Presbyterian Medical Services

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEAD START AND EARLY HEAD START

HEAD START AND EARLY HEAD START

HEAD START CENTER BASE/OPTION

HEAD START AND EARLY HEAD START

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

EHS 2009 ARRA EXPANSION

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

AMERICAN RESCUE PLAN

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

ELECTRONIC HEALTH RECORD IMPLEMENTATION INITIATIVE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - PRESBYTERIAN MEDICAL SERVICES (PMS), A NEW MEXICO BASED 501(C)(3) NONPROFIT CORPORATION SERVING THE SAFETY NET PRIMARY CARE AND ENABLING SERVICE NEEDS OF NEW MEXICANS FOR 55 YEARS IS A 330 (E)(H)(I) GRANTEE OVER 50 CLINIC SITES SERVING 17 COUNTIES ACROSS THE STATE. BUILDING ON THIS EXPERIENCE, PMS HAS FORMED A COLLABORATION WITH THE SANTA FE COUNTY JAIL, LIFE LINK, AND SANTA FE RIDES TO TAKE A CRITICAL STEP FORWARD TO ADDRESS THE COMPREHENSIVE HEALTH AND HEALTH RELATED SOCIAL NEEDS OF JUSTICE INVOLVED-RE-ENTRY (JI-R) POPULATIONS DURING THEIR TRANSITION FROM INCARCERATION TO RELEASE TO COMMUNITY-BASED HEALTH SERVICES BY CREATING A SUPPORT SYSTEM THAT CONNECTS THIS VULNERABLE AND UNDER RESOURCED TARGET POPULATION TO COMMUNITY RESOURCES THAT PROMOTE WELL-BEING. THE IMPORTANCE OF CONNECTING JI-R POPULATIONS TO HEALTH CARE AND HUMAN SERVICE SUPPORT IS EVIDENT FROM THE HIGH LEVELS OF PHYSICAL AND BEHAVIORAL HEALTH ISSUES THEY EXPERIENCE. AN ESTIMATED 80% OF INDIVIDUALS RETURNING TO THE COMMUNITY AFTER INCARCERATION HAVE CHRONIC MEDICAL, PSYCHIATRIC, AND/OR SUBSTANCE USE CONDITIONS. PEOPLE IN JAILS TEND TO HAVE 10 TIMES THE RATE OF HEPATITIS C FOUND IN THE GENERAL POPULATION, HALF OF INCARCERATED INDIVIDUALS REPORT HAVING A CHRONIC MEDICAL CONDITION, AND MORE THAN ONE THIRD REPORT A HISTORY OF A MENTAL HEALTH CONDITION. IN ADDITION, SYPHILIS CASES HAVE INCREASED 80 PERCENT IN THE PAST FIVE YEARS, WITH DISPROPORTIONATE IMPACTS ON RACIAL AND ETHNIC MINORITIES WHO ARE MORE LIKELY TO BE INCARCERATED. NEARLY HALF OF INDIVIDUALS ENTERING INCARCERATION MEET THE CRITERIA FOR HAVING A SUBSTANCE USE DISORDER (SUD). MANY JI-R INDIVIDUALS ARE AT HIGH RISK OF OVERDOSE DEATH UPON RELEASE AS THEY STRUGGLE TO ACCESS AND AFFORD MEDICATION-ASSISTED AND OTHER SUBSTANCE USE TREATMENTS. PMS WILL UTILIZE GRANT FUNDS TO APPLY THE BEST PRACTICES OF THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL FOR SERVICE ACCESS, CARE COORDINATION, AND INTEGRATION TO THE JI-R TRANSITION PROCESS AND PILOT/EVALUATE STRATEGIES THAT CONNECT JI-R TARGET POPULATIONS WITH PMS’ COMMUNITY-BASED SANTA FE FAMILY HEALTH CENTER (SFFHC). THIS CLINIC HAS THE CAPABILITY OF PROVIDING THE TARGET POPULATION WITH A QUALITY AND AFFORDABLE MEDICAL HOME OFFERING MEDICAL, MENTAL HEALTH, SUD, AND ORAL HEALTH SERVICES AS WELL AS CARE COORDINATION/CASE MANAGEMENT, TRANSLATION, AND ENABLING SERVICES. THIS PATHWAY TO COMMUNITY-BASED CARE WILL BE ACCOMPLISHED BY CREATING TWO TRANSITION TEAMS COMPOSED OF A COMMUNITY HEALTH WORKER (MEDICAL CARE COORDINATOR) AND A CERTIFIED PEER SUPPORT WORKER (CASE MANAGER) WITH LIVED EXPERIENCE IN CONFINEMENT. TEAMS WILL BEGIN ENGAGEMENT WITH THE DETAINEE PRIOR TO RELEASE TO MAKE TRANSITIONS TO COMMUNITY SUPPORT MORE PERSONNEL AND PROVIDE STABILITY. TRANSITION SERVICES WILL FOCUS ON CONVERSATIONAL SCREENS TO HELP THE DETAINEE IDENTIFY THEIR EXPERIENCES AND NEEDS FOR SERVICES FOLLOWING RELEASE. THE INTENT OF THIS PROCESS IS TO CRAFT A NON-INSTITUTIONAL COMING ALONG SIDE OF THE PERSON TO ENSURE THEIR TRANSITION TO CIVILIAN LIFE IS SUPPORTED AND EMPOWERING. TRANSITION GROUPS WILL BE USED TO ADDRESS PSYCHOEDUCATIONAL NEEDS AND BEST PRACTICE TOOLS ASSOCIATED WITH CORE, SEEKING SAFETY AND PSR STRATEGIES WILL BE AVAILABLE. REFERRALS AND COORDINATION WITH PRIMARY CARE, BEHAVIORAL HEALTH, AND/OR PSYCHIATRIC PROVIDERS WILL BE FACILITATED AND ENTRY INTO BEHAVIORAL HEALTH SERVICES WILL BE AVAILABLE VIA RAPID ACCESS/TREAT FIRST. OTHER SERVICES RELATED TO PERSONAL IDENTIFICATION; BENEFIT STATUS; MEDICATION TRANSITION; EMPLOYMENT; HOUSING; AND TRANSPORTATION WILL BE OFFERED. POST-RELEASE TRANSITION SERVICES WILL INCLUDE ONGOING OUTREACH TO NURTURE ENGAGEMENT IN COMMUNITY-BASED SERVICES, RE ASSESSMENTS OF NEEDS, SUPPORT FOR ATTACHMENT TO OTHER HEALTH AND HUMAN SERVICE PROGRAMS IDENTIFIED AFTER RELEASE, AND ONGOING ASSESSMENTS OF EFFECTIVENESS OF REFERRALS/SERVICES WILL BE PROVIDED.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

ALCOHOL TREATMENT SERVICES FOR 300 HOMELESS STREET INEBRIATES IN THE CITY OF FARMINGTON NM

FY 2023 EXPANDING COVID-19 VACCINATION

HEAD START ARRA EXPANSION

HEAD START/EARLY HEAD START

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PRESBYTERIAN MEDICAL SERVICES (PMS), A 501(C)(3) JOINT COMMISSION ACCREDITED FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER SECTION 330 (E) (I) AND (H) GRANTEE, IS REQUESTING 2024 BEHAVIORAL HEALTH SERVICE EXPANSION FUNDS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS REQUESTING MENTAL HEALTH SERVICES AND SUBSTANCE USE SERVICES, INCLUDING MEDICATIONS FOR OPIOID USE DISORDER. WITH 53 YEARS OF EXPERIENCE PROVIDING PRIMARY CARE SERVICES IN NEW MEXICO AND 30 YEARS OF EXPERIENCE PROVIDING BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES, PMS IS WELL-POSITIONED TO EXPAND INTEGRATED HEALTH ACCESS TO UNDERSERVED AND MARGINALIZED POPULATIONS. WITH THIS FUNDING, PMS PROPOSES TO SERVE 1,060 ADDITIONAL BH, SUD, AND MOUD PATIENTS, WITH 742 OF THOSE BEING NEW HEALTH CENTER PATIENTS. ACCORDING TO THE NATIONAL SURVEY ON DRUG USE AND HEALTH, NEW MEXICO RANKS IN THE TOP THREE STATES FOR THE PERCENTAGE OF PEOPLE WHO HAVE USED ILLICIT DRUGS IN THE PAST MONTH, WERE IDENTIFIED AS HAVING A SUBSTANCE USE DISORDERS AND/OR DRUG USE DISORDERS IN THE PAST YEAR, AND WHO HAVE ATTEMPTED SUICIDE IN THE PAST YEAR. OF THE INDIVIDUALS IN NEW MEXICO AGE 12 YEARS AND OLDER WHO WERE IDENTIFIED AS NEEDING SUBSTANCE USE TREATMENT, 72.4% DID NOT RECEIVE THE TREATMENT NEEDED. THE LARGEST UNMET NEED WAS FOR 18–25-YEAR-OLDS – 81.78% DID NOT RECEIVE THE CARE THEY NEEDED. A STUDY BY KFF REVEALS NEW MEXICO HAS SEEN A 96% INCREASE IN DRUG OVERDOSE DEATHS FROM 2011-2021, AND THE DEATH RATE IS CURRENTLY 59% HIGHER THAN THE US AVERAGE. SEVENTY-ONE PERCENT OF THE DEATHS IN NEW MEXICO IN 2021 WERE CAUSED BY OPIOIDS. SUBSTANCE USE AND SUICIDE DEATHS DISPROPORTIONATELY AFFECT PEOPLE OF COLOR AND THOSE LIVING IN RURAL AREAS. THE NEGATIVE CONSEQUENCES OF SUBSTANCE USE ARE NOT LIMITED TO DEATH, BUT ALSO INCLUDE DOMESTIC VIOLENCE, CRIME, POVERTY, AND UNEMPLOYMENT, AS WELL AS MOTOR VEHICLE CRASH AND OTHER INJURIES. AS REPORTED BY THE NATIONAL ALLIANCE OF MENTAL ILLNESS, PEOPLE WITH SERIOUS ME NTAL ILLNESS DIE EARLIER THAN THEIR PEERS WITHOUT MENTAL ILLNESS, BUT MOST OF THESE DEATHS ARE DUE TO CHRONIC PHYSICAL CONDITIONS SUCH AS CARDIOVASCULAR, RESPIRATORY, AND INFECTIOUS DISEASES, DIABETES AND HYPERTENSION. DUE TO THE STIGMA OF BEHAVIORAL HEALTH TREATMENTS, LIMITED ACCESS, COST, AND DENIAL, PEOPLE ARE NOT AS LIKELY TO SEEK TREATMENT FOR MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. OTHER PHYSICAL HEALTH ISSUES ARE MORE LIKELY TO CAUSE SOMEONE TO SEEK CARE. PMS’ PRIMARY HEALTH CARE CENTERS ARE ALREADY WELL-ESTABLISHED IN COMMUNITIES THROUGHOUT NEW MEXICO WHERE MENTAL HEALTH AND SUD CONCERNS HAVE BEEN IDENTIFIED. TO BUILD UPON THE BENEFITS OF INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH AND EXPAND ACCESS TO TREATMENT OPTIONS, PMS PROPOSES TO: • DEVELOP AN INTERNAL MOUD ECHO LITE PROGRAM WITH A CLINICIAN/CHAMPION WHO WILL DIRECTLY MENTOR AND SUPPORT OUR BROADER PRESCRIBER WORKFORCE IN PROVIDING MOUD CARE. • ADD BH THERAPY AT HOPEWELL HEALTH CENTER, WHICH SERVES A HOUSING COMPLEX AND LOW-INCOME NEIGHBORHOOD IN THE CITY OF SANTA FE. • ADD BH THERAPY AND ORTIZ MOUNTAIN HEALTH CENTER LOCATED IN A REMOTE AREA OF SANTA FE COUNTY. • ADD A PRESCRIBER IN OUR SOUTHERN REGION, SUPPORTING HEALTH CENTERS IN OTERO COUNTY. • ADD ADDITIONAL SUD (INCLUDING MOUD) SERVICES AT TOTAH BEHAVIORAL HEALTH AUTHORITY, WHICH PREDOMINANTLY SERVES AMERICAN INDIAN RESIDENTS IN SAN JUAN COUNTY. • DEVELOP PAIN MANAGEMENT GROUPS BASED ON THE POSITIVE RESULTS FROM A PILOT GROUP THAT HAS STARTED AT PMS FAMILY HEALTH CENTER IN RIO RANCHO (SANDOVAL COUNTY). • TRAIN STAFF ON COMMUNITY REINFORCEMENT APPROACH FAMILY TRAINING (CRAFT) TO TEACH OTHERS HOW TO INTERACT AND STAY CONNECTED WITH SOMEONE ADDICTED TO DRUG OR ALCOHOL, INCREASE COMMUNICATION, AND EFFECTIVELY ENCOURAGE THE PERSON TO SEEK TREATMENT, WHILE TAKING CARE OF THEMSELVES IN THE PROCESS. • CREATE A PEER PROGRAM THAT CAN SUPPORT SOME SDOH COMPONENTS, INCLUDING PMS’ SUPPORTED HOUSING PROGRAMS IN SAN JUAN COUNTY.

FISCAL YEAR 2025 EXPANDED HOURS. - RESBYTERIAN MEDICAL SERVICES (PMS), A 501(C)(3) JOINT COMMISSION ACCREDITED FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER SECTION 330 (E) (I) AND (H) GRANTEE, IS REQUESTING 2025 EXPANDED HOURS FUNDS TO INCREASE ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTH, PSYCHIATRY AND SUPPORT SERVICES FOR INDIVIDUALS IN FOUR COMMUNITIES. WITH THIS FUNDING, PMS PROPOSES TO ADD 50 HOURS OF SERVICE THROUGH EXTENDED MORNING, EVENING AND WEEKEND HOURS AT FIVE EXISTING SITES. NEW MEXICO IS A PRIMARY CARE, MENTAL HEALTH, AND DENTAL SHORTAGE AREA. A THIRD OF RESIDENTS DO NOT HAVE A PRIMARY CARE PROVIDER. EVEN THOSE WHO HAVE ACCESS, ARE CONFRONTED WITH BARRIERS CAUSED BY TRANSPORTATION, COST, CHILDCARE, INCONVENIENT CLINIC HOURS, ETC. EMERGENCY DEPARTMENTS ARE BEING OVER UTILIZED FOR PRIMARY CARE NEEDS, CAUSING INCREASED MEDICAL COSTS AND LONGER WAIT TIMES FOR TRUE EMERGENCIES. LIMITED AND INCONVENIENT CLINIC HOURS POSE A CHALLENGE FOR INDIVIDUALS NEEDING ROUTINE AND NONEMERGENT CARE, ESPECIALLY FOR THOSE WITH CONVENTIONAL WORK SCHEDULES. TAKING TIME OFF FOR AN APPOINTMENT MAY MEAN LOSING WAGES OR USING LIMITED PAID TIME OFF. FOR HOURLY EMPLOYEES AND THOSE WITH INFLEXIBLE JOBS, THAT’S OFTEN A DIFFICULT TRADEOFF. MOST PATIENTS MUST RELY ON PERSONAL TRANSPORTATION TO ACCESS SERVICES. THIS IS A HARDSHIP FOR PATIENTS IN A SERVICE AREA WHERE 18% OF RESIDENTS HAVE ONLY ONE ROAD WORTHY VEHICLE PER HOUSEHOLD, AND IT IS USED FOR WORK. LACK OF CHILDCARE IS ALSO A DETERRENT FOR SOMEONE TO SEEK CARE DURING THE DAY WHILE THEY WAIT FOR ANOTHER CAREGIVER TO GET OFF WORK. INDIVIDUALS WHO DO NOT RECEIVE ROUTINE HEALTH SCREENINGS OR DO NOT SEEK CARE WHEN IT IS NEEDED ARE MORE LIKELY TO HAVE COMPLICATED, CHRONIC MEDICAL CONDITIONS THAT ARE MORE COSTLY, REDUCES LIFE EXPECTANCY, AND POSSIBLY DEVELOP INTO COOCCURRING PHYSICAL AND/OR MENTAL HEALTH CONDITIONS. PMS REDUCES BARRIERS TO CARE BY OFFERING A SLIDING FEE FOR PAYMENT, ACCEPTING ALL MEDICAL INSURANCE AND THE UNINSURED, MAKING WALK-IN AND SAME-DAY APPOINTMENTS, AND CONTINUOUSLY ACCEPTING NEW PATIENTS. TO FURTHER REDUCE BARRIERS, PMS IS PROPOSING TO EXPAND CLINIC HOURS TO INCLUDE MORNING, EVENING AND WEEKEND APPOINTMENTS BEYOND THE TRADITIONAL WORKDAY HOURS. THE PROPOSED SITES AND HOURS ARE: 1. GRANTS FAMILY HEALTH CENTER – ADD 2 HOURS PER DAY MONDAY-FRIDAY FOR PRIMARY CARE. 2. RIO RANCH FAMILY HEALTH CENTER – ADD 2 HOURS PER DAY MONDAY-THURSDAY FOR PRIMARY CARE. 3. PMS FAMILY HEALTH CENTER – ADD 2 HOURS PER DAY MONDAY-THURSDAY FOR PRIMARY CARE. 4. FARMINGTON COMMUNITY HEALTH CENTER – ADD 2 HOURS PER DAY MONDAY-FRIDAY AND 4 HOURS ON SATURDAYS FOR PRIMARY CARE, BEHAVIORAL HEALTH, AND PSYCHIATRY. 5. SANTA FE FAMILY HEALTH CENTER – ADD 2 HOURS PER DAY MONDAY-FRIDAY FOR PRIMARY CARE, BEHAVIORAL HEALTH, AND PSYCHIATRY.

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

ARRA EARLY LEARNING MENTOR COACHES

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - EDDY COUNTY, LOCATED IN THE SOUTHEAST CORNER OF THE STATE, IS A MEDICALLY UNDERSERVED AREA (MUA) AND HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). PRESBYTERIAN MEDICAL SERVICES (PMS) HAS BEEN PROVIDING PRIMARY HEALTHCARE IN THE CITY OF CARLSBAD FOR 30 YEARS. PMS CARLSBAD FAMILY HEALTH CENTER (FHC) HAS EXPERIENCED DOUBLE-DIGIT INCREASES IN PATIENT VISITS SINCE 2016, AND THERE IS A CONTINUING NEED FOR ADDITIONAL PRIMARY CARE SERVICES IN THE COMMUNITY. THE EXPANSION OF CARLSBAD FHC WILL ADD 8 EXAM ROOMS, CAPACITY TO ADD BEHAVIORAL HEALTH SERVICES, AND CREATE A MORE EFFICIENT MEDICAL SUPPORT WORKSTATION. THE ADDITIONAL CLINICAL SPACE WILL IMPROVE PATIENT FLOW AND PROVIDER EFFICIENCY. THE EXPANDED CLINIC WILL HAVE SPACE TO ADD 2 MEDICAL PROVIDERS AND 1 BEHAVIORAL HEALTH PROVIDER TO ITS CLINICAL TEAM AND OPEN ACCESS TO CARE FOR 3200 ADDITIONAL PATIENTS. PMS WILL USE CONGRESSIONALLY DESIGNATED SPENDING (CDS) FUNDS TO EXPAND THE EXISTING FOOTPRINT OF THE CARLSBAD FHC FACILITY FROM ITS CURRENT 9,088 SQUARE FEET TO 12,688 SQUARE FEET - AN INCREASE OF 3,600 SQUARE FEET. THE EXPANSION WILL INCLUDE AN ADDITIONAL EIGHT (8) EXAM ROOMS, BEHAVIORAL HEALTH OFFICE AND GROUP ROOM, MEDICAL ASSISTANT WORKSTATION, EXPANDED PHARMACY SPACE WITH ADMIN OFFICE, NEW RESTROOMS, AND AN EXTENDED FILE ROOM. THE PROJECT WILL ALSO RECONFIGURE APPROXIMATELY 740 SQUARE FEET OF THE EXISTING FACILITY TO PROVIDE AN EXPANDED LAB SPACE AND REVAMPED SPACE FOR A PROVIDER WORK ROOM. THIS PROJECT ADDRESSES THE UNMET NEED FOR SERVICES IN EDDY COUNTY BY IMPROVING ACCESS TO PRIMARY CARE, ESPECIALLY THOSE WHO HAVE EXPERIENCED DIFFICULTY FINDING A MEDICAL HOME DUE TO COSTS, LACK OF TRANSPORTATION, DISTANCE BARRIERS AND ABILITY TO PAY. PMS IS THE ONLY PRIMARY CARE PROVIDER THAT OFFERS A SLIDING FEE SCALE IN EDDY COUNTY. PMS HAS DEVELOPED PARTNERSHIPS WITH LOCAL HOSPITALS, PUBLIC HEALTH DEPARTMENTS, CITY AND COUNTY GOVERNMENTS AND LOCAL PROVIDERS TO OFFER COMPLETE WRAP-AROUND SERVICES TO PATIENTS . THE CITY OF CARLSBAD LOOKS TO PMS TO PROVIDE CRITICAL SERVICES TO THE UNINSURED AND UNDERSERVED. THE COMMUNITY EXPECTS THE HEALTH CENTER TO BE ABLE TO MEET HEALTH CARE NEEDS AS THEY CONTINUE TO GROW AND CHANGE. THROUGHOUT THE CONSTRUCTION AND IMPLEMENTATION OF THE PROJECT, PMS WILL BOOST EMPLOYMENT OPPORTUNITIES AND FINANCIAL RESOURCES INTO THE COMMUNITY. THE ADDITIONAL SERVICES CREATED FROM THE EXPANSION WILL IMPROVE THE LIVES OF PATIENTS AND THE OVERALL HEALTH OF THE COMMUNITY.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM