One Community Health

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ONE COMMUNITY HEALTH (OCH), A FEDERALLY QUALIFIED HEALTHCARE CLINIC (FQHC), HAS BEEN PROVIDING HEALTHCARE FOR THE PAST 36 YEARS IN THE PACIFIC NORTHWEST. WE PROVIDE CARE TO ALL WITHOUT QUESTION OF ABILITY TO PAY WITH A FOCUS ON THE NEEDS OF THE REGIONS’ RACIALLY DIVERSE COMMUNITIES, THE HISPANIC/LATINO/A AND AMERICAN INDIANS. OUR SERVICE AREA OF HOOD RIVER AND WASCO COUNTIES IN OREGON AND KLICKITAT AND SKAMANIA COUNTIES IN WASHINGTON ARE HRSA-DEFINED RURAL AND DESIGNATED HEALTHCARE PROVIDER SHORTAGE AREAS. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT OF THESE COUNTIES CITE BEHAVIORAL HEALTHCARE AS AN UNMET NEED FOR ALL AGES AND TWO-THIRDS OF THOSE CONCERNED ABOUT THEIR SUBSTANCE USE HABITS WERE UNABLE TO GET CARE. OUR SCHOOL HEALTH NEED ASSESSMENTS PAINT AN ALARMING PICTURE OF ABOVE AVERAGE NATIONAL TRENDS IN MENTAL HEALTH AND RATES OF SUICIDE. IN 2020/2021, MORE THAN HALF OF OUR HIGH SCHOOL STUDENTS REPORTED DEPRESSION AND TWO-THIRDS REPORTED STRESS AND ANXIETY. SUICIDE RATES WERE HIGH DURING THIS SAME PERIOD WITH 1 OUT OF 4 SCHOOLCHILDREN CONSIDERING SUICIDE AND, AND ~1 OUT OF 10 ATTEMPTED SUICIDE. CONCURRENT WITH THESE MENTAL HEALTH STATISTICS IS A HIGH INCIDENCE OF SUBSTANCE ABUSE, BINGE DRINKING AND OVERDOSE. IN ADDITION TO THE ADULTS AND SCHOOLCHILDREN OF OUR SERVICE AREA WHO NEED BUT CANNOT ACCESS MENTAL HEALTH, THERE ARE ALSO THE NEEDS OF THOSE TO BE RELEASED FROM NORTHERN OREGON CORRECTIONS FACILITIES (NORCOR) OF WASCO CO, OR, MANY OF WHOM HAVE SUD BUT FIND LIMITED SUPPORT IN THE WORLD OUTSIDE OF THE JAIL. ANOTHER POPULATION WHICH OFTEN FALLS THROUGH THE CRACKS OF CARE ARE THE HOUSELESS, OF WHOM MORE THAN 60% NEED SUD CARE. WITHIN EACH OF THESE FOCUS GROUPS ARE THOSE THAT ARE RACIALLY DIVERSE, THE HISPANIC/LATINO/A AND AMERICAN INDIANS OF OUR REGION, AND OUR POPULATIONS OF FOCUS AS A MIGRANT AND COMMUNITY HEALTH CENTER. TOGETHER THESE REGIONAL DATA SHOW AN UNMET NEED FOR MENTAL AND SUBSTANCE USE DISORDER (SUD) CARE. WE, AS AN FQHC WITH AN ACTIVE H80 GRANT (FAIN#: H80CS00426), CAN ADDRESS THIS NEED. WITH FUNDING WE WILL BE ABLE TO INCREASE AND EXPAND BOTH MENTAL HEALTH, AND SUD CARE WITH MEDICATION FOR OPIOID USE DISORDER (MOUD) TREATMENT OPTIONS. WE WILL DO THIS BY 3 DISTINCT BUT INTERWOVEN PROGRAMS MANAGED BY A PROJECT COORDINATOR. FIRSTLY, WE WILL ADDRESS THE NEEDS OF OUR SCHOOLCHILDREN BY OFFERING EXPANDED MENTAL HEALTH SERVICES AT OUR SCHOOL-BASED HEALTH CLINICS. SECONDLY, WE WILL USE OUR MOBILE MEDICAL UNIT TO PROVIDE MENTAL HEALTH AND SUD TREATMENT AND RECOVERY SERVICES, INCLUDING MOUD. THIS UNIT WILL BE STAFFED BY CLINICAL MOUD AND BEHAVIORAL HEALTH PROVIDERS, AND NONCLINICAL SUPPORT STAFF, AND WILL PROVIDE CARE AT NORCOR, THE HOUSELESS SHELTERS AND COMMUNITIES IN OUR SERVICE AREA AND OTHER IDENTIFIED SITES OF NEED IN OUR 4-COUNTY BI-STATE SERVICE AREA. THE THIRD PROGRAM WILL EXPAND OUR BEHAVIORAL HEALTH SERVICES IN OUR WASHINGTON CLINICS, WHICH HAS A YEARLONG BEHAVIORAL HEALTH WAITLIST. IN OUR COMMUNITY WE ARE THE ONLY MOUD PROVIDERS AND HAVE BEEN PART OF A NETWORK OF COMMUNITY-BASED SOCIAL SUPPORT AND RECOVERY ORGANIZATIONS. WITH THIS FUNDING WE WILL INCREASE OUR REFERRALS TO AND FROM THESE ORGANIZATIONS TO ENSURE WRAPAROUND INTEGRATED BEHAVIORAL HEALTH AND SUD CARE AND SUPPORT FOR ALL THOSE IN NEED. OUR COORDINATOR WILL INTEGRATE, IMPLEMENT, AND EVALUATE ALL 3 ARMS OF THIS PROGRAM INTO A SEAMLESS EXPANSION OF MENTAL HEALTH AND SUD SERVICES UNDER THE OCH UMBRELLA OF CARE.

FISCAL YEAR 2025 EXPANDED HOURS. - ONE COMMUNITY HEALTH (OCH), A FEDERALLY QUALIFIED HEALTHCARE CLINIC (FQHC), WITH AN ACTIVE H80 GRANT (H80CS00426), HAS BEEN PROVIDING HEALTHCARE FOR THE PAST 36 YEARS IN THE PACIFIC NORTHWEST. WE PROVIDE CARE TO ALL WITHOUT QUESTION OF ABILITY TO PAY, BUT WITH A FOCUS ON THOSE WHO ARE MEDICALLY UNDERSERVED, THE MIGRANT SEASONAL FARMWORKERS, AMERICAN INDIANS AND THOSE WHO ARE LOW INCOME. OUR SERVICE AREA OF HOOD RIVER AND WASCO COUNTIES IN OREGON AND KLICKITAT AND SKAMANIA COUNTIES IN WASHINGTON ARE HRSA-DEFINED RURAL AND DESIGNATED HEALTHCARE PROVIDER SHORTAGE AREAS. SINCE THE PANDEMIC WE, LIKE MANY OTHER HEALTHCARE CLINICS, HAVE STRUGGLED TO PROVIDE TIMELY PRIMARY CARE. APPOINTMENTS FOR NEW PATIENTS ARE TYPICALLY SCHEDULED 29 DAYS OUT, FOR WELL CHILD CHECKS THE WAIT TIME IS 41 DAYS, PHYSICAL EXAMS ARE 31 DAYS OUT, AND SO THE LIST GOES ON. FOR THOSE ON MEDICARE/MEDICAID OR LOW INCOME, WE ARE THE LARGEST PROVIDER OF CARE IN OUR SERVICE AREA, AND DELAYS SUCH AS THESE IMPACT MANY IN OUR COMMUNITIES. WE HAVE HIRED PROVIDERS, WE HAVE INCREASED OUR SCHEDULING EFFICIENCY AND NOW WE ARE FACED WITH THE ONLY OPTION LEFT, TO INCREASE THE HOURS THAT WE ARE OPEN. THROUGH THIS APPLICATION, WE WILL INCREASE OUR OPERATIONAL HOURS AT 3 OF OUR 5 MAIN CLINICS AS FOLLOWS. 1). WE WILL ADD SATURDAY HOURS TO OUR EXPRESS CLINIC IN THE DALLES, WASCO CO., OR. THIS CLINIC WAS OPENED IN 2023 TO ALLOW WALK-IN PATIENTS TO BE SEEN BY A HEALTHCARE PROFESSIONAL. WE WILL INCREASE THE OPERATIONAL HOURS OF THIS CLINIC TO BE OPEN EVERY DAY EXCEPT SUNDAY. ALL WILL RECEIVE CARE ON THE SAME DAY FROM A TEAM OF PROVIDERS OF DIFFERENT SPECIALTIES, AND IF THEY NEED A REFERRAL TO A DIFFERENT HEALTHCARE PROFESSIONAL FOR THEIR NEXT STEPS, THIS WILL BE PUT IN PLACE. 2). EASE OF ACCESS AND TO ACCOMMODATE PATIENT DEMAND, PARTICULARLY FOR BEHAVIORAL HEALTH AS PART OF PRIMARY CARE, WE WILL ADD SUNDAY HOURS TO OUR CLINIC IN WHITE SALMON, KLICKITAT CO., WASHINGTON, AGAIN MAKING OBTAINING HEALTHCARE EASIER FOR THOSE WITH WEEKLY COMMITMENTS SUCH AS SCHOOLCHILDREN AND WORKING FAMILY MEMBERS. THESE SUNDAY HOURS WILL BE STAFFED BY BOTH MEDICAL AND BEHAVIORAL HEALTH PROVIDERS AND NONCLINICAL SUPPORTING STAFF. 3). WE WILL ALSO ADD 2 FULL DAYS TO OUR MOBILE MEDICAL UNIT (MMU) SCHEDULE TO BE ABLE TO ADDRESS THE NEEDS OF THOSE WHO CANNOT GET TO THE CLINIC. AT A MINIMUM, THE MMU WILL BE STAFFED BY A MEDICAL PROVIDER ABLE TO DELIVER MEDICATIONS FOR OPIOID USE DISORDER AND SUPPORTING STAFF. A PEER SUPPORT SPECIALIST, A COMMUNITY HEALTH WORKER AND A BEHAVIORAL HEALTH CONSULTANT MAY BE INCLUDED AS NEEDED FOR THE CORRECTIONAL FACILITY AND HOUSELESS POPULATIONS WE WILL VISIT DURING THESE HOURS. WE WILL ALSO ADD CAPACITY HOURS AT 2 OF OUR MAIN CLINICS AS FOLLOWS: 1) WE WILL ADD EARLY MORNING HOURS OF PEDIATRIC-FOCUSED AND GENERAL PRIMARY CARE TO OUR MAIN CLINIC AT THE DALLES AT 7AM, A MORE CONVENIENT TIME FOR THOSE WHO MUST GET TO WORK AND TAKE CARE OF THEIR FAMILY. 2). WE WILL ADD CAPACITY FOR PRIMARY CARE ON SATURDAYS AT THE HOOD RIVER CLINIC WITH PRIMARY MEDICAL CARE, INCLUDING GYNECOLOGY-FOCUSED SPECIALISTS, TO PROVIDE MORE ACCESS FOR THE WOMEN OF OUR AREA TO OBTAIN CARE. THIS INCREASE IN CLINICAL OPERATIONS WILL BE SUPPORTED BY NON-CLINICAL AND ADMINISTRATIVE STAFF TO CREATE A SEAMLESS EXPANSION OF SERVICE. BY ADDING THESE OPERATIONAL AND CAPACITY HOURS AT 5 OF OUR CLINICS, WE WILL INCREASE ACCESS TO HIGH QUALITY PRIMARY CARE THAT IS DESIGNED TO MEET THE NEEDS OF ALL IN OUR COMMUNITY.

DLT GRANTS - SUBSTANCE USE DISORDER - MEDICAL

DLT OPIOID GRANTS

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ARRA - INCREASE SERVICES TO HEALTH CENTERS

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

FY 2023 EXPANDING COVID-19 VACCINATION

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM