Looks at a partnership including Project Access NOW, six area hospital systems, and two coordinated care organizations that is connecting individuals in Portland, Oregon to social services to ensure safe discharge from emergency and inpatient hospital settings.
Examines a collaboration involving Hunger Free Colorado, Kaiser Permanente, Children’s Hospital Colorado, and Denver Health that is facilitating screening for food insecurity and connecting at-risk patients to needed food and nutrition services.
Explores how 2-1-1 San Diego is working with social service and health care providers to improve care coordination through an online platform that enables participating providers to better understand a client’s interactions with health and community services.
Looks at a partnership between Family & Children’s Place and the Louisville Metro Department of Public Health and Wellness that provides home visitation services for new and expectant parents to equip them with the skills to support a healthy family.
Explores a collaboration among Catholic Charities Spokane, Providence Sacred Heart Medical Center, and Volunteers of America that provides post-hospitalization care and tailored, coordinated services to homeless clients to give them a better chance at healing.
Features a collaborative in Virginia including more than 80 health care and social services organizations, which is designed to reduce hospital readmissions and improve quality of care by using evidence-based care transition coaching.
Looks at a partnership between the Ruth Ellis Center and the Henry Ford Health System, an integrated health care organization, which aims to improve the long-term health outcomes for one of the region’s most vulnerable populations.