Anai Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

PURPOSE: TO PROVIDE GRANTS TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) FOR THE FOLLOWING PURPOSES 1) TO EXPAND LENDING, GRANT MAKING AND INVESTMENT ACTIVITIES IN LOW OR MODERATE INCOME COMMUNITIES AND TO BORROWERS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC; AND 2) TO ENABLE CDFIS TO BUILD ORGANIZATIONAL CAPACITY AND ACQUIRE TECHNOLOGY, STAFF, AND OTHER TOOLS NECESSARY TO ACCOMPLISH THE ACTIVITIES UNDER A CDFI ERP AWARD. PLANNED ACTIVITIES: ELIGIBLE ACTIVITIES INCLUDE FINANCIAL PRODUCTS, FINANCIAL SERVICES, DEVELOPMENT SERVICES, GRANTS, LOAN LOSS RESERVES AND CAPITAL RESERVES THAT MAY BE USED TO MITIGATE THE IMPACT OF THE COVID 19 PANDEMIC ON UNEMPLOYMENT, CHILDCARE, HEALTHCARE, MENTAL HEALTHCARE, AFFORDABLE HOUSING, AFFORDABLE HOUSING FINANCE, SMALL BUSINESS, SMALL FARMS, BROADBAND INTERNET, AND FOOD SUFFICIENCY. IN ADDITION, TO SUPPORT CDFIS IN BUILDING THEIR CAPACITY TO RESPOND TO THE ECONOMIC IMPACT OF COVID 19, CDFI ERP AWARDS MAY BE USED FOR COMPENSATION PERSONAL SERVICES; COMPENSATION FRINGE BENEFITS; PROFESSIONAL SERVICE COSTS; TRAVEL COSTS; TRAINING AND EDUCATION COSTS; EQUIPMENT; SUPPLIES. END GOALS: EXPANDED FINANCING FOR LOW TO MODERATE INCOME COMMUNITIES AND INDIVIDUALS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC INCLUDING SPECIFIC DESIGNATED COVID IMPACTED CDFI ERP ELIGIBLE GEOGRAPHIES AS AREAS THAT MAY BENEFIT FROM CDFI ERP ASSISTANCE. BENEFICIARIES: CERTIFIED CDFIS WHICH MAY BE FOR PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, AND OTHER PRIVATE INSTITUTION/ORGANIZATION, AS DEFINED IN 12 C.F.R. 1805, AND LOW AND MODERATE INCOME INDIVIDUALS AND FAMILIES. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: SPECIFIC ACTIVITIES RELATING TO BROADBAND USAGE ARE NOT KNOWN AT THE TIME OF AWARD. REASON/PURPOSE OF MODIFICATION: NOT APPLICABLE.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

SBIR PHASE II: INFORMATION MODEL FOR AIRSPACE DESIGN AND PLANNING

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - LANA`I, A HIGHLY RURAL AND REMOTE ISLAND, EXPERIENCES LIMITED CARE RESOURCES, INCLUDING ESPECIALLY THE EVER INCREASING AND ALREADY LARGE PERCENTAGE OF ELDERLY RESIDENTS, WHO NEED OPTIONS TO “AGE IN PLACE” WITHOUT LEAVING THEIR HOME AND HOME ISLAND. THE PROPOSED PROJECT WILL BE THE FIRST AND ONLY LICENSED ADULT DAY CARE PROGRAM ON THE ISLAND. LANA`I KINA`OLE INC. CURRENTLY PROVIDES HOME HEALTH SERVICES AND ADVOCACY WITH A SPECIAL FOCUS ON OUR ELDER SERVICES. THE AGENCY REMAINS EXTREMELY BUSY DELIVERING COMMUNITY-BASED SERVICES AS WELL AS SERVICES IN HOME CARE. HOWEVER, IT HAS BEEN RECOGNIZED THE SERVICES CAN BE EXPANDED AND CERTAIN SERVICES WILL BE DELIVERED IN A MORE EFFICIENT MANNER WITH AN ADULT DAY CARE PROGRAM. ALSO IMPORTANT IS THAT SERVICES MAY BE ABLE TO BE OPENED TO MORE COMMUNITY MEMBERS. THE PLAN WILL BE TO LICENSE THE SERVICE THROUGH THE HAWAII STATE REQUIREMENTS AS AN ADULT DAY CARE AND/OR DAY HEALTH. HOWEVER, THE GOAL, TO PRESERVE SOME DIGNITY FOR INDIVIDUALS, WILL BE TO NAME THE STRUCTURE AND SUBSEQUENTLY, THE PROGRAM WILL BE KNOWN AS LANA`I KINA`OLE ADULT DAY SERVICES (LKADS). AS WAS MENTIONED EARLIER, THE COMPOSITION OF THE POPULATION INCLUDES APPROXIMATELY 30% AS ELDERLY OR KUPUNA, AND MOST OF THEM WOULD DECLINE TO LEAVE ISLAND TO LIVE THE REST OF THEIR LIVES, PREFERRING TO “AGE IN PLACE” ON LANA`I, THEIR HOME ISLAND. THE GOAL IN ADDING DAY SERVICES WILL ,AT A MINIMUM, ALLOW FOR MORE TIME TO LIVE ON THEIR HOME ISLAND. ONE IMPORTANT BENEFIT OF BUILDING A CENTER AND DELIVERING DAY SERVICES WOULD BE THAT MANY EMPLOYEES FOR THE ISLANDS BUSINESSES WILL GO TO WORK WITH LESS BURDEN OR WORRY, GREATER FOCUS ON THEIR JOB, AND LIKELY, BETTER ATTENDANCE RATES, BECAUSE MANY OF THE WORKING RESIDENTS ARE ALSO CARING FOR AGING ADULT FAMILY MEMBERS, AND THEREFORE, THEY ARE CALLED UPON TO RUSH HOME ON BREAKS, OR USING A LUNCH HOUR TO PROVIDE STRESSFUL CAREGIVER SERVICES. THE LKADS CENTER WILL ALLEVIATE THIS CHALLENGE FOR MANY CAREGIVERS, INCLUDIN G SPOUSES, CHILDREN, AND OTHERS. IN THE BEGINNING, THE ANTICIPATED CENSUS MAY BE LOW, BUT WE ALREADY HAVE SOME WHO HAVE AGREED TO ATTEND AND ARE EAGER TO JOIN AS SOON AS IT IS READY. WE BELIEVE THAT ONCE THE CENTER IS BUILT AND ACTIVITIES BEGIN, MORE WILL BE INTERESTED. AS THE SAYING GOES, "YOU BUILD IT THEY WILL COME."

EDUCATION OF NATIVE HAWAIIANS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CANONCITO BAND OF NAVAJO'S TRIBAL GOVERNANCE: TECHNOLOGY INFRASTRUCTURE PROJECT

THE COALITION FOR A DRUG-FREE LANAI

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - LANA‘I COMMUNITY HEALTH CENTER (LCHC), ESTABLISHED IN 2004, IS A 501(C)3 NONPROFIT AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT SERVES THE ISLAND OF LANA‘I. OUR MISSION IS TO PROVIDE HEALTH SERVICES DIRECTLY AND COLLABORATE WITH OTHER ORGANIZATIONS AND PROVIDERS, PARTICULARLY FOCUSING ON THE UN- AND UNDERINSURED, LOW-INCOME, AND MEDICALLY UNDERSERVED POPULATIONS. LCHC EMPHASIZES SERVING THOSE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. CONTRARY TO COMMON MISCONCEPTIONS, LCHC OPERATES INDEPENDENTLY WITHOUT FINANCIAL SUPPORT FROM MR. ELLISON, WHO OWNS THE MAJORITY OF THE ISLAND. WE OWN AND SELF-FUND OUR FACILITY, LAND, AND PROGRAMS. WITH A DEDICATED TEAM OF 69 STAFF MEMBERS, INCLUDING FULL-TIME, PART-TIME EMPLOYEES, AND CONTRACTED PROVIDERS, LCHC IS ONE OF THE PRIMARY EMPLOYERS ON THE ISLAND. WE ARE COMMITTED TO PROVIDING INTEGRATED HEALTH AND WELLNESS SERVICES, ACTIVELY INVOLVING PATIENTS IN THEIR CARE, AND ADDRESSING THE UNIQUE HEALTHCARE NEEDS OF THE LANA‘I COMMUNITY. OUR HOLISTIC APPROACH PRIORITIZES COMPREHENSIVE HEALTH AND WELLNESS SERVICES, TREATING INDIVIDUALS AS WHOLE PERSONS AND FOSTERING ACTIVE PATIENT COLLABORATION. WE USE EDUCATION AND SELF-AWARENESS TOOLS TO EMPOWER INDIVIDUALS IN THEIR HEALTHCARE JOURNEYS. SINCE OUR ESTABLISHMENT, OUR PATIENT BASE HAS GROWN FROM 52 INDIVIDUALS IN 2008 TO 2,272 AS OF DECEMBER 31, 2023, REPRESENTING 79% OF THE ISLAND'S POPULATION OF 2,888. WE CONTINUE TO PROVIDE BOTH ONGOING AND EPISODIC CARE TO MEET THE DIVERSE HEALTHCARE NEEDS OF OUR COMMUNITY. FROM DECEMBER 31, 2023, TO MAY 31, 2024, LCHC EXPERIENCED A 2% INCREASE IN PATIENTS AND A 5% INCREASE IN PATIENT ENCOUNTERS, WITH DENTAL SERVICES SHOWING A 3% INCREASE IN MAY. ADDITIONALLY, WE SAW 35 NEW PATIENTS AND A 16% INCREASE IN PATIENT VISITS IN APRIL. TO MEET THE INCREASING DEMAND FOR HEALTH SERVICES ON LANA‘I, LCHC SEEKS TO EXPAND ITS OPERATING HOURS AT 333 SIXTH STREET (LANA‘I CITY, HAWAI‘I) FROM 60 TO 68 HOURS PER WEEK, AN INCREASE OF 8 HOURS (2 ADDITIONAL HOURS IN MEDICAL AND 6 ADDITIONAL HOURS IN DENTAL). EXPANDED HOURS (EH) FUNDING WILL ENABLE US TO EXTEND OUR OPERATING HOURS, THEREBY INCREASING ACCESS TO HEALTH CENTER SERVICES TO MEET IDENTIFIED PATIENT AND COMMUNITY NEEDS. THE EH FUNDING WILL PROVIDE ADDITIONAL TIME FOR IN-PERSON APPOINTMENTS, SIGNIFICANTLY REDUCING OUR MEDICAL AND DENTAL WAITLISTS. OUR PROGRAM OBJECTIVE IS TO EXPAND ACCESS AND ALLEVIATE BARRIERS TO HIGH-QUALITY PRIMARY CARE BY INCREASING THE NUMBER OF SERVICE HOURS. LANA‘I COMMUNITY HEALTH CENTER IS SEEKING $500,000 PER YEAR IN HRSA-25-084 GRANT FUNDS, TOTALING $1,000,000 OVER TWO YEARS FROM DECEMBER 1, 2024, THROUGH NOVEMBER 30, 2026. THESE FUNDS WILL SUPPORT THE FOLLOWING POSITIONS NECESSARY FOR EXPANDED HOURS: • PHARMACIST: 1.00 FTE • DENTIST: 0.60 FTE • DENTAL HYGIENIST: 0.40 FTE • DENTAL ASSISTANT - LEAD: 1.00 FTE • DENTAL ASSISTANT: 1.00 FTE • FRONT DESK REPRESENTATIVE: 1.00 FTE • FINANCE MANAGER: 1.00 FTE THIS FUNDING WILL ENABLE LCHC TO MEET THE GROWING HEALTHCARE NEEDS OF THE LANA‘I COMMUNITY, ENSURING EQUITABLE ACCESS TO DIVERSE HEALTH SERVICES AND MAINTAINING OUR COMMITMENT TO HIGH-QUALITY HEALTHCARE.

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

DESCRIPTION:THIS ACTION APPROVES AN AWARD IN THE AMOUNT OF $500,000 TO PROVIDE FUNDING UNDER THE INFLATION REDUCTION ACT (IRA) TO CLEANAIRE NORTH CAROLINA. THE RECIPIENT WILL, IN PARTNERSHIP WITH NORTH MECKLENBURG COMMUNITY-BASED NONPROFIT LETHA'S 1STOP SHOP AND NORTH MECKLENBURG ECONOMIC MOBILITY COLLABORATIVE, WILL ESTABLISH AN AIR MONITORING CLUSTER NETWORK IN FOUR IMPACTED COMMUNITIES ACROSS NORTH MECKLENBURG TO ADDRESS HEALTH IMPACTS ASSOCIATED WITH AIR POLLUTION. THEIR WORK WILL BE FOCUSED ON THE COMMUNITIES OF HUNTINGTON GREEN (HUNTERSVILLE, NC), POTTSTOWN (HUNTERSVILLE, NC), SMITHVILLE (CORNELIUS, NC), AND WEST DAVIDSON (DAVIDSON, NC). RESIDENTS WILL COLLECT AIR QUALITY DATA THROUGH THE CLUSTER NETWORK AND PARTAKE IN CLEANAIRE NORTH CAROLINA'S AIRKEEPER ACADEMY, ENGAGING IN THE HEALTHY AIR EDUCATION SERIES, CLEAN AIR ADVOCACY TRAINING, AND MAPS AND APPS SESSION. CLEANAIRE NORTH CAROLINA WILL ALSO WORK WITH LOCAL COMMUNITY-BASED ORGANIZATIONS, ATRIUM HEALTH, AND THE MECKLENBURG COUNTY HEALTH DEPARTMENT TO TRAIN COMMUNITY HEALTH WORKERS AS LEAD AIRKEEPERS AND CONDUCT A HEALTH IMPACT ASSESSMENT WITH LAKE NORMAN COMMUNITY HEALTH CLINIC, MECKLENBURG COUNTY HEALTH DEPARTMENT, ATRIUM HEALTH AND NORTH CAROLINA STATE UNIVERSITY.ACTIVITIES:THE ACTIVITIES INCLUDE: CLEANAIRE NORTH CAROLINA WILL ESTABLISH AN AIR MONITORING CLUSTER NETWORK IN FOUR IMPACTED COMMUNITIES ACROSS NORTH MECKLENBURG TO ADDRESS HEALTH IMPACTS ASSOCIATED WITH AIR POLLUTION. RESIDENTS WILL COLLECT AIR QUALITY DATA THROUGH THE CLUSTER NETWORK AND PARTAKE IN CLEANAIRE NORTH CAROLINA'S AIRKEEPER ACADEMY, ENGAGING IN THE HEALTHY AIR EDUCATION SERIES, CLEAN AIR ADVOCACY TRAINING, AND MAPS AND APPS SESSION. CLEANAIRE NORTH CAROLINA WILL ALSO WORK WITH LOCAL CBOS, ATRIUM HEALTH, AND THE MECKLENBURG COUNTY HEALTH DEPARTMENT TO TRAIN COMMUNITY HEALTH WORKERS AS LEAD AIRKEEPERS AND CONDUCT A HEALTH IMPACT ASSESSMENT WITH LAKE NORMAN COMMUNITY HEALTH CLINIC, MECKLENBURG COUNTY HEALTH DEPARTMENT, ATRIUM HEALTH AND NORTH CAROLINA STATE UNIVERSITY. SUBRECIPIENT:FOUR SUBAWARDS: LETHA'S 1STOP SHOP WILL MANAGE THE COMMUNITY ENGAGEMENT ACTIVITIES, RECRUIT COMMUNITY SCIENTISTS, KNOWN AS AIRKEEPERS, AND FACILITATE RESIDENTS' PARTICIPATION IN CANC'S AIRKEEPER ACADEMY. AND WILL SERVE AS THE COMMUNITY VOICE FOR THIS INITIATIVE CONNECTING RESIDENTS WITH LOCAL AND STATE AGENCIES, ELECTED OFFICIALS, HEALTH PROFESSIONALS, AND OTHER FAITH-BASED COMMUNITIE; NMEMC WILL RECEIVE A SUB-AWARD FOR ASSISTING WITH ELEMENT 4 OF THE EPA EJCPS MODEL. RECOGNIZING THAT ECONOMIC IMMOBILITY IS A MULTIDETERMINANT PROBLEM, NMEMC HAS ORGANIZED ITS EFFORTS AS A BACKBONE ORGANIZATION AS DESCRIBED BY STANFORD'S CENTER FOR SOCIAL INFORMATION AND HAS DEVELOPED A HEALTH-CENTERED COMMUNITY OF PRACTICE THAT CAN BE LEVERAGED TO ENGAGE IN BUILDING COMMUNITY CAPACITY TO ADDRESS ENVIRONMENTAL INJUSTICE; SUBAWARD FOR POTTSTOWN AND SMITHVILLE COMMUNITY COALITION WILL BRING PEOPLE POWER AND COMMUNITY ORGANIZATION TO THIS GRANT. THEY WILL CONTRIBUTE TO THIS PROJECT BY RECRUITING AIRKEEPERS FROM THEIR COMMUNITY TO HOST LOW-SENSOR AIR MONITORS AND ENCOURAGE RESIDENTS TO ENGAGE IN EDUCATION AND ADVOCACY TRAININGS THROUGH THE AIRKEEPER ACADEMY; AND CATERPILLAR MINISTRIES WILL SUPPORT AND ENGAGE IN THE GRANT, SPECIFICALLY WITH ELEMENT 4: MULTI-STAKEHOLDER PARTNERSHIPS AND LEVERAGING OF RESOURCES. THEY WILL ASSIST LOCAL COMMUNITY-BASED ORGANIZATIONS WITH AIRKEEPER RECRUITMENT AND COMMUNITY ENGAGEMENT IN THE AIRKEEPER ACADEMY COURSES FOR THE HUNTINGTON GREEN COMMUNITY.OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE: CLEANAIRE NORTH CAROLINA WILL ESTABLISH AN AIR MONITORING CLUSTER NETWORK IN FOUR IMPACTED COMMUNITIES ACROSS NORTH MECKLENBURG TO ADDRESS HEALTH IMPACTS ASSOCIATED WITH AIR POLLUTION. RESIDENTS WILL COLLECT AIR QUALITY DATA THROUGH THE CLUSTER NETWORK AND PARTAKE IN CLEANAIRE NORTH CAROLINA'S AIRKEEPER ACADEMY, ENGAGING IN THE HEALTHY AIR EDUCATION SERIES, CLEAN AIR ADV

DESCRIPTION:THE PURPOSE OF THIS COMPETITIVELY SELECTED COOPERATIVE AGREEMENT IS TO CONDUCT AMBIENT AIR MONITORING OF POLLUTANTS OF GREATEST CONCERN IN COMMUNITIES WITH ENVIRONMENTAL AND HEALTH OUTCOME DISPARITIES STEMMING FROM POLLUTION AND THE COVID-19 PANDEMIC. THE ACTIVITIES TO BE PERFORMED INCLUDES SUPPORTING THE COMMUNITY AND LOCAL EFFORTS TO MONITOR THEIR OWN AIR QUALITY AND TO PROMOTE AIR QUALITY MONITORING PARTNERSHIPS BETWEEN COMMUNITIES AND TRIBAL, STATE, AND LOCAL GOVERNMENTS THAT: LEVERAGE EXISTING AIR QUALITY EXPERTISE, EXPAND USE OF COMMUNITY MONITORING GROUPS AND OTHER APPROACHES THAT GIVE THE COMMUNITY A VOICE IN THE MONITORING OF THE AIR QUALITY, AND BUILD A FOUNDATION OF TRUSTING RELATIONSHIPS AND ENHANCED UNDERSTANDING FROM WHICH SUSTAINABLE SOLUTIONS TO COMMUNITY AIR POLLUTION PROBLEMS CAN BE FOUND. SPECIFICALLY, THE RECIPIENT WILL ESTABLISH AN AIR MONITORING NETWORK IN SAMPSON COUNTY TO ADDRESS LONG-STANDING HEALTH INEQUITIES AND ENVIRONMENTAL JUSTICE IMPLICATIONS CAUSED BY CUMULATIVE AIR POLLUTION IMPACTS. THE EXPECTED DELIVERABLES INCLUDES MEASURING PARTICULATE MATTER LESS THAN OR EQUAL TO 2.5 MICRONS IN AERODYNAMIC DIAMETER (PM2.5), VOLATILE ORGANIC COMPOUNDS (VOCS), SPECIATED VOCS, AND HYDROGEN SULFIDE (H2S) EMITTED FROM SWINE AND POULTRY CONCENTRATED ANIMAL FEEDING OPERATIONS (CAFOS), SAMPSON COUNTY LANDFILL, AND ENVIVA SAMPSON WOOD PELLET FACILITY. THE EXPECTED OUTCOMES INCLUDES THE PROJECT WILL PROVIDE THE BASIS FOR DEVELOPING AND SCALING THE INITIATIVE AS A STATE AND NATIONAL, EVIDENCE-BASED MODEL OF AN AIR QUALITY MONITORING PROJECT BASED ON THE PRINCIPLES AND PRACTICES OF COMMUNITY PARTNERSHIPS, COMMUNITY ENGAGEMENT, QUALITY DATA COLLECTION AND CONTROL, AND ENVIRONMENTAL JUSTICE. THE INTENDED BENEFICIARIES ARE THE CITIZENS OF SAMPSON COUNTY, NORTH CAROLINA. THERE ARE NO SUBAWARDS INCLUDED IN THIS ASSISTANCE AGREEMENT.ACTIVITIES:THESE FUNDS WILL BE USED TO SUPPORT COMMUNITY AND LOCAL EFFORTS TO MONITOR THEIR OWN AIR QUALITY AND TO PROMOTE AIR QUALITY MONITORING PARTNERSHIPS BETWEEN COMMUNITIES AND TRIBAL, STATE, AND LOCAL GOVERNMENTS THAT: LEVERAGE EXISTING AIR QUALITY EXPERTISE, EXPAND USE OF COMMUNITY MONITORING GROUPS AND OTHER APPROACHES THAT GIVE THE COMMUNITY A VOICE IN THE MONITORING OF THE AIR QUALITY, AND BUILD A FOUNDATION OF TRUSTING RELATIONSHIPS AND ENHANCED UNDERSTANDING FROM WHICH SUSTAINABLE SOLUTIONS TO COMMUNITY AIR POLLUTION PROBLEMS CAN BE FOUND. SPECIFICALLY, THE RECIPIENT WILL ESTABLISH AN AIR MONITORING NETWORK IN SAMPSON COUNTY TO ADDRESS LONG-STANDING HEALTH INEQUITIES AND ENVIRONMENTAL JUSTICE IMPLICATIONS CAUSED BY CUMULATIVE AIR POLLUTION IMPACTS. SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:EXPECTED DELIVERABLES: CLEAN AIRE CAROLINA WILL MEASURE PARTICULATE MATTER LESS THAN OR EQUAL TO 2.5 MICRONS IN AERODYNAMIC DIAMETER (PM2.5), VOLATILE ORGANIC COMPOUNDS (VOCS), SPECIATED VOCS, AND HYDROGEN SULFIDE (H2S) EMITTED FROM SWINE AND POULTRY CONCENTRATED ANIMAL FEEDING OPERATIONS (CAFOS), SAMPSON COUNTY LANDFILL, AND ENVIVA SAMPSON WOOD PELLET FACILITY. EXPECTED OUTCOMES: THE PROJECT WILL PROVIDE THE BASIS FOR DEVELOPING AND SCALING THE INITIATIVE AS A STATE AND NATIONAL, EVIDENCE-BASED MODEL OF AN AIR QUALITY MONITORING PROJECT BASED ON THE PRINCIPLES AND PRACTICES OF COMMUNITY PARTNERSHIPS, COMMUNITY ENGAGEMENT, QUALITY DATA COLLECTION AND CONTROL, AND ENVIRONMENTAL JUSTICE. INTENDED BENEFICIARIES: THE CITIZENS OF SAMPSON COUNTY, NC.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

PURPOSE: TO SUPPORT CERTIFIED COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) TO PROVIDE AN ALTERNATIVE TO HIGH COST SMALL DOLLAR LOANS, AS WELL AS HELP UNBANKED AND UNDERBANKED POPULATIONS BUILD CREDIT, ACCESS AFFORDABLE CAPITAL, AND ALLOW GREATER ACCESS INTO THE MAINSTREAM FINANCIAL SYSTEM. PLANNED ACTIVITIES: THROUGH THE SDL PROGRAM, THE CDFI FUND WILL PROVIDE GRANTS FOR LOAN LOSS RESERVES (LLR) THE AWARDS WILL ENABLE A CDFI TO ESTABLISH A LOAN LOSS RESERVE FUND IN ORDER TO DEFRAY THE COSTS OF ESTABLISHING OR MAINTAINING A SMALL DOLLAR LOAN PROGRAM. GRANTS FOR TECHNICAL ASSISTANCE (TA) THE AWARDS WILL SUPPORT TECHNOLOGY, STAFF SUPPORT, AND OTHER ELIGIBLE ACTIVITIES TO ENABLE A CERTIFIED CDFI TO ESTABLISH AND MAINTAIN A SMALL DOLLAR LOAN PROGRAM. END GOALS: EXPECTED OUTCOMES ARE AN INCREASE IN SMALL DOLLAR LENDING TO HELP UNBANKED AND UNDERBANKED POPULATIONS BUILD CREDIT, ACCESS AFFORDABLE CAPITAL, AND ALLOW GREATER ACCESS INTO THE MAINSTREAM FINANCIAL SYSTEM. BENEFICIARIES: NONPROFIT ORGANIZATIONS, FOR PROFIT ORGANIZATIONS AND OTHER PRIVATE INSTITUTIONS/ORGANIZATIONS IN THE FORM OF FEDERALLY INSURED DEPOSITORY INSTITUTIONS, OR FEDERALLY INSURED CREDIT UNIONS THAT ARE CERTIFIED CDFIS. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: NOT APPLICABLE. REASON/PURPOSE OF MODIFICATION: NOT APPLICABLE.

HEALTH CARE AND OTHER FACILITIES

A STAND ALONE WEARABLE FOR TRACKING ENVIRONMENTAL EXPOSURE AND EVALUATING RESPIRATORY RESPONSE - PROJECT SUMMARY EVERY YEAR, 1.5 MILLION EMERGENCY ROOM VISITS ARE COPD EXACERBATES. LACK OF REMOTE PATIENT MANAGEMENT AND TELEHEALTH PRIMES MOST COPD PATIENTS TO VISIT THE EMERGENCY ROOM AND BE ADMITTED TO THE HOSPITAL. THE HEALTH AND ECONOMIC BURDEN OF THESE VISITS’ COSTS MORE THAN $24 BILLION ANNUALLY. REMOTE PATIENT MANAGEMENT IN COPD CAN PROMPT TREATMENT, PREVENT SYMPTOMS FROM WORSENING, LEAD TO HEALTHY LIFESTYLE CHANGES, AND IMPROVE PATIENT OUTCOMES. WE ARE DEVELOPING A NOVEL PRODUCT THAT CAN MAKE QUALITY HEALTHCARE MORE ACCESSIBLE AND CONVENIENT, ALLOWING HEALTHCARE PROVIDERS TO MANAGE MORE PATIENTS, REDUCE THE RISK OF HOSPITALIZATION THROUGH PROMPT TREATMENT (REMOTE PATIENT MONITORING) BY FOCUSING ON PREVENTION OVER TREATMENT, AND REDUCE THE OVERALL HEALTHCARE COST. OUR PRODUCT IS A STAND-ALONE ENVIRONMENTAL EXPOSURE AND LUNG HEALTH MONITORING SYSTEM DESIGNED TO MEASURE PERSONAL EXPOSURE TO POLLUTANTS AND TRIGGERS TO RESPIRATORY DISTRESS, ASSESS RESPIRATORY FUNCTIONS, AND TRANSFER DATA TO HEALTHCARE PROVIDERS FOR EARLY INTERVENTION, PATIENT MANAGEMENT, AND MEDICATION ADJUSTMENT. THIS PRODUCT ALLOWS PHYSICIANS TO RECEIVE ALERTS WHEN A PATIENT'S READING IS TOO HIGH AND KEEP AN EYE OUT FOR AT-RISK PATIENTS FOR QUICK ACTION TO PREVENT SYMPTOMS FROM WORSENING AND BETTER MEDICAL DECISION-MAKING WHILE ENABLING PATIENTS TO ENGAGE IN HEALTHIER LIFESTYLE CHOICES. THE MAIN OBJECTIVE OF THE PROPOSED RESEARCH TO BE COMPLETED WITHIN PHASE I IS TO ADVANCE PROTOTYPE I INTO AN INTELLIGENT VERSION WITH WI-FI AND BLUETOOTH CONNECTIVITY TO INSTANTLY TRANSFER DATA TO A PATIENT'S SMARTPHONE AND HEALTHCARE PROFESSIONALS FOR DAILY ASSESSMENT AND PATIENT MONITORING. THE ADVANCED AND INTELLIGENT VERSION WILL BE MINIATURIZED IN WEIGHT, SIZE, AND POWER CONSUMPTION FOR EASY USE AND TESTED BY FOCUS GROUPS FOR COMMENTS ON DURABILITY AND USABILITY. WE WILL ACHIEVE THE FOLLOWING METRICS OF SUCCESS BEFORE ADVANCING TO PHASE II: 1. COMPARE THE PERFORMANCE OF THE PRODUCT'S FINALIZED DESIGN WITH LAB TEST EQUIPMENT (SENSORS) DATA AFTER CALIBRATION, 2. EVALUATE THE SPEED IN DATA TRANSFER AND CONNECTABILITY IN SOFTWARE (CONNECTION SPEED <2 S (AFTER FINDING THE BLE OF THE DEVICE AND ADDING THE DEVICE'S ID), TIME TO DELIVER THE COLLECTED DATA OF ONE DAY <3 MINUTES), 3. PROCESSING DATA AND GENERATING A PREDICTION, 4. COMPARISON OF SENSOR DATA WITH THE STATION DATA FOR AIR POLLUTION, EXPECTING LESS THAN 5% DEVIATION, AND 5. TEST THE DURABILITY OF THE SYSTEM, HARDWARE (BATTERY, SENSORS, PACKAGE/HOUSING), AND SOFTWARE (CODES, STORING DATA, NETWORK CONNECTIVITY) FOR LONG USE WITHOUT MALFUNCTIONING, AND 6. USE THE SYSTEM USABILITY SCALE (SUS) TEST WITH A SCORE > 70% AS AN ACCEPTABLE MILESTONE. OUR PRODUCT IS EXPECTED TO REDUCE THE RISK AND COST OF HOSPITALIZATION BY FOCUSING ON REMOTE PATIENT MANAGEMENT, EARLY IDENTIFICATION, AND PREVENTION. IT WILL ALLOW HEALTHCARE PROVIDERS TO KEEP AN EYE ON THEIR HIGH-RISK PATIENTS IN BETWEEN CLINIC VISITS AND HELP PREVENT COPD FROM WORSENING AND HOSPITAL STAYS WHILE ALLOWING PATIENTS TO STAY IN CONTACT WITH THEIR DOCTORS AND MAKE HEALTHY LIFESTYLE CHANGES.

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

SBIR PHASE I: VIANAIR AIRSPACE INFORMATION MODEL FOR AIRSPACE DESIGN AND PLANNING

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

THE LĀNAʻI CULTURE AND HERITAGE CENTER WILL CONDUCT A COLLECTIONS MANAGEMENT PROJECT TO ENHANCE THE CARE OF AND ACCESS TO 2,500 NATIVE HAWAIIAN CULTURAL OBJECTS IN ITS COLLECTION. PROJECT ACTIVITIES INCLUDE DEVELOPING A COLLECTIONS MANAGEMENT POLICY; CONDUCTING A COMPREHENSIVE COLLECTIONS INVENTORY; CATALOGING AND DIGITIZING THE INVENTORIED COLLECTION; ACQUIRING AND INSTALLING COMPACT MOBILE SHELVING; AND REHOUSING THE COLLECTIONS. PROJECT FUNDS WILL ALSO SUPPORT THE PURCHASE OF NECESSARY SUPPLIES AND EQUIPMENT, THE RECRUITMENT AND TRAINING OF PAID INTERNS, AND THE ENGAGEMENT OF A CONSULTING ARCHIVIST WHO WILL TRAVEL TO THE CENTER TO PROVIDE OVERSIGHT ON THE DEVELOPMENT OF CATALOGING PROTOCOLS AND STANDARDS FOR DIGITAL ASSET MANAGEMENT. THE PROJECT WILL RESULT IN INCREASED PHYSICAL AND INTELLECTUAL CONTROL OF THE COLLECTION, BENEFITTING BOTH THE LOCAL LĀNAʻI COMMUNITY, AND THE BROADER NATIVE HAWAIIAN COMMUNITY.

PROVIDE TECH. & ADMIN. SERVICES TO SUPPORT FARM BILL APPLICAIONS AND CONTRACTS, THE LOCAL WORKING GROUP, LONG-RANGE PLAN, AND TARGETED CONSERVATION DELIVERY PROPOSAL.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

PURPOSE: TO PROMOTE ECONOMIC REVITALIZATION AND COMMUNITY DEVELOPMENT THROUGH INVESTMENT IN AND ASSISTANCE TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) AND EMERGING CDFIS. ACTIVITIES TO BE PERFORMED: TECHNICAL ASSISTANCE MUST BE USED FOR THE FOLLOWING ELIGIBLE ACTIVITIES SUBJECT TO THE APPLICABLE PROVISIONS OF THE UNIFORM REQUIREMENTS: COMPENSATION ? PERSONAL SERVICES, COMPENSATION ? FRINGE BENEFITS, PROFESSIONAL SERVICE COSTS, TRAVEL COSTS, TRAINING AND EDUCATION COSTS, EQUIPMENT, SUPPLIES, AND INCORPORATION COSTS (SPONSORING ENTITIES ONLY). END GOAL/EXPECTED OUTCOMES: THE GOAL OF THE TECHNICAL ASSISTANCE IS TO BUILD CERTIFIED AND EMERGING CDFI?S ORGANIZATIONAL CAPACITY TO SERVE ELIGIBLE MARKETS AND/OR THEIR TARGET MARKETS, IN ORDER TO SERVE RURAL AND URBAN LOW-INCOME PEOPLE, AND COMMUNITIES ACROSS THE NATION THAT LACK ADEQUATE ACCESS TO AFFORDABLE FINANCIAL PRODUCTS AND FINANCIAL SERVICES. INTENDED BENEFICIARIES: PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, OTHER PRIVATE INSTITUTION/ORGANIZATION INVESTMENT AREAS AND TARGETED POPULATIONS, AS DEFINED IN 12 C.F.R. 1805. SUBRECIPIENT ACTIVITIES: ONLY IN THE CASE WHERE A CDFI DEPOSITORY INSTITUTION HOLDING COMPANY APPLICANT INTENDS TO CARRY OUT THE ACTIVITIES OF AN AWARD THROUGH ITS SUBSIDIARY CDFI INSURED DEPOSITORY INSTITUTION, AS IDENTIFIED IN ITS ASSISTANCE AGREEMENT WITH THE CDFI FUND.

SCALABLE DEEPONETS FOR DESIGN OPTIMIZATION OF ENGINEERING SYSTEMS

LANA'I CULTURE & HERITAGE CENTER E IKE HOU IA LANA'I

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CDFLS STOP UNDERAGE DRINKING ON LANAI PROJECT

CDFL'S STOP UNDERAGE DRINKING ON LANA'I PROJECT

FY 2023 EXPANDING COVID-19 VACCINATION

GRASSLAND RESV PRGM; TO ASSIST LANDOWNERS & OTHERS IN RESTORING & PROTECTING ELIGIBLE GRASSLAND & OTHER LANDS THROUGH RENTAL AGREEMENTS & EASEMENTS

GRASSLAND RESV PRGM; TO ASSIST LANDOWNERS & OTHERS IN RESTORING & PROTECTING ELIGIBLE GRASSLAND & OTHER LANDS THROUGH RENTAL AGREEMENTS & EASEMENTS

GRASSLAND RESV PRGM; TO ASSIST LANDOWNERS & OTHERS IN RESTORING & PROTECTING ELIGIBLE GRASSLAND & OTHER LANDS THROUGH RENTAL AGREEMENTS & EASEMENTS

DESCRIPTION:THIS ACTION APPROVES AN AWARD IN THE AMOUNT OF $75,000 TO CLEAN AIR CAROLINA (CAC), NORTH CAROLINA. THE PURPOSE OF THIS AWARD IS TO REDUCE AIR POLLUTION, IMPROVE HEALTH, AND BUILD A CLIMATE-RESILIENT COMMUNITY.ACTIVITIES:THE ACTIVITIES TO BE PERFORMED INCLUDE COLLABORATING WITH CITY OFFICIALS, COMMUNITY ORGANIZATIONS, THE COUNTY HEALTH DEPARTMENT AND RESIDENTS TO INCREASE KNOWLEDGE ABOUT AIR QUALITY IMPACT ON SPECIFIC HEALTH ISSUES. INCREASE KNOWLEDGE AND UNDERSTANDING OF AIR POLLUTION, DESIGNING AND IMPLEMENTING GREEN INFRASTRUCTURE PROJECTS AND MAINTAINING THEM INTO THE FUTURE.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:THE ANTICIPATED DELIVERABLES IS A HISTORIC WEST END ENVIRONMENTAL JUSTICE EDUCATIONAL VIDEO. EXPECTED OUTCOMES FROM THESE ACTIVITIES ARE TO INCREASE RESIDENT UNDERSTANDING OF HEALTH RISKS FROM AIR POLLUTION AND MEASURES TO REDUCE RISKS, EXPAND LOCAL AIR MONITORING TO PROTECT HEALTH, AND PROVIDE EQUITABLE ACCESS TO THE BENEFITS OF GREEN INFRASTRUCTURE. THE ENVIRONMENTAL/PUBLIC HEALTH RESULTS CLEAN AIR CAROLINA EXPECT TO ACHIEVE ARE IMPROVED AIR QUALITY AND REDUCTION IN RESIDENT EXPOSURE TO AIR POLLUTION AND EXTREME HEAT. INTENDED BENEFICIARIES IS THE HISTORIC WEST END GREEN DISTRICT THAT WILL BECOME A HARBINGER OF A HEALTHY, EMPOWERED, AND CLIMATE-RESILIENT COMMUNITY.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY FACILITY GRANTS

COALITION FOR A DRUG FREE LANAI YOUTH MENTORING PROGRAM

LANA'I LIMU RESTORATION PROJECT

TO IMPLEMENT AMERICAN SPACES STRATEGIC PROGRAMMING IN 2020-2021.

FY 2023 BRIDGE ACCESS PROGRAM

TO SUPPORT THE PRODUCTION OF KAULULAAU.

TO ASSIST THE AMERICAN CORNER KOSTANAY WITH THE PROGRAMMING SUPPORT FOR STEM ACADEMY AND WOMEN'S CLUB AND WITH THE AC LOOK AND FEEL UPGRADE

2019 NC BREATHE

KENAI BIRDING CELEBRATION WEBSITE/MEDIA DEVELOPMENT