CCNTR - Caring Community Network of the Twin Rivers
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  • Care Teams
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    Coordinating Across the System of Care

     

    Care Coordination Teams
    The Need

    Enhancing collaboration among service providers, as a means of increasing the quality and availability of care to families and individuals, is a high priority for the CCNTR Board of Directors and member agencies. Service delivery in rural areas, can be fragmented and difficult for people to access because of gaps in available services, or difficulty in getting people to services, or in coordinating care among agencies because of shortages in professional staff.

    Actions
    CCNTR developed care coordination teams centered in Franklin and Bristol to encourage service providers to meet regularly, solve problems together for households, and identify needs, in terms of the larger service delivery system. Three teams are facilitated by CCNTR staff and engage in resource sharing and opening access to care discussion.

    Practices are in place that safeguard individual confidentiality while supporting individual agency policy. Additionally, CCNTR coordinates staff development and training opportunities for member agencies, making the best use of limited training budgets.

    Involvement
    All CCNTR member agencies, committees of the Board, staff and partners, work together to implement projects that improve care coordination. These long-term commitments to strengthen the way agencies work together, in order to best deliver care, are supported by the management and staff of not-for-profits, public agencies, municipal officers, as well as, community members. This work is funded by a Rural Health Network Development Grant and Healthy Communities Access Project.