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Last updated: 02/13/2018 General information Organization HonorHealth Foundation Contact First name Carole Contact Last name Berwald Contact e-mail carole.berwald@honorhealth.com Contact phone number 480-882-4739 Address Street 8125 N Heyden Road City Scottsdale State AZ ZIP Code 85258 From what tribe is the Gila River Indian Community organization requesting the grant? Total grant amount request 20,070 1 / 2 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program from the Gila River Indian Community, enter the amount to be requested each year. Amount Year 1 (Gila River Indian 20,070 Community Grants Only) Year 2 (Gila River Indian Community Grants Only) Year 3 (Gila River Indian Community Grants Only) Year 4 (Gila River Indian Community Grants Only) Year 5 (Gila River Indian Community Grants Only) 2 / 2 Gila River Indian Community Grant Application Grant Cycle 2018 Cover Sheet Municipality Information 1. Date of Application: 2/23/2018 (NOTE: Click or use up/down arrow keys to move among fields) 2. Name of City, Town or County: Maricopa County 3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri 4. Mailing Address: 301 W Jefferson, 9th Floor 5. City: Phoenix State: Arizona Zip Code: 602-506-8932 6. Acknowledgement of Submission by Authorized Municipality Representative: Typed Name/Title: Zachary Wolfe, Finance Department Signature: Applicant Information 7. Department/Organization Name: HonorHealth Foundation 8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter 9. Application Contact Person: Carole Berwald Title: VP Grants & Contracts 10. Phone Number: (480) 882-4739 11. Mailing Address: 8125 N Hayden Road 12. City: Scottsdale State: Arizona Zip Code: 85258 13. Email Address: carole.berwald@honorhealth.com Website Address: www.honorhealth.com Project Information 14. Project Name: HonorHealth Medical Forensic Nurse Examiners Program 15. Purpose of Grant: To purchase needed program equipment 16. Priority Funding Area Healthcare 17. Annual amount requested $20,070 18. Number of years that funding is 1 requested 19. Total amount requested (annual $20,070 amount x number of years) 20. Has your organization received past No funding from GRIC? If yes, list each year and amount 21. Geographic area served Maricopa County For Office Use Only: Data Entry Receipt Evaluation Outcome A Approval Recommended/Amount $ A Denial Gila River Indian Community Grant Application Grant Cycle 2018 Narrative Please structure your proposal to provide the following information in the order indicated. Provide the narrative in paragraph form in the text field provided. Please be thorough but strive for brevity. 1. Briefly describe the organization’s history, mission and goals. HonorHealth was established in 2014 when Scottsdale Healthcare and John C. Lincoln Health Network, two community-based nonprofit health systems, merged to form one comprehensive health care network. The mission of HonorHealth is to improve the health and well-being of those we serve. The system is anchored by five hospitals serving the greater Scottsdale and North Phoenix area and includes more than 70 primary and specialty care locations, surgery centers, a cancer center, a research institute, a children’s emergency center, a breast health and research center, Desert Mission community services, and HonorHealth Military Partnership and Forensic Nurse Examiners Program The Maricopa County Attorney’s Office contracts with HonorHealth’s Forensic Nurse Examiners Program to provide medical forensic examinations for victims of sexual assault, domestic violence, and child and elder abuse free of charge. Since its inception in 1998, the program has become a national leader in providing medical forensic exams to victims of sexual assault and domestic violence strangulation. The program was nominated for Magnet Exemplar Recognition by the American Nurses Credentialing Center during HonorHealth’s 2016 site visit, one of the highest recognitions in nursing. HonorHealth’s Forensic Nurses are certified sexual assault nurse examiners (SANE) and are highly trained to provide comprehensive medical forensic exams to patients. HonorHealth’s Forensic Nurses are unbiased medical professionals whose primary focus is compassionate care while conducting a thorough medical forensic exam to identify and coument injuries and collect potential evidence samples. They are experienced in caring for traumatized patients and identifying and documenting injuries that may not be apparent to health care providers who have not received this specialized SANE training. The goal of HonorHealth’s Forensic Nurse Examiners program is to respond to victims of sexual assault and domestic violence strangulation in one hour, 24/7, anywhere in Maricopa County. The program also provides out-of-contract exams when needed, including cases from Gila River Indian Community. Patients in need are never turned away. 2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with Arizona municipalities including past and present support, whether through partnerships, collaborations, in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in this project. If the applying organization is a municipality governmental sub-division please enter the text “Not applicable.” The Maricopa County Attorney’s Office has contracted with the HonorHealth Forensic Nurse Examiners Program to provide medical forensic examinations for sexual assault and domestic violence strangulation countywide. The contract pays for the cost of exams, but does not pay for rent or equipment. The program is co-located in five Family Advocacy Centers in Glendale, Goodyear, Phoenix, Scottsdale, and Mesa. Program space, including exam rooms, is provided by these cities free of charge. Patients often arrive at the Family Gila River Indian Community Grant Application Grant Cycle 2018 Advocacy Centers in a traumatized state accompanied by municipal or tribal police. The program works hand- in-hand with law enforcement at the intersection of both the healthcare and justice systems. However, best practices for medical forensic exams specify that every effort be made to facilitate treatment and evidence collection, but patients are not required to participate in the criminal justice system or cooperate with law enforcement to receive an exam. While the environment at the Family Advocacy Centers is specifically designed for optimal compassionate care, HonorHealth Forensic Nurse Examiners will also see patients at hospitals, police stations, and other licensed care facilities in the community. HonorHealth has recently been awarded a Victims of Crime Assistance (VOCA) grant from the Arizona Department of Public Safety to add a full-time Victim Advocate position to the Forensic Nurse Examiners team. The Victim Advocate will provide non-clinical care, linking patients with needed services in the community to promote their continued safety, health, healing, and overall well-being. HonorHealth staff contribute and serve as chairpersons on committees such as the Phoenix Police Department Sexual Assault Kit Workgroup, Maricopa County Attorney’s Office Sexual Assault Protocol, and Maricopa Associations of Government’s Vulnerable Adult Protocol helping write protocols, set standards of care, and improve overall outcomes for patients who are victims of crime. HonorHealth values collaborative workgroup partnerships to best serve the community. The Forensic Nurse Examiners Program works with both local, statewide, and national partners. In 2016 HonorHealth partnered with Arizona Coalition to End Sexual and Domestic Violence (ACESDV) to offer a 40-hour training for Sexual Assault Nurse Examiners. This effort was intended to expand the number of nurses in Arizona who are trained to perform medical forensic examinations. The specialized nurses are in high demand as several areas of the state are underserved and may not have a SANE (Sexual Assault Nurse Examiner) qualified nurse available at all. 3. Describe the proposed project and planned goals and activities. The goal of the HonorHealth Forensic Nurse Examiners Program is to provide a one-hour response time to those experiencing sexual assault or domestic violence strangulation 24/7 anywhere in Maricopa County. These patients will experience a continuum of care that begins with a medical forensic exam and continues with follow-up advocacy services to help them to heal, remain safe, and attain/regain their physical health and emotional well-being. Forensic Nurse Examiners provide all patients with a head-to-toe examination. In a sensitive and caring manner, they document injuries and collect samples potentially used as evidence. Patients identified as needing further treatment are referred to medical, behavioral health, or substance services. All patients are prescribed preventive medications, which are offered free of charge to those who cannot afford the cost of treatment. If patients do not have a healthcare provider, they are offered care through HonorHealth’s affiliated community health centers called NOAH. Unaccompanied patients and those identified as living in unsafe situations, without food or shelter are connected to community resources. As a medical forensic exam can take up to 90 minutes, the patient’s comfort is of paramount importance. For this reason, we are requesting funding to purchase two new gynecological exam beds as well as replacement Gila River Indian Community Grant Application Grant Cycle 2018 covers for four existing exam beds. Also included in this request are funds for six new stand lights to replace outdated gooseneck lamps which often become too hot, Littman stethoscopes and pulse oximeters which are used to take vital signs, assess, and monitor patients. These purchases will replace broken, worn and outdated equipment and will have a useful lifetime of at least five years. All of this equipment will be used to provide direct medical care to patients. 4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. The proposed project satisfies the interest of Gila River Indian Community in healthcare as the HonorHealth Forensic Nurse Examiners Program provides direct patient care that assists in improving the health of those in our community who experience sexual assault and domestic violence strangulation. The project also addresses the interest of public safety as it works collaboratively with law enforcement to meet the needs of patients who are victims of crime. Patients will also receive assistance with safety planning from the program’s Victims Advocate to increase their safety in the future. 5. Identify the needs/problems to be addressed, target population and number of people to be served by the project. Sexual violence in Arizona is a greater problem compared to the US as a whole. In 2014, 2,445 cases of rape and 200 cases of attempted rape were reported in Arizona (Arizona Department of Public Safety. Crime in Arizona 2014, 2015). According to Arizona Crime Trends, a 2015 report published by the Arizona Criminal Justice Commission, over the ten year period from 2004-2013, the rate of forcible rape increased in Arizona (from 33.0 per 100,000 people to 35.4 per 100,000 people) while, during the same timeframe, the rate decreased nationally (from 32.2 to 25.2). Intimate partner violence is experienced by one in four women in their lifetime (National Intimate Partner and Sexual Violence Survey, United States, 2011), and 68% of these women will experience near-fatal strangulation by their partner (Taliaferro et al (2009) Strangulation in Intimate Partner Violence). Sexual assault and domestic violence strangulation result in significant physical trauma, anguish, and suffering of victims. These individuals deserve a competent and compassionate medical forensic examination and supportive services that are delivered in a culturally sensitive, dignified, and patient-centered manner. The HonorHealth Forensic Nurse Examiners Program serves patients who are victims of sexual assault over age 12 and all ages of domestic violence strangulation. In 2017, the program served more than 2,400 patients – 93% of whom are women. Eighteen percent of patients are under the age of 18 and 82% are adults. The program has documented an average increase in patients of approximately 8% per year who experience interpersonal violence. Based on this average rate of growth, the program estimates serving approximately 2,600 patients in 2018. 6. Define the project as a new or continuing program. The HonorHealth Forensic Nurse Examiners Program is a continuing program that was established in 1998. 7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. Gila River Indian Community Grant Application Grant Cycle 2018 Start date of the program is November 1, 2018 with estimated completion by January 31, 2019. Once funding is received, equipment can be purchased and in place for use by the program within 90 days. The timeline is flexible. 8. Identify other organizations, partners or funders participating in the project and their roles. The HonorHealth Forensic Nursing Examiners Program collaborates with local law enforcement to respond within one hour to victims of sexual assault and domestic violence strangulation throughout Maricopa County and rural outlying areas. The program also works with the Maricopa County Crime Lab in the collection of evidence. The program’s Victims Advocate will work with community-based service providers, including HonorHealth’s affiliated community health centers, to address the health, safety, and social services needs of patients. No other partners will be required for the purchase and installation of the equipment for which funding is requested from Gila River Indian Community. 9. Would you be able to implement the proposed plan if your organization received partial funding for this project? Yes, if partial funding is awarded, HonorHealth will reduce the equipment purchase accordingly. 10. Describe your plan for project financial sustainability beyond the grant period. If this is a program/project previously funded by the Gila River Indian Community describe efforts made towards the previously described sustainability plan. This funding request to Gila River Indian Community will cover one-time costs for purchase of equipment needed for direct patient care. The equipment has a useful life of at least five years. As additional program equipment needs may arise in the future, HonorHealth will look to individual donors and other sources of funding for support. 11. Describe your plan to document progress and results. HonorHealth can document the purchase of equipment with receipts for purchases. The program is also happy to send photos of the new equipment once it is placed for use by the program. 12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this and any other project for the past five (5) years. If this information is included in a separate attachment, please indicate that here. Currently, there are no other grant applications pending and/or awards made to HonorHealth by a tribe other than Gila River Indian Community for this and any other project for the past five years. However, in August, Gila River Indian Community Grant Application Grant Cycle 2018 2017, HonorHealth submitted a request for forfeited jackpot funds from Gila River Gaming Enterprises for its Military Partnership Program, which was declined. Thank you very much for considering this proposal for Gila River Indian Community’s support to our community. Gila River Indian Community Grant Application Grant Cycle 2018 Project Budget Budget Period: November 1, 2018 – January 31, 2019 For each budget item listed here please provide a narrative description on the following Project Budget Detail page. Proposed Budget Expense Amount Amount In Kind Total Budget (list each budget item) requested from requested or contributions GRIC secured from other funders 1. Gynecological exam beds (2) $12,294 $0 $0 $12,294 2. Replacement exam bed covers $1,776 $0 $0 $1,776 (4) 3. Stand lights for exam rooms (6) $5,400 $0 $0 $5,400 4. Littman stethoscopes (6) $300 $0 $0 $300 5. Pulse oximeters (6) $300 $0 $0 $300 6. Click here to enter text. $0 $0 $0 $0 7. Click here to enter text. $0 $0 $0 $0 8. Click here to enter text. $0 $0 $0 $0 9. Click here to enter text. $0 $0 $0 $0 10. Click here to enter text. $0 $0 $0 $0 11. Click here to enter text. $0 $0 $0 $0 12. Click here to enter text. $0 $0 $0 $0 13. Click here to enter text. $0 $0 $0 $0 14. Click here to enter text. $0 $0 $0 $0 15. Click here to enter text. $0 $0 $0 $0 16. Click here to enter text. $0 $0 $0 $0 17. Click here to enter text. $0 $0 $0 $0 Total Budget $20,070 $0 $0 $20,070 Gila River Indian Community Grant Application Grant Cycle 2018 Project Budget Detail Please provide a narrative description for each of the project budget items listed on the previous page. Include the dollar figure and how it was derived. 1. Gynecological exam beds are needed to replace two older exam beds that are broken and cannot be adequately repaired. $12,294 will be used to purchase two new exam beds at $6,147 each. 2. Exam bed covers are needed as replacements for worn covers on four existing exam beds. $1,776 will purchase four new exam bed covers at $444 each. 3. Stand lights are needed for adequate lighting to perform exams and will replace existing gooseneck lamps which are outdated, broken, and often get too hot. $5,400 will pay for six stand lights at at $900 each that will be placed in each of our six exam rooms. 4. Littman stethoscopes are needed to replace 6 old and worn stethoscopes. Littman stethoscopes are very high quality and are used to obtain vital signs and listen to the heart, lungs, and bowel sounds. $300 will pay for six stethescopes at $50 each. 5. New pulse oximeters are needed to replace 6 old and outdated models. Pulse oximeters indirectly monitor the oxygen level or oxygen saturation of a patient’s blood. They measure how well oxygen is being sent to parts of the body furthest from the heart – such as arms and legs. These measures are part of obtaining a complete sed of vital signs. $300 will pay for 6 pulse oximeters at $50 each. 6. Click here to enter text. 7. Click here to enter text. 8. Click here to enter text. 9. 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