Innis Community Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - THE SERVICE AREA FOR THE PROJECT IS POINTE COUPEE PARISH IN LOUISIANA WHICH FACE ISSUES RELATED TO POVERTY, UNEMPLOYMENT, LACK OF INSURANCE, RURAL ISOLATION, HEALTHCARE PROVIDER SHORTAGE, AND POOR HEALTH STATUS. THE SERVICE AREA RATES UNFAVORABLY IN PREVALENCE IN AND MORTALITY FROM DIABETES, MORTALITY FROM CONGESTIVE HEART FAILURE (CHF) AND PREVALENCE OF CARDIO-PULMONARY OBSTRUCTION DISEASE (COPD). INNIS COMMUNITY HEALTH CENTER DBA ARBOR FAMILY HEALTH (AFH) CONTINUES TO ATTEMPT TO MEET THESE CHALLENGES, PROVIDING ESSENTIAL, ACCESSIBLE, QUALITY COMPREHENSIVE SERVICES TO ITS COMMUNITY. AFH WILL COLLABORATE WITH XAVIER UNIVERSITY OF LOUISIANA, AMERICA’S ONLY HISTORICALLY BLACK AND CATHOLIC UNIVERSITY; ITS COLLEGE OF PHARMACY IS AMONG THE TOP PRODUCERS OF AFRICAN AMERICAN PHARMACISTS. ACCORDING TO AN ARTICLE PUBLISHED IN THE JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION O MARCH 5, 2021, THERE IS A CRITICAL NEED IN PRIMARY CARE TO PROACTIVELY PREVENT, IDENTIFY, AND RESOLVE POOR MEDICATION-RELATED OUTCOMES. HOWEVER, MORE THAN 80% OF PRIMARY CARE PRACTICES DO NOT HAVE CLINICAL PHARMACISTS AS MEMBERS OF EXPANDED CARE TEAMS. THE EMERGENCE OF ECONSULT SERVICES IN PRIMARY CARE SETTINGS PRESENTS AN OPPORTUNITY FOR PRIMARY CARE PROVIDERS (PCPS) TO CONSULT WITH CLINICAL PHARMACISTS AS “ON-DEMAND” PHARMACOTHERAPY SPECIALISTS. AFH WILL ADDRESS THE GROWING BURDEN OF DIABETES AND PRE-DIABETES IN THE RURAL PARISH OF POINTE COUPEE, LOUISIANA THROUGH THE INTEGRATION OF AN ECLINICAL PHARMACIST CONSULT INTO ITS CHRONIC CARE MODEL PROGRAM WHILE LEVERAGING AN EMERGING HEALTH COACH MODEL OF CARE. THE PROJECT, INTERSECT: INDIVIDUALIZED COLLABORATIVE DRUG THERAPY PROGRAM, WILL UTILIZE A NEW ECONSULT PLATFORM ON EXISTING TELEHEALTH EQUIPMENT. AFH WILL CONTRACT WITH XAVIER UNIVERSITY TELEHEALTH CENTER (XUTC) FOR A CLINICAL PHARMACIST WHO WILL BE EXPECTED TO RESPOND WITHIN 2 BUSINESS DAYS. PRIMARY CARE PROVIDERS WILL BE INTRODUCED TO THE ECLINICAL PHARMACIST CONSULT S ERVICE THROUGH PRESENTATIONS THAT REVIEW THE CLINICAL PHARMACIST’S EDUCATION/TRAINING, SUITABLE ECLINICAL PHARMACIST CONSULT TOPICS, AND WORKFLOW FOR SENDING AN ECLINICAL PHARMACIST CONSULT. INNIS COMMUNITY HEALTH CENTER DBA ARBOR FAMILY HEALTH (AFH) IS REQUESTING FUNDING PREFERENCE FOR QUALIFICATION 1, HPSA, GIVEN THAT THE ENTIRE PROPOSED SERVICE AREA OF POINTE COUPEE PARISH IS A DESIGNATED HEALTH PROVIDER SHORTAGE AREAS FOR PRIMARY, DENTAL, AND MENTAL HEALTH CARE (HEALTH RESOURCES AND SERVICES ADMINISTRATION, 2022).

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

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EARLY CHILDHOOD DEVELOPMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - INNIS COMMUNITY HEALTH CENTER (ICHC) WILL BE LEVERAGING EXISTING PARTNERSHIPS AND INFRASTRUCTURES TO EXPAND ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES. A SINGLE POINT OF ENTRY (SPOE) WILL BE ESTABLISHED UTILIZING A BH CARE COORDINATOR AND RESOURCES DATABASE. FUNDS WILL BE UTILIZED TO SUPPORT INFRASTRUCTURE FOR STAFF INCLUDING BH DIRECTOR (LPC/LCSW), FAMILY COUNSELOR (LMFT), LICENSED COUNSELOR (LPC/LCSW) (SUBSTANCE USE DISORDER), PSYCHIATRIC NURSE PRACTITIONER (BH/SUD/MATERNAL MENTAL HEALTH), AND TO IMPROVE HARM REDUCTION SCREENINGS. ICHC IS REQUESTING FEDERAL FUNDS TOTALING $1,100,000 FOR A TWO-YEAR PROJECT PERIOD, $600,000 FOR YEAR ONE, AND $500,000 FOR YEAR TWO. THE NATIONAL INSTITUTE OF MENTAL HEALTH HAS HIGHLIGHTED A CONCERNING CORRELATION BETWEEN CHRONIC DISEASES AND THE ONSET OF DEPRESSION. THE RISK OF DEVELOPING DEPRESSION ESCALATES SIGNIFICANTLY FOR INDIVIDUALS SUFFERING FROM CHRONIC DISEASES, DUE TO A VARIETY OF FACTORS. THESE INCLUDE: • THE STRESS, ANXIETY, AND OTHER COMPLICATIONS ARISING FROM MANAGING A CHRONIC DISEASE. • ALTERATIONS IN BRAIN FUNCTION DUE TO CHRONIC DISEASES SUCH AS PARKINSON’S OR STROKE. • THE SIDE EFFECTS OF MEDICATIONS USED TO TREAT CHRONIC DISEASES. • A PERSONAL OR FAMILIAL HISTORY OF DEPRESSION OR SUICIDE. RESEARCH INDICATES THAT INDIVIDUALS WITH BOTH A CHRONIC DISEASE AND DEPRESSION OFTEN EXPERIENCE MORE SEVERE SYMPTOMS OF BOTH CONDITIONS. SUBSTANCE USE DISORDER IS ANOTHER GROWING PROBLEM IN LOUISIANA, ESPECIALLY THE NON-URBAN AREAS. IN LOUISIANA, THE NUMBER OF FENTANYL-RELATED DEATHS HAS SEEN A DRAMATIC RISE, FROM FEWER THAN 200 STATEWIDE IN 2017 TO NEARLY 1,000 IN 2022, ACCORDING TO THE LOUISIANA DEPARTMENT OF HEALTH. THE PARISHES OF WEST BATON ROUGE AND POINTE COUPEE HAVE EXPERIENCED A SIGNIFICANT SURGE IN OVERALL DRUG DEATHS IN 2021. FROM 2020 THROUGH 2023, WEST BATON ROUGE REPORTED 45 OVERDOSE DEATHS, WITH 27 INVOLVING FENTANYL. DURING THE SAME PERIOD, IBERVILLE PARISH RECORDED 45 OVERDOSES, 31 OF WHICH WERE FENTANYL RELATED. IN POINTE COUPEE, 23 OUT OF 28 OVERDOSE DEATHS SINCE 2020 INVOLVED FENTANYL. IN ADDITION, SUBSTANCE USE DISORDERS (SUDS) SIGNIFICANTLY CONTRIBUTE TO COMPROMISED PERINATAL MENTAL HEALTH AND SHOULD BE A KEY FOCUS OF THESE SCREENINGS. SUBSTANCE USE DISORDERS (SUDS) ARE A SIGNIFICANT NATIONAL ISSUE, CONTRIBUTING TO APPROXIMATELY 37% OF PREGNANCY-ASSOCIATED DEATHS. IT IS STRONGLY RECOMMENDED TO UNIVERSALLY SCREEN FOR MENTAL HEALTH ISSUES AND SUDS TO IDENTIFY PREGNANT INDIVIDUALS REQUIRING TREATMENT. IN 2019, 2,031 INFANTS IN LOUISIANA WERE CLASSIFIED AS "SUBSTANCE EXPOSED NEWBORNS," ACCOUNTING FOR 3.5% OF ALL LIVE BIRTHS. ARBOR FAMILY HEALTH IS THE ONLY ACTIVE PROVIDER OF MEDICATION ASSISTED TREATMENT (MAT) IN POINTE COUPEE PARISH. MOST OF THE SUBSTANCE USE DISORDER TREATMENT, RECOVERY AND SUPPORT SERVICES OUTSIDE OF ARBOR FAMILY HEALTH ARE IN BATON ROUGE, A 45–60-MINUTE DRIVE FROM THE SERVICE AREA. ALL THE SERVICE AREA IS DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS. POINTE COUPEE HAS A MENTAL HEALTH, FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HPSA SCORE NEED OF 23 AND A HIGH NEED GEOGRAPHIC HPSA SCORE OF 14. WEST BATON ROUGE PARISH HAS AN FQHC HPSA SCORE NEED OF 23. IBERVILLE PARISH HAS AN FQHC HPSA SCORE OF 23 AND A GEOGRAPHIC HPSA SCORE OF 16. APPROXIMATELY10,000 PEOPLE IN THE SERVICE ARE WITHOUT ACCESS TO MENTAL HEALTH AND SUD SERVICES. THE PROJECT WILL SERVE AN ESTIMATED 350 NEW PATIENTS, WHICH IS A SIGNIFICANT 30% INCREASE IN OUR TOTAL PATIENT COUNT. THIS SURGE IS EXPECTED TO BE MANAGED BY FOUR NEW PROVIDERS, WHO WILL DEDICATE A PART OF THEIR TIME TO THERAPY SESSIONS. CURRENTLY, AFH DOES NOT CATER TO ANY SUBSTANCE USE DISORDER (SUD) SERVICE PATIENTS. HOWEVER, WITH OUR NEW PROVIDERS FOCUSING ON SUD, WE PROJECT AN INTAKE OF 110 PATIENTS IN THIS CATEGORY. FURTHERMORE, WE ESTIMATE A 69% INCREASE IN MEDICATION FOR OPIOID USE DISORDER (MOUD) TREATMENT PATIENTS.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM