JACKSON CARE HUB

RiverStar’s Community Care Hub deployed to address poverty and increase overall community care in Jackson County, Michigan.

Industry

Community Care Organization

CONNECTED ORGANIZATIONS

34+

Solution Deployed

Community Care Hub

Organization

The Jackson Health Network is a collaboration between health care leaders, community leaders, and physicians working together to improve patient outcomes and safety and reduce overall costs through an integrated system of care.

Challenge

Jackson County, Michigan has a goal of continually serving its community members to deliver quality services that lead to better outcomes across the board. Unfortunately, its clients are increasingly dealing with multiple social, economic, behavioral and medical needs that make this goal difficult. Jackson has realized the importance of multiple agencies working together to help their clients navigate the complex care pathways to get the help they need.

Solution

Using RiverStar’s Community Care Hub, Jackson County was able to set up a comprehensive system to assess each incoming client for issues related to the Social Determinants of Health. These assessments are utilized to determine specific needs and the most appropriate care partner to refer each client to via an integrated 2-1-1 referral system. In doing so, Jackson County can proactively assist each client and get them the help they need — and follow via a closed-loop process to ensure a positive outcome.

Real World Statistics

34 Active Community-Based Organizations

110,000+ Social Determinants of Health Screenings

Timing from Referral to Service Dropped by 6 Days

View the infographic

To learn more about the results of the Jackson County Care Hub, download the infographic.
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