Mountain Area Health Education Center Inc

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

MAHEC CCBHC TO SERVE WESTERN NORTH CAROLINA

RESIDENCY TRAINING IN PRIMARY CARE

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

ADDICTION MEDICINE FELLOWSHIP

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

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

HEALTH CARE INNOVATION CHALLENGE

ADDICTION MEDICINE FELLOWSHIP - ESTABLISHED IN 2020, THE ACGME-ACCREDITED MAHEC ADDICTION MEDICINE FELLOWSHIP (AMF) ADDRESSES THE CRITICAL NEED FOR ADDICTION SPECIALISTS IN RURAL WESTERN NORTH CAROLINA (WNC), A REGION IN WHICH ALL COUNTIES ARE HRSA-DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). MAHEC’S AMF PROGRAM SEEKS TO ADDRESS A REGIONAL WORKFORCE GAP BY TRAINING FELLOWS IN RURAL SETTINGS. FROM MAHEC’S FAMILY MEDICINE RESIDENCY PROGRAM, 56% OF RESIDENTS WENT ON TO PRACTICE WITHIN 100 MILES OF THEIR RESIDENCY TRAINING SITE POSITIONS, DEMONSTRATING THAT MAHEC IS IN A KEY POSITION TO MAKE A DIFFERENCE IN HEALTH OUTCOMES IN RURAL WNC COMMUNITIES. FIVE OF THE PROGRAM’S EIGHT GRADUATES HAVE REMAINED IN WNC, AND THREE ARE CURRENTLY SERVING IN RURAL AREAS. THIS PROGRAM SUPPORTS MAHEC’S MISSION OF “TRAINING TO SERVE,” EMPHASIZING COMMUNITY-ORIENTED RURAL PRACTICES THAT HELP ADDRESS BARRIERS AND CONCERNS SPECIFIC TO THE MEDICAL CARE LANDSCAPE OF THIS UNDERSERVED REGION. MAHEC’S PATIENT POPULATION IS UNIQUE, AND THE REGION FACES DISTINCT CHALLENGES IN ADDRESSING SUDS AND OPIOID USE DISORDER (OUD). IN RURAL WNC, AN AVERAGE OF 54% OF RESIDENTS REPORT THAT THEIR LIFE HAS BEEN NEGATIVELY AFFECTED BY SUBSTANCE ABUSE, THEIR OWN OR SOMEONE ELSE’S.[2] TO ACCESS TREATMENT, INDIVIDUALS OFTEN MUST TRAVEL TO ASHEVILLE, NC, WHICH CAN BE A TWO TO THREE-HOUR DRIVE ON MOUNTAINOUS RURAL ROADS. MOST FELLOWSHIP ROTATION SITES ARE LOCATED IN BUNCOMBE OR HAYWOOD COUNTIES, WITH MENTAL HEALTH HPSA SCORES OF 17 OR ABOVE, AND AT LEAST ONE ADDITIONAL RURAL GRAHAM COUNTY ROTATION SITE IS EXPECTED IN 2025. AS AN ESTABLISHED AMF PROGRAM, OUR PLAN IS TO MAINTAIN THE PROGRAM FROM OUR ASHEVILLE LOCATION IN COLLABORATION WITH SATELLITE AND RURAL ROTATION SITES, SUPPORTING FOUR FELLOWS OVER FIVE YEARS. TO ACHIEVE THE GOAL OF EXPANDING THE NUMBER OF BOARD-CERTIFIED ADDICTION MEDICINE SPECIALISTS SERVING IN MEDICALLY UNDERSERVED, COMMUNITY-BASED SETTINGS, INCLUDING RURAL AREAS, OUR PROGRAM WILL IMPLEMENT A COMPREHENSIVE, STRUCTURED APPROACH FOCUSED ON THREE KEY OBJECTIVES: 1. INCREASE THE NUMBER OF ADDICTION MEDICINE SPECIALISTS IN MEDICALLY UNDERSERVED AREAS 2. ENHANCE FELLOWS’ ABILITY TO NAVIGATE LEGAL AND SOCIAL SYSTEMS RELATED TO PATIENT CARE 3. INCREASE AWARENESS OF ADDICTION MEDICINE AS A SPECIALTY AND REDUCE PROVIDER STIGMA TO ENSURE COMPLIANCE WITH PROGRAM REQUIREMENTS, GRANT ACTIVITIES, AND DELIVERABLES, THE AMF PROGRAM DIRECTOR, DR. NATHAN MULLINS, WILL DEDICATE 20 PERCENT OF HIS TIME TO THIS PROGRAM. THE CORE ELEMENTS OF OUR WORK PLAN INCLUDE CONSISTENT REPORTING TO THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AND THE SPONSORING INSTITUTION TO ENSURE COMPLIANCE WITH ACCREDITATION STANDARDS. THE PROGRAM MUST MAINTAIN ACCREDITATION BY MEETING OR EXCEEDING THESE STANDARDS, WHICH REQUIRES REGULAR EVALUATION AND QUALITY IMPROVEMENT EFFORTS THROUGH OUR GME STRUCTURE AND PROGRAM EVALUATION COMMITTEES.

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

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

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - ADDRESS: 121 HENDERSONVILLE ROAD ASHEVILLE, NC 28803 PROJECT DIRECTOR: BILL GIST, MD CONTACT PHONE NUMBERS (VOICE, FAX): VOICE: 828-257-4769; FAX: 828-258-2097 EMAIL ADDRESS: LIZZIE.SMITH@MAHEC.NET WEBSITE: WWW.MAHEC.NET FUNDING PREFERENCE: HPSA AND MUC NAME OF TRAINING PROGRAM: MOUNTAIN AREA HEALTH EDUCATION AREA, INC. OB/GYN RESIDENCY PROGRAM (501C3) DISCIPLINE OF THE RESIDENCY PROGRAM: OBSTETRICS AND GYNECOLOGY TYPE OF APPLICATION: NEW THCGME APPLICANT FOR OB/GYN NAME OF COMMUNITY-BASED AMBULATORY PATIENT CENTER: MOUNTAIN AREA HEALTH EDUCATION CENTER (MAHEC) FIRST DATE FOR RESIDENTS: JANUARY 16TH, 1992 WEBSITE: WWW.MAHEC.NET REQUESTED AWARD AMOUNT: 4 (1 PER YEAR X 4 YEARS OF TRAINING) FTE RESIDENTS, $1.6 MILLION FTE POSITIONS REQUESTED FOR AY 2022-2023: 1 (1-0-0-0) ROTATION SITES: ALL HOSPITAL ROTATION SITES HAVE PREVIOUSLY PROVIDED RESIDENT TRAINING THE MOUNTAIN AREA HEALTH EDUCATION CENTER (MAHEC) IS AN INTEGRAL PART OF THE WESTERN NORTH CAROLINA COMMUNITY AND IS A CRITICAL RESOURCE FOR IMPROVING HEALTHCARE IN THE MOUNTAIN REGION. IN RESPONSE TO WIDENING MATERNAL INEQUITIES AND MORE LIMITED ACCESS TO OBSTETRIC AND GYNECOLOGIC SERVICES IN OUR RURAL REGION, WE PLAN TO ESTABLISH THE FIRST OB/GYN TEACHING HEALTH CENTER IN NORTH CAROLINA. AS THE REGIONAL SAFETY-NET MATERNAL COMMUNITY-BASED AMBULATORY PATIENT CARE PROVIDER, WE PROVIDE THE OPTIMAL LEARNING ENVIRONMENT FOR EXPANDED OBSTETRIC AND GYNECOLOGIC TRAINING. LOCATED IN BUNCOMBE COUNTY, NORTH CAROLINA, WITH SURROUNDING COMMUNITY-BASED AMBULATORY PATIENT CENTERS IN RURAL TRANSYLVANIA AND HAYWOOD COUNTIES, MAHEC OB/GYN SERVES THE POPULATION OF THE ENTIRE 16 COUNTY REGION OF WNC. OUR MISSION IS TO PROVIDE SPECIALIZED OBSTETRIC AND GYNECOLOGIC CARE TO THE WOMEN OF WESTERN NORTH CAROLINA THROUGH COMPASSIONATE, PATIENT-CENTERED SERVICES AND COMPREHENSIVE EDUCATION OF HEALTHCARE PROVIDERS. WE PROVIDE THIS CARE TO THE REGION'S MOST VULNERABLE AND UNDERSERVED POPULATION. BUILDING ON AN A LREADY ESTABLISHED CURRICULUM IN UNDER-RESOURCED SETTINGS, THE MAHEC OB/GYN RESIDENCY PROGRAM WILL DIRECTLY IMPROVE ACCESS AND RESULT IN ADDITIONAL MATERNAL SERVICES TO RURAL AND UNDERSERVED POPULATIONS. THE MAHEC OB/GYN RESIDENCY PROGRAM IS UNIQUELY POSITIONED TO CONTRIBUTE TO THE TRAINING OF MATERNAL CARE PROVIDERS IN UNDERSERVED SETTINGS. AS A PROGRAM THAT COUPLES A PLACE-BASED COMMUNITY EDUCATION WITH ACADEMIC OPPORTUNITIES, MAHEC PROVIDERS HAVE A LONG-STANDING TRACK RECORD OF EXCEEDING NATIONAL RURAL PLACEMENT RATES. OUR CURRICULUM IS ROOTED IN THE TEAM-BASED CARE MODEL THAT BEST EQUIPS FUTURE PROVIDERS TO RESPOND TO THE INEQUITABLE HEALTH OUTCOMES GAP IN RURAL WESTERN NORTH CAROLINA (WNC).

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - TRAINING PROGRAM NAME: MAHEC HENDERSONVILLE TEACHING HEALTH CENTER (MH THC) TRAINING PROGRAM DISCIPLINE: FAMILY MEDICINE TYPE OF APPLICATION: EXPANSION ELIGIBLE ENTITY TYPE: GME CONSORTIUM: COMMUNITY-BASED AMBULATORY CARE CENTERS (OPERATED BY BLUE RIDGE COMMUNITY HEALTH SERVICES), IN CONSORTIUM WITH INPATIENT TRAINING (PARDEE HOSPITAL) AND A SPONSORING TRAINING INSTITUTION (MOUNTAIN AREA HEALTH EDUCATION CENTER). YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS: 2013 ORGANIZATION WEBSITE ADDRESS: HTTPS://MAHEC.NET TOTAL RESIDENT FTE REQUESTED FOR ALL YEARS: 3 FTE (1-1-1) RESIDENT FTE REQUESTED FOR AY: 2022-2023: 1 FTE (1-0-0) OVERVIEW: ESTABLISHED IN 2013, THE ACGME ACCREDITED MAHEC HENDERSONVILLE TEACHING HEALTH CENTER (MH THC) MISSION IS TO TRAIN SUPERIOR FAMILY PHYSICIANS FOR COMMUNITY-ORIENTED RURAL PRACTICES IN WESTERN NORTH CAROLINA AND SERVE AS A CATALYST FOR IMPROVING QUALITY AND ACCESS TO PRIMARY CARE IN OUR REGION. BUILDING UPON THE SUCCESSFUL WORK OF MH THC, THE RESIDENCY PROGRAM WILL CONTINUE TO STRENGTHEN THE GME CONSORTIUM AMONG MOUNTAIN AREA HEALTH EDUCATION CENTER, INC. (MAHEC) AS THE SPONSORING INSTITUTION, BLUE RIDGE COMMUNITY HEALTH SERVICES (BRCHS) PROVIDING AMBULATORY TRAINING AT TWO CLINICAL SITES, AND INPATIENT TRAINING AT PARDEE HOSPITAL. WESTERN NORTH CAROLINA (WNC) ENCOMPASSES 16 COUNTIES IN SOUTHERN APPALACHIA AND IS HOME TO 879,692 PEOPLE, 45% OF WHOM RESIDE IN RURAL AREAS. THIS MOUNTAINOUS REGION FACES COMPLEX AND INTERWOVEN CHALLENGES THAT LIMIT ACCESS TO PRIMARY CARE, DISEASE PREVENTION, AND CHRONIC DISEASE MANAGEMENT, INCLUDING SIZEABLE ECONOMIC INEQUITIES AND A GROWING POPULATION COUPLED WITH A SHRINKING POOL OF PRIMARY CARE PHYSICIANS. IN HENDERSON COUNTY, THE LOCATION FOR THE TRAINING SITES FOR THIS PROGRAM, A LARGE GERIATRIC POPULATION (26% OF THE COUNTY POPULATION OLDER THAN 65 YEARS IN 2019) AND A GROWING HISPANIC/LATINX POPULATION (AN INCREASE FROM 9.8% TO 12.9% OF THE POPULATION FROM 2010 TO 2020) , BOTH R EQUIRE ADDITIONAL RESOURCES FOR CHRONIC DISEASE MANAGEMENT WITH CONTINUED AGING. THE MH THC FAMILY MEDICINE RESIDENCY PROGRAM USES A CLINIC FIRST TRAINING MODEL TO PREPARE RESIDENTS FOR COMMUNITY-ENGAGED, LONGITUDINAL PRACTICE WITH VULNERABLE POPULATIONS IN WNC. WE SEEK TO EXPAND THE FAMILY MEDICINE RESIDENCY WITHIN THE MH THC BY 1 RESIDENT FTE BEGINNING IN AY 2022-2023, THEREBY EXPANDING OUR CAPACITY TO SERVE PATIENTS IN WNC AND STRENGTHENING OUR POSITIVE IMPACT ON ITS FUTURE HEALTH.

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

RESIDENCY TRAINING IN PRIMARY CARE

DENTAL FACULTY LOAN REPAYMENT

PRIMARY CARE

CAREER & TECHNICAL EDUCATION

HEALTH PROMOTION/DISEASE PREVENTION

HEALTH EDUCATION