Project Access-New Haven (PA-NH) is committed to rigorous program monitoring and evaluation to assess progress, measure key outcomes and impact, and inform quality improvement.  In addition to ongoing monitoring and evaluation, we have partnered with Yale University researchers on several initiatives designed to increase knowledge and drive innovation around the use of patient navigator and community health worker interventions to improve healthcare delivery and outcomes for vulnerable and underserved populations.

We have presented our work at several national conferences, including the annual meetings of the American Public Health Association, AcademyHealth, Communities Joined in Action, Society for General Internal Medicine, Society for Academic Emergency Medicine, and Association of Oncology Nurse Navigators.   Our results have also been published in peer-reviewed journals, including Health Services Research, Connecticut Medicine, Medical Care, Journal of Emergency Medicine, Academic Emergency Medicine, and the Journal of Healthcare for the Poor and Underserved.

• Liu P, Astudillo K, Velez D, Kelley L, Cobbs-Lomax D, Spatz E. Use of mobile health apps in low-income populations: a prospective study of facilitators and barriers. Circulation: Cardiovascular Quality and Outcomes. In press.
• Kelley L, Capp R, Carmona J, D’Onofrio G, Mai H, Cobbs-Lomax D, Ellis P. Patient navigation to reduce emergency department (ED) utilization among Medicaid insured, frequent ED users: A randomized controlled trial. Journal of Emergency Medicine. In press (corrected proof available online).
• Kelley L, Cobbs-Lomax D, Nunez-Smith M, Ellis P, Spatz E. Project Access-New Haven: Evaluating the impact of a community-based patient navigation program on access to medical care for low-income, uninsured residents using a mixed-methods, stakeholder-engaged approach. American Public Health Association Annual Meeting, 11/6/19, Philadelphia, PA [oral presentation].
• Ager M. Project Access-New Haven: Access to Urgent Specialty Care for Low-Income, Uninured, Greater New Haven Residents. Connecticut Public Health Association Annual Meeting, 10/21/19, Plantsville, CT [oral presentation].
• Astudillo K and Kelley L. Adoption and utilization of mobile health (mHealth) technologies among low-income, minority patients with assistance from a community health worker. Connecticut Public Health Association Annual Meeting, 10/21/19, Plantsville, CT [oral presentation].
• Liu P, Astudillo K, Velez D, Kelley L, Hutton D, Krumholz L, Cobbs-Lomax D, Spatz E. Experiences and Perspectives of Low Income Patient Populations in Using a Mobile Health Application with Tailored Assistance from a Community Health Worker. Quality of Care and Outcomes Research Annual Conference, 4/5/19, Arlington, VA [oral presentation].
• Soma G, Vargas-Ramos T, Carlotta-McDonald G, Landock M, Kourouma K, Emerson BE, Tiyyagura G.  Prevalence of Health-Related Social Needs Among Pediatric Emergency Department Users. Eastern Society for Pediatric Research Annual Meeting, 3/22/19, Philadelphia, PA [poster presentation].
• Dhruva S. Implementation of an eConsult System with Patient Navigation. Journal of Health Care for the Poor and Undeserved. 2019; 30(1):28-39.
• Herrin J, Harris K, Spatz E, Cobbs-Lomax D, Allen S, Leon T. Hospital Leadership Diversity and Strategies to Advance Health Equity. The Joint Commission Journal on Quality and Patient Safety. 2018; 44:545–551.
• Kelley L, Dhruva S. Implementation of eConsults with Patient Navigation at a Federally Qualified Health Center.Communities Joined in Action National Conference, 2/17/17, San Antonio, TX [oral presentation].
• Ellis P, Carmona J. Coordinating Care in the Emergency Department (ED): Community Health Workers and Patient Navigators in a Hospital ED Setting. Communities Joined in Action National Conference, 2/17/17, San Antonio, TX [oral presentation].
• Cobbs-Lomax, D.  Lost in translation. Can you hear me now? The voice of the patient in the healthcare setting. American Academy on Communication in Healthcare 2016 ENRICH Healthcare Communication Course and Research Forum, 6/17/16, New Haven, CT [keynote presentation].
• Ellis P, Bartolo I. Patient Navigators, Care Coordinators, Community Health Workers: How are they defined? What do they do? Do they make a difference in health outcomes, patient satisfaction, or cost? Society of General Internal Medicine Annual Meeting, 5/14/16, Hollywood, FL [workshop session].
• Capp R, Kelley L, Ellis P, Carmona J, Lofton A, Cobbs-Lomax D, D’Onofrio G.  Reasons for Frequent Emergency Department Use by Medicaid Enrollees: A Qualitative Study. Academic Emergency Medicine. 2016; 23(4): 476-81.
• Kelley L, Spatz E, Cobbs-Lomax D, Ellis P, D’Onofrio G, Lofton A, Carmona J, Borgstrom B, Capp R. Impact of Patient Navigation on Patient-Reported Access/Barriers to Care among Medicaid-Insured, Frequent Emergency Department Users. AcademyHealth Annual Research Meeting, 6/14/15, Minneapolis, MN [poster presentation].
• Capp R, Kelley L, Cobbs-Lomax D, Ellis P, Lofton A, Carmona J, Spatz E, D’Onofrio G. Assessing the Impact of Patient Navigation on Reducing Emergency Department Visits for Adult Medicaid Frequent ED Users: A Randomized Controlled Trial.  AcademyHealth Annual Research Meeting, 6/16/15, Minneapolis, MN [panel presentation].
• Capp C, Camp-Binford M, Sobolewski S, Bulmer S, Kelley L. Do Adult Medicaid Enrollees Prefer Going to Their Primary Care Provider’s Clinic Rather Than the Emergency Department (ED) for Low Acuity Conditions? Medical Care. 2015; 53(6): 530-533.
• Kelley L, Cobbs-Lomax D, Gedge W, Lofton A, Spatz E. Building healthy communities around shared goals: A community-academic partnership between Project Access-New Haven and Yale-New Haven Hospital. American Public Health Association Annual Meeting, 11/17/14, New Orleans, LA [roundtable presentation].
• Lofton A, Kelley L, Capp R, Cobbs-Lomax D, Carmona J, Ellis P. Randomized Control Trial of Patient Navigation for Medicaid-Insured: Frequent Users of the Emergency Department. Communities Joined in Action National Conference, 10/9/14, Detroit, MI [poster presentation].
• Kelley L, Capp R, Cobbs-Lomax D, Ellis P, Lofton A, Carmona J, D’Onofrio G, Spatz E. Patient navigation to improve care for Medicaid-insured, frequent Emergency Department users: A community-academic partnership between Yale-New Haven Hospital and Project Access-New Haven.  AcademyHealth Annual Research Meeting, 6/10/14, San Diego, CA [oral presentation]
• Capp R, Kelley L, Ellis P, Carmona J, Lofton A, Cobbs-Lomax D, Spatz E, West D, Ginde A, D’Onofrio G. A feasibility and acceptability study: Enrollment of Medicaid frequent ED users in a navigation program to decrease barriers to outpatient care. Society for Academic Emergency Medicine Annual Meeting, 5/13-17/14, Dallas, TX [poster presentation]
• Capp C, Kelley L, Ellis P, Cobbs-Lomax D, Carmona J, Lofton A, D’Onofrio G. Reasons for frequent emergency department use: A qualitative study. Society for Academic Emergency Medicine Annual Meeting, 5/13-17/14, Dallas, TX [poster presentation].
• Cobbs-Lomax D, Gedge W. Building communities around shared goals: Lessons and challenges from
  Project Access – New Haven and Yale-New Haven Hospital. Communities Joined in Action National Conference, 9/17/13, Charlotte, NC [oral presentation].
• Kelley L, Cobbs-Lomax, D, Spatz E. Impact of a navigated care model for uninsured patients on specialty care delivery, patient-reported health outcomes, and access to care. AcademyHealth Disparities Interest Group Annual Meeting, 6/22/13, Baltimore, MD [oral presentation].
• Capp R, Rosenthal MS, Desai MM, Kelley L, Borgstrom C, Cobbs-Lomax DL, Simonette P, Spatz ES. Characteristics of Medicaid enrollees with frequent ED use. American Journal of Emergency Medicine. 2013; 31: 1333-1337.
• Binford M, Sobolewski S, Kelley L, Borgstrom B, Rosenthal M, Simonette P, Spatz E, Cobbs-Lomax D, Desai M, Lagarde S, Capp R. Characteristics and outcomes associated with Medicaid and uninsured patients presenting to the ED with non-emergent complaints previously evaluated by other health care providers. Society of Academic Emergency Medicine Northeast Regional Conference, 4/3/13, Providence, RI [Poster Presentation], Society of Academic Emergency Medicine National Conference, 5/16/13, Atlanta, GA [poster presentation].
• Kelley L. Project Access-New Haven: A community partnership to increase access to care and reduce health disparities in New Haven, Connecticut. Department of Health and Human Services’ 2012 Summit on the Science of Eliminating Health Disparities, 12/18/12, National Harbor, MD [poster presentation].
• Kelley L, Lofton A. Best practices in addressing health inequities. Academy of Oncology Nurse Navigators Annual Conference, 9/16/12, Phoenix, AZ [keynote presentation].
• Kelley L. Models of Navigation. Connecticut Cancer Partnership Patient Navigation Conference, 4/17/12, Cromwell, CT [panel presentation].
• Spatz ES, Phipps MS, Wang OJ, Lagarde S, Lucas GI, Curry LA, Rosenthal MS. Expanding the safety net of specialty care for the uninsured: A case study. Health Services Research. 2012; 47(1 Pt 2): 344-62.
• Spatz ES, Phipps MS, Lagarde S, Borgstrom C, Lewis-Hunter AE, Wang OJ, Rosenthal MS, Lucas G. Project Access-New Haven: Improving access to specialty care for patients without Insurance. Connecticut Medicine. 2011; 75(6): 349-54.