The PCHI® Model represents a transformative journey grounded in two decades of
experience in community based care coordination. Our mission—to empower underserved communities by creating pathways to essential health and social services—guides every aspect of our work. Launched in 2001 by Dr. Sarah Redding and her late husband, Dr. Mark Redding, this initiative began with partnerships in various Ohio communities, aimed at advancing health equity for those who are underserved. This research-driven approach has been foundational in shaping PCHI, enabling us to expand our reach nationally and better understand the unique needs of the communities we serve. This collaboration with our national network allows us to continuously refine the PCHI Model, ensuring it remains effective and relevant.
A key example of national collaboration is our current partnership with CommonSpirit Health. Together, we are scaling the PCHI Model across six communities in five states, helping them secure contracts and funding to establish their own Pathways Community HUBs (PCHs). Each community faces distinct challenges, providing us with valuable insights that can benefit others. By sharing both our successes and learnings, we aim to develop best practices that empower communities everywhere.
To ensure the success of this project, CommonSpirit and PCHI are committed to actively managing the overall project while conducting real-time research to uncover new insights around financing, implementation, and operations of PCHs.
We are grateful to our partners at CommonSpirit for their national leadership in addressing health and social needs in the communities they serve. Their commitment to improving health equity not only strengthens our collaborative efforts but also inspires others in the field to prioritize the well-being of underserved populations. Together, we are paving the way for innovative solutions that create lasting impact and foster healthier, more resilient communities across the nation.
So, what does it take to implement a community-owned PCH? It requires substantial groundwork in four key areas:
Community Organizing: Building a shared vision and ownership of the PCH.
Securing Investment: Obtaining the necessary funding to launch and sustain the PCH.
Establishing Operations: Determining a community-based entity to serve as a trusted neutral backbone organization to implement the PCHI Model as a Pathways Community HUB or Pathways Agency, along with a network of care coordination partners.
Building Relationships: Connecting with community members and community resources, as well as with state health agencies, payers, and government entities to create sustainable, outcome-oriented funding agreements.
As we move through this process within each of the six communities, we will provide clear guidance on navigating these critical areas. Stay tuned as we share more insights and learnings from our work moving forward.
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