The СѼƵ County Familiar Faces Health Collaborative aims to improve the health and well being of СѼƵ County’s most vulnerable residents by meeting their individual needs and goals through a “whole person” approach, where medical and social service providers across the care system share information and collaborate to provide integrated, holistic and trauma-competent care.
The Problem
Our healthcare system is fragmented, confusing and full of gaps. For Familiar Faces – our most vulnerable community members – this can mean poor health, homelessness, food insecurity and more.
The Solution
An integrated, whole-person care system that brings together multiple providers to address all needs through a shared process and coordinated plan.
How We Do It
Objective One: To use shared data to develop integrated, system-level community care plans for Familiar Faces.
Objective Two: To create a platform that can share data across multiple providers and organizations.
Usually, health information can only be shared with one organization, or sometimes across a few medical providers. Our data-sharing platform will allow both medical healthcare data and social services data to be shared with multiple organizations so providers can work together to create coordinated, successful community care plans. This can include:
- Predictive modeling of accurate, local data to identify actual and potential high users across the system.
- Care coordination via collaborative care management with new/redesigned cross-organizational workflows.
- Information sharing across the care system via an integrated data-sharing platform for service providers.
- Program analytics with system-wide data sources to guide piloting, evaluation and iteration of program activities.
What It Could Mean
- Treat and prevent chronic illness
- Increase stability and self-sufficiency
- Improve physical and mental health
- Reduce unnecessary use of emergency and medical services
- Overall better quality of life
Familiar Faces Partners
Contact Us
Darryl Lanier
Behavioral Health Program Manager
Darryl.lanier@wake.gov
919-856-2614