EPANDED ACCESS TO CARE BID SOLICITATION - Fund for Public ...
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EPANDED ACCESS TO CARE BID SOLICITATION
Purpose
The New York City (NYC) Department of Health and Mental Hygiene (DOHMH), acting through
the Fund for Public Health NYC (FPHNY), seeks qualified organizations to implement activities
aimed at ensuring equitable access to COVID-19 vaccinations and primary care services for
NYC communities that have been disproportionately impacted by the coronavirus disease 2019
(COVID-19). The Expanded Access to Care funding opportunity is open to healthcare
organizations who provide culturally and linguistically responsive services and whose mission is
aligned with principles of anti-racism and cultural humility.
Background
The pandemic has exacerbated health disparities across racial, ethnic, and socioeconomic
groups. Chronic conditions – such as hypertension and diabetes – are key drivers of this
widening gap because they disproportionately impact marginalized populations. Marginalized
populations with chronic conditions, in turn, are disproportionately affected by COVID-19 itself –
but also at increased risk of poor outcomes from those underlying conditions. Proven strategies
that ensure equitable access to both primary care services to manage chronic conditions and
COVID-19 vaccines to protect against infection are needed. Additionally, approaches that
address social determinants of health (SDOH) have the potential to positively impact health
disparities.
To ensure that marginalized populations have access to the COVID-19 vaccines, strategies
must be adapted to meet the needs of these community members. In particular, strategies must
address the persistent racial disparities in vaccinations. Data shows that Black and Latinx New
York City residents are receiving COVID-19 vaccines at far lower rates than White or Asian New
Yorkers. i
To ensure that marginalized populations have access to primary care services, strategies must
be adapted to connect community members seeking the COVID-19 vaccines to a primary care
provider and resources to support chronic care management. A usual primary care provider is
beneficial for patients gaining trust in their providers and establishing good provider-patient
communication. People who do not have access to a primary care provider and usual source of
care are more likely to end up in the emergency department or in the hospital. ii
As a strategy to intervene on the SDOHs, community health workers (CHWs) work to address
disparities and improve health outcomes through education, connecting patients to and
navigating them through the healthcare system, supporting patient adherence to clinical
services, and providing social support and linkages to financial and community resources.
Available Funding
Funding in the amount of $908,077 over 6 months per clinical site will be made available to
healthcare organizations that have demonstrated the ability to implement activities which
promote the equitable access of COVID-19 vaccinations and primary care services from
11/01/2021 to 4/30/2022. Furthermore, the sites are eligible to have 4 CHW trainees from the
1Vaccine for All Corps 1 assigned to them for 30 hours per week (each) from 10/1/2021 until June
30, 2022. These individuals will be on the payroll of a City temporary agency with full dedication
to the awarded site.
To ensure equitable access to the COVID-19 vaccines, clinical sites will provide the following
services from 11/01/2021 to 4/30/2022:
- Advertise themselves as a vaccination site conspicuously with extra-large signage on
the street entrance to the site (include messaging on no cost, hours, and walk-in
acceptance); on the website of the organization, and authorize its advertisement in any
other outlets chosen by NYC DOHMH
- Offer at minimum one approved mRNA COVID-19 vaccine;
- Offer walk-in vaccinations without an appointment;
- Offer non-traditional days and hours for vaccinations;
- Message that it’s not mandatory to show an insurance card or provide insurance
information to get a vaccine, and that clients will not incur out-of-pocket payments;
- Assess vaccination status of each patient who is seen at the clinic for usual care and
offer the vaccine to those who have not been vaccinated; and
- Provide telephonic outreach on the availability of a COVID-19 vaccine to patients
regularly seen at the clinic who have not been vaccinated;
- Fulfill up to 5 off-site 2-hour community health events in the United Hospital Fund iii (UHF)
neighborhood assigned to them per month at the request of the FPHNY grant-funded
community-based organizations doing COVID-19 engagement work in the
neighborhood. Services provided at the community health events should include
COVID-19 and flu vaccination, blood pressure screening, diabetes risk screening
(offering point-of-care A1C testing is preferred, but optional) and depression or
loneliness screening.
- Leverage the NYC VAX app to offer NYC vaccine incentives for patients
To ensure equitable access to primary care services, clinical sites will provide the following
services from 11/01/2021 to 4/30/2022:
- Assess every person receiving a vaccination to determine if they have a source for usual
care and offer next available appointment (ideally within two calendar weeks) to those
who do not have a source of usual care;
- Offer sliding scale payment for primary care services for those without insurance or who
are underinsured (site must ensure that administration of COVID-19 vaccine is free);
- Assess blood pressure with each vaccination free-of-charge, and provide
recommendation for follow-up care to those with a high blood pressure reading (e.g.,
1
The Vaccine for All Corp staff are individuals contracted by NYC. CHWs work with adult patients
performing patient-centered, community health work in collaboration with interdisciplinary teams in each
site. CHWs are specially trained frontline public health workers who are trusted members of and/or have
an unusually close understanding of the communities they serve. The CHW participates in community
outreach activities within the communities of NYC, engaging patients and providing resources and
assistance needed to tackle issues preventing them from staying healthy. The CHW motivates and
supports individual patients to achieve their health goals in many ways, such as facilitating connections
to primary and specialty care clinics, creating health goals, and helping them find affordable healthy food
options.
2recommend follow-up appointment with primary care provider for those with a usual
source of care or offer next available appointment (ideally within two calendar weeks) at
the clinic site with a primary care provider if no usual source of primary care);
- Screen for diabetes risk with first vaccine dose free-of-charge, and for those with
increased risk, provide recommendation for follow-up care (e.g., recommend follow-up
appointment with primary care provider for those with a usual source of care or offer next
available appointment (must be within two calendar weeks) at the clinic site with a
primary care provider if no usual source of primary care);
- Screen for social needs with first vaccine dose free-of-charge, and for those with
identified social needs, offer referral to social support services (NYC DOHMH will
provide a list of social support services that are available) free-of-charge; and
- Provide written messaging that clinical and community services for chronic condition
management and social support are available (NYC DOHMH will provide a list of social
support services that are available).
To facilitate social and healthcare screening and navigation of clients, clinical sites will:
• Place within their clinical site and utilize the services of four non-clinical Vaccine for All
Corps staff between the time of placement and June 30, 2022.
o During the first 6 weeks of employment, the organization will receive a small
stipend ($8,077 total) to assign a supervisor to the apprentices.
o For the duration of the employment period, these staff salaries will be paid for by
the Vaccine for All Corps Program/DOHMH. Clinic will be responsible for their
supervision and timesheets.
o These staff should be embedded within the care team, with oversight from
leadership such as a medical director, nursing director, or social work supervisor.
o Clinic site staff identified as the director supervisor of this staff must attend up to
5 hours DOHMH-provided regular trainings on CHW roles, supervision best
practices, and safety protocols for any community- or home-based visits.
General tasks and responsibilities for Vaccine for All Corps staff will include:
• Participate in a 4-6-week apprenticeship at their assigned clinical site.
• Participate in ongoing education and specialized training to learn and maintain CHW
skills, as well as public health emergency response skills, offered by DOHMH and
partners.
• Work as embedded members of clinical teams who, as CHWs, can provide support
for patients with health and social service needs through the following methods:
o Conduct assessments and interviews of patients assigned by clinic staff
providers to identify their health goals and social service needs;
o Create individualized, patient-centered, goal-directed care plans for each
patient;
o Support and motivate patients to achieve their health goals by coaching them
through behavior change and identifying their strengths and community
supports;
o Assist patients with social needs like food insecurity, housing issues, legal
needs, or transportation and provide referrals and follow-ups, as needed (for
example, helping patients fill out benefit applications);
3o Help patients connect to a primary care provider, specialty care providers,
community services and/or mental health services, attend medical
appointments, and fill prescriptions;
o Join patients during medical appointments and hospital stays as needed;
communicate with their care team to help coordinate care;
o Assess ability of patients to manage their chronic disease(s) and work with
care team to connect them to appropriate education and monitoring
programs;
o Educate patients on available community services, health services, and
patient rights; and
o Provide feedback from patients to clinics to inform quality improvement efforts
We are seeking eligible healthcare organizations with clinical sites within key targeted
communities listed in Table 1.
Table 1. Targeted Communities
UHF UHF Name UHF Zip codes
102 Northeast Bronx 10466, 10469, 10470, 10475
105 Crotona - Tremont 10453, 10457, 10460
204 East New York 11207, 11208
208 Canarsie - Flatlands 11234, 11236, 11239
Central Harlem - Morningside
302 Heights 10026, 10027, 10030, 10037, 10039
303 East Harlem 10029, 10035
11368, 11369, 11370, 11372, 11373, 11377,
402 West Queens 11378
410 Rockaway 11691, 11692, 11693, 11694, 11695, 11697
Port Richmond/Stapleton St.
501/2 George 10301,10302, 10303, 10304, 10305,10310
Funding will be provided to support 9 clinical sites, one per UHF neighborhood above.
Preference will be given to Federally Qualified Health Centers (FQHC). FQHC sites that are
currently or have been funded to expand vaccination under the Vaccine Expansion Project are
not eligible for the Expanded Access to Care funding opportunity.
NYC Vendor Registration
If awarded, Applicants, or their fiscal sponsor, must agree to register as a City of New York
approved vendor. This project is being supported, in part, with funding from the NYC Health
Department, which requires that vendors register in the City’s Payee Information Portal (PIP). In
PIP, vendors can view financial transactions with the City of New York, register for Electronic
Funds Transfer payments and more. For more information, please visit: https://a127-
pip.nyc.gov/webapp/PRDPCW/SelfService.
4Depending on award size, vendors may also be required to register in PASSPort, the City’s
digital procurement system. PASSPort training and information materials are available through
videos, user guides and FAQs at www.nyc.gov/passport.
Key performance indicators are listed in Table 2.
Table 2. Key Performance Indicators
Performance Indicators Description
COVID-19 vaccinations Number of people who receive at least one
dose of COVID-19 vaccine
Usual Source of Care Number of people who are vaccinated that
state they do not have a source for usual
care
Referral to Primary Care Services Number of people who are vaccinated that
state they do not have a source for usual
care and have made an appointment for
primary care services at the clinical service
Community Health Events Number of community health events
completed
Blood Pressure Screening Number of people who receive at least one
dose of COVID-19 vaccine who have a
documented blood pressure
Diabetes Risk Screening Number of people who receive at least one
dose of COVID-19 vaccine who have a
documented diabetes risk screening
Social Needs Screening Number of people who receive at least one
dose of COVID-19 vaccine who have a
documented social needs screening
Payment
Programmatic service will be provided for 6 months from 11/01/2021 to 4/30/2022. Four Vaccine
for All Corps staff will be placed at the designated clinical site for 30 hours per week (each) from
10/1/2021 until June 30, 2022, these individuals will be on the payroll of a City temporary
agency with full dedication to the awarded site.
Payment will be provided upon successful completion of the following milestones:
Description Due Date Amount
Completion of Vaccine for All Corps apprenticeship 11/30/21 $8077
- Clinical site has assigned a supervisor to Vaccine for
All Corp staff to supervise orientation and training
De-identified data showing that at minimum 75% of people 2/28/2022 $25,000
who receive one dose of COVID-19 vaccine has a
documented blood pressure reading or an attempt was made
to conduct blood pressure screening
De-identified data showing that at minimum 75% of people 2/28/2022 $25,000
who receive one dose of COVID-19 vaccine has a
5documented diabetes risk screening or an attempt was made
to conduct diabetes risk screening
De-identified data showing that at minimum 75% of people 2/28/2022 $25,000
who receive one dose of COVID-19 vaccine has a
documented social needs screening or an attempt was made
to conduct social needs screening
Fulfill up to 5 off-site 2-hour community vaccination events in 2/28/2022 $225,000
the UHF neighborhood assigned to them per month at the
request of the FPHNY grant-funded CBOs doing COVID-19
engagement work in the neighborhood. Services to provide
at the community health events include COVID-19 and flu
vaccines, blood pressure screening, diabetes risk screening
(point-of-care A1C testing is recommended but optional) and
depression or loneliness screening.
Interim report 2/28/2022 $125,000
- Report should include Key Performance Indicators
listed in Table 2.
Outreach data showing a minimum of 100 people outreached 5/16/2022 $50,000
(phone or in-person) about availability of COVID-19 vaccine
- Data should include demographics of people called
(e.g., sex, race/ethnicity, age)
De-identified data showing that at minimum 75% of people 5/16/2022 $25,000
who receive one dose of COVID-19 vaccine has a
documented blood pressure reading an attempt was made to
conduct blood pressure screening
De-identified data showing that at minimum 75% of people 5/16/2022 $25,000
who receive one dose of COVID-19 vaccine has a
documented diabetes risk screening an attempt was made to
conduct diabetes risk screening
De-identified data showing that at minimum 75% of people 5/16/2022 $25,000
who receive one dose of COVID-19 vaccine has a
documented social need screening an attempt was made to
conduct social needs screening
Fulfill up to 5 off-site 2-hour community vaccination events in 5/16/2022 $225,000
the UHF neighborhood assigned to them per month at the
request of the FPHNY grant-funded CBOs doing COVID-19
engagement work in the neighborhood. Services to provide
at the community health events include COVID-19 and flu
vaccines (mandatory), blood pressure screening
(mandatory), and diabetes screening (recommended but
optional).
Final report 3/1/2022 $125,000
- Report should include Report should include Key
Performance Indicators listed in Table 2.
Total $908, 077
6How to Apply
To apply, please click on the following link to complete an application:
https://www.surveymonkey.com/r/9N25GYL. Applications are due 9/3/21. If your organization
is applying for more than one clinical site, please complete an application for each clinical site.
Program Timeline
Date Activities
9/3/2021 Applications Due
9/15/2021 Announcement of Grant Awardees
10/1/2021 – 6/30/2022 Vaccine for All Corps Placement and Apprenticeship
11/1/2021- 4/30-2022 COVID-19 Vaccine and Primary Care Services Implementation
i https://www1.nyc.gov/site/doh/covid/covid-19-data-vaccines.page. Assessed July 17, 2021.
ii The National Healthcare Disparities Report. Agency for Healthcare Research and Quality.
http://www.ahrq.gov/qual/nhdr10/nhdr10.pd. 2010. Accessed May 13, 2011.
iii https://www1.nyc.gov/assets/doh/downloads/pdf/survey/uhf_map_100604.pdf. Assessed 7/17/2021.
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