This Quick Start guide complements Pathways Community HUB Manual: A Guide To Identify and Address Risk Factors, Reduce Costs, and Improve Outcomes, initially published in 2010 by the Agency for Healthcare Research and Quality (AHRQ). The publication provides a detailed overview of the Pathways Community HUB (HUB) Model. The HUB is a community care coordination approach focused on reducing modifiable risk factors for high-risk individuals and populations.
This quick start guide is a reference and resource for public and private stakeholders engaged in improving the community care coordination system for identifying high-risk individuals; documenting their specific health, social, and behavioral health risk factors; and addressing those risks in a pay-for-performance approach. The HUB focuses on individuals and populations, and it provides coordination, measurement, and impact data that can help guide local and regional policies and reimbursement strategies. The target audience includes all those involved in the design, implementation, and financing of care coordination services, especially within the community setting. This guide includes an overview of the process, as well as tools and resources needed to develop a HUB.
Additional information on the HUB model and Pathways is available in the full manual.