Communities Uniting Communities: Fostering Collaboration through Community-Led Convenings

Communities Uniting Communities: Fostering Collaboration through Community-Led Convenings

Community Voices panel at the NCCARE360 Regional Impact Summit in Buncombe County. Panelists pictured from left to right: Vaughn Crawford- Unite Us, Charlene Rumfelt – WNCCHS, Amanda Irvin – BCHHS Public Health, and Ayana Simon – FHLI/NCCARE360

Community-led convenings are beacons for collaboration, bringing together organizations with shared goals to form and strengthen meaningful partnerships that drive positive change.

Last week, more than 30 organizations in western North Carolina gathered in Asheville, NC, for the NCCARE360 Regional Impact Summit hosted by Asheville Buncombe Community Christian Ministries (ABCCM), Vaya Health Systems, and Buncombe County government. Organizations came together to review community needs data, receive platform training, and engage in peer discussion about common challenges, potential solutions, and significant benefits to collaboration around utilization of the NCCARE360 platform.

“Connection is important, especially now” -Stacie Turpin Saunders- Deputy Director/Section Chief, Local and Community Support, Division of Public Health, NC Department of Health and Human Services

Victoria Reichard, Buncombe County Behavioral Health Manager, helped kick off the event by reviewing a brief history of NCCARE360, acknowledging that some organizations in attendance had to pause in their onboarding or utilization of the NCCARE360 network largely due to the COVID-19 pandemic, but she encouraged them to consider today be the day they jump back in. Throughout the event, she and other hosts emphasized the importance of working together to ensure the continued success of the program, and that every connection is efficient and meaningful. “If you’ve signed on recently, you may think the network isn’t as robust as you thought it would be, but that’s why we’re here. Let’s make music together,” Victoria said.

Victoria Reichard, Buncombe County Behavioral Health Manager

The overall message of the summit was the importance of having community buy-in for the NCCARE360 network. Panelists who ranged from new users to experienced users to administrators of the program discussed the benefits of  whole-community cooperation, emphasizing that more participation allows more organizations to leverage the information they receive when everyone collectively uses the system to send referrals. This not only helps network users connect clients to services, but it also helps the collective community identify and then communicate crucial gaps to funders, as well as to think strategically about where to apply existing resources until additional ones become available.

“[When] everyone has access to the data, they can collaborate to write grants and receive more funding.” -Brandon Wilson, Chief Operating Officer, Asheville Buncombe Community Christian Ministry

While fostering partnerships among community organizations is crucial for effective referral management, relying solely on personal connections may inadvertently limit client access to services based on the referrer’s acquaintances. The host emphasized that NCCARE360 provides a more equitable approach to linking clients to the resources they need because utilizing a shared technology like NCCARE360 ensures that every client has an equal opportunity for their needs to be addressed by partner agencies, regardless of the referrer’s level of influence or connections.

Panelists also shared that despite a heavier lift in the beginning when their organizations were onboarding, the platform improved their workflows by freeing up their time and providing instant notification of referral status instead of having to spend countless hours making and waiting for phone calls.

“In the beginning there is a heavier lift to get everything set up and going, then after you’re up and running and have workflows configured, it is much easier” – Charlene Rumfelt, Western North Carolina Community Health Services

Community-led events like this one instill a sense of ownership and empowerment among participants, fostering long-term commitment to shared goals. Our aim is for participants to become more invested in the NCCARE360 network and their community outcomes through increased active engagement. We hope this intrinsic motivation fosters ongoing collaboration and enduring partnerships, driving continuous improvement beyond specific events.

This event brought together organizations to address complex challenges and identify benefits of NCCARE360. By fostering dialogue, partnership, and collective action, communities are paving the way for transformative change. As we navigate an increasingly interconnected world, we will continue to recognize the pivotal role of these community-led initiatives in building resilient, inclusive communities where collaboration thrives.

Key takeaways we learned from community leaders about the importance of active community collaboration and participation in NCCARE360:

  • Collaboration creates a more robust network that ensure organizations can connect their clients to resources
  • Collaboration allows organizations to identify gaps that can be communicated to funders
  • Collaboration helps organizations make more strategic decisions about where to apply existing resources
  • Collaboration ensures that resource allocation is more equitable
  • Despite a “heavier lift” in the beginning when organizations are onboarding to NCCARE360, workflows tend to improve because the platform frees up staff time

About NCCARE360

NCCARE360 is the result of a strong public-private partnership between the NC Department of Health and Human Services (DHHS) and the Foundation for Health Leadership & Innovation (FHLI). NCCARE360 is integral to DHHS’s mission is to improve the health, safety, and well-being of all North Carolinians. The NCCARE360 implementation team includes United Way of North Carolina, NC 211, Unite Us, and Expound Decision Systems.

North Carolina Medicaid Expansion Beginning December 1, 2023

North Carolina Medicaid Expansion Beginning December 1, 2023

Beginning December 1, 2023, more North Carolinians will be able to get health coverage through NC Medicaid. This will be a game changer for the more than 600,000 people who will be able to access health care and is the most significant investment in the health of our state in decades. Thank you to the many partners that have helped make this a reality.

Now we need your help to be sure that North Carolinians know who is eligible and how to apply. We have a new website, bilingual toolkit and a sign-up form to stay updated on the most current information about how more North Carolinians will be able to get health coverage through NC Medicaid. Please use these tools with your networks and communities.

The bilingual toolkit includes:

  • Day 1 Flyer: An overview of who is eligible and how to enroll.
  • Newsletter Template: Content to include in your newsletters and emails.
  • Social Media: Graphics and posts to share on your channels.
  • Family Planning Flyer: Information for the approximately 300,000 people who receive limited benefits through Family Planning Medicaid who will be automatically enrolled in full Medicaid.
  • Medicaid Essentials Deck: A presentation to share with your community on who is eligible and how to enroll.
  • FAQs: Answers to common questions.
  • ePass Video: An overview of how to apply online through ePass.

To stay updated with the latest information, be notified when the application process goes live, and receive the newest resources, complete this sign-up form.

Thank you for helping more people in your communities get health coverage through NC Medicaid. Together we will ensure more than 600,000 people gain access to health care across North Carolina.

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A partir del 1 de diciembre de 2023, más habitantes de Carolina del Norte podrán obtener cobertura médica a través de NC Medicaid. Este es un momento muy importante para las más de 600,000 personas que podrán acceder a la atención médica y es la inversión más significativa en la salud de nuestro estado en décadas. Gracias a los muchos colaboradores que han ayudado a que esto se vuelva realidad.

Ahora necesitamos tu ayuda para asegurarnos de que los habitantes de Carolina del Norte tengan la información que necesitan para saber quién es elegible y cómo completar una solicitud. Tenemos un nuevo sitio web, un kit de herramientas de comunicación bilingüe y un formulario donde puedes registrarte para recibir la información más actualizada sobre cómo más habitantes de Carolina del Norte podrán obtener cobertura médica a través de NC Medicaid. Por favor usa estas herramientas con tus redes y comunidades.

El kit de herramientas bilingüe incluye:

  • Folleto del día 1: descripción general de quién es elegible y cómo pueden inscribirse.
  • Boletines: información para incluir en boletines y correos electrónicos.
  • Redes sociales: gráficos y publicaciones para compartir en tus redes sociales.
  • Folleto de Planificación Familiar: información para las aproximadamente 300,000 personas que reciben beneficios limitados a través del programa de Planificación Familiar de Medicaid y que quedarán inscritas para automáticamente recibir beneficios completos de Medicaid.
  • Información importante sobre la expansión de Medicaid: una presentación para compartir información con tu comunidad sobre quién es elegible y cómo pueden completar una solicitud.
  • Preguntas frecuentes: respuestas a preguntas comunes.

Para mantenerte actualizado con la información más reciente, recibir una notificación cuando el proceso de solicitud entre en funcionamiento y recibir los recursos más recientes, regístrate aquí.

Gracias por ayudar a más personas en tu comunidad a obtener cobertura médica a través de NC Medicaid. Juntos garantizaremos que más de 600,000 personas tengan acceso a la atención médica que necesitan en todo Carolina del Norte.

NCCARE360 Kicks September off with a K-12 School District Pilot Project

NCCARE360 Kicks September off with a K-12 School District Pilot Project

It’s September and we’re bidding farewell to these hot and humid North Carolina summer days. Autumn is just around the corner and the school year is back in full swing with fresh starts, new goals, and the pursuit of knowledge.

NCCARE360 K-12 School System/District COVID-19 Resources and Referral Coordination and Recovery Plan

During the summer months, our teams worked with the Department of Child and Family Well-Being (DCFW) at NC DHHS to put together a pilot project to onboard public schools across the state onto the NCCARE360 platform so they can link students and their families to community resources that address unmet social needs. The NCCARE360 K-12 School System/District COVID-19 Resources and Referral Coordination and Recovery Plan supplemented the school-based testing for COVID-19 provided by DCFW as an important layer of protection to keep children safe in the classroom. To further support students and families from the impact of the COVID-19 pandemic, NCCARE360 helps to identify additional drivers of health and connect students to services and resources that will impact students’ physical, behavioral, and social wellness. This project will allow K-12 school systems and their staff to use NCCARE360 to link students and their families to community resources that address critical services like food, housing, utilities assistance, transportation, educational support services, and more.

Connecting Students to Vital Resources

Durham Public Schools (DPS) has always been committed to the well-being and success of its students. Now, they’re taking this commitment a step further by leveraging technology to strengthen the connection between K-12 students and the social resources they need. DPS is partnering with NCCARE360 to make this vision a reality, with plans to onboard up to 56 schools in the DPS school system.

NCCARE360 is a platform designed to bridge the gap between healthcare and social services. DPS will use NCCARE360 to connect students nd their families with essential social resources, ensuring that they have access to the support they need to thrive academically and personally. The success of this initiative will come from the dedicated professionals who work tirelessly to support students’ well-being. Social workers and members of the DPS student support department will be the primary users of the NCCARE360 platform, as their roles are pivotal in identifying students’ needs and connecting them with the appropriate resources.

Why NCCARE360 Matters

Holistic Support: NCCARE360 offers a holistic approach to addressing students’ needs. It goes beyond academics and recognizes the importance of social and emotional well-being in a student’s overall success.

Streamlined Access: The platform streamlines the process of accessing social resources. Instead of navigating a complex web of services, students and their families can access the help they need more efficiently.

Data-Driven Decision-Making: NCCARE360 provides valuable data and insights that can inform decision-making. This data-driven approach ensures that resources are allocated effectively, benefiting those who need them the most.

Enhanced Collaboration: NCCARE360 improves communication and collaboration among schools, social workers, and external service providers. This fosters a supportive ecosystem where everyone works together to help students succeed.

Equity and Inclusion: The platform promotes equity and inclusion by ensuring that every student, regardless of their background, has access to the resources they need to excel.

A Brighter Future for Durham Students

Durham Public Schools’ decision to embrace NCCARE360 is a testament to their commitment to the success and well-being of every student. By fostering stronger connections between students and essential social resources, DPS is paving the way for a brighter and more promising future for the entire community. This innovative approach to education and support demonstrates DPS’s dedication to nurturing not only academic excellence but also the holistic development of its students. The NCCARE360 team will be using DPS as an example for engaging with additional school districts to reach even more students in need. With NCCARE360, the path to success becomes clearer and the journey becomes a shared one, filled with opportunities for growth and achievement.

Champion Highlight: Richard Johnson, Person County Health Department

Champion Highlight: Richard Johnson, Person County Health Department

Richard Johnson, MS, CHES®, TTS, is a busy man. As a public health educator for Person County Health Department (PCHD), he is involved in several projects designed to help his community lead healthier, happier lives. He gives presentations on respiratory care, speaks about the importance of high-quality sleep for good health, teaches cardiovascular disease prevention in women, and promotes tobacco and smoking cessation, just to name a few. He also uses NCCARE360 to connect individuals and families in his community to much-needed services and resources.

Richard Johnson, MS, CHES®, TTS

Richard has worked in healthcare for more than 30 years, but it was when he began working as a Community Health Worker (CHW) two years ago that he really came to understand the importance of community partnerships in improving health outcomes. During the COVID-19 shutdowns, he spent a lot of time going into communities to locate individuals and families suffering hardships caused by the pandemic. This is when he was introduced to NCCARE360 and found that it was an easily navigated referral system that enabled him to connect community members with needed resources. In March 2022, he came to PCHD to lead his department’s onboarding to NCCARE360. Richard said the onboarding process for their department may have been more involved due to their number of programs and users (seven separate programs and 17 platform users), but they started the initial inquiry of onboarding in September 2022, completed all training in November 2022, and received their first referral in December 2022.

In March 2023, Richard coordinated an information meeting to introduce NCCARE360 to the Person County community. He worked with PCHD’s Equity Advisory Council to invite a variety of community-based organizations, faith-based organizations, civic organizations, African American Greek organizations, and other organizations that serve historically marginalized populations. The meeting was successful and largely attended, and a post-event survey revealed that seven organizations attending the meeting indicated an interest in moving forward with plans to onboard to NCCARE360 within the following 90 days!

Richard continues to be a strong champion of NCCARE360. In April 2023, he co-presented with FHLI and Unite Us at the Eastern District North Carolina Public Health Association (EDNCHPA) 63rd Annual Conference, detailing his experiences and successes with using NCCARE360 in Person County.

“While using NCCARE360, I saw families receive food. I saw instances where the electricity bills were paid. I saw individuals connected with legal assistance to help them avoid eviction from their homes in the dead of winter.”

Richard reports mostly positive experiences and outcomes using the NCCARE360 network, including thousands of pounds of food delivered to individuals and families, and successful COVID-19 testing and vaccination for many underserved communities. We are proud of our partnerships with local health departments like PCHD and supporters like Richard, and we are doing all we can to help them grow and succeed. Thank you, Richard & PCHD, for your continued use and support of NCCARE360. We couldn’t do it without you!

Streamlining the Housing Referral Process

Streamlining the Housing Referral Process

This April, we’re commemorating the passing of the Fair Housing Act and honoring National Fair Housing Month by raising awareness of the importance of equal access to housing and by recognizing the progress that has been made in the fight against housing discrimination.

Housing stability has a significant impact on health outcomes, as there are many ways in which a lack of housing or poor-quality housing can negatively affect health and wellbeing. Experiencing housing instability may contribute to stress, anxiety, or other mental and physical health issues. Housing is a foundational resource that everyone needs. One goal of NCCARE360 is to provide access to resources to address housing needs. While housing services can be a complicated landscape, we aim to streamline the referral process and connect to coordinated referral systems that already exist. Late last year, NCCARE360 began piloting a Housing Referral Determination Screener built directly into the Unite Us Platform. This screener can assist network organizations in understanding what resources a person may be eligible for to address their housing crisis, with the goal of providing clarity about eligibility for housing programs and increase the quality of referrals to housing agencies and homeless service systems.

In addition to streamlining housing referral services, NCCARE360 has the potential to improve the overall quality of care for individuals and families by facilitating collaboration among service providers and ensuring that all needs are being met. This comprehensive approach to care is especially important for those experiencing homelessness or housing instability, as they often face complex and interconnected challenges.

Rachel Waltz, Program Manager at Orange County Partnership to End Homelessness, uses NCCARE360 to help clients experiencing homelessness. Rachel has always had an orientation toward what felt just and fair as well as an interest in being an agent of change in her community. She decided to explore social work as an avenue of change for individuals, families, and communities when she learned the young people in her therapeutic wilderness program were returning home without the proper social supports needed to continue their growth and development. She now works to end homelessness because she knows that the housing crisis can affect any of us.

NCCARE360 fosters collaborations between service providers and people experiencing homelessness, which Rachel sees as the foundation of our success as a community. NCCARE360 is also allowing for a more equitable lens through which to help. She notes that the people who experience a housing crisis that is unable to resolve on its own are disproportionately Black and African American folks, and this inequity is happening because of policy decisions that have a harmful and persistent legacy.

“The NCCARE360 network enables us to pair folks with the right resources at the right time.” –Rachel Waltz

Rachel says NCCARE360 has been a game changer in terms of looking at how referrals can be sent through the service provider networks in addition to the Orange County Housing Helpline. To successfully find and keep housing once in the formal homeless service system, most folks need a navigator who can help connect  them with the right resource  at each stage in the process. The Partnership depends on service providers to help make informed referrals to ensure that someone with complex needs receives a higher level of assistance. The NCCARE360 network has enabled the Partnership to continue to focus on some of most vulnerable community members while offering a lighter touch to community members who can successfully meet their housing needs with less intensive intervention.

As we celebrate National Fair Housing Month, it is important to remember that equal access to housing is a fundamental human right. NCCARE360 is a tool that can help us move closer to that goal by streamlining the housing referral process and improving access to the resources individuals and families need to achieve stable housing and a brighter future.

March is National Social Work Month

March is National Social Work Month

March is National Social Work Month, a time to recognize and celebrate the important role social workers play in supporting individuals, families, and communities. Social workers are professionals who are trained to help people overcome challenges and improve their well-being through a wide range of services, including counseling, case management, advocacy, and community outreach.

Social workers often find it challenging to connect their clients with the right resources and services to address their needs. They are frequently assisting clients with complex cases who require support from multiple providers and organizations. Fragmented systems make it difficult to navigate the complex network of community resources and services that are available. Fortunately, NCCARE360 is making it easier to send referrals for community resources and collaborate with other providers. Social workers can use the platform to quickly and easily refer clients to a wide range of services and resources, including housing assistance, food pantries, transportation services, mental health services, and more.

Because NCCARE360 has the ability to track referrals and outcomes, social workers can monitor the status of their referrals and see if their clients successfully accessed resources, helping to ensure their clients are receiving the support they need to improve their health and well-being. In addition to making referrals to community resources, NCCARE360 also facilitates communication and collaboration among providers. Social workers can use the platform to communicate with other providers and share information about their clients’ needs and progress. This can help ensure that all members of a client’s care team are working together to provide the best possible support.

This month, we are highlighting Leslie Craver, an incredible social worker who utilizes the NCCARE360 network daily to connect their clients to needed social supports and services.

Leslie Craver is a part-time Family Caregiver Specialist at The Life Center of Davidson County, an organization that provides high quality daytime care to older and impaired adults in Lexington, NC. Her interest in social work began in college and led her to a 30-year career with NC Department of Social Services, where she worked mainly in adult services. As a Home Adult Specialist, she monitored adult care homes and investigated any issues that arose in adult care. When it came time to retire, joining The Life Center was a natural fit for Leslie. At the same time, The Life Center was awarded a health equity grant from FHLI to increase their utilization of NCCARE360. Leslie trained on the platform and now uses NCARE360 to connect their residents to needed resources.

“I spent a lot of my time in DSS linking people to resources, so it wasn’t a big jump for me, just a different platform to do so.“  -Leslie Craver.

Leslie states NCCARE360 has helped expand her knowledge of resources not just in Davidson County but throughout the state, and she believes the next important step is helping other community organizations like The Life Center understand the value of the NCCARE360 program so they will be just as eager to join the network. “When you have multiple people come and go from different agencies, it’s a useful tool to not have to make a lot of phone calls. You can just look in the system and see all the places they’ve been and if they got help or not,” she said.

Not only does Leslie use NCCARE360 to connect The Life Center’s clients to resources, but she also makes visits to elderly people in the community who are unable to leave their homes and to the caregivers of those who cannot be left alone. She reaches out with food vouchers, PPE bags and other needed items, and she’s even provided some shopping for elder community members using those food vouchers. Then she enters those services in NCCARE360 and provides additional assessments for any other unmet needs that she can assist with.

“The Life Center is the best,” Leslie declared. “They do great work and tried to reach out even before NCCARE360, and this is just another way they are working to expand.”

National Social Work Month is an opportunity to recognize the important work that social workers do to support our communities. NCCARE360 is a useful tool that is helping them make referrals to community resources and collaborate with other providers to address the complex needs of their clients. By leveraging technology and working together, social workers can help ensure that everyone has access to the resources they need to thrive. NCCARE360 is grateful for the hard work and dedication of all social workers who help improve our communities.

Our Spotlight on Natreace Buie, Referral Manager for The Arc of North Carolina

Our Spotlight on Natreace Buie, Referral Manager for The Arc of North Carolina

This Black History Month, we are honoring our Black community leaders and spotlighting Natreace Buie, NCCARE360 Referral Manager for The Arc of North Carolina. Natreace is passionate about helping people in her community and she talked to us about how she is able to better support them through her use of the NCCARE360 network.

Natreace graduated from Queens College of CUNY in New York with a major in sociology and a goal of helping others, especially those who needed an extra helping hand. She finds personal and professional fulfillment in providing guidance to people and advocating on their behalf when they are unable to do it themselves. Having two family members with intellectual disabilities helped put her on her career path when she witnessed just how difficult it was to connect them to healthcare providers or community support and resources because of the isolated and fragmented care systems. She found her calling when she realized she could use her experience and skills to help reduce that burden not only for her family but for other North Carolina families experiencing the same struggles.

“It is definitely my calling because it fills me when I’m able to help someone.”

Natreace is the NCCARE360 Referral Manager for The Arc of North Carolina where she supervises the referral journeys for their clients. The Arc of NC provides direct support and services to individuals with intellectual disabilities to enable them to live fully and independently in the community. When The Arc of NC needed someone to implement the NCCARE360 network using the Unite Us Platform, she once again felt that calling. Natreace brought her years of experience working in a variety of roles ranging from providing direct support to individuals in group homes, to working as a coordinator in the health care sector, connecting them all to care and resources that would make their lives a little easier. All these roles have allowed her to provide guidance to those who need it most.

“When I learned [about the NCCARE360 network] I was like, ‘hold on […] to be able to identify the need and to connect our individuals to organizations and to close the loop is phenomenal. With one click!’ It’s phenomenal what the NCCARE360 network offers.”

Natreace also appreciates how the NCCARE360 network addresses health equity by allowing her to identify unmet needs in the community and then reach out to help close those gaps. The network allows her to pull data and graphs to visualize what is missing, where those missing supports are needed most, and when one demographic may need more help than others.

Natreace is excited to see how the NCCARE360 network continues to grow in the future. As she put it, “teamwork makes the dream work and we do it one referral at a time.” Thank you, Natreace, for all of the work you do to help others, and for being a valuable member of our community!


NCCARE360 Reaches New Milestone with More Than 100,000 People Referred

NCCARE360 Reaches New Milestone with More Than 100,000 People Referred

NCCARE360 is the first statewide social needs referral platform in the country coordinating referrals for more than 100,000 North Carolinians to needed services since its creation in 2019

Cary, North Carolina – NCCARE360, the first statewide coordinated care network in the country that better connects people to local services and resources has reached a new milestone with more than 100,000 people in North Carolina being referred for services through the platform since its implementation in 2019.

NCCARE360 is the first statewide network that unites health care and human services organizations, assesses for and identifies unmet social needs, and enables a coordinated, person-centered approach for delivering care in North Carolina. NCCARE360 is the result of a strong partnership between the NC Department of Health and Human Services (NCDHHS) and the Foundation for Health Leadership & Innovation (FHLI). The NCCARE360 implementation team includes United Way of NC, NC 211, Unite Us, and Expound Decision Systems.

The referral for the 100,000th person was part of the rollout of the Healthy Opportunities Pilots, the nation’s first comprehensive program to pay for non-medical services, such as food and housing, for Medicaid enrollees. A community-based nonprofit providing inspections for housing safety and quality was able to provide high-priority repairs for home accessibility and safety modifications from a referral made securely through the platform.

In May 2019, one of the first referrals through the NCCARE360 Platform powered by Unite Us resulted in an individual finding employment assistance. For NCCARE360’s 1,000th referral, a Piedmont resident was referred to social services by a local health department’s WIC & Nutrition services and was able to receive help with diapers, bedding, and other necessities for their home.

“To be healthy, it is essential to have access not only to medical care but also to non-medical drivers of health like food and housing”, said Dr Elizabeth Cuervo Tilson, State Health Director and Chief Medical Officer for NCDHHS. “NCCARE360, a shared infrastructure across the state, continues to be a critical tool that improves coordination and enables a focus on whole person health.”

Platform trends show that as of November 30, 2022, the top five service needs by volume statewide were food assistancehousing and shelter supportindividual and family support (e.g., childcare assistance), income support (e.g., emergency/one-time financial assistance), and utility bill payment assistance.

In addition to serving more than 100,000 people statewide, the NCCARE360 team continues to grow and support the network —especially in rural and under-resourced areas—to increase the capacity and efficiency of communities to respond to referrals. The NCCARE360 network has now surpassed 3000 organizations onboarded onto the platform and 7,500 active programs to which referrals can be made. With almost 50,000 network users actively sending and receiving referrals, almost 80% of accepted referrals are accepted in 4 days or less. 92% of referrals made as part of the Healthy Opportunity Pilots were accepted in fewer than 3 days.

“The purpose of NCCARE360 is to improve the health and well-being of all North Carolinians by recognizing there are many aspects that affect our health,” said David Reese, President and CEO of Foundation for Health Leadership & Innovation. “Today’s announcement is an important step in achieving this purpose.”

Organizations interested in joining NCCARE360 as a network partner can visit www.nccare360.org for more information. People who are interested in making a connection through NCCARE360 can visit https://nccare360.org/resources/ to request assistance.

Happy Veterans Day from NCCARE360

Happy Veterans Day from NCCARE360

This Veterans Day, NCCARE360 is highlighting one of our respected network partners working with veterans and their families: Veterans Bridge Home.

Each year, Veterans Day offers an opportunity for Americans to honor all military service members who have served our country. It’s a day to recognize and give thanks for their courage, determination, and loyal service to the United States. With North Carolina being home to 12 military installations and over 730,000 veterans, NCCARE360 proudly joined forces with NCServes in July 2021 to ensure our state has a strong network of resources for its military and veteran community. NCServes is the country’s first coordinated system of public, private, and nonprofit organizations working together to provide support to military members and their families, and is used by many veterans-serving agencies, like Veterans Bridge Home, to coordinate health care and human services for this population.

We know that approximately 200,000 service members leave active duty each year and veterans are more likely to report health issues such as diabetes, smoking, heavy alcohol use, mental illness, post-traumatic stress disorder, and other chronic illnesses than those on active duty. These behaviors and conditions place veterans at greater risk for chronic diseases that are best managed by interdisciplinary teams. In North Carolina, the top service needs experienced by the veteran population include housing and shelter needs, employment and financial assistance, benefits navigation, and food assistance. Veterans Bridge Home is one organization working to link veterans and their families to the community and to resources that address these social needs.

Veterans Bridge Home serves as an entry point for veterans who don’t know where to turn to access support and services. They connect veterans and their families to the community through their network of partners and help them navigate needs like employment, create social connections, and settle their families by connecting them to the resources they need to be successful and thriving leaders in our community. Paul Berry served in the United States Marine Corps for 30 years, retiring as a Command Sergeant Major, and has been the Regional Network Director at Veterans Bridge Home for the past two years. He has been doing this type of work for more than half a decade. He highlighted some of the major ways that NCCARE360 has positively impacted the work of Veterans Bridge Home, which in turn helps to improve the health and wellbeing of our veteran population.

NCCARE360 helps assess for and identify unmet social needs through embedded screening questions built right into the platform. The screener assists network organizations in understanding what resources a person may be eligible for so they can make the best referral possible. Prior to the creation of NCServes and NCCARE360 organizations often tended to address one need at a time. For example, if a veteran presented with a request for housing, the organizations would tackle that need without questioning other potential needs. However, NCServes quickly realized that these veterans were returning because only one part of their need had been addressed—housing—when they also had transportation and food needs. Thanks to the screeners, coordinators at Veterans Bridge Home are now able to get veterans to the right services or resources, ensuring that whole-person health and well-being is addressed.

Paul also explained that unification with NCCARE360 has allowed Veterans Bridge Home to begin addressing family needs, as well. The NCCARE360 Network includes Resource Navigators supported by NC 211 who can support complex referrals and stay with a client through the referral process if needed. Veterans Bridge Home can now refer veterans’ partners, children, and other family members with identified social needs to the NCCARE360 Navigators who can connect them with services and resources available to civilians. Before unification, they were only able to refer clients to military resources.

“Yes, we work with that specific population of veterans and we’re proud of that, but we also know that if there are other stressors in that home, we want to be part of that solution and the NCCARE360 Navigators and NC 211 have been great partners in addressing those needs,” – Paul Berry, Regional Network Director, Veterans Bridge Home.

Another unexpected yet welcome benefit to joining the NCCARE360 Network has been an increase in funding opportunities. Through their partnership with NCCARE360, Veterans Bridge Home has been able to apply for and receive two new grants. They are the recipients of the NCCARE360 Health Equity Grants that were funded through the CDC’s COVID-19 Health Disparities Initiatives grant, which they are using to fund staff members, operational expenses, and event costs. They are also one of only two coordination centers to receive the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant, which is their largest grant to date. This additional funding will allow them to continue to grow their capacity to better serve more veterans and their families.

Plugging into the NCCARE360 Network meant Veterans Bridge Home has also connected with other community organizations in the network, growing their partnerships and civic relationships. Paul found that the top 10 organizations sending referrals to Veterans Bridge Home has changed since joining the network, where many of the senders are no longer veteran-only serving organizations, but rather those that serve communities at large. Building relationships with these agencies helped change the playing field and allowed Veterans Bridge Home to embrace the no-wrong-door approach to care coordination. Now, if they receive referrals for non-veterans, they know they can refer them to an organization in the NCCARE360 Network or even to the NCCARE360 Navigators; they’re happy to use the opportunity to make their community partners aware of the federal money available for veterans that frees up local or state funding for civilians, helping to guarantee the best use of resources. Paul attributes this success to capabilities of the NCCARE360 network and technology.

Veterans Bridge Home is a staple among the military community, providing veterans and their families an opportunity to better navigate their unique social needs. They are also creating social connections to the communities and resources veterans need to be successful, healthy, and whole. This Veterans Day and every day, NCCARE360 is proud of the impact Veterans Bridge Home is making and we are honored to have them as a network partner.

Be sure to visit their website to learn more about their work and how you can help support NC’s veteran population and their families.

https://veteransbridgehome.org

About NCCARE360
NCCARE360 is the first statewide network that unites health care and human services organizations with a shared technology that assesses for and identifies unmet social needs, and enables a coordinated, community-oriented, person-centered approach for delivering care in North Carolina. NCCARE360 is the result of a strong public-private partnership between the NC Department of Health and Human Services (NCDHHS) and the Foundation for Health Leadership & Innovation (FHLI). The NCCARE360 implementation team includes United Way of NC, NC 211, Unite Us, and Expound Decision Systems.

Contact
For more information about NCCARE360, or any of its partner organizations, please send an email to connect@nccare360.org.

NCCARE360 Honors Staff Sergeant Shauna Perkins on Veterans Day

NCCARE360 Honors Staff Sergeant Shauna Perkins on Veterans Day

Happy Veterans Day! NCCARE360 would like to thank everyone who has served our country, including FHLI & NCCARE360 finance manager, Shauna Perkins.

Shauna is a veteran of the North Carolina Army National Guard with 12 years of service, including two tours to Iraq in support of the Global War on Terrorism. She joined the Foundation for Health Leadership & Innovation in 2021 as Finance Manager. She has worked in both nonprofit and corporate environments and has significant experience in finance. In her role at FHLI, Shauna supports the VP of Finance and Administration with strengthening and aligning the fiscal functions of FHLI. Shauna also supports NCCARE360 program finances.

She joined the NC Army National Guard when she was 17 years old as a means to pay for college. In 2004, she was deployed to Iraq for the first time. She was the first female soldier in her unit as they realigned from infantry to quartermaster. Despite feeling shocked and a little anxious at the thought of deployment, she found that the high morale of her brothers and sisters in arms helped her get through that first year overseas. During her tenure, Shauna worked as a 92F Petroleum Supply Specialist, and her superb administrative skills allowed her to quickly move up the ranks to staff sergeant.

Back in the states, she earned her associates degree in May 2008 and had just begun working a corporate job when she received a call in August 2008 to re-deployed back to Iraq in March 2009. She didn’t let that get her down though, because she ended up buying her first house in the states while she was still stationed in Iraq!

Shauna completed her service and received an honorable discharge in August 2011. She now holds a Master of Business Administration degree from The University of Mount Olive and a Bachelor of Science in Accounting from North Carolina Wesleyan College. Thank you, Shauna, for bravely serving our country.

FHLI and NCCARE360 are honored to have you on our teams!