Winona Health’s inaugural Community Care Network program started in June of 2013 with the goal of empowering patients to better self-manage their health and well-being. The program’s focus was decreased utilization of the emergency room and hospital, while improving quality of life and reducing total cost of care. This is all done in collaboration with the team of CCN staff and is done both in and outside the walls of the clinic, connecting in a setting most comfortable to the patient. Our integrated clinical and social support care model is comprised of nurses and social workers who help patients reach their goals by providing a linkage between primary care, wellness, prevention, self-management and community services. Our CCN Care Coordination services are a critical component to our Health Care Home (HCH) certified patient-centered care delivery model.
This whitepaper provides more information about our Community Care Network. Click the image below to view or download.
Rachelle Schultz, EdD
Through this digital column, I hope to shine a light on what we’re working on both internally and beyond our walls in collaboration with other community-focused organizations.