Not listed
FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: EXPANDED HOURS APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH DEVELOPMENT, INC. GRANT #H80CS00130 ADDRESS: 908 EVANS ST., BUILDING A - UVALDE, TEXAS 78801-6051 PROJECT DIRECTOR NAME: MAYELA CASTAÑON E-MAIL: MCASTANON@CHDI4HEALTH.ORG CONTACT PHONE NUMBER: (830) 278-5604; (830) 278-1836 (FAX) WEB SITE ADDRESS: HTTPS://CHDI4HEALTH.ORG CONGRESSIONAL DISTRICTS: TEXAS 023 AND TEXAS 021 FUNDING REQUESTED: EXPANDED HOURS CURRENT FEDERAL FUNDING: SECTION330CHC/MHC COMMUNITY HEALTH DEVELOPMENT, INC. (CHDI) IS A PRIVATE NON-PROFIT COMMUNITY BASED FQHC ESTABLISHED IN UVALDE, TEXAS IN 1983. CHDI'S SERVICE AREA INCLUDES UVALDE, REAL, EDWARDS AND PARTS OF ZAVALA COUNTIES. CHDI'S ENTIRE SERVICE AREA IS DESIGNATED AS HPSA FOR PRIMARY CARE, DENTAL, AND BEHAVIORAL HEALTH. THE SERVICE AREA HAS A 2022 US CENSUS ESTIMATED TOTAL POPULATION OF 31,999. OF THESE, 34% LIVE BELOW 150% OF THE FEDERAL POVERTY LEVEL AND 25% ARE UNINSURED. COUNTY LEVEL DATA ON THE NUMBER OF AGRICULTURAL WORKERS, WHOM CHDI TARGETS AS A SPECIAL POPULATION, IS EXTREMELY LIMITED HOWEVER THE ENTIRE SERVICE AREA RELIES HEAVILY ON FARMING AND RANCHING. A 2017 REPORT INDICATES THAT FARMWORKERS, NOT INCLUDING RANCH WORKERS, COMPRISE 11% OF THE POPULATION IN THE SOUTH TEXAS BORDER REGION, WHICH INCLUDES CHDI'S SERVICE AREA. CHDI'S 2023 COMMUNITY NEEDS ASSESSMENT REVEALS THAT THE MAJOR HEALTHCARE NEEDS ARE: DIABETES, LACK OF INSURANCE, BEHAVIORAL HEALTH, HYPERTENSION, HEART DISEASE, AND CANCER. MAJOR BARRIERS INCLUDE TOO FEW PROVIDERS, GEOGRAPHY/TRANSPORTATION, AND FINANCIAL LIMITATIONS TO ACCESSING CARE. CHDI IS GOVERNED BY AN 11-MEMBER BOARD OF DIRECTORS COMPRISED OF PATIENT REPRESENTATIVES (64%) AND LEADERS FROM THE SERVICE AREA. CHDI'S MISSION IS TO CONTINUOUSLY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. CHDI'S TARGET POPULATION INCLUDES UNINSURED/UNDERSERVED INDIVIDUALS LIVING BELOW 200% OF POVERTY. TO ADDRESS THE NEEDS OF THE TARGET POPULATION, CHDI OPERATE S FOUR FULL-TIME HEALTH CARE DELIVERY SERVICE SITES: OUR HEALTH/NUESTRO CENTRO DE SALUD AND THE CENTER FOR COMMUNITY WELLNESS IN UVALDE; ROLLING HILLS HEALTH AND CANYON HEALTH BOTH IN REAL COUNTY. CHDI IS THE ONLY PRIMARY CARE PROVIDER IN REAL COUNTY. CHDI ALSO OPERATES A WEEKLY MEDICAL CLINIC AT THE UVALDE COUNTY JAIL. CHDI PROVIDES ALL REQUIRED MEDICAL AND DENTAL SERVICES DIRECTLY, EXCEPT FOR OB CARE. THE SCOPE OF PROJECT REPRESENTS INTEGRATED HEALTH CARE SERVICES THAT INCLUDE PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE, DIAGNOSTIC LAB, X-RAY, CLASS A AND D PHARMACIES, DISEASE SCREENING AND MANAGEMENT, COMMUNITY HEALTH EDUCATION, ENROLLMENT, AND SPECIALTY CARE REFERRALS. CHDI SERVES ALL PEOPLE, REGARDLESS OF ABILITY TO PAY. IN 2023, SERVED 12,174 PATIENTS. THROUGH THIS FUNDING OPPORTUNITY, CHDI IS PROPOSING TO EXPAND HOURS OF OPERATION AND SERVICES AT THE FOLLOWING TWO SITES: OUR HEALTH IN UVALDE AND ROLLING HILLS HEALTH IN LEAKEY. THE HOURS AT EACH SITE WILL BE EXPANDED BY ONE HOUR PER WEEK. ADDITIONALLY, CHDI IS SEEKING FUNDING TO EXPAND ACCESS TO PHARMACY SERVICES IN UVALDE FROM THE CURRENT 53.5 HOURS TO 60.5 HOURS PER WEEK AND EXPAND ACCESS TO DENTAL SERVICES IN LEAKEY FROM THE CURRENT 11 HOURS TO 46 HOURS PER WEEK. CHDI IS INCREASING ITS PROVIDER STAFFING TO ADDRESS THE INCREASED NEED FOR CARE IN THE AREA. THUS, THERE WILL BE A CORRESPONDING INCREASE IN THE NUMBER OF PRESCRIPTION REQUESTS. IN 2023, CHDI FILLED 80,800 PRESCRIPTION REQUESTS. CHDI EXPECTS THE NUMBER OF PRESCRIPTIONS REQUESTS TO BE FILLED TO INCREASE TO 98,700 ANNUALLY. THE DENTAL EXPANSION WILL PROVIDE 2,000 NEW VISITS TO 800 NEW/EXISTING PATIENTS. CHDI IS PROPOSING TO ADD 6.5 FTES TO SUPPORT EXPANDED HOURS AS FOLLOWS: 0.5 PHARMACIST, 1.0 PHARMACY TECHNICIAN, 1.0 DENTIST, 2.0 REGISTERED DENTAL ASSISTANTS, 1.0 PATIENT SUPPORT, AND A 1.0 PRACTICE MANAGER. CHDI'S PROJECT HAS A TOTAL COST OF $708,882 WHICH INCLUDES $500,000 IN FEDERAL FUNDS AND $208,882 IN PROGRAM INCOME.
$500.0k 12/19/24