Health & Human Services
Hospitals running a CHNA, Continuums of Care doing a PIT count, Area Agencies on Aging, and reentry councils coordinating five agencies at once. One partner map instead of four separate needs assessments covering the same county in the same year.
We Build Models forHospital Networks
To Route Resources (Capital, Partnerships, & Information) more Efficiently
Map the Network
- CHNA and CHIP partner rosters
- CoC membership, HMIS and by-name lists
- Area Agency on Aging provider networks
- Managed care and HRSN contracts
- Referral traffic and handoff outcomes
Find the Gaps
- Four needs assessments, one county, one year
- Warm handoffs gone cold
- Populations no agency claims
- CBOs that can't hold a Medicaid contract
- Five agencies, five case plans, one person
Close the Gaps
- One partner map for the CHNA and the CoC
- Route the referral to who has capacity today
- Convene the five reentry agencies once
- Stand up the exchange where none exists
- 1Siloed information — HMIS, the EHR and the 211 database cannot see each other
- 2Complexity exceeds bandwidth — one navigator holding a county's resources
- 3Incentives reward fragmentation — each assessment is a separate compliance obligation
- 4Trust doesn't scale — data sharing stops where the consent form does
- 5Self-oriented entities — every provider counts its own clients served
Nonprofit Nexus: State of the Sector
Nonprofit sector, 17 counties across TN/GA/AL
Imperial County Community Health Assessment 2024
Public health, Imperial County, California
Richmond City & Henrico County Community Health Assessment 2024
Public health, Richmond City & Henrico County, Virginia
Maryland State Health Assessment 2024
Public health, Maryland statewide
St. Johns County Community Health Assessment 2024
Public health, St. Johns County, Florida
King County 2024/2025 Community Health Needs Assessment
Public health, King County, Washington
Los Angeles County Community Health Equity Improvement Plan 2024-2029
Public health equity, Los Angeles County, California
Minnesota Statewide Health Assessment 2024
Public health, Minnesota statewide
Nonprofit Nexus: State of the Sector
Nonprofit sector, 17 counties across TN/GA/AL
Imperial County Community Health Assessment 2024
Public health, Imperial County, California
Richmond City & Henrico County Community Health Assessment 2024
Public health, Richmond City & Henrico County, Virginia
Maryland State Health Assessment 2024
Public health, Maryland statewide
St. Johns County Community Health Assessment 2024
Public health, St. Johns County, Florida
King County 2024/2025 Community Health Needs Assessment
Public health, King County, Washington
Los Angeles County Community Health Equity Improvement Plan 2024-2029
Public health equity, Los Angeles County, California
Minnesota Statewide Health Assessment 2024
Public health, Minnesota statewide
Minnesota Statewide Health Assessment 2024
Public health, Minnesota statewide
Los Angeles County Community Health Equity Improvement Plan 2024-2029
Public health equity, Los Angeles County, California
King County 2024/2025 Community Health Needs Assessment
Public health, King County, Washington
St. Johns County Community Health Assessment 2024
Public health, St. Johns County, Florida
Maryland State Health Assessment 2024
Public health, Maryland statewide
Richmond City & Henrico County Community Health Assessment 2024
Public health, Richmond City & Henrico County, Virginia
Imperial County Community Health Assessment 2024
Public health, Imperial County, California
Nonprofit Nexus: State of the Sector
Nonprofit sector, 17 counties across TN/GA/AL
Minnesota Statewide Health Assessment 2024
Public health, Minnesota statewide
Los Angeles County Community Health Equity Improvement Plan 2024-2029
Public health equity, Los Angeles County, California
King County 2024/2025 Community Health Needs Assessment
Public health, King County, Washington
St. Johns County Community Health Assessment 2024
Public health, St. Johns County, Florida
Maryland State Health Assessment 2024
Public health, Maryland statewide
Richmond City & Henrico County Community Health Assessment 2024
Public health, Richmond City & Henrico County, Virginia
Imperial County Community Health Assessment 2024
Public health, Imperial County, California
Nonprofit Nexus: State of the Sector
Nonprofit sector, 17 counties across TN/GA/AL