Teche Action Board Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - APPLICANT ORGANIZATION INFORMTAION: NAME TECHE ACTION BOARD, INC. (D.B.A. TECHE ACTION CLINIC) ADDRESS 1115 WEBER STREET, FRANKLIN, LA 70538 FACILITY TYPE FEDERALLY QUALIFIED HEALTH CARE CENTER WEB ADDRESS HTTPS://TABHEALTH.ORG/ GRANT NUMBER H80CS00767 DESIGNATED PROJECT DIRECTOR INFORMATION: NAME JENNIFER FABRE, DNP, ARNP, FNP-BC TITLE CHO, DIRECTOR OF QUALITY AND RISK MANAGEMENT PHONE 337-828-2550, EXT. 2116 FAX 337-828-5411 EMAIL JFABRE@TABHEALTH.ORG TITLE "IMPROVING HEALTH OUTCOMES IN RURAL POPULATION IN CHRONIC CARE MANAGEMENT: A QUALITY IMPROVEMENT INITIATIVE USING THE CHRONIC CARE MODEL" GOAL IMPROVED HEALTH OUTCOMES, EXPANDED CAPACITY FOR ESSENTIAL HEALTH CARE SERVICES, AND INCREASED FINANCIAL SUSTAINABILITY SERVICE AREA: FRANKLIN, LA; ST MARY PARISH MORGAN CITY, LA; ST. MARY PARISH PIERRE PART, LA; ST. MARY PARISH THIBODAUX, LA; LAFOURCHE PARISH EDGARD, LA; ST JOHN PARISH RESERVE, LA; ST JOHN PARISH GRAMERCY, LA; ST JAMES PARISH **(ALL FQHC, RURAL HEALTH CARE CENTERS) TARGET POPULATION: MEDICARE ENROLLED PATIENTS WITH AT LEAST TWO (2) OR MORE CHRONIC CONDITIONS, AS DEFINED BY CMS LIVING IN OUR RURAL SERVICE AREAS QUALITY IMPROVEMENT MODEL: CHRONIC CARE MODEL TO GUIDE CHRONIC CARE MANAGEMENT PROCESS, PDSA (PLAN DO STUDY ACT) MODEL TO GUIDE IMPLEMENTATION OF GOALS AND INTERVENTIONS PROJECT ACTIVITIES: 1. SELECT CHRONIC CARE MANAGEMENT IMPLEMENTATION DESIGN 2.DEVELOP CHRONIC CARE MANAGER JOB AND CARE TEAM ROLES 3. DEVELOP TRAINING FOR CHRONIC CARE MANAGEMENT IMPLEMENTATION AND MAINTENANCE 4. PATIENT IDENTIFICATION AND RISK STRATIFICATION 5. PROVIDER AND OFFICE STAFF ENGAGEMENT 6. PATIENT ENGAGEMENT AND ENROLLMENT 7. INCREASE FINANCIAL SUSTAINABILITY EXPECTED OUTCOMES: 1. PATIENT COMPLIANCE AND REDUCTION IN ER VISITS AND/OR HOSPITALIZATIONS, IMPROVING PATIENTS' HEALTH OUTCOMES 2. EXPANDING THE CCM PROGRAM THROUGHOUT ALL TAC CLINICS, TO EXPAND CAPACITY FOR ESSENTIAL HEALTH CARE SERVICES 3. ENROLL CCM ELIGIBLE PATIENTS INTO THE PROGRAM, UTILIZING CPT CODES FOR BILLING AND THUS INCREASING FINANCIAL SUSTAINABILITY FUNDING PREFERENCE: TECHE ACTION BOARD, INC. IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1 FOR BEING A HEALTH PROFESSIONAL SHORTAGE AREA

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - TECHE ACTION BOARD, INC., D/B/A TECHE ACTION CLINIC (TAC), A 501(C)3, NON-PROFIT CORPORATION HEADQUARTERED IN FRANKLIN, LA, HAS BEEN PROVIDING PRIMARY AND PREVENTIVE HEALTH CARE SERVICES AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SINCE 1974. TAC PROVIDES HIGH QUALITY, COMMUNITY RESPONSIVE, COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO LOW-INCOME, MEDICALLY UNDERSERVED, UNINSURED AND UNDERINSURED POPULATIONS IN ST. MARY, ASSUMPTION, LAFOURCHE,TERREBONNE, ST. JOHN AND ST. JAMES PARISHES, REGARDLESS OF PATIENTS’ ABILITY TO PAY. TAC CURRENTLY OPERATES 16 FQHC SITES (9 PRIMARY CARE LOCATIONS AND 6 SCHOOL-BASED SITES). TAC’S SERVICE AREA POPULATION IS 314,269 AND COMPRISED OF WHITE (62%), AFRICAN AMERICAN (29%), NATIVE AMERICAN (3%) AND ASIAN/OTHER/UNREPORTED (1%). IN TERMS OF ETHNICITY, 5% ARE HISPANIC AND 95% NON-HISPANIC. WITHIN THAT SERVICE AREA POPULATION, 44% OR 136,682 OF THE SERVICE AREA TARGET POPULATION ARE CATEGORIZED AS LOW INCOME, UNINSURED AND UNDERSERVED RESIDENTS; A 16.99% POVERTY RATE (BELOW 100% FPL), 37.32% BEING LOW-INCOME (BELOW 200% FPL) AND 6.8% ARE UNINSURED. 52% OF THE UNINSURED POPULATION ARE LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE HEALTH DISPARITIES WITHIN TAC’S PATIENT POPULATION ARE PERVASIVE. 19.58% OF THE POPULATION HAVE A DISABILITY; 58% OF ADULTS ARE OBESE; 34% OF TARGET POPULATION WERE IDENTIFIED AS SMOKERS; 26% OF POPULATION ADULTS ARE BINGE DRINKERS; THE AGE-ADJUSTED MORTALITY RATE IS 854.7/100,000; AND 18% HAVE LESS THAN HIGH SCHOOL EDUCATION. OF THE 314,269 TOTAL SERVICE AREA POPULATION, 25.54% ARE UNDER THE AGE OF 18. SAMHSA’S 2021-2022 NATIONAL SURVEY ON DRUG USE AND HEALTH IDENTIFIED THAT THOSE 12 - 17 YEARS OF AGE IN LOUISIANA YIELDED SOME OF THE NATION’S HIGHEST PERCENTAGES OF SUBSTANCE USE IN THEIR AGE GROUP: 7.06 – 8.13% FOR ILLICIT DRUG IN THE PAST MONTH; 12.75-19.24% FOR MARIJUANA USE IN THE PAST YEAR; .18 - .21% FOR COCAINE USE IN THE PAST YEAR (NATION’S HIGHEST); .13 - .16% FOR USE OF METHAMPHETAMINE IN THE PAST YEAR (NATION’S HIGHEST); 1.86% - 3.48% FOR USE OF PRESCRIPTION PAIN RELIVER MISUSE IN THE PAST YEAR (SECOND HIGHEST); 1.85 – 1.98% OF OPIOID MISUSE IN THE PAST YEAR (SECOND HIGHEST); 9-10.55% OF BINGE ALCOHOL USE IN THE PAST MONTH (SECOND HIGHEST); 2.57 – 2.88% OF TOBACCO USE PRODUCE IN THE PAST MONTH; 10.96 – 16.01% WITH SUBSTANCE USE DISORDER IN THE PAST YEAR (NATION’S HIGHEST); AND 3.45 – 3.73% OF ALCOHOL USE DISORDER IN THE PAST YEAR (SECOND HIGHEST). ACCORDING TO THE LA. DEPARTMENT OF HEALTH, MORE THAN 53.4% OF DRUG POISONING DEATHS IN 2021 INVOLVED OPIOIDS, AN INCREASE FROM 32% IN 2014. THE INCIDENCE OF DRUG POISONING DEATHS IN THE SERVICE AREA IS APPROXIMATELY 24.35% OF THE POPULATION, WHICH IS HIGHER THAN THE STATE (11%); WITH THE AVERAGE DRUG OVERDOSE DEATH RATE OF 33.25% FOR ST. JAMES PARISH, ST. JOHN, ST. MARY, AND TERREBONNE PARISHES. HOWEVER, ACCORDING TO SAMHSA, AS OF 2020, ONLY 33 TREATMENT FACILITIES IN LOUISIANA SERVED ADOLESCENTS, WHICH MAKES UP APPROXIMATELY 21.3% OF ALL FACILITIES IN THE STATE. TAC IS SUBMITTING THIS CURRENT FUNDING APPLICATION SEEKING FUNDING UNDER THE FISCAL YEAR 2024 BEHAVIORAL HEALTH SERVICE EXPANSION TO INCREASE THE NUMBER OF PATIENTS AGES 12-17, WHO RECEIVE MENTAL HEALTH SERVICES AND THOSE WHO RECEIVE SUBSTANCE USE DISORDER SERVICES, INCLUDING THOSE RECEIVING TREATMENT WITH MEDICATIONS OPIOID USE DISORDER, SPECIFICALLY IN ST. MARY PARISH WHICH ACCOUNT FOR 19.38% OF THE SERVICE AREA POPULATION. THE INTENTION IS TO UTILIZE OUR MOBILE UNIT AND OUR HIGH SCHOOL SCHOOL-BASED HEALTH CENTERS, TO EXPAND UPON OUR INTEGRATED PRIMARY AND BEHAVIORAL HEALTH CARE MODEL. TAC SEEKS TO HIRE ADDITIONAL BEHAVIORAL HEALTH STAFF, EXPAND TELE-PSYCHIATRY SERVICES, EXPAND ITS COLLABORATIVE AGREEMENTS TO INCLUDE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS AND OPIOID TREATMENT PROGRAMS IN THE SERVICE AREA TO ADDRESS MORE SEVERE CASES THROUGH THE REFERRAL PROCESS.

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

FISCAL YEAR 2025 EXPANDED HOURS. - GRANT #: H80CS00767 TECHE ACTION BOARD, INC., D/B/A TECHE ACTION CLINIC (TAC), A 501(C)3, NON-PROFIT CORPORATION HEADQUARTERED IN FRANKLIN, LA, HAS BEEN PROVIDING PRIMARY AND PREVENTIVE HEALTH CARE SERVICES AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SINCE 1974. TAC PROVIDES HIGH QUALITY, COMMUNITY RESPONSIVE, COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO LOW-INCOME, MEDICALLY UNDERSERVED, UNINSURED AND UNDERINSURED POPULATIONS IN ST. MARY, ASSUMPTION, LAFOURCHE, TERREBONNE, ST. JOHN AND ST. JAMES PARISHES, REGARDLESS OF PATIENTS’ ABILITY TO PAY. TAC CURRENTLY OPERATES 15 FQHC SITES (9 PRIMARY CARE LOCATIONS AND 6 SCHOOL-BASED SITES). TAC’S SERVICE AREA POPULATION IS 314,269 AND COMPRISED OF WHITE (62%), AFRICAN AMERICAN (29%), NATIVE AMERICAN (3%) AND ASIAN/OTHER/UNREPORTED (1%). IN TERMS OF ETHNICITY, 5% ARE HISPANIC AND 95% NON-HISPANIC. WITHIN THAT SERVICE AREA POPULATION, 44% OR 136,682 OF THE SERVICE AREA TARGET POPULATION ARE CATEGORIZED AS LOW INCOME, UNINSURED AND UNDERSERVED RESIDENTS; A 16.99% POVERTY RATE (BELOW 100% FPL), 37.32% BEING LOW-INCOME (BELOW 200% FPL) AND 6.8% ARE UNINSURED. ADDITIONALLY, 6.8% OF THE POPULATION ARE NOT EMPLOYED AND 52% OF THE UNINSURED POPULATION ARE LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE HEALTH DISPARITIES WITHIN TAC’S PATIENT POPULATION ARE PERVASIVE: 19.58% OF THE POPULATION HAVE A DISABILITY; 58% OF ADULTS ARE OBESE; 15.72% ARE 65 AND OLDER, 34% OF TARGET POPULATION WERE IDENTIFIED AS SMOKERS; 26% OF POPULATION ADULTS ARE BINGE DRINKERS; AND THE AGE-ADJUSTED MORTALITY RATE IS 854.7/100,000. IN TAC’S SERVICE AREA, HEALTH INDICATORS REVEAL THAT LOW SOCIOECONOMIC AND MINORITY POPULATIONS ARE STATISTICALLY AT GREATER RISK AND ARE IN GREATER NEED OF COMPREHENSIVE PRIMARY CARE SERVICES. THE MEDICALLY DISENFRANCHISED COMMUNITY MEMBERS FACE DISPARITIES IN THEIR ABILITY TO ACCESS PRIMARY AND PREVENTATIVE HEALTH CARE. AMONGST THE SERVICE AREA POPULATION, 16.26% OF ADULTS HAVE DELAYED CARE DUE TO COST AND 19.85% OF ADULTS DO NOT HAVE A USUAL SOURCE OF CARE. ULTIMATELY, THE TOLL OF THESE UNMET NEEDS IS STEEP, FROM HIGHER DEATH AND DISEASE RATES TO WIDESPREAD HEALTH DISPARITIES. TAC IS SUBMITTING THIS CURRENT FUNDING APPLICATION SEEKING FUNDING UNDER THE FISCAL YEAR 2025 EXPANDED HOURS OPPORTUNITY TO INCREASE ACCESS TO AFFORDABLE, EQUITABLE, COMPREHENSIVE PRIMARY CARE AND PREVENTATIVE HEALTH CARE SERVICES TO MEET THE NEEDS OF OUR PATIENTS AND THE COMMUNITIES THAT WE SERVE. BASED ON OUR INTERNAL NEEDS ASSESSMENTS, WE WILL SPECIFICALLY FOCUS ON EXPANDING CARE BY INCREASING HOURS OF OPERATION AT OUR CLINICS LOCATED IN ST. MARY AND TERREBONNE PARISHES, WHICH ACCOUNT FOR 56.22% OF OUR SERVICE AREA TARGET POPULATION IN THESE PARISHES. THESE PARISHES HAVE A HIGH RATE OF INDIVIDUALS WITH DISABILITIES, UNEMPLOYMENT, HIGH POVERTY, AND TRANSPORTATION CHALLENGES. 25.8% OF ST. MARY PARISH RESIDENTS AND 20.6% OF TERREBONNE PARISH RESIDENTS ARE SELF-REPORTED TO HAVE POOR HEALTH. THE PREVENTABLE HOSPITALIZATION RATES ARE 3,002/100,000 IN ST. MARY PARISH AND 3,577/100,000 IN TERREBONNE PARISH BOTH HIGHER THAN THE NATIONAL AVERAGE OF 2,752/100,000. THE INTENTION OF THIS FUNDING IS TO SUPPORT THE EXPANSION OF OUR SERVICES TO INCREASE THE ABILITY OF PATIENTS TO ACCESS OUR MEDICAL, BEHAVIORAL HEALTH, AND PHARMACY SERVICES DURING EXTENDED OPERATING HOURS, WHICH WILL INCLUDE WEEKDAY EVENINGS AND WEEKENDS. TAC SEEKS TO RECRUIT AND HIRE ADDITIONAL MEDICAL AND BEHAVIORAL HEALTH STAFF, AS WELL AS ADMINISTRATIVE SUPPORT STAFF TO SUPPORT AN INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH CARE MODEL. WITH THE EXPANSION OF HOURS, WE SEEK TO IMPROVE THE QUALITY OF CARE THROUGH EASE OF ACCESS, ENCOURAGE CARE IN A PRIMARY CARE SETTING, REDUCE HEALTH CARE COSTS, AND REDUCE HOSPITAL EMERGENCY DEPARTMENT VISITS. IMPROVING ACCESS TO CARE, ELIMINATING DISPARITIES, AND IMPROVING THE QUALITY OF LIFE FOR THE MEDICALLY UNDERSERVED IS THE CONTINUING COMMITMENT THAT TAC HAS MADE TO THE COMMUNITIES IT SERVES.

CAPITAL DEVELOPMENT

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

TAB IS SEEKING TO ENHANCE SCHOOL AND COMMUNITY BASE OUTREACH STRATEGIES TO INCREASE ENROLLMENT AND RETENTION FOR LACHIP

PIERRE PART EXPANSION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS