SEA MAR COMMUNITY HEALTH CENTERS

HEALTH CENTER CLUSTER

RURAL RENTAL ASSISTANCE PAYMENTS

HEALTH CENTER INFRASTRUCTURE SUPPORT

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - FOR 45 YEARS, SEA MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. WITHIN ITS SCOPE OF PROJECT, SEA MAR OPERATES 39 MEDICAL, 30 DENTAL, AND 42 BEHAVIORAL HEALTH CLINICS ACROSS 11 COUNTIES. IN 2022, SEA MAR SERVED 224,180 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR IS APPLYING FOR COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING TO BUILD A NEW CLINIC IN KENT, WA. THE NEW KENT CLINIC WILL ALLOW SEA MAR TO CONTRIBUTE TO THE COMMUNITY PRIORITIES OF KING COUNTY BY PROVIDING INCREASED ACCESS TO HEALTHCARE, CULTURAL SENSITIVE CARE, AS WELL AS AFFORDABLE AND EQUITABLE MEDICAL SERVICES TO UNDERSERVED POPULATIONS INCLUDING THOSE OF LOW INCOME, THE UNINSURED OR PUBLICLY INSURED, AND DISENFRANCHISED MINORITY GROUPS (KING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2019). BUILDING THESE DIVERSE FACILITIES, DESIGNED IN THE PATIENT CENTERED MEDICAL HOME MODEL (LISTED AS A PRIORITY INVESTMENT AREA IN THE KING COUNTY CHNA, 2019), WILL ALLOW SEA MAR TO INCREASE THE NUMBER OF PATIENTS THE ORGANIZATION ALREADY SERVES WITH ITS LOCAL CLINICS, AS WELL AS PROVIDE AN UPDATED, INTEGRATED SYSTEM OF CARE UNLIKE OTHER PROVIDERS IN THE AREA. GIVEN ITS DISTANCE FROM OTHER CLINICS PROVIDING SERVICES TO UNINSURED AND MEDICAID PATIENTS, AND ITS LOCATION IN A SEVERELY DISTRESSED AREA, SEA MAR ANTICIPATES BEING ABLE TO SERVE 6,000 UNDUPLICATED MEDICAL PATIENTS AND 3,960 UNDUPLICATED DENTAL PATIENTS PER YEAR ONCE FULLY OPERATIONAL.

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - FOR 43 YEARS, SEA MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. SEA MAR IS AN H80 GRANT RECIPIENT OPERATING 39 MEDICAL, 29 DENTAL, AND 38 BEHAVIORAL HEALTH CLINICS IN 11 COUNTIES. IN 2020, SEA MAR SERVED 205,253 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR SPECIALIZES IN BILINGUAL AND BICULTURAL SERVICES TO THE LATINO COMMUNITY. AS THE AGENCY HAS GROWN, IT HAS EXPANDED ITS SPECIALIZATION TO INCLUDE OTHER LIMITED-ENGLISH AND LOW-INCOME POPULATIONS. SEA MAR ALSO HAS SPECIAL PROGRAMS AND FEDERAL FUNDING TO PROVIDE HEALTH CARE AND RELATED SERVICES TO MIGRANT AND SEASONAL FARM WORKERS AND HOMELESS PERSONS. IN ADDITION TO LIMITED ENGLISH PROFICIENCY, SEA MAR TAILORS ITS SERVICES TO SERVE PATIENTS WHO FACE MANY OTHER BARRIERS TO HEALTH CARE, INCLUDING POVERTY, LACK OF FAMILIARITY WITH AVAILABLE RESOURCES AND ELIGIBILITY REQUIREMENTS, LACK OF ACCESS TO TRANSPORTATION AND/OR CHILDCARE, AND A SHORTAGE OF PROVIDERS WHO ACCEPT UNINSURED OR PUBLICLY INSURED PATIENTS. SEA MAR IS APPLYING FOR FY22 ENDING THE HIV EPIDEMIC-PRIMARY CARE HIV PREVENTION FUNDS TO IMPROVE AND ENHANCE INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV, INCREASING THE NUMBER OF PATIENTS PRESCRIBED PREP, AND INCREASE THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT WITHIN 30 DAYS OF DIAGNOSIS. SEA MAR PROPOSES TO UTILIZE FUNDS FOR A PILOT PROJECT TO LEARN BEST PRACTICES TO INCREASE AND IMPROVE HIV CARE THAT CAN BE REPLICATED AT CLINICS ACROSS SEA MAR’S SERVICE AREA. THE PROPOSED PROJECT WILL BE CONDUCTED FROM SEA MAR’S MEDICAL CLINIC IN THE SOUTH PARK NEIGHBORHOOD OF SEATTLE, IN KING COUNTY, WA, WHICH IS LOCATED IN A TARGETED GEOGRAPHIC LOCATION. CURRENTLY, SEA MAR PATIENTS WHO TEST POSITIVE MEET WITH A CARE COORDINATOR WHO WORKS WITH THEM TO REFER THEM FOR HIV TREATMENT SERVICES. THE CARE COORDINATOR FOLLOWS-UP WITH THE PATIENT FOR 90-DAYS TO ENSURE THEY RECEIVE THEIR REFERRAL AND ARE CONNECTED WITH CARE. SEA MAR IS EXPLORING THE BEST-PRACTICE OPTION OF UNIVERSAL HIV SCREENING TO SCREEN EVERYONE OVER THE AGE OF 15 ONCE IN A LIFETIME IF THEY HAVEN’T BEEN TESTED, WHICH WILL GREATLY EXPAND HIV SCREENING. SEA MAR’S NEW EHR ALLOWS FOR DOCUMENTATION OF PREP, HOWEVER IT NEEDS TO BE CONFIGURED TO BUILD BEST PRACTICE ADVISORIES. SEA MAR HAS A PROVIDER CHAMPION FOCUSED ON CONFIGURING THE EHR FOR PREP DOCUMENTATION AND TRAINING PROVIDERS ON THE PROTOCOL. ADDITIONALLY, THIS PROVIDER CHAMPION IS WORKING WITH THE QI AND COMMUNICATIONS DEPARTMENTS TO COMPILE A LIST OF SEA MAR PROVIDERS WHO OFFER PREP AND PROMOTE THE AVAILABILITY OF PREP SERVICES MORE WIDELY. SEA MAR PROPOSES TO UTILIZE FUNDING FOR DEDICATED STAFF RESOURCES TO PROVIDE TARGETED EDUCATION, OUTREACH AND FOLLOW-UP FOR HIV PATIENTS, INCLUDING AN HIV PROGRAM COORDINATOR AND HIV HEALTH EDUCATOR. THE HIV PROGRAM COORDINATOR WILL BE RESPONSIBLE FOR PROGRAM OVERSIGHT AND IMPLEMENTATION OF PROCESSES AND TOOLS TO SUPPORT THE HIV PREVENTION AND FOLLOW-UP PROGRAM. THE HIV HEALTH EDUCATOR WILL BE RESPONSIBLE FOR PROVIDING HIV PREVENTION INFORMATION TO PATIENT, HIV RESOURCES FOR POSITIVE PATIENTS, AND HIV PREVENTION EDUCATION FOR PROVIDER STAFF.

GWC DRUG-FREE COMMUNITIES PROJECT

ACCELERATING CANCER SCREENING - FOR 42 YEARS, SEA MAR COMMUNITY HEALTH CENTERS HAS SERVED THE COMMUNITY BY PROVIDING PRIMARY AND ANCILLARY HEALTH CARE SERVICES IN WESTERN WASHINGTON. WITHIN ITS SCOPE OF PROJECT, SEA MAR OPERATES 39 MEDICAL, 29 DENTAL, AND 38 BEHAVIORAL HEALTH CLINICS IN 11 COUNTIES. IN 2020, SEA MAR SERVED 227,671 UNDUPLICATED PATIENTS THROUGHOUT ITS SERVICE AREA, THE MAJORITY OF WHOM LIVE BELOW THE FEDERAL POVERTY LEVEL AND ARE UNINSURED, UNDERINSURED OR RECEIVE MEDICAID. SEA MAR IS APPLYING FOR HRSA FY22 ACCELERATED CANCER SCREENING FUNDING TO IMPROVE PATIENTS’ BREAST, CERVICAL AND COLORECTAL CANCER SCREENING RATES. THERE HAS BEEN AN INCREASE OF AVAILABILITY OF REPRODUCTIVE AND COLORECTAL CANCER SCREENINGS IN THE UNITED STATES; HOWEVER MANY GROUPS OF PEOPLE REMAIN UNDERSERVED WITH RESPECT TO NATIONAL GUIDELINES FOR BREAST, CERVICAL AND COLORECTAL CANCER SCREENINGS. COMMUNITY HEALTH CENTERS LIKE SEA MAR PROVIDE AN AVENUE FOR UNDERSERVED AND LOW-INCOME POPULATIONS TO RECEIVE ESSENTIAL PRIMARY CARE SERVICES, BUT MANY OF THESE HEALTH CENTERS STILL STRUGGLE TO ACHIEVE POPULATION-BASED SCREENING. TO ADDRESS THIS NEED, SEA MAR WILL UTILIZE COLLABORATE WITH NCI-DESIGNATED CANCER CENTER FRED HUTCHINSON CANCER RESEARCH CENTER AND UTILIZE TRAINED PATIENT NAVIGATORS AND OUTREACH SPECIALISTS TO CLOSE THE BREAST, CERVICAL AND COLORECTAL CANCER SCREENING GAPS FOR ITS PATIENT POPULATION.

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

IGF::OT::IGF COMMUNITY NURSING HOME SERVICES. REPORT FY12 COSTS

IGF::OT::IGF COMMUNITY NURSING HOME SERVICES. REPORT FY13 COSTS. EXPRESS REPORT.

IGF::OT::IGF COMMUNITY NURSING HOME SERVICES. REPORT FY13 COSTS. EXPRESS REPORT.

IGF::OT::IGF COMMUNITY NURSING HOME SERVICES. REPORT FY13 COSTS. EXPRESS REPORT. - JUNE/JULY 2013

IGF::OT::IGF:: -- MEDICAL SERVICES

COMMUNITY NURSING HOME SERVICES