSECUTORS, COURTS, OTHER CRIMINAL JUSTICE SERVICE PROVIDERS, HUMAN AND COMMUNITY SERVICE PROVIDERS, EDUCATIONAL INSTITUTIONS, AND HEALTH CARE PROVIDERS; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS NEW OVW RURAL PROGRAM PROJECT, SATILLA HEALTH FOUNDATION, INC, IN PARTNERSHIP WITH RUTHS COTTAGE AND THE PATTICAKE HOUSE LATINO OUTREACH PROGRAM, WILL IMPLEMENT RUTHS COTTAGE AND THE PATTICAKE HOUSE LATINO OUTREACH PROGRAM. THIS PROJECT ADDRESSES THE FOLLOWING PURPOSE AREAS: 1, 2, AND 3IN THE RURAL COUNTIES OF BACON BRANTLEY, CHARLTON, COFFEE, PIERCE, AND WARE, WITH A PROPOSED EXPANSION OF SERVICES IN ATKINSON AND CLINCH COUNTIES. SPECIFIC ACTIVITIES WILL INCLUDE: 1) EXPANDING ORGANIZATIONAL CAPACITY BY HIRING A PROGRAM MANAGER AND A PROJECT MANAGER TO ENHANCE OUTREACH AND AWARENESS ACTIVITIES AND PROVIDE SUPPORTIVE VICTIM SERVICES AND CRISIS INTERVENTION, WITH A FOCUS ON THE EXPANSION AND TARGET POPULATIONS; 2) ESTABLISHING A SATELLITE OFFICE IN ATKINSON OR CLINCH COUNTIES TO PROVIDE SANE EXAMS, FORENSIC INTERVIEWS, AND SUPPORTIVE SERVICES; 3) ADDING A CONTRACTED SANE NURSE TO PROVIDE ON-CALL COVERAGE, ESPECIALLY WITHIN EXPANSION COMMUNITIES; EXPAND SART TEAM TO COVER SERVICES IN CLINCH AND ATKINSON COUNTIES; 4) PARTNERING WITH RUTHS COTTAGE LATINO OUTREACH PROGRAM TO IMPROVE SKILLS AND CAPACITY FOR HISPANIC OUTREACH AND SERVICES, CONTRACT WITH A PREVENTION EDUCATION CONSULTANT TO EXPAND OUTREACH AND SERVICES, BILINGUAL COMMUNITY AWARENESS AND PREVENTION COORDINATOR TO FACILITATE LATINO OUTREACH PROGRAM IN HISPANIC COMMUNITY; 5) PROVIDING COMMUNITY TRAINING IN SPANISH; AND 6) PROVIDING OUTREACH AND PROMOTIONAL MATERIALS IN SPANISH. THE PROJECT WILL ADDRESS PRIORITY AREA 2: PREVENT AND END SEXUAL ASSAULT. THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. WITH THIS NEW RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING GRANT AWARD, ST. PETERS HEALTH FOUNDATION, IN PARTNERSHIP WITH THE FRIENDSHIP CENTER OF HELENA, INC., AND THE LEWIS AND CLARK COUNTY CHILD ADVOCACY CENTER OF AWARE, WILL IMPLEMENT A SEXUAL ASSAULT VICTIM SERVICES PROJECT FOR THE RURAL MONTANA COUNTIES OF LEWIS AND CLARK, BROADWATER, JEFFERSON, MEAGHER, AND POWELL. SPECIFIC ACTIVITIES WILL INCLUDE: 1) EXPANDINGAND ENHANCINGTHE FORENSIC NURSE PROGRAM TO SERVE MORE SURVIVORS OF SEXUAL ASSAULT; 2) STRENGTHENING EFFORTS TO PREVENT AND END SEXUAL ASSAULT IN COLLABORATION WITH THE LOCAL SEXUAL ASSAULT RESPONSE TEAM (SART); 3) ESTABLISHING COMMUNITY-WIDE PROTOCOLS WITH THE SART FOR SERVING TRADITIONALLY UNDERSERVED POPULATIONS THE SERVICE AREAS; 4) PROVIDINGADDITIONAL EDUCATION AND OUTREACH TO THE COMMUNITY ABOUT SEXUAL ASSAULT, SEXUAL ASSAULT PREVENTION, AND WHAT SERVICES ARE AVAILABLE AFTER EXPERIENCING AN ASSAULT; AND 5) DELIVERING ONGOINGTRAINING FOR FORENSIC NURSES. THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

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

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

PREP BLUEPRINT: EVALUATING IMPLEMENTATION OF A PREP CHOICE BLUEPRINT ON PREP UPTAKE AND PERSISTENCE - PROJECT SUMMARY/ABSTRACT PREP BLUEPRINT IS A PROJECT DESIGNED TO CREATE A BLUEPRINT TO ASSIST CLINICS CURRENTLY OFFERING PREP IN SCALING UP THESE EFFORTS AND OFFERING ALL TYPES OF PREP OPTIONS TO PERSONS WHO MAY BENEFIT FROM PREP. THE STUDY WILL TAKE PLACE IN TWO PHASES. IN THE FIRST PHASE (AIM 1, YEAR 1), WE WILL ASSEMBLE AND ADAPT THE PREP BLUEPRINT WITH CLIENT, CLINIC STAFF, AND COMMUNITY STAKEHOLDER INPUT. WE WILL DO THIS THROUGH HUMAN CENTERED DESIGN (HCD) WITH CLIENT AND CLINIC STAFF IN SAN FRANCISCO, CALIFORNIA AND BIRMINGHAM, ALABAMA TO IDENTIFY IMPLEMENTATION BARRIERS IN SCALING UP PREP AND WHICH STRATEGIES WOULD BE DESIRED, FEASIBLE, AND CLIENT-CENTERED TO BEST ADDRESS THE NEEDS OF POTENTIAL OR CURRENT PREP USERS. WE WILL CONDUCT THREE HALF-DAY WORKSHOPS WITH 10 CLIENTS, AND 20 STAFF AT EACH OF TWO CLINICS, A COMMUNITY SEXUAL HEALTH CLINIC IN SAN FRANCISCO, AND A UNIVERSITY INFECTIOUS DISEASE CLINIC IN BIRMINGHAM. THE GOAL OF THESE HCD WORKSHOPS IS TO BRAINSTORM NEW IDEAS (IDEATION WORKSHOP) TO IMPROVE PREP IMPLEMENTATION WITHIN THE CLINICAL CONTEXT; DEVELOP POTENTIAL STRATEGIES (PROTOTYPING WORKSHOP) TO ADDRESS THE IMPLEMENTATION CHALLENGES; AND REVIEW THE PROTOTYPES IDENTIFY THE SOLUTIONS WHICH ARE MOST ACCEPTABLE, FEASIBLE, AND EFFICIENT (TESTING WORKSHOP) PRIOR TO IMPLEMENTATION. THROUGH THESE HCD ACTIVITIES WE WILL DETERMINE WHAT IS FEASIBLE FOR EACH OF THE CLINICS TO IMPLEMENT, AND WHAT CLIENT-FACING (E.G., PREP DECISION SUPPORT TOOL TO HELP PEOPLE SELECT THE TYPE OF PREP THAT BEST SUITS THEIR NEEDS) AND CLINIC-FACING RESOURCES (E.G., WORK FLOW TEMPLATES, PROVIDER EDUCATIONAL MATERIALS, INSURANCE FLOWSHEETS, VISIT-TYPE PROTOCOLS) WOULD BEST SERVE THE NEEDS OF THE CLINICS. WE WILL ALSO ESTABLISH AND CONSULT WITH A STAKEHOLDER ADVISORY BOARD TO DISCUSS THE HCD, BRAINSTORM STRATEGIES TO REACH A BROADER NUMBER OF PERSONS IN THE PRIORITY POPULATIONS, AND TO PROVIDE ONGOING FEEDBACK ON THE STUDY IMPLEMENTATION. IN PHASE 2 (AIMS 2 & 3, YEARS 2-5), WE WILL LAUNCH THE PREP BLUEPRINT IN THESE 2 CLINICS AND ASSESS THEIR IMPLEMENTATION AND IMPACT USING THE RE-AIM FRAMEWORK (REACH, EFFECTIVENESS, ADOPTION, IMPLEMENTATION, AND MAINTENANCE). WE WILL MEASURE THESE OUTCOMES THROUGH SURVEYS EVERY 6 MONTHS WITH STAFF AND CLIENTS; INTERVIEWS WITH STAFF; AND EXTRACTING DATA FROM THE ELECTRONIC MEDICAL RECORDS. AT THE END OF THIS PROJECT, WE WILL HAVE AN ADAPTABLE PREP BLUEPRINT THAT WILL CONTAIN MULTIPLE FEATURES THAT A VARIETY OF CLINICS IN THE US COULD USE TO INCREASE THE NUMBER OF PERSONS STARTING AND STAYING ON PREP.

YOUNG BREAST CANCER SURVIVORS SUPPORT INITIATIVE

HEALTH CENTER INFRASTRUCTURE SUPPORT

SAFE HAVEN FOR MENTAL HEALTH SERVICES PROJECT

CALIFORNIA ENVIRNOMENTAL HEALTH SPECIALIST NETWORK

BEHAVIORAL SAFETY AND FENTANYL EDUCATION: BSAFE - FENTANYL OVERDOSE MORTALITY HAS SKYROCKETED OVER THE PAST DECADE. MOST OF THESE DEATHS ALSO INVOLVE STIMULANTS (COCAINE OR METHAMPHETAMINE). MULTIPLE INVESTIGATIONS HAVE DEMONSTRATED A SUBSTANTIAL CONTRIBUTION OF UNINTENTIONAL FENTANYL USE (UFU) TO MEDICALLY-ATTENDED OPIOID OVERDOSE AND OPIOID OVERDOSE MORTALITY. THIS MOSTLY OCCURS AMONG PEOPLE USING STIMULANTS (COCAINE OR METHAMPHETAMINE). WHILE CONTAMINATION OF DRUGS CONTRIBUTES TO UFU, THE MECHANISM IS USUALLY RELATED TO HOW DRUGS ARE OBTAINED, PREPARED, AND CONSUMED (E.G., FINDING A DRUG THAT IS ASSUMED TO BE A STIMULANT, LETTING SOMEONE ELSE PREPARE A DRUG FOR USE, OR USING A PIPE THAT WAS USED BY SOMEONE ELSE). THIS MECHANISM OF RISK CAN BE READILY INTERVENED UPON WITH BEHAVIORAL AND EDUCATIONAL STRATEGIES. WE PROPOSE TO ADAPT A SUCCESSFUL OPIOID OVERDOSE PREVENTION INTERVENTION TO ADDRESS UFU AMONG PEOPLE WHO USE STIMULANTS AND DO NOT INTENTIONALLY USE OPIOIDS AND ADAPT THAT INTERVENTION TO ENSURE ACCEPTABILITY AMONG HIGH-RISK PERSONS. THE REPEATED-DOSE INTERVENTION, B-SAFE, WILL FOCUS ON DEVELOPING AN INDIVIDUALIZED UFU PREVENTION PLAN, AUGMENTED WITH WEEKLY SMS REMINDERS AND LINKAGE TO CARE FOR STIMULANT USE TREATMENT. WE WILL TEST THE INTERVENTION AGAINST USUAL CARE (REFERRALS TO LOW-THRESHOLD SERVICES AND TREATMENT, ON-SITE ACCESS TO OVERDOSE PREVENTION SUPPLIES) WITH ATTENTION CONTROL IN A RANDOMIZED-CONTROLLED TRIAL OF 160 PERSONS SEEN EVERY 4 MONTHS OVER 16 MONTHS. RESULTS FROM THIS TRIAL, CONDUCTED AT THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, WILL ALLOW US TO EVALUATE A CRITICAL INTERVENTION TO REDUCE FENTANYL OVERDOSE AND RESULTANT DEATH AMONG A POPULATION THAT SHOULD NOT BE EXPERIENCING OPIOID OVERDOSE AT ALL. IF THE INTERVENTION PROVES EFFECTIVE, THE HEALTH DEPARTMENT IS WELL-POSITIONED TO CONTINUE PROVIDING THE SERVICE.