Sunday, May 18, 2025
5/18/2025
Rural Residency Planning and Development Program - Eligible Entity/Facility Type: Rural Hospital Project Director (PD) Name & Contact Information: Tammy Ho, MBA taho@queens.org Residency Program Director Name & Contact Information (if applicable): Dr. Thomas Quattlebaum, MD tquattle@hawaii.edu Program Pathway (select one): General Primary Care and High Need Specialty Pathway Residency Residency Specialty: Family Medicine Residency Format (select one): Existing RTP (Adding New Rural Training Site to Existing Program) Sponsoring Institution Name, Location, and ACGME Sponsor Program Code (if applicable): John A Burns School of Medicine (JABSOM) 651 Ilalo St. Medical Education Building, 223F Honolulu, HI 96813 Sponsoring Institution Code: 140439 Rural Target Area(s): Hawaii County Funding Amount Requested: $750,000 Program Sustainability Option (refer to Section IV.2.ii. Program Sustainability): Medicare FTE Resident Cap Expansion for RTPs (Option 3) Projected Total Number of Residents: 3 Expected ACGME Accreditation and Residency Matriculation Dates: July 1, 2027 Funding Priority Points Requested, if applicable (refer to Attachment 9 and Section V.2 Review and Selection Process): N/A List of Recent HRSA Awards received within the last 5 years, if applicable, by Program Name and Grant Number (e.g., Rural Residency Planning and Development Program, Grant No. P13RH99999) Queen’s North Hawaii Community Hospital (QNHCH) is applying for this Rural Residency Program Development grant opportunity in order to expand the existing University of Hawaii’s Family Medicine Residency Program to include a Rural Training Program (RTP), with QNHCH serving as the rural training site. The University of Hawaii Family Medicine program is a 21-person program accredited in 1993. Through this opportunity, Pali Momi Medical Center will serve as the urban site, which will train residents for the first year of the 3-year residency. QNHCH will serve as the rural site, whereupon residents spend years 2 and 3 of the program. The Family Medicine RTP will train 1 resident per year (3 in total). Alongside this opportunity, we aim to achieve accreditation for this RTP and begin training residents no later than July 1st, 2027. QNHCH is located in Waimea, on the island of Hawaii, within Hawaii County. The urban participating site, Pali Momi Medical Center resides in Honolulu, on the island of Oahu, within the partially rural Honolulu County (population 995,638).1 Hawaii County is ~200 miles away from Honolulu, has a population of 206,315 and ranks as Hawaii’s least healthy county in terms of health factors and outcomes.2 3 Additionally, Hawaii County has a population primary care providers ratio of 1,130:1 and the fewest providers (78 per 100,000) compared to all other counties within the state, with Honolulu County, having the most (99 per 100,000).4,5 Hawaii County is designated as a rural, Primary Care Medical Undeserved Area (MUA) by the Health Resources & Services Administration (HRSA) and is designated as a High Needs Geographic Health Professional Shortage Area (HPSA) as well.6 7 To mitigate these care shortages, we aim to retain at least 50% of our graduating residents within the surrounding community. QNHCH currently has the capacity to support ACGME volume requirements as set forth by ACGME to allow each resident to complete their required patient experiences. Between January 2014 and December 2023, there have been a total of 145,980 ER visits, 23,193 total surgeries, 17,073 total admits, 58,926 total patient days 4,346 total deliveries, and 13,344 visits to the primary care clinic.8 Through the establishment of this Family Medicine RTP, we aim to expand this care and likewise bring accessible primary care to our nearby service through the residency training itself and the retention of Family Medicine residents and faculty.
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).