WHAT IS A CERTIFIED HUB?
A certified HUB is an evidence-based approach to community care coordination that ensures those who are at risk are identified and connected to services that address their risk factors. Risk factors are identified and converted into “Pathways” – a standardized process used to monitor each risk factor and meet the needs of the client. The HUB contracts with payers and makes payments to care coordination agencies based on outcomes and health improvements. The HUB systematizes a community’s care coordination agencies and eliminates fragmentation and duplication of services. A Certified HUB improves health, reduces costs, and promotes equity.
WHAT IS A PATHWAY?
A Pathway is a standardized process that identifies and resolves an at risk individual’s needs. Each Pathway represents one risk factor that is tracked until it is resolved.
HUB Certification ensures an accountable and sustainable community care coordination system that leads to better health and lower costs. A Certified HUB closely monitors the risk factors of an at-risk individual and aligns the intensity of care coordination services with a client’s level of risk. The certified HUB links payment to the value of services provided by community care coordination agencies and the client’s health outcomes.
THE CERTIFICATION PROCESS
The PCHI certification process involves a series of action steps that are organized in four major categories. These action steps include:
• Pre-Site Visit
• Site Visit and Assessment
• Determination of Certification Status
• Certification Status Designation
As needed, PCHCP consultants are available to provide technical assistance to applicants during the certification process, particularly during the preparatory phase and, if required, when corrective actions are needed to satisfactorily achieve full certification status.
PCHCP offers two certification designations—provisional and full certification. HUBs may seek re-certification every 5 years.