Family Medicine Residency Training Programs Capitation & Special Programs Funding Webinar

1. Family Medicine Residency Training Programs Capitation & Special Programs Funding Webinar Presented by:Manuela Lachica, Host: Barbara Zendejas www.calreach.oshpd.ca.gov to apply

2. WELCOME EVERYONE! Thank you for joining us today

3. Raising your hand to ask a question

5. Muting your phone

6. $5.2 million is available to accredited Family Medicine Residency Programs for capitation funding via state funding and a grant from the California Endowment. Registration: Open now RFA release: September 15, 2014 RFA deadline: October 15, 2014 Maximum funding requested has remained the same at four (4)cycles per program or $206,460.00

7. If you’re a new applicant register nowIf you’re a returning applicant that’s forgotten their password ask to have your password reset now – don’t wait. Getting Started

8. Enter in all required fields. Click SAVE, if there are no errors on the page you will receive a “Registration complete” message, SB staff must approve all users prior to moving forward. You may expect a maximum 24 hr turnaround time for approval Choose SongBrown only

9. Enter username and password to begin 

10. 2 • 2 RFA’s available Capitation • Special Programs Click to begin RFA • Messages regarding RFA will be here • The number of applications you have started • Show’s where in the process your app is

11. Click Apply Now

12. This is your application number

13. A complete application will contain all of these forms

14. Pay attention to icons – they will let You know what pages have been completedand what pages have errors

15. Tips and Tricks Learn to love it! Must complete all boxes with an * Maximum allotted characters Hover text, provides clarifying information To add additional pages Will show all errors found on app

16. More Tips and Tricks When the information has been saved successfully Error message will display exactly what is wrong with the page You will receive this message if you try and navigate away from the page you are on without hitting SAVE first. You must click CANCEL to clear the warning and then SAVE. If you click OKfirst you will lose whatever informationyou’ve already input.

17. New items for the 2014 RFA Program Information – Applicants can request expansion cycles for thoseprograms that are expanding; Executive Summary – Additional question on Social Determinantsof Health; Statistics Form – Additional table to capture current resident gender &additional questions on hours spent in areas of unmet need; Underrepresented Minorities – Format change to the table; Faculty Qualifications – A table has added to capture faculty qualifications; Residency Training – Additional question added to capture what primary care career pathways and pipelines activities residents of the program participate in; and Required Attachments – programs requesting expansion cycles must provide expansion approval letter from the ACGME.

18. Please take the time to correctly fill out this form,incorrect information may delay full execution ofyour contract Make sure the contract organization is correct Contracts Officer must be the post award officer not the pre-award grants officer

19. This form is in connection to new evaluation criteria for FM residencies. The newcriteria asks “Is the payer Mix of the Family MedicineCenter more than 50% Medi-Cal,County Indigent, Other Indigent,and Other Payers”? The Hover text provides the definition of each payer categorybased on OSHPD, Hospital AnnualFinancial Data

20. 1 You must fill out a separate page for each graduate you input. On this page you have the following five choices: 1) If you are a new program and have no graduates to report for the period requested you click this check box and hit SAVE; 2) If you have graduates to report you will start with Section 1, click the SAVE button and use the add/edit feature to find the right practice site name, hit SAVE again and the address will populate for you; 3) If you have a graduate not practicing in California or with out a practice location you enter them using Section 2. Click unknown and provide the reason using the dropdown; 4) If you can’t locate your practice site using Section 1, type in the name and address in Section 3; and 5) If the practice site is a private medical office and can’t be located using Section 1, type in the name and address here. 2 3 4 Alert- for returning applicants the ddl has been eliminated in Section 1, navigating this new feature may take you awhile. 5

21. You must fill out a separate page for each training site you input. On this page you have the following three choices: 1) If you have training sites to report you will start with Section 1, click the SAVE button and use the add/edit feature to find the right practice site name, hit SAVE again and the address will populate for you; 2) If the training site your looking for isn’t in Section 1, type in the name and address here; 3) If the training site is a private medical office and can’t be located using Section 1, type in the name and address here. 2 3 • For each training site you must also • provide the type of site • Principal • Secondary • Continuity • and the hours spent by residents at the site. Alert- for returning applicants the ddl has been eliminated in Section 1, navigating this new feature may take you awhile.

22. Required Attachments

23. 1 2 Click the back button to return to the Application Menu 3

24. To submit the RFA click here An application is not considered submitted until the application status shows “submitted”

25. Enter the last 3 digits of your application number here

26. Click here to view, edit application

27. Family Medicine Special ProgramsApplication

28. Family Medicine Special Program Applications • Will be released on September 15, 2014 • Applications are due on October 15, 2014 • The California Endowment has generously awarded the • Song-Brown Program with $1.43 million for funding Family Medicine • Special Programs Applicants may request from $125,000 to $150,000 in Special Program funding for a project no longer than two years in length. The Commission has the authority to lower requested amounts to a minimum of $100,000 based on the amount of funding available and the competitiveness of the proposal.

29. New items for the 2014 RFA Executive Summary – Additional question on Social Determinantsof Health; Statistics Form – Additional table to capture current resident gender &additional questions on hours spent in areas of unmet need; Underrepresented Minorities – Format change to the table; Special Program Description – Additional question on the Priorities for Funding Faculty Qualifications – A table has added to capture faculty qualifications; and Required Attachments – programs requesting expansion cycles must provide expansion approval letter from the ACGME.

30. The Special Program proposal will Focus on these 4 forms of the application • The Special Program proposals should emphasize at least • one of the following priorities for funding: • Address the social determinants of health; • Focus on increasing the number of health professionals from • racial/ethnic and/or other underserved communities; • Target one of the 14 Building Healthy Communities or Central • Valley Counties; • Or include activities to increase primary care career pathways/ • pipelines.

31. Special Programs may feature one or a combination of the following • innovations: • Support model expansion and innovations in training multi- • professional teams that deepen language and cultural competence, • expand practice, prioritize equity and prevention, and prepare • trainees for practice in underserved urban, rural and geographically • isolated places; • Expand service capacity of health professionals through practice at • the top of licensure and multi-disciplinary team care; • Test workforce practice design models that support evidence based • expansion of roles and autonomy of licensed health professionals • (e.g. nurse practitioners, pharmacists, dentists, optometrists, mid- • wives, dental hygienists) to provide prevention services, diagnosis • and treatment within their respective professional competence; • Expand capacity of health professionals through innovative techno- • logy such as e-referrals, telehealth, electronic medical records, • mobile health and video medical interpreting;

32. Special Programs may feature .... • Support linkages and collaboration between public health and • clinical professionals; • Support school based health center models and the teams needed • to staff them; • Provide support, technical assistance for practice redesign (including • EHR support and training, operations redesign and online curriculum • for medical assistants and other team members); • Bolster the impact of health professionals through community capa- • city-building for health literacy, health consumer empowerment, • preparedness and resilience training and community health improve- • ments through environmental and policy change; • Coordinate and link strategies with programs that aim to develop • career pathways for underrepresented groups in health professions • and allied health professions.

33. Special Programs may feature .... • Support model expansion and innovations in training multi-professional teams that deepen language and cultural competence, expand practice,prioritize equity and prevention, and prepare trainees for practice inunderserved urban, rural and geographically isolate places; • Engage in patient centered medical home transformation through the development of curricula and training of residents in team based care,population health management, chronic care management, and registryuse or registry-type function of an electronic health record; and • Recruit and retain primary care faculty in rural and underservedcommunities.

34. Social Determinants of Health (as defined by the World Health Organization) are the circumstances in which people are born, grow up, live, work and age, and the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces; economics, social policies and politics. The 14 Building Healthy Communities identified by the California Endowment are displayed on the next slide and can be found atwww.calendow.org The Central Valley is defined by OSHPD’s Shortage Designation Unit as Fresno, Kern, Kings, Madera, Merced, Sacramento, San Joaquin, Stanislaus, Tulare and Yolo. (these are also displayedon the next slide)

35. California Endowment Building Health Communities Boyle Heights Central Santa Ana Central & SE/SW Fresno Central/West Long Beach City Heights Del Norte County & AdjacentTribal lands East Oakland East Salinas (Alisal) Eastern Coachella Vly Richmond South Kern South Los Angeles South Sacramento Southwest Merced/East Merced

36. Dollar amounts entered throughout the budget sections will auto-fill on the Budget Summary page and total. The total Song-Brown funding needs to match the program information page

37.  Are there any Questions? Comments? Concerns?