Family Health Services Corporation

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

KUTETEZA (HIV PREVENTION)

HEALTH CENTER CLUSTER

FAMILY PLANNING SERVICES FOR NORTHEASTERN PENNSYLVANIA

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TITLE X, FAMILY PLANNING SERVICES PROGRAM

EARLY INTERVENTION SERVICES

HEALTH CENTER PROGRAM

FAMILY PLANNING SERVICES FOR NORTHEASTERN PENNSYLVANIA

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EARLY INTERVENTION SERVICES

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FAMILY PLANNING SERVICES FOR NORTHEASTERN PENNSYLVANIA

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FAMILY HEALTH SERVICES CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - PROJECT NAME: FAMILY HEALTH SERVICES (FHS) CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) APPLICANT ORGANIZATION NAME: FAMILY HEALTH SERVICES. (APPLICATION # SM-22-002) PROJECT SUMMARY: FAMILY HEALTH SERVICE’S (FHS) CCBHC APPLICATION WILL DEVELOP AND CERTIFY A CCBHC IN SOUTHCENTRAL IDAHO SERVING TWIN FALLS COUNTY. THIS WILL BE ONE OF THE FIRST CCBHCS IN IDAHO. IT IS THE INTENTION OF FHS TO BUILD UPON ITS ALREADY COMPREHENSIVE SERVICE DELIVERY OPTIONS THROUGH THE PLANNING, DEVELOPMENT, IMPLEMENTATION, AND CERTIFICATION PROCESS REQUIRED OF THE SAMHSA CCBHC-PDI OPPORTUNITY. BY GRANT END, FHS WILL BE DELIVERING HIGH-QUALITY MENTAL HEALTH DISORDER AND SUBSTANCE USE DISORDER (SUD) TREATMENT, AS WELL AS RECOVERY SUPPORTS TO INDIVIDUALS IN THE TARGET SERVICE AREA WITH A SUD, A SERIOUS MENTAL ILLNESS (SMI), CHILDREN AND ADOLESCENTS WITH A SERIOUS EMOTIONAL DISTURBANCE (SED), INDIVIDUALS WITH A CO-OCCURRING MENTAL HEALTH AND SUD DISORDER (COD), AND INDIVIDUALS EXPERIENCING MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. IT IS THE INTENTION OF FHS TO FILL A NEEDED MENTAL HEALTH, SUBSTANCE USE DISORDER, AND PRIMARY CARE TREATMENT GAP IN SOUTHCENTRAL IDAHO. THROUGH THE CCBHC DEVELOPMENT, FHS WILL IMPROVE THE ACCESS AND OVERALL HEALTH OF THE SOUTHCENTRAL IDAHO RESIDENTS, WHETHER THEY ARE INSURED, UNDER INSURED, OR INDIGENT. POPULATION(S) TO BE SERVED: FHS WILL SERVE INDIVIDUALS IN TWIN FALLS COUNTY WITH MENTAL HEALTH, SUBSTANCE USE DISORDER, AND WHO ARE ALSO AT RISK FOR CHRONIC HEALTH ISSUES THAT INCLUDES DIABETES, HYPERTENSION (HTN), AND CHRONIC NON-MALIGNANT PAIN. STRATEGIES/INTERVENTIONS: FHS’S STRATEGY TO CCBHC IMPLEMENTATION IS TO EXPAND UPON ITS CURRENT OUTPATIENT MENTAL HEALTH AND INTEGRATED BEHAVIORAL HEALTH SERVICES. THE ADDITIONAL FUNDING WILL ALLOW FHS TO DEVELOP A REVERSE INTEGRATION MODEL THAT INCORPORATES POPULATION HEALTH MANAGEMENT TO INTEGRATE PRIMARY CARE, SUBSTANCE USE DISORDER, AND 24-HOUR CRISIS TREATMENT AND SERVICES TO NOT ONLY MEET THE NINE CORE CCBHC CRITERIA BUT TO INCREASE ACCESS TO SERVICES IN RURAL COMMUNITIES. PROJECT GOALS AND MEASURABLE OBJECTIVES: FHS WILL SERVE FOLLOWING NUMBER OF UNDUPLICATED PATIENTS IN EACH GRANT YEAR: 101 YEAR 1; 108 YEAR 2; 111 YEAR 3, AND; 92 IN YEAR 4 FOR A TOTAL OF 412 UNDUPLICATED PATIENTS SERVED DURING THE FOUR YEAR PROJECT. THE PROJECT GOALS INCLUDE 1) INCREASE ACCESS TO AND AVAILABILITY OF HIGH-QUALITY BEHAVIORAL HEALTH SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF INDIVIDUALS WITH QUALIFYING BEHAVIORAL HEALTH DIAGNOSIS RESIDING IN TWIN FALLS COUNTY. 2) SUPPORT RECOVERY FROM MENTAL HEALTH AND SUBSTANCE USE DISORDER CHALLENGES VIA THE IMPLEMENTATION OF A COMPREHENSIVE COMMUNITY-BASED MENTAL AND SUBSTANCE USE DISORDER TREATMENT PROGRAM AND SUPPORTS. 3) IMPLEMENT EVIDENCE-BASED PRACTICES THAT ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE RESIDENTS OF TWIN FALLS COUNTY. 4) MEASURE AND IMPROVE THE QUALITY OF BEHAVIORAL HEALTH SERVICES DELIVERY WITHIN FHS. 5) INVOLVE CONSUMERS AND FAMILY MEMBERS IN THEIR OWN CARE AND THE BROADER GOVERNANCE OF FHS’ CCBHC SERVICES. 6) ESTABLISH A PROJECT EVALUATION AND QUALITY IMPROVEMENT PROCESS TO MONITOR THE IMPLEMENTATION OF THE CCBHC AND ENSURE QUALITY OF SERVICES AND SUPPORTS. 7) PROMOTE SUSTAINABILITY AND EXPANSION OF CCBHC BEST PRACTICES BY SHARING KEY LESSONS LEARNED, EFFECTIVE STRATEGIES, AND BENEFICIAL OUTCOMES WITH KEY STAKEHOLDERS.

FAMILY PLANNING SERVICES FOR NORTHEASTERN PENNSYLVANIA

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER PROGRAM

CAPITAL DEVELOPMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

IMPLEMENTATION OF A MATERNAL AND FAMILY HEALTH SERVICES MATERNITY MEDICAL HOME TO IMPROVE ACCESS TO SOCIAL SERVICES FOR AT-RISK AND LOW-INCOME WOMEN, CHILDREN, AND FAMILIES.

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

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FAMILY PLANNING SERVICES FOR NORTHEASTERN PENNSYLVANIA

CAPITAL DEVELOPMENT

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

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

FAMILY PLANNING SERVICES FOR NORTHEASTERN PENNSYLVANIA

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - GASTON FAMILY HEALTH SERVICES (GFHS) WILL WORK WITH GASTON CORRECTIONAL CENTER JUSTICE-INVOLVED INDIVIDUALS WHO ARE WITHIN 90 DAYS OF RELEASE TO ASSURE THEY ARE CONNECTED TO HEALTHCARE, BEHAVIORAL HEALTH, AND SOCIAL NEEDS UPON RELEASE. GFHS WILL EMPLOY A NAVIGATOR WHO WILL MEET INDIVIDUALLY WITH EACH PERSON WITHIN 90 DAYS OF RELEASE TO SCREEN FOR BEHAVIORAL HEALTH NEEDS (INCLUDING ADDICTION TREATMENT), HEALTH NEEDS (INCLUDING HIV STATUS, HEP C STATUS, CHRONIC DISEASE MANAGEMENT), AND SOCIAL NEEDS (INCLUDING EMPLOYMENT, HOUSING, FOOD, CLOTHING, TRANSPORTATION) AND WORK WITH EACH INDIVIDUAL TO FORMAT A PLAN TO MEET THOSE NEEDS UPON RELEASE. COMMUNITY PARTNERS INCLUDING OLIVE BRANCH MINISTRIES (HARM REDUCTION), HEALTHNET GASTON (HOUSING/CONTINUUM OF CARE), CITY CHURCH (HOUSING, EMPLOYMENT, MENTORING), NC WORKS (EMPLOYMENT), AND GEMS (COMMUNITY PARAMEDICINE, TRANSPORTATION) WILL WORK WITH GFHS TO PROVIDE NEEDED SERVICES OUTSIDE OF HEALTHCARE, WITH HOUSING BEING THE FOCUS HEALTH-RELATED SOCIAL NEED BEING ADDRESSED. GRANT FUNDING WILL PAY FOR CASE MANAGEMENT IN THE CARCERAL SETTING, BE PASSED THROUGH TO COMMUNITY PARTNERS TO PROVIDE HOUSING, TRANSPORTATION, FOOD, CLOTHING, JOB TRAINING, AND OTHER NEED HEALTH-RELATED SOCIAL NEEDS. UPON RELEASE FROM THE CARCERAL SETTING, GFHS WILL PROVIDE THESE INDIVIDUALS WITH A FULL CONTINUUM OF HEALTHCARE SERVICES INCLUDING PRIMARY MEDICAL CARE, BEHAVIORAL HEALTH INCLUDING SUBSTANCE USE DISORDER TREATMENT AND MAT, DENTAL CARE, HIV CARE, HEP C TREATMENT, DENTAL CARE, AND SUPPORTIVE SERVICES INCLUDING CONNECTION TO HEALTHCARE PAYOR SOURCES SUCH AS MEDICAID AND ACA INSURANCE AND CONNECTION TO ADDITIONAL COMMUNITY RESOURCES. GFHS AND THE COMMUNITY PARTNERS ARE ALL MEMBERS OF THE GASTON CORRECTIONAL CENTER'S NEWLY-FORMED REENTRY COUNCIL, MEETING REGULARLY TO MEET THE NEEDS OF JUSTICE-INVOLVED INDIVIDUALS WHO ARE BEING RELEASED FROM INCARCERATION.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

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

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT TITLE: ENDING THE HIV EPIDEMIC – PRIMARY CARE HIV PREVENTION (PCHP) APPLICANT ORGANIZATION NAME: ACCESS FAMILY HEALTH SERVICES, INC. (H80CS00633) ADDRESS: 63450 HWY. 25 NORTH; SMITHVILLE, MS 38870 PROJECT DIRECTOR: MARILYN SUMERFORD PHONE NUMBER: 662-651-4686 FAX: 662-651-4686 EMAIL ADDRESS: MSUMERFORD@ACCESSFHS.COM WEBSITE: WWW.ACCESSFHS.COM FEDERAL FUNDING REQUEST: $325,000 ACCESS FAMILY HEALTH SERVICES (ACCESS), LOCATED IN SMITHVILLE, MS, WAS CHARTERED IN 1978 WITH THE OBJECTIVE OF EXPANDING THE AVAILABILITY AND IMPROVING THE DELIVERY OF MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES. THE ORGANIZATION HAS GROWN FROM ONE CLINIC TO FIVE MEDICAL CLINICS, A DENTAL CLINIC, AND TEN SCHOOL-BASED HEALTH CLINICS. ACCESS PROVIDES PRIMARY HEALTH CARE SERVICES IN CHICKASAW, ITAWAMBA, LEE, MONROE, AND PONTOTOC COUNTIES IN MISSISSIPPI AND CONTIGUOUS COUNTIES IN NORTHWEST ALABAMA. THE ESTIMATED POPULATION OF THE SERVICE AREA IS 280,950. THE PURPOSE OF THE ENDING THE HIV EPIDEMIC – PRIMARY CARE HIV PREVENTION (PCHP) PROJECT IS TO EXPAND HIV PREVENTION SERVICES THAT DECREASE THE RISK OF HIV TRANSMISSION IN UNDERSERVED COMMUNITIES IN SUPPORT OF ENDING THE HIV EPIDEMIC IN THE U.S. THE INITIATIVE INCLUDES FOUR STRATEGIES: DIAGNOSIS, TREATMENT, PREVENTION, AND RESPONSE. ACCESS WILL FOCUS ON DIAGNOSING PEOPLE WITH HIV AS EARLY AS POSSIBLE AFTER TRANSMISSION, RAPID TREATMENT TO REACH SUSTAINED VIRAL SUPPRESSION, AND PREVENTION OF NEW HIV TRANSMISSION BY USING INTERVENTIONS, INCLUDING PRE-EXPOSURE PROPHYLAXIS (PREP). THE OVERALL GOAL IS A 75% REDUCTION IN NEW HIV INFECTIONS IN 5 YEARS AND AT LEAST A 90% REDUCTION IN 10 YEARS, BUT FOR ACCESS THE FIRST STEP IS TO INCREASE THE NUMBER OF INDIVIDUALS BEING SCREED FOR HIV. ACCESS HAD A JOINT COMMISSION SITE VISIT IN OCTOBER 2021 WITH REACCREDITATION AND PRIMARY CARE MEDICAL HOME RECOGNITION THROUGH JCAHO. THE ORGANIZATION ALSO RECEIVED HRSA’S GOLD BADGE FOR QUALITY IN 2021, RANKING IN THE TOP 10% OF HEALTH CENTERS NATIONALLY. THIS SAME ATTENTION TO QUALITY WILL BE USED IN HIV SCREENING, TREATMENT, AND REPORTING REQUIREMENTS. ACCESS SERVED 8,768 PATIENTS WITH 32,317 VISITS IN 2020. CURRENTLY THE ORGANIZATION IS AT 97% OF ITS PATIENT TARGET OF 10,852, WITH PLANS TO EXPAND SITES AND SERVICES IN 2022. ACCESS WILL CONTINUE TO ADVANCE ITS MISSION OF PROVIDING AFFORDABLE COMPREHENSIVE HEALTHCARE AND EDUCATION FOR OUR COMMUNITIES WITH SUPERIOR SERVICE. THE ORGANIZATION IS COMMITED TO STOP THE SPREAD OF NEW HIV INFECTIONS THROUGH INCREASING THE NUMBER OF INDIVIDUALS SCREENED FOR HIV. ACCESS WILL OFFER HIV SCREENING FOR INDIVIDUALS BETWEEN THE AGES OF 15 AND 65 AND LINK TO THE NECESSARY CARE. TREATMENT OPTIONS WILL BE OFFERED FOR THOSE HIV POSITIVE INDIVIDUALS. PRE-EXPOSURE PROPHYLAXIS (PREP) SERVICES WILL BE PROMOTED FOR THOSE EXPOSED OR AT HIGH RISK FOR EXPOSURE TO HIV. INDIVIDUALS WILL HAVE THE OPTION TO OPT OUT OF SCREENING SERVICES, BUT CLINICAL GUIDELINES WILL BE FOLLOWED. A COMMUNITY HEALTH WORKER WILL BE UTILIZED TO HELP REDUCE SOCIAL STIGMA BY INCREASING KNOWLEDGE AND AWARENESS. ACCESS WILL WORK COLLABORATIVELY WITH THE COMMUNITY HEALTH CENTER ASSOCIATION OF MISSISSIPPI, MS STATE DEPARTMENT OF HEALTH, THE MISSISSIPPI AIDS EDUCATION TRAINING CENTER AND NATIONAL PARTNERS TO ENSURE THAT PROGRAM OBJECTIVES ARE ACCOMPLISHED.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER INFRASTRUCTURE SUPPORT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - SCHENECTADY FAMILY HEALTH SERVICES, INC. D/B/A HOMETOWN HEALTH CENTERS (HHC) HAS BEEN SERVING UNDERINSURED, UNINSURED, AND INSURED PATIENTS IN SCHENECTADY COUNTY SINCE 1972. THE SECTION OF THE CITY PRIMARILY SERVED BY HHC IS A DESIGNATED MEDICALLY UNDERSERVED AREA (MUA 06211) AND A FEDERALLY DESIGNATED URBAN RENEWAL COMMUNITY. CURRENT DATA (PRE-COVID) SHOWS NEARLY 70% OF HOUSEHOLDS CITYWIDE ARE LOW AND MODERATE INCOME, WITH 48% AS VERY LOW INCOME. MORE THAN 80% OF HAMILTON HILL NEIGHBORHOOD RESIDENTS ARE LOW-INCOME, 72% ARE VERY LOW INCOME AND 65% LIVE BELOW THE POVERTY LEVEL. THE TARGET POPULATION FOR HHC LIVES IN NEIGHBORHOODS CONTAINING THE CITY’S HIGHEST PERCENTAGE OF LOW/MODERATE INCOME HOUSEHOLDS, VERY LOW-INCOME HOUSEHOLDS AND PERSONS WHO LIVE BELOW THE POVERTY LEVEL. THE ONLY OTHER PRACTICE THAT ACCEPTED MEDICAID PATIENTS WAS ELLIS HOSPITAL, WHICH CLOSED ITS PRACTICE IN JULY 2021, LEAVING THOUSANDS OF PATIENTS WITHOUT A DENTAL PROVIDER. THE DENTAL PRACTICE AT HHC IS CURRENTLY OPERATING AT CAPACITY AND PATIENTS ARE WAITING, ON AVERAGE, TWO MONTHS TO SEE A DENTIST AND THREE MONTHS TO SEE AN ORAL SURGEON. AS IT IS, THESE WAIT TIMES ARE LESS THAN IDEAL. CURRENTLY, HHC EMPLOYS 4.2 HYGIENISTS, 4 FULL-TIME DENTISTS, 1 PART-TIME DENTIST, 1 PART-TIME ORAL SURGEON, AND 2 DENTAL RESIDENTS THROUGH NEW YORK UNIVERSITY LANGONE. THE DENTAL EXPANSION IN HHC’S SERVICE AREA WILL ENSURE THAT UNDERSERVED CHILDREN AND ADULTS HAVE TIMELY ACCESS TO HIGH-QUALITY DENTAL CARE. IF THIS PROJECT IS NOT COMPLETED, THE 20TH CONGRESSIONAL DISTRICT WILL HAVE THOUSANDS OF PEOPLE WHO ARE UNABLE TO RECEIVE AFFORDABLE AND ACCESSIBLE DENTAL SERVICES. FUNDS WILL BE USED TO RENOVATE AN EXISTING BUILDING TO ACCOMMODATE 30 EXAM ROOMS, TWO LABORATORIES, AND PROVIDER OFFICES. THE EXISTING DENTAL DEPARTMENT AT STATE STREET WOULD MOVE INTO THE RENOVATED BUILDING ALONG WITH THE EXPANDED DENTAL PROGRAM. RENOVATION AND CAPITAL COSTS FOR THE PROJECT INCLUDE $2.6 MILLION FOR RENOVATIONS . COMMUNITY PROJECT FUNDING WOULD BE USED TO OFFSET SOME OF THESE RENOVATION COSTS.

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ADDRESS: 1912 HAYES AVENUE, SANDUSKY OH, 44870 PROJECT DIRECTOR: RENEE LEBER, LISW-S PHONE: 419-502-2800 EMAIL: RENEEL@FAMILYHS.ORG WEBSITE: HTTPS://WWW.FAMILYHS.ORG/ FUNDS REQUESTED FOR 2 YEAR PERIOD: $1,100,000.00 IN THE UNITED STATES, APPROXIMATELY ONE IN FIVE ADULTS LIVING IN RURAL AREAS EXPERIENCE MENTAL ILLNESS. ALTHOUGH THE PREVALENCE IN RURAL AND URBAN AREAS IS COMPARABLE, PEOPLE LIVING IN RURAL AREAS EXPERIENCE UNIQUE INFLUENCING FACTORS WHEN IT COMES TO MANAGING THEIR MENTAL HEALTH, LEADING TO LESS ACCESS AND GREATER STIGMA (NATIONAL RURAL HEALTH ASSOCIATION, 2024). OVERALL, RURAL POPULATIONS HAVE LOWER MEDIAN HOUSEHOLD INCOMES, LEVELS OF EMPLOYMENT, AND EDUCATIONAL ATTAINMENT THAN THE GENERAL POPULATION, ALL OF WHICH INCREASE THE CHANCE OF DEVELOPING MENTAL HEALTH CONDITIONS. AND WHILE THE NEEDS EXIST, ACCESS TO THESE SERVICES IS DIFFICULT SINCE MOST RURAL COMMUNITIES STRUGGLE WITH A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. DATA FOR THE SERVICE AREA OF RURAL NORTH CENTRAL OHIO IS EVEN WORSE, WITH NEARLY ONE IN FOUR (24%) ADULTS REPORTING A DEPRESSION DIAGNOSIS, INCREASING TO NEARLY 30% FOR THOSE WITH HOUSEHOLD INCOMES UNDER $50,000 PER YEAR (ERIE AND HURON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTS). FAMILY HEALTH SERVICES OF ERIE COUNTY (FHS), HEALTH CENTER H80CS28351, HAS PROVIDED ESSENTIAL HEALTHCARE SERVICES TO THE NORTH CENTRAL OHIO COMMUNITY SINCE 2010. IN 2022, THE HEALTH CENTER PROVIDED 12,763 PATIENTS WITH PRIMARY MEDICAL, DENTAL, NUTRITION, PHYSICAL THERAPY AND BEHAVIORAL HEALTH SERVICES DELIVERED IN FOUR PERMANENT AND TEN SEASONAL, SCHOOL-BASED SITES. FAMILY HEALTH SERVICES’ PRIMARY SERVICE AREAS ARE ERIE AND HURON COUNTIES, WHICH ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH. HURON COUNTY IS ALSO A DESIGNATED HPSA FOR PRIMARY CARE FOR LOW-INCOME POPULATIONS. IN ADDITION TO HPSA DESIGNATIONS, BOTH HURON AND ERIE COUNTIES HAVE MEDICALLY UNDERSERVED POPULATION (MUP) DESIGNATIONS FROM HRSA DUE TO A SHORTAGE OF PRIMARY CARE SERVICES FOR LOW-INCOME INDIVIDUALS. FHS BEGAN INTEGRATING BEHAVIORAL HEALTH SERVICES INTO THE EXISTING PRIMARY CARE MODEL IN 2017, SERVING 61 PATIENTS AND PROVIDING 134 VISITS. SINCE THAT TIME, FHS HAS SEEN EXTENSIVE GROWTH IN THIS SPACE, CONTINUALLY INCREASING STAFFING TO ATTEMPT TO MEET THE CRITICAL NEEDS OF THE COMMUNITY, AND ENSURING PRIMARY CARE PROVIDERS ARE CERTIFIED TO PRESCRIBE MEDICATION ASSISTED THERAPY (MAT) FOR OUD. IN 2023, FHS PROVIDED BEHAVIORAL HEALTH SERVICES TO NEARLY 5,000 UNIQUE PATIENTS WITH OVER 34,000 PATIENT VISITS ACROSS FOUR CLINICAL AND TEN SCHOOL-BASED SITES, HOWEVER MORE IS STILL NEEDED. BY AUGUST 31, 2026, THE PROPOSED PROJECT WILL: 1) INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES; AND 2) INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. TO ACHIEVE THESE GOALS, FHS WILL HIRE TWO ADDITIONAL MENTAL HEALTH COUNSELORS TO PROVIDE SERVICES ACROSS CLINIC AND SCHOOL SITES IN ERIE AND HURON COUNTIES. THESE PROFESSIONALS WILL ALLOW FHS TO INCREASE THE NUMBER OF INDIVIDUALS BEING SERVED, AND WILL ESTABLISH GROUP THERAPY OPTIONS FOR PATIENTS, WHICH CAN TREAT A MULTITUDE OF CONDITIONS AND DECREASE WAIT TIMES. OVER THE TWO-YEAR PERIOD, THESE COUNSELORS WILL PROVIDE SERVICES TO AN ADDITIONAL 1,600 INDIVIDUALS WITH A DIAGNOSED MENTAL HEALTH AND/OR SUD CONDITION, AND WORK WITH FHS PRIMARY CARE PROVIDERS TO ENSURE MAT TREATMENT IS BEING PRESCRIBED AS APPROPRIATE. TO ENSURE BARRIERS TO ACCESSING CARE ARE REMOVED AND SOCIAL NEEDS ADDRESSED, WILL HIRE A COMMUNITY HEALTH WORKER TO SUPPORT PATIENTS RECEIVING MENTAL HEALTH SERVICES AT FHS.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - FAMILY HEALTH SERVICES, HEALTH CENTER PROGRAM #H80CS00425. IN AN EARNEST EFFORT TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH THE EXPANSION OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN PRIMARY CARE CLINICS, FHS PROPOSES TO USE BEHAVIORAL HEALTH SERVICE EXPANSION FUNDS FOR THE ADDITION OF 3.0 FTE COUNSELORS, 1.0 FTE SUBSTANCE USE DISORDER COUNSELOR, 1.0 FTE REGISTERED NURSE FOR THE INTEGRATED MEDICAL SERVICES AT OUR TWIN FALLS BEHAVIORAL HEALTH CLINIC, AND 1.0 FTE MID-LEVEL MEDICAL PROVIDER WHO WILL OFFER MEDICATION ASSISTED TREATMENT – FOR A TOTAL OF SIX NEW STAFF. AS OF APRIL 2024, THE ENTIRE STATE OF IDAHO IS A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. OUR GREATEST CHALLENGE WILL BE RECRUITING AND HIRING COUNSELORS, AS THERE IS A NATIONAL SHORTAGE OF MENTAL HEALTH PROFESSIONALS. RURAL AREAS HAVE MORE DIFFICULTY COURTING STAFF WITH WAGES NOT AS COMPETITIVE AND NATURAL AND BUILT COMMUNITY ENVIRONMENTS NOT AS INHERENTLY ATTRACTIVE. FHS WILL USE BHSE FUNDS IN YEAR ONE TO OFFER SIGN ON BONUSES TO NEW COUNSELORS TO MITIGATE THIS CHALLENGE AS PART OF THEIR CONTRACT. FHS PROJECTS 373 TOTAL NEW PATIENTS WILL HAVE ACCESS TO CULTURALLY SENSITIVE MENTAL HEALTH/BEHAVIORAL HEALTH AND/OR SUBSTANCE ABUSE OVER AN ESTIMATED 2,995 TOTAL NEW ENCOUNTERS THROUGH THE BHSE FUNDING. APPROXIMATELY 252 NEW PATIENTS WILL RECEIVE MENTAL HEALTH SERVICES OVER 1,758 ENCOUNTERS. SIXTY-FIVE NEW PATIENTS WILL ACCESS SUD OVER SIX-HUNDRED ENCOUNTERS, AND FIFTY-SIX NEW PATIENTS WILL RECEIVE TREATMENT WITH MOUD OVER AN ESTIMATED 637 ENCOUNTERS. FHS FOLLOWS A COLLABORATIVE CARE MODEL OF TEAM-DRIVEN CARE WITH A FOCUS ON INTEGRATED CARE, POPULATION HEALTH MANAGEMENT, OUTCOME MEASURES GUIDING CLINICAL DECISION-MAKING, AND EVIDENCED-BASED CARE TO IMPROVE HEALTH OUTCOMES. THE PROPOSED FUNDING FOR STAFFING AND RECRUITMENT BONUSES WILL BETTER PREPARE FHS TO NAVIGATE THE PROVISION OF COMPREHENSIVE, WHOLE-PERSON CARE FOR A GROWING NUMBER OF HIGH-NEEDS, HIGH UTILIZATION PATIEN TS LIVING WITH MENTAL HEALTH CONDITIONS AND/OR SUBSTANCE USE DISORDERS. IDAHO AND UTAH ARE THE ONLY INTERMOUNTAIN WEST STATES TO SEE MORE THAN 1% POPULATION GROWTH BETWEEN 2022 AND 2023 AND OUR COMMUNITIES ARE WITNESS TO THE EFFECTS OF THAT GROWTH, BOTH NEGATIVE AND POSITIVE. WHILE IDAHO IS GAINING NEEDED DIVERSITY AND GROWTH, THE RISING COST OF LIVING, ESPECIALLY HOUSING, IS CONTRIBUTING TO HIGHER RATES OF STRESS AND ANXIETY. FHS REGULARLY SCREENS PATIENTS FOR SOCIAL DRIVERS OF HEALTH AND MORE PATIENTS ARE INDICATING CONCERN ABOUT ACCESS TO HOUSING, UTILITY, TRANSPORTATION, AND FOOD THAT CAN CONTRIBUTE TO DEPRESSION AND/OR ANXIETY. IN 2022, APPROXIMATELY 2,557 FHS PATIENTS HAD DEPRESSION OR OTHER MOOD DISORDER DIAGNOSES. JUST OVER 3,100 HAD AN ANXIETY DIAGNOSIS, INCLUDING PTSD. IN 2023, 3,140 PATIENTS HAD A DEPRESSION OR OTHER MOOD DISORDER DIAGNOSIS, AND 3,252 PATIENTS HAD AN ANXIETY DISORDERS DIAGNOSIS. PATIENTS WITH ALCOHOL DISORDERS INCREASED FROM 188 IN 2022 TO 277 IN 2023 AND PATIENTS WITH OTHER SUBSTANCE-RELATED DISORDERS (EXCLUDING TOBACCO USE DISORDER) INCREASED FROM 411 IN 2022 TO 461 IN 2023. OUR PROPOSAL ALSO DIRECTLY RESPONDS TO AN INCREASE IN SUICIDE RATES FOR THE STATE IN RECENT YEARS, WITH THE AGE-ADJUSTED DEATH RATE INCREASING FROM 20.5 (12TH HIGHEST IN US IN 2020) TO 22.2 IN 2022 (SIXTH HIGHEST IN THE US). THE STAFFING PROPOSED IN OUR BHSE APPLICATION DIRECTLY REFLECTS THE NEEDS OF OUR COMMUNITIES AND OUR PATIENTS TO BETTER ACCESS MENTAL HEALTH SERVICES AND SUD SERVICES IN A TIMELY MANNER, INCLUDING RECEIVING TREATMENT WITH MOUD IN AN AFFORDABLE, NON-DISCRIMINATORY, AND CULTURALLY APPROPRIATE MANNER. OUR GOAL IS TO STRENGTHEN OUR CAPACITY THROUGH INTEGRATION OF SERVICES, TO PROMOTE EQUAL ACCESS TO CARE AND REDUCE DISPARITIES IN CARE, AND ENSURE ALL PATIENTS, REGARDLESS OF THEIR NEED, RECEIVE THE WHOLE PERSON, COMPREHENSIVE CARE THEY DESERVE.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: HOPE FAMILY HEALTH SERVICES HEALTH CENTER PROGRAM GRANT NUMBER: H80CS24109 ADDRESS: 1124 NEW HWY 52 EAST, WESTMORELAND, TN 37186-5032 CONTACT PHONE NUMBER: (615) 644-2000 WEBSITE ADDRESS: HOPEFAMILYHEALTH.ORG PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. HOPE FAMILY HEALTH SERVICES (HFHS), A NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN PROVIDING ACCESSIBLE, HIGH-QUALITY, PATIENT-FOCUSED HEALTH CARE TO RESIDENTS OF MACON, SUMNER, AND TROUSDALE COUNTIES, TN SINCE 2005. IN 2023, HFHS SERVED 4,627 PATIENTS WITH 18,106 ENCOUNTERS, INCLUDING 3,534 VIRTUAL VISITS, FROM THREE SERVICE DELIVERY SITES, INCLUDING 971 PATIENTS WITH MENTAL HEALTH (MH) SERVICES, 100 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 10 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: IN THE THREE-COUNTY SERVICE AREA, THERE ARE AN ESTIMATED 44,887 INDIVIDUALS AGES 12 AND OLDER WHO ARE IN NEED OF SUD TREATMENT. OF THESE, AN ESTIMATED 9,383 INDIVIDUALS ARE IN TREATMENT. THE NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH) ESTIMATES THAT 71.4% OF INDIVIDUALS 18 AND OLDER AND 61.0% OF INDIVIDUALS AGES 12 TO 17 WHO ARE IN NEED OF SUD TREATMENT IN TN ARE NOT RECEIVING SUD SERVICES. THEREFORE, THE NUMBER OF INDIVIDUALS WITH SUD WHO NEED TREATMENT IN THE HFHS SERVICE AREA IS APPROXIMATELY 31,473. IN ADDITION, THERE ARE AN ESTIMATED 43,257 INDIVIDUALS WITH MENTAL ILLNESS IN THE SERVICE AREA (NSDUH, SAMHSA, 2021-2022). AMONG ADULTS WITH ANY MENTAL ILLNESS IN TN, 46.4% HAVE NOT RECEIVED NEEDED TREATMENT. IN THE HFHS SERVICE AREA, THIS WOULD INDICATE AT LEAST 20,071 INDIVIDUALS NEEDING BUT NOT RECEIVING MH SERVICES. MOST OF THOSE NOT RECEIVING CARE REPORTED THE PRIMARY FACTOR WAS THAT THEY COULD NOT AFFORD IT (“ADULTS WITH AMI REPORTING UNMET NEED 2023,” MENTAL HEALTH AMERICA). MANY OF THESE INDIVIDUALS MAY BE AMONG THE ESTIMATED 25,341 UNINSURED OR 38,380 MEDICAID ENROLLED RESIDENTS OF THE SERVICE AREA, AS MANY PROVIDERS OF SUD AND MENTAL HEALTH TREATMENT ONLY ACCEPT PRIVATE INSURANCE (SAHIE, CENSUS BUREAU, 2021; ACS, CENSUS BUREAU, 2018-2022). HFHS IS AN ESSENTIAL SAFETY NET PROVIDER OF COMPREHENSIVE CARE IN THE SERVICE AREA. SERVICES: HFHS IS REQUESTING FUNDING TO EXPAND BH SERVICES, INCREASING ACCESS TO MH, SUD, AND MOUD FOR THE TARGET POPULATION. HFHS HAS AN ESTABLISHED INTEGRATED BH PROGRAM; HOWEVER, THE NEED FOR SERVICES EXCEEDS HFHS’S CAPACITY. HFHS WILL AUGMENT ITS BH CARE TEAM BY HIRING 7.25 FTE BH STAFF BY YEAR 2, INCLUDING: 1.0 FTE PSYCHIATRIC NURSE PRACTITIONER, 1.0 FTE ADDICTION COUNSELOR, 2.0 FTE PEER SUPPORT SPECIALISTS, 1.0 FTE BH MEDICAL ASSISTANT, 1.0 FTE CLINICAL PHARMACIST. 1.0 FTE BH THERAPIST, AND 0.25 FTE ADDICTION RECOVERY PROGRAM LEAD. HFHS WILL ALSO CONTRACT WITH A PSYCHIATRIST TO PROVIDE DIRECT CARE AND ADDITIONAL CLINICAL OVERSIGHT. HFHS WILL ALSO PURCHASE NEUROFEEDBACK EQUIPMENT AND A MOBILE UNIT TO DELIVER SERVICES IN RURAL COMMUNITIES IN NEED. TRAINING ON NEUROFEEDBACK AND MOUD IS INCLUDED IN THE PROJECT, TO ENSURE PROFICIENCY, CURRENT KNOWLEDGE AND AWARENESS OF EMERGING SUD ISSUES. POPULATION GROUP: HFHS ANTICIPATES THAT THE BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS WITHIN THE SERVICE AREA WHO RECEIVE MENTAL HEALTH, SUD, AND MOUD SERVICES. BY 12/31/2025, HFHS ANTICIPATES SERVING A TOTAL OF 2,100 MENTAL HEALTH SERVICES PATIENTS, 190 SUD SERVICES PATIENTS, AND 35 PATIENTS RECEIVING TREATMENT WITH MOUD, SUPPORTING THE BHSE PROGRAM PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MH AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. HFHS ALSO ANTICIPATES SERVING 75 NEW HEALTH CENTER PATIENTS IN CY2025 WITH BHSE FUNDING.

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

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

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

FY 2023 EXPANDING COVID-19 VACCINATION

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TRANSITIONAL HOUSING ASSISTANCE PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION ORGANIZATIONAL WEBSITE ADDRESS: CLINICA.ORG AMOUNT OF FUNDING REQUESTED: $1,100,000 HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00690 CLINICA CAMPESINA FAMILY HEALTH SERVICES HAS GROWN SINCE ITS FOUNDING IN 1977 FROM A SINGLE NURSE PRACTITIONER FACILITY WITH 500 PATIENTS INTO A MULTI-SITE HEALTH CARE SYSTEM THAT IS A CRITICAL PIECE OF THE COLORADO HEALTH CARE SAFETY NET, SERVING 58,723 PATIENTS IN 2023. WE ARE THE ONLY ORGANIZATION IN OUR SERVICE AREA THAT PROVIDES A FULL SPECTRUM OF INTEGRATED MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TO PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY. CLINICA’S MISSION IS TO BE THE MEDICAL AND DENTAL CARE PROVIDER OF CHOICE FOR LOW-INCOME AND OTHER UNDERSERVED PEOPLE IN WEST ADAMS, SOUTH BOULDER, BROOMFIELD, AND GILPIN COUNTIES. OUR CARE IS CULTURALLY APPROPRIATE AND PREVENTION FOCUSED. WE ENVISION THAT EVERY MEMBER OF OUR TARGET POPULATION WILL HAVE ACCESS TO HIGH QUALITY PREVENTIVE MEDICAL AND DENTAL CARE THAT INTEGRATES BEHAVIORAL HEALTH CARE. CLINICA OPERATES FACILITIES IN THE CITIES OF BLACK HAWK, BOULDER, DENVER, LAFAYETTE, NEDERLAND, THORNTON, AND WESTMINSTER. THE DESIGNATED ZIP CODE TABULATION AREAS (ZCTAS) THAT REPRESENT CLINICA’S SERVICE AREA INCLUDE A LOW-INCOME POPULATION OF 151,852, OF WHOM 57% ARE NOT CURRENTLY SERVED BY A HEALTH CENTER. TWENTY-SIX PERCENT OF ALL SERVICE AREA RESIDENTS HAVE NO USUAL SOURCE OF CARE AND 14% HAVE DELAYED OR NOT SOUGHT CARE DUE TO HIGH COST. THE TARGETED AREA INCLUDES FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA/POPULATIONS (MUA/PS) AS WELL AS PRIMARY MEDICAL CARE, MENTAL HEALTH, AND DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS). UNDER THIS APPLICATION, CLINICA IS REQUESTING FEDERAL FINANCIAL ASSISTANCE TO INCREASE ACCESS TO THE COMPLEMENT OF MENTAL HEALTH SERVICES INTEGRATED WITHIN OUR PRIMARY HEALTH CARE MODEL. THE PROPOSED PROGRAM WOULD EXPAND BEHAVIORAL HEALTH PROFESSIONAL FTE, STRENGT HEN SUBSTANCE/OPIOID USE DISORDER SERVICES, INCREASE MENTAL HEALTH-FOCUSED CARE COORDINATION, INTENSIFY BEHAVIORAL HEALTH STAFF RECRUITMENT, AND CREATE HEALTH INFORMATION TECHNOLOGY INFRASTRUCTURE TO SUPPORT OUR MENTAL HEALTH SYSTEM.

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: HOPE FAMILY HEALTH SERVICES (HFHS) FY25 EXPANDED HOURS PROJECT DIRECTOR: JENNIFER DITTES CONTACT PHONE NUMBER: (615) 644-2000 CONTACT EMAIL ADDRESS: JENNYDITTES@HOPEFAMILYHEALTH.ORG HEALTH CENTER PROGRAM GRANT NUMBER: H80CS24109 WEBSITE: HTTPS://WWW.HOPEFAMILYHEALTH.ORG/ ADDRESS: 1124 NEW HIGHWAY 52 E CITY & STATE: WESTMORELAND, TN 37186 HOPE FAMILY HEALTH SERVICES (HFHS), A NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN PROVIDING ACCESSIBLE, HIGH-QUALITY, PATIENT-FOCUSED HEALTH CARE TO RESIDENTS OF MACON, SUMNER, AND TROUSDALE COUNTIES, TN, SINCE 2005. HFHS BELIEVES THAT EVERY PATIENT - WHETHER INSURED, UNINSURED, UNDERINSURED, MODERATE-INCOME, LOW-INCOME OR EXPERIENCING HOMELESSNESS, AND REGARDLESS OF GENDER, AGE, RACE OR SITUATION, - DESERVES ACCESS TO EXCEPTIONAL CARE DELIVERED WITH DIGNITY AND RESPECT. IN 2023, HFHS SERVED 4,627 PATIENTS WITH 18,106 ENCOUNTERS, INCLUDING 3,534 VIRTUAL VISITS, FROM THREE SERVICE DELIVERY SITES. HFHS IS RAPIDLY EXPANDING STAFF, SERVICES AND DELIVERY SITES TO MEET PATIENT AND COMMUNITY NEEDS. TO FURTHER ADDRESS DEMAND, HFHS PLANS TO EXTEND HOURS AT ALL THREE HFHS FACILITIES. COMMUNITY FEEDBACK, INCLUDING FROM RESIDENTS, BOARD MEMBERS, AND PATIENTS, HAS DEMONSTRATED THAT MANY PEOPLE CANNOT OBTAIN MUCH- NEEDED CARE AT HFHS FACILITIES DUE TO CURRENT OPERATING HOURS. FARM AND FACTORY WORKERS, AMONG OTHERS, STRUGGLE TO VISIT DURING HFHS’ TYPICAL 8 AM TO 5 PM SCHEDULE, WHICH OVERLAPS WITH SCHOOL AND WORK HOURS, ESPECIALLY SINCE ALL FACILITIES ARE CURRENTLY CLOSED FOR AN HOUR DURING LUNCH. PATIENT SATISFACTION SURVEYS FREQUENTLY MENTION THE NEED FOR SERVICES DURING EVENINGS, WEEKENDS, AND LUNCH BREAKS. OUR MOST REQUESTED APPOINTMENTS ARE DURING LATE AFTERNOON/EVENING SLOTS, WITH OVER A 30-DAY WAIT FOR THESE APPOINTMENTS FOR ESTABLISHED PATIENTS AND OVER A 60-DAY WAIT FOR NEW PATIENTS. LEVERAGING HRSA EXPANDED HOURS FUNDING, HFHS WILL INCREASE ITS OPERATING HOURS BY 24 HOURS ACROSS THREE CLINIC SITES: WESTMORELAND – 5, WESTSIDE – 12, AND GALLATIN – 7. NEW OPERATING HOURS WILL INCLUDE OPENING THE LUNCH HOUR (12 PM – 1 PM) FOR SERVICES AND APPOINTMENTS MONDAY THROUGH FRIDAY AT EVERY LOCATION, ADDING FIVE HOURS WEEKLY TO EACH SITE, OR 15 HOURS TOTAL. AT WESTMORELAND, HFHS ALREADY OFFERS ONE EXPANDED SERVICE DAY FOR MEDICAL SERVICES. THROUGH THIS PROJECT, HFHS WILL ADD AN ADDITIONAL DAY A WEEK WHERE THE SITE WILL OFFER EXPANDED SERVICE HOURS, ADDING ONE WEEKLY HOUR TO THE FACILITY, BUT TWO WEEKLY HOURS TO THE DEPARTMENT. THE WESTMORELAND CLINIC WILL EXPAND AN ADDITIONAL FOUR HOURS BY OPENING EVERY SATURDAY FROM 8 AM TO 12 PM, OFFERING URGENT CARE AND X-RAY/MAMMOGRAPHY SERVICES. HFHS CURRENTLY PROVIDES SERVICES MONDAY THROUGH THURSDAY AT THEIR WESTSIDE LOCATION WITH ONE EXTENDED HOUR DAY ON THURSDAY FROM 7 AM TO 6 PM. TO MEET ADDITIONAL NEEDS WESTSIDE WILL ADD 8 OPERATING HOURS ON FRIDAY IN ADDITION TO ADDING THE LUNCH HOURS. THE GALLATIN LOCATION IS CURRENTLY OPEN MONDAY THROUGH FRIDAY AND DOES NOT HAVE EXTENDED HOURS. TO MEET THE INCREASING DEMAND AT THIS NEW SITE, HFHS WILL OPEN FOR A HALF DAY (8 AM – 12 PM) ON SATURDAYS FOR BEHAVIORAL HEALTH AND MEDICAL SERVICES. PROJECT ACTIVITIES INCLUDE: - UTILIZING COMMUNITY PARTNERSHIPS AND OUTREACH EFFORTS TO INFORM COMMUNITY MEMBERS ABOUT THE NEW SCHEDULES; - REARRANGING STAFF SCHEDULES TO SUPPORT THE EXPANDED CLINIC HOURS. THE PROGRAM GOALS TO BE ACHIEVED THROUGH THESE ACTIVITIES INCLUDE: - INCREASE THE NUMBER OF PATIENTS RECEIVING PRIMARY AND PREVENTATIVE CARE SERVICES; - INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES; - DECREASE APPOINTMENT WAIT TIMES; - INCREASE THE NUMBER OF NEW PATIENT USERS. - INCREASE THE NUMBER OF ENCOUNTERS.

FISCAL YEAR 2025 EXPANDED HOURS. - FAMILY HEALTH SERVICES, HEALTH CENTER PROGRAM #H80CS00425. IN AN EARNEST EFFORT TO EXPAND ACCESS AND ALLEVIATE BARRIERS TO HIGH-QUALITY PRIMARY CARE IN RURAL SOUTHERN IDAHO, FAMILY HEALTH SERVICES (FHS) PROPOSES TO INCREASE OPERATING HOURS AT TWO LOCATIONS WITHIN 6-18 MONTHS OF A FAVORABLE GRANT AWARD. OUR PROJECT ALSO DIRECTLY RESPONDS TO HIGH UTILIZATION OF SERVICES SUCH AS DENTAL HYGIENE AND URGENT CARE SERVICES IN TWIN FALLS COUNTY. FHS WILL ADD 11 HOURS ON SUNDAY TO CURRENT OPERATING HOURS IN OUR TWIN FALLS URGENT CARE CLINIC, INCLUDING 10-HOUR ACCESS TO THE ON-SITE 340B PHARMACY. THE CURRENT OPERATING HOURS FOR OUR URGENT CARE CLINIC ARE MONDAY – SATURDAY FROM 8:00 A.M. – 7:00 P.M. FOR A TOTAL OF 66 HOURS PER WEEK. THE PROPOSED EXPANDED OPERATING HOURS ARE SEVEN DAYS PER WEEK FROM 8:00 A.M. – 7:00 P.M. FOR A TOTAL OF 77 HOURS OF ACCESS. FHS WILL ALSO INCREASE OPERATING HOURS AT OUR TWIN FALLS DENTAL CLINIC ON SATURDAYS FROM 8:00 A.M. – 2:00 P.M. FOR DENTAL HYGIENE APPOINTMENTS, FOR A TOTAL OF SIX NEW ACCESS HOURS PER WEEK. HOWEVER, TWO DENTAL HYGIENISTS AND SUPPORT STAFF WILL PROVIDE MORE PATIENT APPOINTMENTS DURING THE SIX HOURS EACH SATURDAY. FHS PROJECTS THAT APPROXIMATELY 398 PATIENTS WILL ACCESS FHS SERVICES OVER 826 UNIQUE ENCOUNTERS THROUGH THE EXPANDED HOURS PROJECT ACROSS THE TWO SITES IN YEAR 1 AND PROJECTS THAT 119 PATIENTS IN YEAR 1 WILL BE NEW PATIENTS ACCESSING SERVICES. IN YEAR 2, FHS PROJECTS THAT 497 PATIENTS WILL ACCESS FHS SERVICES OVER 1,039 UNIQUE ENCOUNTERS ACROSS THE TWO SITES – 32 PATIENTS ARE PROJECTED TO BE NEW PATIENTS FOR A TOTAL OF 895 PATIENTS (151 NEW PATIENTS) ACCESSING PRIMARY CARE SERVICES THROUGH THE EXPANDED HOURS FUNDING. FHS HAS BUDGETED FOR A TOTAL OF 2.45 FTE MEDICAL, DENTAL, AND PHARMACY STAFF TO ENSURE SUFFICIENT STAFF ARE COMMITTED TO THE EXPANDED HOURS PROJECT THROUGHOUT THE COURSE OF THE GRANT. STAFFING INCLUDES .30 FTE PHYSICIAN ASSISTANT/NURSE PRACTITIONER, .15 FTE LICENSED PRACTICAL NURSE, .45 FTE CERTIFIED MEDICAL ASSISTANT, .25 FTE PHARMACIST, .25 FTE PHARMACY TECHNICIAN, .30 FTE MEDICAL RECEPTIONIST, .30 FTE DENTAL HYGIENIST, .15 FTE DENTAL ASSISTANT, AND A .30 FTE DENTAL RECEPTIONIST. RECENT HRSA DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA STATISTICS FOR IDAHO SHOW ONLY 44.67 PERCENT OF PRIMARY CARE NEEDS ARE BEING MET IN IDAHO. ONLY 49.70 PERCENT OF DENTAL HEALTH NEEDS ARE BEING MET IN IDAHO, AND ONLY 27.24 PERCENT OF MENTAL HEALTH CARE NEEDS ARE BEING MET. WHILE OUR ORGANIZATION CONTINUES A RIGOROUS CAMPAIGN TO RECRUIT AND RETAIN QUALIFIED HEALTHCARE PROFESSIONALS, OTHER ACTIONS SUCH AS EXPANDED ACCESS TO SERVICES CAN SERVE TO LINK THE MEDICALLY UNDERSERVED WITH AFFORDABLE HEALTH CARE IN THE INTERIM. EXPANDED ACCESS IS ESPECIALLY IMPORTANT FOR RURAL IDAHO AS IDAHO AND UTAH ARE THE ONLY INTERMOUNTAIN WEST STATES TO SEE MORE THAN 1% POPULATION GROWTH BETWEEN 2022 AND 2023, ACCORDING TO THE U.S. CENSUS BUREAU IN 2023. OUR SMALL COMMUNITIES ARE WITNESS TO THE EFFECTS OF THAT GROWTH, BOTH NEGATIVE AND POSITIVE, INCLUDING LONGER WAIT TIMES FOR ACCESS TO ACUTE SERVICES AND PREVENTATIVE CARE LIKE ORAL HYGIENE ALIKE. OUR EFFORTS ARE TO STRENGTHEN OUR CAPACITY THROUGH EXPANDED ACCESS TO PROMOTE EQUAL ACCESS TO CARE, REDUCE DISPARITIES IN CARE, AND ENSURE ALL PATIENTS, REGARDLESS OF THEIR NEED, RECEIVE THE WHOLE PERSON, COMPREHENSIVE CARE THEY DESERVE.

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ACCELERATING CANCER SCREENING - GASTON FAMILY HEALTH SERVICES (HRSA H80 GRANT # H80CS00293), NC'S LARGEST FEDERALLY QUALIFIED HEALTH CENTER, WILL PARTNER WITH THE UNIVERSITY OF NC'S LINEBERGER COMPREHENSIVE CANCER CENTER TO PROVIDE OUTREACH, EDUCATION, AND CONNECTION TO SERVICES TO INCREASE THE RATE OF CERVICAL CANCER SCREENINGS IN THE ORGANIZATION FROM 45.15% TO 50%. STRATEGIES INCLUDE: REPLICATING A SUCCESSFUL PILOT OF DEDICATED CERVICAL CANCER SCREENING CLINIC DAYS AT FAMILY PRACTICE SITES WITH RATES OF SCREENING BELOW 50% VIA A NEWLY DEVELOPED INSPIRE (INCREASING SCREENINGS & PREVENTIONS WITH RESOURCES & EDUCATION) PROGRAM FOR CERVICAL CANCER, PARTNERING WITH NCI-DESIGNATED UNC LINEBERGER COMPREHENSIVE CANCER CENTER TO PROVIDE OUTREACH, EDUCATION, AND NAVIGATION SERVICES TO WOMEN WHO NEED CERVICAL CANCER SCREENING, REDUCING BARRIERS TO SCREENING BY PROVIDING NEEDED SUPPORTS INCLUDING BUT NOT LIMITED TO TRANSPORTATION, AND CONNECTING WOMEN WHO NEED ADDITIONAL SCREENINGS AND TREATMENT TO GASTON FAMILY HEALTH SERVICES' INTERNAL COLPOSCOPY CLINIC AND/OR NC BREAST AND CERVICAL CANCER CONTROL PROGRAM (NC BCCCP). GASTON FAMILY HEALTH SERVICES IS A NC BCCCP PROVIDER AND CAN CONNECT UNINSURED PATIENTS WITH A FINDING OF BREAST AND/OR CERVICAL CANCER TO NC BCCCP MEDICAID TO PAY FOR NEEDED DIAGNOSTIC AND TREATMENT SERVICES.

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

FISCAL YEAR 2025 EXPANDED HOURS. - APPLICANT: FAMILY HEALTH SERVICES OF ERIE COUNTY ADDRESS: 1912 HAYES AVE, SANDUSKY, OH 44870 CONTACT: DAVID TATRO, CEO / EMAIL: DAVIDT@FAMILYHS.ORG / PHONE: (419) 502-2822 WEBSITE: HTTP://WWW.FAMILYHS.ORG FEDERAL FUNDING REQUEST: HRSA EXPANDING HOURS, FY 2025 FAMILY HEALTH SERVICES OF ERIE COUNTY (FHS) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) BASED IN SANDUSKY, OHIO. FHS’ DESIGNATED SERVICE AREA ENCOMPASSES MOST OF TWO NORTH-CENTRAL OHIO COUNTIES: ERIE COUNTY, WHICH BORDERS LAKE ERIE, AND HURON COUNTY; THE NEXT COUNTY SOUTH OF ERIE COUNTY. FHS WAS ESTABLISHED AS A HEALTH CENTER LOOK-ALIKE PROGRAM IN NOVEMBER OF 2010, AND IN 2014 RECEIVED FQHC FUNDING VIA A HRSA NEW ACCESS POINT AWARD. FHS PROVIDES MEDICAL PRIMARY CARE, DENTAL CARE, BEHAVIORAL HEALTH (BH) AND ENABLING SERVICES AND ALSO MAINTAINS A 340B PHARMACY PROGRAM. SINCE 2020, FHS HAS GROWN SIGNIFICANTLY, EXPANDING FROM FIVE SITES, INCLUDING TWO SCHOOL-BASED HEALTH CENTERS WITHIN SANDUSKY CITY SCHOOLS, TO A NETWORK OF 15 SITES. THE MAIN SITE FOR MEDICAL, DENTAL AND BH SERVICES AS WELL AS ADMINISTRATIVE OFFICES ARE LOCATED ON HAYES AVENUE ON THE SOUTH SIDE OF SANDUSKY. FHS OPERATES A SECOND SITE THAT SERVES MEDICAL, DENTAL AND BH SERVICES WITHIN NORWALK, IN HURON COUNTY. FHS ALSO OPERATES A SITE IN SANDUSKY, ADJACENT TO A SENIOR CENTER, THAT PROVIDES MEDICAL AND BH CARE MOSTLY TO OLDER ADULTS, AND 11 SCHOOL-BASED HEALTH CENTER (SBHC) SITES. LATER IN THE SUMMER OF 2024, FHS WILL OPEN A NEW SITE IN DOWNTOWN SANDUSKY THAT WILL PROVIDE MEDICAL, BH AND THE FIRST IN-HOUSE 340B PHARMACY OPERATED BY FHS. UNDER THIS EXPANDED HOURS APPLICATION, FHS PROPOSES TO ADD EVENING AND WEEKEND HOURS AT TWO EXISTING SITES: 1) 1912 HAYES AVE STE. D, IN SANDUSKY, OH 44870 AND 2) 265 BENEDICT AVE, NORWALK, OH 44857. THE EXPANSION AT BOTH SITES WILL ENSURE BETTER ACCESS TO CARE BY OFFERING MORE FLEXIBILITY FOR PATIENTS AND GREATER CAPACITY TO PROVIDE COMPREHENSIVE CARE TO A TARGET POPULATION PRIMARILY COMPRISED OF PEOPLE LIVING WITH INCOMES AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. AT THE HAYES AVE. FACILITY IN SANDUSKY, FHS WILL EXPAND CLINICAL HOURS TO 7:00 P.M. OR LATER TWO DAYS PER WEEK (CURRENTLY THE LATEST WEEKDAY HOURS ARE 6:00 P.M.). IN NORWALK, EXPANDED HOURS FUNDING WILL ENABLE FHS TO OFFER SATURDAY DENTAL HOURS TO ADDRESS A GROWING BACKLOG OF DENTAL APPOINTMENTS. FHS IS NOW SCHEDULING PATIENTS SEVERAL MONTHS OUT DUE TO THE DEMAND FOR DENTAL CARE. NORTHWEST AND NORTH-CENTRAL OHIO REMAINS A DENTAL SHORTAGE AREA, AND FHS’ TWO DENTAL FACILITIES IN SANDUSKY AND NORWALK OFFER TWO OF ONLY A FEW OPTIONS LOWER-INCOME POPULATIONS HAVE FOR CARE. FHS ALSO WILL EXPAND TRANSPORTATION SERVICES, PROVIDED DIRECTLY BY FHS, TO SATURDAY AS WELL TO ACCOMMODATE PATIENTS WHO NEED TRANSPORTATION FROM ANYWHERE IN THE SERVICE AREA TO THE NORWALK SITE FOR DENTAL CARE. THE EXPANSION IN HOURS AT THESE TWO LOCATIONS WILL OFFER ADDITIONAL CAPACITY FOR THE ENTIRE PATIENT AND TARGET POPULATION IN THIS MOSTLY RURAL SERVICE AREA WITH A POPULATION OF 129,591, OF WHICH 38,958, OR 30.5%, OF PEOPLE ARE LIVING WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL. SANDUSKY IS THE LARGEST AND THE MOST URBAN CITY, AND ALSO HAS THE LARGEST CONCENTRATION OF POVERTY AND URBAN BLIGHT. OF THE 40,018 RESIDENTS WHO LIVE IN THE GREATER SANDUSKY AREA, 15,019 INDIVIDUALS, OR 37.9%, OF THE POPULATION LIVE AT LOW-INCOME LEVELS. THE OVERALL POPULATION OF THE SERVICE AREA IS 87.7% WHITE OR CAUCASIAN AND 15.5% OF THE POPULATION IS CONSIDERED A RACIAL OR ETHNIC MINORITY, INCLUDING 6% WHO ARE HISPANIC OR LATINO. FHS’ SERVICE AREA HAS SEVERAL HEALTH INDICATORS THAT ARE WORSE THAN THOSE FOR THE NATION AS A WHOLE. TO ADDRESS THESE HEALTH DISPARITIES, FHS HAS MAINTAINED STEADY GROWTH OVER THE PAST FOUR TO FIVE YEARS, AND IN CY 2023 SERVED 15,142 UNDUPLICATED PATIENTS, AN INCREASE OF 18.6% OVER THE 12,763 PATIENTS SERVED IN 2022.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EARLY CHILDHOOD DEVELOPMENT

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

CAPITAL DEVELOPMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EARLY CHILDHOOD DEVELOPMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RESILIENT COMMUNITIES: BUILDING A TRAUMA-RESPONSIVE SYSTEM OF CARE - THE RESILIENT COMMUNITIES: BUILDING A TRAUMA-RESPONSIVE SYSTEM OF CARE PROJECT WILL SERVE CHILDREN AND FAMILIES FROM ALL BACKGROUNDS WHO HAVE BEEN IMPACTED BY ANY TYPE OF TRAUMA WITH THE AIMS OF INCREASING ACCESS TO EVIDENCE-BASED TREATMENTS, REDUCING HEALTH DISPARITIES, IMPROVING QUALITY OF LIFE, AND BUILDING COMMUNITY-WIDE RESILIENCE. TARGET SUBPOPULATIONS INCLUDE CHILDREN INVOLVED IN THE CHILD WELFARE SYSTEM OR IN FOSTER/KINSHIP CARE, AS WELL AS MARGINALIZED UNDERSERVED POPULATIONS (E.G., LOW-INCOME, LGBTQIA+, LATINX, LIMITED ENGLISH/MONOLINGUAL SPANISH SPEAKERS). THE GEOGRAPHIC CATCHMENT AREA INCLUDES BOULDER AND BROOMFIELD COUNTIES IN COLORADO. THE PROJECT AIMS TO SERVE A TOTAL OF 13,345 CHILDREN AND FAMILIES OVER THE 5-YEAR PROJECT PERIOD. KEY GOALS INCLUDE: (1) INCREASE PROTECTIVE FACTORS AND REDUCE RISK FACTORS FOR CHILDREN, YOUTH, AND FAMILIES EXPERIENCING TRAUMA OR ADVERSITY BY IMPLEMENTING SUSTAINABLE, EVIDENCE-BASED, CULTURALLY RESPONSIVE PREVENTION SERVICES; (2) IMPROVE BEHAVIORAL HEALTH OUTCOMES, INCLUDING TRAUMA SYMPTOMS, FOR CHILDREN, YOUTH, AND FAMILIES BY IMPLEMENTING AND SUSTAINING CULTURALLY RESPONSIVE TRAUMA-FOCUSED EVIDENCE-BASED PRACTICES (TF-EBPS); AND (3) IMPROVE ACCESS TO CARE AND MULTISYSTEM COORDINATION FOR CHILDREN, YOUTH, AND FAMILIES BY PROVIDING SERVICES TO SERVICE SYSTEMS, BUILDING EFFICIENT REFERRAL PATHWAYS, AND ENSURING CULTURALLY RESPONSIVE SYSTEMS. THERE IS A CLEAR NEED TO INCREASE ACCESS FOR FAMILIES TO THE EVIDENCE-BASED TREATMENTS THAT DIRECTLY LINK TO POSITIVE YOUTH OUTCOMES, INCLUDING TARGETED PREVENTION AND OUTREACH EFFORTS FOR MARGINALIZED POPULATIONS. AND BECAUSE CLIENTS OFTEN PRESENT WITH MULTIPLE, CO-OCCURRING FORMS OF BEHAVIORAL HEALTH CHALLENGES, CLINICIANS MUST BE EQUIPPED WITH THE TRANSDIAGNOSTIC APPROACHES AND CORE SET OF COMPETENCIES PROPOSED IN THIS PROJECT THAT ARE EMPIRICALLY LINKED TO CLINICAL BENEFIT TO EFFECTIVELY HELP CLIENTS REDUCE RISK, MOBILIZE PROTECTIVE FACTORS, AND ACHIEVE POSITIVE OUTCOMES. THE TARGETED OUTREACH AND ENGAGEMENT STRATEGIES DESCRIBED IN THIS PROPOSAL WILL PROMOTE THE PROTECTIVE FACTORS (E.G., PARENTAL SUPPORT AND WARMTH, RESPONSIVITY, COPING SKILLS, SOCIAL SUPPORT), AND REDUCE THE RISK FACTORS THAT HAVE FAR-REACHING IMPACT, INCLUDING DOWNSTREAM PREVENTION. THIS PROJECT WILL ALSO TAKE ADVANTAGE OF THE RICH OPPORTUNITY TO BETTER MEET COMMUNITY NEED BY IMPROVING CROSS-SYSTEM EXPERTISE THROUGH LEARNING OPPORTUNITIES, COMMUNITY BUILDING, AND STRONG REFERRAL PATHWAY DEVELOPMENT FOR CHILDREN- AND FAMILY-SERVING PARTNERS. RESILIENT COMMUNITIES INCLUDES DEVELOPMENT OF AN INNOVATIVE TRAUMA-FOCUSED COMMUNITY HEALTH WORKER ROLE TO LEAD OUTREACH, ENGAGEMENT, AND STIGMA REDUCTION ACTIVITIES THAT WILL BUILD COMMUNITY AND BREAK DOWN ACCESS BARRIERS FOR MARGINALIZED POPULATIONS.

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2023 EXPANDING COVID-19 VACCINATION

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

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

CLINICAL SERVICES

HEALTH CARE AND OTHER FACILITIES

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HEALTH PROMOTION/DISEASE PREVENTION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH CARE AND OTHER FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

COMMUNITY FACILITY GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - DESCRIPTION OF PROPOSED PROJECT. NEW HORIZON FAMILY HEALTH SERVICES, INC. (NHFHS), A NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN SERVING GREENVILLE COUNTY AND THE SURROUNDING COUNTIES OF UPSTATE SOUTH CAROLINA SINCE 1992. THE CENTER PROVIDES COMPREHENSIVE PRIMARY, BEHAVIORAL HEALTH, AND ORAL HEALTH CARE TARGETED TO LOW-INCOME INDIVIDUALS AND THOSE WHO LACK INSURANCE. SINCE 1999, NHFHS HAS SERVED AS THE RYAN WHITE (RW) PART C EARLY INTERVENTION SERVICES (EIS) PROVIDER SERVING PEOPLE WITH HIV (PWH) IN THE TEN-COUNTY SERVICE AREA OF ABBEVILLE, ANDERSON, EDGEFIELD, GREENVILLE, GREENWOOD, LAURENS, MCCORMICK, OCONEE, PICKENS, AND SALUDA COUNTIES. IN ACCORDANCE WITH THE ENDING THE HIV EPIDEMIC INITIATIVE, ALL OF NHFHS’S PART C EIS PROGRAM ACTIVITIES STRIVE TO DECREASE TRANSMISSION AND IMPROVE HEALTH OUTCOMES FOR PWH WHILE REDUCING HIV-RELATED HEALTH DISPARITIES AND INEQUITIES. THE CENTER SERVED 1,225 RW PATIENTS IN 2023, 92.1% OF WHOM ACHIEVED VIRAL SUPPRESSION (RSR, 2023). NHFHS IS ONE OF THE FEW AREA PROVIDERS OF COMPREHENSIVE HIV PRIMARY MEDICAL CARE, AND THE ONLY SOURCE OF SLIDING FEE DENTAL SERVICES FOCUSED ON PWH. APPROXIMATELY 5.3% OF NHFHS’S RW PATIENTS (65/1,225) RECEIVED ORAL HEALTH CARE IN 2023 (RSR, 2023). THE PROPOSED INFRASTRUCTURE DEVELOPMENT PROJECT WILL ENABLE NHFHS TO EXPAND ACCESS TO NEEDED ORAL HEALTH CARE FOR ITS RW POPULATION WITH A GOAL OF REACHING AT LEAST 1,259 RW PATIENTS WITH ORAL HEALTH CARE IN 2026. NEEDS TO BE ADDRESSED. PWH OFTEN HAVE DIFFICULTIES FINDING ORAL HEALTH PROVIDERS WHO ARE FAMILIAR WITH THEIR NEEDS. THIS CAN BE EXACERBATED BY POVERTY AND LACK OF INSURANCE. IN THE SERVICE AREA, NEARLY A THIRD (32.2%) OF RESIDENTS LIVE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) (ACS, CENSUS BUREAU, 2019-2023). AMONG LOW-INCOME ADULTS UNDER AGE 65 IN THE SERVICE AREA, THE UNINSURED RATE IS 17.6% (SAHIE, CENSUS BUREAU, 2022). IN 2023, NHFHS SERVED 388 (31.8%) RW PATIENTS WITH NO FORM OF INSURANCE (RSR). PROPOSED SERVICES. THIS APPLICATION PROPOSES CAPACITY EXPANSION FOR DENTAL SERVICES TO BE PROVIDED FROM THE CENTRALLY LOCATED FREESTANDING DENTAL SITE IN GREENVILLE COUNTY. POPULATION TO BE SERVED. THIS PROPOSAL WILL SERVE PWH, INCLUDING PATIENTS ENROLLED IN RW PART C SERVICES. PROJECT CATEGORY AND ACTIVITY. THE PROPOSED PROJECT CATEGORY IS INFRASTRUCTURE DEVELOPMENT, AND THE ACTIVITY IS DENTAL EQUIPMENT FOR EXPANDING DENTAL CAPACITY. SUMMARY OF PROPOSED ACTIVITY & INTENDED IMPACT. CAPACITY DEVELOPMENT FUNDS ARE REQUESTED TO PURCHASE EQUIPMENT, EQUIPMENT PROTECTION PLANS, AND SUPPLIES, AND COVER THE COST OF ONE-TIME TRAINING, TO EQUIP NHFHS TO BEGIN PROVIDING SINGLE UNIT CROWNS AND ONLAY FIXED PROSTHODONTICS THAT PROVIDE FUNCTIONAL SUPPORT FOR LONG TERM TOOTH RETENTION; PURCHASE A PORTABLE X-RAY MACHINE THAT WILL ENABLE NHFHS TO OBTAIN DENTAL X-RAYS IN ANY LOCATION; PURCHASE DIODE LASER SYSTEMS FOR USE WITH SOFT TISSUE AND BLEEDING MANAGEMENT, BIOPSY PROCEDURES, VIRAL TREATMENT, PERIODONTAL INFECTION TREATMENT, ETC.; AND PURCHASE SLOW SPEED MOTOR SYSTEMS THAT WILL ENABLE NHFHS TO ADHERE TO BEST PRACTICES FOR CHANGING SLOW SPEED MOTOR ATTACHMENTS SUCH AS DENTAL HANDPIECES BETWEEN EACH PATIENT. THESE PURCHASES WILL EXPAND THE AVAILABLE DENTAL CARE SERVICES FOR PWH AND PROVIDE INCREASED CAPACITY FOR THE PROVISION OF ORAL HEALTH CARE. FUNDING REQUEST: $144,528. NHFHS REQUESTS A FUNDING PREFERENCE AS IT MEETS THE QUALIFICATIONS FOR RURAL AREAS AND UNDERSERVED POPULATIONS.

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: 1735 SOUTH PUBLIC ROAD, LAFAYETTE, CO, 80026 PROJECT DIRECTOR NAME: SIMON SMITH CONTACT PHONE NUMBER: 303.665.2599 EMAIL ADDRESS: SIMON.SMITH@CLINICA.ORG WEBSITE ADDRESS: CLINICA.ORG FUNDS REQUESTED IN THE APPLICATION: $5,407,000 CLINICA FAMILY HEALTH (CLINICA) HAS GROWN SINCE ITS FOUNDING IN 1977 FROM A SINGLE NURSE PRACTITIONER FACILITY WITH 500 PATIENTS INTO A CRUCIAL PIECE OF THE COLORADO HEALTH CARE SAFETY NET, SERVING 54,151 PATIENTS ACROSS OUR TRI-COUNTY SERVICE AREA IN 2021. WE ARE THE ONLY ORGANIZATION IN OUR SERVICE AREA THAT PROVIDES A FULL SPECTRUM OF MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TO PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY. CLINICA’S MISSION IS TO BE THE MEDICAL AND DENTAL CARE PROVIDER OF CHOICE FOR LOW-INCOME AND OTHER UNDERSERVED PEOPLE IN SOUTH BOULDER, BROOMFIELD, AND WEST ADAMS COUNTIES. OUR CARE IS CULTURALLY APPROPRIATE AND PREVENTION FOCUSED. WE ENVISION THAT EVERY MEMBER OF OUR TARGET POPULATION WILL HAVE ACCESS TO HIGH-QUALITY PREVENTIVE MEDICAL AND DENTAL CARE THAT INTEGRATES BEHAVIORAL HEALTH CARE. CLINICA DEPLOYS INTEGRATED HEALTH CARE TEAMS HOUSED IN FIVE PRINCIPAL FACILITIES, LOCATED IN THE CITIES OF BOULDER, DENVER, FEDERAL HEIGHTS, LAFAYETTE, AND THORNTON. ALL SITES ARE EQUIPPED WITH AN ELECTRONIC PRACTICE MANAGEMENT SYSTEM AND USE FULLY INTEGRATED ELECTRONIC HEALTH, PRESCRIPTION, AND DENTAL RECORDS TO DELIVER HIGH QUALITY COMPREHENSIVE PRIMARY CARE SERVICES. IN 2021, CLINICA’S 523.41 FTE OF MEDICAL, DENTAL, MENTAL HEALTH, PATIENT SUPPORT, AND ADMINISTRATIVE PERSONNEL SUPPORTED 284,911 HEALTH CARE VISITS FOR LOW-INCOME COLORADOANS. CLINICA’S PRIMARY SITES HOLD CURRENT MEDICAL HOME DESIGNATION FROM THE ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE AND ARE RECOGNIZED AS PATIENT-CENTERED MEDICAL HOMES BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. UNDER THIS APPLICATION, WE ARE PROPOSING THE RENOVATION AND MODERNIZATION OF OUR PECOS FACILITY, A VITAL SOURCE OF INTEGR ATED PRIMARY HEALTH CARE FOR THE AREA’S LOW-INCOME AND MINORITY POPULATION. THE BUILDING IS LOCATED AT 1701 W. 72ND AVENUE, IN UNINCORPORATED ADAMS COUNTY. THIS ECONOMICALLY MARGINALIZED AREA FEATURES A CONCENTRATION OF LOW-INCOME COLORADOANS WHO, WITHOUT CLINICA’S PECOS FACILITY, WOULD HAVE LITTLE TO NO ACCESS TO AFFORDABLE HEALTH CARE. THE PROPOSED RENOVATION WOULD ENSURE THAT THE ESSENTIAL HEALTH SERVICES PROVIDED BY CLINICA COULD BE DELIVERED CONSISTENTLY AND SAFELY FOR YEARS TO COME.

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

COMMUNITY FACILITY GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

COMMUNITY FACILITIES LOANS AND GRANTS - ARRA

COMMUNITY FACILITY GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE PROJECT INVOLVES THE RELOCATION AND EXPANSION OF AN EXISTING DENTAL CLINIC OPERATED BY THE COMMUNITY HEALTH CENTER IN BERLIN, NEW HAMPSHIRE. WHEN COMPLETE, THE PROJECT WILL DOUBLE THE CAPACITY OF THE CLINIC, SERVE MORE INDIVIDUALS, REDUCE THE POSSIBILITY OF AIRBORNE TRANSMISSION OF INFECTIOUS DISEASES AND SUPPORT ONGOING REDEVELOPMENT EFFORTS IN THE DOWNTOWN BERLIN AREA.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS