Clinical Services Inc

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

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

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

RYAN WHITE CARE ACT TITLE IV ADOLESCENT INITIATIVE

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

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

HIV PREVENTION, RISK REDUCTION AND ENHANCED HIV TESTING FOR PR YSM

HIV PREVENTION PROJECTS FOR THE COMMONWEALTH OF PUERTO RICO & U.S. VIRGIN ISLANDS

STI PREVENTION AND TREATMENT SERVICES ENHANCEMENT PROJECT

HEALTH CENTER PROGRAM

TELEMEDICINE GRANT

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

TELEMEDICINE GRANT

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

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

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - CATEGORY/FUNDING REQUEST: IN THIS OPPORTUNITY, PART C CAPACITY DEVELOPMENT PROGRAM FUNDS ARE REQUESTED IN A TOTAL AMOUNT OF $148,207.69 UNDER INFRASTRUCTURE DEVELOPMENT CATEGORY TO EXPAND AND OPTIMIZE THE DENTAL SERVICES OFFERED AT PR CONCRA IN SAN JUAN, PR VIA THE PURCHASE AND MODERNIZATION OF EQUIPMENT AVAILABLE FOR THESE PROCEDURES. SUMMARY OF PROPOSED ACTIVITY: THE PURPOSE OF THE PROPOSED PROJECT IS TO ENHANCE AND EXPAND THE SERVICE DELIVERY CAPACITY TO INCREASE ACCESS TO HIGH QUALITY ORAL HEALTH SERVICES (DECREASE CHAIR TIME REQUIRED FOR ROOT CANAL THERAPY THROUGH THE PURCHASE AND USE OF ROTARY ENDODONTIC INSTRUMENTATION, INCREASE THE EFFICIENCY OF DENTAL DIAGNOSTICS BY PURCHASING DIGITAL RADIOGRAPHIC EQUIPMENT, AND INCREASE PROSTHETIC SERVICES THROUGH THE ACQUISITION OF AN INTRAORAL SCANNER), AS PART OF THE HIV PRIMARY HEALTH CARE CONTINUUM, DELIVERED AT PRCONCRA FOR LOW INCOME, UNINSURED, AND UNDERSERVED PEOPLE LIVING WITH HIV. TARGET POPULATIONS: PRCONCRA SERVES ANNUALLY A POPULATION OF OVER 939 HISPANIC, LOW INCOME, UNDER INSURED AND UNINSURED, AND HARD TO REACH CLIENTS. OVER A HALF OF THE CLIENTS ARE RESIDENTS OF THE SAN JUAN METROPOLITAN AREA. APPROXIMATELY A HALF RECEIVE SERVICES FUNDED BY RYAN WHITE PART C FUNDS. HOMELESS AND OPIOID DEPENDENT INDIVIDUALS LIVING WITH HIV/AIDS HAVE BEEN INSERTED IN THE CONTINUUM OF CARE AS EMERGING SPECIAL POPULATION. FOR THE LAST THREE CALENDAR YEARS (2019, 2020, 2021) WE HAVE PROVIDED ORAL HEALTH CARE WITH PART C DOLLARS TO AN AVERAGE OF 495 UNDUPLICATED CLIENTS WITH 3,778 SERVICES. CURRENT SERVICE ACTIVITIES: PR CONCRA PROVIDES CLINICAL AND SUPPORT SERVICES THROUGH A ONE STOP-SHOP CONCEPT OF CARE (INCLUDED ORAL HEALTH CARE), TO HIV-POSITIVE INDIVIDUALS. AT PRESENT, THE FOLLOWING DENTAL SERVICES ARE OFFERED ON SITE: -DIAGNOSTIC SERVICES, INCLUDING INTRA AND EXTRA-ORAL EXAMS, ORAL CANCER SCREENINGS, TOBACCO CESSATION COUNSELING, INTRAORAL X-RAYS, PERIODONTAL SCREENINGS; -OPERATIVE TREATMENT, INCLU DING COMPOSITE AND AMALGAM RESTORATIONS BOTH POSTERIOR AND ANTERIOR TEETH; -PERIODONTAL TREATMENT, INCLUDING PROPHY, FULL MOUTH DEBRIDEMENT AND SCALING AND ROOT PLANNING; -ENDODONTIC TREATMENT TO ANTERIOR TEETH UNCOMPLICATED; -ORAL SURGERY, INCLUDING EXTRACTIONS OF ERUPTED AND RETAINED ROOTS AND -PROSTHETICS, INCLUDING REMOVABLE PROSTHETICS INCLUDING CAST AND VALPLAST PARTIAL AND FULL DENTURES. PROBLEM: AN ESTIMATED 30% HAVE RECEIVED EXTERNAL REFERRALS TO RECEIVE THE ADDITIONAL SERVICES THAT THE DENTAL CLINIC CANNOT PROVIDE. THE OVERALL GOAL OF THE PROPOSED PROJECT IS TO INCREASE THE CAPACITY OF PRCONCRA’S DENTAL CLINIC TO DIRECTLY ADDRESS MOST OF THE ORAL HEALTH NEEDS OF THE POPULATION, REQUIRING THEM TO RESORT - TO EXTERNAL PROVIDERS. THIS IS ESPECIALLY IMPORTANT BECAUSE OF THE CHALLENGES MOST CLINICAL PROVIDERS HAVE TO CONVINCE CLIENTS TO VISIT THE DENTIST AT LEAST ANNUALLY; FURTHERMORE, TO SEEK SPECIALIZED ORAL HEALTH SERVICES ELSEWHERE IN ORDER TO COMPLETE THE TREATMENT PLAN. FUNDING PREFERENCE: FUNDING PREFERENCE IS BEING REQUESTED FOR UNDERSERVED POPULATIONS, DUE TO THE BROAD NEED OF THE POPULATION SERVED.

TELEMEDICINE GRANT

HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION PROJECTS FOR YOUNG MEN OF COLOR WHO HAVE SEX WITH MEN (YMSM OF COLOR)

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - CATEGORY/FUNDING REQUEST: IN THIS OPPORTUNITY, PART C CAPACITY DEVELOPMENT PROGRAM FUNDS ARE REQUESTED IN A TOTAL AMOUNT OF $150,000.00 UNDER INFRASTRUCTURE DEVELOPMENT CATEGORY TO IMPROVE THE TELEHEALTH DATA SECURITY INFRASTRUCTURE. PROBLEM: SINCE COVID 19 FORCED THE ISLAND AND THE WORLD TO LOCKDOWN, THE USE OF TECHNOLOGY HAS BECOME INSTRUMENTAL TO ENSURE RETENTION IN CARE AND REDUCE THE GAP IN ACCESS TO QUALITY HEALTH CARE. IN 2019 THE GAP IN MEDICAL VISITS, ACCORDING TO THE RW CORE INDICATOR 4, WAS 4.32% . AT PRESENT, THIS INDICATOR IS AT 5.34% WHICH STILL REFLECTS THE SETBACKS CAUSES BY THE COVID 19 CHALLENGES THAT HEALTHCARE HAS FACED FOR THE PAST YEARS. THE CURRENT NETWORK INFRASTRUCTURE NEEDS IMPROVEMENT TO ADDRESS AREAS OF OPPORTUNITY FOR IMPROVEMENT AND REDUCE ANY VULNERABILITY OF THE NETWORK AND CYBERSECURITY ATTACKS, IN TERMS OF FLAT NETWORK, REDUNDANCY, AND PERFORMANCE. SUMMARY OF PROPOSED ACTIVITY: THE PROPOSED PROJECT EVEN WHEN BEING OF INFRASTRUCTURE DEVELOPMENT NATURE, WILL CONTRIBUTE INDIRECTLY TO INCREASE ACCESS TO CARE BY ENSURING THAT ALL COMMUNICATION AND DATA EXCHANGE, AS PART OF TELEHEALTH INTERACTIONS, ARE PROTECTED, WITHIN THE HIGHEST STANDARDS POSSIBLE, AND THIS TOOL BECOMES A MORE ACCEPTED AND TRUSTED MEANS OF QUALITY CARE AMONG THE POPULATIONS SERVED. PRCONCRA PROPOSES TO REDESIGN THE NETWORK INFRASTRUCTURE (BACKBONE, FIREWALLS, NETWORK SWITCHES, AND NETWORK ACCESS CONTROL), ALONG WITH THE IMPLEMENTATION OF THE ZERO-TRUST MODEL (ZTM). ZERO TRUST IS A SECURITY FRAMEWORK REQUIRING ALL USERS, WHETHER IN OR OUTSIDE THE ORGANIZATION'S NETWORK, TO BE AUTHENTICATED, AUTHORIZED, AND CONTINUOUSLY VALIDATED FOR SECURITY CONFIGURATION AND POSTURE BEFORE BEING GRANTED OR KEEPING ACCESS TO APPLICATIONS AND DATA. ZTM PROVIDES SECURITY AGAINST RANSOMWARE AND CYBERSECURITY THREATS BY ASSIGNING THE LEAST REQUIRED ACCESS NEEDED TO PERFORM SPECIFIC TASKS WITH STRONG AUTHENTICATION CAPABILITIES, POWERFUL NETWORK ACCESS CONTROL TOOLS , AND PERVASIVE APPLICATION ACCESS POLICIES. ZERO-TRUST NETWORK ACCESS (ZTNA) SOLUTIONS GRANT ACCESS ON A PER-SESSION BASIS TO INDIVIDUAL APPLICATIONS ONLY AFTER DEVICES AND USERS ARE VERIFIED.?THIS ZTNA POLICY IS ALSO APPLIED WHEN USERS ARE ON THE NETWORK, WHICH PROVIDES THE SAME ZERO-TRUST MODEL NO MATTER THE USER'S LOCATION.

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

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS