Community Care Coordination (CCC)
The DRCHSD Program provides community care coordination (CCC) strategies and planning to each selected organization. This helps transform the local health care delivery system and supports the development of an infrastructure to manage the health of a population. Through CCC planning, providers and other partners can:
align local services with community needs
improve health outcomes
address social determinants of health
Each selected organization will hire a Community Champion (CC). The CC will take the lead in implementing the CCC strategies in the community with the support and guidance of their leadership and DRCHSD Program staff.
The CCC 3-year process establishes a comprehensive foundation to enhance care coordination efforts by leveraging partnerships between providers and community partners. It is a stepwise guide to plan, develop, implement, and sustain collaborative outcomes between the health care organization and community joint partners. This approach builds and strengthens a community’s capacity, creates partnership buy-in, establishes accountability, and assists the collaborative with creating a plan for sustainability.
Step 1 build a foundation to identify and connect with diverse community joint partners.
Step 2 collaborate with community joint partners to identify and address community and patient health needs by maximizing capacity and available assets to improve transitions of care.
Step 3 monitor progress, strengthen collaboration, and strategize for ongoing self-sufficiency and sustainability to ensure diverse and vulnerable populations benefit from coordinated care.