Kentucky Mountain Health Alliance, Inc. (KMHA) was created in 2005 by a group of community healthcare and social service partners who had a similar mission to create a healthcare safety net for the underserved or at-risk for homelessness population. KMHA is proactive in our effort to protect the health and the delivery of essential human services to the homeless or those at risk, especially for those who are least able to help themselves. KMHA has been operating the Perry County HCH Program since 2006. We have one permanent service delivery site, Little Flower Clinic located at 279 East Main Street, Hazard, KY in the heart of Perry County, Kentucky and one mobile medical clinic that travels to the far outreach places within Perry County, Kentucky. KMHA believes in the importance of a holistic approach to health (i.e. attending to the physical, spiritual, mental, cultural, emotional and social wellbeing) and their role in contributing to health outcomes for the homeless population; including the environmental determinants of health such as food, water, housing and unemployment; including the social determinants of health and wellbeing, or socioeconomic conditions (e.g., concentrated poverty and the stressful conditions that accompany it). To address the need for HIV prevention services among the homeless population, KMHA will seek to 1) Diagnose all patients with HIV as early as possible after transmission; 2) Treat patients with HIV rapidly and effectively to reach sustained viral suppression; 3) Prevent new HIV transmission by using proven interventions, including Pre-exposure prophylaxis (PrEP) and syringe services programs (SSPs); and 4) Respond quickly to potential HIV outbreaks to get needed prevention and treatment services to the patients who need them. KMHA provides a full array of quality medical, behavioral, and oral health care, as well as chronic disease case management, transportation, outreach and an overall improved experienc
e for patients and their families in ways that demonstrate our commitment to rural health care. We believe that services must, as far as possible, be well-integrated, coordinated and address the continuity of care, particularly for those with complex, chronic health conditions. Per latest UDS report in 2020, KMHA provided 2,888 patients with 5,023 medical encounters, 2,507 dental encounters,1,489 mental health encounters,492 substance use disorder encounters, and 7,070 enabling encounters. By the end of project period ending 2024, KMHA projects to serve 100% of the SAAT Patient Target of 2,842 homeless users in Perry County and its surrounding counties. We propose to increase the number of patients being counseled and tested for HIV; increase the number prescribed PrEP; and link them to early treatment within thirty days of diagnosis. Working together with a network of agencies, we can make a difference in our quest to end the HIV Epidemic.