Kentucky Mountain Health Alliance Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (KMHA) WAS CREATED IN 2005 BY A GROUP OF COMMUNITY HEALTHCARE AND SOCIAL SERVICE PARTNERS WHO HAD A SIMILAR MISSION TO CREATE A HEALTHCARE SAFETY NET FOR THE UNDERSERVED OR AT-RISK FOR HOMELESSNESS POPULATION. KMHA IS PROACTIVE IN OUR EFFORT TO PROTECT THE HEALTH AND THE DELIVERY OF ESSENTIAL HUMAN SERVICES TO THE HOMELESS OR THOSE AT RISK, ESPECIALLY FOR THOSE WHO ARE LEAST ABLE TO HELP THEMSELVES. KMHA HAS BEEN OPERATING THE PERRY COUNTY HCH PROGRAM SINCE 2006. WE HAVE ONE PERMANENT SERVICE DELIVERY SITE, LITTLE FLOWER CLINIC LOCATED AT 279 EAST MAIN STREET, HAZARD, KY IN THE HEART OF PERRY COUNTY, KENTUCKY AND ONE MOBILE MEDICAL CLINIC THAT TRAVELS TO THE FAR OUTREACH PLACES WITHIN PERRY COUNTY, KENTUCKY. KMHA BELIEVES IN THE IMPORTANCE OF A HOLISTIC APPROACH TO HEALTH (I.E. ATTENDING TO THE PHYSICAL, SPIRITUAL, MENTAL, CULTURAL, EMOTIONAL AND SOCIAL WELLBEING) AND THEIR ROLE IN CONTRIBUTING TO HEALTH OUTCOMES FOR THE HOMELESS POPULATION; INCLUDING THE ENVIRONMENTAL DETERMINANTS OF HEALTH SUCH AS FOOD, WATER, HOUSING AND UNEMPLOYMENT; INCLUDING THE SOCIAL DETERMINANTS OF HEALTH AND WELLBEING, OR SOCIOECONOMIC CONDITIONS (E.G., CONCENTRATED POVERTY AND THE STRESSFUL CONDITIONS THAT ACCOMPANY IT). TO ADDRESS THE NEED FOR HIV PREVENTION SERVICES AMONG THE HOMELESS POPULATION, KMHA WILL SEEK TO 1) DIAGNOSE ALL PATIENTS WITH HIV AS EARLY AS POSSIBLE AFTER TRANSMISSION; 2) TREAT PATIENTS WITH HIV RAPIDLY AND EFFECTIVELY TO REACH SUSTAINED VIRAL SUPPRESSION; 3) PREVENT NEW HIV TRANSMISSION BY USING PROVEN INTERVENTIONS, INCLUDING PRE-EXPOSURE PROPHYLAXIS (PREP) AND SYRINGE SERVICES PROGRAMS (SSPS); AND 4) RESPOND QUICKLY TO POTENTIAL HIV OUTBREAKS TO GET NEEDED PREVENTION AND TREATMENT SERVICES TO THE PATIENTS WHO NEED THEM. KMHA PROVIDES A FULL ARRAY OF QUALITY MEDICAL, BEHAVIORAL, AND ORAL HEALTH CARE, AS WELL AS CHRONIC DISEASE CASE MANAGEMENT, TRANSPORTATION, OUTREACH AND AN OVERALL IMPROVED EXPERIENC E FOR PATIENTS AND THEIR FAMILIES IN WAYS THAT DEMONSTRATE OUR COMMITMENT TO RURAL HEALTH CARE. WE BELIEVE THAT SERVICES MUST, AS FAR AS POSSIBLE, BE WELL-INTEGRATED, COORDINATED AND ADDRESS THE CONTINUITY OF CARE, PARTICULARLY FOR THOSE WITH COMPLEX, CHRONIC HEALTH CONDITIONS. PER LATEST UDS REPORT IN 2020, KMHA PROVIDED 2,888 PATIENTS WITH 5,023 MEDICAL ENCOUNTERS, 2,507 DENTAL ENCOUNTERS,1,489 MENTAL HEALTH ENCOUNTERS,492 SUBSTANCE USE DISORDER ENCOUNTERS, AND 7,070 ENABLING ENCOUNTERS. BY THE END OF PROJECT PERIOD ENDING 2024, KMHA PROJECTS TO SERVE 100% OF THE SAAT PATIENT TARGET OF 2,842 HOMELESS USERS IN PERRY COUNTY AND ITS SURROUNDING COUNTIES. WE PROPOSE TO INCREASE THE NUMBER OF PATIENTS BEING COUNSELED AND TESTED FOR HIV; INCREASE THE NUMBER PRESCRIBED PREP; AND LINK THEM TO EARLY TREATMENT WITHIN THIRTY DAYS OF DIAGNOSIS. WORKING TOGETHER WITH A NETWORK OF AGENCIES, WE CAN MAKE A DIFFERENCE IN OUR QUEST TO END THE HIV EPIDEMIC.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT DIRECTOR NAME: ELLEN VANCE, CEO CONTACT PHONE NUMBER: 606-487-9505 OR FAX: 606-436-0071 CONTACT EMAIL ADDRESS: ELLEN@KYMHA.ORG WEBSITE: HTTPS://WWW.KYMHA.COM HEALTH CENTER PROGRAM GRANT NUMBER: H80CS07772 ADDRESS: 279 E MAIN ST., HAZARD, KY 41701 KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (KMHA) WAS ESTABLISHED IN 2005 BY A GROUP OF COMMUNITY HEALTHCARE AND SOCIAL SERVICE PARTNERS WHO HAD A SIMILAR MISSION TO CREATE A HEALTHCARE SAFETY NET FOR THE UNDERSERVED OR AT-RISK FOR HOMELESSNESS POPULATION. KMHA HAS BEEN OPERATING THE PERRY COUNTY HEALTHCARE FOR THE HOMELESS (HCH) PROGRAM SINCE 2006, OFFERING SERVICES AT ONE PERMANENT SITE LOCATION, LITTLE FLOWER CLINIC. IN 2022, KMHA SERVED A TOTAL OF 2,952 UNDUPLICATED PATIENTS. OVER 90% OF THE PATIENT POPULATION IS WHITE AND A MAJORITY OF PATIENTS LIVE IN THE RURAL COMMUNITY. APPROXIMATELY 41% OF THE KMHA PATIENTS ARE UNINSURED. KMHA, WITH THE RECENT PARTNERSHIP WITH QUANTUM HEALTHCARE ASSOCIATES (A LOCAL RURAL HEALTH CLINIC), NOW OPERATES 2 SITES PLUS THE MOBILE MEDICAL UNIT TO PROVIDE CARE TO POPULATIONS EXPERIENCING SOCIAL DETERMINANTS OF HEALTH (SDOH). IN 2023, KMHA SERVED A TOTAL OF 11,238 UNDUPLICATED PATIENTS ACROSS BOTH SITES. THE SERVICE AREA IS HOME TO NEARLY 77,000 PERSONS, 41,000 WHICH ARE LOW-INCOME. KMHA’S ROBUST BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER PROGRAM, PROVIDED DIRECTLY THROUGH THE FQHC, PROVIDES VARIOUS SUPPORT FOR A RURAL COMMUNITY THAT IS GREATLY IMPACTED BY HIGH RATES OF MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDER. KMHA MAT PRESCRIBERS PRESCRIBE SCHEDULE III, IV, AND V CONTROLLED SUBSTANCES AND FDA-APPROVED MEDICATIONS TO TREAT PATIENTS DURING MEDICALLY SUPERVISED OPIOID WITHDRAWAL OR OUD MAINTENANCE TREATMENT. REFERRALS FOR THE PROGRAM ARE ACCEPTED FROM A VARIETY OF SOURCES INCLUDING PRIMARY CARE PRESCRIBERS, NEEDLE SYRINGE EXCHANGE PROGRAMS, HOSPITAL EMERGENCY ROOMS, INPATIENT UNITS, JAILS, DRUG COURT AND SELF-REFERRALS. BEFORE LEAVING THE CLINIC, EACH PATIENT RECEIVES EDUCATION ON OVERDOSE PREVENTION AND A PRESCRIPTION FOR NALOXONE. KMHA REQUIRES ACTIVE PATIENTS TO COMPLETE MENTAL HEALTH AND SUBSTANCE USE DISORDER COUNSELING AT LEAST TWO TIMES PER MONTH. AS PART OF A COMPREHENSIVE APPROACH TO REDUCING RISK FOR PEOPLE STRUGGLING WITH OPIOID ABUSE, KMHA HAS INCREASED AWARENESS OF THE APPROPRIATE USE OF VIVITROL THROUGH PATIENT, FAMILY, COMMUNITY, AND PERSONNEL TRAINING. THE HEALTH CENTER HAS JOINED THE NATIONAL ALLIANCE ON MENTAL ILLNESS, THE NATION'S LARGEST GRASSROOTS MENTAL HEALTH ORGANIZATION DEDICATED TO IMPROVING THE LIVES OF INDIVIDUALS WITH MENTAL ILLNESS. KMHA HAS A HANDICAPPED ACCESSIBLE VAN AND OPERATES A FULL-SERVE MOBILE UNIT TO FACILITATE PATIENT ACCESS IN PERRY COUNTY, KENTUCKY TO SUBSTANCE USE DISORDER AND MENTAL HEALTH SERVICES. PROJECT ACTIVITIES INCLUDE: - LEVERAGING COMMUNITY PARTNERSHIPS TO BETTER SERVE UNDERSERVED POPULATIONS (THOSE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM, WHO ARE UNINSURED, WHO ARE HOMELESS); - INTEGRATING PRIMARY CARE AND BEHAVIORAL HEALTH, CONDUCTING ASSESSMENTS AND CONNECTING CLIENTS WITH PEER SUPPORT SPECIALISTS TO EXPAND ACCESS TO SUPPORTIVE SERVICES; - GO BEYOND PROVIDING MEDICAL CARE BY ADDRESSING SOCIAL DRIVERS OF HEALTH THROUGH COMMUNITY COLLABORATIONS (HOUSING INSECURITY, FOOD INSECURITY, FINANCIAL STRAIN); - EXPAND THE ROLE OF PRIMARY CARE PROVIDERS IN THE USE OF FDA-APPROVED MEDICATIONS FOR TREATMENT OF OPIOID USE DISORDER THROUGH TRAINING AND EDUCATION; - HIRE ADDITIONAL BEHAVIORAL HEALTH STAFF TO EXPAND ACCESS, MEET THE GROWING DEMAND; - BROADEN THE USE OF MOBILE SERVICES ACROSS KMHA SITES. PROGRAM GOALS TO BE ACHIEVED VIA THE PROJECT ACTIVITIES LISTED ABOVE INCLUDE: - INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES; AND - INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD).

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - PROJECT DIRECTOR NAME: ELLEN VANCE, CEO CONTACT PHONE NUMBER: 606-487-9505 OR FAX: 606-436-0071 CONTACT EMAIL ADDRESS: ELLEN@KYMHA.ORG WEBSITE: HTTPS://WWW.KYMHA.COM HEALTH CENTER PROGRAM GRANT NUMBER: H80CS07772 ADDRESS: 279 E MAIN ST., HAZARD, KY 41701 KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC. (KMHA) WAS ESTABLISHED IN 2005 BY A GROUP OF COMMUNITY HEALTHCARE AND SOCIAL SERVICE PARTNERS WHO HAD A SIMILAR MISSION TO CREATE A HEALTHCARE SAFETY NET FOR THE UNDERSERVED OR AT-RISK FOR HOMELESSNESS POPULATION. KMHA HAS BEEN OPERATING THE PERRY COUNTY HEALTHCARE FOR THE HOMELESS (HCH) PROGRAM SINCE 2006, OFFERING SERVICES AT ONE PERMANENT SITE LOCATION, LITTLE FLOWER CLINIC. IN 2022, KMHA SERVED A TOTAL OF 2,952 UNDUPLICATED PATIENTS. OVER 90% OF THE PATIENT POPULATION IS WHITE AND MANY PATIENTS LIVE IN THE RURAL COMMUNITY. APPROXIMATELY 41% OF THE KMHA PATIENTS ARE UNINSURED. KMHA, WITH THE RECENT PARTNERSHIP WITH QUANTUM HEALTHCARE ASSOCIATES (A LOCAL RURAL HEALTH CLINIC), NOW OPERATES 2 SITES PLUS THE MOBILE MEDICAL UNIT TO PROVIDE CARE TO POPULATIONS EXPERIENCING SOCIAL DETERMINANTS OF HEALTH (SDOH). IN 2023, KMHA SERVED A TOTAL OF 11,238 UNDUPLICATED PATIENTS ACROSS BOTH SITES. THE SERVICE AREA IS HOME TO NEARLY 77,000 PERSONS, 41,000 WHICH ARE LOW-INCOME. KMHA’S ROBUST BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER PROGRAM PROVIDES VARIOUS SUPPORTS FOR A RURAL COMMUNITY THAT IS GREATLY IMPACTED BY HIGH RATES OF MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDER. THE HEALTH CENTER HAS A STRONG PARTNERSHIP WITH THE KENTUCKY RIVER REGIONAL JAIL, PROVIDING MAT SERVICES TO THOSE WHO ARE INCARCERATED AND SUPPORTING PERSONS BEFORE THEIR REENTRY AND AFTER THEIR REENTRY INTO THE COMMUNITY. ON-SITE AT THE HEALTH CENTER, KMHA MAT PRESCRIBERS PRESCRIBE SCHEDULE III, IV, AND V CONTROLLED SUBSTANCES AND FDA-APPROVED MEDICATIONS TO TREAT PATIENTS DURING MEDICALLY SUPERVISED OPIOID WITHDRAWAL OR OUD MAINTENANCE TREATMENT. REFERRALS FOR THE PROGRAM ARE ACCEPTED FROM A VARIETY OF SOURCES INCLUDING PRIMARY CARE PRESCRIBERS, NEEDLE SYRINGE EXCHANGE PROGRAMS, HOSPITAL EMERGENCY ROOMS, INPATIENT UNITS, JAILS, DRUG COURT AND SELF-REFERRALS. BEFORE LEAVING THE CLINIC, EACH PATIENT RECEIVES EDUCATION ON OVERDOSE PREVENTION AND A PRESCRIPTION FOR NALOXONE. KMHA REQUIRES ACTIVE PATIENTS TO COMPLETE MENTAL HEALTH AND SUBSTANCE USE DISORDER COUNSELING AT LEAST TWO TIMES PER MONTH. AS PART OF A COMPREHENSIVE APPROACH TO REDUCING RISK FOR PEOPLE STRUGGLING WITH OPIOID ABUSE, KMHA HAS INCREASED AWARENESS OF THE APPROPRIATE USE OF VIVITROL THROUGH PATIENT, FAMILY, COMMUNITY, AND PERSONNEL TRAINING. KMHA OPERATES A MOBILE UNIT THAT CAN BE USED ON SITE, IN PARTNERSHIP WITH THE JAIL, TO REDUCE BARRIERS IN PROVIDING MEDICAL CARE SERVICES. KMHA WILL FOCUS ON ADDRESSING THE FOLLOWING CRITICAL HEALTH NEEDS AND CASE MANAGEMENT SERVICES, PROVIDING SERVICES BOTH IN PERSON (VIA MOBILE UNIT) AND VIA TELEHEALTH, WHERE APPLICABLE. CRITICAL HEALTH NEEDS: MANAGING CHRONIC CONDITIONS, PREVENTION, SCREENING, DIAGNOSIS AND TREATMENT OF HIV, REDUCING RISK OF DRUG OVERDOSE, ADDRESSING MENTAL HEALTH AND SUD TREATMENT NEEDS AND CASE MANAGEMENT SERVICES: FOOD INSECURITY, LACK OF TRANSPORTATION, HOUSING INSECURITY, AND FINANCIAL STRAIN. IN PARTNERSHIP WITH KENTUCKY RIVER REGIONAL MEDICAL CENTER, KMHA WILL PROVIDE THE FOLLOWING TO SUPPORT TRANSITIONS IN CARE TO JI-R INDIVIDUALS WITHIN THE HEALTH CENTER’S SCOPE DURING THE 90-DAY PERIOD BEFORE THEIR RELEASE FROM INCARCERATION: - CARE COORDINATION TO FACILITATE CONTINUITY OF CARE; - HEALTH EVALUATIONS TO IDENTIFY ACUTE AND CHRONIC PHYSICAL HEALTH AND BEHAVIORAL HEALTH NEEDS; - SCREENING AND TREATMENT FOR COMMUNICABLE DISEASES, INCLUDING HIV; - PRIMARY HEALTH SERVICES; - BEHAVIORAL HEALTH, INCLUDING INITIATION AND CONTINUATION MAT AND PEER RECOVERY SUPPORT; AND - RECOMMENDATIONS AND REFERRALS FOR POST-RELEASE CARE, INCLUDING SUD TREATMENT.

ARRA - CAPITAL IMPROVEMENT PROGRAM

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY FACILITY

FY 2023 BRIDGE ACCESS PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM