North Sound Community HUB

What is a Community HUB?

The current delivery of care coordination services is fragmented, causing unnecessary confusion to patients and cost to payers.  The North Sound region is investing in start-up of a Community HUB, designing it to make care coordination more effective across, by better organizing the efforts of agencies and care coordinators who provide services to particular populations.

A Community HUB is a central agency that manages a network of partner organizations who provide care coordination. 

The HUB provides operational support, outcome tracking, training/ resources, and leads contracting efforts on behalf of the HUB’s care coordination agencies, for example with funders such as health plans, United Way agencies, and philanthropy.

North Sound is adopting the Pathways model, which uses 20 standardized care plans to address the unique risks or barriers to health for an individual or family. The framework is often described as Find, Treat, and Measure. 


How does this differ from current care coordination activities?

The Community HUB is designed to be a value to the current care coordination providers, not aiming to replace or supplant their existing care coordination efforts. Instead, it should improve communication among organizations providing care coordination by sharing assessment and coordination focuses, and add support for place-based, community-based care coordinators (and Community Health Workers) who are trusted members of their community and who are often seen as the “go-to’ person when looking for resources or services.

The HUB will partner and collaborate with care coordinators in the community who might be interacting with or providing services to a community member.

North Sound ACH Community HUB

North Sound ACH began planning the launch of a Community HUB in 2017, and began foundational steps in early 2018. We are starting small, knowing that a successful HUB can take years to get grounded and scale up. North Sound is convening partners to help us finalize our pilot population of focus, identifying Care Coordination Agencies, and training the care coordination workforce. Our intended launch of the HUB will be late 2018/early 2019.

Want to learn more about what a care coordination agency might look like and how it is connected to the HUB? Go here and learn more about their role. 

Additional Resources