Neighborhood Healthcare

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

SOUTHERN CALIFORNIA HARM REDUCTION PROJECT - NEIGHBORHOOD HEALTHCARE’S SOUTHERN CALIFORNIA HARM REDUCTION PROGRAM WILL ADD HARM REDUCTION STRATEGIES TO ITS SUBSTANCE USE PROGRAM TO REDUCE THE NEGATIVE CONSEQUENCES ASSOCIATED WITH DRUG USE AND IMPROVE HEALTH OUTCOMES. INFORMED BY PEOPLE WHO USE DRUGS AND EVIDENCE-BASED PRACTICES, PROGRAM ACTIVITIES WILL INCLUDE COMMUNITY OUTREACH TO “MEET PEOPLE WHERE THEY ARE,” OVERDOSE PREVENTION EDUCATION, A SYRINGE EXCHANGE PROGRAM, DISTRIBUTION OF OPIOID OVERDOSE REVERSAL MEDICATIONS, EXPANDED ACCESS TO HIV AND HEPATITIS C TESTING, AND PREP, AND LINKAGES TO RESOURCES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. OVER THE PROJECT PERIOD, 500 INDIVIDUALS WILL RECEIVE SERVICES: 100 IN YEAR 1, 200 IN YEAR 2, AND 200 IN YEAR 3, AND AT LEAST 58% WILL BE HISPANIC/LATINX.

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT TITLE: ENDING THE HIV EPIDEMIC IN SOUTHERN CALIFORNIA APPLICANT ORGANIZATION: NEIGHBORHOOD HEALTHCARE ADDRESS: 425 N. DATE STREET, ESCONDIDO, CA 92025 HEALTH CENTER PROGRAM GRANT NO.: H80CS00285 PROJECT DIRECTOR: MICHELLE HUGHES, PHARMD CONTACT PHONE NUMBER: 760-520-8100 EMAIL ADDRESS: MICHELLE.HUGHES@NHCARE.ORG WEBSITE ADDRESS: WWW.NHCARE.ORG FUNDS REQUESTED: $650,000 NEIGHBORHOOD HEALTHCARE SERVES BOTH RIVERSIDE AND SAN DIEGO COUNTIES IN CALIFORNIA. THESE TWO COUNTIES ARE AMONG THOSE IN THE UNITED STATES WITH THE HIGHEST NUMBER OF NEW HIV DIAGNOSES AND HAVE BEEN IDENTIFIED AS PRIORITY JURISDICTIONS. (WWW.AHEAD.HIV.GOV) IN RIVERSIDE COUNTY, ONLY 16.2% OF INDIVIDUALS WHO WOULD BENEFIT HAVE BEEN PRESCRIBED PREP. IN SAN DIEGO COUNTY, ONLY 24.3% HAVE RECEIVED A PRESCRIPTION. THE GOAL FOR LINKING PATIENTS TO CARE AND TREATMENT WITHIN 30 DAYS OF A DIAGNOSIS IS 95% FOR BOTH COUNTIES. CURRENTLY, THE RATE FOR RIVERSIDE AND SAN DIEGO COUNTIES IS 82.5% AND 87.6%, RESPECTIVELY. NEIGHBORHOOD HEALTHCARE PROPOSES TO INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP AND THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT WITHIN 30 DAYS OF DIAGNOSIS. OUR OBJECTIVES ARE TO INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP FROM 100 TO 200 AND INCREASE OUR LINKAGE TO CARE RATE FROM 50% TO 80%. IN ADDITION, WE WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND SCREENED FOR HIV AGES 15-65 FROM 35.6% TO 70%. THESE OBJECTIVES WILL BE ACHIEVED BY HIRING A FULL-TIME STD EDUCATION AND OUTREACH COORDINATOR (STD EOC). THE STD EOC WILL PROVIDE SUPPORT AND EDUCATION TO BOTH PROVIDERS AND PATIENTS. A PREP OUTREACH LIST/REGISTRY WILL ALLOW THE COORDINATOR TO REACH OUT TO THESE PATIENTS VIA TELEHEALTH EDUCATION (TELEPREP) VISITS. THE COORDINATOR WILL ASSIST PATIENTS AS NEEDED WITH GETTING A PRESCRIPTION WHILE AT THE SAME TIME LOOKING INTO READY, SET PREP FOR FINANCIAL ASSISTANCE. IN ADDITION, THE COORDINATOR WILL CONDUCT SDOH SCREENING TO IDENTIFY ANY ADHERENCE BA RRIERS, ESPECIALLY SINCE THIS IS A DAILY MEDICATION. FINALLY, HE/SHE WILL PROVIDE MONITORING/EXTRA TOUCHPOINTS TO SUPPORT ADHERENCE, SUCH AS CALLING EVERY MONTH OR SOME MORE FREQUENT INTERVAL TO ASSESS FOR COMPLIANCE AND ADDRESS ANY HIGH-RISK BEHAVIORS. NEIGHBORHOOD HEALTHCARE WILL IDENTIFY AND ESTABLISH ADDITIONAL COMMUNITY PARTNERSHIPS FOR REFERRAL TO CARE AND TREATMENT, FOCUSING ON RYAN WHITE-FUNDED PROGRAMS.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - BEHAVIORAL HEALTH SERVICE EXPANSION (HRSA-24-078) - NEIGHBORHOOD HEALTHCARE (H80CS00285) FUNDS REQUESTED: $1,100,000 (YEAR 1: $600,000; YEAR 2: $500,000) PROJECT PERIOD: SEPTEMBER 1, 2024 TO AUGUST 31, 2026 NEIGHBORHOOD HEALTHCARE (NEIGHBORHOOD) SERVES 96,867 PATIENTS ACROSS 27 SITES IN RIVERSIDE AND SAN DIEGO COUNTIES. NEIGHBORHOOD’S PATIENT POPULATION IS 65% HISPANIC, 24% NON-HISPANIC WHITE, 4% ASIAN, 3% BLACK OR AFRICAN AMERICAN, 1% NATIVE HAWAIIAN/PACIFIC ISLANDER, 1% AMERICAN INDIAN/ALASKA NATIVE, 1% MORE THAN ONE RACE, AND 1% UNREPORTED. MORE THAN ONE IN THREE (39%) ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, PRIMARILY SPANISH AND ARABIC. NEARLY ALL (92%) REPORT INCOMES LESS THAN 200% OF THE FEDERAL POVERTY LEVEL, 75% ARE ENROLLED IN MEDI-CAL, AND 12% ARE UNINSURED. ACCORDING TO THE CALIFORNIA HEALTH INTERVIEW SURVEY, ONE IN FOUR RESIDENTS (21.9% - 29.3%) WITHIN THE SERVICE AREA HAVE EXPERIENCED MODERATE TO SEVERE PSYCHOLOGICAL DISTRESS IN THE PAST YEAR, WHICH HAS IMPACTED THEIR FAMILY AND WORK LIFE. ADDITIONALLY, ONE IN FIVE SERVICE AREA RESIDENTS HAVE SERIOUSLY CONSIDERED SUICIDE (19.9% - 21.5%), A RATE HIGHER THAN STATE AVERAGES (18.9%). DESPITE THIS, DEPRESSION DIAGNOSES (16.3% - 16.7%) TRAIL NATIONAL AVERAGES (19.8%). PER THE CDC AND CALIFORNIA OVERDOSE SURVEILLANCE DASHBOARD, RESIDENTS OF THE SERVICE AREA HAVE HIGHER THAN AVERAGE RATES OF BINGE DRINKING AND ARE MORE LIKELY THAN ALL CALIFORNIANS TO OVERDOSE DUE TO FENTANYL, OPIOIDS, AND ALL DRUGS. DESPITE THESE NEEDS, NEARLY ONE IN THREE ADULTS (29.02%) DELAY CARE DUE TO COST, AND ONE IN SEVEN (14.74%) LACK A USUAL SOURCE OF CARE. IN 2022, HRSA REPORTED THAT HEALTH CENTERS MET ONLY 27% OF THE DEMAND FOR MENTAL HEALTH SERVICES AND 6% FOR SUBSTANCE USE DISORDER (SUD) SERVICES. IN 2023, NEIGHBORHOOD PROVIDED 9,408 PATIENTS (9.7% OF THE PATIENT POPULATION) WITH 89,062 VIRTUAL AND IN-CLINIC MENTAL HEALTH VISITS, INCLUDING FOR SUD AND MOUD. HOWEVER, LONG WAITLISTS PERSIST FOR ACCESS TO MENTAL HEALTH SERVICES. CURRENTLY, THE MAJORITY OF NEIGHBORHOOD HEALTHCARE SITE LOCATIONS ARE LOCATED IN MENTAL HEALTH HPSAS WITH A POPULATION GROUP DESIGNATION (SCORES RANGE FROM 11 TO 18), INDICATING A NEED FOR ADDITIONAL WORKFORCE DEVELOPMENT. NEIGHBORHOOD HEALTHCARE IS PROPOSING A BEHAVIORAL HEALTH SERVICE EXPANSION PROJECT THAT WILL RECRUIT, HIRE, AND TRAIN ADDITIONAL BEHAVIORAL HEALTH PROVIDERS, STAFF, AND INTERNS, EXPANDING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES. ACTIVITIES PROPOSED IN THIS PROJECT WILL DIRECTLY INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES IN 2025 BY 1,214 AND INCREASE THE NUMBER OF PATIENTS RECEIVING SUD SERVICES BY 405, INCLUDING TREATMENT WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) BY 81 IN 2025. BY DOING SO, THE PROJECT AIMS TO IMPROVE OVERALL BEHAVIORAL HEALTH OUTCOMES AND ADDRESS THIS GROWING NEED IN OUR SERVICE AREA.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

ACCELERATING CANCER SCREENING - NEIGHBORHOOD HEALTHCARE IS PROPOSING TO TRANSFORM ITS CANCER SCREENING FOR BREAST, COLORECTAL AND CERVICAL CANCERS, REFERRAL AND FOLLOW-UP SYSTEM BY DEDICATING STAFF TO THIS PROGRAM. WE SILL PARTNER WITH THE UCSD MOORES CANCER CENTER FOR SUPPORT BY OUTREACH SPECIALISTS AND PATIENT NAVIGATORS. THE CENTER WILL PROVIDE EDUCATION AND TRAINING TO NEIGHBORHOOD HEALTHCARE ON BEST PRACTICES TO ENSURE LONG-TERM SUSTAINABILITY. OUR OBJECTIVES ARE TO 1. INCREASE THE NUMBER AND PERCENTAGE OF PATIENTS SCREENED FOR CERVICAL, BREAST OR COLORECTAL CANCER. 2. INCREASE THE NUMBER OF PATIENTS ASSISTED WITH ACCESSING APPROPRIATE FOLLOW-UP CARE (E.G., DIAGNOSTIC SERVICES, THERAPIES, CLINICAL TRIALS) WITHIN 30 DAYS OF RECEIVING AN ABNORMAL CANCER SCREENING TEST RESULT.

FY 2023 EARLY CHILDHOOD DEVELOPMENT

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

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

CAPITAL DEVELOPMENT