{"id":1759,"date":"2023-07-05T10:49:49","date_gmt":"2023-07-05T14:49:49","guid":{"rendered":"https:\/\/unitedwaysem.org\/news\/community-information-exchange-providing-coordinated-human-centered-care\/"},"modified":"2024-12-06T09:44:14","modified_gmt":"2024-12-06T14:44:14","slug":"community-information-exchange-providing-coordinated-human-centered-care","status":"publish","type":"impact_story","link":"https:\/\/unitedwaysem.org\/es\/impact-stories\/community-information-exchange-providing-coordinated-human-centered-care\/","title":{"rendered":"Intercambio de informaci\u00f3n comunitaria: proporcionar una atenci\u00f3n coordinada y centrada en las personas"},"template":"","class_list":["post-1759","impact_story","type-impact_story","status-publish","has-post-thumbnail","hentry","topic-basic-needs","topic-crisis-and-recovery","topic-food-and-health"],"acf":{"details":{"featured_image":1762,"quote":"Not only did she (Jennifer) help me, she followed up, made my appointment and we talked for quite a while. It was like she really cared.","citation":"Clara Rigsby","topic":[166,168,167],"program_theme":[131],"button_text":"Read More"},"page_layout":[{"acf_fc_layout":"layout_impact_story_hero","_acfe_flexible_toggle":"","component_impact_story_hero":{"kicker_text":"","heading":"Community Information Exchange","summary":"Providing Coordinated, Human-Centered Care","image":"","cta":""}},{"acf_fc_layout":"layout_wysiwyg","_acfe_flexible_toggle":"","component_wysiwyg":{"content":"
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Intercambio de informaci\u00f3n comunitaria: proporcionar una atenci\u00f3n coordinada y centrada en las personas<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n

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\r\n\r\nAt 83, Clara Rigsby was hospitalized with double pneumonia and strep. The persistent shortness of breath and other symptoms terrified Clara.\r\n\r\nThe financial ramifications of the hospital stay were just as scary.\r\n\r\nSince retiring from her career in nursing in 2003, Clara has made do on a fixed income. As rising costs due to inflation chipped away at her already tight budget, Clara\u2019s shopping list was shortened. She drank less milk, passed on eggs, and bought the cheaper brand of TV dinners with lower-quality ingredients.\r\n\r\nClara is not alone. In 2020, 1 in 15 seniors (6.8%) were food insecure, according to Alimentando a Am\u00e9rica<\/span><\/span><\/a>. Como muchos otros, Clara se guardaba sus dificultades para s\u00ed misma. Pero cuando el administrador de casos de Henry Ford le hizo la prueba los determinantes sociales de la salud<\/span><\/span><\/a> survey and asked Clara whether she had enough food at home, she decided it was time to break her silence.\r\n\r\nWith Clara\u2019s consent, her survey response was entered into Henry Ford\u2019s electronic medical record system, which then automatically shared her referral information with United Way for Southeastern Michigan and Peces y panes<\/span><\/span><\/a> \u2013 un banco de alimentos en Taylor donde los clientes pueden elegir lo que necesitan. Cuando Clara sali\u00f3 del hospital, recibi\u00f3 una llamada de uno de los orientadores sociales de United Way, quien le concert\u00f3 una cita en el banco de alimentos y le ofreci\u00f3 transporte a trav\u00e9s de Viaja unido<\/span><\/span><\/a> and shared details of other programs and support services Clara may be eligible for.\r\n\r\nThis interaction was part of Con\u00e9ctate a 4Care<\/span><\/span><\/a>, en el sureste de M\u00edchigan Intercambio de Informaci\u00f3n Comunitaria (CIE)<\/span><\/span><\/a>\u2122, con el apoyo de United Way. El CIE est\u00e1 transformando los servicios sociales y de salud mediante el intercambio de informaci\u00f3n y la coordinaci\u00f3n de la atenci\u00f3n. Con permiso y supervisi\u00f3n, las agencias que forman parte del CIE comparten informaci\u00f3n sobre clientes, servicios, capacidad de inventario y programas en beneficio de la comunidad.\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>\r\n
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\r\n\r\nLa asociaci\u00f3n con Henry Salud Henry Ford<\/span><\/span><\/a>, <\/span><\/span>Recolectores<\/span><\/span><\/a> y los bancos de alimentos locales es un ejemplo de Con\u00e9ctate a 4Care<\/span><\/span> in action. It began with a closed loop referral pilot, which launched in 2021, that sought to better identify the needs of community members and match those needs to agencies in an efficient, dignified and seamless way.\r\n\r\nWithin seven months, the program expanded and now operates at five Henry Ford clinics (Templin, Allen Park, Taylor, Woodhaven and Brownstown) and Wyandotte Hospital. The program is currently onboarding new food pantries in Redford and Detroit, as well as the Detroit Area Agency on Aging and Wayne Health Mobile Health Units.\r\n

Ampliando el impacto del 2-1-1<\/h2>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>\r\n
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\r\n\r\n\u201cIt\u2019s not just a program,\u201d said Esperanza Cantu, director, health initiatives at United Way for Southeastern Michigan. \u201cCIE is a network of organizations that have signed on to say that collaborative care is a value. We want to provide more dignified, respectful care for people. The way we do that is by changing how we work together.\u201d\r\n\r\nFor Clara, the experience with Henry Ford Health opened her eyes to new possibilities and new relationships.\r\n\r\n\u201cI didn\u2019t even think that help was available,\u201d Clara said after her first trip to the food pantry, which was scheduled by Jennifer Ledbetter, one of United Way\u2019s nine social navigators. \u201cNot only did she (Jennifer) help me, she followed up, made my appointment and we talked for quite a while. It was like she really cared.\u201d\r\n\r\nThe social navigator role builds on the success of United Way\u2019s 2-1-1 team by providing more hands-on assistance for community members navigating resources. In 2022, 2-1-1 provided 451,523 referrals\u202fto programs to assist with food, housing, financial assistance, utility assistance and more. Most 2-1-1 referrals require individuals to follow up with service providers while social navigators are able to reach out on behalf of clients and even enroll or book services on behalf of clients \u2013 further eliminating any potential barriers to help.\r\n\r\nJennifer spent eight years as a 2-1-1 community care advocate before becoming a social navigator. In this role, she says, she\u2019s found her calling.\r\n\r\nOf the 384 people referred\u202fthrough the CIE partnership with Henry Ford Health, 27 percent received information or assistance from a social navigator and 16 percent visited Fish & Loaves Food Pantry and received food. Of those who received food, 61 percent visited the pantry more than once. While these figures might seem low, they are on par with national trends: an evaluation of CMS\u2019 national Accountable Health Communities (AHC) model, which tested whether connecting Medicare and Medicaid beneficiaries to community resources can improve health and reduce cost, they found only 14% of people had their needs resolved.\r\n\r\n\u201cI\u2019m able to spend a lot more time talking to people and making sure they\u2019re getting the help they need,\u201d Jennifer said. \u201cYou can actually hear the relief in their voice at the end of a call. It doesn\u2019t get better than that.\u201d\r\n\r\n2-1-1 has been a strong community resource for more than 20 years and will always be there for people to provide anonymous information and referral.\r\n\r\n\u201cBut we also felt the call to action to say we need to take this a step further and build infrastructure that works better not just for organizations but for people,\u201d Esperanza said.\r\n

Fortaleciendo lazos, construyendo puentes<\/h2>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>\r\n
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\r\n\r\nGleaners and United Way have long been partners in the fight against hunger. The Connect4Care partnership was a natural way to build on that work with a shared interest in providing more comprehensive support to individuals and families while also using data integration to better assess trends in food insecurity.\r\n\r\n\u201cI felt very fortunate to be a part of the conversation right from the get-go,\u201d Denice Leduc, director of volunteers and service insights at Gleaners Community Food Bank of Southeastern Michigan, said. \u201cUnited Way is so committed to doing things the right way; not putting a solution on the table without true meaningful input from all of the players.\r\n\r\n\u201cThat\u2019s been the basis of the success we\u2019ve seen so far \u2013 that effort to make sure that the people who are on the ground are part of the decision making.\u201d\r\n\r\nWith Connect4Care, United Way envisions a \u201cno wrong door\u201d approach for seamless access to needed services. When organizations are no longer working in silos, they will be able to work together in better service of people\u2019s holistic care, allowing broader insight into community needs, proactive planning and resource allocation.\r\n\r\n\u201cIn the past, we couldn\u2019t directly make food pantry appointments and arrange other supportive services like transportation because our systems weren\u2019t talking to each other,\u201d Esperanza said. \u201cThe CIE\u2019s technical infrastructure powers our ability to make navigation of services seamless and with this, the undisputable data on needs and strengths to inform investments and policy advocacy for the better of the community.\u201d\r\n

Servicio sin interrupciones<\/h2>\r\n\"\"\r\n\r\nConnect4Care is supported by a technology infrastructure years in the making. Brightstreet Group worked closely with healthcare and food pantry providers to integrate systems and streamline processes that work better for people. Through CIE technology, United Way has enhanced how community members can connect to services; flagship programs such as Ride United and Connect4Care Kids depend on this same infrastructure.\r\n\r\nIt marks the first time these organizations will share data in an effort to provide a more seamless client experience rooted in the 2-1-1 resource directory, which includes information for over 1,500 agencies at 2,600 sites, with over 8,500 programs.\r\n\r\n\u201cWe know navigating resources is really difficult for people, which is why our 2-1-1 helpline is such a critical resource,\u201d Esperanza said. \u201cWith the CIE, we\u2019re able build on 2-1-1 to improve how people connect to services and how agencies can better meet people\u2019s needs. For example, while some people prefer to work with an agency to navigate resources, others may want to do this on their own. The CIE helps us make warmer connections by understanding what programs or services people are already using, providing information and resources, and understanding whether or not people got the assistance they needed.\u201d\r\n
\u201cSi las personas no tienen los alimentos que necesitan, les resulta dif\u00edcil superar esa situaci\u00f3n\u201d.\u201d<\/blockquote>\r\nData is an integral part of a successful CIE. United Way and our partners are continuing to engage the community through interviews to learn about community members\u2019 comfort and interest in sharing personal information and in helping to make decisions about how a CIE works in our region.\r\n\r\nEventually, the CIE will improve the overall health of the community, which food pantry partners say couldn\u2019t come at a better time. As inflation continues to impact household budgets and COVID-era assistance programs end, the need is greater than ever.\r\n\r\n\u201cIf people don\u2019t have the food they need then it\u2019s hard for them to move beyond that. It\u2019s hard to think about work or about education or really anything,\u201d said Stephanie McNees, executive director at Fish & Loaves.\r\n\r\nWhen people have access to food and other resources needed to thrive, the possibilities are endless.\r\n\r\n\u201cThat\u2019s the grand vision,\u201d Esperanza said. \u201cPeople are healthier \u2013 they live better lives \u2013 for longer. When we talk about health equity, that\u2019s what we mean. We\u2019re having to take apart what we\u2019ve built and reassemble it in a way that works better for everyone.\u201d\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>","":null,"settings":""}}]},"yoast_head":"\nCommunity Information Exchange: Providing Coordinated, Human-Centered Care - United Way for Southeastern Michigan<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/unitedwaysem.org\/es\/impact-stories\/community-information-exchange-providing-coordinated-human-centered-care\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Community Information Exchange: Providing Coordinated, Human-Centered Care - United Way for Southeastern Michigan\" \/>\n<meta property=\"og:url\" content=\"https:\/\/unitedwaysem.org\/es\/impact-stories\/community-information-exchange-providing-coordinated-human-centered-care\/\" \/>\n<meta property=\"og:site_name\" content=\"United Way for Southeastern Michigan\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-06T14:44:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/unitedwaysem.org\/wp-content\/uploads\/2023\/07\/Fish-and-Loaves-mother-and-son.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1500\" \/>\n\t<meta property=\"og:image:height\" content=\"1000\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/unitedwaysem.org\/impact-stories\/community-information-exchange-providing-coordinated-human-centered-care\/\",\"url\":\"https:\/\/unitedwaysem.org\/impact-stories\/community-information-exchange-providing-coordinated-human-centered-care\/\",\"name\":\"Community Information Exchange: Providing Coordinated, Human-Centered Care - 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