El Rio Santa Cruz Neighborhood Health Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

OP EARLY INTERVENTION SVCS W/RESPECT TO HIV DISEASE

HEALTH CENTER PROGRAM - TYPE 7

CAPITAL DEVELOPMENT

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

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH HOME HOPE (H3) PROJECT

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

OPTIMIZING VIRTUAL CARE

EL RIO HEALTH - HEALTH, HOME, HOPE (H3) PROJECT - THE PURPOSE OF THE HEALTH, HOME, HOPE (H3) PROJECT IS TO END THE CYCLE OF HOMELESSNESS FOR HOUSEHOLDS CURRENTLY EXPERIENCING LONG TERM UNSHELTERED HOMELESSNESS IN TUCSON AND PIMA COUNTY THROUGH THE EXPANSION, INTEGRATION, AND COORDINATION OF LOCAL COMMUNITY BH, PHYSICAL HEALTH AND HOUSING SUPPORT SYSTEMS. WE WILL PROVIDE BH AND OTHER RECOVERY-ORIENTED SERVICES TO THOSE EXPERIENCING LONG-TERM UNSHELTERED HOMELESSNESS THROUGH (1) INTENSIVE STREET OUTREACH, (2) NAVIGATION DESIGNED TO RAPIDLY CONNECT INDIVIDUALS WITH SUBSTANCE USE DISORDER AND OR COD TO MAINSTREAM TREATMENT AND RECOVERY SERVICES INCLUDING MAT, AND (3) COORDINATE HOUSING AND SERVICES THAT SUPPORT SUSTAINED RECOVERY AND WELLNESS WITHIN PERMANENT HOUSING. OUR GOAL IS TO MOVE 150 OF THE MOST VULNERABLE UNSHELTERED HOMELESS INDIVIDUALS INTO PERMANENT SUPPORTIVE HOUSING, WHILE INCREASING THEIR WELLNESS, TO INCLUDE THEIR ABILITY TO MANAGE THEIR ADDICTIONS, MENTAL HEALTH SYMPTOMS, AND ACUTE AND CHRONIC PHYSICAL CONDITIONS. THIS WILL BE ACCOMPLISHED THROUGH A CONTINUATION OF THE EXISTING EL RIO/OPCS OUTREACH TEAMS, AN INTEGRATED MULTIDISCIPLINARY COMMUNITY TEAM, INCLUDING A FNP, MEDICAL ASSISTANT, CARE COORDINATOR, NAVIGATOR, AND PEER GUIDE; MAKING BIDIRECTIONAL REFERRALS BETWEEN OPCS AND THE EL RIO SPECIALTY BH TEAM (MD/PSYCHIATRIST, BH PROFESSIONALS, AND BH CMS); AND COORDINATING THE PROVISION OF MAINSTREAM SERVICES THROUGH COLLABORATION WITH EMERGENCY SHELTER PROVIDERS. THIS TEAM WILL INITIATE APPROXIMATELY 200 CONTACTS WITH UNSHELTERED HOMELESS INDIVIDUALS EACH YEAR, OFFERING NON-EMERGENCY MEDICAL ASSISTANCE, SCREENING FOR THE PRESENCE OF ADDICTION AND MENTAL HEALTH CONCERNS, SA/COD TREATMENT AND MEDICATION MONITORING/ MAT, AND IMMEDIATE ENROLLMENT INTO MAINSTREAM BENEFITS, SUCH AS MEDICAID, TANF, AND SNAP. THIS INITIAL INTERACTION WILL BE FACILITATED BY A CERTIFIED PEER GUIDE WHO WAS RECENTLY HOMELESS FROM THIS SAME GEOGRAPHICAL AREA. ALL STAFF WILL BE GUIDED BY MOTIVATIONAL INTERVIEWING AND TRAUMA INFORMED PRACTICES. ADDITIONALLY, WE WILL PROVIDE INTENSIVE NAVIGATION ASSISTANCE TO A MINIMUM OF 50 INDIVIDUALS PER YEAR, TO INCLUDE SAME-DAY TRANSPORTATION TO BENEFITS OFFICES, ENROLLMENT/INTAKE OFFICES OF MENTAL HEALTH PROVIDERS, NON-EMERGENCY MEDICAL AND BH APPOINTMENTS, AND APPOINTMENTS WITH POTENTIAL LANDLORDS. THIS NAVIGATION ASSISTANCE WILL INCLUDE ASSISTANCE WITH COMPLETION OF DOCUMENTATION AND APPLICATIONS NEEDED TO GAIN HOUSING, BENEFITS, AND TREATMENT FOR MENTAL HEALTH, ADDICTION, AND PHYSICAL HEALTH CONDITIONS. THIS WILL RESULT IN 30 INDIVIDUALS ENTERING PERMANENT HOUSING PER YEAR, OR A TOTAL OF 150 PERSONS OVER THE FIVE-YEAR PERIOD. A MINIMUM OF 50 PATIENTS PER YEAR WILL BE SEEN FOR MEDICAL AND MH SERVICES FOR A TOTAL OF 250 OVER 5 YEARS. AS A RESULT, AT FOLLOW-UP, WE EXPECT 45% OF PARTICIPANTS TO EXPERIENCE A REDUCTION IN DAYS USING DRUGS OR ALCOHOL, 50% A REDUCTION IN CRIMINAL ACTIVITY, 75% INCREASE IN SOCIAL CONNECTEDNESS, 50% REDUCTION IN EMERGENCY ROOM USAGE, AND A 50% INCREASE IN INCOME FROM ALL SOURCES, WHICH IS BASED ON OUR PREVIOUS 4+ YEARS OF SIMILAR WORK. THE PROJECT WILL BE LED PROGRAMMATICALLY BY THE PROJECT DIRECTOR (PD) WITH ASSISTANCE FROM LEADERSHIP AT BOTH EL RIO AND OPCS, AND OUR EVALUATOR, THE UA SIROW. THE INTEGRATED PROJECT TEAM WILL MEET QUARTERLY TO REVIEW PROGRESS TOWARD OUR HOUSING GOALS, ENGAGEMENT IN ADDICTION, MENTAL HEALTH, AND PHYSICAL WELLNESS SUPPORTS, AS WELL AS OUR GENERAL IMPACT ON UNSHELTERED HOMELESSNESS IN TUCSON AND PIMA COUNTY, AND TO REVIEW ALL THE DATA COLLECTED FROM PARTICIPANTS.

COMMUNITY HEALTH WORKER TRAINING PROGRAM - APPLICANT: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. 839 W. CONGRESS STREET, TUCSON, ARIZONA 85745 PROJECT DIRECTOR: NANCY JOHNSON, PHD, RN PHONE: (520) 309-2012; NANCYJ@ELRIO.ORG WEBSITE: HTTP://WWW.ELRIO.ORG AMOUNT OF CHWTP FUNDING REQUESTED: $2,400,687.10 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. (DBA EL RIO, EL RIO HEALTH) AS THE LEAD AGENCY, AND PIMA COMMUNITY COLLEGE (PCC), AS A SUBCONTRACTOR, PLAN TO DEVELOP AND IMPLEMENT A COMMUNITY HEALTH WORKER TRAINING PROGRAM (CHWTP) IN PIMA COUNTY, ARIZONA. PIMA COUNTY IS THE 2ND LARGEST COUNTY IN ARIZONA BY POPULATION (1.04 MILLION RESIDENTS), LOCATED IN THE SOUTHERNMOST PART OF THE STATE BORDERING MEXICO, INCLUDING THE TOHONO O’ODHAM NATION AND PASCUA YAQUI TRIBE LANDS. ACCORDING TO THE CDC SOCIAL VULNERABILITY INDEX (SVI), PIMA COUNTY ARIZONA HAS AN OVERALL SVI SCORE OF 0.88, INDICATING A HIGH LEVEL OF VULNERABILITY. EACH OF THE FOUR (4) THEMES SCORED BY THE SVI ARE OVER 0.50 FOR PIMA COUNTY: 0.6061 SOCIOECONOMIC STATUS; 0.5689 HOUSEHOLD COMPOSITION & DISABILITY; 0.9277 MINORITY STATUS & LANGUAGE; AND 0.9825 HOUSING TYPE & TRANSPORTATION. GIVEN THE NEEDS IN OUR COMMUNITY AND THE WORKFORCE SHORTAGE FOR CHW, THE GOALS OF OUR PROPOSED CHW TRAINING PROGRAM (CHWTP) IN PARTNERSHIP WITH PIMA COMMUNITY COLLEGE (PCC) INCLUDE THE FOLLOWING: - EXPAND THE PUBLIC HEALTH WORKFORCE BY TRAINING NEW AND EXISTING CHWS AND HEALTH SUPPORT WORKERS WITH SPECIALIZED TRAINING AND FINANCIAL SUPPORT TO OFFSET EXPENSES THAT WOULD IMPEDE SUCCESS IN TRAINING. THE PROGRAM’S GOAL IS TO PROVIDE TRAINING SO THAT 75% OF PARTICIPANTS BECOME NEWLY CREDENTIALED CHWS AND HEALTH SUPPORT WORKERS (180 TRAINEES TOTAL). - EXTEND AND UPSKILL THE PUBLIC HEALTH WORKFORCE BY DEVELOPING NEW OR ENHANCING EXISTING CURRICULUMS TO INCREASE THE SKILLS AND COMPETENCIES OF EXISTING CHWS AND HEALTH S UPPORT WORKERS (50 TRAINEES TOTAL). - INCREASE CHW AND HEALTH SUPPORT WORKER EMPLOYMENT READINESS THROUGH FIELD PLACEMENTS AND APPRENTICESHIPS DEVELOPED IN COLLABORATION WITH A NETWORK OF PARTNERSHIPS THAT WILL ENABLE TRAINEES TO RESPOND TO AND SUPPORT ESSENTIAL PUBLIC HEALTH SERVICES AND PROVIDE THEM WITH EMPLOYMENT OPPORTUNITIES (46 APPRENTICES TOTAL). - ADVANCE HEALTH EQUITY AND SUPPORT FOR UNDERSERVED COMMUNITIES BY INCREASING THE NUMBER OF CHWS AND HEALTH SUPPORT WORKERS THAT ARE EMPLOYED AS INTEGRAL MEMBERS OF INTEGRATED CARE TEAMS THAT USE THEIR EXPANDED SKILLS TO REDUCE HEALTH DISPARITIES. THE TOTAL NUMBER OF UNDUPLICATED INDIVIDUALS TO BE SERVED BY THIS CHWTP PROPOSAL IS 230 OVER THE COURSE OF THE 3-YEAR PROJECT PERIOD. RECRUITMENT OF NEW CHW TRAINEES WILL OCCUR IN ALL AREAS OF OUR COMMUNITY IDENTIFIED AS UNDERSERVED AND/OR VULNERABLE. CURRICULUM TAUGHT AT PCC IN THE WORKFORCE DEVELOPMENT ARENA ADDRESSES COMMUNICATION SKILLS, DIVERSITY, SDOH, POLICY, COMMUNITY ASSESSMENT, BASIC PREVENTIVE SCREENINGS, VULNERABLE POPULATIONS, SOME CHRONIC DISEASES, AND HEALTH LITERACY. PCC PLANS TO EXPAND ON THIS AND WILL DEVELOP A CHW CERTIFICATE PROGRAM WITH A CURRICULUM FOCUSED ON HOLISTIC TRAINING INCORPORATING THE FOLLOWING: ALL REQUIRED COMPETENCIES INCLUDING TEAM-BASED CARE, DIGITAL LITERACY, CULTURAL COMPETENCIES, HEALTH EQUITY AND SDOH, PUBLIC HEALTH PRINCIPLES INCLUDING PANDEMIC RESPONSE AND COVID-RELATED OUTREACH AND VACCINE HESITANCY, COMMUNICATION AND CRITICAL THINKING AND JOB-READINESS SKILLS. BOTH PARTNERS HAVE PROVEN EXPERIENCES IN COLLABORATING WITH AND CONVENING EMPLOYER DRIVEN STAKEHOLDER GROUPS AND WILL WORK TO CREATE ADDITIONAL NEW APPRENTICESHIP SITES WITH THE FOUR REGIONAL FQHC, THE LOCAL COMMUNITY FOOD BANK, PCHD, AND VARIOUS BEHAVIORAL HEALTH, HOUSING, AND SOCIAL SERVICE AGENCIES SERVING VULNERABLE AND UNDERSERVED POPULATIONS. THE PROJECT WILL BE PROVIDING QUARTERLY UPDATES TO A NEWLY CREATED COMMUNITY COUNCIL REGARDING PROGRESS WI

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH CENTER INFRASTRUCTURE SUPPORT

PROJECT EXCEL (EXPANDED CARE FOR ENHANCED LIVING)

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE PURPOSE OF THE EL RIO HEALTH BEHAVIORAL HEALTH EXPANSION PROJECT FOR PEOPLE EXPERIENCING HOMELESSNESS IS TO PROVIDE HIGH QUALITY, COMPASSIONATE, AND COORDINATED CARE TO PEOPLE EXPERIENCING HOMELESSNESS, SUBSTANCE USE DISORDERS (SUD), AND OTHER CO-OCCURRING DISORDERS (COD) IN PIMA COUNTY, ARIZONA WORKING IN COLLABORATION WITH STREET MEDICINE OUTREACH TEAMS. EL RIO HEALTH WILL EXPAND OUR INTEGRATIVE CONSULTATIVE SERVICES TO THE COMMUNITY USING BOTH OUR INTEGRATED BEHAVIORAL HEALTH (IBH) AND SPECIALTY BEHAVIORAL HEALTH (SBH) TEAMS OFFERING BEHAVIORAL HEALTH SERVICES, MEDICATIONS FOR OPIOID USE DISORDER (MOUD) AND ADDICTION SERVICES. PATIENTS WILL BE PROVIDED INTEGRATED, PATIENT-CENTERED CARE, BY A TEAM WHO COMMITS TO MEETING THEM WHERE THEY ARE, PROMOTING RESILIENCY, RECOVERY, AND SAFETY, AND TRAUMA INFORMED CARE. EL RIO CURRENTLY PROVIDES PRIMARY CARE TO 1 IN 8 TUCSONANS, BH SERVICES TO 13,548 ADULT PATIENTS ANNUALLY, SUD SERVICES TO 197 PATIENTS, AND 11% OF PATIENTS IDENTIFY AS BEING AT RISK FOR OR CURRENTLY EXPERIENCING HOMELESSNESS (N=13,848) (UDS 2023). BETWEEN 2015-2019, THE OVERDOSE MORTALITY RATE IN PIMA COUNTY WAS 37.8 (DEATHS PER 100,000 POPULATION AGES 15-64), AND IN 2020, THERE WERE 446 OVERDOSE DEATHS IN THE COUNTY, OVER TWICE THE RATE IT WAS BACK IN 2011. FENTANYL ACCOUNTED FOR 28% OF OVERDOSE DEATHS IN 2020 AND IS THE LEADING CAUSE OF DEATH FOR YOUNG ADULTS UNDER AGE 19 (3.8% OF OVERDOSES IN 2020). OUR GOAL IS TO EXPAND OUR BH AND SUD SERVICES FOR PEOPLE EXPERIENCING HOMELESSNESS BY WORKING WITH OUR EXISTING PRIMARY CARE STREET MEDICINE OUTREACH TEAMS (FAMILY NURSE PRACTITIONER, MEDICAL ASSISTANT, CARE COORDINATOR, AND BH CONSULTANT), AND TO PROVIDE THEM WITH COMPREHENSIVE TRAUMA-INFORMED CARE THAT CONSIDERS THEIR SUD STATUS AND BARRIERS TO CARE. WE ENVISION A MODEL THAT ALLOWS A PATIENT TO RECEIVE SEAMLESS INTEGRATED CARE FROM THEIR TREATMENT TEAM, STARTING WITH INITIAL ENGAGEMENT, BUILDING RAPPORT, AND PROVIDING PRIMARY CAR E AND BH SERVICES IN THE COMMUNITY, AT HOMELESS ENCAMPMENTS, ON THE STREETS, IN SHELTERS, AND IN OTHER LOCATIONS. OUR MOUD, FAMILY MEDICINE, STREET OUTREACH, PHARMACY, LABORATORY, NURSING, HEALTH INSURANCE AND COMMUNITY RESOURCES, EXTERNAL HOUSING PARTNERS, AND SBH TEAM ALL WORK COLLABORATIVELY FOR PATIENT CARE COORDINATION AND TREATMENT PLANNING. PATIENTS WILL RECEIVE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT), ACE SURVEY (ADULT CHILDHOOD EXPERIENCES), PHQ 2/9 DEPRESSION SCREENINGS, AND THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS), AT THE POINT OF CARE DURING THEIR PRIMARY CARE APPOINTMENT WITH THEIR EL RIO HEALTH STREET MEDICINE CLINICIAN. ALL POSITIVE SCREENS FOR BH/SUD ISSUES THAT INDICATE CLINICALLY SIGNIFICANT FINDINGS WILL BE REFERRED TO THE BHC FOR FURTHER EVALUATION AND REFERRED TO SBH FOR INTAKE AND SERVICES. BASED ON THIS INITIAL INTAKE, THE PATIENT WILL BE QUICKLY CONNECTED TO FOLLOW UP WITH A MOUD CLINICIAN (PRIMARY CARE OR PSYCHIATRIC DEPENDING ON INDIVIDUAL NEEDS AND PREFERENCES) AND WILL HAVE ONGOING CASE MANAGEMENT SERVICES THROUGHOUT THE DURATION OF THEIR TREATMENT WITH EL RIO. OUR MH-SUD PROGRAM WILL PRIMARILY BE HOUSED AT OUR GRANT HEALTH CENTER SITE AND WILL INCLUDE TWO (2) PSYCHIATRISTS (ONE AS MEDICAL DIRECTOR/PROJECT DIRECTOR), (2) BH CM (2) PEER RECOVERY SUPPORT SPECIALISTS (PRSS), AND LICENSED BEHAVIORAL HEALTH PROFESSIONAL (BHP). TOGETHER, THEY WILL PROVIDE MEDICAL, BH AND ADDICTION MEDICINE CARE, MOUD SERVICES, AND PATIENT EDUCATION. BH CASE MANAGERS AND PRSS WILL ALSO SUPPORT INDIVIDUALS REFERRED FOR SUD/COD SCREENING, TREATMENT, AND FOLLOW-UP BH/SUD CARE. OVERSIGHT WILL BE PROVIDED BY THE PROJECT DIRECTOR/MEDICAL DIRECTOR, CHIEF OF BEHAVIORAL HEALTH AND INTEGRATION, BH CLINICAL DIRECTOR, CHIEF OF GRANTS AND RESEARCH, AND SENIOR ACCOUNTANT.

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - TYPE 7.

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

CAPITAL DEVELOPMENT

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

RADIATION EXPOSURE SCREENING AND EDUCATION PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - 1. NAME OF THE TRAINING PROGRAM - EL RIO HEALTH PSYCHIATRY RESIDENCY PROGRAM 2. DISCIPLINE OF THE RESIDENCY PROGRAM - PSYCHIATRY 3. TYPE OF APPLICATION - NEW OR CONTINUATION - NEW 4. ELIGIBLE ENTITY TYPE - FEDERALLY QUALIFIED HEALTH CENTER. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022, AND WILL SERVE AS BOTH THE SI AND THE HEALTH CENTER (HC) WHERE THE RESIDENCY CONTINUITY PRACTICE WILL BE LOCATED. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS - ESTIMATED JULY 2025 6. ORGANIZATION WEBSITE ADDRESS: HTTPS://ELRIO.ORG/CAREERS/TEACHING-HEALTH-CENTER/PSYCHIATRY-RESIDENCY-PROGRAM/ PSYCHIATRY RESIDENCY PROGRAM - EL RIO HEALTH 7. A BRIEF OVERVIEW OF THE RESIDENCY PROGRAM THAT INCLUDES THE NAME OF THE ACCREDITED SPONSORING INSTITUTION AND DESCRIPTION OF THE MAIN PRIMARY CARE TRAINING LOCATION INCLUDING POPULATIONS SERVED. THE EL RIO HEALTH PSYCHIATRY RESIDENCY PROGRAM RECEIVED INITIAL ACGME ACCREDITATION FEBRUARY 9, 2024. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022. EL RIO CLINICS WILL BE THE PRIMARY TRAINING LOCATION; PROGRAM LETTERS OF AGREEMENT (PLAS) HAVE BEEN SIGNED FOR OTHER CLINICAL ROTATION SITES. THE PSYCHIATRY RESIDENCY PROGRAM AT EL RIO HEALTH STRIVES TO PROVIDE A COMPREHENSIVE EDUCATIONAL EXPERIENCE THAT INTEGRATES CLINICAL EXCELLENCE, RESEARCH, ADVOCACY, AND COMMUNITY ENGAGEMENT TO ADDRESS THE MENTAL HEALTH NEEDS OF UNDERSERVED COMMUNITIES. OUR PROGRAM AIMS TO PRODUCE PSYCHIATRISTS WHO ARE COMMITTED TO PROVIDING HIGH-QUALITY PATIENT CARE, ADVANCING THE FIELD THROUGH RESEARCH AND SCHOLARLY ACTIVITY, AND PROMOTING MENTAL HEALTH EQUITY. AS AN FQHC, WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, CULTURALLY COMPETENT CARE TO ALL OUR PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. OUR PROGRAM’S MISSION ALIGNS WITH THE LARGER MISSION OF EL RIO HEALTH, WHICH IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO AFFORDABLE, COMPREHENSIVE, AND QUALITY HEALTHCARE. THE PSYCHIATRY RESIDENCY PROGRAM HOPES TO TRAIN PHYSICIANS WHO WILL PROMOTE THE ADVANCEMENT OF HIGH-VALUE CARE THROUGH SCHOLARLY WORK AND LIFELONG LEARNING AND SERVE AS FUTURE LEADERS IN THE FIELD OF PSYCHIATRIC MEDICINE. DURING THEIR 4 YEARS OF TRAINING, RESIDENTS WILL TRAIN IN INPATIENT PSYCHIATRY, CL PSYCHIATRY, GERIATRIC PSYCHIATRY, ADDICTION PSYCHIATRY, CHILD AND ADOLESCENT PSYCHIATRY, INTERVENTIONAL PSYCHIATRY, OUTPATIENT PSYCHIATRY, PRIMARY CARE, NEUROLOGY, EMERGENCY MEDICINE, AND INTERNAL MEDICINE. 8. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING. 40 FTE (4-4-4-4) - 4 RESIDENTS PER CLASS ACROSS 4 YEARS OF TRAINING. 9. FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR THE FIRST AY OF FUNDING (AY 2025-2026). 4-0-0-0 10. 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. THE RESIDENTS WILL PERFORM ROTATIONS AT TUCSON MEDICAL CENTER AND EL DORADO SPRINGS HOSPITALS. TMC HAS PROVIDED RESIDENCY ROTATIONS TO OTHER LEARNERS, BUT NOT FOR THIS RESIDENCY PROGRAM.

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - 1. NAME OF THE TRAINING PROGRAM - EL RIO HEALTH FAMILY MEDICINE RESIDENCY PROGRAM 2. DISCIPLINE OF THE RESIDENCY PROGRAM - FAMILY MEDICINE 3. TYPE OF APPLICATION - NEW OR CONTINUATION - NEW 4. ELIGIBLE ENTITY TYPE - FEDERALLY QUALIFIED HEALTH CENTER. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022, AND WILL SERVE AS BOTH THE SI AND THE HEALTH CENTER (HC) WHERE THE RESIDENCY CONTINUITY PRACTICE WILL BE LOCATED. 5. YEAR PROGRAM FIRST BEGAN TRAINING RESIDENTS - ESTIMATED JULY 2025 6. ORGANIZATION WEBSITE ADDRESS: HTTPS://ELRIO.ORG/CAREERS/TEACHING-HEALTH-CENTER/FAMILYMEDICINERESIDENCY/ 7. A BRIEF OVERVIEW OF THE RESIDENCY PROGRAM THAT INCLUDES THE NAME OF THE ACCREDITED SPONSORING INSTITUTION AND DESCRIPTION OF THE MAIN PRIMARY CARE TRAINING LOCATION INCLUDING POPULATIONS SERVED. THE EL RIO HEALTH FAMILY MEDICINE RESIDENCY PROGRAM RECEIVED INITIAL ACGME ACCREDITATION FEBRUARY 9, 2024. EL RIO HEALTH OBTAINED SPONSORING INSTITUTION (SI) ACCREDITATION FROM ACGME ON JULY 1, 2022. EL RIO CLINICS WILL BE THE PRIMARY TRAINING LOCATION; PROGRAM LETTERS OF AGREEMENT (PLAS) HAVE BEEN SIGNED FOR OTHER CLINICAL ROTATION SITES. THE FAMILY MEDICINE RESIDENCY PROGRAM AT EL RIO HEALTH STRIVES TO PROVIDE A COMPREHENSIVE EDUCATIONAL EXPERIENCE THAT INTEGRATES CLINICAL EXCELLENCE, RESEARCH, ADVOCACY, AND COMMUNITY ENGAGEMENT TO ADDRESS THE PRIMARY CARE HEALTH NEEDS OF UNDERSERVED COMMUNITIES. OUR PROGRAM AIMS TO PRODUCE FAMILY MEDICINE CLINICIANS WHO ARE COMMITTED TO PROVIDING HIGH-QUALITY PATIENT CARE, ADVANCING THE FIELD THROUGH RESEARCH AND SCHOLARLY ACTIVITY, AND PROMOTING MENTAL HEALTH EQUITY. AS AN FQHC, WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, CULTURALLY COMPETENT CARE TO ALL OUR PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. OUR PROGRAM’S MISSION ALIGNS WITH THE LARGER MISSION OF EL RIO HEALTH, WHICH IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO AFFORDABLE, COMPREHENSIVE, AND QUALITY HEALTHCARE. THE FAMILY MEDICINE RESIDENCY PROGRAM HOPES TO TRAIN PHYSICIANS WHO WILL PROMOTE THE ADVANCEMENT OF HIGH-VALUE CARE THROUGH SCHOLARLY WORK AND LIFELONG LEARNING AND SERVE AS FUTURE LEADERS IN THE FIELD OF FAMILY MEDICINE. DURING THEIR 3 YEARS OF TRAINING, RESIDENTS WILL TRAIN IN FAMILY AND COMMUNITY MEDICINE, GERIATRICS, DERMATOLOGY, CLINICAL PHARMACOLOGY AND NUTRITION, EMERGENCY MEDICINE (ADULT), ADULT MEDICINE, CRITICAL CARE MEDICINE (ADULT), STREET MEDICINE, REFUGEE HEALTH, SUBSTANCE USE DISORDERS AND ADDICTION MEDICINE, PEDIATRICS (AMBULATORY AND NEWBORN NURSERY), GENERAL SURGERY (INPATIENT), OB/GYN, AND OTHER MODALITIES. 8. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL POST-GRADUATE YEARS OF TRAINING. 24 (4-4-4) - 4 RESIDENTS PER CLASS ACROSS 3 YEARS OF TRAINING. 9. FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR THE FIRST AY OF FUNDING (AY 2025-2026) - 4-0-0 10. 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. THE RESIDENTS WILL PERFORM ROTATIONS AT TUCSON MEDICAL CENTER. TMC HAS PROVIDED RESIDENCY ROTATIONS TO OTHER LEARNERS, BUT NOT FOR THIS RESIDENCY PROGRAM.

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - EL RIO PLANS TO USE THE $1,450,000 APPROVED CONGRESSIONALLY DIRECTED SPENDING FOR GENERAL RADIOLOGY, ULTRASOUND SERVICES AND MAMMOGRAPHY, AND DENTAL SUITES (12-OPERATORIES) AT THE EL RIO HEALTH NORTHWEST HEALTH CENTER, WHICH WILL BE UNDERGOING A LARGE-SCALE TWO-PHASE RENOVATION PROJECT BETWEEN 2023-2025. OUR INITIAL EARMARK APPLICATION WAS TO PURCHASE THESE MEDICAL SUPPLIES AND EQUIPMENT FOR A NEW SITE LOCATED ON THE BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS ABRAMS FAMILY MEDICINE CLINIC, OPENING JULY 2022. HOWEVER, SINCE THE TIME OF THAT INITIAL APPLICATION, IT WAS DECIDED THAT THE SPACE EL RIO WILL BE LEASING IN THAT FACILITY DOES NOT INCLUDE THE CAPACITY TO HAVE DENTAL AND RADIOLOGY SERVICES, WE WISH TO USE THIS FUNDING TO PURCHASE THOSE MEDICAL SUPPLIES/EQUIPMENT FOR OUR NORTHWEST HEALTH CENTER. CURRENTLY THE NORTHWEST HEALTH CENTER CAMPUS IS SPLIT INTO TWO BUILDINGS – THE MEDICAL/RADIOLOGY/PHARMACY BUILDING IS CURRENTLY 15,200 SF AND THE DENTAL BUILDING IS 3,006 SF. OUR EXPANSION PLAN TO BE COMPLETED BY 2025 WILL INCLUDE BUILDING AN ADDITION ONTO THE EXISTING MEDICAL CLINIC, AND REMODELING THE CURRENT SECTION, WHICH WILL THEN INCLUDE DENTAL SERVICES ON THE 2ND FLOOR. WE PLAN TO INCREASE CAPACITY FROM 34 EXAM ROOMS TO 58 EXAM ROOMS, FROM 7 DENTAL OPERATORIES TO 12, AND WILL INCREASE THE TOTAL FOOTPRINT ON THE CAMPUS BY 28,000 TO 46,000 SF. THE DIRECTOR OF FACILITIES AND EXECUTIVE LEADERSHIP HAVE JUST BEGUN THE PROCESS OF PLANNING FOR THIS EXPANSION PROJECT, SO WE DO NOT HAVE ANY ARCHITECTURAL RENDERINGS OR PLANS AT THIS TIME. THE NORTHWEST HEALTH CENTER PROVIDED CARE TO 20,605 ESTABLISHED PATIENTS FROM 6/2/2021 TO 6/1/2022, IN 58,837 ENCOUNTERS. OF THOSE WERE 3,536 DENTAL ENCOUNTERS. INCLUDED IN THE PROPOSED BUDGET ARE PURCHASES OF EQUIPMENT LIKE PANORAMIC RADIOLOGY, POWER VACUUM, STERILIZATION AUTOCLAVE, AND WATER SYSTEM FOR DENTAL; ULTRASOUND; AND 3D MAMMOGRAPHY UNIT. ALSO BUDGETED ARE MEDICAL AND DENTAL SUPPLIES INCLUDING MEDI CAL GRADE REFRIGERATORS AND FREEZERS, OFFICE FURNITURE FOR CLINICAL AREAS, AND COMPUTERS FOR DENTAL, RADIOLOGY, AND ULTRASOUND SERVICES. EL RIO HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), IS JOINT COMMISSION ACCREDITED, AND HAS ACHIEVED LEVEL 3 PATIENT-CENTERED MEDICAL HOME (PCMH) STATUS FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. THESE ACCREDITATIONS RECOGNIZE OUR COMMUNITY-BASED HEALTHCARE MODEL REFLECTIVE OF OUR MEDICAL/HEALTH HOME CONCEPT UTILIZING AN INTERDISCIPLINARY TEAM OF HEALTHCARE PROVIDERS AND PROFESSIONALS. AS A PCMH, WE CONSISTENTLY STRIVE TO MEET ALL THE HEALTH NEEDS OF ALL OUR PATIENTS, INCLUDING ADDRESSING THEIR ORAL HEALTH AND RADIOLOGY NEEDS, WITHIN FULLY INTEGRATED FACILITIES.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM