Urgent Inc

HEAD START AND EARLY HEAD START APPLICATION

PA-22 FYPD PA-20

HEAD START & EARLY HEAD START

HEAD START AND EARLY HEAD START

EHS FY09 ARRA EXAPNSION

THE PURPOSE OF THIS AGREEMENT IS TO FUND RESEARCH SUPPORTING A DEFENSE ADVANCED RESEARCH PROJECTS AGENCY DARPA SEEDLING PROGRAM.

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

URGENT CARE INDUSTRY ANTIBIOTIC STEWARDSHIP INITIATIVE: PATIENT EDUCATION PROGRAMS AND CLINICAL EDUCATION STRATEGIES TO INFORM, ASSESS AND IMPROVE THE ANTIBIOTIC PRESCRIBING PRACTICES - URGENT CARE CENTERS TREAT MORE THAN 160 MILLION PATIENTS EACH YEAR, THE VAST MAJORITY OF WHOM PRESENT WITH ACUTE, INFECTIOUS DISEASE-RELATED SYMPTOMS, SUCH AS COUGH, SORE THROAT, AND FEVER. OVER THE PAST 2 YEARS, THE URGENT CARE INDUSTRY HAS TREATED A RECORD VOLUME OF PATIENTS FOR COVID-19 INFECTIONS. THE URGENT CARE ASSOCIATION (UCA) AND THE URGENT CARE FOUNDATION (UCF) SERVE OVER 11,000 URGENT CARE CENTERS ACROSS THE COUNTRY WHICH ARE TREATING PATIENTS WHERE THE DECISION TO PRESCRIBE OR NOT WITH ANTIBIOTICS IS MADE SEVERAL TIMES A DAY. URGENT CARE CLINICIANS ARE PARTICULARLY SUSCEPTIBLE TO PATIENT EXPECTATIONS AND DEMANDS FOR ANTIBIOTICS, LARGELY DUE TO MISPERCEPTIONS ABOUT PATIENT EXPECTATIONS AND THE "YELP EFFECT." THE UCA/UCF HAVE DEVELOPED RESOURCES, IMPLEMENTED STANDARDS AND EDUCATION TO IMPROVE ANTIBIOTIC PRESCRIBING PRACTICES IN THE URGENT CARE INDUSTRY. ADDITIONALLY, UCA/UCF HAS PARTNERED WITH THE CDC AND COLLABORATED WITH OTHER EXTERNAL STAKEHOLDERS TO EDUCATE CLINICIANS AND CONTINUE OUR PROGRESS TO IMPROVE ANTIBIOTIC STEWARDSHIP. THERE HAS BEEN RECENT IMPROVEMENT IN THE INDUSTRY; HOWEVER, RECENT CDC DATA SUGGESTS THAT PATIENTS ARE CONTINUING TO RECEIVE AN ANTIBIOTIC PRESCRIPTION AFTER BEING DIAGNOSED AT URGENT CARE CENTERS EVEN THOUGH ANTIBIOTICS ARE CONTRAINDICATED. OVERALL, MORE THAN 12% OF AMBULATORY VISITS RESULT IN PRESCRIPTIONS FOR ANTIBIOTICS. ANTIBIOTICS ARE PRESCRIBED IN 39% OF URGENT CARE VISITS, 36.4% OF RETAIL CLINIC VISITS, AND 7.1% OF MEDICAL OFFICE VISITS. ROUGHLY 30% OF ANTIBIOTICS PRESCRIBED IN OUTPATIENT SETTINGS ARE UNNECESSARY, ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). THE UCA/UCF WILL LAUNCH A LARGE, MULTI-CENTER QUALITY IMPROVEMENT PROJECT WITH THE GOAL TO INFORM STEWARDSHIP INTERVENTION AND IMPROVE ANTIBIOTIC PRESCRIBING IN URGENT CARE CENTERS. USING EXISTING GUIDANCE AND CREATING NEW, UPDATED RESOURCES SPECIFIC TO URGENT CARE PROVIDERS, RECRUITED PARTICIPANTS TO FOLLOW A STRUCTURED PROGRAM OF INTERVENTION AND REPORTING, ASSESS ANTIBIOTIC STEWARDSHIP IN THEIR INSTITUTIONS AND RECEIVE RESOURCES TO IMPLEMENT ANTIBIOTIC PRESCRIBING BEST PRACTICES. RESOURCES WILL INCLUDE MULTI-MEDIA FORMATS, SUCH AS SIGNAGE, SOCIAL MEDIA MATERIAL, PATIENT ENGAGEMENT TOOLS AND WEBINARS, AND ADDRESS BOTH PATIENT EDUCATION AND PROVIDER EDUCATION. BASELINE DATA WILL BE ESTABLISHED AMONG PARTICIPANTS, AND CONTINUED DATA COLLECTION WILL OCCUR MONTHLY TO GUIDE REPORTING AND TRACK PROGRESS OF FAVORABLE TRENDLINES DEMONSTRATING SUCCESSFUL IMPLEMENTATION OF ANTIBIOTIC STEWARDSHIP FRAMEWORKS. THROUGHOUT THE PROJECT, PARTICIPANTS WILL ASSESS CONTINUING GAPS AND IDENTIFY ADJUSTMENTS TO TRAINING AND INTERVENTION RESOURCES. ULTIMATELY, THE PROJECT WILL ADDRESS TWO EXISTING KNOWLEDGE GAPS: 1.PATIENTS ARE CONTINUING TO RECEIVE AN ANTIBIOTIC PRESCRIPTION AFTER BEING DIAGNOSED AT URGENT CARE CENTERS EVEN THOUGH ANTIBIOTICS ARE CONTRAINDICATED. 2.CLINICIANS ARE NOT AWARE OF DATA AND DECISION-MAKING STRATEGIES TO ADDRESS PATIENT EXPECTATIONS OF RECEIVING ANTIBIOTICS AND PROVEN TECHNIQUES TO MITIGATE OVERPRESCRIBING. THE PROJECT WILL SUPPORT THREE OUTCOMES IN IMPROVING ANTIBIOTIC PRESCRIBING: 1.INCREASE THE NUMBER OF URGENT CARE CENTERS WITH EFFECTIVE ANTIBIOTIC STEWARDSHIP PROGRAMS 2.DECREASE THE RATE OF UNNECESSARY ANTIBIOTIC PRESCRIBING WITHIN THE URGENT CARE SETTING 3.INFORM AND ASSESS EXISTING STEWARDSHIP INTERVENTION TO PROVIDE EFFECTIVE FRAMEWORK AND RESOURCES FOR PROVIDERS TO IMPLEMENT BEST PRACTICES

AMERICAN RESCUE PLAN

HEAD START 2009 ARRA COLA QUALITY IMPROVEMENT FUNDING

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM

REAP RENEWABLE ENERGY SYSTEM (RES) GRANT UNRESTRICTED AMOUNT

TO SUPPORT MURALS FOR DORSEY PARK, A COMMUNITY-BASED PUBLIC ART PROJECT GUIDED BY PAINTER AND AUTHOR KADIR NELSON.

MENTAL HEALTH ACCESS PROJECT INCLUDING A PUBLIC AWARENESS CAMPAIGN TO REDUCE STIGMA IN THE LATINO POPULATION. - FIRST BEHAVIORAL HEALTH URGENT CARE CENTER’S (FBHUCC) MENTAL HEALTH ACCESS PROJECT WILL SERVE 80 UNDUPLICATED INDIVIDUALS IN STANISLAUS AND MERCED COUNTIES WITH EVIDENCE-BASED OUTPATIENT, AND CLINICAL SUPPORT SERVICES. IT WILL ALSO REACH 12,000 INDIVIDUALS THROUGH A PUBLIC AWARENESS CAMPAIGN AIMED AT REDUCING STIGMA IN THE LATINX COMMUNITY. THE TARGET SERVICE POPULATION INCLUDES (A) CHILDREN AND ADULTS WITH MILD TO MODERATE MENTAL HEALTH CONCERNS AND (B) LATINX AND SPANISH SPEAKING POPULATION. THE CALIFORNIA DEPARTMENT OF MENTAL HEALTH SERVICES ESTIMATES THAT 14.81% OF MERCED COUNTY AND 14.48% OF STANISLAUS COUNTY RESIDENTS NEED MENTAL HEALTH SERVICES, WITH ONLY ABOUT HALF OF INDIVIDUALS NEEDING TREATMENT RECEIVING IT FROM THE COUNTY OR OTHER PROVIDERS. ADDITIONALLY, BOTH STANISLAUS AND MERCED COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) REGARDING MENTAL HEALTH. WITH OVER 50% OF OUR SERVICE POPULATION BEING LATINX, AND DATA REVEALING THAT THE LATINX POPULATION SUFFERING DISPROPORTIONATELY FROM COVID-19, WE CANNOT DENY THE NEED FOR SERVICES AMONG OUR COMMUNITY MEMBERS. SERVICES INCLUDE: COUNSELING FOR ALL AGES; COUPLES AND FAMILY COUNSELING; A SAFE SPACE FOR INDIVIDUALS AND FAMILIES, PEER SUPPORT AND ON THE SPOT COUNSELING; CRISIS INTERVENTIONS, PSYCHIATRIC EVALUATIONS, AND CLINICAL ASSESSMENTS BY A BOARD-CERTIFIED CHILD PSYCHIATRIST; REFERRALS AND LINKAGES TO COMMUNITY RESOURCES; AND BRIEF MEDICATION MANAGEMENT SERVICES (EXCLUDING CONTROLLED SUBSTANCES). CLINICAL CHARACTERISTICS INCLUDE: THOSE AT RISK OF HOMELESSNESS; THOSE AT RISK OF HIGHER LEVELS OF CARE INCLUDING COUNTY SERVICES, HOSPITAL UTILIZATION, AND INTERACTION WITH THE CRIMINAL JUSTICE SYSTEM; THE UNDERINSURED AND UNINSURED; THOSE SUFFERING FROM TRAUMA; AND THOSE WITH STRUGGLING WITH ADJUSTMENTS RELATED TO COVID-19. BASED ON OUR CURRENT CLIENT POPULATION, WE ANTICIPATE A SERVICE POPULATION OF 50% LATINX INDIVIDUALS, 50% YOUTH, 30% ADULT CAREGIVERS, AND 20% OTHER INDIVIDUALS IN THE COMMUNITY. PROJECT OBJECTIVES: 1) INCREASE THE AVAILABILITY OF MENTAL HEALTH SERVICES PROVIDED IN SPANISH BY HIRING A SPANISH SPEAKING LICENSED BEHAVIORAL HEALTH CLINICIAN. THE CLINICIAN WILL PROVIDE TRAUMA INFORMED SCREENING, ASSESSMENT, DIAGNOSIS, CASE MANAGEMENT, AND PATIENT-CENTERED TREATMENT PLANNING AND TREATMENT DELIVERY TO PEOPLE OF ALL AGES FROM STANISLAUS & MERCED COUNTIES; 2) INCREASE CASE MANAGEMENT SERVICES AVAILABLE TO CLIENTS BY 50% BY HIRING ONE SPANISH SPEAKING PROMOTORA THAT WILL OFFER CASE MANAGEMENT SERVICES AS WELL AS MANAGE COMMUNITY OUTREACH TO REDUCE STIGMA AND RAISE AWARENESS ABOUT AVAILABLE SERVICES; 3) RUN A RADIO CAMPAIGN ON SPANISH RADIO STATIONS. 30 SECOND ADS IN SPANISH WILL FOCUS ON MENTAL HEALTH NEEDS OF POPULATIONS INCLUDING TEENS, YOUNG ADULTS, LATINOS, AND PARENTS. ADS WILL REDUCE STIGMA AND SPREAD AWARENESS OF COUNSELING SERVICES AVAILABLE AT FBHUCC AND WILL REACH AT LEAST 10,000 PEOPLE.; 4) RUN A PRINT MEDIA CAMPAIGN TO REDUCE STIGMA THAT REACHES OVER 2,000 PEOPLE IN MERCED AND STANISLAUS COUNTIES. MEDIA WILL INCLUDE FLYERS AND PAMPHLETS IN BOTH ENGLISH AND SPANISH. TOPICS WILL INCLUDE ANXIETY, DEPRESSION, SELF-CARE, AND MENTAL HEALTH RESOURCES; 5) PROVIDE 4 PRESENTATIONS TO COMMUNITY MEMBERS ABOUT MENTAL HEALTH AWARENESS TO REDUCE STIGMA AND INCREASE AWARENESS OF RESOURCES AVAILABLE AT FBHUCC AND THROUGHOUT THE COMMUNITY. EMPHASIS WILL BE PLACED ON THE EFFECT THAT COVID HAS HAD ON ADOLESCENT MENTAL HEALTH AND THE IMPORTANCE OF EARLY INTERVENTION WITH MILD TO MODERATE MENTAL HEALTH CONDITIONS.

SEC 9007 REAP-RENEW ENERGY SYSTEMS GRANTS, $20,000 OR LESS (MAN)