Thursday, April 3, 2025
4/3/2025
Rural Residency Planning and Development Program - Sole Community Hospital (Critical Access/rural) --Adventist Health (AH) Tehachapi Valley, 1100 Magellan Drive, Tehachapi CA 93561 --AH Community Care – Tehachapi, 105 West E Street, Tehachapi (includes Mobile Health unit) --AH Health Community Care – Mojave, 2041 Belshaw Street, Mojave --AH Community Care – California City, 9350 N Loop Blvd, California City Sponsoring Institution--Hanford Community Hospital dba Adventist Health Hanford, 115 Mall Drive, Hanford CA 93230 Affiliate Training Site --San Joaquin Community Hospital dba AH Bakersfield General Primary Care Residency DIO - Raul Ayala, MD, ayalar1@ah.org Program Director - Ghassan Jamaleddine, MD, jamaleg@ah.org Site Director - TBD New RTP Rural Target Area - Kern County $749,997 Program Sustainability Option 2 - Rural hospital + rural hospital community-based ambulatory patient care centers Projected Residents - 6 (2-2-2) ACGME Accreditation Goal Date - July 1, 2025 Residency Matriculation Goal Date - August 31, 2027 Previous HRSA Awards RHC Clinic Testing Provider Relief Funds, by TIN $148,384 SHIP COVID Testing and Mitigation, by TIN $300,000 RHC Vaccine Confidence (DHHS), G2943162 $148,587 ARP SHIP, 21-20125 $258,376 The Adventist Health Tehachapi Valley Rural Residency Planning program aims to increase the number of Board-Certified Family Physicians in Kern County, the third largest county in California (8,161 sq. miles). The Tehachapi hospital and Rural Health Clinic (+ mobile health) are positioned at the bottom of the Sierra Nevada’s. Two additional Rural Health Clinics are located in the Mojave Desert in Mojave and California City, CA. AHTV sees more than 35,000 patients annually at these sites. A feasibility study has determined the viability of the project. AHTV will plan and implement an ACGME accredited, 2-2-2 Rural Training Program (RTP). HPSA scores in the region, range from 11-18, historically experiencing physician shortages. As a GME naïve institution without a resident FTE cap, AHTV will request a one-time GME resident cap increase. Start-up and 5-year operational budgets for the FM RTP, include a cost impact report to ensure long-term financial viability. Program YR1 will be hosted by Adventist Health Bakersfield with the program Y2 and Y3 in rural communities of the Tehachapi market. AH will ensure that more than 50% of training occurs within rurally designated communities. Adventist Health Hanford (AHH) (with 16+ years of residency experience) will serve as the Sponsoring Institution. A Joint Planning Committee will oversee a monthly curriculum workgroup and develop an evidence-based interdisciplinary program based in didactics, scholarly research, and experiential learning via community partnerships and interprofessional teams. A faculty interdisciplinary strategic development plan will involve key stakeholders and remediate any issues. Social medicine rotation, business components and business agreements will be created and finalized. Clinical/faculty capacity will be evaluated via a resolute provider recruitment team with a strong emphasis on faculty development. Upon accreditation a multi-faceted resident recruitment / retention strategy will ensure recruitment of those who have demonstrated commitment to rural health through a weighted application and interview process. In collaboration with AH Marketing / Communications, a social-media-based resident tracking program will be implemented to track and measure resident career outcomes for at least five years post-graduation. A robust grant evaluation plan will include a plan-do-study-act cycle and annual program evaluation. AH will provide HRSA with data outcomes data complaint with funding requirements and funds will be monitoring, drawn down no more than quarterly, and meticulously reconciled by the Grants Management and Accounting teams. The program commits to creating 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).