Dignity Health Fort McDowell Yavapai 2023 Grant Application
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Dignity Health Foundation – East Valley Grant Application to Fort McDowell Yavapai Nation Cover Sheet Applicant Info: City of Chandler 175 S. Arizona Ave., 5th Floor, Chandler, AZ 85225 Dawn Lang, Deputy City Manager – CFO Dawn.lang@chandleraz.gov 480-782-2000 Dignity Health Foundation East Valley Chandler Regional Medical Center & Mercy Gilbert Medical Center 1727 West Frye Road, Suite 230 Chandler, AZ 85224 Primary Contact: Laurel Vetsch, Grants Manager, 1727 West Frye Road, Suite 230 Chandler, AZ 85224 Laurel.Vetsch@DignityHealth.org, 480.728.3130 Sponsor Info: City of Chandler Dawn Lang, Deputy City Manager – CFO Dawn.lang@chandleraz.gov 480-782-2000 Acknowledgment Signature: _____________________________________________ Dawn Lang, Deputy City Manager - CFO City of Chandler Project Summary Dignity Health is forming and launching the only Graduate Medical Education program in the East Valley to train new physicians. Offering residency programs in key clinical areas will provide more clinical physicians in the local community. Point-of-care ultrasound (PoCUS) is a medical test that can help diagnose a variety of medical conditions, including blood clots, internal bleeding, gallstones, and heart or lung problems. Our GME program will ensure that all of our residents are trained to use PoCUS devices in all specialty program. 1. Describe the proposed program or project, and whether it is a new or continuing project: Graduate Medical Education (GME) is a formal, hospital-sponsored or hospital-based training program for individuals who have completed medical school and earned an MD or DO degree. It includes residency, internship, fellowship, specialty and subspecialty programs. This Graduate Medical Education is a new program for Dignity Health in the East Valley. Objectives of implementing our GME program are as follows: Increasing the physician workforce pipeline, particularly for the East Valley Providing more clinical service coverage and efficiency in response to our growing population Ensuring all East Valley residents, including those from surrounding rural areas, have ongoing access to state- of-the-art patient care Educating more physicians to be catalysts for complex care and achieving enhanced clinical outcomes Increasing our outreach of medical services to the community through community physician partnerships, collaboration and instilling a vision for community service We will be offering training in the following service areas with number of residents at full capacity. By 2028, our residency programs will reach full capacity of 124 active residents: We are requesting $25,000 from the Fort McDowell Yavapai Nation to support the purchase of Point of Care Ultrasound (PoCUS) devices to train all of our residents. 2. Describe the purpose of the program or project and how it meets one or more of Fort McDowell’s funding priorities: The purchase of PoCUS devices for our new physician training program addresses Fort McDowell Yavapai Nation’s priority funding areas of education and health. Over the last few decades, advancements in ultrasound technology have allowed for the creation of smaller and more portable devices which can be used directly at the patient’s bedside or at the point of care. PoCUS is widely considered to be the biggest advancement in bedside diagnostics since the advent of the stethoscope 200 years ago and considered by many to be the “new stethoscope.” PoCUS improves clinical outcomes, reduces procedure failures and complications, rapidly narrows differential diagnoses, shortens times to definitive treatment, lowers costs, and reduces the use of ionizing radiation from imaging modalities such as x-rays and computed tomography (CT) scans. PoCUS improves patient satisfaction through their participation in viewing the images, leading to a stronger patient-physician relationship. While standard ultrasound machines, normally associated with obstetrics, can cost $30,000, a point-of-care ultrasound can cost as little as $4,000. Education that is provided with these devices will be taught with cultural competencies in focus for a variety of different populations, including the Native American population. 3. Describe the need that the program or project aims to fulfill, the population targeted, and the estimated number of people who will be served by the grant: As East Valley communities continue to grow rapidly, our area is experiencing a shortage of nearly 250 primary care providers. According to the American Academy of Family Physicians, statewide, more than 3 out of 5 Arizonans live in a health professional shortage area. It is projected that there will need to be a 50% increase in physicians (nearly 2,000) by 2030. Research shows that 50% of residents stay in the area after they complete their residency and many physicians hand select the residents they want to continue to employ. Recruiting physicians from outside is expensive and adds to the cost of medical care. Our GME program will provide cost savings but many physicians want to work at teaching hospitals, so this program will also help draw top talent. Offering residency programs in key clinical areas will amplify the impact our ministry is able to make on the health of residents of the east valley and across the state of Arizona, while also offering a place for community health providers to turn to recruit the next generation of respected, compassionate providers. We aim to champion diversity and inclusion by training the next generation of health care providers that best represent our community, with neighbors such as Fort McDowell Yavapai Nation. 4. Describe the partners in the program or project, and other entities providing funding and support (please indicate whether the organization will be submitting applications to any other tribes): Dignity Health has a long history of collaboration with the City of Chandler for services and initiatives that improve the health of Chandler residents, including our Chandler Children’s Dental Clinic and our vision and hearing screenings for low-income children. Dignity Health provides a majority of this program’s operating budget. Additional funding for the program to date includes Hospice of the Valley, Arizona Center for Cancer Care, the Ak-Chin Indian Community and individuals and employees. We plan to request support from Ak-Chin and Gila River in 2023. Your contribution will be paired with other contributors to ensure that the equipment is purchased. 5. Describe the timetable for implementation of the program or project: Budget: Proposed Budget Expense Amount requested from Fort McDowell Yavapai Amount requested or secured from other sources In Kind contributions Total Budget 1. GE Vscan Air PoCUS Devices for year 1 residents (28) $25,000 $100,860 $125,860 TOTAL $125,860 Statement of Presence: Dignity Health in Phoenix’s eastern suburbs of Chandler and Gilbert is comprised of Chandler Regional Medical Center (CRMC), Mercy Gilbert Medical Center (MGMC), Mesa Arizona General Hospital, three Urgent Cares, eight freestanding Emergency Rooms, and Dignity Health Foundation – East Valley. Our hospitals have been a leading force in increasing health and well-being for all who live in Maricopa County and surrounding areas. The mission of Dignity Health embodies the delivery of compassionate, high quality, affordable health services; serving and advocating for those who are poor and disenfranchised; and partnering with others in our community to improve quality of life. With the shared core values of dignity, justice, collaboration, stewardship and excellence, we pursue the overall goal of providing the highest quality, most compassionate health care within the growing communities of Maricopa County’s East Valley. Dignity Health is committed to providing medical care with the inherent dignity of each person in mind. We're determined to bring more humanity into health care, so “humankindness” is at the heart of everything we do.