Dignity Health Fort McDowell Yavapai 2024 Grant Application

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, Director of Grants and Communication
Dignity Health Foundation — East Valley

1727 West Frye Road, Suite 230

Chandler, AZ 85224

Laurel.vetsch@commonspirit.org
480.728.3130

Sponsor Info:

City of Chandler
Dawn Lang, Deputy City Manager — CFO

Dawn.lang@chandleraz.gov
480-782-2000

Acknowledgment Signature:

(OMA
Dawn Lang, Deputy City Manager — CFO
City of Chandler

Project Summary

The Chandler Children’s Dental Clinic aims to increase access to preventive, minimally invasive dental care
and restorative care for children ages O through 18 who face barriers to receiving dental care, increase
awareness of the importance of good oral health, and provide families with the tools needed to improve their
oral health. A $25,000 grant from Fort McDowell Yavapai Nation will provide oral health care and minimally
invasive treatments for 120 children this year.

Describe the proposed program or project, and whether it is a new or continuing project:

The Chandler Children’s Dental Clinic reduces barriers to care by utilizing the Affillated Practice (AP} Dental
Hygiene model, English Spanish bilingual promotoras and registrars, strategic placement of clinic location
within the neighborhood by schools and community centers, and a focus on building relationships with
families. AP Dental Hygienists provide dental assessments, x-rays, professional cleanings, periodontal
therapy, sealants, fluoride treatments, and education to children and parents in collaboration with an offsite
dentist. One of the benefits of teledentistry is that it allows dentists to review x-rays without being on site.
The hygienists receive the dentist's response and inform patients and their families of any additional findings.
What makes this model unique is that it increases access to dental services by allowing dental providers to
practice at the top of their scope thereby offering a cost-effective way to provide comprehensive dental care.

The AP Dental Hygienist is also able to provide minimally invasive dental care procedures to treat tooth decay
without removing any tooth structures. The treatment is much less expensive and can be delivered by dental
hygienists, and dental therapists, which also keeps the cost low.

Bilingual oral wellness education is provided during extended appointment times, allowing children and
family members to understand the causes of poor oral health and learn what they can do at home to
maintain good oral health. A Promotora works with families to complete oral health assessments, set goals
and track progress. A Registrar is the llaison between the clinic and family reducing no-shows and
encouraging treatment plan completion. Benefits include decreased pain and school absences, improved self-
esteem and school performance, better nutrition and improved overall health.

The Community Health Educator provides oral health education to children in elementary schools,
community events and community health centers. Our school-based oral health programs is designed to
address access barriers for high-risk children to prevent dental decay and improve overall health and
academic success. The goals is to create awareness of the importance of oral health by educating children
brushing, flossing and having a healthy diet. Oral health education and resources will be sent to parents to
create awareness of the importance of oral health and to provide the resources available for their children in
effort to establish a dental home for children that have not seen a dentist.

Removing barriers to care minimizes school absences and increases children’s ability to learn and interact
with peers. Providing toothbrushes, toothpaste and floss means that families have not only the knowledge,
but the tools needed to improve their oral health. The clinic is located at the Chandler CARE Center on the
campus of Galveston Elementary School. The integrated service model at the Chandler CARE Center provides
easy access to medical and mental health services as well as a food bank and family resource center.

Describe the purpose of the program or project and how it meets one or more of Fort McDowell’s funding
priorities:

The Chandler Children’s Dental Clinic addresses Fort McDowell Yavapai Nation’s priority funding area of
health by providing access to dental health care and dental health literacy for low income, uninsured and
under-insured Chandler families. Many households in our specific area are single parent households which
contributes to their poverty. Our model for providing this dental care in conjunction with medical care and

additional family resources increases the community’s well-being, making it less vulnerable to systemic
poverty. The clinic meets the unique needs and barriers encountered by minority and low-income families.
The clinic’s location in the heart of Chandler's underserved neighborhoods removes transportation and trust
barriers. Spanish-speaking staff ensures that language and cultural norms do not interfere with obtaining
care. Staff works closely with families to schedule appointments, answer questions, and assist with forms.
These practices ensure the clinic is known as a safe-haven, where individuals can seek compassionate,
culturally appropriate care.

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:

According to the 2019 Chandler Community Needs Assessment, the location of the Chandler CARE Center is
in one of the Census Block Group areas where at least 51% of the population is low- and moderate-income. In
the 2022 Chandler Regional Medical Center Community Health Needs Assessment, oral health was selected
as a priority issue in this area that include high rates of families living in poverty, a large non-English speaking
population, low education attainment and lack of dental and health insurance, all of which create barriers to
accessing dental care. Oral Health is a key indicator of overall health, well-being, and quality of life. Oral
diseases ranging from dental cavities, dental infection and oral cancer cause pain and disability. Some
racial/ethnic and socioeconomic groups face poor oral health as a result of social determinants of health. For
instance, under-resourced populations cannot afford to pay out of pocket for the high cost of dental care,
most do not have private or public dental insurance, or cannot get time off from work to get dental care. Lack
of dental insurance coverage contributes to barriers that patients in our state struggle to overcome. Parent
education level and cultural beliefs also prevent parents from seeking dental care. The clinic also serves
families who have recently immigrated to the United States. Many of these families have low dental health
literacy resulting in high jevels of dental disease.

This population of low-income and minority children has greater dental treatment needs than most children.
More than 32% of children from low-income households have untreated decay and 22% have never seen a
dentist. Preventive and restorative dental care are essential to the oral and overall health of children. Primary
teeth are critical for many reasons including speech development, development of jaw bones and facial
muscles, space holders and guides for aduit teeth, and ability to chew food. Untreated tooth decay can cause
severe pain and potential damage to facial structure. The Chandler Children’s Dental Clinic was created to
serve these children by removing the barriers they face accessing traditional dental practices.

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 our dental clinic services. The
Chandler Children’s Dental Clinic was established in 2008 in collaboration with the Chandler Unified School
District. Our partner is the Chandler CARE Center which Center offers a trusted location where families feel
safe and respected. The multiple support services available at the Chandler CARE Center enable families to
meet many needs in one visit. At whatever entry point a family seeks assistance at the CARE Center, they are
referred to other services that are available.

We receive an annual grant from Salt River Pima-Maricopa Indian Community (SRPMIC) for our Gilbert
Children’s Dental Clinic. We have not received awards from any other tribe for the program in this request.

Describe the timetable for implementation of the program or project:

The dental clinic is an ongoing program and funds will be used to provide 241 children with oral health care
and minimally invasive treatments throughout the year.

Budget:

Hours per Rate Cost per
child appointment

Hygienist 1 $46 S46
Registrar 0.5 $21 $10.5
Supervisor 0.5 $33 $16.5
Promotora 0.5 $22.75 $11.5
Hygienist admin. time 0.25 $46 $11.5
Supervisor admin. Time 0.25 $33 $8.25
Supplies $17 $15
Goody bag $6 $5
TOTAL $124
Minimally Invasive Care $30
treatment products
TOTAL
337 teeth x 30 $10,120
minimally invasive
treatments
120 children x $124 $14,880
dental clinic
appointments
TOTAL $25,000

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 wé do.

ye Department of {he Treasury
van IRS Internal Revenue Service

017548

In reply refer to: 0248344558

CINCINNATI OH 45999-0038 Sep. 22, 2017 LTR 4168C 0
74-2418514 000000 00
600018398
BODC: TE

DIGNITY HEALTH FOUNDATION-EAST
VALLEY

% RANDY BRADLEY

1955 W FRYE RD-

CHANDLER AZ 85224

Employer ID Number: 74-2418514
Form 990 required: Yes

Dear Taxpayer:

This is in response to your request dated Sep. 14, 2017, regarding
your tax-exempt status.

We issued you a determination letter in July 1986, recognizing
you as tax-exempt under Internal Revenue Code CIRC) Section 501(c)

(3).

Our records also indicate you're not a private foundation as defined
under .IRC Section 509(a) because you're described in IRC Section
509Ca)(3) as a Type I supporting organization. A Type I supporting
organization is operated, supervised, or controlled by one or more
publicly supported charities.

Donors can deduct contributions they make to you as provided in IRC
Section 170. Youtre also qualified to receive tax deductible bequests,
legacies, devises, transfers, or gifts under IRC Sections 2055, 2106,

and 2522.

In the heading of this letter, we indicated whether you must file an

annual information return. If a return is required, you must file Form
990, 990-EZ, 990-N, or 990-PF by the 15th day of the fifth month after
the end of your annual accounting period. IRC Section 6033(4) provides
that, if you don't file a required annual information return or notice
for three consecutive years, your exempt status will be automatically
revoked on the filing due date of the third required return or notice.

For tax forms, instructions, and publications, visit www.irs.gov or
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If you have questions, call 1-877-829-5500 between 8 a.m. and 5 p.m;
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Time).

DIGNITY HEALTH FOUNDATION-EAST

VALLEY

% RANDY BRADLEY

1955 W FRYE RD

CHANDLER

AZ

B5224

0248344558
Sep. 22, 2017 LTR 4168C 0
74-2418514 000000 00
00018399

Sincerely yours,

ES thle

Kim A. Billups, Operations Manager
Accounts Management Operations 1