Sea Mar Community Health Centers

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - FOR 45 YEARS, SEA MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. WITHIN ITS SCOPE OF PROJECT, SEA MAR OPERATES 39 MEDICAL, 30 DENTAL, AND 42 BEHAVIORAL HEALTH CLINICS ACROSS 11 COUNTIES. IN 2022, SEA MAR SERVED 224,180 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR IS APPLYING FOR COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING TO BUILD A NEW CLINIC IN KENT, WA. THE NEW KENT CLINIC WILL ALLOW SEA MAR TO CONTRIBUTE TO THE COMMUNITY PRIORITIES OF KING COUNTY BY PROVIDING INCREASED ACCESS TO HEALTHCARE, CULTURAL SENSITIVE CARE, AS WELL AS AFFORDABLE AND EQUITABLE MEDICAL SERVICES TO UNDERSERVED POPULATIONS INCLUDING THOSE OF LOW INCOME, THE UNINSURED OR PUBLICLY INSURED, AND DISENFRANCHISED MINORITY GROUPS (KING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2019). BUILDING THESE DIVERSE FACILITIES, DESIGNED IN THE PATIENT CENTERED MEDICAL HOME MODEL (LISTED AS A PRIORITY INVESTMENT AREA IN THE KING COUNTY CHNA, 2019), WILL ALLOW SEA MAR TO INCREASE THE NUMBER OF PATIENTS THE ORGANIZATION ALREADY SERVES WITH ITS LOCAL CLINICS, AS WELL AS PROVIDE AN UPDATED, INTEGRATED SYSTEM OF CARE UNLIKE OTHER PROVIDERS IN THE AREA. GIVEN ITS DISTANCE FROM OTHER CLINICS PROVIDING SERVICES TO UNINSURED AND MEDICAID PATIENTS, AND ITS LOCATION IN A SEVERELY DISTRESSED AREA, SEA MAR ANTICIPATES BEING ABLE TO SERVE 6,000 UNDUPLICATED MEDICAL PATIENTS AND 3,960 UNDUPLICATED DENTAL PATIENTS PER YEAR ONCE FULLY OPERATIONAL.

FY 2023 EXPANDING COVID-19 VACCINATION

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

SEA MAR CHC: INCREASING ACCESS TO MEDICATION ASSISTED TREATMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

ADVANCED NURSING EDUCATION NURSE PRACTITIONER RESIDENCY INTEGRATION PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - FOR 43 YEARS, SEA MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. SEA MAR IS AN H80 GRANT RECIPIENT OPERATING 39 MEDICAL, 29 DENTAL, AND 38 BEHAVIORAL HEALTH CLINICS IN 11 COUNTIES. IN 2020, SEA MAR SERVED 205,253 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR SPECIALIZES IN BILINGUAL AND BICULTURAL SERVICES TO THE LATINO COMMUNITY. AS THE AGENCY HAS GROWN, IT HAS EXPANDED ITS SPECIALIZATION TO INCLUDE OTHER LIMITED-ENGLISH AND LOW-INCOME POPULATIONS. SEA MAR ALSO HAS SPECIAL PROGRAMS AND FEDERAL FUNDING TO PROVIDE HEALTH CARE AND RELATED SERVICES TO MIGRANT AND SEASONAL FARM WORKERS AND HOMELESS PERSONS. IN ADDITION TO LIMITED ENGLISH PROFICIENCY, SEA MAR TAILORS ITS SERVICES TO SERVE PATIENTS WHO FACE MANY OTHER BARRIERS TO HEALTH CARE, INCLUDING POVERTY, LACK OF FAMILIARITY WITH AVAILABLE RESOURCES AND ELIGIBILITY REQUIREMENTS, LACK OF ACCESS TO TRANSPORTATION AND/OR CHILDCARE, AND A SHORTAGE OF PROVIDERS WHO ACCEPT UNINSURED OR PUBLICLY INSURED PATIENTS. SEA MAR IS APPLYING FOR FY22 ENDING THE HIV EPIDEMIC-PRIMARY CARE HIV PREVENTION FUNDS TO IMPROVE AND ENHANCE INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV, INCREASING THE NUMBER OF PATIENTS PRESCRIBED PREP, AND INCREASE THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT WITHIN 30 DAYS OF DIAGNOSIS. SEA MAR PROPOSES TO UTILIZE FUNDS FOR A PILOT PROJECT TO LEARN BEST PRACTICES TO INCREASE AND IMPROVE HIV CARE THAT CAN BE REPLICATED AT CLINICS ACROSS SEA MAR’S SERVICE AREA. THE PROPOSED PROJECT WILL BE CONDUCTED FROM SEA MAR’S MEDICAL CLINIC IN THE SOUTH PARK NEIGHBORHOOD OF SEATTLE, IN KING COUNTY, WA, WHICH IS LOCATED IN A TARGETED GEOGRAPHIC LOCATION. CURRENTLY, SEA MAR PATIENTS WHO TEST POSITIVE MEET WITH A CARE COORDINATOR WHO WORKS WITH THEM TO REFER THEM FOR HIV TREATMENT SERVICES. THE CARE COORDINATOR FOLLOWS-UP WITH THE PATIENT FOR 90-DAYS TO ENSURE THEY RECEIVE THEIR REFERRAL AND ARE CONNECTED WITH CARE. SEA MAR IS EXPLORING THE BEST-PRACTICE OPTION OF UNIVERSAL HIV SCREENING TO SCREEN EVERYONE OVER THE AGE OF 15 ONCE IN A LIFETIME IF THEY HAVEN’T BEEN TESTED, WHICH WILL GREATLY EXPAND HIV SCREENING. SEA MAR’S NEW EHR ALLOWS FOR DOCUMENTATION OF PREP, HOWEVER IT NEEDS TO BE CONFIGURED TO BUILD BEST PRACTICE ADVISORIES. SEA MAR HAS A PROVIDER CHAMPION FOCUSED ON CONFIGURING THE EHR FOR PREP DOCUMENTATION AND TRAINING PROVIDERS ON THE PROTOCOL. ADDITIONALLY, THIS PROVIDER CHAMPION IS WORKING WITH THE QI AND COMMUNICATIONS DEPARTMENTS TO COMPILE A LIST OF SEA MAR PROVIDERS WHO OFFER PREP AND PROMOTE THE AVAILABILITY OF PREP SERVICES MORE WIDELY. SEA MAR PROPOSES TO UTILIZE FUNDING FOR DEDICATED STAFF RESOURCES TO PROVIDE TARGETED EDUCATION, OUTREACH AND FOLLOW-UP FOR HIV PATIENTS, INCLUDING AN HIV PROGRAM COORDINATOR AND HIV HEALTH EDUCATOR. THE HIV PROGRAM COORDINATOR WILL BE RESPONSIBLE FOR PROGRAM OVERSIGHT AND IMPLEMENTATION OF PROCESSES AND TOOLS TO SUPPORT THE HIV PREVENTION AND FOLLOW-UP PROGRAM. THE HIV HEALTH EDUCATOR WILL BE RESPONSIBLE FOR PROVIDING HIV PREVENTION INFORMATION TO PATIENT, HIV RESOURCES FOR POSITIVE PATIENTS, AND HIV PREVENTION EDUCATION FOR PROVIDER STAFF.

GWC DRUG-FREE COMMUNITIES PROJECT

ACCELERATING CANCER SCREENING - FOR 42 YEARS, SEA MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. WITHIN ITS SCOPE OF PROJECT, SEA MAR OPERATES 39 MEDICAL, 29 DENTAL, AND 38 BEHAVIORAL HEALTH CLINICS IN 11 COUNTIES. IN 2020, SEA MAR SERVED 227,671 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR IS APPLYING FOR HRSA FY22 ACCELERATED CANCER SCREENING FUNDING TO IMPROVE PATIENTS’ BREAST, CERVICAL AND COLORECTAL CANCER SCREENING RATES. THERE HAS BEEN AN INCREASE OF AVAILABILITY OF REPRODUCTIVE AND COLORECTAL CANCER SCREENINGS IN THE UNITED STATES; HOWEVER MANY GROUPS OF PEOPLE REMAIN UNDERSERVED WITH RESPECT TO NATIONAL GUIDELINES FOR BREAST, CERVICAL AND COLORECTAL CANCER SCREENINGS. COMMUNITY HEALTH CENTERS LIKE SEA MAR PROVIDE AN AVENUE FOR UNDERSERVED AND LOW-INCOME POPULATIONS TO RECEIVE ESSENTIAL PRIMARY CARE SERVICES, BUT MANY OF THESE HEALTH CENTERS STILL STRUGGLE TO ACHIEVE POPULATION-BASED SCREENING. TO ADDRESS THIS NEED, SEA MAR WILL UTILIZE COLLABORATE WITH NCI-DESIGNATED CANCER CENTER FRED HUTCHINSON CANCER RESEARCH CENTER AND UTILIZE TRAINED PATIENT NAVIGATORS AND OUTREACH SPECIALISTS TO CLOSE THE BREAST, CERVICAL AND COLORECTAL CANCER SCREENING GAPS FOR ITS PATIENT POPULATION.

CAPITAL DEVELOPMENT

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

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TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF TRAINING PROGRAM: SEA MAR FAMILY MEDICINE RESIDENCY PROGRAM DISCIPLINE OF RESIDENCY PROGRAM: FAMILY MEDICINE ELIGIBLE ENTITY TYPE: COMMUNITY-BASED AMBULATORY CARE CENTER THAT OPERATES AN ACCREDITED PRIMARY CARE RESIDENCY PROGRAM AND IS A FEDERALLY-QUALIFIED HEALTH CENTER. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2017 WEBSITE: WWW.SEAMAR.ORG FOR 44 YEARS, SEA-MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. SEA MAR OPERATES 33 MEDICAL, 26 DENTAL, AND 45 BEHAVIORAL HEALTH CLINICS IN 11 COUNTIES. IN 2020, SEA MAR SERVED 304,200 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR SPECIALIZES IN BILINGUAL AND BICULTURAL SERVICES TO THE LATINO COMMUNITY. AS THE AGENCY HAS GROWN, IT HAS EXPANDED ITS SPECIALIZATION TO INCLUDE OTHER LIMITED-ENGLISH AND LOW-INCOME POPULATIONS. SEA MAR ALSO HAS SPECIAL PROGRAMS AND FEDERAL FUNDING TO PROVIDE HEALTH CARE AND RELATED SERVICES TO MIGRANT AND SEASONAL FARM WORKERS AND HOMELESS PERSONS. IN ADDITION TO LIMITED ENGLISH PROFICIENCY, SEA MAR TAILORS ITS SERVICES TO SERVE PATIENTS WHO FACE MANY OTHER BARRIERS TO HEALTH CARE, INCLUDING POVERTY, LACK OF FAMILIARITY WITH AVAILABLE RESOURCES AND ELIGIBILITY REQUIREMENTS, LACK OF ACCESS TO TRANSPORTATION AND/OR CHILDCARE, AND A SHORTAGE OF PROVIDERS WHO ACCEPT UNINSURED OR PUBLICLY INSURED PATIENTS. THE SEA MAR FAMILY MEDICINE RESIDENCY PROGRAM BEGAN IN 2015, AND IS OPERATED DIRECTLY BY SEA MAR COMMUNITY HEALTH CENTERS AND IS ACCREDITED BY ACGME. THE PROGRAM IS LOCATED IN SNOHOMISH COUNTY, AN AREA THAT IS A MIX OF RURAL AND URBAN ZONES, WITH SEVERAL SPARSELY POPULATED COMMUNITIES WHERE THERE ARE FEW SERVICES AVAILABLE. UDS MAPPER DATA SHOWS THERE ARE AN ESTIMATED 87,539 PATIENTS NOT SERVED BY PATIENTS, AND THE RATIO OF POPULATION TO FULL TIME PRIMARY CARE PROV IDERS IS 1,904:1. THE RESIDENCY PROGRAM SERVES PRIMARILY LOW INCOME AND UNINSURED OR MEDICAID PATIENTS, AND FOCUSES ON UNDERSERVED COMMUNITIES INCLUDING MIGRANT AND SEASONAL FARMWORKERS AND HOMELESS POPULATIONS. SEA MAR’S CURRENT RESIDENCY PROGRAM HOSTS THREE COHORTS OF 10 RESIDENTS PER YEAR, FOR A TOTAL OF 30 RESIDENTS (10-10-10). WITH THCGME FUNDING, SEA MAR WILL BE ABLE TO EXPAND THE PROGRAM BY TWO RESIDENTS PER YEAR, FOR A TOTAL OF 36 RESIDENTS (12-12-12). WITH THIS APPLICATION, SEA MAR IS REQUESTING FOR 2 FTE POSITIONS TO BE FUNDED UNDER THIS PROGRAM FOR AY2023-2024. SEA MAR’S RESIDENCY PROGRAM IS IN HIGH DEMAND, WITH OVER 800 CANDIDATES COMPETING FOR THE CURRENT 10 RESIDENCY POSITIONS EACH YEAR. EXPANSION WILL ALLOW SEA MAR TO FURTHER EXPAND THIS PROGRAM, AND BE ABLE TO INTRODUCE ADDITIONAL RESIDENTS TO COMMUNITY HEALTH AND THE MISSION-DRIVEN SERVICE TO UNDERSERVED COMMUNITIES. WITH THE SHORTAGE OF PRIMARY CARE PROVIDERS, SEA MAR’S PROGRAM IS SUCCESSFUL IN RETAINING A NEW GENERATION OF PRIMARY CARE PROVIDERS TO SERVE IN COMMUNITY HEALTH.

SEA MAR CHC IMMUNIZATION AND VACCINE CONFIDENCE PROJECT - FOR OVER 40 YEARS, SEA MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. SEA MAR OPERATES 35 MEDICAL, 30 DENTAL, AND 29 BEHAVIORAL HEALTH CLINICS IN 11 COUNTIES IN ADDITION TO A WIDE RANGE OF SOCIAL AND COMMUNITY SERVICES INCLUDING AFFORDABLE HOUSING, LONG TERM CARE, INPATIENT TREATMENT, WIC AND MSS. IN 2020, SEA MAR SERVED OVER 304,000 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR IS APPLYING FOR FUNDING OPPORTUNITY NV-VSR-21-001: PROMOTING VACCINE CONFIDENCE IN LOCAL COMMUNITIES THROUGH PARTNERSHIP WITH REGIONAL HEALTH OFFICES. THE COVID-19 PANDEMIC HAS INFLUENCED THE DECLINE OF PREVENTIVE IMMUNIZATIONS DUE TO GOVERNMENT-MANDATED LOCKDOWNS, HEALTHCARE ORGANIZATIONS LIMITING SERVICES OFFERED AND COMMUNITY FEAR OF EXPOSURE. ACCORDING TO SEA MAR’S 2020 UNIVERSAL DATA SYSTEM (UDS) REPORT, SEA MAR SAW A 5% DECLINE IN COMBINATION 10 IMMUNIZATIONS REPORTING 40% IN 2019 AND 35% IN 2020. COMBINATION 10 REFERS TO A SET OF VACCINES THAT TODDLERS ARE SCHEDULED TO RECEIVE BY THEIR SECOND BIRTHDAY. THE STATEWIDE COMBINATION 10 IMMUNIZATION RATE IN WASHINGTON CURRENTLY SITS AT 43.3% LEAVING 56.7% OF TODDLERS VULNERABLE POTENTIAL INFECTION. INFANTS AND TODDLERS ARE CRITICAL TO IMMUNIZE BECAUSE OF THEIR LACK OF PROTECTION AND SUSCEPTIBILITY TO HEALTH COMPLICATIONS. ANOTHER NOTABLE GROUP EXPERIENCING A DECLINE IN RECEIVING PREVENTIVE IMMUNIZATIONS IS THE 11 AND 12-YEAR-OLD POPULATION. HUMAN PAPILLOMAVIRUS (HPV) VACCINATIONS PROTECT AGAINST INFECTIONS THAT CAN LEAD TO SIX TYPES OF CANCER. 80% OF PEOPLE WILL GET AN HPV INFECTION IN THEIR LIFETIME. DESPITE THE LONG-TERM BENEFITS OF THE VACCINE, WASHINGTON STATE SAW A 5.6% DECLINE, FROM 42% IN 2019 TO 36.4% IN 2020. WITH THIS FUNDING, SEA MAR PROPOSES TO IMPLEMENT VACCINE-FOCUSED IN-CLINIC MEDICAL ASSISTANTS TO TARGET MEDICALLY UNDERSERVED AND VULNERABLE MEMBERS OF OUR COMMUNITY TO INCREASE COMBINATION 10 AND HPV VACCINATION RATES IN CLARK AND KING COUNTIES IN WASHINGTON STATE. THE PROPOSED PROJECT WILL ADD A 2.0 FTE CERTIFIED MEDICAL ASSISTANTS WHO WILL BE RESPONSIBLE FOR COMPILING TARGET POPULATION INFORMATION, DISSEMINATING CULTURALLY RELEVANT VACCINATION MATERIALS TO VACCINE HESITANT PATIENTS, CULTIVATING A POSITIVE IN-CLINIC VACCINE CULTURE, AND ADMINISTERING VACCINES TO SCHEDULED AND WALK-IN PATIENTS.

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FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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SEA MAR COMMUNITY HEALTH CENTERS NATURALIZATION AND CITIZENSHIP PROGRAM

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RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: SEA MAR FY2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM APPLICANT ORGANIZATION NAME: SEA MAR COMMUNITY HEALTH CENTERS GRANT PROGRAM FUND REQUEST: RWHAP PART C CAPACITY DEVELOPMENT PROGRAM, HIV CARE INNOVATIONS, RAPID ART PROGRAM SPECIAL CONSIDERATION: UNDERSERVED POPULATIONS SEA MAR SALMON CREEK CLINIC IN VANCOUVER WASHINGTON AIMS TO INCREASE VIRAL SUPPRESSION AMONG PEOPLE LIVING WITH HIV IN CLARK COUNTY, WA THROUGH THE ADDITION OF A PEER AS PART OF IMPLEMENTATION OF A RAPID ART PROGRAM. THIS PROPOSAL ADDRESSES A KEY GAP IN SERVICES BY ALLOWING SEA MAR TO PILOT A PEER COMPONENT TO THEIR PROGRAM TO SUPPORT HIGH ACUITY PATIENTS FOR SIX MONTHS FOLLOWING NEW DIAGNOSIS OR RE-ENGAGEMENT IN CARE. CLARK COUNTY HAS THE THIRD HIGHEST PREVALENCE OF HIV OUT OF ALL COUNTIES IN WASHINGTON STATE, BUT TRAILS BEHIND OTHER COUNTIES, LIKE KING COUNTY (AN EHE JURISDICTION), IN, TIME FROM DIAGNOSIS TO INITIATION OF ART MEDICATIONS, PERCENT OF PATIENTS ENGAGED IN CARE, AND SUPPRESSED VIRAL LOAD. SEA MAR SALMON CREEK HAS BUILT A SUCCESSFUL HIVS CLINIC RUN BY DR. JONATHAN ARMSTRONG AND DR. TONY STUPSKI. THEY HAVE IDENTIFIED A COHORT OF PATIENTS THAT ARE LOST TO FOLLOW UP AND HARD TO REACH. AS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER AND SAFETY-NET CLINIC, SEA MAR IS COMMITTED TO HELPING ALL PATIENTS, ESPECIALLY THOSE FACING MULTIPLE BARRIERS, OBTAIN HIGH QUALITY MEDICAL CARE. SEA MAR SALMON CREEK RECENTLY ADDED A 340B PHARMACY TO PROVIDE ART ON SITE, AS WELL AS SUBSTANCE ABUSE TREATMENT, BEHAVIORAL HEALTH TREATMENT, WOMEN’S HEALTH INCLUDING PRENATAL CARE, DENTISTRY, AND COMPREHENSIVE PRIMARY CARE ALL WITHIN THE SAME PATIENT CENTERED MEDICAL HOME. THE PRIMARY COMPONENT MISSING TO INITIATE A RAPID ART PROGRAM AT SEA MAR IS A PEER NAVIGATOR. THE FUNDING FROM THIS PROPOSAL WOULD HIRE AN HIV PEER NAVIGATOR WHO COULD REACH OUT TO PATIENTS LOST TO FOLLOW UP, AND RAPIDLY CONNECT PATIENTS NEWLY DIAGNOSED WITH HIV TO CARE. THE FUNDS WOULD ALSO COVER BUS PASSES FOR PATIENTS TO MAKE CLINIC APPOINTMENTS, INCENTIVES FOR PATIENTS LIKE GROCERY STORE GIFT CARDS, A LAPTOP AND CELL PHONE FOR THE PEER NAVIGATOR, ADMINISTRATIVE TIME FOR A PROGRAM DIRECTOR AND CASE MANAGER, AND A DEDICATED STAFF FOR DATA ANALYSIS TO PUBLISH RESULTS OF THE PROGRAM. THE RESULTS OF THIS PILOT PROJECT TO ADD A PEER WITHIN THE HIV CLINIC, WILL BE USED TO INFORM SEA MAR’S BROADER NETWORK OF 86 CLINICS AND LAY A FOUNDATION FOR SUSTAINABLE FUNDING THROUGH THE RYAN WHITE CARE SYSTEM IN WASHINGTON, AND 340B PROGRAM INCOME AS OUR PHARMACY GETS ESTABLISHED. THIS CAPACITY SUPPORT COMES AT A CRUCIAL TIME TO MAINTAIN THE MOMENTUM AS WE ADAPT RAPID START MODELS TO THE RYAN WHITE PART B SERVICE AREA IN OUR STATE. THE REQUESTED FUNDS TOTAL $125,987 FOR A ONE YEAR PERIOD OF PERFORMANCE. SEA MAR ALSO REQUESTS A FUNDING PREFERENCE FOR UNDERSERVED POPULATIONS.

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RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - SEA MAR COMMUNITY HEALTH CENTERS SUBMITS THIS FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM PROPOSAL FOR $141,588 TO FUND AN EXPANSION TO THE RAPID ART PROGRAM AT SEA MAR SALMON CREEK CLINIC IN VANCOUVER, WASHINGTON. THE EXPANSION WOULD SUPPORT GENDER AFFIRMING CARE (GAC) AT THIS COMMUNITY HEALTH CLINIC. SEA MAR SALMON CREEK CURRENTLY HAS A SUCCESSFUL RAPID ART PROGRAM RUN BY DR. JONATHAN ARMSTRONG AND HIV PEER NAVIGATOR BEATRICE WACU. DR. ARMSTRONG HAS ALSO PURSUED TRAINING IN GAC THROUGH A LOCAL COMMUNITY OF PRACTICE AND A UCSF TRANS HEALTH PRECEPTORSHIP. SEA MAR IS THE ONLY ORGANIZATION IN CLARK COUNTY THAT IS A FEDERALLY QUALIFIED HEALTH CENTER. WHILE THERE ARE PROVIDERS OFFERING GAC AT OTHER ORGANIZATIONS IN VANCOUVER, THEY DO NOT ACCEPT MEDICAID OR UNINSURED PATIENTS. SEA MAR IS COMMITTED TO SEEING ALL PATIENTS, REGARDLESS OF INSURANCE TYPE OR ABILITY TO PAY. SEA MAR SALMON CREEK ALSO HAS THE ADVANTAGE OF HAVING A 340B PHARMACY ON SITE, WHICH HAS BOTH ART AND GENDER AFFIRMING MEDICATIONS ON FORMULARY AND PROVIDES DISCOUNTED PRESCRIPTIONS TO ELIGIBLE PATIENTS. A MENTAL HEALTH DEPARTMENT IS EMBEDDED INTO SEA MAR SALMON CREEK, ALLOWING EASY ACCESS TO PSYCHIATRY AND THERAPY FOR PATIENTS EXPERIENCING INCONGRUENCE WITH THEIR GENDER ASSIGNED AT BIRTH. SEA MAR SALMON CREEK ALSO CURRENTLY HAS SUBSTANCE ABUSE TREATMENT, GYNECOLOGICAL AND PRENATAL CARE, DENTISTRY, AND COMPREHENSIVE PRIMARY CARE ON SITE. GAC IS AN IMPORTANT COMPONENT OF WHOLE PATIENT CARE FOR PEOPLE LIVING WITH HIV. WHILE ONLY ABOUT 0.5% OF THE US ADULT POPULATION IDENTIFIES AS TRANSGENDER, THEY ACCOUNT FOR APPROXIMATELY 2% OF NEW HIV DIAGNOSES. INTEGRATING GAC INTO AN HIV CLINIC WILL REDUCE BARRIERS FOR TRANSGENDER PATIENTS LIVING WITH HIV, ALLOWING THEM TO ACCESS ALL THEIR HEALTHCARE NEEDS AT ONE LOCATION. ALSO, EXPANDING GAC AT SEA MAR WILL FACILITATE INCREASE IN PREP UTILIZATION AND REDUCTION OF HIV TRANSMISSION IN A HIGH RISK POPULATION. SEA MAR SALMON CREEK CURRENTLY HAS TWO PRIMARY CARE PROVIDERS WHO HAVE PURSUED TRAINING IN GAC AND STARTED TO OFFER MEDICAL THERAPY TO A LIMITED NUMBER OF PATIENTS. DR. MARKLEY AND DR. ARMSTRONG ARE PARTICIPATING A LOCAL COMMUNITY OF PRACTICE AND A UCSF TRANS HEALTH PRECEPTORSHIP. THE FUNDING FROM THIS PROPOSAL WOULD COVER TRAINING OF STAFF AT SEA MAR SALMON CREEK TO CREATE A MORE AFFIRMING ENVIRONMENT FOR LGBTQ+ PATIENTS. IT WILL ALSO PROVIDE STIPENDS FOR A COMMUNITY ADVISORY COMMITTEE WHERE PATIENTS WHO OBTAIN GENDER-AFFIRMING CARE AT SEA MAR CAN MEET MONTHLY TO EVALUATE THE PROGRAM AND GIVE RECOMMENDATIONS FOR HOW THE CLINIC CAN BETTER MEET THEIR NEEDS. FUNDS WILL SUPPORT TRAINING OF CURRENT GAC PROVIDERS IN BOTH GAC AND PREP PRESCRIPTION. SEA MAR’S GRAPHIC AND WEB DESIGNER WILL BE ENGAGED TO CREATE A LANDING PAGE ON THE SEA MAR SALMON CREEK CLINIC’S WEBSITE TO INCREASE VISIBILITY OF THE PROGRAM ON INTERNET SEARCH ENGINES.

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CONTINUUM OF CARE PROGRAM

TO SUPPORT THE FIESTAS PATRIAS, A FREE, MULTIDISCIPLINARY FESTIVAL FOCUSED ON LATINO ARTS, CULTURE, AND HERITAGE.

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

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM