The Pathways Model employs community health workers who connect at-risk women to evidence-based care using individualized pathways designed to produce healthy outcomes. The model promotes timely, efficient care coordination through incentives. It prevents service duplication by using a Community Hub, a regional point of patient registration, and quality assurance to support a network of agencies involved in providing care to the target population. The first implementation of the model in Richland, Ohio, resulted in increased services to at-risk women and a decline in the rate of low-birth-weight babies.
CHAP (Community Health Access Project), 2001
Evidence Rating: II
Additional Info: https://innovations.ahrq.gov/profiles/program-uses-pathways-confirm-those-risk-connect-community-based-health-and-social-services
Case Management/Care Coordination