Cherokee Health Systems

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

THRIVE: AN INTEGRATED, DEVELOPMENTAL CONTINUUM OF CARE FOR YOUTHAND THEIR CAREGIVERS: SCREENING, REFERRAL, TREATMENT AND TRAINING - TITLE: THRIVE: AN INTEGRATED, DEVELOPMENTAL CONTINUUM OF CARE FOR YOUTH AND THEIR CAREGIVERS: SCREENING, REFERRAL, TREATMENT AND TRAINING THE POPULATION OF FOCUS FOR CHEROKEE HEALTH SYSTEMS’ (CHS) PROJECT IS CHILDREN FROM BIRTH THROUGH AGE 18 AND THEIR CAREGIVERS WHO ARE UNDERSERVED, UNINSURED, UNDERINSURED, AND/OR FROM MINORITY OR MARGINALIZED POPULATIONS. PROPOSED SCREENING, INTERVENTION, AND TRAINING COMPONENTS ARE DESIGNED TO IMPROVE THE COMPREHENSIVENESS OF CARE AND FACILITATE EARLY INTERVENTION WITH YOUTH AND FAMILIES WHO ARE AT HIGHEST RISK FOR MENTAL HEALTH DISORDERS. 86% OF CHS PATIENTS IN THE POPULATION OF FOCUS HAVE TENNCARE INSURANCE COVERAGE OR ARE UNINSURED (PROXY MEASURES OF POVERTY). THE PROJECT WILL BE IMPLEMENTED IN 10 CLINICS LOCATED IN ANDERSON, BLOUNT, KNOX, HAMBLEN, LOUDON, AND SEVIER COUNTIES IN TENNESSEE, AND BY SCHOOL-BASED BEHAVIORAL HEALTH PROVIDERS IN ANDERSON, BLOUNT, KNOX, AND SEVIER COUNTIES. OVERALL GOALS ARE TO IMPROVE BEHAVIORAL HEALTH OUTCOMES, INCREASE ACCESS TO THE FULL CONTINUUM OF BEHAVIORAL HEALTH SERVICES, AND INCREASE WORKFORCE CAPACITY TO EFFECTIVELY TREAT YOUTH. MEASURABLE OBJECTIVES INCLUDE INCREASES IN PREVENTIVE SCREENINGS, REFERRALS, AND EARLY INTERVENTIONS AS WELL AS EXPANSIONS TO WRAP-AROUND SERVICES FOR AT-RISK YOUTH, AND TRAINING PROGRAMS TO IMPROVE PROVIDER COMPETENCE IN THE UTILIZATION OF EVIDENCE-BASED PRACTICES TO TREAT YOUTH AND THEIR CAREGIVERS. CHS WILL STRENGTHEN ITS ROBUST TELEHEALTH INFRASTRUCTURE, PROVIDE TRAUMA-INFORMED SCREENING AND CARE, IMPLEMENT EVIDENCE-BASED PRACTICES, ENHANCE CLINICAL RECOVERY SUPPORT SERVICES, AND PROVIDE PROFESSIONAL DEVELOPMENT TRAINING FOR BEHAVIORAL HEALTH PROVIDERS; ALL PROPOSED COMPONENTS AIM TO IMPROVE PATIENT OUTCOMES VIA ENHANCED PROVIDER EXPERTISE, COORDINATION OF CARE, THE EARLY IDENTIFICATION OF MENTAL HEALTH NEEDS, APPROPRIATE REFERRALS TO INTERVENTION AND TREATMENT, AND THE USE OF EVIDENCE-BASED APPROACHES TO EFFECTIVELY TREAT MENTAL HEALTH NEEDS. IN EACH YEAR OF FUNDING, CHS PROPOSES TO SERVE 400 UNDUPLICATED INDIVIDUALS.

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

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

CAPITAL DEVELOPMENT

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - PROJECT TITLE: TRANSITION: JUSTICE INVOLVEMENT TO COMMUNITY INTEGRATION CONTACT PHONE NUMBER: 865-765-0304 CONTACT EMAIL ADDRESS: PARINDA.KHATRI@CHEROKEEHEALTH.COM HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00309 WEBSITE: HTTPS://WWW.CHEROKEEHEALTH.COM ADDRESS: 2018 WESTERN AVE CITY & STATE: KNOXVILLE, TN 37921-5718 THE MISSION OF CHEROKEE HEALTH SYSTEMS (CHS) IS TO ENHANCE THE HEALTH AND WELL-BEING OF EAST TENNESSEE RESIDENTS BY PROVIDING HIGH-QUALITY, INTEGRATED, COMPREHENSIVE, EQUITABLE, AND PERSON- CENTERED CARE FOR ALL. CHS HAS 19 BRICK AND MORTAR CLINICS, A MOBILE CLINIC, AND 18 SCHOOL-BASED SITES. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CHS OFFERS FAMILY PRACTICE, OB-GYN, PEDIATRICS, DENTAL, VISION, PHARMACEUTICAL SERVICES, OPTOMETRY, CARDIOLOGY, DERMATOLOGY, PSYCHIATRY AND A VARIETY OF BEHAVIORAL HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. IN 2023, CHS SERVED 65,960 UNDUPLICATED PATIENTS. AS A LEADER AMONG COMMUNITY HEALTH CENTERS, CHS RECOGNIZES THE MULTIFACETED CHALLENGES FACING JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R) FROM THE CARCERAL SYSTEM IN KNOX COUNTY, TENNESSEE AND IS COMMITTED TO STRENGTHENING TRANSITIONS INTO CARE FOR THIS POPULATION. CHS WILL ADDRESS POST-RELEASE CRITICAL HEALTH NEEDS, INCLUDING MANAGING CHRONIC CONDITIONS, REDUCING RISK FOR DRUG OVERDOSE, ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT NEEDS, AND SCREENING, DIAGNOSIS AND TREATMENT OF HCV, HIV, AND OTHER INFECTIOUS DISEASES. CHS WILL ALSO OFFER INTENSIVE CARE NAVIGATION, AS INDICATED, FOR THE FIRST 120 DAYS AFTER RELEASE TO PROVIDE INDIVIDUALLY TAILORED SUPPORT TO ASSURE SUCCESSFUL REINTEGRATION INTO THE COMMUNITY. THESE INTENSIVE NAVIGATION SERVICES WILL INCLUDE COLLABORATION WITH A NUMBER OF COMMUNITY PARTNERS TO ADDRESS HEALTH RELATED SOCIAL NEEDS, INCLUDING HOUSING INSECURITY, FOOD INSECURITY, FINANCIAL STRAIN, LACK OF TRANSPORTATION, AND INTIMATE PARTNER VIOLENCE. CHS WILL PARTNER WITH THE KNOX COUNTY SHERIFF’S OFFICE, A COMMUNITY MENTAL HEALTH CENTER’S CRIMINAL JUSTICE LIAISON (CJL) PROGRAM, AND THE LOCAL PUBLIC DEFENDER’S OFFICE TO COORDINATE TRANSITIONS IN CARE WITH HEALTHCARE PROVIDERS AS JUSTICE-INVOLVED INDIVIDUALS PREPARE FOR AND REENTER THE COMMUNITY. CHS WILL ALSO PARTNER WITH THESE COMMUNITY-BASED ORGANIZATIONS TO MEET JI-R SOCIAL NEEDS: VOCATIONAL REHABILITATION, KNOXVILLE FAMILY JUSTICE CENTER, AND LEGAL AID OF EAST TENNESSEE. OTHER PROGRAM ACTIVITIES WILL INCLUDE THE PROVISION OF: - HEALTH EVALUATION(S) TO IDENTIFY ACUTE AND CHRONIC PHYSICAL HEALTH, BEHAVIORAL HEALTH, OR ORAL HEALTH NEEDS AND CARE COORDINATION. - PRIMARY HEALTH SERVICES INCLUDING DIAGNOSIS, TREATMENT, AND MEDICATION MANAGEMENT. - IMMUNIZATIONS. - BEHAVIORAL HEALTH SERVICES AND PEER RECOVERY SUPPORT, ALONG WITH MAT/MOUD. - SCREENING AND TREATMENT FOR INFECTIOUS DISEASES SUCH AS HIV, HCV AND STIS. - CASE MANAGEMENT SERVICES CONNECTING J-IR INDIVIDUALS WITH FEDERAL, STATE AND LOCAL BENEFITS PROGRAMS TO ADDRESS CRITICAL HEALTH AND HEALTH-RELATED NEEDS. - OBSTETRICAL AND GYNECOLOGICAL CARE, INCLUDING PRENATAL AND POSTPARTUM CARE. - VOLUNTARY FAMILY PLANNING. - PHARMACEUTICAL SERVICES INCLUDING MEDICATION MANAGEMENT. THROUGH HRSA QIF-TJI FUNDING, CHS WILL INCREASE THE NUMBER OF JI-R INDIVIDUALS WHO: - RECEIVE WRAPAROUND SUPPORT FROM CHS AND COMMUNITY ORGANIZATIONS POST-INCARCERATION. - RECEIVE IN-SCOPE HEALTH CENTER SERVICES POST-INCARCERATION. - ARE ENROLLED IN ELIGIBLE LOCAL, STATE, AND FEDERAL BENEFITS PROGRAMS POST-INCARCERATION.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT DIRECTOR NAME: DONNA GIBSON, RN CONTACT PHONE NUMBER: 1-865-544-0406 CONTACT EMAIL ADDRESS: DONNA.GIBSON@CHEROKEEHEALTH.COM WEBSITE: HTTPS://WWW.CHEROKEEHEALTH.COM HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00309 ADDRESS: 2018 WESTERN AVE CITY & STATE: KNOXVILLE, TN 37921-5718 THE MISSION OF CHEROKEE HEALTH SYSTEMS (CHS) IS TO ENHANCE THE HEALTH AND WELL-BEING OF EAST TENNESSEE RESIDENTS BY PROVIDING HIGH-QUALITY, INTEGRATED, COMPREHENSIVE, EQUITABLE, AND PERSON-CENTERED CARE FOR ALL. CHS HAS 19 BRICK AND MORTAR CLINICS, A MOBILE CLINIC, AND 18 SCHOOL-BASED SITES. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CHS OFFERS FAMILY PRACTICE, OB-GYN, PEDIATRICS, DENTAL, VISION, PHARMACEUTICAL SERVICES, OPTOMETRY, CARDIOLOGY, DERMATOLOGY, PSYCHIATRY AND A VARIETY OF BEHAVIORAL HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY. IN 2023, CHS SERVED 65,960 UNDUPLICATED PATIENTS. CHS DOES NOT OFFER MAT OUD WITH PRIMARY CARE AT MANY OF CHS’S RURAL SITES. THERE IS A HUGE NEED TO EXPAND MAT WITH PRIMARY CARE IN RURAL COUNTIES IN TENNESSEE. WE WILL BE ADDING SERVICES AT FOUR PRIMARY CARE SERVICES DELIVERY SITES. CURRENTLY PATIENTS MUST TRAVEL ALL THE WAY TO KNOXVILLE, TN FOR SERVICES. CHS OFFERS COMPREHENSIVE BEHAVIORAL HEALTH SERVICES DESIGNED TO SUPPORT INDIVIDUALS AND THEIR FAMILIES AT EVERY STAGE OF LIFE. CHS UNDERSTANDS THAT DIFFERENT AGE GROUPS HAVE UNIQUE NEEDS AND ENSURES THAT SERVICES ARE TAILORED TO SPECIFIC DEVELOPMENTAL STAGES THROUGH PATIENT-CENTERED TREATMENT PLANNING. BEHAVIORAL HEALTH SERVICES ARE OFFERED AT ALL CLINICAL LOCATIONS AS NOTED IN FORM 5B. SPECIALIZED BEHAVIORAL HEALTH SERVICES ACROSS THE LIFESPAN INCLUDE: - AGES 0-5: EARLY CHILDHOOD SUPPORT – BEHAVIORAL AND DEVELOPMENTAL MILESTONE ASSESSMENTS, PARENTING SUPPORT, PLAY THERAPY, PARENT-CHILD INTERACTION THERAPY (PCIT) - AGES 6-12: CHILDREN – INDIVIDUAL AND FAMILY THERAPY, PLAY THERAPY, PSYCHIATRIC SERVICES, CRISIS INTERVENTION - AGES 13-18: ADOLESCENT – INDIVIDUAL AND FAMILY THERAPY, SUBSTANCE USE COUNSELING, CRISIS INTERVENTION, SEXUAL HEALTH COUNSELING, PSYCHIATRIC SERVICES - AGES 18 AND ABOVE – INDIVIDUAL, COUPLES, AND GROUP THERAPY, PSYCHIATRIC SERVICES, SEXUAL HEALTH COUNSELING, MEDICATION ASSISTED TREATMENT, SUBSTANCE USE COUNSELING CHS WILL LEVERAGE HRSA BHSE FUNDS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES BY EXPANDING MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES IN RURAL, UNDER-RESOURCED AREAS. PROJECT ACTIVITIES INCLUDE: - LEVERAGING COMMUNITY PARTNERSHIPS IN RURAL COMMUNITIES WITH ORGANIZATIONS WITH A DIRECT CONNECTION TO UNDERSERVED AND UNDERREPRESENTED RURAL POPULATIONS - FURTHER INTEGRATING PRIMARY CARE AND BEHAVIORAL HEALTH AT EACH PATIENT ENCOUNTER, CONDUCTING ASSESSMENTS AND CONNECTING PATIENTS WITH SUPPORTIVE SERVICES AND SCHEDULE FOLLOW-UP APPOINTMENTS - EXPANDING CHS’ ABILITY TO ADDRESS THE SOCIAL DRIVERS OF HEALTH THROUGH COMMUNITY COLLABORATIONS (HOUSING INSECURITY, FOOD INSECURITY, FINANCIAL STRAIN) IN RURAL AREAS THAT HAVE LIMITED RESOURCES. THIS WILL BE ACHIEVED BY ADDING SUPPORT STAFF, SUCH AS PEER SUPPORT, COMMUNITY HEALTH WORKERS, AND NURSE CARE MANAGER TO ENSURE PATIENTS RELATE TO APPROPRIATE SERVICES, BOTH INTERNALLY AND EXTERNALLY, TO PROMOTE IMPROVED HEALTH OUTCOMES. - UTILIZE TRAINING, EDUCATION, AND ADDITION OF STAFF TO EXPAND THE ROLE OF PRIMARY CARE PROVIDERS IN THE USE OF FDA-APPROVED MEDICATIONS TO TREAT OPIOID USE DISORDER. - ONBOARDING ADDITIONAL BEHAVIORAL HEALTH STAFF TO EXPAND ACCESS AND MEET THE GROWING DEMAND FOR SERVICES IN RURAL AREAS. - BROADEN THE USE OF TELEHEALTH ACROSS CHS SITES TO ENHANCE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES AT IDENTIFIED LOCATIONS IN RURAL UNDER-RESOURCED COUNTIES. PROGRAM GOALS TO BE ACHIEVED VIA THE PROJECT ACTIVITIES LISTED ABOVE INCLUDE: INCREASE THE NUMBER OF PATIENTS, IN RURAL AREAS, RECEIVING MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MO UD).

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: CHEROKEE HEALTH SYSTEMS FY25 EXPANDED HOURS PROJECT DIRECTOR: PARINDA KHATRI, PHD CONTACT PHONE NUMBER: 865-765-0304 CONTACT EMAIL ADDRESS: PARINDA.KHATRI@CHEROKEEHEALTH.COM WEBSITE: HTTPS://WWW.CHEROKEEHEALTH.COM HEALTH CENTER PROGRAM GRANT NUMBER: HRSA-25-084 ADDRESS: 2018 WESTERN AVENUE CITY & STATE: KNOXVILLE, TN 37921-5718 THE MISSION OF CHEROKEE HEALTH SYSTEMS (CHS) IS TO ENHANCE THE HEALTH AND WELL-BEING OF EAST TENNESSEE RESIDENTS BY PROVIDING HIGH-QUALITY, INTEGRATED, COMPREHENSIVE, EQUITABLE, AND PERSON-CENTERED CARE. CHS OPERATES 19 BRICK-AND-MORTAR CLINICS, ONE MOBILE CLINIC, AND 18 SCHOOL-BASED CLINICS. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CHS OFFERS FAMILY PRACTICE, OB-GYN, PEDIATRICS, DENTAL, VISION, PHARMACEUTICAL SERVICES, OPTOMETRY, CARDIOLOGY, DERMATOLOGY, PSYCHIATRY AND A VARIETY OF BEHAVIORAL HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2023, CHS SERVED 65,960 UNDUPLICATED PATIENTS. AS A LEADER AMONG COMMUNITY HEALTH CENTERS, CHS RECOGNIZES THE VALUE OF EXPANDING HOURS TO IMPROVE ACCESS TO COMPREHENSIVE, INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES THROUGHOUT KNOX COUNTY AND SEVIER COUNTY IN TENNESSEE WHERE LIMITED TRANSPORTATION, FINANCIAL RESOURCES, AND TIME SERVE AS BARRIERS. CHS PROPOSES TO INCREASE CLINICAL SERVICE HOURS AT 19 SITES (16 MORE HOURS VIA ONE MOBILE CLINIC AND 90 MORE HOURS VIA 18 SCHOOL-BASED CLINICS) FOR A TOTAL OF 106 ADDITIONAL HOURS PER WEEK. INCREASING MOBILE CLINIC HOURS FROM 24 TO 40 EACH WEEK WILL IMPROVE HEALTHCARE ACCESS TO MINORITIZED AND UNDER-RESOURCED POPULATIONS IN KNOX COUNTY (AND SURROUNDING COUNTIES, AS INDICATED) FOR WHOM SOCIAL DRIVERS OF HEALTH NEGATIVELY IMPACT THEIR ABILITY TO ACCESS CARE AT BRICK-AND-MORTAR CLINICS. CHS CURRENTLY PROVIDES 35 HOURS OF PRIMARY CARE SERVICES TO STUDENTS, FACULTY, AND STAFF EACH WEEK IN 18 SCHOOL-BASED CLINICS (SBCS) IN SEVIER COUNTY, TENNESSEE. IN 2023, THE SEVIER COUNTY SCHOOL SYSTEM EXPRESSED INTEREST IN EXPANDED HOURS TO BETTER MEET THE NEEDS OF ITS SCHOOL COMMUNITY SINCE TEACHERS WERE BUSY DURING CLINIC HOURS AND MANY CAREGIVERS IN THIS RURAL COUNTY WHO WORK IN TOURISM, FACTORIES, OR OTHER MANUAL LABOR STRUGGLED TO TAKE TIME AWAY FROM EMPLOYMENT TO KEEP HEALTHCARE APPOINTMENTS. CHS PROPOSES TO ADD ONE HOUR PER DAY FOR A TOTAL OF FIVE ADDITIONAL HOURS PER WEEK AT EACH OF THE 18 SBCS TO MEET THIS NEED; AFTER THE EXPANSION, EACH SBC WILL OFFER 40 HOURS OF PRIMARY CARE EACH WEEK. THE PROPOSED SERVICES OFFERED THROUGH HRSA EXPANDED HOURS FUNDING INCLUDE INTEGRATED PRIMARY BEHAVIORAL HEALTH SERVICES THROUGH THE MOBILE CLINIC AND PRIMARY CARE SERVICES AT CHS’ 18 IN-SCOPE SBCS. THE POPULATIONS TO BE SERVED INCLUDE MINORITIZED GROUPS, PEDIATRIC PATIENTS, INDIVIDUALS LIVING AND WORKING IN RURAL COMMUNITIES, AGRICULTURAL WORKERS, AND THOSE EXPERIENCING HOMELESSNESS. THE RACIAL AND ETHNIC MAKEUP OF CHS PATIENTS IS 22.4% HISPANIC/LATINO, 12% BLACK/AFRICAN AMERICAN, AND 61.1% NON-HISPANIC WHITE. MORE THAN 72% LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, AND MORE THAN 16% ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. OF THE PATIENTS SERVED IN 2023, 62.8% WERE WOMEN AND 44.7% WERE CHILDREN. PROJECT ACTIVITIES INCLUDE: - LEVERAGING COMMUNITY PARTNERSHIPS AND CONDUCTING OUTREACH TO INFORM COMMUNITY MEMBERS OF THE NEW CLINIC SCHEDULES, - EXPANDING STAFF TIME AND CAPACITY TO ACCOMMODATE EXTENDED HOURS. THE GOALS TO BE ACHIEVED THROUGH THESE ACTIVITIES ARE: - INCREASING THE NUMBER OF NEW PATIENT VISITS, - INCREASING THE NUMBER OF PATIENTS, INCLUDING PEDIATRIC PATIENTS, WHO RECEIVE BEHAVIORALLY ENHANCED PRIMARY CARE SERVICES, - INCREASING THE NUMBER OF PRIMARY CARE VISITS AT SBCS.

CAPITAL DEVELOPMENT

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

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

FY 2023 EARLY CHILDHOOD DEVELOPMENT

TELEMEDICINE GRANT

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

INTEGRATED CARE CONFERENCE

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM