Christiana Care Health Services Inc

DELAWARE/CHRISTIANA CARE COMMUNITY ONCOLOGY RESEARCH PROGRAM

HEALTH CARE INNOVATION CHALLENGE - BRIDGING THE DIVIDES

RYAN WHITE TITLE III PROGRAM

DELAWARE/CHRISTIANA CARE CCOP

RYAN WHITE TITLE III PROGRAM

WILMINGTON SAME DAY ACCESS - CHRISTIANACARE PROPOSES THE DEVELOPMENT OF THE WILMINGTON SAME DAY ACCESS CLINIC, AN INNOVATIVE COMMUNITY-BASED CARE MODEL DESIGNED TO EXPAND ACCESS TO TIMELY, HIGH-QUALITY PRIMARY CARE WHILE REDUCING UNNECESSARY EMERGENCY DEPARTMENT (ED) UTILIZATION IN WILMINGTON, DELAWARE. LOCATED ADJACENT TO WILMINGTON HOSPITAL, THE CLINIC WILL PROVIDE WALK-IN AND SAME-DAY CARE FOR ADULTS WITH LOW-ACUITY CONDITIONS, OFFERING A MORE APPROPRIATE AND COST-EFFECTIVE ALTERNATIVE TO THE EMERGENCY DEPARTMENT WHILE CREATING A DIRECT PATHWAY TO LONGITUDINAL PRIMARY AND SPECIALTY CARE. THE PROJECT ADDRESSES SIGNIFICANT HEALTHCARE ACCESS CHALLENGES IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA (MUA) SERVING ZIP CODES 19801, 19802, 19804, 19805, AND 19720. CURRENTLY, WILMINGTON HAS NO URGENT CARE OR AFTER-HOURS ACCESS CENTER, RESULTING IN MORE THAN 16,000 ANNUAL LOW-ACUITY ED VISITS. MORE THAN HALF (54%) OF THESE PATIENTS VISITING THE ED LACK AN ASSIGNED PRIMARY CARE PROVIDER. THE AVERAGE WAIT FOR A NEW PRIMARY CARE APPOINTMENT EXCEEDS 56 DAYS, AND MORE THAN 5,000 PATIENTS LEAVE THE ED EACH YEAR WITHOUT RECEIVING TREATMENT. THESE CHALLENGES CONTRIBUTE TO FRAGMENTED CARE, DELAYED DIAGNOSES, INCREASED HEALTHCARE COSTS, AND AVOIDABLE EMERGENCY DEPARTMENT UTILIZATION. THE WILMINGTON SAME DAY ACCESS CLINIC WILL PROVIDE WALK-IN PRIMARY CARE, CHRONIC CONDITION STABILIZATION, PREVENTIVE SERVICES, MEDICATION MANAGEMENT, LABORATORY SERVICES, POINT-OF-CARE TESTING, BASIC IMAGING, VIRTUAL SPECIALTY CONSULTATIONS, AND CARE NAVIGATION. THE CLINIC WILL OPERATE WITH EXTENDED HOURS SEVEN DAYS PER WEEK AND WILL INTEGRATE CLOSELY WITH WILMINGTON HOSPITAL'S EMERGENCY DEPARTMENT. THE SAME DAY ACCESS CLINIC IS AN ADDITIONAL RESOURCE FOR THE COMMUNITY AND ALL INDIVIDUALS WHO COME TO THE ED WILL BE SCREENED AND TREATED CONSISTENT WITH EMTALA. A CORE COMPONENT OF THE MODEL IS CONNECTING PREVIOUSLY UNASSIGNED PATIENTS TO ONGOING PRIMARY CARE, STRENGTHENING CONTINUITY OF CARE AND SUPPORTING BETTER LONG-TERM HEALTH OUTCOMES. FEDERAL FUNDING WILL SUPPORT THE DESIGN AND CONSTRUCTION OF AN APPROXIMATELY 5,000-SQUARE-FOOT FACILITY, INCLUDING EXAM ROOMS, DIAGNOSTIC INFRASTRUCTURE, INFORMATION TECHNOLOGY, TELEHEALTH CAPABILITIES, AND PATIENT-CENTERED WORKFLOW DESIGN. THE CLINIC IS EXPECTED TO SERVE MORE THAN 10,000 ANNUAL VISITS, REDUCE AVOIDABLE ED UTILIZATION, IMPROVE PATIENT EXPERIENCE, INCREASE ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES, AND GENERATE DOWNSTREAM SPECIALTY REFERRALS WHILE KEEPING PATIENTS WITHIN THEIR LOCAL COMMUNITY. THIS PROJECT STRENGTHENS CHRISTIANACARE'S ABILITY TO PROVIDE TIMELY CARE BY CREATING A NEW PRIMARY ACCESS POINT TO CARE, IMPROVING CARE COORDINATION AND STRENGTHENING THE HEALTHCARE INFRASTRUCTURE FOR WILMINGTON RESIDENTS. THE WILMINGTON SAME DAY ACCESS CLINIC REPRESENTS A SUSTAINABLE, SCALABLE MODEL THAT ALIGNS WITH FEDERAL PRIORITIES TO IMPROVE HEALTHCARE ACCESS, REDUCE UNNECESSARY EMERGENCY DEPARTMENT UTILIZATION, ENHANCE CARE DELIVERY, AND STRENGTHEN COMMUNITY HEALTH SERVICES.

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

UMKC-JNMC GLOBAL NETWORK FOR WOMEN'S AND CHILDREN'S HEALTH RESEARCH UNIT

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

RYAN WHITE TITLE IV PROGRAM

A NOVEL DOSE CALCULATION METHOD FOR TARGETED RADIONUCLIDE THERAPY

FOOD IS MEDICINE - A PATHWAY TO HEALTHIER PREGNANCY OUTCOMES

RESIDENCY TRAINING IN PRIMARY CARE

PURPOSE: THE PROJECT FOCUSES ON EXPANDING CHRISTIANACARE GENE EDITING INSTITUTE'S (GEI) LEARNING LAB AT DELAWARE TECHNICAL COMMUNITY COLLEGE (DTCC) IN GEORGETOWN, DELAWARE, AS WELL AS AT GEI. THE FUNDING WILL ALLOW GEI TO DEMYSTIFY GENE EDITING BY BRINGING BREAKTHROUGH TECHNOLOGIES TO COMMUNITIES AND ENABLING THE NEXT GENERATION OF SCIENTISTS. IT AIMS TO ELIMINATE GEOGRAPHICAL RESTRAINTS FOR THE LOCAL COMMUNITY WHILE UPGRADING AND OPTIMIZING THE CURRICULUM AND STUDENT INVESTMENT.ACTIVITIES TO BE PERFORMED: THE PROJECT WILL EXPAND THE HANDS-ON LEARNING LAB CURRICULUM UTILIZING CRISPR AND GENE EDITING TECHNOLOGY TO THE LOWER PART OF THE STATE AT DTCC. FUNDS WILL BE USED TO ASSIST IN THE PHYSICAL IMPLEMENTATION, LOGISTICAL SETUP, AND EXECUTION OF THE LAB FACILITY. EXPECTED OUTCOMES: THE PROJECT EXPECTS TO EXPAND THE FREE, HALF-DAY IMMERSIVE FIELD TRIP MODEL BEYOND NEW CASTLE COUNTY INTO LOWER DELAWARE TO REACH MORE STUDENTS. THIS INITIATIVE WILL CONTRIBUTE TO THE SCIENTIFIC LITERACY OF RURAL COMMUNITIES, GENERATE NEW OPPORTUNITIES FOR STUDENT PARTICIPATION IN CUTTING-EDGE TECHNOLOGY, AND BUILD A STUDENT PIPELINE FOR THE TECHNICAL WORKFORCE. IT WILL ALSO PROVIDE HIGH SCHOOL AND COLLEGE STUDENTS WITH DIRECT EXPERIENCE USING GENE EDITING TECHNOLOGY TO DEMYSTIFY CANCER RESEARCH ACROSS THE STATE.INTENDED BENEFICIARIES: THE PRIMARY BENEFICIARIES ARE TRADITIONAL HIGH SCHOOL AND COLLEGE STUDENTS IN THE RURAL COMMUNITIES OF KENT AND SUSSEX COUNTY, DELAWARE, WHO FACE TRAVEL LIMITATIONS. EDUCATIONAL AUDIENCES, LOCAL EDUCATORS, AND REGIONAL SCHOOLS WILL BENEFIT FROM FREE ACCESS TO THE ADVANCED CRISPR IN A BOX TOOLKIT AND STRUCTURED LABORATORY INFRASTRUCTURE. THE BROADER COMMUNITY AND TECHNICAL INDUSTRIES WILL ALSO BENEFIT FROM A NEWLY GENERATED PIPELINE OF SCIENTIFICALLY LITERATE WORKFORCE CANDIDATES.SUBRECIPIENT ACTIVITIES: THE RECIPIENT DOES NOT INTEND TO SUBAWARD FUNDS.

HEALTHY BEHAVIORS IN WOMEN

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

HEALTH CARE AND OTHER FACILITIES

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - POPULATIONS FACING A HOUSING CRISIS EXPERIENCE MORE BEHAVIORAL AND MEDICAL CONCERNS LEADING TO DOWNSTREAM EFFECTS AND COSTS TO THE HEALTHCARE SYSTEM. WE MUST CREATE A WORKFORCE OF WELL-TRAINED PRIMARY CARE PHYSICIANS PREPARED TO TREAT THIS POPULATION AND ADDRESS THEIR COMPLEX NEEDS. PHYSICIANS WHO TRAIN IN UNDERSERVED AREAS OFTEN CONTINUE TREATING THESE DEMOGRAPHICS THROUGHOUT THEIR CAREER, MAKING THE CHRISTIANACARE FAMILY MEDICINE RESIDENCY PROGRAM (CCFMRP), THE OLDEST AND LARGEST SUCH RESIDENCY IN DELAWARE, PERFECTLY SITUATED TO CONFRONT THIS NEED. IMPLEMENTATION OF A NEW, REQUIRED CURRICULUM WILL PREPARE 42 RESIDENTS PER YEAR TO PROVIDE FULL SPECTRUM STREET MEDICINE CARE BY INCLUDING DIDACTIC SESSIONS FROM BEHAVIORAL HEALTH SPECIALISTS, CULTURAL AND LINGUISTIC COMPETENCY EXPERTS, MEDICAL-LEGAL AID EXPERTS, AND LOCAL HOUSING ALLIANCES. CCFMRP WILL EXPAND EXPERIENTIAL LEARNING, DEVELOP A FOOD ACCESS CURRICULUM FOCUSING ON A POPULATION WITH LIMITED RESOURCES, AND WORK WITH THE FOOD BANK OF DELAWARE AND OUR CHRISTIANACARE FOOD FARMACY COMMUNITY GARDEN. RESIDENTS WILL COMPLETE A PHOTO-VOICE PROJECT TO CAPTURE ASPECTS OF THE COMMUNITY THAT ILLUSTRATE DISPARITIES AND THE IMPORTANCE OF CULTURAL COMPETENCIES AND SOCIAL JUSTICE. RESIDENTS WILL SPEND TIME AT THE NEW CASTLE COUNTY HOPE CENTER (HOPE CENTER), A TRANSITIONAL LIVING FACILITY MANAGED BY CHRISTIANACARE, PROVIDING TEMPORARY HOUSING, WRAP-AROUND SOCIAL SERVICES, CASE MANAGEMENT, AND ON-SITE MEDICAL SERVICES TO THE UNHOUSED POPULATION IN DELAWARE. THE HOPE CENTER IS HOME TO THE FIRST AND ONLY MEDICAL RESPITE PROGRAM IN THE STATE AND SERVES MEDICALLY VULNERABLE PATIENTS EXPERIENCING HOMELESSNESS THAT ARE STABLE TO BE DISCHARGED FROM LOCAL HOSPITALS. THE RESIDENTS WILL ALSO PARTICIPATE IN OUR SUBSTANCE USE DISORDER (SUD) CLINICS PROVIDING FULL SPECTRUM PRIMARY CARE INCLUDING TREATMENT OF SUD WITH MEDICATIONS FOR OPIOID USE DISORDERS. CCFMRP WILL INCREASE THE EXPOSURE AND VARIETY OF ACTIVITIES INCLUDING ACCESS TO OUR MOBILE HEALTH UNIT WHERE PATIENTS RECEIVE HEALTHCARE IN NONTRADITIONAL EASILY ACCESSIBLE SETTINGS. SERVICE LOCATIONS FOR OUR MOBILE UNIT WILL BE DETERMINED THROUGH COLLABORATION WITH COMMUNITY CENTERS AND LOCAL LEADERS, PRIORITIZING HEALTHCARE, AND SOCIAL NEEDS FOR MARGINALIZED POPULATIONS. CCFMRP WILL DEVELOP STREET MEDICINE TEAMS TO REACH HOTSPOT ENCAMPMENTS IDENTIFIED BY COMMUNITIES AND LOCAL ORGANIZATIONS. THE PROGRAM WILL CREATE A LONGITUDINAL EXPERIENCE WITH FRIENDSHIP HOUSE, A LOCAL NON-PROFIT ORGANIZATION FOCUSED ON HOUSING INSECURITY, THAT WILL DEEPEN LEARNERS’ UNDERSTANDING OF THE CHALLENGES FACING PATIENTS EXPERIENCING HOMELESSNESS. RESIDENT EXPERIENCE WILL BE TAILORED TO THEIR LEVEL OF TRAINING FOR ADDITIONAL RESPONSIBILITY THROUGHOUT. RESIDENTS WILL BE PAIRED WITH A MEDICAL-LEGAL EXPERT PROVIDING SERVICES TO ADDRESS HEALTH HARMING SOCIAL NEEDS. THEY WILL LEARN THE INNERWORKINGS OF HOUSING ALLIANCE AGENCIES BY SPENDING TIME IN EMPOWERMENT CENTERS WHERE PATIENTS ARE CONNECTED TO FINANCIAL, SOCIAL, AND BASIC NEED SERVICES TO PROMOTE WELLBEING. RESIDENTS WILL TRAVEL WITH COMMUNITY HEALTH EDUCATORS TO PATIENTS TO PROVIDE CONNECTION TO CRUCIAL SERVICES AND CARE. CCFMRP WILL AMPLIFY EXISTING AND DEVELOP NEW CONNECTIONS TO OUR SURROUNDING COMMUNITY INCLUDING IN OUR SCHOOL-BASED HEALTH CENTERS, COMMUNITY-BASED YOUTH ORGANIZATIONS, YOUTH CORRECTION FACILITIES, GERIATRIC CARE CENTERS AND THE STATE-RUN TUBERCULOSIS CLINIC. THIS PROJECT WILL HELP US ALLOCATE APPROPRIATE RESOURCES, ACCESS PATIENTS FACING HOUSING INSTABILITY AND CONNECT THEM TO OUR CLINICS WHILE HELPING RESIDENTS BETTER UNDERSTAND THE COMMUNITY THEY SERVE. BY UTILIZING NON-TRADITIONAL HEALTHCARE SETTINGS AND MULTIDISCIPLINARY TEAMS, THE RESIDENCY WILL CREATE A PATHWAY FOR RESIDENTS TO DEMONSTRATE PROFICIENCY IN CARING FOR AN UNDERSERVED POPULATION FACING A HOUSING CRISIS. CCFMRP WILL CREATE A WORKFORCE DEDICATED TO THEIR COMMUNITY IN NEED AND PREPARED TO CONTINUE THIS WORK THROUGHOUT THEIR CAREERS.

TROPONIN ELEVATION IN PATIENTS WITH ACUTE CORONARY SYNDROME & DECREASED KIDNEY FU

HEALTH CARE AND OTHER FACILITIES

SCH: INT: COLLABORATIVE RESEARCH: S.E.P.S.I.S.: SEPSIS EARLY PREDICTION SUPPORT IMPLEMENTATION SYSTEM

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

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

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

HEALTH CARE AND OTHER FACILITIES

HEALTH CARE AND OTHER FACILITIES