Floor Plans & Architectural Records

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The community health center’s quarantine and isolation efforts give individuals and families living in shelter or on the street a place to quarantine once exposed to COVID. A contribution of $285,000 from the Intermountain Community Care Foundation will specifically assist with these operational costs. This includes rent for the facility, meals, security, medical supplies, communications and operating costs.

Since July 2021, Fourth Street’s quarantine and isolation program has served 561 individuals and families experiencing homelessness.

“We are incredibly grateful for the vital services Fourth Street Clinic provides to those experiencing homelessness and providing COVID response service to this vulnerable population,” said Mikelle Moore, Intermountain Community Care Foundation’s president and Intermountain’s senior vice president and chief community officer. “We stand with the clinic in our conviction to helping our communities that are struggling through the COVID pandemic and we invite others to join us in supporting the important work the Fourth Street Clinic leads.”

In the summer of 2021, the Fourth Street Clinic began managing Salt Lake County’s quarantine and isolation operations. The clinic coordinates with multiple homeless resource providers and local businesses to provide services such as canned food, catered meals, transportation to the facility and more while clinic staff works with the clients throughout the week with regular medical check ins to monitor COVID symptoms while in isolation.

Janida Emerson, Chief Executive Officer of Fourth Street Clinic, says this funding couldn’t have come at a more crucial time.

“The reality for us here at Fourth Street Clinic is that COVID is moving far faster than we have the resources for,” Emerson said. “The recent spike of Omicron cases in Utah filled our current quarantine and isolation space to capacity—and honestly, we began to worry how this program would continue with such a massive spike in cases. The support from the Intermountain Community Care Foundation in the eleventh hour means these services are still available to our vulnerable neighbors through this current surge.”

On January 4, 2022, the Salt Lake County Health Department issued a public health advisory due to the substantially high COVID-19 transmission rates. In addition, the increased risk of reinfection and spread of Omicron has dramatically increased the need for quarantine and isolation placements.

While Fourth Street Clinic will be pursuing state funding for operation in February and March, the COVID-19 Emergency Response Fund would support Fourth Street Clinic until that time.

Utah Governor Spencer Cox selected former Utah Senate President Wayne Niederhauser in April 2021 to serve as the new state homeless services coordinator.

“I appreciate the Fourth Street Clinic for providing vital services to Utahns experiencing homelessness, especially during the Covid-19 Pandemic,” said Wayne Niederhauser, chief administrative officer of the Office of Homeless Services.

You too can help Utahns experiencing homelessness during this critical time. Donate to Fourth Street Clinic today and put health care into the hands of our vulnerable neighbors.

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“When Janida assumed the role of Interim CEO, no one imagined the tumultuous year ahead,” Kim Wirthlin, Fourth Street Clinic Board Chair, said. “Her smart, strategic and collaborative approach to operating a community health center during a global pandemic proved her capabilities as an exceptionally strong and effective leader. The Board of Directors is confident that under her leadership, Fourth Street Clinic will weather this uncertain and extremely difficult time and move forward long into the future with even greater unity and strength in fulfilling its mission to provide high-quality health care to individuals experiencing homelessness.”

Prior to Emerson’s interim leadership, she was the Chief Operating Officer at Fourth Street Clinic, where she increased Medicaid eligibility, transitioned staff to a new electronic medical record, and helped create a culture of teamwork and integrity. As COO, Emerson also spearheaded the clinic’s Integrated Behavioral and Medical Health program, which provides patients with coordinated, holistic health care services that are patient-centered and trauma-informed.

Janida Emerson received her Master of Science in Public Policy and Management from Carnegie Mellon University in Pittsburgh. After graduating, she moved to Washington, D.C., where she worked for the US Government Accountability Office on their Health Care team. In 2011 she began working with community health centers in Utah as the Government Affairs Manager with the Association for Utah Community Health (AUCH). As an advocate for health centers, she worked on issues related to implementation of the Affordable Care Act, workforce loan repayments, and Medicaid. Through her work with AUCH, she also began working with the public behavioral health system and developed a passion for working with individuals with addiction and mental health disorders.

“Over the past six months, Fourth Street Clinic has seen incredible difficulties working on the frontline during this global crisis,” said Emerson. “The adaptability of our staff to respond to a widespread crisis in complete synergy has been remarkable. I have been so impressed with the compassion I see our providers and staff display on a daily basis, not just with our patients but with each other. I am proud our patients are treated with dignity and respect—regardless of their background—when they come to Fourth Street Clinic. I am honored to officially accept this role and am eager to take on new challenges and move this organization into the future.”

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For more than 30 years, Fourth Street Clinic has had the opportunity to serve Utah’s most vulnerable and disenfranchised. We see firsthand the impact of racial, ethnic, and income disparities every day with the individuals experiencing homelessness that visit our clinic.

The death of George Floyd spurns on the ideals of equality and justice for all. His is just one of thousands of injustices against individuals of color—particularly black men and women—in the US each year. We can no longer continue in this manner; we stand with our community in advocating for continual change to ensure peace, happiness and good quality of life for all.

Fourth Street Clinic is an inclusive and diverse organization and we do not tolerate discrimination of any kind in the workplace. We believe equality and justice are deserved for all and remain committed to empowering every race, religion, and gender identity to speak up on behalf of their rights. We are committed to continuing to combat racism within our community. Black Lives Matter.

I am continually impressed with the compassion I see our staff display on a daily basis, not just with our patients but with each other. I am proud our patients are treated with dignity and respect, regardless of their background, when they come to Fourth Street Clinic. I am proud of our diversity as an organization and our welcome and inclusive environment.

But as individuals, and as an organization, we still have a lot of work to do. We will be sharing additional resources on talking about issues of race and inequality with our friends, co-workers, and family. In addition to this we will be arranging additional trainings around diversity, cultural sensitivity, and biases so that we can continue to improve upon ourselves. We are also working on bringing in outside support for staff to allow for them to discuss their thoughts and feelings in a safe space. I hope that we can continue to build upon our strong foundation and continue to have conversations on treating each other with kindness and respect.

Statement from Janida Emerson, Interim CEO, Fourth Street Clinic.

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As a precaution, we have implemented clinic-wide guidelines and procedures to mitigate the spread of COVID-19. Clinical staff created an alternate workflow for screening patients for respiratory symptoms prior to entering the main clinic. Administrative and other staff will also be working remotely. Testing for COVID-19 is currently limited; however, we are working with the state and county to build capacity for testing for our patients.

As Fourth Street Clinic staff and providers continue to monitor the rapidly changing situation regarding coronavirus, we will continue to provide updates as new information becomes available.

Thanks to the support of OTW Safety, Fourth Street Clinic has an easy workflow for screening patients in our parking lot.

Group and wellness classes have been postponed or rescheduled. Contact the front desk at 801.364.0058 for more information.

As of March 17, 2020, per the recommendation of the ADA, the Fourth Street dental clinic will be closed to routine, elective, and non-necessary treatments for three weeks. For information or for emergency procedures, contact the dental clinic at 385-234-5725.

More resources:

coronavirus.utah.gov

slco.gov/health/covid-19

cdc.gov/coronavirus

Health Resources & Services Administration – Coronavirus FAQs

Safe Drug Use & COVID-19

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We are seeking qualified contractors for construction/renovation of the clinic’s main reception area and conference rooms.

Fourth Street Clinic will receive sealed bids until until 3:00pm MST on Wednesday, March 25, 2020. The public bid opens at 3:15pm on March 25, 2020.

Here are the Plans & Specs and Bid Schedule for the full scope of the project (.zip, 10MB).

*Updated 03/11/2020 Click here to see the Architectural Addendum 01 and the Mechanical & Plumbing Addendum 01

A mandatory pre-bid meeting will be held at Fourth Street Clinic located at 409 West 400 South, Salt Lake City, UT 84101, Wednesday, March 4^th, 10:30 AM.
Bid documents will be available at the mandatory pre-bid conference.

All questions need to be submitted in writing to the attention of AJC Architects.

Jill Jones                     jjones@ajcarchitects.com
Candice Bussdieker    candice@ajcarchitects.com
Ashley Iordanov          ashley@ajcarchitects.com

Last day to submit questions:             March 16
Addendum Issued:                             March 18

NOTICE TO ALL PROSPECTIVE CONTRACTORS:

This will be a FEDERALLY FINANCED COMMUNITY DEVELOPMENT PROJECT. All rules & regulations governing such projects will be applicable. The contract will be awarded to the lowest responsible & responsive bidder, whose bid meets the requirements & criteria set forth in the request for bids. Requirements for prevailing wage rates & certified payrolls apply as it is subject to the Davis-Bacon Act.

Also, work to be completed under this project is subject to the requirements of Sec. 3 of the Housing & Urban Development Act of 1968, the purpose of which is to ensure employment and other economic opportunities generated by HUD-assisted projects shall, to the greatest extent feasible, be directed to low & very low income persons, particularly persons who are recipients of HUD assistance for housing.

All prime contractors participating in this project must have a Data Universal Numbering System (DUNS) number and be registered on the federal System for Award Management (SAM) at sam.gov. They are responsible for ensuring all subcontractors are registered on sam.gov and have not been debarred.

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A 45-foot mobile clinic staffed by providers and medical assistants will travel to the new homeless resource centers slated for operation later this year. It will also make its way to other nonprofit agencies throughout the valley for vulnerable individuals unable to travel to the main clinic, which located across from Pioneer Park.

Laura Michalski, CEO of Fourth Street Clinic, says a mobile clinic is an essential part of the transition from a single downtown homeless shelter to three new homeless resource centers located throughout Utah County.

“Access to health care is vital to escaping homelessness,” Michalski said. “We anticipated the need for medical care at the new resource center sites but lacked the bandwidth for a clinic at each one. Mobile Health Care lets us deliver a clinic right to the people who need one most.” Nearly $1 million in funding was awarded by the state last July to build the mobile clinic, with continued operations coming from state funding, donations and grants.

Fourth Street Clinic’s brick and mortar clinic will remain downtown, where more extensive services like dental care and a full-service pharmacy are available. Patients of Mobile Health Care can also get referred to the clinic for more specialty care like gastroenterology or gynecology.

Preston Cochrane, Executive Director of Shelter the Homeless, sees Mobile Health Care as the next step to expanding services for homeless Utahns.

“Fourth Street Clinic’s new mobile medical unit is an innovative intervention that will facilitate direct access to health care by providing a range of service to guests staying at the Resource Centers whose healthcare needs may otherwise go unmet,” Cochrane said. The design of the new resource centers kept Fourth Street’s mobile clinic in mind to streamline the patient intake process. “By delivering the necessary services right to clients’ doorsteps, we can reduce unnecessary emergency room visits and improve quality of life.”

Mobile Health Care is expected to start serving clients at YWCA, First Step House and Housing Connect (formerly the Housing Authority of the County of Salt Lake) later this month before the new resource centers open later this summer.

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