Sunday, April 20, 2025
4/20/2025
Rural Residency Planning and Development Program - Eligible Entity Type: Rural Hospital & Rural Community-based Ambulatory Patient Care Centers Project Director: Glen Newhart, CFRE Residency Program Director (tbd): Steven Herber, MD Residency Specialty & Type: Family Medicine, New Rural Residency Program Sponsoring Institution: Adventist Health St. Helena Hospital Rural Target Areas: North Napa County and Lake County Funding Amount Requested: $750,000 Program Sustainability Option: 1 Projected Number of Residents: 18 (6-6-6) Anticipated ACGME Accreditation: May 1, 2024 Anticipated Residency Matriculation: July 1, 2025 The Adventist Health St. Helena Hospital (AHSH) Rural Residency Planning and Development Program aims to increase the number of Board-Certified Family Physicians in Napa and Lake Counties, as well as address the needs of both counties for chronic disease prevention, detection, and treatment. AHSH will develop and implement an ACGME accredited 6-6-6 Rural Residency Program (RRP) to train residents in the designated rural, medically underserved, communities of Napa County and Lake County. Both counties have historically struggled with physician shortages and extremely high mortality rates due to cancer, heart disease, and stroke. The primary resident ambulatory facility will be the AHSH Vermeil Clinic, located in Calistoga, Napa County. As the oldest rural hospital in CA, AHSH is uniquely suited to provide physicians with rural health training. AHSH is a GME naïve institution and does not have a resident FTE cap. In order to achieve its goals and objectives, AHSH will obtain ACGME accreditation before May 01, 2024 and develop an innovative interdisciplinary primary care curriculum in chronic disease prevention, detection, and treatment that: a) includes a strong mobile health center component and b) explores the contextual determinants of technology-mediated health practices in rural communities. For the proposed work, AHSH plans to integrate bilingual and mobile health approaches to primary and specialty care services. This integrated approach will allow AHSH to provide residents with training and development on rural health needs, diverse approaches, evaluation of social determinants, and, as health technologies evolve into health care spaces, AHSH will pioneer curriculum that explores the contextual determinants of technology-mediated health practices in rural health spaces. A Joint Planning Committee (JPC) will oversee the planning and development grant, including the execution of the goals and objectives described in this funding opportunity. The JPC will evaluate the clinical and faculty capacity of AHSH and will utilize its dedicated provider recruitment team to recruit two additional Board-Certified Family Physicians. A faculty development plan will be created and implemented. Evaluation of the financial sustainability of the RRP will include detailed modelling of clinical precepted revenue, non-clinical sources of revenue, precepted clinical expenses, teaching revenue, teaching expenses, and GME administrative expenses. Start-up and five-year operational budgets for the RRP, in addition to the cost report impact of the program and pursuance of public and private funding sources, will be created to ensure the long-term financial viability of the program. Upon accreditation, AHSH expects to recruit its first cohort of six residents into the AHSH FMRTP by July 1, 2025. AHSH will recruit residents with demonstrated commitment to rural health through a weighted application and interview process. A resident tracking program will be developed and implemented to track resident career outcomes for at least five years post-graduation. AHSH will develop a robust grant evaluation plan that will provide HRSA with outcomes data pursuant to HRSA’s funding requirements. Through this funding, AHSH commits to creating a RRP that recruits and retains a diverse cohort of high-quality Family Medicine residents committed to practicing in rural areas.
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).