At CrossOver we know that healthcare means more than simply tending to medical needs. Overall quality of life can have major impacts on a person’s ability to stay healthy. Due to their economic status, patients who seek our services tend to have difficulty with affordable housing, food insecurity, unemployment or underemployment, and legal issues, as well as understanding how to navigate a variety of government systems. Recognizing this need, CrossOver launched our Social Work Program in 2012 with one full time social worker and a handful of interns. It was soon clear that the need for these services were greater than our capacity. Last year, with help from The Robins Foundation we were able to bring on additional staff and create new programs. CrossOver identifies the most vulnerable families in our patient population to receive intensive case management services. Our staff social workers and dedicated interns work to connect these patients with community resources such as food banks, legal assistance, employment opportunities, domestic violence services, and housing programs. At CrossOver that means working with other CrossOver programs and community partners to connect our patients to the outside services they need, as well as empowering patients to address the challenges in their own lives.
Our Vision Program was designed for CrossOver Healthcare Ministry by the MEDARVA Foundation in collaboration with the Virginia Eye Institute. Our vision team sees patients from CrossOver as well as seven other medical safety-net providers. In fiscal year 2018, we served patients from more than 20 cities and counties around Richmond, with the majority coming from Henrico County, Richmond City, and Chesterfield County, respectively. CrossOver vision patients receive a complete eye exam including retinal screenings, refractions, and visual field exams. If these routine exams reveal abnormalities, the patient will be referred to specialists for treatment. For patients needing corrective lenses, we currently are able to provide vouchers for glasses at Lens Crafters and Virginia Eye Institute.
CrossOver has provided dental services as a standard component of our continuum of care since the founding of the organization in 1983. Many of CrossOver's patients present with severe dental complications such as tooth decay, gum disease, and facial pain.With the help of volunteer dentists and hygienists, our clinics offer dental cleanings, screenings, fillings, and extractions, and also provide dentures to those who require them. CrossOver's dental program also places great importance on oral health education, and the program collaborates with our primary care providers to help patients understand the connection between oral health and overall health. The CrossOver Dental Program* provides cost effective care by utilizing volunteers to provide the majority of our dental services. CrossOver relies on the dedication of more than 20 volunteer dentists who provide more than 1,000 hours of service each year. With the help of our volunteers, the CrossOver Dental Program offers an array of dental services to our patients, including: Preventative: Cleanings, Patient education, Screenings Restorative: Fillings, Extractions Dentures CrossOver’s dental program collaborates with our pharmacists and primary care providers to help patients better understand the connection between oral health and their overall health. With the addition of electronic health records and digital radiography this integration is becoming more seamless than ever. The dental program has also initiated a new project, the Dental Referral Network, which allows staff to refer patients to external dental offices with dentists who are willing to provide pro bono care to our patients. *At this time, dental services are only available to CrossOver medical patients who have met eligibility requirements.
To help patients manage their mental health needs, CrossOver has a mental health program to provide counseling and psychiatric medications management. Patients in the mental health program are treated by a team of clinicians with primary care providers, counselors, and psychiatrists collaborating on their care. The program includes a staff counselor as well as volunteer psychiatrists and counselors. All CrossOver counselors provide talk therapy services to their patients. Through our on-site pharmacy, CrossOver is able to provide a variety of mental health medications to those who need them. Our clinics also provide social work case management services to patients, and our staff social worker and dedicated interns work to connect our patients with community resources such as food banks, legal assistance, and housing programs.
Women's Health, OB/GYN
At CrossOver, 70% of our patients are women. For these women, we offer the full array of services to help them maintain their health. We offer full annual exams, including referrals for mammograms, provided through Access Now. We also offer educational opportunities on topics ranging from nutrition to post-partum issues. In early 2004, our clinicians started hearing that some pregnant women could not get access to prenatal care. The first time they saw an OB was when they went to the Emergency Room in active labor. For this reason, CrossOver started OB Program. Since then, more than 1,000 healthy babies have been born. This program, offered in collaboration with VCU Medical Center, offers full prenatal testing, registration with WIC, OB care, L&D tours and education classes. In the mother faces a complicated pregnancy she is transferred to the VCU High Risk Pregnancy Clinic for specialty care. The babies are born at VCU Medical Center, and the mothers return to CrossOver for post-partum visits and family planning services.
Medical Care: Family Practice, Dental, Vision
CrossOver offers a full array of medical services in a patient centered medical home, including primary care, dental, vision, HIV diagnosis and treatment, specialty care and in-patient care. Because 70% of patients suffer from at least one chronic disease (diabetes, hypertension, COPD, asthma), chronic disease management is a key focus. CrossOver provides a medical home for our patients. For example, a diabetic patient at CrossOver will receive primary care, dental care, annual eye and foot exams, pneumococcal vaccine, glucometer, test strips, medications, nutrition counseling and mental health services. All services are provided at the same place--their medical home. Our team approach, coupled with the breadth of services, allows indigent patients to successfully manage complex diseases such as diabetes.
Full HIV/AIDS Care
Led by Dr. Vivian Bruzzese, CrossOver is the only free clinic in Richmond to offer full spectrum HIV/AIDS care. With advances in treatments, most HIV patients can lead normal, productive lives. Without proper care and medications, they can face a host of medical problems. We are able to provide this care through The Ryan White HIV/AIDS Program. Approved by congress in 1990, this program is designed to help patients who do not have sufficient healthcare coverage or financial resources to cope with HIV disease. Rapid Confidential HIV testing is now available on a walk-in basis to both patients and non-patients at both the Cowardin and Quioccasin locations. We can provide 500 tests per year, Monday through Friday, from 9AM-4PM (after hours testing are available on certain dates). Call 804-233-5016 ext. 130 for further information.
CrossOver is the only free clinic in the Richmond Area with a licensed pharmacist on-site. Currently, the pharmacy receives medications from seven pharmaceutical companies: Glaxo Smith Kline, Novartis, Abbott, Merck, Sanofi Aventis, Alcon and Astra Zeneca. Medications are free and provided through RxPartnership and AZ&Me. Medications are dispensed to CrossOver patients as well as patients at the Fan Free Clinic, the Free Clinic of Powhatan and Goochland Free Clinic and Family Services. Medications are couriered from the Community Pharmacy to other free clinics by the Bon Secours Health System lab couriers. The Community Pharmacy does not charge patients or the other clinics for these medications. There are no paid pharmacists in this program; rather there is a large group of volunteer pharmacists. Over the past twelve months, CrossOver has distributed over $3 Million in medications.
Primary and Specialty Care
CrossOver’s medical services are designed to help our patients manage various aspects of their health and well-being. CrossOver patients receive ongoing care from our team of primary care practitioners. Our patient population is disproportionately at risk for developing chronic diseases such as diabetes and hypertension, and as a result chronic disease management accounts for the majority of the care that we provide. In addition to our primary care and chronic disease management services, CrossOver also offers around 20 sub-specialty services. The largest of our sub-specialties is women's health, which includes obstetrics and gynecology services. CrossOver also provides care in the specialty areas of orthopedics, pulmonology, cardiology, and physical therapy, among others.