Table 1.

Strategic Title VII Expansion for Support of Health Reform

Specific Area of Strategic Funding	Annual Funding Level	Focus Within Strategic Funding Area
Investment in community-based training and longitudinal experiencesa	$200 million	Residency position creation and maintenance, 2000 residency positions in community-based sites and Teaching Health Centers
	$100 million	Expansion of undergraduate medical education training to create longitudinal experiences, financially support those relationships in the community, and create school-based or AHEC resources to support them
	$30 million	Support for Rural Training Tracks; undergraduate and graduate level
Expand primary care faculty	$50.5 million	50 faculty development fellowships annually ($200,000 each to offset salary, benefits, fellowship support, travel), support for a full FTE faculty position at each medical school (150 schools, $270,000 salary, benefits, overhead)
Establish high-functioning academic ambulatory practice models for training	$100 million	$500,000 in ongoing support, 200 sites; to support infrastructure and team-based training
Reconnect training hospitals to their communities	$50 million	Grants to involve trainees and faculty in community evaluation, description, priority-setting, intervention, and evaluation
Innovation grants	$25 million	10–20 grants annually to test new models of training, population management, and community engagement; support rigorous evaluation
Evaluation, analysis, data management	$4.5 million	Funding for evaluation and analysis of Title VII outcomes, data platforms to support impact assessments, and accountable transparency
Total	$560 million

AHEC = Area for Health Education Center; FTE = full-time equivalent.

^aThe primary care residency expansion program requires about $50,000,000 annually to maintain at current levels; likewise, the Teaching Health Center Program requires about $50,000,000 annually to maintain at current levels. This estimate seeks to double the expansion.