Pathways Community HUB Institute helps communities support under-resourced residents and improve health and well-being through community-based care coordination.

Pathways Community HUB Institute

Pathways Community HUB Institute (PCHI) | 662 followers on LinkedIn. Certifying organizations using PCHI&#39;s evidence-based, pay-for-outcomes approach to whole-person health. | Transformative. Community Based. Outcomes Focused.

Social Care Innovator

Amy Vreeland

Senior Advisor

Jan Ruma

2021 National Hispanic Latino Executive Leadership and Fellowship from the National Latino Behavioral Health Association

Nelson Isaac Baez

Operations Manager

Ellie Kaufman

Pathways Community HUB Institute (PCHI)

Since 2020, PCHI and CommonSpirit Health have partnered to reimagine health by scaling the PCHI® Model in communities across the U.S. Thanks to CommonSpirit’s catalyst investment strategy and its community relationships, more than $13 million has been raise to support Pathways Community HUBs, improving health outcomes for under-resourced populations. Read how this collaboration is transforming lives—like in Southern Nevada, where preterm birth rates dropped by 65% for high-risk moms—in our latest blog. #healthequity #communitycare #partnership #PCHI #healthcare #socialcare

PCHI is excited to announce a new pilot program supporting COPD patients in Ohio, made possible by a grant from Sanofi and Regeneron . This initiative leverages the PCHI® Model to address the health-related social needs of underserved COPD patients, aiming to reduce COPD exacerbations and improve outcomes. November is National COPD Awareness Month, making this announcement especially timely as we work to bring attention to this chronic condition and improve care for those who need it most. PCHI is collaborating with two Pathways Community HUBs: the CHAP-OHIO , serving Richland County and five surrounding counties; and Bridges to Wellness, serving Tuscarawas County and ten surrounding counties in Appalachia. The program will strengthen the connection between health and social care, ensuring underserved communities—particularly in rural areas—receive the support they need. Over the next year, PCHI will gather valuable insights to better understand and address barriers to care for COPD patients. Learn more at the link below! #COPD #healthequity #carecoordination #healthcare #socialcare #chws #sdoh #hrsn

Community health workers are the cornerstone of equitable care, bridging gaps to address social determinants of health. At PCHI, we support the recent Center for Health Care Strategies brief emphasizing the critical role of CHWs and the need for sustainable frameworks, training, and outcome-based payment models. The PCHI Model equips CHWs with the tools, training, and support they need while building coordinated networks that improve health outcomes across the U.S. Learn more about the CHCS brief and PCHI’s commitment to creating sustainable solutions that address immediate needs and drive long-term community health improvements. #healthequity #communityhealth #CHWs #carecoordination #PCHI

Our PCHI team just wrapped up an inspiring strategic planning retreat! Together, we brainstormed new ideas, tackled challenges, and mapped out a future that strengthens our commitment to advancing health equity and community well-being. With each conversation, the PCHI team recommitted ourselves to a shared vision and dedication to improving outcomes for underserved residents in communities across the U.S. Here’s to the impactful work ahead at PCHI and special thank you to all the partners, providers, organizations, community health workers and communities we work with! Your work inspires our future! #PCHI #HealthEquity #CHWs #CareCoordination #Healthcare #Socialcare

Following our announcement last month of President and CEO Jan Ruma ’s retirement, we are excited to share The Blade article that shines a spotlight on her 38 years of groundbreaking work. Jan’s leadership in advancing the Pathways Community HUB Institute Model has been instrumental in improving care for under-resourced communities. This feature captures her legacy and impact. Thank you to Sheila Howard aka "She Jag" for doing the story! #PCHI #CareCoordination #HealthEquity #healthcare #socialcare #impact

This week, PCHI Chief Quality Officer, Amy Vreeland , will attend and moderate a panel discussion at the Camden Coalition ’s Annual Conference - Putting the Care at the Center 2024. Amy will be joined by Kimberly Birdsall, MPH , Executive Director of the Health Coalition of Passaic County , NJ; Jeannine McMillan , Executive Director of the 1889 Jefferson Center for Population Health; and Kimberly Roberts, Associate Director and Manager of the Community Care HUB (CCH) in Johnstown, PA, to discuss “Creating Community Care HUBs with a Proven Model—Examples from Pennsylvania and New Jersey.” As CCHs become increasingly vital in creating networks of community-based organizations and community health workers, this panel will explore how these collaborations effectively support individuals with complex needs. They will share insights on leveraging the PCHI Model to further health equity in their communities and bridging the gap for underserved populations to access essential health and social care services. #healthequity #centeringcare24 #healthcare #socialcare #PCHI #communitycare #carecoordination

Congratulations to the 1889 Jefferson Center for Population Health on receiving the Highmark Bright Blue Futures Award from the Highmark Foundation for the impactful work being done through its Community Care HUB (CCH). Launched in 2020, the CCH utilizes the PCHI Model to coordinate care for individuals with complex needs in Cambria and Somerset counties in Pennsylvania. Since its inception, the CCH has received over 2,200 referrals, made more than 10,000 contacts, and enrolled over 1,000 participants. The HUB’s community health workers have opened over 5,000 pathways to address health and social needs, including transportation, education, employment, and stable housing. This proactive approach is significantly improving health outcomes and advancing health equity. Together, we continue to drive meaningful change in communities across the U.S. Congratulations! #HealthEquity #SocialCare #HealthCare #PCHI #CHWs #CareCoordination #Partnership

In 2023, the Williamson County Pathways Community HUB ( United Way for Greater Austin ), officially launched in the Greater Austin, Texas area. Since then, it has made strides in supporting pregnant and postpartum mothers and their infants. Through partnerships with trusted organizations like STARRY and Impact Counseling, the Wilco PCH has been actively providing care coordination, health education, and advocacy to those at high risk for poor health outcomes. The team is currently accepting referrals from various local health care providers, focusing on areas with the highest need. Congratulations to the entire Williamson County team for their dedication and impactful work in improving health equity for families in the community! To read more about all the Texas PCHs: https://lnkd.in/eRrZRt-W #PCHI #CHWs #healthequity #carecoordination #communitycare #socialcare #healthcare #communitypartnership

After an incredible 38-year career, including three years as President & CEO of PCHI, Jan Ruma will be retiring on October 20, 2024. During her tenure, Jan has been instrumental in expanding our network to nearly half of all U.S. states and 50 communities, reaching over 40,000 people annually with whole-person, community-based care coordination. Jan will continue supporting PCHI as a Senior Advisor, ensuring a smooth transition. Dr. Sarah Redding, PCHI’s founder, will reassume the leadership of PCHI as Founder & CEO to continue driving our mission of advancing health equity. Thank you, Jan, for your extraordinary leadership and contributions! For more details: https://lnkd.in/dYJXxmRW

Community health workers, who share similar health and life experiences with those they serve, play a crucial role in assessing and caring for people with complex needs. However, many community-based organizations employing CHWs often lack the infrastructure needed to establish contracts with health care entities. This is where the PCHI Model steps in, helping communities coordinate the administration and infrastructure of a network of CBOs, enabling partnerships with health care organizations. CHWs are vital to this network, supporting underserved residents. Thank you to the The Better Care Playbook for highlighting how the PCHI Model empowers communities to support CHWs in addressing both health and social needs through a standardized approach and outcomes-based payments that drive community-level change. #healthequity #PCHI #CHWs #communitycare #socialcare #PCHIModel

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Pathways Community HUB Institute