Samaritan Daytop Health

HEALTH CENTER PROGRAM - SAMARITAN DAYTOP HEALTH (SDH), BEGAN PROVIDING PRIMARY CARE SERVICES IN OCTOBER 2023. SDH IS A NEW YORK STATE DEPARTMENT OF HEALTH (DOH) ARTICLE 28-LICENSED PRIMARY HEALTH CARE CENTER, SERVING A SEVERELY UNDERSERVED, UNINSURED AND OFTEN UNSEEN HOMELESS POPULATION. SDH PROVIDES CARE TO NEW YORKERS IN THE BRONX, REGARDLESS OF THEIR ABILITY TO PAY – IN A MANNER THAT IS EQUITABLE AND CONSIDERATE OF THE DIVERSE HEALTH CHALLENGES THEY OFTEN ENCOUNTER. OUR ORGANIZATION IS COMMITTED TO PROVIDING COMPREHENSIVE, HIGH QUALITY PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES TO LOW-INCOME, MEDICALLY UNDERSERVED RESIDENTS – WITH A KEEN FOCUS ON A UNIQUE, HOLISTIC HEALTH CARE MODEL APPROACH RESPONSIVE TO THE NEEDS OF OUR MOST VULNERABLE. THOSE WE SERVE NOT ONLY LACK ACCESS TO CARE, BUT ARE OFTEN MET WITH SEVERE MENTAL ILLNESSES (SMIS) AND/OR SUBSTANCE USE DISORDERS (SUDS) CAUSING FURTHER DIFFICULTIES IN IDENTIFYING A MEDICAL HOME SUPPORTIVE OF THEIR DISTINCT HEALTH CHALLENGES. WE ARE DEDICATED TO PROVIDING A FULL COMPLEMENT OF SERVICES THAT WOULD BE INCLUSIVE OF CASE MANAGEMENT SUPPORT AND CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE. WE ENHANCE OUR PATIENT’S HEALTH AND WELLBEING THROUGH THE COMPASSIONATE AND EXCELLENT CARE OUR CLINICIANS PROVIDE TO SUCH A POPULATION THAT IS OFTEN EXCLUDED WHEN SEEKING CARE IN OTHER SETTINGS. SERVICE AREA: SAMARITAN DAYTOP HEALTH, UNDER OUR PROPOSED NEW ACCESS POINT (NAP), WILL SERVE THE HOMELESS POPULATION IN SELECT NEIGHBORHOODS OF THE BRONX, WHERE THERE CURRENTLY EXISTS LIMITED ACCESS TO PRIMARY CARE RESOURCES FOR LOW-INCOME, MEDICALLY UNDERSERVED POPULATIONS. THERE IS A GREAT SHORTAGE OF PRIMARY CARE SERVICES IN THIS AREA, AS EVIDENCED BY THE LACK OF PRIMARY CARE PHYSICIANS (PCPS) IN THE AREA AS THE RATIO OF THE POPULATION TO ONE FTE PCP IS 1,730:1; COMPARED TO A POPULATION TO PCP RATIO OF 1,240:1 IN THE STATE OF NEW YORK (COUNTY HEALTH RANKINGS AND ROADMAPS, 2024). OUR PROPOSED SERVICE AREA CONSISTS OF ZIP CODES: 10457, 10458, 10451, 10542, 10453, 10456, 10462, 10467, 10459, 10455 – PREDOMINANTLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS / POPULATIONS (MUA/P), WITH OUR PRIMARY SITE BEING LOCATED IN A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR BOTH PRIMARY CARE AND MENTAL HEALTH SERVICES. OUR SERVICE AREA IS INFORMED BY INFORMATION GATHERED WITH OUR COMMUNITY PARTNERS WHO IDENTIFIED UNMET NEED FOR HEALTH AND SOCIAL SUPPORTIVE SERVICES WHO EXPERIENCE HOUSING INSTABILITY AND HOMELESSNESS. TARGET POPULATION: SDH WILL TARGET INDIVIDUALS RESIDING IN SHELTERS, SUPPORTIVE HOUSING FACILITIES, AND RESIDENTIAL TREATMENT CENTERS. ACCORDING TO THE DEPARTMENT OF HOMELESS SERVICES 2020 DATA DASHBOARD, APPROXIMATELY 16,000 SHELTERED HOMELESS INDIVIDUALS RESIDE IN THE BRONX. THE POPULATION WE SERVE AND OUR TARGET POPULATION FOR OUR PROPOSED NAP SITE IS PEOPLE EXPERIENCING HOMELESSNESS. WHILE 55% OF THE RESIDENTS OF THE PROPOSED SERVICE AREA LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL) (U.S. CENSUS ACS 5-YEAR ESTIMATES, 2022), GIVEN THAT WE ARE TARGETING PEOPLE EXPERIENCING HOMELESSNESS, 100% OF OUR TARGET HOMELESS RESIDENTS IN THE BRONX LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL); WITH AN ESTIMATED 88% IN OUR TARGETED HOMELESS POPULATION LIVING BELOW 100% OF THE FPL. WITHIN OUR SERVICE AREA, WE WILL PROVIDE HEALTHCARE SERVICES TO APPROXIMATELY 2,688 HOMELESS RESIDENTS WITH A HISTORY OF SUBSTANCE USE, SEVERE MENTAL ILLNESSES, OBESITY, DIABETES, CARDIOVASCULAR DISEASE, ASTHMA, CANCER, TOOTH DECAY AND OVERALL LACK OF CONVENIENCE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE. THE NEW ACCESS POINT WILL HELP CONTINUE TO ELEVATE OUR COMMITMENT TO PROVIDING DISTINCT, EQUITABLE, COMPREHENSIVE HEALTHCARE SERVICES TO A POPULATION THAT IS MOST VULNERABLE, AND OFTEN UNSEEN.