Grant: $1,111,743 - Health Resources and Services Administration - Mar. 27, 2009
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Award Description: El Centro del Barrio dba CentroMed, founded in 1973, is a 501(c)(3) non-profit, community-based, bilingual-bicultural community health care center whose mission is to provide accessible services of superior quality. As the FQHC serving the largest number of patients in Texas, CentroMed plays a key role in the community and its service delivery network, providing comprehensive care to a quarter of the CHC target population, 30% of the HCH target population, and over half of persons living with HIV (non-AIDS). CentroMed provides primary medical, dental, and behavioral health care; lab, pharmacy and other enabling services through a network of 19 sites located throughout Bexar County. CentroMed?s service area and target population consists predominately of low-income and uninsured residents. CentroMed?s 2008 UDS client profile reflects 205,795 encounters for 54,057 unduplicated clients of which 67% were uninsured, 13% homeless, 85% Hispanic/Latino and 93% reported living at or below 200% Federal Poverty Level. The need for service expansion is made clear through the currently unpredictable and volatile economic environment, most notably felt through the growing unemployment rate. Although San Antonio?s unemployment rate has not quite reached the national level, the January 2009 rate of 6.3 shows a 43% increase from the January 2008 rate of 4.4 (TWC, March 2009). This equates over 59,000 currently unemployed San Antonio residents who do not have or will be unable to financially maintain insurance coverage. Furthermore, the current unemployment rate far understates and cannot account for the total impact on the community, due to the additional number of family members affected. With IDS funding support, CentroMed will address the health care needs of those most impacted by the recession, the growing population of unemployed and uninsured residents. CentroMed will work to significantly reduce or eliminate target population disparities amenable to intervention via primary medical health care through increased health center staffing, access and capacity. To promote economic recovery and address the needed additional resources for the large and growing number of uninsured San Antonio residents, CentroMed will (1) create employment opportunities through the addition of 10.8 FTE staff (1.4 FTE Family Practice Physicians, 2.0 FTE Nurse Practitioners, 3.4 FTE Nurses and 4.0 FTE Patient Support Staff), that will (2) reduce disparities with respect to the distribution of health care resources and access to primary health care in both the Community Health Center (CHC) and Health Care for the Homeless (HCH) programs. By the end of Year 2, the proposed project would establish access for an additional 4,136 unduplicated clients, of which 3,264 are uninsured, for a total of 31,514 client visits, having not only a positive impact on the negatively trended unemployment rate, but also increasing organizational capacity to facilitate the provision of comprehensive and affordable health care services to those most affected by the current economic crisis, the low-income and uninsured. Without access to primary care, children and adults are both more likely to develop chronic diseases and suffer preventable complications, and patients at risk of preventable disease develop acute problems requiring costly specialty care and hospitalization.
Project Description: Cumulative through the second quarter of the IDS initiative, CentroMed was able to serve a total of 2,116 new patients (51% of total project goal; 205% of YTD goal), of which 1,287 were uninsured (39% of total project goal; 158% YTD of goal). The number of new patient encounters generated by IDS supported staff through the second quarter totaled 5,432 (17% of 2 year project goal; 69% of YTD goal). Notably, sixty-one percent of all new patients seen have been uninsured.
Jobs Summary: Through September 30, 2009, CentroMed was able to preserve and/or create a total of 10.28 FTE positions (95% of goal) in an effort to increase access to primary care services for both Community Health Center (CHC) and Health Care for the Homeless (HCH) clients that are most affected by the current economic climate. These retained/created positions include: 1.2 FTE Family Practice Physicians, 2.0 FTE Nurse Practitioners, 3.0 FTE Nurses and 4.08 FTE Patient Support Staff. (Total jobs reported: 10)
Project Status: Less Than 50% Completed
This award's data was last updated on Mar. 27, 2009. Help expand these official descriptions using the wiki below.