Tri-Med Family Care Inc

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: TRI-MED FAMILY CARE, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS28958 ADDRESS: 6120 ALABAMA HIGHWAY, RINGGOLD, GA 30736-2804 WEBSITE ADDRESS: WWW.TRIMEDFAMILYCARE.COM PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDS, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. TRI-MED FAMILY CARE, INC. (TFC), A NON-PROFIT COMMUNITY HEALTH CENTER, PROVIDES ACCESSIBLE, AFFORDABLE, HIGH-QUALITY, PATIENT-FOCUSED PRIMARY HEALTH CARE TO RESIDENTS OF CATOOSA AND WALKER COUNTIES, GEORGIA. IN 2023, TFC SERVED 1,363 TOTAL PATIENTS VIA 4,197 TOTAL ENCOUNTERS FROM ONE SERVICE DELIVERY SITE. IN 2023, TFC DID NOT PROVIDE PATIENTS WITH MENTAL HEALTH (MH), SUBSTANCE USE DISORDER (SUD), OR MEDICATIONS FOR OPIOID USE DISORDER (MOUD) SERVICES (UDS). PRIMARY CARE PROVIDERS DID PROVIDE MH AND SUD VISITS AS REPORTED IN THE 2023 UDS DETAIL TABLES. NEED: THE TOTAL SERVICE AREA POPULATION IS 136,117. A THIRD (33.9%) OF SERVICE AREA RESIDENTS LIVE ON INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), COMPARED TO 31.4% IN GA AND 28.8% IN THE US, WHILE 11.3% LIVE ON INCOMES AT OR BELOW 100% FPG. OF ALL SERVICE AREA RESIDENTS, 14.1% ARE UNINSURED, EXCEEDING THE US RATE OF 10.2%, WHILE AMONG THOSE WITH INCOMES UNDER 200% FPG IN THE SERVICE AREA 21.6% ARE UNINSURED, ALSO HIGHER THAN THE NATIONAL AVERAGE OF 17.1%. CATOOSA AND WALKER COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS FOR MENTAL HEALTH CARE. THERE ARE AN ESTIMATED 21,355 INDIVIDUALS AGES 12 AND OLDER IN NEED OF SUD TREATMENT, AND THERE ARE AN ESTIMATED 25,765 INDIVIDUALS WITH MENTAL ILLNESS IN THE SERVICE AREA. AS A PRIMARY POINT OF ACCESS IN ITS SERVICE AREA FOR ANY HEALTH CARE NEED, TFC IS WELL-POSITIONED TO ADDRESS BARRIERS TO CARE AND PROVIDE ACCESS TO A CONTINUUM OF BEHAVIORAL HEALTH SERVICES THAT INCLUDES TREATMENT AND RECOVERY SUPPORT. SERVICES: TFC IS REQUESTING FUNDING TO SUPPORT NEW BEHAVIORAL SERVICES, INCREASING ACCESS TO MH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. TFC CURRENTLY PROVIDES MH AND SUD SERVICES DIRECTLY (COLUMN 1) AND VIA FORMAL REFERRAL ARRANGEMENT WHERE THE HEALTH CENTER DOES NOT PAY (COLUMN 3). IN SUPPORT OF THESE SERVICES, TFC IS PROPOSING TO SUPPORT 5.15 FTE DIRECT MH/SUD STAFF BY YEAR 2, INCLUDING 1.0 FTE PSYCHIATRIC NURSE PRACTITIONER, 1.0 FTE LICENSED CLINICAL SOCIAL WORKER, 1.0 FTE REGISTERED NURSE, 0.15 FTE PHARMACIST, 1.0 FTE CASE MANAGER, 0.5 FTE IT COORDINATOR, AND 0.5 FTE MOBILE UNIT DRIVER. AN ADDITIONAL 1.75 FTE STAFF WILL SUPPORT THE PROJECT FROM BHSE GENERATED PROGRAM INCOME INCLUDING 0.5 FTE COMMUNITY OUTREACH DIRECTOR, 0.5 FTE PATIENT ACCESS SPECIALIST, 0.5 FTE TRUST-BASED RELATIONAL INTERVENTION PRACTITIONER, AND 0.25 FTE ACCOUNTS PAYABLE CLERK. TFC WILL ALSO CONTRACT WITH A PSYCHIATRIST WHO WILL PROVIDE OVERSIGHT OF BHSE PROVIDERS. TFC WILL USE FUNDS TO PURCHASE AND OPERATE A MOBILE UNIT; FOR STAFF TRAVEL; FOR MEDICAL AND OFFICE SUPPLIES, INCLUDING MINOR EQUIPMENT; FOR LABORATORY AND PHARMACY FEES; FOR MARKETING AND OUTREACH; AND FOR EHR EXPANSION. POPULATION GROUP: TFC ANTICIPATES THAT THE PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BEHAVIORAL HEALTH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 250 MENTAL HEALTH SERVICES PATIENTS, 50 SUD SERVICES PATIENTS, AND 25 PATIENTS RECEIVING MOUD SERVICES. OVERALL, THE CENTER ESTIMATES AN INCREASE OF 5 UNDUPLICATED NEW HEALTH CENTER PATIENTS, ASSUMING THAT THE MAJORITY OF BHSE USERS WILL BE CURRENT TFC PATIENTS SINCE THESE ARE NEWLY OFFERED SERVICES. THIS WILL SUPPORT THE BHSE PROGRAM PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RECREATIONAL

HEALTH CENTER CLUSTER PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS