The Healthcare Collaborative of Greater Columbus manages the Central Ohio Pathways HUB. Different from other referral networks or programs in Ohio, the HUB tracks risks, connections and outcomes via “pathways” and a specialized technology system. Community Health Workers (CHWs) working at Care Coordination Agencies (CCAs) work hand-in-hand with clients enrolled in the HUB to attain success in completing pathways; successful outcomes (“completed pathways”) have payments associated. By providing this innovative model to Franklin and contiguous counties, HCGC continues its mission to increase optimal health for all in our region; reduce duplication and variation of services; increase health and healthcare value by proactively addressing social determinants of health and connections to care; and increase health equity in Central Ohio.

Pathways: Create specific protocols and checklists to standardize work, require greater accountability, and use for payment. These checklists incorporate multiple functionalities to help address the wide variety of circumstances at-risk individuals may face.

Pathways Coordination: Provides a single point of contact for individuals/families. Coordinators understand all pathways through

a common set of credentials (Certified Community Health Workers); agencies receive payment for pathways coordination services based on effectiveness of performance through ability to connect clients to services.

Shared Referral Infrastructure: Common system used by multiple community providers that allows identifiable client data to be used to refer a client to another organization. Allows for high quality referrals between pathways coordination providers and social service providers.

Aligning Funders/Payers: Funding from government, health care, and private philanthropy are needed to ensure pathways coordination occurs for all people. Payments are made when pathways are completed, or at agreed-upon milestones.

Community Health Workers (CHWs) serve as partners, advocates, and coaches for their clients and work to identify health needs and risks. Each risk is then translated into a pathway—including unmet needs for transportation, housing, and more—and tracked through completion in an electronic database. CHWs are employed by medical clinics, social service agencies, and other organizations throughout the region.

According to a study conducted by Buckeye Health Plan, "Active use of Community Hubs combined with traditional health plan care management to reduce non-clinical barriers to care leads to a lower total cost of care in baby’s first year of life. For every dollar spent on Community Hub activities for our members there was a savings of $2.36." Click here to see a full summary of the study.

Please contact:

Jenelle Hoseus, MBA

Executive Director, Pathways HUB and Care Coordination Network

Healthcare Collaborative of Greater Columbus

614-296-5807

jenelle@hcgc.org