Care Clinic Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE IV PROGRAM

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER PROGRAM

THE ALL-STARS PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS,

PROJECT I AM: HIV PREVENTION FOR YOUNG AFRICAN AMERICAN MEN WHO HAVE SEX WITH MEN

HEALTH CENTER PROGRAM

MINORITY HIV INITIATIVE OF KANSAS CITY: A SYNDEMIC APPROACH - KANSAS CITY CARE CLINIC DBA KC CARE HEALTH CENTER (KC CARE) SEEKS TO EXPAND THE BREADTH AND DEPTH OF OUR HIV SERVICES THROUGH FUNDING FROM SAMHSA'S "MINORITY AIDS INITIATIVE: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS." AS A RYAN WHITE RECIPIENT SINCE 1993, KC CARE POSSESSES BOTH THE EXPERIENCE AND THE INFRASTRUCTURE NECESSARY TO ENSURE SUCCESSFUL STEWARDSHIP OF THE FUNDS REQUESTED. THIS AWARD WILL SUPPORT ON-SITE RAPID HIV AND HEPATITIS C TESTING, CONDUCTED BOTH IN OUR CLINICAL SPACES AND ON A WALK-IN BASIS BY PREVENTION SPECIALISTS. HEPATITIS B TESTING WILL BE AVAILABLE THROUGH OUR CLINIC. AS INJECTION DRUG USE IS A MAJOR CONTRIBUTING FACTOR TO HIV AND VIRAL HEPATITIS, KC CARE WILL FOCUS THIS WORK ON PATIENTS WHO ACCESS OUR HARM REDUCTION SERVICES, PARTICULARLY THOSE WHO IDENTIFY AS BLACK, INDIGENOUS, OR PEOPLE OF COLOR (BIPOC) AND/OR LGBTQ+. KC CARE ALSO CONDUCTS TESTING ON AN OUTREACH BASIS AT NUMEROUS COMMUNITY LOCATIONS, INCLUDING SHELTERS FOR THE UNHOUSED, LONG-TERM STAY HOTELS, PUBLIC LIBRARIES, CHARITABLE NUTRITION ORGANIZATIONS, AND MORE. PEOPLE WHO TEST REACTIVE AT KC CARE, DURING AN OUTREACH EVENT, OR AT ONE OF OUR PARTNER TESTING SITES WILL IMMEDIATELY BE PUT INTO CONTACT WITH A LINKAGE-TO-CARE COORDINATOR. LINKAGE-TO-CARE COORDINATORS ARE AVAILABLE 24/7 AND RESPOND IN REAL TIME TO NEW DIAGNOSES OF HIV AND ENSURE PATIENTS WHO TEST REACTIVE ARE LINKED TO CONFIRMATORY TESTING. WHEN AN HIV DIAGNOSIS IS CONFIRMED, THE LINKAGE-TO-CARE COORDINATOR PROVIDES ALL NECESSARY REFERRALS FOR MEDICAL CARE, CONNECTS THE PATIENT TO A PEER EDUCATOR, AND PROVIDES INTENSIVE CASE MANAGEMENT FOR THE FIRST 90 DAYS AFTER THE PATIENT'S DIAGNOSIS. KC CARE'S LINKAGE-TO-CARE COORDINATORS WORK TO ENSURE PEOPLE NEWLY DIAGNOSED ARE LINKED TO CARE WITHIN 30 DAYS; HOWEVER, KC CARE'S RAPID START PROGRAM ENSURES MANY PEOPLE LEAVE OUR FACILITY WITH ANTIRETROVIRAL MEDICATION THE SAME DAY THEY TEST REACTIVE. THIS EVIDENCE-BASED PRACTICE DRAMATICALLY INCREASES THE LIKELIHOOD THAT PEOPLE WHO ARE NEWLY DIAGNOSED WILL BE ABLE TO ACHIEVE VIRAL SUPPRESSION QUICKLY. ONCE SOMEONE NEWLY DIAGNOSED WITH HIV COMPLETES THEIR FIRST 90 DAYS OF TREATMENT, THEY WILL TRANSITION TO ONE OF KC CARE'S MEDICAL CASE MANAGERS. CASE MANAGERS ARE ASSIGNED TO BEST MEET THE NEEDS OF EACH INDIVIDUAL PATIENT. BOTH LINKAGE-TO-CARE COORDINATORS AND CASE MANAGERS ALSO HELP PATIENTS ACCESS ORAL AND BEHAVIORAL HEALTHCARE THROUGH KC CARE, AND BEHAVIORAL HEALTH CONSULTANTS RESPOND IN REAL TIME TO PATIENTS WITH AND WITHOUT HIV WHO EXHIBIT SIGNS OR DISCLOSE SYMPTOMS DURING MEDICAL AND DENTAL APPOINTMENTS. KC CARE'S THERAPISTS ARE EXPERIENCED AT PROVIDING TREATMENT FOR PATIENTS WHO WISH TO DECREASE OR DISCONTINUE THEIR SUBSTANCE USE, AND WE ARE WORKING TO INCREASE THE AVAILABILITY OF MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER. THOSE WHO TEST REACTIVE FOR VIRAL HEPATITIS WILL SIMILARLY RECEIVE REFERRALS TO KC CARE'S PRIMARY CARE PROGRAM FOR TREATMENT. KC CARE OPERATES ONE OF THE MOST ROBUST VIRAL HEPATITIS TREATMENT CLINICS IN THE REGION. PATIENTS WHO ATTEND CLINICAL VISITS AT KC CARE AND DO NOT HAVE HIV BUT DISCLOSE BEHAVIORS THAT INCREASE THEIR LIKELIHOOD OF ACQUIRING HIV WILL BE REFERRED TO THE PREP NAVIGATOR. THE PREP NAVIGATOR WILL RESPOND IN REAL TIME WHENEVER POSSIBLE. KC CARE STAFF ARE ALSO KNOWLEDGEABLE ABOUT PEP AND CAN LINK PATIENTS TO MEDICATION QUICKLY THROUGH OUR ON-SITE PHARMACY. THIS STATUS-NEUTRAL APPROACH ENSURES PATIENTS WHO VISIT KC CARE WILL RECEIVE THE KNOWLEDGE AND CARE NECESSARY TO LIVE A HEALTHY AND FULFILLING LIFE, WITH OR WITHOUT HIV. THIS IS CRITICAL TO "ENDING THE HIV EPIDEMIC," A PRIMARY CONCERN OF KC CARE, AS MISSOURI IS LISTED AS ONE OF THE PRIMARY JURISDICTIONS.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

THE HARM REDUCTION COALITION OF KANSAS CITY - THE HARM REDUCTION COALITION OF KANSAS CITY (THE COALITION) IS A PARTNERSHIP OF KC CARE HEALTH CENTER (KC CARE), FIRST CALL (FC), AND THE UNIVERSITY OF MISSOURI—KANSAS CITY (UMKC) DESIGNED TO INCREASE THE AVAILABILITY AND SCOPE OF HARM REDUCTION SERVICES THROUGHOUT THE KANSAS CITY (KC) METROPOLITAN AREA. THROUGH THESE EXPANDED HARM REDUCTION SERVICES, THE COALITION AIMS TO DECREASE THE NUMBER OF OVERDOSES AND ASSOCIATED HOSPITALIZATIONS AND DEATHS IN THE REGION; REDUCE THE SPREAD OF TRANSMISSIBLE ILLNESSES ASSOCIATED WITH SUBSTANCE USE DISORDER (SUD) AND CONSEQUENCES THEREOF; AND REDUCE HARM CAUSED BY SUD IN THE GREATER KC COMMUNITY. DATA FROM THE MISSOURI DEPARTMENT OF HEALTH AND HUMAN SERVICES REVEALS THAT IN THE FIRST HALF OF 2021, OVERDOSE DEATHS INCREASED 40% IN KC. THIS DATA ALSO REVEALS THAT BLACK RESIDENTS ARE INCREASINGLY MORE LIKELY TO EXPERIENCE OVERDOSE DEATHS COMPARED TO THEIR WHITE COUNTERPARTS. THE PARTNERSHIP HAS DETERMINED A CLEAR NEED FOR EXPANDED HARM REDUCTION SERVICES IN THE REGION AS A RESULT OF THESE ALARMING TRENDS. THE COALITION WILL PRIMARILY REACH UNDERSERVED RESIDENTS OF GREATER KC, INCLUDING BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITIES, INDIVIDUALS WITH ONE OR MORE CHRONIC HEALTH CONDITIONS OR DISABILITIES, MEMBERS OF THE LGBTQ+ COMMUNITY, AND THOSE WHO LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. WHILE THE COALITION WILL FILL GAPS IN HARM REDUCTION SERVICES FACED BY THOSE WHO BELONG TO UNDERSERVED COMMUNITIES, THE SERVICES OF THIS PARTNERSHIP WILL BE AVAILABLE TO ANYONE WHO SEEKS EDUCATION, TESTING, COUNSELING, OR CARE, REGARDLESS OF ABILITY TO PAY. THE COALITION EXPECTS TO REACH 1,325 CLIENTS IN THE FIRST YEAR OF THE INITIATIVE AND 4,900 OVER A THREE-YEAR PERIOD. THE COALITION WILL PROVIDE INTERVENTIONS THROUGH DISTRIBUTION AND EDUCATION ON THE USE OF FENTANYL TEST STRIPS AND NALOXONE. KC CARE WILL ADOPT NEW SCREENING PROCEDURES FOR SUD THROUGH THE ASSISTANCE OF UMKC, REFERRING CLIENTS WHO SCREEN POSITIVE FOR SUD TO FC TO BE LINKED WITH THEIR HARM REDUCTION SPECIALIST AND/OR RECOVERY ADVOCATE. FC WILL ADOPT NEW SCREENING PROCEDURES FOR TRANSMISSIBLE ILLNESSES ASSOCIATED WITH SUD WITH THE ASSISTANCE OF UMKC AND WILL REFER CLIENTS WHO SCREEN POSITIVE FOR TRANSMISSIBLE ILLNESSES TO KC CARE FOR TESTING, TREATMENT, AND COUNSELING. KC CARE WILL EXPAND THEIR ABILITY TO ADD GONORRHEA AND CHLAMYDIA TESTS TO THEIR RAPID TESTING PANELS. FC WILL FURTHER REFER CLIENTS TO KC CARE’S BEHAVIORAL HEALTH SERVICES IF THEY ARE SEEKING THERAPEUTIC OR PSYCHOLOGICAL SERVICES. THESE PROGRAMS WILL COMPLEMENT EXISTING EFFORTS OF THE PARTNERSHIP, SUCH AS DISTRIBUTING SAFER SEX KITS, INCREASING ACCESS TO AND EDUCATION ABOUT PREP, COMMUNITY OUTREACH AND EDUCATION INITIATIVES, RAPID HIV AND HEPATITIS C VIRUS (HCV) TESTING, HIV AND HCV PRIMARY CARE, LINKAGES TO SOCIAL AND SUPPORT SERVICES, ACCESS TO NALOXONE, AND KC CARE’S SYRINGE EXCHANGE PROGRAM.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - FOR MORE THAN 40 YEARS, THE SCIENTIFIC AND MEDICAL COMMUNITIES HAVE BEEN WORKING TO UNDERSTAND HIV/AIDS AND TO DEVELOP DIAGNOSTIC AND TREATMENT METHODS TO BRING THE EPIDEMIC UNDER CONTROL WITH THE GOAL OF ERADICATING THE ILLNESS. MANY DIAGNOSTIC AND TREATMENT ADVANCES HAVE GIVEN NEW HOPE TO THOSE WHO ARE AT RISK FOR CONTRACTING HIV AND TO THOSE WHO ARE LIVING WITH THE DISEASE, MANY OF WHOM CAN LIVE LONG, PRODUCTIVE LIVES. THE CDC’S ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA HAS IDENTIFIED 48 COUNTIES AND 7 STATES, INCLUDING KENTUCKY, WHERE HIV TRANSMISSION OCCURS MOST FREQUENTLY. WHILE THE ENTIRE STATE OF KENTUCKY HAS A HIGH HIV/AIDS BURDEN, THE DIVERSE SERVICE AREA AND HOMELESS POPULATION SERVED BY AACCC HAVE BEEN PARTICULARLY HARD HIT. SOCIAL STIGMA, LACK OF PREVENTION EDUCATION, LIMITED TESTING AND TREATMENT RESOURCES, AND A RELUCTANCE BY SOME IN THE MEDICAL COMMUNITY TO ACKNOWLEDGE THE ISSUE ALL CONTRIBUTE TO THE BARRIERS WHICH PREVENT A SYSTEMATIC APPROACH TO ADDRESSING THE HIV/AIDS EPIDEMIC. WITH THIS PCHP FUNDING, AACCC WILL CREATE PROGRAMS AND SERVICES TO INCREASE AWARENESS AND REDUCE THE STIGMA OF THE DISEASE, TEST AND COUNSEL ALL HEALTH CENTER PATIENTS AT LEAST ONCE AND DEVELOP A COMMUNITY OUTREACH PROGRAM TO EXPAND TESTING TO MORE OF THE SERVICE AREA POPULATION, IDENTIFY PEOPLE WHO COULD BENEFIT FROM PREP MEDICATIONS, AND PROVIDE HIV/AIDS CARE TO PEOPLE WHO TEST POSITIVE. AACCC IS UNIQUELY POSITIONED TO PROVIDE HIV/AIDS SERVICES TO SIX WESTERN KENTUCKY COUNTIES WHICH INCLUDE BOTH URBAN AND RURAL COMMUNITIES (DAVIESS, HANCOCK, HENDERSON, MCLEAN, OHIO AND UNION COUNTIES). AACCC IS AN ESTABLISHED FQHC WITH 46 YEARS OF EXPERIENCE WORKING WITH VULNERABLE POPULATIONS INCLUDING THE HOMELESS, AND LOW-INCOME, MINORITY URBAN AND RURAL COMMUNITIES TO EVALUATE AND RESPOND TO THEIR HEALTH CARE NEEDS. IN 2020, AACCC TREATED 722 UNIQUE INDIVIDUALS AGE15-65 LIVING IN THE SERVICE AREA, AND OVER THE NEXT SEVERAL YEARS WILL TEST AND COUNSEL BOTH E XISTING AND ALL NEW PATIENTS AT LEAST ONCE FOR HIV. OF AACCC’S EXISTING PATIENTS, 4 ARE KNOWN TO BE HIV POSITIVE AND NEARLY 200 ARE CLASSIFIED AS HIGH-RISK AND ELIGIBLE FOR PREP SERVICES, INCLUDING THOSE WHO HAVE TESTED POSITIVE FOR AN STI, THOSE LIVING WITH HEP C, AND THOSE WHO ARE INTRAVENOUS DRUG USERS. CURRENTLY, THERE ARE NO PATIENTS WHO ARE RECEIVING PREP SERVICES INDICATING AN IMMEDIATE OPPORTUNITY TO PROVIDE THIS CARE. AACCC WILL ENHANCE ITS HIGH-RISK SCREENING PROCESS TO BETTER IDENTIFY PATIENTS WHO COULD BENEFIT FROM PREP SERVICES AND WILL WORK TO ESTABLISH TREATMENT PLANS TO HELP ALL IDENTIFIED INDIVIDUALS REMAIN HIV/AIDS FREE. AACCC WILL HAVE TWO FNPS WHO ARE TRAINED AND CERTIFIED TO PROVIDE HIV SPECIFIC CARE. ALL NEWLY DIAGNOSED PATIENTS WILL BE REFERRED TO THESE FNPS AND ANY EXISTING PATIENTS WITH AN HIV DIAGNOSIS CAN CHOOSE TO RECEIVE HIV SPECIFIC CARE AT THE HEALTH CENTER. IN ADDITION, AACCC WILL PROVIDE COMMUNITY TESTING AND EDUCATION EVENTS TO REACH OTHERS IN THE SERVICE AREA WHO DO NOT USE THE HEALTH CENTER FOR PRIMARY CARE. AACCC WILL LEVERAGE ITS ESTABLISHED RELATIONSHIPS AND WILL WORK WITH OTHER COMMUNITY ORGANIZATIONS WHO SERVE POPULATIONS WHERE HIGH-RISK BEHAVIORS EXIST TO SCHEDULE TESTING EVENTS. TESTING WILL BE FREE OF CHARGE, AND INDIVIDUALS WHO SCREEN POSITIVE OR MEET THE CRITERIA FOR PREP WILL BE REFERRED TO THE HEALTH CENTER FOR FOLLOW-UP CARE. TO ENHANCE THE ORGANIZATION’S ABILITY TO DIAGNOSE AND TREAT HIV/AIDS, AACCC WILL EDUCATE ALL PROVIDERS AND STAFF ABOUT HIV/AIDS TO HELP REDUCE THE STIGMA SURROUNDING THE DISEASE, PRESCRIBING PREP, AND TREATING PATIENTS WHO TEST POSITIVE.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - DESCRIPTION OF HOW THE PROJECT 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 WITHIN 30 DAYS OF DIAGNOSIS: NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC (NHAN HOA) IS A NONPROFIT COMMUNITY-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN ORANGE COUNTY, CALIFORNIA. SINCE 1991, NHAN HOA—WHICH MEANS ‘HARMONY AMONG PEOPLE’ IN VIETNAMESE—HAS BEEN COMMITTED TO PROVIDING UNDERSERVED PATIENTS WITH QUALITY, CULTURALLY-COMPETENT HEALTHCARE SERVICES. CURRENTLY, OUR SERVICE AREA COMPRISES 421,124 RESIDENTS, WITH MORE THAN 37.7% LIVING UNDER 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). TO ADDRESS THE NEEDS OF OUR COMMUNITY, NHAN HOA WILL PROVIDE ACCESSIBLE PREP PRESCRIBING, OUTREACH, TESTING, AND WORKFORCE DEVELOPMENT ACTIVITIES THROUGH ITS COMMUNITY CLINIC, AND ALSO IN PARTNERSHIP WITH RADIAN HEALTH CENTERS, AN HIV SERVICE PROVIDER IN ORANGE COUNTY. OUR TARGET POPULATION INCLUDES AT-RISK INDIVIDUALS WHO HAVE YET TO BE TESTED/SCREENED FOR HIV; INDIVIDUALS WHO ARE HIV NEGATIVE/PARTICIPATE IN AT-RISK BEHAVIORS; AND INDIVIDUALS WHO ARE HIV POSITIVE. MANY INDIVIDUALS ARE ALSO LOW-INCOME MINORITIES WITH LIMITED/NO ENGLISH PROFICIENCY. NHAN HOA’S PROPOSED PROJECT IS POSITIONED TO (1) INCREASE THE NUMBER OF PATIENTS COUNSELED/TESTING FOR HIV; (2) INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP; AND (3) INCREASE THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT. THROUGH NEW CARE COORDINATION, TRAINING, EDUCATION, PARTNERSHIPS, SOCIAL MEDIA AWARENESS EFFORTS—COMBINED WITH ENHANCED WORKFLOWS AND ELECTRONIC HEALTH RECORD (EHR) SYSTEM UPDATES—NHAN HOA WILL FACILITATE IMPROVED HIV PREVENTION AND OTHER SUPPORTIVE SERVICES IN ORANGE COUNTY. DESCRIPTION OF HOW THE PROPOSED PROJECT WILL FOCUS ON THE TARGETED GEOGRAPHIC LOCATIONS: THE PROPOSED PROJECT WILL SERVE OUR CURRENT PATIENT BASE AND OTHER AT-RISK POPULATIONS IN ORANGE COUNTY—A PRIORITIZED LOCAT ION FOR PHASE I OF THE ‘ENDING THE HIV EPIDEMIC IN THE U.S.’ INITIATIVE. ACCORDING TO THE 2020 HIV/CONTINUUM OF HIV CARE FACT SHEETS FROM THE OC HEALTH CARE AGENCY, THERE WERE A TOTAL OF 6,548 ORANGE COUNTY RESIDENTS WHO ARE HIV-POSITIVE AND AWARE OF THEIR HIV STATUS AND 918 RESIDENTS UNAWARE OF THEIR HIV STATUS. OF THIS POPULATION, 24.3% IDENTIFY AS BLACK, 12.7% AS HISPANIC, 6.2% AS WHITE, AND 3.6% AS ASIAN—WITH ASIANS HAVING THE LOWEST PERCENTAGE OF HIV CARE LINKAGE (72.1%). OVERALL, ONLY 67.8% OF ORANGE COUNTY’S HIV-POSITIVE POPULATION HAVE EVER BEEN RETAINED IN HIV CARE. NHAN HOA WILL ADDRESS THE GAPS IN CARE SPECIFIC TO OUR COMMUNITY WITH COMPREHENSIVE PROGRAM STRATEGIES, INCLUDING NEW CLINICAL PROTOCOLS, BILINGUAL STAFF, AND MULTIMEDIA OUTREACH EFFORTS.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - REGIONAL HEALTH CARE CLINIC, INC. DBA KATY TRAIL COMMUNITY HEALTH (KTCH) WILL IMPLEMENT AN HIV PREVENTION AND TREATMENT STRATEGY IN PARTNERSHIP WITH FOUR LOCAL PUBLIC HEALTH AGENCIES COVERING FOUR COUNTIES IN WEST CENTRAL MISSOURI. THESE COUNTIES ARE: BENTON, MORGAN, PETTIS AND SALINE. THE INITIATIVE WILL ADDRESS THE NEED FOR EXPANDED SCREENING AND TESTING FOR HIV RISK AND THE NEED FOR INCREASING ACCESS TO PREP MEDICATIONS, COUNSELING AND CARE SERVICES, ALONG WITH ENABLING SERVICES TO CONNECT PATIENTS TO COMMUNITY-BASED SUPPORTS. SERVICES TO BE IMPLEMENTED INCLUDE: - ENHANCED SCREENING PROCESSES FOR ALL PATIENTS RECEIVING CARE AT THE HEALTH CENTER - ENHANCED SCREENING FOR PATIENTS SEEKING TESTING FOR SEXUALLY TRANSMITTED DISEASES THROUGH LOCAL PUBLIC HEALTH AGENCIES - HIV TESTING - OUTREACH AND EDUCATION ON HIV PREVENTION AND TREATMENT - IMPROVING WORKFORCE SKILLS TO ADDRESS HIV PREVENTION AND TREATMENT PATIENTS WHOSE SCREENING AND/OR TESTING INDICATES THEY ARE AT RISK OF CONTRACTING HIV WILL RECEIVE SUPPORTIVE SERVICES TO INCLUDE: - COMPREHENSIVE PRIMARY CARE - ENABLING SERVICES - PHARMACY REFERRAL FOR PREP OR DIRECT PROVISION OF PREP MEDICATIONS THROUGH THE HEALTH CENTER - BEHAVIORAL HEALTH CARE - HIV-SPECIFIC CARE AND TREATMENT. KTCH WILL IMPLEMENT UNIVERSAL SCREENING ACROSS ALL PATIENT GROUPS, WITH A GOAL OF REACHING PATIENTS WHO WILL BENEFIT FROM HIV PREVENTION, TESTING AND TREATMENT SERVICES, PRIMARILY: - ANY INDIVIDUAL AT RISK OF CONTRACTING HIV - ANY INDIVIDUAL WITH AN HIV DIAGNOSIS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

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

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 24 BEHAVIORAL HEALTH SERVICES EXPANSION (HRSA-24-078) APPLICANT ORGANIZATION NAME: NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC, INC. GRANT NUMBER: H80CS26622 PROJECT DIRECTOR NAME: JENNY NGUYEN, CHIEF EXECUTIVE OFFICER BRIEF DESCRIPTION OF THE PROPOSED PROJECT: NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC, INC., IS A NONPROFIT, COMMUNITY-BASED HEALTH CENTER LOCATED IN ORANGE COUNTY, CALIFORNIA. THE MISSION OF NHAN HOA (MEANING HARMONY AMONG PEOPLE IN VIETNAMESE) IS TO PROVIDE AFFORDABLE AND COMPREHENSIVE HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY, TO POPULATIONS WHO MAY OTHERWISE STRUGGLE TO ACCESS HEALTH CARE DUE TO FINANCIAL, LANGUAGE, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. TO THAT END, WE OFFER A RANGE OF PRIMARY, PREVENTIVE, AND SPECIALTY CARE SERVICES, FOCUSING ON THE MOST VULNERABLE AND DIFFICULT-TO-REACH POPULATIONS IN ORANGE COUNTY. ACCORDING TO A RECENT NEEDS ASSESSMENT ON OUR SERVICE AREA, NEARLY ONE-THIRD (32.7%) OF NHAN HOA’S SERVICE AREA RESIDENTS HAVE INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) – A RATE HIGHER THAN THE COUNTY, STATE, OR NATION – WITH NEARLY ONE-QUARTER (24.3%) OF THE SERVICE AREA RESIDENTS COMING FROM VIETNAM. INCREASING THE NUMBER OF PATIENTS RECEIVING BEHAVIORAL HEALTH SERVICES: THROUGH THE FY24 BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) INITIATIVE, NHAN HOA WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH (MH) SERVICES AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING PATIENTS RECEIVING MEDICATIONS FOR OPIOID USE DISORDER (MOUD). WE WILL FOCUS OUR EFFORTS ON SERVING LOW-INCOME, UNINSURED ADULTS AND CHILDREN WITH A BEHAVIORAL HEALTH (BH) DIAGNOSIS. WITH FUNDING, NHAN HOA WILL BE ABLE TO START BH SERVICES AT ITS SERVICE DELIVERY SITE LOCATED AT 7761 GARDEN GROVE BLVD., GARDEN GROVE, CA. FUNDING WILL BE USED FOR PERSONNEL IN ORDER TO EXPAND ACCESS, AS WELL AS TO PROVIDE BH-RELATED EDUCATION AND TRAINING OPPORTUNITIES FOR PROVIDERS AND STAFF TO FURTHER THEIR EDUCATION IN SUPPORT OF THE POPULATION SERVED BY THIS INITIATIVE. FURTHERMORE, FUNDING WILL BE USE FOR PROMOTIONAL MATERIALS, AS WELL AS ELECTRONIC HEALTH RECORD (EHR) LICENSES/UPGRADES. AS ILLUSTRATED IN OUR 2023 UNIFORM DATA SYSTEM (UDS) REPORT, NHAN HOA PROVIDED MH SERVICES TO 1,122 PATIENTS VIA 4,928 VISITS (3.601 CLINIC VISITS AND 1,324 VIRTUAL VISITS). WHILE WE HAD 0 SUD PATIENTS, WE HAD EIGHT (8) PATIENTS WHO RECEIVED MEDICATIONS FOR OPIOID USE DISORDER (MOUD) DISORDER DURING THE REPORTING PERIOD. NHAN HOA IS A TRUSTED COMMUNITY MEDICAL HOME AND THEREFORE, IS WELL POSITIONED TO ADDRESS THE GAPS IN BH ACCESS AND CARE. PER OUR CURRENT FORM 5A: SERVICES PROVIDED, NHAN HOA ALREADY PROVIDES MH, AND SUD SERVICES IN COLUMN I. THUS, A SCOPE ADJUSTMENT OR CHANGE IN SCOPE TO ADD THE SERVICES WILL NOT BE NEEDED.

HEALTH CENTER INFRASTRUCTURE SUPPORT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE COMMUNITY CARE CLINIC OF FRANKLIN BELIEVES EVERYONE DESERVES BASIC HEALTH CARE. OUR MISSION IS TO PROVIDE FREE PRIMARY HEALTH CARE, INCLUDING EDUCATION AND DISEASE PREVENTION, TO LOW INCOME, UNINSURED MEMBERS OF OUR COMMUNITY. WE ACCEPT PATIENTS WITH UP TO 200% OF FEDERAL POVERTY LEVEL HOUSEHOLD INCOME WHO ARE UNINSURED OR ARE UNDERINSURED WITH HIGH DEDUCTIBLE OR LIMITED MEDICAID COVERAGE. WE ARE SEEKING FUNDING FOR THE PURCHASE OF A FACILITY TO SUPPORT THE GROWTH OF THE CLINIC. THE 2021 MACON COUNTY HEALTH ASSESSMENT STATES THAT ACCESS TO CARE IS A TOP CONCERN FOR MACON COUNTY RESIDENTS. “THE TOLL OF COVID-19 ON THE DIRECT HEALTH OF THE COMMUNITY HAS SHIFTED RESOURCES AND IMPACTED OUR COMMUNITY’S CAPACITY TO RESPOND TO EXISTING HEALTH PRIORITIES. MACON HAS EXPERIENCED AN INFLUX OF NEW RESIDENTS FROM URBAN AREAS. ALTHOUGH THIS HAS HAD A POSITIVE IMPACT ON THE ECONOMY, IT HAS PLACED ADDITIONAL STRAINS ON THE CURRENT HEALTHCARE INFRASTRUCTURE AND HOUSING COSTS. “POVERTY LEVELS IN MACON COUNTY TREND ABOVE THE REGION AND STATE ON AVERAGE, AND POVERTY IN MACON COUNTY IS ALSO UNEVENLY DISTRIBUTED WITH FAMILIES WITH CHILDREN AND MINORITIES FACING GREATER BURDEN.” THE HEALTH CARE SAFETY NET IN WESTERN NORTH CAROLINA IS UNDER TREMENDOUS PRESSURE, ACCORDING TO A PROBLEM IDENTIFIED BY WNC NONPROFIT PATHWAYS, WHICH STATES THAT THE PROBLEM HAS WORSENED SINCE 2021, BECAUSE: “OUR STATE AND WESTERN NC REGION HAVE A LARGE NUMBER OF UNINSURED POPULATION THAT IS GROWING. MANY MACON COUNTY RESIDENTS HAVE URGENT AND ONGOING MEDICAL NEEDS WITHOUT THE RESOURCES TO PAY FOR THEM.” “ACCESS TO CARE AND SERVICES IS A BROAD AREA OF CONCERN IN MACON COUNTY. TO QUOTE ONE RESPONDENT ON THE ISSUE OF ACCESS TO CARE AND SERVICES, THERE ARE AN INADEQUATE NUMBER OF HEALTH CARE PROFESSIONALS IN THE PRIMARY CARE AND SPECIALTY CARE AREAS, ESPECIALLY FOR THE LOW-INCOME MEMBERS OF OUR COMMUNITY. OTHER CONCERNS INCLUDE TRANSPORTATION AND ACCESS TO PRIMARY CARE FACILITIE S FOR THE LOW-INCOME MEMBERS OF OUR COMMUNITY.” INCOME IS ANOTHER CONCERN MENTIONED IN THE MACON COUNTY HEALTH ASSESSMENT: “THE MEDIAN HOUSEHOLD INCOME IN MACON COUNTY WAS $39,593 COMPARED TO THE STATE MEDIAN HOUSEHOLD WHICH IS $48,256; THIS IS A $8,663 DIFFERENCE. THE MEDIAN FAMILY INCOME WAS $48,465 COMPARED TO THE STATE WHICH IS $59,667; THIS IS $11,202 DIFFERENCE.” THE MOST RECENT STUDY SHOWED: THE THREE EMPLOYMENT SECTORS IN MACON COUNTY WITH THE LARGEST PROPORTIONS OF WORKERS WERE RETAIL TRADE, ACCOMMODATIONS AND FOOD SERVICES, AND HEALTH CARE AND SOCIAL ASSISTANCE. MACON COUNTY’S RETAIL TRADE PROVIDED 20.21% TO THE WORKFORCE; AN AVERAGE WEEKLY INCOME OF $509.52. ACCOMMODATION AND FOOD SERVICES PROVIDED 16.11% TO THE WORKFORCE; AN AVERAGE WEEKLY INCOME OF $414.86. HEALTH CARE AND SOCIAL ASSISTANCE PROVIDED 14.07% TO THE WORKFORCE WITH AN AVERAGE WEEKLY INCOME OF $663.13. NOTE THE GAP IN AVERAGE WEEKLY WAGES BETWEEN HEALTH CARE AND SOCIAL ASSISTANCE AND RETAIL TRADE AND ACCOMMODATIONS AND FOOD SERVICES. PERSONS IN RETAIL TRADE AND ACCOMMODATIONS AND FOOD SERVICES TEND TO LACK EMPLOYMENT BENEFITS SUCH AS HEALTH INSURANCE AND RETIREMENT PROGRAMS; MANY IN THESE SECTORS ALSO WORK PART TIME AND SOMETIMES AT MULTIPLE JOBS.” AS OF 2021, 23.2% OF THE POPULATION IN MACON COUNTY IS UNINSURED. “LOW-COST HEALTH SERVICES IN MACON COUNTY INCLUDE PRIMARY CARE AT MACON COUNTY PUBLIC HEALTH WHICH CAN OPERATE ON A SLIDING SCALE FEE AND THE COMMUNITY CARE CLINIC OF FRANKLIN AND HIGHLANDS, WHICH PROVIDE MEDICALLY UNDERSERVED WITH HEALTHCARE.” MORE AND MORE NC PEOPLE ARE IN THE ‘COVERAGE GAP,’ MEANING THEY DON’T MAKE ENOUGH MONEY TO BUY PRIVATE INSURANCE AND AREN’T ELIGIBLE FOR MEDICAID.” AS A SAFETY NET ORGANIZATION, WE HAVE HAD TO QUICKLY ADAPT TO THE DEMANDS OF OUR COMMUNITY, BY IMPLEMENTING ADDITIONAL TELEHEALTH APPOINTMENTS IN ADDITION TO INCREASING THE NUMBER OF IN-PERSON CLINICS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - SUMMIT COMMUNITY CARE CLINIC (CARE CLINIC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) (HEALTH CENTER PROGRAM GRANT # H80CS28361) BASED IN FRISCO, CO, 75 MILES WEST OF THE DENVER METROPOLITAN AREA. THE CARE CLINIC HAS FACILITIES IN THREE RURAL AND RURAL RESORT COUNTIES (SUMMIT, LAKE, PARK) IN COLORADO’S CENTRAL ROCKY MOUNTAINS, THROUGH WHICH IT PROVIDES INTEGRATED MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS AND FAMILIES WHO EXPERIENCE ECONOMIC CHALLENGES, CULTURAL AND LINGUISTIC BARRIERS, AND LACK OF HEALTH INSURANCE AMONG OTHER BARRIERS TO CARE. THE MISSION OF SUMMIT COMMUNITY CARE CLINIC IS TO PROVIDE EXCEPTIONAL, INTEGRATED PATIENT-CENTERED CARE THAT IS AVAILABLE TO ALL. THE CARE CLINIC’S PATIENT POPULATION IS LARGELY COMPRISED OF THE UNINSURED WORKING POOR, WITH EMPLOYMENT IN THE LOW-PAYING, SEASONAL RESORT SECTOR. IN 2023, 53.4% OF PATIENTS HAD NO INSURANCE (THE HIGHEST RATE SINCE 2016), AS MEDICAID COVERAGE DIPPED TO 20.9%. MORE THAN 53% OF PATIENTS LIVE AT OR BELOW 200% FPL. APPROXIMATELY 40% OF PATIENTS ARE HISPANIC AND APPROXIMATELY 38.2% SPEAK SPANISH AS THEIR PRIMARY LANGUAGE. IN 2023, 938 PATIENTS RECEIVED MENTAL HEALTH SERVICES AND 389 RECEIVED SUD SERVICES AT THE CARE CLINIC. GIVEN THE REMOTE NATURE OF THE SERVICE AREA, ACCESS TO CARE IS A PRESSING CONCERN. THE PROPOSED PROJECT WILL BUILD UPON AND EXPAND THE CARE CLINIC’S EXISTING BEHAVIORAL HEALTH (BH) AND MEDICATION ASSISTED TREATMENT (MAT) SERVICES TO ADDRESS THE PRESSING NEED FOR INCREASED ACCESS TO COORDINATED MENTAL HEALTH AND SUD SERVICES. BH AND SUD CONTINUE TO BE IDENTIFIED AS TOP CONCERNS IN COMMUNITY HEALTH ASSESSMENTS AND PRIORITIES FOR COMMUNITY ACTION IN ALL THREE COUNTIES GIVEN RATES OF DEPRESSION, SUICIDALITY AND/OR SUBSTANCE ABUSE IN EACH OF THE COUNTIES SERVED THAT EXCEED STATE RATES. SOCIAL FACTORS, RANGING FROM THE ISOLATED, RURAL NATURE OF MUCH OF THE SERVICE AREA TO THE RURAL RESORT ENVIRONMENT OF SUMMIT COUNTY, CREATE UNIQUE CHALLEN GES THAT AFFECT SUBSTANCE ABUSE UTILIZATION AND ACCESS TO MENTAL HEALTH SERVICES. ALL THREE COUNTIES ARE HEALTH PROVIDER SHORTAGE AREAS (HPSAS) FOR MENTAL HEALTH. SEVERAL NEW BH RESOURCES NOW EXIST IN THE SERVICE AREA (E.G. SHARED LAW ENFORCEMENT/BH RESPONSE AND STIGMA REDUCTION EFFORTS); HOWEVER, NEW RESOURCES HAVE ALSO INCREASED FRAGMENTATION, POTENTIALLY CONFUSING CLIENTS ABOUT ACCESS TO SERVICES. THE CARE CLINIC WILL PRIORITIZE FOUR AREAS OF SERVICES, INCLUDING: 1) INCREASING COMMUNITY PARTNER ENGAGEMENT AND COLLABORATION VIA MARKETING, OUTREACH AND MOUS TO SUPPORT IMPROVED REFERRAL PATHWAYS AND ACCESS TO CARE; 2) IMPROVING SUD SERVICE DELIVERY VIA INCREASED LICENSED ADDICTION COUNSELOR (LAC) STAFFING, MEDICAL PROVIDER TRAINING ON MOUD, AND IMPROVED ENGAGEMENT OF PATIENTS IN THE MAT PROGRAM; 3) IMPROVED MEDICAL AND BH INTEGRATION VIA TRAINING, SYSTEMIC IMPROVEMENTS, AND RECRUITMENT OF A BILINGUAL BH PROVIDER; AND 4) IMPROVED ACCESS TO MENTAL HEALTH SERVICES VIA PRODUCTIVITY IMPROVEMENTS INCLUDING EMR IMPROVEMENTS AND IMPROVED WORKFLOWS. THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES WILL BE INCREASED THROUGH REFERRALS FROM COMMUNITY PARTNERS, INCREASED ACCESS TO CARE AS A RESULT OF PRODUCTIVITY IMPROVEMENTS (E.G. SCHEDULE IMPROVEMENTS, DECREASED ADMINISTRATIVE TIME REQUIRED IN THE EMR), AND INCREASED COMMUNITY OUTREACH. THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD, WILL BE INCREASED THROUGH REFERRALS FROM COMMUNITY PARTNERS, INCREASED MOUD TRAINING OF MEDICAL PROVIDERS, INCREASED LAC STAFFING, AND INCREASED COMMUNITY OUTREACH RELATED TO MAT SERVICES.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

MINORITY SA/HIV/HEP SPF

ACCELERATING CANCER SCREENING - ABSTRACT 2022 ACCELERATING CANCER SCREENING FUNDING OPPORTUNITY ORGANIZATION: FAMILY HEALTH CARE CLINIC, INC. ADDRESS: 4635 HIGHWAY 80 EAST PROJECT DIRECTOR: MARGARET A. GRAY, DPA PHONE NUMBER: 601-825-7280 EMAIL ADDRESS: DRMGRAY1@BELLSOUTH.NET WEBSITE ADDRESS: FAMILYHEALTHCARECLINIC.COM DESCRIPTION OF PROPOSED PROJECT FAMILY HEALTH CARE CLINIC IS REQUESTING FUNDING FOR THE FISCAL YEAR (FY) 2022 ACCELERATING CANCER SCREENING (AXCS) FUNDING OPPORTUNITY UNDER THE HEALTH CENTER PROGRAM. THE PURPOSE OF THIS PROGRAM IS TO SUPPORT HEALTH CENTERS TO INCREASE EQUITABLE ACCESS TO CANCER SCREENING AND REFERRAL FOR CARE AND TREATMENT BY ENHANCING PATIENT EDUCATION, CASE MANAGEMENT, OUTREACH, AND OTHER ENABLING SERVICES, IN CLOSE PARTNERSHIP OR COORDINATION WITH NATIONAL CANCER INSTITUTE (NCI)-DESIGNATED CANCER CENTERS THAT WILL DEPLOY OUTREACH SPECIALISTS AND PATIENT NAVIGATORS FOR POPULATIONS SERVED BY HEALTH CENTERS. THE DEATH RATE PER 100,000 FOR CERVICAL CANCER WAS BETWEEN 3.3 AND 4.9 FOR BLACK WOMEN COMPARED TO 2.2 FOR THE UNITED STATES. THE DEATH RATE PER 100,000 FOR BREAST CANCER WAS BETWEEN 20.5% AND 29.9% FOR WOMEN IN THE SERVICE AREA COMPARED TO 19.4% FOR THE UNITED STATES. SERVICES TO PROVIDE UNDER THIS GRANT AWARD WILL INCLUDE BREAST AND CERVICAL CANCER SCREENING, REFERRAL, TRACKING AND FOLLOW UP SERVICES. THE PURPOSE OF THE PROGRAM IS TO INCREASE THE NUMBER OF PATIENTS SCREENED AND TO HAVE PATIENTS TO BE PLACED INTO TREATMENT WITHIN 30 DAYS OF BEING DIAGNOSIS WITH BREAST CANCER OR CERVICAL CANCER. THE SERVICE AREA COVERED: ALABAMA: COLBERT, FRANKLIN, LAUDERDALE, LAWRENCE AND MORGAN COUNTIES; LOUISIANA: WASHINGTON PARISH; MISSISSIPPI: CALHOUN, FRANKLIN, GRENADA, JEFFERSON, LAWRENCE, LINCOLN, MARION, MONTGOMERY, RANKIN, SCOTT, SIMPSON, SMITH, WALTHALL, WILKINSON, AND YALOBUSHA COUNTIES. THE POPULATION RESIDING IS THIS AREA IS APPROXIMATELY 755,000 RESIDENT. FAMILY HEALTH CARE CLINIC CURRENTLY SERVE APPROXIMATELY 45,000 RESID ENTS IS THESE COMMUNITIES. THE OF FHCC’S SERVICE AREA IS RELATIVELY BALANCED ALONG GENDER LINES, WITH 51.4% FEMALE AND 48.6% MALE RESIDENTS. CHILDREN (AGES 0-17) ACCOUNT FOR 22.9% OF THE SERVICE AREA. RESIDENTS AGE 65 AND OLDER MAKE UP 17.4% OF THE (AMERICAN COMMUNITY SURVEY, CENSUS BUREAU, 2015-2019). RESIDENTS WHO IDENTIFY AS WHITE MAKE UP THE LARGEST RACIAL GROUP IN THE SERVICE AREA (72.8%), FOLLOWED BY BLACK (22.9%). ASIANS COMPRISE 0.60% OF THE, 1.45% IDENTIFY AS MULTIRACIAL, AND AMERICAN INDIANS/ALASKA NATIVES COMPRISE 0.60%. LATINOS MAKE UP 4.00% OF THE TOTAL AND 4.6% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (AMERICAN COMMUNITY SURVEY, CENSUS BUREAU, 2015-2019).

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

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

CHILDREN'S ORAL HEALTHCARE ACCESS PROGRAM

BE THE CHANGE 406 DRUG FREE COMMUNITY PROJECT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - REGIONAL HEALTH CARE CLINIC, INC. D/B/A/ KATY TRAIL COMMUNITY HEALTH (KATY TRAIL) TRANSITIONED INTO A FEDERALLY FUNDED COMMUNITY HEALTH CENTER IN 2006. THEIR PRIMARY SERVICE AREA ENCOMPASSES PETTIS, BENTON, SALINE, AND MORGAN COUNTIES IN MISSOURI. THE HEALTH CENTER FOCUSES ON SERVING LOW-INCOME, MEDICALLY UNDERSERVED POPULATIONS WITHIN THIS REGION. BY FOSTERING COLLABORATIONS AND STRATEGIC PARTNERSHIPS, KATY TRAIL AIMS TO ENHANCE THE OVERALL WELL-BEING OF THE COMMUNITIES IT SERVES. THROUGH ITS COMMITMENT TO QUALITY CARE AND INNOVATIVE APPROACHES, KATY TRAIL STRIVES TO ADDRESS HEALTHCARE DISPARITIES AND PROMOTE HEALTHIER LIVES FOR ALL. KATY TRAIL PROPOSED PROJECT WILL INCREASE MENTAL HEALTH AND SUBSTANCE MISUSE SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER SERVICES FOR ITS SERVICE AREA. THE PROJECT WILL FOCUS ON EXPANDING CURRENT CAPACITY BY INCREASING ACCESS TO SERVICES THROUGH NEW WORKFORCE AND DEVELOPING PARTNERSHIPS WITH LOCAL PREVENTION AND TREATMENT AGENCIES. THE OVERALL GOAL IS TO PROVIDE AN ENVIRONMENT THAT CAN RESPOND TO ALL PATIENTS’ MENTAL HEALTH AND SUBSTANCE MISUSE NEEDS. AS KATY TRAIL CONTINUES TO GROW MEDICAL SERVICES WITHIN ITS COMMUNITIES, THIS INCREASES THE VOLUME OF REFERRALS AND PATIENTS IN NEED OF BEHAVIORAL HEALTH SERVICES AS WELL. THIS PROJECT WILL ADDRESS THE EVER-GROWING NEED FOR BEHAVIORAL HEALTH SERVICES BY EMPLOYING A PSYCHIATRIST, A PSYCHIATRIC NURSE PRACTITIONER, AND THREE BEHAVIORAL HEALTH PROVIDERS. THE PROJECT WILL SERVE YOUTH THAT ARE PATIENTS OF THE KATY TRAIL’S SCHOOL-BASED PROGRAM, ALL PATIENTS AT THEIR FIVE CLINICS, AND TELEHEALTH SERVICES WILL BE AVAILABLE TO THOSE PATIENTS WHO ARE NOT ABLE TO BE SEEN FOR A FACE-TO-FACE APPOINTMENT. KATY TRAIL'S BEHAVIORAL HEALTH PROJECT WILL: • PROVIDE WHOLE PERSON CARE WITH COMPREHENSIVE PRIMARY CARE, PSYCHIATRIC SERVICES, AND BEHAVIORAL HEALTH SERVICES THROUGH INTEGRATED COLLABORATIVE SERVICES. • ENHANCED STANDARDIZED SCREENING PROCESSES FOR ALL PATIENTS RECEIVING CARE AT THE HEALTH CENTER. SCREENING FOR DEPRESSION, ANXIETY, SUBSTANCE USE, AND SUICIDAL IDEATION, DURING ALL APPOINTMENTS. • FOLLOW A STANDARDIZED PROCESS WHEN THERE ARE ELEVATED POSITIVE SCREENING TOOL SCORES, CONNECTING PATIENTS TO BEHAVIORAL HEALTH CASE MANAGEMENT TO PROVIDE SUPPORT AND CONNECT TO BEHAVIORAL HEALTH PROVIDERS FOR COMPREHENSIVE BEHAVIORAL HEALTH SERVICES (MENTAL HEALTH AND SUBSTANCE USE SERVICES). • ELIMINATE WAIT LIST AND WAIT TIME BY INCREASING ACCESS. • EXPAND MEDICATION ASSISTANCE TREATMENT, ALLOWING FOR INDUCTION, STABILIZATION, AND MAINTENANCE, PROVIDING AN INTERDISCIPLINARY TEAM TO MEET MEDICAL, PSYCHIATRIC, AND BEHAVIORAL HEALTH NEEDS. KATY TRAIL’S HEALTH CENTER PROGRAM GRANT NUMBER IS H80CS06668.

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

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - APPLICANT NAME: COMMUNITY CARE CLINIC OF DARE ADDRESS: 425 W HEALTH CENTER DRIVE, NAGS HEAD, NC 27959-8944 PROJECT DIRECTOR: LYN JENKINS RN BSN, EXECUTIVE DIRECTOR PHONE NUMBERS: VOICE 252-340-2031; FAX 252-255-6352 EMAIL: LYNJENKINS@DARECLINIC.ORG WEBSITE: DARECLINIC.ORG FUNDING REQUEST: CONGRESSIONALLY DIRECTED SPENDING $423,000 PURPOSE: THE PURPOSE OF THE PROPOSED PROJECT IS THE DESIGN AND MODIFICATION OF THE EXISTING COMMUNITY CARE CLINIC OF DARE FACILITY TO INTEGRATE A SAFETY NET DENTAL CLINIC AND PHARMACY. THE PROJECT WILL INCLUDE REDESIGNING THE NORTHWEST END OF THE BUILDING TO INCLUDE THREE TREATMENT ROOMS, LAB, IMAGING ALCOVE, MECHANICAL SPACE, OFFICES, AND PHARMACY. BOTH FIXED AND MOVABLE, NON-DISPENSABLE DENTAL EQUIPMENT WILL BE PURCHASED AND INSTALLED AS PART OF THIS PROJECT. RENOVATION RELATED ACTIVITIES WILL INCLUDE PLUMBING, ELECTRICAL, AND CONSTRUCTION. THE SAFETY NET DENTAL CLINIC WILL ADDRESS THE LACK OF DENTAL ACCESS FOR UNINSURED OR UNDERINSURED, MARGINALIZED ADULTS IN DARE COUNTY AND SURROUNDING COUNTIES. PROPOSED SERVICES INCLUDE GENERAL DENTISTRY ON A SLIDING FEE SCALE AND FREE OR REDUCED COST MEDICATIONS. THE COMMUNITY CARE CLINIC OF DARE'S HEALTH EQUITY CAMPAIGN IS ALIGNED WITH THIS PROJECT TO IMPROVE THE HEALTH OUTCOMES OF MARGINALIZED POPULATIONS. GOALS: TO CREATE A QUALITY SAFETY NET DENTAL CLINIC AND PHARMACY THAT WILL: PROVIDE ORAL HEALTH CARE AND MEDICATION ACCESS TO MARGINALIZED ADULTS IN DARE COUNTY AND SURROUNDING COUNTIES; REDUCE HEALTH DISPARITIES AND PROMOTE HEALTH EQUITY IN MARGINALIZED ADULTS; INTEGRATE ORAL HEALTH INTO MEDICAL CARE FOR OPTIMUM OVERALL HEALTH; ACHIEVE PHARMACOEQUITY WHERE MARGINALIZED ADULTS HAVE ACCESS TO HIGH-QUALITY MEDICATIONS TO MANAGE THEIR PHYSICAL AND MENTAL HEALTH NEEDS. TARGET POPULATION: MARGINALIZED ADULTS IN DARE COUNTY AND SURROUNDING COUNTIES. MEASURABLE OBJECTIVES: WITHIN THE PROPOSED TIMELINE, DESIGN AND RENOVATE EXISTING SPACE AT THE COMMUNITY CARE CLINIC OF DARE TO CREATE A SAFETY NET DENTAL CLINIC AND PHARMACY. BEGIN SERVING PATIENTS WITHIN SIX MONTHS OF THE AWARD APPROVAL. PROVIDE ORAL HEALTH ACCESS TO 1500 MARGINALIZED ADULTS DURING THE FIRST YEAR OF DENTAL CLINIC OPERATIONS. METHODOLOGY: TO ADDRESS THE UNMET ORAL HEALTH NEEDS AND LACK OF MEDICATION ACCESS IN MARGINALIZED ADULTS, COMMUNITY CARE CLINIC OF DARE WILL UTILIZE HRSA FUNDING TO CREATE A SAFETY NET DENTAL CLINIC AND PHARMACY. THE CLINIC WILL LEVERAGE THIS FUNDING TO STATE AND LOCAL ENTITIES TO SUPPORT THE OPERATING COSTS AND ACHIEVE SUSTAINABILITY. EVALUATION: OBJECTIVE DATA REPORTED BY ELECTRONIC DENTAL RECORD, ELECTRONIC MEDICAL RECORD, AND PHARMACY SOFTWARE: NUMBER OF PATIENTS SERVED; IMPROVEMENT IN A1C LEVELS FOR PATIENTS WITH DIABETES AFTER GAINING ACCESS TO DENTAL CARE AND MEDICATIONS; SUBJECTIVE DATA REPORTED THROUGH PATIENT SATISFACTION SURVEYS.

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS,

OPERATION TRI-COUNTY TRIUMPH NOW

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - KC CARE HEALTH CENTER (KC CARE) RESPECTFULLY REQUESTS $150,000 FOR A ONE-YEAR PERIOD TO SUPPORT THE PURCHASE AND INSTALLATION OF NEW AND UPDATED DENTAL EQUIPMENT. THE EQUIPMENT KC CARE WILL PURCHASE WILL EXPAND THE SCOPE AND CAPACITY OF HIGH-QUALITY DENTAL CARE AVAILABLE FOR PEOPLE WITH HIV. AS ALMOST 50% OF RYAN WHITE BENEFICIARIES NATIONWIDE ARE AGE 50 AND ABOVE, IT IS INCREASINGLY CRITICAL THAT COMMUNITY HEALTH CENTERS LIKE KC CARE GROW THEIR CAPACITY TO MEET THE DENTAL NEEDS OF PEOPLE WITH HIV. THIS IS BECAUSE THE INTERSECTIONS OF AGING AND HIV INCREASE THE RISK OF MANY DENTAL DIAGNOSES, INCLUDING PERIODONTITIS, ORAL CANCERS, AND THE NEED FOR DENTAL CROWNS. KC CARE WILL, FOREMOST, PURCHASE THE EQUIPMENT NEEDED TO INTRODUCE ENDODONTIC CARE. EQUIPMENT WILL ALSO INCLUDE AN INTRAORAL SCANNER, WHICH WILL ALLOW PROVIDERS TO TAKE RAPID 3D IMAGES OF PATIENTS’ MOUTHS TO FABRICATE DENTURES AND CROWNS. A 3D PRINTER WILL SUPPORT THE ON-SITE PRODUCTION OF DENTURES, SURGICAL GUIDES, NIGHTGUARDS, AND OTHER DENTAL APPLIANCES. AN EXTRAORAL PANORAMIC SCANNER CAPABLE OF TAKING 2D AND 3D IMAGES WILL RAPIDLY PRODUCE IMAGES NEEDED FOR ACCURATE ENDODONTIC DIAGNOSES. IMAGES FROM THE INTRAORAL AND EXTRAORAL SCANNERS CAN BE OVERLAID WITH ONE ANOTHER, SHOWING SOFT AND HARD TISSUE TOGETHER, GIVING PROVIDERS A BETTER UNDERSTANDING OF PATIENTS’ ORAL HEALTHCARE NEEDS. ALL FUNDED EQUIPMENT CAN RECEIVE SOFTWARE UPGRADES IN THE FUTURE TO ENHANCE CAPABILITIES; VENDORS EXPECT 3D PRINTERS TO BE ABLE TO PRODUCE FINAL CROWN RESTORATIONS IN THE NEAR FUTURE. EQUIPMENT WILL ALSO INTEGRATE WITH FUTURE PURCHASES, SUCH AS MACHINES TO MILL DENTAL CROWNS. A PORTABLE X-RAY MACHINE AND TWO DENTAL CHAIRS WILL ALLOW KC CARE TO MAXIMIZE THE POTENTIAL OF OUR CLINICAL SPACE. THIS PROJECT WILL ALSO UPDATE THE EQUIPMENT NEEDED TO TAKE MANUAL IMPRESSIONS OF PATIENTS’ TEETH. THE PURCHASE OF THIS EQUIPMENT INCLUDES ALL NECESSARY ACCESSORIES, SUPPLIES, TRAININGS, DELIVERY, INSTALLATION, AND INITIAL S ETUP. THIS WORK WILL BE LED BY KC CARE’S CHIEF DENTAL OFFICER WITH THE SUPPORT OF HER ORAL HEALTH MANAGER, FINANCIAL ORAL HEALTH COUNSELOR, A TEAM OF DEDICATED DENTISTS, AND THE SUPPORT OF THE RYAN WHITE PROJECT DIRECTOR. THE INCREASED EFFICIENCY THIS EQUIPMENT BRINGS WILL SUPPORT THE CONTINUED GROWTH OF KC CARE’S ORAL HEALTH PROGRAM, PARTICULARLY FOR PATIENTS WHO HAVE HIV. THE CHIEF DENTAL OFFICER AND PROJECT DIRECTOR WILL CONSISTENTLY MONITOR KEY INDICATORS TO ENSURE THAT KC CARE IS REACHING PRIORITY POPULATIONS, INCLUDING PEOPLE WHO ARE BLACK OR AFRICAN AMERICAN AND PEOPLE WHO ARE TRANSGENDER OR NONBINARY, AND THAT PATIENTS ARE RECEIVING THE CARE THEY NEED AND ACHIEVING HEALTH OUTCOMES.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ADDRESS: 3515 BROADWAY KANSAS CITY, MO. 64111 PROJECT DIRECTOR NAME: MELISSA SMITH CONTACT PHONE NUMBER: 816-777-2710 EMAIL ADDRESS: MELISSAS@KCCARE.ORG WEBSITE ADDRESS: KCCARE.ORG GRANT PROGRAM FUNDS REQUESTED: $150,000 FOR HIV CARE INNOVATION TO PROVIDE RAPID ART TITLE: FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM KANSAS CITY CARE CLINIC DBA KC CARE HEALTH CENTER FORMALLY REQUESTS $150,000 THROUGH HRSA’S FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM FOR HIV CARE INNOVATION THROUGH THE EXPANDED AVAILABILITY OF RAPID ART. KC CARE FURTHER REQUESTS FUNDING PREFERENCE FOR THIS REQUEST, AS MORE THAN 50% OF PATIENTS SERVED WILL BELONG TO UNDERSERVED POPULATIONS. KC CARE’S RAPID ART PROGRAM, SAME DAY START (SDS), WAS LAUNCHED IN JANUARY 2021 IN RESPONSE TO EVIDENCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) TRIALS DEMONSTRATING THAT SDS SHOWED GREATER EFFICACY IN HELPING PEOPLE NEWLY DIAGNOSED WITH HIV ACCESS TREATMENT, REMAIN IN CARE, AND ACHIEVE VIRAL LOAD SUPPRESSION (VLS). ACHIEVING VLS IS OF PARTICULAR IMPORTANCE AT KC CARE, AS SUBSTANTIAL DISPARITIES EXIST BASED ON AGE AND RACE/ETHNICITY AMONG PEOPLE WITH AND AT RISK OF EXPOSURE TO HIV. SPECIFICALLY, INDIVIDUALS AGES 25 TO 34 ARE AT A GREATER RISK OF HIV EXPOSURE AND ARE LESS LIKELY TO ACHIEVE VIRAL SUPPRESSION. BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) ARE ALSO AT GREATER RISK OF HIV EXPOSURE AND ACHIEVE VIRAL SUPPRESSION AT LOWER RATES THAN THEIR PEERS. THE IMPLEMENTATION OF KC CARE’S SDS PROGRAM WAS A SUCCESS, REACHING 39 PATIENTS IN THE FIRST YEAR. OF THESE 39 PATIENTS, 23 (67%) ACHIEVED VIRAL SUPPRESSION. KC CARE’S PATIENT-CENTERED APPROACH HELPED ENSURE PATIENTS’ ENROLLMENT AND RETENTION IN THE PROGRAM. UPON RECEIVING A REACTIVE TEST, A LINKAGE TO CARE (LTC) COORDINATOR MAKES FIRST CONTACT WITH A PATIENT. EDUCATION ABOUT SDS IS PROVIDED, AND IF THE PATIENT ELECTS TO PARTICIPATE, THE LTC COORDINATOR WILL ARRANGE A SAME-DAY VISIT WITH A KC CARE PROVID ER. MEDICAL VISITS ARE FOLLOWED-UP WITH A REFERRAL TO A PEER EDUCATOR, A KC CARE PROFESSIONAL WHO ASSISTS PATIENTS IN UNDERSTANDING THEIR DIAGNOSIS, ADHERING TO TREATMENT, ACHIEVING VLS, AND ACCESSING COMMUNITY RESOURCES. TO REACH MORE PATIENTS NEWLY DIAGNOSED WITH HIV AND HELP ELIMINATE DISPARITIES IN VIRAL SUPPRESSION, KC CARE SEEKS FUNDING TO EXTEND THE AVAILABILITY OF SDS TO INDIVIDUALS WHO TEST REACTIVE FOR HIV WITH ANY PROVIDER, IN THE COMMUNITY, OR USING AN AT-HOME HIV TEST IN THE KANSAS CITY TGA. FUNDS FROM THIS PROGRAM WILL BE USED TO EXPAND KC CARE’S SDS PROGRAM COMMUNITY-WIDE, CREATE MARKETING TO ENSURE PROVIDERS AND PATIENTS ARE AWARE OF SDS AT KC CARE AND TO EDUCATE THEM ABOUT THE INDIVIDUAL AND COMMUNITY HEALTH BENEFITS OF SDS, PROVIDE TRANSPORTATION ASSISTANCE FOR PATIENTS TO ATTEND THEIR SAME-DAY VISIT AT KC CARE, AND OFFER SELF-CARE KITS FOR PATIENTS WHO RECEIVE A REACTIVE HIV TEST THROUGH KC CARE OR ARE REFERRED TO KC CARE FOR SDS. THESE KITS INCLUDE ESSENTIAL ITEMS TO MAKE PATIENTS MORE COMFORTABLE DURING THEIR INITIAL HIV CARE VISIT, WHICH CAN BE STRESSFUL, SUCH AS BOTTLED WATER, SNACKS, AND A NOTEPAD AND PAPER TO TAKE NOTES ON CARE INSTRUCTIONS AND FUTURE APPOINTMENTS. FOLLOWING ONE YEAR OF EXPANDED SDS ACCESS, KC CARE WILL BE ABLE TO ABSORB THE INCREASED VOLUME OF PATIENTS AND SERVICES INTO HIV SERVICES PROGRAM INCOME AND OTHER FUNDING SOURCES, ENSURING THE SUSTAINABILITY OF THIS PROGRAM. MEDICATIONS NECESSARY FOR SDS ARE DONATED BY PHARMACEUTICAL PARTNERS, FURTHER ENSURING THE FINANCIAL STABILITY OF THIS PROGRAM.

FY 2023 EXPANDING COVID-19 VACCINATION

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

ENGAGED, INFORMED, INVOLVED: UTILIZING NEW MEDIA FOR HIV AND SUBSTANCE ABUSE PREVENTION

BE THE CHANGE 406 DRUG-FREE COMMUNITIES PROJECT

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

REAP RENEWABLE ENERGY SYSTEM (RES) GRANT UNRESTRICTED AMOUNT

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

LOW INCOME TAXPAYER CLINIC

FY 2023 BRIDGE ACCESS PROGRAM

LOW INCOME TAXPAYER CLINIC

RYAN WHITE HIV/AIDS PROGRAM PART D WICY COVID-19 RESPONSE

LOW INCOME TAXPAYER CLINIC

PROJECT I AM: HIV PREVENTION FOR YOUNG AFRICAN AMERICAN MEN WHO HAVE SEX WITH MEN

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

FIRST PERSON CARE CLINIC COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH CENTER - FIRST PERSON CARE CLINIC SM-21-013 PROJECT ABSTRACT SUMMARY PROJECT NAME: FIRST PERSON CARE CLINIC CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER. FIRST PERSON CARE CLINIC, INC (FPCC), A FEDERALLY QUALIFIED HEALTH CENTER, IS APPLYING FOR FUNDING FOR A CCBHC GRANT. THE SERVICE AREA FOR THIS APPLICATION CONSISTS OF 23 ZIP CODE TABULATION AREAS(ZCTA), COMBINED POPULATION OF APPROXIMATELY 1,051,231 INDIVIDUALS, WHICH REFLECTS THE ZCTA IN WHICH AT LEAST 80 PERCENT OF FPCC’S RESIDE. THE TARGET POPULATION THIS APPLICATION PROPOSES TO SERVE INCLUDES PATIENT SEEKING MENTAL AND BEHAVIORAL HEALTH SERVICES. FPCC IS PLANNING TO IMPLEMENT THE FPCC CCBHC PROJECT AND BECOME A COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH CENTER THROUGH THIS SAMHSA FUNDING OPPORTUNITY. FPCC WILL UTILIZE MOBILE CRISIS TEAMS TO SERVE APPROXIMATELY 7,200 PATIENTS THROUGHOUT THE TWO YEARS PERIOD. THIS PROGRAM WILL IMMEDIATELY ENHANCE ITS EXISTING INTEGRATED, COMMUNITY-BASED SERVICES TO PROVIDE SERVICES FOR INDIVIDUALS OF ALL AGES WITH UNTREATED SEVERE MENTAL ILLNESS (SMI); SUBSTANCE USE DISORDERS(SUD), INCLUDING CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCES (SED), AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUD CONDITIONS. SPECIFIC PROGRAMS WILL BE ADDED FOR VETERANS, ACTIVE MILITARY, AND MEDICAL PROFESSIONALS. THE PROVISION OF THESE SERVICES TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITY WILL CLOSE SERVICE GAPS FOR THESE POPULATIONS AND INCREASE ACCESS TO SERVICES, ALL UNDER ONE ROOF THROUGH THE IMPLEMENTATION OF EACH OF THE REQUIRED ACTIVITIES THAT HAVE BEEN IDENTIFIED IN FOA SM-21-013. PROJECT GOALS INCLUDE: (1) INCREASE CAPACITY AND IMPROVE QUALITY. INCREASE THE IMPLEMENTATION OF NEW AND EXPANSION OF PREEXISTING ACTIVITIES FOR WRAPAROUND, AND PATIENT-CENTERED TREATMENTS; (2) INCREASE ACCESS. INCREASE THE NUMBER OF INDIVIDUALS WITH MH/SUD RECEIVING TIMELY APPROPRIATE CARE THROUGH THE USE OF NEW MAT EQUIPMENT, MOBILE APPLICATIONS, AND EXPANDED TELEMEDICINE; AND (3) EXPANDING FPCC’S CAPACITY TO PROVIDE CONTINUOUS ACCESS TO HEALTH SERVICES IN CLARK COUNTY, NV, INCLUDING A 24/7 CRISIS INTERVENTION SERVICES FOR PEOPLE WITH SERIOUS MENTAL ILLNESSES OR SUD. THIS WOULD INCLUDE ACHIEVING CCBHC CERTIFICATION WITHIN 4 MONTHS OF BEING AWARDED THE GRANT.

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS