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NHA Enters a New Chapter, a New Building, a New Neighborhood

By Fletcher Word
Sojourner’s Truth Editor

The Neighborhood Health Association will be entering its new facility on the corner of Jefferson and 13th Street this fall – a 43,000 square foot building that will house a variety of health services along with a financial institution, a restaurant and meeting space.

Nexus Health Care, as the building is named, is the latest chapter in the success story of NHA, a chapter authored by CEO Doni Miller who assumed the reins of the non-profit community health organization in 1993. “The Nexus center,” says Miller, “is our effort to streamline and consolidate services. It’s a matter of efficiency.”

NHA services are currently spread out over 11 health clinics, a pharmacy, two dental clinics and two senior centers, some of which will be shuttered once Nexus opens in a few months.

As NHA has expanded over the years during Miller’s tenure, some facilities have become old and outmoded, not responding well to newer technologies and not particularly user friendly for clients and patients.

This expansion during Miller’s years at the helm is a dramatic turn of events considering what transpired at the agency during its first 20 years of existence. NHA experienced enough difficulties over its first two decades that its very existence had been threatened on more than one occasion.

The agency came about through the extraordinary efforts of its founder, Cordelia Martin, and the funds provided by the Model Cities Program of the late 1960’s.

Martin, a community activist who was involved in a number of organizations such as the NAACP and the Lucas County Democratic Party, was passionate about a number of causes – in particular helping the poor, especially helping the poor obtain health care.

In 1969, Martin, then a supervisor of community workers for the Expanded Family Planning Project of the Planned Parenthood League of Toledo, Inc and chairman of the Health Functional Committee, gathered around her a group of like-minded individuals who were equally concerned about the lack of proper health care that was available to those less fortunate in the greater Toledo area.

“She was a wonderful person,” recalls Elizabeth Flournoy, one of that group. “Everybody wanted to be around her, even the board members. She was always trying to make things better. Healthcare was something she was so interested in. She believed that people of color did not always get health care and when they did it was not of the quality that other people received.”

The group, with Martin in the lead, was determined “to make sure that people in the neighborhood have a place to go where color wouldn’t matter,” says Miller. “They decided to open a health center because so many of their neighbors and friends were dying from causes that they could have been saved from.”


Doni Miller


Cordelia Martin


Within a year, federal funding through the U.S. Department of Housing and Urban Development had been obtained and the Cordelia Martin Interim Health Center was opened in its original location at 1636 W. Bancroft Street.

During those early days the clinic was only open a few days a week based upon the availability of the volunteers who staffed the operation.

“Federal funding enabled the Center to serve the uninsured, the under-served and the outliers from standard medical services,” says Miller noting that such funding also required the clinic to serve anyone – those with insurance for example.

Due to Martin’s ability to bring people together to work for a common cause, the Center was soon staffed by such luminaries as Margaret Howell, community heath coordinator; Dr. John Coleman; Dr. Robert Walden and Talmadge Foster, center administration.

Federal funding to continue the work of that staff, the board and volunteers was never a given. Model Cities funds ended in 1974 and obtaining continuing federal funds was an ongoing challenge.

In 1975, Daisy Smith, RN, who had been with the Center from the beginning and for whom one of the NHA facilities is now named, brought together 14 women to organize themselves as the Cordelia Martin Health Center Auxiliary in order to augment the organization and to help fulfill a range of needs – chief among those needs was raising funds.

The Auxiliary organized bake sales, rummage sales and charity bazaars along with sponsoring the cleaning of inside facilities and yard work. The woman of the Auxiliary provided valuable supplemental funds for the Center over the next decade and a half, nevertheless, financially, NHA was never out of the woods.

By 1978, the Center had 25 people on staff, had increased patient visits to 600 per month and had added an Adolescent Health Care Program through a grant from the U.S. Department of Health, Education and Welfare.

“There were bumps and lumps along the way,” says Flournoy of those struggles during the first two decades. Many bumps and lumps: funding issues, internal board strife and a federal government constantly questioning whether the funds were being well spent.  By 1992, says Flournoy, NHA was on the verge of collapse.

And then along came Miller.

Doni Miller, a native of Louisville Mississippi, moved with her family first to Philadelphia, PA and then to Detroit as a youngster. She had earned her undergraduate degree from the University of Detroit (now University of Detroit-Mercy) then moved to Toledo where she earned a law degree from the University of Toledo.

She started her career at United Way of Greater Toledo as assistant director of allocations in 1982 and two year later became special assistant to the CEO and director of program development/legal assistant at the Toledo Mental Health Center. In 1990 she became assistant hospital administrator of the Medical College Hospitals before leaving for NHA.

She was asked to take the job, she says, because the board “wanted someone of color who would work inside of the community.” The advice she received as she was trying to reach a decision about accepting the offer was not particularly encouraging. One community activist, and budding politician, Jack Ford, advised her that the problems at NHA were too entrenched to overcome.

She did not follow that advice and she walked into a hornet’s nest of trouble – massive debt and the looming possibility that those federal funds were about to be pulled because of the financial mess.

She dealt with the finances and she also dealt with the bread and butter issues that had been keeping people away. She had the Center painted and the parking lot fenced, says Flournoy, telling staff that the facility had to at least look attractive for people to want to come in.

“What saved Cordelia Martin was when Doni Miller came along,” says Flournoy.

Within two years, the financial status of the Center had improved enough to receive a positive review from the U.S. Public Health Service.

“When we were on our feet and feeling pretty comfortable, they came to us about a clinic on the east side to merge with – the Toledo East Health Clinic, now the Access Center on Front and Main,” recalls Miller. Shortly thereafter, NHA would take over the South Side Community Health Clinic and the Mayores Senior Center. By 2002, NHA would have nine clinics under its wings, a 120-member staff and an $8 million budget.

“We added a number of clinics over the years,” says Miller. “We now manage 16 facilities such as a clinic for the homeless [Mildred Bayer], a women’s health clinic [Huron Street] and thee dental clinics. We’ve developed a number of specialty services over the past 20 years.”

And now comes Nexus Health Care – the effort to streamline and consolidate a number of those services. The building is located between Monroe and Jefferson and between 13th and 14th streets. Staff will provide adult medical care, a women’s health care clinic, pediatrics, dental services, a pharmacy, a care center for the homeless, an urgent care center, a restaurant, meeting space and a branch of the Toledo Urban Federal Credit Union.

The $11 million health clinic came about as the result of a collaboration between a number of government and non-government entities. The Lucas County Land Bank, administered by the Lucas County Treasurer’s Office, acquired the land and spent $45,000 to clean up the site.

The federal government provided a grant of $5 million through the Department of Health and Human Services for construction costs and the Local Initiatives Support Corp (LISC) financed the balance of $6 million through tax credits.

NHA broke ground for Nexus Health Care in April 2015 and is scheduled to open to the public this September 2016. Miller once said that she believes a person has to be strong and healthy in order to successfully meet the challenges of life. Nexus will make it much more convenient for so many more citizens of the Toledo area to meet those challenges.

   
   


Copyright © 2015 by [The Sojourner's Truth]. All rights reserved.
Revised: 08/16/18 14:12:41 -0700.


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