North Country Healthcare Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - NORTH COUNTRY HEALTHCARE, A FEDERALLY QUALIFIED HEALTH CENTER SERVING NORTHERN ARIZONA, WILL COMPLETE A CLINIC EXPANSION AND RENOVATION PROJECT FOR ITS EXISTING HEALTH CENTER IN RURAL WINSLOW, ARIZONA. THIS PROJECT INCLUDES A NEW ADDITION FEATURING A PROCEDURE ROOM, SIX EXAM ROOMS, A BEHAVIORAL HEALTH CONSULTANT OFFICE, PROGRAM SPECIALIST AND MEDICAL CASE MANAGER OFFICES, MEDICATION ROOM, BIO-WASTE ROOM, TWO PROVIDER OFFICES, MEDICAL ASSISTANT STATION, RESTROOM, AND A CONFERENCE ROOM, FURTHERMORE, THE PROJECT INVOLVES REMODELING 4,500 SQUARE FEET OF THE EXISTING CLINIC TO ADD AN EXTRA DENTAL OPERATORY, DENTAL STAFF OFFICES, A DENTAL LABORATORY, AND A DEDICATED STERILIZATION SPACE. THIS WILL ALSO ENABLE THE RECONFIGURATION OF OFFICES AND THE CHECK-IN/WAITING AREA. AN ADDITIONAL 7,600 SQUARE FEET OF PAVING WILL EXPAND PARKING FOR PATIENTS AND EMPLOYEES. THIS PROJECT WILL ALLOW NORTH COUNTRY TO ENHANCE ITS COMPREHENSIVE PRIMARY CARE, DENTAL, AND OUTREACH SERVICES FOR THE UNDERSERVED AND VULNERABLE POPULATIONS IN THE WINSLOW COMMUNITY, ALL WITHIN AN IMPROVED FACILITY.

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

ACCELERATING CANCER SCREENING - PROJECT TITLE: FISCAL YEAR 2022 ACCELERATING CANCER SCREENING APPLICANT ORGANIZATION NAME: NORTH COUNTRY HEALTHCARE, INC. ADDRESS: 2920 N FOURTH STREET, FLAGSTAFF, ARIZONA, 86004 PROJECT DIRECTOR NAME: ANNE NEWLAND, MD, MPH CONTACT PHONE NUMBERS: (P) 928-522-9564 (F) 928-522-9565 EMAIL ADDRESS: ANEWLAND@NCHCAZ.ORG WEBSITE: WWW.NORTHCOUNTRYHEALTHCARE.ORG GRANT PROGRAM FUNDS REQUESTED: YEAR 1: $250,000 YEAR 2: $250,000 TOTAL: $500,000 PROJECT ABSTRACT NORTH COUNTRY HEALTHCARE SEEKS A PARTNERSHIP WITH THE UNIVERSITY OF ARIZONA CANCER CENTER FOR THE HEALTH RESOURCES & SERVICES ADMINISTRATION FISCAL YEAR 2022 ACCELERATING CANCER SCREENING (AXCS) FUNDING OPPORTUNITY TO INCREASE EQUITABLE ACCESS TO CERVICAL, BREAST AND COLORECTAL CANCER SCREENING AND REFERRAL FOR CARE AND TREATMENT BY ENHANCING PATIENT OUTREACH AND EDUCATION, CASE MANAGEMENT, CARE COORDINATION, TRANSLATION AND INTERPRETING SERVICES, TRANSPORTATION, AND ELIGIBILITY ASSISTANCE FOR UNDERSERVED POPULATIONS ACROSS NORTHERN ARIZONA TO REDUCE DISPARITIES IN PATIENT ACCESS TO CANCER SCREENING AND ASSOCIATED OUTCOMES. BOTH CENTERS RECOGNIZE THAT AFFORDABLE AND ACCESSIBLE HEALTHCARE TRANSFORMS COMMUNITIES BY NARROWING HEALTH DISPARITIES, REDUCING CHRONIC DISEASE AND UNNECESSARY HOSPITALIZATIONS, AMONG OTHER CONTRIBUTIONS. NORTH COUNTRY HEALTHCARE, INC. HAS ITS HISTORICAL ROOTS IN A FREE CLINIC MODEL THAT TRANSITIONED TO FEDERALLY QUALIFIED HEALTH CENTER STATUS UPON COMMUNITY HEALTH CENTER FUNDING IN 1996. THE PRIMARY CLINIC SITE AND ADMINISTRATIVE HUB IS LOCATED IN FLAGSTAFF, A POPULATION CENTER WITH A MEDICALLY UNDERSERVED POPULATION DESIGNATION. NORTH COUNTRY HEALTHCARE ALSO OPERATES TWELVE SATELLITE CLINICS ACROSS NORTHERN ARIZONA TO PROVIDE ACCESSIBLE, COMPREHENSIVE AND AFFORDABLE PRIMARY HEALTHCARE TO THE UNDERSERVED AND VULNERABLE POPULATIONS IN AN ATMOSPHERE OF RESPECT, DIGNITY AND CULTURAL SENSITIVITY IN THE COMMUNITIES OF BULLHEAD CITY, FLAGSTAFF, GRAND CANYON, HOLBROOK, KINGMA N, LAKE HAVASU CITY, PAYSON, ROUND VALLEY, SELIGMAN, SHOW LOW, WILLIAMS, AND WINSLOW, WHICH ARE ALL MEDICALLY UNDERSERVED AREA’S AND HEALTH PROFESSIONAL SHORTAGE AREA’S. NORTH COUNTRY HEALTHCARE’S SERVICE AREA IS LARGELY RURAL AND SPARSELY POPULATED. THE CENTER’S SERVICE AREA IS LOCATED ACROSS FIVE RURAL COUNTIES: APACHE, COCONINO, GILA, MOHAVE, AND NAVAJO COUNTIES. NORTH COUNTRY HEALTHCARE HAS SIXTEEN ACCESS POINTS. THE SERVICE AREA BOUNDARIES ARE THE STATE LINES OF CALIFORNIA AND NEVADA TO THE WEST, THE NEW MEXICO STATE LINE TO THE EAST, THE GRAND CANYON NATIONAL PARK TO THE NORTH AND THE METROPOLITAN PHOENIX AREA TO THE SOUTH. NORTH COUNTRY HEALTHCARE IS COMMITTED TO A PATIENT CENTERED MEDICAL HOME DELIVERY OF SERVICE AND THIS MODEL OF CARE WILL INFORM NORTH COUNTRY’S PROPOSED AXCS PROJECT WITH AN EMPHASIS ON IN-REACH AND OUTREACH EFFORTS TO IMPROVE THE CERVICAL, BREAST AND COLORECTAL CANCER SCREENING AND FOLLOW-UP SERVICES. NORTH COUNTRY HEALTHCARE’S SCOPE OF SERVICES INCLUDES: DIAGNOSIS, TREATMENT AND REFERRAL FOR ALL ILLNESS, MANAGEMENT OF CHRONIC DISEASES, PRENATAL CARE/DELIVERY, PERINATAL OUTREACH, WELL WOMAN CHECKS, WELL CHILD SERVICES/IMMUNIZATIONS, PHARMACY, LABORATORY AND RADIOLOGY SERVICES, PREVENTIVE CARE/HEALTH EDUCATION, ORAL HEALTH SERVICES AND INTEGRATED BEHAVIORAL HEALTH. ADDITIONAL HEALTH SERVICES INCLUDE SIGNIFICANT HEALTH PROMOTION/DISEASE PREVENTION AND ENABLING PROGRAMS. OF THESE, THE WELL WOMAN HEALTHCHECK PROGRAM WILL SERVE AS THE FOUNDATION FOR THE PROPOSED AXCS PROJECT. THE WELL WOMAN HEALTHCHECK PROGRAM HAS BEEN AN OUTREACH PROGRAM OF NORTH COUNTRY HEALTHCARE FOR OVER 20 YEARS. THE PROGRAM IS WELL ESTABLISHED WITH DEDICATED STAFF COVERING THE ENTIRE SERVICE AREA AND FULFILLING THE EVIDENCE-BASED SCOPE OF PRACTICE ESTABLISHED BY THE NATIONAL BREAST AND CERVICAL CANCER PROGRAM THROUGH THE CENTER FOR DISEASE CONTROL AND PREVENTION. NORTH COUNTRY HOLDS A CONTRACT FOR FIVE COUNTIES IN NORTHERN ARIZONA FROM THE ARIZONA DEPARTMENT OF HEALT H SERVICES.

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

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CAPITAL DEVELOPMENT

NORTHERN ARIZONA CENTER AGAINST SEXUAL ASSAULT RURAL COORDINATED COMMUNITY RESPONSE TO SEXUAL ASSAULT IN RURAL NORTHERN ARIZONA

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM - ORGANIZATION NAME: NORTH COUNTRY HEALTHCARE (NCHC) ADDRESS: 2920 N. FOURTH STREET, FLAGSTAFF, ARIZONA 86004 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), COMMUNITY HEALTH CENTERS, 501(C)(3) NONPROFIT OR HOSPITAL-OWNED RURAL HEALTH CLINICS WEBSITE: WWW.NORTHCOUNTRYHEALTHCARE.ORG PROJECT NAME, TITLE: TENILLYA CODY, PROGRAM MANAGER PHONE NUMBER, EMAIL: 928-522-9430, TCODY@NCHCAZ.ORG PROPOSED SERVICE AREA: NORTHERN ARIZONA, CITIES: BULLHEAD CITY, FLAGSTAFF, GRAND CANYON, HOLBROOK, KINGMAN, LAKE HAVASU CITY, PAYSON, ROUND VALLEY, SHOW LOW, WILLIAMS, AND WINSLOW. COUNTIES: APACHE, COCONINO, GILA, NORTH MOHAVE, NAVAJO, AND YAVAPAI. • BRIEFLY DESCRIBE THE POPULATION YOU WILL SERVE. THE POPULATION NORTH COUNTRY HEALTHCARE (NCHC) RESEP WILL SERVE CONSISTS OF INDIVIDUALS WHO HAVE BEEN EXPOSED TO RADIATION RESULTING FROM NUCLEAR ARMS TESTING, AS WELL AS URANIUM MINING, TRANSPORT, AND PROCESSING IN NORTHERN ARIZONA. NORTHERN ARIZONA CONSISTS OF SIX COUNTIES AND BORDERS TWELVE TRIBAL LANDS. IT IS LARGELY RURAL AND SPARSELY POPULATED, WITH SIGNIFICANT TRAVEL TIME BETWEEN COMMUNITIES. THE SIX DOWNWIND COUNTIES INCLUDE APACHE, COCONINO, GILA, NAVAJO, AND YAVAPAI COUNTIES, AND AN AREA OF MOHAVE COUNTY NORTH OF THE GRAND CANYON. TOGETHER, THESE AREAS COMPRISE APPROXIMATELY 52,700 SQUARE MILES (2020 U.S. CENSUS DATA). A LARGE PORTION OF NCHC’S TARGET POPULATION CONSISTS OF TRIBAL MEMBERS FROM THE TWELVE NATIVE AMERICAN RESERVATIONS IN NORTHERN ARIZONA. MANY OF THE ELDERLY TRIBAL MEMBERS ARE ELIGIBLE FOR THE RESEP SERVICES SINCE MANY WERE BORN ON AND REMAIN ON THE RESERVATION. THE TRIBAL ELDERS OF NORTHERN ARIZONA ESTIMATED 98,144 ELIGIBLE DOWNWINDERS IN THE SERVICE AREA. MOREOVER, THE NAVAJO RESERVATION HAD AN ACTIVE URANIUM INDUSTRY, MINING, AND MILLING DURING THE COLD WAR ERA. AN ARTICLE IN THE AMERICAN JOURNAL OF PUBLIC HEALTH FROM 2002 ESTIMATES THAT MORE THAN 1,000 ABANDONED URANIUM MINE SHAFTS LAY WITHIN THE NAVAJO RESERVATION. THE ARTICLE ALSO ESTIMATES THE NUMBER OF URANIUM WORKERS AT AROUND 10,000 COUNTRY-WIDE, A QUARTER OF WHOM WERE NAVAJO. THIS MEANS APPROXIMATELY 2,500 NAVAJO URANIUM WORKERS. (DOUG BRUGGE, 2002) AS OF MAY 19, 2024, THE DEPARTMENT OF JUSTICE HAS APPROVED 6,981 URANIUM MINERS, 1,948 URANIUM MILLERS, AND 420 ORE TRANSPORTERS, TOTALING 9,349 APPROVED URANIUM WORKERS. NCHC RESEP STANDS READY TO SUPPORT THE DOWNWIND COMMUNITY IN NORTHERN ARIZONA, SPECIFICALLY AIDING RETIRED URANIUM INDUSTRY WORKERS AND ORE TRANSPORTERS. WITH AN ESTIMATED DOWNWINDER POPULATION OF 98,144 INDIVIDUALS, 1,608 URANIUM INDUSTRY WORKERS, AND AN UNKNOWN NUMBER OF RETIRED URANIUM ORE TRANSPORTER NUMBERS, THERE IS A NEED TO ENSURE THIS POPULATION IS AWARE OF THE RESOURCES AND ASSISTANCE RESEP CAN PROVIDE. • DESCRIBE YOUR PROJECT. CLEARLY IDENTIFY AND DESCRIBE YOUR ORGANIZATION’S PROPOSED PROJECT GOALS, AND OBJECTIVES, AS IT RELATES TO COMMUNITY NEEDS. NORTH COUNTRY HEALTHCARE’S (NCHC) RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM (RESEP) WILL PROVIDE RESEP SERVICES TO A VAST POPULATION THROUGHOUT NORTHERN ARIZONA. NCHC WILL PROVIDE HIGH-QUALITY, COMPREHENSIVE SERVICES, INCLUDING VERIFYING THE ELIGIBILITY OF PARTICIPANTS AND PROVIDING MEDICAL AND DEPRESSION SCREENING EXAMS. NCHC WILL ALSO PROVIDE DIAGNOSTIC TESTING, MEDICAL FOLLOW-UPS, AND REFERRALS AS INDICATED BY THE RESEP PROVIDERS. OUTREACH SERVICES AND EDUCATION REGARDING RADIOGENIC CANCERS AND OTHER RADIOGENIC DISEASES WILL BE PROVIDED TO THE GENERAL POPULATION IN THESE AREAS. PROPOSED GOALS INCLUDE COMPLETING 200-230 SCREENINGS ANNUALLY AND PROVIDING INFORMATION AND RESOURCES TO 400 POTENTIAL PARTICIPANTS VIA SEVERAL DIFFERENT MEDIUMS. THIS WORK WILL BE COMPLETED IN COLLABORATION WITH OUR MEDICAL PROVIDERS, COMMUNITY PARTNERS, AND THROUGH LEVERAGING RESOURCES ACROSS THE SERVICE AREA. • SELECT ONE OF THE FOLLOWING OPTIONS TO DESCRIBE HOW YOU LEARNED ABOUT THIS FUNDING OPPORTUNITY. NORTH COUNTRY HEALTHCARE LEARNED ABOUT THIS FUNDING OPPORTUNITY FROM THE HRSA PROJECT O FFICER.

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

ARRA - FACILITY INVESTMENT PROGRAM