Community Care Coordination began January 1, 2016, as a partnership between Gibson Area Hospital and Health Services, the Community Resource and Counseling Center, and the Ford County Public Health Department. Recognizing that many people in the community and surrounding areas are suffering from chronic conditions and a lack of coordinated care, the program hopes to help patients receive patient-centered, comprehensive, whole person, coordinated care that addresses all of their needs.
Each patient in the Care Coordination project will be assigned a Community Health Worker who will work with the patient, the patient's family, and the patient's physicians to coordinate a care plan that meets the patient's individual needs and preferences. The Community Health Workers and Registered Nurse in the program are committed to understanding each patient's unique situation and seek to understand the best way to empower the patient to take care of his or her health, as well as address any social, nutritional, or mental health needs. As an advocate for the patient, the staff at Care Coordination hopes to assist patients through education, referrals, and communication.
The Care Coordination program is funded by a federal grant that wishes to help provide and track services to patients with Diabetes, Chronic Obstructive Pulmonary Disease (COPD), and Congestive Heart Failure (CHF). The grant was given to eight hospitals across the nation in an attempt to help hospitals and clinics manage their patient population in a way that will reduce emergency room visits and inpatient hospital stays, lowering the cost of health care for all people.