Frequently Asked Questions

Recognizing that good health and a person’s basic needs are inextricably linked, we employ the Care Continuum Network (CCN) to help vulnerable populations in Pierce County. The CCN serves as a centralized community hub, where individuals, providers, community partners and community-based organizations may refer for services.

This care traffic control model allows CCN staff to assign individuals to one of three care coordination programs — Community Health Action Teams, Health Homes or Elevate Health Pathways Program – administered by our community partners.

The CCN serves as a bridge to all these services. When individuals work with staff in the CCN, they receive help, counseling and referrals designed to address their barriers to health. Commonly these barriers stem from: healthcare access and quality, education, social and community context, economic stability, and neighborhood and built environment.

In this process, network personnel may connect individuals to social services organizations that provide essentials such as food and housing, to healthcare organizations that address chronic health conditions, and to counseling centers or therapists that can help meet needs related to behavioral and mental health.

In addition to helping individuals navigate a complex network of services, the CCN team also helps our organizational partners by identifying and creating resource networks, supporting program quality, developing data strategies and ensuring best practices. Taken together, these services make the local care ecosystem more efficient, equitable and cost-effective.

Your individual will receive a full complement of care and assistance if they become part of the network. Once you refer your individual, they will receive counsel and referrals related to several interrelated goals: pursuing further medical care, following up on behavioral health services, and finding resources related to other needs, such as employment, housing and much more.

Additionally, Elevate Health, which administers the network, serves as a locus for transforming health care and collecting health data in Pierce County. By creating the network and tracking individuals’ progress, we track how interventions — especially for vulnerable people — save and improve lives.

By working with us, you not only provide your individual with a team approach to health, but you also help us reduce health inequities in Pierce County.

Yes. We are interested in organizational partners (community programs that house and/or hire the personnel who work with individuals) or referral partners (community programs who have individuals who could benefit from the network). Given Elevate Health’s focus on health equity, we are especially interested in recruiting partners in service to rural communities and underserved populations, such as people of color, veterans, immigrants and women.

Please use the brief form found here to refer people to the Care Continuum Network.
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