Mendocino Community Health Clinic Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - PROJECT TITLE: QUALITY IMPROVEMENT FUND- TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS APPLICANT ORGANIZATION NAME: MENDOCINO COMMUNITY HEALTH CLINIC, INC. GRANT NUMBER: H80CS00628 PROJECT DIRECTOR NAME: RODNEY GRAINGER MENDOCINO COMMUNITY HEALTH CLINIC (MCHC HEALTH CENTER), A COMMUNITY-BASED NONPROFIT, WAS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN 1992. MCHC HEALTH CENTER HAS BEEN ENGRAINED IN RURAL NORTHERN CALIFORNIA’S NORTH COAST REGION (DEL NORTE, HUMBOLDT, MENDOCINO, SONOMA, MARIN, AND LAKE COUNTIES) FOR MORE THAN THREE DECADES, PROVIDING A COMPREHENSIVE RANGE OF SERVICES FOR SERVICE AREA RESIDENTS FROM BIRTH THROUGH THE GERIATRIC YEARS, REGARDLESS OF ABILITY TO PAY. AS AN FQHC, MCHC HEALTH CENTER HAS IMPLEMENTED AN ARRAY OF MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. FURTHERMORE, MCHC HEALTH CENTER OFFERS MEDICATION ASSISTED TREATMENT (MAT) FOR PATIENTS EXPERIENCING A SUBSTANCE USE DISORDER (SUD), WOMEN’S HEALTH SERVICES, INCLUDING MIDWIFERY CARE, HIV/AIDS SERVICES (THROUGH ITS RYAN WHITE PROGRAM), AS WELL AS CHIROPRACTIC, ORTHOPEDICS, PODIATRY, CASE MANAGEMENT, AND HEALTH EDUCATION SERVICES. OVER THE YEARS, AS A RESULT OF MCHC HEALTH CENTER’S DEDICATION TO PROVIDING THE HIGHEST STANDARDS IN PATIENT CARE, SAFETY, AND QUALITY, MCHC HEALTH CENTER IS NOW THE HEALTHCARE PROVIDER OF CHOICE FOR NEARLY 30,000 ECONOMICALLY AND SOCIALLY VULNERABLE INDIVIDUALS AND FAMILIES LIVING IN THE RURAL NORTH COAST OF CALIFORNIA. TODAY, WITH A STAFF OF ABOUT 300 EMPLOYEES, MCHC HEALTH CENTER HAS FOUR SERVICE DELIVERY SITES. THROUGH THIS INITIATIVE, MCHC HEALTH CENTER WILL STRENGTHEN TRANSITIONS IN CARE FOR INDIVIDUALS WHO ARE SCHEDULED OR EXPECTED TO BE RELEASED FROM INCARCERATION WITHIN 90 DAYS, INCREASING THEIR ACCESS TO COMMUNITY-BASED, HIGH-QUALITY PRIMARY CARE SERVICES. MCHC HEALTH CENTER WILL BUILD UPON EXISTING EVIDENCE-BASED MODELS TO PILOT AN INNOVATIVE APPROACH THAT CONNECTS (OR RECONNECTS) JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R) TO IN-SCOPE HEALTH CENTER SERVICES THAT ADDRESS CRITICAL HEALTH AND HEALTH-RELATED SOCIAL NEEDS. MCHC HEALTH CENTER PROPOSES TO USE FUNDS FOR DIRECT HIRE PERSONNEL, STAFF EDUCATION AND TRAINING, AND ENHANCED CARE MODULES, TO EXPAND THE PROGRAM’S SCOPE TO INCREASE CAPACITY TO PROVIDE ADDITIONAL SUPPORT AND LINKAGES TO CARE FOR INDIVIDUALS SOON TO BE RELEASED FROM INCARCERATION. IN PARTNERSHIP WITH THE MENDOCINO COUNTY SHERIFF’S OFFICE, THE CARCERAL AUTHORITY IN MENDOCINO COUNTY, AND IN COLLABORATION WITH OTHER COUNTY- AND COMMUNITY-BASED ORGANIZATIONS, MCHC HEALTH CENTER WILL BUILD UPON EXISTING PROGRAMS AND SERVICES TO PROVIDE SERVICES TO THE JI-R POPULATION IN PREPARATION FOR THEIR RELEASE BACK INTO THE COMMUNITY. USING A PATIENT-CENTERED MEDICAL HOME APPROACH, MCHC HEALTH CENTER WILL BE ABLE TO RETAIN PATIENTS IN TREATMENT, PROVIDE COMPREHENSIVE HEALTH CARE THROUGHOUT THE LIFECYCLE, AND ADDRESS SOCIAL DETERMINANTS OF HEALTH SERVICES, INCLUDING, BUT NOT LIMITED TO, ENGAGEMENT WITH COMMUNITY RESOURCES TO ADDRESS HEALTH RELATED SOCIAL NEEDS, WHICH INCLUDE HOUSING INSECURITY, LACK OF TRANSPORTATION, FOOD INSECURITY, AND FINANCIAL CHALLENGES. MCHC HEALTH CENTER CURRENTLY UTILIZES A COMBINATION OF PERFORMANCE MEASURES TO EVALUATE ITS PROGRAM'S EFFICACY IN TREATING PATIENTS, WHICH WE WILL LEVERAGE FOR THIS INITIATIVE. THESE METRICS INCLUDE, BUT ARE NOT LIMITED TO, PATIENT RETENTION RATES, SUBSTANCE USE FREQUENCY, AND TREATMENT ADHERENCE, WHICH PROVIDE OBJECTIVE DATA ON OUTCOMES. MCHC HEALTH CENTER ALSO LOOKS AT CLINICIAN AND PATIENT FEEDBACK, AND OBSERVATIONAL STUDIES, WHICH OFFER VALUABLE INSIGHTS INTO SUBJECTIVE EXPERIENCES AND PERCEPTIONS OF BOTH PATIENTS AND PROVIDERS. THIS COMPREHENSIVE APPROACH WILL ENSURE A ROBUST UNDERSTANDING OF THE PROGRAM'S IMPACT AND ENABLE CONTINUOUS REFINEMENT TO OPTIMIZE PATIENT CARE AND OUTCOMES.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 24 BEHAVIORAL HEALTH SERVICES EXPANSION (HRSA-24-078) APPLICANT ORGANIZATION NAME: MENDOCINO COMMUNITY HEALTH CLINIC, INC. GRANT NUMBER: H80CS00628 PROJECT DIRECTOR NAME: RODNEY GRAINGER MENDOCINO COMMUNITY HEALTH CLINIC, INC. (MCHC HEALTH CENTER) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WITH MORE THAN 30 YEARS OF EXPERIENCE ADDRESSING THE HEALTHCARE NEEDS OF LOW-INCOME, UNINSURED, AND UNDER-INSURED INDIVIDUALS AND FAMILIES IN MENDOCINO COUNTY, CALIFORNIA. MCHC HEALTH CENTER EARNED ITS FQHC DESIGNATION IN 1992, WITH AN EMPHASIS ON COMMUNITY HEALTH CENTER (CHC), MIGRANT HEALTH CENTER (MHC), AND HEALTHCARE FOR THE HOMELESS (HCH) SPECIAL POPULATIONS. WITH ITS FIVE FIXED SERVICE DELIVERY SITES, ONE ADMINISTRATIVE/SERVICE DELIVERY SITE, AND SIX ADMINISTRATIVE ONLY SITES SERVING UKIAH, WILLITS, LAKEPORT, AND SURROUNDING COMMUNITIES, MCHC HEALTH CENTER PROVIDES ACCESS TO PATIENT CARE TO MORE THAN 29,000 PEOPLE EACH YEAR. MCHC HEALTH CENTER’S SERVICE AREA CONSISTS OF 12 ZIP CODES, WHERE MORE THAN 83.6% OF CURRENT PATIENTS RESIDE. ITS TARGET POPULATION IS MORE THAN ONE-QUARTER (29.3%) OF LOW-INCOME RESIDENTS LIVING BELOW 200% FEDERAL POVERTY GUIDELINES WHO RESIDE IN THE SERVICE AREA. THROUGH THE FY24 BEHAVIORAL HEALTH SERVICES EXPANSION (BHSE) INITIATIVE, MCHC HEALTH CENTER WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH (MH) SERVICES AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUBSTANCE USE DISORDER (SUD) SERVICES, INCLUDING PATIENTS RECEIVING MEDICATIONS FOR OPIOID USE DISORDER (MOUD). MCHC HEALTH CENTER WILL FOCUS OUR EFFORTS ON SERVING LOW-INCOME, UNINSURED ADULTS AND CHILDREN WITH A BEHAVIORAL HEALTH (BH) DIAGNOSIS. WITH FUNDING, MCHC HEALTH CENTER WILL EXPAND ACCESS TO MH AND SUD SERVICES AT ALL ITS FIXED SERVICE DELIVERY LOCATIONS, INCLUDING EXPANDING ACCESS TO TELEHEALTH SERVICES. THROUGH ITS EXTENSIVE LIST OF EXISTING COMMUNITY PARTNERS, MCHC HEALTH CENTER WILL BE ABLE TO EXPAND ITS REACH TO PATIENTS IN NEED OF BEHAVIORAL HEALTH SERVICES, INCLUDING CONDUCTING OUTREACH AND EDUCATION THROUGH ITS BACKPACK STREET MEDICINE PROGRAM, IN COLLABORATION WITH LAW ENFORCEMENT, AND OTHER COMMUNITY-BASED AND COUNTY-BASED HEALTH SERVICES. AS ILLUSTRATED IN OUR 2023 UNIFORM DATA SYSTEM (UDS) REPORT, MCHC HEALTH CENTER PROVIDED MH SERVICES TO 2,339 PATIENTS VIA 14,287 VISITS (6,370 CLINIC VISITS AND 7,917 VIRTUAL VISITS). WHILE WE HAD ZERO (0) SUD PATIENTS, WE HAD 380 PATIENTS WHO RECEIVED MEDICATIONS FOR OPIOID USE DISORDER (MOUD) DISORDER DURING THE REPORTING PERIOD. WITH FY24 BHSE FUNDING, MCHC HEALTH CENTER WILL BE ABLE TO INCREASE THE NUMBER OF PATIENTS RECEIVING MH AND MOUD SERVICES, AS WELL AS OFFER SUD ONLY SERVICES. MCHC HEALTH CENTER IS A TRUSTED COMMUNITY MEDICAL HOME AND THEREFORE, IS WELL POSITIONED TO ADDRESS THE GAPS IN BH ACCESS AND CARE. FUNDS WILL GO TOWARD PERSONNEL (EXISTING AND NEW) IN ORDER TO EXPAND OUR BEHAVIORAL HEALTH PROGRAM SCOPE TO INCREASE OUR CAPACITY TO PROVIDE MORE MH AND SUD SERVICES FOR PATIENTS IN THE SERVICE AREA. AS WE BUILD OUR BEHAVIORAL HEALTH WORKFORCE, MCHC HEALTH CENTER WILL LOOK TO RECRUIT PROVIDERS AND STAFF WHO ARE EXPERIENCED WORKING WITH ETHNIC POPULATIONS, WITH AN EMPHASIS ON BILINGUAL PROVIDERS. PER OUR CURRENT FORM 5A: SERVICES PROVIDED, MCHC HEALTH CENTERS PROVIDES HCH REQUIRED SUD SERVICES, MH SERVICES AND PSYCHIATRY SERVICES IN COLUMN I. THEREFORE, A CHANGE IN SCOPE OR SCOPE ADJUSTMENT WILL NOT BE NEEDED.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2023 BRIDGE ACCESS PROGRAM

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM APPLICANT NAME: MENDOCINO COMMUNITY HEALTH CENTERS, INC. ADDRESS: 1165 SOUTH DORA STREET, UKIAH, CA 85482 PROJECT DIRECTOR NAME: RODNEY GRAINGER CONTACT PHONE NUMBERS: 707 472 4667 EMAIL ADDRESS: MCHC_ADMIN@MCHCINC.ORG WEBSITE ADDRESS: HTTPS://MCHCINC.ORG/ FUNDING REQUEST: $77,153 - IDENTIFICATION OF THE CATEGORY (HIV CARE INNOVATION OR INFRASTRUCTURE DEVELOPMENT) AND THE SELECTED ACTIVITY. MENDOCINO COMMUNITY HEALTH CLINIC, INC. (MCHC) IS PROPOSING INFRASTRUCTURE DEVELOPMENT – TELEMEDICINE ACTIVITIES FOR THIS CAPACITY DEVELOPMENT OPPORTUNITY. - A SUMMARY OF THE PROPOSED ACTIVITY AND ITS INTENDED IMPACT (I.E., HOW THE ACTIVITY WILL DEVELOP, ENHANCE, OR EXPAND ACCESS TO HIGH-QUALITY HIV PRIMARY CARE SERVICES FOR LOW-INCOME AND UNDERSERVED PEOPLE WITH HIV). MCHC’S HIV TWO-COUNTY SERVICE AREA CONSISTS OF MENDOCINO AND LAKE COUNTIES IN NORTHERN CALIFORNIA; A RURAL AREA OCCUPIED BY 38.3 PEOPLE / SQUARE MILE, OR APPROXIMATELY 159,000 PEOPLE LIVING IN 5,000 SQUARE MILES (UNITED STATES CENSUS BUREAU, 2022). THIS SERVICE AREA IS CHARACTERIZED BY MOUNTAINS, LAKES, FORESTS, AND COASTLINE WITH A FEW ISOLATED TOWNS SCATTERED IN VARIOUS POPULATION CENTERS, AND WHERE MORE THAN TWO-THIRDS (39.8%) OF THE GENERAL POPULATION HAVE INCOMES AT LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINE (FPG). MCHC IS PROPOSING TO UTILIZE RW-PART C CAPACITY DEVELOPMENT FUNDS TO SUPPORT ITS TELEHEALTH EQUITY AND ACCESS FOR COMMUNITY HEALTH (TEACH) PROJECT THAT WILL PURCHASE TELEHEALTH EQUIPMENT AND TRAINING FOR MCHC’S PROVIDER NETWORK, MCHC STAFF, AND INVITED COMMUNITY PARTNER TEAM LEADERS THAT CONDUCT DIRECT HOMELESS OUTREACH SERVICES, STREET MEDICINE AND HIV TESTING THROUGHOUT THE SERVICE AREA. MCHC’S TEACH PROJECT THAT WILL FOCUS ON EXPANDING HEALTHCARE ACCESS FOR ITS 1) EXISTING RYAN WHITE (RW) PATIENTS AND 2) NEWLY IDENTIFIED HIV+ PEOPLE (OR FORMER PATIENTS THAT FALL OUT OF CARE) THAT ARE EXPERIENCIN G HOMELESS AND ARE REFERRED TO MCHC FROM ITS PARTNERS FOR HIV TREATMENT, CARE, AND ENROLLMENT INTO RW PROGRAMS. FOR EXISTING RW PATIENTS, MCHC STAFF WILL CONDUCT IN-REACH, ASSESS TECHNOLOGY NEEDS, CONNECT WITH RESOURCES, AND EDUCATE AND TRAIN PATIENTS ON AVAILABLE TELEHEALTH SERVICES, INCLUDING HOME-VISITS AS NEEDED. ADDITIONALLY, MCHC WILL COLLABORATE WITH LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE DIRECT SERVICES (INCLUDING HIV TESTING) TO PEOPLE EXPERIENCING HOMELESS THROUGHOUT THE SHARED SERVICE AREAS. THE TEACH PROJECT WILL PROVIDE TELEHEALTH EQUIPMENT, TRAINING, AND INTERNET CONNECTIVITY TO ITS PROJECT PARTNERS WHO WILL WORK WITH PATIENTS IN THE FIELD WHO CANNOT TRAVEL FOR INITIAL HIV CARE AND WILL CONNECT THEM DIRECTLY TO MCHC RW STAFF, OR A PROVIDER/ SPECIALIST. THERE ARE NOT ANY OTHER ORGANIZATIONS IN THE SERVICE AREA WITH A COMPREHENSIVE HIV PROGRAM, AND MCHC AIMS TO HELP PROVIDE THE TOOLS THE OUTREACH TEAMS NEED TO CONNECT NEW AND OUT OF CARE PATIENTS TO IS RWHAP. - THE FUNDING AMOUNT REQUESTED FOR THE ONE-YEAR PERIOD OF PERFORMANCE $77,153 FOR THE 1 YEAR GRANT TERM. MCHC ARE REQUESTING FUNDING PREFERENCE FOR RURAL AREAS.

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITY GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY 2019 DISASTER GRANTS - TORNADOES FLOODS OTHER

COMMUNITY FACILITY GRANTS