Project Access of New Haven
PO Box 9293
New Haven CT 06533
Contact Information
Address PO Box 9293
New Haven, CT 06533-
Telephone (203) 773-0838 x
Fax 203-773-9711
E-mail info@pa-nh.org
Web and Social Media
Mission

Project Access-New Haven (PA-NH) increases access to medical care and services for underserved individuals in the Greater New Haven area.

At A Glance
Year of Incorporation 2009
Organization's type of tax exempt status Public Supported Charity
Organization received a competitive grant from the community foundation in the past five years Yes
Leadership
CEO/Executive Director Ms. Darcey Lynn Cobbs-Lomax MBA, MPH
Board Chair Dr. Peter Ellis
Board Chair Company Affiliation Yale University School of Medicine/Yale Medical Group
Financial Summary
 
Projected Revenue $1,029,866.00
Projected Expenses $1,029,926.00
Statements
Mission

Project Access-New Haven (PA-NH) increases access to medical care and services for underserved individuals in the Greater New Haven area.

Background

Project Access-New Haven (PA-NH) is a 501(c)(3) non-profit organization that increases access to medical care and services for underserved patients in the Greater New Haven area. PA-NH was founded in 2009 by a group of dedicated physicians who sought to address health concerns and inequities the New Haven community. The program is based on a model that has been implemented in more than 150 communities across the U.S. 

 

PA-NH engages the local community to build a network of care for the underserved. More than 300 volunteer physicians donate their time and Yale-New Haven Hospital (YNHH) donates a full spectrum of ancillary services (e.g., diagnostic testing, surgical facilities, and other inpatient and outpatient hospital-based services) on its York Street and Saint Raphael Campuses. PA-NH also has support from local businesses – for example, a local taxi service provides free taxi rides to patients when transportation is a barrier to accessing care and a surgical supply company donates prosthetics and other medical supplies. 

 

At the core of the program are Patient Navigators (PNs) who coordinate care, remove access barriers, and help patients navigate the health care system. A PN meets with each patient for an extensive intake interview and then works with the patient and his/her providers to determine health service needs, develop an individual care plan, and coordinate the delivery of services. PNs also work with patients to identify and address barriers to care – for example, by coordinating translation or transportation services. As a result of these efforts, the median wait from enrollment to medical appointment is 14 days and the “no-show” rate for medical appointments is 3% (compared with 6-8 weeks and 34% for similar patients using local hospital-based specialty clinics). By providing underserved patients with access to comprehensive, coordinated, and compassionate care in a timely manner, PA-NH improves patient care, increases health system efficiency, and reduces health disparities.

 

In its first five years of operation, PA-NH served over 1,200 patients and coordinated the delivery of more over $22 million in needed medical care to underserved patients. The organization has grown significantly during this time and has systematically expanded its referral network to six primary sites, including two community-based Federally Qualified Health Centers (FQHCs) and the Primary Care Centers (PCCs) and Emergency Departments (EDs) of YNHH and the YNHH Saint Raphael Campus.   

 

In 2013, PA-NH expanded services to Medicaid enrollees who are frequent users of the ED (defined as ≥4 ED visits in the previous year) in an effort to increase engagement in primary care and reduce avoidable ED visits and hospitalizations. In 2015, PA-NH launched a Breast Health Navigation Program, funded by the Susan G. Komen Foundation, to provide patient navigation for underserved women with abnormal mammograms.

 

Finally, PA-NH helped to develop a PN training program in New Haven through a collaboration with Gateway Community College (GCC) and several other community partners. This program came out of early discussions between PA-NH and GCC regarding the increasing need for trained PNs with knowledge of local resources and highlights PA-NH’s role as a local authority on the use of patient navigation to provide medical care to underserved patients.

Impact

Accomplishments:

Since opening in September 2010, we have served over 1200 patients and provided more than $22 million in donated medical care to those in need.  This care was provided through our expansive volunteer provider network, which includes 300+ physicians, Yale-New Haven Hospital, and many other local providers and community partners.

Our patients have reduced wait-times (14 days) and increased show-rates (97%) for medical appointments, make fewer trips to the emergency room, and report improved health and quality-of-life, increased ease of accessing care and following treatment recommendations, and high program satisfaction at follow-up.

We were awarded the CT Hospital Association and CT Department of Public Health’s 2014 CT Hospital Community Service Award with Yale-New Haven Hospital for our successful partnership in caring for the underserved.

We presented program results at the American Public Health Association, AcademyHealth, Communities Joined in Action, and Society for Academic Emergency Medicine annual meetings.

We launched a Breast Health Navigation Program for underserved women with abnormal mammograms,  The new program is supported by a grant from the Susan G. Komen Foundation and utilizes patient navigation to ensure timely access to diagnostic testing and treatment as patients move through the breast cancer continuum of care.  
 
Goals:

Continue to provide timely access to medical care and services for low-income, uninsured Greater New Haven residents.

Pursue expansion of services to Medicaid-insured patients through systematic needs assessment and stakeholder engagement, review of expansion opportunities and proposals, and related program planning, fund development, and implementation activities.

Continue to monitor and evaluate our program and disseminate results to broad audiences.

Expand marketing and development efforts, including fundraising, donor relations/stewardship, public awareness, social media, and other related activities.

Continue to leverage our innovative and successful model of health care delivery for larger and broader underserved populations.

Needs

Our most pressing need is financial support for ongoing program operations. All contributions to PA-NH help ensure the sustainability of our current services, as well as the continued growth and expansion of our program to meet the needs of underserved patients in the Greater New Haven community.

CEO Statement

Dear Friends & Supporters,

Project Access-New Haven (PA-NH) recently celebrated its fifth anniversary and I am extremely proud of how much we have accomplished in our first five years. Most importantly, we have provided urgently needed medical care and services to over 1,200 low-income, uninsured Greater New Haven residents. With the incredible support of over 300 volunteer physicians, Yale-New Haven Hospital, and many other local providers and community partners, we have provided more than $22 million in donated care to those most in need. Our incredible team of bilingual Patient Navigators helps patients overcome access barriers and ensures that they receive this care in a timely and coordinated fashion.

During 2013 and 2014, we expanded our patient navigation services to Medicaid-insured, frequent emergency department (ED) users (patients with four or more ED visits in a year) through a pilot program designed to increase their engagement in primary care and reduce avoidable ED visits and hospitalizations. Results of this work have been very promising and informative, showing that patient navigation can increase primary care utilization and reduce ED visits, hospitalizations, and hospital costs for this underserved group.  

 
In 2015, we received a new grant from the Susan G. Komen Foundation to launch a Breast Health Navigation Program.  The new program is providing patient navigation to underserved women with abnormal mammograms to ensure that they receive timely and appropriate follow-up testing and treatment. 
 
We are always looking for opportunities to share information about our program and positive results.  In the past year, we presented our work at several national conferences, including the American Public Health Association, AcademyHealth, Communities Joined in Action, and Society of Academic Emergency Medicine annual meetings.

Looking ahead, we are committed to both maintaining current programming and expanding services to larger and broader populations of underserved patients. With the rapidly changing healthcare environment in the U.S. and Connecticut, it is even more important to continually assess and respond to the health care needs of underserved individuals in our community. With an outstanding staff and devoted Board of Directors, we continue to strive to be the community champion for access to care for those most in need, and to advance our mission of improving access to care for the underserved.

While I realize that there are many options for charitable giving in the Greater New Haven area, I hope you will recognize the value in the meaningful work that we do and consider supporting PA-NH.

Warm regards,
Darcey Cobbs-Lomax MPH, MBA
Executive Director

Board Chair Statement

Dear Friends & Supporters,

Seven years ago, a small group of community physicians met in the cafeteria of Yale-New Haven Hospital. We were committed to understanding and responding to the problems we faced obtaining medical care for individuals without health insurance. Although the problems of access were myriad, we focused on urgent specialty care. With the support from the Yale University-Robert Wood Johnson Clinical Scholars program, we researched best practices across the country and determined that a system of patient navigation would give our neediest patients the opportunity to access services in a timely fashion.

We had tremendous support from our community of physicians, who chose to donate their care to our patients. These physicians also were our first financial supporters, offering the seed money to start our project. Soon after, we received an initial grant from the Community Foundation for Greater New Haven. Yale-New Haven Hospital offered resources, personnel, office space, and financial support. The hospital also generously donated all ancillary and hospital-based medical care for our patients. As time passed, our organization began to take root and grow. We created wonderful relationships with Fair Haven Community Health Center, Cornell Scott-Hill Health Center, Yale Surgical Co., Metro Taxi, Quinnipiac University, Yale University, Quest Laboratory, and many others.

Today, we are a well-established community-based nonprofit organization. We are very proud of our many achievements. To date, we have provided patient navigation services to over 1,200 patients and the value of donated medical care provided through PA-NH is estimated to exceed $22 million. Our patients keep 97% of their appointments, make fewer trips to the emergency room, and report improved health and quality of life in the year following enrollment. Our patient navigation model provides support by creating close relationships with our staff through frequent contact, which helps to ensure that our patients complete their medical care. Our model of patient navigation has been presented at several national forums and is informing discussions about innovative models of healthcare delivery. These achievements would not have been possible without the generous support of our friends, volunteers, donors, and volunteer providers.

As the health care landscape changes regionally and nationally, we will continue to advocate for the medically underserved. We recognize that barriers to care prevent timely and appropriate access for many of our neediest patients, regardless of insurance status. We are continually working to address these concerns and be the community champion for access to care for those most in need. We are grateful for the strong support we have received from the New Haven community and are looking forward to continuing to work together to improve access to care for our neighbors in need.

With sincere thanks,
Stephanie Arlis-Mayor, MD

Service Categories
Primary Organization Category Health Care / Community Health Systems
Areas Served
East Haven
Hamden
New Haven
North Haven
Orange
West Haven
Woodbridge
Branford
Guilford
North Branford
Wallingford
PA-NH serves the Greater New Haven area including: Branford, East Haven, Guilford, Hamden, New Haven, North Branford, North Haven, Northford, Orange, Wallingford, West Haven, and Woodbridge. 
Programs
Description

Project Access-New Haven (PA-NH) provides free medical care and services to low-income, uninsured Greater New Haven residents with urgent medical conditions. We partner with local providers to identify those most in need and connect them with donated care generously provided by over 300 physician volunteers, Yale-New Haven Hospital (YNHH), and many other local providers and community partners. At the core of the program are Patient Navigators who help patients overcome barriers to care and navigate an often complex and confusing health care system. By expanding and coordinating care for underserved patients, PA-NH improves access to care for those in need, facilities efficient and effective use of local health care resources, and reduces health disparities in the community.

Population Served Poor,Economically Disadvantaged,Indigent / At-Risk Populations / Other Health/Disability
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service.
  • Expanded network of medical care and services for underserved Greater New Haven residents
  • Increased access to timely and appropriate medical care and services for underserved Greater New Haven residents
  • Reduced wait times for medical appointments among PA-NH participants
  • Improved show-rates for appointments among PA-NH participants
  • Decreased emergency department visits and hospitalizations among PA-NH participants
  • Improved patient-reported health and quality of life among PA-NH participants
  • Improved patient-reported access to care and ability to follow treatment recommendations among PA-NH participants
  • High patient and provider satisfaction
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.
  • Improved health in Greater New Haven
  • Reduced health disparities in Greater New Haven
  • Improved efficiency and effectiveness of the Greater New Haven health care system
  • Better systems of care for underserved patients in Greater New Haven and beyond (e.g., through increased use of patient navigation and other innovative models of care delivery that improve care for the underserved)
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.

We are committed to rigorous evaluation of our program and utilize a variety of tools to monitor progress and measure outcomes and impact. Operational data, including referral and enrollment rates, wait-times and show-rates to appointments, patient navigation activities, and amount, type, and value of services provided, are collected on an ongoing basis using an electronic patient tracking system and reviewed monthly. In addition, patients complete an extensive intake interview and are surveyed one year after enrollment to assess health status and needs, quality of life, health literacy, access/barriers to care, health service utilization, and program satisfaction. A provider survey is also conducted periodically to measure satisfaction and obtain feedback for program improvement. Health care utilization and cost data are obtained through our collaboration with YNHH. 

 

In addition, we have a long-standing partnership with the Yale University-Robert Wood Johnson Foundation (RWJF) Clinical Scholars Program. Several Scholars helped found PA-NH and were influential in developing our initial evaluation processes and tools. In 2013, we collaborated with a RWJF Scholar to develop a pilot program evaluating our patient navigation model for increasing engagement in primary care and reducing avoidable emergency department (ED) visits and hospitalizations for Medicaid-insured frequent ED users. Finally, we are working with two current RWJF Scholars to conduct an in-depth analysis of our program and develop recommendations for improvement.

Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.

We have served over 1,200 patients and provided over $22 million in donated care to those in need. PA-NH patients have shorter wait-times for medical appointments (~14 days vs. 6-8 weeks in hospital clinics) and higher show-rates (97% vs. 66%). They also report improved health and quality of life at 1-year follow up – they are more likely to say their health is "excellent" (15% vs. 4%) and less likely to report “fair/poor" health (37% vs. 54%). In addition, the percent who say their health did not limit their usual activities in the past month increases from 53% to 70% and the percent who say they were limited for 15+ days – a substantial negative impact on quality of life – decreases from 18% to 10%. Nearly all (96%) report improved access to care while in PA-NH and fewer say they delayed getting needed care in the past year (11% vs. 46%).

Testimonials:

“After having my leg amputated, my life seemed to be pulled out right underneath my very eyes. Thanks to Project Access, I have once again been given the opportunity to walk. My prosthetic has given me another chance in life — a rebirth so to say. I will never forget what they did for me and my family.”

"I was embarrassed having to ask for help after losing my job and health benefits, but the Project Access staff took the time to understand my situation with grace, and treated me with dignity. I will be forever grateful.”

“They would call me to ask me how my appointments went and it made me feel like they cared about my health. Before the program, I was only able to work 3-4 hours a day due to my illness. Now I am able to work more hours which helps me and my daughter financially. I am very grateful for Project Access.”

“The cataract surgery eliminated my disability completely. I have a much better quality of life and a greater enthusiasm for reading, which is my hobby. There really are no words to describe my appreciation for the help I received.”

Description

The PA-NH Breast Health Navigation Program provides patient navigation to underserved women in Greater New Haven who have abnormal breast cancer screenings. Services are designed to promote timely access to - and utilization of - appropriate follow-up testing and treatment, link patients with community resources, and educate and support patients and their families as they move through the Breast Cancer Continuum of Care. Our model of navigation emphasizes patient engagement in care, builds trusting relationships between navigators and patients, breaks down barriers that may prevent patients from accessing care in a timely fashion, and facilitates the delivery of compassionate, culturally competent care.

Population Served Poor,Economically Disadvantaged,Indigent / Females / People/Families of People with Cancer
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service. Improved access to timely follow-up diagnostic testing and treatment for underserved women with abnormal breast imaging findings
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.
Improved early detection of breast cancers among underserved, Greater New Haven women
 
Improved breast cancer treatment outcomes among underserved, Greater New Haven women
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact. Program monitoring and evaluation procedures are the same as for the PA-NH Urgent Specialty Care for the Uninsured Program.   
Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success. This program was just launched in late 2015.  To-date, we have served 97 patients, including 14 who are currently receiving treatment for breast cancer.  Additional evaluation metrics and examples of program successes will be posted as they become available. 
Program Comments
CEO Comments    
CEO/Executive Director
Ms. Darcey Lynn Cobbs-Lomax MBA, MPH
Term Start May 2012
Email darcey.cobbslomax@pa-nh.org
Experience Darcey Cobbs-Lomax, MBA, MPH, joined Project Access as the Executive Director in May 2012.  Her holds a BA in French and Finance from Florida State University, an MBA from Georgia State University, and an MPH from Walden University. 

Darcey is a native of southern Connecticut (Bridgeport). Her career has balanced between the public sector, municipal government, and healthcare, with a focus on community health, quality of care, and health outcomes for various populations. Darcey served previously in the Mayoral appointed position of Director of Elderly Services for the City of New Haven, as the Ambulatory Care Manager for the Infectious Disease Clinic at Harlem Hospital Center, and most recently as the Research Manager/Manager of Business Operations for the Yale University/Yale-New Haven Hospital Center for Outcomes Research and Evaluation.
 
In addition to her academic, management and research background, Darcey brings to PA-NH a genuine interest in the mission of the organization and desire to improve access to care for all. 
Staff
Number of Full Time Staff 9
Number of Part Time Staff 2
Number of Volunteers 400
Number of Contract Staff 2
Staff Retention Rate 56%
Staff Demographics - Ethnicity
African American/Black 4
Asian American/Pacific Islander 0
Caucasian 2
Hispanic/Latino 7
Native American/American Indian 0
Other 0 0
Staff Demographics - Gender
Male 1
Female 12
Unspecified 0
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
Non Management Formal Evaluation Yes
Non Management Formal Evaluation Frequency Annually
Collaborations

We collaborate with local providers and partners to identify eligible patients with urgent health conditions and provide them with donated medical care and services. In addition, we work with local, state, and national organizations to advance innovation in health care delivery, health care access, and health equity. Our partners and collaborators include:

  • Aetna Foundation

  • Access Health Connecticut

  • Blue State Coffee

  • City of New Haven Department of Health

  • Christian Community Action

  • Community Foundation for Greater New Haven

  • Connecticut Cancer Partnership

  • Connecticut Foundation for Better Health

  • Connecticut State Medical Society

  • Cornell Scott-Hill Health Center

  • CVS Caremark Charitable Trust

  • Helping Hands Community Thrift Store & Furniture Bank

  • Fair Haven Community Health Center

  • Gateway Community College

  • JUNTA for Progressive Action

  • Medical Staff of Yale-New Haven Hospital

  • Metro Taxi

  • NewAlliance Foundation

  • New Haven County Medical Association

  • Quest Diagnostics

  • Quinnipiac University

  • Southern Connecticut State University

  • State of Connecticut Department of Public Health

  • Susan G. Komen Foundation

  • Webster Bank

  • Yale Center for Clinical Investigation

  • Yale-New Haven Hospital

  • Yale-New Haven Hospital Ecumenical Free Bed Fund Committee

  • Yale Surgical Co.

  • Yale University-Robert Wood Johnson Foundation Clinical Scholars Program


Awards
Award/RecognitionOrganizationYear
Connecticut Hospital Community Service AwardConnecticut Hospital Association & Connecticut Department of Public Health2014
Board Chair
Dr. Peter Ellis
Company Affiliation Yale University School of Medicine/Yale Medical Group
Term Jan 2016 to Dec 2017
Board of Directors
NameAffiliation
Mr. Jordan Arovas Webster Bank
Yolanda Caldera-Durant
Ms. Katrina Clark Retired (Fair Haven Community Health Center)
Ms. Darcey Cobbs-Lomax Project Access-New HAven
Dr. Paul Fortgang Southern New England Ear, Nose, Throat & Facial Plastic Surgery
Rev. Bonita Grubbs Christian Community Action
Dr. Brian Keyes
Dr. Suzanne Lagarde Fair Haven Community Health Center
Dr. Mikki Meadows-Oliver
Mr. David I. Newton Elm City Advisors
Mr. Bob Serow RLS Consulting/LAPA Fundraising
Dr. Erica Spatz Yale University School of Medicine, Center for Outcomes Research & Evaluation
Dr. Steve Wolfson Cardiology Associates of New Haven
Board Demographics - Ethnicity
African American/Black 3
Asian American/Pacific Islander 0
Caucasian 10
Hispanic/Latino 1
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 7
Female 7
Unspecified 0
Standing Committees
Audit
Board Governance
Finance
Executive
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
 
 
Financials
Fiscal Year Start Jan 01 2016
Fiscal Year End Dec 31 2016
Projected Revenue $1,029,866.00
Projected Expenses $1,029,926.00
Spending Policy N/A
Credit Line Yes
Reserve Fund Yes
Detailed Financials
Prior Three Years Revenue Sources ChartHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201420132012
Foundation and
Corporation Contributions
$403,715$333,669$444,006
Government Contributions$190,876$292,597$50,000
Federal------
State$187,876----
Local------
Unspecified$3,000$292,597$50,000
Individual Contributions------
------
------
Investment Income, Net of Losses$337$347$178
Membership Dues------
Special Events------
Revenue In-Kind------
Other------
Prior Three Years Expense Allocations Chart
Fiscal Year201420132012
Program Expense$451,441$476,295$328,068
Administration Expense$89,000$98,940$61,904
Fundraising Expense$25,142$4,558$6,609
Payments to Affiliates------
Total Revenue/Total Expenses1.051.081.25
Program Expense/Total Expenses80%82%83%
Fundraising Expense/Contributed Revenue4%1%1%
Prior Three Years Assets and Liabilities Chart
Fiscal Year201420132012
Total Assets$336,092$309,708$208,219
Current Assets$319,882$300,708--
Long-Term Liabilities------
Current Liabilities$56,741$59,702$5,032
Total Net Assets$279,351$250,006$203,187
Prior Three Years Top Three Funding Sources
Fiscal Year201420132012
Top Funding Source & Dollar AmountYale New Haven Hospital $261,570CT Dept. of Public Health $277,597Yale New Haven Hospital $235,523
Second Highest Funding Source & Dollar AmountCT Dept. of Public Health $187,876Yale New Haven Hospital $193,171CT Dept. of Public Health $50,000
Third Highest Funding Source & Dollar AmountThe Community Foundation for Greater New Haven $63,840The Community Foundation for Greater New Haven $57,418Yale New Haven Hospital Medical Staff Fund $40,000
Solvency
Short Term Solvency
Fiscal Year201420132012
Current Ratio: Current Assets/Current Liabilities5.645.040.00
Long Term Solvency
Fiscal Year201420132012
Long-Term Liabilities/Total Assets0%0%0%
Capitial Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
Comments
Foundation Staff Comments

This profile, including the financial summaries prepared and submitted by the organization based on its own independent and/or internal audit processes and regulatory submissions, has been read by the Foundation. Financial information is inputted by Foundation staff directly from the organization’s IRS Form 990, audited financial statements or other financial documents approved by the nonprofit’s board. The Foundation has not audited the organization’s financial statements or tax filings, and makes no representations or warranties thereon. The Community Foundation is continuing to receive information submitted by the organization and may periodically update the organization’s profile to reflect the most current financial and other information available. The organization has completed the fields required by The Community Foundation and updated their profile in the last year. To see if the organization has received a competitive grant from The Community Foundation in the last five years, please go to the General Information Tab of the profile.

 

Address PO Box 9293
New Haven, CT 06533
Primary Phone 203 773-0838
Contact Email info@pa-nh.org
CEO/Executive Director Ms. Darcey Lynn Cobbs-Lomax MBA, MPH
Board Chair Dr. Peter Ellis
Board Chair Company Affiliation Yale University School of Medicine/Yale Medical Group

 

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