Community Health Care 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 CLUSTER

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 CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER PROGRAM

HEALTH CENTER CLUSTER

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CONTROLLED NETWORK - FUNDING OPPORTUNITY NUMBER: HRSA-22-009 CFDA(S): 93.527 APPLICANT NAME: COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE (CHCANYS) DESCRIPTIVE TITLE OF APPLICANT’S PROJECT: NEW YORK STATEWIDE HEALTH CENTER CONTROLLED NETWORK (NYS-HCCN) APPLICANT APPLICANT ADDRESS: 111 BROADWAY, STE 1402, NEW YORK, NY 10006 PROJECT DIRECTOR: JENNIFER PINCUS CONTACT INFO: VOICE 518-434-0767 EXT. 231 FAX 212-270-3851 EMAIL: JPINCUS@CHCANYS.ORG WEBSITE: WWW.CHCANYS.ORG THE COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE (CHCANYS), NEW YORK'S PRIMARY CARE ASSOCIATION, REQUESTS $1,500,000 TO EXTEND THE OPERATIONS OF ITS NEW YORK STATEWIDE HEALTH CENTER CONTROLLED NETWORK (NYS-HCCN). THE NYS-HCCN (H2QCS30278) IS A NETWORK OF 52 HEALTH CENTERS ACROSS NEW YORK STATE. IN FY2022, THE NYS-HCCN WILL SERVE 53 PARTICIPATING HEALTH CENTERS (PHCS), INCLUDING ALL 51 CURRENT MEMBERS. NYS-HCCN PHCS REPRESENT NEARLY 65% OF ALL CHCS IN NEW YORK STATE. OF THESE, 48 ARE H80 GRANTEES AND 5 ARE LOOK ALIKES. ACCORDING TO 2020 UDS DATA, PHCS SERVE APPROXIMATELY 1.6 MILLION PATIENTS AT 654 SITES. PHCS REQUIRE ONGOING TRAINING AND SUPPORT FOR OPTIMIZING HIT TO ENGAGE PATIENTS IN CARE THAT ENSURES POSITIVE CLINICAL OUTCOMES AND PATIENT SELF-MANAGEMENT. TO BE SUCCESSFUL IN A VALUE-BASED CARE ENVIRONMENT, PHCS ALSO NEED ASSISTANCE DEVELOPING STRATEGIES TO COLLECT AND UTILIZE DATA THAT WILL ENABLE THEM TO ADDRESS SOCIAL RISK FACTORS AND HEALTH DISPARITIES, AND PROACTIVELY MANAGE RISK FOR THEIR PATIENT POPULATIONS. THE NYS-HCCN HAS AN INNOVATIVE AND ROBUST THREE-YEAR WORK PLAN TO ADDRESS PHCS’ NEEDS RELATED TO THEIR USE OF HEALTH INFORMATION TECHNOLOGY (HIT) TO IMPROVE CLINICAL QUALITY, PATIENT-CENTERED CARE, AND PROVIDER AND STAFF WELLBEING. THE APPLICANT CHOICE MEASURES WILL ENABLE THE NYS-HCCN TO BUILD HEALTH CENTER CAPACITY TO COLLECT THE DATA REQUIRED TO IDENTIFY AND REDUCE HEALTH DISPARITIES, ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND L EVERAGE HIT TO IMPROVE CARE COORDINATION. THE NYS-HCCN WILL COMBINE ASYNCHRONOUS LEARNING WITH LIVE EVENTS SUCH AS WEBINARS, WORKSHOPS AND PEER LEARNING COLLABORATIVES FACILITATED BY PROGRAM MANAGERS TO SUPPORT HEALTH CENTERS WITH VARYING LEVELS OF CAPACITY AND NEEDS. THE NYS-HCCN WILL PROVIDE INDIVIDUALIZED TECHNICAL ASSISTANCE ON DATA STRATEGY DEVELOPMENT AND REFINEMENT, CYBERSECURITY PROGRAMMING AND UDS+ READINESS. THE NYS-HCCN WILL RELY ON A COMBINATION OF IN-HOUSE EXPERTISE AND SUBCONTRACTORS WITH ENHANCED KNOWLEDGE OF EHR OPTIMIZATION, CYBERSECURITY AND CARE MANAGEMENT. PARTNERSHIPS WITH OTHER HCCNS WILL ENHANCE EHR SUPPORT SERVICES AND CONTRIBUTE TO THE DEVELOPMENT OF HIT INTERVENTIONS FOR THE NETWORK. USING QUANTITATIVE AND QUALITATIVE DATA COLLECTED FROM THE NETWORK, THE NYS-HCCN WILL SUPPORT HEALTH CENTERS IN IDENTIFYING INTERVENTIONS THAT WILL IMPROVE EHR TRAINING, USABILITY, AND EFFICIENCY OF DATA ENTRY. THE NYS-HCCN WILL CONVENE EHR VENDORS, HEALTH CENTERS AND STAKEHOLDERS TO CONTINUE ADVOCATING FOR THE ALIGNMENT OF EHRS WITH PRIORITIES OF THE OFFICE OF THE NATIONAL COORDINATOR (ONC), CENTERS FOR MEDICAID & MEDICARE SERVICES (CMS) AND HRSA. THE NYS-HCCN WILL PARTNER WITH EHR VENDORS, AZARA HEALTHCARE AND HRSA TO FACILITATE HEALTH CENTERS’ SHIFT TO THE UDS+ STRUCTURE BY DELIVERING GUIDANCE FOR SYSTEM CONNECTIVITY AND TRAINING AROUND CLINICAL DATA MAPPING, DATA HYGIENE AND PERFORMANCE IMPROVEMENT.

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

HEALTH CENTER CONTROLLED NETWORKS

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CONTROLLED NETWORKS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

LEAD APPLICANT ORGANIZATION NAME COMMUNITY HEALTH CARE CENTER, INC., DBA ALLUVION HEALTHLEAD APPLICANT ENTITY ORGANIZATION TYPE 1. NONPROFIT HEALTHCARE ORGANIZATIONLEAD APPLICANT LOCATION (CITY AND STATE) GREAT FALLS, MONTANANAMES OF REQUIRED PARTNERSNAME OF EDUCATION OR TRAINING PARTNERS MONTANA STATE UNIVERSITY, PROVIDENCE UNIVERSITY, GREAT FALLS COLLEGE OF MSUNAME OF STATE APPRENTICESHIP AGENCY MONTANA REGISTERED APPRENTICESHIP PROGRAMNAME OF ENTITIES INVOLVED IN ADMINISTERING THE WORKFORCE DEVELOPMENT SYSTEMMONTANA DEPARTMENT OF LABOR AND INDUSTRY, WORKFORCE SERVICES DIVISION, WIOAWORKER ORGANIZATIONS, LABOR-MANAGEMENT ORGANIZATION OR LABOR UNIONMONTANA NURSES ASSOCIATION (AFFILIATED WITH AMERICAN NURSES ASSOCIATION)LITTLE SHELL TRIBAL HEALTH DEPARTMENTONE HEALTHALLUVION HEALTH CLINICAL SERVICESGREAT FALLS SCHOOLS, NURSING SERVICESNAMES OF OPTIONAL PARTNERS (TYPE OF ORGANIZATION)MONTANTA PRIMARY CARE ASSOCIATION (PCA)GEOGRAPHIC SCOPE NORTHCENTRAL MONTANA (AS DEFINED BY AHEC REGION, SEE HTTPS: HEALTHINFO.MONTANA.EDU AHEC INDEX.HTML)IDENTIFY SCOPE: LOCAL REGIONAL, STATEMENTWIDE OR NATIONALSTATEWIDESPECIFIC LOCATIONS WHERE GRANT SERVICES WILL BE PROVIDEDALL OF MONTANA IS ELIGIBLE. INITIAL FOCUS ON NORTHCENTRAL (MONTANA AHEC REGION) AND SOUTHEASTERN MONTANA. CITIES AND TOWNS: CHOTEAU, GREAT FALLS, ASHLAND, CHINOOK, GLENDIVE, HARDIN, HARLEM, LEWISTOWN, MILES CITYTOTAL FEDERAL FUNDING REQUESTED 3,000,000 TOTAL MATCH PROPOSED 600,000 PROJECT TITLE NAME NEXT NURSE PROGRAM OF NORTH CENTRAL MONTANA. FOSTER THE NEXT GENERATION OF NURSES THROUGH ACCESS TO PROFESSIONAL EDUCATION AND CAREER ADVANCEMENT OPPORTUNITIES. PROPOSED NUMBER OF PARTICIPANTS WHO START TRAINING (OUTCOME PROJECTION 2 FROM THE SUBMITTED PERFORMANCE TABLE)75SUMMARY OF GRANT PURPOSE AND EMPLOYMENT AND TRAINING ACTIVITIES OFFEREDADDRESS NURSING SHORTAGES AND UNDEREMPLOYMENT IN DISADVANTAGED GROUPS BY CREATING A COMMUNITY-BASED, COLLABORATIVE EDUCATION AND PRECEPTOR PROGRAM BASED IN NORTH CENTER MONTANA WITH STATE-WIDE SCOPE.SUMMARY OF GRANT PURPOSE AND EMPLOYMENT AND TRAINING ACTIVITIES OFFEREDADDRESS NURSING SHORTAGES AND UNDEREMPLOYMENT IN DISADVANTAGED GROUPS BY CREATING A COMMUNITY-BASED, COLLABORATIVE EDUCATION AND PRECEPTOR PROGRAM BASED IN NORTH CENTER MONTANA WITH STATE-WIDE SCOPE. SUBRECIPIENT ROLES:EXEC SUMMARY: COLLEGE AND UNIVERSITY PARTNERS WILL PROVIDE DIDACTIC EDUCATION USING THEIR EXISTING CERTIFICATE AND DEGREE PROGRAMS. THEY WILL COLLABORATE TO ADDRESS PARTICIPANT BARRIERS TO ACCESSING COURSEWORK AND TO IMPROVE ALIGNMENT OF EDUCATION WITH THE NEEDS OF NURSES WORKING IN UNDERSERVED, OUTPATIENT, AND OR RURAL CLINICS.EMPLOYER PARTNERS WILL IDENTIFY AND RECRUIT WORKING STAFF AND APPLICANTS TO APPLY FOR NURSING PATHWAYS. THEY WILL ALSO OFFER CLINICAL EXPERIENCE PLACEMENTS AND RECRUIT PRECEPTORS. OTHER COMMUNITY AND GOVERNMENTAL PARTNERS WILL SUPPORT COMMUNITY AWARENESS OF NURSING PATHWAY OPPORTUNITIES AND PROVIDE CULTURALLY COMPETENT SUPPORTIVE SERVICES TO HISTORICALLY DISADVANTAGED POPULATIONS. THE DESIGNATED LEAD SUPERVISOR AT ALUUVIAN HEALTH IS AN EXPEREINCED NRUSE EDUCATOR AND SENIOR LEADER. NEW OR EXISTING PROGRAMS 2. BOTHPUBLIC CONTACT INFORMATION NAME, TITLE: TRISTA BESICH, CEOADDRESS: 601 1ST AVENUE NORTH, GREAT FALLS, MT 59401PHONE: 406.791.9263EMAIL: TBESICH ALLUVIONHEALTH.OR

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

BLACK LUNG/COAL MINER CLINICS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CONTROLLED NETWORKS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - CANYONLANDS COMMUNITY HEALTH CARE (CCHC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING RURAL/FRONTIER POPULATIONS LOCATED IN NORTHERN AND SOUTHEAST ARIZONA. CCHC’S MISSION IS TO PROMOTE HEALTHIER LIVES THROUGH AFFORDABLE, ACCESSIBLE, INCLUSIVE, INTEGRATED PRIMARY CARE. CCHC IS PROPOSING A NEW FACILITY TO REPLACE THE CURRENT FACILITY IN THE DUNCAN, ARIZONA COMMUNITY. THE CURRENT FACILITY IS A POOR DESIGN AND EXPERIENCING STRUCTURAL PROBLEMS THAT ARE BEYOND REPAIR. THE EXISTING FACILITY HINDERS THE DELIVERY OF CARE AND ACCESS TO NEEDED SERVICES. THE NEXT CLOSEST SERVICES ARE IN EXCESS OF 100 MILES ROUNDTRIP. THE NEW FACILITY WILL ALLOW CCHC TO PROVIDE PRIMARY MEDICAL, BEHAVIORAL, TELEHEALTH AND TELE-PHARMACY SERVICES. CCHC WILL EXPAND SERVICES TO INCLUDE THE PROVISION OF PHARMACY IN THE NEW FACILITY AS A RESULT OF THE LARGER BUILDING AND EQUIPMENT PURCHASED THROUGH THIS PROPOSAL. PATIENT OUTCOMES AND QUALITY OF CARE WILL BE IMPROVED DUE TO THE EXPANDED SERVICES. CCHC OWNS THE GROUND FOR THE BUILDING. THE OPERATING COSTS ARE PART OF THE ORGANIZATIONAL BUDGET AND ARE SUPPORTED THROUGH PROGRAM INCOME AND VARIOUS GRANTS AND CONTRACTS TO SERVE THE UNDERSERVED. CCHC HAS SECURED AN ARCHITECT WHO PROVIDED ALL THE ENGINEERING AND DESIGN SERVICES. BUILDING PLANS ARE COMPLETE AND APPROVED BY THE TOWN OF DUNCAN. A CONTRACTOR WILL BE SECURED TO DO THE SITE WORK AND CONSTRUCTION OF THE NEW FACILITY. THE TOTAL PROJECT COST WILL BE $3,421,309, CANYONLANDS HEALTHCARE HAS SECURED $921,309 IN GRANTS AND DONATIONS TO SUPPORT THE COMPLETION OF THIS PROJECT. THE PROJECT IS SHOVEL READY AND WILL BE COMPLETED IN SPRING 2025. THE NEW CLINIC IN DUNCAN WILL PROVIDE SIGNIFICANT BENEFITS TO THE COMMUNITY. INCREASED ACCESS TO HEALTHCARE SERVICES, WOULD RESULT IN REDUCTIONS IN PREVENTABLE ILLNESSES AND AN IMPROVEMENT IN OVERALL HEALTH OUTCOMES FOR THE COMMUNITY. THE EXPANDED FACILITY WILL ALLOW FOR MORE PATIENT VISITS AND THE ADDITION OF BEHAVIORAL HEALTH SERVICES A ND INCREASED TELEHEALTH CAPABILITIES. THE NEW FACILITY WILL INCLUDE AN ON-SITE PHARMACY, WHICH WILL PROVIDE PATIENTS EASY ACCESS TO MEDICATIONS THEY NEED TO MANAGE CHRONIC CONDITIONS AND PREVENT ILLNESS. THE PHARMACY WILL ALSO PROVIDE COST-EFFECTIVE OPTIONS FOR PATIENTS THROUGH THE 340B PROGRAM. COMMUNITY HEALTH WORKERS (CHWS) WILL ALSO BE EMPLOYED AT THE CLINIC. CHWS ARE TRAINED PROFESSIONALS WHO WORK IN THE COMMUNITY TO PROMOTE HEALTH AND WELLNESS BY PROVIDING EDUCATION AND SUPPORT TO INDIVIDUALS AND FAMILIES TO COORDINATE THEIR CARE. CHWS ALSO FOCUS ON ADDRESSING SOCIAL DRIVERS OF HEALTH, SUCH AS ACCESS TO HEALTHY FOODS AND HOUSING INSECURITY, WHICH CAN SIGNIFICANTLY IMPACT OVERALL HEALTH OUTCOMES. THE PROPOSED REBUILDING OF THE CANYONLANDS HEALTH CENTER IN DUNCAN, ARIZONA REPRESENTS THE CRITICAL INVESTMENT IN THE HEALTH AND FUTURE OF THE COMMUNITY. THE HEALTH CENTER IN DUNCAN WILL SUPPORT ECONOMIC GROWTH AND STABILITY THROUGH EMPLOYMENT OPPORTUNITIES; IT WILL PROVIDE SUSTAINABLE ACCESS TO HIGH QUALITY SERVICES; AND REINVIGORATE THE DOWNTOWN AREA WITH NEW CONSTRUCTION.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - PROJECT ABSTRACT ? PROJECT TITLE: NORTHERN ARIZONA AND WESTERN NAVAJO CONSORTIUM FOR BEHAVIORAL HEALTH SERVICES COORDINATION AND DELIVERY (NAWNC-BHSCD). ? REQUESTED AWARD AMOUNT: $2,000,000 IS REQUESTED FOR THE 48-MONTH IMPLEMENTATION INITIATIVE. ? APPLICANT ORGANIZATION: CANYONLANDS COMMUNITY HEALTH CENTER (CCHC). ? APPLICANT ORGANIZATION ADDRESS: 827 VISTA AVE P.O. BOX 1625, PAGE, AZ. ? APPLICANT ORGANIZATION FACILITY TYPE: RURAL HEALTH CLINIC; RURAL HEALTH NETWORK. ? PROJECT DIRECTOR NAME AND TITLE: JODI TATE, POPULATION HEALTH DIRECTOR. ? PROJECT DIRECTOR CONTACT INFORMATION: PHONE: 928-645-9675 X5527/EMAIL JO.TATE@CCHCAZ.ORG. ? DATA COORDINATOR NAME AND TITLE: HEATHER BRIDGEWATER, INFORMATICS COORDINATOR ? DATA COORDINATOR CONTACT INFORMATION: PHONE: 928-645-9675 X5513/EMAIL: H.BRIDGEWATER@CCHCAZ.ORG. ? EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? NO ? HOW DID WE LEARN ABOUT THE FUNDING OPPORTUNITY? HRSA WEBINAR ON UPCOMING FUNDING OPPORTUNITIES. ? CONSORTIUM MEMBERS: THERE ARE 5 CONSORTIUM MEMBERS, AND IT INCLUDES MOU MEMBERS: CANYONLANDS COMMUNITY HEALTHCARE, BANNER HEALTH CLINIC, ENCOMPASS HEALTH SERVICES, NAVAJO NATION DIVISION OF BEHAVIORAL AND MENTAL HEALTH, KAIBETO OUTPATIENT TREATMENT CENTER, AND PAGE UNIFIED SCHOOL DISTRICT. ? CURRENT RCORP AWARD RECIPIENT: NO ? DOES THE APPLICANT ORGANIZATION INTEND TO APPLY FOR FY22 RCORP IMPLEMENTATION? NO. ? DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? NO. ? TARGET SERVICE AREA: THE TARGET SERVICE AREA INCLUDES PARTIAL AREAS OF TWO COUNTIES, ONE IS ENTIRELY RURAL (NAVAJO) AND ONE IS PARTIALLY RURAL (COCONINO). A. FULLY RURAL COUNTIES: WESTERN NAVAJO NATION RESERVATION, NAVAJO COUNTY, ARIZONA IS FULLY RURAL, TARGET COMMUNITIES INCLUDE KAIBETO, TONALEA, INSCRIPTION HOUSE, SHONTO AND COPPERMINE. B. PARTIALLY-RURAL COUNTIES: PAGE, COCONINO COUNTY, AZ; GREENHAVEN, C OCONINO COUNTY, AZ. THE CENSUS TRACTS FOR COCONINO COUNTY, AZ ARE 04005002100 (PAGE). BRIEF DESCRIPTION OF THE TARGET POPULATION: PEOPLE WHO RESIDE IN RURAL COMMUNITIES IN NORTHERN ARIZONA THAT HAVE OUD OR ALCOHOL USE DISORDER (AUD) AND THE PROVIDERS WHO SUPPORT.79.16% OF THE COMBINED TARGET SERVICE AREA POPULATION IS AMERICAN INDIAN/ALASKA NATIVE AND WHEN EXCLUDING PAGE, IT IS 96-99% AMERICAN INDIAN/ALASKA NATIVE. MANY PROVIDERS HAVE THE CULTURAL COMPETENCE TO BE ABLE TO SERVE THESE COMMUNITY MEMBERS. BY TARGETING THESE INDIVIDUALS, WE AIM TO ADDRESS A GROUP WHO HAS HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES AND HEALTH DISPARITIES.

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SAMHSA TI-21-001 - ALLUVION HEALTH (ALLUVION) SEEKS TO SIGNIFICANTLY ENHANCE AND EXPAND COMPREHENSIVE TREATMENT, EARLY INTERVENTION, AND RECOVERY SUPPORT SERVICES TO ADOLESCENTS, TRANSITIONAL AGED YOUTH, AND THEIR FAMILIES IN NORTH CENTRAL MONTANA COPING WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD). ALLUVION IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOCATED IN GREAT FALLS, MT THAT PROVIDES COMPREHENSIVE, WHOLE PERSON CARE TO THE UNINSURED AND UNDERREPRESENTED POPULATION OF GREAT FALLS AND GREATER CASCADE COUNTY. CASCADE COUNTY IS A DESIGNATED SHORTAGE AREA IN THE FIELDS OF DENTAL, BEHAVIORAL, AND PRIMARY CARE. 14.5% OF THE CURRENT POPULATION LIVES BELOW THE POVERTY LINE. THE POPULATION TO BE SERVED IS HIGH-RISK, AS EVIDENCED BY THE FACT THAT CASCADE COUNTY EXCEEDS THE STATE AND NATIONAL AVERAGES IN INTENTIONAL SELF-HARM, FREQUENT MENTAL DISTRESS, TOBACCO USE, AND BINGE DRINKING. MONTANA PERSISTENTLY RANKS IN THE TOP THREE STATES WITH THE MOST YOUTH WHO DIE BY SUICIDE. STATISTICS REFLECT PARTICULARLY ALARMING TRENDS AMONG CASCADE COUNTY YOUTH. IN A 2018 NEEDS ASSESSMENT REPORT, 20.1% OF 513 10TH GRADERS SURVEYED IN CASCADE COUNTY HAD ENGAGED IN BINGE DRINKING WITHIN THE LAST 30 DAYS, 23.4% HAD USED MARIJUANA AND 11.8% HAD SMOKED CIGARETTES. EVEN MORE STARTLING, 30.8% SERIOUSLY CONSIDERED SUICIDE IN THE PREVIOUS 12 MONTHS (COMPARED TO 18.8% NATIONALLY). ADDITIONALLY, 475 KIDS THAT WERE HOMELESS AT SOME POINT DURING THE 2020 YEAR. CASCADE COUNTY’S JAIL AND CRIMINAL JUSTICE SYSTEM IS GROSSLY OVERBURDENED. THE CASCADE COUNTY DETENTION CENTER IS CONSISTENTLY OVER MAX CAPACITY; UP TO 150 INDIVIDUALS OVER CAPACITY IN THE LAST TWO YEARS AND THERE ARE NO YOUTH IN-PATIENT SUBSTANCE ABUSE TREATMENT FACILITIES IN THE STATE. ALLUVION REQUESTS FUNDING FOR THE SAMSHA YOUTH AND FAMILY TREE PROGRAM TO INCREASE EARLY IDENTIFICATION AND ACCESS TO SUD SERVICES FOR YOUTH AND THEIR FAMILIES TO ADDRESS THE ALARMING STATISTICS AND CARE SHORTAGES IN OUR REGION. PROJECT MEASURABLE OUTCOMES INCLUDE: DECREASING YOUTH SUBSTANCE USE IN CASCADE COUNTY BY EXPANDING AND ENHANCING TREATMENT AND RECOVERY SERVICES TO AN ADDITIONAL 30% MORE ADOLESCENTS, TRANSITIONAL AGED YOUTH, AND THEIR FAMILIES ANNUALLY; AND INCREASING THE CAPACITY IN YOUTH-SERVING ORGANIZATIONS TO IDENTIFY AND REDUCE HIGH-RISK BEHAVIORS IN STUDENTS THAT MAY CONTRIBUTE TO SUBSTANCE USE. ALLUVION WILL ENSURE RECOVERY HOUSING FOR TREE PROGRAM PARTICIPANTS BY CONTRACTING WITH LOCAL PARTNERS AND ENHANCE RECOVERY AND TRANSITIONAL SERVICES FOR YOUTH WITH SUD WHO COME INTO CONTACT WITH THE JUVENILE JUSTICE SYSTEM BY FORMALIZING A JUVENILE DRUG TREATMENT COURT. ALLUVION WILL SERVE A TOTAL OF 906 UNDUPLICATED INDIVIDUALS IN THE POPULATION OF FOCUS OVER THE 5-YEAR PERIOD; 100 IN YEAR 1; 130 IN YEAR 2; 170 IN YEAR 3; 220 IN YEAR 4; AND 286 IN YEAR 5. A SECOND MEASURABLE GOAL IS TO INCREASE THE CAPACITY IN YOUTH-SERVING ORGANIZATIONS TO IDENTIFY AND REDUCE HIGH-RISK BEHAVIORS IN STUDENTS THAT MAY CONTRIBUTE TO SUBSTANCE USE BY DEVELOPING AND PROVIDING TRAINING TO TARGETED SCHOOL DISTRICTS AND A REFERRAL PROCESS.

INCREASING ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT) IN RURAL ARIZONA FOR PATIENTS WITH OPIOID USE DISORDER (OUD).

ARRA - CAPITAL IMPROVEMENT PROGRAM

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

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

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

BLACK LUNG/COAL MINER CLINICS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF THE TRAINING PROGRAM: COMMUNITY HEALTH CARE FAMILY MEDICINE RESIDENCY DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: THC EXPANSION ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTERS, AS DEFINED IN SECTION 1905(L)(2)(B) OF THE SOCIAL SECURITY ACT [42 U.S.C. 1396D(L)(2) YEAR PROGRAM FIRST BEGAN TRAINING RESIDENCE: 2014 ORGANIZATION WEBSITE ADDRESS: WWW.COMMHEALTH.ORG BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: COMMUNITY HEALTHCARE SUCCESSFULLY APPLIED FOR FQHC TEACHING HEALTH CENTER DESIGNATION IN 2013. WITH THE INTENT TO ACHIEVE DUAL ACCREDITATION STATUS, APPLICATIONS FOR ACCREDITATION AT THE AMERICAN OSTEOPATHIC ASSOCIATION (AOA) AND THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) WERE SUBMITTED. THE AOA GRANTED ACCREDITATION IN 2013 ALLOWING SUCCESSFUL RECRUITMENT FOR 6 OSTEOPATHIC MEDICAL SCHOOL GRADUATES TO ENROLL IN POST-GRADUATE MEDICAL EDUCATION TRAINING FOR THE ACADEMIC YEAR 2014 - 2015. ACGME ACCREDITATION FOLLOWED IN 2014, SUCCESSFULLY GIVING THE COMMUNITY HEALTH CARE FAMILY MEDICINE RESIDENCY DUAL ACCREDITATION STATUS. THIS DESIGNATION EXPANDS CHC’S APPLICANT POOL AS WELL AS THE QUALITY AND DIVERSITY OF APPLICANTS ATTRACTED. SUCCESSFUL APPLICATION THROUGH THE AFFORDABLE CARE ACT RESULTED IN THE CONSTRUCTION OF THE HILLTOP REGIONAL HEALTH CENTER IN 2013. THIS 27-MILLION-DOLLAR, THREE STORY, 59,000 SQ. FT. STRUCTURE SUPPORTS RESIDENCY TRAINING ACTIVITIES. LOCATED IN THE HEART OF THE POVERTY BARRIO IN TACOMA, WASHINGTON, THIS MODERN PRIMARY CARE FACILITY DELIVERS TREATMENT TO UNSERVED, UNDERSERVED, AND MARGINALIZED POPULATIONS. FROM A GENDER, RACE, ETHNIC, AGE AND COUNTRY OF ORIGIN PERSPECTIVE, DIVERSE POPULATIONS ARE PROVIDED FULL SCOPE, BROAD SPECTRUM CARE IN THIS NCQA DESIGNATED PATIENT-CENTERED MEDICAL HOME FACILITY. THE HILLTOP REGIONAL HEALTH CENTER IS ALSO HOME FOR CHC’S ADVANCED REGISTERED NURSE PRACTITIONER RESIDENCY AS WELL AS PHARMACY AND DENTAL RESIDENCY TRAINING PROGRA MS. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL YEARS OF TRAINING: 24 (8-8- 8) RESIDENT FTE. FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022- 2023: 20 (20-18- 18).

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

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 INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HEALTH CENTER PROGRAM NUMBER: H80CS24152 APPLICANT ORGANIZATION NAME: LAKESHORE COMMUNITY HEALTH CARE (LCHC) PROJECT TITLE: BEHAVIORAL HEALTH SERVICE EXPANSION ADDRESS: P.O. BOX 959, SHEBOYGAN, WI 53082 PROJECT DIRECTOR NAME: KRISTIN BLANCHARD STEARNS, CHIEF EXECUTIVE OFFICER CONTACT: VOICE: 920-912-0731; FAX: 920-783-6392; EMAIL: KSTEARNS@LAKESHORECHC.ORG WEB SITE ADDRESS: WWW.LAKESHORECHC.ORG TYPE OF FUNDING REQUESTED: BEHAVIORAL HEALTH SERVICE EXPANSION AMOUNT OF FUNDING REQUESTED: $1,100,000 OVER TWO YEARS SERVICE AREA IDENTIFICATION NUMBER AND INFORMATION: IDENTIFICATION NUMBER: 506; CITY: SHEBOYGAN; STATE: WISCONSIN BRIEF HISTORY OF THE ORGANIZATION, THE COMMUNITY TO BE SERVED AND THE TARGET POPULATION(S): IN 2006 THE PUBLIC AND PRIVATE HEALTH COMMUNITY CAME TOGETHER TO CREATE LCHC. SERVICE DELIVERY BEGAN IN 2012. THE TARGET POPULATION CONSISTS OF THE UNDERSERVED, PRIMARILY INDIVIDUALS AND FAMILIES WHO ARE LOW-INCOME AND EITHER UNINSURED, ENROLLED IN MEDICAID, OR ENROLLED IN HIGH-DEDUCTIBLE PLANS. LCHC SERVES RESIDENTS OF SHEBOYGAN, MANITOWOC, AND WASHINGTON COUNTIES. SUMMARY OF MAJOR HEALTH CARE NEEDS THE PROJECT WILL ADDRESS: MENTAL HEALTH AND SUBSTANCE USE ARE CONSISTENTLY AMONG THE TOP THREE NEEDS IN COMMUNITY HEALTH NEEDS ASSESSMENTS IN ALL THREE COUNTIES WITHIN LCHC’S SERVICE AREA. BRIEF PROJECT DESCRIPTION: LCHC WILL EXPAND ITS MENTAL SERVICES AND FORMALIZE ITS SUBSTANCE USE DISORDER SERVICES, INCREASING THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER MOUD. HOW THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER MOUD: LCHC’S PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MH (264 NEW PATIENTS), SUD (27), AND MOUD (68) SERVICES BY INCREASING BH STAFFING, LAUNCHING SBIRT SCREENING (WHICH WILL REFER MORE PRIMARY MEDICAL PATIENTS INTO MH AND SUD SERVICES), AND ADDING MORE INTENSIVE MH AND SUD SERVICES. POPULATIONS GROUPS TO BE SERVED BY THE PROJECT: THE TARGET POPULATION CONSISTS OF THE UNDERSERVED, PRIMARILY INDIVIDUALS AND FAMILIES WHO ARE LOW-INCOME AND EITHER UNINSURED, ENROLLED IN MEDICAID, OR ENROLLED IN HIGH-DEDUCTIBLE PLANS. LCHC’S SERVICE AREA INCLUDES RESIDENTS OF SHEBOYGAN, MANITOWOC, AND WASHINGTON COUNTIES IN WISCONSIN.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - COMMUNITY HEALTH CARE, INC. (H80CS00670) COMMUNITY HEALTH CARE, INC. (CHC) HAS BEEN A HEALTH CENTER PROGRAM GRANTEE SINCE 1975 AND PROVIDES MEDICAL, ORAL, AND BEHAVIORAL HEALTH SERVICES FOR MORE THAN 46,000 UNDERSERVED INDIVIDUALS IN THE GREATER QUAD CITIES AREA OF IOWA AND ILLINOIS. OUR SERVICE AREA INCLUDES BOTH RURAL AND URBAN COMMUNITIES AND INCLUDES SCOTT, CLINTON, AND MUSCATINE COUNTIES IN IOWA, AND ROCK ISLAND COUNTY IN ILLINOIS. THE MAJORITY OF OUR PATIENTS ARE LOW-INCOME AND ARE UNINSURED OR MEDICAID BENEFICIARIES. NEARLY 50% OF PATIENTS ARE RACIAL/ETHNIC MINORITIES AND 38% ARE HISPANIC/LATINO. NEARLY 15% ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. AS A HEALTHCARE FOR THE HOMELESS GRANTEE, WE PROVIDE CARE FOR MORE THAN 1,500 INDIVIDUALS EXPERIENCING HOMELESSNESS. WE CURRENTLY PROVIDE COUNSELING AND PSYCHIATRY SERVICES FOR BOTH ADULTS AND YOUTH. OUR TEAM INCLUDES LICENSED BEHAVIORAL HEALTH PROVIDERS WHO WORK WITH PRIMARY CARE PROVIDERS TO OFFER COMPREHENSIVE SERVICES: ASSESSMENT AND INTERVENTION; ADDRESSING BEHAVIORAL INFLUENCED PROBLEMS TO ASSIST IN ESTABLISHING FUNCTIONAL GOALS FOR IMPROVEMENT; SCREENINGS FOR DEPRESSION, ANXIETY, ALCOHOL AND DRUG ABUSE, AND OTHER MENTAL HEALTH CONCERNS; AND FOLLOW-UP CARE. SUBSTANCE USE DISORDER SERVICES ARE AVAILABLE THROUGH OUR MEDICATION ASSISTED RECOVERY (MAR) PROGRAM, WHICH UTILIZES MEDICATION PRESCRIBING, INCLUDING VIVITROL, BUPRENORPHINE, AND SUBOXONE. IN 2023, WE PROVIDED MENTAL HEALTH SERVICES TO 4,182 PATIENTS, SUD SERVICES TO 1,359 PATIENTS, AND MOUD SERVICES FOR 56 PATIENTS; HOWEVER, DEMAND FOR SERVICES EXCEEDS OUR CURRENT CAPACITY. DUE TO LIMITED STAFFING AND HIGH DEMAND, WE ARE ONLY ABLE TO OFFER BEHAVIORAL HEALTH SERVICES FOR EXISTING CHC PATIENTS. WE CURRENTLY HAVE A THREE-MONTH WAITING LIST FOR NEW THERAPY PATIENTS. WE ROUTINELY RECEIVE REQUESTS FROM OTHER MEDICAL PROVIDERS, ESPECIALLY PEDIATRIC PROVIDERS, SEEKING REFERRALS FOR THEIR PATIENTS, WHO WE ARE UNABLE TO ACCOMMODATE . MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS ARE AN INCREASING CONCERN AMONG OUR PATIENTS AND THROUGHOUT THE SERVICE AREA, WITH TOO FEW PROVIDERS AVAILABLE TO MEET THESE NEEDS. OUR SERVICE AREA HAS EXPERIENCED AN INCREASE IN POOR MENTAL HEALTH DAYS AND FREQUENT MENTAL DISTRESS, AS WELL AS A RISING SUICIDE RATE. AN INCREASING NUMBER OF STUDENTS ARE ALSO REPORTING POOR MENTAL HEALTH AND ILLICIT SUBSTANCE USE. OUR SERVICE AREA HAS ALSO FELT THE FULL IMPACT OF THE OPIOID CRISIS – FROM THE USE OF PRESCRIPTION OPIOIDS, TO THE TRANSITION TO HEROIN, THEN TO SYNTHETIC OPIOIDS SUCH AS FENTANYL. INCREASINGLY, OUR COMMUNITIES ARE FEELING THE IMPACT OF THE “FOURTH WAVE” OF THE OPIOID CRISIS – THE USE OF FENTANYL WITH OTHER SUBSTANCES SUCH AS METHAMPHETAMINES. ALL COUNTIES IN THE SERVICE AREA REPORT AN INCREASE IN DRUG OVERDOSE DEATHS. AN ONGOING BEHAVIORAL HEALTH WORKFORCE SHORTAGE AT OUR HEALTH CENTER AND THROUGHOUT THE GREATER QUAD CITIES AREA HAS MADE IT CHALLENGING TO MEET THESE GROWING NEEDS. ALL COUNTIES IN OUR SERVICE AREA ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS FOR MENTAL HEALTH AND HAVE HIGHER MENTAL HEALTH PROVIDER-TO-POPULATION RATIOS COMPARED WITH THE STATE AND COUNTRY. BESIDES OUR HEALTH CENTER, THERE IS ONLY ONE OTHER MOUD PROVIDER IN THE QUAD CITIES. THE DIVERSE POPULATIONS WE SERVE OFTEN FACE STIGMA ASSOCIATED WITH SEEKING OUT OR EVEN TALKING ABOUT MENTAL HEALTH AND SUBSTANCE USE ISSUES. THEY ALSO FACE ADDITIONAL BARRIERS, INCLUDING LANGUAGE/CULTURAL DIFFERENCES, TRANSPORTATION, AND LOWER EDUCATION AND LITERACY LEVELS. FUNDING WILL ALLOW US TO PROVIDE ACCESS TO MENTAL HEALTH SERVICES FOR 875 ADDITIONAL PATIENTS, SUD FOR 25 PATIENTS AND MOUD FOR 25 PATIENTS. WE WILL HIRE ONE RN TO SUPPORT MAR/SUD PROGRAM, ONE MA TO SUPPORT EXISTING PSYCHIATRIC NURSE PRACTITIONER, THREE BEHAVIORAL HEALTH THERAPISTS, AND ONE PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER. FUNDING WILL ALSO BE USED FOR ONGOING TRAINING FOR STAFF AND MINOR EQUIPMENT PURCHASES I N YEAR ONE.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - WHILE JEFFERSON COMMUNITY HEALTH CARE CENTER, INC, (JCHCC) CELEBRATES ALMOST 20 YEARS OF DEDICATED SERVICE TO THE PEOPLE OF JEFFERSON PARISH, LOUISIANA (OPENED AS AN FQHC LOOK-ALIKE IN 2004 BEFORE TRANSITIONING TO A FULL SCALE FQHC IN 2006), THE ORGANIZATION CONTINUES TO EXPAND ON ITS EXISTING SERVICES TO MEET THE EVERCHANGING NEEDS OF THE COMMUNITY. IN KEEPING WITH BEST PRACTICES, JCHCC IMPLEMENTED AN INTEGRATED HEALTHCARE APPROACH IN 2021. JCHCC CURRENTLY SERVES APPROXIMATELY 600 PATIENTS MONTHLY WITH PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES. IN LOUISIANA, IT IS ESTIMATED THAT 650,000 ADULTS AND 245,000 CHILDREN HAVE DIAGNOSABLE MENTAL ILLNESS. RESIDENTS IN JEFFERSON PARISH REPORT AN AVERAGE OF 5 POOR MENTAL HEALTH DAYS PER MONTH. JCHCC PLANS TO EXPAND THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER (MOUD), BY UTILIZING BHSE FUNDS TO EXPAND SERVICE CAPACITY AND EXPAND THE EXISTING INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE. TO ENHANCE SERVICE CAPACITY, JCHCC PLANS TO HIRE ADDITIONAL MENTAL HEALTH PROFESSIONALS TO EXPAND THE SERVICES THAT CURRENTLY EXIST. EXPANSION OF CURRENT STAFF TO INCLUDE ORIENTATION PERSONNEL, INTAKE/ASSESSMENT SPECIALIST, TRAINED PROVIDER STAFF, DISCHARGE SPECIALIST, AFTER-CARE SUPPORT STAFF, AND PREVENTION SUPPORT SPECIALIST. THE TEAM IS LED BY A DIRECTOR WHO HAS AMASSED OVER 20 OF YEARS OF BEING LICENSED BY THE STATE OF LOUISIANA AS A LICENSED ADDICTION, FORENSIC, AND PROFESSIONAL COUNSELOR. JCHCC WILL BROADEN ITS CURRENT BEHAVIORAL HEALTH SERVICES TO INCLUDE COMPREHENSIVE SUD TREATMENT PROGRAMS, FOCUSING ON MOUD. SERVICES WILL INCLUDE INDIVIDUAL TREATMENT (12-18 SESSIONS); PREVENTION GROUP SESSIONS; PSYCHO-EDUCATIONAL GROUPS; INTENSIVE OUTPATIENT TREATMENT GROUPS (9 HOURS WEEKLY); AFTERCARE TREATMENT (MONTHLY VISITS). DATA COLLECTION METHODS; AUDITS; TREATMENT METHOD (ORIENTATION, INTAKE, SCREENING, COUNSELING, EDUCATION, REFERRAL, CRISIS INTERVENTION, DISCHARGE SUMMARY). JCHCC’S TARGET POPULATION WILL INCLUDE THE LOW INCOME (<200% FPL), UN/UNDERINSURED, AND UNDERSERVED POPULATION OF JEFFERSON PARISH, LOUISIANA. POPULATIONS MAY INCLUDE JUVENILE/ADULTS (LATE ADOLESCENTS - ELDERLY); LOW-RISK TO HIGH RISK AS PER SUD ASSESSMENT; POST DETOXIFICATION; VOLUNTEER/ COURT ORDERED CORRECTIONAL RE-ENTRY PARTICIPANTS; PROBATION AND PAROLE PARTICIPANTS. IN SERVICE TO THIS POPULATION, JCHCC PROJECTS PROVIDERS WILL PROVIDE 19,558 UNIQUE USERS WITH ACCESS TO SERVICES. WITH BHSE SUPPORT, JCHCC WILL SIGNIFICANTLY IMPACT THE MENTAL HEALTH AND SUD TREATMENT LANDSCAPE, CONTRIBUTING TO THE INTEGRATION OF BEHAVIORAL HEALTH INTO PRIMARY CARE AND ENHANCING PATIENT WELL-BEING IN JEFFERSON PARISH.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH CARE SYSTEMS, INC. ADDRESS: 2251 W ELM ST., WRIGHTSVILLE GA 31096-2017 PROJECT DIRECTOR NAME: CARLA BELCHER CONTACT PHONE NUMBERS (VOICE): 478-552-7384 (FAX): 478-552-0704 E-MAIL ADDRESS: CBELCHER@CHCSGA.ORG WEB SITE ADDRESS: WWW.CHCSGA.ORG PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. COMMUNITY HEALTH CARE SYSTEMS, INC. (CHCS), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ESTABLISHED IN 1993, PROVIDES HIGH-QUALITY HEALTH CARE SERVICES TO THE LOW-INCOME, UNDERSERVED POPULATION OF RURAL, EAST CENTRAL GEORGIA, INCLUDING BALDWIN, BIBB, GLASCOCK, HANCOCK, JEFFERSON, JOHNSON, JONES, LAURENS, TALIAFERRO, TELFAIR, TWIGGS, WARREN, WASHINGTON, AND WILKINSON COUNTIES IN GEORGIA. IN 2023, CHCSGA SERVED 19,980 TOTAL PATIENTS, INCLUDING 554 PATIENTS WITH MENTAL HEALTH SERVICES, 91 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 53 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: BALDWIN, BIBB, GLASCOCK, HANCOCK, JEFFERSON, JOHNSON, LAURENS, TELFAIR, WASHINGTON, AND WILKINSON COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH CARE (FIND SHORTAGE AREAS, HRSA, 2024), AS ARE JONES, TALIAFERRO, TWIGGS, AND WARREN COUNTIES FOR THE LOW-INCOME POPULATION. THE RATIO OF RESIDENTS TO MENTAL HEALTH PROVIDERS IN THE SERVICE AREA IS 37,294:1, COMPARED TO THE RATIO OF 600:1 IN GA AND 340:1 IN THE US (HPSA DATA, HRSA DATA EXPLORER, 2024; COUNTY HEALTH RANKINGS, RWJF, 2024). MORE THAN TWO IN FIVE (43.2%) OF SERVICE AREA RESIDENTS LIVE ON INCOMES AT OR BELOW 200% FPG, WHILE 23.0% LIVE ON INCOMES AT OR BELOW 100% FPG (ACS, CENSUS BUREAU, 2018-2022). LACK OF INSURANCE POSES A SIGNIFICANT BARRIER TO BEHAVIORAL HEALTH CARE FOR MANY RESIDENTS. OF ALL SERVICE AREA RESIDENTS, 15.9% ARE UNINSURED, WHILE AMONG THOSE WITH INCOMES UNDER 200% FPG IN THE SERVICE AREA 20.4% ARE UNINSURED (SMALL AREA HEALTH INSURANCE ESTIMATES, CENSUS BUREAU, 2021). MORE THAN A QUARTER OF SERVICE AREA RESIDENTS (26.0%) ARE ENROLLED IN MEDICAID, WHILE 21.7% ARE ENROLLED IN MEDICARE (ACS, 2018-2022, CENSUS BUREAU). SERVICES: CHCSGA IS REQUESTING FUNDING TO SUPPORT EXPANDED BEHAVIORAL SERVICES, INCREASING ACCESS TO MENTAL HEALTH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. IN SUPPORT OF THESE SERVICES, CHCSGA IS PROPOSING TO HIRE 1.0 FTE COMMUNITY HEALTH WORKER (SOCIAL WORKER/NAVIGATOR/COMMUNITY HEALTH WORKER), 1.0 FTE PSYCHIATRIC NURSE PRACTITIONER (ALLOCATING 0.60 FTE TO MENTAL HEALTH AND 0.40 FTE TO MEDICAL SUD), 0.45 FTE PSYCHIATRIC NURSE PRACTITIONERS (ALLOCATING 0.45 FTE TO MENTAL HEALTH), 1.0 LICENSED CLINICAL SOCIAL WORKER (LCSW) (ALLOCATING 0.60 FTE TO MENTAL HEALTH AND 0.40 FTE TO SUD), 0.50 FTE OTHER MENTAL HEALTH PERSONNEL (CERTIFIED PEER SPECIALIST), AND 0.45 FTE OTHER LICENSED MENTAL HEALTH PROVIDER (LICENSED MARRIAGE/FAMILY THERAPIST). THE PROJECT WILL ALSO INCLUDE THE PURCHASE OF A MOBILE BEHAVIORAL HEALTH UNIT TO EXPAND REACH OF SERVICES, IMPLEMENTATION OF AN INDIVIDUAL OUTPATIENT PROGRAM (IOP) WITH A VIRTUAL COMPONENT, AND TRAINING AND TECHNICAL ASSISTANCE FOR THE PROJECT, INCLUDING TRAINING TO INCREASE THE NUMBER OF PROVIDERS DELIVERING TREATMENT WITH MOUD. POPULATION GROUP: CHCSGA ANTICIPATES THAT THE PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BEHAVIORAL HEALTH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 750 MENTAL HEALTH SERVICES PATIENTS, 150 SUD SERVICES PATIENTS, AND 100 PATIENTS RECEIVING MOUD SERVICES. OVERALL, THE CENTER ESTIMATES AN INCREASE OF 100 UNDUPLICATED NEW HEALTH CENTER PATIENTS. THIS WILL SUPPORT THE BHSE PROGRAM PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD.

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CARE AND OTHER FACILITIES

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

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - EXPANDED BEHAVIORAL HEALTH AND MOUD SERVICES IN PUYALLUP, WASHINGTON. COMMUNITY HEALTH CARE REQUESTS SUPPORT TO EXPAND INTEGRATED BEHAVIORAL HEALTH SERVICES IN SEVERAL CAPACITIES. COMMUNITY ASSESSMENTS HAVE CONTINUOUSLY SHOWN NEED FOR INCREASED BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES IN PIERCE COUNTY, OFTEN SHOWING DISPARITIES IN OUR COUNTY WITH NEGATIVE OUTCOMES AT RATES ABOVE OUR STATE AVERAGES IN NUMEROUS BEHAVIORAL HEALTH AND SUBSTANCE USE OUTCOME MEASURES. THIS PROPOSAL CENTERS AROUND THE IDEA OF CREATING HEALTH HOMES, WHERE NEEDS THAT HAVE TRADITIONALLY BEEN TREATED IN SILOED ORGANIZATIONS CAN BE MET IN A PRIMARY CARE SETTING. COMMUNALITY HEALTH CARE HAS BEEN WORKING HARD TO MEET THE NEEDS OF THE PIERCE COUNTY COMMUNITY FOR OVER 50 YEARS, AND LATER THIS YEAR WILL EXPAND FURTHER INTO EASTERN PIERCE COUNTY WITH THE OPENING OF A NEW HEALTH CENTER IN PUYALLUP, WA. THIS FUNDING WOULD SUPPORT FURTHER EXPANSION OF INTEGRATED BEHAVIORAL HEALTH SERVICES OFFERED WITH PRIMARY CARE AT THIS SITE, THROUGH THE ADDITION OF A BEHAVIORAL HEALTH CONSULTANT TO WORK DIRECTLY ON THE PRIMARY CARE TEAM, AS WELL AS PART-TIME PSYCHIATRIC ARNP TO MEET COMPLEX PSYCHOTROPIC MEDICATION NEEDS OF OUR PATIENT POPULATION. THESE POSITIONS WILL HELP DECREASE BARRIERS TO BEHAVIORAL HEALTH SERVICES, WITH QUICK ACCESS TO ALL PATIENTS, NO MATTER WHAT THEIR INSURANCE STATUS IS. COMMUNITY HEALTH CARE HAS DEVELOPED PLANS TO BE DESIGNATED AS AN AUTISM CENTER OF EXCELLENCE, WHICH IS REQUIRED IN WASHINGTON STATE TO BE ABLE TO DIAGNOSE AND PRESCRIBE ABA THERAPY FOR AUTISM SPECTRUM DISORDER (ASD). THE PREVALENCE OF CHILDREN WITH ASD HAS GROWN TO 1 IN 26 8-YEAR-OLDS (2.8%). INTERVENTIONS FOR ASD HAVE THE GREATEST LIKELIHOOD FOR SUCCESS WHEN CHILDREN ARE IDENTIFIED EARLY. PIERCE COUNTY HAS A GROWING NEED SERVE CHILDREN WITH DEVELOPMENTAL OR BEHAVIORAL CHALLENGES. FAMILIES FACE LONG WAIT LISTS AND SIGNIFICANT BARRIERS WHEN THERE IS SUSPECTED AUTISM SPECTRUM DISORDER AND DELAYS IN C ARE CAN BE DEVASTATING. THIS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES, IN BECOMING AN AUTISM CENTER OF EXCELLENCE, COMMUNITY HEALTH CARE HOPES TO TRAIN PEDIATRICIANS AND OTHER MEMBERS OF THE TEAM TO DIAGNOSIS AUTISM SPECTRUM DISORDER. THIS APPLICATION PROPOSES FUNDING FOR A BEHAVIORAL HEALTH TEAM MEMBER THAT WILL PARTNER WITH TRAINED PHYSICIANS TO SUPPORT A NEW WORKFLOW FOR DIAGNOSIS THROUGH ASSESSMENT, SCREENING, AND COORDINATION FOR THESE FAMILIES IN OUR PRIMARY CARE SETTING. PROVIDING THESE SERVICES IN OUR CLINIC WILL SIGNIFICANTLY INCREASE THE ABILITY FOR LOW-INCOME CHILDREN WITH DEVELOPMENTAL DELAYS TO ACCESS MUCH NEEDED SERVICES AND HAS THE POTENTIAL TO LEAD TO IMPROVED DEVELOPMENTAL OUTCOMES FOR A VULNERABLE POPULATION. LASTLY, THIS FUNDING WILL SUPPORT EXPANDED ACCESS TO MEDICATIONS FOR OPIOID USE DISORDER (MOUD) IN OUR COMMUNITY. THE MOST DIRECT WAY TO IMPACT THIS IS THROUGH A PRESCRIBER, AND THIS FUNDING WILL SUPPORT .2 FTE OF A PRIMARY CARE PHYSICIAN TO BE DEDICATED TO MEDICATIONS FOR MOUD. IN ADDITION TO THIS, COMMUNITY HEALTH CARE IS PROPOSING FUNDING FOR A COMMUNITY HEALTH WORKER DEDICATED TO BEHAVIORAL HEALTH NEEDS THAT CAN BE INTEGRATED ONTO THE CARE TEAM FOR PATIENTS WITH OPIOID USE DISORDER. IT IS CLEAR THAT SOCIAL DETERMINANTS OF HEALTH IMPACT RECOVERY IN SIGNIFICANT WAYS, AND INABILITY TO MEET BASIC NEEDS ARE MAJOR CONCERNS FOR THE LOW-INCOME, UNINSURED AND UNDER-INSURED PATIENT POPULATION SERVED BY COMMUNITY HEALTH CARE. THESE EFFORTS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD.

RURAL HEALTH OPIOID PROGRAM

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

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

CAPITAL DEVELOPMENT

HEALTH CARE AND OTHER FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH WORKFORCE DEVELOPMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CARE AND OTHER FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

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

AMERICAN RESCUE PLAN ACT FUNDING FOR PCAS

ARRA - CAPITAL IMPROVEMENT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FISCAL YEAR 2025 EXPANDED HOURS. - CANYONLANDS COMMUNITY HEALTHCARE, A NON-PROFIT COMMUNITY HEALTH CENTER [HEALTH CENTER PROGRAM GRANT NUMBER (H80CS00448)] OFFERING SERVICES TO RURAL COMMUNITIES IN ARIZONA AND SOUTHERN NEVADA, IS SEEKING TO EXPAND SERVICE HOURS AT THREE OF ITS EXISTING CLINICS, INCLUDING MESQUITE, NV (CLARK COUNTY [ZCTA5 89007, 89027 AND 89034]), GLOBE, AZ (GILA COUNTY [ZCTA5 85501 AND 85539), AND SAFFORD, AZ (GRAHAM COUNTY [ZCTA5 85546 AND 85552]). THESE COMMUNITIES ARE LOCATED IN COUNTIES THAT ARE GEOGRAPHICALLY LARGE, RURAL, DIVERSE AND EXTENDS INTO PORTIONS OF THESE COUNTIES WHICH INCLUDE INDIVIDUALS WHO LIVE AND WORK ON THE NAVAJO NATION (COCONINO) AND SAN CARLOS APACHE RESERVATION (GRAHAM). THE COUNTIES WITHIN THE SERVICE AREA HAVE RECEIVED HPSA DESIGNATIONS DUE TO THE SHORTAGE OF HEALTHCARE PROFESSIONALS IN GENERAL, AND PARTICULARLY FOR PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR INSURED THROUGH MEDICAID. THERE ARE SIGNIFICANT HEALTH DISPARITIES AMONG RESIDENTS DUE TO SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO ACCESS TO CARE IN RURAL, FRONTIER AND TRIBAL COMMUNITIES IN THE SERVICE AREA. EXPANDED HOURS AT THESE SITES WILL OCCUR ON SATURDAYS FROM 8AM TO 1PM. SERVICES WILL INCLUDE PRIMARY MEDICAL CARE AT EACH OF THE SITES FOR MESQUITE AND SAFFORD. THE SAFFORD SITE WILL ALSO HAVE ADDITIONAL EVENING HOURS, WITH PEDIATRIC SERVICES BEING OFFERED DURING THOSE TIMES. IN ADDITION TO THESE IN-PERSON SERVICES, EXISTING TELEHEALTH SERVICES WILL ALSO BE EXPANDED CONSISTENT WITH THESE EXPANDED SERVICE HOURS TO PROVIDE ADDITIONAL APPOINTMENT OPTIONS FOR BOTH PRIMARY MEDICAL CARE AND BEHAVIORAL HEALTH. PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WILL ROTATE HOURS AND IF NEEDED, ADDITIONAL STAFF WILL BE RECRUITED TO FILL THE EXPANDED SCHEDULE. MINOR ALTERATIONS/RENOVATIONS (A/D) WILL BE MADE IN ORDER TO CREATE SUITABLE SPACE AT THE MESQUITE, NV CLINIC. RENOVATIONS WILL ALSO ALLOW FOR GREATER PHARMACY VOLUME THROUGH INCREASED STORAGE SPACE AND DISPENSING CAPACITY AT THE MESQUITE CLINIC ON SITE PHARMACY. IN ADDITION, MINOR A/D WILL BE USED TO IMPROVE PHYSICAL SECURITY AT THE SAFFORD CLINIC TO ENSURE BOTH PATIENTS AND STAFF ARE SAFE DURING SERVICE EVENING HOURS. THESE THREE SITES HAVE BEEN SELECTED FROM CANYONANDS’ MULTIPLE SERVICE POINTS IN RESPONSE TO THERE BEING LIMITED SERVICES AVAILABLE TO THE COMMUNITY ON WEEKENDS. GLOBE AND MESQUITE DO NOT HAVE URGENT CARE FACILITIES, WHICH LEAVE PATIENTS WITH ONLY THE OPTION OF VISITING THE NEARBY HOSPITAL’S EMERGENCY DEPARTMENTS ON SATURDAYS. MEANWHILE, SAFFORD RESIDENTS ARE RELIANT ON THE EMERGENCY DEPARTMENT DURING THE EVENINGS PARTICULARLY FOR PEDIATRIC CARE. EXPANDING HOURS ON WEEKENDS (GLOBE AND MESQUITE) AND EVENINGS (SAFFORD) WOULD REDUCE THE BURDEN OF CARE ON THE EMERGENCY DEPARTMENTS AT MESA VIEW REGIONAL HOSPITAL (MESQUITE, NV), COBRE VALLEY REGIONAL MEDICAL CENTER (GLOBE, AZ) AND MOUNT GRAHAM REGIONAL MEDICAL CENTER (SAFFORD, AZ), ALL OF WHICH HAVE ESTABLISHED AND ONGOING RELATIONSHIPS WITH CANYONLANDS. IN ADDITION TO LIMITED SERVICE OPTIONS, PATIENTS FROM THESE AREAS HAVE GIVEN FEEDBACK TO CANYONLANDS ASKING FOR MORE SCHEDULING OPTIONS THAT BETTER ACCOMMODATE WORK AND SCHOOL SCHEDULES. THESE EXPANDED HOURS WOULD ALLOW PATIENTS TO BE SEEN FOR ROUTINE AND SAME-DAY APPOINTMENTS ON A MORE CONVENIENT AND REGULAR BASIS, AND WOULD SHORTEN WAIT TIME FOR NON-URGENT VISITS. CANYONLANDS IS COMMITTED TO PROVIDING HIGH QUALITY PRIMARY HEALTH CARE AND BEHAVIORAL HEALTH SERVICES FOR ADULTS AND CHILDREN TO ADVANCE HEALTH EQUITY WITHIN THE COMMUNITIES IT SERVES. EXPANDING SERVICE HOURS WILL ALLOW CANYONLANDS TO CONTINUE TO SUPPORT THE PROVISION OF HIGH-QUALITY HEALTH CARE IN THESE RURAL/FRONTIER COMMUNITIES WHICH INCLUDES INCREASING ACCESS TO CULTURALLY APPROPRIATE CARE WHILE ALSO STRENGTHENING ORGANIZATIONAL CAPABILITY THROUGH WORKFORCE AND PARTNERSHIP DEVELOPMENT.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RURAL HEALTH OPIOID PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TELEMEDICINE GRANT

COMMUNITY FACILITIES - NATURAL DISASTER GRANTS

HEALTH CARE AND OTHER FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

HEALTH CARE AND OTHER FACILITIES

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - THIS FUNDING WILL IDENTIFY PEOPLE WITH UNMET MEDICAL, DENTAL, AND BEHAVIORAL HEALTHCARE NEEDS, MOTIVATE THEM TO SEEK ASSISTANCE, ASSURE THAT ECONOMIC HARDSHIP IS NOT AN OBSTACLE, SECURE PROVIDERS ESTABLISH CARE AND COORDINATE COMMUNITY FOLLOW-UP SUPPORT IN THE GREATER MASCOMA VALLEY. THE PLAN IS TO IDENTIFY AND REACH OUT TO AT LEAST 1,000 PEOPLE IN NEED OF MEDICAL, MENTAL AND DENTAL HEALTHCARE IDENTIFIED THROUGH COMMUNITY ORGANIZATIONS IN THE UPPER VALLEY AND ENROLL AT LEAST 500 PEOPLE IN ONGOING, SUSTAINABLE PRIMARY MEDICAL, DENTAL AND MENTAL HEALTHCARE IN EXISTING PRIMARY CARE FACILITIES OPERATED BY MASCOMA COMMUNITY HEALTHCARE AND HEALTHFIRST. OUTREACH WILL ALSO INCLUDE ORGANIZATION OF RELATED COMMUNITY SUPPORT SERVICES AS NEEDED. OUTREACH WILL ALSO CREATE SOCIAL MEDIA COMMUNICATION OF THE PROGRAM. THE OUTREACH EFFORT WILL UTILIZE 1 FTE AND COST APPROXIMATELY $87,100. FUNDING WILL ALSO PROVIDE FUNDING NAVIGATOR SERVICES CONTRACTED THROUGH HEALTHFIRST FAMILY CARE WILL PROVIDE 500 HOURS OF NAVIGATOR SERVICES TO IDENTIFY AND SECURE FUTURE FUNDING FOR CARE. THE NAVIGATOR SERVICES WILL COST APPROXIMATELY $25,000. THE USE OF CONTRACTORS INCLUDING MENTAL HEALTH PROVIDERS AND NUTRITIONISTS FROM HEALTHFIRST WILL IMPACT BEHAVIORAL IMPEDIMENTS AND COST $33,000. DENTISTS AND DENTAL HYGIENISTS OF MASCOMA COMMUNITY HEALTHCARE, INC. WILL PROVIDE INITIAL PATIENT SCREENING AND PREPARATION OF CARE PLANS AT NO COST TO THE PATIENTS OTHER THAN GRANT FUNDS OF $25,000. THE COST OF MEDICAL AND BEHAVIORAL HEALTH INITIAL SCREENING AND DENTAL HEALTH SCREENING AND CARE PLANS WILL COST A TOTAL OF $58,000.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

TELEMEDICINE GRANT

FY 2023 EXPANDING COVID-19 VACCINATION