W Elm St

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH CARE SYSTEMS, INC. ADDRESS: 2251 W ELM ST., WRIGHTSVILLE GA 31096-2017 PROJECT DIRECTOR NAME: CARLA BELCHER CONTACT PHONE NUMBERS (VOICE): 478-552-7384 (FAX): 478-552-0704 E-MAIL ADDRESS: CBELCHER@CHCSGA.ORG WEB SITE ADDRESS: WWW.CHCSGA.ORG PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. COMMUNITY HEALTH CARE SYSTEMS, INC. (CHCS), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ESTABLISHED IN 1993, PROVIDES HIGH-QUALITY HEALTH CARE SERVICES TO THE LOW-INCOME, UNDERSERVED POPULATION OF RURAL, EAST CENTRAL GEORGIA, INCLUDING BALDWIN, BIBB, GLASCOCK, HANCOCK, JEFFERSON, JOHNSON, JONES, LAURENS, TALIAFERRO, TELFAIR, TWIGGS, WARREN, WASHINGTON, AND WILKINSON COUNTIES IN GEORGIA. IN 2023, CHCSGA SERVED 19,980 TOTAL PATIENTS, INCLUDING 554 PATIENTS WITH MENTAL HEALTH SERVICES, 91 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 53 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: BALDWIN, BIBB, GLASCOCK, HANCOCK, JEFFERSON, JOHNSON, LAURENS, TELFAIR, WASHINGTON, AND WILKINSON COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH CARE (FIND SHORTAGE AREAS, HRSA, 2024), AS ARE JONES, TALIAFERRO, TWIGGS, AND WARREN COUNTIES FOR THE LOW-INCOME POPULATION. THE RATIO OF RESIDENTS TO MENTAL HEALTH PROVIDERS IN THE SERVICE AREA IS 37,294:1, COMPARED TO THE RATIO OF 600:1 IN GA AND 340:1 IN THE US (HPSA DATA, HRSA DATA EXPLORER, 2024; COUNTY HEALTH RANKINGS, RWJF, 2024). MORE THAN TWO IN FIVE (43.2%) OF SERVICE AREA RESIDENTS LIVE ON INCOMES AT OR BELOW 200% FPG, WHILE 23.0% LIVE ON INCOMES AT OR BELOW 100% FPG (ACS, CENSUS BUREAU, 2018-2022). LACK OF INSURANCE POSES A SIGNIFICANT BARRIER TO BEHAVIORAL HEALTH CARE FOR MANY RESIDENTS. OF ALL SERVICE AREA RESIDENTS, 15.9% ARE UNINSURED, WHILE AMONG THOSE WITH INCOMES UNDER 200% FPG IN THE SERVICE AREA 20.4% ARE UNINSURED (SMALL AREA HEALTH INSURANCE ESTIMATES, CENSUS BUREAU, 2021). MORE THAN A QUARTER OF SERVICE AREA RESIDENTS (26.0%) ARE ENROLLED IN MEDICAID, WHILE 21.7% ARE ENROLLED IN MEDICARE (ACS, 2018-2022, CENSUS BUREAU). SERVICES: CHCSGA IS REQUESTING FUNDING TO SUPPORT EXPANDED BEHAVIORAL SERVICES, INCREASING ACCESS TO MENTAL HEALTH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. IN SUPPORT OF THESE SERVICES, CHCSGA IS PROPOSING TO HIRE 1.0 FTE COMMUNITY HEALTH WORKER (SOCIAL WORKER/NAVIGATOR/COMMUNITY HEALTH WORKER), 1.0 FTE PSYCHIATRIC NURSE PRACTITIONER (ALLOCATING 0.60 FTE TO MENTAL HEALTH AND 0.40 FTE TO MEDICAL SUD), 0.45 FTE PSYCHIATRIC NURSE PRACTITIONERS (ALLOCATING 0.45 FTE TO MENTAL HEALTH), 1.0 LICENSED CLINICAL SOCIAL WORKER (LCSW) (ALLOCATING 0.60 FTE TO MENTAL HEALTH AND 0.40 FTE TO SUD), 0.50 FTE OTHER MENTAL HEALTH PERSONNEL (CERTIFIED PEER SPECIALIST), AND 0.45 FTE OTHER LICENSED MENTAL HEALTH PROVIDER (LICENSED MARRIAGE/FAMILY THERAPIST). THE PROJECT WILL ALSO INCLUDE THE PURCHASE OF A MOBILE BEHAVIORAL HEALTH UNIT TO EXPAND REACH OF SERVICES, IMPLEMENTATION OF AN INDIVIDUAL OUTPATIENT PROGRAM (IOP) WITH A VIRTUAL COMPONENT, AND TRAINING AND TECHNICAL ASSISTANCE FOR THE PROJECT, INCLUDING TRAINING TO INCREASE THE NUMBER OF PROVIDERS DELIVERING TREATMENT WITH MOUD. POPULATION GROUP: CHCSGA ANTICIPATES THAT THE PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BEHAVIORAL HEALTH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 750 MENTAL HEALTH SERVICES PATIENTS, 150 SUD SERVICES PATIENTS, AND 100 PATIENTS RECEIVING MOUD SERVICES. OVERALL, THE CENTER ESTIMATES AN INCREASE OF 100 UNDUPLICATED NEW HEALTH CENTER PATIENTS. THIS WILL SUPPORT THE BHSE PROGRAM PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - COMMUNITY HEALTH CARE SYSTEMS, INC SERVES PATIENTS IN RURAL GEORGIA WHERE MANY PATIENTS HAVE CHRONIC AND SERIOUS HEALTH CONDITIONS. AS A COMMUNITY HEALTH CENTER, WE SEE ALL PATIENTS REGARDLESS OF ABILITY TO PAY- IN SOME COUNTIES WE ARE THE ONLY PROVIDER OF THE ONLY SAFETY NET PROVIDER. THE REQUESTED FUNDS WILL BE USED BY OUR ORGANIZATION TO PROVIDE INCREASED SAFETY AND ACCESS TO SERVICES. WE HAVE TWO REQUESTED ITEM GROUPINGS: EXAM BEDS AND WHEELCHAIR SCALES. ONE BLOCK OF FUNDS WILL BE USED TO PURCHASE HIGH/LOW BEDS THAN CAN BE LOWERED FOR EASY PATIENT ACCESS. MANY OF OUR PATIENTS ARE OBESE AND/OR GERIATRIC. TYPICAL EXAM BEDS ARE DIFFICULT FOR THESE PATIENTS TO MANEUVER. WE STRIVE TO HAVE AT LEAST ONE HIGH/LOW BED IN EACH LOCATION AND MULTIPLES IN COME SITES. THE SECOND BLOCK OF FUNDING WILL BE FOR WHEELCHAIR SCALES. ANOTHER ISSUE IS WEIGHING PATIENTS, THE PROPOSED SCALES WILL CALIBRATE WEIGHT UP TO 1,000 POUNDS. WE HAVE A COUPLE OF LOCATIONS WHO SEE PATIENTS THAT EXCEED THE UPPER LIMIT OF TRADITIONAL MEDICAL OFFICE SCALES.

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

FY 2023 EXPANDING COVID-19 VACCINATION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO THE SURVIVORS OF DECLARED DISASTERS FOR UNINSURED OR OTHERWISE UNCOMPENSATED PHYSICAL DAMAGE. DELIVERABLES: LOANS EXPECTED OUTCOMES: BUSINESSES, NONPROFITS, HOMEOWNERS AND RENTERS TO REPAIR OR REPLACE DAMAGED OR DESTROYED REAL PROPERTY AND/OR PERSONAL PROPERTY TO ITS PRE-DISASTER CONDITION. INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM - A. ELIGIBLE ENTITY TYPE NONPROFIT, 501(C3) B. PROJECT DIRECTOR CONTACT INFORMATION CARLA BELCHER COMMUNITY HEALTH CARE SYSTEMS, INC. CBELCHER@CHCSGA.ORG 478.552.7284 EXT. 1211 C. RESIDENCY TYPE (E.G., FAMILY MEDICINE RESIDENCY) FAMILY MEDICINE RESIDENCY PROGRAM D. FUNDING PREFERENCE STATEMENT (IF APPLICABLE) COMMUNITY HEALTH CARE SYSTEMS, INC. REQUESTS FUNDING PREFERENCE FOR AFFILIATION WITH AN AREA HEALTH EDUCATION CENTER PROGRAM. INCLUDED IN ATTACHMENT 5 IS A SIGNED MOU INDICATING OUR EXISTING PARTNERSHIP WITH THE GEORGIA STATEWIDE AREA HEALTH EDUCATION CENTER NETWORK. E. POPULATION TARGET AREA(S) OUR PROPOSED PROGRAM SITES ARE LOCATED IN SANDERSVILLE, GEORGIA, AND PRIMARILY SERVE RESIDENTS FROM WASHINGTON COUNTY, GEORGIA. THESE SITES ARE DESIGNATED AS RURAL BY HRSA AND ARE LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. F. FUNDING AMOUNT REQUESTED (TOTAL FOR THE TWO-YEAR PROJECT PERIOD) $500,000 G. PROJECTED NUMBER OF RESIDENT POSITIONS IN THE NEWLY ESTABLISHED PROGRAM; WE PROJECT TO RECRUIT 2 RESIDENTS PER YEAR, FOR 6 TOTAL AT FULL COMPLEMENT BY PGY-3. H. EXPECTED ACGME OR CODA ACCREDITATION AND RESIDENCY MATRICULATION DATES THE PROPOSED PROGRAM WILL APPLY FOR AGME ACCREDITATION IN QUARTER 3 OF BUDGET YEAR 1, IN 2024. ACCREDITATION IS EXPECTED TO BE RECEIVED BY 2025. EXPECTED RESIDENT MATRICULATION WILL OCCUR JULY 1, 2026. ABSTRACT BODY CONTENT: COMMUNITY HEALTH CARE SYSTEMS, INC. (CHCS) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOCATED IN EASTERN GEORGIA. CHCS PROPOSES TO DEVELOP A FAMILY MEDICINE RESIDENCY PROGRAM THAT WILL ULTIMATELY SERVE TO RECRUIT PRIMARY CARE PHYSICIANS TO THE SERVICE AREA. THIS PROGRAM WILL BEGIN TRAINING RESIDENTS BY JULY 1, 2026. RESIDENTS WILL PRIMARILY TRAIN AT THE CHCS - SANDERSVILLE SITE AND THE CHCS – TENNILLE SITE, BOTH LOCATED IN WASHINGTON COUNTY, GEORGIA. CHCS WILL ALSO PARTNER WITH WASHINGTON COUNTY REGIONAL MEDICAL CENTER (WCRMC), A SHORT-TERM ACUTE CARE HOSPITAL, TO PROVIDE INPATIENT ROTATIONS AND ENSURE THAT ALL ACGME PROGRAM REQUIREMENTS ARE MET. CHCS HAS A ROBUST SYSTEM OF COMMUNITY PARTNERSHIPS THAT WILL SUPPORT THIS PROJECT. COMMUNITY PARTNERS INCLUDE EAST GEORGIA HEALTHCARE CENTER AND MEDLINK GEORGIA, TWO NEIGHBORING FQHCS THAT ARE COMMITTED TO SUPPORTING BUILDING THE CAPACITY OF THE NEW FAMILY MEDICINE PROGRAM. THE PROPOSED PROGRAM ALSO HAS THE SUPPORT OF MERCER UNIVERSITY SCHOOL OF MEDICINE, WHICH WILL PROVIDE EDUCATIONAL RESOURCES AS NEEDED. THE CHCS SERVICE AREA HAS A HIGHER NEED IN COMPARISON TO THE STATE OR NATION FOR PRIMARY, DENTAL, AND MENTAL HEALTH CARE. THE LACK OF LOCAL PROVIDERS PRESENTS A SIGNIFICANT BARRIER TO CARE, PARTICULARLY FOR LOW-INCOME RESIDENTS. THE LEVEL OF ACCESSIBILITY TO PRIMARY CARE PROVIDERS IS CRUCIAL IN REMOVING BARRIERS FOR OUR COMMUNITY MEMBERS TO RECEIVE HIGH-QUALITY PRIMARY CARE. THE FAMILY MEDICINE RESIDENCY PROGRAM WILL FORMALLY RECRUIT TWO (2) RESIDENTS IN THE FALL OF 2025 TO MATRICULATE THE PROGRAM’S INAUGURAL CLASS OF RESIDENTS ON JULY 1, 2026. FOR SUBSEQUENT YEARS, CHCS WILL CONTINUE TO FILL FROM THE ‘BOTTOM-UP’ BY RECRUITING A WHOLE CLASS OF PGY-1 RESIDENTS. AFTER THREE YEARS, THE PROGRAM AIMS TO BE AT FULL COMPLEMENT AND MEET OUR DESIRED PROGRAM SIZE OF SIX (6) RESIDENTS. OUR GOAL IS TO RETAIN AT LEAST 50% OF GRADUATES FROM THE PROGRAM IN ORDER TO INCREASE PRIMARY CARE PHYSICIAN PRESENCE IN OUR SERVICE AREA.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH CARE SYSTEMS, INC. ADDRESS: 2251 W ELM ST., WRIGHTSVILLE GA 31096-2017 PROJECT DIRECTOR NAME: CARLA BELCHER CONTACT PHONE NUMBERS (VOICE): 478-552-7384 (FAX): 478-552-0704 E-MAIL ADDRESS: CBELCHER@CHCSGA.ORG WEB SITE ADDRESS: WWW.CHCSGA.ORG PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. COMMUNITY HEALTH CARE SYSTEMS, INC. (CHCS), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ESTABLISHED IN 1993, PROVIDES HIGH-QUALITY HEALTH CARE SERVICES TO THE LOW-INCOME, UNDERSERVED POPULATION OF RURAL, EAST CENTRAL GEORGIA, INCLUDING BALDWIN, BIBB, GLASCOCK, HANCOCK, JEFFERSON, JOHNSON, JONES, LAURENS, TALIAFERRO, TELFAIR, TWIGGS, WARREN, WASHINGTON, AND WILKINSON COUNTIES IN GEORGIA. IN 2023, CHCSGA SERVED 19,980 TOTAL PATIENTS, INCLUDING 554 PATIENTS WITH MENTAL HEALTH SERVICES, 91 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 53 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: BALDWIN, BIBB, GLASCOCK, HANCOCK, JEFFERSON, JOHNSON, LAURENS, TELFAIR, WASHINGTON, AND WILKINSON COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR MENTAL HEALTH CARE (FIND SHORTAGE AREAS, HRSA, 2024), AS ARE JONES, TALIAFERRO, TWIGGS, AND WARREN COUNTIES FOR THE LOW-INCOME POPULATION. THE RATIO OF RESIDENTS TO MENTAL HEALTH PROVIDERS IN THE SERVICE AREA IS 37,294:1, COMPARED TO THE RATIO OF 600:1 IN GA AND 340:1 IN THE US (HPSA DATA, HRSA DATA EXPLORER, 2024; COUNTY HEALTH RANKINGS, RWJF, 2024). MORE THAN TWO IN FIVE (43.2%) OF SERVICE AREA RESIDENTS LIVE ON INCOMES AT OR BELOW 200% FPG, WHILE 23.0% LIVE ON INCOMES AT OR BELOW 100% FPG (ACS, CENSUS BUREAU, 2018-2022). LACK OF INSURANCE POSES A SIGNIFICANT BARRIER TO BEHAVIORAL HEALTH CARE FOR MANY RESIDENTS. OF ALL SERVICE AREA RESIDENTS, 15.9% ARE UNINSURED, WHILE AMONG THOSE WITH INCOMES UNDER 200% FPG IN THE SERVICE AREA 20.4% ARE UNINSURED (SMALL AREA HEALTH INSURANCE ESTIMATES, CENSUS BUREAU, 2021). MORE THAN A QUARTER OF SERVICE AREA RESIDENTS (26.0%) ARE ENROLLED IN MEDICAID, WHILE 21.7% ARE ENROLLED IN MEDICARE (ACS, 2018-2022, CENSUS BUREAU). SERVICES: CHCSGA IS REQUESTING FUNDING TO SUPPORT EXPANDED BEHAVIORAL SERVICES, INCREASING ACCESS TO MENTAL HEALTH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. IN SUPPORT OF THESE SERVICES, CHCSGA IS PROPOSING TO HIRE 1.0 FTE COMMUNITY HEALTH WORKER (SOCIAL WORKER/NAVIGATOR/COMMUNITY HEALTH WORKER), 1.0 FTE PSYCHIATRIC NURSE PRACTITIONER (ALLOCATING 0.60 FTE TO MENTAL HEALTH AND 0.40 FTE TO MEDICAL SUD), 0.45 FTE PSYCHIATRIC NURSE PRACTITIONERS (ALLOCATING 0.45 FTE TO MENTAL HEALTH), 1.0 LICENSED CLINICAL SOCIAL WORKER (LCSW) (ALLOCATING 0.60 FTE TO MENTAL HEALTH AND 0.40 FTE TO SUD), 0.50 FTE OTHER MENTAL HEALTH PERSONNEL (CERTIFIED PEER SPECIALIST), AND 0.45 FTE OTHER LICENSED MENTAL HEALTH PROVIDER (LICENSED MARRIAGE/FAMILY THERAPIST). THE PROJECT WILL ALSO INCLUDE THE PURCHASE OF A MOBILE BEHAVIORAL HEALTH UNIT TO EXPAND REACH OF SERVICES, IMPLEMENTATION OF AN INDIVIDUAL OUTPATIENT PROGRAM (IOP) WITH A VIRTUAL COMPONENT, AND TRAINING AND TECHNICAL ASSISTANCE FOR THE PROJECT, INCLUDING TRAINING TO INCREASE THE NUMBER OF PROVIDERS DELIVERING TREATMENT WITH MOUD. POPULATION GROUP: CHCSGA ANTICIPATES THAT THE PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BEHAVIORAL HEALTH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 750 MENTAL HEALTH SERVICES PATIENTS, 150 SUD SERVICES PATIENTS, AND 100 PATIENTS RECEIVING MOUD SERVICES. OVERALL, THE CENTER ESTIMATES AN INCREASE OF 100 UNDUPLICATED NEW HEALTH CENTER PATIENTS. THIS WILL SUPPORT THE BHSE PROGRAM PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD.

HEALTH CENTER INFRASTRUCTURE SUPPORT