Midwest Access Project

Filling the Gaps - Training Providers in Reproductive Health

aka MAP   |   Chicago, IL   |  https://midwestaccessproject.org/

Mission

MAP improves access to comprehensive reproductive health care by training providers in abortion, miscarriage care, contraception, and pregnancy options counseling. Rooted in the Midwest, MAP’s innovative training model fills gaps nationwide in medical education and clinical training.

Ruling year info

2008

Executive Director

Lynne Johnson

Main address

5215 N Ravenswood Avenue Suite 206

Chicago, IL 60640 USA

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EIN

20-8336719

NTEE code info

Reproductive Health Care Facilities and Allied Services (E40)

IRS filing requirement

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

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Communication

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

While most assume that healthcare professionals received training in reproductive health, many of these providers are not competent or do not provide a range of reproductive health services to their patients, including all options contraception and pregnancy counseling, LARC insertion, miscarriage management, and abortion care. Most medical and nursing training programs in the country do not provide adequate education in reproductive health. Some are restricted by institutional policy or conservative state laws or cultural norms, while many are housed in religiously affiliated hospitals that adhere to faith-based prohibitions against reproductive health training and procedures. Trainees who desire comprehensive reproductive health training in these institutions must seek it independently and outside of required curricular frameworks. The associated costs of the training can present additional barriers to those seeking training.

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?

Individual Clinical Training

MAP’s Individual Clinical Training program arranges individually-tailored rotations for physicians, advanced practice clinicians, nurses, and students/trainees of these professions ; trainings range from one-day observations to month-long, hands-on rotations. Topics include: contraception, pregnancy options counseling, abortion, and miscarriage management. MAP trainees come from around the United States, motivated to provide comprehensive reproductive healthcare to their patients but lacking access to the necessary preparatory training. MAP is the only reproductive health training organization nationwide that links and directly coordinates elective reproductive training opportunities for "opt-in" trainees. Since its founding in 2007, MAP has provided individual clinical training experiences to over 280 health care professionals.

MAP’s trainees are spread among its network of rural and urban partner clinical training sites, allowing MAP to host multiple trainees at once, to use alternate sites when a trainer becomes unavailable, and to expose trainees to different care models and to adequate practical experience. MAP’s training partners are established, high-quality clinics in Illinois, Minnesota, Kansas, Tennessee, Wisconsin, and Arkansas.

Population(s) Served
Adults

Where we work

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.

GOAL (1) Train a diverse array of health care professionals who are highly motivated to provide comprehensive reproductive health care in their future practice to under served patient populations, but who lack access to the clinical training to do so.

GOAL (2) Build relationships with organizations and allies in the field to grow opportunities for training nationwide and build supportive community networks for providers.

GOAL (3) MAP will elevate its public profile and expand its capacity to engage new individuals and organizations through external communication, fundraising, and public programming.

• MAP will use its new clinical training application process to identify applicants
o with a demonstrated intention to incorporate sexual and reproductive health (SRH) services into their future practice. Applicants will share examples of their prior commitment to SRH and details about their future practice and how they plan to make it happen.
o who intend to provide reproductive health care to unserved/under served patient populations. Applicants will be asked to share the geographic location of their future practice, whether rural, suburban/urban, the care setting, whether other SRH services or providers exist in this area, and the impact their practice would have on the community. The applicant will share whether they would live in that community or travel in to provide care.
o with no access, or extremely limited access to training in reproductive health without MAP, filling gaps in clinical education.
• MAP will develop an individual trainee’s motivation to provide by
o exposing early stage learners to comprehensive reproductive health care and moving them toward competence by offering hands on clinical training in later stages of their clinical education;
o enrich and lengthen clinical training rotations for current trainees;
o and use the new application process to select returning trainees seeking additional hands on clinical training opportunities.
• Provide accessible one-time clinical education opportunities. 120 health care providers, students, and advocates receive educational material and information on reproductive topics of interest through 11 workshops and didactic presentations.

To advance this goal in 2021, MAP will create a program to offer information, resources, skill building and mentor ship to MAP clinical training alum to equip them to reduce barriers and increase access to full scope comprehensive reproductive health care in their communities, practices, and institutions. To begin, MAP will convene an advisory committee consisting of board, staff, MAP alum, providers, and advocates to help identify barriers providers encounter to providing full scope reproductive health care; share promising strategies to reduce those barriers; and make recommendations for priority activities for the new program. The new Advisory Committee will have 15 – 20 members and will meet three or four times through early 2021.

MAP plans to host 2 meetings for allies and providers and attend 4 conferences/meetings focused on reproductive health care or advancing the integration of reproductive health care within primary care settings.

MAP’s Individual Clinical Training model has unique components not reflected in other training programs around the country, making the MAP training experience highly desirable and valued by trainees and our partner trainer sites.

• MAP regularly receives applications for clinical training from residents who report that they do not get the patient volume they need to reach competence and when they train, there are multiple trainees on site so they don’t receive the personalized attention of the preceptors. In contrast, MAP matches trainees with sites to meet individualized training goals, orient trainees to the training and the clinical site(s), support trainees through the training experience, and collect evaluation materials. MAP trainees are the only learners matched with a trainer.
• MAP provides both the trainees and the sites the resources, administrative coordination, orientation, scheduling, and matching that neither of the parties has the time or funds to do on their own.
• Unlike most training partnerships around the country, MAP pays its training sites a well- earned revenue stream to compensate them for the clinic time and expertise they offer MAP trainees.
• Many providers believe that training a new generation is critical to their mission. MAP works with trainers to optimize the quality of the learning experience, provide feedback to trainees, and help trainees progress to the next stage of their training or career in reproductive health. The team effort and demonstration of interdisciplinary collaboration is transparent and explicit in MAP’s practice.
• Our training partners are primarily independent clinics and outpatient health centers. Unlike residency training programs designed in hospital settings, MAP trainees experience what abortion and family planning care is like for the majority of people who provide and access it. As Guttmacher notes, 95% of abortion care occurs in clinics; this “real life” experience offers trainees high procedure volume and the ability to assess whether this care setting is a viable option for their future practice. And for those interested in primary care outpatient provision it also allows them the experience to assess how they can translate the provision of services to that setting.

MAP is the only on-the-ground organization in the Midwest addressing reproductive health training gaps. With thirteen years of expertise in the field, MAP is optimally positioned to overcome the shortage of providers in the Midwest because it is rooted in the local and state health care and advocacy communities.

Since its founding in 2007, MAP has provided individual clinical training experiences to over 280 health care professionals and hosted hundreds of workshops. In 2017, MAP reformed its staffing structure from part time contractual positions and now has 2 full time positions and 1 part time staff. The new staffing structure allows MAP to grow and innovate its programming, community reach, and fundraising. The new staffing structure also allowed MAP’s board to transition from a working board to a governance role.

In 2020, MAP is building organizational capacity in several areas:

(1) To allow MAP to train more Advanced Practice Clinicians in abortion care and reach its other training goals, MAP must expand its clinical network nationwide and into states with less restrictive laws, policies, and scope of practice limitations. To accomplish this expansion, MAP created a dynamic work plan to manage the project. In 2020, MAP’s board and staff have reached out to over 15 potential clinics, and we’re pleased to report that MAP signed new training partnerships with Planned Parenthood affiliates in Wisconsin and Great Plains, adding 5 – 6 new training sites to our network. In the summer of 2020, MAP added new training partnerships with independent clinics in Little Rock, and Memphis.
(2) In February 2020, MAP launched a new modern website with current content, resources, and information.
(3) A Program Evaluation Specialist is working with MAP program staff to build new tools and internal processes to collect and analyze program data and we expect that work to be completed in the fall 2020.
(4) A Strategic Planning consultant facilitated several board and staff conversations to create a new 5-year plan, which was approved in February 2020. An implementation work plan was created and the work is underway.
(5) In August 2020, work began on a new storytelling project to share how MAP’s work has impacted donors, training alum, and the larger community. These interviews will be used to create communications tools for fundraising appeals, community awareness, and donor engagement.

To advance our movement building goals in 2021, MAP will create a program to offer information, resources, skill building and mentor ship to MAP clinical training alum to equip them to reduce barriers and increase access to full scope comprehensive reproductive health care in their communities, practices, and institutions. To begin, MAP will convene an advisory committee consisting of board, staff, MAP alum, providers, and advocates to help identify barriers providers encounter to providing full scope reproductive health care; share promising strategies to reduce those barriers; and make recommendations for priority activities for the new program. The new Advisory Committee will have 15 – 20 members and will meet three or four times through early 2021.

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 demonstrated a willingness to learn more by reviewing resources about feedback practice.
done We shared information about our current feedback practices.
  • Who are the people you serve with your mission?

    MAP coordinates clinical training and medical education for medical and nursing students, family medicine residents, OB/GYN residents, physicians, and advanced practice clinicians.

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

    Electronic surveys (by email, tablet, etc.), Paper surveys, Focus groups or interviews (by phone or in person), Case management notes, Constituent (client or resident, etc.) advisory committees,

  • 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,

  • What significant change resulted from feedback?

    MAP heard about barriers our clinical trainees faced in their clinical practice, so we have started planning a new program "Resources for Clinicians Expanding Access to Care" to offer them resources, information and support to reduce these barriers.

  • With whom is the organization sharing feedback?

    The people we serve, Our staff, Our board, Our funders,

  • How has asking for feedback from the people you serve changed your relationship?

    Asking for feedback and being transparent about the results allows us to be in collaboration and partnership with the people we serve. MAP communicates our respect for their expertise.

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

    We collect feedback from the people we serve at least annually, 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

Midwest Access Project
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Operations

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

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Connect with nonprofit leaders

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  • Analyze a variety of pre-calculated financial metrics
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Midwest Access Project

Board of directors
as of 3/5/2021
SOURCE: Self-reported by organization
Board chair

Kathy Chan

Director of Policy, Cook County Health and Hospitals System

Term: 2021 - 2023

Organizational demographics

SOURCE: Self-reported; last updated 05/20/2020

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
Female, Not transgender (cisgender)
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

 

Sexual orientation

Disability

We do not display disability information for organizations with fewer than 15 staff.

Equity strategies

Last updated: 08/03/2020

Policies and practices developed in partnership with Equity in the Center, a project that works to shift mindsets, practices, and systems within the social sector to increase racial equity. 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.
Policies and processes
  • We have community representation at the board level, either on the board itself or through a community advisory board.
  • 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.