North Broward Hospital District

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

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

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

RYAN WHITE TITLE IV PROGRAM

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

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

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

HEALTHY START INITIATIVE - APPLICANT: NORTH BROWARD HOSPITAL DISTRICT DBA BROWARD HEALTH ADDRESS: 1800 NW 49TH STREET, FORT LAUDERDALE, FL 33309 PROJECT DIRECTOR: WILLIAM GREEN CONTACT PHONE: (954) 473-7056 EMAIL: WGREEN@BROWARDHEALTH.ORG WEBSITE. WWW.BROWARDHEALTH.ORG AMOUNT OF REQUEST: $1,100,000 WITH HRSA FUNDING, BROWARD HEALTH WILL ESTABLISH THE PERINATAL CARE COLLABORATIVE OF BROWARD TO IMPROVE HEALTH OUTCOMES BEFORE, DURING, AND AFTER PREGNANCY AND REDUCE THE WELL-DOCUMENTED RACIAL/ETHNIC DIFFERENCES IN RATES OF INFANT DEATH AND ADVERSE PERINATAL OUTCOMES AMONG WOMEN OF COLOR IN BROWARD COUNTY. THIS GOAL WILL BE ACCOMPLISHED THROUGH THE PROVISION OF DIRECT SERVICES TO THE TARGET POPULATION, INCLUDING CARE COORDINATION, A COMPREHENSIVE EDUCATION PROGRAM, AND INDIVIDUALIZED CARE PLANS DESIGNED TO MEET THE UNIQUE NEEDS OF PARTICIPANTS. THE TARGET POPULATION WILL BE BLACK MOTHERS IN BROWARD COUNTY, SPECIFICALLY IN ZIP CODES WITH THE HIGHEST INFANT MORTALITY RATES: 33060, 33064, 33065, 33068, 33069, 33309, 33311, 33312, 33313, 33315, AND 33316. BROWARD HEALTH OPENED THE FIRST HOSPITAL IN BROWARD COUNTY, FLORIDA IN 1938 AND WAS DESIGNATED A SPECIAL TAXING DISTRICT BY THE FLORIDA LEGISLATURE IN 1951. TODAY IT IS A FOUR-HOSPITAL SYSTEM WITH A VAST NETWORK OF PROGRAMS AND SERVICES DESIGNED TO MEET THE NEEDS OF AND IMPROVE THE HEALTH AND WELL-BEING OF THE ENTIRE COMMUNITY. FOR 85 YEARS, BROWARD HEALTH HAS SERVED AS THE HEALTHCARE SAFETY-NET PROVIDER, PROVIDING CARE REGARDLESS OF THE PATIENT’S ABILITY TO PAY. BROWARD HEALTH MANAGES EIGHT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) WHICH PROVIDE COMPREHENSIVE SERVICES ON A SLIDING SCALE IN MEDICALLY UNDERSERVED AREAS. THE FQHCS INCLUDE TWO PRENATAL CENTERS: CORA E BRAYNON (CEB) AND POMPANO PRENATAL HEALTH CENTER, WHICH SPECIALIZE IN PATIENT-CENTERED CARE TO PREGNANT WOMEN AND THOSE AT HIGH-RISK. FOR MANY WOMEN, THESE ARE THEIR ONLY OPTIONS FOR QUALITY CARE, AS LIMITED TO NO PROVIDERS EXIST IN THE AREA. BOTH OF THESE CENTER S ARE LOCATED IN THE HEART OF THE TARGET ZIP CODES WHICH ARE CONSIDERED MEDICAL DESERTS AS NO OTHER PROVIDERS EXIST IN THE AREA. THERE IS A SIGNIFICANT NEED TO ADDRESS PERINATAL HEALTH OUTCOMES FOR VULNERABLE POPULATIONS IN BROWARD COUNTY. IN BROWARD, BLACK BABIES ARE MORE LIKELY TO BE BORN PRETERM AND EXPERIENCE FETAL DEATH THAN WHITE BABIES. IN FACT, BLACK BABIES ARE 3.6 TIMES MORE LIKELY TO DIE BEFORE THEIR FIRST BIRTHDAY THAN WHITE BABIES. THIS DISPARITY CAN BE LINKED TO INEQUITIES IN ACCESS TO HEALTH PROMOTION RESOURCES, SOCIAL AND ECONOMIC BARRIERS, AND CHALLENGES ACCESSING EDUCATION AND EMPLOYMENT OPPORTUNITIES. THESE DISPARITIES PERPETUATE A CYCLE OF POVERTY AND POOR HEALTH OUTCOMES ACROSS GENERATIONS. THE TARGET POPULATION FOR THIS PROJECT WAS CHOSEN BASED ON BROWARD DATA SHOWING HIGH PERINATAL DISPARITIES. BETWEEN 2019 AND 2021, BLACK MOTHERS MADE UP 56% OF BIRTHS AMONG THE SELECTED ZIP CODES YET EXPERIENCED 78% OF ALL INFANT DEATHS. BLACK INFANTS IN THESE ZIP CODES HAD AN INFANT MORTALITY RATE OF 9.54 PER 1,000 LIVE BIRTHS. ADDITIONALLY, THE TARGET POPULATION EXPERIENCED DISPARITIES IN LOW BIRTH RATE (LBW) AND PRETERM BIRTH RATE (PTB) WITH AN AVERAGE LBW RATE OF 22% AND A PTB RATE OF 23%. THE PERINATAL CARE COLLABORATIVE OF BROWARD WILL BE STEERED BY A CONSORTIUM MADE UP OF STATE AND LOCAL PARTNERS, COMMUNITY MEMBERS AND INDIVIDUALS WITH LIVED EXPERIENCE, WHO WILL SERVE AS AN ADVISOR FOR PROGRAM STRATEGIES. NURSE NAVIGATORS AND A SOCIAL WORKER WILL WORK WITH MOMS PRENATALLY AND POSTNATALLY. A NICU DISCHARGE COORDINATOR WILL WORK WITH PARENTS OF BABIES WHO HAVE HAD EXTENDED STAYS IN THE NICU, DURING THE TRANSITION TO HOME. THE PROGRAM WILL ALSO FEATURE A DOULA PROGRAM – THE FIRST HOSPITAL BASED IN-HOUSE DOULA PROGRAM IN SOUTH FLORIDA. THIS PROGRAM WILL IMPROVE HEALTH OUTCOMES BEFORE, DURING, AND AFTER PREGNANCY AND REDUCE THE WELL-DOCUMENTED RACIAL/ETHNIC DIFFERENCES IN RATES OF INFANT DEATH AND ADVERSE PERINATAL OUTCOMES AMONG WOMEN OF COLOR IN BROWA RD COUNTY.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - ADDRESS: 1800 NW 49TH STREET, FORT LAUDERDALE, FL 33309 PROJECT DIRECTOR NAME: WILLIAM GREEN CONTACT PHONE NUMBERS: 954-473-7056 EMAIL ADDRESS: WGREEN@BROWARDHEALTH.ORG WEBSITE ADDRESS, IF APPLICABLE: WWW.BROWARDHEALTH.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: $3,000,000 NORTH BROWARD HOSPITAL DISTRICT DBA BROWARD HEALTH IS REQUESTING $3,000,000 TO MODERNIZE THE POMPANO CARE CENTER LOCATED IN THE CITY OF POMPANO BEACH, IN BROWARD COUNTY, FLORIDA. THE TOTAL PROJECT COST WILL BE $7,032,980. HRSA FUNDS WILL GO TOWARDS THE CONSTRUCTION/RENOVATION COSTS AND BROWARD HEALTH WILL BE COVERING THE REMAINING $4,032,980 FROM CASH ON HAND IN THE CAPITAL PROJECTS BUDGET. THE POMPANO CARE CENTER SERVES A LOW-INCOME POPULATION AND IS LOCATED IN A FEDERALLY DESIGNATED SHORTAGE AREA FOR PRIMARY CARE (HPSA) AND SERVES A MEDICALLY UNDERSERVED POPULATION (MUA). WITHIN POMPANO CARE CENTER’S SERVICE AREA (ZIP CODE 33060) 18.7% OF FAMILIES LIVE IN POVERTY (HTTPS://WWW.CITY-DATA.COM/POVERTY/POVERTY-POMPANO-BEACH-FLORIDA.HTML). THE POPULATION IS COMPRISED OF BLACK AT 41.6%, FOLLOWED BY WHITE (33.2%) AND HISPANIC (22.4%). THE POPULATION IS GREATLY IMPACTED BY THE SOCIAL DETERMINANTS OF HEALTH INCLUDING FINANCIAL DISTRESS; DIFFICULTY ACCESSING SOCIAL PROGRAMS; PROVIDER DISCRIMINATION; AND TRANSPORTATION AND LANGUAGE BARRIERS. RESEARCH SHOWS THAT SOCIAL DETERMINANTS OF HEALTH CAN BE MORE SIGNIFICANT THAN LIFESTYLE CHOICES AND CAN BE A DRIVER OF DISEASES AND RISK VULNERABILITY. MODERNIZATIONS TO THE POMPANO CARE CENTER ARE NECESSARY TO ACCOMMODATE THE AREA’S GROWING PATIENT POPULATION, TO IMPROVE PRENATAL AND PEDIATRIC CARE SERVICES AND TO ENSURE THE FACILITY HAS THE CAPACITY TO PROVIDE ADULT PRIMARY CARE WHICH WILL BE A NEW SERVICE AT THE FACILITY. RENOVATIONS WILL MAKE THE POMPANO CARE CENTER A COST EFFICIENT, ONE STOP SHOP FOR COMPREHENSIVE CARE SERVICES. ALL THREE FLOORS OF THE BUILDING WILL BE RECONFIGURED AND MODERNIZED T O PROVIDE MORE CONTROLLED WAITING AREAS ON EACH FLOOR WITH BETTER CIRCULATION AND TO ADD AND IMPROVE EXAM ROOMS. RESTROOMS WILL BE RENOVATED TO COMPLY WITH ACCESSIBILITY REQUIREMENTS UND THE AMERICANS WITH DISABILITIES ACT AND LOCAL BUILDING CODES. THESE IMPROVEMENTS WILL RESULT IN A LARGER AND BETTER ORGANIZED SPACE, WELL SUITED TO THE SERVICES AVAILABLE TO THE PATIENT POPULATION. THE SITE ADDRESS IS 601 WEST ATLANTIC BOULEVARD, POMPANO BEACH, FLORIDA 33060 IN BROWARD COUNTY. LOCATED JUST NORTH OF MIAMI-DADE COUNTY, BROWARD IS THE CENTER OF SOUTH FLORIDA AND IS HOME TO 1.9 MILLION RESIDENTS. THIS PROPERTY IS LEASED BY BROWARD HEALTH FROM BROWARD COUNTY, WITH A 15 YEAR LEASE AGREEMENT WITH 4 SUCCESSIVE RENEWAL TERMS EACH FOR A PERIOD OF 5 YEARS.

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ADOLESCENT MEDICAL TRIALS UNIT

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

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

BROWARD HEALTH EMERGENCY DEPARTMENT ALTERNATIVES TO OPIOIDS (BH ED-ALT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

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

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

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

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

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

CHRONIC HOMELESSNESS