Table 1

Strategic Title VII Expansion for Support of Health Reform

Specific Area of Strategic FundingAnnual Funding LevelFocus Within Strategic Funding Area
Investment in community-based training and longitudinal experiencesa$200 millionResidency position creation and maintenance, 2000 residency positions in community-based sites and Teaching Health Centers
$100 millionExpansion 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 millionSupport for Rural Training Tracks; undergraduate and graduate level
Expand primary care faculty$50.5 million50 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 millionGrants to involve trainees and faculty in community evaluation, description, priority-setting, intervention, and evaluation
Innovation grants$25 million10–20 grants annually to test new models of training, population management, and community engagement; support rigorous evaluation
Evaluation, analysis, data management$4.5 millionFunding 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.

  • a The 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.