Access Now, Inc.
Programs and results
What we aim to solve
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Patient Care Coordination
Access Now links the primary care patients receive in safety net clinics to more advanced specialty care not available at the free clinic. The specialty care secured through Access Now is provided in private offices, surgical centers and in hospitals. It is without charge. As a specialty care referral program, Access Now’s 900+ physician volunteers ensure that no eligible uninsured patient goes without specialty care for want of a willing provider. Access Now Care Coordinators match patient needs to specialty volunteers, work intimately with patients as they navigate the healthcare system, provide translation services when needed, secure appointments, and ensure the successful transfer of medical records. Throughout this process, Access Now Care Coordinators keep the referring clinic, the patient, the volunteer physician and the hospital informed.
Volunteer Management and Recruitment
Having a steady supply of physician volunteers for specialist referrals is absolutely essential to the success of Access Now. Volunteer management and recruitment includes: physician registration and pledge for service as a volunteer; registration by Access Now with the Commonwealth Department of Risk Management to secure medical malpractice coverage for physician when seeing referred patients; training and education of physicians and their practices regarding the rules of Access Now; and receiving, recording and maintaining a record of services provided by the physician. Additionally, volunteer management includes creating and sustaining volunteer recognition programs.
Fund Development and Strategic Planning
Sustainability of Access Now services is dependent upon fund development and cultivation of public and private resources. Developing funding plans, managing existing grants, fostering new relationships among community partners and civic leaders is essential to the work of the program.
Where we work
Affiliations & memberships
ConnectRichmond
ConnectSouthside 2010
RX Partnership
Virginia Association of Free Clinics
Virginia Hispanic Chamber of Commerce 2010
NAFC - Gold Award 2021
External reviews
Photos
Our results
How does this organization measure their results? It's a hard question but an important one.
Evaluation documents
Download evaluation reportsNumber of adults with a source of ongoing care
This metric is no longer tracked.Totals By Year
Population(s) Served
Social and economic status, Ethnic and racial groups
Related Program
Patient Care Coordination
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Goals & Strategy
Reports and documents
Download strategic planLearn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Access Now is a national best practice intervention model specifically designed to meet the specialty medical care needs of those with low incomes who, for many reasons, lack health insurance. It is the only free clinic for specialty medical care for the uninsured in Central Virginia. All of Access Now's patient referrals come through one of the 32 participating free clinic or community health center primary care clinic partners. The Access Now staff function as patient advocates ensuring those patients successfully maneuver the health care system and get the specialty medical treatment needed.
What are the organization's key strategies for making this happen?
All of Access Now's patient referrals come through one of the 33 participating free clinics or community health centers. These agencies are primary care clinics that provide basic care. Patients who require specialty medical care are then referred to Access Now. The partnership to provide patient services enables the Access Now staff to secure the appropriate medical care for the patients' needs. Area health systems provide x-ray and advanced imaging services, surgical and procedural services, wound care and infusion services, and PT/rehabilitation services. Laboratory Corporation of America provides free lab testing for Access Now patients through our 1,190 physician volunteers.
What are the organization's capabilities for doing this?
Maintain protocol of 100% of all patients referred to the AN program having a one-on-one interview with our Care Coordinators to ensure proper and appropriate referrals; year-to-date, we have attained 100%
Maintain a 90% rate of how often a referred patient keeps their appointment with our medical specialists; year-to-date, we have attained 98%
Secure 95% or better overall participating clinic satisfaction rate; year-to-date, we have attained 100% Secure a 95% or better overall patient satisfaction rate; year-to-date, we have attained 100%
Secure a 95% or better overall satisfaction rating with the Access Now program by participating physicians; year-to-date, we have attained 100%
What have they accomplished so far and what's next?
Our services remain constant with minimal shifting by specialty. Despite Covid-19 and the reduction in patient office visits for two months during 2020, due to the Governor's mandate, the demand for care remains the same. The four highest specialties demands are Gastroenterology which ranges from 23%-18%, GYN care 13% to 19%, Orthopedics 15%-14%, and Ophthalmology which has stayed constant at 13%. Many patients have multiple specialty care needs.
With the demographic shift explained above, Access Now made several changes to best meet the needs of our clients. Recognizing the need for expanded interpreter services, Access Now sponsored a 40-hour training course for people seeking to become qualified medical Interpreters. The course was offered to our referring clinic partners as well. Two of our staff members became qualified medical Interpreters, and the remaining three front-line staff members are all fluent in Spanish. As a result, 100% of our client service staff are bilingual.
Also, during the Pandemic, the staff of Access Now took a proactive stance. We contacted all of our specialty providers to learn their plans, whether closing their facilities, triaging the patients, or screening patients for COVID before visits. We began to reach out to our rescheduling appointments and explaining what their specialty provider would expect from them. We then began to review the symptoms of COVID-19 with each patient, screen for symptoms and educate them on what to do if they did have symptoms. We explained in detail to the patients what self-distancing was and the need for self-quarantine if they had been exposed to someone with COIVD-19. We wanted our patients to understand the symptoms of this virus and where to go if they needed to be tested.
When many of our specialty providers began holding telehealth visits, we confirmed appointments with our patients and explained what to expect with a telehealth visit. We explained virtual waiting rooms. We also provided telephone interpreting services for our Spanish-speaking patients when needed. This service enabled patients to keep their appointments and provided continuity of care. We contacted patients whose appointments were canceled because of COVID and rescheduled with their specialists. As of now, most of our Specialists are back to seeing patients in their offices with new instructions for screening and social distancing.
How we listen
Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.
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How is your organization using feedback from the people you serve?
To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals
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Which of the following feedback practices does your organization routinely carry out?
We collect feedback from the people we serve at least annually, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive, We ask the people who gave us feedback how well they think we responded
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What challenges does the organization face when collecting feedback?
We don't have any major challenges to collecting feedback
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
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Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Access Now, Inc.
Board of directorsas of 03/19/2024
Dr. John McCurley
VCY Health System
Term: 2016 - 2024
W. Matthew Scott
Towne Bank
Stephen Rosenthal, Esquire
SDR Law, PLC
John McCurley, MD
VCU Health System
James Beckner
Access Now
Deborah Trainer
Community Volunteer
Karen Legato
Health Brigade
Mark Ryan, MD
Hayes E. Willis Health Center, VCU School of Medicine
Sumac Diaz, MD
Complete Care Center for Women
Hazle Konerding, MD
Commonwealth Dermatology
Charlie Jung, MD
Virginia Urology
Ushita Patel, DPM
Synergy Health
Andy Thanjan, MD
Gastrointestinal Specialists
Clifford Deal,MD
Richmond Surgical
Mark Townsend, MD
Bon Secours Mercy
SHREYANK TRIPATHI, MD
VCU
Oswaldo Mereno, MD
VCU
J. Diego Baltodano, MD
Gastrointestinal Speicalists
Elizabeth Mikula, MSN
HCA
Steven Smith, MD
VCU
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
Race & ethnicity
Gender identity
Transgender Identity
Sexual orientation
Disability
We do not display disability information for organizations with fewer than 15 staff.
Equity strategies
Last updated: 10/15/2021GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more
- We review compensation data across the organization (and by staff levels) to identify disparities by race.
- We ask team members to identify racial disparities in their programs and / or portfolios.
- We analyze disaggregated data and root causes of race disparities that impact the organization's programs, portfolios, and the populations served.
- We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support.
- We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
- We disaggregate data by demographics, including race, in every policy and program measured.
- We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization.
- We use a vetting process to identify vendors and partners that share our commitment to race equity.
- We have a promotion process that anticipates and mitigates implicit and explicit biases about people of color serving in leadership positions.
- We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
- We have community representation at the board level, either on the board itself or through a community advisory board.
- We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
- We measure and then disaggregate job satisfaction and retention data by race, function, level, and/or team.
- We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.