Project Access-New Haven (PA-NH) increases access to medical care and services for underserved individuals in the Greater New Haven area.
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.
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.
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.
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.
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.
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
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
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.
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.
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%).
“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.”
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.
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:
Blue State Coffee
City of New Haven
Department of Health
Foundation for Greater New Haven
Foundation for Better Health
Scott-Hill Health Center
Community Thrift Store & Furniture Bank
Community Health Center
Medical Staff of
Yale-New Haven Hospital
New Haven County
Connecticut State University
Connecticut Department of Public Health
Susan G. Komen
Yale Center for
Hospital Ecumenical Free Bed Fund Committee
Yale Surgical Co.
University-Robert Wood Johnson Foundation Clinical Scholars Program
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
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.
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