Partners Community Care Hub supports your practice and patients with social care coordination.
Contact Us- Peace of mind that medical care isn’t undermined by social circumstances or drivers outside your control.
- Supports patient care through social care management.
What it does for YOUR STAFF:
- Frees up their time to focus on a patient’s medical care needs as Partners arranges for the patient’s social care needs – staff extenders
- Reduces staff stress.
- Aids staff retention and reduces costly and disruptive staff turnover.
What social care coordination does for YOUR PATIENTS:
- Transportation for both medical and nonmedical needs.
- Meals (beyond limited basis).
- Food and nutrition resources.
- Services supporting self-direction.
- Private duty care.
- Housing navigation.
- Medication inventory and assessment.
- Chronic disease self-management programs (including diabetes and pain).
- Fall prevention and movement programs.
- Structural home modifications.
What social care coordination does for the overall HEALTH SYSTEM:
- Reduces ER utilization.
- Reduces hospital admissions and readmissions.
- Helps people stay out of a nursing home.
- Helps people succeed in their own home.
One contract with Partners Community Care Hub provides access to a full and robust network of social care agencies located throughout California. We:
- Oversee the unique and local community-based organizations that are well-known and trusted in their communities.
- Handle agency credentialing.
- Provide social care training.
- Provide or supervise social care management.
For more information, contact: Hubinfo@picf.org
