Community Health Development Foundation
Project Overview
A 2019 Elko County Needs Assessment revealed a deep need for medical and social care coordination. This project will create a patient navigation system powered by an experienced patient navigator and Unite Us software, which enables coordination of services and outcome tracking. Our program will rely on the established ‘spoke and hub’ design, with referrals managed by a patient navigator. Local medical providers and Community Benefit Organizations (CBO) will be able to refer individuals to our navigator using the Unite Us platform with an embedded PRAPARE screening tool. A mobile app and web-based application will also allow community members to self-refer. The patient navigator will then make an appropriate referral and follow it to completion. Our program is open to all community members and we will make concerted efforts to recruit from all racial and ethnic subgroups.