Project Access NOW
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Project Access NOW eNewsletter: July 2008
Hello,

and welcome! You are reading the first issue of the Project Access NOW electronic newsletter, developed in collaboration with Peter Korchnak of Semiosis Communications. With your support, Project Access NOW has made great strides in connecting the uninsured in the Portland metro area to health care, and we'd like this publication to keep you informed about our joint progress.

As of July 1, we have taken responsibility for our financial records. We are extremely thankful to the United Way of the Columbia Willamette for supporting us during our formative stages. Through June, 78 patients have been enrolled regionally in Project Access NOW and about 50 were in the process of qualifying. More than 1,700 physicians are volunteering with us.

We are only beginning to improve access to care and ultimately the health in our community. My hope is that the community that has made Project Access NOW a reality (that would be you) will also grow in numbers, coordination, strength and shared vision. Thank you for connecting people to health care. Today.

Happy reading!

Linda Nilsen-Solares


In this issue
* The Pharmacy Bridge is in business!
* Project Access NOW connects
* United Way paves the way
* Project Access Clark County announces full program launch
* The Vancouver Clinic signs with Project Access Clark County
* Project Access NOW listserv is ready to serve
* Project Access Washington County reports on accomplishments
* Project Access Multnomah County records successes
* Quick Links

The Pharmacy Bridge is in business!
Pharmacy Bridge logo
We are proud to announce the first-month anniversary of the Pharmacy Bridge program. Thanks to the generosity of Providence Health Plan, Project Access patients can now get basic medications from a mostly generic formulary for a $4 co-pay. The Pharmacy Bridge allows volunteers to prescribe medications just as they would for insured patients and allows patients to access these medications through participating pharmacies just as if they had health insurance. We aim to make theis pharmacy infrastructure available to all safety net clinics throughout the region.

Please welcome Margaret Lamb as the program's Pharmacy Resource Specialist. Margaret will be in charge of our databases and she will be assisting patients with their medication needs. She will
be the Project Access contact for care coordinators, volunteer providers, volunteer pharmacists, and participating pharmacies.

The Pharmacy Bridge provides a regional resource for access to medication for low-income, uninsured people, including Project Access patients. Individuals enrolled in Project Access can fill their prescriptions at local pharmacies from a limited generic formulary. The Pharmacy Bridge  provides access to many common medications for a limited amount of time. Pharmacy Bridge is a collaboration between Project Access NOW and Providence Health Plans

Read more about Pharmacy Bridge.

Project Access NOW connects
by Jerry Rhodes, CareOregon

Katherine Morris, MD, with Kerrie Hubbard Without Project Access, finding all the specialists and services for Kerrie Hubbard's cancer treatment would have been difficult to coordinate, even if she'd had enough insurance to cover the $150,000 of care. With Project Access, Kerrie's care was coordinated by the Project Access team, and she was linked with Dr. Katherine Morris, surgical oncologist.

"I love Dr. Kate. Everyone should be so lucky to have a doctor like her if they have to go through something as horrible as cancer," Kerrie says. "I have been very blessed."

And Project Access? "It's a great program," Kerrie says. "I don't know where I'd be without them."

United Way paves the way
by Maileen Hamto, United Way of the Columbia-Willamette

By supporting Project Access Now, the United Way of the Columbia-Willamette (UWCW) advances the common good by focusing on the basics our community needs for a good life: education, income and health. Access to health care is of primary importance in our area, where some 314,000 people are uninsured. UWCW committed $75,000 to the regional effort that includes a network of major hospital systems, safety net clinics and volunteer physicians who provide primary care access for low-income families and individuals. UWCW also provided $20,000 to each county-led initiative, as well as offered technical and marketing assistance. Project Access Now's focus on collaboration, volunteerism and providing measurable outcomes aligns with United Way's mission to help people and change lives.

Project Access Clark County announces full program launch
by Kimberley Meinert, Free Clinic of SW Washington

Project Access Clark County LogoJuly 1, 2008 marks the first day of full program launch for Project Access Clark County (PACC). After a successful four-month pilot program that fielded over 55 patient referrals from three safety net clinics, PACC is ready to open its doors to receive referrals from the rest of the Clark County health care community.

"Our pilot program was a perfect time to iron out any glitches in the system before going full tilt," said Marti Anne Gilman, PACC Patient Care Coordinator. "We worked with Sea Mar Community Health Center, New Heights Clinic, and NARA Clinic on pilot program referrals, and now that's we've fully launched, we're accepting referrals from Free Clinic of Southwest Washington and other clinics that care for the low-income uninsured."

Project Access Clark County is proud to become the fifth county in Washington State to implement the Project Access model, and is pleased to work in cooperation with Project Access NOW.


The Vancouver Clinic signs with Project Access Clark County
by Kimberley Meinert, Free Clinic of SW Washington

Project Access Clark County (PACC) is excited to announce The Vancouver Clinic as its newest partner in efficiently coordinated donated medical care. The Vancouver Clinic is the largest multispecialty clinic in Clark County, and houses approximately sixty percent of the county's medical subspecialties.

"This an incredible partnership," said Dr. Sally Williams, Infectious Disease specialist at The Vancouver Clinic, and member of the PACC Steering Committee. "With The Vancouver Clinic joining the rest of the medical community in donating specialty services to Project Access, we can confidently ensure access to care for the low-income uninsured in our county."

The Vancouver Clinic joins PACC along with more than 22 other physician groups, clinics, and hospitals.

Project Access NOW listserv is ready to serve
You will shortly receive an invitation to sign up for the new Project Access NOW listserv. The listserv, set up through Google Groups, will be an extension of our website and e-newsletter, allowing for two-way communication with the Project Access community. You'll be able to post messages and questions, discuss topics, and upload files to share with other members... Everything Project Access-related will be there! Just follow the easy steps in the invitation email and you're done. We look forward to having you join us!

Project Access Washington County reports on accomplishments
by Katie Ulin, Project Access Washington County

Here's what we've accomplished in our first three months:
  • 35 patients have been enrolled in Project Access Washington County (PAWC).
  • 8 patients are waiting to be approved pending additional documentation.
  • 25 additional patients have been referred to the program, and we are waiting on their completed applications.
  • 6 patients have been referred back to Virginia Garcia to better meet their more complex primary care needs.
  • 15 patients have been denied due to eligibility (inappropriate referral, did not respond to requests for info, over-income or did not meet residency requirement).
  • 1 patient has had his enrollment revoked for non-compliance.
  • That's over 90 referrals to PAWC from Essential Health Clinic in our first 3 months!
  • 20 patients have had an initial appointment with a provider.
  • 6 patients have completed their course of treatment.
  • Surgical Associates has made a commitment to Project Access! All surgeons at three locations, including two in Washington County, will take a limited number of surgical referrals per year.
  • New referrals should start coming soon from Virginia Garcia's Cornelius clinic.
Our goals for next month:
  • Process minimum of 25 new patient referrals to PAWC from the Essential Health Clinic.
  • Begin to enroll Virginia Garcia Cornelius patients.
  • Design reports for Project Access database to minimize time for patient enrollment packet and provider follow-up form.
  • Research/conduct additional PAWC recruitment for most needed specialties, including dermatology, urology, cardiology, and others.
Project Access Multnomah County records successes
by Dani Leis, Project Access Multnomah County

Project Access Multnomah County (PAMC) began making referrals in March, 2008 and has since enrolled over 70 patients, all of whom were referred to medical sub-specialists. A repaired hernia allowed a patient to go back to work, carpal tunnel surgery has given a patient back the use of her hands, and that's just for starters. Patients throughout the program are receiving care that for some has been postponed for years. Patients have expressed their gratitude for the program, and especially for the volunteers, excited at the prospect of a return to health, and for some, finally, a return to the workforce. 

Alumni volunteers see a positive improvement in the program. Now, when a patient needs services the doctor can't provide, they find the patients are already approved to receive ancillary services like labs, imaging, pharmacy, or hospital services. And they are even more pleased to find that these extra services are coordinated. Dr. Katherine Morris, a surgical oncologist, had volunteered with the old program, and commented on the new one, "Project Access allows me to do what I trained to do: take care of patients. While most physicians treat uninsured patients, doing so is challenging because they often can't afford the medications we prescribe or the hospital based services they need. This program overcomes these barriers, thereby enabling doctors to concentrate on patient care."

Another volunteer, Dr. Kern Olson, our first clinical psychologist, said, "My experience with a recent referral for behavioral health services was favorable and appropriate. The patient was carefully selected and is responding well to treatment. He is highly motivated and open to behavioral techniques to help self manage a chronic condition. Overall, this has been a very positive experience."

Dr. Morris agrees. "My experiences with the Project Access team and the patients have been uniformly positive," she said. "Together we're helping fellow Oregonians in a caring and efficient manner. While the government and others may solve health care accessibility and affordability problems in the future, many patients need help today, and Project Access is providing it." 
 
These experiences have motivated these volunteers to increase their involvement. Dr. Morris has agreed to volunteer as PAMC's first Medical Director, as well as see patients. Dr. Olson has volunteered to help recruit mental health professionals in the coming year. 

Safety net clinic providers and staff in Multnomah County are just as excited about this new program. Suzy Jeffreys, Clinic Manager for the North By Northeast Community Health Center, came back from a regional clinic conference recently and said, "What I suddenly realized from talking with free clinic managers and coordinators [at the conference] is that we have a remarkably supportive, cooperative and resourceful healthcare community in Multnomah County and that many of the challenges faced by clinics in other cities are met and overcome here by the availability of Project Access." 
 
Yes Suzy, we have a wonderful healthcare community here, and now it extends to our Project Access partners in Clark and Washington counties, and Project Access NOW, as well as the Providence, Legacy, OHSU and Kaiser health systems, the more than 1,700 physician volunteers, and the community safety net clinics, all of whom help these patients on the road to better health. Project Access Multnomah County is grateful to all our partners without whom this program would not exist. 

Here's to your health! 

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