Trinity Health Corporation

MICHIGAN CANCER RESEARCH CONSORTIUM

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

SHAPE-DP: STRATEGIC HEALTH APPROACH TO PROMOTE EQUITY IN DIABETES PREVENTION - TRINITY HEALTH IS THE FIFTH LARGEST HEALTH SYSTEM IN THE UNITED STATES AND ONE OF THE LARGEST NOT-FOR-PROFIT, CATHOLIC HEALTH CARE SYSTEMS IN THE NATION. IT SERVES PEOPLE AND COMMUNITIES IN 26 STATES WITH 88 HOSPITALS, 135 CONTINUING CARE LOCATIONS, PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), SENIOR LIVING FACILITIES AND 136 URGENT CARE LOCATIONS. TRINITY HEALTH EMPLOYS 123,000 COLLEAGUES AND NEARLY 27,000 PHYSICIANS AND CLINICIANS CARING FOR DIVERSE POPULATIONS AND COMMUNITIES. WITH AN ANNUAL OPERATING REVENUE OF $21.5 BILLION, THE ORGANIZATION RETURNS $1.4 BILLION ANNUALLY TO COMMUNITIES IN THE FORM OF CHARITY CARE AND OTHER COMMUNITY BENEFIT INITIATIVES. TO DELIVER ON THE ORGANIZATION’S MISSION OF “…BEING A TRANSFORMING, HEALTH PRESENCE IN OUR COMMUNITIES…” IT INCLUDES NATIONAL STRATEGIES TO REDUCE HEALTH INEQUITIES AND DELIVER VALUE-BASED CARE TO VULNERABLE POPULATIONS BY SCREENING AND REFERRING FOR SDOH-RELATED NEEDS AND IMPLEMENTING THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) TO MANAGE CHRONIC DISEASE BY PREVENTING OR DELAYING THE ONSET OF TYPE 2 DIABETES. USING A MULTI-SECTORAL APPROACH TO REDUCE TYPE 2 DIABETES PREVALENCE AND ADVANCE HEALTH EQUITY IN COMMUNITIES SERVED, TRINITY HEALTH IS APPLYING FOR COMPONENT C OF CDC-RFA-DP-23-0020 TARGETING TRINITY HEALTH’S REGIONAL GEOGRAPHIES IN 16 STATES (CALIFORNIA, CONNECTICUT, DELAWARE, IDAHO, GEORGIA, FLORIDA, IOWA, INDIANA, ILLINOIS, MARYLAND, MASSACHUSETTS. MICHIGAN, NEW YORK, OHIO, OREGON, PENNSYLVANIA) FOCUSING ON THE 4141 MOST POPULOUS CITIES AND THEIR SURROUNDING COMMUNITIES--WHICH INCLUDES OVER 16.5 MILLION PEOPLE OVER THE AGE OF 18. BEGINNING IN YEAR ONE, TRINITY HEALTH WILL LAUNCH SHAPE-DP – STRATEGIC HEALTH APPROACH TO PROMOTE HEALTH EQUITY AND DIABETES PREVENTION. THIS NATIONAL NETWORK OF COLLABORATORS (HUB), INCLUDING TRINITY HEALTH, AETNA/CVS HEALTH, CAPITAL DISTRICT PHYSICIAN’S HEALTH PLAN, COMMUNITY PHARMACY ENHANCED SERVICES NETWORK, YMCA OF THE USA, CATHOLIC CHARITIES USA, HABITNU, AND THE AMERICAN MEDICAL ASSOCIATION AND WILL ADVANCE HEALTH EQUITY AND REDUCE HEALTH DISPARITIES BY IMPLEMENTING A BOLD STRATEGY THAT PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, INCLUDING UNMET SDOH RELATED NEEDS, BY BUILDING A NETWORK OF NATIONAL DIABETES PREVENTION PROGRAM (NDPP) PROVIDERS ACROSS THE 16 STATE SERVICE AREA. TOGETHER, THE HUB WILL IMPLEMENT WORKPLAN ACTIVITIES DESIGNED TO SUPPORT THE 4 STRATEGIES FOCUSING ON 3 PRIORITY POPULATIONS INCLUDING ADULTS 65+, AFRICAN AMERICAN/BLACK AND HISPANIC/LATINO. OVER THE COURSE OF THE 5-YEAR PERFORMANCE PERIOD, THE HUB WILL EXPAND MEMBERSHIP TO ENROLL A TOTAL OF 20,000 PARTICIPANTS (14,000 FROM A PRIORITY POPULATION) AND APPLY STRATEGIES TO ENSURE A 60% COMPLETION RATE; ENGAGE 6 COMMERCIAL PAYERS TO COVER THE COSTS OF NDPP PROGRAM DELIVERY THROUGH EXISTING AND NEW PAYMENT MODELS, STANDARDIZE PROCESSES FOR HUB PARTNERS TO SCREEN 100% OF ALL PARTICIPANTS FOR SDOH-RELATED NEEDS, AND REFER 100% OF THOSE WHO REQUEST ASSISTANCE TO A LOW/NO-COST COMMUNITY RESOURCE AND CONTINUALLY WORK TO REMOVE BARRIERS TO PARTICIPATION IN THE NDPP. THROUGH THIS BOLD APPROACH AND STRATEGIC INTERVENTIONS TO ADVANCE HEALTH EQUITY, TRINITY HEALTH EXPECTS TO SEE REDUCED RATES OF TYPE 2 DIABETES INCIDENCE AMONG THE PRIORITY POPULATIONS IN THE SERVICE AREA.

MICHIGAN CANCER RESEARCH CONSORTIUM CCOP

"ADVANCING DIABETES AWARENESS AND PREVENTION AT TRINITY HEALTH" (ADAPT)

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

HEALTHY MARRIAGE DEMONSTRATION, PRIORITY AREA 7

HEALTH CENTER CLUSTER

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT.

THE CAPITAL REGION GERIATRIC CENTER WILL: EXPAND THE SAFETY NET FOR THOSE LIVING ALONE WITH ADRD, COLLABORATE WITH THOSE OFFERING SERVICES TO THE DEVELOPMENTALLY DISABLED, AND WORK WITH CAREGIVERS.

SRSLY DRUG FREE COMMUNITIES SUPPORT PROGRAM

RURAL HEALTH OUTREACH SPECIAL INITIATIVE

REDUCING CHILD FATALITIES AND RECURRING INJURIES

CARES ACT HIGHER EDUCATION STUDENT EMERGENCY FUNDING

RIGHT PLACE, RIGHT TIME: INFORMATION DESIGN TO SUPPORT DECISIONS IN ACUTE CARE

ARRA - CAPITAL IMPROVEMENT PROGRAM

CLINICAL AND COMMUNITY SUPPORT FOR CHILDREN AND ADOLESCENTS WITH SEXUAL BEHAVIOR PROBLEMS

COMMUNITY BASED CARE COORDINATION EXPANSION INITIATIVE

PRIMARY CARE TRAINING AND ENHANCEMENT -- RESIDENCY TRAINING IN STREET MEDICINE - THIS APPLICATION REQUESTS SUPPORT FOR THE BAYCARE STREET MEDICINE COLLABORATIVE (BSMC), A COLLABORATIVE OF THREE HOSPITAL RESIDENCY PROGRAMS OPERATING OUT OF THE BAYCARE HEALTH SYSTEM TO TRAIN 82 RESIDENTS PER YEAR IN STREET MEDICINE, FOR A TOTAL OF 410 RESIDENTS IMPACTED BY THE GRANT. BAYCARE HEALTH SYSTEM INC (BCHS), A LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEM, CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES ACROSS 16 HOSPITALS AND HUNDREDS OF AMBULATORY LOCATIONS THROUGHOUT THE TAMPA BAY AND WEST CENTRAL FLORIDA REGIONS. BCHS’S HOSPITALS AND OUR PROPOSED CLINIC SITES ARE IN HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) IN WEST/CENTRAL FLORIDA. PROJECT NEED: THE SHORTAGE OF MEDICAL RESIDENCY TRAINING IN STREET MEDICINE IS STARK COMPARED TO THE GROWING NUMBER OF UNHOUSED INDIVIDUALS IN THE PINELLAS AND HILLSBOROUGH COUNTY SERVICE AREA. ACCORDING TO THE MOST RECENT POINT IN TIME COUNT (PITC), OVER 4,000 INDIVIDUALS EXPERIENCED HOMELESSNESS IN THESE COUNTIES IN 2024. THAT SAME YEAR, OUR THREE HOSPITALS TREATED MORE THAN 3,000 UNHOUSED PATIENTS, UNDERSCORING A SIGNIFICANT MEDICAL NEED. DESPITE THIS, THERE ARE NO DEDICATED RESIDENCY PROGRAMS IN OUR AREA FOCUSED ON PROVIDING CONTINUOUS, COMMUNITY-BASED CARE TO THIS POPULATION. BCHS RECENTLY OPENED SEVEN GRADUATE MEDICAL EDUCATION PROGRAMS FROM 2020-2024. MOST OF SUCH PROGRAMS ARE INTERNAL MEDICINE AND FAMILY MEDICINE RESIDENCY TRAINING PROGRAMS. CURRENTLY, MEDICAL TRAINING AT BAYCARE FOR RESIDENTS TREATING INDIVIDUALS EXPERIENCING HOMELESSNESS IS UNDERDEVELOPED, LACKING BOTH EXPERIENTIAL LEARNING IN CLINICAL SETTINGS THAT SERVE THE UNHOUSED AND A DIDACTIC CURRICULUM TAILORED TO THEIR UNIQUE HEALTHCARE NEEDS. ESTABLISHING A STREET MEDICINE RESIDENCY PROGRAM AT BCHS WILL BRIDGE THIS GAP BY EQUIPPING PHYSICIANS WITH THE SKILLS TO DELIVER CARE BEYOND TRADITIONAL HOSPITAL SETTINGS. PROPOSED PROGRAM: OVER 5 YEARS, BSMC WILL SERVE 410 RESIDENTS AT THREE HOSPITAL RESIDENCY PROGRAMS: (1) ST. ANTHONY’S HOSPITAL – INTERNAL MEDICINE, (2) ST. JOSEPH’S HOSPITAL -INTERNAL MEDICINE, AND (3) ST. JOSEPH’S HOSPITAL (SOUTH)– FAMILY MEDICINE. LED BY DR. AL-OBAYDI OF ST. ANTHONY’S HOSPITAL, THE PROJECT WILL MEET THE GOALS AND OBJECTIVES OF THE PCTE-RTSM PROGRAM BY (1) ENHANCING TRAINING FOR THREE BAYCARE RESIDENCIES BY OFFERING CLINICAL ROTATIONS AT TWO COMMUNITY-BASED CLINICS SERVING THE HOMELESS AND (2) ENHANCING OUR DIDACTIC CURRICULUM TO INCORPORATE LESSONS SPECIALLY DESIGNED TO ADDRESS THE NEEDS OF INDIVIDUALS WITHOUT HOUSING (I.E SDOH, MEDICAL-LEGAL PARTNERSHIPS, UNDERSTANDING OF DISTINCT CUSTOMS). FUNDING PRIORITY OR PREFERENCE: WE ARE REQUESTING FUNDING UNDER COMPETITIVE PREFERENCE QUALIFICATION 3: NEW TRAINING PROGRAMS

PROGRAM FOR SURVIVORS OF TORTURE (PSOT)

HEALTH CARE AND OTHER FACILITIES

RESEARCH CAPACITY BUILDING BY A CLINICIAN SCIENTIST WITHIN THE MICHIGAN CANCER RESEARCH CONSORTIUM- NATIONAL COMMUNITY ONCOLOGY RESEARCH PROGRAM - PROJECT SUMMARY/ABSTRACT THIS CLINICIAN SCIENTIST PROJECT IS PROPOSED BY ELIE DIB, MD, MS, FACP, A MEMBER OF THE MICHIGAN CANCER RESEARCH CONSORTIUM (MCRC)-NATIONAL COMMUNITY ONCOLOGY RESEARCH PROGRAM. MCRC IS WELL ESTABLISHED AND BASED AT THE TRINITY HEALTH ANN ARBOR (THAA) HOSPITAL, WHICH IS A SMALL ACADEMIC MEDICAL CENTER, ASSOCIATED WITH THE NATION’S FIFTH LARGEST HEALTH SYSTEM. DR. DIB PRACTICES AS A MEDICAL ONCOLOGIST WITHIN THAA AND CHELSEA HOSPITAL, A JOINT VENTURE WITH MICHIGAN MEDICINE. OVER 40 TRIAL SITES AND 140 INVESTIGATORS CONDUCT RESEARCH AS PART OF MCRC. DR. DIB CONCURRENTLY SERVES AS ADJUNCT FACULTY LECTURER AT JOHNS HOPKINS UNIVERSITY, TEACHING IN THE AREAS OF CANCER BIOLOGY AND THERAPEUTICS AND INDIVIDUALIZED GENOMICS AND HEALTH. DR. DIB HAS BEEN A HIGHLY PRODUCTIVE MCRC CO-I SINCE 2016, CONTRIBUTING THE FOLLOWING MAJOR DELIVERABLES: A) SITE PI FOR OVER 60 PROTOCOLS ENROLLING 800 PATIENTS ACROSS MCRC; B) ENROLLING INVESTIGATOR FOR 200+ PATIENTS COMPLETING NCI TRIALS; C) CO-FOUNDER AND VICE CHAIR OF ALLIANCE IMMUNO-ONCOLOGY COMMITTEE; D) COMMUNITY CO-CHAIR OF SEVEN ALLIANCE TRIALS AND REPRESENTATIVE TO THE NCI IMATCH INITIATIVE. HE IS ALSO SERVING A 3-YEAR TERM WITH THE NCI GENITOURINARY CANCERS STEERING COMMITTEE. AIMS OF THE PROJECT WILL BE TO CONTINUE ESTABLISHED AND SUCCESSFUL CLINICAL TRIALS ACTIVITIES AND GAIN PROTECTED RESEARCH TIME TO COMPLETE THE FOLLOWING: A) CONTRIBUTE TO NEWLY-FUNDED MCRC INITIATIVES AIMED AT INCREASING THE RATE OF CLINICAL TRIALS ENROLLMENT BY MINORITY AND UNDERSERVED INDIVIDUALS; B) LAUNCH SAFETY LEAD-IN WORK AND MORE PHASE I TRIALS AT MCRC’S MOST CAPABLE SITES; C) EVALUATE AND HELP ADOPT AI AND PROS TOOL(S) FOR IMPROVING EFFICIENCIES IN RESEARCH SUCH AS PATIENT SCREENING AND BUILDING CAPACITY TO USE REAL-WORLD EVIDENCE; D) CONTINUE COLLABORATION DEVELOPMENT WITHIN MCRC COMMUNITY SITES, THAT ARE JOINT VENTURES WITH MICHIGAN MEDICINE, TO BRING A WIDER RANGE OF NCI-FUNDED STUDIES TO COMMUNITY SETTINGS. IN COMPLETING THIS WORK, DR. DIB WILL PROVIDE ESSENTIAL KNOWLEDGE, SKILLS, AND ABILITIES AS A COMMUNITY-BASED ONCOLOGIST TO NCI CLINICAL TRIALS INITIATIVES. THIS PROJECT FILLS A GAP FOR NCI BY BRINGING A HIGHLY-QUALIFIED COMMUNITY ONCOLOGIST INTO THE CLINICIAN SCIENTIST PROGRAM. NATIONALLY, MOST ONCOLOGY CARE IS DELIVERED IN THE COMMUNITY, OFTEN IN TANDEM WITH HIGH-FUNCTIONING CLINICAL TRIALS PROGRAMS. THUS, HIS PERSPECTIVE AND EXPERIENCE ARE REPRESENTATIVE OF THE BROADER CANCER CARE COMMUNITY. HIS WORK WILL HAVE HIGH IMPACT FOR ALL OF MCRC, ALLIANCE, NCI, AND THE LARGE POPULATION OF PATIENTS AND FAMILIES WHO ACCESS CANCER CARE OUTSIDE OF MAJOR ACADEMIC MEDICAL CENTERS.

GREATER HARTFORD CHILDRENS ADVOCACY CENTER PROBLEMATIC YOUTH SEXUAL BEHAVIOR PROGRAM

RECIPIENT'S FUNDING CERTIFICATION AND AGREEMENT EMERGENCY FINANCIAL AID GRANTS TO STUDENTS UNDER THE CARES ACT.

CONTINUUM OF CARE PROGRAM

ARRA - INCREASE SERVICES TO HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS

ALLIANCE FOR SUBSTANCE ABUSE PREVENTION DRUG FREE COMMUNITIES SUPPORT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

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

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

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

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

EXPENSES RELATED TO COVID-19 DISRUPTIONS & EMERGENCY FINANCIAL AID GRANTS TO STUDENTS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

AWARDED TO ORGANIZATIONS THAT OPERATE AMERICORPS PROGRAMS IN MORE THAN ONE STATE AND APPLY DIRECTLY TO CNCS. APPLICANTS WOULD APPLY ONLY FOR AMERICO

SRSLY DRUG FREE COMMUNITY SUPPORT PROGRAM

THE SRSLY COALITION WORKS TO PREVENT YOUTH SUBST. ABUSE, AND WILL MENTOR THE NEIG

INTERFACING DOD TRICARE PATIENT DATA FROM AN EXTERNAL PROVIDER: TRINITY HEALTH