Altamed Health Services Corp

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINATIONS IN UNDERSERVED COMMUNITIES

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

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

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE

NURSE EDUCATION, PRACTICE, QUALITY AND RETENTION - ALTAMED RESPECTFULLY REQUESTS $4,000,000 OVER THE FOUR-YEAR PERIOD ($1,000,000 PER YEAR) FOR THE PROPOSED THE ALTAMED COMMUNITY NURSING LEADERSHIP PROGRAM (CNLP), WHICH WILL REIMAGINE AND ENHANCE THE NURSING WORKFORCE IN FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) TO DEVELOP LONGITUDINAL EXPERIENTIAL LEARNING, TRAINING AND LEADERSHIP OPPORTUNITIES FOR BSN STUDENTS THROUGH MOBILE NURSING PROGRAMMING IN COLLABORATION WITH CAL STATE LA PATRICIA A. CHIN SCHOOL OF NURSING (CSULA-PACSON) AND COMMUNITY PARTNERS. CNLP WILL BE A PART OF ALTAMED’S NURSING WORKFORCE INITIATIVE, A NEW INITIATIVE AND INSTITUTIONAL STRATEGIC GOAL TO RECRUIT, RETAIN AND DEVELOP A FQHC NURSING WORKFORCE TO PRACTICE AT THE TOP OF THEIR PROFESSION AND ENGAGE NURSES AS LEADERS THROUGH THE DEVELOPMENT OF NURSE-LED MOBILE UNIT TEAMS, NURSE-LED CLINICS, AND NURSE RESIDENCY PROGRAM. THE PROPOSED PROJECT RESPONDS TO TWO CLINICAL PRIORITIES OF HHS AND HRSA: EQUITY IN HHS SERVICE DELIVERY AND REFUGEE IMMIGRATION/ UNACCOMPANIED CHILDREN. IF FUNDED, THE PROJECT WILL ADDRESS THE SYSTEMIC SHORTAGE OF RNS AT FQHCS AND MITIGATE THE CHALLENGES OF RECRUITING AND RETAINING RNS IN COMMUNITY HEALTH CENTERS BY DEVELOPING THE FIRST FQHC LED RN RESIDENCY PROGRAM FOR NEW GRADUATE RNS (NGRNS) AND IMMERSIVE PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR THE NURSING FACULTY AND WORKFORCE. PROJECT GOALS/ OBJECTIVES: THE PRIMARY GOALS OF CNLP ARE TO (1) ESTABLISH NURSE-LED MOBILE UNITS TO PROVIDE CARE TO HIGH SOCIAL VULNERABILITY INDEX (SVI) COMMUNITIES DEVASTATED BY THE PANDEMIC; (2) EXPAND THE NURSING WORKFORCE BY CREATING EXPERIENTIAL LEARNING OPPORTUNITIES FOR 30 BSN NURSING STUDENTS EMPHASIZING ADVANCED NURSING SKILLS AND CARE DELIVERY IN UNDERSERVED COMMUNITIES; (3) PROVIDE DIDACTIC NURSING EDUCATION GEARED TOWARD THE DELIVERY OF CULTURALLY COMPETENT CARE, ADDRESSING SDOH WHILE DEVELOPING SKILLS IN LEADERSHIP, COMMUNICATION, AND CRITICAL THINKING IN A TECHNOLOGICALLY INNOVATIVE AND COLLABORATIVE PRACTICE E NVIRONMENT; (4) FOSTER A COMMUNITY-BASED LEARNING ENVIRONMENT WHICH MENTORS NURSING STUDENTS TO IDENTIFY AND IMPLEMENT EVIDENCE-BASED BEST PRACTICES MEDICALLY UNDERSERVED COMMUNITIES; AND (5) INCREASE THE DIVERSITY OF THE NURSING WORKFORCE BY RECRUITING AND SUPPORTING STUDENTS AND FACULTY FROM DISADVANTAGED BACKGROUNDS AND UNDERREPRESENTED POPULATIONS. THE GOALS WILL BE ACHIEVED BY THESE SIX OBJECTIVES: (A) DEVELOPING NURSE-LED MOBILE HEALTH UNITS TO PROVIDE QUALITY HEALTH CARE TO UNDERSERVED COMMUNITIES; (B) UTILIZING THE NEPQR-MHTP AS AN EXPERIENTIAL PLATFORM FOR BSN NURSING STUDENTS; (C) EXPANDING ACCESS TO HEALTH CARE SERVICES IN UNDERSERVED COMMUNITIES THROUGH THE USE OF THE MOBILE HEALTH UNIT AND INNOVATIVE TECHNOLOGY; (D) ENHANCING CURRENT CURRICULUM TO INTEGRATE SDOH CONCEPTS, PROVIDING A FOUNDATION FOR NURSES/NURSING STUDENTS TO ADDRESS AND IMPROVE PATIENT HEALTH OUTCOMES; (E) IMPLEMENTING PROFESSIONAL DEVELOPMENT PROGRAMS AND SHARING RESOURCES WITH FACULTY AND PRECEPTORS RELATED TO SOCIAL DETERMINANTS; AND (F) DEVELOPING A NURSING WORKFORCE THAT ADDRESS THE NEEDS OF THE TARGET POPULATIONS BEING SERVED IN UNDERSERVED COMMUNITIES. OUTCOMES: BY THE END OF THE GRANT PERIOD, 100% OF BSN STUDENTS (30) WILL COMPLETE THE SUMMER PROGRAM; 90% OF BSN STUDENTS (27) WILL PERSIST IN COMPLETING THEIR LONGITUDINAL TRAINING; MORE THAN HALF OF GRADUATES WILL JOIN ALTAMED’S RN RESIDENCY PROGRAM; 80% OF RN RESIDENTS WILL BE RETAINED; INTERNAL CEUS WILL BE DEVELOPED TO SUPPORT INFRASTRUCTURE FOR PROFESSIONAL DEVELOPMENT OF STAFF AND FACULTY; ALL PROJECT FACULTY AND STAFF AND STAFF IN ANCHOR CLINICS AND NURSING CLINICS WILL BE TRAINED IN COLLABORATIVE TEAM BASED CARE; NPS: FROM A SCALE OF 1-10, 100% OF FELLOWS RATE 8 OR HIGHER IN THE LIKELIHOOD OF RECOMMENDING THE PROGRAM TO OTHERS. ANNUALLY, 2,000 VULNERABLE COMMUNITY MEMBERS WILL RECEIVE NURSING AND COLLABORATIVE SERVICES THROUGH THE MOBILE HEALTH PROGRAM, WITH HALF RECEIVING CONTINUITY OF CARE

ADVANCED NURSING EDUCATION WORKFORCE

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

ALINEACION PARA COMBATIR EL CANCER DE COLON POR MEDIO DE INVERVENCIONES ORGANIZACIONALES Y NAVEGACION DE PACIENTES (ACCION) PROGRAM - ORGANIZATIONAL INTERVENTIONS AND NAVIGATION TO COMBAT COLON CANCER

INTEGRATING MAT INTO PRIMARY CARE IN AN FQHC - ALTAMED IS PROPOSING TO LEVERAGE ITS EXISTING PATIENT CENTERED MEDICAL HOME (PCMH) CAPACITY TO FURTHER EXPAND BEHAVIORAL HEALTH SERVICES AT ITS CLINICS AND DEVELOP A DEEPER INTEGRATION OF MAT SERVICES WITHIN ITS PRIMARY CARE SCOPE BY: (1) EXPANDING ITS MENTAL HEALTH AND SUBSTANCE ABUSE SCREENING TO INCLUDE AN ASSESSMENT FOR SUBSTANCE MISUSE OR ABUSE (2) PROVIDE ON-SITE TRAINING FOR PHYSICIANS AND BEHAVIORAL HEALTH MEMBERS OF THE PCMH CARE TEAM ON USING THE EVIDENCE-BASED PROTOCOL, SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) TO IDENTIFY AND MANAGE PATIENTS WITH ALCOHOL AND OPIOID MISUSE DISORDERS, AND REFER THEM TO WITH MAT SERVICES WITHIN ALTAMED, AND, (3) EXPAND AVAILABILITY OF MAT SERVICES TO ALL OF ALTAMED'S 22 CLINICS FOR PATIENTS IDENTIFIED AS NEEDING INTERVENTION OR TREATMENT FOR OPIOID MISUSE/ABUSE. THIS MODEL WILL SUPPORT COORDINATION AND REFERRALS TO EXISTING COMMUNITY BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT RESOURCES. IN ADDITION, ALTAMED PROVIDERS WILL BE TRAINED TO PROVIDE MEDICATION ASSISTED TREATMENT FOR PATIENTS WITH ALCOHOL AND SUBSTANCE MISUSE/ABUSE TO BETTER INTEGRATE THESE SERVICES INTO THE PRIMARY CARE SETTING. THIS PROGRAM WILL LEVERAGE ALTAMED’S EXISTING INFRASTRUCTURE AND COMMUNITY PARTNERSHIPS TO PROVIDE CLOSE, FULLY INTEGRATED BEHAVIORAL HEALTH SERVICES TO SAFETY NET COMMUNITIES IN LOS ANGELES AND ORANGE COUNTY, IMPROVING CARE QUALITY AND REDUCING THE WIDE DISPARITY IN HEALTH OUTCOMES BETWEEN LOW-INCOME, LATINO POPULATIONS AND OTHER GROUPS. THIS PROJECT WILL IMPROVE PATIENT CONTINUITY OF CARE FOR ALL BEHAVIORAL HEALTH PATIENTS, IMPROVE ACCESS TO CARE FOR ALCOHOL OR SUBSTANCE MISUSE/ABUSE, AND IMPROVE THE ABILITY OF PRIMARY CARE PROVIDERS TO PROVIDE SEAMLESS TREATMENT FOR PATIENTS WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE NEEDS, SPECIFICALLY OPIOID USE DISORDERS. IN ORDER TO SUPPORT THE AIMS OF THIS PROJECT, ALTAMED WILL CONTINUE TO COORDINATE WITH COMMUNITY PROVIDERS AND LOCAL HEALTH AGENCIES SERVING LOS ANGELES AND ORANGE COUNTIES TO FACILITATE REFERRALS FOR TREATMENT. THE TARGET POPULATION WILL BE LOW INCOME, MEDICALLY-VULNERABLE LATINOS IN LOS ANGELES AND ORANGE COUNTIES, CALIFORNIA. OVER THE 5 YEAR PROJECT PERIOD, ALTAMED WILL SERVE 200 PARTICPANTS IN YEAR 1 AND 500 PARTICIPANTS IN YEARS 2-5, FOR A TOTAL OF 2,200 PARTICIPANTS.

HEALTHY COMMUNITIES, HEALTHY LIVES

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

NURSING WORKFORCE DIVERSITY

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR COMMUNITY-BASED ORGANIZATIONS - ALIGNED WITH LOCAL AND NATIONAL ENDING THE HIV EPIDEMIC PLANS, ALTAMED?S PS21-2102 SERVICES WILL DELIVER A COMPREHENSIVE, HIGH-IMPACT HIV PREVENTION MODEL TARGETING LATINX MSM IN LOS ANGELES COUNTY. SERVICES WILL BE DRIVEN BY TAILORED OUTREACH TO AND ENGAGEMENT OF SPECIFIC LA LATINX MSM SUBCULTURES AND ETHNIC GROUPS NOT PREVIOUSLY TARGETED: (I)INDIGENOUS PEOPLE OF OAXACA, MEXICO; (II)SALVADORAN IMMIGRANT COMMUNITY; (III)QUEER, PUNK ROCK CULTURE; AND (IV)GAY VAQUERO COMMUNITY. WITH AN AIM TOWARDS IMPLEMENTING THE COMMUNITY-LEVEL PROMISE RISK-REDUCTION INTERVENTION FOR EACH GROUP, ALTAMED WILL RECRUIT AND TRAIN PEER ADVOCATES FROM AMONG CURRENT INFLUENCERS AND GATEKEEPERS WITHIN THESE GROUPS. PROPOSED SERVICES ALSO INCLUDE TARGETED HIV COUNSELING AND TESTING, PILOT IMPLEMENTATION OF INTEGRATED HEPATITIS C RAPID TESTING, LINKAGE-TO-HIV CARE, AND PREVENTION AND ESSENTIAL SUPPORT SERVICES TO OPTIMIZE HEALTH OUTCOMES. HIGH-RISK, HIV-NEGATIVE PERSONS WILL BE OFFERED STD SCREENING AND TREATMENT, PRE- AND POST-EXPOSURE PROPHYLAXIS (PREP/PEP), AND RISK-REDUCTION SUPPORTS. EACH YEAR, ALTAMED WILL TEST 600 LATINX MSM AND IDENTIFY 8 NEW POSITIVES WITHIN THE PROPOSED CENTRAL, HOLLYWOOD-WILSHIRE, AND LONG BEACH HEALTH DISTRICTS. ALL ARE IDENTIFIED BY DHSP AS TRANSMISSION HOTSPOTS AND ARE AREAS IN WHICH SUBPOPULATIONS LIVE AND CONGREGATE. BY THE END OF THE FIVE-YEAR PROJECT PERIOD, ALTAMED WILL ACHIEVE THE FOLLOWING MEASURABLE OUTCOMES:?CONDUCT AT LEAST 2,700 HIV TESTS AMONG HIGH-RISK LATINX MSM;?IDENTIFY AT LEAST 36 UNAWARE HIV-POSITIVE LATINX MSM (AT LEAST 8 PER YEAR, EXCEPT Y1);?PROVIDE INTEGRATED HCV RAPID TESTING AT 5% OF TESTING EVENTS;?LINK A MINIMUM OF 90% OF NEWLY-DIAGNOSED (32) HIV-POSITIVE MSM TO HIV MEDICAL CARE; ?RE-ENGAGE 100% OF LATINX MSM PREVIOUSLY DIAGNOSED WITH HIV INFECTION INTO CARE WITHIN 30 DAYS OF RECENT HIV POSITIVE TEST;?PROVIDE MEDICATION ADHERENCE SERVICES TO 100% OF THOSE ASSESSED AS NEEDING TREATMENT SUPPORT;?REFER 100% OF HIV-PO SITIVE LATINX MSM TO PARTNER SERVICES;?REFER 100% OF HIV-POSITIVE LATINX MSM TO MEDICAL CARE COORDINATION (MCC) AND ESSENTIAL SUPPORT SERVICES;?25% OF HIGH-RISK NEGATIVE LATINX MSM WILL BE REFERRED TO PREP OR PEP; AND ?DISTRIBUTE 76,000 CONDOMS OVER 5 YEARS.THE PROPOSED PROGRAM ALSO WILL LEVERAGE ALTAMED?S ENTERPRISE-WIDE INTEGRATION OF HIV PREVENTION WITH ITS PRIMARY CARE SERVICES AND ITS ON-SITE PHARMACIES, AS WELL AS ENHANCE ONGOING PREVENTION EFFORTS SUPPORTED BY THE CDC (PS17-1704), STATE OF CALIFORNIA OFFICE OF AIDS, AND BY LOS ANGELES COUNTY DPH DIVISION OF HIV AND STD PROGRAMS.

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

NURSE, EDUCATION, PRACTICE, QUALITY AND RETENTION - REGISTERED NURSES IN PRIMARY CARE

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROGRAMS FOR LATINX YOUNG MEN OF COLOR WHO HAVE SEX IN LOS ANGELES COUNTY

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION

LA LINTERNA: FOCUSED SERVICES FOR CHILDHOOD TRAUMATIC STRESS - ALTAMED HEALTH SERVICES CORPORATION (ALTAMED) IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC) FOUNDED AS A SINGLE STOREFRONT CLINIC IN 1969 THAT HAS SINCE GROWN TO BECOME THE LARGEST FQHC IN CALIFORNIA. ALTAMED OPERATES 36 CLINIC SITES IN LOS ANGELES AND ORANGE COUNTIES, PROVIDING A PATIENT CENTERED MEDICAL HOME WITH COMPREHENSIVE PRIMARY CARE, ENABLING AND SOCIAL SERVICE PROGRAMS TO LOW-INCOME UNDERSERVED COMMUNITIES. ALTAMED SERVES OVER 230,000 PREDOMINANTLY LATINO CHILDREN, ADULTS, AND SENIORS ANNUALLY. IN 2019, US HEALTH AND HUMAN SERVICES REPORTED THAT ALMOST 70,000 CHILDREN WERE DETAINED AND REFERRED TO THE UNACCOMPANIED ALIEN CHILDREN PROGRAM. WHILE MOST CHILDREN A RELEASED INTO THE CUSTODY OF A FAMILY MEMBER OR OFTEN RELEASED IN A LOCAL FOSTER CARE SYSTEM, THIS EXPERIENCE IS DEEPLY TRAUMATIZING FOR CHILDREN AND HAS SIGNIFICANT PHYSICAL AND BEHAVIORAL HEALTH CONSEQUENCES. ALTAMED PROPOSES TO IMPLEMENT A COMPREHENSIVE PEDIATRIC MEDICAL HOME FOR CHILDREN WHO HAVE EXPERIENCED TRAUMA AS A RESULT OF DETENTION DURING THE MIGRATION PROCESS. THIS COMPREHENSIVE PROGRAM WILL ALLOW ALTAMED TO IDENTIFY CHILDREN AND FAMILIES WHO HAVE EXPERIENCED TRAUMATIC EVENTS, ESPECIALLY THOSE RELATED TO MIGRATION AND PROVIDE WRAP-AROUND SERVICES THAT ADDRESS THEIR UNIQUE NEEDS. THESE SERVICES WILL INTEGRATE MEDICAL CARE, BEHAVIORAL HEALTH, OUTREACH AND EDUCATION, AND A MEDICAL-LEGAL PARTNERSHIP TO PROVIDE COMPREHENSIVE CARE TO ADDRESS THESE PATIENTS' NEEDS.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - 1. NAME: ALTAMED FAMILY MEDICINE RESIDENCY A. ADDRESS: 2040 CAMFIELD AVE, LOS ANGELES, CA 90040-1502 B. PROJECT DIRECTOR: DR. CECILIA FLORIO C. CONTACT NUMBERS: 323.889.7343 OR 323.622.2445 D. EMAIL: TAALVAREZ@ALTAMED.ORG (PREFERRED) E. FUNDING PREFERENCE: HEALTH PROFESSIONS SHORTAGE AREA & MEDICALLY UNDERSERVED COMMUNITY 2. DISCIPLINE: FAMILY MEDICINE 3. TYPE OF APPLICATION: NEW APPLICATION 4. ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC) (SECTION 1905(I)(2)(B) OF THE SOCIAL SECURITY ACT [42 USC 1396D(I)(2)(B)] OPERATING THE FAMILY MEDICINE RESIDENCY AS THE PRIMARY ACCREDITED ENTITY (OPERATES ALONE). 5. YEAR PROGRAM BEGAN: 2020 (FIRST PGY 1 COHORT: JULY 1, 2020) 6. ORGANIZATION WEBSITE: WWW.ALTAMED.ORG 7. OVERVIEW: FOUNDED IN 1969, ALTAMED IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC). NOW THE LARGEST FQHC IN CALIFORNIA, ALTAMED OFFERS A PATIENT CENTERED MEDICAL HOME WITH COMPREHENSIVE PRIMARY CARE, ENABLING AND SOCIAL SERVICE PROGRAMS TO LOW-INCOME UNDERSERVED COMMUNITIES FOR OVER 270,000 PREDOMINANTLY LATINO CHILDREN, YOUTHS, ADULTS AND SENIORS, 14% OF WHICH ARE UNINSURED. ALTAMED’S FAMILY MEDICINE RESIDENCY IS A NEW PROGRAM THAT LAUNCHED WITH SIX (6) NEW RESIDENTS IN JULY 2020. ALTAMED’S PROGRAM IS ACCREDITED BY THE ACGME, AND THE MAIN PRIMARY CARE TRAINING SITE WILL BE THE ALTAMED HEALTH SERVICES – SOUTH GATE LOCATION IN LOS ANGELES, CALIFORNIA, A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA/POPULATION. ADDITIONAL TRAINING LOCATIONS WILL BE ALTAMED’S COMMUNITY HEALTH CENTERS IN LOS ANGELES, CHILDREN’S HOSPITAL LOS ANGELES, AND ADVENTIST WHITE MEMORIAL MEDICAL CENTER. 8. TOTAL FTE POSITIONS REQUESTED: 24 FUNDING YEAR PERIOD Y 1 Y 2 Y 3 TOTAL 1 7/1/22—6/30/23 6 0 0 6 2 7/1/23—6/30/24 6 0 0 6 3 7/1/24—6/30/25 6 0 0 6 4 7/1/25—6/30/26 6 0 0 6 9. REQUESTED FTE POSITIONS FOR ACADEMIC YEAR 2022-2023: 6 FTE (ALL PGY-1) (6-0-0) 10. ROTATION SITES: RESIDENTS WILL PERFORM ROTATIONS AT ADVENTIST WHITE MEMORIAL MEDICAL CENTER AND CHILDREN’S HOSPITAL LOS ANGELES, BOTH OF WHICH HAVE PROVIDED RESIDENT TRAINING IN THE PREVIOUS ACADEMIC YEAR.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - 1. NAME: ALTAMED FAMILY MEDICINE RESIDENCY 2. DISCIPLINE: FAMILY MEDICINE 3. TYPE OF APPLICATION: NEW APPLICATION 4. ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC) (SECTION 1905(I)(2)(B) OF THE SOCIAL SECURITY ACT [42 USC 1396D(I)(2)(B)] OPERATING THE FAMILY MEDICINE RESIDENCY AS THE PRIMARY ACCREDITED ENTITY (OPERATES ALONE). 5. YEAR PROGRAM BEGAN: 2020 (FIRST PGY 1 COHORT: JULY 1, 2020) 6. ORGANIZATION WEBSITE: WWW.ALTAMED.ORG 7. OVERVIEW: FOUNDED IN 1969, ALTAMED IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC). NOW THE LARGEST FQHC IN CALIFORNIA, ALTAMED OFFERS A PATIENT CENTERED MEDICAL HOME WITH COMPREHENSIVE PRIMARY CARE, ENABLING AND SOCIAL SERVICE PROGRAMS TO LOW-INCOME UNDERSERVED COMMUNITIES FOR OVER 270,000 PREDOMINANTLY LATINO CHILDREN, YOUTHS, ADULTS AND SENIORS, 11% OF WHICH ARE UNINSURED. ALTAMED’S FAMILY MEDICINE RESIDENCY IS A NEW PROGRAM THAT LAUNCHED WITH SIX (6) NEW RESIDENTS IN JULY 2020. ALTAMED’S PROGRAM IS ACCREDITED BY THE ACGME, AND THE MAIN PRIMARY CARE TRAINING SITE WILL BE THE ALTAMED HEALTH SERVICES – SOUTH GATE LOCATION IN LOS ANGELES, CALIFORNIA, A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA/POPULATION. ADDITIONAL TRAINING LOCATIONS WILL BE ALTAMED’S COMMUNITY HEALTH CENTERS IN LOS ANGELES, CHILDREN’S HOSPITAL LOS ANGELES, AND ADVENTIST WHITE MEMORIAL MEDICAL CENTER. 8. TOTAL FTE POSITIONS REQUESTED: 24 (6 FTE EACH YEAR) 9. REQUESTED FTE POSITIONS FOR ACADEMIC YEAR 2022-2023: 6 FTE (ALL PGY-1) (6-0-0)

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

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

COMPREHENSIVE HIGH-IMPACT HIV PREVENTION PROJECTS FOR YOUNG LATINO MEN WHO HAVE SEX WITH MEN IN LOS ANGELES COUNTY

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

HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION PROJECTS FOR COMMUNITY-BASED ORGANI

COVID-19 EQUITY REBUILDING FOR RESILIENT COMMUNITIES (PROJECT CERRC) - ALTAMED RESPECTFULLY REQUESTS $1,500,000 OVER THE THREE-YEAR PERIOD ($500,000 PER YEAR) FOR THE PROPOSED COVID-19 EQUITY REBUILDING TASKFORCE FOR RESILIENT COMMUNITIES (PROJECT CERRC). PROJECT CERCC WILL CONTINUE THE NEXT PHASE OF ALTAMED’S GRASSROOTS COMMUNITY CENTERED COVID-19 VACCINE EQUITY INITIATIVE CRISIS RESPONSE AND RECOVERY EFFORTS TOWARD BUILDING LONG-TERM COMMUNITY RESILIENCE, CAPACITY BUILDING AND EMPOWERMENT IN COMMUNITIES OF SOUTHEAST LOS ANGELES (SELA) AND CENTRAL ORANGE COUNTY (CENTRAL OC) IN SOUTHERN CALIFORNIA. BASED ON COMMUNITY LED PRIORITIES, PROJECT CERCC WILL BE A COLLABORATION AMONG ACTIVATED, COMMITTED COMMUNITY MEMBERS, YOUTH, AND PATIENTS, AND COMMUNITY STAKEHOLDERS IN THE MULTI-SECTOR MY COMMUNITY, MY HEALTH COALITION (MCMH) COORDINATED BY THE ALTAMED INSTITUTE FOR HEALTH EQUITY’S COMMUNITY ORGANIZING AND RESEARCH ENGAGEMENT TEAM (CORE). THIS COLLABORATIVE PROVIDES A ROBUST CROSS-SECTION OF THE COMMUNITY THAT WILL BE ENGAGED IN THE DESIGN, IMPLEMENTATION AND EVALUATION OF POLICIES TARGETING FOUR SOCIAL DETERMINANTS OF HEALTH (SDOH)/STRUCTURAL DOMAINS OVER THE FUNDING PERIOD. PROJECT CERRC TASKFORCE WILL BE ESTABLISHED AS A SOLUTION FOR COALITION BUILDING/PARTNERSHIP MOBILIZATION TOWARD POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE (PSE) EFFORTS. PROJECT GOALS: THE GOAL OF THIS PROJECT IS TO LEVERAGE THE UNIQUE MOMENT OF COVID-19 REBUILDING TO ADDRESS THE IMPACT OF STRUCTURAL RACISM IN THE HISTORICALLY DISINVESTED PREDOMINANTLY LATINX COMMUNITIES OF SOUTHEAST LOS ANGELES (SELA) AND CENTRAL ORANGE COUNTY (CENTRAL OC). THIS REBUILDING WILL HAPPEN THROUGH GRASSROOTS AND COMMUNITY-DRIVEN POLICY CHANGE INITIATIVES ACROSS THESE FOUR STRATEGIC GOALS AND INTERMEDIARY SDOH DOMAINS/STRUCTURAL DETERMINANTS: 1. INCREASE ACCESS TO AFFORDABLE HOUSING; 2. REDUCE FOOD INSECURITY (INCREASE FOOD ACCESS FOR ALL); 3. STRENGTHEN WORKER PROTECTION LAWS IN LOW-WAGE, FRONT-LINE OCCUPATIONS (FOR WORKERS TO KEEP THEIR JOBS IN FUTURE PUBLIC HEALTH EMERGENCIES); 4. EXPAND HEALTH INSURANCE COVERAGE, REGARDLESS OF CITIZENSHIP STATUS AND AGE, “HEALTH FOR ALL CALIFORNIANS”. PROJECT OBJECTIVES: THE GOALS WILL BE ACHIEVED BY THREE OBJECTIVES: 1) DEVELOP A COMMUNITY ADVISORY BOARD (CAB) AND A MOBILIZATION TASKFORCE TO INCREASE OPPORTUNITIES AND ENHANCE COMMUNITY CAPACITY TO INFORM AND ENGAGE IN LEADING POLICY CHANGE INITIATIVES; 2) INCREASE CAPACITY FOR PARTNERS, COMMUNITY STAKEHOLDERS AND POLICYMAKERS TO CREATE AND IMPLEMENT COMMUNITY CENTERED PRIORITIES FOR EQUITABLE BUILDING POST COVID-19; AND 3) MOBILIZE THE PROJECT CERRC TASKFORCE AND THE MULTI-SECTOR MY COMMUNITY, MY HEALTH (MCMH) COALITION PARTNERS TO TAKE ACTION AROUND PRIORITIES AND POLICY CHANGE PROJECTS. KEY OUTCOMES: BY THE END OF THE THREE-YEAR GRANT PERIOD: PROJECT CERRC WILL: (A) ESTABLISH A PIPELINE FOR COMMUNITY ENGAGEMENT; (B) COMMUNITY MEMBERS WILL BE DEVELOPING, LEADING AND AUTHORING REPORTS WITH QUALITATIVE AND QUANTITATIVE RESEARCH (E.G., POLICY BRIEFS); (C) INCREASE COLLABORATION BETWEEN COMMUNITY AND PARTNERS; (D) DEVELOP SYSTEMS/CULTURE CHANGE IN COMMUNITY PARTNERED ORGANIZATIONS FOLLOWING CAPACITY BUILDING EFFORTS; (E) BUILD INFRASTRUCTURE FOR COMMUNITY TO INFORM, MONITOR AND HOLD ACCOUNTABLE STAKEHOLDERS AND DECISION MAKERS TO ENSURE THAT POLICY CHANGE INITIATIVES ARE ALIGNED WITH COMMUNITY PRIORITIES AND ADDRESS ROOT CAUSE ISSUES. BY BUILDING A SYSTEM FOR ONGOING ENGAGEMENT AND POWER-SHARING, PROJECT CERRC WILL: (F) ENGAGE 1,050 COMMUNITY MEMBERS THROUGH POLICY, SYSTEMS, AND ENVIRONMENTAL (PSE) CHANGE ACTIVITIES; (G) ENABLE 25% OF COMMUNITY MEMBERS TO MOVE AT LEAST ONE CATEGORY ACROSS THE ENGAGEMENT SPECTRUM; (H) THROUGH COMMUNITY AWARENESS AND PSE CAMPAIGNS, ACHIEVE CUMULATIVE REACH OF 450,000 IN SOFT TOUCHES AND CUMULATIVE DIRECT OUTREACH OF 15,000; (I) REACH 50 LEADERS AT COMMUNITY BASED ORGANIZATIONS, GOVERNMENTAL AGENCIES, PUBLIC OFFICES (ELECTED OFFICIALS), OR OTHER STAKEHOLDERS THRO

PRIMARY CARE TRAINING AND ENHANCEMENT: TRAINING PRIMARY CARE CHAMPIONS

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE

INDEPENDENT INITIATIVE

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

CONNECTING KIDS TO COVERAGE COLLABORATIVE OUTREACH AND ENROLLMENT PROJECT OF ALTAMED HEALTH SERVICES CORPORATION AND CHILDREN'S HOSPITAL OF LOS ANGELES - ALTAMED HEALTH SERVICES CORPORATION AND ITS COLLABORATIVE PARTNER, CHILDREN’S HOSPITAL OF LOS ANGELES, ARE REQUESTING $1,499,956 OVER A THREE-YEAR PERIOD TO DEPLOY CONNECTING KIDS TO COVERAGE (CKC) OUTREACH AND ENROLLMENT ACTIVITIES THAT WILL TARGET UNINSURED CHILDREN, THEIR FAMILIES, AND PREGNANT WOMEN IN HEAVILY LATINO COMMUNITIES IN EAST LOS ANGELES, SOUTH LOS ANGELES, AND DOWNTOWN/METRO AREAS IN LOS ANGELES COUNTY AS WELL AS IN NORTH ORANGE COUNTY (OC). OF THE 33,000 UNINSURED CHILDREN IN LOS ANGELES COUNTY IN 2018, 76% (25,000) ARE LATINO—THE MOST IMPACTED RACE/ETHNIC GROUP IN LA COUNTY. LIKE IN LOS ANGELES COUNTY, LATINO CHILDREN HAVE THE HIGHEST UNINSURED RATES AMONG ALL RACIAL/ETHNIC GROUPS IN ORANGE COUNTY AT 5.2% (17,510) UNINSURED IN 2019. ALTAMED AND CHLA WILL PROVIDE YEAR-ROUND OUTREACH AND APPLICATION ASSISTANCE PROMOTED BY REGIONAL CKC MESSAGING TO DRIVE ENROLLMENT OF ELIGIBLE, UNINSURED CHILDREN, FAMILIES, AND PREGNANT WOMEN IN MEDI-CAL. EVIDENCE-BASED STRATEGIES AND APPROACHES WITH DEMONSTRATED SUCCESS WILL BE DEPLOYED, INCLUDING COMPONENTS PROMOTED BY CMS: (I) BRIDGE DISPARITIES AMONG LATINO CHILDREN IN SAFETY-NET COMMUNITIES; (II) SCHOOL-BASED OUTREACH BY EXPANDING THE NATURE OF EXISTING FORMAL COLLABORATIONS WITH OVER 225 SCHOOLS IN PREDOMINANTLY BROWN COMMUNITIES IN LOS ANGELES AND ORANGE COUNTIES; (III) PROVIDE 1:1 APPLICATION & RENEWAL ASSISTANCE IN SPANISH, IN-PERSON AND VIRTUALLY, TO HELP FAMILIES NAVIGATE THE PROCESS THROUGH TO APPROVAL AND PROVIDER SELECTION; (IV) LEVERAGE EXISTING AND CULTIVATING NEW PARTNERSHIPS WITH COMMUNITY-BASED, FAMILY-SERVING ORGANIZATIONS AND LOCAL BUSINESSES IN HEAVILY LATINO COMMUNITIES FOR EDUCATION/OUTREACH; (V) OUTREACH TO PREGNANT WOMEN AT HOSPITALS; (VI) ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) BY BRIDGING FAMILIES TO HEALTH EQUITY NAVIGATORS (ALTAMED) AND COMMUNITY AMBASSADORS/PROMOTORAS (CHLA) WHO OFFER SUPPORTS AND COMMUNITY RESOURCES NAVIGATION TO MITIGATE BARRIERS TO CARE; AND (VII) STRONG MESSAGING YEAR-ROUND INCLUDING OPEN ENROLLMENT, FREE APPLICATION ASSISTANCE, AND ALLAYING FEARS ABOUT PUBLIC CHARGE. OVER A THREE-YEAR PERIOD, THE PROPOSED OUTREACH AND ENROLLMENT PROJECT WILL RESULT IN: - 1,800 MEDI-CAL APPLICATIONS SUBMITTED FOR CHILDREN, WITH 1,200 CHILDREN NEWLY ENROLLED; - 840 MEDI-CAL APPLICATIONS SUBMITTED FOR PARENTS, WITH 420 PARENTS NEWLY ENROLLED; AND - 360 MEDI-CAL APPLICATIONS SUBMITTED FOR PREGNANT WOMEN, WITH 180 PREGNANT WOMEN NEWLY ENROLLED. AS LEAD APPLICANT, ALTAMED IS A 501(C)3 FEDERALLY QUALIFIED HEALTH CENTER FOUNDED IN 1969 WITH THE MISSION “TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD-CLASS DELIVERY SYSTEM FOR LATINO, MULTI-ETHNIC AND UNDERSERVED COMMUNITIES IN SOUTHERN CALIFORNIA”. IT OPERATES 28 CLINICS SERVING AS A MEDICAL HOME TO 257,000 PRIMARILY LATINO INDIVIDUALS ACROSS LOS ANGELES AND ORANGE COUNTIES. ALTAMED AND CHLA SHARE A MISSION AS REGIONALLY-PROMINENT PROVIDERS IN UNDERSERVED COMMUNITIES, CREATING A NATURAL PARTNERSHIP. BOTH OFFER MEDICAL SERVICES AND HEALTH EDUCATION PROGRAMS RESPONSIVE TO TARGET FAMILY NEEDS TO SUPPORT POSITIVE HEALTH OUTCOMES, INCLUDING PRIMARY CARE AND PEDIATRIC SUB-SPECIALTY CARE.

ELECTRONIC HEALTH RECORD IMPLEMENTATION INITIATIVE

HIV PREVENTION PROJECTS FOR YOUNG LATINO MEN WHO HAVE SEX WITH MEN

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

REDUCING RISKS FOR ALCOHOL-EXPOSED PREGNANCY (AEP) IN WOMEN ATTENDING FEDERALLY F

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

LOCAL COMMUNITY-BASED WORKFORCE TO INCREASE COVID-19 VACCINE ACCESS

HEALTHY COMMUNITIES, HEALTHY LIVES

COMMUNITY-BASED ALZHEIMER'S DISEASE INITIATIVE

COMMUNITY-BASED APPROACHES TO REDUCING STDS (CARS) - SINCE 1969, ALTAMED HAS ADDRESSED THE NEEDS OF MEDICALLY DISENFRANCHISED LATINX IN EAST LOS ANGELES. ALTAMED HAS GROWN TO BECOME THE LARGEST FEDERALLY QUALIFIED HEALTH CENTER IN CALIFORNIA SERVING OVER 245,000 PATIENTS EACH YEAR AND A PROMINENT AND PREFERRED HIV SERVICES PROVIDER TARGETING LATINX MSM. ALTAMED OFFERS A FULL CONTINUUM OF INTEGRATED HIV PREVENTION AND CARE SERVICES AND IS A CURRENT AWARDEE OF CDC’S HIGH-IMPACT HIV PREVENTION (HIP) PROGRAMS, PS22-2203 TARGETING YOUNG MSM OF COLOR AND THEIR PARTNERS AND PS21-2102 COMPREHENSIVE HIP FOR CBOS, BOTH FOCUSING ON LATINX MSM IN LOS ANGELES COUNTY, THE POPULATION EXPERIENCING THE HIGHEST LOCAL DISEASE BURDEN. IN PARTICULAR, ALTAMED’S HAS BEEN LEVELING TAILORED HIP OUTREACH AND ENGAGEMENT STRATEGIES WITHIN ETHNIC, SOCIAL, AND OTHER SUB- OR AFFINITY GROUPS WITHIN THE YOUNG LATINX MSM COMMUNITY 13-29 YEARS OF AGE: (1) BEAR/ CUB SUBCULTURE; (2) TEA PARTY COMMUNITY; (3) DRAG QUEEN SUBCULTURE; (4) UNHOUSED/ UNSTABLY HOUSED; (5) INDIGENOUS PEOPLE OF OAXACA, MEXICO; (6) CENTRAL AMERICAN/ EL SALVADOR IMMIGRANT COMMUNITY; AND (7) QUEER, LATINX PUNK ROCK SCENE. PROPOSED PS23-2306 ACTIVITIES WILL AMPLIFY THIS STRATEGY AND CONTINUE SPECIFIC TARGETING WITHIN LATINX MSM SUBCOMMUNITIES IN ORDER TO ALSO REDUCE STD DISPARITIES AND PROMOTE GENERAL PERSONAL HEALTH, ADVANCE COMMUNITY HEALTH, AND IMPROVE PERSONAL BEHAVIOR AND PRACTICES AMONG A POPULATION IDENTIFIED AS A PRIORITY IN THE LOS ANGELES COUNTY INTEGRATED HIV PREVENTION AND CARE PLAN 2022-2026. ALTAMED WILL FURTHER EMPOWER LEADERS AND INFLUENCERS WITHIN THESE LATINX MSM SUBGROUPS TO SHAPE COMMUNITY-ENGAGED AND -DESIGNED STD INTERVENTION STRATEGIES THAT WILL ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) AND PROMOTE SEXUAL HEALTH. GOALS OF THE CARS PROGRAM INCLUDE: - DECREASE RISKY SEXUAL BEHAVIOR AMONG DISPROPORTIONATELY AFFECTED GROUPS; - DECREASE STD DISPARITIES AMONG DISPROPORTIONATELY AFFECTED GROUPS; - INCREASE QUALITY AND ACCESSIBILITY TO STD PREVENTION SERVICES; AND - DECREASE EFFECT OF SOCIAL ISSUES RELATED TO STD TRANSMISSION. TOWARDS THESE ENDS, ALTAMED WILL ENGAGE ITS PRIORITY POPULATION-REFLECTIVE COMMUNITY ADVISORY BOARD (CAB) TO HELP DESIGN EXISTING EVIDENCE-BASED STRATEGIES TO BRIDGE STD DISPARITIES GAPS AND PROMOTE PERSONAL HEALTH, COMMUNITY WELLNESS, AND PERSONAL HEALTH BEHAVIOR AND PRACTICES IN LATINX MSM SUBPOPULATIONS. ACTIVITIES WILL BE CONDUCTED IN FIVE STRATEGY AREAS: (1) COMMUNITY ENGAGEMENT, (2) IDENTIFICATION & IMPLEMENTATION OF SYSTEMS & ENVIRONMENTAL STRATEGIES, (3) DEVELOPMENT OF MULTI-SECTORAL PARTNERSHIPS, (4) COMMUNICATION, AND (5) EVALUATION/ CONTINUOUS QUALITY IMPROVEMENT (CQI). EFFORTS ALSO WILL DEVELOP A ROADMAP FOR AND HELP ADVANCE INTERNAL CHANGES TO REDUCE STRUCTURAL OR SYSTEMS BARRIERS THAT HAVE HAMPERED FULL INTEGRATION AND ACCESS TO TIMELY STI/STD PREVENTION AND TESTING INTO ALTAMED’S COMMUNITY-BASED HIV PREVENTION PROGRAMMING.

IMPROVING MATERNAL HEALTH IN AN FQHC - A FEDERALLY QUALIFIED HEALTH CENTER WITH A NETWORK OF 30 CLINICS IN LOS ANGELES AND ORANGE COUNTIES, ALTAMED HEALTH SERVICES SEEKS TO TEST A NEW CLINICAL DIAGNOSTIC APPROACH AND EMPOWERMENT INTERVENTION FOR LOW-INCOME FEMALE PATIENTS – PRIMARILY LATINA – BETWEEN THE AGES OF 15 AND 44 YEARS OLD THAT WILL NARROW THE WINDOW OF TIME FROM SYMPTOM PRESENTATION TO DIAGNOSIS AND TREATMENT FOR UTERINE FIBROIDS AND POLYCYSTIC OVARY SYNDROME. THE PLAN SETS THE STAGE FOR A PARADIGM SHIFT IN IN WOMEN’S HEALTH MANAGEMENT BY ADAPTING THE CHRONIC CARE MODEL FOR DIABETES AND COLORECTAL HEALTH. FACILITATED BY CUSTOMIZED CHANGES IN THE ELECTRONIC MEDICAL RECORD, THIS PROJECT WILL MOBILIZE THE ENTIRE DOCTOR-PATIENT-FAMILY TRIAD. RECOGNIZING THAT FAMILY PRACTITIONERS, OBSTETRICIANS, AND GYNECOLOGISTS’ LATITUDE IN APPLYING CLINICAL GUIDELINES HAS PRIVILEGED IMMEDIATE SYMPTOM REDUCTION OVER DIAGNOSES, THE PROJECT DIRECTOR WILL TRAIN PROVIDERS IN NEW GUIDEPOSTS. ANOTHER FEATURE OF THIS SYSTEM WILL BE FOLLOW-UP BY A CENTRALIZED TEAM OF BILINGUAL AND BICULTURAL ENGLISH/SPANISH PROFESSIONALS (“REGISTRY TEAM”) WHO WILL SUPPORT PATIENTS CONSISTENTLY AND PATIENTLY. TO ACTIVATE PATIENTS AND THEIR SUPPORT SYSTEMS, ALTAMED WILL INTRODUCE – VIA MOBILE MESSAGING AND IN HARD COPY – ORIGINAL FOTONOVELAS, BOOKLETS WITH GRAPHICS AND GRIPPING STORYLINES THAT ARE TAILORED TO APPEAL TO THE DISTINCT AUDIENCES OF PATIENTS, FAMILY MEMBERS, AND FRIENDS. A GROUP OF COMMUNITY REPRESENTATIVES LIVING IN ALTAMED’S HOME BASE OF SOUTHEAST LOS ANGELES AND ASSOCIATED WITH ALTAMED’S INSTITUTE FOR HEALTH EQUITY, WILL GUIDE CONTENT DEVELOPMENT, AS WILL LOCAL EXPERTS IN LATINX CIVICALLY ENGAGED HEALTH PROMOTION. AS A DIRECT RESULT OF THESE EFFORTS, ALTAMED ANTICIPATES SEVERAL QUANTITATIVE AND QUALITATIVE CHANGES, FROM MORE KNOWLEDGE AND BETTER LISTENING SKILLS AMONG PROVIDERS TO HIGHER ENGAGEMENT AND TRUST IN THE PROCESS AMONG PATIENTS AND INCREASED KNOWLEDGE/SOCIAL SUPPORT FROM FAMILY AND FRIENDS. OVER THE PROJECT PERIOD, ALTAMED’S PROJECT WILL INCREASE COMMUNITY AWARENESS OF THE SYMPTOMS OF FIBROIDS AND PCOS RESULTING IN REDUCED TIME TO SYMPTOM REPORTING AND DIAGNOSIS AND IMPROVED TREATMENT OUTCOMES.

ARRA - INCREASE SERVICES TO HEALTH CENTERS

REPLICATION OF PROGRAMS PROVEN EFFECTIVE THROUGH RIGOROUS EVALUATION TO REDUCE TEENAGE PREGNANCY, BEHAVIORAL RISK FACTORS UNDERLYING TEENAGE PREGNANCY, OR OTHER ASSOCIATED RISK FACTORS (TIER 1) - PH I

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

NURSE, EDUCATION, PRACTICE, QUALITY AND RETENTION - REGISTERED NURSES IN PRIMARY CARE

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

HEALTH CAREERS OPPORTUNITY PROGRAM (HCOP) SKILLS TRAINING AND HEALTH WORKFORCE DEVELOPMENT OF PAR

FISCAL YEAR 2025 EXPANDED HOURS. - 1. OVERVIEW: FOUNDED IN 1969, ALTAMED IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC). NOW THE LARGEST FQHC IN CALIFORNIA, ALTAMED’S REGIONAL HEALTH NETWORK OFFERS A MEDICAL HOME WITH A FULL RANGE OF PRIMARY CARE, ENABLING AND SOCIAL SERVICE PROGRAMS TO LOW-INCOME UNDERSERVED COMMUNITIES FOR OVER 276,000 PREDOMINANTLY LATINO CHILDREN, YOUTHS, ADULTS AND SENIORS, 9% OF WHICH ARE UNINSURED. ALTAMED EMPLOYS ALMOST 4,000 DYNAMIC PROFESSIONALS AND PARA-PROFESSIONALS WHO ARE LINGUISTICALLY AND CULTURALLY FAMILIAR WITH THE POPULATION WE SERVE. WITH 52 SITES (36 PRIMARY CARE CLINICS AND 16 ADDITIONAL SERVICE SITES) SERVING LOS ANGELES AND ORANGE COUNTIES, ALTAMED’S MISSION IS, “TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD CLASS DELIVERY SYSTEM FOR LATINO, MULTI-ETHNIC AND UNDERSERVED COMMUNITIES”. ALTAMED ENHANCES ITS WORK THROUGH THE PROVISION OF ONGOING CULTURALLY- AND LINGUISTICALLY-APPROPRIATE HEALTH EDUCATION AND WELLNESS PROMOTION IN STRATEGIC COLLABORATION WITH SCHOOLS, FAITH-BASED ORGANIZATIONS, AND OTHER COMMUNITY-BASED ORGANIZATIONS. 2. PROJECT DIRECTOR: DANIEL RUIZ EMAIL: GRANTS@ALTAMED.ORG PHONE: 323.889.7343 PLEASE CONTACT CELIA VEGA-DELPASAND (PHONE: 323.695.6790 OR EMAIL: CVHERRERA@ALTAMED.ORG) FOR ANY ADDITIONAL INFORMATION REGARDING THIS PROPOSAL. 3. WEBSITE: WWW.ALTAMED.ORG 4. REQUESTED FUNDING: ALTAMED IS REQUESTING $500,000 PER PROGRAM YEAR ($1,000,000 TOTAL). 5. HEALTH CENTER PROGRAM: H80CS00142-22-00 6. TARGET & OBJECTIVES: WITH OVER 40 MILLION RESIDENTS SPREAD ACROSS 58 COUNTIES, CALIFORNIA REPRESENTS A MASSIVE CHALLENGE WHEN ADDRESSING THE PRIMARY HEALTH CARE NEEDS FOR VULNERABLE POPULATIONS. IN LOS ANGELES AND ORANGE COUNTY ALONE, THERE ARE ~10 MILLION AND 4 MILLION RESIDENTS, RESPECTIVELY. ALTAMED AND OTHER FQHCS PROVIDE A SIGNIFICANT AMOUNT OF HEALTH SERVICES FOR THESE RESIDENTS, ESPECIALLY THOSE WHO ARE LOW-INCOME AND/OR CULTURALLY AND LINGUISTICALLY ISOLATED. ALTAMED IS PROPOSING TO EXPAND SERVICE HOURS AT ITS CLINIC IN ORANGE AND ITS THREE LA HOUSING COMPLEX LOCATED CLINICS AT ESTRADA COURTS, WILLIAM MEAD, AND RAMONA GARDENS. THIS EXPANSION WILL INCREASE ACCESSIBILITY FOR PATIENTS IN THESE AREAS, WITH INCREASED PHYSICIAN TIME IN THE CLINICS AND REDUCED WAIT TIMES FOR NECESSARY CARE.

ACCELERATING CANCER SCREENING - ALTAMED HEALTH SERVICES IS PROPOSING TO IMPLEMENT ITS COLORECTAL CANCER PREVENTION PROJECT, ACCELERATING COLORECTAL CANCER SCREENING AND FOLLOW-UP CARE AMONG HISPANIC/LATINO/LATINX POPULATIONS IN LOS ANGELES COUNTY: A COLLABORATION BETWEEN ALTAMED HEALTH SERVICES AND THE USC NORRIS COMPREHENSIVE CANCER CENTER. A SYSTEM-ENHANCING POPULATION HEALTH PROJECT, PROPOSED ACTIVITIES WILL INCREASE COLORECTAL CANCER (CRC) SCREENING RATES AMONG LATINO PATIENTS IN THE LARGEST FQHC SYSTEM IN CALIFORNIA. THE PROJECT WILL BUILD UPON ALTAMED’S CRC SCREENING INFRASTRUCTURE THAT HAS BEEN STRENGTHENED AS A CURRENT AWARDEE OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION’S PUBLIC HEALTH AND HEALTH SYSTEMS PARTNERSHIPS TO INCREASE COLORECTAL CANCER SCREENING PROGRAM. CDC-SUPPORTED EFFORTS HAVE HELPED TO DRIVE AN ORGANIZATIONAL UPWARD TREND IN CRC SCREENINGS FROM A LOW OF 42% IN LOS ANGELES COUNTY AMONG 50-74 YEAR OLDS AT THE END OF YEAR 1 OF THE PANDEMIC. HOWEVER, ALTAMED’S 2021 LOS ANGELES COUNTY RATES REMAIN LOWER (AT 54%) THAN ITS 2019 SCREENING HIGH OF 61%. IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS IN THE LAST YEAR HAVE FAILED TO FULLY RE-ESTABLISH PRE-COVID CRC SCREENING UPTAKE LEVELS. THE PROPOSED AXCS-RELATED ACTIVITIES ADDRESS GAPS IN EXISTING WORK, IN PARTICULAR AROUND IN-REACH AND SCREENING NAVIGATION, AND WILL HELP MOVE ALTAMED’S CRC SCREENING RATE TO WELL ABOVE PRE-PANDEMIC LEVELS AS WELL AS INCREASE REFERRAL FOR CRC CARE AND TREATMENT. ALTAMED HAS PARTNERED WITH THE NCI-DESIGNATED UNIVERSITY OF SOUTHERN CALIFORNIA NORRIS COMPREHENSIVE CANCER CENTER (USC NORRIS) TO ADDRESS A CRITICAL GAP IN THE CAPACITY OF ALTAMED STAFF TO PROVIDE TARGETED, ONGOING GUIDANCE AND SUPPORT TO NAVIGATE HESITANT PATIENTS TO CRC SCREENING COMPLETION. A USC NORRIS-TRAINED AND -SUPERVISED PATIENT NAVIGATOR WILL BE RESPONSIBLE FOR FOCUSED IN-REACH AND ONE-ON-ONE CRC SCREENING NAVIGATION, WITH A PARTICULAR EMPHASIS ON IDENTIFYING AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH. USC NORRIS HAS A RICH TRADITION OF COLLABORATIVE RESEARCH ON CANCER DISPARITIES FROM BIOLOGY TO SOCIETY; IT WAS ONE OF THE FIRST EIGHT CANCER CENTERS IN THE NATION TO RECEIVE THE NCI DESIGNATION AS A COMPREHENSIVE CANCER CENTER IN 1973. USC NORRIS IS A LEADER IN CANCER RESEARCH, EDUCATION, AND PATIENT-CENTERED ONCOLOGY CARE THAT FOCUSES ON REDUCING THE BURDEN OF CANCER FOR ALL PEOPLE. COLORECTAL CANCER AND EFFORTS TO REDUCE DISPARITIES IN CRC OUTCOMES ARE INSTITUTIONAL PRIORITIES AT USC NORRIS. ALTAMED WILL WORK CLOSELY WITH THE OFFICE OF COMMUNITY OUTREACH AND ENGAGEMENT (COE) OF USC NORRIS WHICH PLAYS A CRITICAL ROLE IN DEVELOPING, IMPLEMENTING, AND COORDINATING TARGETED PROGRAMS AND ACTIVITIES TO ADDRESS EDUCATION NEEDS AMONG RESIDENTS IN LOS ANGELES COUNTY. TOGETHER WITH THE USC NORRIS COMMUNITY ADVISORY BOARD AND FACULTY IN LEADERSHIP COMMITTEES, COE WILL ENSURE THAT PRIORITIES IDENTIFIED IN THE AXCS PROJECT ARE TRANSLATED INTO SUSTAINABLE STRATEGIES FOR EARLY DETECTION, PREVENTION, AND TREATMENT FOR ALTAMED’S PATIENT POPULATION TO REDUCE THE CANCER BURDEN IN LOS ANGELES COUNTY.

CAPITAL DEVELOPMENT

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - FOUNDED IN 1969, ALTAMED IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC). NOW THE LARGEST FQHC IN CALIFORNIA, ALTAMED OFFERS A PATIENT CENTERED MEDICAL HOME WITH COMPREHENSIVE PRIMARY CARE, ENABLING AND SOCIAL SERVICE PROGRAMS TO LOW-INCOME COMMUNITIES FOR OVER 295,000 PREDOMINANTLY LATINO CHILDREN, YOUTHS, ADULTS AND SENIORS, 83.6% OF WHICH ARE COVERED BY MEDICAID OR MEDICAID, WITH 7% UNINSURED. ALTAMED’S FAMILY MEDICINE RESIDENCY IS A NEW PROGRAM THAT LAUNCHED WITH SIX (6) NEW RESIDENTS IN JULY 2020 AND GRADUATED ITS FIRST COHORT IN THE ACADEMIC YEAR 2022-2023. ALTAMED’S PROGRAM IS ACCREDITED BY THE ACGME, AND THE MAIN PRIMARY CARE TRAINING SITE WILL BE THE ALTAMED HEALTH SERVICES – SOUTH GATE LOCATION IN LOS ANGELES, CALIFORNIA, A DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA/POPULATION. KEY TRAINING LOCATIONS WILL BE ALTAMED’S COMMUNITY HEALTH CENTERS IN LOS ANGELES (INCLUDING AT THE CHILDREN’S HOSPITAL LOS ANGELES) AND ORANGE COUNTY. ALTAMED’S PROGRAM WILL INCREASE THE NUMBER OF FAMILY MEDICINE PHYSICIANS WHO ARE PREPARED TO PROVIDE CARE FOR PEOPLE EXPERIENCING HOMELESSNESS BY BRINING CARE TO PEOPLE OUTSIDE OF TRADITIONAL CLINICAL SETTINGS. TO ACCOMPLISH THIS, ALTAMED WILL: 1) DEVELOP AND ENHANCE ITS EXISTING TRAININGS, CLINICAL ROTATIONS, AND DIDACTIC AND CLINICAL CURRICULA CONTENT TO BETTER TRAIN RESIDENTS IN STREET MEDICINE, ALLOWING THEM TO PROVIDE SENSITIVE AND QUALITY CARE FOR PEOPLE EXPERIENCING HOMELESS AND INTEGRATE MENTAL HEALTH AND CARE FOR SUBSTANCE USE DISORDERS. 2) INCREASE RESIDENTS’ KNOWLEDGE AND SKILLS TO MEET THE UNIQUE NEEDS OF PEOPLE EXPERIENCING HOMELESSNESS AND ASSIST PATIENTS WITH NAVIGATION OF THE MEDICAL, BEHAVIORAL, LEGAL, AND SOCIAL SUPPORT SYSTEMS RELATED TO CLINICAL CARE 3) INCREASE RESIDENTS’ KNOWLEDGE AND SKILLS TO WORK IN INTER-PROFESSIONAL TEAMS TO ADDRESS THE SDOH THAT IMPACT PATIENT CARE. ALTAMED WILL COMPLETE THIS ENHANCED TRAINING FOR 18 FAMILY MEDICINE RESIDENTS EACH YEAR. ALTAMED IS REQUESTING FUNDING PREFERENCE AS A NEW PROGRAM, MEETING 7/7 STATED REQUIREMENTS FOR QUALIFICATION 3: NEW TRAINING PROGRAMS.

CONNECT FOR COVERAGE: INCREASING HEALTH CARE COVERAGE FOR UNDERSERVED COMMUNITIES IN LOS ANGELES AND ORANGE COUNTIES

HEALTHY BEHAVIORS IN WOMEN

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

PRIMARY CARE TRAINING AND ENHANCEMENT: TRAINING PRIMARY CARE CHAMPIONS

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

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH CARE AND OTHER FACILITIES

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM - PROBLEM ADVERSE CHILDHOOD EXPERIENCES (ACES) ARE POTENTIALLY TRAUMATIC EVENTS THAT CAUSE OVERWHELMING STRESS AND HAVE LASTING NEGATIVE EFFECTS ON PHYSICAL AND MENTAL HEALTH. SUCH EXPERIENCES INCLUDE ABUSE AND MALTREATMENT (PHYSICAL, SEXUAL, EMOTIONAL/VERBAL); NEGLECT (PHYSICAL AND EMOTIONAL/PSYCHOLOGICAL); AND HOUSEHOLD DYSFUNCTION (PARENT MENTAL ILLNESS; DOMESTIC VIOLENCE; DIVORCE OR SEPARATION; INCARCERATION; AND ALCOHOL OR DRUG ABUSE). TRAUMATIC EVENTS IN CHILDHOOD CAN BE EMOTIONALLY PAINFUL OR DISTRESSING AND CAN HAVE EFFECTS THAT PERSIST FOR YEARS. FACTORS SUCH AS THE NATURE, FREQUENCY AND SERIOUSNESS OF THE TRAUMATIC EVENT, PRIOR HISTORY OF TRAUMA, AND AVAILABLE FAMILY AND COMMUNITY SUPPORTS CAN SHAPE A CHILD’S RESPONSE TO TRAUMA FOR ALTAMED PEDIATRIC PATIENTS ASSESSED FOR ACES, ONE OF THE MOST CRITICAL SERVICE GAPS IS A LACK OF TIMELY ACCESS TO MENTAL HEALTH/BEHAVIORAL SERVICES. LONG WAIT TIMES TO SEE A MENTAL/BEHAVIORAL HEALTH PROFESSIONAL HAVE BELEAGUERED LOS ANGELES COUNTY, CALIFORNIA AND THE NATION. ALTAMED PEDIATRIC PATIENT/FAMILIES IN NEED OF MENTAL HEALTH/BEHAVIORAL SERVICES BEYOND CASE MANAGEMENT OFTEN WAIT TWO TO THREE MONTH FOR AN APPOINTMENT. GOALS AND OBJECTIVES GOAL 1: ADVANCE ALTAMED’S ACES CONTINUUM OF CARE THROUGH A CARE COLLABORATION MODEL OF ACES SYSTEMATIC CASE REVIEW. OBJECTIVE 1. FOUR TO SIX CASES OF CHILDREN AGED 6 MONTHS TO 18 YEARS SCREENED THROUGH PEARLS AND MEETING THE CRITERIA OF COMPLEX ACUITY FOR ACES WILL BE REVIEWED THROUGH A MONTHLY INTERDISCIPLINARY ACES SYSTEMIC CASE REVIEW IN YEARS 1 THROUGH 5. GOAL 2: ENHANCE TRAUMA INFORMED WRAP AROUND BEHAVIORAL HEALTH SERVICES FOR CHILDREN/FAMILIES WITH COMPLEX ACUITY FOR ACES. OBJECTIVE 1. THE PSYCHOLOGY POST-DOCTORAL FELLOW WILL PROVIDE ASSESSMENTS, BRIDGE COUNSELING, AND THERAPEUTIC TREATMENT TO APPROXIMATELY190 UNDER RESOURCED CHILDREN AGED SIX MONTHS TO18 YEARS AND/OR THEIR PARENTS/CAREGIVERS WITH IDENTIFIED COMPLEX CO-OCCURRING PRIMARY CARE AND MENTAL/BEHA VIORAL HEALTH ISSUES IDENTIFIED THROUGH THE ACE SCREENING TOOL (PEARLS) ANNUALLY IN YEARS 1 THROUGH 5. METHODOLOGY THE PROPOSED ACES-BEHAVIORAL HEALTH COLLABORATION (ACES-BHC) PROJECT WILL BE THE INITIAL CATALYST TO SUPPORT THE INTEGRATION OF PEDIATRIC PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES. ALTAMED HAS CHAMPIONED ACES SCREENING AND IS INVESTED IN IMPLEMENTING EVIDENCED BASED APPROACHES TO ADDRESS ACES AND TOXIC STRESS IN ITS PEDIATRIC PATIENT POPULATION. THE ACES-BHC PROJECT IS A NEW COMPONENT WITHIN ALTAMED’S ACES EMERGING CONTINUUM OF CARE, ENHANCING BEHAVIORAL HEALTH CARE ACCESS AND UTILIZATION TO PEDIATRIC PATIENTS WITH COMPLEX ACUITY FOR ACES THROUGH THE ACES-BHC, ALTAMED WILL 1) ESTABLISH AN INTERDISCIPLINARY SYSTEMATIC CASE REVIEW PROCESS TO FACILITATE RESOURCES FOR PEDIATRIC PATIENTS AND THEIR FAMILIES WITH COMPLEX PHYSICAL AND BEHAVIORAL HEALTH ACES CO-MORBIDITY, AS WELL AS PROMOTE WORKFORCE DEVELOPMENT IN PEDIATRIC BEHAVIORAL HEALTH SERVICES THROUGH CASE COLLABORATION, COACHING, AND MENTORSHIP; AND 2) HOST A PSYCHOLOGY POST-DOCTORAL FELLOW FROM THE CHILDREN’S HOSPITAL LOS ANGELES USC/UCEDD GRADUATE PSYCHOLOGY EDUCATION PROGRAM TO PROVIDE BRIDGE COUNSELING AND SHORT TERM PSYCHOLOGICAL COUNSELING TO HIGH RISK UNDER RESOURCED CHILDREN AND YOUTH, AND THEIR FAMILIES. EVALUATION DATA COLLECTION AND TRACKING TOOLS WILL INCLUDE, EPIC ALTAMED’S EMR TO CAPTURE HEALTH-RELATED SERVICES, PROVIDER REFERRALS AND CASE MANAGEMENT NOTES, AS WELL AS EXCEL LOGS TO TRACK PATIENT PARTICIPATION/RESULTS (I.E. PARTICIPATION IN EDUCATIONAL CLASSES, PATIENT SURVEY RESULTS); AND ITS MANAGEMENT INFORMATION SYSTEMS (MIS). PROCESS EVALUATION WILL BE COMPLETED BY ANALYSIS OF EPIC REPORTS AND EXCEL REPORTS. OUTCOME EVALUATION WILL CENTER ON PATIENT/PARENT/CAREGIVER SURVEYS CAPTURING PATIENT SATISFACTION AS WELL AS KNOWLEDGE AND BEHAVIOR CHANGE.

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

HEALTH CARE AND OTHER FACILITIES

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM - ALTAMED'S PARENTAL SUPPORT PROGRAM / PROGRAMA DE APOYO PARA PADRES DE ALTAMED IS A NEW COMMUNITY-BASED INITIATIVE DESIGNED TO ADDRESS BEHAVIORAL HEALTH GAPS IN EARLY CHILDHOOD SCREENING AND LIMITED ACCESS TO MENTAL HEALTH SUPPORT IN EAST LOS ANGELES COUNTY. THE PROGRAM WILL SERVE PARENTS AND CAREGIVERS OF CHILDREN AGES 0-5 WHO FACE BARRIERS TO BEHAVIORAL HEALTH SERVICES, INCLUDING ECONOMIC HARDSHIP AND LACK OF RESPONSIVE CARE THAT ADDRESSES VARYING NEEDS. MANY FAMILIES IN THE SERVICE AREA EXPERIENCE TOXIC STRESS, ADVERSE CHILDHOOD EXPERIENCES (ACES), AND LIMITED ACCESS TO EARLY INTERVENTION SERVICES, WHICH CAN NEGATIVELY IMPACT CHILD DEVELOPMENT AND LONG-TERM HEALTH OUTCOMES. THIS INITIATIVE BUILDS ON LESSONS FROM THE LOS ANGELES MATERNAL MENTAL HEALTH ACCESS (LAMMHA) PROGRAM AND INTEGRATES EVIDENCE-BASED INTERVENTIONS, PSYCHOEDUCATIONAL SUPPORT, AND PEER ENGAGEMENT TO PROMOTE EARLY INTERVENTION, PARENTAL EDUCATION, AND FAMILY RESILIENCE. THE PROGRAM WILL OPERATE AT ALTAMED’S COMMERCE-GOODRICH AND WEST COVINA CLINICS, SERVING A PREDOMINANTLY LOW-INCOME AND SPANISH-SPEAKING POPULATION. THE PROGRAM WILL PRIORITIZE NEW PARENTS AND FAMILIES WITH CHILDREN IDENTIFIED AS HAVING BEHAVIORAL HEALTH NEEDS, ENSURING BILINGUAL SERVICE DELIVERY TO ADDRESS LINGUISTIC NEEDS. THE PROGRAM AIMS TO SERVE 150 PARENT/CAREGIVERS ANNUALLY THROUGH STRUCTURED GROUP-BASED PSYCHOEDUCATIONAL SESSIONS. THE PARENT-ONLY FORMAT FOSTERS A FOCUSED LEARNING ENVIRONMENT WHILE TAKE-HOME ACTIVITIES ENCOURAGE PARENT-CHILD INTERACTION. THE PROGRAM AIMS TO ACHIEVE THE FOLLOWING KEY GOALS: GOAL 1: IMPROVE ACCESS TO AND COMPLETION OF BEHAVIORAL HEALTH SCREENINGS AND REFERRALS FOR CHILDREN BY INTEGRATING EVIDENCE-BASED SCREENING TOOLS AND EXPANDING OUTREACH EFFORTS. OBJECTIVE 1. STRENGTHEN BEHAVIORAL HEALTH SCREENING PROCESSES AND REFERRAL PATHWAYS TO ENSURE EARLY IDENTIFICATION AND INTERVENTION FOR CHILDREN WITH BEHAVIORAL HEALTH CONCERNS. GOAL 2: ENHANCE PARENTAL KNOWLEDGE AND ENGAGEMENT IN CHILD BEHAVIORAL HEALTH BY IMPLEMENTING PSYCHOEDUCATIONAL PROGRAMS AND PROVIDING SUPPORT RESOURCES TAILORED TO COMMUNITY NEEDS. OBJECTIVE 1. EXPAND ACCESS TO PSYCHOEDUCATIONAL SUPPORT FOR PARENTS AND CAREGIVERS TO PROMOTE EARLY INTERVENTION AND MANAGEMENT OF CHILD BEHAVIORAL HEALTH CONCERNS. GOAL 3: INCREASE COORDINATION BETWEEN FAMILIES AND HEALTHCARE PROVIDERS TO IMPROVE BEHAVIORAL HEALTH OUTCOMES AND INCREASE THE USE OF PREVENTIVE HEALTHCARE SERVICES. OBJECTIVE 1. STRENGTHEN LINKAGES BETWEEN FAMILIES AND HEALTHCARE PROVIDERS TO IMPROVE FOLLOW-UP CARE, WELL-CHILD VISITS, AND BEHAVIORAL HEALTH INTERVENTIONS. ALTAMED WILL EMPLOY A COMPREHENSIVE EVALUATION STRATEGY TO MEASURE PROGRAM EFFECTIVENESS, PARTICIPANT OUTCOMES, AND SERVICE UTILIZATION TRENDS. KEY EVALUATION MEASURES INCLUDE: • BEHAVIORAL HEALTH SCREENING COMPLETION: INCREASE SCREENING BY 40% AMONG PARTICIPATING FAMILIES TRACKED VIA EMR AND REFERRAL LOGS • PARENTAL ENGAGEMENT AND KNOWLEDGE IMPROVEMENT: ACHIEVE 85% ATTENDANCE IN PSYCHOEDUCATIONAL SESSIONS (4 OUT OF 6 SESSIONS) WITH 75% PARTICIPANTS DEMONSTRATING IMPROVED BEHAVIORAL HEALTH KNOWLEDGE THROUGH PRE- AND POST- INTERVENTION ASSESSMENT. • WELL-CHILD VISIT UTILIZATION: INCREASE WELL-CHILD VISIT RATES BY 30% BY YEAR 2 TO ENSURE TIMELY PREVENTIVE CARE FOR YOUNG CHILDREN. ALTAMED IS COMMITTED TO SUSTAINING THIS PROGRAM BY INTEGRATING BEHAVIORAL HEALTH SERVICES INTO ITS FQHC BILLING STRUCTURE, DEVELOPING PARTNERSHIPS WITH CHILDREN’S HOSPITAL LOS ANGELES (CHLA), MANAGED CARE ORGANIZATIONS (MCOS), AND TITLE V RECIPIENTS, AND SECURING ADDITIONAL GRANT FUNDING. FINDINGS FROM THE PROGRAM WILL BE DISSEMINATED THROUGH PROFESSIONAL NETWORKS, COMMUNITY COALITIONS, AND HRSA-SUPPORTED LEARNING COLLABORATIVES TO INFORM BEST PRACTICES IN EARLY CHILDHOOD BEHAVIORAL HEALTH.

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

HEALTH CARE AND OTHER FACILITIES

HIV PREVENTION PROJECTS FOR YOUNG LATINO MEN WHO HAVE SEX WITH MEN

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

EXPANDING PROVIDER CONNECTIONS TO OCPRHIO

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

EFFECTS OF THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM ON HEALTHCARE COSTS AND UTILIZATION

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: FY 2023 RWHAP PART C CAPACITY DEVELOPMENT PROGRAM - GENDER AFFIRMING CARE TRAINING AND EDUCATION (GACTE) PROJECT APPLICANT NAME: ALTAMED HEALTH SERVICES CORPORATION ADDRESS: 2040 CAMFIELD AVENUE, LOS ANGELES, CA 90040 PROJECT DIRECTOR: MARCY KAPLAN, DIVISION DIRECTOR HIV SERVICES CONTACT PHONE NUMBERS: TEL: (213) 502-6158 | FAX: (323) 869-5457 EMAIL: MKAPLAN@ALTAMED.ORG WEBSITE ADDRESS: HTTPS://WWW.ALTAMED.ORG FUNDS REQUESTED: $82,404 ALTAMED HEALTH SERVICES (ALTAMED) HAS IDENTIFIED HIV CARE INNOVATION AS ITS FOCUS CATEGORY WITH GENDER AFFIRMING CARE AS ITS SELECTED ACTIVITY. UNDER THIS ACTIVITY, ALTAMED WILL PROVIDED GENDER AFFIRMING MEDICAL TREATMENT TRAINING AND EDUCATION. WHILE ALTAMED HAS PROVIDED HIGH QUALITY COMPREHENSIVE HIV SERVICES IN LOS ANGELES COUNTY SINCE 1989 AND RYAN WHITE-FUNDED PART C EARLY INTERVENTION AND CAPACITY DEVELOPMENT SERVICES FOR 25 YEARS, IT HAS IDENTIFIED THE NEED TO BUILD THE CAPACITY OF ITS CLINICAL PROVIDERS AND ANCILLARY SUPPORT STAFF, ELEVATE THE CLINIC ENVIRONMENT AND IMPROVE CLIENT EXPERIENCES TO OPTIMALLY SERVE LOW-INCOME TRANSGENDER WOMEN AND GENDER DIVERSE INDIVIDUALS WHO ARE LIVING WITH HIV. CAPACITY DEVELOPMENT FUNDING WILL ENABLE ALTAMED TO ENGAGE EXPERTS IN GENDER AFFIRMING CARE TRAINING AND EDUCATION. THROUGH THE PROPOSED GENDER AFFIRMING CARE TRAINING AND EDUCATION (GACTE) PROJECT, CLINICAL AND OPERATIONAL STAFF WILL NOT ONLY ACQUIRE AND INCREASE TRANS HEALTH CLINICAL KNOWLEDGE TO SUPPORT PATIENT PROGRESS ALONG THE HIV CONTINUUM, BUT ALSO GAIN SUPPORTIVE SKILLS AND INSIGHT IN ORDER TO BUILD TRUSTING RELATIONSHIPS WITH TRANSGENDER WOMEN AND GENDER DIVERSE PATIENTS, AND COMMUNITY POPULATIONS LIVING WITH HIV. PER A 2021 CDC HIV SURVEILLANCE SPECIAL REPORT, TRANSGENDER COMMUNITIES, PARTICULARLY BLACK/AFRICAN AMERICAN TRANSGENDER PEOPLE, HISPANIC/LATINO TRANSGEND ER PEOPLE, AND TRANSGENDER WOMEN IN GENERAL, ARE DISPROPORTIONATELY AFFECTED BY HIV. THE CDC REPORT FOUND STARK RACIAL AND ETHNIC DIFFERENCES IN HIV RATES. SIXTY-TWO PERCENT OF BLACK TRANSGENDER WOMEN AND 35% OF HISPANIC/LATINA TRANSGENDER WOMEN HAD HIV, COMPARED TO 17% OF WHITE TRANSGENDER WOMEN. HIV PREVALENCE IS ROUGHLY 20 TIMES HIGHER AMONG TRANSGENDER PEOPLE, AND ROUGHLY 30 TIMES HIGHER AMONG TRANSGENDER WOMEN, THEN AMONG THE GENERAL POPULATION. DESPITE THE GROWING ACCEPTANCE OF INDIVIDUALS WHO IDENTIFY AS TRANSGENDER, SYSTEMIC AND SOCIETAL BARRIERS REMAIN. ALTAMED WILL COORDINATE A SERIES OF REQUIRED GENDER AFFIRMING MEDICAL TREATMENT TRAININGS TO BUILD THE CLINICAL CAPACITY OF OUR LOS ANGELES HIV PHYSICIANS, MID-LEVEL PROVIDERS, BEHAVIORAL HEALTH CLINICIANS, AND ANCILLARY STAFF. ALTAMED WILL ENGAGE EXPERTS IN CLINICAL HIV AND TRANSGENDER HEALTH CARE AS WELL AS EXPERTS IN THE PSYCHOSOCIAL NEEDS OF TRANSGENDER AND GENDER DIVERSE PEOPLE. COMMUNITY TRANSGENDER SERVICE PROVIDERS WILL ALSO BE ENGAGED. CONSULTANT EXPERTS WILL INCLUDE THE COREY BOHMAN, NP AND REBECCA RADA, MD AND THE LOS ANGELES TRANSLATIN@ COALITION. ALTAMED’S CLINICAL HIV MEDICAL CHAMPION ALICIA MOREHEAD-GEE, MD AND PSYCHOSOCIAL HIV CHAMPION DEREK MCKERNAN, LCSW WILL ALSO CONTRIBUTE TO THE TRAINING MODULES AS EXPERT PRESENTERS. PRESENTERS WILL UTILIZE DIDACTIC TRAINING METHODS, AND A MINIMUM OF TWO PRESENTATIONS WILL ALSO INCLUDE EXPERT SPEAKERS TO SHARE THEIR LIVED EXPERIENCE AND ENHANCE UNDERSTANDING OF TRANSGENDER FEMALE AND GENDER DIVERSE PATIENTS CARE NEEDS. IT IS ANTICIPATED THAT SIX ONE-HOUR GENDER AFFIRMING TRAINING MODULE SESSIONS WILL BE EMPLOYED TO CLINICAL AND ANCILLARY STAFF VIA AN ONLINE WEBEX PLATFORM.

NURSE EDUCATION PRACTICE QUALITY RETENTION- REGISTERED NURSE IN PRIMARY CARE COVID

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

C-GROW: COMMUNITIES GENERATING RESEARCH TO PREVENT OBESITY

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

ALTAMED HEALTH SERVICES CORP. OTP COC PROJECT

RYAN WHITE HIV/AIDS PROGRAM PART D WICY COVID-19 RESPONSE

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

NURSE EDUCATION, PRACTICE, QUALITY, AND RETENTION - INTERPROFESSIONAL COLLBORATIVE PRACTICE