Fiscal Year 2025 Expanded Hours. - Project Abstract Fiscal Year 2025 Expanded Hours Advocates for a Healthy Community, Inc. dba Jordan Valley Community Health Center Advocates for a Healthy Community, Inc. dba Jordan Valley Community Health Center ("Jordan Valley") has provided accessible and comprehensive healthcare services to low-income and medically underserved populations since opening as a federally qualified health center in 2002. Our multidisciplinary clinical and support team provides high-quality, integrated medical, behavioral, and dental care to over 67,000 patients annually at clinics in Springfield, Hollister, Republic, Lebanon, and Marshfield, Missouri. Jordan Valley offers various ancillary services at select service locations, including medication-assisted treatment (MAT) for opioid use disorder and pediatric Express Care for acute medical services. Acute medical services through Jordan Valley’s pediatric Express Care are available at the Grand Clinic site, located at 1720 W. Grand Ave. The Grand Clinic currently operates for 40 hours per week. However, increased demand for acute services, exacerbated health disparities, and significant barriers to care occurring among children and their families residing near the clinic demonstrate a need to increase hours of operation. Walk-in MAT services are integrated with primary care, behavioral health, and enabling services at the Benton Clinic site, located at 618 N. Benton Ave. in Springfield. The Benton Clinic currently operates for 40 hours per week. Through a community partnership, Jordan Valley also houses a Recovery Care Navigator (RCN) at the Greene County Jail (listed in HRSA Form 5B as Correctional Facility site) to coordinate medical, mental health, and MAT services at the Benton Clinic for inmates upon release from incarceration. The RCN also provides outreach and enabling services as needed to support access to care. Services are currently provided at the Greene County Jail for 4 hours per week. Demand for services at the Benton Clinic is consistently growing, with 50 or more new patients establishing care each month. Further, consultation with the Greene County Sheriff’s Office revealed a need for additional RCN services at the Greene County jail at peak release times to ensure individuals have coordinated access to MAT services upon release. Jordan Valley requests funding under the Fiscal Year 2025 Expanded Hours opportunity to extend the hours of operation for the Grand Clinic, Benton Clinic, and Correctional Facility service sites listed in HRSA Form 5B. Expanded Hours funding will support the expansion of medical, mental health, substance use disorder, and enabling services to Jordan Valley patients who have a demonstrated need for these services outside of our current hours of operation. Through this opportunity, Jordan Valley will expand the hours of these sites as follows: Acute medical services and enabling services will be available at the Grand Clinic’s pediatric Express Care Monday through Friday from 7:30 am to 6:30 pm, expanding the site’s operating hours by 15 hours per week. Walk-in substance use disorder, medical, mental health, and enabling services for individuals with opioid use disorder will be available at the Benton Clinic Monday through Friday from 7:00 am to 7:00 pm, expanding the site’s operating hours by 20 hours per week. Outreach and enabling services will be available at the Greene County Jail Monday through Friday from 11:00 am to 7:00 pm, expanding the Correctional Facility site’s operating hours by 36 hours per week. In total, 56 hours will be added within the first six months of the award, and the remaining 15 hours will be added within the first 18 months. By expanding the hours of these service sites, Jordan Valley will aim to provide care for more patients, reduce barriers to care, and meet the evolving needs of our patient population.