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Community Care Coordination Learning Network

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Innovations
Community Health Navigators Use Pathways Model to Enhance Access to Health and Social Services for Low-Income, At-Risk Residents 4/23/2014
The Pathways to a Healthy Bernalillo County Program identifies vulnerable, underserved residents and connects them to needed health and social services.
Urban Healthy Start Program Offers Support at Each Stage of Childbearing Cycle, Leading to Fewer Low- and Very Low–Birthweight Babies 3/26/2014
A nonprofit organization in Baltimore provides programs and services to support at-risk women (particularly African Americans) throughout each stage of the childbearing cycle, leading to fewer deliveries of low- and very low–birthweight babies and associated cost savings.
QualityTools
Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways 3/7/2012
This Quick Start guide is a reference and resource for public and private stakeholders engaged in improving the system for identifying and connecting at-risk individuals within a community to appropriate health and social services.
Connecting Those at Risk to Care: A Guide To Building a Community "HUB" To Promote a System of Collaboration, Accountability, and Improved Outcomes 9/15/2010
This guide is intended to help improve the system by which at-risk individuals within a community are identified and connected to appropriate health care and social services.

Last updated: September 10, 2014.