The top five Access Now needs are:
Access Now is Richmond’s only volunteer network of specialty care doctors who provide complex and free care to thousands of Richmond residents who have no health insurance and very limited means by which to pay for it. The organization was created in 2007 at the request of 11 area clinics and public health departments who could meet the primary care needs of their patients but did not have the resources to provide comprehensive, complex care.
Starting with a network of 100 physician volunteers, Access Now has grown to over 850 physicians representing over 40 different specialty areas. These physicians see patients during office hours in the privacy of their practice or perform procedures and surgeries in local hospitals. Since inception, Access Now physicians have provided over $31.2 million in services. The safety net clinics using our services have grown from 11 to 22. The 22 clinics for which we provide access to specialty care include: Cross Over Ministry; Fan Free Clinic; Daily Planet; Goochland Free Clinic and Family Services; Free Clinic of Powhatan; St. James the Less Free Clinic; Capital Area Health Network; St. David’s Free Clinic; Chesterfield Health Department; Henrico County Health Department; Bon Secours Care-A-Van; City of Richmond Health Department; Richmond Area High Blood Pressure Center; Tappahannock Free Clinic; Surry Area Free Clinic; and Pathways Clinic.
After seeing a patient and evaluating their medical needs, a clinic determines if more complex care is indicated. The clinic refers the patient to Access Now for enrollment. Once enrolled, Access Now arranges for the initial appointment with a specialist, coordinates the hospitalization of the patient if necessary, and becomes, for the patient, the primary contact for navigating the healthcare system. Once enrolled a patient is eligible to access any additional specialty care services medically indicated. Enrollment is for one year. At the end of the year, the patient, if services continue to be needed, may be re-enrolled provided their financial situation has not changed.
Richmond is fortunate to have clinics that provide primary care for more than 50,000 residents who live at or below the federal poverty level and have no health insurance. But have you ever wondered where these clinics send patients whose needs exceed their scope? Where a tree climber from Powhatan with torn cartilage receives therapy? Where a caretaker from Henrico goes once, the clinic finds her tumor? Where the Goochland father with herniated discs finds relief?
Until 2007, most clinics simply told patients to go to an area emergency department because limited specialty care was available. It was sadly the only recourse left. Emergency care is not only the most expensive medical care; but it is also not the right care for non-urgent needs, including disease management.
Today, these same clinics turn to Access Now – a volunteer-driven specialty care network of 850+ physicians who provide complex care. Patients receive the right care, at the right time and in the most economical and appropriate setting – a specialty physician’s office. That’s better care, more appropriate care and less expensive care for patients.
Patients aren’t the only winners. Local hospitals win when free care is provided in community settings; clinics win when complex care is available for their patients, and our community wins when the uninsured poor receive quality care by specialists.
Access Now is the only specialty care free clinic in the greater Richmond area. Indeed, our network of specialty care volunteers is among the largest in the nation. Daily, our volunteer doctors, see patients, provide consultation, treatment, and follow-up. If surgery is required, surgeons operate in area hospitals or in private ambulatory surgical centers.
Since 2007, doctors have provided over $31.2 million in specialty care services.With your help, we can make Richmond a great place for all who need healthcare.
Healthcare reform may provide partial relief for millions of uninsured eventually, but our patients cannot wait a week or a month for treatment. Without Access Now such essential services as chronic disease management, specialty testing, oncology treatment, ophthalmologic, heart, lung and bone surgeries would not be available.
Our governance challenges are:
Access Now has shown deep penetration into the medical community. With over 36,000 patient encounters behind us, we’ve mastered navigating among clinics, physicians, hospitals and community services. We have returned to the community over $31.2 million in charity care. Partner hospitals have provided millions more in a free lab, diagnostic, and other services. We offer an innovative approach which benefits the greater Richmond communities. By taking incremental steps, we can tackle future challenges.
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 850 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.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
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