Care Coordination
Barriers come in many forms and can affect an individuals' ability to receive needed care. Therefore, at the end of each visit, our providers conduct a personalized assessment for each patient to determine if the patient and his/her family require additional care. The findings are communicated to our Community Health Workers (CHWs) who will then schedule office appointments, or home visits, to connect our families with helpful resources.
Resources
We keep a detailed, updated database of the many resources available in our community. These resources enable our CHW's to quickly connect families with community partners.
Encouragement
Parents have reported that, because of the CHW's support, they were empowered to think about their health needs and create achievable goals.
Relationship
Through the efforts of our CHWs, we are able to walk alongside our families as they pursue wellness in their day-to-day lives. These efforts create bonds that increase both trust and cooperation.
Care Coordination
