Care Coordination
About Care Coordination
North Sound partners engaged in Care Coordination are at the front end of helping community members navigate a complex, disconnected, and disorganized system of care and services. Members are committed to finding ways to meet the needs of those most challenged by the current systems – ranging from emergency responders, health systems, community clinics, social service agencies, and public health.
Explore
Find all the content related to this action area in the Resource Library.
Case Studies & Best Practices: Strategies to Reduce Youth Overdoses
These case studies from PHI’s California Overdose Prevention Network contain concrete examples of data-driven strategies that address rising rates of overdose...
One WA School District Helped Homeless Students Graduate. Can Others?
This story on the Auburn School District in Washington State is about helping homeless students graduate by providing resources such as transportation, foo...
The Purple Stethoscope
The Purple Stethoscope podcast is hosted by Devyn Nixon, ARNP. The purpose of the podcast is to promote health literacy and healthcare for the culture.
Six Building Blocks – A Team-Based Approach to Improving Opioid Management in Primary Care
This website provides an evidence-based quality improvement roadmap to help primary care teams implement effective, guideline-driven care for their chronic pain...
Mobile Integrated Health – learning session recording
Recording of the September learning session, Mobile Integrated Health, supported by the Care Coordination Cohort. Part of the Advancing a Just and Inclusive Cul...
Mobile Integrated Health – learning session slide deck
PDF of the slides from the September learning session, Mobile Integrated Health. This session was part of the Advancing a Just and Inclusive Culture series.
Mobile Integrated Healthcare Intervention and Impact Analysis with a Medicare Advantage Population
This study analyzed a Mobile Integrated Healthcare care coordination intervention program at scale with a Medicare Advantage Preferred Provider Organization (MA...
Understanding Encampments of People Experiencing Homelessness and Community Responses: Emerging Evidence as of Late 2018
This paper documents what is known about homeless encampments as of late 2018, based on a review of literature supplemented by interviews with key informants. T...
Street Medicine Institute
The Street Medicine Institute (SMI) facilitates and enhances the direct provision of health care to the unsheltered homeless where they live. SMI does this by p...
PACT (Program of Assertive Treatment)
This website describes PACT (Program of Assertive Treatment), located in Bellingham. PACT is a multidisciplinary team of medical professionals including ARNPs, ...
GRACE and LEAD Programs
Ground-Level Response and Coordinated Engagement (GRACE) program provides intensive support to people who are frequent users of emergency medical services (EM...
The Power of Partnerships: Solving a Challenge for Healthcare
This blog discusses how healthcare systems are turning to multi-sector partnerships to build affordable workforce housing to sustain recruitment as the affordab...
Behavioral Health Discharge Planner’s Toolkit
Washington State Health Care Authority resource. Housing specialists, community health workers, social workers, and behavioral health providers can benefit from...
Bolder Advocacy
Resources and expertise to help nonprofits engage in advocacy work. Bolder Advocacy promotes active engagement in democratic processes and institutions by givin...
Oral Health, Mental Health, and Substance Use Treatment
Report by National Council for Mental Wellbeing, Center of Excellence for Integrated Health Solutions – a framework for increased coordination and integra...
A Community-Centered Approach to Data Sharing and Policy Change: Lessons for Advancing Health Equity
Report produced by Center for Health Care Strategies, highlighting key lessons to inform data-sharing partnerships between community-based organizations, state ...
North Sound Cohort Glossary
Glossary of terms helpful for the Collaborative Action Network learning journey, by North Sound ACH.
Multisolving 101: Co-Creating Vital Conditions for Thriving Together
As our society grapples with multiple systemic crises, including COVID-19, climate change, and racial injustice, an opportunity for multi-solving emerges. Multi...
As They Take On Food Insecurity, Community-Based Health Care Organizations Have Found Four Strategies That Work
The work of community-based health care organizations across the country has highlighted four strategies that have been central to success in programs aimed at ...
Community Paramedicine: A New Approach to Serving Complex Populations
This webinar highlights two community paramedicine programs: ThedaCare and Commonwealth Care Alliance. These programs effectively engage and serve individuals w...
Community Paramedicine
This webpage provides background information, resources, links to organizations and upcoming events, and information about community paramedicine models and inn...
Mobile-Portable Dental Care
This document provides an overview of mobile dental clinics and their role in helping address dental care needs for populations with limited access.
Interventions to Reduce Acute Care Transfers (INTERACT)
This document introduces INTERACT (Interventions to Reduce Acute Care Transfers), a quality improvement program that focuses on the management of acute change i...
Community Paramedicine Brief
This document is adapted from the Rural Health Information Hub’s topic guide on community paramedicine. It provides an overview of community paramedicine ...
The Assess, Plan, Identify, and Coordinate (APIC) Model
This document focuses on the Assess, Plan, Identify, and Coordinate (APIC) model and provides an overview of the key components at the individual and system lev...
Care Coordination Toolkit
This toolkit is part of a series of toolkits that is intended to educate the general public about accountable care organizations (ACOs) and to support current a...