The 130th Annual Meeting of APHA

Abstract #52488

Juanita Nared¹, Sarah Redding, MD, MPH², and Mark Redding, MD, FAAH². (1) Ocie Hill Neighborhood Center, 445 Bowman Street, PO Box 1986, Mansfield, OH 44901, 419.524.4427, sredding@att.net, (2) Community Health Access Project, 523 Park Avenue East, Mansfield, OH 44905

Developed by the Community Health Access Project (CHAP), outcomes-based Pathways� provide accountability and improved outcomes to service providers and clients. Each Pathway clearly identifies a basic client need, provides evidence-based steps leading toward a positive resolution, and then only recognizes successful completion when the predetermined positive outcome is achieved. CHAP has implemented service reimbursement upon Pathway completion to ensure that clients reach a successful outcome before full payment is received from funding sources. Over 35 Pathways� address basic health and social service issues, including confirmed up-to-date immunizations for a child behind on shots and delivery of a healthy newborn for an at-risk pregnant mother. In the first year of implementation, over 4000 Pathways have been completed, indicating documented client successes. Fully committed to the Pathways� approach, CHAP has redesigned its training, database, and employee productivity to focus on the new model. CHAP�s Pathways� model is the basis for several notable state and national grant awards, including the top 2001 American Academy of Pediatrics� Community Access to Children�s Health (CATCH) grant. Pathways� are also an integral part of the federal Community Access Program in partnership with the Ohio Department of Health and five Ohio programs to demonstrate a community care coordination model that includes CHAP�s college-credit training, seven Pathways, and an integrated outcomes-based data system. CHAP maintains three culturally diverse projects in Ohio and offers support for other CCC programs through the CHAP Training Institute and Strategic Outcomes Partnerships.

Learning Objectives:

• � Identify the purpose and structure of a Pathway�
• � Determine the difference between outcomes-based and activity-based care coordination
• � Explain the accountability and tracking benefits of Pathways
• � Understand reimbursement using Pathways as a means of program sustainability

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.