A Playbook to
Care Across an
Lisa is a single mom who was experiencing food insecurity, had transportation issues that made it difficult to go to her WIC clinic, and needed breastfeeding support.
Her postpartum home visiting nurse sent an electronic referral via Unite Us to an organization who was able to provide Lisa with food benefits.
The same nurse sent a referral to a Breastfeeding Peer Educator who was able to deliver a pump to Lisa’s home.
Lisa and people just like her are receiving the services they need through coordinated care networks across the country – every single day.
The Story of NCCARE360
NCServes launched in partnership with Institute for Veterans and Military Families, serving veterans, transitioning service-members, and their families.
A partnership was born with North Carolina Department of Health and Human Services, Foundation for Health Leadership and Innovation, United Way of North Carolina, Expound Decisions, and Unite Us.
The network officially launched with three counties.
The network reached 2,000 electronic referrals.
1,000 network partners were trained and active.
The network was active in all 100 counties.
What You Need
What North Carolina Did
The North Carolina Department of Health and Human Services and the Foundation for Health Leadership and Innovation formed a public-private partnership to ensure sustainable funding.
What North Carolina Did
United Way of North Carolina’s leadership team works collectively to build upon the existing 211 infrastructure, including a robust resource database, while also engaging the network of local United Ways as champions of NCCARE360.
A dedicated Resource Team verifies local resources and helps inform the engagement strategy. NCCARE360 Navigators, based in the NC 211 call centers, respond to requests for assistance received via www.nccare360.org and support health care providers who need additional help making referrals.
A community repository powered by Expound integrates multiple resource directories across the state and allows data sharing.
A Day in the Life of a Community Engagement Manager
Megan Lee Carlson
Senior Community Engagement Manager
"NCCARE360’s coordinated and comprehensive referral system saves time and money for community action agencies and families served. It’s a long awaited game changer for human service delivery organizations.”
"NCCARE360 has been a wonderful platform for our Care Managers to use to assist our patients with much needed resources. One care manager was able to get much needed assistance for a patient within 24 hours. Our team is enjoying the wider array of services we are able to connect our patients with and we look forward to it only getting better as more organizations join."
"Thanks to the vision and work of NCCARE360 the United Way of Wayne County has built stronger partnerships with our non-profits creating critical and intentional collaborations.”
Entry Points to Care
Western Carolina Medical Society
recognized a food insecurity need in one of their patients. Not knowing all the available food pantries in the area, the referral was sent to MANNA Food Bank to determine the best fit for the patient..
referred a client for environmental modifications/ accessibility to NC-211 (coordination center) who referred the client to NC Vocational Rehab which resulted in the client (an above-the-knee amputee living in a two-story home) receiving help with making his home safer and easier to maneuver.
Orange County Health Dept.
referred a client, who was pregnant and on bed rest for rental assistance so she could stay in her home, to Central Piedmont Community Action who accepted.
COVID-19 Strategic Response
Our original goal was to be statewide by the end of 2020. However, when COVID-19 struck, organizations started requesting to be onboarded sooner. “We knew we had to act now, so we created a thoughtful expedited strategy that included virtual community engagement, network health monitoring, and onboarding optimization. NCCARE360 was able to continue because of our team’s ability to pivot and persevere to ensure that all North Carolinians have the resources they need to survive this pandemic,” shared Network Director, Georgina Dukes. The need for statewide public health infrastructure is critical for COVID-19 recovery – as suggested by a 937.5% spike in emergency food referrals this year.