Community Health Of South Florida Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

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

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

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

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

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

INTEGRATED CARE FOR A HEALTHIER MIAMI-DADE COUNTY - COMMUNITY HEALTH OF SOUTH FLORIDA, INC. (CHI), A NON-PROFIT PRIMARY AND BEHAVIORAL HEALTH CARE PROVIDER IN MIAMI-DADE COUNTY, SUBMITS THIS PROPOSAL TO PLAN FOR, DEVELOP, AND IMPLEMENT SERVICES AND MEET CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) CERTIFICATION CRITERIA. THE POPULATION OF FOCUS IS INDIVIDUALS IN THIS GEOGRAPHIC CATCHMENT AREA WITH MENTAL HEALTH AND/OR SUBSTANCE USE NEEDS WHO SEEK CARE, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD), CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), THOSE WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD), AND THOSE EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. CHI WILL SPECIFICALLY FOCUS ON INDIVIDUALS WITH LOW SOCIO-ECONOMIC STATUS AND POPULATIONS HISTORICALLY AND PRESENTLY UNDERSERVED: YOUNG ADULTS AGES 18-25 YEARS WITH LOW SOCIO-ECONOMIC STATUS AND THE MIGRANT POPULATION. CHI PLANS TO SERVE 500 UNIQUE INDIVIDUALS IN YEAR 1, 100 IN YEAR 2, 120 IN YEAR 3, AND 144 IN YEAR 4, FOR A TOTAL OF 864 UNIQUE INDIVIDUALS OVER THE 4-YEAR GRANT PERIOD. THE GOALS AND OBJECTIVES ARE AS FOLLOWS: GOAL #1: INCREASE THE CAPACITY OF CHI TO ENGAGE HISTORICALLY UNDERSERVED POPULATIONS IN INTEGRATED BEHAVIORAL AND PRIMARY HEALTHCARE SERVICES. OBJECTIVE 1.1: BY SEPTEMBER 29, 2027, INCREASE THE NUMBER OF CLIENTS SERVED BETWEEN THE AGES OF 18-25 BY 30%. OBJECTIVE 1.2: BY SEPTEMBER 29, 2027, INCREASE THE NUMBER OF CLIENTS SERVED FROM MIGRANT POPULATIONS BY 30%. OBJECTIVE 1.3: BY SEPTEMBER 29, 2027, DECREASE THE GAP IN HEALTH OUTCOMES BETWEEN BLACKS/AFRICAN AMERICANS AND OTHER RACIAL/ETHNIC GROUPS, AS DEMONSTRATED BY CCBHC QUALITY MEASURES. OBJECTIVE 1.4: BY SEPTEMBER 29, 2027, DECREASE THE GAP IN HEALTH OUTCOMES BETWEEN THE HISPANICS/LATINOS AND OTHER RACIAL/ETHNIC GROUPS, AS DEMONSTRATED BY CCBHC QUALITY MEASURES. GOAL #2: INCREASE THE SERVICE CAPACITY OF CHI TO MEET THE CRITERIA OF BECOMING A CCBHC. OBJECTIVE 2.1: BY JANUARY 31, 2024, STRENGTHEN THE PARTNERSHIP WITH THE VILLAGE SOUTH (WESTCARE) THROUGH THE DEVELOPMENT OF A DESIGNATED COLLABORATING ORGANIZATION (DCO) AGREEMENT AND FORMAL PLANS AROUND MOBILE CRISIS SERVICES PROVISION. OBJECTIVE 2.2: BY FEBRUARY 29, 2024, INCREASE STAFFING CAPACITY THROUGH THE ADDITION OF SEVEN POSITIONS.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROGRAM NAME: CHI TEACHING HEALTH CENTER PSYCHIATRY RESIDENCY PROGRAM ADDRESS: 10300 SW 216 STREET, MIAMI, FLORIDA 33190 PROJECT DIRECTOR: SAINT ANTHONY AMOFAH, M.D.; T: 305-252-4853; E: SAMOFAH@CHISOUTHFL.ORG DISCIPLINE OF TRAINING PROGRAM:? PSYCHIATRY??????? TYPE OF APPLICATION:? EXPANSION? ELIGIBLE ENTITY TYPE:? COMMUNITY HEALTH OF SOUTH FLORIDA, INC. (CHI) IS A FEDERALLY QUALIFIED HEALTH CENTER, AS DEFINED IN SECTION 1905(L)(2)(B) OF THE SOCIAL SECURITY ACT.? CHI’S PSYCHIATRY RESIDENCY PROGRAM IS OPERATED ALONE AND IS NOT PART OF A GME CONSORTIUM.? YEAR PROGRAM BEGAN TRAINING:? 2013; ???ORGANIZATION WEBSITE:? WWW.CHISOUTHFL.ORG? A FEDERALLY QUALIFIED HEALTH CENTER, COMMUNITY HEALTH OF SOUTH FLORIDA, INC. (CHI) IS THE SPONSORING INSTITUTION (SI) AND A NATIONAL LEADER IN CLINICAL QUALITY, RANKING AMONG THE TOP 10% IN THE NATION. CHI SERVES THE SOUTHERN PORTION OF THE MIAMI METROPOLITAN AREA, ALSO KNOWN AS SOUTH MIAMI-DADE COUNTY AND ALL OF MONROE COUNTY TO ITS SOUTH. BETWEEN 60,000 AND 80,000 PATIENTS ARE TYPICALLY SERVED BY CHI EACH YEAR.? CHI TREATED OVER 8,500 PATIENTS FOR BEHAVIORAL HEALTH DISORDERS IN 2021. FORMALLY ESTABLISHED IN 2013, CHI’S BRODES H. HARTLEY JR. TEACHING HEALTH CENTER IS NOW HOME TO TWO GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS: FAMILY MEDICINE AND PSYCHIATRY. BOTH PROGRAMS ARE FULLY ACCREDITED BY THE ACGME AND HOLD THE STATUS OF CONTINUED ACCREDITATION.? ACCORDING TO THE KAISER FAMILY FOUNDATION, THE SUPPLY OF WORKING MENTAL HEALTH PROFESSIONALS IN FLORIDA’S 183 HRSA-DESIGNATED MENTAL HEALTH CARE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) MEETS ONLY 16.13% OF THE NEED. BOTH MIAMI-DADE AND MONROE COUNTIES CONTAIN HPSAS FOR MENTAL HEALTH PROFESSIONALS.? AS A RESULT, CHI IS NOW SEEKING TO EXPAND ITS PSYCHIATRY RESIDENCY PROGRAM.?? IN 2021, CHI OBTAINED APPROVAL FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) FOR A PERMANENT INCREASE IN RESIDENT COMPLEMENT FROM 15 TO 20 RESIDENTS. CHI IS R EQUESTING THCGME SUPPORT FOR AN ADDITIONAL 5 FTE PSYCHIATRY RESIDENTS, ABOVE ITS CURRENT BASELINE OF 15 RESIDENTS. CHI’S PSYCHIATRY RESIDENCY IS A FOUR-YEAR PROGRAM, BROADLY BASED, WITH ATTENTION TO THE RAPID ADVANCES IN PSYCHIATRY AND NEUROLOGY INCLUDING GENETICS, MOLECULAR BIOLOGY, PSYCHOPHARMACOLOGY, EPIDEMIOLOGY, AND IMAGING. THE PROGRAM PROVIDES RESIDENTS WITH ADVANCED AND CONCENTRATED TRAINING TO MEET THE NEEDS OF THE MEDICAL SCHOOL GRADUATE DESIRING TO BE BOARD CERTIFIED IN PSYCHIATRY.? THE PROGRAM’S PATIENT POPULATION IS ETHNICALLY DIVERSE AND THE MAJORITY OF PATIENTS RESIDE IN LOW-INCOME HOUSEHOLDS WITH OVER 79% HAVING HOUSEHOLD INCOMES BELOW 200% OF THE FEDERALLY-DEFINED POVERTY LEVEL. ACCORDINGLY, THE PROGRAM’S CURRICULUM FEATURES CORE TOPICS RELATED TO SOCIAL DETERMINANTS OF HEALTH, HEALTH DISPARITIES AND DIVERSITY, EQUITY AND INCLUSION.??? TOTAL POSITIONS REQUESTED UNDER THIS PROGRAM FOR AY2022-2023:? FIVE (5) ADDITIONAL FTES. TOTAL PROGRAM FTES FOR AY2022-2023 WILL BE 5-6-4-5. ALL CHI PSYCHIATRY RESIDENTS WILL PERFORM ROTATIONS AT HOSPITAL ROTATION SITES THAT HAVE PROVIDED RESIDENT TRAINING IN PRIOR ACADEMIC YEAR.

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

CAROL M. WHITE PHYSICAL EDUCATION PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), COMMUNITY HEALTH OF SOUTH FLORIDA, INC. (CHI) IS THE SPONSORING INSTITUTION (SI) AND A NATIONAL LEADER IN CLINICAL QUALITY, RANKING AMONG THE TOP 10% IN THE NATION. CHI SERVES THE SOUTHERN PORTION OF THE MIAMI METROPOLITAN AREA, ALSO KNOWN AS SOUTH MIAMI-DADE COUNTY AND ALL OF MONROE COUNTY TO ITS SOUTH. BETWEEN 60,000 AND 80,000 PATIENTS ARE TYPICALLY SERVED BY CHI EACH YEAR. FORMALLY ESTABLISHED IN 2013, CHI’S BRODES H. HARTLEY JR. TEACHING HEALTH CENTER IS NOW HOME TO TWO GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS SERVING 27 RESIDENTS EACH YEAR - 12 IN FAMILY MEDICINE AND 15 IN PSYCHIATRY. BOTH PROGRAMS ARE FULLY ACCREDITED BY THE ACGME AND HOLD THE STATUS OF CONTINUED ACCREDITATION. THE LENGTH OF THE FAMILY MEDICINE RESIDENCY PROGRAM IS THREE YEARS. THE PROGRAM PROVIDES RESIDENTS WITH ADVANCED AND CONCENTRATED TRAINING IN FAMILY PRACTICE AND PREPARES THEM FOR THE EXAMINATION PROVIDED BY THE AMERICAN BOARD OF FAMILY MEDICINE (ABFM). THE PROGRAM RESPONDS TO LOCAL NEEDS, AS NEARLY ALL OF SUBURBAN MIAMI HAS BEEN DESIGNATED AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) BY HRSA. CHI IS NOW SEEKING TO EXPAND THE PROGRAM FROM 12 TO 15 POSITIONS. THIS INCREASE HAS BEEN APPROVED BY THE ACGME. THE PROGRAM’S PATIENT POPULATION IS ETHNICALLY DIVERSE AND THE MAJORITY OF PATIENTS RESIDE IN LOW-INCOME HOUSEHOLDS WITH OVER 70% HAVING INCOMES BELOW 200% OF THE FEDERALLY-DEFINED POVERTY LEVEL. ACCORDINGLY, THE PROGRAM’S CURRICULUM FEATURES CORE TOPICS RELATED TO SOCIAL DETERMINANTS OF HEALTH, HEALTH DISPARITIES AND DIVERSITY, EQUITY AND INCLUSION. THE RESIDENCY PROGRAM IS CURRENTLY LOCATED IN CHI’S MAIN HEALTH CENTER LOCATION. THE NEW COHORT OF RESIDENTS WILL BE ASSIGNED TO CHI’S SECOND LARGEST CENTER LOCATED 12.7 MILES FROM THE MAIN SITE. HERE, THE RESIDENTS WILL HAVE THE OPPORTUNITY TO PROVIDE CARE TO A SIMILAR PATIENT POPULATION AND MANAGE A BROAD RANGE OF MEDICAL CONDITIONS SUCH AS: DIAB ETES, HYPERTENSION, HEART DISEASE, OBESITY, AND OTHER PREVALENT ILLNESSES ENCOUNTERED IN THE COMMUNITY. IN 2020, THIS SITE GENERATED 21,678 FAMILY MEDICINE PATIENT ENCOUNTERS DESPITE THE COVID 19 PANDEMIC. RESIDENTS WILL BE ASSIGNED THEIR OWN PATIENT PANEL INCLUDING PRENATAL VISITS, PEDIATRICS (INCLUDING NEWBORNS), AND ADULT PATIENTS. ALL OTHER REQUIRED ROTATIONS WILL BE MAINTAINED AT EXISTING SITES, ALL OF WHICH ARE ABLE TO ACCOMMODATE THE FULL PROPOSED COMPLEMENT OF 15 FAMILY MEDICINE RESIDENTS.

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

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - COMMUNITY HEALTH OF SOUTH FLORIDA, INC. (CHI), A NON-PROFIT PRIMARY AND BEHAVIORAL HEALTH CARE PROVIDER IN MIAMI-DADE COUNTY (HEALTH CENTER PROGRAM H80CS00821), PROPOSES THE SOUTH MIAMI-DADE COUNTY BEHAVIORAL HEALTH SERVICE EXPANSION PROJECT TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH THE START AND EXPANSION OF MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER (MOUD). THE POPULATION GROUPS TO BE SERVED INCLUDE INDIVIDUALS IN THE SOUTHERN REGION OF MIAMI-DADE COUNTY WITH MENTAL HEALTH AND/OR SUBSTANCE USE NEEDS WHO SEEK CARE, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS (SMI), SUD, CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), THOSE WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD), AND THOSE EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. THIS INCLUDES EXISTING CHI PRIMARY CARE PATIENTS WHO HAVE UNMET BEHAVIORAL HEALTH NEEDS. CITY- AND COUNTY-LEVEL DATA, AS WELL AS FINDINGS FROM A 2024 CHI COMMUNITY NEEDS ASSESSMENT, SHOW THAT COMMUNITIES LIVING WITHIN CHI’S CATCHMENT AREA EXPERIENCE HIGH PREVALENCE OF MENTAL HEALTH DISORDERS. STATISTICS SHOW THAT THESE GEOGRAPHIC AREAS RANK HIGHER ON VARIOUS MEASURES OF MENTAL ILLNESS AND SUBSTANCE USE THAN MIAMI-DADE COUNTY AS A WHOLE. SERVICES WILL BE PROVIDED IN THREE CHI LOCATIONS: DORIS ISON HEALTH CENTER (CHI’S FLAGSHIP LOCATION), WEST PERRINE HEALTH CENTER, AND NARANJA HEALTH CENTER. THESE CENTERS ARE LOCATED IN ZIP CODE AREAS IDENTIFIED AS HAVING HIGHER MENTAL HEALTH NEEDS AND LOWER SOCIOECONOMIC STATUS COMPARED TO OTHER ZIP CODES WITHIN THE CATCHMENT AREA. WEST PERRINE CURRENTLY HAS NO ONSITE BEHAVIORAL HEALTH PROVIDERS. THOUGH NARANJA HEALTH CENTER PROVIDES BEHAVIORAL HEALTH, IT IS LIMITED IN SCOPE AND OFFERED ONLY ONE DAY PER WEEK. DORIS ISON, AS THE LARGEST CHI LOCATION, EXPERIENCES A HIGH VOLUME OF PATIENTS SEEN, LEADING TO A HIGHER DEMAND FOR BEHAVIORAL HEALTH SERVICES THAT ARE NOT CURRENTLY B EING MET. PROVISION OF MOUD IS EXTREMELY LIMITED IN ALL LOCATIONS. CHI PLANS TO HIRE TWO FULL-TIME THERAPISTS, TWO FULL-TIME CASE MANAGERS (INCLUDING ONE WHO WILL ALSO SERVE AS A SUBSTANCE USE SPECIALIST), ONE FULL-TIME PEER SPECIALIST, AND ONE PART-TIME PSYCHIATRIST TO ASSIST IN THE PROVISION OF MENTAL HEALTH AND SUD TREATMENT AND RECOVERY SERVICES. THIS PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES THROUGH THE FOLLOWING ACTIVITIES: • INCREASE APPOINTMENT AVAILABILITY FOR THERAPISTS AND PSYCHIATRISTS FOR THE TREATMENT OF MENTAL HEALTH AT DORIS ISON, NARANJA, AND WEST PERRINE CENTERS. • COLLABORATE WITH OUR PRIMARY CARE PROVIDERS AND OUR CRISIS STABILIZATION UNIT (CSU) SOCIAL WORKER TO PROVIDE REFERRALS/INTEGRATION OF CARE FOR INDIVIDUALS IN NEED OF MENTAL HEALTH SERVICES. • INCREASE THE NUMBER OF PEER SUPPORT GROUPS OFFERED FOR MENTAL HEALTH RECOVERY. • INCREASE THE NUMBER OF THERAPY GROUPS OFFERED FOR MENTAL HEALTH. ADDITIONALLY, THIS PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD, THROUGH THE FOLLOWING ACTIVITIES: • INCREASE APPOINTMENT AVAILABILITY FOR THERAPISTS AND PSYCHIATRISTS FOR THE TREATMENT OF SUBSTANCE MISUSE AT THE DORIS ISON AND NARANJA SITES. BEGIN OFFERING APPOINTMENTS WITH THERAPISTS AND PSYCHIATRISTS FOR THE TREATMENT OF SUBSTANCE MISUSE AT WEST PERRINE. • COLLABORATE WITH OUR PRIMARY CARE PROVIDERS AND OUR CSU SOCIAL WORKER TO PROVIDE REFERRALS/INTEGRATION OF CARE FOR INDIVIDUALS IN NEED OF SUBSTANCE USE SERVICES. • PROVIDE TRAININGS TO PRIMARY CARE PROVIDERS ON SCREENING, BRIEF INTERVENTION, REFERRAL TO TREATMENT (SBIRT) AND ADMINISTRATION OF MOUD. • BEGIN OFFERING MOUD AT WEST PERRINE LOCATION; EXPAND PROVISION OF MOUD AT DORIS ISON AND NARANJA LOCATIONS. • INCREASE THE NUMBER OF PEER SUPPORT GROUPS OFFERED FOR SUBSTANCE USE RECOVERY. • INCREASE THE NUMBER OF THERAPY GROUPS OFFERED FOR SUBSTANCE USE.

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

CAPITAL DEVELOPMENT

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

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

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

THE AFFORDABLE CONNECTIVITY OUTREACH GRANT PROGRAM PROVIDES ELIGIBLE GOVERNMENTAL AND NON-GOVERNMENTAL ENTITIES WITH THE FUNDING AND RESOURCES NEEDED TO INCREASE AWARENESS OF AND PARTICIPATION IN THE AFFORDABLE CONNECTIVITY PROGRAM AMONG THOSE ELIGIBLE HOUSEHOLDS MOST IN NEED OF AFFORDABLE CONNECTIVITY.

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS