The Community Resource Network
-
Connects the teams
-
Creates a whole-person picture
-
Expedites help for those at risk
-
Optimizes well-being
**Runner-up in the Robert Woods Johnson Foundation
Social Determinants of Health Innovation Challenge– September 2019**
The Community Resource Network (CRN) platform will fill the gaps people face getting the help they need across a range of services like housing, food and transportation.
It is a person-centric, SDOH-focused Community Information Exchange which is integrated with the Quality Health Network Health Information Exchange. CRN gives Medical, Social Service, and Behavioral Health providers a rich, shared, ‘whole person’ view to better communicate, collaborate, share and analyze data, and improve client outcomes.
CRN Tools/Modules
The system’s self-organizing Care Team model features lightweight yet powerful Care Coordination and Consent tools that reduce the friction and burden of navigating through the healthcare and social service ecosystems.
Client Dashboard
SDoH-focused, ‘whole person’ view
The Client Dashboard will improve client outcomes while greatly reducing duplicative data entry– asking people in crisis to tell the same story or fill out a consent form for the third or fifth or seventh time…
One View
Whole-person view of health
The One View is an assessment graph that is color-coded by domain (medical, social, behavioral) and offers a robust view of an individual’s situation. The longer “spokes” denote severity of need, and help the care team quickly and visually see where to focus efforts first.
Care Timeline
Visibility of what other Care Team members have done, are doing, and are planning to do
The Client Timeline shows a longitudinal history of where a client has been and where they plan to be. It is populated via data feeds like ADT alerts or the CRN system. The Client Timeline encourages a long-term view of the client’s journey.
Client Socials
Activating and engaging those already around the client
The Peer Circle clearly identifies the client’s providers, care-givers, household members, and their peer support network. It can also feed a Macro-aggregated view, identifying ‘hubs’ in populations to better engage and help build trust.
Care Team
Who is on the team?
The Care Team Management tools make it easy to see who is on the team. They also make it simple to communicate with any of the team members and to find out more information about who is already around the client.
Resource Directory
Where to get help
The Resource Directory with closed-loop referrals makes sure the right help is found at the right time. A referral package can be easily created and sent electronically to both the client and their team.
Who is participating?
The beta pilot for CRN begins mid-August 2019. Many Mesa County agencies are participating.
- Department of Human Services
- Long Term Services
- Hilltop
- ADRC (Aging and Disability Resources for Colorado)
- B4Babies
- Family Adolescent Partnership (FAP)
- Western CO 2-1-1
- Grand Junction Housing Authority
- Mindsprings Health
