Tuesday, May 13, 2025
5/13/2025
RYAN WHITE TITLE III EARLY INTERVENTION SERVICES PROGRAM - Generations Family Health Center, Inc. (GFHC) is submitting a Competing Continuation Application to continue providing Ryan White Part C Early Intervention Services. Since 2002 GFHC has been providing a comprehensive Ryan White Early Intervention Program characterized by a strong clinical primary care and HIV specialty care component as well as a well-coordinated and integrated community-based outreach, education, counseling and testing program to a largely rural and medically underserved service area in eastern Connecticut. The service area covers 1,700 square miles, has a population of 578,000 and includes 49 towns in all of Windham County and portions of Tolland and New London Counties. Services are provided at four (4) agency facilities located in Willimantic, Putnam, Norwich and Danielson. In the delineated service area, GFHC is the only Ryan White Part C EIS provider. GFHC provides primary care, dental care, behavioral health care, infectious diseases specialty, HIV Counseling and Testing, case management/referral services, and outreach. In addition, our health centers provide on-site testing. All medical staff are trained on rapid testing and conduct risk assessments to better identify at risk patients. Additional services such as nutrition are referred locally in the community. GFHC coordinates closely with other Ryan White Part B recipients in the service area to ensure patient needs are met. GFHC participates in the Federal 340b Drug Pricing program across all sites. GFHC’s target population are the poor, uninsured, and underinsured; many patients face barriers to care including transportation and access to labs, specialists, and behavioral health services. Poverty rates in the town of Windham (25%) and city of Norwich (11%) exceed that of the state (10%). Ethnic disparities and additional risk factors are ever more present in Norwich and Windham/Willimantic, the largest towns in the service area. GFHC operates health centers and serves HIV patients in both Willimantic and Norwich. Approximately 17% of CT’s population identifies as Hispanic/Latino ethnicity, and 10% Black/African American. In 2023, 57% of patients at GFHC’s Willimantic health center site identified as Hispanic/Latino. At GFHC’s site in the city of Norwich, in 2023 approximately 16% of patients identify as Black/African American. Gay and bisexual men make up the highest percentage of newly diagnosed HIV infections in CT, with Hispanic/Latino males being the most impacted subpopulation, followed by White and Black/African American MSM males. On average, GFHC RW patients are between the ages of 50-60 and many have co-morbidities such as diabetes, asthma, COPD, and/or hypertension. Clinical quality goals for the project period include: 1) Gap in medical visits – goal of < 10% patient compliance with recommended medical visits; 2) CD4 < 200 with prophylaxis for 90% of patients – to prevent other complications; 3) HIV clients on prescription ARVs – goal of 92%; 4) PAP smear – 70% of HIV positive women tested annually; 5) Frequency of medical visits – goal of 85% compliance with medical visits; and 6) Viral load suppression – 100% of patients with suppressed viral loads.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).