FY 2022 certified community behavioral health clinic planning, development, and implementation grant (CCBHC-PDI) - project name: puerto rico CCBHC the puerto rico cchbc will be established through…

FY 2022 certified community behavioral health clinic planning, development, and implementation grant (CCBHC-PDI) - project name: puerto rico CCBHC the puerto rico cchbc will be established through planning, development, and implementation during the first year of funding and will be established to provide comprehensive, coordinated, person-and family-centered, integrated behavioral health care to the 282,154 low-income residents of living on the northern side of the territory of puerto rico, just to the west of territory's capital SAN juan, within the municipalities of bayamon, cataño, dorado, guaynabo, TOA baja, and vega alta. The target population is 99.9% hispanic with the largest age groups, 25-44 and 45-64 years of age, totaling 26% of the population each, 52% together. Those 65 years and older have witnessed the largest change from 2000 to 2019 reaching an increase of 45.6%. Over half, or 54%, of the target population live below 100% of the federal poverty guidelines (FPG). Of those living below 200% FPG, 16%, or 73,189 have disabilities and 32% are not in the labor force. Service members total 529 members of the service area, and 27.8% receive medicaid and an additional 20% have medicare. A staggering 19.0% of puerto rico households have a vehicle shortage including the 13.9%, or 19,017, of households located in chfpr's service area that do not have a vehicle available for use at all. These totals far exceed the united states total of 13.5% and 8.6% respectively. Project goals and objectives: goal 1: implement cchbc program within chfpr. OBJ 1.1: develop an operational plan to support implementation and operation. OBJ 1.2: complete infrastructure development activities OBJ 1.3: complete initial needs assessment OBJ 4: provide five core cchbc services within six months. OBJ 1.5: provide remaining four core cchbc services within 12 months. OBJ 1.6: establish consumer and family member advisory work group (AWG). OBJ 1.7: complete CCBHC certification. OBJ 1.8: follow-up & update of needs assessment, grant activities, staffing plan, and training plan OBJ 1.9: assess program development and implementation monthly. OBJ 1.10: update cchbc certification attestation. Goal 2: provide CCBHC services to 1042 total unduplicated patients during the four-year grant period. OBJ 2.1: hire staff. OBJ 2.2: develop and distribute referral source program information to assure all partner organization understand the program's collaborative and integrative approach, the pathway for entry for the full spectrum of cchbc services. OBJ 2.3, 2.4, 2.5, 2.6: recruit and provide services to the following number of patients per year for the four-year grant period: YR 1: 233; YR 2:299; YR 3: 255, YR 4: 255 goal 3: establish CCO program to support patient access/care and data collection. Objective 3.1: finalize care coordination processes to support the referral and coordination of care for CCBHC patients through the development of processes for the exchange of data and a formal agreement with each of the entities to assure coordinated and timely exchange of information. Objective 3.2: implement CCO processes within the CCBHC program to assure coordination of care and data exchange. Goal 4: plan for the future of chfpr's cchbc through the development of a sustainability plan. Objective 4.1: complete federal procurement process to identify and hire CCBHC consultants to complete the development of a sustainability plan. Objective 4.2: review completed plan and discussion with board and staff. Objective 4.3: implement the sustainability plan. Objective 4.4: update sustainability plan annually