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Western New York Integrated Care Collaborative Addressing Social Determinants of Health: Nutrition and Food Insecurity
This brief is part of a series of case studies of aging and disability network organizations addressing the nutrition and food insecurity needs in their communities by braiding funding streams and…
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Alabama Aging and Disability Network Addressing Social Determinants of Health: Nutrition and Food Insecurity
This brief is part of a series of case studies of aging and disability network organizations addressing the nutrition and food insecurity needs in their communities by braiding funding streams and…
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No Wrong Door System Principles
Adopting the fundamentals of the NWD philosophy within your organization’s network is foundational in building a robust system accessible to all populations and payers.…
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Network Development Track Meeting 7/26/23
This Network Development Track meeting focused on Network Management and included a guest presentation by Paul Cantrell.
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NLC All-Member Peer Group Dialogue Meeting - Information Technology 7/27/23
This All-Member Peer Group Dialogue meeting focused on information technology. The presentation portion of the meeting included an overview of the results from the IT pre-session survey and an…
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ADRC/Community Care Hub/Community Care Network Comparison Chart
This resource provides a detailed comparison of Aging and Disability Resource Centers (ADRC), Community Care Hubs (CCH), and Community Care Networks. The chart includes an overview of each type of…
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NLC Gathering at the USAging Conference 7/15/23
Thank you to all who were able to join for the NLC in-person gathering at the USAging conference in Salt Lake City. Attached are presentation slides from the gathering.…
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NLC Network Expansion Track Meeting 7/13/23
This Network Expansion ECHO Session focused on working with Medicare Advantage Plans. The session included guest presentations by the Western New York Integrated Care Collaborative (WNYICC) and…
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Pathways Community HUB Institute Model Microlearning Session 7/12/23
This NLC microlearning session featured presentations by Jan Ruma, president and CEO of the Pathways Community HUB Institute, and Marie Velez, from the Better Health Partnership Pathways HUB and the…
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Network Development Track Meeting 6/28/23
This Network Development Track meeting focused on Financial Acumen. It was the second in a two part series. Please see the meeting slides attached.
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Healthy Living for ME: Consumer Process Flow
The Health Living for ME team developed a consumer process flow outlining the referral pathways of members with social care needs. The process flow outlines the role of the Community Care Hub…
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ACL: Vision for NWD System Governance Checklist
This checklist provides a guide for No Wrong Door (NWD) Systems to assess the strength of their governance and as a measure of progress for states working towards strong governance.
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Office of the National Coordinator (ONC) for Health Information Technology webinar: MAC, Inc and CRISP HIE
Chesapeake Regional Information Systems for Patients (CRISP), the state-designated Health Information Exchange (HIE) in Maryland, and Maryland Access Point (MAP), an Area Agency on Aging,…
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WNYICC: Benefits of Joining the Network
This resource was created and shared by the Western New York Integrated Care Collaborative (WNYICC), a community care hub in New York. The product provides a list of benefits used to pitch…
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Partners in Care Presentation on Controlling Medication and SDOH-Related Readmissions Through HomeMeds 3.0 and Care Transitions
Partners in Care Foundation, a community care hub (CCH) in Sacramento, California, presented on their care transitions program during the May 10th, 2023,…
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NLC Individual Technical Assistance
Recent NLC TA requests and plans have been highlighted in the National Learning Community Technical Assistance infographic available here. Highlighted TA requests involve billing and coding,…
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Information Technology for CCHs
Seems like many of us in the development of CCHs have questions around technology. Potentially someday there will be a technology platform specifically designed to meet the needs of CCHs.…
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CCM Billing codes
Hi- I am reached out to inquire about billing codes. During the June 8 session Corewell Health shared some CCM codes that were not included in Tim’s May 11 presentation on codes.…
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NLC Network Development: Peer Group Dialogue Meeting 6/14/23
This Peer Group Dialogue meeting focused on organizational culture change. Please see resources shared and referenced during the meeting below: Person-Centered Planning Resources Person-Centered…
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NLC Network Expansion Track Meeting 6/8/23
This Network Expansion ECHO Session focused on addressing health related social needs (HRSN) through the integration of social care and medical care in a Primary Care First practice.…
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Workflows and partner responsibilities resource?
Hi, could someone share a resource for a workflow visual for networks from the perspective of the client? I believe Healthy Living for ME presented one at last year's USAging Conference that was…
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SARPC Benefit Enrollment Center Presentation
This presentation from the South Alabama Regional Planning Commission (SARPC) provides an update on their Benefit Enrollment Center. The slide deck includes the center's successes, end results,…
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Kansas: Aging and Disability Partners Work Together During COVID to Facilitate Transitions from Nursing Homes
Key Partners · Kansas Department of Aging and Disability Services (state unit on aging (SUA)) · Kansas Association of Area Agencies on Aging and Disability · Central Plains Area Agency on Aging ·…
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ACL: Strategies to Sustain a No Wrong Door System
This infographic highlights Medicaid administrative claiming as a key strategy to sustaining a No Wrong Door (NWD) system. The resource provides updated information on states that are claiming for…
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Resource Spotlight: Analysis of Medicare Fee-for-Service (FFS) Claims for Chronic Care Management and Transitional Care Management
The National Opinion Research Center (NORC) at the University of Chicago has published an analysis that provides additional context on the role that care coordination can play in optimizing health…
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To contact the ACL/Technical Assistance team, please email: NoWrongDoor@acl.hhs.gov