H8J54604

Fiscal Year 2025 Expanded Hours.

- Project Title: CSC FY 25 Expanded Hours (HRSA-25-084)

Applicant Organization Name: Chinatown Service Center

Grant Number: H80CS08735

Project Director Name: Jack Cheng, JD, MBA

Project Federal Request: $500,000 per yr

Areas Affected by Project: Cities of Los Angeles and Alhambra, both located in LA County

Brief Description of Your Organization: Founded in 1971 and continuously operating for more than 50 years, Chinatown Service Center (CSC) is a multi-service community health center with FQHC and 501c3 designations.

CSC operates five (5) clinic sites in Los Angeles County, California.

Services are delivered in a culturally respectful and linguistically responsive way to a largely Chinese immigrants and refugees, but also to Vietnamese, Cambodian & Khmer, Hmong and Laotian immigrants and refugees.

CSC’s services include employment training and placement, social services, mental health and substance use counseling, economic development, primary care, dental care, optometry care, and a range of supportive and case managed services including a robust youth center.

Per the 2023 UDS report, CSC has 14,966 patients, and provided 96,074 visits, and 228.25 FTES to meet that demand.

CSC has the following HRSA awards: Health Center Quality Leader, Access Enhancer, Addressing Social Risk Factors, Health Disparities Reducer, Advancing HIT for Quality, recognized by NCQA as a Patient Centered Medical Home (PCMH), and received accreditation from the Accreditation Association for Ambulatory Health Care (AAAHC).

Brief Summary of How Your Proposal for Increasing Hours of Operation Will Meet Identified Needs in Your Community: CSC intends to expand hours at two of our five clinic sites with one being 767 N. Hill St., Los Angeles, CA 90012, and the other at 320 S. Garfield Ave., Alhambra, CA 91801.

We are proposing to extend hours at those locations to 8 AM to 8 PM, Monday through Saturday, which will require hiring new staff (see budget).

Identified need was informed by three main sources: 1) our July 2023 CSC Community Needs Assessment Report data which was based on 2022 US Census and California Health Interview Survey (CHIS) data, 2) HPSA status in our service area, and 3) an April-May 2024 CSC Patient Satisfaction Survey.

Summarized findings were that barriers to care exist for residents of the CSC service area, such as language barriers, income, transportation, educational attainment, lack of health insurance, higher incidence of select chronic health diseases such as heart, Alzheimer, diabetes, obesity, high blood pressure, self-perception of being in ‘poor health’ when contrasted with county, state and US population.

Regarding access to care in contrast to other populations, respondents indicated higher rates of having no usual source of care, lack of health insurance coverage, lack of specialist care availability/accessibility, patient insurance not accepted by providers, and less service area patients had seen a doctor in the past year, all by contrast.

The CSC service area has six HPSAs including for low income, geographic, and high needs HPSAs.

The April 2024 CSC Patient Satisfaction Survey generally painted CSC, its staff and providers as good to excellent.

But many respondents indicated that expanding hours would be preferred and would create an opportunity for more and better health care access.

In summary, providing additional clinic hours would give our low-income service area population better access to health care services which could improve the wellness of neighborhoods within the two participating clinics and their immediate service areas.

To realize this, we propose an expansion at 767 N. Hill St., Los Angeles, CA 90012, and 320 S. Garfield Ave., Alhambra, CA 91801, with a cost to grant in providing the FTE equivalent of physician services (0.50), registered nurse services (0.50), patient care coordinator (3.00) and medical assistant (3.00).

Year 1 project cost is $500,000 federal, $115,000 non-federal.

Chinatown Service Center

NOT APPLICABLE

93.224 - Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)

HRSA Office of Federal Assistance Management (OFAM) [HHS - HRSA]

Los Angeles, California United States

City-Wide

Expanded Hours (HRSA-25-084)