Operation Access

Bridging the Healthcare Gap

aka Operation Access   |   San Francisco, CA   |  http://www.operationaccess.org

Mission

Operation Access enables local health care providers to donate surgical and specialty care to people in need.

Ruling year info

1993

Principal Officer

Mr. Jason Beers

Main address

1119 Market Street Suite 400

San Francisco, CA 94103 USA

Show more contact info

EIN

94-3180356

NTEE code info

Health Treatment Facilities (Primarily Outpatient) (E30)

Cancer (G30)

Eye Diseases, Blindness and Vision Impairments (G41)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

Sign in or create an account to view Form(s) 990 for 2019, 2018 and 2017.
Register now

Communication

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Operation Access’s patients face staggering structural inequality because of their limited income, immigration status, race, language, and ethnicity. They grapple with discrimination in health care, jobs, education, and housing. They often cannot afford private health insurance coverage, and because of their immigration status, some patients are not eligible to enroll in Medicare, Medicaid, or to purchase coverage through the ACA marketplace. OA also serves low-income citizens who earn too much to qualify for Medi-Cal, but not enough to afford insurance. Operation Access offers a solution: it provides a referral pathway for community clinic patients who need specialty medical services most clinics cannot provide. OA’s medical volunteers donate their time and expertise to treat people in need at no cost to the patients. OA marshals donated medical care to treat uninsured people quickly and effectively.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Donated surgical, specialty, and diagnostic care in Northern California.

Operation Access is the hub of the integrated health care network that provides donated surgical and specialty care free of charge to eligible patients in Northern California.

OA promotes medical volunteerism by providing rewarding opportunities for medical professionals to donate their skills to change lives in their own communities.

Population(s) Served
Adults
Economically disadvantaged people

Where we work

Awards

Leadership Award - Bay Area 2012

Albert Schweitzer Fellowship

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Average number of days between a request for services and an actual meeting with a service provider

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults, Ethnic and racial groups, Economically disadvantaged people

Related Program

Donated surgical, specialty, and diagnostic care in Northern California.

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

OA measures program efficiency using the median number of days between a community clinic patient referral and an appointment with a specialist.

Number of volunteers

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults, Ethnic and racial groups, Economically disadvantaged people

Related Program

Donated surgical, specialty, and diagnostic care in Northern California.

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

OA relies on the work of a large network of medical volunteers who donate their time and expertise to treat OA’s clients.

Number of adults receiving colorectal cancer screening based on most recent guidelines

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults, Ethnic and racial groups, Economically disadvantaged people

Related Program

Donated surgical, specialty, and diagnostic care in Northern California.

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

OA coordinates colonoscopies to prevent and/or detect disease when community clinics identify a patient with above-average risk for colon cancer.

Number of clients who report general satisfaction with their services

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adults, Ethnic and racial groups, Economically disadvantaged people

Related Program

Donated surgical, specialty, and diagnostic care in Northern California.

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success

Increasing

Context Notes

The values represent percentages of patients who responded they were "very satisfied" or "satisfied" with OA's services.

Our Sustainable Development Goals

SOURCE: Self-reported by organization

Learn more about Sustainable Development Goals.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Our goals are:
1. To coordinate donated specialty care for clients who need, but cannot afford, such services;
2. To promote volunteerism among doctors, nurses, and other health professionals in Northern California; and
3. To provide culturally competent case management in the language of the client in order to navigate the client through the health care system without the use of an emergency room.

To achieve our goal of coordinating care, OA staff staff screen clients for financial and clinical eligibility; qualified patients are then matched with an appropriate physician. OA's patients are either integrated into volunteer physicians' daily schedules or seen at Saturday surgery sessions, in which a large all-volunteer team of physicians, nurses and technical staff treat patients.

To achieve our goal of promoting volunteerism, OA staff recruit all necessary volunteers (average 20 - 100 volunteers), and coordinate surgery session logistics with hospital administration. OA staff schedule tests, procedures, and pre- and post- operation appointments and ensure that there is continuity of care with the patient's community clinic.

To achieve our goal of providing culturally competent case management, OA staff arranges on-site interpretive services, volunteer and contract, to ensure high-quality care for the patient (88 percent of appointments required a medical interpreter over the past 12 months). OA's culturally competent case management procedures result in high patient compliance (over 96 percent of clients presented on-time and prepared for their appointments over the past 12 months), which contributes to positive health outcomes and satisfying experiences for our medical volunteers.

Each program staff member is fluent in Spanish and English and each has a deep understanding of the unique health care situation, social determinants of health, and political landscape in the counties for which he or she is responsible. Core job functions include partnership development, logistical coordination of medical volunteers, community clinic outreach, client eligibility, care coordination, patient navigation, and the arrangement of interpretive services.

In 2020, despite the challenges posed by the Covid-19 pandemic, Operation Access coordinated 1,713 services for 1,252 low-income, uninsured people, restoring health, quality of life, and ability to work for these individuals and their families.

In the coming year, Operation Access will continue to expand services for eligible people in as many as fifteen additional counties far beyond its traditional Bay Area service area. Operation Access will respond to higher levels of need and higher levels of anxiety posed for patients because of the COVID-19 pandemic.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • Who are the people you serve with your mission?

    Patients must live in Northern California, be uninsured and unable to qualify for Medi-Cal or Medicare, and be referred for an outpatient specialty procedure by a primary care provider. While eligible patients may earn up to 300% of the federal poverty level, the average annual income of OA patients is around the federal poverty level. Most patients work in the service industries, domestic employment, and agriculture while providing their family’s primary means of financial support. Latino patients constitute 93% of the eligible population referred to Operation Access, with 86% of the patients requiring an interpreter at their appointments. Gender distribution is 58% female and 42% male; the average age is 46.

  • How is your organization collecting feedback from the people you serve?

    SMS text surveys, Paper surveys, Focus groups or interviews (by phone or in person),

  • 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,

  • With whom is the organization sharing feedback?

    Our staff, Our board, Our funders, Our community partners,

  • Which of the following feedback practices does your organization routinely carry out?

    We take steps to get feedback from marginalized or under-represented people, 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 engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive,

  • What challenges does the organization face when collecting feedback?

    It is difficult to get the people we serve to respond to requests for feedback,

Financials

Operation Access
lock

Unlock financial insights by subscribing to our monthly plan.

Subscribe

Unlock nonprofit financial insights that will help you make more informed decisions. Try our 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.

Operations

The people, governance practices, and partners that make the organization tick.

lock

Connect with nonprofit leaders

Subscribe

Build 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.

lock

Connect with nonprofit leaders

Subscribe

Build 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.

Operation Access

Board of directors
as of 3/24/2021
SOURCE: Self-reported by organization
Board chair

Geoff McHugh

New Century Health

Term: 2020 - 2022

Brenda Marquez

Monique Zmuda

County Finance Executive, Ret.

Melissa Biber

Chartis Group

Dewi Burton

BayHealth Development

Andrea DeBerry

Kaiser Foundation Health Plan

Alex Go

Freed Associates

Stephanie Santos

Kaiser Permanente

Greg Sieck

SieckGrowth Branding and Design

Colleen Townsend

Partnership HealthPlan

John Williams

Hospital Executive, Ret.

Eva Gamboa

Kaiser Permanente

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • 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

SOURCE: Self-reported; last updated 03/01/2021

Who works and leads organizations that serve our diverse communities? GuideStar partnered on this section with CHANGE Philanthropy and Equity in the Center.

Leadership

The organization's leader identifies as:

Race & ethnicity
White/Caucasian/European
Gender identity
Male, Not transgender (cisgender)
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

 

Sexual orientation

No data

Disability

No data

Equity strategies

Last updated: 10/09/2020

GuideStar 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

Data
  • 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.
Policies and processes
  • 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.