Communicare Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

COMMUNICARE HEALTH CENTERS' INTEGRATED BEHAVIORAL HEALTH (IBH)

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

FY20 COMMUNICARE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANT - COMMUNICARE BELIEVES THAT PERSONS WHO SUFFER FROM MENTAL HEALTH AND/OR SUBSTANCE USE DISORDERS DESERVE THE OPPORTUNITY TO RECEIVE MULTI-TREATMENT MODALITIES. IT IS BELIEVED THAT EVIDENCE-BASED PRACTICES NOT ONLY HELP PERSONS WITH CO-EXISTING MENTAL HEALTH AND SUBSTANCE USE DISORDERS RECOVER SAFELY, BUT ARE ESSENTIAL AS COST-EFFECTIVE TREATMENT OPTIONS. WITH THIS GRANT, THE AGENCY PLANS TO FOCUS ON SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AND INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD) WITHIN HARDIN COUNTY, KENTUCKY. THIS GRANT WILL ASSIST WITH THE EXPANSION OF SERVICES, ADDITION OF STAFF, STAFF TRAININGS, APPROPRIATE FINANCIAL ASSISTANCE FOR CONSUMERS’ TREATMENT, ALLOW THE AGENCY TO BECOME A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, INCREASE COMMUNITY BASED MENTAL AND SUBSTANCE USE DISORDER SERVICES TO INCLUDE 24/7 ACCESS, AND ALLOW FOR THE PROVISION OF THE BEST CARE POSSIBLE TO CONSUMERS.

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

BRECKINRIDGE COUNTY COALITION FOR CHANGE DRUG FREE COMMUNITIES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

TELEMEDICINE GRANT

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** COMMUNICARE HEALTH CENTERS (CCHC) IS A DESIGNATED MIGRANT HEALTH CENTER AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES HIGH-QUALITY CARE TO LOW-INCOME RESIDENTS OF YOLO COUNTY, CALIFORNIA. CCHC WILL IMPLEMENT PRODUCE RX, A PATIENT-CENTERED INITIATIVE TO CONNECT CONNECT LOW-INCOME INDIVIDUALS WITH ELEVATED BLOOD SUGAR TO THE AGRICULTURAL BOUNTY OF YOLO COUNTY. PRODUCE RX WILL LEVERAGE CCHC'S HEALTHY LIVING WITH DIABETES, SWEET SUCCESS AND FOOD PROGRAMS ACTIVITIES TO PROVIDE PATIENTS WITH HIGH-QUALITY NUTRITION EDUCATION AND PRODUCE PRESCRIPTIONS.OVER THE PROJECT PERIOD, 580 CCHC PATIENTS WILL PARTICIPATE IN REGULAR EDUCATION ACTIVITIES AND RECEIVE PRODUCE GROWN BY LOCAL SMALL AND BEGINNING FARMERS. THE PROJECT WILL INCREASE PARTICIPANTS' COMSUMPTION OF LOCALLY-GROWN FRUITS AND VEGETABLES, EXPAND THEIR FOOD LITERACY, REDUCE FOOD INSECURITY, IMPROVE HEALTH OUTCOMES INCLUDING REDUCED A1C, AND BOOST SALES OPPORTUNITIES FOR SMALL AND BEGINNING FARMERS.PARTICIPANTS WILL BE ASSIGNED TO ONE OF FOUR PRODUCE PRESCRIPTION INTERVENTION MODELS BASED ON THE SITE AT WHICH THEY RECEIVE HEALTH CARE SERVICES AND/OR THEIR ACCESS TO TRANSPORTATION, EACH DIFFERING IN DURATION AND/OR FREQUENCY. UC BERKELEY EVALUATORS WILL USE MIXED METHODS TO CONDUCT PROCESS AND OUTCOME EVALUATION. FINDINGS WILL ELUCIDATE THE COMPARATIVE ADVANTAGES AND DRAWBACKS OF EACH MODEL AND WILL INFORM FUTURE CCHC EFFORTS.PRODUCE RX WILL PROVIDE BOTH THE HEALTH CARE AND AGRICULTURAL SECTORS WITH A BLUEPRINT FOR OPTIMIZING THE HEALTH OF LOW-INCOME PATIENTS WHILE STIMULATING ECONOMIC OPPORTUNITIES FOR LOCAL FARMS. THE PROJECT TEAM WILL DISSEMINATE FINDINGS ACROSS MULTISECTORAL NETWORKS TO FACILITATE ADOPTION OF THE MODEL BY FQHCS SERVING LOW-INCOME POPULATIONS IN LOCATIONS WITH STRONG AGRICULTURAL ECONOMIES.

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - COMMUNICARE HEALTH CENTERS (CCHC) IS REQUESTING FUNDING TO PURCHASE AND IMPLEMENT AN ELECTRONIC HEALTH RECORD SYSTEM, EPIC. THIS FUNDING WILL SUPPORT INTEROPERABILITY-EXCHANGING HEALTH INFORMATION BETWEEN HEALTHCARE ORGANIZATIONS. THE IMPLEMENTATION OF EPIC WILL IMPROVE THE QUALITY OF CARE AND INFORMATION EXCHANGE ACROSS THE HEALTHCARE SYSTEM, AND INCREASE PROVIDER SATISFACTION AND RETENTION. ONE OF THE GREATEST CHALLENGES IN COORDINATION OF CARE WITH AN ELECTRONIC HEALTH RECORD SYSTEM (EHR) HAS BEEN THE INABILITY TO SHARE INFORMATION ELECTRONICALLY ACROSS HEALTH CARE ENTITIES. COMMUNICARE HEALTH CENTERS IS UNIQUELY IMPACTED BY THIS DUE TO 42 CFR AS A PROVIDER OF PROTECTED SUBSTANCE USE DISORDER SERVICES. WE HAVE BEEN UNABLE TO PARTICIPATE IN HEALTH INFORMATION EXCHANGE EFFORTS DUE TO THE LIMITATIONS WITH OUR CURRENT PLATFORM, ECLINICALWORKS. CCHC CURRENTLY RELIES ON RECEIVING FAXED DOCUMENTS OR LOGGING IN TO MULTIPLE PORTALS TO RETRIEVE PATIENT INFORMATION FROM OTHER ORGANIZATIONS, A PROCESS WHICH LEADS TO DELAYS IN MAKING VITAL TREATMENT DECISIONS. EPIC ALLOWS INTEROPERABILITY TO SHARE PATIENT INFORMATION WITH OUR LOCAL HOSPITALS. HEALTH CARE PROVIDERS STRUGGLE TO ACCESS MEDICAL INFORMATION ABOUT THEIR PATIENTS IF THE PATIENT WAS SEEN AT A HOSPITAL OR CLINIC THAT USES A DIFFERENT EHR. THE SYSTEM ALLOWS PROVIDERS TO GIVE IMPROVED QUALITY OF CARE AS WELL AS LOWER COST OF CARE PARTICULARLY THOSE WITH CHRONIC AND COMPLEX CONDITIONS. IMPLEMENTING EPIC WILL GIVE CCHC THE ABILITY TO QUICKLY IMPROVE WORKFLOWS. EPIC WILL INCLUDE IMPLEMENTATION OF SEVERAL BENEFICIAL MODULES, E.G., DENTAL, BEHAVIORAL HEALTH, AND A COMPREHENSIVE CARE COORDINATION MODULE. IT ALLOWS HEALTH CENTERS TO IMPORT AND MANAGE PATIENT ROSTERS, WHICH STREAMLINE PROGRAM ENROLLMENT. ONCE A PATIENT IS ENROLLED, HEALTH CENTER STAFF USE THE SYSTEM TO DOCUMENT THE CARE TEAM MEMBERS, CARE PLAN, HEALTH ACTION PLAN AND ANY OTHER PATIENT-CONTACT THAT STAFF HAVE WITH THE PATIENT. CONSENTS A ND RELEASE OF INFORMATION (ROI) CAN BE ATTACHED DIRECTLY TO THE CARE PLAN. THE SYSTEM ALLOWS THE STAFF TO ATTACH BILLING CODES TO THESE ENCOUNTERS TO CREATE CLAIMS WHICH CAN BE SUBMITTED ELECTRONICALLY. OUR CURRENT EHR DOES NOT PROVIDE SUFFICIENT FUNCTIONALITY TO MEET CURRENT CLINICAL AND ADMINISTRATIVE DEMANDS. THE WEB-BASED PATIENT INTERFACE DOES NOT FUNCTION TO ALLOW MORE THAN ONE HEALTH CENTER’S PATIENTS TO SCHEDULE THEIR OWN APPOINTMENTS AND ACCESS THEIR HEALTH RECORDS. EPIC DOES HAVE THIS CAPABILITY FOR PATIENT INTERFACE VIA ONLINE ACCESS. IMPLEMENTATION OF EPIC WILL BENEFIT MORE THAN 24,000 CCHC PATIENTS, MANY OF WHO ARE MEDI-CAL RECIPIENTS, BY REDUCING DUPLICATION OF TESTS, UNNECESSARY COSTS, AND DELAYS IN SERVICES.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - PROJECT TITLE: THE HANSEN FAMILY HEALTH CENTER EXPANSION PROJECT APPLICANT ORGANIZATION: COMMUNICARE HEALTH CENTERS ADDRESS: 215 WEST BEEMER STREET, WOODLAND, CA 95695 PROJECT DIRECTOR: MELISSA MARSHALL, MD CONTACT PHONE: (530) 753-3498, FAX (530) 758-2109 EMAIL ADDRESS: MELISSAM@COMMUNICAREHC.ORG WEBSITE: WWW.COMMUNICAREHC.ORG GRANT FUNDING REQUESTED: CONGRESSIONALLY DIRECTED SPENDING CONSTRUCTION PROJECTS SERVICE AREA IDENTIFICATION NUMBER: 237 CITY: DAVIS STATE: CA PROJECT DESCRIPTION: THIS PROJECT PROPOSES FUNDING TO SUPPORT THE CONSTRUCTION OF A 3,000 SQUARE FOOT BUILDING AT COMMUNICARE HEALTH CENTERS (CCHC) HANSEN FAMILY HEALTH CENTER (HFHC) LOCATED AT 215 WEST BEEMER STREET IN WOODLAND, CA. BEHAVIORAL HEALTH VISITS ACCOUNT FOR 40% OF VISITS AT HFHC COMPARED TO 30% AT THE SALUD CLINIC IN WEST SACRAMENTO, AND 11% OF AT THE DAVIS COMMUNITY CLINIC IN DAVIS. THE NEW CONSTRUCTION ADDRESSES THE CRITICAL NEED FOR ADDITIONAL CLINIC AND OFFICE SPACE TO ACCOMMODATE THE EXPANSION OF CCHC’S BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES. THE NEW BUILDING WILL CREATE OFFICE SPACE FOR THE BEHAVIORAL HEALTH STAFF AND THEIR CURRENT OFFICE SPACE IN HFHC WILL BE CONVERTED INTO PATIENT TREATMENT ROOMS. RATHER THAN RENTING ADDITIONAL SPACE AWAY FROM THE MAIN CLINIC, ADDING TO THE CURRENT CAMPUS SUPPORTS CLIENTS, EMPLOYEES, CLINICAL OPERATIONS AND REDUCES THE DUPLICATION OF RESOURCES. THE PROJECT INCLUDES THE FOLLOWING: NEEDS TO BE ADDRESSED: YOLO COUNTY'S COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED BEFORE THE PANDEMIC IDENTIFIED ACCESS TO MENTAL/BEHAVIORAL HEALTH/SUBSTANCE USE SERVICES AS THE TOP UNMET NEED IN OUR COMMUNITY. THE KAISER FAMILY FOUNDATION REPORTS THAT THE COVID-19 PANDEMIC AND THE RESULTING ECONOMIC RECESSION HAVE NEGATIVELY AFFECTED MANY PEOPLE’S MENTAL HEALTH AND CREATED NEW BARRIERS FOR PEOPLE ALREADY SUFFERING FROM MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THEREFORE, THERE IS A CONTINUING NEED FOR ACCESS TO COMPREHENSIVE HEA LTHCARE INCLUDING BEHAVIORAL HEALTH SERVICES, SUBSTANCE USE DISORDER AND TREATMENT, AND ENABLING SERVICES THAT ADDRESS THE HEALTH NEEDS AND BARRIERS TO CARE IN THE TARGET POPULATION OF DIVERSE, LOW INCOME AND UNINSURED RESIDENTS IN YOLO COUNTY. CONCURRENTLY, THERE IS A CONTINUING NEED FOR HEALTH CARE SERVICES THAT SPECIFICALLY ADDRESS THE SPECIAL NEEDS OF THE POPULATION OF MIGRANT AND SEASONAL FARM WORKERS (MSFW) THEIR DEPENDENTS, AND THE UNHOUSED IN THE SERVICE AREA. THE COVID-19 PANDEMIC AND ECONOMIC FALL-OUT OF IT, NEGATIVELY IMPACTED PEOPLE’S MENTAL HEALTH AND INCREASED THE NEED FOR MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES. TO MEET THE INCREASED NEED, CCHC ADDED SERVICES AND EXPANDED PERSONNEL BY TEN FULL TIME EMPLOYEES. THE HANSEN FAMILY HEALTH CENTER NEEDS ADDITIONAL PHYSICAL SPACE THE TO MEET THE NEED AND DEMAND FOR SERVICES. PROPOSED SERVICES: COMMUNICARE WILL CONTINUE TO OFFER COMPREHENSIVE CULTURALLY APPROPRIATE SERVICES INCLUDING PRIMARY MEDICAL AND DENTAL HEALTH CARE, INTEGRATED BEHAVIORAL HEALTH SERVICES, SUBSTANCE USE TREATMENT, HEALTH EDUCATION, AND PATIENT SUPPORT SERVICES THROUGH OUR CLINIC SITES AND OUTREACH IN THE COMMUNITY. SERVICES WILL CONTINUE TO FOCUS ON IMPROVING HEALTH OUTCOMES AND PROVIDING A MEDICAL HOME FOR THE TARGET POPULATION, WITH A SPECIAL EMPHASIS ON MEETING THE SPECIAL NEEDS OF MSFWS AND THEIR DEPENDENTS. ALL SERVICES ARE PROVIDED REGARDLESS OF A PATIENT’S IMMIGRATION STATUS AND/OR ABILITY TO PAY. POPULATION GROUPS TO BE SERVED: THE TARGET POPULATION INCLUDES ALL PERSONS THAT RECEIVE SERVICES AT THE HANSEN FAMILY CENTER SERVICE WITH INCOMES BELOW 200% OF THE POVERTY LEVEL AND INCLUDES MSFWS AND THEIR DEPENDENTS RESIDING IN CCHC’S SERVICE AREA. TOTAL NUMBER OF UNDUPLICATED PATIENTS TO BE SERVED BY THE PROJECT: COMMUNICARE HEALTH CENTERS WILL SERVE A PROJECTED 23,212 USERS IN 2023 (JANUARY 1 THROUGH DECEMBER 31, 2023).

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT