Centro De Salud De La Comunidad De San Ysidro Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - FACILITY INVESTMENT PROGRAM

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

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

SYHEALTH CCBHC PROGRAM - I&A - SAN YSIDRO HEALTH (SYHEALTH) REQUESTS FUNDING TO SUPPORT ITS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PROGRAM IN SAN DIEGO COUNTY. SYHEALTH’S CCBHC-IMPROVEMENT AND ADVANCEMENT (I&A) PROJECT FOCUSES ON THE DELIVERY OF NINE CORE CCBHC SERVICES AND ENHANCING THOSE CORE SERVICES BY ESTABLISHING INTERNAL CAPACITY FOR AND INTEGRATING REPRODUCTIVE MENTAL HEALTH CARE WITHIN ITS CCBHC PROGRAM. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC, SYHEALTH SPECIALIZES IN PROVIDING CARE TO UNINSURED AND MEDI-CAL (CALIFORNIA’S MEDICAID) POPULATIONS. SYHEALTH HAS CAPACITY TO SERVE PATIENTS WHO ARE LIVING WITH MILD, MODERATE, AND SERIOUS MENTAL ILLNESS THROUGH ITS FQHC-CCBHC SYSTEM OF CARE. NOTABLY, THIS UNIQUE DUAL SYSTEM OF CARE ALLOWS PATIENTS TO MAINTAIN SYHEALTH AS THEIR MEDICAL HOME REGARDLESS OF WHERE THEY ARE IN THE ILLNESS SPECTRUM. SYHEALTH’S CCBHC PROGRAM PROVIDES ACCESS TO THE NINE CORE SERVICES VIA IN-HOUSE AND EXTERNAL DESIGNATED COLLABORATING ORGANIZATION (DCO) RESOURCES: (1) CRISIS MENTAL HEALTH SERVICES; (2) SCREENING, ASSESSMENT, AND DIAGNOSIS; (3) PATIENT-CENTERED TREATMENT PLANNING; (4) OUTPATIENT MENTAL HEALTH AND SUD SERVICES; (5) OUTPATIENT PRIMARY CARE SCREENING; (6) TARGETED CASE MANAGEMENT; (7) PSYCHIATRIC REHABILITATION SERVICES; (8) PEER SUPPORT SERVICES; AND (9) COMMUNITY-BASED MENTAL HEALTH SERVICES FOR ARMED FORCES MEMBERS AND VETERANS. WITH THE INTEGRATION OF REPRODUCTIVE MENTAL HEALTH CARE INTO ITS CCBHC SERVICES, SYHEALTH WILL HAVE IMPROVED CAPACITY TO SERVE ANTENATAL, PREGNANT, AND POSTPARTUM PATIENTS WITH PSYCHIATRIC AND/OR SUD DIAGNOSES. KEY I&A ACTIVITIES INCLUDE: (1) TRANSFORMING ITS SAN YSIDRO BEHAVIORAL HEALTH (SYBH) CLINIC INTO A ONE-STOP SHOP FOR PREGNANT AND POSTPARTUM PATIENTS, WHERE THEY CAN RECEIVE CO-LOCATED MENTAL HEALTH AND SUD CARE IN CLOSE COLLABORATION WITH THEIR OBSTETRIC PROVIDERS; (2) PROVIDING PREGNANT PATIENTS THE OPTION TO EITHER CONTINUE THEIR PRENATAL CARE FROM THEIR REFERRING PRIMARY CARE PROVIDER OR ACCESS ROUTINE PRENATAL CARE VIA THE CCBHC PROGRAM’S IN-HOUSE FAMILY PHYSICIAN; (3) LEADING COLLABORATION EFFORTS WITH OBSTETRIC AND OTHER SPECIALTY PROVIDERS IF PATIENTS NEED MORE THAN ROUTINE PRENATAL CARE; AND (4) ADDING A LEAD CASE MANAGER FOR REPRODUCTIVE MENTAL HEALTH CARE TO ENSURE THAT PATIENTS ARE LINKED TO RELEVANT PROGRAMS AND SERVICES, NOTABLY, CALIFORNIA’S COMPREHENSIVE PERINATAL SERVICES PROGRAM (CPSP). AS AN EXISTING CCBHC, SYHEALTH WILL ENSURE ONGOING COMPLIANCE WITH THE CCBHC CERTIFICATION CRITERIA WHILE UNDERTAKING I&A ACTIVITIES. PROJECT OBJECTIVES FOR THE 2022-2026 PERIOD INCLUDE THE FOLLOWING: OBJECTIVE #1: SYHEALTH WILL COMPLETE CCBHC NEEDS ASSESSMENTS BY SEPTEMBER 2022 AND SEPTEMBER 2025 TO MAINTAIN CCBHC CERTIFICATION COMPLIANCE. OBJECTIVE #2: BY SEPTEMBER 29, 2026, SYHEALTH WILL SERVE A TOTAL OF 800 CCBHC PATIENTS, INCLUDING 225 PATIENTS RECEIVING REPRODUCTIVE MENTAL HEALTH CARE. OBJECTIVE #3: BY SEPTEMBER 30, 2023, SYHEALTH WILL COMPLETE THE DEVELOPMENT OF ITS CCBHC REPRODUCTIVE MENTAL HEALTH CARE PLAYBOOK, WITH WRITTEN PROTOCOLS, WORKFLOWS, AND STANDARD OF CARE FOR DELIVERING MULTIDISCIPLINARY CARE AND CARE COORDINATION SUPPORT IN FQHC-CCBHC SETTINGS.

FY2020 - SYHEALTH CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (SYHEALTH CCBHC)

PROMOTING RESILIENCE AND MENTAL HEALTH AMONG HEALTH PROFESSIONAL WORKFORCE

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

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

ABSTRACT FOR MAT-PDOA ATTACHED - CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC., DOING BUSINESS AS SAN YSIDRO HEALTH (SYHEALTH), PROPOSES TO IMPLEMENT THE MEDICATION ASSISTED TREATMENT – PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA) PROJECT DURING THE 2021-2026 PERIOD, WITH THE GOAL OF INCREASING ACCESS TO, UTILIZATION OF, AND RETENTION IN MEDICATION ASSISTED TREATMENT (MAT) CARE IN SAN DIEGO COUNTY. SYHEALTH PROPOSES TO SERVE COUNTY RESIDENTS WHO ARE LIVING WITH OPIOID USE DISORDER (OUD), INCLUDING ILLICIT DRUG USERS AND PRESCRIPTION MISUSERS WHO ARE SEEKING/RECEIVING MAT. AS A SAFETY NET PROVIDER, THERE WILL BE AN EMPHASIS ON SERVING INDIVIDUALS WHO ARE LOW INCOME (I.E., MEDICAID/MEDI-CAL BENEFICIARIES) AND ARE UNINSURED. NEVERTHELESS, MAT-PDOA SERVICES WILL BE AVAILABLE TO ANYONE IN NEED OF CARE, REGARDLESS OF THEIR ABILITY TO PAY. GRANT ACTIVITIES WILL FOCUS ON (I) INCREASING SYHEALTH’S INTERNAL CAPACITY TO PROVIDE OUD/MAT CARE, INCLUDING TARGETED EFFORTS TO ENGAGE HARD TO REACH POPULATIONS, (II) INCREASING DATA WAIVED PROVIDERS WITH KNOWLEDGE AND CONFIDENCE TO BECOME MAT PRESCRIBERS, AND (III) REDUCING SILOS IN THE LOCAL SUBSTANCE USE DISORDER (SUD) SERVICE NETWORK. TO ACHIEVE ITS GOAL, SYHEALTH PROPOSES TO ACHIEVE THE FOLLOWING OBJECTIVES: OBJECTIVE #1: PROVIDE MAT TO 425 UNDUPLICATED PATIENTS BY END OF YEAR 5. OBJECTIVE #2: AT THE END OF EACH PROJECT YEAR, 90% OF SYHEALTH’S MAT PATIENTS WILL DEMONSTRATE DECREASED ILLICIT DRUG USE OR PRESCRIPTION MISUSE AT THEIR 6-MONTH FOLLOW UP. OBJECTIVE #3: BY END OF YEAR 1, ESTABLISH REFERRAL SYSTEMS (EVIDENCED BY MEMORANDUM OF UNDERSTANDING OR OTHER DOCUMENTATION) FOR SUD SERVICES, INCLUDING OUD/MAT, WITH AT LEAST TWO COMMUNITY AGENCIES SERVING VULNERABLE POPULATIONS (E.G., ADOLESCENTS, PREGNANT WOMEN, AND INDIVIDUALS IN THE CRIMINAL JUSTICE SYSTEM). OBJECTIVE #4: BY END OF YEAR 1, ESTABLISH OUD/MAT CAPACITY AT SYHEALTH-MOUNTAIN HEALTH FAMILY MEDICINE (SERVING RURAL POPULATIONS) AND SYHEALTH-EL CAJON (SERVING REFUGEE POPULATIONS). OBJECTIVE #5: ESTABLISH SUD TEACHING CLINIC HOURS FOR SYHEALTH’S INTERNAL MEDICINE (IM) RESIDENTS BY YEAR 2. BY GRADUATION OF EACH RESIDENCY COHORT (JULY OF EACH APPLICABLE PROJECT YEAR), 83% OF IM RESIDENTS WILL PARTICIPATE IN AT LEAST 5 MAT INDUCTIONS AND EXPRESS INTENT TO PRESCRIBE MAT WHEN THEY BEGIN THEIR MEDICAL PRACTICE.

HEALTH CENTER CLUSTER

HIV BEHAVIORAL HEALTH INTEGRATION ENHANCEMENT (HIV BHIE)

ARRA - CAPITAL IMPROVEMENT PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION (CHIP) PROGRAM - PROJECT TITLE: COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS CDC-RFA-PS21-2102APPLICANT ORGANIZATION NAME: CENTRO DE SALUD LA COMUNIDAD DE SAN YSIDRO INC. DBA SAN YSIDRO HEALTH ADDRESS: 1601 PRECISION PARK LANE, SAN DIEGO, CA 92173-1345 PROJECT DIRECTOR NAME: KEVIN MATTSON, SAN YSIDRO HEALTH PRESIDENT & CEO CONTACT PHONE NUMBER: 619-205-6322 EMAIL ADDRESS: KMATTSON@SYHEALTH.ORG WEBSITE ADDRESS: WWW.SYHEALTH.ORGPROGRAM FUNDS REQUESTED: $450,000 PER YEAR OF THE FIVE YEAR PROJECT PERIODPURPOSE: SAN YSIDRO HEALTH (SYHEALTH) IS REQUESTING $450,000 PER YEAR OVER THE FIVE YEAR COMPREHENSIVE HIGH-IMPACT HIV PREVENTION (CHIP) PROGRAM PROJECT PERIOD. SYHEALTH?S PROPOSED CHIP PROGRAM DIRECTLY ALIGNS WITH THE CDC?S OVERALL CHIP PROGRAM GOAL TO ENHANCE EXISTING STRATEGIES FOR COMMUNITY BASED HIV PREVENTION PROGRAMS. SYHEALTH PROPOSES TO LEVERAGE ITS EXISTING SERVICE STRUCTURE AND EXPAND THE HEALTH CENTER?S COMPREHENSIVE, CULTURALLY RESPONSIVE AND LINGUISTICALLY APPROPRIATE HIV PREVENTION SERVICES SPECIFICALLY FOCUS ON THE TARGET POPULATION OF HIV+ AND HIGH-RISK NEGATIVE (HRN) YOUNG MSM (AGES 16-29) OF ETHNIC MINORITY. SYHEALTH?S CHIP PROGRAM WILL REACH YOUNG MSM OF ETHNIC MINORITIES BY: 1) INCREASING HIV PREVENTION EDUCATION AND TARGETED TESTING ACTIVITIES BY DEPLOYING ITS HIV MOBILE TESTING UNIT ACROSS SELECTED AREAS IN SAN DIEGO COUNTY, AND 2) PROVIDE A HOLISTIC AND INTEGRATED APPROACH TO PREVENTION SERVICES BY IMPLEMENTING THE MPOWERMENT BEHAVIORAL RISK REDUCTION INTERVENTION TO SUPPORT RECRUITMENT, OUTREACH, AND ENGAGEMENT IN HIV SERVICES FOR HIV+ AND HRN INDIVIDUALS.OUTCOMES: IN ALIGNMENT WITH CDC GUIDANCE AND RECOMMENDATIONS, SYHEALTH?S PROPOSED CHIP PROGRAM WILL DEMONSTRATE MEASURABLE PROGRESS AMONG ITS TARGET POPULATION AS SPECIFIED BY THE FOLLOWING SHORT-TERM OUTCOMES BY JUNE 30, 2026:DIAGNOSE: SYHEALTH WILL: A) TEST 1,500 HIGH-RISK INDIVIDUALS FOR HIV, B) IDENTIFY 40 HIV+ INDIVIDUALS, INCREASING AWARENESS OF THE INFECTION, AND C) REFER 750 HRN INDIVIDUALS FOR SCREENING AND TREATMENT OF STDS, VIRAL HEPATITIS, AND/OR TB. TREAT: SYHEALTH WILL: A) LINK 36 NEWLY DIAGNOSED HIV+ INDIVIDUALS (90% OF THOSE IDENTIFIED) TO MEDICAL CARE WITHIN 30 DAYS OF DIAGNOSIS, B) RE-ENGAGE OR LINK TO CARE WITHIN 30 DAYS 90% OF PREVIOUSLY DIAGNOSED HIV+ INDIVIDUALS IDENTIFIED AND WHO ARE CURRENTLY NOT IN CARE, C) REFER 40 HIV+ INDIVIDUALS (100% OF THOSE IDENTIFIED) TO PARTNER SERVICES, AND D) PROVIDE MEDICATION ADHERENCE AND REFERRAL TO ESSENTIAL SUPPORT SERVICES TO 36 HIV+ INDIVIDUALS (90% OF THOSE IDENTIFIED).PREVENT: SYHEALTH WILL A) REFER 100% OF HRN INDIVIDUALS WHO MEET THE CRITERIA TO A PREP NAVIGATOR, B) REFER 100% OF HRN INDIVIDUALS WHO EXHIBIT ADDITIONAL NEEDS TO ESSENTIAL SUPPORT SERVICES, C) WILL PROVIDE/REFER 500 HRN INDIVIDUALS TO HIP BEHAVIORAL (MPOWERMENT), D) WILL PROVIDE/REFER 50 HIV+ INDIVIDUALS TO A HIP BEHAVIORAL INTERVENTION (MPOWERMENT), AND E) WILL DISTRIBUTE 20,000 CONDOMS TO HRN AND HIV+ INDIVIDUALS.

SAN YSIDRO HEALTH IECMH PROGRAM - SAN YSIDRO HEALTH (SYHEALTH) REQUESTS FUNDING TO SUPPORT ITS INFANT AND EARLY CHILDHOOD MENTAL HEALTH (IECMH) PROGRAM IN THE SOUTH REGION OF SAN DIEGO COUNTY. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), SYHEALTH SPECIALIZES IN PROVIDING CARE TO UNINSURED AND MEDI-CAL (CALIFORNIA’S MEDICAID) POPULATIONS. SYHEALTH’S PROPOSED IECMH PROGRAM SPECIFICALLY ADDRESSES THE NEED FOR EXPANDED CAPACITY AND INCREASED ACCESS TO CULTURALLY PROFICIENT MENTAL HEALTH SERVICES FOR THE HEALTH CENTER’S PEDIATRIC PATIENTS AND THEIR FAMILIES. SPECIFICALLY, SYHEALTH’S PROGRAM DIRECTLY ADDRESSES SERVICE GAPS AND SYSTEMIC BARRIERS, INCLUDING: (1) EXTENSIVE AND LONG WAIT TIMES FOR PSYCHOEDUCATIONAL ASSESSMENTS AND NEUROPSYCHOLOGICAL EVALUATIONS IN CHILDREN UP TO AGE 12, (2) LIMITED COMMUNITY AND SAFETY-NET RESOURCES IN SAN DIEGO COUNTY’S SOUTH REGION, AND (3) LACK OF APPROPRIATE PAYMENT MODELS WITHIN A FQHC SETTING TO ADEQUATELY SUSTAIN SERVICES. THE IECMH PROGRAM IS DESIGNED TO SERVE THE PREDOMINATELY LATINX PEDIATRIC PATIENT POPULATION AND THEIR SPANISH-SPEAKING FAMILIES OF SAN DIEGO COUNTY’S SOUTH REGION, WITH AN EMPHASIS ON THE IMPOVERISHED BORDER COMMUNITY OF SAN YSIDRO. THE SOUTH REGION IS THE ONLY REGION OF THE COUNTY IN WHICH LATINX COMPRISES THE MAJORITY OF THE OVERALL POPULATION; 61% OF THE SOUTH REGION POPULATION IS LATINX COMPARED TO 34% OF THE OVERALL COUNTY POPULATION. THE COMMUNITY OF SAN YSIDRO IS FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA; ID 00346), HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) IN PRIMARY CARE (ID 10699906J3), DENTAL HEALTH (ID 606999066K), AND MENTAL HEALTH (7069990687). HEALTH DISPARITIES ARE MOST COMMONLY FOUND AMONG LOW-INCOME FAMILIES WITH HISTORIES OF DRUG/ALCOHOL/SEXUAL ABUSE, DOMESTIC VIOLENCE, FOOD/SHELTER INSECURITIES, PREMATURE BIRTHS, ETC., ALL OF WHICH ARE NOT UNCOMMON IN BORDER REGION COMMUNITIES LIKE SAN YSIDRO. SYHEALTH’S PROPOSED IECMH PROGRAM AIMS TO ACHIEVE THE FOLLOWING GOALS OVER THE FIVE YEAR PROJECT PERIOD: GOAL 1: EXPAND CAPACITY TO CONDUCT PSYCHOEDUCATIONAL ASSESSMENTS, NEUROPSYCHOLOGICAL EVALUATIONS, AND INCREASE CAPACITY FOR THERAPY AND PSYCHIATRIC SERVICES FOR CHILDREN UP TO AGE 12, RESULTING IN A SIGNIFICANT DECREASE IN CURRENT SERVICE GAPS AND WAIT TIMES. GOAL 2: INCREASE ACCESS AND LINKAGES TO CULTURALLY PROFICIENT PEDIATRIC BEHAVIORAL HEALTH SERVICES FOR A PREDOMINATELY LATINX PATIENT POPULATION. GOAL 3: EDUCATE AND SUPPORT PARENTS AND CAREGIVERS OF CHILDREN ENGAGED IN BEHAVIORAL HEALTH SERVICES. GOAL 4: INCREASE KNOWLEDGE OF AWARENESS OF SCHOOL PERSONNEL, PARENTS, AND COMMUNITY MEMBERS TO RECOGNIZE AND APPROPRIATELY RESPOND TO SIGNS AND SYMPTOMS OF BEHAVIORAL HEALTH DIFFICULTIES. THE PROPOSED IECMH PROGRAM IS DESIGNED TO SERVE A MINIMUM OF 75 UNDUPLICATED PEDIATRIC PATIENTS EACH YEAR, AND TRAIN A MINIMUM OF 100 CLINICIANS AND COMMUNITY MEMBERS EACH YEAR.

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS,

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

PROJECT BALANCE - SAN YSIDRO HEALTH PROPOSES TO EXPAND AND ENHANCE IS SUCCESSFUL PROJECT BALANCE. THIS PROGRAM IS DESIGNED TO SERVE RACIAL AND ETHNIC MEDICALLY UNDERSERVED ADULTS (18 YEARS AND ABOVE) WITH SUBSTANCE USE DISORDERS (SUD) AND/OR CO-OCCURRING MENTAL HEALTH CONDITION (COD) WHO ARE AT RISK FOR OR LIVING WITH HIV. IT IS BASED IN SAN DIEGO COUNTY, CALIFORNIA, A PRIORITY JURISDICTION UNDER SAMHSA’S TI-23-008 GRANT. LATINX AND BLACK/AFRICAN AMERICANS WILL REPRESENT THE MAJORITY OF PROJECT BALANCE PARTICIPANTS SINCE THEY COLLECTIVELY ACCOUNT FOR OVER 50% OF SAN DIEGO COUNTY’S PEOPLE WHO LIVE WITH HIV (PLWH); DATA MONITORING WILL BE CONDUCTED TO IDENTIFY OTHER POPULATIONS WHO ARE UNDERREPRESENTED IN LOCAL PUBLIC HEALTH PROGRAMS RELATED TO SUD/COD/HIV CARE. SYHEALTH’S PROJECT BALANCE PROPOSAL FOR 2023-2028 REPRESENTS AN EXPANSION OF ITS CURRENT PROGRAM SCOPE (2018-2023), CURRENTLY FOCUSING ON LATINX AND BLACK/AFRICAN AMERICAN MEN WHO HAVE SEX WITH MEN LIVING IN SELECT COUNTY REGIONS. WITH BEST PRACTICES GAINED FROM THE PAST FIVE YEARS, SYHEALTH WILL EXPAND PROJECT BALANCE INTO A COUNTYWIDE PROGRAM WITH A UNIVERSAL FOCUS ON MINORITY POPULATIONS REGARDLESS OF HIV TRANSMISSION RISK. PROJECT BALANCE IS CHARACTERIZED BY THE SUPPORT PROVIDED BY ITS CASE MANAGEMENT TEAM, WHO IS RESPONSIBLE FOR LINKING PARTICIPANTS TO MENTAL HEALTH, SUD, AND HIV SERVICES (INCLUDING “WARM HANDOFFS” TO IN-HOUSE STAFF) AND KEEPING THEM ENGAGED IN CARE (INCLUDING A SIX-MONTH FOLLOW-UP POST ENROLLMENT). PROJECT BALANCE HAS A ROBUST ENGAGEMENT PROTOCOL, CHARACTERIZED BY FREQUENT AND SYSTEMATIC ONE-ON-ONE CONTACTS AND ONGOING SUPPORT FOR PARTICIPANTS. WITHIN THIS FRAMEWORK, PARTICIPANTS ARE LINKED TO SYHEALTH’S IN-HOUSE HIV AND BEHAVIORAL HEALTH DEPARTMENT PROGRAMS AND SERVICES FOR CARE. AS PART OF PLANNED PROGRAM ENHANCEMENTS, SYHEALTH WILL PILOT A NEW EVIDENCE-BASED PRACTICE (CONTINGENCY MANAGEMENT) INTO PROJECT BALANCE’S MODEL OF CARE. THE GOAL OF PROJECT BALANCE IS TO ENGAGE SAN DIEGO COUNTY RACIAL/ETHNIC MINORITIES WITH SUD/COD WHO ARE ALSO LIVING WITH (OR AT RISK FOR) HIV INTO APPROPRIATE SUD, MENTAL HEALTH, AND/OR HIV SERVICES. SYHEALTH SPECIFICALLY PROPOSES THE FOLLOWING OBJECTIVES FOR 2023-2028. OBJECTIVE #1: BY END OF YEAR 5, SYHEALTH WILL SERVE A TOTAL OF 250 PROJECT BALANCE PARTICIPANTS, WITH AN ANNUAL TARGET OF 50 PARTICIPANTS. FOR PURPOSES OF THIS OBJECTIVE, PARTICIPANTS WILL BE INCLUSIVE OF ALL RACIAL/ETHNIC MINORITY GROUPS. OBJECTIVES #2A, #2B, #2C, #2D, #2E, AND #2F: BY END OF EACH PROJECT YEAR, SYHEALTH WILL: (A) CONDUCT 1,000 OUTREACH CALLS. (B) ENGAGE 80% OF PROJECT BALANCE PARTICIPANTS INTO APPROPRIATE SUD AND/OR MENTAL HEALTH CARE. (C) 80% OF PROJECT BALANCE PARTICIPANTS WILL BE TESTED FOR HIV, HEPATITIS B, AND/OR HEPATITIS C. (D) ENGAGE 90% OF PROJECT BALANCE PARTICIPANTS WHO TEST POSITIVE FOR HIV, HEPATITIS B, AND/OR HEPATITIS C FOR TREATMENT WITHIN 30 DAYS OR LESS OF DIAGNOSIS. (E) PROVIDE HEALTH EDUCATION AND REFERRALS FOR PREP SERVICES TO 80% OF PROJECT BALANCE PARTICIPANTS WHO TEST NEGATIVE FOR HIV. (F) SYHEALTH WILL ACHIEVE A 80% FOLLOW-UP RATE FOR ENROLLED PROJECT BALANCE PARTICIPANTS. OBJECTIVE #3: BY THE END OF YEAR 3, SYHEALTH WILL CONDUCT A PILOT TO INTEGRATE THE CONTINGENCY MANAGEMENT EVIDENCE-BASED PRACTICE (EBP) INTO PROJECT BALANCE’S MODEL OF CARE.

YOUTH EMPOWERMENT PROGRAM II (YEP-II)

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT ABSTRACT TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION (THCGME) PROGRAM NAME OF THE TRAINING PROGRAM: SAN YSIDRO HEALTH INTERNAL MEDICINE RESIDENCY PROGRAM DISCIPLINE OF THE RESIDENCY PROGRAM: INTERNAL MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBLE ENTITY TYPE: SPONSORING INSTITUTION, ACGME-ACCREDITED INTERNAL MEDICINE RESIDENCY PROGRAM, OPERATES THE RESIDENCY PROGRAM ALONE. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2020 ORGANIZATION WEBSITE ADDRESS: WWW.SYHEALTH.ORG RESIDENCY PROGRAM OVERVIEW: SYHEALTH IS THE FIRST FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN SAN DIEGO COUNTY TO ESTABLISH AN ACCREDITED INTERNAL MEDICINE RESIDENCY PROGRAM AND LOOKS FORWARD TO THE OPPORTUNITY TO DEVELOP BEST PRACTICES FOR OTHER FQHCS ENDEAVORING TO ESTABLISH SIMILAR TRAINING PROGRAMS. AS A FQHC, SYHEALTH’S INTERNAL MEDICINE RESIDENCY PROGRAM IS FOCUSED ON PROVIDING CARE TO UNDERSERVED PATIENTS BY TRAINING PHYSICIANS WITH INCLINATIONS TO WORK WITH THAT POPULATION. RESIDENTS ARE IMMERSED IN SYHEALTH’S UNIQUELY POSITIONED CLINICS, INCLUDING THOSE LOCATED ALONG LOW INCOME BORDER COMMUNITIES, WHICH SERVE AS MEDICAL HOMES FOR SAN DIEGO COUNTY’S MOST VULNERABLE PATIENT POPULATIONS. SYHEALTH’S INTERNAL MEDICINE RESIDENCY PROGRAM’S EDUCATIONAL GOAL IS TO PROVIDE 36 MONTHS OF PATIENT-CENTERED INTERNAL MEDICINE EXPERIENCE. SYHEALTH’S MAIN CLINIC CAMPUS (SYHEALTH-MAIN) SERVES AS THE PRIMARY CONTINUITY CLINIC SITE. INPATIENT ROTATIONS ARE COMPLETED THROUGH A PARTNERSHIP WITH A LOCAL HOSPITAL, SCRIPPS MERCY CHULA VISTA, APPROXIMATELY AN 8.2 MILE DRIVE FROM SYHEALTH-MAIN. BOTH INSTITUTIONS SERVE A MEDICALLY DIVERSE AND SOCIO-ECONOMICALLY-RACIALLY DIVERSE PATIENT POPULATION. IN 2020, SYHEALTH SERVED 96,140 UNDUPLICATED PATIENTS, OF WHICH 92.8% LIVED AT OR BELOW 200% FPL. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL YEARS OF TRAINING: 12 (4-4-4) FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023: 4 (4-0-0) SYHEALTH’S INTERNAL MEDICINE RESIDENCY PROGRAM IS ACGME APPROVED FOR 18 RESIDENTS. THE PROGRAM IS AN EXISTING THCGME GRANTEE (GRANT # T91HP37406) AND IS FUNDED FOR A TOTAL OF 14 RESIDENT FTES. SYHEALTH IS SUBMITTING THIS THCGME EXPANSION REQUEST FOR AN ADDITIONAL 4 RESIDENT FTES.

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

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

SYHEALTH PREVENTION NAVIGATOR 2019 - SAN YSIDRO HEALTH, INC. (SYHEALTH) IS REQUESTING SAMHSA GRANT FUNDING TO SUPPORT THE PROPOSED PREVENTION NAVIGATION PROGRAM (PNP) INITIATIVE, WHICH IS DESIGNED TO INCREASE SUBSTANCE MISUSE AND HIV OUTREACH, SCREENING, AND PREVENTION ACTIVITIES SPECIFIC TO ETHNIC MINORITY YOUTH AND YOUNG ADULTS AGE 14-24 YEARS WITHIN UNDERSERVED COMMUNITIES OF SAN DIEGO COUNTY. THE PROPOSED PNP INITIATIVE ENHANCES SYHEALTH’S INTEGRATED SERVICES AND EXISTING AND EFFECTIVE YOUTH-FOCUSED HIV PREVENTION PROGRAM VIA IMPLEMENTATION OF DEDICATED NAVIGATION SERVICES AND ADDITION OF SUBSTANCE MISUSE SCREENING SERVICES USING THE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) EVIDENCE-BASED TOOL. THE PROPOSED PNP ESTABLISHES AN OVERARCHING PURPOSE TO (1) IMPROVE BEHAVIORAL HEALTH OUTCOMES OF ETHNIC MINORITY YOUTH AND YOUNG ADULTS AT RISK FOR OR ALREADY AFFLICTED BY SUBSTANCE USE DISORDER AND (2) ENGAGE ETHNIC MINORITY YOUTH AND YOUNG ADULTS IN HIV-RELATED PRIMARY CARE SERVICES, E.G., PRE-EXPOSURE PROPHYLAXIS (PREP) FOR HIGH-RISK NEGATIVES, PRIMARY CARE AND ANTIRETROVIRAL THERAPY FOR HIV-POSITIVES). SYHEALTH’S PROPOSED PNP AIMS TO UTILIZE GRANT FUNDS TO ALLOW THE HEALTH CENTER TO SERVE A MINIMUM OF 167 UNDUPLICATED INDIVIDUALS IN YEAR 1 AND INCREASING TO 250 UNDUPLICATED INDIVIDUALS IN EACH OF YEARS 2 THROUGH 5. A TOTAL OF AT LEAST 1,167 INDIVIDUALS WILL BE SERVED OVER THE ENTIRE FIVE YEAR PROJECT PERIOD. - OBJECTIVE # 1: BY DECEMBER 31, 2020, STAFFING FOR THE PROGRAM SUPERVISOR AND LEAD NAVIGATOR POSITIONS WILL BE COMPLETE AND ALL STAFF POSITIONS WILL BE FILLED. - OBJECTIVE #2: BY AUGUST 30, 2021, A MINIMUM OF 167 ETHNIC MINORITY YOUTH AND YOUNG ADULTS AGE 14-24 WILL BE SCREENED FOR SUBSTANCE USE DISORDER USING THE SBIRT SCREENING TOOL. - OBJECTIVE #3: BY AUGUST 30, 2021 THE PNP NAVIGATOR WILL LINK A MINIMUM OF 80% OF INDIVIDUALS WITH SCREENING INDICATING NEED FOR ADDITIONAL SUBSTANCE MISUSE COUNSELING TO A PRIMARY CARE PROVIDER OR SYHEALTH BEHAVIORAL HEALTH SERVICES. - OBJECTIVE #4: BY AUGUST 30, 2021, A MINIMUM OF 167 ETHNIC MINORITY YOUTH AND YOUNG ADULTS AGE 14-24 WILL BE TESTED FOR HIV. - OBJECTIVE #5: BY AUGUST 30, 2021, A MINIMUM OF 90% OF ALL INDIVIDUALS TESTING POSITIVE FOR HIV WILL BE ENGAGED IN PRIMARY CARE SERVICES FOR TREATMENT WITHIN 30 DAYS OF PRELIMINARY/CONFIRMED DIAGNOSIS. - OBJECTIVE #6: BY AUGUST 30, 2021, A MINIMUM OF 90% OF ALL INDIVIDUALS TESTING NEGATIVE FOR HIV WITH HIGH-RISK INDICATORS WILL BE LINKED TO PREP SERVICES.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE THROUGH TELEHEALTH EVIDENCE-BASED TELEHEALTH NETWORK

SAN YSIDRO HEALTH MENTAL HEALTH AWARENESS TRAINING (MHAT) - SAN YSIDRO HEALTH’S MHAT PROJECT ENABLES CONTINUATION AND EXPANSION OF A CURRENT SAMHSA- SUPPORTED MHAT PROJECT UTILIZING EVIDENCE-BASED TRAINING CURRICULUMS DESIGNED TO IMPROVE RECOGNITION OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN LOCAL YOUTH, AS WELL AS THE TRAINEE’S CAPACITY TO RESPOND IN A HELPFUL MANNER. TARGETED TRAINING RECIPIENTS INCLUDE SCHOOL PERSONNEL, PARENTS/FOSTER PARENTS, STAFF AT YOUTH-SERVING ORGANIZATIONS AND OTHER RELEVANT COMMUNITY MEMBERS. POPULATION TO BE SERVED: FOUNDED IN 1969, SAN YSIDRO HEALTH (SYHEALTH) IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES CULTURALLY PROFICIENT MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO LOW INCOME AND PREDOMINANTLY LATINO POPULATION. ONE OF THE LARGEST AND OLDEST COMMUNITY HEALTH CENTERS IN SAN DIEGO COUNTY, SYHEALTH SERVES THE COUNTY’S SOUTH AND SOUTHEAST REGIONS, WHICH ENCOMPASS SEVERAL LOW INCOME COMMUNITIES LOCATED WITHIN FIFTEEN MILES OF THE U.S./MEXICO INTERNATIONAL BORDER AND THE SAN YSIDRO POINT OF ENTRY, THE BUSIEST LAND BORDER CROSSING IN THE WORLD. THE PROPOSED MHAT PROJECT CAPITALIZES ON SYHEALTH’S LONG TERM PARTNERSHIPS WITH YOUTH-SERVING ENTITIES THROUGHOUT THE HEALTH CENTER’S SERVICE AREAS. YOUTH TO BENEFIT FROM THIS PROJECT ARE AFFECTED BY NUMEROUS FACTORS CORRELATED TO THE NEED FOR BEHAVIORAL HEALTH SUPPORT, INCLUDING POVERTY, AND HISTORIES OF TRAUMA. STRATEGIES AND INTERVENTIONS: TWO EVIDENCED-BASED CURRICULUMS, YOUTH MENTAL HEALTH FIRST AID (YMHFA), AND QUESTION, PERSUADE AND REFER (QPR) WILL BE UTILIZED TO TRAIN THE TARGET POPULATION OF TRAINEES DESCRIBED ABOVE. TRAINING SESSIONS WILL BE CONDUCTED BY SYHEALTH STAFF, WHO ARE CERTIFIED AS YMHFA AND QPR TRAINERS. TRAINING SESSIONS WILL BE CONDUCTED AT SCHOOL CAMPUSES, AND VARIOUS COMMUNITY LOCATIONS, WITH WEEKEND AND EVENING SESSIONS OFFERED FOR THE CONVENIENCE OF PARENTS AND SCHOOL/OTHER AGENCY PERSONNEL ATTENDING THE SESSIONS. TRAININGS WILL BE OFFERED IN SPANISH AS NEEDED. IN ADDITION TO BROADENING AWARENESS ABOUT BEHAVIORAL HEALTH ISSUES, SYHEALTH’S MHAT PROJECT AIMS TO STRENGTHEN EACH TRAINEE’S CAPACITY FOR REFERRING THOSE THEY ASSIST TO NEEDED SUPPORT SERVICES, UTILIZING SYHEALTH INTERNAL RESOURCES AS WELL AS PARTNERING COMMUNITY AGENCIES FOR NEEDS BEYOND SYHEALTH’S SCOPE. REFERRALS MADE BY TRAINEES WILL BE TRACKED VIA POST-TRAINING, BI-ANNUAL, FOLLOW UP SURVEYS, UTILIZING INCENTIVES TO ENCOURAGE PARTICIPATION. PROJECT GOALS AND OBJECTIVES: THE GOAL OF THE SYHEALTH MHAT PROJECT IS TO INCREASE THE KNOWLEDGE AND CAPACITY OF TRAINEES TO IDENTIFY AND ASSIST YOUTH EXPERIENCING BEHAVIORAL HEALTH DIFFICULTIES WHICH COULD OTHERWISE RESULT IN A MORE SERIOUS CRISIS SITUATION, ARREST, OR HARM TO SELF OR OTHERS. TO ACHIEVE THIS GOAL, PROJECT STAFF WILL PROVIDE MHAT TRAINING TO AT LEAST 225 PARTICIPANTS DURING PROJECT YEAR 1 AND A TOTAL OF 1,325 PARTICIPANTS OVER THE PROJECT TERM.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROPOSED PROJECT: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, DBA SAN YSIDRO HEALTH (SYHEALTH), IS PROPOSING A BEHAVIORAL HEALTH SERVICE EXPANSION AND INFRASTRUCTURE ENHANCEMENT (BHSEIE) PROJECT DESIGNED TO STRENGTHEN THE HEALTH CENTER’S BEHAVIORAL HEALTH DEPARTMENT AND INCREASE CAPACITY TO RESPOND TO THE CONTINUOUS NEED FOR INCREASED ACCESS TO MENTAL HEALTH AND SUD SERVICES, INCLUDING MOUD. NEEDS TO BE ADDRESSED: THE PROPOSED BHSEIE PROJECT IS DESIGNED TO MEET THE CONTINUOUSLY INCREASING NEED FOR ACCESSIBLE AND CULTURALLY PROFICIENT BEHAVIORAL HEALTH SERVICES THROUGHOUT SYHEALTH’S SERVICE AREA. SINCE 2020, SYHEALTH HAS SEEN A 143% INCREASE IN THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES (5,919 UNDUPLICATED PATIENTS IN 2020; 14,403 UNDUPLICATED PATIENTS IN 2023) AND A 224% INCREASE IN THE NUMBER OF PATIENTS RECEIVING SUD SERVICES (290 UNDUPLICATED PATIENTS IN 2020; 941 UNDUPLICATED PATIENTS IN 2023). THERE IS A SIGNIFICANT NEED TO STRENGTHEN BEHAVIORAL HEALTH DEPARTMENT INFRASTRUCTURE IN ORDER TO ENSURE OPTIMAL SERVICE DELIVERY AND CLINIC OPERATIONS, ALLOWING SYHEALTH TO BETTER ADDRESS THE INCREASING NUMBER OF PATIENTS AND SERVICE AREA RESIDENTS IN NEED OF BEHAVIORAL HEALTH CARE. PROPOSED SERVICES: SYHEALTH PROPOSES TO USE THE HRSA BH SERVICE EXPANSION FUNDING TO ADD KEY STAFF MEMBERS TO THE BEHAVIORAL HEALTH TEAM, RESULTING IN AN INCREASE IN THE NUMBER OF BH PATIENTS SERVED EACH YEAR: • 1.0 FTE NURSING SUPERVISOR TO BETTER SUPPORT BH MEDICAL ASSISTANTS AND PROVIDERS. • 1.0 FTE CASE MANAGER SUPERVISOR TO OPTIMIZE CASE MANAGEMENT OPERATIONS. • 1.0 FTE BH DATA AND QUALITY ANALYST TO SUPPORT UTILIZATION OF DATA IN MANAGING POPULATION HEALTH, PROMOTING DATA SHARING ACROSS SYHEALTH CARE TEAMS, AND MONITORING PROVIDER PANELS AND STAFF CASELOADS. • 2.0 FTE BH MEDICAL ASSISTANTS (MAS) TO PROVIDE FLOAT COVERAGE WHEN MA STAFF IS TEMPORARILY OUT OF THE OFFICE, ENSURING THAT CLINIC OPERATIONS ARE NOT NEGATIVELY IMPACTED AND PATIENTS HAVE CONTINUED ACCESS TO THEIR APPOINTMENTS. POPULATION TO BE SERVED: THE PROPOSED BHSEIE PROJECT AIMS TO SERVE EXISTING AND FUTURE BEHAVIORAL HEALTH PATIENTS RESIDING IN SAN DIEGO COUNTY’S TRADITIONALLY DISENFRANCHISED AND CULTURALLY DIVERSE SERVICE AREA COMMUNITIES. SYHEALTH CURRENTLY PROVIDES BEHAVIORAL HEALTH SERVICES TO OVER 14,000 UNDUPLICATED PATIENTS ANNUALLY, OF WHICH 90% LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. 58% ARE LATINX, 5% ARE ASIAN/PACIFIC ISLANDER, AND 4% ARE BLACK/AFRICAN AMERICAN. INCREASED NUMBER OF PATIENTS RECEIVING SERVICES: THE PROPOSED PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MH AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD, BY ENHANCING SYHEALTH’S EXISTING BEHAVIORAL HEALTH DEPARTMENT VIA ADDITION OF KEY STAFF POSITIONS NEEDED TO OPTIMIZE OPERATIONS AND DELIVERY OF BEHAVIORAL HEALTH SERVICES. BY (I) OPTIMIZING WORKFLOWS, (II) ENSURING BH CLINICS ARE FULLY STAFFED EACH DAY, (III) PROACTIVELY MANAGING PATIENT APPOINTMENTS AND PROVIDER SCHEDULES, AND (IV) ENHANCING INTEGRATION OF DATA-INFORMED SERVICE DELIVERY, THE PROPOSED BHSEIE NOT ONLY ADDRESSES SYHEALTH’S IMMEDIATE NEEDS, BUT MORE IMPORTANTLY POSITIONS THE HEALTH CENTER TO CONTINUE MEETING THE NEEDS OF AN INCREASED NUMBER OF PATIENTS IN THE FUTURE.

ACCELERATING CANCER SCREENING - ABSTRACT PROJECT TITLE: FISCAL YEAR 2022 ACCELERATING CANCER SCREENING APPLICANT ORGANIZATION NAME: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC. DBA: SAN YSIDRO HEALTH (H80CS10748) ADDRESS: 1601 PRECISION PARK LANE, SAN DIEGO, CA 92173-1345 PROJECT DIRECTOR NAME: SONIA TUCKER, SAN YSIDRO HEALTH VICE PRESIDENT OF POPULATION HEALTH CONTACT PHONE NUMBER: 619- 600- 3020 EMAIL ADDRESS: SONIA.TUCKER@SYHEALTH.ORG WEBSITE ADDRESS: WWW.SYHEALTH.ORG PROGRAM FUNDS REQUESTED: $500,000 FOR SEPTEMBER 1, 2022 - AUGUST 31, 2024 (2 YEARS) PROPOSED PROJECT: SAN YSIDRO HEALTH (SYHEALTH) IS REQUESTING ACCELERATING CANCER SCREENING (AXCS) FUNDING TO EXPAND AND ENHANCE ACCESS TO PREVENTIVE AND/OR COLORECTAL CANCER SCREENING (CRC) INTERVENTIONS WITH A GOAL OF INCREASING EQUITABLE ACCESS TO SERVICES FOR SYHEALTH’S HIGH-NEED, TRADITIONALLY UNDERSERVED COMMUNITIES IN SAN DIEGO COUNTY. THE PROPOSED PROJECT WILL BE TAILORED TO PROVIDE CULTURALLY AND LINGUISTICALLY INCLUSIVE SERVICES FOR SYHEALTH’S PATIENT POPULATION, WITH A SPECIFIC FOCUS ON ADULTS AGE 50-75 YEARS OLD. SYHEALTH’S PROPOSED AXCS PROJECT IS DESIGNED TO 1) INCREASE ACCESS TO AND UTILIZATION OF COMPREHENSIVE PREVENTION SERVICES, 2) IMPROVE CRC CLINICAL CARE MEASURES, WITH A FOCUS ON PROVIDING INCREASED ACCESS TO PATIENT EDUCATION, CASE MANAGEMENT, OUTREACH, AND ENABLING SERVICES ALIGNED WITH CLINICAL GUIDELINES, AND STANDARDS OF PRACTICE IN THE PROVISION OF CRC CARE/TREATMENT, AND 3) EXPAND ORGANIZATIONAL PRACTICES THAT SUPPORT STANDARDIZED CRC SERVICES VIA PARTNERSHIP WITH MOORES CANCER CENTER, AND ENHANCE OVERALL WORKFORCE CAPACITY DEVELOPMENT AND TRAINING. PROMOTING ACCESS EQUITY TO CANCER SCREENING AND CARE REFERRALS: BY ENHANCING PATIENT NAVIGATION AND CARE COORDINATION, SYHEALTH WILL SUPPORT EARLY CANCER PREVENTION OR DETECTION, AND TIMELY LINKAGE TO FOLLOW-UP CARE FOR ITS HIGH-NEED PATIENT POPULATION. SYHEALTH AIMS TO IMPLEMENT A CRC-FOCUSED PATIENT NAVIGATION AND CARE COORDINATION MODEL, INIT IALLY STARTING AT KEY STRATEGIC SYHEALTH SITES AND ULTIMATELY IDENTIFYING BEST PRACTICES TO REPLICATE THE PROJECT DESIGN, AND INTEGRATE THE MODEL ACROSS SYHEALTH’S ORGANIZATIONAL SERVICE DELIVERY NETWORK. THE PROPOSED AXCS PROJECT IS A THREE-PRONGED APPROACH TO DIRECTLY ADDRESS SPECIFIC AREAS OF NEED AND BARRIERS SPECIFIC TO CRC SCREENING: 1. INCREASE THE NUMBER OF SYHEALTH PATIENTS WHO ARE SCREENED FOR CRC AS PART OF ROUTINE PREVENTIVE CARE. 2. INCREASE THE NUMBER OF SYHEALTH PATIENTS WITH COMPLETED SCREENING PROCEDURES (SIGMOIDOSCOPY OR COLONOSCOPY). 3. IMPROVE AND ENHANCE CULTURALLY AND LINGUISTICALLY PROFICIENT PATIENT NAVIGATION AND CARE COORDINATION SERVICES SPECIFIC TO CRC SCREENING AND REFERRALS ACROSS THE ORGANIZATION, AND EXTERNALLY VIA PARTNERSHIP WITH MOORES CANCER CENTER. PROPOSED PARTNERSHIP: SYHEALTH WILL WORK IN CLOSE PARTNERSHIP WITH NATIONAL CANCER INSTITUTE (NCI)-DESIGNATED MOORES CANCER CENTER AT UC SAN DIEGO HEALTH (MOORES CANCER CENTER OR CANCER CENTER). MOORES CANCER CENTER WILL SUPPORT SYHEALTH BY LEVERAGING ITS COMMUNITY OUTREACH AND ENGAGEMENT RESOURCES TO INCREASE ACCESS AND ADDRESS BARRIERS TO CANCER SCREENING AND REFERRAL FOR CARE AND TREATMENT.

2007 COMMUNITY PARTNERSHIPS TO ELIMINATE HEALTH DISPARITIES

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANIZATIONS,

SYHEALTH MHAT PROJECT

WOMEN PARTERS PROGRAM

HEALTH CARE AND OTHER FACILITIES

FY 2023 BRIDGE ACCESS PROGRAM

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - PROJECT TITLE: RURAL PATIENT TRANSPORTATION PROGRAM (RPTP) ORGANIZATION: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. DBA SAN YSIDRO HEALTH ADDRESS: 1601 PRECISION PARK LANE, SAN DIEGO, CA 92173 PROJECT DIRECTOR: SONIA TUCKER, VICE PRESIDENT OF POPULATION HEALTH CONTACT NUMBERS: 619.653.9211 EMAIL: SONIA.TUCKER@SYHEALTH.ORG FUNDING TRACK: REGULAR TRACK FUNDING REQUESTED: $250,000 ANNUALLY ($1,000,000 TOTAL OVER FOUR YEARS) FUNDING PREFERENCE: #1 (HPSA) AND #3 (FOCUS ON PRIMARY CARE, AND WELLNESS AND PREVENTION STRATEGIES) NEED FOR THE PROGRAM: THE MOUNTAIN EMPIRE (ME) SUBREGIONAL AREA (SRA) OF EAST SAN DIEGO COUNTY IS A VAST 650 MILES OF RURAL HIGH DESERT BACKCOUNTRY COMMUNITIES WITH LUSH VEGETATION AND DIVERSE WILDLIFE. THE PALOMAR-JULIAN (PJ) SRA IS A 561-SQUARE-MILE MOUNTAIN COMMUNITY PROXIMAL TO THE ME SRA, ENCOMPASSING THE CLEVELAND NATIONAL FOREST AND THE COUNTY’S HIGHEST ELEVATION LEVELS (6,000+ FEET). THE ISOLATED MOUNTAINOUS AND DESERT TOPOGRAPHIES BRING NUMEROUS CHALLENGES AND BARRIERS TO SOCIAL DETERMINANTS OF HEALTH, RESULTING IN A VARIETY OF UNMET HEALTH NEEDS – ESPECIALLY FOR HISTORICALLY UNDERSERVED AND UNDER-RESOURCED POPULATIONS. AMONG THE EAST COUNTY SRAS, ME SRA HAD THE HIGHEST DEATH RATE DUE TO 3-4-50 CHRONIC DISEASES IN 2021 (624.6 PER 100,000) COMPARED TO 330 PER 100,000 POPULATION COUNTYWIDE. COMMON TOPOGRAPHY-RELATED ISSUES EXPERIENCED BY RESIDENTS IN THESE RURAL CATCHMENT AREAS INCLUDE HIGH RATES OF LIMITED OR NO ACCESS TO TRANSPORTATION, FOOD INSECURITY, LIMITED BROADBAND, SOCIAL ISOLATION AND LACK OF A RELIABLE SUPPORT SYSTEM FOR SENIORS, INADEQUATE HEALTH SYSTEMS (INCLUDING BASIC ACCESS TO A HEALTH CLINIC OR PHARMACY), INADEQUATE HOMES, AND LACK OF WALKABILITY. A RECENT GAP ANALYSIS CONDUCTED BY SAN YSIDRO HEALTH (SYHEALTH) FOR ITS EAST SAN DIEGO COUNTY SERVICE AREA IDENTIFIED TRANSPORTATION AS A SIGNIFICANT BARRIER TO COMMUNITY HEALTH, VITALITY, AND WELL-BEING. PROPOSED SERVICES: TO ADDRESS THE HEALTH NEEDS OF RESIDENTS OF RURAL EAST SAN DIEGO COUNTY (INCLUDING SOCIAL DETERMINANTS BARRIERS), SYHEALTH WILL USE HRSA RHCSOP FUNDING TO ESTABLISH COMPREHENSIVE AND COORDINATED PATIENT TRANSPORTATION SERVICES IN THE RURAL MOUNTAIN EMPIRE AND PALOMAR-JULIAN SRAS VIA IMPLEMENTATION OF THE PROPOSED RURAL PATIENT TRANSPORTATION PROGRAM (RPTP). THE PROPOSED RPTP IS A MULTI-PRONGED APPROACH TO MITIGATING TRANSPORTATION BARRIERS AND AIMS TO 1) PROVIDE UNDER-RESOURCED RESIDENTS WITH COORDINATED TRANSPORTATION TO AND FROM MEDICAL, DENTAL, AND BEHAVIORAL HEALTH PRIMARY CARE APPOINTMENTS AT SYHEALTH’S MOUNTAIN HEALTH FAMILY MEDICINE CLINIC AND SYHEALTH’S JULIAN FAMILY MEDICINE CLINIC LOCATIONS; 2) PROVIDE UNDER-RESOURCED RESIDENTS WITH COORDINATED TRANSPORTATION TO SPECIALTY CARE APPOINTMENTS THROUGHOUT THE URBAN AND SUBURBAN AREAS OF SAN DIEGO COUNTY; AND 3) LEVERAGE THE RESOURCES, EXPERIENCE, AND EXPERTISE OF THE EAST COUNTY RURAL HEALTH COALITION MEMBERS (CONSORTIUM MEMBERS) TO ASSIST IN THE PLANNING, DESIGN, AND IMPLEMENTATION OF COORDINATED TRANSPORTATION SERVICES IN THE SERVICE AREA. TARGET POPULATION: SYHEALTH’S PROPOSED RPTP WILL SERVE ALL RESIDENTS OF THE RURAL MOUNTAIN EMPIRE AND PALOMAR-JULIAN SRAS OF EAST SAN DIEGO COUNTY. THE PROGRAM WILL PRIMARILY BENEFIT SUBPOPULATIONS WITH THE GREATEST BARRIERS TO ACCESSING TIMELY AND QUALITY HEALTH CARE DUE TO TRANSPORTATION AND SEVERAL OTHER SOCIAL DETERMINANT BARRIERS, SUCH AS OLDER ADULTS AGE 65+, LIMITED ENGLISH PROFICIENCY INDIVIDUALS, INDIVIDUALS WITH CHRONIC CONDITIONS, SCHOOL-AGE YOUTH, INDIVIDUALS WITH BEHAVIORAL HEALTH DISORDERS, HOUSING-INSECURE INDIVIDUALS, INDIVIDUALS WITH HIGH ACUITY, AND INDIVIDUALS WITH A DISABILITY. THESE PATIENTS WILL BENEFIT IMMENSELY FROM THE COORDINATION OF CARE, ESTABLISHMENT OF A MEDICAL HOME, AND FOLLOW-UP CARE, ALL OF WHICH WILL BE AVAILABLE THROUGH THE PROGRAM.

HEALTH CARE AND OTHER FACILITIES

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM - PROJECT TITLE: HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM (HTPCP) APPLICANT ORGANIZATION NAME: CENTRO DE SALUD LA COMUNIDAD DE SAN YSIDRO INC. DBA: SAN YSIDRO HEALTH ADDRESS: 1601 PRECISION PARK LANE, SAN DIEGO, CA 92173-1345 PROJECT DIRECTOR NAME: FATIMA MUÑOZ CONTACT PHONE NUMBER: 619.395.8455 EMAIL ADDRESS: FATIMA.MUNOZ@SYHEALTH.ORG WEBSITE ADDRESS: WWW.SYHEALTH.ORG PROGRAM FUNDS REQUESTED: $50,000 PER YEAR OF THE 2023–2028 PROJECT PERIOD NEEDS TO BE ADDRESSED: SAN YSIDRO HEALTH (SYHEALTH) IS REQUESTING HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM (HTPCP) GRANT FUNDS TO SUPPORT ITS PROPOSED LEARNING AND UNDERSTANDING THE NEED FOR INTEGRATED ADHERENCE (LUNITA) PROGRAM FOR CHILDREN & FAMILIES A.K.A LUNITA-EAST PROGRAM. THE PROPOSED LUNITA-EAST PROGRAM ADDRESSES THE NEED FOR COMPREHENSIVE, CULTURALLY, AND LINGUISTICALLY INCLUSIVE SERVICES FOR CHILDREN AGED 6-11 AND THEIR PARENTS/CAREGIVERS WHO RESIDE AND RECEIVE SERVICES IN SAN DIEGO COUNTY’S EAST REGION. PROJECT GOAL: THE LUNITA-EAST PROGRAM WILL EXPAND AND ENHANCE SYHEALTH’S EXISTING CARE MANAGEMENT PROGRAMS BY INCREASING ACCESS TO A GREATER NUMBER OF CHILDREN AND FAMILIES. THE OVERARCHING GOAL OF SYHEALTH’S PROPOSED LUNITA-EAST PROGRAM IS TO ENSURE CHILDREN WHO ARE OVERWEIGHT OR OBESE REDUCE THEIR RISK OF DEVELOPING A SERIOUS CHRONIC HEALTH CONDITION THROUGH A) INCREASED ACCESS AND UTILIZATION OF COMPREHENSIVE PEDIATRIC MEDICAL CARE AND PREVENTIVE SERVICES, AND B) INCREASED ENGAGEMENT WITH LOCAL COMMUNITY ORGANIZATIONS AND SCHOOLS TO IMPROVE ACCESS AND LINKAGE TO SUPPORT SERVICES FOR CHILDREN AND FAMILIES RESIDING IN THE HEALTH CENTER’S SERVICE COMMUNITY. PROJECT METHODOLOGY: THE PROPOSED LUNITA-EAST PROGRAM WILL BUILD UPON SYHEALTH’S PEDIATRIC CARE COORDINATION, HEALTH EDUCATION, AND CLINICAL SERVICES INFRASTRUCTURE. LUNITA-EAST IS DESIGNED TO REACH THE MULTIPLE AND DISTINCT COMMUNITIES (E.G., IRAQI, AFGHAN, IRANIAN, VIETNAMESE) THROUGHOUT SAN DIEGO COUNTY’S EAST REGION. TH E COORDINATED PEDIATRIC CARE MODEL WILL BE TAILORED TO ADDRESS CARE GAPS (I.E., PEDIATRIC HEALTH EDUCATION AND CARE COORDINATION MANAGEMENT) AND PATIENT RELATED SOCIAL DETERMINANTS OF HEALTH (SDOH), VIA PATIENT ENGAGEMENT WITH A DEDICATED CARE TEAM (I.E., CARE COORDINATOR AND HEALTH EDUCATOR). THE ENHANCED PROGRAM DESIGN WILL IMPROVE LINKAGES BETWEEN PRIMARY CARE, HEALTH EDUCATION, CARE COORDINATION, AND SUPPORT SERVICES WITHIN SYHEALTH, AS WELL AS IMPROVE CROSS-REFERRAL PATHWAYS AND LINKAGES TO EXTERNAL RESOURCES AND PROGRAMS FOR CHILDREN/FAMILIES IN THE COMMUNITY. COLLABORATIVE SUPPORT: SYHEALTH’S PROPOSED LUNITA-EAST PROGRAM INCLUDES COMMUNITY COLLABORATION SPECIFICALLY WITH THE AMERICAN ACADEMY OF PEDIATRICS – CALIFORNIA CHAPTER THREE (AAP-CA3), SAN DIEGO HUNGER COALITION AND MOUNTAIN EMPIRE UNIFIED SCHOOL DISTRICT.

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2022 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM APPLICANT: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. (D.B.A., SAN YSIDRO HEALTH) ADDRESS: 1601 PRECISION PARK LANE, SAN DIEGO, CA 92173 PROJECT DIRECTOR NAME: FATIMA MUÑOZ CONTACT: (619) 662-4100 EXT.2933 (P); (619) 205-6373 (F) EMAIL: FATIMA.MUNOZ@SYHEALTH.ORG, WEBSITE: WWW.SYHEALTH.ORG PROGRAM FUNDS REQUESTED: $150,000 FOR 2022 – 2023 PERFORMANCE PERIOD FUNDING PREFERENCE REQUESTED: YES -- QUALIFICATION 2; UNDERSERVED POPULATIONS PROGRAM CATEGORY: HIV INFRASTRUCTURE DEVELOPMENT PROGRAM ACTIVITY: PURCHASE OFFICE DENTAL EQUIPMENT FOR EXPANDING DENTAL SERVICE CAPACITY PROPOSED PROJECT ACTIVITIES AND INTENDED IMPACT: SAN YSIDRO HEALTH (SYHEALTH) IS REQUESTING PART C CAPACITY DEVELOPMENT GRANT FUNDS IN THE AMOUNT OF $150,000 TO SUPPORT ITS PROPOSED PART C CAPACITY DEVELOPMENT PROJECT UNDER THE HIV INFRASTRUCTURE DEVELOPMENT CATEGORY SPECIFIC TO OFFICE DENTAL EQUIPMENT FOR EXPANDING DENTAL SERVICE CAPACITY. THE REQUESTED FUNDS WILL BE USED TO PURCHASE DENTAL EQUIPMENT FOR THE PURPOSE OF EXPANDING ORAL HEALTH CARE SERVICES FOR HIV PATIENTS UTILIZING OR IN NEED OF SYHEALTH’S SPECIALTY DENTAL SERVICES. SYHEALTH SEEKS TO ENHANCE AND EXPAND ITS ORAL HEALTH SERVICE CAPACITY BY PURCHASING A CHAIRSIDE MILLING UNIT BUNDLE, WHICH INCLUDES AN INTRAORAL SCANNER AND SPEED FIRE DENTAL FURNACE TO PRODUCE SINGLE-UNIT RESTORATIONS (CROWNS). WITH PART C CAPACITY DEVELOPMENT FUNDS, SYHEALTH WILL (I) ENSURE INCREASED ACCESS TO TIMELY INTERNAL ORAL HEALTH CARE SERVICES (I.E. NON-SURGICAL RESTORATIVE SERVICES), AND (II) IMPROVE THE OVERALL ORAL HEALTH OUTCOMES OF PLWH RESIDING WITHIN THE HEALTH CENTER’S SERVICE AREA. NEEDS TO BE ADDRESSED: AS OF DECEMBER 2018, THERE WERE 13,946 HIV CASES REPORTED IN SAN DIEGO COUNTY AND THE LOCAL HEALTH AND HUMAN SERVICES AGENCY (HHSA) ESTIMATES THAT THERE ARE CURRENTLY 1,446 PEOPLE LIVING WITH HIV (PLWH) WHO ARE UNAWARE OF THEIR HIV STATUS. SYHEALTH’S SERVICE AREA REPRESENTS 20% OF SAN DIEGO COUNTY’S TOTAL POPULATION, YET ACCOUNTS FOR NEARLY 30% OF THE COUNTY’S PLWH RESIDENTS. THE IMPACT OF HIV THROUGHOUT THE HEALTH CENTER’S SERVICE AREA INDICATES THE NEED TO ENSURE INDIVIDUALS RECEIVE COMPREHENSIVE CARE, INCLUDING INCREASED ACCESS TO ORAL HEALTH SERVICES. POPULATION TO BE SERVED: SYHEALTH’S SERVICE AREA ENCOMPASSES THREE OF SAN DIEGO COUNTY’S SIX JURISDICTIONS, INCLUDING THE SOUTH, SOUTHEAST, AND EAST REGIONS. SYHEALTH’S CORE HIV SERVICE RESIDENTS LIVE IN THE SAN DIEGO COUNTY’S SOUTH AND SOUTHEAST REGIONS. THE PROPOSED PART C CAPACITY DEVELOPMENT PROJECT FOCUSES ON THE HEALTH CENTER’S HIV PATIENTS 18 YEARS AND OLDER IN NEED OF ORAL HEALTH SERVICES.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - NAME: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. (DBA, SAN YSIDRO HEALTH) ADDRESS: 1601 PRECISION PARK LANE, SAN DIEGO, CA 92173 PROJECT DIRECTOR: FATIMA MUNOZ CONTACT: 619-662-4100 EXT. 2933 (PHONE) | FATIMA.MUNOZ@SYHEALTH.ORG (EMAIL) WEBSITE: WWW.SYHEALTH.ORG GRANT PROGRAM FUND REQUESTED: FY2023 RYAN WHITE PART C CAPACITY DEVELOPMENT FUNDING REQUEST CATEGORY: HIV CARE INNOVATION (GENDER-AFFIRMING CARE) FUNDING AMOUNT REQUESTED: $150,000 FOR ONE YEAR SUMMARY OF PROPOSED ACTIVITY AND IMPACT: SAN YSIDRO HEALTH’S (SYHEALTH) PROPOSED GENDER-AFFIRMING CARE ENHANCEMENT (GACE) PROJECT AIMS TO PROVIDE A MORE INCLUSIVE, WELCOMING, AND SAFE HEALTHCARE ENVIRONMENT FOR LGBTQ+ PATIENTS IN FEDERALLY QUALIFIED HEALTH CENTER SETTINGS. THE GACE PROJECT SPECIFICALLY ADDRESSES DATA COLLECTION OF PATIENTS’ SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI); DOCUMENTATION OF SOGI IN THE ELECTRONIC HEALTH RECORD (EHR) SYSTEM, PARTICULARLY AT THE POINT IN TIME WHEN PATIENTS FIRST ENTER SYHEALTH’S SYSTEM OF CARE (E.G., REGISTRATION); AND OPTIMIZING EHR FUNCTIONALITIES TO SUPPORT GENDER-AFFIRMING CARE AND PRACTICES. ALL OF THESE ACTIVITIES WILL COINCIDE WITH SYHEALTH’S UPCOMING EHR TRANSITION FROM THE NEXTGEN TO EPIC SYSTEM, AN ORGANIZATIONAL INITIATIVE ANTICIPATED TO BRING FORTH TRANSFORMATIONAL CHANGES TO CLINICAL, ADMINISTRATIVE, AND OPERATIONAL PRACTICES THROUGHOUT THE HEALTH CENTER. GACE ACTIVITIES FOCUS ON “TECHNICAL” AND “PRACTICE” ENHANCEMENTS WITHIN SYHEALTH’S SYSTEM OF CARE. TECHNICAL ENHANCEMENTS PERTAIN TO GENDER-AFFIRMING CUSTOMIZATIONS WITHIN THE SOON-TO-BE LAUNCHED EPIC EHR SYSTEM. PRACTICE ENHANCEMENTS FOCUS ON REVIEWING AND UPDATING SYHEALTH FORMS TO ENSURE THAT THEY REFLECT GENDER-AFFIRMING LANGUAGE, CORRECT USAGE OF NAMES AND PRONOUNS, ETC. A GACE SKILLS TRAINING PROGRAM WILL ALSO BE DELIVERED TO STAFF, FOCUSING ON INCREASING LGBTQ+ KNOWLEDGE, COMMUNICATION SKILLS, AND OTHER RELEVANT SKILLS TO SUPPORT GENDER-AFFIRMING PRACTICES IN THE PERF ORMANCE OF STAFF’S DAY-TO-DAY RESPONSIBILITIES. THIS TRAINING IS ALSO CONSISTENT WITH THE REQUIRED STIGMA & DISCRIMINATION EDUCATION REQUIRED UNDER HRSA-23-052. GACE IS ANTICIPATED TO RESULT IN GENDER-AFFIRMING EHR FUNCTIONALITIES AND HEALTH CENTER FORMS, AS WELL AS INCREASED STAFF KNOWLEDGE AND CONFIDENCE TO INTEGRATE GENDER-AFFIRMING SKILLS/STRATEGIES DURING THEIR SERVICE DELIVERY. GACE ACTIVITIES WILL ALSO POSITIVELY IMPACT SYHEALTH’S HIV & LGBTQ+ CONTINUUM OF CARE FOR LGBTQ+ PATIENTS, SUCH AS PROMOTING COMPLETE AND ACCURATE MEDICAL RECORDS FOR LGBTQ+ PATIENTS. GACE WILL ALSO REDUCE INSTANCES OF NEGATIVE/TRIGGERING EXPERIENCES FOR PATIENTS, WHICH WILL INCREASE THEIR CONFIDENCE IN SYHEALTH’S SYSTEM OF CARE. FOR HIV-POSITIVE PATIENTS, THIS WILL PROMOTE CARE RETENTION, MEDICATION ADHERENCE, AND ULTIMATELY, VIRAL SUPPRESSION. FOR THOSE VULNERABLE TO HIV, THIS CONFIDENCE WILL ENCOURAGE REGULAR HIV TESTING, ACCEPTANCE OF PREP, AND TIMELY ACCESS TO HIV MEDICAL CARE IF THEY TEST POSITIVE.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SUCCESSOR IN INTEREST 90RE0225

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTH CARE AND OTHER FACILITIES

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

TELEMEDICINE GRANT

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - FACILITY INVESTMENT PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE