North Sound Community HUB

What is a Community HUB?

A Community HUB is a central agency that manages a network of partner organizations who provide care coordination to a particular population. The HUB provides operational support, outcome tracking, training/ resources, and leads funding efforts on behalf of the HUB’s care coordination agencies (For example, contracting with funders such as health plans, United Way agencies, and philanthropy).

To launch the Community HUB, the North Sound ACH is adopting the Pathways model of care coordination. This model uses 20 standardized care plans to address the unique risks or barriers to health for an individual or family. The framework of the Pathways model 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 care coordination providers within a region, not aiming to replace or supplant their existing care coordination efforts. The HUB infrastructure improves communication among organizations providing care coordination by sharing assessments across agencies, providing training and supportive resources for the agencies’ community-based care coordinators (Community Health Workers), and leveraging HUB data to secure contracts with funders.

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 spent 2018 convening partners to finalize our pilot population of focus, identify Care Coordination Agencies, train the care coordination workforce, and finalize the operational elements of HUB implementation. Our partner Care Coordination Agencies will be launching through February and March of 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