In addition to being the leader in primary care and community medicine (family practice, pediatrics, internal medicine, and geriatrics), the Greater Lawrence Community Health Center take a holistic approach by providing patients with a wide range of health education and prevention programs.
Primary Health Care Sites: Providing clinical care to 50,000 underserved individual and their families in the Greater Lawrence area.
- Main Site – 34 Haverhill Street
- North Site – 150 Park Street
- South Site – 73D Winthrop Avenue (Plaza 114)
- West Site – 700 Essex Street
- Lawrence General Hospital Site – 1 General Street, Lamprey Building, 4th Floor
- Holy Family Hospital Site (Winter 2012)
Lawrence Family Medicine Residency – Starting in 1994 as the nation’s first accredited Community Health Center-sponsored Family Medicine Residency. We currently train 30 medical residents annually and we have 127+ Alumni who are working in underserved communities all over the country and the world.
Patient Centered Medical Home – GLFHC is among a very elite group of primary care practices in the country to achieve Level 3 NCQA recognition for using evidence-based, patient-centered methods that focus on highly coordinated care and long-term patient/physician relationships.
Lawrence Family Medicine Residency Group Prenatal Visit Program – Group Prenatal Visits are medical visits done in a group setting. Centering Prenatal Groups follow a national model that lowers preterm delivery in high incidence populations of color.
OB/GYN – We provide a full spectrum of OB/GYN services including:
- Gynecology – Multiple women’s health services in the inpatient and outpatient setting including family medicine physicians, nurse practioners and OB/GYNs that have dedicated gynecologic clinics at each of the 5 major clinic sites. Services range from routine Pap Smears to gynecologic surgeries.
- Low Risk OB – Family medicine physicians, including residents, provide prenatal and intrapartum care at LGH.
- High Risk OB Group – A group of family physicians with extra training in obstetrics and a nurse case manager provide prenatal care to some of our higher risk patients such as those with twins, diabetes, or hypertension. This twice weekly HROB clinic benefits patients by providing high risk care locally so that patients do not have to travel to Boston. This group also performs all of the c-sections for GLFHC.
- Obstetricians – 2 full time OB/GYNS are available per patient preference.
- OB Fellowship – Annually trains 2 family medicine physicians in high risk and operative obstetrics.
Integrative Medicine – We host the first fellowship in integrative medicine for the underserved. Each year we attract top family practice medicine physicians and train them in acupuncture, osteopathic manipulation, hypnosis, and relaxation techniques. There is also exposure to functional medicine ideas. Through this fellowship we offer the aforementioned healing modalities at our South site. Additionally, yoga, tai chi, and acupuncture are offered frequently in our group programs.
- H.I.P. Fellowship – Health, Integrative, and Pluralistic (H.I.P.) Fellowship is a skill based fellowship in alternative medicine for underserved communities.
- Group Medical Visits – We are the largest group medical visit program in the country and have been acknowledged by the US Surgeon General for our innovative work with pediatric obesity using our empowerment model. In addition to programs for obesity for adults, children, and families which are partially funded by New Balance, we also use group visits for chronic disease management, diabetes and heart disease, chronic pain, addiction medicine (smoking, suboxone), and pregnancy.
- POEM – Pediatric Obesity Empowerment Model – A comprehensive program designed with the goal of helping young people gain control over the weight and their lives.
Office-Based Opioid Therapy – Medication-assisted opioid addiction treatment by allowing physicians to dispense or prescribe specifically approved medications for the treatment of opioid addiction in treatment settings
Hepatitis C Clinic – Comprehensive assessment and treatment for patients chronically infected with Hepatitis C; collaboration with the Beth Israel Deaconess ECHO program ensures that patients have access to the latest care and treatment options at their own primary care site.
The Healthy Weight Clinic (HWC) – The HWC is a clinic within our GLFHC where pediatric and adult patients can address weight issues and the growing epidemic of obesity. It is a nutrition-linked medical encounter whereby patients see both a nutritionist and a physician during their initial and follow-up visits. We also advise about local sports and recreational opportunities for children/adults and frequently link and refer the HWC clients to the ALTT programs and group exercises at the South site. Currently, HWC is only at North, but the goal is to expand it to other sites by 2013.
Asthma Self Management Education – Clinicians and nurses working with patients to better manage their asthma
Maternal Child Health Program at GLFHC – The maternal child health program is a multidisciplinary team comprised of physicians, nurses, lactation counselors, nutritionists and CSS workers providing for the physical, emotional and social care of women and adolescents of child-bearing age and their infants. Within this program, nurses work in the following roles: prenatal nurse, high risk OB nurse, HIV nurse, diabetes educator, certified lactation counselor, case manager and patient educator for options counseling, family planning counseling, prenatal education, lactation education. Certified Lactation Counselors work with mothers and infants directly to provide assessment, intervention and education around lactation.
- The Companera Program, which is beginning September 26, 2012, trains volunteers to provide labor support to health center patients during their birth experience.
- The nutritionist provides counseling and education to women of childbearing age related to proper nutrition during pregnancy, obesity, gestational diabetes, chronic medical conditions and pregnancy, and lactation.
- HIV counseling and testing are provided to all prenatal patients. Coordination of care for our HIV positive pregnant, laboring and post partum women is provided.
Colposcopy – Is a procedure using a dedicated magnifying instrument to examine a woman’s cervix after an abnormal Pap smear. The procedure is done at the Lamprey 4 Colposcopy site in LGH.
Behavioral Health Medical Integration Pilot – The goal of the program is to coordinate care for Neighborhood Health Plan (NHP) members whose health is at risk due to difficulty accessing or engaging in appropriate health care services.
Diabetes Self Management Program – A diabetes education program for patients accredited by the American Diabetes Association. The program, staffed by a team of bilingual Registered Nurses, Registered Dietitians and Registered Pharmacists, helps patients learn to balance their blood sugar within the demands of everyday living.
Nutrition Counseling– Bilingual Licensed Dietitian/Nutritionists are available at all sites to counsel patients of all ages on nutrition therapy for disease prevention and management of chronic conditions.
Stanford University Chronic Disease Self Management Programs – Evidence based workshops that help patients and caregivers look at old problems in a new way. GLFHC is licensed to provide the programs in English and Spanish. Participants practice goal setting, problem solving, menu planning, progressive muscle relaxation, communication skills and more.
I Can Cope – The only Spanish-speaking Breast Cancer Support Group.
Health Care for the Homeless – Outpatient medical care for homeless clients at 14 shelters, drop-in centers, and soup kitchens located throughout the Merrimack Valley.
School-Based Health Centers – On-site, clinical care, social services, health education, nutrition, and counseling for more than 4,500 students at two local high schools. Providers address the continuum of issues impacting adolescent and teen health.
Family Pharmacy – The first public retail pharmacy in Massachusetts, located in a Health Center. The Family Pharmacy offers discounted medications to qualifying patients and is open to the public. Sites are located in Haverhill Street, West, North, South, and at Holy Family Hospital in 2013.
- Medication Therapy Management – Medication Therapy Management (MTM) is a service for complex patients who often have multiple conditions, take multiple medications, and need counseling and assistance in properly taking their medications.
- Anticoagulation – GLFHC has implemented a new Anticoagulation Protocol and offers a Coumadin Line for GLFHC-VNA patients.
New Balance Foundation Imaging Center – Mammography services for underserved women facing linguistic and cultural barriers to lifesaving diagnostic screenings.
Transgender Care Program – GLFHC is committed to providing affirming care of the highest quality, regardless of gender identity or expression, sexual orientation, race/ethnicity, religion, or socio-economic status. GLFHC’s Transgender Care program helps to ensure access to high-quality, informed care for trans women, trans men, genderqueer, gender nonconforming, non-binary individuals, affirmed men and women, people with trans histories, and anyone with health needs unique to their diverse gender expressions and identities. Transgender Care services are only available to patients who are or become patients of GLFHC and designate a GLFHC clinician as their Primary Care Provider (PCP).
Goals of the Transgender Care program:
- Provide gender-affirming, comprehensive health care for all trans and gender nonconforming patients
- Transform the way trans people receive care and lead the way in eliminating barriers to achieving maximum health and well-being
- Collaborate with other clinics and organizations serving trans and gender nonconforming communities
- Provide high quality training and education to mental health and medical professionals
Community Support Services Provides culturally and linguistically competent public health interventions, supportive services, information and referral to GLFHC patients, the Greater Lawrence Community and the Merrimack valley.
- General Social Services- CSS provides general social services to patients of the Health Center. Services include domestic violence resources, food pantries referrals for nursing homes, rehabilitation centers, and mental health agencies, utility resources, outreaches and transportation assistance.
- Prevention , Integrated Counseling, Screening and Referral – One of 12 Massachusetts DPH-funded community-based programs that provides free and confidential STI, HIV and Hepatitis screening and treatment referral, and Hepatitis A and B immunizations to specific target populations. Other services include syringe access and Narcan education and support, group and individual level interventions and stationary and mobile outreach in the Merrimack Valley.
- Comprehensive HIV Care for Adults and Children – Provides access to coordinated, comprehensive, culturally and linguistically competent counseling, testing, primary and specialty care for individuals living with HIV.
The Continuum of Care Provided by CSS includes:
- HIV Testing using either traditional venopuncture or the rapid HIV test is available at all clinic sites, and seeks to implement the CDC recommendations for testing all patients 13-64
- Ongoing primary care augmented by regular case consultation with an AAHIVM-certified provider. HIV patients are seen for primary care at all sites by various providers. They are also seen at least annually in the Consultation Care Clinic where their care is reviewed by the entire HIV team.
- HIV Nursing collaborates with clinicians to oversee HIV patient care, especially ensuring that all periodic tests and interventions are completed and all values are reviewed, and medications monitored, as well as providing direct nursing care.
- Medical Case Management for Health Center Patients maximizes the benefits derived from compliance with care and removes barriers that may exist. This service includes supported referrals to specialty services, adherence support, food programs, transportation services, assistance with accessing necessary benefits.
- HIV Nutrition Services are provided to Health Center patients by a Registered Dietician and include one on one education for HIV/AIDS patients addressing healthy eating, weight control and disease management, as well as group nutrition workshops focusing on food education and nutrition.
- Services Especially Designed for Women, Children and Youth provides Medical Case Management for HIV-positive women, children and youth and their affected family members using a family-centered model. Pregnant HIV-positive women and youth are followed in a specialty clinic in conjunction with specialists from the University of Massachusetts Medical Center.
- Community Based HIV Medical Case Management – This service is provided to HIV positive patients receiving primary and/or specialty care outside of GLHFC and provides case management services with a focus on social needs of individuals living with HIV/AIDS . Services can include supported referrals to medical case management, adherence support, food programs, transportation services, assistance with accessing necessary benefits.
- Smoking Cessation Program – Offers information and support for primary medical patients of GLFHC, who express interest in smoking cessation.
Merrimack Valley Area Health Education Center (AHEC) – Training programs for health professionals, paraprofessionals, and students pursuing health care careers.
- Student Intern Program – for high school students in Lawrence interested in preparing for careers in health care professions. The program combines paid after-school work at Greater Lawrence Family Health Center sites with training and academic counseling to assist students toward further education and work in the health care fields.
- Medical Interpreter Training and Advanced Medical Interpreter Training – Designed to assist the prospective medical interpreter in developing the skills necessary to facilitate effective, professional, and reliable medical interpretation in a health care setting, the MIT course is A 60- hour training on the fundamentals of medical interpreting, stressing techniques, ethics, and anatomy and physiology. The Advanced Medical Interpreter Training program provides working interpreters with opportunities for continuing education and networking.
- Lawrence Latino Nursing Program – The goal of this program is to provide academic and other support to Latinos who are either already enrolled in or seek to enroll in course work leading to an RN degree. Mentoring and advising is provided by a Latina NP, who acts as liaison with the participating nursing schools. The program also periodically offers a summer institute for recent high school graduates to support them in preparing for and applying to nursing school.