Pathways

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Pathways are a foundational tool in the Pathways Community HUB Institute® Model (PCHI® Model) and are designed to support CHW's care coordination work.

CHWs identify health and social concerns (“modifiable risk factors”) that can be changed through specific education and care coordination strategies. Risk factors are translated by CHWs into Pathways to achieve measurable outcomes beneficial to the individual.

The PCHI® Model currently includes 21 standard pathways:

  Adult Education Medication Adherence
  Developmental Referral Medication Reconciliation
  Employment Medication Screening
  Family Planning Mental Health
  Food Security Oral Health
  Healthcare Coverage Postpartum
  Housing Pregnancy
  Immunization Referral Social Service Referral
  Learning Substance Use
  Medical Home Transportation
  Medical Referral  

 

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