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SINCE 2006ANNUAL REPORT 2016KEYS TO SUCCESS: Collaboration and creative problem solvingThe year 2016 launched us into our second decadeserving the uninsured and underserved residentsof King, Kitsap and Snohomish counties. Whilethe national health care debate rages on, we arefocusing on simple, innovative solutions that removebarriers to care for our patients and deliver measurableresults for our health care partners. We are buildingon the vision of our founders and embracing newopportunities to collaborate and serve emerging needs.We continued to offer our core Care CoordinationProgram in three counties, helped low-incomeWashington residents to acquire private healthinsurance through our Premium Assistance Program,connected emergency room and hospital patients tohealth care homes through ourPrimary Link Program, andlaid the groundwork for ournew Health Home Program,which provides intensive,home-based, care coordinationservices for individualswith one or more chronicconditions. With the supportChrissy Yamada,of 1,640 volunteer providers,BOARD PRESIDENTwe served 6,304 patientsin 2016 alone, bringing ourtotal to almost 40,000!As this report goes to press, our organizationis undergoing a leadership transition, as foundingexecutive director Sallie Neillie retires and GaryRenville takes the helm. With her careful planningand collaboration with Gary, we anticipatea smooth transition. Thank you, Sallie!Thank you also to all who support and partnerwith Project Access Northwest. Your investment inour mission has improved the lives of thousands ofpatients and helped to build a healthier community.Working together, we are truly making a difference.New executive director Gary Renville has worked closelywith retiring Sallie Neillie to ensure a smooth transition.Chrissy YamadaBOARD PRESIDENT

Producing measurable resultsStudy reveals powerful impact of simple patient interventionsThe encouraging results arein from our Primary Linkpilot project with five of theSwedish Emergency Departments.The project targeted Apple Health(Medicaid) and uninsured SwedishMedical Center emergencydepartment (ED) users who hadhealth care needs that could beappropriately addressed in primarycare. Primary Link staff connectedthese patients to a primary careprovider in one of the communityhealth centers and providedother resources depending onthe stated needs of the patients.The study assessed whetherthere were reductions in ED useresulting from the Primary Linkprogram. We used a comparisongroup of patients who met thecriteria for being contacted by theprogram, but were not contacteddue to program capacity.While there was little or nochange in ED visits in the PrimaryLink-contacted groups, therewere significant increases in thecomparison group. The PrimaryLink program appears to haveprevented an increase in EDvisits that would have occurredin the absence of the program.Translating the reduction in EDvisits into cost savings showed that 284,000* was saved in avoidedvisits in the six months followingour intervention, for MolinaHealthcare patients alone. We thankMolinaand Kaiser PermanenteDentalWashingtonHealth ResearchReferralsInstitute for partnering with us inTOTAL: 3004the research part of this effort.PRIMARY LINK AT SWEDISH:26,738 ER discharges*16,385 unique patients6,538 outreach cases10,518 phone calls4,998 letters mailed933 appointments scheduledPRIMARY LINK ATPROVIDENCE EVERETT:2,709 inpatient hospitaldischarges*2,174 unique patients1,445 outreach cases433 appointments scheduled91% appointments within 12days after discharge.MedicalReferrals* discharges that met our program criteriaTOTAL: 3304* commercial insurance rates2016 AT A GLANCE: Connecting prescreened patients to caring providers1,640Volunteer Providers3,099Dental Referrals3,205Medical Referrals

39,000 patients servedMedicalSpecialtiesPatient Gender38%Patient EthnicityHispanic39%62%19.6% PHYSICAL THERAPYPatient RaceWhite39%7.9% GASTROENTEROLOGY6.4% OTO/ENTMultiracial2%Pacific Islander1%Asian12%Black orAfrican American13%Unreported32%Native Americanor Alaskan1%6.0% GYNECOLOGY5.9% DERMATOLOGY4.4% CARDIOLOGY4.3% OPHTHALMOLOGYPatient LanguagesPatient .4%Medicaid48%3.8% RADIOLOGY3.6% NEUROLOGY2.9% ORTHOPEDICSIncome by SourceExpense by Program2.5% GENERAL SURGERY2.3% UROLOGY2.0% ENDOCRINOLOGY2.0% RHEUMATOLOGY1.8% PULMONARY1.1% AUDIOLOGY1.0% HEMATOLOGY/ONCOLOGY22.5% OTHER MEDICAL ons62%NongovernmentContracts& Grants32%Medical32.7%GovernmentContracts ssistance27.8%Dental14.6%Primary Link10.3%

Removing barriers to carePATIENT-CENTERED CARE: Molina Medical Group Clinic in South EverettFamily practice physicianMarcia M. Wharton, MDunderstands the manyobstacles her patients mustovercome to obtain health care.Many are low income or uninsured.Some struggle with addiction ormental illness. Almost all need helpnavigating the system. So whenshe got the chance to assist intransforming the way health carewas delivered in Molina MedicalGroup’s only outpatient clinic inthis state, she jumped right in.As associate medical directorfor Washington state outpatientclinics at Molina Medical Group,Dr. Wharton has been workingwith her staff and the MolinaHealthcare administration toredesign the care delivery modeland create a welcoming, patient-centered health care home, withcomprehensive care on site—fromsocial work and mental healthservices to primary care andchronic disease management.“We want our patients to feelthat this is their medical home,”explains Dr. Wharton. She hopes theclinic can eventually become a onestop shop for most patients, or atleast serve as a central touch pointfor patients who may need supportfrom other partner agencies.The clinic also will be usingpatient navigators to meet patientswhere they live and try to solvetheir most urgent needs—whichoften mean the basics of survival:food, clothing and shelter.“We will put the patient at thecenter of the care plan and start byidentifying each person’s primaryMarcia M. Wharton, MDneeds,” Dr. Wharton explains. “Theymay need to move to permanenthousing, or they may need foodstamps, addiction medicine servicesor mental health care. They may becovered by Medicaid but not reallyknow what that means,” she adds.“It’s completely different thanour traditional care model, whichwe know—for many patients—doesn’t work,” she says. “We’reexcited to see the results!”A POWERFUL PARTNER IN CARE: Molina Medical GroupMolina Medical Group is a critically important partner in our mission to open doors to quality health care for lowincome individuals — as it both receives referrals for primary care and sends referrals for specialty care.Through the Hospital Inpatient Discharge Program at Providence Regional Medical Center in Everett, ProjectAccess Northwest places many low-income uninsured and Medicaid patients who are soon to be released frominpatient care into follow-up primary care appointments within 12 days of their discharge. This program isdesigned to reduce the incidents of follow-up care taking place in the emergency department and to reduce thenumber of readmissions to the hospital for the same health issue.Project Access Northwest also partners with Molina Medical Group by helping its patients receive specialty careservices. Molina Clinic can refer patients to Project Access Northwest for care in more than 40 specialties.

Changing lives immeasurablyWHY OUR MISSION MATTTERS: Insights from our care coordinatorsWe’re providingpeople with alifeline andEvery day we havethe ability to impactsomeone’s lifehelping themmove forward .— PROJECT ACCESS NORTHWESTCARE COORDINATORI experienced a pointwhen I had no insurance,so I know howdifficult it can be.— PROJECT ACCESS NORTHWESTCARE COORDINATORin a significant way the relief they feelis palpable .— PROJECT ACCESS NORTHWESTCARE COORDINATORI am helpingpeople not bein pain anymore.— PROJECT ACCESS NORTHWESTCARE COORDINATORWe’re helpingpeople accessresources that are It is importantto assist patients asit can be confusingto navigate thesystems .— PROJECT ACCESS NORTHWESTCARE COORDINATORbasic human rights.— PROJECT ACCESS NORTHWESTCARE COORDINATORWe once coordinated with the Lion’s Club andPacific Medical Centers to provide a cornea transplantto a young father. When he describedseeing his daughter for the first timeand his overwhelming joy and excitementat seeing the world It was incredibly humbling.— PROJECT ACCESS NORTHWEST CARE COORDINATOR

Celebrating our partnersRetiring executive director Sallie Neillie andlongtime supporter and former board memberRayburn Lewis, MD were the honored guests atour annual Celebrating our Partners event in May2017. Dr. Lewis received the second annual AndreaCastell Access to Health Care award for his early andenduring support for the organization. Ms. Neilliewas honored for her vision and drive in foundingthis organization in 2006 and for being a tirelessadvocate for uninsured and underserved patients.Honoring founders, partners & visionaries who make our work possibleThe Sallie Neillie Founder’s CircleMembers pledge three years of financial supportPLATINUMBrent Benjamin, MD & Alejandra TapiaAndrea CastellScott CombsPat Cooke & Emer DaltonShannon DiedeJennifer & Jason FreemanMaureen HughesDavid & Melissa JohnsonRobin LarmerLaurel LeeLinda Marzano & Julie BeallKara MorseSallie Neillie & Liese FrankensteinSusan & Michael PeskuraProvidence Northwest Service RegionKerry RadcliffeGary RenvilleH. Scott Shurtleff & Stephen LloydHeather and Eric van der WalGrace WangMarcia WhartonGOLDGary Davis & Rod ShuttKit and Newby HerrodLeonard Rickey InvestmentsLynn LaBodaRobert Sims, MD and Maria SimsHenry VeldmanChrissy Yamada

Community supportPREMIER SPONSORSPLATINUM SPONSORSCorporate, foundation,government & healthcare donorsEverTrust FoundationGOLDAmazonSmilesCommunityHealth Plan of iscanChoice HealthGroup HealthCooperativeCoastalCommunityBankHarrison MedicalCenter of CommunityHealthPlan of WashingtonMolinaHealthcareThe ey CenterEverTrust FoundationProvidenceFirst Choice GeneralHealth FoundationSnohomishHealth DistrictGlaserFoundationUW Medicine/ValleyMedical CenterHarrisonHealthPartnersHarrison Medical CenterHighline Medical Center FoundationSILVERKawabe FoundationMinor & James Medical GroupHighline Medical Center FoundationPhysicians Insurance A MutualMoccasin Lake FoundationEvent CompanySponsors 2016/2017Snohomish County DentalSociety FoundationMolina Healthcare of WashingtonArcora—TheFoundation ofSnohomish County MedicalSocietyMultiCareDeltaDental of WashingtonThe Everett ClinicNorcliffe FoundationAsh ConsultingTulalip TribesNorthwest Kidney CentersCellnetixWashington State HospitalAssociationPhRMACompanisPhysicians Insurance, A Mutual CompanyCoordinated CarePLUS FoundationDynamic LanguageProvidence General FoundationIncyte DiagnosticsSatterberg FoundationJacobsen JarvisSeattle-King County Dental SocietyPhysicians InsuranceSnohomish County DentalSeattle First Baptist ChurchSociety FoundationSeattle-King County Dental SocietyState of Washington Combined Fund DriveSprague Israel GilesUnion Pacific FoundationStoel RivesUW Medicine/Valley Medical CenterWest Monroe PartnersWashington State Hospital Association