Primary Care Medical Services Of Poinciana Inc

HEALTH CENTER PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER PROGRAM

TITLE X FAMILY PLANNING PROGRAM AT OSCEOLA COMMUNITY HEALTH SERVICES

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC. (D.B.A. OSCEOLA COMMUNITY HEALTH SERVICES) H80CS30749 OSCEOLA COMMUNITY HEALTH SERVICES (OCHS), LOCATED IN OSCEOLA COUNTY, CENTRAL FLORIDA, HAS PROVIDED HEALTHCARE SERVICES SINCE 2004. WITH A NETWORK OF TEN HEALTH CENTERS, OCHS ENSURES LOW-BARRIER ACCESS TO THE UNDERSERVED, WHO FACE SIGNIFICANT HEALTH AND SOCIAL DISPARITIES. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), OCHS PROVIDES QUALITY MEDICAL SERVICES DRIVEN BY A FOCUS ON CLINICAL OUTCOMES AND IMPROVING THE PATIENT EXPERIENCE. AS IMPORTANT COMPONENTS OF OVERALL HEALTH, DENTAL SERVICES AND BEHAVIORAL HEALTH ARE AVAILABLE. THERE IS A CLEAR NEED FOR INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES. THE STATE OF MENTAL HEALTH IN AMERICA, ACCESS TO CARE DATA, 2022, REPORTS FLORIDA RANKS 49 AMONG U.S. STATES FOR ACCESS TO MENTAL HEALTH CARE. IT RANKS 49TH FOR THE PERCENTAGE OF ADULTS WITH ANY MENTAL ILLNESS (AMI) WHO DID NOT RECEIVE TREATMENT (63.5%). THE PERCENTAGE OF RESIDENTS WHO HAVE EVER BEEN TOLD THAT THEY HAVE A DEPRESSIVE DISORDER INCREASED IN OSCEOLA COUNTY FROM 15.4% IN 2013 TO 16.6% IN 2016. THIS WAS HIGHER THAN THE 2016 STATE RATE OF 14.2%. SUBSTANCE ABUSE IS A GROWING PROBLEM IN OSCEOLA COUNTY. THE FLORIDA DEPARTMENT OF HEALTH, BUREAUS OF COMMUNITY HEALTH ASSESSMENT, AND VITAL STATISTICS REPORTED 886 NON-FATAL OVERDOSE EMERGENCY DEPARTMENT VISITS IN OSCEOLA COUNTY IN 2022 AND 527 OVERDOSE HOSPITALIZATIONS FOR THE SAME PERIOD. THERE WERE 138 FATAL OVERDOSES. THE FLORIDA DEPARTMENT OF HEALTH IN OSCEOLA COUNTY, COMMUNITY HEALTH IMPROVEMENT PLAN, 2020-2025, REPORTS THE RATE OF FENTANYL-RELATED DEATHS IN OSCEOLA COUNTY INCREASED FROM 1.3 PER 100,000 POPULATION IN 2013 TO 11.1 PER 100,000 POPULATION IN 2017. PROJECT OPIOID REPORTED FENTANYL-CAUSED DEATHS IN CENTRAL FLORIDA HAVE INCREASED 172% OVERALL IN CENTRAL FLORIDA FROM 2015 TO 2021. ONLY 14 ADULT SUBSTANCE ABUSE BEDS ARE AVAILABLE, AND 830 ADULTS WERE ENROLLED IN A SUBSTANCE ABUSE PROGRAM IN 2022. OCHS PROPOSES INCREASING THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES BY IMPROVING ACCESS TO PROVIDERS. OCHS WILL DEVELOP A COLLABORATIVE CARE MODEL THAT CREATES MULTIDISCIPLINARY TEAMS TO INCLUDE PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH SPECIALISTS, SUPPORT STAFF, AND THE INCREASED USE OF TELEHEALTH. OCHS WILL ALSO FURTHER DEVELOP ITS WHOLE-PERSON APPROACH BY DEVELOPING NEW COMMUNITY PARTNERSHIPS TO ADDRESS THE SOCIAL DRIVERS OF HEALTH, INCLUDING CLOSED-LOOP REFERRALS AND CASE MANAGEMENT FOR COMPLEX PATIENTS. OCHS WILL INCREASE THE NUMBER OF PATIENTS RECEIVING SUBSTANCE USE DISORDER (SUD) SERVICES BY HIRING SUBSTANCE USE SPECIALISTS. THESE SERVICES WILL INCLUDE TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD), ADMINISTERED THROUGH A NEW PROGRAM THAT EXPANDS THE COLLABORATIVE CARE MODEL INTEGRATING BEHAVIORAL HEALTH AND PRIMARY CARE.

FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FY 2023 EXPANDING COVID-19 VACCINATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM INFRASTRUCTURE DEVELOPMENT – TELEHEALTH INNOVATION FUNDING AMOUNT REQUESTED: $150,000 PROJECT SUMMARY OCHS PROPOSES TO IMPLEMENT AN INNOVATIVE TELEHEALTH INFRASTRUCTURE DEVELOPMENT PROGRAM, TO ENSURE ACCESS TO QUALITY COMPREHENSIVE, CULTURALLY AND ETHICALLY SENSITIVE HEALTHCARE BY NEGATING THE IMPACT OF BARRIERS TO HEALTH CARE RELATED TO TRANSPORTATION, COST, ACCESS AND ISSUES RELATED TO DIGITAL LITERACY. THE CARE WILL BE PROVIDED WITHIN THE PRIMARY CARE MEDICAL HOME MODEL AND WILL BE AVAILABLE TO PATIENTS IN THE AREAS WHERE THE PATIENTS LIVE, WORK AND PLAY. THE PURPOSE OF THIS TELEHEALTH INNOVATION IS TO STRENGTHEN ORGANIZATIONAL CAPACITY TO RESPOND TO THE CHANGING HEALTH CARE LANDSCAPE AND INCREASE ACCESS TO HIGH-QUALITY HIV PRIMARY HEALTH CARE SERVICES FOR LOW-INCOME AND UNDERSERVED PEOPLE WITH HIV. THE COST OF HEALTH CARE IS A BARRIER TO ACCESS TO CARE FOR PERSONS IN UNDERSERVED, LOW INCOME AREAS OF OSCEOLA COUNTY. THE POVERTY RATE FOR OSCEOLA COUNTY’S NON-HISPANIC BLACK/AFRICAN AMERICANS IS 15.4% COMPARED TO WHITE NON- HISPANIC OF 9.0% CULTURAL BARRIERS WILL BE ADDRESSED IN THE PROPOSED INNOVATIVE TELEHEALTH CARE MODEL WHICH WILL INCLUDE ENSURE HIRING PROVIDERS WHO ARE REPRESENTATIVE OF THE TARGET POPULATION IN RACE AND CULTURE. OUTREACH TO THOSE COMMUNITIES WILL BE PART OF THE INNOVATION PLAN TO EDUCATE THOSE WHO ARE IN OUR SERVICE AREA AND WITHIN THIS TARGET POPULATION AND ENTER THEM INTO CARE. AS TELEHEALTH CONTINUES TO GAIN PROMINENCE, AND BECOME MORE INTEGRATED IN PATIENT CARE, PATIENTS WILL BE REQUIRED TO BECOME MORE KNOWLEDGEABLE ABOUT DIGITAL HEALTH TOOLS AND THE IMPORTANCE OF USING THE TOOLS. PATIENTS WITH LITTLE OR NO ACCESS TO THE DIGITAL TOOLS WILL EXPERIENCE LOW DIGITAL HEALTH LITERACY FURTHER DEEPENING THE HEALTH EQUITY GRADIENT BETWEEN WHITE NON-HISPANIC PATIENTS AND LOW INCOME AND COMMUNITIES OF COLOR. LACK OF DIGITAL LITERACY CAN LEAD TO NEGATIVE PATIENT OUTCOMES. THESE CRUCIAL BARRIERS PREVENTS THIS POPULATION FROM BENEFITING FROM THE ACCESSIBILITY OF TELEHEALTH SERVICES. THIS FUNDING WILL BE USED TO CLOSE THESE GAPS IN SERVICES BY PURCHASING ADDITIONAL AND MORE ADVANCED INFORMATION TECHNOLOGY EQUIPMENT TO EXPAND AND IMPROVE THESE SERVICES TO OUTREACH TO AND PROVIDE TARGETED HIV SERVICES TO MORE COMMUNITIES OF NEED AS IDENTIFIED IN OUR UNMET NEEDS ANALYSIS. IN ADDITION, OCHS WILL ENHANCE AND EXPAND THE EQUIPMENT ON THE CURRENT MOBILE UNIT AND AT THE FIXED SITES. OCHS HAS LIMITED OUTREACH TO SOME AREAS OF UNMET NEEDS IN WHICH OCHS NEEDS TO INCREASE PENETRATION OF TELEHEALTH SITES TO SERVE PEOPLE WITH HIV AT LOCATIONS SUCH AS COMMUNITY CENTERS, COUNTY HUMAN SERVICE SITE, AND OTHER SITES LOCATED IN UNINSURED, UNDERSERVED, RURAL AND URBAN COMMUNITIES OF NEED THROUGHOUT OSCEOLA COUNTY WHERE THE POPULATIONS OF MOST NEED LIVE AND WORK.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS