Northwell Inc

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

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

ADDRESSING SUBSTANCE USE AS PART OF USUAL CARE: USING SBIRT AS A FOUNDATIONAL APPROACH IN PEDIATRIC AND SPECIALIZED PATIENT POPULATIONS - NORTHWELL HEALTH WILL IMPLEMENT SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IN 14 IDENTIFIED CLINICAL SITES TO INCREASE REACH WITHIN UNIQUE POPULATIONS. SITES WILL INCLUDE 3 PEDIATRIC PRIMARY CARE PRACTICES, 3 PEDIATRIC EMERGENCY DEPARTMENTS, 3 PEDIATRIC BEHAVIORAL HEALTH URGENT CARE CENTERS, 3 COMMUNITY-BASED URGENT CARES THAT SERVE ADULTS AND PEDIATRICS, AND TWO ADULT PAIN MANAGEMENT PRACTICES. THESE SITES HAVE BEEN SELECTED BASED ON THE NEEDS OF THE POPULATIONS THEY SERVE, INCLUDING: A) PEDIATRIC PATIENTS IN PRIMARY CARE; B) PEDIATRIC PATIENTS SEEN IN OTHER HEALTHCARE SETTINGS (WHO MAY NOT HAVE A PRIMARY CARE PROVIDER (PCP)); C) ADULT PATIENTS, INCLUDING YOUNG ADULTS, SEEN AT COMMUNITY BASED URGENT CARES (WHO MAY NOT HAVE A PCP); AND D) ADULTS IN PM PRACTICES WHO HAVE A HIGHER PREVALENCE OF SUBSTANCE USE. SETTINGS CHOSEN WILL FACILITATE CONTINUITY OF CARE EFFORTS BY ADDRESSING SUBSTANCE USE AS PART OF USUAL CARE ACROSS THE LIFESPAN, FROM PEDIATRICS TO GERIATRICS, ACCOUNTING FOR DIVERSE HEALTHCARE JOURNEYS PATIENTS TRAVEL, AND WILL SERVE 140,000 IN THE FIVE-YEAR GRANT PERIOD. CLINICAL SETTINGS ARE LOCATED IN DIVERSE, DENSELY POPULATED REGIONS OF METROPOLITAN NEW YORK, INCLUDING NEW YORK CITY, LONG ISLAND, AND WESTCHESTER, AN AREA EARLIEST AND HARDEST HIT BY COVID-19. THE NEED IS GREATER NOW THAN EVER TO IDENTIFY AND ADDRESS SUBSTANCE USE AS PART OF USUAL PATIENT CARE AS STAY-AT-HOME ORDERS, SOCIAL ISOLATION, AND A LACK OF IN-PERSON SCHOOL HAS CONTRIBUTED TO INCREASED SUBSTANCE USE. OUR STRATEGY IS BASED ON A FOUNDATION OF SBIRT, WITH UNIVERSAL SCREENING FOR ALL PATIENTS WHO ENTER THE HEALTHCARE SETTING. OUR IMPLEMENTATION PLAN WILL BE SUPPORT BY INTERDISCIPLINARY CHAMPIONS, WHO WILL DRIVE MOTIVATION AND FOSTER AN ENVIRONMENT FOR PROGRAM SUSTAINABILITY. PATIENTS WITH A POSITIVE SCREENING WILL BE OFFERED A BRIEF INTERVENTION, BRIEF TREATMENT, OR A REFERRAL TO TREATMENT BY A CLINICAL TEAM MEMBER TRAINED TO SERVE AS AN SBIRT HEALTH COACH. INTERPROFESSIONAL TEAM MEMBERS WILL BE OFFERED TRAINING TO SERVE IN THIS ROLE, TO DIVERSIFY THEIR CLINICAL SKILLS AND ASSIST PROGRAM SUSTAINABILITY. REFERRALS TO TREATMENT WILL INCLUDE WARM HAND-OFFS TO LICENSED TREATMENT PROVIDERS, INCLUDING FOR MEDICATION FOR ADDICTION TREATMENT (MAT). MAT REFERRALS WILL BE FACILITATED FOR PATIENTS WHO RECEIVE MAT INDUCTION DURING THEIR HEALTHCARE VISIT, AND FOR PATIENTS WHO ARE NOT YET IN WITHDRAWAL AND NEED A NEXT-DAY INDUCTION. ONGOING BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES WILL CONTINUE IN PARTNERSHIP WITH CENTRAL NASSAU GUIDANCE & COUNSELING THROUGH PROJECT CONNECT. A PROJECT CONNECT NAVIGATOR WILL REACH OUT TO PATIENTS WITHIN 24 HOURS OF THEIR HEALTHCARE VISIT, AND AT DAYS 7, 30, 60, 90, 120, AND 180, TO OFFER ONGOING SERVICES AND SUPPORT. NAVIGATORS WILL ALSO PROVIDE INFORMATION ON SOBER HOUSING, RECOVERY SUPPORT, AA/NA, AND OTHER RESOURCES TO SUPPORT SUSTAINED RECOVERY. THROUGH THIS MODEL, WE WILL COMPLETE ALL REQUIRED GPRA DATA COLLECTION, AND HAVE AN OPPORTUNITY TO ASSESS ADDITIONAL MEASURES OVER TIME. WE WILL ASSESS AOD USE, ENGAGEMENT IN SUBSTANCE USE CARE/TREATMENT, AND CONDUCT ONGOING QUALITY IMPROVEMENT ACTIVITIES TO DRIVE THOSE MEASURES IN THE DIRECTION OF PATIENT RECOVERY.

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

LEAD APPLICANT LOCATION NEW HYDE PARK, NEW YORKREQUIRED PARTNERS EMPLOYER: HOSPITALS AND SUB-ACUTE FACILITIES OF NORTHWELL HEALTH, INCLUDING STERN CENTER FOR REHABILITATION, ORZAC CENTER FOR REHABILITATION, GLEN COVE HOSPITAL, HUNTINGTON HOSPITAL, LONG ISLAND JEWISH FOREST HILLS HOSPITAL, NORTH SHORE UNIVERSITY HOSPITAL, MATHER HOSPITAL, PECONIC BAY MEDICAL CENTER.EDUCATION: NASSAU COUNTY COMMUNITY COLLEGE, SUFFOLK COUNTY COMMUNITY COLLEGE, QUEENSBOROUGH COMMUNITY COLLEGE, YORK COLLEGE, EMPIRE STATE COLLEGE. WORKFORCE DEVELOPMENT: LONG ISLAND REGIONAL ECONOMIC DEVELOPMENT COUNCIL, SUFFOLK COUNTY DEPARTMENT OF LABOR, LICENSING AND CONSUMER AFFAIRS, HEMPSTEAD LONG BEACH WORKFORCE DEVELOPMENT BOARD WORKER ORGANIZATION: SHARED GOVERNANCE COUNCIL GEOGRAPHIC SCOPE: NEW YORK METROPOLITAN AREA INCLUDING QUEENS, NASSAU, AND SUFFOLK COUNTIES.TOTAL FEDERAL FUNDING REQUESTED: 2,999,890TOTAL MATCH PROPOSED: 1,763,570PROJECT TITLE: NORTHWELL HEALTH ADVANCING NURSING CAREERS EXPERIENCE (NHANCE) PROGRAMNUMBER OF PARTICIPANTS:100SUMMARY OF GRANT PURPOSE AND EMPLOYMENT AND TRAINING ACTIVITIES OFFERED: THE NORTHWELL HEALTH ADVANCING NURSING CAREERS EXPERIENCE (NHANCE) PROGRAM WILL PROVIDE CAREER PATHWAYS INTO NURSING ROLES FOR INCUMBENT NORTHWELL NURSING SUPPORT TEAM MEMBERS. THROUGH THE PROGRAM, THESE CARING, EXPERIENCED PATIENT CARE TEAM MEMBERS WHO REPRESENT THE DIVERSE REGIONAL COMMUNITY SERVED WILL BE PROVIDED THE OPPORTUNITY TO REALIZE THEIR ASPIRATIONS OF AN RN OR LPN ROLE THROUGH ACADEMIC ADVANCEMENT AT A LOCAL PARTNERING ACADEMIC PROGRAM. EACH COHORT WILL GAIN A PEER SUPPORT COMMUNITY AND BE OFFERED OPPORTUNITIES FOR NORTHWELL SUPPORTED SUPPLEMENTAL CLINICAL SKILL AND SIMULATION PRACTICE, AND NURSE EDUCATOR-LED PROFESSIONAL ROLE DEVELOPMENT COACHING THROUGH OUR INSTITUTE FOR NURSING TO COMPLEMENT THEIR ACADEMIC TRAINING. PROGRAM PARTICIPANTS WILL ALSO BE ASSESSED FOR ANY SOCIAL BARRIERS (TRANSPORTATION, CHILDCARE, ETC.) THAT MAY PREVENT THEIR SUCCESS IN ACADEMIC PROGRAM COMPLETION AND PROFESSIONAL LICENSURE ATTAINMENT. THIS ASSESSMENT WILL BE USED TO MATCH PARTICIPANTS, IN COLLABORATION WITH WORKFORCE DEVELOPMENT AND ACADEMIC PARTNERS, WITH WRAPAROUND SUPPORT SERVICES TO ADDRESS SOCIAL SUPPORT NEEDS AND EMPLOYMENT SKILL NEEDS THROUGH EXISTING WORKFORCE DEVELOPMENT BENEFITS AND USE OF PROGRAM FUNDING TO ADDRESS GAPS. UPON SUCCESSFUL COMPLETION OF ACADEMIC PREPARATION AND LICENSURE, NHANCE PROGRAM PARTICIPANTS WILL BE MATCHED WITH AN RN LPN POSITION WITHIN NORTHWELL HEALTH. PROGRAM PARTICIPANTS WHO TRANSITION INTO AN RN ROLE AFTER COMPLETION OF AN AAS DEGREE WILL RECEIVE FULL TUITION SUPPORT TO CONTINUE THEIR ACADEMIC ADVANCEMENT TO COMPLETION OF A BSN DEGREE OVER THE FOLLOWING 1-2 YEARS. TO SUPPORT A SUCCESSFUL TRANSITION TO RN PRACTICE, UPON HIRE, THESE PROGRAM PARTICIPANTS WILL TRANSITION INTO THE NORTHWELL HEALTH NURSE RESIDENCY PROGRAM. PRECEPTOR CLINICAL ORIENTATION IS A VITAL COMPONENT OF THIS PROFESSIONAL ROLE TRANSITION AND IS SUPPORTED THROUGH AN EXISTING NETWORK OF EXPERIENCED NORTHWELL HEALTH NURSE PRECEPTORS. THIS NETWORK WILL BE FURTHER STRENGTHENED TO SUPPORT NHANCE PROGRAM PARTICIPANTS THROUGH ENHANCED PRECEPTOR RECRUITMENT, LEVERAGING THE NURSE RESIDENCY PROGRAM GRADUATE COMMUNITY, AND EXPANSION OF EXISTING PRECEPTOR SUPPORT STRUCTURES SUCH AS RECOGNITION AND ONGOING EDUCATION AND DEVELOPMENT.TRAINING TRACK: NURSING CAREER PATHWAYSPOPULATIONS TO BE SERVED: INCUMBENT NORTHWELL HEALTH EMPLOYEES WORKING IN NURSING SUPPORT TEAM ROLES (E.G. PATIENT CARE ASSOCIATES, NURSING ASSISTANTS, TECHNICIANS, TRANSPORTERS)TARGETED OCCUPATIONS: REGISTERED NURSE, LICENSED PRACTICE NURSERECOGNIZED POSTSECONDARY CREDENTIALS OFFERED: PRACTICAL NURSING CERTIFICATE, ASSOCIATE DEGREE, BACHELORS DEGREE

LEARNING TO LIVE INDEPENDENTLY FOR TOMORROW (LIFT) - SCHIZOPHRENIA AFFECTS 1% OF THE POPULATION, CAUSING ENORMOUS SUFFERING, DISABILITY, AND SUBSTANTIAL SOCIETAL COSTS. TIMELY ENGAGEMENT IN CSC FOR YOUTH WITH FIRST EPISODE PSYCHOSIS (FEP) IS CRITICAL TO IMPROVE OUTCOMES AND SUPPORT FUNCTIONAL AND SYMPTOMATIC RECOVERY. IN NEW YORK STATE (NYS), OTNY HAS ESTABLISHED A UNIFIED APPROACH TO DELIVERING CSC TO ADOLESCENTS AND YOUNG ADULTS WITH FEP. SINCE INCEPTION, 27 OTNY PROGRAMS HAVE BEEN DEVELOPED ACROSS NYS, INCLUDING 13 IN OUR CATCHMENT AREA OF MANHATTAN, QUEENS, BROOKLYN, AND LONG ISLAND, PROVIDING CSC TO OVER 3,000 YOUTH STATEWIDE TO DATE. DIRECTED BY DR. BIRNBAUM, THE OTNY PROGRAM AT ZHH IS THE LARGEST AND MOST ESTABLISHED AND HAS PROVIDED CARE TO OVER 300 YOUTH. HOWEVER, EARLY INTERVENTION SERVICES ARE TIME LIMITED. OTNY PROGRAMS ARE DESIGNED AND RESOURCED TO PROVIDE CSC FOR APPROXIMATELY 2 YEARS, AFTER WHICH, DISCHARGED PATIENTS (75% BETWEEN THE AGES OF 16-25 YEARS) ARE USUALLY REFERRED TO STANDARD CLINICAL CARE WITHIN THE COMMUNITY. CRITICALLY, ACCUMULATING EVIDENCE DEMONSTRATES THAT THE BENEFITS OF EARLY INTERVENTION OBTAINED DURING CSC DO NOT PERSIST POST DISCHARGE AFTER TRANSITIONING TO STANDARD CARE. FURTHER, THE RISK OF DISENGAGEMENT IS HEIGHTENED DURING THE TRANSITION FROM CSC TO STANDARD CARE, INCREASING RISK FOR MEDICATION NON-ADHERENCE, SYMPTOMATIC RELAPSE, SOCIAL ISOLATION, UNEMPLOYMENT, AND SUBSTANCE USE. DATA ALSO SUGGEST THAT MINORITY POPULATIONS MAY BE PARTICULARLY SUSCEPTIBLE TO NEGATIVE OUTCOMES POST-CSC DISCHARGE. MOREOVER, YOUTH GRADUATING OTNY HAVE NEW CLINICAL AND DEVELOPMENTAL NEEDS AS THEY MATURE INTO YOUNG ADULTS (AND GAIN GREATER INDEPENDENCE) THAT REQUIRE DEDICATED SUPPORTS YET RECEIVE INSUFFICIENT ATTENTION IN STANDARD CLINICAL CARE. DESPITE A CLEAR NEED, EFFECTIVE CARE FOR YOUTH GRADUATING OTNY ARE LACKING, RESULTING IN REPEATED CALLS FOR INNOVATIVE SOLUTIONS DESIGNED TO SUSTAIN GAINS AND PROMOTE ONGOING RECOVERY. TO ADDRESS THIS CRITICAL SERVICE GAP, NORTHWELL HEALTH, IN PARTNERSHIP WITH THE NYS OFFICE OF MENTAL HEALTH (OMH), IS PROPOSING TO DEVELOP A CSC STEP-DOWN SERVICE AT ZHH FOR YOUTH AGES 16-25 GRADUATING FROM ZHH’S OTNY SITE AS WELL AS THOSE REFERRED BY OTHER LOCAL OTNY SITES. LEVERAGING OUR ESTABLISHED EXPERTISE IN RECOVERY ORIENTED CARE, THE LIFT TEAM WILL PROVIDE EVIDENCE-BASED AND COORDINATED SUPPORTS, USING THE CRITICAL TIME INTERVENTION (CTI) MODEL DESIGNED TO BE INTEGRATED AND DELIVERED IN CONJUNCTION WITH STANDARD CARE, AIMING TO 1) EXTEND AND ENHANCE THE BENEFITS OF EARLY INTERVENTION, 2) MINIMIZE DISENGAGEMENT DURING A CRITICAL TIME OF TRANSITION (OTNY GRADUATION), AND 3) EQUIP YOUTH WITH THE SKILLS AND RESOURCES THEY NEED TO FOSTER AUTONOMY, INDEPENDENCE, AND TO LEAD PRODUCTIVE AND FULFILLING LIVES.

HEALTHY TRANSITIONS INTO LATE STAGE KIDNEY DISEASE

PROMOTING NEURODIVERSITY IN CHILD SERVICES BY SUPPORTING TRAUMA RECOVERY FOR YOUTH WITH DEVELOPMENTAL DISABILITIES (STRYDD FOR NEURODIVERSITY) - THE STRYDD CENTER AT THE NORTHWELL HEALTH SYSTEM WILL BUILD ON OUR EXPERTISE SUPPORTING TRAUMA RECOVERY FOR YOUTH WITH INTELLECTUAL AND DISABILITIES (IDD). THESE YOUTH, ABOUT 17% OF THE POPULATION, ARE AT INCREASED RISK OF VICTIMIZATION AND CHILD WELFARE INVOLVEMENT BUT THEIR TRAUMA-RELATED NEEDS ARE OFTEN IGNORED. WE WILL CALL ATTENTION TO THIS NEED THROUGHOUT NCTSN AND THE COMMUNITY AND ENHANCE THE CAPACITY OF EXISTING TREATMENT PROVIDERS TO ADDRESS IT. WE WILL PARTNER WITH OTHER NCTSN CENTERS TO RAISE AWARENESS IN THEIR COMMUNITIES USING TRAINING TOOLS SUCH AS NCTSN’S ROAD TO RECOVERY TOOLKIT AND CORE CURRICULUM ON CHILDHOOD TRAUMA WITH IDD-RELATED LEARNING CASES CURRENTLY UNDER DEVELOPMENT BY OUR TEAM. WE WILL INCREASE TRAUMA TREATMENT CAPACITY FOR THESE YOUTH BY DISSEMINATING OUR ADVANCED TRAINING FOR TAILORING TF-CBT TO YOUTH WITH IDD, WHICH HAS ALREADY BEEN CREATED WITH CONSULTATION FROM A TF-CBT DEVELOPER AND SUCCESSFULLY PILOTED. WE WILL FURTHER DEVELOP SUPPORTING MATERIALS AND A TRAINING MANUAL. WE WILL ALSO DEVELOP AND DISSEMINATE A MORE UNIVERSAL TRAINING, WHICH WILL SHOW HOW TO APPLY UNDERLYING PRINCIPLES AND STRATEGIES TO OTHER EVIDENCE-BASED TRAUMA TREATMENTS FOR YOUTH WITH IDD. APPLIED BEHAVIOR ANALYSIS (ABA) SERVICES ARE OFTEN USED WITH YOUTH WITH AUTISM SPECTRUM DISORDER TO ADDRESS BEHAVIOR DYSREGULATION THAT AT TIMES IS A TRAUMA SYMPTOM. WITH COLLABORATORS WHO ARE ABA PROVIDERS, WE WILL DEVELOP TRAINING ON TRAUMA-INFORMED ABA SERVICES AND FACILITATE COMMUNICATION BETWEEN ABA PROVIDERS AND TRAUMA TREATMENT THERAPISTS. WE WILL PARTNER WITH OTHER CAT II SITES TO DEVELOP BRIEF EDUCATIONAL MATERIALS REGARDING TRAUMA AND IDD FOR SPECIFIC IMPORTANT PROVIDER GROUPS SUCH AS PEDIATRICIANS, PROFESSIONALS WORKING WITH YOUNG CHILDREN IN THE CHILD WELFARE SYSTEM AND/OR THOSE WORKING WITH YOUTH IN THE JUVENILE JUSTICE SYSTEM. IN RESPONSE TO COVID-19, WE HAVE FACILITATED USE OF A SELF-CARE AND PEER SUPPORT MODEL, STRESS FIRST AID IN OUR HEALTH SYSTEM. WE WILL EXPLORE THE UTILITY OF THIS MODEL FOR SUPPORTING SCHOOLS AND FAMILIES IN OUR COMMUNITY WITH EMPHASIS ON SPECIAL NEEDS STUDENTS BECAUSE THIS POPULATION IS OFTEN OVERLOOKED WHEN RESOURCES ARE STRAINED. THIS INITIATIVE IS EXPECTED TO REACH 1,630 SERVICE PROVIDERS DIRECTLY THROUGH LIVE TRAININGS, WITH AN ADDITIONAL 1000 PROVIDERS THROUGH WEB-BASED CONSULTATIONS, RECORDED WEBINARS AND RESOURCE DISSEMINATIONS. TOGETHER, THIS INITIATIVE WILL IMPACT MORE THAN 5,000 YOUTH WITH IDD AND THEIR CAREGIVERS.

PRIMARY CARE TRAINING AND ENHANCEMENT - LANGUAGE AND DISABILITY ACCESS - ADDRESS: LONG ISLAND JEWISH MEDICAL CENTER OF NORTHWELL HEALTH, 270-05 76TH AVE, QUEENS, NY PROJECT DIRECTOR NAME: PRATICHI GOENKA MD & SOPHIA JAN MD MSHP CONTACT PHONE NUMBERS (VOICE): 718-470-3396 EMAIL ADDRESS: PGOENKA@NORTHWELL.EDU GRANT PROGRAM FUNDS: $2,952,366 ($2,742,007 DIRECT; $210,359 INDIRECT) THE PROPOSED PROGRAM AIMS TO DEVELOP AND IMPLEMENT A COMPREHENSIVE AND INNOVATIVE CURRICULUM TO EDUCATE PEDIATRIC, INTERNAL MEDICINE, AND FAMILY MEDICINE RESIDENTS ON CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE FOR INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY (LEP), PHYSICAL DISABILITIES (PD) AND/OR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD). OUR PATHWAYS TO CARE: CULTURALLY APPROPRIATE RESIDENCY EDUCATION FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY AND/OR DISABILITY (LEAD) (“PATHWAYS TO CARE”) PROGRAM WILL BE COMPRISED OF (1) AMBULATORY CURRICULUM WITH LEAD FOCUS, (2) PRIMARY CARE CONTINUITY CLINIC WITH LEAD FOCUS, (3) COMMUNITY-BASED CLINICAL EXPERIENCES, AND (4) OPPORTUNITIES FOR ENHANCED COMMUNITY IMMERSION EXPERIENCES. THIS INNOVATIVE TRAINING PROGRAM ADDRESS THE URGENT NEED FOR ENHANCED SKILLS TRAINING FOR HEALTHCARE PROVIDERS SERVING PATIENTS WITH LIMITED ENGLISH PROFICIENCY (LEP) AND/OR DISABILITIES. INDIVIDUALS THESE POPULATIONS FACE SIGNIFICANT CHALLENGES IN THE HEALTHCARE SETTING, INCLUDING MORE ADVERSE EVENTS DURING HOSPITALIZATIONS, HEALTH INSURANCE DIFFICULTIES, AND DISRUPTIONS IN SHARED DECISION-MAKING. THE PROVISION AND DELIVERY OF COMPREHENSIVE AND CULTURALLY RESPONSIVE HEALTHCARE SERVICES CAN MEET THESE NEEDS. THIS TRAINING PROGRAM WILL TARGET 575 RESIDENTS ACROSS FIVE RESIDENCY PROGRAMS IN PEDIATRICS, INTERNAL MEDICINE, AND FAMILY MEDICINE LOCATED AT NORTHWELL HEALTH IN METROPOLITAN NEW YORK CITY, ONE OF THE MOST DIVERSE REGIONS OF THE UNITED STATES. IN ADDITION, RESIDENTS WILL PARTICIPATE IN ENHANCED COMMUNITY IMMERSION EXPERIENCES. WE BELIEVE THAT THIS PROGRAM WILL PROVIDE SUPPORT FOR DIVERSE PATIENT POPULATIONS IN OUR COMMUNITIES AND CREATE A PIPELINE OF PRIMARY CARE PROVIDERS PASSIONATE ABOUT AND EQUIPPED TO CARE FOR DIVERSE PATIENT POPULATIONS. OUR TEAM IS UNIQUELY QUALIFIED TO CARRY FORTH THE PROGRAM VISION AND OBJECTIVES OF THIS PROPOSAL GIVEN: (1) THE CLINICAL, RESEARCH AND TEACHING EXPERTISE OF THE TEAM; (2) THE MULTIPLE DISCIPLINES OF THE TEAM, WHICH INCLUDES PHYSICIANS, SOCIAL WORK, AND EDUCATORS; AND (3) THE TEACHING AND OPERATIONAL LEADERSHIP POSITIONS THAT THE TEAM HOLDS, WHICH GUARANTEE THE SUCCESS OF THE TRAINING PROGRAM. FURTHER, WE HAVE A PROVEN TRACK RECORD WITH HEALTH-SYSTEM AFFILIATED AND EXTERNAL COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE CARE TO PATIENTS WITH LEP AND/OR DISABILITIES. THROUGH THE PATHWAYS TO CARE PROGRAM, WE WILL INTEGRATE IMPACTFUL DIDACTIC AND EXPERIENTIAL LEARNING, COMPLEMENTED BY MEANINGFUL COMMUNITY ENGAGEMENT WITH INTERNAL COMMUNITY-BASED PROGRAMS (DOLAN FAMILY HEALTH CENTER, HEALTH HOME MEDICAID CASE MANAGEMENT PROGRAM, NORTHWELL HEALTH SCHOOL-BASED HEALTH CENTERS) AND EXTERNAL COMMUNITY-BASED ORGANIZATIONS (THE CENTER FOR DISCOVERY, HARMONY HEALTHCARE LONG ISLAND, LONG ISLAND SELECT HEALTHCARE, ST. MARY’S HEALTHCARE SYSTEM FOR CHILDREN). CURRICULUM WILL BE DEVELOPED IN PARTNERSHIP WITH STAKEHOLDERS, INCLUDING PATIENTS AND COMMUNITY-MEMBERS, AND WILL UTILIZE KERN’S 6-STEP APPROACH. PROGRAM EVALUATION WILL BE ONGOING AND MIXED METHODS, INCLUDING FEEDBACK FROM CLINICAL SITES, COMMUNITY SITES, AND TRAINEES. BY FOSTERING STRONG PARTNERSHIPS WITH LOCAL COMMUNITIES AND USING ESTABLISHED METHODS FOR CURRICULAR DEVELOPMENT AND EVALUATION, WE CREATE A DYNAMIC CLINICAL LEARNING ENVIRONMENT THAT EMPOWERS PRIMARY CARE RESIDENTS TO BECOME LEADERS IN PROMOTING HEALTH EQUITY AND ADDRESSING DISPARITIES AMONG PATIENTS WITH LIMITED ENGLISH PROFICIENCY (LEP), PHYSICAL DISABILITIES (PD), AND INTELLECTUAL OR DEVELOPMENTAL DISABILITIES (IDD).

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - STATEN ISLAND UNIVERSITY HOSPITAL (SIUH) NORTH IS A 472-BED TERTIARY TEACHING HOSPITAL AND MEMBER HOSPITAL OF NORTHWELL HEALTH. THE HOSPITAL IS LOCATED AT 475 SEAVIEW AVENUE, STATEN ISLAND, NEW YORK AND IS AN OWNED PROPERTY. SIUH IS CONSTRUCTING AN INTEGRATED WOMEN AND NEWBORN CENTER WITH LABOR AND DELIVERY, MATERNITY, AND NEWBORN SERVICES AT ITS MAIN NORTH CAMPUS HOSPITAL SITE. THE GOAL OF THIS PROJECT IS TO OFFER THE HIGHEST QUALITY CLINICAL CARE TO STATEN ISLAND’S AND BROOKLYN’S EXPECTING MOTHERS, THEIR NEWBORNS AND FAMILIES. THIS PROJECT INCLUDES A NEW THIRD FLOOR WITH SINGLE-BEDDED POSTPARTUM ROOMS THAT HAVE NATURAL LIGHTING IN EACH ROOM. THE POSTPARTUM ROOMS WILL HAVE PATIENT BATHROOMS AND SHOWERS, IN-ROOM NEWBORN SPACE, FAMILY ACCOMMODATIONS, AND MEDICAL CHARTING STATIONS. THE PROJECT WILL SUPPORT “COUPLET CARE” WHERE NEWBORNS WILL BE ABLE TO “ROOM IN” WITH THEIR MOTHERS. THE NEW SPACE WILL INCLUDE REGISTRATION, A WAITING ROOM, THE LABOR, DELIVERY AND RECOVERY ROOMS (LDR), SUPPORT SPACE, AND ON-CALL ROOMS THE MODERNIZATION OF THE HOSPITAL’S OBSTETRIC AND MATERNITY FACILITIES WILL BE SUPPORTED BY CDS FUNDING THROUGH THE PURCHASE OF EQUIPMENT. ITEMS TO BE PURCHASED SUCH AS NURSE CALL SYSTEM, EXAM TABLES, EXAM STOOL, LABOR AND DELIVERY BEDS, INFUSIONS PUMPS AND INTERMITTENT COMPRESSION SYSTEMS RELATE TO DIRECT PATIENT CARE, COMFORT AND SAFETY. ACCUDOSE CABINETS ALONG WITH LOCKED REFRIGERATION UNITS WILL PROVIDE PROPER DISPENSING OF PHARMACEUTICAL DRUGS. SRUBEX MACHINES PROVIDE MANAGEMENT AND AUTOMATION OF SURGICAL SCRUB DISTRIBUTION. THE PURCHASE OF COMPUTER EQUIPMENT INCLUDING PRINTERS, COPIERS, AND FAX MACHINES WILL SUPPORT THE MEDICAL STAFF FOR PATIENT REGISTRATION AND ELECTRONIC PATIENT MEDICAL RECORD UPDATES. THE REMAINING EQUIPMENT ITEMS WILL SERVE TO PROVIDE THE UNITS WITH STORAGE FOR MEDICAL SUPPLIES AND CARTS TO AID IN CLEANING AND MAINTENANCE OF UNITS. IN DEVELOPMENT OF NORTHWELL HEALTH’S COMMUNITY HEALTH NEEDS ASSESS MENT, ONE OF THE KEY PRIORITIES THAT WERE TO BE ADDRESSED AS PART OF THE LOCAL PREVENTION AGENDA WAS IMPROVING MATERNAL AND WOMEN’S HEALTH. THIS PROJECT IS AN UPGRADE TO AND EXPANSION OF THE HOSPITAL’S WOMEN’S HEALTH PROGRAM WHICH WOULD CONSEQUENTLY ENHANCE AVAILABILITY TO ACUTE MATERNAL CARE SERVICES AND PROVIDE GREATER OPPORTUNITIES FOR HEALTH CARE PROVIDERS TO EDUCATE AND GUIDE WOMEN AND FUTURE MOTHERS IN PREPARATION FOR A HEALTHY PREGNANCY. SINCE THE PROJECT IS PLANNED IN A COMMUNITY THAT IS RACIALLY AND ETHNICALLY DIVERSE, IT WILL ALSO ADVANCE THE PREVENTION AGENDA’S GOAL OF REDUCING RACIAL, ETHNIC, ECONOMIC AND GEOGRAPHIC DISPARITIES IN MATERNAL OUTCOMES, BY PROVIDING HIGH QUALITY MATERNITY CARE THAT IS LOCALLY ACCESSIBLE TO PATIENTS WHO INCREASINGLY RELY ON THESE SERVICES.

ADVANCING THE ADAPTATION AND APPLICATION OF TRAUMA INFORMED EVIDENCE-BASED INTERVENTIONS FOR CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES

TRANSITION FOR YOUTH WITH AUTISM AND/OR EPILEPSY DEMONSTRATION PROJECTS - TRANSITION OF AUTISM CARE IN METROPOLITAN NEW YORK CITY (TRAC NYC) LONG ISLAND JEWISH MEDICAL CENTER, 270-05 76TH AVENUE, NEW HYDE PARK, NY 11040 PD/PI: SOPHIA JAN, MD MSHP; CO-PD/PI: CAREN STEINWAY LMSW, MPH CONTACT PHONE: 516-316-2530; EMAIL: SJAN1@NORTHWELL.EDU TOTAL FUNDS REQUESTED: $2,248,153 (DIRECT: $$1,857,978; INDIRECT: $390,175) THE TRANSITION OF AUTISM CARE IN METROPOLITAN NEW YORK CITY (TRAC NYC) PROGRAM AIMS TO IMPROVE THE TRANSITION OF AUTISTIC YOUTH AND YOUNG ADULTS FROM CHILD SERVING SYSTEMS TO ADULT SERVICING SYSTEMS AND LIFE. THIS PROGRAM IS A RESPONSE TO THE CRITICAL NEED FOR COMPREHENSIVE AND CULTURALLY SENSITIVE TRANSITION SERVICES FOR AUTISTIC INDIVIDUALS, PARTICULARLY THOSE FROM LINGUISTICALLY AND CULTURALLY DIVERSE BACKGROUNDS. LED BY A MULTIDISCIPLINARY TEAM, INCLUDING DR. JAN AND MS. STEINWAY, TRAC NYC WILL LEVERAGE EXISTING PARTNERSHIPS, RESOURCES, AND TRAINING MECHANISMS WITHIN NORTHWELL HEALTH TO ENHANCE CARE COORDINATION, IMPROVE ACCESS TO SERVICES, AND PROMOTE SUCCESSFUL TRANSITIONS FOR THIS POPULATION. THE PROGRAM WILL BE IMPLEMENTED IN TWO PHASES OVER FIVE YEARS. PHASE I, PLANNING (YEAR 1), FOCUSES ON ESTABLISHING THE FOUNDATION FOR SUCCESSFUL IMPLEMENTATION. KEY ACTIVITIES INCLUDE FINALIZING THE POPULATION AND BASELINE NUMBER OF AUTISTIC YOUTH AND YOUNG ADULTS, HIRING AND TRAINING THE AUTISM TRANSITION TEAM, IDENTIFYING TRANSITION CLINICAL CHAMPIONS, CONVENING THE ADVISORY COUNCIL, DEVELOPING PARTNERSHIPS, CONDUCTING A LANDSCAPE ANALYSIS, IDENTIFYING BARRIERS AND OPPORTUNITIES, DEVELOPING CLINICAL GUIDELINES, CREATING AUTISM-SPECIFIC TRANSITION-RELATED TRAINING, AND ADAPTING THE MAP OUR LIFE PLATFORM. THESE ACTIVITIES ARE INFORMED BY THE CONSOLIDATED FRAMEWORK FOR IMPLEMENTATION RESEARCH (CFIR) AND ARE DESIGNED TO ADDRESS THE UNIQUE NEEDS OF AUTISTIC INDIVIDUALS AND THEIR FAMILIES. PHASE II, IMPLEMENTATION (YEARS 2-5), WILL INVOLVE ADOPTING AND IMPLEMENTING A COMPREHENSIVE FRAMEWORK FOR TRANSITIONING AUTISTIC YOUNG ADULTS, REFINING CLINICAL GUIDELINES AND TRAINING PROGRAMS BASED ON FEEDBACK, EXPANDING THE BEE MINDFUL™ PROGRAM TO ADULT HOSPITALS IN THE CATCHMENT AREA, IMPLEMENTING AND REFINING THE MAP OUR LIFE PLATFORM, COLLECTING AND REPORTING DATA, PARTICIPATING IN THE NATIONAL COORDINATING CENTER FOR TRANSITION (NCCT)-LED DEVELOPMENT OF A SUCCESSFUL TRANSITION MEASURE, PARTICIPATING IN NCCT-LED DATA COLLECTION AND REPORTING, DEVELOPING A SUSTAINABILITY PLAN, AND DISSEMINATING RELEVANT RESOURCES. THE PROGRAM WILL LEVERAGE NORTHWELL HEALTH'S ORGANIZATIONAL RESOURCES, INCLUDING LONG ISLAND JEWISH MEDICAL CENTER, NORTH SHORE UNIVERSITY HOSPITAL, COHEN CHILDREN'S MEDICAL CENTER, THE OFFICE OF PATIENT AND CUSTOMER EXPERIENCE, BUSINESS EMPLOYEE RESOURCE GROUPS, THE DEPARTMENT OF COMMUNITY AND POPULATION HEALTH, AND THE QUANTITATIVE INTELLIGENCE GROUP, AMONG OTHERS. IT WILL ALSO LEVERAGE A ROBUST NETWORK OF SOCIAL SERVICE, CARE MANAGEMENT, AND PROFESSIONAL ORGANIZATIONS, AND AUTISTIC INDIVIDUALS AND THEIR FAMILIES, FOR WHICH DR. JAN AND MS. STEINWAY HAVE DEVELOPED THOUGH THE PATHWAYS TO CARE PROGRAM, PCORI-FUNDED FUTURE PLANNING AND WELL-BEING FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES AND FAMILY CAREGIVERS, AND THE SCANS PROJECT. THESE RESOURCES PROVIDE ESSENTIAL SUPPORT FOR PROGRAM ACTIVITIES AND ENSURE THE SUSTAINABILITY OF OUTCOMES BEYOND THE GRANT PERIOD. TRAC NYC'S INNOVATIVE APPROACH TO TRANSITION CARE FOR AUTISTIC INDIVIDUALS EMPHASIZES COLLABORATION, CULTURAL COMPETENCE, AND PATIENT-CENTERED CARE. BY ADDRESSING THE UNIQUE NEEDS OF THIS POPULATION AND LEVERAGING EXISTING RESOURCES AND PARTNERSHIPS, TRAC NYC AIMS TO IMPROVE HEALTH OUTCOMES, ENHANCE QUALITY OF LIFE, AND PROMOTE INDEPENDENCE FOR AUTISTIC INDIVIDUALS IN THE METROPOLITAN NEW YORK CITY AREA AND BEYOND.

ADVANCING THE ADAPTATION AND APPLICATION OF TRAUMA INFORMED EVIDENCE-BASED INTERVENTIONS FOR CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - AS LONG ISLAND JEWISH FOREST HILLS STRIVES TO PROVIDE EXCELLENT NEUROLOGIC/ORTHOPEDIC CARE FOR OUR COMMUNITY, WE RECOGNIZE OUR NEED FOR UPGRADING AND ENHANCING OUR CURRENT PROCESSES, TOOLS, AND EQUIPMENT. TO ACHIEVE THE BEST OUTCOMES FOR OUR PATIENTS WE WILL BE INVESTING IN ADVANCED NEUROLOGICAL EQUIPMENT THAT WILL BE USED BY OUR SKILLED NEUROLOGICAL AND ORTHOPEDIC SPINE SURGEONS AS WELL AS PURCHASING UPDATED INSTRUMENTATION FOR OUR ORTHOPEDIC SURGEONS. THE NEUROLOGICAL NAVIGATION SYSTEM IN COMBINATION WITH THE ZIEHM IMAGING SYSTEM IS A TOOL DESIGNED TO IMPROVE PRECISION, SAFETY, FEEDBACK, AND PATIENT OUTCOMES. PRECISION IS EXEMPLIFIED THRU REAL TIME NAVIGATION OF THE SPINE BY OBTAINING INTRAOPERATIVE CT SCAN QUALITY IMAGES ALLOWING SUB-MILLIMETER ACCURACY IN REAL TIME. THIS IMPROVES SAFETY BY IDENTIFYING THE CORRECT LOCALIZATION OF SPINAL LEVELS AND EXACT PLACEMENT OF SPINAL INSTRUMENTATION THUS AVOIDING CRUCIAL NEURAL AND VASCULAR STRUCTURES. THE PATIENT OUTCOMES ARE IMPROVED BOTH IN THE ACCURACY, SAFETY, AND ABILITY TO USE SMALL INCISIONS. IN ADDITION, THE SPINAL NAVIGATION SYSTEM GIVES THE ABILITY TO PERFORM MINIMALLY INVASIVE SPINE SURGERY OBTAINING IMMEDIATE FEEDBACK WITH INTRAOPERATIVE POST PROCEDURE CT SCAN QUALITY IMAGES. ADDING BOTH HIP AND SHOULDER INSTRUMENTATION TO OUR CURRENT SUPPLY ASSISTS US IN BUILDING OUR ORTHOPEDIC PROGRAM WHICH ALLOWS OUR RESIDENTS TO RECEIVE THE MOST EXACT AND ADVANCED CARE. WE CONTINUE TO BUILD OUR ORTHOPEDIC ROBOTIC PROGRAM TO ACHIEVE PERSONALIZED SURGICAL PLANS FOR OUR PATIENTS AS WELL AS PROVIDE A MORE ACCURATE, PRECISE PROCEDURE WHICH IN TURN LENDS ITSELF TO A BETTER RECOVERY AND SHORTER HOSPITAL STAY. THESE STATE-OF-THE-ART ADVANCEMENTS WILL AFFORD QUEENS RESIDENTS THE ABILITY TO STAY IN QUEENS, ALLOW FOR MORE FAMILY AND SOCIAL SUPPORTS DURING THE CONTINUUM OF CARE AND THROUGHOUT THEIR RECOVERY.

AWARENESS AND ACCESS TO CARE FOR CHILDREN AND YOUTH WITH EPILEPSY

CRITICAL EXPANSION OF EVENING HOURS AND ACCESS TO LIJMC ZUCKER HILLSIDE HOSPITAL OPIOID TREATMENT PROGRAM - NORTHWELL HEALTH, THROUGH LONG ISLAND JEWISH MEDICAL CENTER, PROPOSES EXPANDING ACCESS TO METHADONE TREATMENT FOR ADULTS WITH OPIOID USE DISORDER BY EXTENDING EVENING DOSING HOURS AT ZUCKER HILLSIDE HOSPITAL'S OPIOID TREATMENT PROGRAM (OTP) IN QUEENS AND NASSAU COUNTIES, NEW YORK. THIS PROJECT, CRITICAL EXPANSION OF EVENING HOURS AND ACCESS TO NORTHWELL'S ZUCKER HILLSIDE HOSPITAL OPIOID TREATMENT PROGRAM, WILL REDUCE BARRIERS TO CARE FOR WORKING ADULTS, PARENTS, CAREGIVERS, AND SHIFT WORKERS WHO CANNOT ACCESS DAYTIME TREATMENT, SERVING AN ADDITIONAL 350 INDIVIDUALS AGED 18 AND OLDER, WITH APPROXIMATELY 60% HAVING MEDICAID OR BEING UNINSURED. GRANT FUNDS WILL SUPPORT EVENING METHADONE DOSING MONDAY THROUGH FRIDAY THROUGH ADDED NURSING, MEDICAL, AND PROGRAM STAFF, ALONGSIDE COMMUNITY OUTREACH TO REDUCE STIGMA AND CONNECT PEOPLE TO CARE. GOALS INCLUDE INCREASING PATIENT CAPACITY, INTEGRATING PATIENTS INTO COMPREHENSIVE OUTPATIENT CARE, DESTIGMATIZING OPIOID USE DISORDER (OUD) TREATMENT, AND HOSTING AT LEAST 15 OUTREACH EVENTS OVER FIVE YEARS WHILE ACHIEVING FINANCIAL SUSTAINABILITY. MEASURABLE OBJECTIVES INCLUDE IMPROVING ACCESS TO EVIDENCE-BASED MEDICATION TREATMENT, INCREASING ENGAGEMENT AND RETENTION TO SUPPORT OVERDOSE PREVENTION, AND STRENGTHENING THE LONG-TERM CAPACITY OF THE PROGRAM.

NURSE EDUCATION PRACTICE, QUALITY AND RETENTION

STRYDD FORWARD FOR QUALITY CARE AND EMPOWERING PARENTS/CAREGIVERS OF YOUTH WITH IDD - THE STRYDD CENTER AT NORTHWELL HEALTH SYSTEM WILL STRENGTHEN NATIONAL CAPACITY TO RECOGNIZE AND ADDRESS TRAUMA AMONG YOUTH WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD) AND THEIR FAMILIES BY EXPANDING TRAUMA-INFORMED CARE, SCREENING, AND TREATMENT. THE CENTER WILL DISSEMINATE THE ROAD TO RECOVERY TOOLKIT, FACT SHEETS, AND NCTSN CORE CURRICULUM CASES; PROVIDE TECHNICAL ASSISTANCE AND MONTHLY NETWORK-WIDE CONSULTATION FOR COMPLEX CASES; AND TRAIN PROVIDERS TO TAILOR TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY AND OTHER EVIDENCE-BASED INTERVENTIONS FOR YOUTH WITH IDD. IT WILL DEVELOP GUIDANCE DISTINGUISHING GENERAL IDD ADAPTATIONS FROM TREATMENT-SPECIFIC ACCOMMODATIONS, ADD BEST-PRACTICE INFORMATION ON SCREENING FOR PRENATAL ALCOHOL EXPOSURE, AND REFINE THE INTERACTIVE TRAUMA SCALE, INCLUDING A BRIEF VERSION FOR PEDIATRIC USE. TARGETED TRAINING FOR CHILD WELFARE, JUVENILE JUSTICE, APPLIED BEHAVIOR ANALYSIS, AND DIRECT-CARE PROVIDERS WILL ADDRESS DIAGNOSTIC OVERSHADOWING AND PROMOTE TRAUMA-INFORMED POSITIVE BEHAVIORAL SUPPORTS, WITH EMPHASIS ON REDUCING RELIANCE ON RESTRICTIVE PROCEDURES, EMERGENCY MENTAL HEALTH SERVICES, AND PHARMACOTHERAPY. STRYDD WILL ALSO DISSEMINATE STRESS FIRST AID FOR SCHOOLS, DEVELOP A PARENT VERSION, PARTNER WITH TREATMENT DEVELOPERS AND CATEGORY III SITES, AND ESTABLISH A PARENT ADVISORY GROUP TO GUIDE PSYCHOEDUCATION, TREATMENTS, AND INTERVENTIONS.

MATERNAL PRODUCE PRESCRIPTION PROGRAM - THE PERINATAL NUTRITION PATHWAY (PNP) IS A FOUR-YEAR PROJECT LED BY NORTHWELL HEALTH TO ADDRESS THE INTERSECTING CRISES OF FOOD INSECURITY AND POOR MATERNAL-INFANT HEALTH OUTCOMES IN NASSAU AND SUFFOLK COUNTIES, LONG ISLAND. THE PROJECT WILL SERVE 450 LOW-INCOME PREGNANT INDIVIDUALS ENROLLED IN MEDICAID OR CHIP, A POPULATION DISPROPORTIONATELY AFFECTED BY THE REGION’S HIGH COST OF LIVING AND SIGNIFICANT TRANSPORTATION BARRIERS TO HEALTHY FOOD ACCESS. THE CORE OF THE PNP IS AN INNOVATIVE, 18-MONTH, TWO-PHASE PRODUCE PRESCRIPTION PROGRAM. TO MAXIMIZE ITS IMPACT ON HEALTH OUTCOMES, PARTICIPANTS ARE STRATEGICALLY ENROLLED EARLY IN THEIR SECOND TRIMESTER (PRIOR TO 16-WEEKS GESTATION). DURING THE NINE-MONTH PHASE 1, PARTICIPANTS RECEIVE A MONTHLY PRODUCE PRESCRIPTION BENEFIT ($75-$125, TIERED BY HOUSEHOLD SIZE) FOR SELF-SELECTED FRUITS AND VEGETABLES VIA CONVENIENT HOME DELIVERY, WITH TWO FREE DELIVERIES PROVIDED PER MONTH. IN THE SUBSEQUENT NINE-MONTH PHASE 2, THE PROGRAM CREATES A PATHWAY TO LONG-TERM STABILITY VIA A "WARM HANDOFF" TO THE HEALTH EMPOWERMENT ALLIANCE OF LONG ISLAND (HEALI), A REGIONAL SOCIAL CARE NETWORK COMPRISED OF COMMUNITY-BASED ORGANIZATIONS (CBOS). HEALI’S NAVIGATORS WILL CONNECT FAMILIES TO MEMBER CBOS SPECIALIZING IN NUTRITION SERVICES FOR ONGOING SUPPORT. THE INTERVENTION IS ENHANCED BY A ROBUST NUTRITION EDUCATION CURRICULUM DELIVERED BY A BILINGUAL REGISTERED DIETITIAN. PROJECT GOALS ARE TO: 1) INCREASE FRUIT AND VEGETABLE CONSUMPTION; 2) IMPROVE HOUSEHOLD FOOD SECURITY; 3) IMPROVE MATERNAL HEALTH OUTCOMES (E.G., HEALTHY GESTATIONAL WEIGHT GAIN, REDUCED RATES OF PREECLAMPSIA, AND IMPROVED MENTAL/PHYSICAL HEALTH); AND 4) IMPROVE BIRTH OUTCOMES (E.G., REDUCE LOW BIRTHWEIGHT AND PRETERM BIRTH). THE PROJECT'S PROCESS AND IMPACT WILL BE MEASURED THROUGH A RIGOROUS MIXED-METHODS EVALUATION, COMBINING VALIDATED INSTRUMENTS, CLINICAL DATA, AND QUALITATIVE INTERVIEWS TO CAPTURE PARTICIPANT EXPERIENCES. BY PROVIDING IMMEDIATE NUTRITIONAL SUPPORT AND BUILDING A DURABLE BRIDGE TO COMMUNITY RESOURCES, THE PERINATAL NUTRITION PATHWAY AIMS TO CREATE LASTING, TWO-GENERATIONAL HEALTH IMPROVEMENTS AND ESTABLISH A SUSTAINABLE, REPLICABLE MODEL FOR INTEGRATING CLINICAL CARE AND COMMUNITY SUPPORT.

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

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM - THIS PROGRAM IS AUTHORIZED BY SECTION 2692(B) OF THE PHS ACT (42 U.S.C. § 300FF-111(B)). FOR MORE INFORMATION ABOUT THE RWHAP, PLEASE VISIT THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), HIV/AIDS BUREAU (HAB) WEBSITE: HTTP://HAB.HRSA.GOV/. THE RYAN WHITE HIV/AIDS PROGRAM (RWHAP) FUNDS DIRECT HEALTH CARE AND SUPPORT SERVICES FOR OVER HALF A MILLION PEOPLE DIAGNOSED WITH HIV IN THE UNITED STATES. HRSA AWARDS RWHAP FUNDS TO CITIES, STATES, AND LOCAL COMMUNITY-BASED ORGANIZATIONS TO DELIVER EFFICIENT AND EFFECTIVE HIV CARE, TREATMENT, AND SUPPORT SERVICES FOR LOW-INCOME PEOPLE WITH HIV. SINCE THE PROGRAM’S INCEPTION IN 1990, RWHAP HAS DEVELOPED A COMPREHENSIVE SYSTEM OF SAFETY NET PROVIDERS WHO DELIVER HIGH-QUALITY, INNOVATIVE HIV HEALTH CARE. THE RWHAP HAS FIVE STATUTORILY DEFINED PARTS (PARTS A THROUGH D AND PART F) THAT PROVIDE FUNDING FOR CORE MEDICAL AND SUPPORT SERVICES, TECHNICAL ASSISTANCE, CLINICAL TRAINING, AND THE DEVELOPMENT OF INNOVATIVE MODELS OF CARE TO MEET THE NEEDS OF DIFFERENT COMMUNITIES AND POPULATIONS AFFECTED BY HIV.

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM - THE TOTAL UNREIMBURSED COSTS OF ORAL HEALTHCARE PROVIDED TO PEOPLE WITH HIV FROM JULY 1, 2023 THROUGH JUNE 30, 2024 THAT ARE ENTERED IN FIELDS 18A AND 18G OF THE SFS-424 APPLICATION FACE PAGE

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM - THE TOTAL UNREIMBURSED COSTS OF ORAL HEALTH CARE PROVIDED TO PEOPLE WITH HIV FROM JULY 1, 2022, THROUGH JUNE 30, 2023, THAT ARE ENTERED IN FIELDS 18A AND 18G OF THE SF-424 APPLICATION FACE PAGE

DENTAL REIMBURSEMENT PROGRAM

RAISING MENTAL HEALTH AWARENESS FOR UNIFORMED PERSONNEL, FAITH LEADERS, AND THEIR FAMILIES IN THE NYC AND LONG ISLAND REGION - NORTHWELL HEALTH’S CENTER FOR TRAUMATIC STRESS, RESILIENCE AND RECOVERY WILL IMPLEMENT RAISING MENTAL HEALTH AWARENESS FOR UNIFORMED PERSONNEL, FAITH LEADERS, AND THEIR FAMILIES IN THE NYC AND LONG ISLAND REGION, A 3-YEAR MENTAL HEALTH AWARENESS TRAINING PROJECT SERVING APPROXIMATELY 11.2 MILLION RESIDENTS. THE PROJECT WILL TRAIN FIRST RESPONDERS, LAW ENFORCEMENT OFFICERS, VETERANS AND SERVICE MEMBERS AND THEIR FAMILIES, AND FAITH LEADERS AND STAFF IN MENTAL HEALTH LITERACY, CRISIS DE-ESCALATION, AND SUICIDE PREVENTION. STRATEGIES WILL INCLUDE STRESS FIRST AID WITH TRAIN-THE-TRAINER COMPONENTS, MENTAL HEALTH FIRST AID, AND QUESTION, PERSUADE, REFER. BY THE END OF YEAR 3, THE PROJECT WILL TRAIN AT LEAST 1,500 INDIVIDUALS IN STRESS FIRST AID/MENTAL HEALTH FIRST AID, INCLUDING AT LEAST 500 IN CRISIS DE-ESCALATION SKILLS, AND AT LEAST 500 ADDITIONAL INDIVIDUALS IN QPR, FOR 2,000 TRAINED INDIVIDUALS TOTAL. TRAININGS WILL ACHIEVE A MINIMUM 20% INCREASE IN PARTICIPANTS’ KNOWLEDGE OF MENTAL ILLNESS SIGNS AND SYMPTOMS AND CONFIDENCE IN RECOGNIZING AND RESPONDING TO MENTAL HEALTH DISTRESS. OVER 3 YEARS, THE PROJECT EXPECTS TO LINK AT LEAST 200 INDIVIDUALS TO MENTAL HEALTH SCREENING, ASSESSMENT, OR SERVICES THROUGH ESTABLISHED REFERRAL PATHWAYS, CONDUCT AT LEAST 12 COMMUNITY OUTREACH AND ENGAGEMENT EVENTS, AND ACHIEVE A MINIMUM 15% REDUCTION IN STIGMA-RELATED BARRIERS TO CARE.

HEALTH CARE AND OTHER FACILITIES

DENTAL REIMBURSEMENT PROGRAM - THE TOTAL UNREIMBURSED COSTS OF ORAL HEALTH CARE PROVIDED TO PEOPLE WITH HIV FROM JULY 1, 2024, THROUGH JUNE 30, 2025, IS $974,695 AS ENTERED IN FIELDS 18A AND 18G OF THE SF-424 APPLICATION FOR FEDERAL ASSISTANCE.

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

DENTAL REIMBURSEMENT PROGRAM

TESTING THE EFFECTIVENESS OF THE NORTH SHORE - LIJ HEALTH SYSTEM'S BIOTERRORISM RESPONSE PROGRAM TO IDENTIFIED SURVEILLANCE DATA

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

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

AWARENESS AND ACCESS TO CARE FOR CHILDREN AND YOUTH WITH EPILEPSY

ECONOMIC DEVELOPMENT INITIATIVE-SPECIAL PROJECT NEIGHBORHOOD INITIATIVE AND MISCELLANEOUS GRANTS