Care Coordination

The KCHN Care Coordination Program has a team of professionals made up of doctors, nurses, social workers, local agency representatives (from HopeSource, Comprehensive Healthcare, Aging and Long-term Care to name a few) as well as Community Health Workers, Care Coordinators and Community Paramedics. 

If a client is referred to us by EMS, a Community Paramedic is sent to see them within 24 hours otherwise the first step to get to know our referral clients is by calling them on the phone and hearing their story. The next step is a home visit by either the Care Coordinator or the Community Health Worker. 

The Care Coordinator is someone who will discuss the needs and personal goals for each person to improve their health and stay in their home safely. The Community Health worker will bring information on resources available to the client as well as ask questions regarding their current health status. The third step, if not an EMS referral, is a visit by the Community Paramedic. The Community Paramedic will take vital signs, go over medications, health history and assess their mental and physical health.

All this information is shared with the team so that we can assist the client with bettering their health and safety. We can refer them to services and programs as well as continue to monitor their health and situation over time.