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HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - A HEALTH AFFAIRS BRIEF REPORTS “RATES OF MENTAL HEALTH PROBLEMS, SUBSTANCE USE DISORDERS, LIFETIME SUICIDE ATTEMPTS, OPIOID USE, AND PAIN MEDICATION DEPENDENCE ARE DRAMATICALLY ELEVATED FOR JUSTICE-INVOLVED POPULATIONS COMPARED WITH THE GENERAL POPULATION. REENTERING CITIZENS EXPERIENCE HIGHER RATES OF OVERDOSE, SUICIDE, DISABILITIES AND PHYSICAL DISORDERS, HOMELESSNESS, AND DEATH … ALSO HAVE DISPROPORTIONATE RATES OF HIV/AIDS, HEPATITIS C, AND SEXUALLY TRANSMITTED INFECTIONS.” GEORGIA SURPASSES OTHER U.S. STATES FOR HIV INCIDENCE AMONG ADULTS (23.6 NEW CASES/100,000 POPULATION). IN ITS MOST POPULOUS COUNTY, FULTON COUNTY, THE INCIDENCE RATE IS MORE THAN TWICE AS HIGH AT 48.9/100,000, YET FULTON COUNTY JAIL NO LONGER TESTS INMATES FOR HIV, AND DOES NOT PROVIDE MEDICATION ASSISTED TREATMENT (EXCEPT FOR PREGNANT WOMEN). SOUTHSIDE MEDICAL CENTERS 13 LOCATIONS IN FULTON, DEKALB, CLAYTON, GWINNETT, SPALDING AND BUTTS COUNTIES ARE WELL PLACED TO SERVE A MAJORITY OF THOSE REENTERING THE COMMUNITY FROM JAIL VIA A COMPREHENSIVE MEDICAL HOME. THROUGH A PARTNERSHIP WITH DR. ANNE SPALDING’S TEAM FROM EMORY OUR JUSTICE INVOLVED TRANSITIONS FOR HEALTH PLAN BASED ON HER WORK IN EXPANDING HEALTH OPPORTUNITIES FOR INCARCERATED PERSONS THROUGH TESTING FOR HIV AND HEPATITIS C, EARLY DETECTION OF TB AND COMPLETION OF TB TREATMENT, MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS, AND EVIDENCE-BASED STRENGTH-BASED CASE MANAGEMENT AND PEER NAVIGATION TO KEEP PEOPLE LIVING WITH HIV VIRALLY SUPPRESSED AND TO PROVIDE PRE-EXPOSURE PROPHYLAXIS MEDICATIONS TO PREVENT THOSE AT RISK FOR HIV FROM SEROCONVERTING TO HIV+ STATUS THROUGH UTILIZATION OF OUR EXISTING RYAN WHITE PART A SERVICES AND PREP PROGRAM, AS WELL AS PROVIDE TREATMENT FOR CHRONIC AND ACUTE ILLNESSES. OUR PLANNED PROJECT WILL PROVIDE PRE-RELEASE CASE MANAGEMENT SERVICES TO 100 PERSONS INCARCERATED WITHIN AT LEAST COUNTY JAIL TO ELIMINATE HEALTH AND SOCIAL SERVICES GAPS; INCLUDING ARRANGING FOR RELEASE OF MEDICAL RECORDS TO SOUTHSIDE; ARRANGING POST-RELEASE APPOINTMENTS TO A CLINIC ACCESSIBLE FROM WHERE THE FORMERLY INCARCERATED WILL RESIDE; PROVIDING CASE MANAGERS AND COORDINATORS/NAVIGATORS TO ASSIST IN LINKING RELEASED PERSONS WITH SOCIAL SERVICES, SUCH AS SNAP BENEFITS, JOB TRAINING, NUTRITIONAL GUIDANCE AND OTHER SOCIAL DETERMINANTS OF HEALTH SUPPORTS ACCORDING TO THEIR NEED AND A THIRD PARTY PAYOR ENROLLMENT COORDINATOR TO ASSIST THEM IN ENROLLING IN MEDICAID, MEDICARE OR MARKETPLACE HEALTH INSURANCE AND PHARMACEUTICAL ASSISTANCE PLANS (PAPS) FOR WHICH THEY MAY BE ELIGIBLE; WORKING WITH RESIDENTIAL TREATMENT FACILITIES SUCH AS BREAKTHRU HOUSE AND HOPE HOUSE WHEN THESE PERSONS NEED RESIDENTIAL RECOVERY SERVICES; PROVIDING TRANSPORTATION ASSISTANCE FOR CLINIC VISITS AND ASSISTANCE WITH THE COST OF LABS AND MEDICATIONS IF THEY DO NOT QUALIFY FOR PAPS. REQUEST $500,000 PER YEAR; TOTAL $1,000,000 FOR 2 YEARS.

HEALTHY START INITIATIVE - HEALTHY START (HS) FUNDING WILL ENABLE SOUTHSIDE MEDICAL CENTER, A FEDERALLY QUALIFIED HEALTH CENTER SERVING THE COMMUNITY FOR MORE THAN 50 YEARS, TO ADD CASE MANAGEMENT/CARE COORDINATION AND COUNSELING SUPPORT FOR LOW-INCOME, BLACK/AFRICAN AMERICAN AND HISPANIC/LATINA WOMEN, THEIR PARTNERS AND CHILDREN, AND ENHANCED EDUCATION REGARDING HEALTHY BEHAVIORS INCLUDING HEALTHY AND SAFE INFANT AND TODDLER CARE PRACTICES TO OUR COMPREHENSIVE WOMEN’S HEALTH SERVICES PRE-CONCEPTION, PRENATAL, POSTPARTUM, INTERCONCEPTION, FAMILY PLANNING; AND PEDIATRIC SERVICES. OUR TARGET POPULATION HAS BEEN THE VICTIM OF 2022 CLOSURES OF TWO HOSPITALS WHICH SERVED OUR TARGET AREA CHARACTERIZED BY LOW-INCOME, UNINSURED RESIDENTS; HIGH INDEX SCORES OF SOCIAL DEPRIVATION; MULTIPLE BARRIERS SOCIAL DETERMINANTS WHICH IMPACT ACCESS AND OUTCOMES OF CARE INCLUDE HIGHER THAN AVERAGE RATES OF INFANT MORTALITY, PRE-TERM BIRTHS, AND LOW BIRTHWEIGHT BIRTHS. THE PURPOSE OF THESE ADDITIONS TO OUR MENU OF SERVICES IS TO IMPROVE HEALTH OUTCOMES FOR MOTHERS AND BABIES BEFORE, DURING, AND AFTER PREGNANCY; PREVENT POTENTIAL COMPLICATIONS FOR WHICH THEY MAY BE AT HIGHER RISK; PROVIDE EARLY TREATMENT FOR HEALTH PROBLEMS THAT MAY ARISE; AND TO ULTIMATELY REDUCE DISPARITIES IN RATES OF MATERNAL AND INFANT DEATHS DURING THE PERINATAL PERIOD; REDUCING MORBIDITIES DUE TO PRE-TERM AND/OR LOW BIRTHWEIGHT BIRTHS. SOUTHSIDE PROPOSES TO SERVE ELIGIBLE WOMEN, FATHERS/PARTNERS, INFANTS AND TODDLERS RESIDING IN FULTON, DEKALB, AND CLAYTON COUNTIES IN GEORGIA TO PROVIDE CONTINUOUS SERVICE FOR THE MOM, BABY AND FAMILY FROM PRE-CONCEPTION TO PRENATAL TO POSTPARTUM AND INFANCY AS WELL AS A FULL RANGE OF HEALTH SERVICES, THUS PREVENTING GAPS IN CARE FROM MOVING BETWEEN HEALTHY START ORGANIZATIONS AND SEPARATE HEALTHCARE PROVIDERS WHO PROVIDE LABOR AND DELIVERY SERVICES AND PEDIATRIC CARE. WE WILL OFFER EVIDENCE-BASED CENTERING PREGNANCY AND CENTERING PARENTING GROUP-BASED SESSIONS ALONGSIDE PRENATAL AND P EDIATRIC APPOINTMENTS TO INCREASE KNOWLEDGE, SKILLS AND EMPOWER CONFIDENCE IN NEW PARENTS. IF HRSA OPTS TO SELECT SOUTHSIDE AS A HEALTHY START GRANTEE FOR A REDUCED AREA, WE ARE WILLING TO WORK TO ESTABLISH AN AGREEMENT OUTLINING AMENDED PROJECT AREAS THAT DO NOT OVERLAP WHICH SPECIFIES THE BOUNDARIES BETWEEN GRANTEES; OUTLINE PARTNERSHIP RESPONSIBILITIES FOR OUTREACH, RECRUITMENT AND REFERRALS TO ASSURE NO OVERLAP; AND ALLOW BOTH GRANTEES TO SERVE 700 PARTICIPANTS ANNUALLY.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - SOUTHSIDE MEDICAL CENTER, HEALTH CENTER PROGRAM GRANT NUMBER H80CS00576, WILL EXPAND BEHAVIORAL HEALTH SERVICES INCLUDING MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER TO TWO OF OUR CLINICS – ONE IN GWINNETT COUNTY, GEORGIA AND THE OTHER IN CLAYTON COUNTY, GEORGIA – BY PROVIDING EACH WITH PSYCHIATRIC NURSE PRACTITIONERS SUPERVISED BY A PSYCHIATRIST, PLUS A LICENSED CLINICAL SOCIAL WORKER TO ADDRESS THE NEEDS OF PATIENTS FROM THESE COUNTIES AND SURROUNDING COUNTIES. CLAYTON COUNTY HAS A MAJORITY MINORITY POPULATION (69% BLACK/AFRICAN AMERICAN), EXPERIENCES HIGH INDEXES OF DEPRIVATION AND SOCIAL VULNERABILITY, ONE OUT OF FOUR OF ITS RESIDENTS REPORT POOR OR FAIR HEALTH, 14.3% OF RESIDENTS SELF-REPORT EXCESSIVE ALCOHOL CONSUMPTION, AND HAS HIGH AGE-ADJUSTED RATES OF MORTALITY DUE TO SUICIDE (9.9 DEATHS PER 100,000 POPULATION), DUE TO SUICIDE PLUS DRUG OR ALCOHOL POISONING (28.0 DEATHS PER 100,000 POPULATION), AND DUE TO DRUG POISONING (11.2 DEATHS PER 100,000 POPULATION). GWINNETT COUNTY ALSO HAS A MAJORITY MINORITY POPULATION (27.9% BLACK/AA, 21.75% HISPANIC/LATINX, 12.7% ASIAN, 3.3% MULTIRACIAL), A PORTION OF WHICH EXPERIENCES HIGH INDEXES OF DEPRIVATION AND SOCIAL VULNERABILITY, 14.36% OF RESIDENTS SELF-REPORT EXCESSIVE ALCOHOL CONSUMPTION, AND ITS AGE-ADJUSTED RATES OF MORTALITY DUE TO THOSE SAME CAUSES ARE IDENTICAL OR QUITE SIMILAR TO CLAYTON COUNTY’S RATES (SUICIDE IS HIGHER, AT 11.5 DEATHS PER 100,000 POPULATION). TO MAINTAIN THE NATIONAL RATIO OF PROVERS PER 100,000 POPULATION, CLAYTON COUNTY WOULD NEED 72 MORE SUBSTANCE ABUSE PROVIDERS, 35 MORE BUPRENORPHINE PROVIDERS, AND 384 MORE MENTAL HEALTH PROVIDERS THAN IT CURRENTLY HAS. GWINNETT COUNTY WOULD NEED 210 MORE SUBSTANCE ABUSE PROVIDERS, 96 MORE BUPRENORPHINE PROVIDERS, AND 962 MORE MENTAL HEALTH PROVIDERS THAN IT CURRENTLY HAS. WE BUILD INTO OUR PROGRAM A PLAN FOR MULTILINGUAL STAFF WHENEVER POSSIBLE AND TRANSLATION SERVICES TO ENSURE EQUITABLE ACCESS TO CULTURALLY AND LI NGUISTICALLY APPROPRIATE CARE. IN YEAR ONE OF THE EXPANSION, WE EXPECT AN ADDITIONAL 70 PATIENTS TO RECEIVE SUBSTANCE USE TREATMENT INCLUDING SUBOXONE, WHEN APPROPRIATE, AND 408 ADDITIONAL PATIENTS TO RECEIVE MENTAL HEALTH TREATMENT, FOR A TOTAL OF 478 ADDITIONAL PATIENTS. IN YEAR TWO OF THE EXPANSION, WE EXPECT 130 PATIENTS TO RECEIVE SUBSTANCE USE TREATMENT AND 546 PATIENTS TO RECEIVE MENTAL HEALTH TREATMENT, FOR A TOTAL OF 676 PATIENTS.

HEALTHY START INITIATIVE

HEALTHY START INITIATIVE

HEALTHY START INITIATIVE

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM