CLINICA ESPERANZA HOPE CLINIC

A Place to be Healthy

Providence, RI   |  https://www.aplacetobehealthy.org/home

Mission

Clínica Esperanza provides culturally attuned medical care to uninsured adults living in Rhode Island. Since 2010, we have served more than 9,000 patients, 80% of whom are Spanish-speaking, through our clinic and health education programs. Our free services are run by a team of passionate volunteers to meet our community’s medical needs. Simply put, we care.

Ruling year info

2008

Volunteer Executive Director

Dr. Annie Searls De Groot

Main address

60 Valley Street Suite 104

Providence, RI 02909 USA

Show more contact info

EIN

26-1714340

NTEE code info

Ambulatory Health Center, Community Clinic (E32)

Other Medical Research N.E.C. (H99)

Community, Neighborhood Development, Improvement (S20)

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

The overall rate of uninsurance in Rhode Island (RI) has dropped from 11.6% in 2013 (prior to Affordable Care Act implementation) to 4.3% in 2016. However, at nearly 15%, the uninsured rate for Hispanic/Latino residents, remains more than three times that of white Rhode Islanders. Limiting access to healthcare due to insurance status reduces access to preventive health screenings, leading to under-diagnosis of chronic diseases. This increases the likelihood of poor health outcomes, increasing the cost of care should these individuals eventually obtain insurance, and increasing their out of pocket costs. Furthermore, without access to primary care services, uninsured individuals are more likely to use the emergency department for non-emergent needs, generating significant financial burden for both the patient and healthcare system. Improving access to high quality care for uninsured individuals improves the health and wellbeing of all of Rhode Island.

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?

Vida Sana

Vida Sana is a community health education program that supports patients with metabolic syndrome who are at risk for diabetes by providing nutrition education, exercise support, and cooking classes in a small group setting. Vida Sana is currently in its fourth year, having enrolled over 640 participants. The program has been recognized for its successes, as an article published in the Journal of Community Health reports that “nearly 90 % of Vida Sana participants showed an increase in their health literacy, and at least 60% of participants decreased each of the risk factors (blood sugar, cholesterol, body mass index or waist circumference) associated with metabolic syndrome.”

Population(s) Served
Adults
People with diseases and illnesses

We primarily provide primary care through The Clinica Esperanza/Hope Clinic Emergency Room Diversion Project, or The CHEER Clinic, which is a walk-in clinic providing non-emergent primary care to uninsured adults. This clinic helps to tackle a major problem and unnecessary cost in the American healthcare system: the overuse of the emergency department for non-emergent medical needs due to underinsurance. Instead of going to the emergency room for back pain or the flu and overpaying for care, community members can walk into our clinic and be served by a Spanish-speaking doctor for free. Since the start of CHEER in 2012, we have provided over 5,120 free visits. Many of these patients also return for follow-up visits and build long-term relationships with our medical providers through the Continuity of Care Clinic. We also provide a specific women’s clinic that focuses on gynecologic and reproductive care.

Population(s) Served
Adults
Immigrants and migrants

Clinica Esperanza is a CDC-DPRP recognized provider of the Diabetes Prevention Program curriculum that educates individuals with pre-diabetes about how to lead a healthy life and prevent the onset of diabetes. Pre-diabetes is incredibly common - it is estimated that 1 in 3 American adults have pre-diabetes, the grand majority of it undiagnosed. Clinica Esperanza serves as the DPP provider for the Olneyville Health Equity Zone in Rhode Island.

Population(s) Served
Adults
Economically disadvantaged people

Medical students from Brown’s Alpert Medical School come each week to provide free clinical care and gain experience in culturally sensitive care to an underserved community. Our medical students also provide health screenings within the community.

Population(s) Served
Adults
Immigrants and migrants

Where we work

Awards

Best of Rhode Island Medicine 2019

Rhode Island Medical Society

Affiliations & memberships

National Association of Free & Charitable Clinics 2012

Our results

SOURCE: Self-reported by organization

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

Number of patient visits

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

Age groups

Related Program

CHEER Clinic

Type of Metric

Outcome - describing the effects on people or issues

Direction of Success

Increasing

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.

As a way to achieve our the problems of high chronic disease prevalence among our patients, we initiated the “Bridging the [Health Equity] Gap” (BTG) program. BTG is a chronic disease management program that provides continuity of care and convenient access to non-emergent walk-in care for uninsured Hispanics living on the West and South sides of Providence, RI.

While we continue to provide high-quality culturally-sensitive care to our patients, we also seek to evaluate the clinical and fiscal impact of these services. We hypothesize that engaging uninsured participants in BTG will improve clinical indicators and provide significant cost-savings to the state. We believe that that engaging uninsured participants through a chronic disease management program (BTG) engaging uninsured participants in a chronic disease management program could promote substantial health and financial benefits. A preliminary report of our findings was published in the Rhode Island Medical Journal in November and is available online.

Participation in BTG is open to all uninsured, non-Medicaid-eligible people residing in RI, who are living with pre-diabetes, type 2 diabetes, hypertension, hyperlipidemia, and/or obesity. Participation is voluntary and involves quarterly clinic visits and semi-annual health education classes. Participants sign a partnership form that gives CEHC permission to track progress throughout their healthcare journey, whether they remain at CEHC or gain insurance coverage and transfer care to another clinic. This allows for documentation of the impact of free healthcare on patient wellbeing longitudinally.

Participants are recruited at CEHC and through outreach events in local churches and community centers. After enrollment, participants select between several healthy-lifestyle change programs: the Vida Sana Program (a culturally-sensitive lifestyle change program developed by CEHC), the Diabetes Prevention Program (DPP, CDC ), or 1-on-1 health education visits with Comm. Health Worker.

In RI, prevalence of being uninsured, having no primary care provider, experiencing cost barriers to seeing a doctor, and having had no “checkup” in the past 12 months are highest among Hispanic adults as compared to other racial/ethnic groups. At CEHC, we have tracked and documented healthcare utilization, quality of care, and the impact of our programs on patient well-being over time. We are in the process of publishing a paper, thus we hypothesized that engaging uninsured participants in a chronic disease management program (BTG) could promote health and financial benefits.

We do significantly reduce the cost of care. Assuming that 75% of ED visits are preventable, BTG could prevent 1,851 out of 2,468 visits. This reduction in ED burden would yield an average potential savings to the RI healthcare system of $781,122 annually.

We are a place to be healthy for volunteers, staff and patients. Every night, our bright yellow clinic on the West side of Providence becomes a haven for patients seeking assistance from altruistic healthcare providers.

Financials

CLINICA ESPERANZA HOPE CLINIC
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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
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

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CLINICA ESPERANZA HOPE CLINIC

Board of directors
as of 12/08/2021
SOURCE: Self-reported by organization
Board chair

Mr Joseph Desrosiers II

Stillwater Primary Care

Joseph Desrosiers, III, PA-C

AtMed Primary Care

Ed Quinlan

Formerly CEO HARI

Susanna Torres

Massachusetts Childs Court

Cathy Curtin Miller

University of Rhode Island

Chrissy Hobbs JD

Pablo Rodriguez MD

Former Chair of Women & Infants Health Care Alliance, President & CEO at Women’s Care, former Medical Director of Planned Parenthood of Rhode Island, and a Clinical Associate Professor at the Warren Alpert Medical School at Brown University

Alishia Zyer PA-C

OrthoRI

Victoria Koenigsberger

Brown University

Manuela Raposo

RI Welcome Back Center

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
  • 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

Organizational demographics

SOURCE: Self-reported; last updated 12/2/2021

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
Female

Race & ethnicity

No data

Gender identity

No data

 

No data

Sexual orientation

No data

Disability

No data

Equity strategies

Last updated: 11/01/2021

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.