PATHWAYS: Early Experiences Last A Lifetime

 The Southeast Ohio Community HUB has been given a new brand identity and tag phrase, Pathways: Early Experiences Last a Lifetime;  which has recently been released in a rack card by IPAC (Integrating Professionals for Appalachian Children). /Websites/ipac/images/IPAC_Pathways_v8_IPAC.pdf.  The card will be distributed by participating agencies and PATHWAYS Care Coordinators that work with families in Athens, Gallia, Hocking, Jackson, Meigs Perry, Ross and Vinton counties in the Southeast Ohio region.  The cards along with posters are being used as resources to communicate the services available in these counties to pregnant women and their families by the participating agencies; which include: Gallia-Meigs Community Action, Health Recovery Services, Integrated Services of Appalachia, OU-HCOM Family Navigator Program, and IPAC.

The PATHWAYS model is a community based wellness project that promotes integration and collaborations that involve many social service and health organizations in Southeast Ohio. PATHWAYS is  just one of the latest developmental  strategies being  implemented by IPAC to continue their vision of healthy development for all Appalachian children in Ohio. This model meets IPAC's mission of integrating resources and coordinating access to health and mental health for the region's children and families. 

The following excerpt elaborates more about  PATHWAYS components. 

 Purpose – The Southeast Ohio Community Hub is an eight-county community project led by Integrating Professionals for Appalachian Children (IPAC) together with several Managed Care Organizations including United Healthcare, Care Source, and Molina; Partners for Kids at Nationwide Children’s Hospital, and the State of Ohio. Governor John Kasich’s Office of Health Transformation is investing $350,000 to replicate the Community HUB/Pathways Model in southeastern Ohio.

· Population Served – Pregnant women and families with young children residing in Athens, Gallia, Hocking, Jackson, Meigs, Perry, Ross and Vinton counties in southeastern, OH. The year-long project begins on July 1, 2012 and will serve 125 individuals.

· Services – The Community HUB/Pathways Model was developed by Drs Mark and Sarah Redding from Community Health Access Project (CHAP) to improve health and preventive care for high risk mothers and children. The services delivered coordinate care for individuals within targeted medical and social service “Pathways.” Each Pathway is designed to address a single health or social issue. Tracking progress along the Pathway ensures that those concerns identified are resolved.

Additionally, the HUB offers a single point of registry for individuals receiving care coordination services. This database allows the HUB to increase the accountability of service providers, to reduce the duplication of services in the region, and to improve communication across the multiple stakeholders invested in effective care coordination.

The Community HUB/Pathways Model utilizes a pay-for-performance methodology that provides financial incentives to providers that are tied to desired health outcomes. Specific health outcomes include birth weight > 2500 grams, children fully-immunized by 24 months, reduced Emergency Department utilization for non-emergency care through engagement of medical homes, full enrollment in Medicaid for qualified children. The HUB improves the quality of care, the region’s population health and it reduces health care costs.

· Point person – Dawn Mollica, Executive Director, dmollica@ipacohio.org;

Integrating Professionals for Appalachian Children (IPAC), P.O. Box 826, Athens, OH 45701