Borinquen Health Care Center 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

CAPITAL DEVELOPMENT

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

STOPP - ENHANCED

TREATMENT FOR INDIVIDUALS EXPERIENCING HOMELESSNESS

BORINQUEN HEALTH CARE CENTER, INC. OUTREACH - BHCC IS A CERTIFIED 501(C) 3 NOT-FOR-PROFIT FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER. SINCE ITS INCEPTION IN 1972 BY LOCAL PUERTO RICAN COMMUNITY MEMBERS, OUR MISSION STATEMENT, REMAINS THE SAME-- ?PROVIDES A BROAD RANGE OF HEALTH, EDUCATION AND HUMAN SERVICES TO IMPROVE THE QUALITY OF LIFE OF THE CULTURALLY DIVERSE COMMUNITY IT SERVES. BHCC HAS BEEN PROVIDING HIV CARE FOR CLOSE TO TWO DECADES AND HAS BEEN A RYAN WHITE PROGRAM PROVIDER SINCE THE EARLY 1990?S. ALL SERVICES ARE AVAILABLE TO ALL REGARDLESS OF RACE, ETHNIC BACKGROUND, GENDER, SEXUAL ORIENTATION, POLITICAL AFFILIATION AND WITHOUT REGARD FOR ABILITY TO PAY.? IN 2019, MIAMI DADE COUNTY (MDC) HAD THE HIGHEST PREVALENCE OF HIV DIAGNOSES IN THE STATE AND THE HIGHEST COUNT BUT THE 4TH HIGHEST PREVALENCE OF PLWH. MDC HAS THE HIGHEST RATES THE TOP AREA FOR NEW HIV DIAGNOSES IN THE COUNTRY, SHOULDERING THE NATIONAL BURDEN FOR THIS DISEASE. (THE HIV EPIDEMIC IN MIAMI-DADE COUNTY IN 2018)THE PURPOSE IS TO ADDRESS THE HIV EPIDEMIC BY REDUCING NEW INFECTIONS, INCREASING ACCESS TO CARE, AND PROMOTING HEALTH EQUITY. BHCC WILL ADDRESS THE PUBLIC HEALTH PROBLEM BY ENHANCING: 1) CURRENT TARGETED HIV TESTING AIMED AT REACHING PERSONS WHO ARE AT GREATEST RISK FOR HIV AND WHO ARE UNAWARE OF THEIR HIV STATUS; 2) INTEGRATED SCREENING FOR STD AND HEPATITIS C; 3) PROGRAM PROMOTION, OUTREACH, AND RECRUITMENT; 4) PARTNER SERVICES; 5) CURRENT REFERRAL SERVICES OF HIV-NEGATIVE PERSONS TO PREP/NPEP; 6) ACCESS TO ESSENTIAL SUPPORT SERVICES; 7) CURRENT REFERRAL OF HIV-NEGATIVE PERSONS AND PERSONS WITH HIV TO RISK REDUCTION BEHAVIORAL INTERVENTIONS; AND; 8) LOCAL HEALTH DEPARTMENTS WITH CLUSTER RESPONSE ACTIVITIES. BHCC WILL BEGIN PROVING TELEHEALTH AND MEDICATION ADHERENCE PROGRAMMING SPECIFICALLY FOR AT RISK HIV PERSONS.THE GOAL IS REDUCING NEW INFECTIONS, INCREASING ACCESS TO CARE, AND PROMOTING HEALTH EQUITY IN ACCORDANCE WITH THE ENDING THE HIV EPIDEMIC. THE FOLLOWING OUTCOMES BY THE END OF THE PROJECT PERIO D: 1) INCREASE PERSONS WHO ARE AWARE OF THEIR HIV STATUS BY INCREASING THE NUMBER TESTED BY 57% ANNUALLY (BASELINE OF 4,000 OUTREACH HIV TESTS) TO 7,000 TESTS ANNUALLY; AND IDENTIFY 140, OR 2% OF PERSONS TESTED, WITH NEWLY DIAGNOSED HIV ANNUALLY. 2) IMPROVE THE CURRENT INTEGRATED SCREENING PROCESS BY IMPLEMENTING AN STD AND HEPATITIS C INTEGRATED SCREENING WITH 5,000 PEOPLE SCREENED ANNUALLY AND 150 TESTING PANELS PERFORMED. 3) INCREASED RECEIPT OF HIV MEDICAL CARE AND ART AMONG PERSONS WITH NEWLY DIAGNOSED HIV TO 100% OF ELIGIBLE PATIENTS. 4) INCREASED RECEIPT OF HIV MEDICAL CARE AND ART AMONG PERSONS WITH PREVIOUSLY DIAGNOSED HIV, NOT-IN-CARE TO 100% OF ELIGIBLE PATIENTS. 5) INCREASED ACCESS TO PARTNER SERVICES TO 100% OF ELIGIBLE PATIENTS. 6) INCREASE ACCESS TO MEDICAL CARE AND ESSENTIAL SUPPORT SERVICES BY PROVIDING TELEHEALTH SERVICES TO 100% OF PATIENTS WITH HIV. 7) INCREASE ACCESS TO MEDICATION ADHERENCE SERVICES PERSONS 100% OF PATIENTS WITH HIV. 8)INCREASED ACCESS TO PREP AND NPEP TO 100% OF ELIGIBLE PATIENTS. 9) INCREASE REFERRAL OF HIV-NEGATIVE PERSONS AND PERSONS WITH HIV TO RISK REDUCTION BEHAVIORAL INTERVENTIONS TO 100% OF ELIGIBLE PATIENTS. 10) INCREASED AVAILABILITY OF CONDOMS BY DISTRIBUTING 7000 CONDOMS ANNUALLY. 11) INCREASED ENGAGEMENT WITH MIAMI DADE HEALTH DEPARTMENT (MDHD) AND PARTNERS THROUGH STREAMLINED COMMUNICATION AND DATA SHARING. 12) 100% OF NEWLY IDENTIFIED CLUSTERS WILL RECEIVE SAME-DAY RESPONSE AND PATIENTS WILL BE LINKED TO CARE WITHIN 48 HOURS. 13) INCREASED ACCESS TO CARE AND VIRAL LOAD SUPPRESSION FOR PERSONS WITH HIV; 14) IMPROVED RESPONSE TO HIV TRANSMISSION CLUSTERS AND OUTBREAKS.

TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

STOPP-PRO (STOPP-P) PROGRAM - PROJECT NAME: STOPP-PRO (STOPP-P) PROGRAM AMOUNT REQUESTED: $499,395 ANNUALLY FOR A FIVE YEAR TOTAL OF $2,496,976 SUMMARY OF PROJECT: THE BORINQUEN HEALTH CARE CENTER, INC. (BHCC) DBA BORINQUEN MEDICAL CENTERS (BMC) STOPP-PRO (STOPP-P) PROGRAM, HIGH-RISK SUBSTANCE USERS WHO ARE HIV POSITIVE AND/OR HEPATITIS A, B, OR C POSITIVE WILL BE IMMEDIATELY LINKED TO CARE AT BMC AND OFFERED INTEGRATED HEALTH SERVICES. ALL STOPP-P CLIENTS WILL RECEIVE CULTURALLY COMPETENT, INTEGRATED BEHAVIORAL AND MEDICAL HEALTH CARE AND SERVICES VIA BMC’S INDIGENOUS STAFF. SERVICES INCLUDE: OUTREACH, PEER SUPPORT/EDUCATION, OUTPATIENT SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING SUBSTANCE USE AND MENTAL DISORDERS (COD); INTENSIVE OUTPATIENT TREATMENT; MEDICATION ASSISTED THERAPY (MAT); REFERRAL AND LINKAGE TO RESIDENTIAL SUD TREATMENT FACILITIES; ACCESS AND LINKAGE TO BMC PSYCHIATRIC SERVICES, SPECIALTY MEDICAL SERVICES, RYAN WHITE CASE MANAGEMENT, AND COMMUNITY SUPPORT SERVICES, SUCH AS HOUSING AND EMPLOYMENT ASSISTANCE, WITH COLLABORATION FROM OUR COMMUNITY PARTNERS. MIAMI DADE COUNTY (MDC), THE SERVICE AREA, LEADS THE NATION IN NEW HIV INFECTIONS AND QUALIFIES AS A LOCALITY HARDEST HIT BY THE HIV EPIDEMIC. THE TARGET POPULATION FOR STOPP-P INCLUDES HIGH-RISK HISPANIC AND BLACK (AFRICAN-AMERICAN AND HAITIAN) YOUNG AND ADULT MEN HAVING SEX WITH MEN (YMSM AND MSM), HOMELESS MEN AND WOMEN (INCLUDING TRANSGENDERED INDIVIDUALS) AND LGBTQ INDIVIDUALS IN MDC. BMC HAS SERVED THE CULTURALLY DIVERSE MDC COMMUNITIES OF WYNWOOD, ALLAPATAH, LITTLE RIVER, LITTLE HAVANA, OVERTOWN, NORTH MIAMI, NORTH MIAMI BEACH, KENDALL, WEST DADE, SWEETWATER, FLAGAMI AND LITTLE HAITI SINCE 1972. THE POPULATION SERVED IS UNDERSERVED, LOW-INCOME, AND HAS A HIGH PERCENTAGE OF UNINSURED INDIVIDUALS, MINORITIES, AND LIMITED ENGLISH-SPEAKING. BMC WILL ALSO RECRUIT PATIENTS FROM THE RYAN WHITE PROGRAM. ACCESS TO CARE IS A BARRIER SINCE MDC HAS BOTH HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS/POPULATIONS FROM PRIMARY CARE, MENTAL HEALTH AND DENTAL CARE. (HRSA 2022) BMC’S PATIENT POPULATION IS UNDERSERVED AND ALMOST ENTIRELY MINORITY (86%). BMC HAS PROVIDED CULTURALLY COMPETENT, EFFECTIVE SUD AND COD SERVICES, AS WELL AS HIV AND HEPATITIS TESTING, COUNSELING AND LINKAGE THROUGH ITS STOPP PROGRAM SINCE 2017. CURRENT SERVICES WILL BE ENHANCED BY: 1) CREATING AND IMPLEMENTING A STOPP-P CLIENT DASHBOARD FOR EFFECTIVE CASE MANAGEMENT, TRACKING AND MANAGEMENT OF OUTCOMES, AND TO INFORM PROGRAM DECISION MAKING INCLUDING THE NEED FOR ANY PROGRAM MODIFICATIONS; 2) IMPROVING INTERNAL REFERRALS FROM RYAN WHITE SERVICES AND PRIMARY CARE BY IMPLEMENTING THE USE OF PHQ-9, AUDIT AND DAST-10 AS PART OF THE INTAKE AND CASE MANAGEMENT PROCESS FOR THESE PROGRAMS. CURRENTLY PATIENTS SELF-IDENTIFY AS NEEDING SERVICES. STOPP USES THESE EBP SCREENING TOOLS IN THE INTAKE PROCESS ALREADY. IMPLEMENTING THEM ACROSS BMC SERVICES WILL IDENTIFY PATIENTS NEEDING STOPP-P SERVICES FOR IMMEDIATE CARE ENGAGEMENT. THESE TOOLS ARE IN THE EHR SYSTEM AND INTERNAL TRAINING WITH CASE MANAGERS AND PROVIDERS WILL HELP THEM ADOPT THESE TOOLS IN THEIR WORKFLOW; 3) HIRE A PEER EDUCATOR TO PROVIDE EDUCATION, OUTREACH, AND SUPPORT SERVICES; 4) IMPLEMENT CONTINGENCY MANAGEMENT TO HELP BOLSTER PATIENT SUCCESS; AND 5) IMPROVE THE USE OF MOTIVATIONAL INTERVIEWING IN THE CENTER THROUGH TECHNICAL ASSISTANCE AND TRAINING. THE GOAL IS TO INCREASE ENGAGEMENT IN CARE FOR 175 (875 OVER FIVE YEARS) RACIAL AND ETHNIC UNDERREPRESENTED INDIVIDUALS ANNUALLY WITH SUDS AND/OR CODS WHO ARE AT RISK FOR, OR ARE LIVING WITH HIV/AIDS AND RECEIVE HIV/AIDS SERVICES/TREATMENT IN MDC. OBJECTIVES: 1)IMPROVE DATA INFRASTRUCTURE TO STRENGTHEN CASE MANAGEMENT AND REPORTING; 2) TARGET POPULATIONS WHO DO NOT KNOW THEIR HIV/HEPATITIS STATUS TO INCREASE AWARENESS OF HIV STATUS AND ENGAGE MORE INDIVIDUALS IN CARE; 3) INCREASE THE NUMBER OF PEOPLE WITH HIV/AND/OR HEPATITIS A, B OR C FROM THE TARGET POPULATION WHO RE

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

FQHC SEEKING TO EXPAND ACCESS TO SUBSTANCE ABUSE TREATMENT

B-CARE (BORINQUEN CARE, ACCESS REFERRAL AND EVALUATION)

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - DIEGO I. SHMUELS MD,MPH,MSN,CHCQM PH: (305)576-6611 EXT 1230. FAX: DSHMUELS@BORINQUENHEALTH.ORG HTTPS://WWW.BORINQUENHEALTH.ORG NO FUNDING PREFERENCE. 1. NAME OF THE TRAINING PROGRAM. BORINQUEN HEALTH CARE CENTER TCHGME 2. DISCIPLINE OF THE RESIDENCY PROGRAM. FAMILY MEDICINE 3. TYPE OF APPLICATION. EXPANSION 4. ELIGIBLE ENTITY TYPE. BHCC OPERATES THE RESIDENCY PROGRAM AS A COMMUNITY-BASED AMBULATORY PATIENT CARE CENTER THAT AN ACCREDITED PRIMARY CARE RESIDENCY PROGRAM. IT IS A FEDERALLY QUALIFIED HEALTH CENTERS, AS DEFINED IN SECTION 1905(L)(2)(B) OF THE SOCIAL SECURITY ACT [42 U.S.C. 1396D(L)(2)(B)]. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS. 2018 6. ORGANIZATION WEBSITE ADDRESS HTTPS://WWW.BORINQUENHEALTH.ORG 7. A BRIEF OVERVIEW OF THE RESIDENCY PROGRAM THAT INCLUDES THE NAME OF THE ACCREDITED SPONSORING INSTITUTION (AS DESIGNATED BY ACGME OR CODA) AND DESCRIPTION OF THE MAIN PRIMARY CARE TRAINING LOCATION INCLUDING POPULATIONS SERVED. THE PRIME MISSION OF THE FAMILY MEDICINE RESIDENCY PROGRAM IS TO TRAIN THE FUTURE LEADERS IN FAMILY PHYSICIANS AT BORINQUEN HEALTH CARE CENTER, INC. (BHCC), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND TEACHING HEALTH CENTER. THE PURPOSE OF THE PROPOSED PROGRAM IS TO: EXPAND THE FAMILY MEDICINE RESIDENCY TRAINING PROGRAM AT BHCC’S COMMUNITY-BASED AMBULATORY PATIENT CARE CENTERS; PREPARE RESIDENTS TO PROVIDE HIGH QUALITY CARE, PARTICULARLY IN UNDERSERVED COMMUNITIES; AND PREPARE RESIDENTS TO DEVELOP COMPETENCIES TO SERVE DIVERSE POPULATIONS AND COMMUNITIES. BHCC IS LOCATED IN MIAMI-DADE COUNTY, FLORIDA AND HAS SERVED THE CULTURALLY DIVERSE COMMUNITIES OF WYNWOOD, ALLAPATAH, LITTLE RIVER, LITTLE HAVANA, OVERTOWN, NORTH MIAMI, NORTH MIAMI BEACH, KENDALL, WEST DADE, SWEETWATER, FLAGAMI AND LITTLE HAITI SINCE 1972. AS OF JULY 2022, BHCC WILL OFFER AN ACGME ACCREDITED RESIDENCY PROGRAM FOR FOUR FAMILY MEDICINE RESIDENTS WITH ACCREDITATION FOR 12 FAMILY MEDICINE RESIDENTS. WE ARE REQUESTING TO EXPAND THE PROGRAM RESOURCES, SUPPORT AN ADDITIONAL EIGHT FTE RESIDENTS, AND IMPROVE THE TRAINING PROGRAM TO MEET THE NEEDS OF AN EVOLVING HEALTH CARE ENVIRONMENT. THE POPULATION SERVED IS UNDERSERVED, LOW-INCOME, AND HAS A HIGH PERCENTAGE OF UNINSURED INDIVIDUALS, MINORITIES, AND PERSONS WHO SPEAK ENGLISH LESS THAN VERY WELL. THESE GROUPS FACE GREATER BARRIERS TO CARE AND HEALTH DISPARITIES THAN THE GENERAL POPULATION OF THE US. THE PER CAPITA INCOME IN THE COUNTY IS BELOW THAT OF THE COUNTRY AND THE STATE WHILE THE RATES OF POVERTY ARE HIGHER. THE PERCENTAGE OF UNEMPLOYED PEOPLE IN THE COUNTY ALSO RANKS ABOVE BOTH THE STATE AND NATION. FURTHERMORE, ONE-FIFTH OF CHILDREN IN THE COUNTY LIVE IN POVERTY, A RATE THAT IS HIGHER THAN BOTH THE US AND FLORIDA. COMPARED TO THEIR PEERS, CHILDREN IN POVERTY ARE MORE LIKELY TO HAVE SERIOUS HEALTH PROBLEMS LIKE LOW BIRTH WEIGHT; CHRONIC DISEASES SUCH AS ASTHMA, OBESITY AND HIGH BLOOD PRESSURE; INCREASED ACCIDENTAL INJURIES; TOXIC STRESS; AND ADVERSE CHILDHOOD EXPERIENCES. (AMERICAN ACADEMY OF PEDIATRICS, POVERTY AND CHILD HEALTH, 2016) 8. TOTAL RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING, E.G., 12 (4-4-4) RESIDENT FTE ABOVE THE BASELINE RESIDENT FTES TRAINED BY THE PROGRAM IN AY 2018-2019. 4 ( 4-0-0) 9. RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023, E.G., 4 (4-0-0). 12 (4-4-4). ONLY 8 WILL BE FUNDED BY THCGME. 10. ROTATION SITES: STATE IF RESIDENTS WITHIN THE APPLICANT RESIDENCY PROGRAM WILL PERFORM ROTATIONS AT A HOSPITAL ROTATION SITE(S) THAT HAS NOT PROVIDED RESIDENT TRAINING IN ANY PRIOR ACADEMIC YEAR. N/A

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

HEADS UP! PROGRAM - HEADS UP! PROGRAM WILL DEVELOP A TANGIBLE PLAN TO IDENTIFY YOUNG AT-RISK INDIVIDUALS; PROVIDE EDUCATION AND PREVENTION AWARENESS; LINKAGES TO INTEGRATED SERVICES FOR THOSE WHO TEST POSITIVE FOR HIV AND STDS; AND SUD TREATMENT. THE RECRUITMENT, AWARENESS AND PREVENTION EDUCATION COMPONENT OF HEADS UP WILL PRIMARILY USE POPULAR OPINION LEADER EBP TO ENGAGE THE TARGET POPULATION AND MAKE SURE AWARENESS AND EDUCATION IS CIRCULATED IN THE AREAS WHERE IT IS MOST NEEDED.

HEALTH CENTER INFRASTRUCTURE SUPPORT

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - APPLICANT: BORINQUEN HEALTH CARE CENTER, INC. ADDRESS: 3601 FEDERAL HIGHWAY, MIAMI, FL 33137 PROJECT DIRECTOR NAME: DIEGO SHMUELS, ECFMG MD, MPH,CHCQM,CHIEF QUALITY OFFICER CONTACT PHONE NUMBERS (VOICE, FAX): (305)576-6611 EMAIL ADDRESS: DSHMUELS@BORINQUENHEALTH.ORG WEBSITE ADDRESS, IF APPLICABLE: WWW.BORINQUENHEALTH.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $150,000 THE PROPOSED ACTIVITY FOR BORINQUEN HEALTH CARE CENTERS, INC. (BHCC) FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM’S IS UNDER HIV CARE INNOVATION, COORDINATION, OR INTEGRATION OF HIV PRIMARY CARE WITH ORAL HEALTH/AND OR BEHAVIORAL HEALTH CARE. THE PROJECT IS DESIGNED TO CREATE A FULLY INTEGRATED CARE SERVICES MODEL INTEGRATING BEHAVIORAL HEALTH AND PRIMARY HEALTH CARE. THIS WILL BE ACCOMPLISHED THROUGH: ASSESSMENT AND REVISION OF ALL RELATED POLICIES, PROCEDURES, AND WORKFLOWS; CONSULTING, COACHING AND ADVISEMENT SERVICES BY THE NATIONAL COUNCIL ON MENTAL WELLNESS IN THE SAME AND IN INTEGRATED CARE SERVICES; AND EXTENSIVE TRAINING BY SUBJECT MATTER EXPERTS TO IMPROVE HEALTH EQUITY AND INCREASE PROVIDER SKILLSETS. SERVICES WILL BE PROVIDED IN MIAMI-DADE COUNTY, FL, WHICH INCLUDES UNDERSERVED POPULATIONS AND ADDRESSES FUNDING PRIORITY 2.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

B-CARE (BORINQUEN CARE, ACCESS REFERRAL AND EVALUATION)

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT

CAPITAL DEVELOPMENT

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS