Online Program

Changing the Landscape of Community Care Coordination Practice through Certification

Monday, November 2, 2015 : 2:50 p.m. - 3:10 p.m.

Sarah A. Redding, MD, MPH, Care Coordination Systems, Lucas, OH

There is little consensus in the field of care coordination about the nomenclature or best approaches, and models for delivering these services.  All too often, the lack of formal and standardized risk reduction approaches and methods for addressing client health and social service needs lead to broad-based inefficiencies resulting in costly duplication of services, gaps in client access to quality evidence-based care, avoidable costs across service systems, and less than optimal client outcomes.  Such scenarios are ripe for public policy initiatives, practice improvements, payment reforms, and research to document the impacts of the former on client outcomes.  An alternative solution is the Pathways Community HUB Certification program, which fosters enhanced accountability in the delivery of care coordination services. 

This panel session will discuss: 

The Pathways Community HUB operations  and how they systematically take into account approaches that aim to mitigate risks for poor health and/or social outcomes of individual clients and populations;

Policy implications for Pay-for-Performance payment structures that incentivize and foster accountability;

The implications for standardizing care coordination services that assure client connections to evidence-based and best practice interventions on practice improvement; 

The value proposition of HUB certification for public policy, practice, and research.

Learning Areas:

Communication and informatics
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the importance of using a comprehensive approach to assess risk factors spanning health, behavioral health and social determinants in the delivery of effective community care coordination services.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been actively involved with Community Health Workers (CHWs) for the past 20 years and was instrumental in obtaining state certification in Ohio under the Board of Nursing. In 1999, I helped to establish the Community Health Access Project (CHAP), a non-profit organization based in Ohio where I served as the Executive Director from May 2010 through December 2012. My work has focused on community care coordination to address health disparities.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Care Coordination Systems community care coordination CEO of Care Coordinatino Systems and Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.