Integrating Community Health Workers on the Care Team

AdobeStock_8-8.jpgIntegra’s unique value proposition is keenly focused on utilizing the talents of our Community Coordinators to engage your members and to drive revenue enhancement. We have long understood the value that these in-person community health workers (CHWs) bring to our clients, and the rest of the country is starting to recognize it too. A recent study found that the number of community health workers in the United States grew by 27% in 3 years. This growth is partly attributable to the Affordable Care Act, which established various federal grants in the field, but also reflects a recognition by plans and providers of the value community health workers contribute to improving quality indicators, to which payments are increasingly tied. Continue reading

Persistence Pays Off: A CompleteConnect Case Study

Nurse & elderly woman.jpgRobert* had appeared on our caseload twice before, and my team and I were hoping the third time really would be the charm. We had tried to find him for weeks, and we weren’t about to give up. Robert’s health plan, an Integra ServiceConnect client, referred him to our program due to his high emergency room and inpatient utilization. The address the health plan had for Robert was actually the home of friend who allowed him to use the home as a mailing address and place to stay when he needed a break from his life on the streets. We had already visited the friend several times, but still hadn’t managed to connect with Robert.

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Closing the Space: How Integra Connects the Health Care and Social Services Sectors to Improve Outcomes and Reduce Costs

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For more than a decade, Integra’s work has focused on improving health outcomes by addressing the social and behavioral barriers that prevent so many patients from accessing the health and social services that are available and appropriate to their circumstances. Among the many causes of today’s runaway health care expenses is the fact that even the best physicians and the most proactive payers often cannot find and engage patients, and so cannot connect them to services that improve outcomes and reduce unnecessary costs.

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How It Works: Extending Your Existing Case Management Resources

Blood pressure measuringWhen health plan, health system, and government agencies partner with Integra ServiceConnect, they bring a range of case management capabilities. Some utilize a robust, integrated team; others partner with vendors who provide case management services; while still others are just getting started with case management. One big benefit of Integra’s model is our ability to support clients’ existing case management capabilities, whatever they may be Continue reading

How We Guide Patients Through “The Most Dangerous Periods”

As has been recognized for some time, a recent investigative journalism piece concluded that hospital discharge is one of the most dangerous time periods for patients. Transitions of care, when patients move from one health care setting to another or to home, are a challenging time for patients and their care givers. The period of time following hospital discharge is especially fraught. A professor from Johns Hopkins University described this transition of care in particular as “the most risky” and “the one we know the least about.” Poor care coordination often hinders patients’ transitions from the hospital to post-acute care settings, such as nursing homes or the care of home health agencies. Continue reading

Offering a Wider Perspective

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Yesterday, Memorial Day, we stopped to honor all those who safeguard our freedom: those who gave their lives serving in our country’s armed forces, all active duty military, our veterans, and all of their families. We are proud and honored to employ veterans at Integra ServiceConnect and are so grateful for the sacrifices these brave men and women make. Their commitment to ensuring our security permits us the freedom to pursue our passion of connecting people to services that improve their health. Continue reading

Why We Hire Local, And Why We Always Will

Human resources concept in tag cloudCommunity Coordinators are the lifeblood of Integra’s work. Their work on the streets of the communities where your members live is what drives our success. But, as we’ve emphasized before, they don’t just work in your members’ communities, they live there, too. Most of them grew up in the communities they serve, and some have ties going back several generations.

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Managing a Remote Workforce: With Us, It’s Personal

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Integra succeeds where others don’t for a host of reasons, but one of the most critical factors in our success is our mobile, community-embedded, highly dedicated, and incredibly persistent workforce. As past blogs have illustrated, our Community Coordinators are hired from the communities they serve and they go where your members are. Because our Community Coordinators and managers are embedded in these communities, they find people when their health plan can’t and connect with people who would rather be left alone. Continue reading

Get Smart Quick – Social Determinants of Health Round-Up

bronx storefront.jpgShould a health plan care when a member has an argument with their significant other? Should a Medicaid managed care plan step in when a diabetic beneficiary’s electricity is cut off? These are some of the social determinants of health that drive 80% of health outcomes. And these are the issues Integra’s Community Coordinators help your members through each day, so that they don’t lead to a negative health outcome.

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Keeping a Community Workforce Safe

When asked why he robbed banks, Willie Sutton famously said, “because that’s where the money is.” There is a parallel to the Willie Sutton principle in community health work. A major reason for our success in engaging hard-to-reach members and connecting them with services they need is that we go where they are. Our workplace is the community. Every day our staff find, engage, and connect underserved populations by going out into the communities where these individuals live.

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