NH Care Connections

Connections between hospitals, primary care, outpatient services, behavioral health and community-based organizations allow providers to better serve people. Through provider connections, people are referred to services across health and human services through an online accessible network via self-service or via any provider on the network. 

Housing is a critical component of our ability to maintain our health and well-being. To achieve better health, people need housing that is safe and healthy. Connecting our federal and state housing programs with community-based organizations through a coordinated network will provide a statewide awareness of service availability. 

Economic stability is directly connected to physical and mental health by enabling access to food, housing and healthcare. By connecting people to employment support services, the foundation can be built upon to continue improved physical and mental health. By connecting service providers on a single network, we can reduce duplicate efforts, confusion and missed opportunities (phone calls, faxes, emails) allowing for a point of service approach in connecting people to services. 

When a health care organization identifies a patient with social needs, they can partner with community-based organizations to provide direct services such as food, transportation, home visits for new moms, help with heating bills, or legal help to address barriers to obtaining housing or government benefits. 

Education has a direct relationship with improved health, reduced chronic conditions and less functional limitations and disabilities across all genders, races and ethnicities. Connecting people to educational opportunities via health and human service providers increases the opportunities for individuals in our state. 

Certain populations that are known to be at greater risk of health disparities may have specialized services - such as military and veterans - these services can be coordinated with their care across multiple dimensions to increase their outcomes overall. 

Connections between hospitals, primary care, outpatient services, behavioral health and Community Based Organizations allow providers to better serve needs. 

Collaboration and technology can assist in coordinating multiple systems to reduce the overlap in current workflows. 

Allowing NH to see across systems for better quality improvement, monitoring and investing over time. 

Current systems have providers filing out multiple forms, sometimes the same one or making referrals that at times go nowhere. 

We know providers are struggling to hire and to get things done efficiently. By developing workflows that can be utilized through these platforms to increase capacity, providers can do the work better and faster while experiencing a reduction in provider burden. 

Less cycling through systems because a person’s needs are not met or connections are missed. When we catch all needs earlier, people are more likely to get well or improve quality of living.

Care Insights allow care team members to document notes that are shared with other people who are caring for the same patient. Providers can recommend what works best for the patient and what doesn’t work. This enables the patient to have a better care experience and supports providers in quickly identifying the best approach for meeting each patient’s needs. 

Event Notification lets the patient’s care team outside of the hospital, such as their primary care provider (PCP) or health plan know when they have been seen in the hospital. For example, when a patient visits the emergency department, their PCP is alerted in real time so they can collaborate with the hospital staff on a treatment plan. The PCP can also create a plan for after the patient is discharged, ensuring the patient receives the care they need and can avoid returning to the hospital. This coordination allows your current provider to be aware of any emergency care or outside care needs you may experience, facilitating the coordination of follow-up care. 

We know providers are struggling to hire and to get things done efficiently. Developing workflows that can be utilized through these platforms to increase capacity. Providers can do the work better and faster while experiencing a reduction in provider burden.