Quality improvement fund - justice involved - project title: connection to care (C2C) transitions program applicant organization name: mycare health center health center program #: H80CS26572 address:…

Quality improvement fund - justice involved - project title: connection to care (C2C) transitions program applicant organization name: mycare health center health center program #: H80CS26572 address: 6800 east 10 mile road, center line, MI project director name: karen wood, CEO type of funding requested: funding opportunity number: hrsa-25-005 fiscal year FY 2025 quality improvement fund - transitions in care for justice involved populations (QIF-TJI) assistance listings number: 93.527 mycare health center (MCHC) was established in 2010 to address the lack of health care services available for the underserved communities in and surrounding macomb county michigan. The bureau of primary health care recognized MCHC as a federally qualified health center with section 330E grant funding in 2013. With a mission to improve the health and wellness of the community by delivering quality care to all people, mycare health center continues to enhance capacity and services to meet constantly changing healthcare needs. Four clinics located in mount clemens, clinton township and center line provide an array of services including primary care, podiatry, dental, behavioral health, and substance use disorder treatment, including medication for opioid use disorder. All locations incorporate an integrated behavioral health care model, two are CO-located within local, well-respected mental health agencies. Additionally, MCHC provides supportive services including insurance enrollment assistance, a sliding fee discount program and transportation assistance. Mycare health center was agile and swift in response to the covid-19 pandemic by providing testing, immunizations, and treatment. At the onset of the pandemic, MCHC quickly pivoted to telehealth ensuring continuation of care. As the healthcare climate continues to shift, MCHC embraces ongoing access to virtual care and innovative care models. Mycare health center's primary objective is to create, promote, and maintain a positive relationship with patients W hile providing high-quality cost-effective care. Mycare health center brings together a collaboration of county safety net providers, including macomb county community mental health, macomb county health department, easterseals of southeast michigan, and other key community partners. As a community-based health center governed by board of directors representative of the surrounding community who are users of the health center services, MCHC is a patient centered medical home designated by the national center for quality assurance (NCQA) since 2019. In addition, MCHC is a recognized hrsa health center program 2022 awardee as an access enhancer, advancing health information technology, and a health disparities reducer. MCHC's approach is to improve the quality of our patient's health and wellness using effective, evidence-based treatment that is collaborative and integrated. With transitions in care for justice involved populations funding, mycare health center will build upon past experience and community partnerships to serve justice involved populations through the connection to care (C2C) program. In collaboration with the michigan department of corrections and the macomb county jail, targeted case management will begin during the 90-days prior to a citizen's release from incarceration. Services to include in-reach assessments followed by monitoring and follow-up peer support by community health workers with lived experience. Returning citizens will benefit from a continuum of health care services with medical, dental and behavioral health services within 7 days of release. The connection to care (C2C) program is keenly designed to manage chronic health conditions and address mental health and substance use disorder treatment needs while also partnering with essential community partners providing access to housing, transportation and other social needs. The overall goal of the program is to improve health and reentry outcomes for people returning from incarc eration.