Cahaba Medical Care Foundation

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

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

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 (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH

RESIDENCY TRAINING IN PRIMARY CARE

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT TITLE: CAHABA - UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK APPLICANT ORGANIZATION NAME: CAHABA MEDICAL CARE FOUNDATION ADDRESS: 405 BELCHER STREET PROJECT DIRECTOR NAME: DR. JOHN B. WAITS, MD, FAAFP CONTACT PHONE NUMBERS (VOICE, FAX): 205-277-2367/205-316-7675 EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM WEBSITE ADDRESS, IF APPLICABLE: WWW.CAHABAMEDICALCARE.COM LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: THCGME IF REQUESTING A FUNDING PREFERENCE, PRIORITY, OR SPECIAL CONSIDERATION AS OUTLINED IN SECTION V. 2. OF THE PROGRAM-SPECIFIC NOFO, PLEASE INDICATE HERE. HPSA/MUC/RURAL NAME OF THE TRAINING PROGRAM: CAHABA-UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBILITY OF ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CAHABA MEDICAL CARE FOUNDATION (CMC). THERE IS A PARTNERSHIP WITH UAB SCHOOL OF MEDICINE FOR EDUCATIONAL PURPOSES. HOWEVER, ALL FISCAL AND OPERATIONAL MANAGEMENT IS HANDLED BY CMC ALONE. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: CAHABA MEDICAL CARE (CMC) IS A COMMUNITY HEALTH CENTER (FQHC) AND TEACHING HEALTH CENTER (THCGME) FAMILY MEDICINE RESIDENCY WITH 12 RESIDENTS PER YEAR, THAT HAS HAD A TRACK RECORD OF OPENING AN FQHC-BASED RURAL RESIDENCY IN 2013 (CENTREVILLE, BIBB COUNTY, AL) AND EXPANDED TO A SECOND TRACK BASED IN AN URBAN FQHC IN 2018 (WEST END, BIRMINGHAM, JEFFERSON COUNTY, AL). CMC AS A WHOLE HAS 19 SITES AND HAS BEEN AWARDED THE “ACCESS ENHANCER” AWARD FROM HRSA 4 YEARS IN A ROW. ADDITIONALLY, WE HAVE PLACED 68% OF OUR GRADUATES IN HPSAS OR UNDERSERVED COMMUNITIES. THEREFORE, WE ARE PROPOSING TO EXPAND OUR CURRENT 12-12-12 RESIDENCY PROGRAM TO 16-16-16 BY ADDING A 4-4-4 RURAL TRAINING TRACK (RTT) – THE CAHABA-UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK – IN T WO OF THE MOST REMOTE AND UNDERSERVED AREAS OF OUR STATE; MARION (PERRY COUNTY) AND CAMDEN (WILCOX COUNTY). OUR MEASURABLE OBJECTIVES AND OUTCOMES INCLUDE DEVELOPING ALREADY EXISTING RELATIONSHIPS IN BESSEMER, MARION, AND CAMDEN, AS WELL AS LEVERAGING OUR OWN INTERNAL GME EXPERTISE AT CMC TO CREATE A PIPELINE OF PRIMARY CARE PHYSICIANS READY TO HELP COMBAT PRIMARY CARE PHYSICIANS SHORTAGES IN RURAL ALABAMA. WE WILL USE THE “1+2 RTT” FORMAT, WHERE THE FIRST YEAR OF GRADUATE MEDICAL EDUCATION OCCURS IN AN URBAN AREA (UAB MEDICAL WEST IN BESSEMER, JEFFERSON COUNTY, AL), FOLLOWED BY AN INNOVATIVE, AUTHENTIC, AND HEAVILY MENTORED 2 YEARS IN THE FRONTIER COUNTIES OF PERRY AND WILCOX. TOTAL FTE POSITION REQUESTED TO BE FUNDED: 4-4-4 FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023: 4-0-0

QUALITY IMPROVEMENT FUND ? MATERNAL HEALTH - QUALITY IMPROVEMENT FUND – MATERNAL HEALTH

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: THCGME IF REQUESTING A FUNDING PREFERENCE, PRIORITY, OR SPECIAL CONSIDERATION AS OUTLINED IN SECTION V. 2. OF THE PROGRAM-SPECIFIC NOFO, INDICATE HERE: HPSA, MUA/P NAME OF THE TRAINING PROGRAM: CAHABA - UAB FAMILY MEDICINE RESIDENCY - HIGHLANDS TRACK DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBLE ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CAHABA MEDICAL CARE FOUNDATION (CMC). THERE IS A PARTNERSHIP WITH UAB HEERSINK SCHOOL OF MEDICINE FOR EDUCATIONAL PURPOSES; HOWEVER, ALL FISCAL AND OPERATIONAL MANAGEMENT IS HANDLED BY CMC ALONE. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: HTTPS://WWW.CAHABAFAMILYMEDICINE.COM/ OVERVIEW: CAHABA MEDICAL CARE (CMC) IS A COMMUNITY HEALTH CENTER (FQHC) AND TEACHING HEALTH CENTER (THCGME) FAMILY MEDICINE RESIDENCY WITH 12 RESIDENTS PER YEAR, THAT HAS HAD A TRACK RECORD OF OPENING AN FQHC-BASED RURAL RESIDENCY IN 2013 (CENTREVILLE, BIBB COUNTY, AL), EXPANDED TO A SECOND TRACK BASED IN AN URBAN FQHC IN 2018 (WEST END, BIRMINGHAM, JEFFERSON COUNTY, AL), AND IN 2022 EXPANDED TO A THIRD TRACK BASED IN A RURAL FQHCS IN MARION, PERRY COUNTY, AL/CAMDEN, WILCOX COUNTY, AL. CMC AS A WHOLE HAS 22 SITES SERVING MULTIPLE RURAL AND URBAN UNDERSERVED COMMUNITIES THROUGHOUT ALABAMA AND HAS BEEN AWARDED THE “ACCESS ENHANCER” AWARD FROM HRSA 4 YEARS IN A ROW. ADDITIONALLY, WE HAVE PLACED 68% OF OUR GRADUATES IN HPSAS OR UNDERSERVED COMMUNITIES. THEREFORE, WE ARE PROPOSING TO EXPAND OUR CURRENT 12-12-12 RESIDENCY PROGRAM BY ADDING A 4-4-4-4 URBAN TRAINING TRACK – THE CAHABA-UAB FAMILY MEDICINE RESIDENCY - HIGHLANDS TRACK – IN BIRMINGHAM, JEFFERSON COUNTY, AL. OUR MEASURABLE OBJECTIVES AND OUTCOMES INCLUDE DEVELOPING ALREADY EXISTING RELATIONSHIPS IN BIRMINGHAM, AS WELL AS LEVERAGING OUR OWN INTERNAL GME EXPERTISE AT CMC TO CREATE A PIPELINE OF PRIMARY CARE PHYSICIAN S READY TO HELP COMBAT PRIMARY CARE PHYSICIAN SHORTAGES IN ALABAMA. RESIDENTS WILL BE INVOLVED IN CARING FOR AN UNDERSERVED URBAN COMMUNITY IN JEFFERSON COUNTY AS WELL AS BE IMMERSED IN MULTIPLE INNOVATIVE CURRICULAR ELEMENTS ONGOING AT UAB HIGHLANDS INCLUDING TELEMEDICINE, INTEGRATED BEHAVIORAL HEALTH, AND A COMPREHENSIVE LIFESTYLE MEDICINE CURRICULUM. THE RESIDENTS WILL ALSO BE A PART OF THE ACGME’S LENGTH OF TRAINING PILOT PROGRAM - ADVANCING INNOVATION IN RESIDENCY EDUCATION (AIRE) THAT LENGTHENS FAMILY TRAINING FROM THREE TO FOUR YEARS. 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 AY 2018-2019: 16 (4-4-4-4) RESIDENT FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022- 2023, E.G., 4 (4-0-0): 4 (4-0-0-0) 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 ACADEMIC YEAR: UAB HOSPITAL - HIGHLANDS, 1201 11TH AVENUE SOUTH, BIRMINGHAM, AL 35205

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

PRIMARY CARE TRAINING AND ENHANCEMENT

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: CHARITY LAISTER EMAIL ADDRESS: CHARITY.LAISTER@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): (205) 926-2992 X 7053 (FAX): (205) 316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM SUMMARY: CAHABA MEDICAL CARE FOUNDATION (CMC), A FEDERALLY QUALIFIED HEALTH CENTER SERVING CENTRAL ALABAMA, WILL EXPAND ITS EFFORTS TO ADDRESS THE FOUR GOALS OF THE RCORP-IMPACT PROGRAM: SERVICE DELIVERY, WORKFORCE, SUPPORTIVE SERVICES, AND SUSTAINABILITY FOCUSING ITS WORK AND ATTENTION ON ACTIVITIES WITHIN BIBB, CHILTON, WILCOX, AND PERRY COUNTIES WHERE ACCESS TO CARE FOR SUD/OUD IS VERY LIMITED. NEEDS ADDRESSED: EXPAND SUBSTANCE USE TREATMENT SERVICES IN WILCOX, CHILTON, AND BIBB COUNTIES BY HIRING ADDITIONAL BEHAVIORAL HEALTH PROVIDERS AND COMMUNITY HEALTH WORKERS TO PROVIDE TREATMENT FOR INDIVIDUALS WITH SUD AS WELL AS BY EXPANDING TRAINING IN MEDICATION ASSISTED TREATMENT WITH BUPRENORPHINE FOR CMC’S MEDICAL PROVIDERS INITIATE SUBSTANCE USE TREATMENT SERVICES IN PERRY COUNTY WITH THE ADDITION OF BEHAVIORAL HEALTH PROVIDERS AS WELL AS MEDICAL PROVIDERS ABLE TO PROVIDE MEDICATION ASSISTED TREATMENT EXPAND SUBSTANCE USE RECOVERY SERVICES IN CHILTON AND BIBB COUNTIES BY CONSTRUCTING A SUBSTANCE USE DISORDER TREATMENT ROOM AND CAREER CENTER WITHIN THE CAHABA MEDICAL CARE PRIMARY CARE CLINIC IN CHILTON COUNTY AND ITS COMMUNITY CENTER IN BIBB COUNTY. EMPLOY QUALIFIED SUBSTANCE USE DISORDER TREATMENT COUNSELORS, SOCIAL WORKERS, AND ADMINISTRATIVE STAFF. STRENGTHEN THE WORKFORCE ECOSYSTEM BY CREATING ACCESS WITHIN THE PRIMARY CARE CLINIC TO COMPUTERS AND BROADBAND INTERNET FOR ONLINE WORKFORCE DEVELOPMENT TRAINING VIA THE JEFFERSON STATE COMMUNITY COLLEGE ONLINE ADULT EDUCATION, ALABAMA CAREER ESSENTIALS, AND THE MOBILIZING ALABAMA PATHWAYS PROGRAMS. PROVIDE TRANSPORTATION VOUCHERS FOR CMC PATIENTS NEEDING TRANSPORTATION TO PARTICIPATE IN THE ON-CAMPUS WORK KEYS AND CA REER PATHWAYS HANDS-ON PROGRAM SPONSORED BY JEFFERSON STATE COMMUNITY COLLEGE. CREATE A NETWORK OF MEDICAL, BEHAVIORAL HEALTH, JUSTICE-INFORMED, AND EDUCATIONAL ENTITIES WHO WORK TOGETHER TO ADVANCE THE CARE OF THOSE WITH SUD / OUD PROVIDE AN INTEGRATED, COMPREHENSIVE, “ONE-STOP SHOP” FOR PATIENTS WITH SUD/ \OUD TO RECEIVE TREATMENT AND RECOVERY SUPPORT WITHIN THE RURAL SERVICE AREA CARED FOR BY CAHABA MEDICAL CARE PROPOSED SERVICES TREATMENT, RECOVERY, AND SOCIAL SUPPORT SERVICES TARGET POPULATION(S): INDIVIDUALS, THEIR FAMILIES, AND CAREGIVERS WHO ARE LIVING IN HRSA-DESIGNATED RURAL, UNDERSERVED AREAS IN BIBB, CHILTON, PERRY, AND WILCOX COUNTIES IN ALABAMA WHO ARE AT RISK OF SUD, EXPERIENCING SYMPTOMS OF SUD, IN TREATMENT FOR SUD, OR IN RECOVERY FOR SUD.

PRIMARY CARE TRAINING AND ENHANCEMENT

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: JOHN B. WAITS, MD EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): 205-312-8080 (FAX): (205) 316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM HCP GRANT NUMBER: H80CS24177 SUMMARY: CAHABA MEDICAL CARE FOUNDATION (CMC) SEEKS FUNDING THROUGH THE HRSA FISCAL YEAR (FY) 2025 QUALITY IMPROVEMENT FUND – TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS (QIF-TJI) TO ENHANCE AND EXPAND ITS SERVICES AIMED AT FACILITATING THE TRANSITION OF JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R). THIS INITIATIVE FOCUSES ON IMPROVING ACCESS TO COMMUNITY-BASED, HIGH-QUALITY PRIMARY CARE SERVICES WITHIN 90 DAYS OF RELEASE FROM INCARCERATION, ADDRESSING THIS VULNERABLE POPULATION'S CRITICAL AND COMPLEX HEALTHCARE NEEDS. PARTNERING WITH THE BIBB COUNTY COURT SYSTEM AND THE BIBB COUNTY CORRECTIONAL FACILITY, CMC AIMS TO IMPLEMENT A COMPREHENSIVE CARE TRANSITION PROGRAM TO MITIGATE HEALTH DISPARITIES FOR THOSE RELEASED FROM PRISON. JUSTICE-INVOLVED INDIVIDUALS OFTEN HAVE ACUTE HEALTHCARE NEEDS AND FACE CHALLENGES SUCH AS A LACK OF EDUCATION ON THEIR MEDICATIONS AND DIAGNOSED CONDITIONS, FREQUENT MISDIAGNOSES, AND INCONSISTENT TREATMENT REGIMENS. BY INTEGRATING EVIDENCE-BASED MODELS AND PILOTING INNOVATIVE APPROACHES, CMC WILL CONNECT OR RECONNECT JI-R INDIVIDUALS TO OUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND OTHER LOCAL HEALTHCARE FACILITIES. THE CORE OF THIS PROGRAM WILL LEVERAGE CMC’S ROBUST BEHAVIORAL HEALTH AND SOCIAL SERVICES DEPARTMENTS TO ENSURE A SEAMLESS TRANSITION FOR JI-R INDIVIDUALS. OUR MULTIDISCIPLINARY TEAM WILL PROVIDE PERSONALIZED CARE COORDINATION, HEALTH EDUCATION, AND SOCIAL SUPPORT SERVICES TO ADDRESS THE UNIQUE NEEDS OF EACH INDIVIDUAL BY: CONDUCTING THOROUGH COMPREHENSIVE HEALTH ASSESSMENTS, SDOH SCREENINGS, AND MEDICAL, BEHAVIORAL HEALTH, AND SUBSTANCE USE SCREENINGS PRE-RELEASE TO IDENTIFY AND DOCUMENT EXISTING HEALTH CONDITIONS, MEDICATION NEEDS, AND ANY IMMEDIATE HEALTH CONCERNS AT THE JAIL. DEVELOPING PERSONALIZED CARE PLANS THAT OUTLINE POST-RELEASE HEALTHCARE MANAGEMENT, MEDICATION ADHERENCE STRATEGIES, AND NECESSARY FOLLOW-UP APPOINTMENTS WITH PRIMARY CARE PROVIDERS AT CMC WHERE THEY WILL BE SEEN WITHIN 2-4 WEEKS DEPENDING ON THEIR PERSONALIZED RISK ASSESSMENT AND MEDICAL ACUITY. OFFERING BEHAVIORAL HEALTH SUPPORT, INCLUDING COUNSELING AND THERAPY, TO ADDRESS THE HIGH PREVALENCE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDERS AMONG JI-R INDIVIDUALS THROUGH CMC’S BEHAVIORAL HEALTH TEAM WITH APPOINTMENTS SCHEDULED WITHIN 2 WEEKS OF DISCHARGE. ASSISTING WITH ACCESS TO ESSENTIAL SOCIAL SERVICES SUCH AS HOUSING, FOOD, EMPLOYMENT, AND TRANSPORTATION THROUGH THE CMC COMMUNITY CENTER THAT ARE CRITICAL FOR THE HOLISTIC WELL-BEING AND SUCCESSFUL REINTEGRATION OF JI-R INDIVIDUALS. OFFERING EACH PATIENT, AT THE TIME OF RELEASE, AN OPPORTUNITY TO MEET WITH A CHW AND PROVIDER TO DISCUSS THEIR MEDICATIONS, DIAGNOSES, AND CARE PLAN IN A HEALTH-LITERATE WAY. BY ADDRESSING BOTH HEALTHCARE AND SOCIAL DETERMINANTS OF HEALTH, CMC’S PROGRAM AIMS TO REDUCE RECIDIVISM AND PROMOTE LONG-TERM HEALTH AND STABILITY FOR JI-R INDIVIDUALS. THE PROGRAM WILL EMPLOY A RIGOROUS EVALUATION FRAMEWORK TO ASSESS ITS IMPACT, INCLUDING HEALTHCARE UTILIZATION RATES, ADHERENCE TO CARE PLANS, AND OVERALL HEALTH OUTCOMES. CMC’S INITIATIVE ALIGNS WITH HRSA’S MISSION TO IMPROVE HEALTH OUTCOMES FOR UNDERSERVED POPULATIONS BY ENSURING THAT JUSTICE-INVOLVED INDIVIDUALS RECEIVE THE NECESSARY SUPPORT TO TRANSITION SMOOTHLY BACK INTO SOCIETY. WITH HRSA’S QIF-TJI FUNDING, CMC WILL BUILD UPON ITS EXISTING INFRASTRUCTURE TO PILOT THIS INNOVATIVE PROGRAM OF AN INTEGRATED TRANSITION PLAN FOR MEDICAL AND BEHAVIORAL HEALTH WITHIN A RURAL COURT SYSTEM, ULTIMATELY CREATING A SCALABLE MODEL THAT CAN BE REPLICATED IN OTHER COMMUNITIES FACING SIMILAR CHALLENGES.

HIV CLINICAL TRAINING TRACKS IN PRIMARY CARE RESIDENCY PROGRAMS - PROJECT TITLE: STRIVE (SPECIALIZED TRAINING IN RESIDENCY FOR HIV EXCELLENCE) ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: DR. JOHN B. WAITS, MD, CPE, FAAFP CONTACT PHONE NUMBERS (VOICE): (205) 312-8080 (FAX): (205) 316-7675 EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM WEBSITE ADDRESS, IF APPLICABLE: WWW.CAHABAMEDICALCARE.COM LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: HTR PROGRAM FUNDING PREFERENCE REQUESTED SUMMARY: THE CAHABA MEDICAL CARE FOUNDATION (CMC) PROPOSES THE HIV CLINICAL TRAINING PROGRAM FOR PRIMARY CARE PHYSICIANS (HTR PROGRAM) TO ADDRESS SIGNIFICANT GAPS IN HIV CARE AND TREATMENT IN UNDERSERVED COMMUNITIES THROUGHOUT THE UNITED STATES. THIS PROJECT AIMS TO ENHANCE THE COMPETENCY OF FAMILY MEDICINE RESIDENTS, NURSE PRACTITIONER RESIDENTS, AND PHARMACY RESIDENTS IN PROVIDING HIGH-QUALITY, CULTURALLY COMPETENT HIV CARE. NEEDS TO BE ADDRESSED: MANY PARTS OF THE UNITED STATES, INCLUDING THE STATE OF ALABAMA, CONTINUES TO FACE HIGH RATES OF HIV PREVALENCE WITH LIMITED ACCESS TO SPECIALIZED HIV CARE. STIGMA, LACK OF ANONYMITY, AND INSUFFICIENT TRAINING FOR HEALTHCARE PROVIDERS EXACERBATE THESE ISSUES, LEADING TO INADEQUATE CARE AND MANAGEMENT FOR INDIVIDUALS LIVING WITH HIV, ESPECIALLY AMONG MINORITY POPULATIONS. PROPOSED SERVICES: THE HTR PROGRAM WILL IMPLEMENT A COMPREHENSIVE TRAINING CURRICULUM, DEVELOPED IN CONSULTATION WITH HIV CARE EXPERTS AND INSTRUCTIONAL DESIGN EXPERTS, TO PROVIDE RESIDENTS WITH FOUNDATIONAL AND EVIDENCE-BASED MEDICAL KNOWLEDGE AND UP-TO-DATE CLINICAL PRACTICES IN HIV TREATMENT AND MANAGEMENT. THIS CURRICULUM INCLUDES ONLINE INSTRUCTIONAL MATERIALS IN PARTNERSHIP WITH MEDMASTERY. ADDITIONALLY, RESIDENTS WILL GAIN PRACTICAL EXPERIENCE THROUGH INTEGRATION INTO AN INTERDISCIPLINARY HIV CLINIC, ALLOWING THEM TO WORK ALONGSIDE EXPERIENCED HIV CARE PROVIDERS, SOCIAL WORKERS, PHARMACISTS, AND MENTAL HEALTH PROFESSIONALS. THE PROGRAM WILL ALSO FACILITATE SUBSPECIALTY ROTATIONS WITH INFECTIOUS DISEASE AND HIV SPECIALISTS TO ADDRESS CO-INFECTIONS, PARTICULARLY HEPATITIS B AND C. POPULATION GROUPS TO BE SERVED: THE PRIMARY BENEFICIARIES OF THIS PROGRAM ARE MINORITY INDIVIDUALS AND NATIVE AMERICANS WITH HIV OR AT INCREASED RISK, RESIDING IN THE WEST CENTRAL ALABAMA HEALTH DISTRICT AND THE JEFFERSON COUNTY HEALTH DISTRICT. THE PROGRAM SPECIFICALLY TARGETS UNDERSERVED, LOW-INCOME, AND RURAL COMMUNITIES, WITH A FOCUS ON REDUCING HEALTH DISPARITIES AND IMPROVING THE QUALITY OF HIV CARE IN THESE REGIONS. BY ADDRESSING THESE CRITICAL GAPS IN TRAINING AND CARE, THE HTR PROGRAM AIMS TO BUILD A SUSTAINABLE, KNOWLEDGEABLE HEALTHCARE WORKFORCE CAPABLE OF PROVIDING COMPREHENSIVE AND EMPATHETIC CARE TO THOSE LIVING WITH HIV IN CENTRAL ALABAMA.

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

DLT GRANTS - CARES ACT - EDUCATIONAL

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: JOHN WAITS MD EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): 205-312-8080 | (FAX): 205-316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COMELIGIBLE ENTITY/FACILITY TYPE (FOR EXAMPLE, RURAL HOSPITAL. SEE ELIGIBILITY.): FQHC PROGRAM PATHWAYS: GENERAL PRIMARY CARE AND HIGH NEED SPECIALTY PATHWAY RESIDENCY RESIDENCY MEDICAL SPECIALTIES: FAMILY MEDICINE RESIDENCY FORMAT. RURAL TRACK PROGRAM EXPANSION (ADDING NEW RURAL TRAINING SITE OR SITES TO EXISTING PROGRAM) SPONSORING INSTITUTION NAME, LOCATION, AND ACGME SPONSOR PROGRAM CODE (IF APPLICABLE): CAHABA MEDICAL CARE FOUNDATION, CENTREVILLE, AL, 1200100727 RURAL TARGET COUNTY OR COUNTIES: BUTLER FUNDING AMOUNT REQUESTED: $750,000 PROGRAM SUSTAINABILITY OPTION: OPTION 1: HOSPITAL “NEW” RESIDENCY PROGRAM PROJECTED TOTAL NUMBER OF RESIDENTS: 4-4-4 EXPECTED ACGME ACCREDITATION AND FIRST RESIDENT MATRICULATION DATES: AUGUST 1, 2029 LIST OF RECENT HRSA AWARDS RECEIVED WITHIN THE LAST 5 YEARS: T9C42294 AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM D5839725 PRIMARY CARE TRAINING AND EDUCATION - RESIDENCY TRAINING IN PRIMARY CARE (PCTE-RTPC) T3442128 PRIMARY CARE TRAINING AND ENHANCEMENT-COMMUNITY PREVENTION AND MATERNAL HEALTH (PCTE-PCMH) H8H44965 FY2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION (PCHP) T9C45651 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9C46041 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T6245934 INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM (ISTP) Q8M49126 QUALITY IMPROVEMENT FUND - MATERNAL HEALTH (QIF-MH) T9C49301 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9C49302 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T6249309 INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM (ISTP) P1349599 RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM (RRPDP) T5949627 ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM (ANE-NPR) H2E50157 SERVICE EXPANSION - SCHOOL-BASED SERVICE SITES (SBSS) T9153253 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9153219 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9153226 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) T9125777 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM (THCGME) P0653491 RYAN WHITE HIV/AIDS PROGRAM (RWHAP) PART C CAPACITY DEVELOPMENT PROGRAM DE353714 RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) - IMPACT H8N54116 FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) UU454378 HIV CLINICAL TRAINING TRACKS IN PRIMARY CARE RESIDENCY PROGRAMS (HTR PROGRAM) Q8J54475 QUALITY IMPROVEMENT FUND - TRANSITION IN CARE OF JUSTICE-INVOLVED POPULATIONS NARRATIVE: CAHABA MEDICAL CARE FOUNDATION (CMC) PROPOSES EXPANDING ITS FAMILY MEDICINE RURAL RESIDENCY TRAINING PROGRAM WITH THE ADDITION OF ITS 5TH TRACK. THIS RURAL TRACK EXPANSION WOULD OCCUR IN COLLABORATION WITH THE REGIONAL HOSPITAL OF CENTRAL ALABAMA IN GREENVILLE, BUTLER COUNTY, ALABAMA, TO SERVE THE INDIVIDUALS IN THIS UNDERSERVED RURAL COUNTY DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA. CMC WILL ALSO CONTINUE TO WORK CLOSELY WITH UAB WHICH IS A PARTNER WITH CMC’S CURRENT RESIDENCY TRACKS PROVIDING CRITICAL HOSPITAL ROTATIONS AND ELECTIVE EXPERIENCES FOR RESIDENTS. THIS PROJECT WILL INCREASE ACCESS TO PRIMARY CARE AND EXPAND RURALLY-BASED RESIDENCY EDUCATION. IN ADDITION TO THE RESIDENCY, CMC WILL ESTABLISH A NEW FQHC CLINIC IN GREENVILLE BY THE END OF PROGRAM YEAR 2. THIS CLINIC WILL SERVE AS THE CONTINUITY CLINIC SITE FOR RESIDENTS AND A LONG-TERM HOME FOR NEW PHYSICIANS PRACTICING IN RURAL ALABAMA. CMC WILL PARTNER WITH THE REGIONAL HOSPITAL OF CENTRAL ALABAMA AND OTHER LOCAL STAKEHOLDERS TO IMPLEMENT THIS TRAINING PIPELINE, EXPAND PRIMARY CARE ACCESS, AND BUILD A SUSTAINABLE HEALTH WORKFORCE.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: JOHN B. WAITS, MD, CPE, FAAFP EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): (205) 312-8080 (FAX): (205) 316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM HCP GRANT NUMBER: H80CS24177 SUMMARY: CAHABA MEDICAL CARE FOUNDATION (CMC), A DEDICATED IRS 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN STEADFAST IN ITS COMMITMENT TO SERVING HEALTH PROVIDER SHORTAGE AREAS (HPSAS) ACROSS BIBB, CHILTON, JEFFERSON, PERRY, SHELBY, AND WILCOX COUNTIES IN CENTRAL ALABAMA. OVER THE YEARS, CMC HAS PROGRESSIVELY INTEGRATED SOCIAL WORK AND BEHAVIORAL HEALTH SERVICES INTO ITS MULTIDISCIPLINARY CARE MODEL, RECOGNIZING THE IMPERATIVE OF ADDRESSING THE MULTIFACETED NEEDS OF ITS PATIENT POPULATION. SINCE 2012, CMC HAS CULTIVATED A ROBUST SOCIAL WORK AND BEHAVIORAL HEALTH TEAM, BOLSTERING ITS ABILITY TO PROVIDE COMPREHENSIVE CARE TO AN INCREASINGLY DIVERSE AND EXPANDING PATIENT BASE. HOWEVER, THE PRESSING NEED FOR EXPANDED BEHAVIORAL HEALTH SERVICES, PARTICULARLY IN ALABAMA'S RURAL AND URBAN UNDERSERVED COMMUNITIES, REMAINS EVIDENT, UNDERSCORED BY THE ALARMING STATISTICS ASSOCIATED WITH THE ONGOING OPIOID CRISIS. DESPITE CONCERTED EFFORTS TO MITIGATE THE CRISIS, ALABAMA CONTINUES TO GRAPPLE WITH DISPROPORTIONATELY HIGH RATES OF OPIOID PRESCRIBING AND OVERDOSE DEATHS, WITH RURAL AREAS BEARING A DISPROPORTIONATE BURDEN. IN RESPONSE TO THIS CRITICAL NEED, CAHABA MEDICAL CARE PROPOSES AN AMBITIOUS INITIATIVE THROUGH THE BEHAVIORAL HEALTH SERVICES EXPANSION PROGRAM TO SIGNIFICANTLY AUGMENT THE PROVISION OF MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) SERVICES WITHIN ITS CATCHMENT AREA WITH THE ADDITION OF 4 FTE LICENSED INDEPENDENT CLINICAL SOCIAL WORKERS, 2 FTE OF BEHAVIORAL HEALTH CONSULTANTS, AND 1 ADMINISTRATIVE ASSISTANT. THROUGH THIS PROJECT, CAHABA MEDICAL CARE AIMS TO BOLSTER ITS BEHAVIORAL HEALTH WORKFORCE ACROSS ITS SERV ICE AREAS, ENSURING THAT A GREATER NUMBER OF PATIENTS IN NEED HAVE ACCESS TO TIMELY AND HIGH-QUALITY CARE. BY RECRUITING AND DEPLOYING ADDITIONAL BEHAVIORAL HEALTH PROFESSIONALS, INCLUDING THOSE SPECIALIZED IN MEDICATION-ASSISTED TREATMENT (MAT), WE AIM TO ADDRESS THE ESCALATING DEMAND FOR BEHAVIORAL HEALTH SERVICES. ALSO, RECOGNIZING THE BARRIERS TO ACCESS FACED BY RURAL AND RESOURCE-POOR COMMUNITIES, CMC PLANS TO ACQUIRE AND DEPLOY A MOBILE HEALTH UNIT IN THE ALABAMA BLACK BELT REGION. THIS INNOVATIVE APPROACH WILL BRIDGE GEOGRAPHICAL GAPS, BRINGING ESSENTIAL HEALTHCARE SERVICES DIRECTLY TO UNDERSERVED POPULATIONS. THE MOBILE UNIT WILL SERVE AS A LIFELINE FOR INDIVIDUALS WHO MAY OTHERWISE FACE INSURMOUNTABLE BARRIERS TO CARE, THEREBY EXPANDING CMC'S REACH AND IMPACT IN ADDRESSING BEHAVIORAL HEALTH DISPARITIES. THROUGH STRATEGIC INVESTMENTS IN WORKFORCE EXPANSION AND INNOVATIVE SERVICE DELIVERY MODELS, CAHABA MEDICAL CARE FOUNDATION IS POISED TO MAKE SIGNIFICANT STRIDES IN ADVANCING BEHAVIORAL HEALTH EQUITY AND IMPROVING HEALTH OUTCOMES FOR INDIVIDUALS ACROSS ALABAMA'S RURAL AND URBAN LANDSCAPES. BY LEVERAGING THE RESOURCES AND OPPORTUNITIES AFFORDED BY THE BEHAVIORAL HEALTH SERVICES EXPANSION PROGRAM, WE ARE COMMITTED TO FOSTERING A HEALTHIER, MORE RESILIENT FUTURE FOR ALL MEMBERS OF OUR COMMUNITY.

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042-2946 PROJECT DIRECTOR NAME: LACY SMITH, MD EMAIL ADDRESS: LACY.SMITH@CAHABAMEDICALCARE.COM CONTACT PHONE NUMBERS (VOICE): 205-277-2396 | (FAX): 205-316-7675 WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM NEEDS ADDRESSED CAHABA MEDICAL CARE (CMC) SERVES A PATIENT BASE OF OVER 40,000 INDIVIDUALS, MANY OF WHOM EXPERIENCE HOUSING INSTABILITY, CHRONIC HEALTH ISSUES, AND SIGNIFICANT BARRIERS TO CARE. JEFFERSON COUNTY, ALONGSIDE SEVERAL RURAL COUNTIES IN CENTRAL ALABAMA, HAS A PERSISTENT SHORTAGE OF PRIMARY CARE PROVIDERS, INTENSIFIED BY THE LACK OF CONSISTENT OUTREACH SERVICES FOR THOSE FACING HOMELESSNESS OR LIMITED FINANCIAL RESOURCES. PROPOSED SERVICES BUILDING ON ITS ESTABLISHED FOUR-TRACK, 20-20-20 FAMILY MEDICINE RESIDENCY PROGRAM, CMC WILL EXPAND STREET MEDICINE SERVICES THROUGH AN INTERDISCIPLINARY OUTREACH THAT INCLUDES WEEKLY SHELTER-BASED CARE AND MOBILE OUTREACH TO ENCAMPMENTS. RESIDENTS WILL LEARN TO MANAGE CHRONIC CONDITIONS, PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT, AND COORDINATE WITH SOCIAL WORKERS, BEHAVIORAL HEALTH CONSULTANTS, AND LEGAL PROFESSIONALS THROUGH CMC’S MEDICAL-LEGAL PARTNERSHIP FOR ITS POPULATION OF PATIENTS EXPERIENCING HOMELESSNESS. TRAINING WILL EMPHASIZE CULTURAL HUMILITY, SOCIAL DETERMINANTS OF HEALTH, AND EVIDENCE-BASED APPROACHES TO CARING FOR UNDERSERVED POPULATIONS, SPECIFICALLY THOSE EXPERIENCING HOMELESSNESS, INCLUDING HARM REDUCTION STRATEGIES AND COLLABORATIVE INTERPROFESSIONAL TEAMWORK. POPULATION GROUPS SERVED THIS INITIATIVE PRIMARILY FOCUSES ON ADULTS AND FAMILIES LIVING WITHOUT STABLE HOUSING IN THE JEFFERSON COUNTY SECTION OF CMC’S CATCHMENT AREA. THESE INDIVIDUALS ARE DISPROPORTIONATELY AFFECTED BY CHRONIC ILLNESSES, SUBSTANCE USE, AND SOCIOECONOMIC CONSTRAINTS. MANY LIVE BELOW THE FEDERAL POVERTY LINE, LACK HEALTH INSURANCE, OR RELY ON PUBLICLY FUNDED COVERAGE, MAKING STREET-BASED OUTREACH A CRITICAL ELEMENT OF CARE ACCESS. FUNDING PRIORITY CMC REQUESTS CONSIDERATION FOR RURAL TRAINING PRIORITY, GIVEN ITS EXTENSIVE PRESENCE IN HEALTH PROVIDER SHORTAGE AREAS AND THE INCLUSION OF DEDICATED RURAL TRACKS WITHIN THE RESIDENCY PROGRAM. FUNDING PREFERENCE CMC ALSO REQUESTS A MEDICALLY UNDERSERVED COMMUNITY (MUC) FUNDING PREFERENCE, REFLECTING ITS TRACK RECORD OF PLACING GRADUATES IN UNDERSERVED SETTINGS AND HIGH-NEED REGIONS ACROSS ALABAMA. SUMMARY THIS PROJECT WILL INTEGRATE A DEDICATED STREET MEDICINE CURRICULUM INTO CMC’S FAMILY MEDICINE RESIDENCY PROGRAM, EQUIPPING NEW PHYSICIANS WITH THE SKILLS TO CARE FOR INDIVIDUALS WITHOUT STABLE HOUSING. BY LEVERAGING ROBUST PARTNERSHIPS, INTERPROFESSIONAL TRAINING, AND EVIDENCE-BASED OUTREACH STRATEGIES, CMC WILL BOTH ENHANCE PATIENT OUTCOMES AND BUILD A STRONGER PRIMARY CARE WORKFORCE READY TO SERVE ALABAMA’S MOST VULNERABLE COMMUNITIES.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT TITLE: CAHABA - UAB FAMILY MEDICINE RESIDENCY: INCREASING RESILIENCY IN UNDERSERVED CARE BY FOCUSING ON MASTERY IN CENTRAL ALABAMA APPLICANT ORGANIZATION NAME: CAHABA MEDICAL CARE FOUNDATION ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042 PROJECT DIRECTOR NAME: DR. JOHN B. WAITS, MD, FAAFP CONTACT PHONE NUMBERS (VOICE, FAX): 205-277-2396/205-316-7675 EMAIL ADDRESS: JOHN.WAITS@CAHABAMEDICALCARE.COM WEBSITE ADDRESS, IF APPLICABLE: WWW.CAHABAMEDICALCARE.COM LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION, IF APPLICABLE: THCGME NAME OF THE TRAINING PROGRAM: CAHABA-UAB FAMILY MEDICINE RESIDENCY - RURAL & URBAN TRACK DISCIPLINE OF THE RESIDENCY PROGRAM: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBILITY OF ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CAHABA MEDICAL CARE FOUNDATION (CMC). THERE IS A PARTNERSHIP WITH THE UAB SCHOOL OF MEDICINE FOR EDUCATIONAL PURPOSES. HOWEVER, ALL FISCAL AND OPERATIONAL MANAGEMENT IS HANDLED BY CMC ALONE. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: THE CAHABA - UAB FAMILY MEDICINE RESIDENCY IS AN ACGME-ACCREDITED 16-16-16 -8 FAMILY MEDICINE RESIDENCY WITH FOUR TRACKS SERVING RURAL AND URBAN-UNDERSERVED ALABAMA, UTILIZING A 3-YEAR LONGITUDINAL CURRICULUM (LIC). THE RURAL TRAINING PROGRAM WAS ESTABLISHED IN 2013 AND THE URBAN TRAINING PROGRAM WAS ESTABLISHED IN 2018, WITH THE HIGHLANDS AND FRONTIER PROGRAMS RECENTLY BEING ADDED IN 2022. CMC IS PROPOSING TO FUND THE STUDY OF THE EDUCATIONAL AND GRADUATE OUTCOMES OF COMPREHENSIVE, FULLY INTEGRATED (BUT OPTIONAL) 4-YEAR RESIDENCY TRAINING IN FAMILY MEDICINE. THE GOAL OF THIS INITIATIVE IS NOT TO SIMPLY ADD MORE TIME BUT TO FOCUS ON HOW EXTENDED, TAILORED CURRICULA CAN ACCELERATE THE DEVELOPMENT OF CLINICAL MASTERY AND PROVIDE ADVANCED SKILLS NOT TYPICALLY INCLUDED IN FAMILY MEDICINE RESIDENCY TRAINING THAT ARE NE EDED TO MEET THE CHANGING NEEDS OF SOCIETY. RESIDENTS WILL TRAIN IN ADVANCED COMPETENCIES THAT WILL IMPROVE PATIENT OUTCOMES AND INCREASE THE WORKFORCE OF PRIMARY CARE PHYSICIANS TO MEET THE NEEDS OF UNDERSERVED COMMUNITIES. MAIN PRIMARY TRAINING SITES: CAHABA MEDICAL CARE - CENTREVILLE (BIBB COUNTY, AL) AND CAHABA MEDICAL CARE - WEST END (BIRMINGHAM, JEFFERSON, AL) RURAL AND URBAN UNDERSERVED COMMUNITIES WITH THE MAJORITY OF THE POPULATION LIVING AT OR BELOW THE FEDERAL POVERTY LEVEL. TOTAL FTE POSITION REQUESTED TO BE FUNDED: 8 FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2023-2024: 8 (0-0-0-8) ROTATION SITES: UAB HOSPITAL, 1802 6TH AVENUE SOUTH, BIRMINGHAM, AL 35233. UAB IS A WORLD-RENOWNED MEDICAL SYSTEM AND NATIONALLY RANKED MEDICAL SCHOOL, WITH WHOM WE HAVE A MASTER AFFILIATION AGREEMENT. AS THE TERTIARY CARE CENTER FOR CENTRAL ALABAMA, THE VARIETY AND VOLUME OF CLINICAL EXPERIENCE ARE MAXIMAL, AND THE FACULTY SUPPORT IS SUBSTANTIAL (27 HOSPITALISTS/26 ORTHOPEDISTS). FINALLY, THE EDUCATIONAL IMPACT ON OUR RURAL PRIMARY CARE RESIDENCY IS SUBSTANTIAL BECAUSE THIS PROVIDES BOTH AN URBAN AND A TERTIARY CARE EXPERIENCE. UAB HOSPITAL - HIGHLANDS, 1201 11TH AVENUE SOUTH, BIRMINGHAM, AL 35205. HIGHLANDS IS THE DOWNTOWN BIRMINGHAM 219-BED COMMUNITY HOSPITAL IN THE UAB SYSTEM. IN ADDITION, OUR NEWEST FMP IS IN THE OUTPATIENT PROFESSIONAL TOWER OF THIS HOSPITAL. BIBB MEDICAL CENTER, 208 PIERSON #2918, CENTREVILLE, BIBB COUNTY, AL. BIBB MEDICAL CENTER IS THE PRIMARY ADMITTING HOSPITAL FOR THE CAHABA FAMILY MEDICINE RESIDENCY RURAL TRACK. ADDITIONALLY, THIS IS THE SITE WHERE MOST CONTINUITY DELIVERIES WILL OCCUR FOR RURAL RESIDENTS. UAB MEDICAL WEST HOSPITAL, 995 9TH AVENUE SW, BESSEMER, JEFFERSON COUNTY, AL, IS A MEMBER OF THE UAB HEALTH SYSTEM. THIS HOSPITAL IS A CORE ANCHOR HOSPITAL THAT HOSTS THE ONLY FAMILY MEDICINE INPATIENT SERVICE (FMIS) THAT ALL 4 OF OUR TRACKS (RURAL, URBAN, HIGHLANDS, AND FRONTIER) PARTICIPATE IN, AS WELL AS HOSTING ONE O F OUR 3 LABOR AND DELIVER

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - PROJECT TITLE: INCREASING RESILIENCY IN UNDERSERVED CARE BY FOCUSING ON MASTERY IN ALABAMA’S FRONTIER COUNTIES APPLICANT ORGANIZATION NAME: CAHABA MEDICAL CARE FOUNDATION ADDRESS: 405 BELCHER STREET, CENTREVILLE, AL 35042 PROJECT DIRECTOR NAME: DR. JOHN B. WAITS, MD, FAAFP CONTACT PHONE NUMBERS (VOICE, FAX): 205-277-2396/205-316-7675 EMAIL: JOHN.WAITS@CAHABAMEDICALCARE.COM WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: THCGME NAME OF THE TRAINING PROGRAM: CAHABA-UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK DISCIPLINE: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBILITY OF ENTITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CAHABA MEDICAL CARE FOUNDATION (CMC). THERE IS A PARTNERSHIP WITH THE UAB SCHOOL OF MEDICINE FOR EDUCATIONAL PURPOSES. HOWEVER, ALL FISCAL AND OPERATIONAL MANAGEMENT IS HANDLED BY CMC ALONE. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2022 ORGANIZATION WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM BRIEF OVERVIEW OF THE RESIDENCY PROGRAM: CAHABA - UAB FAMILY MEDICINE RESIDENCY - FRONTIER TRACK IS A SEPARATELY ACGME ACCREDITED 4-4-4 FAMILY MEDICINE RESIDENCY. THE “1+2” RURAL TRAINING TRACK (RTT) “FRONTIER TRACK” WAS RECENTLY FUNDED THROUGH THE FY 2022 THCGME PROGRAM ALLOWING CAHABA MEDICAL CARE FOUNDATION TO BUILD UPON THE ROBUST RESIDENCY INFRASTRUCTURE ALREADY IN PLACE. FOUR INTERNS THAT RECENTLY STARTED IN JULY 2022 ARE CURRENTLY ENGAGED IN THEIR FIRST YEAR OF TRAINING. CMC IS PROPOSING TO FUND THE STUDY OF THE EDUCATIONAL AND GRADUATE OUTCOMES OF COMPREHENSIVE, FULLY INTEGRATED 4-YEAR RESIDENCY TRAINING IN FAMILY MEDICINE. THE GOAL OF THIS INITIATIVE IS NOT TO SIMPLY ADD MORE TIME BUT TO FOCUS ON HOW EXTENDED, TAILORED CURRICULA CAN ACCELERATE THE DEVELOPMENT OF CLINICAL MASTERY AND PROVIDE ADVANCED SKILLS NOT TYPICALLY INCLUDED IN FAMILY MEDICINE RESIDENCY TRAINING THAT ARE NEEDED TO MEET THE CHANGING NEEDS OF SOCIETY. RESIDENTS WILL TRAIN IN ADVANCED COMPETENCIES THAT WILL IMPROVE PATIENT OUTCOMES AND INCREASE THE WORKFORCE OF PRIMARY CARE PHYSICIANS TO MEET THE NEEDS OF UNDERSERVED COMMUNITIES. MAIN PRIMARY TRAINING SITES: CAHABA MEDICAL CARE - MARION (PERRY COUNTY, AL) AND CAHABA MEDICAL CARE - CAMDEN (WILCOX COUNTY, AL), TWO OF THE POOREST AND MOST MEDICALLY UNDERSERVED COUNTIES LOCATED IN THE ALABAMA BLACK BELT REGION. TOTAL FTE POSITION REQUESTED TO BE FUNDED: 4 FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2023-2024: 4 (0-0-0-4) ROTATION SITES: UAB MEDICAL WEST HOSPITAL, 995 9TH AVENUE SW, BESSEMER, JEFFERSON COUNTY, AL, IS A MEMBER OF THE UAB HEALTH SYSTEM. THIS HOSPITAL IS A CORE ANCHOR HOSPITAL THAT HOSTS THE ONLY FAMILY MEDICINE INPATIENT SERVICE (FMIS) THAT ALL 4 OF OUR TRACKS (RURAL, URBAN, HIGHLANDS, AND FRONTIER) PARTICIPATE IN, AS WELL AS HOSTING ONE OF OUR 3 LABOR AND DELIVERIES (L&DS) STAFFED BY ONE OF OUR 10 FAMILY MEDICINE OBSTETRICIANS. THE VARIETY AND VOLUME OF CLINICAL EXPERIENCE ARE APPROPRIATE, AND THE FACULTY SUPPORT IS SUBSTANTIAL. JOHN PAUL JONES HOSPITAL, 317 MCWILLIAMS AVENUE, CAMDEN, WILCOX COUNTY, AL, A 30-BED FACILITY MANAGED BY UAB HEALTH SYSTEM, OFFERS A BROAD SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING EMERGENCY CARE, ACUTE INPATIENT CARE, SWING BED REHABILITATION, LABORATORY, RADIOLOGY, ULTRASONOGRAPHY, MAMMOGRAPHY, AND RESPIRATORY SERVICES.

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - THE CAHABA-UAB RURAL PSYCHIATRY RESIDENCY, A NEW 4-YEAR PROGRAM, AIMS TO ADDRESS THE CRITICAL SHORTAGE OF MENTAL HEALTH PROFESSIONALS IN RURAL, UNDERSERVED COUNTIES IN CENTRAL ALABAMA, INCLUDING BIBB, CHILTON, PERRY, AND WILCOX. UTILIZING A LONGITUDINAL INTEGRATED CURRICULUM (LIC), THE RESIDENCY PROGRAM PROVIDES COMPREHENSIVE PSYCHIATRY AND BEHAVIORAL HEALTH TRAINING THROUGH CAHABA MEDICAL CARE FOUNDATION (CMCF), A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT SERVES A DIVERSE PATIENT POPULATION, PRIMARILY UNINSURED OR UNDERINSURED INDIVIDUALS WITH LIMITED ACCESS TO MENTAL HEALTH SERVICES. THE PROGRAM’S DUAL OBJECTIVES ARE TO DELIVER IMMEDIATE, HIGH-QUALITY MENTAL HEALTH CARE TO THESE COMMUNITIES AND TO ENCOURAGE GRADUATES TO CONTINUE PRACTICING IN SIMILAR UNDERSERVED AREAS ACROSS ALABAMA, ENSURING LONG-TERM HEALTHCARE IMPROVEMENTS. NAME OF THE GRADUATE MEDICAL TRAINING PROGRAM: CAHABA-UAB RURAL PSYCHIATRY RESIDENCY DISCIPLINE OF THE RESIDENCY PROGRAM: PSYCHIATRY TYPE OF APPLICATION: NEW ELIGIBLE ENTITY TYPE: FQHC, CAHABA MEDICAL CARE FOUNDATION OPERATION OF RESIDENCY PROGRAM: OPERATED ALONE BY CMCF YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2025 ORGANIZATION WEBSITE ADDRESS: WWW.CAHABAMEDICALCARE.COM THE PROGRAM IS SPONSORED BY CAHABA MEDICAL CARE FOUNDATION, WHICH HAS SUBMITTED THE APPLICATION FOR ACGME ACCREDITATION. CMCF HAS A STRONG TRACK RECORD IN MEDICAL EDUCATION, HAVING SUCCESSFULLY OPERATED THE CAHABA-UAB FAMILY MEDICINE RESIDENCY SINCE 2013, WITH AN ONGOING COMMITMENT TO HEALTHCARE WORKFORCE DEVELOPMENT IN RURAL AREAS. THE RURAL PSYCHIATRY RESIDENCY WILL BUILD ON THESE ESTABLISHED FOUNDATIONS AND PARTNERSHIPS TO PROVIDE DIVERSE, HIGH-QUALITY TRAINING EXPERIENCES. TOTAL RESIDENT FTE POSITIONS REQUESTED FOR ALL POST-GRADUATE YEARS: 12 (3-3-3-3) RESIDENT FTE POSITIONS REQUESTED FOR THE FIRST AY OF FUNDING (2025-2026): 3 (3-0-0-0) ROTATION SITES: UAB HOSPITAL, BIRMINGHAM, AL: A WORLD-RENOWNED TERTIARY CARE CENTER PROVIDING EXTENSIVE CLINICAL EXPERIENCE AND FACULTY SUPPORT, INTEGRAL TO RESIDENTS' TRAINING. UAB MEDICAL WEST, BESSEMER, AL: CORE HOSPITAL OFFERING FAMILY MEDICINE INPATIENT SERVICE AND LABOR & DELIVERY TRAINING, ESSENTIAL FOR RURAL TRACK RESIDENTS. BIBB MEDICAL CENTER, CENTREVILLE, AL: PRIMARY ADMITTING HOSPITAL FOR RURAL PSYCHIATRY, PROVIDING INPATIENT EMERGENCY EXPERIENCE. CAHABA MEDICAL CARE, CENTREVILLE, AL: FQHC OFFERING DIVERSE RURAL PSYCHIATRY TRAINING AT MULTIPLE CLINICAL SITES, WITH A FOCUS ON INTEGRATED CARE, OUTPATIENT PSYCHIATRY, AND COMMUNITY HEALTH IN UNDERSERVED AREAS. THIS ROBUST TRAINING FRAMEWORK WILL ENSURE THAT GRADUATES ARE WELL-PREPARED TO MEET THE MENTAL HEALTH NEEDS OF RURAL ALABAMA, THEREBY STRENGTHENING THE REGION’S HEALTHCARE INFRASTRUCTURE.

DLT GRANTS - SUBSTANCE USE DISORDER - EDUCATIONAL

FY 2018 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS

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