Frederiksted Health Care Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

FREDERIKSTED HEALTH CARE, INC. - PS21-2102: COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS - FREDERIKSTED HEALTH CARE, INC. (FHC) IS A FEDERALLY QUALIFIED HEALTH CENTER LOCATED AND OPERATING ON THE ISLAND OF ST. CROIX, VIRGIN ISLANDS - A U.S. TERRITORY WITH A POPULATION SLIGHTLY OVER 50,000 (US CENSUS, 2020 LIVE). THE ISLAND IS COMPOSED OF THREE POPULATION PRECINCTS: FREDERIKSTED-ON THE WEST SHORE; CHRISTIANSTED-ON THE NORTH SHORE; AND, KINGSHILL-IN THE MIDDLE ISLAND AREA. ESTABLISHED AS A NON-PROFIT COMMUNITY-BASED ORGANIZATION IN THE YEAR 2000, FHC HAS BEEN THE ONLY PROVIDER WITH A CDC COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAM SINCE THE YEAR 2015 WITH SATELLITE LOCATIONS THROUGHOUT ALL PRECINCTS ON THE ISLAND. THE CDC HIGH-IMPACT PREVENTION GRANT FUNDING OPPORTUNITY PS21-2102 WILL ALLOW FHC TO CONTINUE TO SIGNIFICANTLY EXPAND OUTREACH, TESTING & COUNSELING, AND EFFORT TOWARD PREVENTION WITH POSITIVES, AND HIGH-RISK NEGATIVES. CURRENTLY OPERATING UNDER GRANT PS15-1502, OUR PROGRAM REACHES AN AVERAGE OF 2,000 OUTREACH ENCOUNTERS PER YEAR, PERFORMING OVER 600 OR MORE TESTS TARGETED TO HIGHEST RISK POPULATIONS. ALL NEWLY DIAGNOSED ARE LINKED TO CARE WITHIN 30 DAYS, AND WE HAVE SUCCESSFULLY LINKED 85 HIV+ CASES WHICH ARE ACTIVELY ENROLLED IN CARE. THE TERRITORY IS MULTICULTURAL WITH A DIVERSE MIX OF RELIGIOUS, RACIAL, AND ETHNIC GROUPS. A LARGE MAJORITY OF OUR RESIDENTS IDENTIFY AS BLACK (79.9%), FOLLOWED BY 11.6% WHITE AND 8.5% OTHER. ONE IN FIVE RESIDENTS IDENTIFY AS HISPANICS, AND THREE IN FOUR HISPANICS (76.4%) REPORT THEY ARE OF BLACK RACE. OUR ISLANDS ARE ALSO POOR, AN ESTIMATED 46.6% OF USVI RESIDENTS LIVE BELOW THE 200 PERCENT OF FEDERAL POVERTY LEVEL. THE PRIMARY TARGET POPULATION TO BE SERVED UNDER PS21-2102 WILL ENCOMPASS ALL RACES, ETHNICITIES, AND GENDER; HIGH RISK HETEROSEXUAL INCLUDING IDU AND NON-IDU, AGES 13-65+. PREVENTION SERVICES FOR THE PROGRAM WILL ALIGN IN ACCORDANCE WITH THE ENDING THE HIV EPIDEMIC (EHE) ACTIVITIES TO DIAGNOSE, TREAT, PREVENT, AND RESPOND. THE PROGRAM'S FOCUS IS ON REDUCIN G NEW INFECTIONS, INCREASING ACCESS TO CARE, AND PROMOTING HEALTH EQUITY. FUNDING WILL ENHANCE FHC'S CAPACITY TO: INCREASE HIV TESTING AND REFERRALS TO PARTNER SERVICES, LINK PERSON WITH HIV TO HIV MEDICAL CARE AND ART, REFER HIV-NEGATIVE PERSONS TO PREP AND NPEP, PROVIDE/REFER PREVENTION/ESSENTIAL SERVICES, INCLUDING SSPS FOR PERSONS WITH HIV AND PERSONS AT RISK FOR ACQUIRING HIV, PROVIDE CONDOM DISTRIBUTION, SUPPORT THE TERRITORY'S HEALTH DEPARTMENT, AND INCREASE PROGRAM MONITORING AND ACCOUNTABILITY.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE FREDERIKSTED HEALTH CARE BEHAVIORAL HEALTH SERVICE EXPANSION APPLICANT NAME FREDERIKSTED HEALTH CARE, INC. ADDRESS 516 STRAND STREET, FREDERIKSTED VI 00840-3533 PROJECT DIRECTOR MASSERAE SPRAUVE-WEBSTER PHONE (340) 772-1992 EXTENSION 2132 EMAIL/WEB URL MWEBSTER@FHC-INC.NET/ WWW.FHC-INC.NET CONGRESSIONAL DISTRICT U.S. VIRGIN ISLANDS AT-LARGE (VI-000) FUNDING REQUEST GY1 $600,000; GY2 $500,000 FREDERIKSTED HEALTH CARE, INC. IS THE ONLY HEALTH CENTER PROGRAM FUNDED OR LOOK ALIKE ORGANIZATION ON THE MEDICALLY UNDERSERVED AND GEOGRAPHICALLY ISOLATED ISLAND OF ST. CROIX IN THE U. S. VIRGIN ISLANDS. IN 2023, FREDERIKSTED HEALTH CARE PROVIDED MEDICAL, DENTAL, MENTAL HEALTH, SUBSTANCE USE DISORDER, PHARMACY AND ENABLING SERVICES TO ALMOST 9,000 UNDUPLICATED INDIVIDUALS. THE VAST MAJORITY (93%) OF THESE INDIVIDUALS HAD INCOME BELOW 200% OF FEDERAL POVERTY GUIDELINES. THE ENTIRE ISLAND IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND PRIMARY CARE, DENTAL, AND MENTAL HEALTH HEALTH PROFESSIONAL SHORTAGE AREAS. FREDERIKSTED HEALTH CARE OPERATES FOUR SERVICE DELIVERY SITES ON ST. CROIX WHICH ARE LOCATED IN KEY POPULATIONS AREAS. THE KAISER FAMILY FOUNDATION ESTIMATES ONLY 59% OF OVERALL BEHAVIORAL HEALTH NEEDS ARE MET IN THE U.S. VIRGIN ISLANDS. ACCORDING TO THE 2022 U.S. VIRGIN ISLANDS HEALTHY VIRGIN ISLANDS 2030 COMMUNITY HEALTH IMPROVEMENT PLAN, THERE ARE FEWER THAN NINE PSYCHIATRISTS PRACTICING IN THE U.S. VIRGIN ISLANDS, AND FEW HAVE PEDIATRIC CREDENTIALS. IN 2016, GOVERNOR KENNETH E. MAPP DECLARED A STATE OF EMERGENCY IN MENTAL HEALTH CARE IN THE U.S. VIRGIN ISLANDS DUE TO THE SEVERE SHORTAGE OF PSYCHIATRIC PHYSICIANS IN THE TERRITORY. AT THAT TIME, THERE WERE THREE BUDGETED PSYCHIATRIC POSITIONS WITHIN THE MENTAL HEALTH DIVISION OF THE HEALTH DEPARTMENT, ALL OF WHICH WERE VACANT. IN 2018, THE LEGISLATURE OF THE VIRGIN ISLANDS REPORTED THAT APPROXIMATELY 390 INDIVIDUALS LIVING ON ST. CROIX RECEIVED BEHAVIORAL HEALTH OUTPATIENT SERVICES. DESPITE THE PASSAGE OF LAWS IN 2019 AND 2022 MANDATING THE CONSTRUCTION OF AT LEAST ONE 25-BED INPATIENT PSYCHIATRIC FACILITY ON ST. CROIX, THERE HAVE BEEN NO INPATIENT PSYCHIATRIC SERVICES AVAILABLE ON ST. CROIX SINCE 2012. FREDERIKSTED HEALTH CARE PROPOSES TO EXPAND BEHAVIORAL HEALTH SERVICES TO ADDRESS THE SIGNIFICANT GAP IN OUTPATIENT MENTAL HEALTH SERVICES ON ST. CROIX. THE ORGANIZATION’S 2023-2026 STRATEGIC PLAN INCLUDES A GOAL TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES WHICH IDENTIFIED SEVERAL STEPS INCLUDING INCREASED USE OF TELEHEALTH SERVICES, INTRODUCTION OF GROUP THERAPY SERVICES, AND INTRODUCTION OF DEPENDENTLY LICENSED CLINICAL SOCIAL WORKERS TO EXPAND THE POOL OF AVAILABLE CANDIDATES. THIS APPLICATION PROPOSES TO INCREASE BEHAVIORAL HEALTH STAFFING WHICH SUPPORTS THIS VISION OF CARE DEVELOPED BY THE BOARD OF DIRECTORS, KEY LEADERSHIP AND MEMBERS OF THE FREDERIKSTED HEALTH CARE TEAM. AT FULL IMPLEMENTATION, THIS PROJECT WILL PROVIDE BEHAVIORAL HEALTH SERVICES INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES WITH MEDICATION ASSISTED TREATMENT FOR ALCOHOL USE DISORDER AND MEDICATIONS FOR OPIOID USE DISORDER TO 500 UNDUPLICATED INDIVIDUALS ANNUALLY.

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE FREDERIKSTED HEALTH CARE EXPANDED HOURS APPLICANT NAME FREDERIKSTED HEALTH CARE, INC. ADDRESS 516 STRAND STREET, FREDERIKSTED VI 00840-3533 PROJECT DIRECTOR MASSERAE SPRAUVE-WEBSTER PHONE (340) 772-1992 EXTENSION 2132 EMAIL/WEB URL MWEBSTER@FHC-INC.NET/ WWW.FHC-INC.NET CONGRESSIONAL DISTRICT U.S. VIRGIN ISLANDS AT-LARGE (VI-000) FUNDING REQUEST GY1 $500,000; GY2 $500,000 FREDERIKSTED HEALTH CARE, INC. IS THE ONLY HEALTH CENTER PROGRAM FUNDED OR LOOK ALIKE ORGANIZATION ON THE MEDICALLY UNDERSERVED AND GEOGRAPHICALLY ISOLATED ISLAND OF ST. CROIX IN THE U. S. VIRGIN ISLANDS. IN 2023, FREDERIKSTED HEALTH CARE PROVIDED MEDICAL, DENTAL, MENTAL HEALTH, SUBSTANCE USE DISORDER, PHARMACY AND ENABLING SERVICES TO ALMOST 9,000 UNDUPLICATED INDIVIDUALS. THE VAST MAJORITY OF THESE INDIVIDUALS HAD INCOME BELOW 200% OF FEDERAL POVERTY GUIDELINES. THE ENTIRE ISLAND IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND PRIMARY CARE, DENTAL, AND MENTAL HEALTH HEALTH PROFESSIONAL SHORTAGE AREAS. FREDERIKSTED HEALTH CARE OPERATES FOUR SERVICE DELIVERY SITES ON ST. CROIX WHICH ARE LOCATED IN KEY POPULATIONS AREAS. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION’S UNMET NEED SCORE RATES ST. CROIX’S UNMET NEED FOR HEALTH CARE SERVICES AS 81 OUT OF 100 WITH THE HIGHER SCORE REFLECTING HIGHER NEED. THERE ARE FEW OPTIONS AVAILABLE FOR LOW-INCOME INDIVIDUALS IN THE SERVICE AREA FOR ACCESSIBILITY OUTSIDE NORMAL BUSINESS HOURS. THERE ARE NO OTHER HEALTH CENTER PROGRAM GRANTEES OR LOOK ALIKES OPERATING ON ST. CROIX. THE ONLY OTHER SAFETY NET PROVIDER ON THE ISLAND IS THE V.I. DEPARTMENT OF HEALTH WHICH DOES NOT PROVIDE PRIMARY CARE SERVICES OUTSIDE OF BUSINESS HOURS WITH THE EXCEPTION OF COMMUNITY-BASED EVENTS SUCH AS THE ANNUAL AGRICULTURAL FAIR. THE SOLE GENERAL HOSPITAL ON THE ISLAND, THE GOVERNOR JUAN F. LUIS HOSPITAL AND MEDICAL CENTER, DOES NOT OFFER OUTPATIENT PRIMARY CARE SERVICES. FOR A TIME, THE MEDICAL CENTER OPERATED AN EMERGENCY DEPARTMENT “FAST TRACK” SERVICE FOR LOWER ACUITY NEEDS THAT OPERATED OUTSIDE OF BUSINESS HOURS, HOWEVER THOSE SERVICES HAVE NOT OPERATED SINCE PRE-COVID. THE EMERGENCY DEPARTMENT CONTINUES TO BE AN OPTION FOR SERVICES FOR INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DURING BUSINESS HOURS, HOWEVER CAPACITY IS SEVERELY LIMITED DUE TO SIGNIFICANT DAMAGE TO THE PHYSICAL BUILDING DURING THE HURRICANES IN 2017 AND USE FOR NON-URGENT CARE SEVERELY TASKS THE SYSTEM’S CAPACITY. FREDERIKSTED HEALTH CARE PROPOSES TO PROVIDE MEDICAL, BEHAVIORAL HEALTH, AND ENABLING SERVICES FOR EIGHT HOURS ON SATURDAYS AND FOUR HOURS ON SUNDAYS AT TWO COMMUNITY HEALTH CENTERS THAT ARE STRATEGICALLY LOCATED ON THE FAR WESTERN END OF THE ISLAND WHERE LOW-INCOME POPULATIONS ARE CONCENTRATED AND IN THE MIDDLE OF THE ISLAND NEAR THE HOSPITAL EMERGENCY DEPARTMENT ALSO IN AN AREA WHERE LOW-INCOME POPULATIONS ARE CONCENTRATED. THIS WILL INCLUDE THE EXPANSION OF SATURDAY HOURS AT THE INGEBORG NESBITT HEALTH CENTER, THE INTRODUCTION OF SATURDAY HOURS AT THE MID ISLAND HEALTH CENTER AND THE INTRODUCTION OF SUNDAY HOURS AT BOTH INGEBORG NESBITT HEALTH CENTER AND MID ISLAND HEALTH CENTER. A TOTAL OF 20 ADDITIONAL HOURS OF SERVICE WILL BE PROVIDED THROUGH THIS PROPOSAL.

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE FY 2025 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM FUNDING OPPORTUNITY NO. HRSA-25-049 ASSISTANCE LISTING NO. 93.918 APPLICANT NAME FREDERIKSTED HEALTH CARE, INC. ADDRESS 516 STRAND STREET, FREDERIKSTED, VI 00840 PROJECT DIRECTOR MASSERAE SPRAUVE-WEBSTER PHONE (340) 772-1992 EXTENSION 2132 EMAIL/WEB URL MWEBSTER@FHC-INC.NET / WWW.FHC-INC.NET CONGRESSIONAL DISTRICT U.S. VIRGIN ISLANDS AT-LARGE FUNDING REQUEST $150,000 FUNDING CATEGORY INFRASTRUCTURE DEVELOPMENT ACTIVITY DENTAL EQUIPMENT FOR EXPANDING DENTAL SERVICE CAPACITY FUNDING PREFERENCE PRIMARY CARE, RURAL AREA; PRIMARY CARE, UNDERSERVED POPULATIONS FREDERIKSTED HEALTH CARE, INC. (FHC) IS THE SOLE SAFETY-NET PRIMARY CARE AND DENTAL PROVIDER ON THE ISLAND OF ST. CROIX IN THE U.S. VIRGIN ISLANDS. IN 2024, FHC PROVIDED MEDICAL, DENTAL, MENTAL HEALTH, SUBSTANCE USE DISORDER AND ENABLING SERVICES TO MORE THAN 8,900 UNDUPLICATED INDIVIDUALS. THE VAST MAJORITY OF THESE INDIVIDUALS HAD INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL. FHC OPERATES FOUR SERVICE DELIVERY SITES ON ST. CROIX LOCATED IN KEY LOW-INCOME POPULATION AREAS. FHC CURRENTLY PROVIDES DENTAL SERVICES AT THREE LOCATIONS: INGEBORG NESBITT HEALTH CENTER IN FREDERIKSTED, LENA SCHULTERBRANDT HEALTH CENTER IN FREDERIKSTED, AND NORTH SHORE HEALTH CENTER IN CHRISTIANSTED. THERE ARE CURRENTLY 14 DENTAL OPERATORIES ACROSS THESE SITES AND IN 2024, DENTAL SERVICES WERE PROVIDED TO 1,986 UNDUPLICATED INDIVIDUALS. FHC IS THE ONLY DENTAL PROVIDER ON THE ISLAND AUTHORIZED TO RECEIVE MEDICAID PAYMENT FOR DENTAL SERVICES. AS A RESULT, FHC IS THE ONLY ORGANIZATION THAT CAN PROVIDE DENTAL SERVICES TO THE MORE THAN 16,400 INDIVIDUALS LIVING ON ST. CROIX WHO ARE COVERED BY MEDICAID, AND THE ONLY SAFETY-NET DENTAL PROVIDER FOR THE ESTIMATED 13,200 UNINSURED INDIVIDUALS. COMBINED, THIS RESULTS IN AT LEAST 29,600 INDIVIDUALS WHO CAN ONLY ACCESS DENTAL SERVICES AT FREDERIKSTED HEALTH CARE. WITHOUT A DOUBT, DENTAL CARE IS THE LARGEST UNMET HEALTH NEED FACING OUR COMMUNITY. THE OVERWHELMING DEMAND FOR SERVICES IMPACTS THE ABILITY OF INDIVIDUALS WITH HIV/AIDS TO ACCESS TIMELY CARE. FHC PROPOSES TO INCREASE DENTAL CAPACITY IN ONE OF THE MOST UNDERSERVED COMMUNITIES OF ST. CROIX THROUGH THE ADDITION OF DENTAL EQUIPMENT AT THE MID-ISLAND HEALTH CENTER LOCATED IN SION FARM IN THE CENTER OF THE ISLAND. THE ESTABLISHMENT OF A NEW DENTAL CLINIC LOCATED ADJACENT PRIMARY CARE SERVICES WILL IMPROVE OPERATIONAL EFFICIENCIES AND INCREASE DENTAL CAPACITY TO REMOVE BARRIERS TO CARE FOR INDIVIDUALS WITH HIV/AIDS.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS