PLATINUM2023

Migrant Clinicians Network, Inc.

A force for health justice / Somos una fuerza dedicada a la justicia en salud

aka MCN   |   Austin, TX   |  http://migrantclinician.org

Mission

Our mission is to create practical solutions at the intersection of vulnerability, migration, and health.

Ruling year info

1994

Chief Executive Officer

Ms. Kim Nolte, MPH, MCHES

Main address

P.O. Box 164285

Austin, TX 78716 USA

Show more contact info

EIN

74-2662919

NTEE code info

Community Improvement, Capacity Building N.E.C. (S99)

International Migration, Refugee Issues (Q71)

Professional Societies, Associations (Y03)

IRS filing requirement

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

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Communication

Blog

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

Migration is on the rise. Struggling with political instability, violence, climate-fueled disasters, poverty, oppression, and more, people around the world are making the difficult choice to move from their home for their and their family’s well-being. Migrant Clinicians Network aims to create practical solutions at the intersection of migration, vulnerability, and health. Our work helps communities and health centers mobilize and strengthen their own resources to prevent displacement in the face of climate crisis. We link those who migrate with needed health services at their next destination, no matter where it is around the world. We support clinicians who serve migrants and refugees with culturally competent education, resources, and technical assistance. We support the health of people in need, before, during, and after migration, so that migration is never a barrier to health and well-being.

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?

Continuity of Care

Our Health Network program assures continuity of care and treatment completion by providing comprehensive case management, medical records transfer, and follow-up services for mobile patients. As rapid travel and ease of mobility make it possible to arrive anywhere in the world in a matter of hours and as shifting economic conditions require individuals and families to move in order to stay employed, Health Network has proven to be an easily modifiable patient navigation system with application in disease surveillance and treatment management for any number of injuries, illnesses, or care needs among mobile populations. Independent research on tuberculosis treatment has found that Health Network is highly cost effective.

Population(s) Served
Migrant workers
Economically disadvantaged people

We have ongoing programs in Puerto Rico and California working in the aftermath of Hurricane Maria in 2017 and the Camp Fire in 2018. Working with clinicians and providers, we help mobilize and strengthen the capacity of communities in the planning, response, and recovery stages of disasters.

Population(s) Served
Emergency responders
Caregivers

MCN is committed to providing high quality continuing education and technical assistance to clinicians serving migrant communities. MCN's comprehensive clinical education program helps to develop excellence in practice, clinical leadership, and the dissemination of best models and practices. In addition, MCN's expert clinical team can provide both on-site and distance technical assistance. The experienced team provides a number of critical services including consultation on clinic systems, protocols and procedures as well as program development and evaluation; patient tracking and bridge case management; environmental and occupational medicine, pesticide awareness, and worker’s compensation issues for health centers; immigration and how it affects health centers.

Population(s) Served
Adults

MCN’s efforts in environmental and occupational health include development and distribution of clinical and patient resources; training of clinicians and stakeholders through webinars, conferences and onsite workshops; research; and extensive partnerships with community health centers and with organizations with expertise in pesticides, occupational and environmental medicine, and worker safety. MCN has developed a number of patient education materials and training programs for community health workers to educate workers about their rights, workplace hazards, and ways to stay safe on the job.  MCN also implements community health worker programs to train farmworkers about the risks from pesticide exposure and ways to protect themselves and their families. MCN distributes thousands of resources each year.

Population(s) Served
Migrant workers
Economically disadvantaged people

The Witness to Witness (W2W) Program serves those who are in high stress jobs working with vulnerable clients who are themselves experiencing high levels of stress. Originally designed to assist those working with asylum seekers, detainees, migrants, climate refugees and immigrants at the border, we have expanded to serve a range of providers in many parts of the country who work with vulnerable populations. Those we serve may be suffering from stress, empathic stress, moral distress and/or moral injury.

The Witness to Witness (W2W) Program of Migrant Clinicians Network (MCN) is affiliated and endorsed by the American Family Therapy Academy (AFTA).

Population(s) Served
Ethnic and racial groups
Economically disadvantaged people
Immigrants and migrants
Domestic workers
Farmers

Where we work

Awards

Christopher Krogh Award 2007

Global Health Education Consortium

Children's Environmental Health Award 2008

Environmental Protection Agency

Border Models of Excellence in Tuberculosis Surveillance and Control 2010

US Mexico Border Health Commission

Lorin Kerr Award 2011

American Public Health Assocation

Stakeholder Collaboration in Occupational Injury Research Award 2015

National Safety Council

Premier Cares Award 2016

Premier Inc.

TB Elimination Champion 2016

Centers for Disease Control

Affiliations & memberships

National Agricultural Worker Conference (ongoing) 1995

Farmworker Health Network (ongoing) 2000

Environmental Protection Agency Federal Advisory Committee (ongoing) 2000

Ventanillas de Salud (ongoing) 2008

Special and Vulnerable Populations Diabetes Task Force (ongoing) 2016

Stop TB Partnerships Board of Directors (ongoing) 2019

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 downloads of the organization's materials and explanations

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

Adults

Related Program

Health Provider Engagement

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

2018: 16,756 downloads from 1,170 resources 2019: 85,558 downloads from 5,524 resources 2020: 89,374 downloads from 5,580 resources

Number of members from priority population attending training

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

Adults

Related Program

Health Provider Engagement

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

Our priority population is clinicians: community health workers, dentists, doctors, midwives, nurses, nurse practitioners, physician assistants, behavioral health practitioners, social workers, etc.

Number of hours of training

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

Adults

Related Program

Health Provider Engagement

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

2018: Total continuing education hours for clinicians 2019: Total continuing education hours for clinicians 2020: Total continuing education hours for clinicians

Number of people on the organization's email list

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

Adults

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

Our email list receives news and updates on our work, health justice, and migrant health

Number of press articles published

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

This number represents our blog publication

Number of new clients within the past 12 months

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

Ethnic and racial groups, People with diseases and illnesses

Related Program

Continuity of Care

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

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 an organization, MCN strives to create practical solutions at the intersection of vulnerability, migration, and health. We envision a world based on health justice and equity, where migration is never an impediment to well-being. We believe everyone has a right to uninterrupted, quality health care regardless of mobility, income, ethnicity, or status.

To remove barriers to care, we work with clinicians on the frontlines, helping them reach out to the underserved, the marginalized, and the voiceless. We work with community health workers to ensure communities of color have culturally competent information in their language of choice so that they are able to have the tools necessary to take control of their own health. We provide safety and know-your-rights trainings to people who work in high-risk industries to ensure they are safe doing their jobs. We help communities mobilize to strengthen their resources and networks in preparation for climate change-related disasters. We help patients who are on the move to find a doctor or needed health services at their next destination. We advocate for migrant and refugee health. Simply put, we are a force for health justice.

MCN is an organization with more than 10,000 constituents, serving as a professional home for clinicians serving migrants and other underserved populations. To that end, MCN engages in research, develops population-specific resources, advocates for patients and clinicians, engages outside partners, and runs programs that support clinical care on the frontline of health. Our work is overseen by an international board of directors comprised of frontline clinicians, researchers, policy makers, and academics with experience in and commitment to health justice. MCN’s support, technical assistance, and professional development to clinicians working in clinics other organizations serving migrants and other special populations improves quality health care that increases access and reduces disparities.

The ability to create solutions in the midst of a constantly changing environment requires a strong sense of mission, purpose, and direction. With a strong guiding structure, MCN is able to remain flexible and nimble. Since 2006, MCN has committed itself to an annual organizational development process involving all staff. The result is a thought-through, planned process that best positions MCN to become significantly more effective in its ability to plan, execute, respond to change, and ultimately meet its mission. At an annual staff retreat goals and guidelines are defined for the year. In the last two years, this process has resulted in an updated HIPAA-compliant IT infrastructure in order to simplify and streamline all of evaluation efforts, reporting, data management, and program components.

MCN also relies on our 10,000-person-strong clinical network to signal emerging issues, shifting barriers, and needed resources and assistance. MCN listens to our clinician community via webinar participants’ feedback forms, questions, comments, and suggestions; interviews with clinicians in the field; surveys and polls on hot-button issues; participation and leadership roles in regional and national conferences, boards, and committees related to migrant needs; and through direct communication with patients via Health Network. These efforts assure that we are addressing the most needed concerns among the clinicians who are working with patients every day.

MCN has over 35 years of experience working with clinicians and Federally Qualified Health Centers (FQHC) through extensive technical assistance and training. Technical assistance provided through MCN affords many of the key elements needed to foster knowledge, creative solutions, and improved care. Clinically relevant information is disseminated via a number of sources including MCN’s quarterly clinical publication Streamline, workshops at conferences, and trainings on-site at clinics and health departments, via MCN’s website, and through our partners.

We have expanded our program reach to include environmental and occupational health training and outreach with hard-to-reach immigrant workers in industries like dairy and poultry processing. We continually create educational material that is available for free, including our very popular comic books on various health and safety topics. Our bridge case management has expanded significantly, now reaching people in 114 countries and enrolling new clinics and patients every day. Our success rates with TB treatment completion are especially impressive. Health Network has consistently posted a completion rate above 84% for patients who are moving, approaching the US non-mobile completion rate of 87%.

The following figures, comprised of data from 2018, illustrate the extent of MCN’s reach:
- 94,142 technical assistance encounters for expertise, services, and technical support
- Provided technical assistance in 833 locations around the world
- 29 trainings held
- 500 clinicians trained
- A total of 1764 continuing education hours
- 265,368 unique visitors to our website
- 25% increase in blog subscribers
- 25 full-time and 8 part-time staff
- 15 bilingual staff
- $95,525 received from donors, primarily from crowdfunding campaigns

While we are extremely proud of what we have accomplished and of the fact that each year we are more successful than the last, there are still things we would like to accomplish. Most importantly, we would like migration to no longer be an impediment to receiving consistent, high quality, health care. We are taking strides to make this dream a reality but we still have a long way to go.

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 shared information about our current feedback practices.
  • 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 strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals

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

    We take steps to get feedback from marginalized or under-represented people, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), 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, The people we serve tell us they find data collection burdensome, It is difficult to identify actionable feedback

Financials

Migrant Clinicians Network, Inc.
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Operations

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

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Connect with nonprofit leaders

Subscribe

Build relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.

  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.

Migrant Clinicians Network, Inc.

Board of directors
as of 10/08/2023
SOURCE: Self-reported by organization
Board chair

Robert Shelly, MD

Geneva Community Health

Term: 2022 - 2023

Xóchitl Castañeda

Health Initiative of the Americas (HIA) at the School of Public Health, University of California (UC) Berkeley

Vicki Thuesen, NP

Montana Migrant and Seasonal Farmworkers Council

Eva Galvez, MD

Virginia Garcia Memorial Health Center

Giorgio Franyuti, MD

Medical IMPACT

Karen Farchaus Stein, PhD, RN, FAAN

School of Nursing, University of Rochester

Gayle Thomas, MD

North Carolina Farmworker Health Program

Carmen M. Vélez Vega

Social Sciences in Public Health at the University of Puerto Rico

Paula Latortue Albino, MD

Boston Medical Center

Marc Schenker, MD, MPH

Western Center for Agricultural Health and Safety

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
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? 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
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 10/7/2023

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.

Leadership

The organization's leader identifies as:

Race & ethnicity
White/Caucasian/European
Gender identity
Female

Race & ethnicity

Gender identity

Transgender Identity

Sexual orientation

No data

Disability

No data

Equity strategies

Last updated: 10/07/2023

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 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 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.