Health Help Incorporated

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT TITLE: HRSA 22-104 FISCAL YEAR 2022 ENDING THE HIV EPIDEMIC – PRIMARY CARE HIV PREVENTION APPLICANT ORGANIZATION NAME: HEALTH HELP INC. D/B/A WHITE HOUSE CLINICS APPLICANT GRANT NUMBER: H80CS00459 ADDRESS: 1010 MAIN STREET SOUTH MCKEE, KY 40447-7089 PROJECT DIRECTOR NAME: STEPHANIE COURTRIGHT MOORE, MPA, CMPE CONTACT PHONE NUMBERS: 859.626.7700 (P), 859.625.1140 (F) E-MAIL ADDRESS: STEPHANIE.MOORE@WHITEHOUSECLINICS.COM WEB SITE ADDRESS (IF APPLICABLE): WWW.WHITEHOUSECLINICS.COM GRANT PROGRAM FUNDS REQUESTED: $650,000 FUNDING PRIORITY: RURAL & MEDICALLY UNDERSERVED HEALTH HELP, INC. (HHI) WAS FOUNDED IN 1973 BY PHIL CURD, A YOUNG KENTUCKY DOCTOR WHO WANTED TO USE HIS MEDICAL TRAINING TO SERVE KENTUCKIANS MOST IN NEED. HHI NOW OPERATES 9 COMMUNITY HEALTH CENTERS IN JACKSON, MADISON, ESTILL, ROCKCASTLE, AND GARRARD COUNTIES, KENTUCKY. WITH A LOW-INCOME TARGET POPULATION, HHI SERVES NEARLY 31,000 PATIENTS ANNUALLY. THROUGHOUT THE ORGANIZATION’S NEAR 50-YEAR HISTORY, HHI HAS PRIORITIZED THE DELIVERY OF ACCESSIBLE, COMPREHENSIVE, MULTI-DISCIPLINARY CARE. TO THIS END, HHI’S 323-MEMBER TEAM INCLUDES 14 PHYSICIANS, 21 NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS, 9 DENTISTS, 7 DENTAL HYGIENISTS, 9 LICENSED CLINICAL SOCIAL WORKERS, AND 14 PHARMACISTS. HHI REQUESTS $650,000 IN FEDERAL FUNDING OVER A PROJECT PERIOD OF TWO YEARS TO LAUNCH PROACTIVE MOBILE HIV PREVENTION SERVICES TO DECREASE THE RISK OF HIV TRANSMISSION. RESOURCES FOR HIV DIAGNOSIS, TREATMENT, PREVENTION, AND RESPONSE ARE LIMITED WITHIN THE STATE, ESPECIALLY IN RURAL COMMUNITIES ACROSS EASTERN KENTUCKY. HHI PROPOSES TO UTILIZE GRANT FUNDING TO IMPLEMENT A MOBILE HIV TESTING PROGRAM TO PROVIDE INCREASED ACCESS TO TESTING AND COUNSELING, EDUCATION AND PREVENTIVE PRE-EXPOSURE PROPHYLAXIS (PREP) RESOURCES, AND CONNECTION TO AND NAVIGATION OF HIV CARE AND TREATMENT OPTIONS. GRANT DOLLARS WILL SUPPORT THE PROCUREMENT OF A MOBILE CLINIC (VAN) FROM WHICH THE WORK WILL BE CONDUCTED, ONE FTE PROVIDER, NURSE, AND COMMUNITY HEALTH WORKER, ALONG WITH EDUCATIONAL TRAININGS, THE EXPENSE OF CONTRACTED PROGRAM SERVICES, AND EQUIPMENT/SUPPLIES TO SUPPORT THE PROJECT. PROVIDING MOBILE ACCESS TO SERVICES IN RURAL COMMUNITIES WILL ELIMINATE BARRIERS TO CARE RURAL PATIENTS TYPICALLY EXPERIENCE AND WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV, PRESCRIBED PREP, AND PROVIDED TIMELY LINKAGE TO HIV CARE AND TREATMENT. HEALTH & HUMAN SERVICES HAS IDENTIFIED THE ENTIRE STATE OF KENTUCKY AS AN HIV HOT SPOT AND A TARGETED GEOGRAPHIC LOCATION. PARTICULARLY OF CONCERN ARE THE DENSE DRUG USER NETWORKS. (KENTUCKY PUBLIC HEALTH, NOV. 2019). NEW HIV DIAGNOSES IN KENTUCKY ARE MORE LIKELY TO BE ATTRIBUTED TO INJECTION DRUG USE (IDU), WITH A GREATER PERCENT OF POSITIVE CASES ATTRIBUTED TO IDU OR MALE-TO-MALE SEXUAL CONTACT AND IDU THAN SEEN NATIONALLY (HIV.GOV, APR. 2020). GIVEN THE SIGNIFICANT BURDEN OF DISEASE EXPERIENCED ACROSS THE STATE AND LACK OF HIV RESOURCES AVAILABLE, HHI’S TARGET POPULATION FOR THE PROPOSED PROJECT IS RURAL KENTUCKIANS ACROSS HHI’S SERVICE AREA, WHICH FALLS ENTIRELY WITHIN THE TARGETED GEOGRAPHIC LOCATION. HHI IS FIERCELY COMMITTED TO MEETING HEALTH CARE NEEDS ACROSS OUR COMMUNITIES. OUR ORGANIZATION KNOWS THE IMPORTANCE OF PREVENTION AND EARLY DETECTION AND HOW VITAL THESE ACTIONS ARE IN REDUCING THE RISK OF HIV TRANSMISSION. WE LOOK FORWARD TO PROVIDING MUCH NEEDED ACCESS TO CARE IN RURAL KENTUCKY.

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HEALTH HELP, INC. (HHI), HEALTH CENTER PROGRAM GRANT NUMBER H80CS00459, WAS FOUNDED IN 1973 BY PHILIP CURD, A YOUNG KENTUCKY DOCTOR WHO WANTED TO USE HIS MEDICAL TRAINING TO SERVE THE KENTUCKIANS MOST IN NEED. HEALTH HELP NOW OPERATES 10 COMMUNITY HEALTH CENTERS (8 FIXED CLINIC LOCATIONS AND 2 MOBILE SITES) IN JACKSON, MADISON, ESTILL, ROCKCASTLE, AND GARRARD COUNTIES, KENTUCKY. HHI PRIORITIZES THE DELIVERY OF COMPREHENSIVE, MULTI-DISCIPLINARY PRIMARY HEALTH SERVICES THROUGH SKILLED, INNOVATIVE CARE TEAMS. THE ORGANIZATION’S ROBUST PROVIDER TEAM INCLUDES 14 PHYSICIANS, 22 NURSE PRACTITIONERS, 2 PHYSICIAN ASSISTANTS, 10 DENTISTS, 7 DENTAL HYGIENISTS, 15 PHARMACISTS, AND 14 BEHAVIORAL HEALTH PROVIDERS. HHI CURRENTLY EMPLOYS OVER 340 HEALTH PROFESSIONALS COMMITTED TO ENHANCING HEALTH IN THE SERVICE AREA. HHI REQUESTS A TOTAL OF $1,100,000 IN FEDERAL FUNDING ($600,000 IN YEAR 1; $500,000 IN YEAR 2) TO SUPPORT THE EXPANSION OF BEHAVIORAL HEALTH AND SUD/MOUD SERVICES OFFERED BY THE HEALTH CENTER. HHI HAS BEEN PROVIDING BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE FOR MORE THAN 20 YEARS AND INCORPORATED MOUD SERVICES INTO PRIMARY CARE IN 2019. THE VOLUME OF PATIENTS IN NEED OF BEHAVIORAL HEALTH AND SUD CARE HAS CONTINUED TO INCREASE IN THE SERVICE AREA, AND THE INTERVENTION REQUIRED TO STABILIZE THE MENTAL HEALTH AND SUBSTANCE USE DISORDER NEEDS OF THIS POPULATION HAS INTENSIFIED. PATIENTS IN THE SERVICE AREA SEEKING CARE FOR MENTAL HEALTH AND SUD NEEDS ARE OFTEN FACED WITH FRAGMENTED OR INCONSISTENT SERVICE DELIVERY SYSTEMS AND HAVE DIFFICULTY NAVIGATING BARRIERS WITHIN THE SYSTEMS OF CARE, PARTICULARLY AT THE POINT OF CRISIS. AS AN ORGANIZATION THAT PRIORITIZES LOW BARRIER ACCESS AND FULLY INTEGRATED PRIMARY CARE, HHI HAS CONTINUED TO ATTEMPT TO MEET THESE NEEDS WITHIN THE EXISTING HEALTH CENTER STRUCTURE. HOWEVER, THE ACUTE NEEDS OF THIS POPULATION HAVE OVERWHELMED THE ORGANIZATION’S ABILITY TO EFFECTIVELY MEET THEIR NEEDS WHILE ENSURING CONTINUE D ACCESS TO COMPREHENSIVE SERVICES FOR THE GENERAL PRIMARY CARE POPULATION. THE RECOGNITION THAT ACCESS TO CARE MUST OCCUR QUICKLY WHEN A PERSON WHO HAS BEEN STRUGGLING WITH SUD DECIDES TO SEEK TREATMENT CREATES MORAL DISTRESS FOR PROVIDERS AND CARE TEAMS WHO ARE ALREADY OVERWHELMED WITH LARGE VOLUMES OF COMPLEX CHRONICALLY ILL PATIENTS HHI WILL USE BEHAVIORAL HEALTH SERVICE EXPANSION FUNDING TO HIRE A PSYCHIATRIST, A DUALLY CERTIFIED FNP/PMHNP, AND A BEHAVIORAL HEALTH PROVIDER TO INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUD/MOUD TREATMENT. BUILDING ADDITIONAL BH/SUD CAPACITY WITHIN THE ORGANIZATION WILL ALLEVIATE SOME OF THE PRESSURE OF MANAGING COMPLEX BEHAVIORAL HEALTH AND SUD NEEDS IN PRIMARY CARE. FURTHERMORE, THE SCHEDULES OF THIS EXPANDED CARE TEAM WILL BE INTENTIONALLY DESIGNED TO FACILITATE SAME DAY/NEXT DAY ACCESS TO CLINICAL ASSESSMENT AND TREATMENT WHICH REDUCES THE PRESSURE ON THE PRIMARY CARE TEAM TO RESPOND TO CRISES WHEN THEIR SCHEDULES ARE ALREADY FULLY SCHEDULED. WITH THIS FUNDING, HHI WILL ALSO INITIATE LOW BARRIER ACCESS TO CRISIS CARE COORDINATION, INCLUDING ACUTE ACCESS TO MEDICATION MANAGEMENT, COUNSELING, AND RESOURCE NAVIGATION TO ADDRESS THE BARRIERS TO CARE CAUSED BY SOCIAL RISK FACTORS. HHI WILL BUILD ON ITS EXISTING EXPERTISE IN PROVIDING PEER RECOVERY SUPPORT BY UTILIZING A PEER SUPPORT SPECIALIST TO INCREASE THE NUMBER OF PATIENTS RECEIVING SUD/MOUD RECOVERY SUPPORT. HHI WILL INCORPORATE THESE SERVICES INTO THE ORGANIZATION’S HIGHEST VOLUME SERVICE DELIVERY SITE LOCATED IN RICHMOND, MADISON COUNTY, KENTUCKY. YEAR ONE GRANT FUNDS WILL ALSO SUPPORT MINOR A/R AT THIS SITE TO ACCOMMODATE THE EXPANDED CARE TEAM. HHI FULLY EMBRACES THE HEALTH CENTER MODEL OF PROVIDING COMPREHENSIVE, LOW BARRIER CARE FOR THE MOST VULNERABLE MEMBERS OF THE COMMUNITY. HHI LOOKS FORWARD TO USING THIS FUNDING OPPORTUNITY TO EXPAND THE ORGANIZATION’S CAPACITY TO ADDRESS THE MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT NEEDS IN O UR COMMUNITIES.

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CARE AND OTHER FACILITIES

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM