Orginally featured in Healthy Transitions Colorado's July newsletter.
University of Colorado’s Anschutz Medical Campus is a dominating feature of the landscape in North Aurora. The world-class facility, providing world-class care, is surrounded by one of the most economically depressed communities in the state. Using the resources of the Anschutz Campus, the newly-opened DAWN Clinic is working to combat the disparity in health care for the area’s vulnerable citizens.
DAWN Clinic – Dedicated to Aurora’s Wellness and Needs – is part of the Dayton Street Opportunity Center operated by the Fields Foundation. The Opportunity Center was born of tragedy. Javad Marshall-Fields and Vivian Wolfe, two soon-to-be-married University of Colorado graduates, were murdered on Dayton Street in 2005. Not content to dwell on their loss, mothers Rhonda Fields and Christine Wolfe, became campaigners for social justice, victim advocacy, and education in the community. The Opportunity Center is designed to address the social factors that created the environment in which Javad and Vivian’s killers grew up and provide resources to help children to avoid risky behaviors.
In 2013, Javad’s mother, State Representative Rhonda Fields, Dr. Joseph Johnson, and a team of committed professionals began rallying the medical campus and community around the idea of a student-run free clinic. Dr. Johnson, Medical Director of DAWN, applauds the collaboration: “The team recruited and organized over 800 health professional students to advocate for support from their Deans, the University Hospital, and University Physicians Incorporated. Students designed everything from clinic flow, supply procurement, testing services design, subspecialty referral pathways, and community engagement.”
The Clinic opened on March 10, 2015 with the dual goals of providing access to integrated health care to the medically underserved adult population of zip codes 80010 and 80011, and creating an opportunity for hands-on experience with integrated, team-based primary care for medical students. Clinic hours are 6pm-9pm on Tuesdays for primary care and 6pm-9pm Wednesdays for Physical Therapy. In the months since opening, volume has increased from five patients each week to 12-15.
Students from Anschutz’s different schools and the University of Denver’s Graduate School of Professional Psychology work with volunteer medical professionals to staff the Clinic using Primary Care Progress Colorado’s infrastructure model. The staff is organized in workgroups in four divisions: Complete Care, Patient Coordination, Quality and Safety, and Procurement. Each workgroup fills a need within each division, i.e. the Complete Care division includes Behavioral Health, Pediatric Care, and Dental workgroups while Procurement houses the Medication Access and Financial workgroups.
Dr. Johnson points to student involvement as one of the successes of the Clinic: “Students have seen the value that caring providers can add to a patient’s wellbeing, even if we are unable to offer curative surgery or advanced management of severe pathologies. The mere act of providing access, empathy, and support in the face of scary diseases is extremely meaningful to our patients, who often feel “outside” the health care system.”
The Clinic has been the first access point for care for many individuals and through a partnership with Servicios de la Raza, the volunteers have helped several patients obtain health insurance. The patient population of the Clinic is diverse, with conditions ranging from musculoskeletal complaints, obesity, and diabetes, to psychological distress related to the stress of poverty. “Students have learned a lot about the great services that high-functioning interdisciplinary teams are able to provide our patients,” notes Dr. Johnson, “even with limited specialty and financial resources.”
Each school at Anschutz provides funding and operational support for the Clinic while University of Colorado Hospital and University Physicians Inc. provide donations of testing services and facility space. However, Dr. Johnson stresses that the “backbone of the program is volunteer providers across disciplines who supervise and mentor interdisciplinary health professional students.”
In a few short months, the Clinic has proven to be an asset to the North Aurora community, bringing together the disparate parts of the population and working toward health equity for all. Students have consulted community members and patients for feedback every step along the way, and are currently launching a formalized Community Advisory Council to further strengthen the community voice in our practice.
A little place with a lot of heart, DAWN Clinic is an example of the power of neighborhood collaboration and innovation.