Pinnacle Family Health Inc

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTH CENTER PROGRAM - PROJECT TITLE: FEDERALLY QUALIFIED HEALTH CENTER NEW ACCESS POINT GRANT FUNDING REQUESTED: $650,000 APPLICANT ORGANIZATION: PINNACLE FAMILY HEALTH, INC. UEI: KEWJFHCE8KG9 ADDRESS: 101 CROSLEY STREET, WEST MONROE, LA 71291 EMAIL:MARK.WINDHAM@PINNACLEFAMILY.ORG PROJECT DIRECTOR: MARK WINDHAM, CEO PHONE: 318-325-1092 WEBSITE: WWW.PINNACLEFAMILY.ORG PROJECT ABSTRACT HISTORY: PINNACLE FAMILY HEALTH, INC. (PFH) IS A 501(C)(3) TAX-EXEMPT, NON-PROFIT LOUISIANA COMMUNITY-BASED HEALTHCARE CORPORATION FOUNDED IN 1988 PROVIDING SERVICES TO THE 12 PARISHES OF NORTHEAST LOUISIANA REGION 8: CALDWELL, EAST CARROLL, FRANKLIN, JACKSON, LINCOLN, MADISON, MOREHOUSE, OUACHITA, RICHLAND, TENSAS, UNION, AND WEST CARROLL, WITH PATIENTS PREDOMINANTLY FROM 19 ZIP CODES IN THE REGION. IN 2015, PINNACLE FAMILY HEALTH (PFH) OPENED A COMMUNITY HEALTH CENTER (CHC) FOR THE PROVISION OF HEALTHCARE SERVICES TO THE GENERAL COMMUNITY, WITH AN EMPHASIS ON BRIDGING THE HEALTHCARE GAP FOR INDIVIDUALS LIVING WITH HIV AND WHO REQUIRED PRIMARY CARE IN ADDITION TO HIV-RELATED INFECTIOUS DISEASE CARE. ON NOVEMBER 01, 2019, PFH WAS DESIGNATED BY HRSA AS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE (FQHC LAL). FQHC NEW ACCESS POINT (NAP) SECTION 330(E) GRANT AWARD WILL ALLOW PFH TO CONTINUE TO EXPAND ITS SCOPE OF SERVICES TO THE GENERAL, PREDOMINANTLY LOW-INCOME POPULATION THROUGH ITS COMPREHENSIVE HEALTHCARE DELIVERY SYSTEM PROVIDING QUALITY PRIMARY AND PREVENTIVE MEDICAL, DENTAL AND BEHAVIORAL HEALTHCARE (PC, DC & BH), SUBSTANCE USE DISORDER (SUD) TREATMENT, SUPPORTIVE SERVICES, AND ENABLING SERVICES TO ALL INDIVIDUALS, REGARDLESS OF THE ABILITY TO PAY. PROVIDERS/LOCATIONS/SERVICES/PATIENT UTILIZATION: CURRENTLY AT PFH THERE ARE 7.28 FTE PROVIDERS (PRIMARY CARE-PC, BEHAVIORAL HEALTH-BH/SUD, DENTAL-DC) ALL HOUSED IN A CONVENIENT ONE-STOP SHOP CHC LOCATED AT 101 CROSLEY ST., WEST MONROE, LA 71291. THROUGH THIS NAP FUNDING, PFH WILL INCREASE PROVIDERS BY 1 FTE TO THE FOLLOWING: .90 FTE PHYSICIAN, 2.98 FTE NPS, 2.00 FTE LCSW/LPC (SUD-BH), .50 FTE PSYCHOLOGIST, .90 FTE DENTIST, AND 1.00 FTE HYGIENIST. PFH PROVIDED SERVICES TO 2,146 PATIENTS IN 2023, AND PROJECTS FOR THE NAP 2026 PROJECT PERIOD TO SERVE 6,020 PATIENTS AND 17,690 PC, DC & BH (BH, SUD/OUD) ENCOUNTERS - NEARLY TRIPLING ITS REACH AND ACCESS TO LOW-INCOME PATIENTS IN THE REGION. TO BE ACCESSIBLE, PFH OFFERS TRANSPORTATION SERVICES AND PROVIDES BUS TOKENS FOR PATIENT UTILIZATION NEEDS TO BE MET TO ENSURE ACCESS, WHICH IS CRITICAL FOR THE TARGET LOW-INCOME POPULATION, ESPECIALLY IN OUR RURAL AREAS. PFH EMPLOYS A PATIENT-CENTERED, QUALITY-DRIVEN, AFFORDABLE, ACCESSIBLE, INTEGRATED HEALTHCARE SERVICE DELIVERY MODEL TO ALL AGES OF THE LIFE CYCLE. HEALTHCARE NEEDS/BARRIERS/ADDRESS NEEDS/ACCESS: PFH IS A SAFETY NET PROVIDER FOR THE LOW-INCOME MEDICALLY UNDERSERVED AND VULNERABLE TARGET POPULATIONS THROUGHOUT ITS NE LOUISIANA SERVICE AREA (PSA). THE LOW-INCOME POPULATION (128,175) IS ALMOST 45% OF THE 19-ZIP CODE PSA TOTAL POPULATION (290,211) - ONLY 38% IS BEING SERVED BY EXISTING FQHCS. NEED IS UNMET FOR 62% (79,320) OF THEM, 9 OF THE 19 ZIP CODES SERVED HAVE UNS SCORES ABOVE 75, AND 4 ARE OPPORTUNITY ZONES. OVER 44% OF THE POPULATION ARE RACIAL/ETHNIC MINORITIES (2.15% HISPANIC/LATINO, 39.04% BLACK/AFRICAN AMERICAN, .88% ASIAN). OF THE 12 PARISHES IN THE PSA, 10 ARE MUA/MUP FEDERALLY-DESIGNATED, WITH SIGNIFICANT BARRIERS TO CARE, GAPS IN SERVICES, POOR HEALTH STATUS INDICATORS, AND COMPLEX SOCIAL NEEDS, WITH MINIMAL FQHCS AND LOW PENETRATION BY THEM. POVERTY LEADS TO SOCIAL EXCLUSION, DISCRIMINATION, RACISM, STIGMATIZATION, AND UNEMPLOYMENT. PFH’S FQHC NAP GOALS ARE TO ADDRESS THE UNMET NEED, EXPAND ITS HEALTHCARE DELIVERY, PROVIDE QUALITY COMPREHENSIVE HEALTHCARE TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY, AND ENSURE EQUAL ACCESS TO HEALTHCARE AND EQUITY IN ACHIEVING POSITIVE HEALTH OUTCOMES BY REDUCING SOCIAL DETERMINANTS OF HEALTH.

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

FY 2020 HEALTH CENTER PROGRAM LOOK-ALIKES: EXPANDING CAPACITY FOR CORONAVIRUS TESTING

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - ADDRESS: 1801 N 7TH ST, WEST MONROE, LA 71291 PROJECT DIRECTOR: MARK L. WINDHAM, CEO CONTACT PHONE NUMBER: 318-325-1092, EXT. 118 EMAIL ADDRESS: MARK@GO-CARE.ORG WEBSITE ADDRESS: WWW.GO-CARE.ORG GRANT FUNDS REQUESTED IN THE APPLICATION: $82,954.32 THE GREATER OUACHITA COALITION PROVIDING AIDS RESOURCES AND EDUCATION, INC., D/B/A GO CARE COMMUNITY HEALTH CENTER, IS A RYAN WHITE PART C GRANTEE, A RYAN WHITE PART B/HOPWA SUB-GRANTEE, AND A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE. THE RYAN WHITE SERVICE AREA IS THE 12 PARISH (COUNTY) REGION OF NORTHEAST LOUISIANA, WHICH ENCOMPASSES APPROXIMATELY 7,240 SQUARE MILES, WHILE THE FQHC SERVICE AREA CONSISTS OF OUACHITA PARISH AND ITS SIX (06) CONTIGUOUS PARISHES ENCOMPASSING 4,510 SQUARE MILES -- ALL OF WHICH ARE LARGELY RURAL. IN 2022, 36.98% OF THE HEALTH CENTER'S 2,020 PATIENTS SEEN, WERE LIVING WITH HIV. THERE IS SIGNIFICANT NEED FOR ACCESSIBLE AFFORDABLE DENTAL CARE IN THE HEALTH CENTER'S SERVICE AREAS. BASED ON UDS MAPPER, WITHIN THE FQHC PSA, 47.03%, EQUATING TO 129,777 ADULTS, REPORTED THAT THEY HAD NOT VISITED A DENTIST IN THE PAST YEAR (SOURCE: AMERICA’S HEALTH RANKINGS 2021). THIS NUMBER IS GREATER FOR THE LARGER, MORE RURAL SERVICE AREA OF THE RYAN WHITE PROGRAM. ORAL HEALTH ACCESS PRESENTS A PARTICULAR CHALLENGE FOR A UNIQUE PORTION OF GCCHC’S PATIENT POPULATION, SPECIFICALLY OUR PATIENTS LIVING WITH HIV. ACCORDING TO A RECENT ARTICLE PUBLISHED BY THE AMERICAN DENTAL ASSOCIATION, WHILE ANTIRETROVIRAL THERAPIES HAVE REDUCED THE OVERALL PREVALENCE OF ORAL MANIFESTATIONS OF HIV, HIV-RELATED ORAL CONDITIONS STILL OCCUR IN 30-80% OF INDIVIDUALS LIVING WITH HIV. THESE OROFACIAL CONDITIONS ARE READILY DETECTABLE THOROUGH EXAMINATIONS OF THE ORAL CAVITY. CARIES PREVALENCE IN HIV-INFECTED CHILDREN IS HIGHER COMPARED TO NON-INFECTED CHILDREN, THOUGH SIMILAR TO THAT OF OTHER CHILDREN WITH CHRONIC ILLNESSES. INCREASED CARIES PREVALENCE MAY BE DUE TO TRADITIONAL RISK FACTORS I N ADDITION TO A REDUCTION IN SALIVARY ANTIBODIES, ABSOLUTE LYMPHOCYTE COUNT AND SALIVARY FLOW RATE, OR A DIET RICH IN SUCROSE OR CARBOHYDRATES REQUIRED TO PREVENT OR TREAT CALORIC DEFICITS. IT IS PROJECTED THAT 30-80% OF ADULTS LIVING WITH HIV WILL PRESENT WITH HIV-RELATED ORAL ABNORMALITIES. AS IN CHILDREN, XEROSTOMIA IS COMMON, OCCURRING IN UP TO 40% OF PATIENTS LIVING WITH HIV. THE HEALTH CENTER PLANS TO IMPROVE ITS PATIENTS' ORAL HEALTH OUTCOMES BY PROVIDING DENTAL CARE SERVICES ONSITE. THESE SERVICES WILL BE IMPLEMENTED LATE-2023 TO EARLY-2024 WITH RELOCATION AND EXPANSION OF SERVICES TO A 24,000 SQUARE FOOT SERVICE SITE. THIS NEW SITE WILL INCLUDE A DENTAL CLINIC WITH 6 OPERATORIES AND PANORAMIC X-RAY. DIRECT DENTAL SERVICE WILL ENABLE THE HEALTH CENTER TO EXPAND DENTAL SERVICES TO THE GENERAL, CIVILIAN POPULATION, WHICH IS PREDOMINANTLY LOW-INCOME AND MEDICALLY UNDERSERVED. BASED ON 2022 PATIENT DEMOGRAPHICS, THE HEALTH CENTER ESTIMATES AT LEAST 36.98% OF ITS DENTAL PATIENTS WILL BE LIVING WITH HIV; THEREFORE, THE HEALTH CENTER SEEKS TO FUND 36.98% OF ITS $224,322.12 DENTAL EQUIPMENT COSTS -- OR $82,954.32 -- THROUGH RYAN WHITE PART C CAPACITY DEVELOPMENT FUNDS.

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

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION