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SPNS NC-REACH Featured on Rural Health Information Hub

gardenNC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless

Summary

  • Need: Provision of medical care access and follow-up for rural North Carolina HIV patients with mental health, substance abuse, and unstable housing/homelessness challenges.
  • Intervention: Medical home staff model expanded to a care coordination program with a core Network Navigator and Continuum of Care Coordinator assisting with medical, behavioral health, and basic life needs.
  • Results: To date, the program has advanced three aspects of medical home patient care for this target population: provided further understanding of the spectrum of homelessness, including “hidden” homelessness; implemented outreach with creation of new community partnerships and a community housing coalition; and integrated medical care and behavioral health care for HIV.

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Joint Commission’s Gold Seal Certification NCQA HRSA FTCA DEEMED

CommWell Health Has Earned the Joint
Commission’s Gold Seal of Approval and Primary
Care Medical Home Certification
(Certified Patient-Centered Medical Home)

Joint Commission’s Gold Seal Certification NCQA NCQAJoint Commission’s Gold Seal Certification