Ampre Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMMUNITY HEALTH WORKER TRAINING PROGRAM - PROJECT ADDRESS: 127 STATE ROUTE 27, RAYMOND, NH 03077-1230 PROJECT DIRECTOR: DR. PAULA SMITH CONTACT PHONE NUMBER: 603-895-1514 EXT. 1 EMAIL ADDRESS: PSMITH@SNHAHEC.ORG WEBSITE ADDRESSES FOR LEAD ORGANIZATIONS: WWW.LAMPREYHEALTH.ORG AND HTTPS://WWW.SNHAHEC.ORG/ NO OTHER GRANT PROGRAM FUNDS ARE REQUESTED IN THE APPLICATION. FUNDING PREFERENCES: GEOGRAPHIC, LOW INCOME, & FQHC HEALTH PROFESSIONAL SHORTAGE AREAS THE PROPOSED PROJECT, CHW ADVANCE! WILL INFUSE THE CHW WORKFORCE IN NEW HAMPSHIRE AND VERMONT WITH A CADRE OF WELL-TRAINED CHWS WHO REPRESENT UNDERSERVED POPULATIONS MOST IN NEED OF THEIR SERVICES. THE LEAD APPLICANT, LAMPREY HEALTH CARE, WITH ITS PROGRAM, SOUTHERN NEW HAMPSHIRE AREA HEALTH EDUCATION CENTER, A PROGRAM OF LAMPREY HEALTH CARE, WILL PARTNER WITH A NETWORK OF TRAINING PROVIDERS, EMPLOYERS, HEALTH AND EDUCATION INSTITUTIONS ACROSS NEW HAMPSHIRE AND VERMONT TO FACILITATE THIS PROJECT. ULTIMATELY THE PROPOSED PROGRAM WILL PROMOTE BETTER HEALTH AND ADDRESS SOCIAL DETERMINANTS OF HEALTH IN RURAL AND BIPOC COMMUNITIES THROUGHOUT NEW HAMPSHIRE AND VERMONT. NEW CHWS WILL BE RECRUITED, TRAINED, AND SUPPORTED TO COMPLETE FIELD PLACEMENTS AND REGISTERED APPRENTICESHIPS. EXISTING CHWS WILL PARTICIPATE IN UPSKILLING ACTIVITIES, INCLUDING TRAINING AND FIELD EXPERIENCE DESIGNED TO PROMOTE ADDITIONAL SKILLS DEEMED MOST IN-DEMAND BY EMPLOYERS. CHW ADVANCE! WILL WORK TOWARD THE FOLLOWING OBJECTIVES IN EACH YEAR OF THE GRANT PERIOD: 1) RECRUIT, TRAIN, AND ULTIMATELY SUPPORT EMPLOYMENT FOR 60 NEW CHWS: CHWS WILL BE RECRUITED THROUGH EXISTING NETWORKS TO ENSURE THAT THEY ARE REPRESENTATIVE OF BIPOC (TARGET 40%) AND RURAL (TARGET 60%) POPULATIONS, IN ORDER TO MIRROR THE UNDERSERVED POPULATIONS WITHIN WHICH CHWS WILL ULTIMATELY WORK. TRAINING WILL BE PROVIDED BY SNHAHEC, NORTH COUNTRY HEALTH CONSORTIUM (NCHC), AND, IN 2023, SOUTHERN VERMONT AREA HEALTH EDUCATION CENTER (SVTAHEC). IN ADDITION, THE GRANT WILL FUND THE CREATION OF A CHW ADVISO RY BOARD WHO WILL REVIEW AND ENHANCE EXISTING TRAINING CURRICULA BY IDENTIFYING ADDITIONAL TRAINING TOPICS TO BE ADDED. 2) FACILITATE FIELD PLACEMENTS FOR 45 NEW CHWS: WORKING WITH EXISTING CHW EMPLOYERS AND HEALTHCARE INSTITUTIONS THROUGHOUT NEW HAMPSHIRE AND VERMONT, TRAINING PROVIDERS AND PROJECT LEAD STAFF WILL FACILITATE FIELD PLACEMENTS FOR TRAINEES. TRAINING AND ONGOING SUPPORT WILL BE PROVIDED TO MENTORS, PRECEPTORS, AND SUPERVISORS AT FIELD PLACEMENT SITES. 3) FACILITATE REGISTERED APPRENTICESHIPS FOR 15 NEW CHWS: CURRENTLY, NEW HAMPSHIRE AND VERMONT DO NOT HAVE ANY CHW REGISTERED APPRENTICESHIP PROGRAMS. DURING YEAR ONE OF THE GRANT PERIOD, SNAHEC AND SVTAHEC WILL WORK WITH APPRENTICESHIPNH AS WELL AS THE DEPARTMENTS OF LABOR IN BOTH STATES TO IDENTIFY AND SUPPORT THE CREATION OF APPRENTICESHIP PROGRAMS IN ORDER TO MEET THIS OBJECTIVE. 4) PROVIDE UPSKILLING OPPORTUNITIES FOR 20 EXISTING CHWS: THROUGH SURVEYING EMPLOYERS OF CHWS AND OTHER KEY STAKEHOLDERS, SNHAHEC WILL DETERMINE THE ADDITIONAL SKILLS AND COMPETENCIES MOST IN-DEMAND WHICH ARE NOT COVERED BY CURRENT CHW TRAINING CURRICULA. THE GRANT TEAM WILL THEN PARTNER WITH OUTSIDE PROVIDERS TO FACILITATE COMPLETION OF ADDITIONAL TRAININGS TO STRENGTHEN THE WORKFORCE AND PROMOTE THE SKILLS OF EXISTING CHWS. THROUGH THIS GRANT, THE LEADERSHIP TEAM WILL EXPLORE IMPLEMENTING STACKABLE CREDENTIALS FOR CHWS IN ORDER TO FURTHER PROMOTE A SUSTAINABLE CAREER PATHWAY AND PIPELINE FOR CHWS. ALL GRANT ACTIVITIES WILL BE OVERSEEN BY THE PRINCIPAL INVESTIGATOR FROM SNHAHEC, WHO WILL BE RESPONSIBLE FOR COORDINATING WITH TRAINING PROVIDERS, OVERSEEING RECRUITMENT, AND COORDINATING EVALUATION ACTIVITIES. EVALUATION WILL INCLUDE PROCESS AND OUTCOMES COMPONENTS AND WILL FOCUS ON COMPREHENSIVE AND ONGOING PROCESSES FOR EVALUATION, TO INFORM CONTINUOUS IMPROVEMENT. THE GRANT WILL LEVERAGE OTHER STATE FUNDING TO BUILD AN INFRASTRUCTURE THAT WILL BE SUSTAINABLE BEYOND THE THREE-YEAR GRANT PERIOD.

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

ARRA - FACILITY INVESTMENT PROGRAM

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

THE NEW HAMPSHIRE EARLY CHILDHOOD AND FAMILY MENTAL HEALTH SYSTEM OF TREATMENT (NEST) PROJECT - LAMPREY HEALTH CARE (LHC) – NEW HAMPSHIRE'S (NH) FIRST FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER AND THE OVERSIGHT AGENCY FOR THE SOUTHERN NH AREA HEALTH EDUCATION CENTER (SNHAHEC) THAT FOCUSES ON HEALTH PROFESSIONS EDUCATION – IS PARTNERING WITH THE CENTER FOR TRAUMA-RESPONSIVE PRACTICE CHANGE (CTRPC) TO IMPLEMENT NEST – THE NH EARLY CHILDHOOD AND FAMILY MENTAL HEALTH SYSTEM OF TREATMENT (NEST) PROJECT. CTRPC PROVIDES EXPERT TRAINING AND CONSULTATION IN TRAUMA-RESPONSIVE PRACTICES/SYSTEMS FOR HUMAN SERVICE AND STATE AGENCIES THROUGHOUT NH. WITH FUNDING FROM SAMHSA'S INFANT AND EARLY CHILDHOOD MENTAL HEALTH SERVICES (IECMH) INITIATIVE, LHC AND CTRPC WILL EXPAND ACCESS TO AGE-APPROPRIATE, EVIDENCE-BASED IECMH INTERVENTIONS AMONG NH CHILDREN EXPOSED TO ADVERSE CHILDHOOD EXPERIENCES (ACES) AND THEIR CAREGIVERS (GOAL 1), ACHIEVED THROUGH THE FOLLOWING OBJECTIVES: INCREASE THE NUMBER OF TRAINED CHILD-PARENT PSYCHOTHERAPY (CPP) PROVIDERS BY 50% FOR A TOTAL OF 180 CPP PROVIDERS; INCREASE THE NUMBER OF CPP PROVIDERS WHO RECEIVE SPECIALIZED TRAINING IN WORKING WITH IMMIGRANT FAMILIES/POC AND CHILDREN AND FAMILIES EXPOSED TO SUD, FOR A TOTAL OF 60 CPP PROVIDERS; PROVIDE CPP TO AT LEAST 200 CHILDREN AGED 0-6 WITH EXPOSURE TO ACES; AND INCREASE UTILIZATION OF CPP AMONG IMMIGRANT/REFUGEE FAMILIES BY ENGAGING CULTURAL BROKERS TO CONNECT 15 FAMILIES TO SERVICES. LHC AND CTRPC ALSO AIM TO IMPROVE THE CAPACITY OF EARLY CARE AND EDUCATION PROGRAMS AND CHILD- AND FAMILY-SERVING PROFESSIONALS TO PROVIDE TRAUMA-INFORMED, CULTURALLY RESPONSIVE SERVICES TO YOUNG CHILDREN EXPOSED TO ACES (GOAL 2) THROUGH THE FOLLOWING OBJECTIVES: EDUCATE AND CONSULT WITH AT LEAST 500 PROFESSIONALS/PROVIDERS THROUGHOUT NH ABOUT THE IMPACT OF TRAUMA ON CHILDREN AND FAMILIES AND AVAILABLE INTERVENTIONS, INCLUDING CPP; AND DECREASE THE CPP INTAKE TIME TO LESS THAN 30 DAYS BY DEVELOPING AND IMPLEMENTING AN EXPEDITED SCREENING AND REFERRAL SYSTEM IN PARTNERSHIP WITH THE STATE'S SAMHSA-FUNDED SYSTEM OF CARE (SOC) FOR CHILDREN'S BEHAVIORAL HEALTH. LHC AND CTRPC WILL STRENGTHEN AND SUSTAIN NH'S IECMH INFRASTRUCTURE AT THE STATE AND LOCAL LEVELS (GOAL 3) THROUGH THE FOLLOWING OBJECTIVES: INCREASE NH'S CPP TRAINER POOL BY 50% BY CONDUCTING A CPP APPRENTICE TRAINING PROGRAM THAT WILL RESULT IN 3 CERTIFIED CPP TRAINERS IN NH, CREATE AND IMPLEMENT AN NH CPP NETWORK DATABASE TO TRACK PROVIDER AVAILABILITY, REFERRALS, SERVICE DELIVERY, AND OUTCOMES; AND DEVELOP A SUSTAINABILITY PLAN THAT IDENTIFIES PUBLIC AND PRIVATE FUNDERS AND ADVOCATES TO PERPETUATE CPP TRAINING, TRAUMA-INFORMED CARE, AND IECMH DELIVERY. LHC AND CRTPC WILL SERVE 250 INDIVIDUALS EACH YEAR FOR A TOTAL OF 1,250 INDIVIDUALS, INCLUDING CHILDREN AND FAMILIES WHO RECEIVE SCREENING AND REFERRALS FOR CPP AND THOSE WHO RECEIVE CPP. LHC AND CRTPC WILL TRAIN 175 INDIVIDUALS PER YEAR FOR A TOTAL OF 875 INDIVIDUALS, INCLUDING EARLY CARE AND EDUCATION PROVIDERS WHO RECEIVE CONSULTATION, CHILD AND FAMILY-SERVING PROFESSIONALS WHO RECEIVE TRAINING, AND MENTAL HEALTH CLINICIANS WHO PARTICIPATE IN THE CPP LEARNING COMMUNITIES. LHC AND CRRPC WILL PARTNER WITH THE FOLLOWING ORGANIZATIONS TO IMPLEMENT NEST: AMOSKEAG HEALTH'S TRAINING AND TECHNICAL ASSISTANCE CENTER FOR ACE RESPONSE TEAM TEAMS THROUGHOUT NH; BOSTON MEDICAL CENTER CHILD WITNESS TO VIOLENCE PROJECT TO PROVIDE TRAINING ON DIVERSITY, EQUITY, AND INCLUSION; BOSTON UNIVERSITY SCHOOL OF SOCIAL WORK THAT WILL PROVIDE TRAINING IN SUD-INFORMED CPP INTERVENTIONS; CENTER FOR PROGRAM DESIGN & EVALUATION AT DARTMOUTH THAT WILL PROVIDE MIXED-METHODS EVALUATION SERVICES; PRESCHOOL TECHNICAL ASSISTANCE NETWORK THAT WILL ENGAGE EARLY CHILDHOOD CARE PROVIDERS AND CHILD- AND FAMILY-SERVING PROFESSIONALS FOR CONSULTATION; AND THE NH DEPT. OF HEALTH & HUMAN SERVICES THAT OVERSEES THE STATE'S CHILD WELFARE AGENCY, THE DIVISION OF BEHAVIORAL HEALTH (DBH) THAT FUNDS THE SOC, AND IS DEVELOPING THE CHILD BEHAVIORAL HEALTH RESOURCE CENTER THAT WILL INCORPORATE CPP PROVIDER NETWORK INFORMATION.

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

LAMPREY WILD AND SCENIC RIVER ASSISTANCE

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

SUSTAINING NEW HAMPSHIRE'S CDSM & CPSM SELF-MANAGEMENT NETWORK

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: LAMPREY HEALTH CARE BEHAVIORAL HEALTH SERVICE EXPANSION ORG. WEBSITE: HTTP://WWW.LAMPREYHEALTH.ORG/ HEALTH CENTER PROGRAM: GRANT NO. H80CS00640 ESTABLISHED IN 1971, LAMPREY HEALTH CARE IS NEW HAMPSHIRE’S FIRST SECTION 330 FEDERALLY QUALIFIED HEALTH CENTER. OUR MISSION IS TO PROVIDE HIGH QUALITY PRIMARY MEDICAL CARE AND HEALTH RELATED SERVICES TO ALL INDIVIDUALS AND FAMILIES REGARDLESS OF ABILITY TO PAY. CARE IS PROVIDED WITH AN EMPHASIS ON PREVENTION AND LIFESTYLE MANAGEMENT. IN CALENDAR YEAR 2023, WE SERVED 15,801 PATIENTS FROM OVER 50 COMMUNITIES IN SOUTHERN NEW HAMPSHIRE (NH) PROVIDING OVER 51,800 VISITS. LAMPREY HEALTH CARE PROPOSES INCREASING THE NUMBER OF BEHAVIORAL PATIENTS MORE THAN 55% (700 PATIENTS), AND SUD PATIENTS BY 30% (90 PATIENTS) BY EXPANDING BOTH BEHAVIORAL HEALTH AND SUD SERVICES INCLUDING MOUD TREATMENT. NEW HAMPSHIRE, ACCORDING TO AMERICAN’S HEALTH RANKINGS ® 2023 ANNUAL REPORT OF US STATES, RANKS 28TH FOR DRUG DEATHS, 33RD IN EXCESSIVE DRINKING, AND 38TH FOR FREQUENT MENTAL DISTRESS. 2022 BEHAVIORAL RISK FACTORS SURVEILLANCE SYSTEM (BRFSS) DATA PLACES NH 42ND FOR THE NUMBER OF PEOPLE IDENTIFYING AS BEING DIAGNOSED WITH DEPRESSION. SUBPOPULATIONS OF THE BRFSS DEPRESSION DATA INDICATE LARGE DISPARITIES BASED ON INCOME, ETHNICITY, AGE, RACE, EDUCATION, AND GENDER, WHICH RANGE FROM 59.3% TO 28.6% COMPARED WITH NH’S AVERAGE OF 25.2%. THE MEDIAN FOR THE US IS 21.7%. GIVEN THESE STATISTICS, WE KNOW THAT WE ARE JUST SEEING THE “TIP OF THE ICEBERG”. IN COMMUNITIES WE SERVE, THERE IS INDEED AN INCREASING RATE OF PATIENTS IN DIRE NEED OF BEHAVIORAL, MENTAL HEALTH, SUD AND MOUD TREATMENT SERVICES. UDS DATA IN THE NUMBER OF BEHAVIORAL HEALTH AND SUD PATIENTS AS WELL AS DIAGNOSES SHOW GROWTH. FROM 2022 TO 2023 THE NUMBER OF BH PATIENTS INCREASED 15.9% AND SUD PATIENTS INCREASED 10.7%. PERHAPS THE MOST APPARENT NEED IS OUR EXPERIENCE WITH NEW BH PROVIDERS STRUGGLING TO KEEP UP WITH DEMAND SHORTLY AFTER BEING HIRED. TO MEET THESE GROWING NEEDS, LAMPREY HEALTH CARE PROPOSES THE FOLLOWING: A) RECRUITING THREE (3) FTE OF BH/SUD PROVIDERS OVER THE TWO YEAR GRANT PERIOD; B) EXPAND AND DEEPEN COLLABORATION WITH OTHER ORGANIZATIONS IN THE COMMUNITIES WE SERVE TO REDUCE FRAGMENTATION OF CARE; C) EXPAND THE USE OF MEDICATIONS WITHIN OUR MOUD PROGRAM; D) PARTNER WITH A PHARMACY TO PROVIDE FURTHER INTEGRATION AND ACCESS FOR PATIENTS; E) ADD LOCATION OF CARE ACCESS, THROUGH OUR MOBILE HEALTH PROGRAM, IN PARTNERSHIP WITH GREATER NASHUA MENTAL HEALTH CENTER, A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC); F) THROUGH OUR COLLABORATION WITH THE NASHUA SOUP KITCHEN AND SHELTER, PROVIDE A BRIDGE TO CARE FOR PEOPLE WITHOUT PERMANENT HOUSING; AND G) RENOVATE BATHROOMS AT THE RAYMOND CENTER TO REDUCE STIGMA OF SUD TESTING. LAMPREY HEALTH CARE WILL FOCUS ON POPULATIONS FACING DISPARITIES SUCH AS INCOME, ETHNICITY, AND RACE; REDUCING BARRIERS TO CARE FOR PEOPLE WITH MENTAL HEALTH CONDITIONS, SUBSTANCE USE DISORDERS, OR INDIVIDUALS DISPROPORTIONALLY AFFECTED BY SOCIAL DETERMINANTS OF HEALTH. WE WILL ADVANCE STIGMA REDUCTION AND INTEGRATION OF CARE AND REACH THE POPULATIONS WE ARE TARGETING THROUGH FOCUSED IN-REACH AND OUTREACH, AND EXPANSION OF EXISTING COLLABORATIONS WITH OUR COMMUNITY PARTNERS BY PROVIDING SERVICES ON SITE AT THE NASHUA SOUP KITCHEN AND SHELTER, AND THROUGH OUR MOBILE HEALTH UNIT TO REDUCE BARRIERS. WE WILL ASSURE SERVICES ARE DELIVERED IN THE LANGUAGE OF THE PATIENT, AND WITHIN A HARM REDUCTION, TRAUMA INFORMED FRAMEWORK. WE PROPOSE CONTINUING TO TRAIN STAFF ON TRAUMA INFORMED CARE, AND CULTURAL COMPETENCY TO PROVIDE A WHOLE PERSON MODEL OF CARE, AND ADDRESS THEIR NEEDS BY USING A MULTI-DISCIPLINARY TEAM APPROACH THAT INCLUDES ADDRESSING SOCIAL BARRIERS.

LAMPREY WILD AND SCENIC RIVER ASSISTANCE

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2023 EARLY CHILDHOOD DEVELOPMENT

HEALTH CARE AND OTHER FACILITIES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

LAMPREY WILD AND SCENIC RIVER ASSISTANCE

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

THE AWARD PURPOSE IS PROTECTION OF WILD AND SCENIC RIVER VALUES BY FULFILLING ANNUAL WORK PLANS TO ACHIEVE GOALS ENUMERATED IN THE LAMPREY RIVER MANAGEMENT PLAN (PUBLIC LAW 104-333) THROUGH ENGAGING NONPROFIT RECIPIENTS, RIVERSIDE COMMUNITIES, AND LOCAL, STATE, AND FEDERAL AGENCIES WHO COMPRISE THE LAMPREY RIVER ADVISORY COMMITTEE AND ITS PARTNERS. SPECIFIC PROGRAMS AND PROJECTS THAT ACHIEVE COMPREHENSIVE RIVER MANAGEMENT PLAN GOALS INCLUDE ACTIVITIES SUCH AS LAND PROTECTION, COMMUNITY AND RESEARCH GRANTS, PUBLIC OUTREACH AND EDUCATION, ECOLOGICAL STUDIES, ARCHEOLOGICAL AND HISTORICAL SURVEYS, INVASIVE SPECIES MANAGEMENT, AND RIVER ACCESS IMPROVEMENTS. IT IS ANTICIPATED THAT WATER QUALITY, NATURAL AND CULTURAL RESOURCES, RECREATION OPPORTUNITIES, PUBLIC ENJOYMENT AND UNDERSTANDING OF RIVER VALUES, AND TECHNICAL AND OPERATIONS SUPPORT FOR THE LAMPREY RIVER ADVISORY COMMITTEE WILL IMPROVE BECAUSE OF THE AWARD.

LAMPREY WILD AND SCENIC RIVER

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CARE AND OTHER FACILITIES

LAMPREY RIVER ASSISTANCE