Caresouth Carolina Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

DEVELOPING DEMENTIA-CAPABLE COMMUNITY HEALTH WORKER PROGRAMS IN THE PEE DEE REGION OF SOUTH CAROLINA - CARESOUTH CAROLINA, INC. (CSC) IS THE ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE NATION THAT IS ALSO DESIGNATED AS AN AREA AGENCY ON AGING (AAA). OVER A THREE-YEAR PROJECT PERIOD, IN PARTNERSHIP WITH KEY STAKEHOLDERS, CSC WILL LEVERAGE RESOURCES TO DEVELOP AND STRENGTHEN A DEMENTIA-CAPABLE WORKFORCE IN CHESTERFIELD, DARLINGTON, DILLON, FLORENCE, MARION, AND MARLBORO COUNTIES, SOUTH CAROLINA. PROJECT GOAL: TO IMPROVE ACCESS TO CARE, CARE COORDINATION, AND QUALITY OF LIFE AMONG PEOPLE DIAGNOSED WITH ALZHEIMER’S DISEASE AND RELATED DEMENTIA (PWADRD) AND THEIR CAREGIVERS THROUGH DEVELOPMENT OF A TRAINED, PERSON-CENTERED WORKFORCE CAPABLE OF INCREASING QUALITY AND QUANTITY OF DEMENTIA SERVICES THROUGH EVIDENCE-BASED PRACTICES IN DEMENTIA CARE. MAJOR OBJECTIVES: 1) IMPLEMENTING THE CARE ECOSYSTEM EVIDENCE-BASED INTERVENTION (EBI) THROUGH A TEAM OF TRAINED CHWS, FOCUSED ON EARLY DETECTION/ENGAGEMENT OF APPROXIMATELY 400 PWADRD AND THEIR CAREGIVERS (200 DYADS) ANNUALLY. 2) SCREENING AT LEAST 85% OF ENROLLEES AND CAREGIVERS FOR BARRIERS TO CARE USING VALIDATED TOOLS, DOCUMENTING STRATEGIES TO ADDRESS. 3) ASSESS THE FIDELITY, EFFECTIVENESS, AND IMPACT OF IMPLEMENTING CARE ECOSYSTEM, INCLUDING QUALITY OF LIFE FOR ENROLLEES AND CAREGIVERS. ANTICIPATED OUTCOMES: INCREASED IDENTIFICATION OF PWADRD; INCREASED IDENTIFICATION OF DISTRESSING BEHAVIORAL SYMPTOMS; INCREASED IDENTIFICATION OF PWADRD AND CAREGIVER NEEDS/BARRIERS TO CARE, WITH REFERRALS DOCUMENTED; INCREASED COMPLETION OF PWADRD MEDICATION ASSESSMENT; INCREASED DEVELOPMENT OF CAREGIVER RESPITE PLANS; INCREASED CHW CONFIDENCE IN PROVIDING DEMENTIA CARE PLANS; IMPROVED ACCESS TO CARE AND CAREGIVER QUALITY OF LIFE; IMPROVED SERVICE ENGAGEMENT AND QUALITY OF CARE. EXPECTED PRODUCTS: CHW TRAINING; EBI IMPLEMENTATION PROTOCOLS AND RESOURCES FOR CHW, PWADRD, AND CAREGIVERS, SPECIFIC TO THE INTEGRATED FQHC/AAA SETTING; COMPREHENSIVE THIRD PARTY EVALUATION WITH DISSEMINATION PACKAGE.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

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

TELEMEDICINE GRANT

PREVENTION OF CARDIOVASCULAR DISEASE AND STROKE FOR AFRICAN AMERICANS IN RURAL DARLINGTON AND MARLBORO COUNTIES IN SOUTH

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

CONNECTING KIDS TO COVERAGE HEALTHY KIDS 2022 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS - PROJECT TITLE: CARESOUTH CAROLINA 2022 HEALTHY KIDS PROJECT REQUESTED AWARD AMOUNT/TOTAL BUDGET: $664,179.00 APPLICANT ORGANIZATION NAME: CARESOUTH CAROLINA, INC. APPLICANT ORGANIZATION ADDRESS: 201 S. 5TH STREET, HARTSVILLE, SC 29550-4211 APPLICANT ORGANIZATION FACILITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER BRIEF DESCRIPTION OF TARGET POPULATION: THE TOTAL POPULATION OF THE FIVE-COUNTY SERVICE AREA IS 187,787, OF WHOM 22.3% OR 41,833 ARE CHILDREN FROM 0-18 YEARS OF AGE. TARGET POPULATIONS INCLUDE LOW-INCOME CHILDREN AND THEIR PARENTS, AS WELL AS LOW-INCOME PREGNANT WOMEN, WITH A FOCUS ON NATIVE, BLACK, AND HISPANIC POPULATIONS. IN THE SERVICE AREA, 14.1% OF RESIDENTS ARE UNINSURED, COMPARED TO 13.2% IN SC AND 10.8% IN THE US. AMONG LOW-INCOME RESIDENTS, 17.5% ARE UNINSURED. AN ESTIMATED 5.2% (2,175) OF CHILDREN IN THE SERVICE AREA ARE UNINSURED (SAHIE, CENSUS, 2019). BLACK, HISPANIC, AND NATIVE SOUTH CAROLINIANS ARE ALL MORE LIKELY TO BE UNINSURED THAN WHITE SOUTH CAROLINIANS (ACS, CENSUS, 2015-2019). BLACK (30.3%) AND HISPANIC (44.2%) RESIDENTS ARE SIGNIFICANTLY MORE LIKELY TO LIVE ON INCOMES BELOW 100% FPG THAN WHITE (17.1%) RESIDENTS (ACS, CENSUS, 2015-2019). NEARLY TWO-THIRDS OF SERVICE AREA CHILDREN ARE LOW-INCOME AND ARE MEDICAID/CHIP ELIGIBLE (AMERICAN COMMUNITY SURVEY (ACS), CENSUS, 2015-2019). IN 2020, THERE WERE 32,904 CHILDREN ENROLLED IN MEDICAID IN THE FIVE-COUNTY SERVICE AREA AND AN ESTIMATED 2,794 CHILDREN WHO WERE ELIGIBLE BUT NOT ENROLLED (APPROXIMATELY 7.8% OF ALL ELIGIBLE CHILDREN) (SC HEALTHVIZ, SC EHEALTH MEDICAID STATISTICS, 2022; SC CHIP FACT SHEET, NATIONAL ACADEMY FOR STATE HEALTH POLICY, 2020; BASED ON STATE-WIDE ESTIMATES OF CHILDREN WHO ARE ELIGIBLE FOR BUT NOT ENROLLED IN MEDICAID). TARGET SERVICE AREA: CHESTERFIELD, DARLINGTON, DILLON, LEE, AND MARLBORO COUNTIES, SC. GOALS OF THE PROJECT: THE OVERALL GOAL OF THE CSC HEALTHY KIDS PROJECT IS TO REDUCE THE NUMBER OF UNINSURED CHILDREN IN CHESTERFIELD, DARLINGTON, DILLON, LEE, AND MARLBORO COUNTIES, SC BY NEWLY ENROLLING AND/OR RENEWING ENROLLMENT IN MEDICAID AND CHIP FOR CHILDREN, PARENTS, PREGNANT, AND NON-ENGLISH SPEAKING INDIVIDUALS. HOW FUNDS WILL BE USED: WITH ITS STRONG COMMUNITY TIES, PENETRATION WITHIN THE TARGET POPULATION, AND EXTENSIVE SCOPE OF SERVICES, CSC IS WELL-POSITIONED TO EFFECTIVELY LAUNCH A ROBUST HEALTHY KIDS PROJECT, REDUCING THE NUMBER OF CHILDREN WHO ARE ELIGIBLE FOR, BUT NOT ENROLLED IN, MEDICAID AND CHIP, AND IMPROVING RETENTION OF ENROLLED CHILDREN ACROSS THIS LARGE, RURAL SERVICE AREA. THE PROJECT WILL BE OVERSEEN BY 0.5 FTE PROJECT DIRECTOR. COMMUNITY HEALTH WORKERS (CHWS) WILL SERVE AS PRIMARY OUTREACH AND ENROLLMENT STAFF FOR THE HEALTHY KIDS PROJECT, ASSISTING POTENTIAL ELIGIBLE CHILDREN, PARENTS, PREGNANT INDIVIDUALS, AND NON-ENGLISH SPEAKERS. CSC WILL WORK CLOSELY WITH PROGRAM PARTNERS INCLUDING SCHOOLS, CHURCHES, AND OTHER COMMUNITY ORGANIZATIONS TO PROMOTE INITIATIVES THROUGH IN-PERSON MEETINGS AND EVENTS AS WELL AS VARIOUS MEDIA PLATFORMS TO INCLUDE PRINT MEDIA, BILLBOARDS, SOCIAL MEDIA, WEBSITES, AND OTHER DIGITAL ADVERTISEMENT METHODS. IN ADDITION, ENROLLMENT STAFF WILL CONDUCT FOLLOW-UP CALLS WITH INDIVIDUALS AND FAMILIES WHO ARE NEARING OR PAST THEIR ELIGIBLE RENEWAL DATE. CSC WILL PURCHASE A SUBSCRIPTION TO A SECURE COVERAGE MANAGEMENT PLATFORM TO TRACK, REPORT, AND SECURE ALL REQUIRED DATA FOR EACH INDIVIDUAL CLIENT WITHOUT PERSONALLY IDENTIFYING INFORMATION. ESTIMATED NUMBER OF PEOPLE TO BE SERVED AS A RESULT OF THE AWARD OF THIS GRANT: IN YEAR 1, CSC PROPOSES TO NEWLY ENROLL OR RENEW 4,200 INDIVIDUALS IN MEDICAID OR CHIP, INCLUDING 3,300 CHILDREN, 750 PARENTS, 150 PREGNANT INDIVIDUALS. IN Y2, CSC WILL NEWLY ENROLL OR RENEW 4,701 INDIVIDUALS IN MEDICAID OR CHIP, INCLUDING 3,630 CHILDREN, 823 PARENTS, 165 PREGNANT INDIVIDUALS. IN YEAR 3, CSC WILL NEWLY ENROLL OR RENEW AT LEAST 5,858 INDIVIDUALS, INCLUDING 4,678

FISCAL YEAR 2025 EXPANDED HOURS. - HEALTH CENTER PROGRAM: H80CS00654 DESCRIPTION OF PROJECT: CARESOUTH CAROLINA, INC. (CSC) IS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC) THAT PROVIDES PRIMARY, PREVENTIVE, AND INTEGRATED BEHAVIORAL HEALTH CARE FOR MEDICALLY UNDERSERVED RESIDENTS OF THE NORTHEASTERN PEE DEE REGION OF SOUTH CAROLINA (SC) INCLUDING CHESTERFIELD, DARLINGTON, DILLON, LEE, AND MARLBORO COUNTIES. ESTABLISHED IN 1980, CSC IS ONE OF THE FEW PROVIDERS IN THE REGION THAT ACCEPTS ALL MEDICAID AND MEDICARE PATIENTS AND OFFERS SERVICES ON A SLIDING FEE DISCOUNT SCALE (SFDS). THE HEALTH CENTER HAS RECEIVED NATIONAL AND LOCAL RECOGNITION FOR INDUSTRY-LEADING INNOVATION IN COMMUNITY-BASED CARE DELIVERY AND HAS BEEN ACCREDITED BY THE JOINT COMMISSION FOR MORE THAN A DECADE. CSC OPERATES THIRTEEN PERMANENT SERVICE-DELIVERY LOCATIONS AND THREE ADMINISTRATIVE SITES. IN ADDITION TO ITS PRIMARY CARE SITES, CSC ALSO OPERATES THE MILES OF SMILES TRANSPORTABLE DENTAL PROGRAM SERVING TITLE I SCHOOLS, HEAD START PROGRAMS, AND DISABILITIES AND SPECIAL NEEDS BOARDS CLIENTS ACROSS THE REGION THROUGH TWO MOBILE DENTAL UNITS. THE HEALTH CENTER ALSO OPERATES THREE MOBILE MEDICAL VANS THROUGH ITS ROADS PROGRAM. IN 2023, CSC SERVED 38,265 TOTAL USERS THROUGH THE FQHC PROGRAM (UDS, 2023). NEEDS TO BE ADDRESSED: DATA FROM THE SERVICE AREA REVEAL SYSTEMIC, WIDESPREAD HEALTH DISPARITIES AND EMPHASIZE THE NEED FOR COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH SERVICES THAT ARE ACCESSIBLE TO THOSE WITH LOW INCOMES AND THE UNINSURED. WITHIN THE SERVICE AREA, 51.3% OF INDIVIDUALS LIVE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. CHESTERFIELD, DARLINGTON, LEE, AND MARLBORO COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSAS) FOR PRIMARY CARE; DILLON COUNTY IS A PRIMARY CARE HPSA FOR THE LOW-INCOME POPULATION, AND ALL FIVE COUNTIES ARE HPSAS FOR MENTAL HEALTH. ALL ARE ALSO MEDICALLY UNDERSERVED AREAS (MUAS) (FIND SHORTAGE AREAS, HRSA, 2021). THIS PRESENTS SIGNIFICANT BARRIERS TO CARE, PARTICULARLY FOR LOW-INCOME RESIDENTS. PATIENT BARRIERS SUCH AS WORKING HOURS, INABILITY TO MISS WORK FOR LOST WAGES OR THREAT OF LOSING THEIR JOB ALTOGETHER, AND LACK OF AVAILABLE CHILDCARE CONTRIBUTE TO DIFFICULTIES IN ACCESSING CARE DURING NORMAL BUSINESS HOURS. THIS CAN RESULT IN COSTLY OUTCOMES SUCH AS DELAYING NEEDED CARE OR SEEKING NON-URGENT CARE IN THE LOCAL EMERGENCY DEPARTMENT (ED). PROPOSED SERVICES: THE PROPOSED PROJECT WILL ADDRESS THE NEED FOR COMPREHENSIVE PRIMARY HEALTH CARE SERVICES IN THE COMMUNITY AND TARGET POPULATION. BY INCREASING AVAILABILITY OF NON-TRADITIONAL HOURS, CSC WILL ADDRESS THE GAP IN HEALTHCARE ACCESS THAT OFTEN RESULTS IN INAPPROPRIATE ED USE OR UNTREATED HEALTH CONDITIONS. THROUGH THE EXPANDED HOURS PROJECT, CSC WILL ADD 15 TOTAL HOURS OF OPERATION AT FIVE TOTAL SITES. THIS WILL INCLUDE EXPANDED EVENING HOURS (UNTIL 8PM) AT THE BISHOPVILLE CENTER, CHERAW CENTER, BENNETTSVILLE CENTER, AND ROSA LEE GERALD CENTER; AND EXPANDED WEEKEND HOURS (SATURDAY 9AM TO 1PM) AT THE CHESTERFIELD CENTER. MEDICAL, SUBSTANCE USE DISORDER (SUD), AND ENABLING SERVICES WILL BE PROVIDED DURING THE EXPANDED HOURS, AND YEAR 1 STAFFING WILL INCLUDE 0.425 FTE FAMILY NURSE PRACTITIONER, 0.425 FTE NURSE (LPN), 0.425 FTE MEDICAL ASSISTANT (CMA/RMA), 0.425 FTE LAB TECH, AND 1.0 FTE COMMUNITY HEALTH WORKER (CHW). A SECOND 0.425 FTE MEDICAL ASSISTANT (CMA/RMA) WILL BE ADDED IN YEAR 2. POPULATION GROUPS TO BE SERVED: CSC IS AVAILABLE TO SERVE THE GENERAL COMMUNITY, BUT PRIORITIZES SERVING LOW-INCOME INDIVIDUALS, INCLUDING MEDICAID RECIPIENTS AND THE UNDERINSURED/UNINSURED. ALL PRESENTING PATIENTS WILL RECEIVE HIGH-QUALITY SERVICES ON AN SFDS, REGARDLESS OF ABILITY TO PAY, AND CSC WILL WORK TO REDUCE BARRIERS TO CARE WITH AN ARRAY ENABLING SERVICES. EXPANDED HOURS FUNDING WILL FOSTER A MORE ACCESSIBLE AND PATIENT-CENTERED SERVICE DELIVERY SYSTEM, WHILE REDUCING DISPARITIES WITHIN THE COMMUNITY.

DLT OPIOID GRANTS

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

DLT OPIOID GRANTS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

ENDING THE HIV/AIDS EPIDEMIC (ETHE) PLANNING PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

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

COMMUNITY FACILITY GRANTS

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS