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 Medicine
Financial Summary
Revenue vs Expenses Bar Graph - All Years
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) was founded in 2009 by a group of dedicated physicians who were concerned about inadequate access to medical care – and resulting health disparities – among low-income, uninsured and underinsured individuals in our community. They partnered with local hospitals, health centers, physician groups, organizations, and other stakeholders to address these concerns and created PA-NH to pursue a mission of increasing access to medical care and services for the underserved in Greater New Haven. We achieve this mission by expanding the network of medical care available to underserved patients in our community and providing intensive patient navigation to remove access barriers and facilitate the timely delivery of comprehensive, coordinated care to those most in need.

PA-NH expands the network of medical care for the underserved by maintaining an extensive network of volunteer providers that agree to provide services free of charge to our uninsured patients. Our network includes over 500 physicians and covers 38 medical specialties and subspecialties. In addition, Yale-New Haven Hospital donates a full spectrum of ancillary services, including diagnostic testing (e.g., laboratory medicine, imaging), surgical facilities, inpatient care, and other hospital-based services. Other partners contribute in a variety of ways – for example, Quinnipiac University donates physical therapy and radiology services, Metro Taxi provides free taxi rides to medical appointments, Quest Diagnostics provides free laboratory testing, and VNA Community Healthcare donates home-based care.

Another hallmark of PA-NH is our model of intensive patient navigation. Upon enrollment, each patient has an intake with a patient navigator (PN) that includes a review of health status and needs, health literacy assessment, and discussion about potential barriers to care. Our bilingual (English/Spanish) PN team then works closely with each patient to coordinate care, remove barriers, and provide culturally and linguistically competent support throughout their course of care. For example, they schedule and remind patients of appointments, coordinate services to address access barriers (e.g., transportation and translation), ensure comprehension of medical information/instructions, facilitate follow-through with clinical recommendations, and connect patients with community resources as needed to address social concerns that impact health (e.g., housing and food insecurity).

Impact

Accomplishments:

PA-NH has served over 2,000 individuals and coordinated the delivery of more than $40 million in donated medical care to those in need since opening in 2010.

On average, PA-NH patients initiate medical care within 14 days of enrollment and show up for their appointments 97% of the time. In comparison, uninsured and underinsured patients can wait several weeks or months for medical appointments (depending on the type of care needed) and “no-show” 30-35% of the time.

PA-NH patients report increased access to care, improved health-related quality of life, and high program satisfaction when surveyed one year after enrollment.

PA-NH and Yale New Haven Hospital were awarded the 2014 Connecticut Hospital Association and Connecticut Department of Public Health’s Hospital Community Service Award in 2014 for our successful partnership in caring for medically underserved patients in our community.

The PA-NH Breast Health Navigation Program was awarded the 2016 Susan G. Komen of Southern New England Power of Pink Innovative Program of the Year award.

PA-NH results have been presents at national meetings of the American Public Health Association, AcademyHealth, Communities Joined in Action, Society for General Internal Medicine, and Society for Academic Emergency Medicine, and published in peer-reviewed journals including Health Services Research, Connecticut Medicine, Medical Care, and Academic Emergency Medicine.

Goals:

Continue to provide timely access to medical care and services for underserved Greater New Haven residents.

Continue to conduct rigorous program monitoring and evaluation to measure progress, outcomes, and impact. Continue to disseminate results to local, regional, and national audiences.

Expand services to include a Community Health Worker intervention through partnership with Yale New Haven Hospital on the Accountable Health Communities Program (PA-NH will coordinate services to address health related social needs - such as food and housing insecurity - for Medicaid-insured individuals through this Centers for Medicare and Medicaid Services-funded program).

Continue to leverage our knowledge and experience to support increased use of patient navigation and community health worker interventions to improve care for vulnerable and underserved populations.

Needs

Our primary need is financial support for general program operations. Through the incredible generosity of our volunteer providers and community partners, we are able to provide urgently needed medical care to underserved patients at no cost. However, we have an ongoing need for financial support to sustain the patient navigation services and administrative functions that allow us to mobilize these donated healthcare resources and ensure that our patients receive care in a timely and coordinated fashion.

Our unique volunteer provider network allows us to generate a substantial return on investment in terms of the value of medical care provided to those in need for each dollar spent on program operations. In 2016, for each dollar invested in PA-NH, $14.16 of donated medical care was provided to our patients.

CEO Statement

Dear Friends,

I am incredibly proud of what Project Access-New Haven (PA-NH) has accomplished since opening in September 2010. Most importantly, we have served more than 2,000 individuals and coordinated the delivery of over $40 million in donated medical care to those in need.

Our unique Volunteer Provider Network remains a key component of our organization, allowing us to expand the network of medical care for underserved individuals in Greater New Haven. It is made possible through our partnerships with physicians, hospitals, and community organizations that provide free services to our uninsured patients. Another hallmark of PA-NH is our model of intensive patient navigation. Our team of bilingual Patient Navigators works closely with each PA-NH patient to coordinate care, remove access barriers, and provide linguistically and culturally competent support throughout their course of care.

While these aspects of our work have remained constant, we have grown considerably over the past few years. Our Urgent Specialty Care program, which serves low-income, uninsured individuals with urgent medical needs, remains our largest program. However, we now offer a Breast Health Navigation program for low-income, uninsured and underinsured individuals with abnormal breast cancer screenings or breast cancer diagnoses and a colonoscopy screening program for the uninsured. This past fall, six PA-NH staff became Certified Application Counselors to assist with health insurance applications through Access Health CT and we partnered with the University of Connecticut Health’s Disparities Institute to conduct health insurance literacy workshops in New Haven and Bridgeport. Looking ahead, we have partnered with Yale New Haven Hospital to implement the CMS-funded Accountable Health Communities program, which will link Medicaid-insured patients with community resources to address health-related social needs such as food and housing insecurity. We are also launching a Mobile Health (mHealth) Pilot that aims to increase underserved patients’ engagement with mHealth technologies and learn about their experiences.

I hope that the information on this website demonstrates our substantial accomplishments to-date and steadfast commitment to our mission. While I realize that there are many options for charitable giving in Greater New Haven, I hope you will 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 2,000 patients and the value of donated medical care provided through PA-NH is estimated to exceed $40 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. Unfortunately, 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,
Peter Ellis, MD, MPH,
President, Board of Directors
Service Categories
Primary Organization Category Health Care / Community Health Systems
Areas Served
New Haven
West Haven
North Haven
East Haven
Hamden
Orange
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

The PA-NH Urgent Specialty Care program provides free medical care and services to low-income (≤250% Federal Poverty Level), uninsured adults with urgent medical conditions who reside in Greater New Haven.  This is made possible through our extensive volunteer provider network, which includes 300+ local physicians, Yale-New Haven Hospital, and many other providers and partners that provide services free of charge to our patients.  At the center of the program are Patient Navigators who coordinate care and remove access barriers.  Upon enrollment, each patient meets with a Patient Navigator for an extensive intake interview that includes a review of health status and needs, health literacy assessment, and discussion of potential barriers to care.  Our team then works closely with the patient to coordinate care and remove barriers, for example by scheduling and reminding them of appointments, helping them understand medical information, assisting with transportation, translation, or other services, ensuring follow-through with recommended care or treatment, and connecting them with other community resources.

Population Served Poor,Economically Disadvantaged,Indigent / Minorities / People/Families of People with Health Conditions
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 outcomes, including health and health-related 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
  • Improved 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.  Finally, 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.  We continue to collaborate with RWJF Clinical Scholars on projects that advance our research and program evaluation agenda. 

Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success. On average, patients initiate medical care within 14 days of enrollment and show up for their appointments 97% of the time. In comparison, uninsured and underinsured patients can wait several weeks or months for medical appointments (depending on the type of care needed) and “no-show” 30-35% of the time.
Our patients report fewer unhealthy days (i.e., days when physical or mental health was not good) and fewer days “lost” to poor health (i.e., days when they could not do usual daily activities due to poor health) at follow-up (mean days: 9 vs 16 and 3 vs 8, respectively). The percent of patients who say their health was not good for more than half of the last 30 days drops by half – from 52% at intake to 24% at follow-up. The percent who say their health did not limit their activities at all in the past month increases from 52% to 72%, while the percent who report that they were limited for 15 or more days – a substantial negative impact on quality of life – decreases from 24% to 7%.

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 I was only able to work 3-4 hours a day. Now I work more hours which helps me and my daughter financially.”
“The cataract surgery eliminated my disability. I have a much better quality of life and 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 program.   
Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.
The Breast Health Navigation Program has served over 350 individuals;.  
PA-NH Patient Testimonial: 
 
 I had breast cancer 14 years ago. Last year I had some tests done and they told me the cancer was back – it was the same type of cancer and in the same spot. I was devastated when I heard the doctor say the word “cancer.” I was horrified knowing that I did not have insurance to pay for the costs. I did not know how long I had to live. When I [learned about Project Access], I was overwhelmed with so much joy and appreciation. It has been hard for me and my family. I am married with no kids. I live with my husband and my puppy. My family has been by my side even though they are in Chile. At a point I felt lonely because they are not here physically next to me. But because I have my husband and the staff from Project Access, I don’t feel as lonely as I used to be. When the Project Access staff calls, they are so nice. It is such a blessing to know that Project Access follows up with my appointments and reminds me when my next appointment is. I feel relieved that I am not alone due to my situation. The care I receive through Project Access has made a big difference.

Description PA-NH has partnered with Yale New Haven Hospital to implement the Center for Medicaid and Medicare Services (CMS) sponsored Accountable Health Communities Program. PA-NH will provide navigation to help Medicaid-insured patients access services to address health-related social needs such as food and housing insecurity.  This program will begin in 2018. 
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
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 14
Number of Part Time Staff 2
Number of Volunteers 400
Number of Contract Staff 4
Staff Retention Rate 89%
Staff Demographics - Ethnicity
African American/Black 4
Asian American/Pacific Islander 1
Caucasian 2
Hispanic/Latino 13
Native American/American Indian 0
Other 0 0
Staff Demographics - Gender
Male 1
Female 19
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

Our community partners and funders include: 

  • Aetna Foundation
  • Access Health Connecticut
  • Alexion Pharmaceuticals
  • American Cancer Society
  • Blue State Coffee
  • City of New Haven Department of Health
  • Christian Community Action
  • Community Foundation for Greater New Haven
  • Community Health Association of Connecticut
  • Connecticut Cancer Partnership
  • Connecticut Foundation for Better Health
  • Connecticut Health Foundation
  • Connecticut State Medical Society
  • Cornell Scott-Hill Health Center
  • CVS Caremark Charitable Trust
  • David A. Beckerman Foundation
  • Helping Hands Community Thrift Store & Furniture Bank
  • Fair Haven Community Health Center
  • FAIR Health
  • Gateway Community College
  • JUNTA for Progressive Action
  • Metro Taxi
  • NewAlliance Foundation
  • New Haven County Medical Association
  • Northeast Medical Group
  • Quest Diagnostics
  • Quinnipiac University
  • Southern Connecticut State University
  • State of Connecticut Department of Public Health
  • Susan G. Komen New England
  • University of Connecticut Health Disparities Institute
  • Webster Bank
  • Yale Center for Clinical Investigation
  • Yale Medicine
  • Yale-New Haven Hospital
  • Yale-New Haven Hospital Ecumenical Free Bed Fund Committee
  • Yale Surgical Co.
  • Yale University National Clinician Scholars Program
  • Yale University School of Medicine
Awards
Award/RecognitionOrganizationYear
Connecticut Hospital Community Service AwardConnecticut Hospital Association & Connecticut Department of Public Health2014
Power of Pink Innovative Program of the YearSusan G. Komen Southern New England2016
Patient Experience Award for Caring and Excellence (PEACE) AwardYale New Haven Hospital 2017
Board Chair
Dr. Peter Ellis
Company Affiliation Yale University School of Medicine/Yale Medicine
Term Jan 2016 to Dec 2018
Board of Directors
NameAffiliation
Ron Afshari Adelman MD Yale School of Medicine
Stephanie Arlis-Mayor MDCenter for Orthopedics
Jordan Arovas Webster Bank
Darcey Cobbs-Lomax MBA, MPHProject Access-New HAven
Paul Fortgang MDSouthern New England Ear, Nose, Throat & Facial Plastic Surgery
Ramon Gonzalez MDQuinnipiac University
Bonita Grubbs MAR, MPHChristian Community Action
Brian Keyes MD Yale School of Medicine
Barbara Lindsay JD Barbara B. Lindsay, LLC
Angela Mattie JD, MPHQuinnipiac University
Mikki Meadows-Oliver PhD, RN, FAAN, MPHUniversity of Connecticut School of Nursing
David Newton Elm Advisors
Bob Serow RLS Consulting/LAPA Fundraising
Erica Spatz MD, MHSYale University School of Medicine, Center for Outcomes Research & Evaluation
Steve Wolfson MDCardiology Associates of New Haven
Board Demographics - Ethnicity
African American/Black 3
Asian American/Pacific Islander 0
Caucasian 12
Hispanic/Latino 1
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 9
Female 7
Unspecified 0
Standing Committees
Audit
Board Governance
Finance
Executive
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Program / Program Planning
 
 
Financials
Fiscal Year Start Jan 01 2018
Fiscal Year End Dec 31 2018
Projected Revenue $1,416,058.00
Projected Expenses $1,410,236.00
Spending Policy N/A
Credit Line Yes
Reserve Fund Yes
Other Documents
Other Documents 3
NameYear
PA-NH Publications & Presentations2017View
PA-NH Publications & Presentations2016View
Detailed Financials
Prior Three Years Assets and Liabilities Chart
Fiscal Year201620152014
Total Assets$408,122$397,133$336,092
Current Assets$387,718$384,203$319,882
Long-Term Liabilities------
Current Liabilities$145,718$138,690$56,741
Total Net Assets$262,404$258,443$279,351
Prior Three Years Top Three Funding Sources
Fiscal Year201620152014
Top Funding Source & Dollar AmountYale New Haven Hospital $200,000Yale New Haven Hospital $245,641Yale New Haven Hospital $261,570
Second Highest Funding Source & Dollar AmountCT Department of Public Health $171,537CT Dept. of Public Health $192,073CT Dept. of Public Health $187,876
Third Highest Funding Source & Dollar AmountEcumenical Free Bed Fund of Yale New Haven Hospital $100,000The Community Foundation for Greater New Haven $57,500The Community Foundation for Greater New Haven $63,840
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. Some financial information from the organization’s IRS Form 990, audited financial statements or other financial documents approved has been inputted by Foundation staff. The Foundation has not audited the organization’s financial statements or tax filings, and makes no representations or warranties thereon. A more complete picture of the organization’s finances can be obtained by viewing the attached 990s and audited financials. 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 Medicine

 

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