Project Grant T5C52043

PRIMARY CARE TRAINING AND ENHANCEMENT - LANGUAGE AND DISABILITY ACCESS - ADDRESS: LONG ISLAND JEWISH MEDICAL CENTER OF NORTHWELL HEALTH, 270-05 76TH AVE, QUEENS, NY PROJECT DIRECTOR NAME: PRATICHI GOENKA MD & SOPHIA JAN MD MSHP CONTACT PHONE NUMBERS (VOICE): 718-470-3396 EMAIL ADDRESS: PGOENKA@NORTHWELL.EDU GRANT PROGRAM FUNDS: $2,952,366 ($2,742,007 DIRECT; $210,359 INDIRECT) THE PROPOSED PROGRAM AIMS TO DEVELOP AND IMPLEMENT A COMPREHENSIVE AND INNOVATIVE CURRICULUM TO EDUCATE PEDIATRIC, INTERNAL MEDICINE, AND FAMILY MEDICINE RESIDENTS ON CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE FOR INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY (LEP), PHYSICAL DISABILITIES (PD) AND/OR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD). OUR PATHWAYS TO CARE: CULTURALLY APPROPRIATE RESIDENCY EDUCATION FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY AND/OR DISABILITY (LEAD) ("PATHWAYS TO CARE") PROGRAM WILL BE COMPRISED OF (1) AMBULATORY CURRICULUM WITH LEAD FOCUS, (2) PRIMARY CARE CONTINUITY CLINIC WITH LEAD FOCUS, (3) COMMUNITY-BASED CLINICAL EXPERIENCES, AND (4) OPPORTUNITIES FOR ENHANCED COMMUNITY IMMERSION EXPERIENCES. THIS INNOVATIVE TRAINING PROGRAM ADDRESS THE URGENT NEED FOR ENHANCED SKILLS TRAINING FOR HEALTHCARE PROVIDERS SERVING PATIENTS WITH LIMITED ENGLISH PROFICIENCY (LEP) AND/OR DISABILITIES. INDIVIDUALS THESE POPULATIONS FACE SIGNIFICANT CHALLENGES IN THE HEALTHCARE SETTING, INCLUDING MORE ADVERSE EVENTS DURING HOSPITALIZATIONS, HEALTH INSURANCE DIFFICULTIES, AND DISRUPTIONS IN SHARED DECISION-MAKING. THE PROVISION AND DELIVERY OF COMPREHENSIVE AND CULTURALLY RESPONSIVE HEALTHCARE SERVICES CAN MEET THESE NEEDS. THIS TRAINING PROGRAM WILL TARGET 575 RESIDENTS ACROSS FIVE RESIDENCY PROGRAMS IN PEDIATRICS, INTERNAL MEDICINE, AND FAMILY MEDICINE LOCATED AT NORTHWELL HEALTH IN METROPOLITAN NEW YORK CITY, ONE OF THE MOST DIVERSE REGIONS OF THE UNITED STATES. IN ADDITION, RESIDENTS WILL PARTICIPATE IN ENHANCED COMMUNITY IMMERSION EXPERIENCES. WE BELIEVE THAT THIS PROGRAM WILL PROVIDE SUPPORT FOR DIVERSE PATIENT POPULATIONS IN OUR COMMUNITIES AND CREATE A PIPELINE OF PRIMARY CARE PROVIDERS PASSIONATE ABOUT AND EQUIPPED TO CARE FOR DIVERSE PATIENT POPULATIONS. OUR TEAM IS UNIQUELY QUALIFIED TO CARRY FORTH THE PROGRAM VISION AND OBJECTIVES OF THIS PROPOSAL GIVEN: (1) THE CLINICAL, RESEARCH AND TEACHING EXPERTISE OF THE TEAM; (2) THE MULTIPLE DISCIPLINES OF THE TEAM, WHICH INCLUDES PHYSICIANS, SOCIAL WORK, AND EDUCATORS; AND (3) THE TEACHING AND OPERATIONAL LEADERSHIP POSITIONS THAT THE TEAM HOLDS, WHICH GUARANTEE THE SUCCESS OF THE TRAINING PROGRAM. FURTHER, WE HAVE A PROVEN TRACK RECORD WITH HEALTH-SYSTEM AFFILIATED AND EXTERNAL COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE CARE TO PATIENTS WITH LEP AND/OR DISABILITIES. THROUGH THE PATHWAYS TO CARE PROGRAM, WE WILL INTEGRATE IMPACTFUL DIDACTIC AND EXPERIENTIAL LEARNING, COMPLEMENTED BY MEANINGFUL COMMUNITY ENGAGEMENT WITH INTERNAL COMMUNITY-BASED PROGRAMS (DOLAN FAMILY HEALTH CENTER, HEALTH HOME MEDICAID CASE MANAGEMENT PROGRAM, NORTHWELL HEALTH SCHOOL-BASED HEALTH CENTERS) AND EXTERNAL COMMUNITY-BASED ORGANIZATIONS (THE CENTER FOR DISCOVERY, HARMONY HEALTHCARE LONG ISLAND, LONG ISLAND SELECT HEALTHCARE, ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN). CURRICULUM WILL BE DEVELOPED IN PARTNERSHIP WITH STAKEHOLDERS, INCLUDING PATIENTS AND COMMUNITY-MEMBERS, AND WILL UTILIZE KERN'S 6-STEP APPROACH. PROGRAM EVALUATION WILL BE ONGOING AND MIXED METHODS, INCLUDING FEEDBACK FROM CLINICAL SITES, COMMUNITY SITES, AND TRAINEES. BY FOSTERING STRONG PARTNERSHIPS WITH LOCAL COMMUNITIES AND USING ESTABLISHED METHODS FOR CURRICULAR DEVELOPMENT AND EVALUATION, WE CREATE A DYNAMIC CLINICAL LEARNING ENVIRONMENT THAT EMPOWERS PRIMARY CARE RESIDENTS TO BECOME LEADERS IN PROMOTING HEALTH EQUITY AND ADDRESSING DISPARITIES AMONG PATIENTS WITH LIMITED ENGLISH PROFICIENCY (LEP), PHYSICAL DISABILITIES (PD), AND INTELLECTUAL OR DEVELOPMENTAL DISABILITIES (IDD).