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. Stephanie Arlis-Mayor
Board Chair Company Affiliation Center for Orthopedics
Financial Summary
 
Projected Revenue $625,344.00
Projected Expenses $636,344.00
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) was founded in 2009 by a group of dedicated physicians who were concerned about health inequities in the Greater New Haven community. They partnered with local hospitals, health centers, and community organizations to explore the problem of inadequate access to care for underserved patients and created PA-NH to help address those needs. Our extensive volunteer provider network expands care for the underserved using a model that has been successful in 150+ communities across the U.S. At the core of the program are bilingual Patient Navigators who remove access barriers and ensure that patients receive timely, coordinated care.

PA-NH is a grassroots effort that brings our community together to improve access to care for those in need. More than 300 volunteer physicians donate their time to care for PA-NH patients, Yale-New Haven Hospital (YNHH) donates a full spectrum of ancillary services and hospital-based services, and many other providers and partners contribute in a variety of ways – for example, Metro Taxi provides free transportation to medical appointments, Yale Surgical Co. donates durable medical supplies, Quest Diagnostics provides free laboratory testing, and Quinnipiac University donates physical therapy and radiology services.

Since opening in September 2010, PA-NH has served nearly 1000 patients and provided over $16 million in urgently needed medical care to those in need. It has grown substantially over the years, systematically expanding from one primary referral site to six: Fair Haven Community Health Center, Cornell Scott-Hill Health Center, and the Primary Care Centers (PCCs) and Emergency Departments (EDs) of YNHH’s York Street and Saint Raphael Campuses. In addition to these primary sites, patients are referred from local urgent care centers, free clinics, outreach programs, physician offices, and other providers and agencies in our area.

PA-NH has demonstrated success in improving access to care for participants. PA-NH patients have shorter wait-times and higher show-rates for medical appointments, both key indicators of improved access to care. On average, eligible patients meet with a PA-NH Patient Navigator for an intake visit within one week of referral and have an appointment with a PA-NH provider within 18 days. In comparison, uninsured patients typically experience wait times of 6-8 weeks in local, hospital-based specialty clinics and can have wait times of up to one year for some specialties. In addition, PA-NH patients have a 97% show-rate for medical appointments, compared with 66% in local specialty clinics. Finally, patients report improved health and quality of life, increased ease of getting care and following treatment recommendations, and high program satisfaction when surveyed one year after enrollment. In 2013-14, PA-NH expanded patient navigation services to Medicaid-insured, frequent ED users in an effort to engage them in primary care and reduce avoidable ED visits and hospitalizations. Early results from this pilot are also very promising, showing increased primary care use and decreased ED visits and hospitalizations for participants.

By providing underserved patients with access to comprehensive care in a timely manner, PA-NH improves patient care, increases health system efficiency, and reduces health disparities. In addition to serving those with immediate needs, PA-NH is committed to advancing innovation in health care delivery, health care access, and health equity by leveraging our program model and positive results for larger and broader populations of underserved patients.

Impact

Accomplishments:

Since opening in September 2010, we have served nearly 1000 patients and provided over $16 million in donated medical care to those in need. This care was provided free of charge to our patients 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 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 one year after enrollment.

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 partnered with Access Health CT to help patients obtain coverage through the new health insurance marketplace.

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 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 fourth anniversary and I am proud to report that we have accomplished a great deal in this short amount of time. Most importantly, we have provided urgently needed medical care and services to nearly 1,000 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 $16 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. Early results are very promising, showing increased primary care use and decreased ED visits and hospitalizations among participants. During the past year, we had the opportunity to present these and other program results at 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 ten outstanding staff and a 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 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 nearly 1000 patients and the value of donated medical care provided through PA-NH is estimated to exceed $16 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
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 2013-2014, 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 three current RWJF Scholars to conduct an in-depth cost analysis of our program services.

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 nearly 1,000 patients and provided over $16 million in donated care to those in need. PA-NH patients have shorter wait-times for medical appointments (~18 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.”

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 8
Number of Part Time Staff 2
Number of Volunteers 310
Number of Contract Staff 2
Staff Retention Rate 80%
Staff Demographics - Ethnicity
African American/Black 3
Asian American/Pacific Islander 0
Caucasian 2
Hispanic/Latino 5
Native American/American Indian 0
Other 0 0
Staff Demographics - Gender
Male 3
Female 8
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 many 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:

  • Access Health Connecticut
  • City of New Haven Department of Health
  • Christian Community Action
  • Communities Joined in Action
  • Connecticut State Medical Society
  • Cornell Scott-Hill Health Center
  • Fair Haven Community Health Center
  • Gateway Community College
  • JUNTA for Progressive Action
  • Metro Taxi
  • New Haven County Medical Association
  • Quest Diagnostics
  • Quinnipiac University
  • Southern Connecticut State University
  • State of Connecticut Department of Public Health
  • 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

 

Board Chair
Dr. Stephanie Arlis-Mayor
Company Affiliation Center for Orthopedics
Term Jan 2013 to Dec 2015
Email sarlismayor@gmail.com
Board of Directors
NameAffiliation
Mr. Jordan Arovas Webster Bank
Ms. Katrina Clark Retired (Fair Haven Community Health Center)
Ms. Darcey Cobbs-Lomax Project Access-New HAven
Dr. Peter Ellis Yale University School of Medicine
Ms. Susan Faris Retired (VNA Community Healthcare)
Dr. Paul Fortgang Southern New England Ear, Nose, Throat & Facial Plastic Surgery
Rev. Bonita Grubbs Christian Community Action
Dr. Suzanne Lagarde Fair Haven Community Health Center
Mr. David I. Newton Elm City Advisors
Dr. Emily Nolfo Stony Creek Internal Medicine; President, New Haven County Medical Association
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 2
Asian American/Pacific Islander 0
Caucasian 12
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 6
Female 8
Governance
Board Term Lengths 3
Board Term Limits 3
Written Board Selection Criteria Under Development
Written Conflict of Interest Policy No
Percentage Making Monetary Contributions 93%
Percentage Making In-Kind Contributions 50%
Constituency Includes Client Representation No
Standing Committees
Audit
Board Governance
Finance
Executive
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
 
 
Financials
Fiscal Year Start Jan 01 2015
Fiscal Year End Dec 31 2015
Projected Revenue $625,344.00
Projected Expenses $636,344.00
Spending Policy N/A
Documents
Form 990s
Form 9902013
Form 9902012
Form 9902011
Form 9902010
Form 9902009
Audit Documents
PA-NH Audit2013
PA-NH Audit 2011-20122012
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 Year201320122011
Foundation and
Corporation Contributions
$333,669$444,006$187,576
Government Contributions$292,597$50,000$0
Federal------
State------
Local------
Unspecified$292,597$50,000--
Individual Contributions------
------
------
Investment Income, Net of Losses$347$178--
Membership Dues------
Special Events------
Revenue In-Kind------
Other------
Prior Three Years Expense Allocations Chart
Fiscal Year201320122011
Program Expense$476,295$328,068$188,781
Administration Expense$98,940$61,904$56,583
Fundraising Expense$4,558$6,609$1,692
Payments to Affiliates------
Total Revenue/Total Expenses1.081.250.76
Program Expense/Total Expenses82%83%76%
Fundraising Expense/Contributed Revenue1%1%1%
Prior Three Years Assets and Liabilities Chart
Fiscal Year201320122011
Total Assets$309,708$208,219$105,584
Current Assets$300,708--$105,584
Long-Term Liabilities------
Current Liabilities$59,702$5,032--
Total Net Assets$250,006$203,187$105,584
Prior Three Years Top Three Funding Sources
Fiscal Year201320122011
Top Funding Source & Dollar AmountCT Dept. of Public Health $277,597Yale New Haven Hospital $235,523The Community Foundation for Greater New Haven $61,921
Second Highest Funding Source & Dollar AmountYale New Haven Hospital $193,171CT Dept. of Public Health $50,000Yale New Haven Hospital $41,209
Third Highest Funding Source & Dollar AmountThe Community Foundation for Greater New Haven $57,418Yale New Haven Hospital Medical Staff Fund $40,000Yale New Haven Hospital Medical Staff Fund $40,000
Solvency
Short Term Solvency
Fiscal Year201320122011
Current Ratio: Current Assets/Current Liabilities5.040.00--
Long Term Solvency
Fiscal Year201320122011
Long-Term Liabilities/Total Assets0%0%0%
Capitial Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
Comments
CEO Comments The $11,000 difference between the current fiscal year projected revenue ($625,344) and expenses ($636,344) is due to a revision made late in December to include contingencies.
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. Stephanie Arlis-Mayor
Board Chair Company Affiliation Center for Orthopedics

 

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