Project Access NOW

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Project Access NOW eNewsletter: November 2009

In this issue
* The challenges of success
* Patient story: Mary
* Thanking Dr. Sheffield and Gastroenterology Specialists of Oregon
* Judge Hicks wins Bank of America's Local Heroes Award
* Board member profile: Tracy Gratto
* Project Access NOW Quick Data
* Mastering effectiveness has many benefits
* Quick Links

The challenges of success

Thanks to you, we've gone a long way since March 2008 when the first four patients enrolled in Project Access NOW. We have now served 2,535 patients, with cumulative charges for donated services exceeding $7 million. What's even more encouraging are improvements in our efficiency measures. Our return on community investment increased from 674% last fiscal year to 786% in the first quarter of this fiscal year. In the same period, the cost per enrollment went down from $501 to $340.

Success comes with challenges. As our service gets established in the healthcare community, we get more referrals. For the first time since our inception, we have a patient waiting list - more than 50 low-income uninsured patients are now in line for specialty services. While we know may not reach the capacity to meet all the need in the community, we also know we have a long way to go in engaging the healthcare community.

Under our share the care principle, the care for the uninsured is distributed equitably among providers. We send to our physician volunteers only as many patients as they agree to see. Oncologist Dr. Jeffrey Menashe summarized it best:

"If there are more physicians participating, it benefits patients who can't afford care, and it benefits other practices, which get to share the responsibility. Wide participation helps create a more fair system of healthcare for which we're all accountable. I wouldn't feel good if another physician was accepting more uninsured patients and suffering as a result. All oncology groups agreed to be in the pool to share patients without insurance equally. It's a very equitable deal, where everyone's happy to provide care without carrying all the weight."

Other Project Access NOW physician volunteers have highlighted the ease of participation. Just three voices out of more than 2,200 volunteer physicians participating in Project Access NOW:
  • Ophthalmologist Dr. Jennifer Lyons said, "Project Access patients are the cheapest free patients we see. I don't have to do anything on the back end."
  • Urologist Dr. Thomas Pitre said, "Project Access takes care of all the logistics and allows me to do what I do best: practice urology."
  • Gastroenterologist Dr. Sandra Wilborn said, "I like it that Project Access organizes and structures the care for the uninsured. It's an easy process. They take care of everything."
We ask you, physicians and other healthcare providers, to join us and our volunteer physicians in the effort to get the most vulnerable in our community the care they need. Today.

Thank you for your support!

Sincerely,

Linda Nilsen-Solares
Executive Director

Patient story: Mary

When Mary's severe cold in the winter of 2008 turned into a chronic sinus infection, she sought help at Portland Adventist Community Services (PACS). With no health insurance, PACS was the only place Mary could find.

The sinus infection wouldn't go away, however. She said, "I couldn't look for a job. I was in constant pain and coughing all the time."

Nancy Huck, nurse practitioner at PACS, referred Mary to Project Access, and in January 2009 Mary began to see Dr. Sautter, otolaryngologist at OHSU.

Continue reading Mary's story.

Thanking Dr. Sheffield and Gastroenterology Specialists of Oregon

Dr. Michael SheffieldWhen Dr. Michael Sheffield, partner at Gastroenterology Specialists of Oregon (GSO), heard the request by Project Access NOW staff for specialists to join the program, it seemed like "something we could do". Every one at GSO got quickly on board - it took little persuasion to see the benefits of participation for community health and for people without access to care.

Dr. Sheffield and GSO, where he's worked for 16 years, have been a part of Project Access NOW for two years. His evaluation of the program was pretty straightforward. Gastroenterology Specialists of Oregon logo"The beauty of the program is that patients come pre-screened and referred by primary care physicians. Plus it's a very easy organization to work with - always respectful of our time and energy and always open to suggestions for improvement."

Read more about Dr. Sheffield and Gastroenterology Specialists of Oregon.


Judge Hicks wins Bank of America's Local Heroes Award

Bank of America has recognized the contribution of Judge Hicks, past chair, to the establishment and growth of Project Access NOW with its Local Heroes Award. According to the Bank, Local Heroes are people "who champion causes vital to their communities, who inspire others to get involved, [and] who have special and significant impact on individuals, families, or communities."

The invitation-only award ceremony will take place on November 19th in the Bank's downtown Financial Center. With the award comes a $5,000 contribution to Project Access NOW.

Board member profile: Tracy Gratto

Tracy GrattoTracy Gratto got involved with Project Access NOW in her capacity as Executive Director of the Coalition of Community Health Clinics. The Coalition's mandate to provide primary care for uninsured patients through its network of safety health clinics in Multnomah County led Tracy to help create a model for the entire Portland/Vancouver metropolitan area region.

After working with the Medical Society of Metropolitan Portland and other partner organizations around the metro area, she was finally able to conclude, "I was excited to help transform our specialty network into a robust regional safety net solution."

Read more about Tracy Gratto.

Project Access NOW Quick Data

As of October 31, 2009
  • Patients enrolled: 2,535
  • Number of prescriptions filled:  3,156
  • Cost per prescription: $16.68
  • Patients served by Pharmacy Bridge receiving medication: 549
  • Value of medication received through MAP: $99,330
  • Charges for medical services provided: $7M+
  • Patient satisfaction: 9.1/10
  • No show rate: 3.5%

Mastering effectiveness has many benefits

The work of making a difference in our community is not easy - yet it is the road we have all chosen to walk. Our environment is changing daily and we have more challenges (and opportunities) than ever. Our personal and collective abilities to master effectiveness are more important than ever....and it is a marathon not a sprint!

I have been working with Lionheart Consulting and their Mastering Effectiveness program for the last eight months and have found it to be a very positive and empowering experience. I am sharing information with you about the Mastering Effectiveness Self Study program for two reasons: 1) I really believe that it works and 2) If you choose to purchase the curriculum and do so from a link on our website, 51% of the sales come directly to Project Access NOW.

Ultimately, the work we do can not be accomplished by any one of us alone. At the same time, the effectiveness of each of us is crucial to our collective success.  Mastering Effectiveness has been a great resource for me because it has helped me work on my personal capabilities as well as my ability to work collaboratively in community.

To get more information about Mastering Effectiveness, read this article, which gives some more information. Thanks for all of your support for Project Access NOW and I look forward to much effectiveness as we move forward together!


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