Care

Coordination

People who are struggling and suffering have needs that overlap in complex ways.

This often means that those most in need end up having to navigate a system that is fragmented into many silos and sectors (e.g., health care, housing, transportation, food, and nutrition).

Because no single agency or program can meet all the intertwined social and health needs of individuals and families, organizations must coordinate to provide effective care.

Community-Based Care Coordination

Since 2018, Thriving Together NCW has invested in programs that offer community-based care coordination services.

“Community-based care coordination” is a relational and person‐centered approach that deliberately organizes and facilitates access to comprehensive social and health care services. The goal with this approach is to provide a more effective and streamlined approach to caring for a person’s overall health.

Thriving Together NCW brings regional partners together to explore opportunities for integrating care coordination systems that currently exist (or that are forming) within specific sectors and siloes to create a more cohesive, regional system that meets the needs of whole families.

Check out the great work a few of our partners are doing in this space:

Partner Spotlight: Pateros Brewster Community Resource Center

Cross-Sector Collaboration

When organizations from different sectors work together to address community-wide challenges, the process is called cross-sector collaboration. One single program or policy cannot solve the complicated health issues present in our region, which is why cross-sector collaboration can be a vital tool for creating thriving communities.

To make things easier for people who are already struggling, organizations can take on the burden of creating “whole system responses” by working together more intentionally towards person-centered solutions. To alleviate some of the financial burden that can come with merging resources and creating new systems, Thriving Together NCW has awarded more than $760,000 across our network of partners to support cross-sector collaborations.