Ryan White Title III HIV Capacity Development and Planning Grants - Brockton Neighborhood Health Center Project Abstract FY 2025 RWHAP Part C Capacity Development Program Brockton Neighborhood Health Center (BNHC) is requesting $150,000 from the Ryan White HIV/AIDS Program Part C Capacity Development Program, HRSA-25-049, within the category of Inclusive Care for Underrepresented Communities with Disproportionately High Rates of HIV, to support our initiative to improve social drivers of health (SDOH) screening for people Living with HIV (PLWH). This funding would cover a portion of time for the three medical assistants who support our three infectious disease physicians, to give them the time needed to screen PLWH patients. This funding will also support a portion of time for 4 case managers who work in our HIV program, to give them the time needed to develop a list of SDOH services available at BNHC and in the community and to work with PLWH to connect them to these services and to train them to use the screening tool. To streamline this process and make the best use of the automation available to us, this project also includes time for one of our Epic builder staff to customize an SDOH template, train staff to use the template, run reports, and push the screening tool and messaging to patients through our Epic portal. The impact of this project will be to double our SDOH screenings for PLWH from 148 patients in 2024 to 296 of our current 402 patients in the project year, an increase from 37% to 74%. This project will also impact these patients by providing them with resources documents and guidance from case managers to help address SDOH needs as they are identified with the screening tool. Since 2001, BNHC has been the recipient of Ryan White HIV/AIDS Part C program funding. Currently, approximately 402 people living with HIV (PLWH) receive comprehensive primary health care and support services at BNHC. BNHC provided care to 60 new patients in 2024 and has already seen 11 new patients in just the first 2 months of 2025. For 24 years, BNHC has offered specialized primary care and supportive services for PLWH, including medical care, dental visits, nutrition, adherence support, care management, social services, behavioral health, and a variety of support services.
