Upmc

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

INITIATIVE TO REDUCE AVOIDABLE HOSPITALIZATIONS AMONG NURSING FACILITY RESIDENTS

INITIATIVE TO REDUCE AVOIDABLE HOSPITALIZATIONS AMONG NURSING FACILITY RESIDENTS PAYMENT REFORM

A NATIONAL MODEL FOR DIABETES PREVENTION AND TREATMENT PROGRAM IN CIVILIAN AND MILITARY HEALTHCARE

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

NEW ADVANCES IN MOLECULAR THERAPY FOR MUSCLE REPAIR AFTER DISEASES AND INJURIES

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

CLINICAL TRIA OF COENZYME Z10 AND PREDNISONE IN DUCHEBNE MUSCULAR DYSTROPHY

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-CHILD AND ADOLESCENT SUPPORT

ACCELERATED MANUFACTURE OF PHARMACEUTICALS

DIABETES PREVENTION AND TREATMENT PROGRAMS FOR WESTERN PA PEDIATRICS/PLATELET GEL

BLACK LUNG

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

TAS::97 0130::TAS ASSESSMENT OF A MODEL OF INTEGRATED PRIMARY/SPECIALTY CARE FOR PEDIATRIC WEIGHT MANAGEMENT AND DIABETES PREVENTION

UPMC ITALY’S APPLICATION PROPOSES DISCRETE ACTIVITIES IN SERVICE OF DEVELOPING AND TESTING A TELEMEDICINE SYSTEM TO IMPROVE THE RESPONSE AND MITIGATE THE IMPACTS OF COVID-19 ON COMMUNITIES, VULNERABLE POPULATIONS, AND HEALTHCARE PRACTITIONERS ACROSS ITALY. THE “DIGITAL TECHNOLOGY TO SUPPORT CLINICAL ACTIVITY: THE CASE OF THE SARS-COV-2 EMERGENCY” ACTIVITY SUSTAINS THE COVID19 RESPONSE BY IMPROVING THE RESPONSE TO ELDERLY PATIENTS WITH CHRONIC DISEASES AND THOSE AFFECTED BY LACK OF ACCESS TO HEALTHCARE FACILITIES, REDUCING THE NEED FOR TRADITIONAL FACE-TO-FACE VISITS. IT ALSO SUPPORTS PREPAREDNESS, PREVENTION, AND MITIGATION ACTIONS AND CREATES A PLATFORM TO CAPTURE RESULTS FOR A CLINICAL COVID19 VACCINE TRIAL BEING CONDUCTED SIMULTANEOUSLY THROUGH A SEPARATELY FUNDED UPMC ITALY ACTIVITY.

AFFORDABLE CARE ACT: PRIMARY CARE RESIDENCY EXPANSION

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

BLACK LUNG

TAS::97 0130::TAS ADVANCING THE PRACTICE OF DIGITAL PATHOLOGY IN THE AFMS: REGIONAL TELEPATHOLOGY

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

EFFICACY OF ANTIMICROBIALS IN YOUNG CHILDREN WITH AOM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

AFFORDABLE CARE ACT: PRIMARY CARE RESIDENCY EXPANSION

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT - UPMC KANE IS A SMALL RURAL HOSPITAL LOCATED IN KANE, PENNSYLVANIA SERVING MCKEAN, ELK, AND WARREN COUNTIES. THE TOTAL POPULATION IS 109,726 IN THE THREE-COUNTY SERVICE AREA. THE PROJECT WILL SERVE, TRACK AND IMPROVE OUTCOMES FOR APPROXIMATELY 3,000 INDIVIDUALS (THE TARGET POPULATION) WHO ARE AT-RISK FOR OR HAVE A DIAGNOSIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), HEART DISEASE, DIABETES, AND INDIVIDUALS WITH OPIOID/SUBSTANCE. ALL ADULTS THAT ARE AT-RISK FOR HEART DISEASE, DIABETES, LUNG DISEASE AND CO-MORBID CONDITIONS WITH CHRONIC HEALTH MANAGEMENT NEEDS WILL BE TARGETED. ALL AGE GROUPS FOR INDIVIDUALS WITH OPIOID OR SUBSTANCE ABUSE WILL BE TARGETED IN THE QUALITY IMPROVEMENT INITIATIVE. THE UNDERLYING FACTORS THAT ARE DRIVING GROWING RURAL HEALTH DISPARITIES IN OUR COMMUNITY INCLUDE BARRIERS TO CARE THAT DRIVE OUR COMMUNITY’S LEADING CAUSES OF AVOIDABLE DEATH: HEART DISEASE, CHRONIC LOWER RESPIRATORY DISEASE, AND SUBSTANCE USE. THE UPMC KANE NETWORK INCLUDES FIVE RURAL PROVIDERS TO EFFECTIVELY SERVE THIS TARGET POPULATION. THE UPMC KANE RURAL HEALTH QUALITY IMPROVEMENT PROJECT GOALS ARE TO IMPROVE DELIVERY OF COST-EFFECTIVE, COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE AND EQUITABLE HEALTH CARE SERVICES, RE-DESIGNED CARE COORDINATION, ENHANCED CHRONIC DISEASE MANAGEMENT, WITH IMPROVED HEALTH OUTCOMES FOR PATIENTS WITH HEART AND LUNG DISEASE AND OPIOID/SUBSTANCE ABUSE SERVICE NEEDS. GOALS: 1) IMPROVE HEALTH OUTCOMES FOR HEART AND LUNG DISEASE AND REDUCE SUBSTANCE ABUSE (REDUCE POTENTIALLY AVOIDABLE UTILIZATION (PAUS), OR ACUTE CARE ADMISSIONS. 2) EXPAND CAPACITY FOR ESSENTIAL HEALTH CARE SERVICES FOR TARGETED CHRONIC ILLNESSES, THROUGH CARE COORDINATION, AND GREATER ACCESS TO ENHANCED CHRONIC DISEASE MANAGEMENT. PROVIDING CLINICAL HEALTH SERVICES FOR RURAL RESIDENTS THROUGH TELEHEALTH AND SCREENING PROGRAMS AND CONDUCTING COMMUNITY HEALTH AND PREVENTION EFFORTS FOR RURAL COMMUNITIES. 3) INCREASE FINANCIAL SUSTAINABILITY IN THE RURAL HEALTH MODEL BY REDUCING CHRONIC DISEASE COSTS, REDUCING HOSPITAL RE-ADMISSIONS, AND IMPROVING EFFICIENCY THROUGH GREATER ACCESS TO CLINICAL MANAGEMENT OF SERVICES WITH CARE-COORDINATION STRATEGIES. QUALITY IMPROVEMENT (MODELS) THAT WILL BE USED WITH SOME MODIFICATIONS INCLUDE: PROJECT ECHO® – EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES; AND CHRONIC DISEASE SELF-MANAGEMENT PROGRAM WHICH WILL BE ADAPTED FOR THE QUALITY INITIATIVE. EXPECTED OUTCOMES: IMPROVED HEALTH OF INDIVIDUALS WITH CHRONIC ILLNESSES, REDUCED HOSPITAL RE-ADMISSIONS, INCREASED PATIENT FOCUSED PREVENTION, INCREASED UTILIZATION OF COMMUNITY-BASED SELF-DIRECTED PREVENTION PROGRAMS, AND GREATER ACCESS TO PAIN MANAGEMENT AND REDUCED SUBSTANCE ABUSE IN TARGET POPULATION. UPMC KANE IS REQUESTING A FUNDING PREFERENCE BASED ON SEVERAL HPSA DESIGNATIONS IN THE TARGET 3 COUNTY SERVICE AREA. THE RURAL AREA HAS HISTORICALLY SUFFERED FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUITIES. THE POPULATION INCLUDES LOW-INCOME INDIVIDUALS AND FAMILIES HAVE HISTORICALLY LACKED ACCESS TO HEALTH SERVICES PARTICULARLY PRIMARY CARE SERVICES. THE TARGET POPULATION IS INCLUSIVE OF THE SERVICE AREA AND TYPICALLY MUST TRAVEL OVER 1 ½ HOUR BY CARE TO SEEK REGULAR PRIMARY CARE, OR SPECIALTY CARE. THE PROPOSED PROJECT WILL IMPROVE ACCESS FOR THOSE WITH CHRONIC DISEASE MANAGEMENT NEEDS AND REDUCE TRAVEL TIMES FOR SERVICES. TELEMEDICINE AND A COLLABORATION OF FIVE LOCAL HEALTH SERVICE AGENCIES INCLUDING UPMC KANE (APPLICANT AND RURAL HOSPITAL), UPMC HOME HEALTH CARE, THE LUTHERAN HOME OF KANE, AREA AGENCY ON AGING (KANE SENIOR CITIZEN CENTER), AND ALCOHOL & DRUG ABUSE SERVICES, INC., OUR REGIONAL SCA FOR SUBSTANCE ABUSE/OPIOID ABUSE SERVICES.

HOMELESS ASSISTANCE

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE - DEMONSTRATION/IMPLEMENTATION SITES

INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE THROUGH TELEHEALTH EVIDENCE-BASED TELEHEALTH NETWORK

ARTICULAR CARTILAGE REPAIR THROUGH MUSCLE CELL-BASED TISSUE ENGINEERING

HOMELESS ASSISTANCE

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

MAKING DISASTERS LESS DISASTROUS: PUBLIC HEALTH, HEALTHCARE EXECUTIVES, AND EMERG

MATERNAL AND CHILD HEALTH RESEARCH CONSORTIUM - THE PROPOSED PERINATAL RESEARCH COLLECTIVE (PRC) WILL CONDUCT A SERIES OF COLLABORATIVE RESEARCH STUDIES, INFORMED BY STAKEHOLDERS, TO IMPROVE OUTCOMES FOR WOMEN WITH HYPERTENSIVE DISORDERS OF PREGNANCY (HDP). HDP IS A LEADING CAUSE OF MATERNAL HEALTH COMPLICATIONS AND DEATH. EVEN IF HYPERTENSION RESOLVES WITHIN SIX WEEKS AFTER DELIVERY, WOMEN WITH HDP ARE SIGNIFICANTLY MORE LIKELY TO DEVELOP CARDIOVASCULAR DISEASE (CVD) IN THE FUTURE. OUR THREE PROPOSED STUDIES ARE COLLECTIVELY KNOWN AS PROJECT PITCH (PERINATAL INCENTIVIZED TREATMENT AND CARE FOR HYPERTENSION). FIRST, WE WILL CONDUCT A CO-DEVELOPMENT STUDY USING SEMI-STRUCTURED INTERVIEWS AND HUMAN-CENTERED DESIGN ACTIVITIES TO OPTIMIZE TWO EVIDENCE-BASED INTERVENTIONS: CARE NAVIGATION AND INCENTIVIZED CARE. THE GOAL OF THESE INTERVENTIONS IS TO PROMOTE ENGAGEMENT IN IMPORTANT HEALTH ACTIVITIES RELATED TO HDP AND CVD, SUCH AS BLOOD PRESSURE MONITORING, PRIMARY CARE VISITS, ROUTINE LIPID AND GLUCOSE MONITORING, AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS. CARE NAVIGATION HELPS WOMEN OVERCOME BARRIERS TO ENGAGING WITH THE HEALTHCARE SYSTEM, ADHERING TO CLINICAL PLANS, AND CONNECTING TO SOCIAL SERVICES. INCENTIVIZED CARE PROVIDES WOMEN WITH HDP INCREMENTAL PAYMENTS IN THE YEAR POSTPARTUM TO ENCOURAGE CARE ENGAGEMENT AND SUPPORT HEALTH BEHAVIOR CHANGES. RESEARCH METHODS USED IN STUDY 1 WILL ENSURE THAT THE INTERVENTIONS ARE ACCEPTABLE TO THE TARGET POPULATION AND FEASIBLE TO IMPLEMENT. SECOND, WE WILL CONDUCT AN INTERVENTION STUDY COMPARING THE EFFECTIVENESS OF CARE NAVIGATION ALONE TO CARE NAVIGATION COMBINED WITH INCENTIVIZED CARE. PARTICIPANTS WILL BE RANDOMLY ASSIGNED TO ONE OF TWO STUDY ARMS AND MONITORED FOR ONE YEAR. WE WILL COMPILE OUTCOME DATA FROM OUR ORGANIZATION’S MAGEE OBSTETRIC MATERNAL & INFANT (MOMI) DATABASE AND BIOBANK FOR ANALYSIS. STATISTICAL ANALYSES WILL HELP US UNDERSTAND HOW EACH STUDY ARM IMPACTS ENGAGEMENT IN GUIDELINE-BASED HDP/CVD CARE DURING THE POSTPARTUM YEAR AND ACHIEVEMENT OF BLOOD PRESSURE CONTROL. WE WILL ALSO EVALUATE THE IMPACT OF THE INTERVENTIONS ON DIFFERENT PATIENT SUBGROUPS, SUCH AS WOMEN WITH PUBLIC VERSUS PRIVATE INSURANCE AND THOSE LIVING IN RURAL VERSUS URBAN/SUBURBAN AREAS. QUALITATIVE STUDY 3 WILL TAKE PLACE CONCURRENTLY WITH STUDY 1. WE WILL CONDUCT KEY INFORMANT INTERVIEWS TO EXPLORE OPPORTUNITIES FOR INTERVENTION SUSTAINABILITY AND SCALABILITY. ADDITIONALLY, WE WILL CONDUCT SEMI-STRUCTURED INTERVIEWS WITH STUDY 2 PARTICIPANTS TO EXAMINE BARRIERS AND FACILITATORS TO INTERVENTION ENGAGEMENT AND UNDERSTAND HOW THE INTERVENTIONS INFLUENCE THEIR ATTITUDES, BEHAVIORS, AND OVERALL HEALTH OUTCOMES. THE INSIGHTS GAINED FROM THESE INTERVIEWS WILL BE CRUCIAL FOR REFINING AND OPTIMIZING THE INTERVENTIONS TO ENSURE THEIR LONG-TERM EFFECTIVENESS AND BROADER APPLICABILITY. IMPORTANTLY, WE WILL INVOLVE EARLY CAREER INVESTIGATORS IN CONDUCTING PROJECT PITCH STUDIES AND DISSEMINATING FINDINGS. WE WILL LEVERAGE EXISTING TRAINING PROGRAMS WITHIN OUR ORGANIZATIONS TO OFFER CAREER MENTORSHIP, GUIDANCE ON CAREER TRAJECTORY, AND CONNECTIONS TO PROFESSIONAL NETWORKS. WE WILL PROVIDE SCIENTIFIC MENTORSHIP ON STUDY DESIGN, DEVELOPMENT, AND PUBLICATION TO HELP EARLY CAREER INVESTIGATORS TRANSITION TO SCIENTIFIC INDEPENDENCE.

CARES ACT

UPMC MCKEESPORT - ROCOG II - SUSTAINED COMMUNITY CLINICAL TRIAL PHASE

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

WORKFORCE TRAINING

UPMC MCKEESPORT/ROCOG RADIATION ONCOLOGY MINORITIES OUT*

CHILDHOOD METABOLIC MARKERS OF ADULT MORBIDITY IN BLACKS

CARES ACT

TRAUMATIC BRAIN INJURY (TBI), POST TRAUMATIC STRESS DISORDER (PTSD)_, CONCUSSION, BRAIN INJURY, IMPACT, FUNCTIONAL MAGNETIC RESONANCE IMAGING

PATHWAYS OF T CELL SENESCENCE

TELEMEDICINE GRANT

ADDICTION MEDICINE FELLOWSHIP - PROJECT TITLE: UPMC ADOLESCENT AND YOUNG ADULT ADDICTION MEDICINE FELLOWSHIP APPLICANT ORGANIZATION NAME: UNIVERSITY OF PITTSBURGH PHYSICIANS ADDRESS: 3459 FIFTH AVE, PITTSBURGH, PA 15213 PROJECT DIRECTOR: MARGARET SHANG, MD, MS PHONE NUMBER: 412-692-2157 | FAX NUMBER: 412-647-5967 EMAIL ADDRESS: SHANGM2@UPMC.EDU FUNDING REQUESTED: $1,967,630 SUMMARY OF REQUEST: THE UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE’S DIVISION OF GENERAL INTERNAL MEDICINE PROPOSES TO CREATE AN ADOLESCENT AND YOUNG ADULT (AYA) ADDICTION MEDICINE FELLOWSHIP (AMF) IN CONJUNCTION WITH OUR ACGME-ACCREDITED AMF (PITTSBURGH, PA, ALLEGHENY COUNTY). THE FELLOWSHIP WILL TRAIN RESIDENCY AND FELLOWSHIP GRADUATES WITH VARYING TRAINING BACKGROUNDS, PARTICULARLY PEDIATRICS, FAMILY MEDICINE, AND ADOLESCENT MEDICINE, TO BECOME BOARD-CERTIFIED EXPERTS, LEADERS, EDUCATORS, AND MENTORS IN ADOLESCENT ADDICTION MEDICINE. WE REQUEST FUNDING PRIORITY BASED ON OUR ABILITY TO TRAIN FELLOWS IN AREAS WITH DEMONSTRATED NEED (PRIORITY 3) AS WELL AS FUNDING PREFERENCE BASED ON QUALIFICATION 1 FOR A HIGH PLACEMENT RATE OF OUR AMF GRADUATES IN MEDICALLY UNDERSERVED COMMUNITIES. NEEDS ADDRESSED: NINE IN TEN ADULTS WITH SUBSTANCE USE DISORDERS (SUD) IN THE U.S. STARTED USING SUBSTANCES DURING THEIR ADOLESCENCE. EARLIER AGES OF SUBSTANCE INITIATION ARE ASSOCIATED WITH GREATER LIFETIME RISK OF ADVERSE EFFECTS, HIGHLIGHTING THE IMPORTANCE OF PREVENTION, EARLY INTERVENTION, AND ACCESS TO TIMELY EVIDENCE-BASED SUD TREATMENT. HOWEVER, ADOLESCENT ADDICTION TREATMENT IS FAR LESS ACCESSIBLE THAN FOR ADULTS, PARTICULARLY AT HIGHER LEVELS OF CARE, AND OFTEN UNDERUTILIZES PHARMACOTHERAPY. SIGNIFICANT TRAINING GAPS EXIST IN UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION ON ADOLESCENT SUBSTANCE USE, AND ONLY 1% OF PHYSICIANS BOARD-CERTIFIED IN ADDICTION MEDICINE ARE PEDIATRICIANS. IN PENNSYLVANIA, AN ESTIMATED 8.6% OF 12- TO 17-YEAR-OLDS AND 27% OF 18- TO 25-YEAR-OLDS MEET CRITERIA FOR A SUD. IN ALLEGHENY COUNTY, WHERE FATAL OVERDOSE RATES EXCEED STATE AND NATIONAL AVERAGES, ONLY A MINORITY OF SUD TREATMENT FACILITIES SERVE ADOLESCENTS. PROPOSED SERVICES: THE ADOLESCENT AND YOUNG ADULT ADDICTION MEDICINE FELLOWSHIP WILL TRAIN 2 FELLOWS PER YEAR IN VARIOUS INPATIENT AND OUTPATIENT SITES THAT PROVIDE SUD PREVENTION AND TREATMENT TO MEDICALLY UNDERSERVED AND RURAL COMMUNITIES. FELLOWS WILL GAIN EXPERIENCE IN SUD PREVENTION WITHIN PRIMARY CARE SETTINGS, WITHDRAWAL MANAGEMENT, SUD TREATMENT INITIATION AND MANAGEMENT, CO-MORBID PHYSICAL AND MENTAL HEALTH EVALUATION AND TREATMENT, BEHAVIORAL HEALTH INTERVENTIONS, RECOGNITION OF SOCIAL DETERMINANTS OF HEALTH, AND CASE MANAGEMENT TO ADDRESS SOCIAL AND LEGAL NEEDS. FELLOWS WILL WORK IN INTERDISCIPLINARY TEAMS COMPRISING SOCIAL WORK, BEHAVIORAL HEALTH THERAPISTS, CERTIFIED RECOVERY SPECIALISTS, AND PROVIDERS OF DIFFERENT SPECIALTY BACKGROUNDS INCLUDING PEDIATRICS, ADOLESCENT MEDICINE, INTERNAL MEDICINE, FAMILY MEDICINE, PSYCHIATRY, OBSTETRICS AND GYNECOLOGY, AND EMERGENCY MEDICINE. AS CLINICAL SITES ALSO HOST MEDICAL STUDENTS, RESIDENTS, AND OTHER SUBSPECIALTY FELLOWS, AYA-AMF FELLOWS WILL HAVE THE OPPORTUNITY TO TEACH OTHER TRAINEES AND MODEL A NON-JUDGMENTAL, PATIENT-CENTERED APPROACH TO CARE THAT BUILDS TRUST, FOSTERS COLLABORATION, AND REDUCES HEALTHCARE-RELATED STIGMA. POPULATIONS SERVED: FELLOWS WILL CARE FOR PATIENTS WITH SUD ACROSS THE UPMC HEALTH SYSTEM, WHICH INCLUDES MEDICALLY UNDERSERVED AREAS IN ALLEGHENY COUNTY AND RURAL AREAS AS DESIGNATED BY HRSA. FELLOWS WILL FOCUS PRIMARILY ON SERVING ADOLESCENTS AND YOUNG ADULTS INCLUDING SPECIALIZED POPULATIONS SUCH AS JUSTICE-INVOLVED AND PERINATAL INDIVIDUALS.

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM

USE OF MATRIX METALLOPROTEINASE TO IMPROVE MYOGENIC CELL TRANSPLANTATION IN MDX M

LOCAL EXPRESSION OF ALPHA-1-ANTITRYPSIN IN EMPHYSEMA

CARES ACT EMERGENCY RELIEF

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM - THIS PROJECT AIMS TO OPTIMIZE CARE TRANSITIONS FOR INDIVIDUALS DIAGNOSED WITH HYPERTENSIVE DISORDERS OF PREGNANCY (HDP) TO IMPROVE CARDIOVASCULAR DISEASE (CVD) OUTCOMES. OUR PROGRAM, ENTITLED POSTPARTUM HYPERTENSION EDUCATION, AWARENESS, RISK REDUCTION, AND TRANSITIONS OF CARE (POSTPARTUM HEART), WILL TARGET RURAL AND UNDERSERVED POPULATIONS IN MERCER AND VENANGO COUNTIES IN RURAL PENNSYLVANIA. THE TARGET POPULATION WILL INCLUDE APPROXIMATELY 1,200 PATIENTS DIAGNOSED WITH HDP WHO DELIVER AT UPMC HORIZON IN MERCER COUNTY AND UPMC NORTHWEST IN VENANGO COUNTY. THESE COUNTIES RANK AMONG THE LOWEST IN HEALTH OUTCOMES STATEWIDE AND FACE SUBSTANTIAL BARRIERS TO ACCESSING HEALTH CARE AND HIGH RATES OF CVD-RELATED MORBIDITY, PREMATURE MORTALITY, AND UNMET SOCIAL NEEDS. THIS PROJECT ALIGNS WITH HRSA’S GOALS FOR IMPROVING HEALTH OUTCOMES IN UNDERSERVED REGIONS AND QUALIFIES FOR EACH FUNDING PREFERENCE AS IT WILL SERVE INDIVIDUALS IN HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS/COMMUNITIES AND FOCUSES ON OPTIMIZING THE TRANSITION OF INDIVIDUALS WITH HDP FROM OBSTETRIC (OB) TO PRIMARY CARE (PC) FOR LONG-TERM CVD PREVENTION, MONITORING, AND MANAGEMENT. THE PROPOSED PROJECT WILL ACHIEVE FOUR GOALS: 1. PREPARE: OPTIMIZE POSTPARTUM HEART PROCESSES AND WORKFLOWS TO ENSURE THEY MEET THE NEEDS OF RURAL PATIENTS, PROVIDERS, AND OTHER STAKEHOLDERS. 2. IMPLEMENT AND EVALUATE: IMPLEMENT POSTPARTUM HEART AND EVALUATE KEY METRICS AND OUTCOMES TO MEASURE THE SUCCESS OF THE PROGRAM. 3. SUSTAIN: IDENTIFY PROMISING STRATEGIES TO SUSTAIN POSTPARTUM HEART. 4. DISSEMINATE: DISSEMINATE INFORMATION ABOUT HDP, CVD RISK, THE IMPORTANCE OF ROUTINE PC, AND POSTPARTUM HEART IMPLEMENTATION FINDINGS AND IMPACT TO DIVERSE AUDIENCES (E.G., PATIENTS, PROVIDERS, PAYERS, POLICY MAKERS, COMMUNITY ORGANIZATIONS, HEALTH SYSTEMS) TO RAISE COMMUNITY AWARENESS AND TO SUPPORT PROGRAM SCALABILITY. POSTPARTUM HEART IS COMPRISED OF THREE DISTINCT EVIDENCE-BASED APPROACHES TO SUPPORT VARIOUS ASPECTS OF THE HYPERTENSIVE DISORDER OF PREGNANCY (HDP) CARE CONTINUUM. THESE INCLUDE: 1. HYPERTENSION REMOTE PATIENT MONITORING (RPM) THROUGH 6-WEEKS POSTPARTUM; 2. A VIRTUAL CARE CENTER (VCC) VISIT AT 6-WEEKS POSTPARTUM TO DISCUSS CVD RISK AND THE IMPORTANCE OF ROUTINE PC FOLLOW-UP TO PREVENT CVD; AND 3. ECONSULTS, WHICH WILL BE DEVELOPED BY THE VCC PROVIDER AND SENT DIRECTLY TO THE PATIENT’S PC PROVIDER TO SUPPORT THE PROVISION OF GUIDELINE-BASED CARE AFTER HDP. IMPLEMENTING THESE THREE STRATEGIES WILL MITIGATE THE IMMEDIATE RISKS OF HDP ON SEVERE MATERNAL MORBIDITY AND MORTALITY (RPM), FACILITATE THE TRANSITION OF CARE FROM OB TO PC PROVIDERS (VCC AND ECONSULTS), AND ENSURE THE DELIVERY OF CONTINUOUS, GUIDELINE-BASED CARDIOVASCULAR CARE BY PC PROVIDERS (ECONSULTS). OUTCOMES TO BE ASSESSED AT 1-YEAR POSTPARTUM INCLUDE BLOOD PRESSURE CONTROL, PC PROVIDER VISIT, RECEIPT OF ALL/SOME COMPONENTS OF LIFE’S ESSENTIAL 8, PREGNANCY STATUS, HDP/CVD-RELATED EMERGENCY DEPARTMENT USE OR HOSPITALIZATIONS, AND SEVERE HDP/CVD-RELATED OUTCOMES (E.G., STROKE, HEART FAILURE). THIS PROJECT IS SUPPORTED BY A STRONG CONSORTIUM LED BY THE UPMC CENTER FOR HIGH-VALUE HEALTH CARE (CHVHC), IN PARTNERSHIP WITH UPMC’S WOMENS HEALTH SERVICE LINE, UPMC HORIZON, UPMC NORTHWEST, ADAGIO HEALTH, THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS (PACHC), AND RURAL PRIMARY CARE PRACTICES. TOGETHER, THESE ORGANIZATIONS BRING EXTENSIVE EXPERIENCE IN SERVING RURAL POPULATIONS AND THEIR COLLECTIVE EXPERTISE SPANS PREGNANCY AND POSTPARTUM HEALTH, RPM/TELEHEALTH, ADDRESSING SOCIAL NEEDS, STAKEHOLDER ENGAGEMENT, PROGRAM EVALUATION, QUALITY IMPROVEMENT, AND OB AND PC CARE. WITH EXTENSIVE EXPERIENCE IN MANAGING HRSA-FUNDED PROJECTS AND LEADING MULTI-PARTNER COLLABORATIONS, CHVHC WILL OVERSEE THE PROJECT'S IMPLEMENTATION. HAVING SUCCESSFULLY EXECUTED OVER $64 MILLION IN EXTERNAL FUNDING, CHVHC HAS A PROVEN TRACK RECORD OF MANAGING LARGE, COMPLEX PROJECTS IN RURAL SETTINGS.

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

INNOVATIVE NON-TRADITIONAL APPROACHES TO ANTIMICROBIAL RESISTANCE

REGULATION OF AND BY THE MYC ONCOPROTEIN

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

PURPOSE OF THIS ACTION IS TO AWARD A NEW GRANT

TELEMEDICINE GRANT

HEALTH CARE AND OTHER FACILITIES

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

CONTINUUM OF CARE PROGRAM

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

CONTINUUM OF CARE PROGRAM

HEALTH CARE AND OTHER FACILITIES

TELEMEDICINE GRANT

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

CONTINUUM OF CARE PROGRAM

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

STEPS TO A HEALTHY COMMUNITY- COMMUNITY OUTREACH AND ENGAGEMENT

CARES ACT: HIGHER EDUCATION EMERGENCY RELIEF FUND

HEALTHCARE ACCESS

IMPROVING SECURITY THROUGH INTERNATIONAL BIOSAFETY NORMS.

CONTINUUM OF CARE PROGRAM

EDUCATIONAL ACHIEVEMENT/ATTAINMENT

HOMELESS ASSISTANCE

INDIAN-U.S. STRATEGIC DIALOGUE ON BIOSECURITY

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

HEALTH CARE AND OTHER FACILITIES

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS - PROJECT TITLE: PROGRAM FOR AFFIRMATION AND GENDER EQUITY (PAGE) AT PITTSBURGH AREA CENTER FOR TREATMENT (PACT) ORGANIZATION: UPMC PRESBYTERIAN SHADYSIDE (UPMCPS) ADDRESS: 3520 FIFTH AVENUE, PITTSBURGH, PA 15213 PROJECT DIRECTOR NAME: CARA MCANANEY, MD, AAHIVS CONTACT PHONE NUMBERS: (412) 383-1675 (VOICE); (412) 383-2900 (FAX) EMAIL ADDRESS: MCANANEYCR@UPMC.EDU WEBSITE ADDRESS: HTTPS://WWW.UPMC.COM/SERVICES/DIVISION-INFECTIOUS-DISEASES/SERVICES/PITTSBURGH-AREA-CENTER-FOR-TREATMENT SUMMARY OF REQUEST: THIS APPLICATION REPRESENTS UPMCPS’S REQUEST FOR PART C CAPACITY DEVELOPMENT PROGRAM FUNDING OF $130,238 FOR THE PERIOD 9/1/2023 THROUGH 8/31/24, TO SUPPORT HIV CARE INNOVATION. PACT, PART OF AN ACADEMIC MEDICAL CENTER, PROPOSES TO ENHANCE GENDER AFFIRMING CARE IN OUR RYAN WHITE HIV/AIDS PROGRAM, WHICH SERVES PEOPLE WITH HIV (PWH) IN PITTSBURGH, PA (ALLEGHENY COUNTY) AND THE 11-COUNTY REGION OF SOUTHWESTERN PENNSYLVANIA AS IT HAS SINCE 1994 (PART C) AND 2001 (PART D). FUNDING PREFERENCE IS REQUESTED AS PACT FOCUSES ON IMPROVING GENDER AFFIRMING CARE ACCESS IN THE CONTEXT OF THE HIV CARE CONTINUUM THROUGH A SUB-RECIPIENT IN JOHNSTOWN, PA (CAMBRIA COUNTY; CONEMAUGH MEMORIAL MEDICAL CENTER, CMMC) AND OUR FORMER SPNS SITE IN MCKEESPORT, PA (ALLEGHENY COUNTY; LATTERMAN FAMILY HEALTH CENTER, LFHC) FOR TRANSGENDER PWH IN RURAL AND MEDICALLY-UNDERSERVED AREAS. NEEDS: OUR TRANSGENDER POPULATION OF PWH (N=22) IS A DIVERSE GROUP OF INDIVIDUALS, AND THEREFORE CREATING A LOW-BARRIER, WELCOMING ENVIRONMENT TO DISCUSS NUANCES OF EACH PATIENT’S NEEDS AND GOALS FOR GENDER-AFFIRMING CARE REMAINS A PROGRAM PRIORITY. VIRAL LOAD SUPPRESSION RATES AMONG OUR TRANS POPULATION IS 86.4% COMPARED TO 90.3% FOR THE OVERALL CLINIC POPULATION. CARING FOR TRANSGENDER PWH REQUIRES MORE THAN PROVIDING HORMONAL THERAPY AND REFERRALS FOR SURGICAL PROCEDURES. TO MITIGATE THIS DISPARITY, WE PLAN TO TRAIN CLINICIANS AND ANCILLARY STAFF TO PROVIDE BETTER COMPREHENSIVE PRIMARY PREVENTIVE MEDICAL CARE AND MENTAL HEALTH CARE SERVICES. STRONGER LINKAGES TO ORGANIZATIONS SERVING THIS COMMUNITY WILL BE ESSENTIAL. SERVICES TO BE CONTINUED/ENHANCED: 1) COMPREHENSIVE HIV PRIMARY CARE INCLUDING GENDER AFFIRMING INTAKE, INCLUSIVE LANGUAGE, REGISTRATION, SEXUAL HEALTH HISTORY, MEDICAL HISTORY AND PHYSICAL ASSESSMENTS; HIV PHARMACY, MENTAL HEALTH, ANAL DYSPLASIA AND GYNECOLOGIC CARE, MEDICATION ASSISTED TREATMENT, AND NUTRITION COUNSELING; 2) RAPID LINKAGE-TO-CARE FOR TRANSGENDER PWH NEWLY-DIAGNOSED OR LOST-TO-CARE; 3) SUPPORTIVE SERVICES, INCLUDING MEDICAL CASE MANAGEMENT AND PEER ADVOCACY; 4) HORMONE THERAPY; 5) ANATOMICALLY APPROPRIATE HEALTH SCREENINGS, INCLUDING CANCER SCREENINGS; 6) SURGICAL PROCEDURE REFERRALS; 7) AGING IMPACT: PART C FUNDS WILL SUPPORT TRAINING AND EDUCATION TO ENSURE A SAFE SPACE WITH TRUSTWORTHY STAFF AND CLINICIANS, ALLOW US TO IMPLEMENT TREATMENT MODELS TO IMPROVE PHYSICAL AND MENTAL HEALTH OUTCOMES FOR OUR TRANSGENDER PATIENTS, AND IMPROVE THE VIRAL LOAD SUPPRESSION TO 95% BY 2025. EDUCATION AND TRAINING TOOLS REGARDING GENDER AFFIRMING CARE WILL BE FULLY INCORPORATED INTO THE HIV TRAINING CURRICULUM FOR CLINICIANS AND TRAINEES. ONGOING CONTINUING EDUCATION FOR NEW AND CURRENT FRONT-LINE AND ANCILLARY STAFF, SUPPORTED WITH INTERNAL OR OTHER FUNDING STREAMS, WILL BE ROUTINIZED. COLLABORATIONS WITH COMMUNITY-BASED ORGANIZATIONS SERVING THE TRANSGENDER COMMUNITY SUCH AS ALLIES FOR HEALTH & WELLBEING AND SISTERS PGH WILL BE STRENGTHENED.

HOMELESS ASSISTANCE

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ROBIN MELVIN, MSN, RN, CNO, VP PATIENT CARE SERVICES 814-676-7147 PEARSONRL@UPMC.EDU HTTPS://WWW.UPMC.COM/LOCATIONS/HOSPITALS/NORTHWEST THIS PROJECT PROVIDES APPROXIMATELY $100,000 FOR AN ACUTE HEALTH CARE ORGANIZATION TO PURCHASE OVERHEAD LIFT EQUIPMENT FOR STAFF TO SAFELY REPOSITION, TRANSFER, AND MOBILIZE PATIENTS IN A DIGNIFIED MANNER. UTILIZING THE MOTORIZED LIFT EQUIPMENT WILL ALSO ASSIST IN REDUCING MUSCULOSKELETAL INJURIES IN HEALTH CARE WORKERS. PATIENT HANDLING IS A LEADING CAUSE OF CAREGIVER INJURY. MOBILIZING AND TRANSFERRING PATIENTS WHO ARE DISABLED, OVERWEIGHT, OR OBESE IS CHALLENGING FOR THE HEALTH CARE TEAM AND CONTRIBUTES TO PATIENT AND STAFF LIFTING INJURIES. REPORTED INJURIES WERE CAUSED FROM BOOSTING, TURNING, POSITIONING, AND TRANSFERRING PATIENTS RESULTING IN BACK, NECK, SHOULDER, WRIST, KNEE AND GROIN STRAINS. WITH THE USE OF OVERHEAD PATIENT CEILING LIFTS, STAFF ARE ABLE TO SAFELY REPOSITION PATIENTS, TRANSFER PATIENTS TO CARTS FOR TESTING, OR TRANSFER PATIENT TO A CHAIR. THIS REDUCES THE RISK OF COMPLICATIONS FROM IMMOBILITY WHICH INCLUDES MUSCLE WEAKNESS, RESPIRATORY COMPLICATIONS AND PRESSURE ULCERS WHICH DEVELOP ON THE SPINE, TAILBONE, SHOULDER BLADES, HIPS, HEELS, AND ELBOWS OF PATIENTS DUE TO LIMITED MOBILITY. THE ORGANIZATION WILL INSTALL 15 OVERHEAD RAIL SYSTEMS WITH 6 INTERCHANGEABLE MOTORS IN PATIENT ROOMS ACROSS THE INPATIENT AREAS, REHABILITATION UNIT AND TRANSITIONAL CARE UNIT. RAIL SYSTEMS WILL BE INSTALLED IN THE CEILING AND TESTED FOR SAFE USE. STAFF WILL BE TRAINED ON USE OF THE NEW SYSTEMS. THE ORGANIZATION STRIVES TO ENSURE EVERY PATIENT IS TREATED WITH DIGNITY AND RESPECT. MOVING AND TRANSFERRING PATIENTS WITH DISABILITIES AND/OR OBESITY CAN BE DIFFICULT FOR THE PATIENT AND THE CARE GIVER. MAINTAINING A PATIENT’S DIGNITY WITHOUT THE USE OF PROPER EQUIPMENT TO LIFT AND TRANSFER A PATIENT, MAY LEAD TO EMOTIONAL DISTRESS FOR THE PATIENT.

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES

HOMELESS ASSISTANCE

CARES FUNDING FOR POISON CENTERS

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

US-SINGAPORE MALAYSIA INDONESIA MULTILATERAL DIALOGUE ON BIOSECURITY - YEAR 2

IN VIVO VIRULENCE GENE EXPRESSION IN ACUTE OTITIS MEDIA

HEALTHCARE ACCESS

ER STRESS AND ITS ROLE IN TYPE I DIABETES (TID)

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

RYAN WHITE HIV/AIDS PROGRAM PART D WICY COVID-19 RESPONSE

STEPS TO A HEALTHY COMMUNITY: A HEALTH DISPARITIES DEMONSTRATION PROJECT

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

CONTINUUM OF CARE PROGRAM

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

HEALTH PLANNING

TELEMEDICINE GRANT

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

TERMINATE GRANT ACTION

EDI SPECIAL PROJECTS

DOBLIGATION OF UNUSED FUNDS

COMMUNITY ACCESS PROGRAM

RESIDENCY TRAINING IN PRIMARY CARE

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

MAKING DISASTERS LESS DISASTROUS: PUBLIC HEALTH, HEALTHCARE EXECUTIVES, AND EMERG

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

POISON CONTROL STABILIZATION AND ENHANCEMENT PROGRAM