The Wright Center For Graduate Medical Education

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

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

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

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

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

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

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

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

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

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

PRIMARY CARE TRAINING AND ENHANCEMENT - LANGUAGE AND DISABILITY ACCESS - ADDRESS: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, 501 SOUTH WASHINGTON AVE, SUITE 1000, SCRANTON, PA 18505 PROJECT DIRECTOR: DR. JUMEE BAROOAH PHONE: 570.343.2383 EXT. 1314 EMAIL: BAROOAHJ@THEWRIGHTCENTER.ORG WEB: THE WRIGHTCENTER.ORG FUNDS REQUESTED: $2,999,938 THE MISSION OF THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IS TO CONTINUOUSLY IMPROVE EDUCATION AND PATIENT CARE IN A COLLABORATIVE SPIRIT TO ENHANCE OUTCOMES, ACCESS, AND AFFORDABILITY. THE TWCGME IS AN INDEPENDENT 501(C)(3) NOT-FOR-PROFIT ACGME-ACCREDITED SPONSORING INSTITUTION OF SEVERAL COMMUNITY-BASED PRIMARY CARE PROGRAMS. TOGETHER WITH OUR AFFILIATED FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE, THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), THE WRIGHT CENTER ENTERPRISE SERVES NORTHEAST PENNSYLVANIA IN URBAN AND HRSA-DESIGNATED RURAL SETTINGS. THE PROJECT WILL EXPAND THE REACH OF INTERNAL MEDICINE RESIDENTS TO BENEFIT THOSE WITH LIMITED ENGLISH PROFICIENCY (LEP) AND INDIVIDUALS WITH PHYSICAL DISABILITIES AND/OR INTELLECTUAL AND DEVELOPMENTAL DISABILITY (PD/IDD) TO IMPROVE HEALTH OUTCOMES FOR THESE POPULATIONS. THE ABSENCE OF PROFESSIONAL TRAINING ON DISABILITY COMPETENCY ISSUES FOR HEALTH CARE PRACTITIONERS IS ONE OF THE MOST SIGNIFICANT BARRIERS THAT PREVENT PEOPLE WITH DISABILITIES FROM RECEIVING APPROPRIATE AND EFFECTIVE HEALTH CARE. RESEARCH HAS SHOWN THAT LANGUAGE-DISCORDANT ENCOUNTERS RESULT IN WORSE HEALTH OUTCOMES, REDUCED ACCESS TO HEALTH INFORMATION, AND DECREASED SATISFACTION WITH CARE. CONVERSELY, LANGUAGE-CONCORDANT CARE IMPROVES HEALTH OUTCOMES FOR INDIVIDUALS WITH LEP. THROUGH THE DEVELOPMENT OF CURRICULA AND TRAINING OF MEDICAL RESIDENTS, TWCGME WILL INCREASE THE NUMBER OF PRIMARY CARE TRAINEES, DEVELOP AND IMPLEMENT A CULTURALLY COMPETENT DIDACTIC AND CLINICAL CURRICULUM TO EDUCATE PRIMARY CARE TRAINEES AND PROVIDE OPPORTUNITIES FOR CLINICAL TRAINING IN COMMUNITY-BASED SETTINGS. TWCGME’S STRATEGICALLY DESIGNED AND CO MMUNITY-BASED RESIDENCY PREPARES ITS GRADUATES TO LEAD PRIMARY CARE PRACTICES IN THE FUTURE AND TO ATTAIN SUBSPECIALTY FELLOWSHIPS IN ANY GEOGRAPHIC LOCATION WHERE THE RELATIONSHIP BETWEEN DOCTOR AND PATIENT CAN BE DEVELOPED TO ENSURE BETTER HEALTH OUTCOMES. THIS PRIMARY CARE TRAINING AND ENHANCEMENT (PCTE) PROJECT WILL EMPLOY THE CURRICULAR INNOVATION CAPACITY AND TECHNOLOGY SKILLS OF TWCGME TO ENSURE CONSISTENT AND COST-EFFECTIVE DELIVERY OF A CHALLENGING AND SATISFYING LOCAL TRAINING EXPERIENCE IN BOTH FOCUS AREAS (LANGUAGE ASSISTANCE FOR INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY AND CARE FOR INDIVIDUALS WITH PHYSICAL DISABILITIES AND/OR IDD). THE PROPOSED OBJECTIVES, ACTIVITIES, AND ASSESSMENTS HAVE BEEN DESIGNED TO MAINTAIN FIDELITY WITH NATIONAL GOALS OF SERVICE TO THE UNDERSERVED TO YIELD AN INCREASED NUMBER OF PROVIDERS WHO ARE PERSONALLY AND PROFESSIONALLY SATISFIED IN THEIR CRITICAL ROLES.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF THE TRAINING PROGRAM: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION INTERNAL MEDICINE RESIDENCY PROGRAM DISCIPLINE OF THE RESIDENCY PROGRAM: INTERNAL MEDICINE TYPE OF APPLICATION EXPANSION OR NEW THCGME APPLICANT: EXPANSION ELIGIBLE ENTITY TYPE: GME CONSORTIUM, THE WRIGHT CENTER FOR GME YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 1976 ORGANIZATION WEBSITE ADDRESS: THEWRIGHTCENTER.ORG BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: THE ACGME ACCREDITED SPONSORING INSTITUTION IS THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME), A 501C3 UNOWNED GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM AND HRSA’S LARGEST TEACHING HEALTH CENTER PROGRAM RECIPIENT FOR MEDICAL RESIDENCY PROGRAMS. TWCGME’S INTERNAL MEDICINE PROGRAM WAS ONE OF THE ORIGINALLY FUNDED THC GME PROGRAMS IN 2011. THE MAIN PRIMARY CARE TRAINING LOCATION OF TWCGME INTERNAL MEDICINE RESIDENTS IS THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AN FQHC-LAL IN SERVING APPROXIMATELY 25,000 PATIENTS WHO ARE PREDOMINATELY NON-HISPANIC WHITE (79.26 %) ADULTS (69.50 %) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINE (66.33 %) AND WHO ARE UNINSURED, ON MEDICAID, MEDICARE OR DUALLY-ELIGIBLE (59.07%). ONLY IN ITS SECOND YEAR OF BEING A LOOK-ALIKE, TWCCH EARNED 5 OF 6 COMMUNITY HEALTH CENTER QUALITY RECOGNITION (CHQR) BADGES. TWCGME TRAINS IM RESIDENTS TOGETHER WITH RESIDENTS IN FAMILY MEDICINE AND PSYCHIATRY IN LIFESTYLE MEDICINE AND COMMUNITY ORIENTED PRIMARY CARE TO ADDRESS, THROUGH QUALITY IMPROVEMENT AND PREVENTIVE PRACTICES, THE NEEDS OF A RURAL, AGING POPULATION. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL YEARS OF TRAINING:16 (8-3-5) RESIDENT FTE FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023 8 (8-0-0).

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

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT - RESIDENCY TRAINING IN MENTAL AND BEHAVIORAL HEALTH

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

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

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - - ADDRESS: 501 SOUTH WASHINGTON AVENUE, SUITE 1000, SCRANTON, PA 18505-3814 - PROJECT DIRECTOR NAME: LINDA THOMAS-HEMAK, MD - CONTACT PHONE NUMBERS: VOICE: 570-230-0019, FAX: 570-963-6133 - EMAIL ADDRESS: THOMASL@THEWRIGHTCENTER.ORG - WEBSITE: THEWRIGHTCENTER.ORG 1. NAME OF THE TRAINING PROGRAM: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION INTERNAL MEDICINE RESIDENCY PROGRAM 2. DISCIPLINE OF THE RESIDENCY PROGRAM: INTERNAL MEDICINE 3. TYPE OF APPLICATION EXPANSION OR NEW THCGME APPLICANT: EXPANSION 4. ELIGIBLE ENTITY TYPE: GME CONSORTIUM, THE WRIGHT CENTER FOR GME 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 1976 6. ORGANIZATION WEBSITE ADDRESS: THEWRIGHTCENTER.ORG 7. BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: THE ACGME ACCREDITED SPONSORING INSTITUTION IS THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME), A 501C3 UNOWNED GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM AND HRSA’S LARGEST TEACHING HEALTH CENTER PROGRAM RECIPIENT FOR MEDICAL RESIDENCY PROGRAMS. TWCGME’S INTERNAL MEDICINE PROGRAM WAS ONE OF THE ORIGINALLY FUNDED THC GME PROGRAMS IN 2011. THE MAIN PRIMARY CARE TRAINING LOCATION OF TWCGME INTERNAL MEDICINE RESIDENTS IS THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AN FQHC-LAL IN SERVING APPROXIMATELY 33,000 PATIENTS WHO ARE PREDOMINATELY NON-HISPANIC WHITE (79.65 %) ADULTS (68.15 %) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES (61.35 %) AND WHO ARE UNINSURED, ON MEDICAID, MEDICARE OR DUALLY-ELIGIBLE (59.54%). TWCGME TRAINS IM RESIDENTS TOGETHER WITH RESIDENTS IN FAMILY MEDICINE AND PSYCHIATRY IN LIFESTYLE MEDICINE AND COMMUNITY ORIENTED PRIMARY CARE TO ADDRESS, THROUGH QUALITY IMPROVEMENT AND PREVENTIVE PRACTICES, THE NEEDS OF A RURAL, AGING POPULATION. 8. TOTAL RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING IS 9 IN ADDITION TO THE CURRENTLY AWARDED 57 TO BRING THE TOTAL TO 66 (22-22-22). 9. FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM (HRSA-23-013) FOR AY 2023-2024 IS 9 (9-0-0) 10. ROTATION SITES: NO NEW SITES ARE PLANNED.

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - THIS PROJECT, ENTITLED NORTHEAST PENNSYLVANIA COMMUNITY CONTINUUM OF CARE (NEPA CCC), WILL INCREASE THE NUMBER OF PHYSICIANS TRAINED IN INTERNAL MEDICINE TO BE PREPARED TO PROVIDE CARE FOR PEOPLE EXPERIENCING HOMELESSNESS, BY BRINGING CARE TO PEOPLE OUTSIDE OF TRADITIONAL CARE SETTINGS. INDIVIDUALS FACING HOMELESSNESS SUFFER A DISPROPORTIONATE BURDEN OF ILLNESS FROM LIVING IN THE MOST SEVERE CONDITIONS OF POVERTY. TO ADDRESS THESE NEEDS IN RURAL AND URBAN AREAS, THE WRIGHT CENTER’S STREET MEDICINE TEAM, IN COLLABORATION WITH COMMUNITY PARTNERS, WILL WORK TOGETHER TO PROVIDE ESSENTIAL SERVICES AIMED AT ALLEVIATING HOMELESSNESS. EFFECTIVE MEDICAL AND SOCIAL INTERVENTIONS ARE CRUCIAL FOR BOTH THE PREVENTION AND TREATMENT OF DISEASE. THE STREET MEDICINE PROGRAM WILL TAKE PRIMARY CARE TO THE STREETS, DELIVER CARE THROUGH A MOBILE HEALTH CLINIC IN RURAL AND URBAN LOCATIONS, PARTNER WITH DRUG AND ALCOHOL AGENCIES, AND PROVIDE SERVICES AT THE BUSIEST HOMELESS SHELTERS AND RELATED COMMUNITY BASED ORGANIZATIONS IN THE COUNTIES SERVED, PROVIDING TREATMENT FOR ACUTE AND CHRONIC CONDITIONS, MEDICATION DISPENSING, SURVIVAL SUPPLIES, DRUG AND ALCOHOL COUNSELING AND TREATMENT, BASIC TREATMENT OF MENTAL ILLNESS, AND HOSPITAL CONSULTATION WITH CONTINUITY OF CARE POST-DISCHARGE. THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION’S (TWCGME) STRATEGICALLY DESIGNED AND COMMUNITY-BASED RESIDENCY PREPARES ITS GRADUATES TO LEAD PRIMARY CARE PRACTICES IN THE FUTURE. THIS PRIMARY CARE TRAINING AND ENHANCEMENT PROJECT WILL EMPLOY THE CURRICULAR INNOVATION CAPACITY AND COMMUNITY OUTREACH SKILLS OF TWCGME TO ENSURE CONSISTENT AND COST-EFFECTIVE DELIVERY OF A CHALLENGING AND SATISFYING LOCAL TRAINING EXPERIENCE IN STREET MEDICINE. THE PROPOSED OBJECTIVES, ACTIVITIES, AND ASSESSMENTS HAVE BEEN DESIGNED TO MAINTAIN FIDELITY WITH NATIONAL GOALS OF SERVICE TO THE UNDERSERVED TO YIELD AN INCREASED NUMBER OF PROVIDERS WHO ARE PERSONALLY AND PROFESSIONALLY SATISFIED IN THEIR CRITICAL ROLES AND WELL-PREPARED TO SERVE PATIENTS EXPERIENCING HOMELESSNESS. CLINICIANS CARING FOR PATIENTS EXPERIENCING HOMELESSNESS MUST UNDERSTAND THE IMPLICATIONS AND CHALLENGES RELATED TO THE SOCIAL AND ENVIRONMENTAL IMPACT ON THE DIAGNOSIS, TREATMENT, AND CONTINUING MANAGEMENT OF PATIENTS. THE CURRICULUM FOR THIS PROJECT WILL BE DEVELOPED TO PREPARE PHYSICIAN-TRAINEES TO PROVIDE MORE EMPATHETIC, INTERPROFESSIONAL, PATIENT-CENTERED, WHOLE-PERSON PRIMARY CARE FOR PEOPLE EXPERIENCING HOMELESSNESS. OVER THE DURATION OF THE GRANT PERIOD, TWCGME WILL TRAIN 20 RESIDENTS EACH YEAR TO PROVIDE CARE TO THIS VULNERABLE POPULATION. THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IS AN ANCHOR MEMBER OF A GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM (GME-SNC) SERVING AS THE INDEPENDENT ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME)-ACCREDITED RESIDENT AND FELLOW PHYSICIANS IN A SAFETY-NET HEALTH SERVICES NETWORK OF ESSENTIAL COMMUNITY PROVIDERS. TWCGME'S GME-SNC ENGAGES NUMEROUS PARTNERING ORGANIZATIONS IN ITS GOVERNANCE AND THE TRAINING OF ITS RESIDENTS AND FELLOWS. THESE PARTNERS INCLUDE TWCGME'S PRIMARY AFFILIATED FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE, THE WRIGHT CENTER FOR COMMUNITY HEALTH THAT SERVES NEARLY 35,000 PATIENTS THROUGHOUT NORTHEAST PENNSYLVANIA. THE NORTHEAST PENNSYLVANIA COMMUNITY CONTINUUM OF CARE (NEPA CCC) PROJECT REQUESTS CONSIDERATION FOR THE RURAL FUNDING PRIORITY AND THE >50% WORKING IN MUC FUNDING PREFERENCE.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF THE TRAINING PROGRAM: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION PSYCHIATRY RESIDENCY PROGRAM DISCIPLINE OF THE RESIDENCY PROGRAM: PSYCHIATRY TYPE OF APPLICATION EXPANSION OR NEW THCGME APPLICANT: EXPANSION ELIGIBLE ENTITY TYPE: GME CONSORTIUM, THE WRIGHT CENTER FOR GME YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2016 ORGANIZATION WEBSITE ADDRESS: THEWRIGHTCENTER.ORG BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: THE ACGME ACCREDITED SPONSORING INSTITUTION IS THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME), A 501C3 UNOWNED GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM AND HRSA’S LARGEST TEACHING HEALTH CENTER PROGRAM RECIPIENT FOR MEDICAL RESIDENCY PROGRAMS. TWCGME’S PSYCHIATRY PROGRAM WAS STARTED IN PARTNERSHIP WITH GEISINGER HEALTH SYSTEM. THE MAIN PRIMARY CARE TRAINING LOCATION OF TWCGME PSYCHIATRY RESIDENTS IS THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AN FQHC-LAL IN SERVING APPROXIMATELY 25,000 PATIENTS WHO ARE PREDOMINATELY NON-HISPANIC WHITE (79.26 %) ADULTS (69.50 %) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINE (66.33 %) AND WHO ARE UNINSURED, ON MEDICAID, MEDICARE OR DUALLY-ELIGIBLE (59.07%). ONLY IN ITS SECOND YEAR OF BEING A LOOK-ALIKE, TWCCH EARNED 5 OF 6 COMMUNITY HEALTH CENTER QUALITY RECOGNITION (CHQR) BADGES. TWCGME TRAINS PSYCHIATRY RESIDENTS IN BEST PRACTICES IN RECOVERY SUPPORT SERVICES. PSYCHIATRY RESIDENTS ALSO TRAIN WITH RESIDENTS IN INTERNAL MEDICINE AND FAMILY MEDICINE IN LIFESTYLE MEDICINE AND COMMUNITY ORIENTED PRIMARY CARE TO ADDRESS, THROUGH QUALITY IMPROVEMENT AND PREVENTIVE PRACTICES, THE NEEDS OF A RURAL, AGING POPULATION. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL YEARS OF TRAINING: 34 (8-9-8-9) RESIDENT FTE FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023 6 (8-5-8-6.72).

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

PRIMARY CARE TRAINING AND ENHANCEMENT

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - APPLICANT NAME: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) PROJECT DIRECTOR (PD): BRIAN EBERSOLE, VP ACADEMIC AFFAIRS, ASSOC. DIO, CHIEF OPERATIONS OFFICER EDUCATION PROJECT DIRECTOR CONTACT INFO: 501 S. WASHINGTON AVENUE, SCRANTON, PA 18505 EMAIL/PHONE/FAX OF PD: EBERSOLEB@THEWRIGHTCENTER.ORG 570.343.2383X1674 WEB SITE ADDRESS: WWW.THEWRIGHTCENTER.ORG RESIDENCY PROGRAM DIRECTOR CONTACT INFO: DONALD RUMBAUGH, MD DRUMBAUGH@PRIMARY-HEALTH.NET 724.735.4241 ELIGIBLE ENTITY TYPE: RURAL COMMUNITY-BASED AMBULATORY PATIENT CARE CENTER PROGRAM PATHWAY: 1. GENERAL PRIMARY CARE AND HIGH-NEED SPECIALTY RESIDENCY SPECIALTY: FAMILY MEDICINE RESIDENCY FORMAT: RURAL RESIDENCY PROGRAM (NON-RTP) SPONSORING INSTITUTION: THE WRIGHT CENTER FOR GME, SCRANTON, PA 18505 ACGME SPONSOR CODE: 8004100868 RURAL TARGET AREA: MERCER COUNTY, PA FUNDS REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION: 6A PROJECTED NUMBER OF RESIDENTS: 12 (4-4-4) EXPECTED ACGME ACCREDITATION: JULY, 2028 EXPECTED MATRICULATION: 7/1/2029 FUNDING PRIORITY: NONE LIST OF RECENT HRSA AWARDS: P13RH42206-RRPD WAYNE CHC, T9BHP49011-THC PD PEDIATRICS, T9BHP49012-THC PD PEDIATRIC, DENTISTRY, T9BHP49045-THC PD OB-GYN, T9BHP45345-THC PD FAMILY MEDICINE, T91HP21546-THCGME INTERNAL MEDICINE, T91HP39434-THCGME GERIATRICS, T91HP25793-THCGME NATIONAL NETWORK FAMILY MEDICINE, T91HP25794-THCGME FAMILY MEDICINE, T91HP39435-THCGME PSYCHIATRY, GA1RH33559-RCORP-IMPLEMENTATION, D88HP37562-POSTDOCTORAL TRAINING DENTISTRY, T5CHP52048-PCTE LANGUAGE DISABILITY, TA2HP48951-PCTE MENTAL BEHAVIORAL HEALTH, T0BHP30028-PCTE PATIENT-CENTERED MEDICAL HOME CARE, G26RH40099-RCORP-NEONATAL ABSTINENCE SYNDROME I, G26RH49918-RCORP-NEONATAL ABSTINENCE SYNDROME 2 PROJECT OVERVIEW: FOR THIS RURAL FAMILY MEDICINE RESIDENCY, THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME) IS PARTNERING WITH MERCER COUNTY PENNSYLVANIA’S PRIMARY HEALTH NETWORK (PHN) AND ALLEGHENY HEALTH NETWORK’S (AHN) GROVE CITY HOSPITAL. THIS GEOGRAPHIC HPSA AND MUA DESIGNATED RURAL COUNTY IS LARGELY IMPOVERISHED AND STRUGGLING WITH OBESITY, PHYSICAL INACTIVITY, MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THE PURPOSE OF THE WRIGHT CENTER FOR GME PRIMARY HEALTH NETWORK FAMILY MEDICINE RESIDENCY PROGRAM IS TO BRING THE BENEFITS OF RESIDENCY TRAINING PROGRAMS TO A RURAL SECTION OF WESTERN PENNSYLVANIA, PROVIDING QUALITY, FQHC-BASED, RURAL RESIDENCY TRAINING TO FUTURE FAMILY MEDICINE PHYSICIANS AND DOING SO WHILE SCALING COSTS TO REMAIN SUSTAINABLE AS A TEACHING HEALTH CENTER PROGRAM. SPECIFIC MEASURABLE OBJECTIVES AND EXPECTED OUTCOMES INCLUDE; 1) SUBMITTING THE ACGME APPLICATION FOR THE NEW RURAL RESIDENCY PROGRAM BY DECEMBER 15, 2026; 2) ESTABLISHING A NEW ACGME-ACCREDITED RESIDENCY PROGRAM BY JULY 31, 2028; 3) CO-CREATING A MULTI-STREAM FUNDING SUSTAINABILITY PLAN UTILIZING RESPONSIBILITY CENTER MANAGEMENT (RCM) BUDGETING AND RESOURCE ALLOCATION THAT MAXIMIZES GME-SNC STRATEGIES FOR REQUIRED ROTATIONS ALIGNED WITH FUNDING COMPLIANCE AS NEEDED; 4) BEGIN TRAINING THE FIRST RESIDENT CLASS NO LATER THAN ACADEMIC YEAR, 2029. FURTHERMORE, THIS PROJECT WILL ADDRESS THE POPULATION HEALTH NEEDS OF THE COMMUNITIES SERVED BY THE RESIDENCY PROGRAM THROUGH THE EXPANSION OF ROBUST, COMPREHENSIVE FAMILY MEDICINE (FULL SCOPE OF FM PRACTICE) CARE AND ACCESS FOR MERCER COUNTY, PA AND THE BROADER COMMUNITY. THE PROPOSED PROJECT WILL BE ACCOMPLISHED BY THE EARLY, CONTINUAL, AND CONSISTENT ENGAGEMENT OF RURAL SYSTEM LEADERSHIP AND LONG-TIME RURAL PHYSICIANS UNDER THE DIRECTION AND WITH THE SUPPORT OF THE LEADERSHIP OF TWCGME WHOSE EXPERTISE IN THIS DOMAIN HAS PREVIOUSLY RESULTED IN THE COUNTRY’S ONLY ACGME-ACCREDITED, MULTI-STATE FAMILY MEDICINE RESIDENCY PROGRAM CONSORTIUM AND FOUR DECADES OF MULTI-STREAM FUNDING AND CONSORTIUM SCHEDULING WORK. ADDITIONAL CONGRESSIONAL DISTRICTS: PA-008, PA-016

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT

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

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

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

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - NAME OF THE GRADUATE MEDICAL TRAINING PROGRAM: TWCGME-SCRANTON FAMILY MEDICINE PROGRAM; DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: NEW ELIGIBLE ENTITY TYPE: CONSORTIUM YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: JULY 2025 ORGANIZATION WEBSITE ADDRESS: THEWRIGHTCENTER.ORG A BRIEF OVERVIEW OF THE RESIDENCY PROGRAM THAT INCLUDES THE NAME OF THE ACCREDITED SPONSORING INSTITUTION (AS DESIGNATED BY ACGME OR CODA) AND DESCRIPTION OF THE MAIN PRIMARY CARE TRAINING LOCATION INCLUDING POPULATIONS SERVED; THE APPLICANT PROGRAM IS SPONSORED BY THE WRIGHT CENTER FOR GME. THE MAIN PRIMARY CARE TRAINING LOCATION IS WITHIN THE FQHC-LAL THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH). TWCCH SCRANTON CLINICAL WILL BE THE FAMILY MEDICINE PRACTICE, OR FMP, WHICH IS THE PRIMARY CARE TRAINING LOCATION FOR FAMILY MEDICINE PROGRAMS. THE WRIGHT CENTER ENTERPRISE SERVES NORTHEAST PENNSYLVANIA IN BOTH URBAN AND HRSA-DESIGNATED RURAL SETTINGS. ACCORDING TO THE MOST RECENT HEALTH CENTER PROGRAM UNIFORM DATA SYSTEM (UDS) REPORT, TWCCH SERVED 28,187 PATIENTS THROUGH 113,648 CLINIC VISITS AND 11,6600 VIRTUAL/TELEHEALTH VISITS. THE SEVEN-COUNTY FM PROGRAM SERVICE AREA HAS HIGHER THAN STATE AND NATIONAL AVERAGES FOR MANY CHRONIC DISEASES SUCH AS HEART DISEASE AND CANCER, OPIATE MISUSE AND OVERDOSE, AND CONCENTRATED POVERTY. INFRASTRUCTURE FOR CULTURALLY SENSITIVE CARE IS UNDERDEVELOPED AND GLARINGLY INADEQUATE, GIVEN THE CHANGING DEMOGRAPHICS RELATED TO INCREASING IMMIGRATION WITHIN TWCCH’S SERVICE AREA. OVER 35 LANGUAGES ARE SPOKEN WITHIN THE SCRANTON SCHOOL DISTRICT. THE SERVICE AREA HAS HIGHER THAN STATE AND NATIONAL AVERAGES FOR MANY CHRONIC DISEASES, OPIATE MISUSE AND OVERDOSE, AND CONCENTRATED POVERTY. TOTAL RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST- GRADUATE YEARS OF TRAINING, E.G., 12 (4-4-4) RESIDENT FTE ABOVE THE BASELINE RESIDENT FTES TRAINED BY THE PROGRAM IN THE PRIOR AY; USE AY 2024-2025. 18 (6-6-6) RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR THE FIRST AY OF FUNDING 6 (6-0-0) USE AY 2025-2026. 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. NONE

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - NAME OF THE GRADUATE MEDICAL TRAINING PROGRAM: TWCGME-HEALTHSOURCE OF OHIO FAMILY MEDICINE PROGRAM; DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: NEW ELIGIBLE ENTITY TYPE: CONSORTIUM YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: JULY 2025 ORGANIZATION WEBSITE ADDRESS: WWW.HEALTHSOURCEOFOHIO.ORG AND THEWRIGHTCENTER.ORG A BRIEF OVERVIEW OF THE RESIDENCY PROGRAM THAT INCLUDES THE NAME OF THE ACCREDITED SPONSORING INSTITUTION (AS DESIGNATED BY ACGME OR CODA) AND DESCRIPTION OF THE MAIN PRIMARY CARE TRAINING LOCATION INCLUDING POPULATIONS SERVED; THE APPLICANT PROGRAM IS SPONSORED BY THE WRIGHT CENTER FOR GME. THE MAIN PRIMARY CARE TRAINING LOCATION IS WITHIN THE FQHC AND H80 GRANTEE HEALTHSOURCE OF OHIO. HEALTHSOURCE HILLSBORO, OH WILL BE THE FAMILY MEDICINE PRACTICE, OR FMP, WHICH IS THE PRIMARY CARE TRAINING LOCATION FOR FAMILY MEDICINE PROGRAMS. THIS RURAL COUNTY COVERS 553 SQUARE MILES, OF WHICH ONLY ABOUT SIX PERCENT IS USED FOR RESIDENTIAL, COMMERCIAL, OR INDUSTRIAL PURPOSES, ACCORDING TO THE OHIO DEVELOPMENT SERVICES AGENCY. OVER 32% OF THE LAND IS FORESTED, AND ANOTHER 60% IS FARMLAND OR PASTURE. THE POPULATION DENSITY IS 78.8 PEOPLE PER SQUARE MILE. THE COUNTY IS PREDOMINATELY WHITE (96.4%). ACCORDING TO THE US CENSUS, 81.5% OF PEOPLE OVER THE AGE OF 25 ARE AT LEAST A HIGH SCHOOL GRADUATE, AND 11.1% OF PEOPLE OVER THE AGE OF 25 HAVE EARNED AT LEAST A BACHELOR’S DEGREE. THE MEDIAN HOUSEHOLD INCOME IS $39,641; 17.6% OF THE PEOPLE LIVE BELOW THE POVERTY LINE, AND MORE THAN 30% OF CHILDREN LIVE BELOW THE POVERTY LINE, AND 10% ARE UNINSURED. THERE IS ONE PRIMARY CARE PHYSICIAN PER 3,610 PEOPLE IN THIS AREA COMPARED TO 1: 1,330 IN OHIO AND THE SAME, 1:1,330 IN THE U.S. TOTAL RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING, E.G., 12 (4-4-4) RESIDENT FTE ABOVE THE BASELINE RESIDENT FTES TRAINED BY THE PROGRAM IN THE PRIOR AY; USE AY 2024-2025. 12 (4-4-4) RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR THE FIRST AY OF FUNDING 4 (4-0-0) USE AY 2025-2026. 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. NONE

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF THE TRAINING PROGRAM: THE WRIGHT CENTER FOR GME GERIATRIC MEDICINE FELLOWSHIP PROGRAM DISCIPLINE OF THE RESIDENCY PROGRAM: GERIATRIC MEDICINE FELLOWSHIP TYPE OF APPLICATION EXPANSION OR NEW THCGME APPLICANT: EXPANSION ELIGIBLE ENTITY TYPE: GME CONSORTIUM, THE WRIGHT CENTER FOR GME YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2020 ORGANIZATION WEBSITE ADDRESS: THEWRIGHTCENTER.ORG BRIEF OVERVIEW OF THE PROGRAM: THE ACGME ACCREDITED SPONSORING INSTITUTION IS THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME), A 501C3 UNOWNED GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM AND HRSA’S LARGEST TEACHING HEALTH CENTER PROGRAM RECIPIENT FOR MEDICAL RESIDENCY PROGRAMS. TWCGME’S GERIATRICS FELLOWSHIP PROGRAM WAS FOUNDED AS A THCGME PROGRAM IN 2020 AND HAS RETAINED 2 OF ITS 3 INAUGURAL FELLOWS. THE MAIN PRIMARY CARE TRAINING LOCATION OF TWCGME GERIATRIC MEDICINE FELLOWS IS THE WRIGHT CENTER FOR COMMUNITY HEALTH (TWCCH), AN FQHC-LAL IN SERVING APPROXIMATELY 25,000 PATIENTS WHO ARE PREDOMINATELY NON-HISPANIC WHITE (79.26 %) ADULTS (69.50 %) WHO ARE AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINE (66.33 %) AND WHO ARE UNINSURED, ON MEDICAID, MEDICARE OR DUALLY-ELIGIBLE (59.07%). ONLY IN ITS SECOND YEAR OF BEING A LOOK-ALIKE, TWCCH EARNED 5 OF 6 COMMUNITY HEALTH CENTER QUALITY RECOGNITION (CHQR) BADGES. TWCGME TRAINS GERIATRIC FELLOWS TOGETHER WITH RESIDENTS IN INTERNAL MEDICINE, FAMILY MEDICINE AND PSYCHIATRY TO ADDRESS, THROUGH QUALITY IMPROVEMENT AND PREVENTIVE PRACTICES, THE NEEDS OF A RURAL, AGING POPULATION. THE GERIATRIC MEDICINE FELLOWSHIP IS ESSENTIAL TO THE DELIVERY OF CARE TO COUNTIES WHOSE POPULATION OF ADULTS AGED 65 AND OLDER IS HIGHER THAN THE STATE AVERAGE AND WHOSE NUMBERS INCLUDE THE GERIATRICIANS CURRENTLY CARING FOR THIS POPULATION. THE FELLOWSHIP HAS ALREADY PROVEN ITS POWER IS MAKING SYSTEM-WIDE CHANGE WITH THE INTRODUCTION OF THE IHI AGE-FRIENDLY HEALTH SYSTEM WHICH IS NOW IN PLACE AT ALL WRIGHT CENTER CLINICS, AND ENGAG EMENT WITH UCLA’S ALZHEIMER’S AND DEMENTIA CARE PROGRAM. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL YEARS OF TRAINING: 3 (3) RESIDENT FTE FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023: 3 (3).

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF THE TRAINING PROGRAM: THE NATIONAL FAMILY MEDICINE RESIDENCY PROGRAM (NFMR) OF THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION EXPANSION OR NEW THCGME APPLICANT: EXPANSION ELIGIBLE ENTITY TYPE: GME CONSORTIUM OF FQHCS, EXPANSION SITES HEALTHPOINT CHC AND WAIANAE COAST COMPREHENSIVE HEALTH CENTER YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: WWW.THEWRIGHTCENTER.ORG BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: THE ACGME ACCREDITED SPONSORING INSTITUTION IS THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION (TWCGME), A 501C3 UNOWNED GRADUATE MEDICAL EDUCATION SAFETY-NET CONSORTIUM AND HRSA’S LARGEST TEACHING HEALTH CENTER PROGRAM RECIPIENT FOR MEDICAL RESIDENCY PROGRAMS. THE NFMR WILL, AS OF THIS EXPANDED FUNDING, HAVE 5 FAMILY MEDICINE PRACTICE SITES IN FQHCS ACROSS THE US. POPULATIONS SERVED BY THIS PROGRAM ARE MEDICALLY UNDERSERVED AND RURAL COMMUNITIES IN DC, OH, AZ, WA AND HI. THE SITES FOR EXPANSION ARE HEALTHPOINT CHC IN AUBURN, WA AND WAIANAE COAST COMPREHENSIVE HEALTH CENTER (WCCHC) IN HAWAII. SPECIAL POPULATIONS: HEALTHPOINT SERVES A LARGE PACIFIC ISLANDER POPULATION AND ANTICIPATED MORE THAN 6000 AFGHAN REFUGEES FROM THE CURRENT POLITICAL CRISIS OF THE US WITHDRAWAL, AND WCCHC SERVES A LARGE NATIVE HAWAIIAN POPULATION. NEED - HEALTHPOINT: WASHINGTON’S POPULATION HAS CONSISTENTLY GROWN SINCE THE 1900S AND HAS SURPASSED THE PROJECTED 2020 ESTIMATE OF 7.5 MILLION. THE MEAN AGE OF WASHINGTON’S PRACTICING PHYSICIANS IS 51 YEARS, SLIGHTLY YOUNGER THAN REPORTED IN 2014. STILL, A SIGNIFICANT PERCENTAGE OF WASHINGTON’S PRIMARY CARE WORKFORCE IS NEARING RETIREMENT AGE. COUPLED WITH THE STATE’S AGING POPULATION, THESE CONDITIONS SUGGEST AN INCREASING IMBALANCE BETWEEN SUPPLY AND DEMAND. TWCGME’S NFMR HEALTHPOINT RESIDENCY PROGRAM SITE WAS ABLE TO KEEP 30% OF ITS GRADUATES TO CONTINUE WORKING FOR HEALTHPOINT. NEED - WCCHC: THE STATE OF HA WAII CURRENTLY DOES NOT HAVE ANY THC GME PROGRAMMING. AS AN FQHC IN HAWAII, WCCHC HAS A UNIQUE PATIENT DEMOGRAPHIC AND SOCIO-ECONOMIC PROFILE THAT IS AS OF YET UNSERVED BY ANY THC GME PROGRAM. WCCHC WAS FORMED, BY THE COMMUNITY, NEARLY 50 YEARS AGO DUE TO THE NEED FOR INCREASED PRIMARY AND EMERGENT CARE ACCESS AND DELIVERY FOR THE POPULATION OF THE WAIANAE COAST. HAWAII IS FACING A CRITICAL SHORTAGE OF DOCTORS, WHICH IS EXPECTED TO WORSEN. THOUGH A KNOWN PROBLEM FOR YEARS, HAWAII HAS HAD AN ACUTE SHORTAGE THAT IS BEING MADE WORSE DUE TO AN AGING POPULATION OF RETIRING PHYSICIANS, THE COST OF LIVING BEING VERY HIGH AND THE SALARIES BEING LOWER IN HAWAII, AND DUE TO THE IMPACT OF COVID. THE PROBLEM IS WORSE FOR THE NEIGHBOR ISLANDS IN NOT BEING ABLE TO ATTRACT PROVIDERS. A LOCAL PIPELINE OF NEW DOCTORS WHO CAN GO THROUGH THEIR RESIDENCY IN THE ISLANDS, ESPECIALLY IF THEY ARE HAWAIIAN NATIVES (MEANING HOMETOWN SCHOLARS), IS THE MOST IMMEDIATE AND VIABLE SOLUTION TO ADDRESS THE SHORTAGE OF PRIMARY CARE DOCTORS. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL YEARS OF TRAINING IS 11.5 IN ADDITION TO THE CURRENTLY AWARDED 54.5 TO BRING THE TOTAL TO 66 (22-22-22). FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM (HRSA 22-105) FOR AY 2022-2023: 1.5 (1.5-0-0)

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