Family Health Centers 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

GEORGIA FAMILY PLANNING SERVICES

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

GEORGIA FAMILY PLANNING SYSTEM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

GEORGIA FAMILY PLANNING SYSTEM

HEALTH CENTER CLUSTER

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

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

GEORGIA FAMILY PLANNING SERVICES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

GEORGIA FAMILY PLANNING SERVICES

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

CAPITAL DEVELOPMENT

ARRA - FACILITY INVESTMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

ARRA - FACILITY INVESTMENT PROGRAM

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - FAMILY HEALTH CENTERS (FHC)WILL CO-LOCATE A NEW DENTAL CLINIC WITH OUR LARGEST MEDICAL CLINIC IN OMAK, WASHINGTON. THIS WILL FACILITATE AND AUGMENT SERVICES PROVIDED IN SMALL TOWNS TO THE NORTH AND SOUTH OF OMAK. THIS CLINIC WILL ALLOW FHC TO ADD 18 NEW DENTAL OPERATORIES AND RECRUIT FOUR GENERAL DENTISTS. WHEN BUILT, THE PROJECT WILL ALLOW FHC TO DOUBLE THE NUMBER OF PATIENTS ABLE TO GET DENTAL CARE AND SUPPORT, BRINGING THE TOTAL NUMBER OF ANNUAL PATIENT VISITS TO APPROXIMATELY 20,000.

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CONTINUUM OF CARE PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

HIGH-IMPACT HIV PREVENTION PARTNERSHIP SERVING SAN DIEGO COUNTY - PROJECT ABSTRACT SUMMARYFAMILY HEALTH CENTERS OF SAN DIEGO (FHCSD), THE TENTH LARGEST FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE NATION AND THE LARGEST PROVIDER OF COMPREHENSIVE HIV PREVENTION, OUTREACH, TESTING, AND SUPPORT SERVICES IN SAN DIEGO COUNTY, PROPOSES TO CONTINUE AND ENHANCE OUR CDC COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM FOR COMMUNITY-BASED ORGANIZATIONS (CBO HIP PROGRAM), IN PARTNERSHIP WITH VISTA COMMUNITY CLINIC (VCC) AND THE SAN DIEGO LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITY CENTER (THE CENTER), TO IMPROVE ACCESS TO CULTURALLY AND LINGUISTICALLY COMPETENT HIV NAVIGATION SERVICES, TESTING, MEDICAL CARE, PREVENTION, AND SUPPORTIVE SERVICES FOR MEN WHO HAVE SEX WITH MEN (MSM), WITH AN EMPHASIS ON THE ETHNIC AND RACIAL MINORITIES LOCAL SURVEILLANCE DATA IDENTIFY AS MOST SEVERELY AND DISPROPORTIONATELY AFFECTED BY THE HIV EPIDEMIC IN OUR LOCAL HEALTH JURISDICTION, SAN DIEGO COUNTY. THE PURPOSE OF THIS PROGRAM IS TO CONTINUE AND ENHANCE EXISTING CBO HIP STRATEGIES THAT DIAGNOSE HIV AS EARLY AS POSSIBLE, TREAT HIV QUICKLY AND EFFECTIVELY, PREVENT NEW HIV CASES, AND RESPOND QUICKLY TO HIV CLUSTERS. THIS WILL BE ACHIEVED THROUGH WIDELY AVAILABLE HIV TESTING IN A VARIETY OF SETTINGS THAT ARE ACCESSIBLE AND FAMILIAR TO THE TARGET POPULATION (TP), INTEGRATED HIV AND STD SCREENING, CULTURALLY AND LINGUISTICALLY COMPETENT RAPID LINKAGE TO CARE THROUGH HIV NAVIGATION SERVICES THAT PROVIDE INTENSIVE SUPPORT THROUGHOUT THE LINKAGE-TO-CARE PROCESS FOR BOTH PERSONS WITH HIV AND HIGH-RISK NEGATIVE (HRN) PERSONS, PERSONALIZED COGNITIVE COUNSELING FOR REPEAT TESTERS, REFERRALS TO PARTNER SERVICES (PS), STAY CONNECTED MEDICATION ADHERENCE SERVICES PROVIDED IN AN FQHC SETTING, EXPANDED USE OF SOCIAL NETWORK STRATEGY RECRUITMENT AND COMMUNITY PROMISE FOR HIP BEHAVIORAL INTERVENTION STRATEGIES CONDUCTED BY THE TP FOR THE TP, INNOVATIVE TECHNOLOGY SUPPORTED APPROACHES, CONDOM DISTRIBUTION, LINKAGE AND REFERRALS TO A HOST OF PREVENTIO N AND OTHER ESSENTIAL SERVICES PROVIDED BY PROJECT PARTNERS AND OUR NETWORK OF OVER 400 COMMUNITY PARTNERS, AND COORDINATION AND INTEGRATION OF CBO HIP SERVICES WITH OTHER HIV SERVICES IN SAN DIEGO COUNTY THROUGH PARTICIPATION IN THE SAN DIEGO COUNTY HIV PLANNING GROUP. FHCSD?S CBO HIP PROGRAM PROPOSES TO ACHIEVE THE FOLLOWING PERFORMANCE OUTCOMES BY THE END OF THE 5-YEAR PROJECT PERIOD: DIAGNOSE: INCREASE THE NUMBER OF PERSONS WHO ARE AWARE OF THEIR HIV STATUS TO A MINIMUM OF 7,500 (1,500 PER YEAR) THROUGH TARGETED HIV TESTING, ENSURING THAT 5,625 (1,125 PER YEAR) OR 75% OF THOSE TESTED ARE MEMBERS OF THE TP, AND INCREASE RECEIPT OF INTEGRATED HIV AND STD SCREENINGS, ENSURING THAT A MINIMUM OF 5,680 (1,136 PER YEAR) OR 75% OF ALL HRN CLIENTS AND CLIENTS WITH HIV RECEIVE INTEGRATED SCREENINGS. TREAT: INCREASE RECEIPT OF HIV MEDICAL CARE AND ANTIRETROVIRAL THERAPY (ART) AMONG PERSONS WITH NEWLY DIAGNOSED HIV, ENSURING A MINIMUM OF 90 (18 PER YEAR) OR 90% OF CLIENTS WITH NEWLY DIAGNOSED HIV ARE LINKED TO HIV MEDICAL CARE AND ART WITHIN 30 DAYS OF DIAGNOSIS; INCREASE RECEIPT OF HIV MEDICAL CARE AND ART AMONG PERSONS WITH PREVIOUSLY DIAGNOSED HIV BY ENSURING THAT A MINIMUM OF 55 (11 PER YEAR) OR 75% OF CLIENTS WITH PREVIOUSLY DIAGNOSED HIV WHO ARE NOT-IN-CARE ARE LINKED TO OR RE-ENGAGED IN CARE WITHIN 30 DAYS; AND INCREASE ACCESS TO PS AMONG PERSONS WITH HIV BY ENSURING 175 (35 PER YEAR) OR 100% OF CLIENTS WITH HIV ARE REFERRED TO PS. PREVENT: INCREASE ACCESS TO PRE-EXPOSURE PROPHYLAXIS (PREP) BY ENSURING A MINIMUM OF 6,660 OR 80% (1,332 PER YEAR) OF HRN CLIENTS ARE REFERRED TO PREP; AND INCREASE THE AVAILABILITY OF CONDOMS BY DISTRIBUTING 100,000 (20,000 PER YEAR) CONDOMS TO PERSONS WITH HIV AND HRN PERSONS.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

LOUISVILLE HOUSING FIRST PROJECT FOR HOMELESS ADULTS

OPTIMIZING VIRTUAL CARE

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN (CATEGORY A)

MOBILE HARM REDUCTION TEAM - POPULATIONS SERVED: FAMILY HEALTH CENTERS OF SAN DIEGO’S (FHCSD) MOBILE HARM REDUCTION TEAM (M-HRT) PROGRAM WILL ENGAGE, SCREEN AND ENROLL 350 INDIVIDUALS, YOUTH, AND FAMILIES WHO ARE EXPERIENCING HOMELESSNESS AND SUBSTANCE USE DISORDER (SUD) OR CO-OCCURRING MENTAL HEALTH CONDITIONS (COD) THROUGH FIELD-BASED OUTREACH AND ENGAGEMENT IN M-HRT SERVICES. OPERATING IN CONJUNCTION WITH THE OPERATIONAL HOURS AND VARIOUS SITE LOCATIONS OF FHCSD’S SAFE SYRINGE PROGRAM AND SURROUNDING NEIGHBORHOODS, WE ANTICIPATE THAT OUR POPULATION OF FOCUS (POF) WILL DISPROPORTIONATELY BE EXPERIENCING SUD AND SERIOUS MENTAL ILLNESS (SMI) AND FACE SIGNIFICANT ECONOMIC, SOCIAL AND PHYSICAL BARRIERS TO MAINTAINING STABLE HOUSING, ACHIEVING OPTIMAL SMI AND SUD TREATMENT, AND ACCESSING OTHER SUPPORTIVE SERVICES. EACH YEAR, 20 HIGH-RISK M-HRT PARTICIPANTS WILL ALSO RECEIVE FINANCIAL SUPPORT FOR 3 MONTHS OF RECOVERY RESIDENCY. STRATEGIES AND INTERVENTIONS: M-HRT WILL ESTABLISH A COMPREHENSIVE AND HIGHLY COORDINATED PROGRAM THAT, WITH STRONG CASE MANAGEMENT AND PARTICIPANT SUPPORT, WILL PROVIDE: 1) PROGRAM SERVICES INCLUDING CASE MANAGEMENT, SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT AND RECOVERY SERVICES, HOMELESS SERVICES NAVIGATION, PEER SUPPORT WITHIN SUD SERVICES, AND HEALTH AND BENEFIT ENROLLMENT ASSISTANCE; 2) INTERNAL SUPPORTED REFERRALS TO WRAP-AROUND FHCSD SERVICES FOR PRIMARY AND DENTAL HEALTHCARE, MEDICATION ASSISTED TREATMENT, PSYCHIATRY, AND OTHER SERVICES PROVIDED BY FHCSD; AND 3) EXTERNAL REFERRALS TO COMMUNITY RESOURCES FOR NEEDS SUCH AS EMPLOYMENT ASSISTANCE, LEGAL AID, RESIDENTIAL TREATMENT, AS WELL AS OTHER SUPPORTIVE SERVICES AS INDICATED. M-HRT WILL EMPLOY EVIDENCE-BASED PRACTICES IN ALL ASPECTS OF THE PROGRAM, INCLUDING HARM REDUCTION (HR), INTENSIVE CASE MANAGEMENT (ICM), TRAUMA INFORMED CARE (TIC), MOTIVATIONAL INTERVIEWING (MI), COGNITIVE BEHAVIORAL THERAPY (CBT), AND RELAPSE PREVENTION (RP). ENHANCED ACCESS TO A HARD-TO-REACH POF THROUGH FIELD-BASED OUTREACH IN COLLABORATION WITH FHCSD’S SYRINGE SERVICES PROGRAM WILL ENHANCE THE SERVICE EXPERIENCE OF M-HRT PARTICIPANTS ACROSS THE CONTINUUM OF CARE BY SYSTEMATICALLY ASSESSING CLIENT NEEDS AND SERVICE GAPS, DEVELOPING STRATEGIC PARTNERSHIPS TO ADDRESS THOSE NEEDS, AND CONDUCTING CAREFUL AND ONGOING REVIEW OF SERVICE COLLABORATIONS TO SECURE THOSE NEEDS. GOALS AND OBJECTIVES: THE OVERARCHING GOAL OF M-HRT IS TO REDUCE SERVICE BARRIERS AND INCREASE ACCESS TO HIGH-INTENSITY SERVICE INTERVENTIONS BY EXPANDING FIELD-BASED SERVICES, INCREASING OUR CAPACITY TO REACH THE POF WITH ROBUST SERVICES THAT IMPACT THEIR HEALTH AND QUALITY OF LIFE. THIS WILL REDUCE INEQUITIES, TRAUMA, AND STIGMATIZATION FOR PARTICIPANTS AS IT IMPROVES THEIR CARE. OFFERING FIELD-BASED SERVICES ALSO INCREASES THE VISIBILITY OF AVAILABLE SERVICES TO, AND HEALTH EDUCATION FOR, THE POF. IT WILL ALSO INCREASE ACCESS TO AGE-APPROPRIATE SERVICES FOR SAN DIEGO’S RAPIDLY GROWING POPULATION OF OLDER ADULTS WITHIN M-HRT’S POF. OBJECTIVES INCLUDE ENROLLING 350 PARTICIPANTS OVER THE COURSE OF THE 5-YEAR PROJECT PERIOD (45 PARTICIPANTS WILL BE ENROLLED IN YEAR 1, AND 75 IN EACH OF YEARS 2-5); AND FUNDAMENTALLY ADDRESSING PARTICIPANT PSYCHOSOCIAL, MENTAL HEALTH, AND MEDICAL NEEDS THROUGH A RANGE OF SERVICES, THE DEVELOPMENT OF INDIVIDUALIZED CARE PLANS, INTERNAL AND EXTERNAL REFERRALS, AND LINKAGES TO CARE.

THE LOTUS PROJECT - FAMILY HEALTH CENTERS OF SAN DIEGO (FHCSD) AND SUBCONTRACTOR, VISTA COMMUNITY CLINIC (VCC), BOTH NON-PROFIT, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) LOCATED IN SAN DIEGO COUNTY, CALIFORNIA, WILL ENGAGE IN CARE (OVER THE 5-YEAR PROJECT PERIOD) 480 INDIVIDUALS FROM THE POPULATION OF FOCUS (POF), RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS (PARTICULARLY AFRICAN AMERICANS AND HISPANICS) 18+ YEARS WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING DISORDERS (COD) WHO ARE AT HIGH RISK FOR OR LIVING WITH HIV/AIDS. ACCORDING TO LOCAL EPIDEMIOLOGICAL DATA , HIV CONTINUES TO DISPROPORTIONATELY IMPACT AFRICAN AMERICANS AND HISPANICS IN THE COUNTY: AFRICAN AMERICANS WHO CONSTITUTE LESS THAN 6% OF THE COUNTY’S POPULATION, REPRESENT 12% OF ALL RECENT HIV DIAGNOSES, 13% OF ALL PLWH, AND 13.2% OF THOSE UNAWARE OF THEIR INFECTION. HISPANICS CONSTITUTE 34% OF THE POPULATION AND REPRESENT 48% OF ALL RECENT HIV DIAGNOSES, 42.2% OF PLWH, AND 49.6% OF THOSE UNAWARE OF THEIR INFECTION. IN THE PROPOSED LOTUS PROJECT, FHCSD AND VCC WILL DEPLOY HEALTH NAVIGATORS (HNS) WHO WILL CONDUCT OUTREACH THROUGHOUT THE COUNTY AND IN-REACH THROUGH OUR COMBINED 34 (FHCSD-24 AND VCC-10) PRIMARY CLINICS (COMPLETING 700 IN YEAR 1 AND 800 IN YEARS 2-5 ENCOUNTERS) TO RECRUIT THE POF, INCLUDING MEN WHO HAVE SEX WITH MEN (MSM), PEOPLE WHO INJECT DRUGS (PWID), MSM+PWID, CIS- AND TRANSGENDER WOMEN, AND THEIR SEXUAL AND DRUG-USING PARTNERS. HNS WILL PROVIDE HIV/HCV (PRELIMINARY AND CONFIRMATORY) TESTING AND COUNSELING, COMPLETING (600 IN YEAR 1 AND 700 IN YEARS 2-5 HIV AND 150 IN YEAR 1 AND 200 IN YEARS 2-5 HCV) TESTS, AND AS MANY SUD/COD SCREENINGS. HNS WILL LINK 80% HIV+ AND 95% OF HCV REACTIVE OR HIGH-RISK (FOR HIV) NEGATIVES (HRNS) TO CARE, INCLUDING IN-HOUSE HIV/VIRAL HEPATITIS PRIMARY CARE, RYAN WHITE MEDICAL AND NON-MEDICAL CASE MANAGEMENT, AND PREP, WITHIN HOURS AND NO MORE THAN 30 DAYS, REPORTING ALL HIV/HCV POSITIVES TO LOCAL AND STATE OFFICIALS AS REQUIRED. HNS WILL ALSO PROVIDE SUD/COD SCREENINGS AND REFERRALS/LINKAGES TO IN-HOUSE PROVIDERS, ENROLLING (80 IN YEAR 1 AND 100 IN YEARS 2-5) FROM ALL GROUPS WILLING TO PARTICIPATE AND SCREEN POSITIVE FOR AN SUD/COD INTO CHOOSING LIFE, EMPOWERMENT, ACTION, RESULTS (CLEAR), AN EVIDENCE-BASED, GOAL SETTING, RISK REDUCTION, AND MULTI-SESSION INTERVENTION. 75% OF CLEAR ENROLLEES REFERRED FOR SUD/COD CARE WILL RECEIVE COMPREHENSIVE SUD/COD SCREENING AND ASSESSMENTS, DEVELOP INDIVIDUAL SERVICE PLANS (ISPS), AND PARTICIPATE IN EVIDENCE-BASED SUD/COD TREATMENT AND RECOVERY SUPPORT SERVICES. 70% OF CLEAR COMPLETERS WILL REALIZE AT LEAST ONE BENEFICIAL LIFE CHANGE. MOST OF THE LOTUS PROJECT’S KEY PERSONNEL, THE PROGRAM DIRECTOR, PROGRAM MANAGER, PROGRAM COORDINATOR, HEALTH NAVIGATORS, ARE BI-CULTURAL AND BI-LINGUAL. ALL STAFF HAVE EXPERIENCE WORKING WITH THE POF AND ARE TRAINED IN TRAUMA INFORMED CARE AND MOTIVATIONAL INTERVIEWING. THE EXTERNAL EVALUATOR, WHO IS FROM THE INSTITUTE OF PUBLIC HEALTH AT SAN DIEGO STATE UNIVERSITY, HAS COLLABORATED WITH FHCSD FOR OVER 25 YEARS. VCC WILL FOCUS ON REACHING AND LINKING TO CARE THE POF IN SAN DIEGO’S NORTH COUNTY.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE

HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECT FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN SERVING SAN DIEGO COUNTY'S CENTRAL AND NORTH REGIONS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2023 EXPANDING COVID-19 VACCINATION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HIV PREVENTION SERVICES FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS - THE GOALS OF INSURE YOUR KIDS SD! ARE TO REDUCE THE NUMBER OF CHILDREN WHO ARE ELIGIBLE FOR, BUT NOT ENROLLED IN MEDI-CAL (CALIFORNIA’S MEDICAID PROGRAM), TO IMPROVE RETENTION OF CHILDREN ENROLLED IN MEDI-CAL, AND TO ASSIST PARENTS AND FAMILIES TO NAVIGATE THE APPLICATION AND RENEWAL PROCESS. OUR PROJECT WILL CONTINUE TO DEPLOY ENROLLMENT STRATEGIES THAT HAVE BEEN PROVEN EFFECTIVE OVER SEVERAL YEARS, COMBINING IN-REACH AND OUTREACH EFFORTS WITH ONLINE STRATEGIES AND THE AVAILABILITY OF VIRTUAL APPOINTMENTS TO MAXIMIZE REACH AND IMPACT. INSURE YOUR KIDS SD! STAFF WILL CONTINUE TO CONDUCT IN-REACH ACTIVITIES AT OUR HEALTH CENTERS, INCLUDING PEDIATRIC AND PRENATAL PATIENTS AND OUTREACH ACTIVITIES IN THE COMMUNITY AND AT CONVENIENT PARTNER SITES. OUR DEDICATED INSURANCE ENROLLMENT HOTLINE COMBINED WITH TARGETED MESSAGING FROM SOCIAL MARKETING AND GEOFENCING TECHNOLOGY WILL CONNECT ELIGIBLE CHILDREN, PARENTS, AND PREGNANT INDIVIDUALS TO ENROLLMENT ASSISTANCE SERVICES. FHCSD IS REQUESTING A TOTAL BUDGET OF $1,500,000 OVER 36 MONTHS TO ACHIEVE THE FOLLOWING GOALS: (1) ASSIST 9,411 CHILDREN, 4,844 PARENTS, AND 613 PREGNANT INDIVIDUALS TO SUBMIT A MEDI-CAL OR COVERED CALIFORNIA (CCA) (STATE HEALTHCARE EXCHANGE) ENROLLMENT APPLICATION; (2) ENROLL 6,404 CHILDREN, 3,201 PARENTS, AND 249 PREGNANT INDIVIDUALS IN MEDI-CAL OR CCA; AND (3) RENEW MEDI-CAL OR CCA COVERAGE FOR 3,658 CHILDREN, 1,650 PARENTS, AND 214 PREGNANT INDIVIDUALS. FUNDS WILL SUPPORT PERSONNEL AND TRAVEL (MILEAGE REIMBURSEMENT) TO CONDUCT IN-REACH, OUTREACH, AND ENROLLMENT ASSISTANCE TO ELIGIBLE CHILDREN, PARENTS, AND PREGNANT INDIVIDUALS. ADDITIONALLY, FUNDS WILL BE USED FOR ONLINE PATIENT ENGAGEMENT EFFORTS (ADS) TO DEPLOY TARGETED MESSAGING TO HARD-TO-REACH POCKETS OF UNINSURED CHILDREN, PARENTS, AND PREGNANT INDIVIDUALS. ESTIMATED NUMBER OF PEOPLE TO BE SERVED AS A RESULT OF THE AWARD OF THIS GRANT: 14,868

CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS

LOUISVILLE COOPERATIVE HOUSING FIRST PROJECT

NEXUS COMPREHENSIVE PATIENT NAVIGATION PROGRAM (NEXUS - CPNP)

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

PRESCRIPTION HOUSING LOUISVILLE

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

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

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (FHCSD) (H80CS00224) WILL INCREASE THE NUMBER OF JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R) WHO ARE ACCESSING IN-SCOPE HEALTH CENTER SERVICES THAT ADDRESS CRITICAL HEALTH AND HEALTH-RELATED SOCIAL NEEDS BY IMPLEMENTING A MULTIFACETED, INNOVATIVE PROGRAM. FHCSD’S REENTRY SUPPORT SERVICES WILL ENGAGE A MINIMUM OF 1,000 JI-R IN PARTNERSHIP WITH THE SAN DIEGO COUNTY SHERIFF’S DEPARTMENT DURING THE 2-YEAR PROJECT PERIOD OF PERFORMANCE. NEEDS: JUSTICE-INVOLVED INDIVIDUALS (JII) HAVE A HIGHER RISK FOR INJURY AND DEATH THAN THE GENERAL PUBLIC, PROMPTING CALIFORNIA TO BECOME THE FIRST STATE IN THE NATION TO OFFER MEDICAID SERVICES SPECIFICALLY TARGETING ELIGIBLE YOUTH AND ADULTS IN STATE PRISONS, COUNTY JAILS, AND YOUTH CORRECTIONAL FACILITIES FOR UP TO 90 DAYS PRIOR TO THEIR RELEASE. AFTER RELEASE, JII FACE A HIGHER BURDEN OF MULTIPLE PHYSICAL AND MENTAL HEALTH CONDITIONS, INCLUDING SUBSTANCE USE DISORDER (SUD), AS WELL AS HIGHER RATES OF UNINSURANCE, POVERTY, AND USE OF EMERGENCY DEPARTMENT SERVICES THAN THE GENERAL POPULATION (HAWKS ET AL, 2020). NAVIGATING THE HEALTHCARE SYSTEM IS ALREADY CHALLENGING FOR MOST PEOPLE, BUT JII OFTEN HAVE A HARDER TIME DUE TO INCOMPLETE/MISSING DOCUMENTS, LOW HEALTH LITERACY, AND OTHER COMPETING LIFE PRIORITIES (E.G., FINANCIAL INSTABILITY, HOUSING INSTABILITY AND FOOD INSECURITY). OVER 100,000 OF THE APPROXIMATELY 1 MILLION UNINSURED CALIFORNIANS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE RESIDE IN SAN DIEGO COUNTY. EVEN AFTER SUCCESSFUL OUTREACH AND ENROLLMENT EFFORTS, JII FIND THEMSELVES UNABLE TO ACCESS THE SERVICES THEY NEED. A PILOT PROJECT INVOLVING JII WHO WERE FHCSD PATIENTS FROM 2017-2021 FOUND THAT AT ENROLLMENT ONLY ABOUT HALF HAD HEALTH INSURANCE COVERAGE, ONE THIRD WERE SEEKING CARE AT A CLINIC, ONE THIRD HAD AN UNMET HEALTH NEED, ONE THIRD WERE EMPLOYED, AND 85% REMAINED UNSTABLY HOUSED. PROPOSED SERVICES: FHCSD’S REENTRY SUPPORT SERVICES WILL BUILD UPON EXISTING EVIDENCE-BASED PRACTICES FROM THE TRANSITIONS CLINIC NETWORK (TCN) AND OFFER WRAPAROUND SERVICES TO CONNECT OR RECONNECT JI-R TO IN-SCOPE HEALTH CENTER SERVICES THAT ADDRESS THEIR UNIQUE CRITICAL HEALTH AND HEALTH-RELATED SOCIAL NEEDS. THE MULTIDISCIPLINARY CARE TEAM WILL INCLUDE COMMUNITY HEALTH WORKERS (CHW) WITH LIVED EXPERIENCES WITH INCARCERATION AND A CLINICAL CASE MANAGER WITH EXPERTISE IN VALUE-BASED CARE QUALITY OUTCOMES WHO TOGETHER WITH FHCSD’S LARGER SYSTEM OF CARE, WILL ASSESS, INFORM, REFER, AND ASSIST JII IN ACCESSING COMPREHENSIVE SERVICES IN A CULTURALLY RESPONSIVE MANNER. THE CHWS AND CLINICAL CASE MANAGER WILL SUPPORT JI-R WITH PRE-RELEASE TRANSITIONAL CARE MANAGEMENT TO ADDRESS BOTH SOCIALLY AND CLINICALLY COMPLEX NEEDS THAT REQUIRE FULL WRAPAROUND COORDINATION OF CARE. THE MULTIDISCIPLINARY CARE TEAM WILL WORK WITH THE JI-R CLIENTS ON INDIVIDUALIZED CARE PLANS AND HELP THEM NAVIGATE SERVICES IMMEDIATELY UPON RELEASE, INCLUDING BUT NOT LIMITED TO: CONNECTING THEM TO HEALTH INSURANCE COVERAGE, ESTABLISHING A MEDICAL HOME, AND ARRANGING TRANSPORTATION TO THEIR FIRST MEDICAL APPOINTMENT. FHCSD WILL IDENTIFY AT LEAST ONE PROVIDER CHAMPION WHO WILL SEE PATIENTS AND ALSO SUPPORT ORGANIZATION-WIDE EFFORTS TO ENHANCE CARE FOR JII CLIENTS. FHCSD WILL ALSO PARTNER WITH SAN DIEGO SECOND CHANCE TO OFFER CLIENTS WITH ACCESS TO SUPPORTIVE RESOURCES (E.G., JOB AND HOUSING READINESS) THAT AIM TO REDUCE RECIDIVISM AND BREAK THE CYCLE OF INCARCERATION IN THE COMMUNITY. POPULATIONS TO BE SERVED: FHCSD’S REENTRY SUPPORT SERVICES WILL ENGAGE A MINIMUM OF 1,000 JI-R ADULTS WITH CHRONIC CONDITIONS AND/OR AN UNMET BEHAVIORAL HEALTH NEED WITHIN THE SAN DIEGO COUNTY SHERIFF’S DEPARTMENT’S SYSTEM. THE POPULATION OF FOCUS WILL CONSIST OF RACIALLY AND ETHNICALLY DIVERSE, LOW-INCOME INDIVIDUALS WHO ARE PRIMARILY RESIDENTS OF OR ORIGINALLY HAVE TIES TO SAN DIEGO COUNTY.

SUBSTANCE ABUSE AND HIV PREVENTION NAVIGATOR PROGRAM FOR RACIAL/ETHNIC MINORITIES - FAMILY HEALTH CENTERS OF GEORGIA, INC. (FHCGA) PROPOSES TO IMPLEMENT AN HIV PREVENTION NAVIGATOR PROJECT THAT WILL PROVIDE SUBSTANCE MISUSE AND HIV PREVENTION SERVICES TO RACIAL/ETHNIC MINORITY MALES AT RISK FOR HIV/AIDS. THE GEOGRAPHIC CATCHMENT AREA FOR THIS PROJECT INCLUDES COBB, DEKALB, FULTON, AND GWINNETT COUNTIES, GA, THE FOUR GA COUNTIES HIT HARDEST BY THE HIV EPIDEMIC. PROJECT NAME. HIV PREVENTION NAVIGATOR PROGRAM FOR RACIAL/ETHNIC MINORITIES. POPULATIONS TO BE SERVED. THE TOTAL POPULATION OF THE 4-COUNTY CATCHMENT AREA IS 3,489,904, INCLUDING 33,642 PEOPLE LIVING WITH HIV (PLWH). THE REGION IS 47.5% MALE, 38.1% BLACK, AND 12.4% HISPANIC; 27.8% OF ALL RESIDENTS LIVE ON INCOMES BELOW 200% FPG. HIV/AIDS INCIDENCE (37.6 PER 100,000) AND PREVALENCE (964 PER 100,000) ARE HIGHER THAN THE NATION (ACS, CENSUS BUREAU, 2016-20; HIV SURVEILLANCE SUMMARY 2020, GA DEPT. OF PUBLIC HEALTH). STRATEGIES/ INTERVENTIONS. THE PROJECT WILL UTILIZE A PATIENT NAVIGATOR/COMMUNITY HEALTH WORKER (PREV-NAV/CHW) MODEL TO INCREASE CAPACITY TO PROVIDE SUBSTANCE MISUSE, HIV, AND HEPATITIS PREVENTION SERVICES AND MENTAL HEALTH PROMOTION FOR POPULATIONS AT RISK FOR HIV/AIDS, WITH A FOCUS ON INDIVIDUALS WHO ARE LOW-INCOME, BLACK, HISPANIC, AND MSM. OPT-OUT TESTING FOR HIV AND HEPATITIS, AND IMPLEMENTATION OF COMMUNITY-BASED HIV RAPID TESTING, WILL INCREASE ACCESS TO APPROPRIATE SCREENING AND LINKAGE TO CARE. EVIDENCE-BASED INTERVENTIONS INCLUDING PREPMATE AND COGNITIVE BASED THERAPY FOR SOCIAL ANXIETY & SEXUAL HEALTH (CBT-SASH) WILL BE IMPLEMENTED TO IMPROVE PREP RETENTION AND ADHERENCE, AND HIV PREVENTION. PROJECT GOALS & OBJECTIVES. GOAL 1: REDUCE HIV INFECTION & INCREASE PROTECTIVE FACTORS THROUGH EVIDENCE-BASED SUBSTANCE MISUSE AND HIV/HEP PREVENTION PROGRAMMING AMONG POPULATIONS AT RISK FOR HIV, WITH A FOCUS ON LOW-INCOME/BLACK/HISPANIC/MSM INDIVIDUALS. GOAL 2: REDUCE THE RISK OF HIV INFECTION & SPREAD THROUGH INCREASED ACCESS TO HIV/HEP TESTING & APPROPRIATE LINKAGE TO MEDICAL CARE FOR THOSE WHO TEST POSITIVE/PREP FOR THOSE WHO TEST NEGATIVE. OBJECTIVES: DELIVER SUBSTANCE MISUSE/HIV/HEP PREVENTION SERVICES AND MH PROMOTION, REACHING AT LEAST 1,000 PEOPLE THROUGH GROUP OR FACE-TO-FACE ENCOUNTERS BY THE END OF Y1, AND AT LEAST 1,500 ANNUALLY THEREAFTER. AT LEAST 50% OF CLIENTS RECEIVING SUBSTANCE MISUSE/HIV/HEP PREVENTION SERVICES AND MH PROMOTION SERVICES FROM THE PREV-NAV/CHWS WILL COMPLETE A REFERRAL TO SUPPORT SERVICES BY THE END OF Y1, INCREASING TO 85% BY 09/29/2027. IN Y1, AT LEAST 150 CLIENTS WILL ENROLL IN PREPMATE, INCREASING TO 300 ANNUALLY THEREAFTER. IN Y1, AT LEAST 50% OF CLIENTS RECEIVING CBT-SASH FROM THE BH-LCSW WILL COMPLETE THE 10-WEEK PROGRAM, INCREASING TO 75% BY 09/29/2027. BY 01/31/2023, ENSURE THAT AT LEAST 50% OF FHCGA PHYSICIANS AND ADVANCE PRACTICE CLINICIANS HAVE RECEIVED AT LEAST 1 EDUCATIONAL SESSION ON THE IMPORTANCE OF SCREENING FOR HIV/HEP AND APPROPRIATE REFERRALS TO CARE, INCREASING TO 90% BY 09/29/2025. BY 01/31/2023, INITIATE OPT-OUT HEP TESTING AND PREVENTION SERVICES IN COMMUNITY SETTINGS AND ONSITE AT FHCGA WITH STANDARDIZED CLINICAL PROCEDURES IN PLACE FOR REFERRALS. BY 01/31/2023, INITIATE RAPID HIV TESTING IN COMMUNITY SETTINGS WITH STANDARDIZED CLINICAL PROCEDURES IN PLACE FOR REFERRALS. BY 09/29/2027, INCREASE THE PERCENTAGE OF PTS 15-65 YEARS OF AGE WHO WERE TESTED FOR HIV FROM 51.4% (2021 BASELINE) TO 85%. BY 09/29/2027, SUSTAIN THE PERCENTAGE OF PTS WHOSE FIRST-EVER HIV DIAGNOSIS WAS MADE BY HEALTH CENTER PERSONNEL AND WHO WERE SEEN FOR FOLLOW-UP TREATMENT WITHIN 30 DAYS OF THAT FIRST-EVER DIAGNOSIS AT 100% (2021 BASELINE). THE PROJECT WILL SERVE 1,200 CLIENTS IN Y1; 2,000 IN Y2; 2,600 IN Y3; 3,200 IN Y4; AND 3,800 IN Y5; FOR 12,800 TOTAL OVER THE 5-YEAR PROJECT PERIOD.

PRODIGY PROJECT (PRODIGY)

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

MEDICAL ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) FUNDING OPPORTUNITY: CONNECTING KIDS TO COVERAGE: OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS

CHILDREN'S HEALTH INSURANCE PROGRAM OUTREACH AND ENROLLMENT GRANT

FEMALE GENITAL CUTTING (FGC) COMMUNITY-CENTERED HEALTH CARE AND PREVENTION PROJECT

CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT GRANT

HEALTH CENTER INFRASTRUCTURE SUPPORT

PS06-618 HIV PREVENTION PROJECTS FOR YOUNG MEN OF COLOR AND YOUNG TRANSGENDER

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

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

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

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

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ENHANCING STI AND SEXUAL HEALTH CLINIC INFRASTRUCTURE (ESSHCI) PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - DEMONSTRATION/IMPLEMENTATION SITES

ARRA - CAPITAL IMPROVEMENT PROGRAM

A MALE FAMILY PLANNING INITIATIVE IN CENTRAL SAN DIEGO

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

THE SUPPORT FOR TRAUMA-AFFECTED REFUGEES (STAR) PROGRAM

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HOME TO HEALTH (H2H) SAN DIEGO

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

FAMILY HEALTH CENTERS, INC., PREVENTION NAVIGATOR PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

GEORGIA FAMILY PLANNING SYSTEM TELEHEALTH PROJECT - FOUNDED IN 1975, THE FAMILY HEALTH CENTERS OF GEORGIA, INC. (FHCGA), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS A RECORD OF NEARLY FIFTY YEARS OF PROVIDING HEALTH CARE ACCESS TO INDIVIDUALS FROM LOW-INCOME FAMILIES. IN 2014, FHCGA WAS AWARDED THE TITLE X GRANT TO IMPLEMENT A FAMILY PLANNING PROGRAM THROUGHOUT THE STATE OF GEORGIA (GA). THE GA TITLE X PROGRAM, BRANDED AS THE “GEORGIA FAMILY PLANNING SYSTEM” (GFPS), IS THE LARGEST AND MOST AMBITIOUS EFFORT IN THE NATION TO INTEGRATE TITLE X FAMILY PLANNING SERVICES INTO PRIMARY HEALTHCARE CENTERS. TO SUPPORT THE SUCCESSFUL INTEGRATION OF FAMILY PLANNING SERVICES INTO THE PRIMARY CARE MEDICAL HOME (PCMH) MODEL, FHCGA HAS BUILT ROBUST TRAINING, TECHNICAL ASSISTANCE, AND CONTINUOUS QUALITY IMPROVEMENT SYSTEMS. GFPS IS A DIVERSE NETWORK OF 28 SUB-RECIPIENT AGENCIES, INCLUDING 25 FQHCS, 1 HOSPITAL SYSTEM, AND 2 COMMUNITY-BASED NON-PROFIT HEALTH CENTERS, PROVIDING TITLE X FAMILY PLANNING SERVICES AT 178 SERVICE SITES AND 7 MOBILE UNITS SERVING THE ENTIRE STATE. IN 2020, THE GFPS PROVIDED TITLE X SERVICES TO 160,837 CLIENTS, AN INCREASE OF 11.3% SINCE 2018 (TITLE X FAMILY PLANNING ANNUAL REPORT [FPAR], FHCGA, 2018, 2020). IN 2020, FHCGA LAUNCHED A MOBILE HEALTH (MHEALTH) PROJECT TO IMPROVE ACCESSIBILITY OF FAMILY PLANNING SERVICES USING MOBILE PHONES. FROM 4/2020 TO 3/31/2021, 56.7% (16/28) OF GFPS MEMBERS PROVIDED TELEHEALTH SERVICES, DOCUMENTING 6,159 TELEHEALTH VISITS IN FPAR 2020, 3% OF ALL FAMILY PLANNING VISITS. FHCGA IS REQUESTING FUNDING TO STRENGTHEN THE GFPS TELEHEALTH INFRASTRUCTURE, CREATING MORE EQUITABLE OPPORTUNITIES FOR MORE CLIENTS TO BENEFIT FROM FAMILY PLANNING SERVICES. THE OVERALL GOAL OF THE FHCGA TELEHEALTH PROJECT IS TO IMPLEMENT AN INNOVATIVE VIRTUAL CARE SYSTEM THAT INCREASES ACCESS TO TITLE X FAMILY PLANNING SERVICES FOR LOW-INCOME INDIVIDUALS IN 26 UNDERSERVED, OUTLYING GEORGIA COUNTIES. EXISTING TELEHEALTH PLATFORMS, INCLUDING THE EHR SYSTEMS AND THE MHEALTH APPLICATION ALREADY IN USE BY THE FQHCS, WILL BE LEVERAGED TO INCREASE TELEHEALTH VISITS. FOUR TELEHEALTH PROVIDER TEAMS WILL BE DEPLOYED IN THE NORTH, WEST CENTRAL, EAST CENTRAL, AND SOUTH SECTIONS OF THE STATE WITH A FOCUS ON ENGAGING POPULATIONS FROM RURAL, OUTLYING COUNTIES WITH LOW ENROLLMENT IN GFPS SERVICES. IN ADDITION TO FHCGA, THREE FQHC MEMBERS OF GFPS WHO ARE LOCATED IN THOSE REGIONS WILL LEAD LOCAL EFFORTS TO EXPAND TELEHEALTH SERVICES. THE GLOBAL PARTNERSHIP FOR TELEHEALTH (GPT) WILL BE ENGAGED TO PROVIDE TECHNICAL ASSISTANCE AND TRAINING, ASSISTING PROJECT PARTNERS IN LEVERAGING TELEHEALTH TECHNOLOGIES TO IMPROVE ACCESS TO FAMILY PLANNING SERVICES FOR UNDERSERVED AND LOW RESOURCE COMMUNITIES. A COMPELLING OUTREACH AND ENGAGEMENT CAMPAIGN TARGETING 100,000 RESIDENTS WILL BE LAUNCHED WITH A SINGLE STATEWIDE PHONE NUMBER LINKING CLIENTS TO RESOURCES, INTAKE, AND APPOINTMENT SETTING FOR SYNCHRONOUS INTERACTIONS WITH THE DEDICATED TELEHEALTH FAMILY PLANNING PROVIDERS. A TELEHEALTH WORKGROUP WILL BE ORGANIZED TO HELP GUIDE AND PLAN THE PROJECT, INCLUDING DEVELOPMENT OF A TELEHEALTH OPERATIONALIZATION PLAN. STRONG TRAINING AND TECHNICAL ASSISTANCE COMPONENTS, INCLUDING FOR BILLING AND REIMBURSEMENT OF TELEHEALTH VISITS, WILL HELP TO SUSTAIN THE PROJECT BEYOND THE ONE-YEAR PROJECT PERIOD AND SUPPORT THE SPREAD OF SUCCESSFUL TELEHEALTH STRATEGIES TO OTHER GFPS MEMBERS IN FUTURE YEARS. IN THE ONE-YEAR PROJECT PERIOD, FHCGA INTENDS TO ENGAGE AT LEAST 2,000 PATIENTS IN TELEHEALTH FAMILY PLANNING SERVICES, PROVIDING AT LEAST 6,000 TELEHEALTH ENCOUNTERS. TRAINING AND TECHNICAL ASSISTANCE WILL INCLUDE 31 TRAINING OPPORTUNITIES AND 36 TECHNICAL ASSISTANCE OPPORTUNITIES.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT 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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - FAMILY HEALTH CENTERS, INC., GRANT NUMBER: H80CS00090 FAMILY HEALTH CENTERS, INC., (FHC), IS THE MAIN SOURCE OF COMPREHENSIVE PRIMARY AND PREVENTIVE CARE, REGARDLESS OF ABILITY TO PAY IN ORANGEBURG, BAMBERG, AND CALHOUN COUNTIES, AND THE RURAL PORTIONS OF DORCHESTER COUNTY IN SOUTH CAROLINA. THE RURAL SERVICE AREA COVERS MORE THAN 2,000 SQUARE MILES AND HAS A MAJORITY AFRICAN AMERICAN POPULATION. NEARLY 30% OF SERVICE AREA RESIDENTS HAVE INCOME BELOW 100% OF FEDERAL POVERTY GUIDELINES (FPG), AND NEARLY HALF HAVE INCOME BELOW 200% OF FPG. APPROXIMATELY 70% OF THE POPULATION LIVES IN RURAL ISOLATION OUTSIDE OF TOWNS OR CITIES. MORE THAN HALF OF ALL AREA HOUSEHOLDS WITH CHILDREN ARE HEADED BY A SINGLE PARENT (50.5%) COMPARED TO THE NATIONAL AVERAGE OF 31.7% (ACS, CENSUS BUREAU, 2017-2021). IN BAMBERG AND ORANGEBURG COUNTIES 100% OF SCHOOL CHILDREN ARE ENROLLED IN FREE OR REDUCED LUNCH PROGRAMS, AND ONE IN FIVE HOUSEHOLDS RECEIVED SNAP BENEFITS. POVERTY, RURAL RESIDENCE, MINORITY STATUS, EXPOSURE TO RACISM, AND INTENTIONAL OR UNINTENTIONAL NEGLECT IN CHILDHOOD ARE ALL RECOGNIZED AS FACTORS THAT INCREASE THE RISK FOR MENTAL HEALTH ISSUES AND SUBSTANCE USE. HIGH RATES OF MENTAL HEALTH PROBLEMS AND LIMITED ACCESS TO BEHAVIORAL HEALTH CARE CONTRIBUTE TO THE MORTALITY RATE DUE TO MENTAL AND BEHAVIORAL DISORDERS OF 38.0, WHICH EXCEEDS THE NATIONAL RATE OF 34.5 (PER 100,000 RESIDENTS, AGE-ADJUSTED). IN ADDITION, THE SUICIDE RATE IN THE SERVICE AREA IS 15.4, EXCEEDING THE US RATE OF 13.8 (WONDER, CDC, 2016-2020). THE RATE OF DRUG-INDUCED MORTALITY LINKED TO THE OPIOID EPIDEMIC IS A PARTICULAR CONCERN FOR RURAL RESIDENTS (RURAL ACTION PLAN, US DHHS, 2020). ACCORDING TO THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL (DHEC) STATEWIDE, DEATHS CAUSED BY PRESCRIPTION DRUGS (INCLUDING OPIOIDS AND NON-OPIOIDS) MORE THAN DOUBLED BETWEEN 2017 AND 2021. FENTANYL DEATHS QUADRUPLED FROM 362 TO 1,494 IN THAT PERIOD. IN THE SERVICE AREA, DRUG-INDUCED MORTALITY WAS 19.7/100,000 IN 2020, NEARLY TWICE THE RATE OF 10.8/100,000 IN 2015 (WONDER, CDC, 2016-2020, 2011-2015). OPIOID PRESCRIPTIONS WERE DISPENSED AT A RATE OF 751.3 PER 1,000 RESIDENTS IN THE SERVICE AREA, COMPARED TO 686.0 PER 1,000 RESIDENTS IN SOUTH CAROLINA. THE RATE OF OPIOID-RELATED OVERDOSES (PER 10,000) IS 14.4 IN THE SERVICE AREA (SC JUST PLAIN KILLERS OPIOID EPIDEMIC BY COUNTY, 2020). IN ADDITION TO OTHER RISK FACTORS THAT INCREASE VULNERABILITY TO MISUSE OF PAIN MEDICATIONS, THE SERVICE AREA HAS A HIGHER-THAN-AVERAGE PROPORTION OF THE POPULATION THAT IS ELDERLY (20.4% VS. THE NATIONAL AVERAGE OF 16%), AND/OR DISABLED (14.8% VS. THE NATIONAL AVERAGE OF 13%). FHC PROVIDES MENTAL HEALTH SERVICES WITH A STAFF OF 1.5 FTE LCSWS. IN CALENDAR YEAR 2023 THE HEALTH CENTER PROVIDED MENTAL HEALTH SERVICES TO 214 PATIENTS. NO PATIENTS WERE SERVED WITH SUBSTANCE USE DISORDER (SUD) SERVICES, OR MEDICATION TREATMENT FOR OPIOID USE DISORDER (MOUD). ACCESS TO MOUD IN THE RURAL SERVICE AREA IS LIMITED. IN ORDER TO ADDRESS THIS GAP IN SERVICES, FHC PROPOSES TO USE BEHAVIORAL HEALTH SERVICE EXPANSION FUNDING TO INCREASE BEHAVIORAL HEALTH STAFFING AND TO IMPLEMENT DIRECT PROVISION OF MOUD. FHC HAS SPACE AVAILABLE AT ITS HOLLY HILL SITE TO ACCOMMODATE THE 2-DAY INDUCTION PERIOD REQUIRED FOR PATIENTS INITIATING MOUD. WE PROPOSE TO ADD AN ADDICTION MEDICINE PHYSICIAN, AND A PSYCHIATRIC NURSE PRACTITIONER TO CURRENT BEHAVIORAL HEALTH STAFF, AND TO INCREASE PHARMACY STAFF TO DISPENSE THE MOUD MEDICATIONS. A PEER COUNSELOR WILL BE ADDED TO STAFF TO SUPPORT SUD SERVICES INCLUDING MOUD. WE ANTICIPATE THAT AS A RESULT OF FUNDING THAT BY DECEMBER 31, 2025 THE NUMBER OF PATIENTS RECEIVING BEHAVIORAL HEALTH SERVICES WILL INCREASE FROM THE CURRENT BASELINE BY 350 MENTAL HEALTH PATIENTS, 230 SUD PATIENTS, AND 200 MOUD PATIENTS, FOR A TOTAL OF 564 MENTAL HEALTH, 230 SUD AND 200 MOUD PATIENTS, OF WHICH 100 WILL BE NEWLY ENROLLED AS A RESULT OF BHSE FUNDING.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - SAMUEL DIXON FAMILY HEALTH CENTER (SDFHC, HEALTH CENTER PROGRAM GRANT NUMBER H80CS24151) IS PROPOSING A BEHAVIORAL HEALTH SERVICE EXPANSION PROJECT THAT WILL ALLOW THE ORGANIZATION TO HIRE 3.0 FTE MENTAL HEALTH COUNSELORS, 2.0 FTE SUBSTANCE USE TREATMENT PROVIDERS, 0.5 FTE CASE MANAGEMENT, 0.1 FTE PROGRAM SUPERVISION, AND FUNDING FOR UP TO SIX BEHAVIORAL HEALTH PROVIDER INTERN POSITIONS TO MEET MORE OF SDFHC’S SERVICE AREA LOW-INCOME POPULATIONS HEALTH NEEDS. AS A SUBURBAN AREA JUST OUTSIDE OF URBAN LOS ANGELES, THE SERVICE AREA’S AVERAGE INCOMES ARE NOT PARTICULARLY LOW, ALTHOUGH THESE RATES OBSCURE THE FACT THAT THERE ARE MORE THAN 50,000 LOW-INCOME RESIDENTS THROUGHOUT THE SERVICE AREA’S SANTA CLARITA VALLEY, MANY OF WHOM ARE PACKED INTO VARIOUS AND VERY SMALL LOW-INCOME NEIGHBORHOODS. BECAUSE THE AREA HAS HIGH AVERAGE INCOMES, LOW-INCOME RESIDENTS IN OUR SERVICE AREA HAVE A HISTORY OF BEING FORGOTTEN BY OTHER, LARGER, MORE REGIONAL SOCIAL AND HEALTH SERVICE PROVIDERS. THIS LACK OF SERVICE THAT IS ACCESSIBLE TO THE SERVICE AREA’S LOW-INCOME POPULATION CONTRIBUTES TO SIGNIFICANT INCIDENCE OF MENTAL HEALTH AND COPING SUBSTANCE USE ISSUES THAT, THUS FAR, HAVE GONE LARGELY UNADDRESSED. SDFHC VIEWS THIS OPPORTUNITY AS THE IDEAL CHANCE TO EXPAND BEHAVIORAL HEALTH CARE TO A POPULATION WITH AN INORDINATE VOLUME OF LIFE STRESSES THAT IMPACT OVERALL HEALTH STATUS. IMPLEMENTATION OF THIS PROJECT INCLUDES HIRING TWO MENTAL HEALTH COUNSELORS TO WORK THROUGH LOCAL K-12 SCHOOLS AND COLLEGES TO ADDRESS MENTAL HEALTH NEEDS OF STUDENTS AND THEIR FAMILIES AS THE MOST EFFECTING CARE ENTRY POINT FOR PEOPLE IN NEED, AND ONE COUNSELOR TO WORK PRIMARILY AT SDFHC’S MOST RURAL AND ISOLATED SERVICE SITE IN VAL VERDE WHERE NEEDS ARE EXPECTED TO BE HIGHER. WE WILL START OUR SUBSTANCE USE TREATMENT PROGRAM BY HIRING ONE CADC AND ONE PSYCHIATRIC NURSE PRACTITIONER TO PROVIDE IN-HOUSE REFERRALS AND GREATLY INCREASE TREATMENT COMPLIANCE AMONG OUR PATIENT POPULATION, WHO OTHERWISE NEED TO SEEK SERVICES DOWN IN LOS ANGELES. WE FIND THAT TREATMENT COMPLIANCE IS DISAPPOINTINGLY LOW WHEN OUR PATIENTS HAVE TO LOOK SO FAR AWAY TO RECEIVE SERVICES AND PROVIDING THEM IN-HOUSE IS EXPECTED TO INCREASE COMPLIANCE SIGNIFICANTLY. THE PROPOSED PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES BY 600 PER YEAR, AND SUD SERVICES BY 140 PER YEAR--THESE INCLUDE PATIENTS RECEIVING TREATMENT WITH MOUD--BY ADDING PROVIDERS, BEHAVIORAL HEALTH ADMINISTRATION, AND PATIENT SUPPORT STAFF. THE PROJECT INCLUDES TRAINING AND SUPPORT FOR EXISTING STAFF TO APPROPRIATELY REFER PATIENTS DETERMINED TO BE IN NEED OF MENTAL HEALTH OR SUD TREATMENTS TO APPROPRIATE PROVIDERS, BOTH IN-HOUSE AND WITH PARTNER ORGANIZATIONS. SDFHC IS EAGER TO PROVIDE THESE EXPANDED BEHAVIORAL HEALTH EXPANSION SERVICES THAT LOW-INCOME RESIDENTS OF OUR SERVICE AREA GREATLY NEED. THIS OPPORTUNITY IS THE PERFECT VEHICLE TO EXPAND MENTAL HEALTH AND START DIRECT SUD SERVICES AND WITH THE RESEARCH CONDUCTED WHILE DEVELOPING THE WORK PLAN AND THIS APPLICATION, WE ARE READY TO IMPLEMENT IT. WE GREATLY HOPE THAT OUR APPLICATION IS CONSIDERED FAVORABLY. THANK YOU.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (FHCSD) (H80CS00224) WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH (MH) AND SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING MEDICATION FOR OPIOID USE DISORDER (MOUD), BY 2025 (11.3% IN MH, 5.7% IN SUD, AND 34.8% IN MOUD) BY ENHANCING ITS STAFF CAPABILITIES THROUGH RECRUITMENT AND ADDITIONAL TRAINING. NEEDS: MH AND SUBSTANCE USE CRISES, ALONG WITH SUBSTANTIAL INEQUITY IN ACCESS TO CARE, ARE OF SIGNIFICANT CONCERN IN SAN DIEGO COUNTY. IN 2022, ABOUT 30% OF THE POPULATION REQUIRED HELP FOR EMOTIONAL/MENTAL HEALTH PROBLEMS OR ALCOHOL/DRUG USE, WITH AN OVERALL INCREASING TREND OVER THE YEARS. ACROSS FHCSD, OF THE 159,114 PATIENTS SERVED IN 2023, 14% RECEIVED MH AND 1.12% RECEIVED SUD SERVICES, MARKING RESPECTIVE INCREASES OF 28% AND 32% SINCE 2018. FURTHERMORE, SAN DIEGO COUNTY FACES A SEVERE SHORTAGE OF BEHAVIORAL HEALTH (BH) WORKERS, COMPROMISING ITS ABILITY TO PROVIDE MH AND SUD SERVICES EFFECTIVELY. A 2022 REPORT INDICATES THAT THE REGION EMPLOYS AROUND 17,000 BH PROFESSIONALS, 8,000 FEWER THAN THE REQUIRED 25,000, LEADING TO AN UNMET NEED FOR CARE OF OVER 6% FOR MH AND SUD SERVICES. PROJECTIONS SUGGEST A NEED TO HIRE 1,641 BY 2027, AN INCREASE OF 656 POSITIONS. FHCSD, ONE OF THE NATION’S LARGEST FEDERALLY QUALIFIED HEALTH CENTERS, ALSO EXPERIENCES ONGOING CHALLENGES IN RECRUITING BH PROFESSIONALS. OUR PATIENT POPULATION IS HIGHLY DIVERSE AND VULNERABLE, WITH 75% LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES AND 89% BELOW 200%, 27% UNINSURED, 77% RACIAL AND/OR ETHNIC MINORITIES, 39% BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, AND 16.5% WITHOUT HOMES. IN 2023 ALONE, WE SERVED 21,770 MH, 1,777 SUD, AND 627 MOUD PATIENTS. PROPOSED SERVICES: TO STRENGTHEN OUR SYSTEM CAPACITY TO MEET THE GROWING NEEDS OF OUR COMMUNITY, OUR MAIN PRIORITY IS EXPANDING OUR BH WORKFORCE, SPECIFICALLY AT OUR NEW STAND-ALONE BH CLINIC SITES, TO ENSURE AN ADEQUATE PROVIDER SUPPLY FOR INTEGRATIVE AND COMPREHENSIVE BH CARE. THIS INCLUDES RECRUITING ADDITIONAL LICENSED CLINICAL SOCIAL WORKERS, MARRIAGE & FAMILY THERAPISTS, AND SUD COUNSELORS. SPECIALIZED, COMPREHENSIVE, AND INTEGRATED TRAINING WILL BE OFFERED TO ENHANCE BH PROFESSIONALS' SKILLS IN PROVIDING MH AND SUD SERVICES, INCLUDING PAIN MANAGEMENT WHILE SERVING AS AN INCENTIVE TO PROMOTE THESE POSITIONS AND ADDRESS RECRUITMENT CHALLENGES. USING THE COLLABORATIVE CARE MODEL TO ENHANCE INTEGRATIVE CARE, FHCSD PLANS TO EXPAND SERVICES BY INTEGRATING ITS EXISTING MH AND SUD/MOUD PROGRAMS WITH CURRENT AND SOON-TO-EXPAND PHYSICAL THERAPY (PT) CAPABILITIES TO ADDRESS CHRONIC PAIN ALONGSIDE BH NEEDS. THIS INTEGRATION WILL ENSURE A MORE COMPREHENSIVE AND COORDINATED APPROACH TO PATIENT CARE. OUR INTEGRATED CASE CONSULTATION GROUP WILL INCLUDE MH, SUD, AND PT STAFF AND PROFESSIONALS TO ADDRESS COLLABORATIVE TREATMENT PLANS FOR PATIENTS WHILE MONITORING AND EVALUATING THEIR GOALS AND PROGRESS. AS A RESULT OF THESE INITIATIVES, WE EXPECT TO SERVE AN ADDITIONAL 2,470 PATIENTS FOR MH, 102 FOR SUD, AND 218 FOR MOUD BY 2025. THESE EFFORTS ALIGN SEAMLESSLY WITH OUR PRIORITIES OF EXPANDING ACCESS TO CARE, IMPROVING QUALITY OF CARE, AND ADDRESSING HEALTH DISPARITIES HOLISTICALLY AMONG OUR MH AND SUD/MOUD PATIENTS. POPULATIONS TO BE SERVED: THIS INITIATIVE IS PART OF A BROADER STRATEGY TO IMPROVE SPECIFIC CLINICAL OUTCOMES AND ADVANCE HEALTH EQUITY AMONG OUR PREDOMINANTLY LOW-INCOME AND UNDERSERVED PATIENT POPULATION. FHCSD SERVES AN AVERAGE OF 20,000 MH, 1,500 SUD, AND 480 MOUD PATIENTS ANNUALLY THROUGH 21 BH FACILITIES ACROSS SAN DIEGO COUNTY, INCLUDING 3 OUTPATIENT SUD TREATMENT CENTERS, 16 FREE-STANDING MH CENTERS WITH 3 CENTERS DEDICATED TO CHILDREN AND YOUTH, 2 MOBILE COUNSELING CENTERS, AND A MOBILE MOUD PROGRAM. OUR FOCUS POPULATION CONSISTS OF RACIALLY AND ETHNICALLY DIVERSE, LOW-INCOME INDIVIDUALS AND FAMILIES WITH MH AND SUD/MOUD NEEDS ACROSS OUR CARE SYSTEM IN SAN DIEGO COUNTY, CALIFORNIA, WITH PARTICULAR FOCUS ON OUR NEW BH CLINIC SITES.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - CAROLINA FAMILY HEALTH CENTERS, INC. (CFHC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING EDGECOMBE, NASH, AND WILSON COUNTIES OF EASTERN NORTH CAROLINA. CFHC OFFERS PRIMARY MEDICAL CARE, INTEGRATED BEHAVIORAL HEALTH (IBH), PHARMACY, DENTAL, AND SUBSTANCE USE DISORDER (SUD) TREATMENT. A BROAD RANGE OF SERVICES ARE CONVENIENTLY COMBINED TO REMOVE BARRIERS TO CARE AND ARE AVAILABLE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR INSURANCE STATUS. CFHC PROVIDES SERVICES TO EVERYONE; HOWEVER, AS AN FQHC, CFHC DELIVERS CARE TO VULNERABLE POPULATIONS IN UNDERSERVED AND RURAL COMMUNITIES. IN 2023, CFHC SERVED 21,167 PATIENTS. APPROXIMATELY 80% WERE OF A MINORITY RACE, 37% SPOKE A LANGUAGE OTHER THAN ENGLISH, AND 43% WERE UNINSURED. IN THE THREE-COUNTY SERVICE AREA, RATES OF EMERGENCY ROOM VISITS FOR MENTAL HEALTH CONDITIONS AND DRUG OVERDOSE DEATHS ARE HIGHER THAN THE STATE AVERAGE. THE RATIO OF MENTAL HEALTH PROVIDERS IN THE SERVICE AREA RANGES FROM 460 TO 1,420 PER 1 RESIDENT. IN 2023, CFHC SERVED 1,634 UNDUPLICATED PATIENTS WITH MENTAL HEALTH SERVICES, 526 UNDUPLICATED PATIENTS WITH SUBSTANCE USE DISORDER SERVICES, AND 249 WITH MEDICATIONS FOR OPIOID USE DISORDER. WITH THE PROPOSED WORK PLAN, CFHC CAN ADDRESS A LARGER PORTION OF THE MENTAL HEALTH CRISIS. ONSITE BEHAVIORAL HEALTH SERVICES ARE PROVIDED BY LICENSED CLINICAL SOCIAL WORKERS (LCSWS) IN THE FORM OF SHORT-TERM INTERVENTION AND FOLLOW-UP, ALLOWING PRIMARY CARE PROVIDERS AND PATIENTS THE OPPORTUNITY TO MEET MULTIPLE NEEDS IN ONE SETTING. THE NEED FOR LONG-TERM THERAPY FOR PATIENTS WITH MENTAL HEALTH CONDITIONS AND SUD CONTINUES TO GROW SIGNIFICANTLY. CFHC INTENDS TO BUILD ON ITS CURRENT FOUNDATION BY ADDING LCSWS FOR LONG-TERM THERAPY. CFHC OPERATES A SUCCESSFUL SUD TREATMENT PROGRAM UTILIZING EVIDENCE-BASED MEDICATION THERAPIES FOR ALCOHOL AND OPIOID USE DISORDERS. THIS TREATMENT IS COMBINED WITH PRIMARY CARE AND THERAPY IN A WHOLE-PERSON CARE MODEL. A PROGRAM MANAGER WILL BE AD DED TO THE IBH DEPARTMENT TO OVERSEE CONTINUED EXPANSION OF THIS PROGRAM. PRESCRIBER AVAILABILITY WILL BE INCREASED TO ACCOMMODATE MORE PATIENTS. LCSWS ARE ALREADY HEAVILY UTILIZED IN THE TREATMENT OF PATIENTS ON MEDICATIONS FOR ALCOHOL AND OPIOID USE DISORDERS, BUT THE OPPORTUNITIES FOR PATIENTS WITH SUDS THAT HAVE NO APPROVED MEDICATION TREATMENT (E.G. STIMULANT USE DISORDERS) ARE LIMITED. CFHC WILL INCREASE THE AVAILABILITY AND NUMBER OF THERAPEUTIC TREATMENT MODALITIES BY INCREASING THE NUMBER OF LCSWS EMPLOYED AND PROVIDING TRAINING ON BEST PRACTICES FOR THIS PATIENT POPULATION. CFHC RECOGNIZES THAT STANDARD TREATMENT MODALITIES ARE CRUCIAL IN ADDRESSING BEHAVIORAL NEEDS, BUT ALSO RECOGNIZES THAT PATIENTS NEED EDUCATION REGARDING THEIR HEALTH CONDITIONS, AND SAFE SPACES TO INTERACT WITH PEERS WHO HAVE SIMILAR STRUGGLES. SOCIAL ISOLATION IS A MAJOR FACTOR IN THE INCIDENCE AND MANAGEMENT OF BEHAVIORAL HEALTH CONDITIONS, PARTICULARLY IN RURAL AREAS WITH LIMITED RESOURCES. A NEW SERVICE LINE FOR RECREATIONAL THERAPY WILL BE ADDED, ALONG WITH A FULL-TIME RECREATIONAL THERAPIST TO PROVIDE INDIVIDUAL CARE AND LEAD EDUCATION CLASSES, SUPPORT GROUPS, LIFE SKILLS TRAINING, SELF-MANAGEMENT COURSES, AND RESOURCE WORKSHOPS ON MENTAL HEALTH AND SUD-RELATED TOPICS. EVALUATING AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS A PRIORITY AT CFHC. CASE MANAGEMENT SERVICES EXIST FOR MEDICAL, MENTAL HEALTH, AND SUD PATIENTS WITH MEDICAID. CFHC WILL ADD A CASE MANAGER WHO CAN SERVE ANY BEHAVIORAL HEALTH PATIENT, REGARDLESS OF THE PAYER, AND PROVIDE LINKAGE TO INTERNAL AND EXTERNAL RESOURCES, AS WELL AS CARE COORDINATION IN AN INCREASINGLY COMPLEX HEALTH CARE SYSTEM. A TRANSPORTATION DRIVER WILL ALSO BE ADDED TO EXPAND FREE TRANSPORTATION AND INCREASE ACCESS TO IN-PERSON CARE. CFHC PROPOSES TO INCREASE THE NUMBER OF UNDUPLICATED PATIENTS RECEIVING MENTAL HEALTH SERVICES IN 2025 BY 300 AND THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MOUD IN 2024 BY 200.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00185 MENTAL HEALTH AND BEHAVIORAL HEALTHCARE ARE CRUCIAL SERVICES FOR THE MEDICALLY UNDERSERVED. SOUTHWEST FLORIDA IS DESIGNATED AS A MENTAL HEALTH HEALTH PROFESSIONAL SHORTAGE AREA (HPSA), WITH ONLY 8.7 MENTAL HEALTH PROVIDERS FOR EVERY 100,000 PEOPLE, SIGNIFICANTLY BELOW BOTH THE FLORIDA AND NATIONAL AVERAGES. THE FLORIDA DEPARTMENT OF HEALTH HAS IDENTIFIED THE SHORTAGE OF MENTAL HEALTH PROVIDERS AS A CARE GAP, AND REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS HAVE IDENTIFIED MENTAL HEALTH AS THE TOP PRIORITY AMONG PROVIDERS AND COMMUNITY LEADERS. FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA (FAMILY HEALTH CENTERS) WILL EXPAND ITS BEHAVIORAL HEALTH SERVICES TO INCLUDE TRADITIONAL OUTPATIENT THERAPY WITH LICENSED MENTAL HEALTH PROFESSIONALS. WE WILL COLLABORATE WITH LOCAL PROVIDERS TO OFFER MORE INTENSIVE OUTPATIENT TREATMENT AND HOSPITALIZATION THERAPIES. FAMILY HEALTH SERVICES WILL INCREASE CAPACITY IN THE REGION, ESPECIALLY FOR OUR PRIORITY POPULATION - MEDICALLY UNDERSERVED PATIENTS. FAMILY HEALTH CENTERS WILL TAKE A HOLISTIC APPROACH TO INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES. WE WILL APPLY OUR EXTENSIVE EXPERIENCE IN PROVIDING HEALTHCARE AND CASE MANAGEMENT SERVICES TO OUR PRIORITY POPULATION—THE MEDICALLY UNDERSERVED POPULATION OF SOUTHWEST FLORIDA. FAMILY HEALTH CENTERS WILL COLLABORATE WITH OTHER BEHAVIORAL HEALTHCARE PROVIDERS IN OUR PROJECT AREA TO MINIMIZE SERVICE DUPLICATION. WE WILL STRENGTHEN EXISTING PARTNERSHIPS AND CULTIVATE NEW RELATIONSHIPS TO ENSURE PATIENTS CONNECT WITH ADDITIONAL COMMUNITY SERVICES. WITH INCREASED CAPACITY, FAMILY HEALTH CENTERS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND THE NUMBER OF PATIENTS RECEIVING SUBSTANCE USE DISORDER SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. FAMILY HEALTH CENTERS WILL ESTABLISH A BEHAVIORAL HEALTH CLINIC AT OUR LEHIGH ACRES HEALT H CENTER, WHICH SERVES AN AREA WITH A LOWER DENSITY OF MENTAL HEALTH ASSETS THAN OTHER REGIONS OF OUR PROJECT AREA. THE BEHAVIORAL HEALTH CLINIC WILL BE CO-LOCATED WITH OUR MEDICAL SERVICES (ADULT, PEDIATRIC, WOMEN, AND GERIATRIC) AND SOCIAL SERVICES TO REINFORCE THE CONTINUUM OF CARE AND FACILITATE WARM PATIENT HAND-OFFS.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROGRAM FUNDS REQUESTED: YEAR 1 - $600,000 YEAR 2 - $500,000 BROWARD COMMUNITY & FAMILY HEALTH CENTER (BCOM) IS THE OLDEST FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN BROWARD COUNTY, PROVIDING PRIMARY, BEHAVIORAL, AND ORAL HEALTH SERVICES FOR MORE THAN TWENTY-FIVE (25) YEARS TO THE COUNTY’S POOREST AND MOST MARGINALIZED RESIDENTS. ONE OF FLORIDA’S MOST DENSELY POPULATED AREA, BROWARD COUNTY IS HOME TO OVER 1.9 MILLION PEOPLE. NEARLY HALF ITS POPULATION IS COMPRISED OF RACIAL AND ETHNIC MINORITIES: AFRICAN AMERICANS MAKE UP 34.2%, HISPANICS COMPRISE 26.46% AND OTHER MINORITY GROUPS TOTAL 5%, ALL HIGHER THAN THE STATE. ONE QUARTER OF THE COUNTY’S RESIDENTS ARE FOREIGN BORN. BCOM’S MISSION IS “TO PROVIDE ACCESSIBLE, COMPREHENSIVE, HIGH QUALITY PRIMARY CARE SERVICES TO ALL PERSONS WITH DIGNITY AND RESPECT.” BCOM CURRENTLY OPERATES COMPREHENSIVE SERVICES THROUGH FOUR (4) MEDICAL FACILITIES LOCATED IN POMPANO BEACH, HOLLYWOOD, WEST PARK AND LAUDERHILL, FLORIDA AND ONE (1) DENTAL FACILITY LOCATED IN POMPANO BEACH. BCOM SITES ARE CURRENTLY LOCATED IN A DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREA (MHPSA). FOR THE PAST TEN (10) YEARS, WE HAVE PROVIDED BEHAVIORAL HEALTH SERVICES AS A PART OF OUR INTEGRATED MODEL OF CARE. OUR TEAM-BASED MODEL COINCIDES WITH THE INTEGRATED BEST-PRACTICE PHILOSOPHY FOR MEDICAL AND BEHAVIORAL HEALTH PROVIDERS WHO PARTNER TO FACILITATE THE DETECTION, TREATMENT, AND FOLLOW-UP OF PSYCHIATRIC DISORDERS IN THE PRIMARY CARE SETTING. THE HRSA BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) FUNDING OPPORTUNITY WILL ALLOW BCOM TO EXPAND ITS SERVICES AND CAPACITY TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES, AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. BCOM WILL ACCOMPLISH THIS BY EXPANDING ITS BEHAVIORAL HEALTH PROVIDER AND SUPPORT TEAM TO INCLUDE THE FOLLOWING: (1) FTE PSYCHIATRIC ARNP, TWO (2) FTE LICENSED CLINICAL SOCIAL WORKERS (LCSWS), TWO FTE (2) MEDICAL ASSISTANTS, ONE (1) FTE BEHAVIORAL HEALTH CASE MANAG ER, AND ONE (1) PEER RECOVERY COACH (PRC). THIS TEAM WILL PROVIDE PATIENT CENTERED SERVICES THAT WILL INCLUDE SCREENINGS, BIOPSYCHOSOCIAL ASSESSMENTS, BEHAVIORAL HEALTH THERAPY, MEDICATION-ASSISTED TREATMENT (MAT), CARE COORDINATION, CASE MANAGEMENT, AND PEER SUPPORT AND COUNSELING. SERVICES WILL BE PROVIDED BOTH IN-PERSON AND VIA TELEHEALTH. IN ITS 2021 REPORTING, THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), INDICATED THAT 40.8% OF ADULTS IN FLORIDA REPORTED SYMPTOMS OF ANXIETY OR DEPRESSION AND THAT MORE THAN HALF OF PEOPLE WITH A MENTAL HEALTH CONDITION IN THE US DID NOT RECEIVE ANY TREATMENT IN THE LAST YEAR. FLORIDA CURRENTLY RANKS NEXT TO LAST, AT SPENDING $36 PER PERSON, WITH PUERTO RICO AT $20, PER CAPITA FUNDING FOR BEHAVIORAL HEALTH. SCHRADER, CHO-HEE ET AL. 2023, NOTED FLORIDA IS THE THIRD MOST POPULATED STATE IN THE US, WHILE FLORIDA RATES 49/51 (INCLUDING THE DISTRICT OF COLUMBIA) “FOR ACCESS TO INSURANCE AND MENTAL HEALTH TREATMENT”. THEIR RESEARCH ALSO INDICATES THAT FLORIDA HAS ONE OF THE HIGHEST PREVALENCE FOR UNTREATED MENTAL ILLNESS AT 63.5%, WHICH FREQUENTLY IS CO-OCCURRING. WITHOUT ACCESS TO CARE, QUALITY OF LIFE FOR MANY INDIVIDUALS WILL BE IMPACTED INCLUDING FINANCIAL STABILITY DUE TO UNNECESSARY DISABILITY, UNEMPLOYMENT, INCREASED RISK OF SUICIDE, INCARCERATION, AND SUBSTANCE ABUSE, WITH AN ESTIMATED COST OF MORE THAN $100 BILLION A YEAR, (NAMI, 2021). THE EXPANSION OF OUR INTEGRATED MODEL OF CARE THROUGH THE BHSE FUNDING WILL INCREASE ACCESS TO HIGH QUALITY BEHAVIORAL HEALTH SERVICES FOR OUR COMMUNITY. IN 2023, BCOM PROVIDED SERVES TO 10,578 PATIENTS, GENERATING 36,813 ENCOUNTERS. THE BHSE FUNDING WILL ALLOW US TO SERVE AN ESTIMATED 812 ADDITIONAL PATIENTS.

FY 2023 BRIDGE ACCESS PROGRAM

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

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

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CHILDREN HEALTH INSURANCE PROGRAM OUTREACH AND ENROLLMENT GRANT

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

FY 2020 HEALTH CENTER PROGRAM LOOK-ALIKES: EXPANDING CAPACITY FOR CORONAVIRUS TESTING

PS09-947 MPOWERMENT OUTCOME MONITORING PROJECT

HEALTH CARE AND OTHER FACILITIES

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FISCAL YEAR 2025 EXPANDED HOURS. - ABSTRACTINTRODUCTION: TAMPA FAMILY HEALTH CENTERS (TFHC) IS A LEADING FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN FLORIDA, SERVING 113,418 PATIENTS ANNUALLY. ESTABLISHED IN 1984, TFHC OPERATES MULTIPLE LOCATIONS THROUGHOUT HILLSBOROUGH COUNTY, OFFERING A COMPREHENSIVE RANGE OF HEALTHCARE SERVICES. THESE SERVICES INCLUDE PRIMARY CARE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, DENTAL CARE, BEHAVIORAL HEALTH, PHARMACY, AND CHRONIC DISEASE MANAGEMENT. TFHC PLAYS A CRUCIAL ROLE IN PROVIDING HIGH-QUALITY HEALTHCARE TO A DIVERSE POPULATION, PARTICULARLY LOW-INCOME AND UNINSURED INDIVIDUALS. THE CENTER’S EXTENSIVE NETWORK AND COMMITMENT TO ACCESSIBILITY UNDERSCORE ITS DEDICATION TO MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY. NEED: TFHC DETERMINES ITS HOURS OF OPERATION THROUGH A MULTIFACETED APPROACH, INCLUDING PATIENT SURVEYS, INTERNAL DATA ANALYSIS, AND COMMUNITY NEEDS ASSESSMENTS. PATIENT SURVEYS GATHER DIRECT FEEDBACK ON PREFERENCES AND BARRIERS TO ACCESSING CARE, WHILE INTERNAL DATA EVALUATES PROVIDER PRODUCTIVITY AND STAFFING CAPACITY. COMMUNITY NEEDS ASSESSMENTS CONSIDER BROADER SOCIOECONOMIC FACTORS AND TRANSPORTATION INFRASTRUCTURE. HIGH-DEMAND AREAS, SUCH AS ZCTAS 33612 AND 33619, SHOW SIGNIFICANT HEALTHCARE SERVICE PENETRATION, INDICATING A NEED FOR EXTENDED HOURS TO ACCOMMODATE MORE PATIENTS. HIGH PENETRATION RATES AMONG LOW-INCOME POPULATIONS IN ZCTAS 33605 AND 33610 HIGHLIGHT THE NECESSITY FOR ACCESSIBLE HEALTHCARE DURING NON-TRADITIONAL HOURS. PROPOSED EXPANSION: TO ADDRESS THESE NEEDS, TFHC PROPOSES EXPANDING THE NORTH TAMPA HEALTH CENTER’S OPENING HOURS TO START EARLIER IN THE MORNING, CATERING TO PATIENTS NEEDING CARE BEFORE WORK OR SCHOOL. ADDITIONALLY, EXTENDING EVENING HOURS AT THE CAUSEWAY AND WEST HILLSBOROUGH CENTERS WILL PROVIDE FLEXIBILITY FOR PATIENTS WITH DAYTIME COMMITMENTS. THIS EXPANSION WILL IMPROVE HEALTHCARE ACCESS, PARTICULARLY FOR UNDERSERVED POPULATIONS EXPERIENCING HEALTH DISPARITIES. SUPPORTING DATA: DATA FROM TFHC’S MOST RECENT NEEDS ASSESSMENT INDICATES THAT TAMPA RESIDENTS, PARTICULARLY CHILDREN, FACE HIGHER POVERTY RATES COMPARED TO THE REST OF FLORIDA. THE AVERAGE TRAVEL TIME TO WORK AND RELIANCE ON PERSONAL VEHICLES FURTHER EXACERBATE ACCESS ISSUES, HIGHLIGHTING THE NEED FOR EXTENDED HEALTHCARE HOURS. OBSERVATIONS OF EARLY MORNING LINES AT NORTH TAMPA AND HIGH SCHEDULE UTILIZATION RATES AT CAUSEWAY AND WEST HILLSBOROUGH CENTERS UNDERSCORE THE DEMAND FOR EXPANDED HOURS. THE COMMUNITY HEALTH ASSESSMENT BY THE FLORIDA DEPARTMENT OF HEALTH SUPPORTS THESE FINDINGS, EMPHASIZING THE CRITICAL NEED FOR ACCESSIBLE HEALTHCARE SERVICES. IMPLEMENTATION PLAN: THE EXPANDED HOURS WILL INCLUDE EARLIER OPENING TIMES AT NORTH TAMPA AND EXTENDED EVENING HOURS AT CAUSEWAY AND WEST HILLSBOROUGH CENTERS. ADDITIONALLY, SATURDAY HOURS WILL BE INTRODUCED. THESE CHANGES WILL PROVIDE ESSENTIAL SERVICES SUCH AS FAMILY PRACTICE, PHARMACY, AND LAB SERVICES DURING THE NEW HOURS. THIS APPROACH WILL ADDRESS THE LOGISTICAL AND SOCIOECONOMIC BARRIERS IDENTIFIED IN THE NEEDS ASSESSMENT, IMPROVING ACCESS TO CARE AND HEALTH OUTCOMES. IMPACT AND SUSTAINABILITY: THE ESTIMATED INCREASE IN PATIENT VOLUME IS BASED ON CURRENT UTILIZATION PATTERNS AND THE ADDED HOURS. FOR INSTANCE, CAUSEWAY IS EXPECTED TO SERVE AN ADDITIONAL 4,030 PATIENTS ANNUALLY, WHILE NORTH TAMPA AND WEST HILLSBOROUGH ANTICIPATE SIGNIFICANT INCREASES. TFHC WILL ASSESS THE EFFECTIVENESS OF THE EXPANDED HOURS THROUGH WEEKLY AND MONTHLY REVIEWS OF PROVIDER PRODUCTIVITY AND PATIENT FEEDBACK. THIS CONTINUOUS ASSESSMENT WILL GUIDE ADJUSTMENTS TO ENSURE THE EXPANDED HOURS MEET COMMUNITY NEEDS AND IMPROVE HEALTHCARE ACCESS. CONCLUSION: EXPANDING TFHC’S HOURS OF OPERATION WILL SIGNIFICANTLY ENHANCE HEALTHCARE ACCESS FOR THE TAMPA COMMUNITY. BY ADDRESSING IDENTIFIED NEEDS THROUGH STRATEGIC ADJUSTMENTS IN OPERATING HOURS, TFHC AIMS TO REDUCE HEALTH DISPARITIES, IMPROVE PATIENT SATISFACTION, AND ENSURE THAT RESIDENTS RECEIVE THE CARE THEY NEED AT CONVE

ACCELERATING CANCER SCREENING - PROJECT TITLE: ACCELERATING EQUITABLE ACCESS TO CRC SCREENING AND REFERRAL TO FOLLOW-UP CARE HCP GRANT NUMBER: H80CS00224 ORGANIZATION NAME: FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (FHCSD) ADDRESS: 823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102 PROJECT DIRECTOR: JOB G GODINO, PHD, DIRECTOR OF QUALITY IMPROVEMENT AND INNOVATION CONTACT PHONE NUMBERS: 619-515-2344 (VOICE); 619 237-1856 (FAX) EMAIL ADDRESS: JOBG@FHCSD.ORG WEBSITE ADDRESS: WWW. FHCSD.ORG FUNDS REQUESTED: $500,000 NEEDS TO BE ADDRESSED: THE POPULATION OF FOCUS LACKS ACCESS TO CRC SCREENING AND REFERRAL TO FOLLOW-UP CARE DUE TO ACCESS AND AFFORDABILITY BARRIERS, BARRIERS IN THE PATIENT EXPERIENCE, AND THE NEED FOR IMPROVED CANCER TRAINING (WORKFORCE DEVELOPMENT) AND SCREENING PROCESSES AND PROTOCOLS WITHIN THE HEALTH CENTER. PROPOSED SERVICES: FHCSD WILL RECRUIT, HIRE, AND TRAIN 2 QUALITY OF CARE (Q OF C) PATIENT NAVIGATORS (PNS), WHO WILL DRAW ON ORGANIZATIONAL QI EFFORTS TO IMPROVE CANCER SCREENING, SUCH AS IT ENHANCEMENTS TO IDENTIFY ELIGIBLE PATIENTS; NEW WORKFLOWS TO INCORPORATE CRC EDUCATION, SCREENING, AND NAVIGATION IN THE CLINIC SETTING; AND FORMALIZED REFERRAL NETWORK TO SUPPORT DIAGNOSTIC COMPLETION. THE Q OF C PNS WILL ALSO WORK ONE-ON-ONE WITH PATIENTS, USING LEARNED BEST PRACTICES TO PROVIDE CULTURALLY SENSITIVE EDUCATION, INSTRUCTIONS FOR COMPLETING FIT KITS, AND NAVIGATION TO OVERCOME BARRIERS INCLUDING FEAR, STIGMA, TRANSPORTATION, SCHEDULING, INSURANCE/FINANCIAL, ETC. FHCSD’S PATIENT ENGAGEMENT/OUTREACH SPECIALISTS (PE/OS) AT THREE TARGET CLINICS WILL ALSO ENGAGE COMMUNITY MEMBERS IN CRC EDUCATION, PROVIDING A WARM HAND-OFF TO FHCSD Q OF C PNS FOR SCREENING AND REFERRALS TO FOLLOW-UP CARE IF NECESSARY. POPULATION GROUPS TO BE SERVED: THE PROPOSED PROJECT WILL SERVE NEW AND EXISTING COMMUNITY HEALTH CENTER PATIENTS INCLUDING SPECIAL POPULATIONS (PHPC, HCH), WITH A TARGETED FOCUS ON INCREASING EQUITABLE ACCESS TO CRC SCREENING AND FOLLOW UP FOR LATINX, BLACK, AND HOMEL ESS POPULATIONS WHICH EXPERIENCE DISPARITIES IN CRC INCIDENCE/PREVALENCE, MORTALITY, AND SCREENING RATES. IN SAN DIEGO COUNTY, BLACKS HAVE THE HIGHEST CRC INCIDENCE RATES AT 36.2% COMPARED TO 32.0% FOR WHITES AND 28.8% FOR LATINX. BLACKS ALSO HAVE THE HIGHEST MORTALITY RATES AMONG THOSE AGES 65 AND OLDER (69.47%) COMPARED TO 69.08% FOR WHITES AND 40.87% FOR LATINX. BOTH CALIFORNIA AND SAN DIEGO TRAIL BEHIND US SCREENING RATES, WHICH, BASED ON THESE DISPARITIES, DISPROPORTIONATELY IMPACT RACIAL AND ETHNIC MINORITIES AND PERSONS EXPERIENCING HOMELESSNESS. INCREASE ACCESS AND ADDRESS BARRIERS TO CANCER SCREENING AND REFERRAL TO CARE AND TREATMENT: BY DECEMBER 31, 2023, FHCSD WILL INCREASE THE NUMBER OF PATIENTS SCREENED FOR CRC BY 3,513, REPRESENTING A 5% INCREASE IN OUR CRC SCREENING RATE FROM 40.83% TO 45.83%. IN ADDITION, WE WILL INCREASE THE NUMBER OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE WITHIN 30 DAYS OF RECEIVING AN ABNORMAL CRC TEST BY 476 PATIENTS, UP FROM A BASELINE OF ZERO. PROPOSED PARTNERSHIPS: FHCSD WILL PARTNER WITH NCI-DESIGNATED CANCER CENTER MOORES CANCER CENTER (MCC) AT UNIVERSITY OF CALIFORNIA SAN DIEGO (UCSD) HEALTH AND ITS ACCELERATING COLORECTAL CANCER SCREENING AND FOLLOW-UP THROUGH IMPLEMENTATION SCIENCE (ACCSIS). IN ADDITION, THE PROJECT WILL BE SUPPORTED BY SHARP GROSSMONT HOSPITAL AND PATH.

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

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

FY 2023 BRIDGE ACCESS PROGRAM

CAPITAL DEVELOPMENT

ELECTRONIC HEALTH RECORD IMPLEMENTATION INITIATIVE

** AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** NON-TECHNICAL SUMMARYCURRENT ISSUE AND IMPORTANCE:SUB-OPTIMAL DIETS SIGNIFICANTLY CONTRIBUTE TO CHRONIC HEALTH CONDITIONS SUCH AS HYPERTENSION (HTN) AND TYPE-2 DIABETES (T2D), PARTICULARLY AMONG LOW-INCOME POPULATIONS WHO FACE BARRIERS TO ACCESSING AND AFFORDING NUTRITIOUS FOODS. NUTRITION ASSISTANCE PROGRAMS LIKE SNAP AND WIC AIM TO MITIGATE FOOD INSECURITY, BUT CHALLENGES REMAIN IN PURCHASING NUTRIENT-DENSE PRODUCE OVER INEXPENSIVE, PROCESSED FOODS. THIS ISSUE IS CRITICAL AS IT LEADS TO HEALTH DISPARITIES, INCREASED MEDICAL COMPLICATIONS, AND HIGHER HEALTHCARE COSTS, AFFECTING BOTH INDIVIDUALS AND THE BROADER COMMUNITY.IN SAN DIEGO, NEARLY ONE IN FOUR RESIDENTS EXPERIENCES NUTRITION INSECURITY. AT FAMILY HEALTH CENTERS OF SAN DIEGO (FHCSD), OVER 25,000 OF THE 159,000 PATIENTS SERVED ARE FOOD INSECURE, WITH SIGNIFICANT REPRESENTATION FROM LOW-INCOME, LATINO/A, AND BIPOC COMMUNITIES. FHCSD ALSO SERVES OVER 14,200 PATIENTS WITH T2D AND 31,700 PATIENTS WITH HTN, REFLECTING THE SOCIAL DETERMINANTS OF HEALTH AFFECTING OUR LOW-INCOME POPULATION AND THE COMPLEX HEALTHCARE NEEDS OF THOSE LIVING WITH CO-OCCURRING CHRONIC CONDITIONS. ADDRESSING THE UNDERLYING CAUSE OF THIS ISSUE IS ESSENTIAL FOR IMPROVING PUBLIC HEALTH, REDUCING ECONOMIC BURDENS, AND ENHANCING COMMUNITY WELL-BEING.METHODS AND APPROACHES:TO TACKLE THIS ISSUE, THE PRODUCE DELIVERY PROGRAM AND FOOD AS MEDICINE (PDP-FAM) INITIATIVE WILL DELIVER 20-POUND FRESH PRODUCE BOX SUBSCRIPTIONS DIRECTLY FROM A LOCAL FAMILY FARM TO THE HOMES OF OVER 400 LOW-INCOME, FOOD-INSECURE PATIENTS WITH HTN OR T2D. THESE DELIVERIES WILL BE PAIRED WITH CULTURALLY TAILORED NUTRITION-HEALTH EDUCATION, PROVIDING PRACTICAL SKILLS FOR INCORPORATING FRESH PRODUCE INTO THEIR DIETS AND MANAGING THEIR HEALTH CONDITIONS. FURTHERMORE, THE PROGRAM AIMS TO ENHANCE SUSTAINABILITY THROUGH PARTNERSHIPS IN THE FOOD AND HEALTHCARE SECTORS, INCLUDING MANAGED CARE PLANS. BY ENTERING INTO CONTRACTS WITH PROVIDERS THROUGH MEDI-CAL (CALAIM), WE WILL EXTEND ACCESS TO HEALTHY FOODS FOR ELIGIBLE PATIENTS FOR A MINIMUM OF 6 MONTHS, BEYOND THE 12-MONTHS OF FARM-FRESH PRODUCE BOX DELIVERIES. IN DOING SO, WE WILL DEVELOP A MODEL FOR EFFECTIVELY USING UNDERUTILIZED MEDICAL BENEFITS, SUCH AS CALAIM, TO SERVE LOW-INCOME POPULATIONS IN SAN DIEGO COUNTY. WE WILL COLLECT DATA THROUGH SURVEYS AND HEALTH METRICS BEFORE, DURING, AND AFTER THE INTERVENTION TO TRACK CHANGES IN DIET QUALITY, FOOD SECURITY, HEALTH OUTCOMES, AND HEALTHCARE USE.GOALS AND EXPECTED IMPACT:THE ULTIMATE GOAL OF THE PDP-FAM INITIATIVE IS TO IMPROVE DIETARY HABITS AND HEALTH OUTCOMES FOR PARTICIPANTS, REDUCE FOOD INSECURITY, AND LOWER HEALTHCARE COSTS. BY ACHIEVING THESE GOALS, THE PROJECT AIMS TO CREATE A RIPPLE EFFECT OF BENEFITS, INCLUDING HEALTHIER COMMUNITIES, REDUCED STRAIN ON HEALTHCARE SYSTEMS, AND STRONGER SUPPORT FOR LOCAL AGRICULTURE. THIS HOLISTIC APPROACH NOT ONLY ADDRESSES IMMEDIATE HEALTH NEEDS BUT ALSO PROMOTES LONG-TERM, SUSTAINABLE IMPROVEMENTS IN PUBLIC HEALTH AN,D COMMUNITY RESILIENCE.

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

DISTANCE LEARNING GRANT