Doctors Hospital Inc

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - APPLICANT / SPONSORING INSTITUTION: DOCTORS HOSPITAL AT RENAISSANCE, LTD. DBA DHR HEALTH ADDRESS / LOCATION: 5501 S. MCCOLL RD., EDINBURG, TX 78539 ACGME SPONSOR PROGRAM CODE: 489651 PROJECT DIRECTOR / RESIDENCY PROGRAM DIRECTOR: NAOMI D’ACOLATSE, MD, MPH, FAAFP CONTACT: 956 362 2428, N.DACOLATSE@DHR-RGV.COM, 1000 E. DOVE AVE, STE. 200, MCALLEN, TX 78504 WEBSITE: HTTPS://WWW.DHRHEALTH.COM/ ELIGIBILITY / FACILITY TYPE: FOR PROFIT ORGANIZATION / RURAL HEALTH CLINICS PROGRAM PATHWAY: MATERNAL HEALTH AND OBSTETRICS PATHWAY RESIDENCY RESIDENCY SPECIALTY: FAMILY MEDICINE WITH ENHANCED OBSTETRICAL TRAINING RESIDENCY FORMAT: NEW RURAL TRACK PROGRAM (NEW PROGRAM ACCREDITATION) RURAL TARGET AREA: STARR COUNTY, TX FUNDING AMOUNT REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTIONS: 1 – ESTABLISHING MEDICARE FTE RESIDENT CAP; OPTION 3 – MEDICARE FTE RESIDENT CAP EXPANSION FOR RTPS; 4 – OTHER PUBLIC OR PRIVATE FUNDING PROJECTED TOTAL NUMBER OF RESIDENTS: 6 EXPECTED ACGME ACCREDITATION/ RESIDENCY MATRICULATION DATES: APRIL 30, 2025 / JULY 1, 2025 FUNDING PRIORITY POINTS REQUESTED: PRIORITY 2 - MATERNAL HEALTH NO RECENT HRSA AWARDS IN THE LAST 5 YEARS DOCTORS HOSPITAL RENAISSANCE, LTD., DOING BUSINESS AS DHR HEALTH, IS THE LARGEST UNDERREPRESENTED MINORITY OWNED AND OPERATED HEALTH SYSTEM IN THE NATION. LOCATED IN SOUTH TEXAS, DHR HEALTH WAS FOUNDED IN 1997 TO AID OVER 1.5 MILLION RESIDENTS IN ACCESSING HEALTHCARE WITHIN THE RIO GRANDE VALLEY (RGV), A LARGELY HISPANIC BORDER TOWN REGION THAT HISTORICALLY LACKED PUBLIC HOSPITALS. DHR HEALTH HAS STEADILY GROWN AND NOW SERVES OVER 300,000 PATIENTS ANNUALLY ACROSS 4 COUNTIES, STARR, HIDALGO, CAMERON AND WILACY. AS A 500+ BED LEVEL 1 TRAUMA CENTER, DHR HEALTH PROVIDES THE FULL CONTINUUM OF CARE INCLUDING WOMEN’S HEALTH AND GRADUATE MEDICAL EDUCATION (GME) PROGRAMS. DHR HEALTH PROUDLY OPERATES AS A SAFETY NET HEALTH SYSTEM, SERVING THE NEEDS OF URBAN AND RURAL COMMUNITIES. STARR COUNTY, A RURAL, HIGH NEED GEOGRAPH IC REGION WITHIN THE RGV IS UNDERSERVED WITH HRSA DESIGNATIONS OF MEDICALLY UNDERSERVED AREA (SCORE: 53), HEALTH PROFESSIONALS SHORTAGE AREA FOR PRIMARY CARE (SCORE:16), AND MATERNITY CARE TARGET AREA (MCTA SUPPLEMENTARY SCORE: 23). THE POPULATION IS 65,000 WITH A MEDIAN AGE OF 26.97% IDENTIFY AS HISPANIC AND 51% LIVE BELOW THE POVERTY LINE. THE GREATEST HEALTHCARE NEEDS ARE PRIMARY AND OBSTETRICAL CARE WITH A PATIENT TO PRIMARY CARE PHYSICIAN RATIO OF 4,020 TO 1. IN 2020, THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES RELEASED A PHYSICIAN SUPPLY AND DEMAND REPORT REVEALING THE FAMILY MEDICINE (FM) PHYSICIAN SHORTAGE IN TX IS PROJECTED TO HAVE THE GREATEST INCREASE IN DEFICIT FROM 1,034 PHYSICIANS IN 2018 TO 2,495 IN 2032. THE RGV REGION IS PROJECTED TO FACE CRITICAL FM PHYSICIAN SHORTAGES WITH AN INCREASE FROM 234 PHYSICIANS NEEDED TO 355. IN JULY 2020, DHR BECAME AN ACGME SPONSORING INSTITUTION AND BEGAN 7 ACCREDITED RESIDENCY PROGRAMS AND FELLOWSHIPS. TO MEET THE CRITICAL FM PHYSICIAN SHORTAGE AND HEALTHCARE NEEDS OF STARR COUNTY, DHR WILL EXPAND GME PROGRAMS TO THIS SERVICE AREA. DHR WILL PARTNER WITH STARR COUNTY MEMORIAL HOSPITAL AND LOCAL CLINICS TO ESTABLISH A NEW 2-2-2 FAMILY MEDICINE (FM) RURAL TRACK PROGRAM (RTP) WITH ENHANCED OBSTETRICAL TRAINING. DHR IS REQUESTING FUNDING PRIORITY 2 FOR MATERNAL HEALTH TO TRAIN RESIDENTS FOR THE INDEPENDENT PRACTICE OF OBSTETRICS IN RURAL COMMUNITIES. DHR WILL PROVIDE A SOLUTION TO THE WORKFORCE SHORTAGE IN STARR COUNTY BY CREATING A NEW SOURCE OF PROVIDERS TO THE PHYSICIAN PIPELINE IN THIS AREA, INCREASING ACCESS TO CARE FOR THE RURAL AND UNDERSERVED. DHR WILL, RECRUIT FACULTY FOR THE NEW FM RTP BY DECEMBER 2024; DEVELOP A CURRICULUM EMPHASIZING OBSTETRICAL CARE BY JANUARY 2025; ESTABLISH AN ACGME ACCREDITED RTP TO BEGIN TRAINING RESIDENTS BY JULY 2025; IMPLEMENT A RESIDENT RECRUITMENT PLAN BY APRIL 2025; FINALIZE A VALIDATED SUSTAINABILITY PLAN BY JUNE 2026; DEVELOP A GRADUATE TRACKING PLAN TO PUBLICLY REPORT CAREER OU TCOMES BY JUNE 2027.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - APPLICANT / SPONSORING INSTITUTION: DOCTORS HOSPITAL AT RENAISSANCE, LTD. DBA DHR HEALTH ADDRESS / LOCATION: 5501 S. MCCOLL RD., EDINBURG, TX 78539 ACGME SPONSOR PROGRAM CODE: 489651 PROJECT DIRECTOR / DESIGNATED INSTITUTIONAL OFFICIAL: JESSICA MARTIN, MD, MHSA CONTACT: 956-362-2426, JG.MARTIN@DHR-RGV.COM; 1000 E. DOVE AVE, STE. 201, MCALLEN, TX 78504 WEBSITE: HTTPS://WWW.DHRHEALTH.COM/ ELIGIBILITY / FACILITY TYPE: FOR PROFIT ORGANIZATION / RURAL HEALTH CLINICS PROGRAM PATHWAY: GENERAL PRIMARY CARE AND HIGH-NEED SPECIALTY RESIDENCY SPECIALTY: INTERNAL MEDICINE RESIDENCY FORMAT: NEW RURAL TRACK PROGRAM (NEW PROGRAM ACCREDITATION) RURAL TARGET AREA: STARR COUNTY, TX FUNDING AMOUNT REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION: 1, 3 & 4 PROJECTED TOTAL NUMBER OF RESIDENTS: 6 EXPECTED ACGME ACCREDITATION/ RESIDENCY MATRICULATION DATES: 01/24/2026 AND 07/01/2026 FUNDING PRIORITY POINTS REQUESTED: ONE HRSA AWARD GIVEN TO THE FAMILY MEDICINE RURAL TRACK PROGRAM IN 2024 (HRSA-24-022) ABSTRACT DOCTORS HOSPITAL RENAISSANCE, LTD., DOING BUSINESS AS DHR HEALTH, IS THE LARGEST UNDERREPRESENTED MINORITY OWNED AND OPERATED HEALTH SYSTEM IN THE NATION. LOCATED IN SOUTH TEXAS, DHR HEALTH WAS FOUNDED IN 1997 TO AID OVER 1.5 MILLION RESIDENTS IN ACCESSING HEALTHCARE WITHIN THE RIO GRANDE VALLEY (RGV), A LARGELY HISPANIC BORDER TOWN REGION THAT HISTORICALLY LACKED PUBLIC HOSPITALS. DHR HEALTH HAS STEADILY GROWN AND NOW SERVES OVER 300,000 PATIENTS ANNUALLY ACROSS 4 COUNTIES: STARR, HIDALGO, CAMERON AND WILLACY. AS A 500+ BED LEVEL 1 TRAUMA CENTER, DHR HEALTH PROVIDES THE FULL CONTINUUM OF CARE INCLUDING WOMEN’S HEALTH AND GRADUATE MEDICAL EDUCATION (GME) PROGRAMS. DHR HEALTH OPERATES AS A SAFETY NET HEALTH SYSTEM, SERVING THE NEEDS OF URBAN AND RURAL COMMUNITIES. STARR COUNTY, A RURAL, HIGH NEED GEOGRAPHIC REGION WITHIN THE RGV IS UNDERSERVED WITH HRSA DESIGNATIONS OF MEDICALLY UNDERSERVED AREA (SCORE: 53) AND HEALTH PROFESSIONALS SHORTAGE AREA FOR PRIMARY CARE (SCORE:16). THE POPULATION IS 65,000 WITH A MEDIAN AGE OF 26. OF THE POPULATION, 97% IDENTIFY AS HISPANIC AND 51% LIVE BELOW THE POVERTY LINE. WITH A PATIENT TO PHYSICIAN RATIO OF 4,020 TO 1, THE GREATEST HEALTHCARE NEED IN STARR COUNTY IS PRIMARY CARE AND ACCESS TO SECONDARY OR SPECIALTY CARE DUE TO LIMITED RESOURCES AND A LACK OF SPECIALISTS WITHIN THE COUNTY, LEADING RESIDENTS TO TRAVEL LONG DISTANCES FOR MEDICAL CARE. IN 2020, THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES RELEASED A PHYSICIAN SUPPLY AND DEMAND REPORT REVEALING THAT IN THE SOUTH TEXAS REGION, GENERAL INTERNAL MEDICINE, PEDIATRICS, AND PSYCHIATRY ARE PROJECTED TO HAVE CRITICAL SHORTAGES. THE INTERNAL MEDICINE (IM) PHYSICIAN SHORTAGE IN SOUTH TX IS PROJECTED TO HAVE THE GREATEST INCREASE IN DEFICIT FROM 146 FTE PHYSICIANS IN 2018 TO 240 FTES IN 2032. IN JULY 2020, DHR BECAME AN ACGME SPONSORING INSTITUTION AND SINCE THEN HAS LAUNCHED 10 ACCREDITED RESIDENCY PROGRAMS AND FELLOWSHIPS. TO MEET THE CRITICAL IM PHYSICIAN SHORTAGE AND HEALTHCARE NEEDS OF STARR COUNTY, DHR WILL EXPAND GME PROGRAMS TO THIS SERVICE AREA. DHR WILL PARTNER WITH STARR COUNTY MEMORIAL HOSPITAL AND LOCAL CLINICS TO ESTABLISH A NEW 2-2-2 INTERNAL MEDICINE (IM) RURAL TRACK PROGRAM (RTP) ADDRESSING THE CRITICAL SHORTAGES OF MEDICAL SUBSPECIALTIES IN THE SOUTH TEXAS REGION, INCLUDING CARDIOLOGY, PULMONOLOGY, AND NEPHROLOGY. DHR IS REQUESTING FUNDING PRIORITY 1 FOR GEOGRAPHIC DISTRIBUTION TO TRAIN RESIDENTS FOR GREATER THAN 50 PERCENT OF TOTAL TRAINING TIME IN STARR COUNTY IN TEXAS. DHR WILL PROVIDE A SOLUTION TO THE WORKFORCE SHORTAGE IN STARR COUNTY BY CREATING A NEW SOURCE OF PRIMARY CARE AND SUBSPECIALTY PROVIDERS TO THE PHYSICIAN PIPELINE IN THIS AREA, INCREASING ACCESS TO CARE FOR THE RURAL AND UNDERSERVED. DHR WILL RECRUIT FACULTY FOR THE NEW IM RTP BY DECEMBER 2025; DEVELOP A CURRICULUM EMPHASIZING A RURAL GEOGRAPHIC DISTRIBUTION BY JANUARY 2026; ESTABLISH AN ACGME ACCREDITED IM RTP TO BEGIN TRAINING RE