Full Circle Health Inc

HEALTH CENTER CLUSTER

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

HEALTH CENTER CLUSTER

OP EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE

AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - ? ADDRESS: 777 N RAYMOND ST., BOISE, ID 83704-9251 ? PROJECT DIRECTOR NAME: TED EPPERLY, MD, PRESIDENT AND CEO ? CONTACT PHONE NUMBER: 208-954-8745 ? EMAIL ADDRESS: TEDEPPERLY@FMRIDAHO.ORG ? WEBSITE ADDRESS: WWW.FMRIDAHO.ORG ? FUNDING PREFERENCE: N/A 1. NAME OF THE TRAINING PROGRAM: THE FAMILY MEDICINE RESIDENCY OF IDAHO (FMRI), BOISE FAMILY MEDICINE RESIDENCY 2. DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE 3. TYPE OF APPLICATION: EXPANSION 4. ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTERS, AS DEFINED IN SECTION 1905(L)(2)(B) OF THE SOCIAL SECURITY ACT [42 U.S.C. 1396D(L)(2)(B)], THE FMRI WILL OPERATE THE RESIDENCY PROGRAM ALONE. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 1975 6. ORGANIZATION WEBSITE ADDRESS: WWW.FMRIDAHO.ORG 7. OVERVIEW: THE BOISE FAMILY MEDICINE RESIDENCY PROGRAM (BOISE RESIDENCY) IS THE FIRST ACGME (ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION) ACCREDITED PROGRAM OF THE FAMILY MEDICINE RESIDENCY OF IDAHO, INC. (FMRI) AND FIRST GME PROGRAM IN THE STATE OF IDAHO. FMRI IS A 501(C)3, NON-PROFIT ORGANIZATION, AND THE SPONSORING INSTITUTION (SI) FOR GRADUATE MEDICAL EDUCATION (GME) SINCE ACGME ACCREDITATION IN 1974, AND THE START OF THE FIRST BOISE RESIDENCY CLASS IN 1975. IN THESE 46 YEARS, THE PROGRAM HAS GROWN TREMENDOUSLY TO MEET THE CHALLENGES OF OUR COMMUNITIES AND STATE. FMRI IS A SAFETY NET PROVIDER FOR ADA AND CANYON COUNTIES. IN CALENDAR YEAR 2021, FMRI SERVED 28,256 UNIQUE PATIENTS, 12.7% OF WHOM WERE UNINSURED AND 38.7% OF WHOM WERE RECIPIENTS OF MEDICAID, AT THEIR TIME OF SERVICE AND 47.3% OF FMRI PATIENTS IDENTIFIED LIVE ON AN INCOME AT OR BELOW 200% OF FPG, THEREBY SUBSTANTIATING THE ORGANIZATION’S ROLE AS A SAFETY NET PROVIDER TO VULNERABLE POPULATIONS. ADDITIONALLY, FMRI IS AN MHC (MIGRANT HEALTH CENTER) GRANTEE, HAVING SERVED 385 MIGRANT AND SEASONAL AGRICULTURAL WORKERS (MSAW) IN 2021. FMRI IS ALSO A MEDICAL POINT OF ENTRY FOR REFUGEES RESETTLED IN BOISE, IDAHO AND PROVIDES COMPR EHENSIVE PRIMARY AND MENTAL HEALTH SERVICES TO REFUGEE PATIENTS AND HELP REFUGEES ASSIMILATE AND RECUPERATE FOLLOWING THEIR TRAUMATIC LOSS. THE STATE OF IDAHO FACES SOME MAJOR CHALLENGES WITH ITS HEALTHCARE WORKFORCE AND ITS HEALTHCARE SYSTEM. IDAHO RANKS 49 ON THE LIST OF STATES FOR PHYSICIANS PER CAPITA IN THE 2019 STATE PHYSICIAN WORKFORCE DATA REPORT PUBLISHED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES. IDAHO ALSO RANKS 45TH OUT OF 50 IN TERMS OF THE NUMBER OF PRIMARY CARE PHYSICIANS PER CAPITA AND RANKS 47TH OUT OF 50 IN TERMS OF THE NUMBER OF GRADUATE MEDICAL EDUCATION RESIDENT POSITIONS PER CAPITA IN THE AAMC 2019 STATE PHYSICIAN WORKFORCE DATA REPORT. ALL BUT THREE COUNTIES IN IDAHO ARE DESIGNATED AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS BY THE FEDERAL GOVERNMENT, ACCORDING TO THE IDAHO DEPARTMENT OF HEALTH AND WELFARE WEBSITE. THIS MEANS THAT COUNTIES IN IDAHO HAVE A SHORTAGE OF PHYSICIANS IN RELATION TO POPULATION DEMANDS OR GEOGRAPHICAL RESTRAINTS. NOTABLY, IDAHO’S PHYSICIAN WORKFORCE IS AGING, WITH MANY PHYSICIANS RETIRING WITHIN THE NEXT 5-10 YEARS. COMBINED, THESE FACTORS CREATE A PERFECT STORM FOR THE NEED OF AN INCREASED PHYSICIAN WORKFORCE AND PRODUCTION OF NEWLY MENTORED/TRAINED FAMILY MEDICINE PROVIDERS. 8. TOTAL RESIDENT FTE POSITIONS FOR ALL POST-GRADUATE YEARS OF TRAINING: 12 (3-3-3-3). FMRI’S BOISE RESIDENCY PROGRAM EXPANDED FROM 11 RESIDENTS PER YEAR TO 12 RESIDENTS PER YEAR BEGINNING AY2019-2020 AND MEETS THE ELIGIBILITY REQUIREMENT OF REQUESTING RESIDENT FTES ABOVE THE PROGRAM’S BASELINE YEAR OF AY2018-2019 AND ARE CURRENTLY AT THE FULL COMPLEMENT OF 12-12-12. 9. RESIDENT FTE POSITIONS FOR AY 2022-2023: 3 (1-1-1). FMRI’S BOISE RESIDENCY WILL EXPAND THE PROGRAM BY 1 RESIDENT FTE, INCREASING THE NUMBER FROM 3 RESIDENTS TO 4, BEGINNING IN AY 2022-23. 10. NEW ROTATION SITES: THERE ARE NO NEW HOSPITAL ROTATIONS FOR THE UPCOMING ACADEMIC YEAR.

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

AFFORDABLE CARE ACT: PRIMARY CARE RESIDENCY EXPANSION

AFFORDABLE CARE ACT: PRIMARY CARE RESIDENCY EXPANSION

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - • ELIGIBLE ENTITY: GRADUATE MEDICAL EDUCATION CONSORTIUM • PROJECT DIRECTOR/CONTACT INFORMATION: TED EPPERLY, MD, PRESIDENT, CEO, AND DIO, 208-954-8745, TEDEPPERLY@FULLCIRCLEIDAHO.ORG • RESIDENCY PROGRAM DIRECTOR/CONTACT INFORMATION: KIM STUTZMAN, MD, NAMPA PROGRAM DIRECTOR, 208-340-0685, KIMSTUTZMAN@FULLCIRCLEIDAHO.ORG • PROGRAM PATHWAY: GENERAL PRIMARY CARE AND HIGH NEED SPECIALTY PATHWAY RESIDENCY • RESIDENCY SPECIALTY AREA: FAMILY MEDICINE • RESIDENCY FORMAT: NEW RURAL TRAINING SITE TO EXISTING PROGRAM • SPONSORING INSTITUTION ORGANIZATION & LOCATION: FULL CIRCLE HEALTH, BOISE, IDAHO • RURAL TARGET AREA(S): ELMORE & OWYHEE COUNTIES, IDAHO • FUNDING AMOUNT REQUESTED: $750,000 • PROGRAM SUSTAINABILITY OPTION: OPTION 3: MEDICARE FTE RESIDENT CAP EXPANSION FOR RTPS • PROJECTED TOTAL NUMBER OF RESIDENTS: 6 TOTAL, 2/YEAR • EXPECTED ACGME ACCREDITATION AND RESIDENCY MATRICULATION DATES: ACGME ACCREDITATION SPRING 2025, FIRST CLASS AT CORE PROGRAM JULY 1, 2026, AND GRADUATION 2029 • FUNDING PRIORITY POINTS REQUESTED: PRIORITY 1: GEOGRAPHIC DISTRIBUTION • LIST OF RECENT HRSA AWARDS: O TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM, GRANT NO. T9BHP45322 O TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM, GRANTS NO. T9CHP46030, T9CHP46049, T9CHP49295 O HEALTH CENTER INFRASTRUCTURE SUPPORT, GRANT NO. C8ECS43712 PROJECT OVERVIEW: FULL CIRCLE HEALTH, INC. (FCH) IS SEEKING FUNDING AS A GME CONSORTIUM TO ESTABLISH A FAMILY MEDICINE RURAL TRACK PROGRAM (ELMORE RTP); WITHIN AN EXISTING PROGRAM, FCH’S NAMPA FAMILY MEDICINE RESIDENCY OF IDAHO (NAMPA RESIDENCY). THE PROGRAM WILL SERVE THE RURAL POPULATIONS OF MOUNTAIN HOME, IDAHO, SPANNING ACROSS BOTH ELMORE AND OWYHEE COUNTIES. RESIDENTS WILL SPEND THEIR FIRST YEAR OF THE PROGRAM IN NAMPA, CANYON COUNTY, IDAHO AND THE SECOND AND THIRD YEARS PRIMARILY IN MOUNTAIN HOME, ELMORE COUNTY, IDAHO. BOTH ELMORE AND OWYHEE COUNTIES ARE DESIGNATED AS RURAL, PRIMARY CARE MEDICALLY UNDERSERVED A REAS (MUAS) BY HRSA, WITH MEDICAL UNDERSERVICE SCORES OF 45.9 (ELMORE) AND 49.2 (OWYHEE). TARGET PATIENT POPULATION AND NEED: ELMORE COUNTY IS RANKED #23 AND IN THE LOWER MIDDLE RANGE FOR HEALTH OUTCOMES AND HEALTH FACTORS. OWYHEE COUNTY IS #38 AND AMONG THE LEAST HEALTHY COUNTIES FOR HEALTH OUTCOMES AND HEALTH FACTORS IN OUR STATE. RESIDENTS REPORTED SEVERAL DIFFICULTIES ACCESSING HEALTH CARE AND IN ADDITION, OUR SERVICE AREA IS EXPERIENCING A PRIMARY CARE PROVIDER SHORTAGE. DIFFICULTY ACCESSING HEALTH CARE CAN LEAD PEOPLE TO NEGLECT THEIR HEALTH, ESPECIALLY PREVENTATIVE HEALTH. BARRIERS PREVENTING OR LIMITING AN INDIVIDUAL’S ABILITY TO ACCESS HEALTH CARE SERVICES CAN LEAD TO INCREASED POOR HEALTH OUTCOMES AND IMPACT OVERALL HEALTH EQUITY. CONSORTIUM PARTNERS AND CLINICAL COLLABORATIONS: THE ELMORE RTP WILL EXTEND ACROSS FULL CIRCLE HEALTH (ACGME SPONSORING INSTITUTION), NAMPA RESIDENCY (FAMILY MEDICINE RESIDENCY AND URBAN FQHC), ST. LUKE’S TRINITY MOUNTAIN MEDICAL (RURAL HEALTH CLINIC), AND ST. LUKE’S ELMORE MEDICAL CENTER (CRITICAL ACCESS HOSPITAL). FCH AND ST. LUKE’S HEALTH SYSTEM HAVE PARTNERED FOR 49 YEARS ON THE DELIVERY OF RESIDENCY PROGRAMS, PROVIDING A ROBUST, EXISTING INFRASTRUCTURE WHICH ALIGNS WITH THE GOALS AND MISSION TO IMPROVE HEALTH OUTCOMES ACROSS RURAL IDAHO AND INCREASE THE AVAILABILITY OF PRIMARY CARE PHYSICIANS IN ELMORE AND OWYHEE COUNTY COMMUNITY. SPECIFIC MEASURABLE OBJECTIVES AND EXPECTED OUTCOMES: DEVELOP AN ACGME ACCREDITED FAMILY MEDICINE RURAL TRAINING PROGRAM, DEMONSTRATE PROGRAM SUSTAINABILITY THROUGH THE RTP CAP ADJUSTMENT, STATE OF IDAHO FUNDING, AND PATIENT REVENUE AND TRACK GRADUATES TO MEET THE GOALS FOR RURAL WORKFORCE DEVELOPMENT OF >50% OF GRADUATES CONTINUING TO PRACTICE IN RURAL PLACES AFTER GRADUATION.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - ? ADDRESS: 8610 W OVERLAND RD, BOISE, ID 83709-1645 ? PROJECT DIRECTOR NAME: TED EPPERLY, MD, PRESIDENT AND CEO ? CONTACT PHONE NUMBER: 208-954-8745 ? EMAIL ADDRESS: TEDEPPERLY@FMRIDAHO.ORG ? WEBSITE ADDRESS: WWW.FULLCIRCLEIDAHO.ORG ? FUNDING PREFERENCE: N/A 1. NAME OF THE TRAINING PROGRAM: FULL CIRCLE HEALTH, INC., PEDIATRICS RESIDENCY OF IDAHO 2. DISCIPLINE OF THE RESIDENCY PROGRAM: PEDIATRICS 3. TYPE OF APPLICATION: NEW 4. ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTERS, AS DEFINED IN SECTION 1905(L)(2)(B) OF THE SOCIAL SECURITY ACT [42 U.S.C. 1396D(L)(2)(B)], FULL CIRCLE HEALTH WILL OPERATE THE PEDIATRICS RESIDENCY PROGRAM ALONE. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2023 6. ORGANIZATION WEBSITE ADDRESS: WWW.FULLCIRCLEIDAHO.ORG 7. OVERVIEW: THE PEDIATRICS RESIDENCY OF IDAHO (PRI) IS THE FIRST PEDIATRICS ACGME (ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION) ACCREDITED PROGRAM OF SPONSORING INSTITUTION FULL CIRCLE HEALTH, INC. (FCH) (FORMERLY THE FAMILY MEDICINE RESIDENCY OF IDAHO, INC.). PRI WILL BEGIN TRAINING ITS FIRST CLASS OF FOUR RESIDENTS ON JULY 1, 2023 AND WILL BE AT FULL COMPLEMENT OF 12 RESIDENTS TRAINING BY JULY 1, 2025. THE THCGME FUNDING FROM THIS GRANT OPPORTUNITY WILL ALLOW FCH TO ESTABLISH THIS PROGRAM AND HEALTHCARE TRAINING IN THE ONLY PEDIATRIC RESIDENCY PROGRAM IN IDAHO AND ACROSS THE NORTHERN ROCKIES AND NORTHERN GREAT PLAINS. IDAHO RANKS LAST FOR PEDIATRICIANS PER 100K CHILDREN (43.8 PER 100K) WITH THE NATIONAL RATE AT 104.6 PER 100K. THIS AREA HAS PREVIOUSLY BEEN A DESERT FOR PEDIATRICS TRAINING, AND THUS NUMEROUS STATES IN THE REGION HAVE AMONG THE LOWEST RATES IN THE COUNTRY OF PEDIATRICIANS PER 100,000 CHILDREN. PRI IS LOCATED AT FCH’S BOISE PEDIATRICS CLINIC IN BOISE, IDAHO WHICH IS SCHEDULED TO OPEN DECEMBER 2022. THE TOTAL NUMBER OF NEW PATIENTS PROJECTED TO BE SERVED ANNUALLY IS 2,970 AND THE ESTIMATED NUMBER OF EXISTING FCH PATIENTS WHO WOULD TRANSFER THEIR CARE TO THE NEW LOCATION IS 990. OF THE TOTAL PROJECTED PATIENTS, WE ANTICIPATE 45% OF PATIENTS WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. FCH IS A PRIMARY CARE HPSA AS A FEDERALLY QUALIFIED HEALTH CENTER (ID11699916A1) WITH A SCORE OF 15. PRI IS LOCATED IN BOISE, ADA COUNTY, IDAHO AND HOME TO 237,446 PEOPLE COMPRISED OF WHITE (88.0%), HISPANIC OR LATINO (9.0%), ASIAN (3.1%), BLACK OR AFRICAN AMERICAN (1.6%), AND AMERICAN INDIAN AND ALASKA NATIVE (.7%), WITH 20% OF PERSONS UNDER 18 YEARS OF AGE AND 5% UNDER FIVE YEARS OF AGE. DATA IS ALSO ABLE TO SHOW US A LARGE POPULATION IN ADA COUNTY WHO ARE UNDER 19 YEARS OF AGE CHILDREN AND MEDICAID (21,627), AND UNINSURED CHILDREN WITH NO HEALTH INSURANCE COVERAGE (4,999). ADA COUNTY, IDAHO’S POPULATION ESTIMATE OF 511,931 PEOPLE MAKES IT IDAHO’S MOST POPULATED COUNTY WITH 27% OF THE STATE’S RESIDENTS. SOUTHWEST BOISE AND SOUTHEAST MERIDIAN ARE EXPERIENCING LARGE POPULATION GROWTH AND OF EXISTING PEDIATRIC PRACTICES, ALMOST ALL ARE NO LONGER ACCEPTING OR SIGNIFICANTLY RESTRICTING MEDICAID PATIENTS AT THIS TIME. 8. TOTAL RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING RESIDENT FTE ABOVE THE BASELINE RESIDENT FTES TRAINED BY THE PROGRAM IN AY 2018-2019: 12 (4-4-4). PRI IS A NEW PEDIATRICS RESIDENCY PROGRAM THAT WILL BEGIN TRAINING THE FIRST YEAR OF RESIDENTS JULY 1, 2023 AND HAD NO TRAINEES PRIOR TO THIS DATE. 9. RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2023-2024: 4 (4-0-0). PRI IS A NEW PEDIATRICS RESIDENCY AND WILL BEGIN TRAINING THE FIRST YEAR OF FOUR PEDIATRICS RESIDENT FTES IN AY 2023-24. 10. ROTATION SITES: STATE IF RESIDENTS WITHIN THE APPLICANT RESIDENCY PROGRAM WILL PERFORM ROTATIONS AT A HOSPITAL ROTATION SITE(S) THAT HAS NOT PROVIDED RESIDENT TRAINING IN ANY PRIOR AY: THERE ARE NO NEW HOSPITAL ROTATIONS FOR THE UPCOMING ACADEMIC YEAR.

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - FULL CIRCLE HEALTH (FCH) (H80CS26601) INTENDS TO INCREASE BEHAVIORAL HEALTH ACCESS POINTS FOR PATIENTS IN NEED OF MENTAL HEALTH AND/OR SUD TREATMENT SERVICES. OUR GOAL IS TO EXPAND UPON OUR EXISTING INTEGRATED BEHAVIORAL HEALTH (SHORT-TERM) AND SUD SERVICE LINES, INCLUDING PATIENTS IN NEED OF MOUD. ADDITIONALLY, FCH INTENDS TO CREATE A SERVICE LINE FOR PATIENTS IN NEED OF LONG-TERM PSYCHOTHERAPY IN ORDER TO ADDRESS MORE COMPLEX ISSUES SUCH AS PTSD. IT IS NOTED THAT OUR SUSTAINABILITY EFFORTS WILL INCLUDE AN ADDED EMPHASIS ON BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT, AS THERE IS A SIGNIFICANT PROVIDER SHORTAGE IN OUR SERVICE AREA. TO ACCOMPLISH OUR GOAL OF ACCESS POINT EXPANSION, FCH WILL UTILIZE FUNDING TO RECRUIT AND RETAIN TWO NEW ASSOCIATE LEVEL CLINICIANS (I.E., LMSW OR AMFT) FOR ITS INTEGRATED BEHAVIORAL HEALTH (IBH) PROGRAM. THESE NEW STAFF MEMBERS WILL RECEIVE SPECIALIZED TRAINING IN PRIMARY CARE INTEGRATION, INCLUDING CRISIS INTERVENTIONS. OUR RECRUITMENT EFFORTS WILL INCLUDE THE DEVELOPMENT OF AN MSW INTERNSHIP PROGRAM IN PARTNERSHIP WITH OUR LOCAL UNIVERSITIES. FURTHERMORE, WE WILL INCREASE THE UTILIZATION OF EXISTING BH STAFF FOR BOTH INTEGRATED/SHORT-TERM INTERVENTIONS AS WELL AS LONG-TERM INTERVENTIONS. THIS WILL BE ACCOMPLISHED THROUGH MORE EFFICIENT OPERATIONAL PRACTICES AND SPECIALTY TRAINING WE INTEND TO IMPLEMENT WITH THE SUPPORT OF A NEW CHIEF BEHAVIORAL OFFICER ROLE. AS PREVIOUSLY REFERENCED, WE INTEND TO EXPAND OUR SUD TREATMENT SERVICE LINE AS WELL. THIS INCLUDES PATIENTS IN NEED OF MOUD/MAT. TO ACCOMPLISH THIS KEY ENDEAVOR, FCH INTENDS TO HIRE A RECENT GRADUATE OF ITS ADDICTION MEDICINE FELLOWSHIP. THIS INDIVIDUAL IS SLATED TO BECOME A “PROVIDER CHAMPION” FOR OUR EXPANSION EFFORTS. THIS ROLE WILL INCLUDE PARTNERSHIP EFFORTS TOWARD THE DEVELOPMENT OF AN “ED BRIDGE” PROGRAM FOR PATIENTS WITH OUD/SUD, WHO PRESENT AT EMERGENCY ROOMS OF LOCAL HOSPITALS. OTHER EXPANSION EFFORTS WILL INCLUDE THE ADDITION OF GROUP THERAPY FOR O UR SUD PATIENTS IN ADDITION TO THE POTENTIAL RECRUITMENT OF A DRUG AND ALCOHOL COUNSELOR. FCH ALSO INTENDS TO USE FUNDING FOR ITS BUPRENORPHINE PRESCRIPTION PROGRAM, WHICH PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WITHOUT ADEQUATE COVERAGE OR MEANS. AS A TEACHING HEALTH CENTER, FCH WOULD LIKE TO EXPAND OUR PSYCHOLOGY RESIDENCY PROGRAM TO INCREASE BEHAVIORAL HEALTH SERVICES THROUGH PSYCHOLOGY TRAINING. FCH WOULD RECRUIT TWO ADDITIONAL PSYCHOLOGY INTERNS AND HIRE A POSTDOC TO BEGIN PROVIDING BEHAVIORAL HEALTH SERVICES ON JULY 1, 2025, BOTH THROUGH PRIMARY CARE PSYCHOLOGY AND INDIVIDUAL THERAPY. THIS WOULD ALLOW FCH TO EXPAND TRAINING WITHIN OUR NINE-CLINIC SYSTEM, WHICH INCREASES ACCESS TO PATIENTS AS WELL AS FOSTER RETENTION FOR PROVIDERS WHO WANT TO DEVELOP SKILLS IN LONG-TERM PSYCHOTHERAPY. FCH SERVES BEHAVIORAL HEALTHCARE NEEDS IN ADA AND CANYON COUNTIES IN THE STATE OF IDAHO. COUNTIES EXPERIENCING OUTSIZED GROWTH INCLUDE ADA COUNTY INCREASING BY 26.1% AND CANYON COUNTY BY 22.3%. IN 2023, 30.2% OF ADULTS IN IDAHO REPORTED SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER, DRUG OVERDOSE DEATH RATES HAVE INCREASED IN IDAHO FROM 12.9 PER 100,000 IN 2011 TO 19 PER 100,000 IN 2021. IN 2021, THERE WERE 236 OPIOID OVERDOSE DEATHS IN IDAHO, WHICH ACCOUNTED FOR 67% OF ALL DRUG OVERDOSE DEATHS IN THE STATE. DATA FROM THE MOST RECENT COMMUNITY NEEDS ASSESSMENT, MENTAL HEALTH WAS IDENTIFIED AS A TOP PRIORITY, SPECIFICALLY INCREASED DEPRESSION, ANXIETY, AND FEELINGS OF ISOLATION IN BOTH YOUTH AND ADULTS. IDAHO CONSISTENTLY RANKS AMONG STATES WITH THE HIGHEST SUICIDE MORTALITY RATES (23.2 PER 100,000) AND THERE IS SERIOUS CONCERN FOR YOUTH MENTAL HEALTH AND THEIR ABILITY TO SEEK TREATMENT. ALSO REPORTED, MANY RESIDENTS DO NOT HAVE ADEQUATE ACCESS TO MENTAL HEALTH CARE AND THE MENTAL HEALTH PROVIDER RATIO FOR ADA COUNTY IS 270:1, AND CANYON COUNTY IS 540:1.

NATIONAL AIDS EDUCATION AND TRAINING CENTERS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - ? ADDRESS: 315 E ELM ST, #200, CALDWELL, ID 83605-4587 ? PROJECT DIRECTOR NAME: TED EPPERLY, MD, DIO, PRESIDENT, AND CEO ? CONTACT PHONE NUMBER: 208-954-8745 ? EMAIL ADDRESS: TEDEPPERLY@FMRIDAHO.ORG ? WEBSITE ADDRESS: WWW.FMRIDAHO.ORG 1. NAME OF THE TRAINING PROGRAM: THE FAMILY MEDICINE RESIDENCY OF IDAHO (FMRI), CALDWELL RURAL PROGRAM 2. DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE 3. TYPE OF APPLICATION: EXPANSION 4. ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTERS, AS DEFINED IN SECTION 1905(L)(2)(B) OF THE SOCIAL SECURITY ACT [42 U.S.C. 1396D(L)(2)(B)]; FMRI WILL OPERATE THE RESIDENCY PROGRAM ALONE. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: FMRI 1975, CALDWELL 1995 6. ORGANIZATION WEBSITE ADDRESS: WWW.FMRIDAHO.ORG 7. BRIEF OVERVIEW: THE CALDWELL RURAL PROGRAM’S PURPOSE IN THE COMMUNITY WE SERVE OFFERS SIGNIFICANT RESIDENT LEARNING OPPORTUNITIES AND PATIENT CARE EXPERIENCES IN RURAL HEALTHCARE WHICH EMBRACES THE FAMILY MEDICINE MODEL. THIS MODEL WAS PIONEERED IN THE NORTHWEST IN THE EARLY 1990'S AS A MEANS OF GIVING RESIDENTS A BROAD, PROCEDURALLY BASED, HANDS-ON EXPERIENCE IN RURAL FAMILY MEDICINE DURING RESIDENCY. THE CALDWELL RURAL PROGRAM WAS THE SECOND ACGME (ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION) ACCREDITED PROGRAM OF THE FAMILY MEDICINE RESIDENCY OF IDAHO, INC. (FMRI). FMRI IS A 501(C)3, NON-PROFIT ORGANIZATION AND THE SPONSORING INSTITUTION FOR GRADUATE MEDICAL EDUCATION (GME). IN 1995, FMRI STARTED THE CALDWELL RURAL PROGRAM AS A SINGLE RESIDENT RURAL TRAINING TRACK IN CALDWELL, IDAHO (22 MILES WEST OF BOISE), LOCATED IN CANYON COUNTY. THE CALDWELL RURAL PROGRAM HAS NOW GROWN TO A 3-3-3 RESIDENCY PROGRAM. RESIDENTS SPEND THEIR FIRST YEAR AT THE CORE PROGRAM LOCATED IN BOISE, IDAHO AT THE BOISE FAMILY MEDICINE RESIDENCY AND TRANSITION TO THE CALDWELL RURAL PROGRAM FOR YEAR TWO AND YEAR THREE. CANYON COUNTY, IDAHO IS GROWING TREMENDOUSLY AND THERE ARE NOT ENOUGH PRIMARY CARE PROVIDERS TO ADE QUATELY CARE FOR THE EXPANDING POPULATION. ACCORDING TO RWJ COUNTY HEALTH RANKINGS & ROADMAPS, THE PRIMARY CARE RATIO FOR CANYON COUNTY (LOCATION OF THE CALDWELL RURAL PROGRAM) IS 1:3150 WITH THE NATIONAL 90TH PERCENTILE OF 1:1030 . WE KNOW THAT PHYSICIANS ARE MORE LIKELY TO PRACTICE CLOSE TO THEIR AREA OF TRAINING. WE ALSO KNOW THAT PATIENTS THAT HAVE A USUAL SOURCE OF PRIMARY CARE WILL HAVE BETTER OUTCOMES. WE ALSO KNOW THAT PATIENTS THAT HAVE A USUAL SOURCE OF PRIMARY CARE WILL HAVE BETTER OUTCOMES. CURRENTLY, THE CALDWELL RURAL PROGRAM TRAINS THREE RESIDENTS PER YEAR, AND WE ARE REQUESTING AN EXPANSION TO FOUR RESIDENTS PER YEAR, WITH THE FOURTH RESIDENT BEING FUNDED THROUGH THCGME GRANT EXPANSION FUNDS. WE EXPECT THAT WITH THIS ADDITIONAL RESIDENT, WE WILL BE ABLE TO BETTER SERVE OUR COMMUNITY WITH IMPROVED ACCESS TO CARE, AS WELL AS TO INCREASE THE SERVICES THAT WE ALREADY PROVIDE. 8. TOTAL RESIDENT FTE POSITIONS FOR ALL POST-GRADUATE YEARS OF TRAINING: 9 (1-2-3-3). FMRI’S CALDWELL RURAL PROGRAM IS REQUESTING NINE RESIDENT FTES (1-2-3-3) TO BE FUNDED UNDER THIS FOUR ACADEMIC YEAR PROJECT. 9. RESIDENT FTE POSITIONS FOR AY 2022-2023: 1 (1-0-0). FMRI’S CALDWELL RURAL PROGRAM WILL EXPAND THE PROGRAM BY ONE RESIDENT FTE, INCREASING THE NUMBER FROM THREE RESIDENTS TO FOUR RESIDENTS, BEGINNING IN AY 2022-23. 10. ROTATION SITES: THERE ARE NO NEW HOSPITAL ROTATIONS FOR THE UPCOMING ACADEMIC YEAR.

ADDICTION MEDICINE FELLOWSHIP

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RURAL HEALTH OUTREACH SPECIAL INITIATIVE

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 EXPANDING COVID-19 VACCINATION