Our culturally intelligent CHWs will:
- Engage, educate, and empower patients
- Promote health literacy
- Schedule appointments
- Address non-medical drivers of health
- Close gaps in care
- Collect and maintain accurate and actionable patient data
- Provide data-driven, patient-centered service using our trademarked Caring for Your Health e-Tool (CFYH e-Tool), a comprehensive assessment for identifying and addressing health-related social needs (HRSNs) and barriers to improved health outcomes.
- Train providers and office staff
Caring for Your Health e-Tool
Track Social Determinants of Health for Patients
The ‘Caring for Your Health’ Social Determinants Indicator ToolSM is both a patient-level and population health management tool used to:
- Identify socio-economic factors affecting patient clinical outcomes
- Support patient risk stratification
- Document patient case complexity
- Develop early interventions preventing health complications, reducing complications from chronic conditions, and improving health outcomes
- Incentivize value-based payments through effective collection and management of social drivers