Community health agencies - Built for Innovation

July 16, 2021

Clayton Christensen, a thought leader on innovation states that it "sneaks in from below". Mainframe computers were replaced by smaller, faster and cheaper PCs, then replaced by smartphones. Simpler, convenient and less costly offerings to solve basic problems continue to improve, to the point that they appeal to the vast majority of users. [source]


In health care, nobody is better situated to drive innovation than a well-led community care agency. Community agencies have a pre-existing advantage in the fact they already use lower cost settings and less expensive professionals. Add to that technology, like telemedicine, online booking, other interoperable tools, and a good dose of patient empowerment, and the whole health care market can be disrupted. 


Improving patient / public confidence in self-managing conditions is vital to driving innovation. This means easier access to a greater basket of services. Innovative community agencies are not relying on the traditional access processes built for a bygone age. The majority of traditional health care services are delivered for the most demanding patients who are complex and require repeated interactions over time. This is the "5%" who gain the attention of major institutions like teaching hospitals and specialist physicians. In the mental health sector, for example, these are people with severe mental illness requiring hospital inpatient beds or assertive treatment teams. Access to these services should be heavily prioritized, using needs assessments, triage tools and screening algorithms. 


These services are not what most people need, and using these same complicated screening tools as a primary door to access for simpler problems is a waste of money.


Community agencies have the opportunity to deliver less expensive and more effective access processes than their complex, high cost institutional counterparts. For example, treatment for those with anxiety, mild depression or grief can be relatively simple and provided at a low cost. Virtual or walk-in single-session counselling is an economical, low barrier way to provide service to the many people who can benefit. Marketing this service so people can find and book it easily online, is vital. 



The winning community health agencies will use their low cost advantage to focus on what they can do well, with simple and transparent marketing, access, and service delivery. Then they can add additional tools like remote client monitoring, so that their relatively less expensive professionals can do progressively more sophisticated things, ideally in the client’s own home. The same playbook can be applied in every sector of health care. Failing to do this means care is expensive, inconvenient and many people will simply not get the care they need.


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By Jeff Doleweerd June 27, 2024
A truly effective central intake hub is not merely a team of staff manually routing referrals behind a veil of complexity; it is an integrated system that dynamically combines public accessibility, algorithmic precision, real-time capacity management, and seamless communication to ensure patients receive timely and appropriate care.
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By Jeff Doleweerd May 14, 2024
Access to community healthcare is paramount for individuals across various stages of life — from seniors desiring to age gracefully in their own homes, to new parents seeking care for their infants and individuals in need of mental health and addiction support. Traditionally, when we mention referrals, the image of a physician sending a document to a specialist comes to mind. However, the landscape of healthcare referrals is evolving, and it's time to redefine our approach. Gone are the days when referral management systems solely relied on healthcare professionals. Take Caredove, for example. What was once considered a referral management system has transformed significantly to a multichannel access management platform. Surprisingly, 43% of referral activity now stems from direct public sign-ups. This shift is monumental, with a staggering 70-fold increase in public service requests compared to pre-pandemic levels in 2019. Clinician referrals will be the minority of service requests activity in our platform by the end of 2024. Why this paradigm shift? During the pandemic, communities learned the importance of direct access to essential services. The notion of gatekeeping community services in any manner like specialist services became obsolete. The crisis strengthened the muscles of direct access, emphasizing the significance of preventive health through social and other services that keep people out of hospitals and other care facilities. Moreover, primary care is under immense strain, with 15% of Canadians lacking consistent access to ongoing primary care. In such a scenario, burdening already stretched healthcare professionals with more referral duties is not sustainable. Accessing services directly not only expedites the process but also empowers individuals to take charge of their own health journey. It signifies readiness for change and recovery, without the artificial requirement of seeing a physician solely for a referral. Primary care remains crucial, and it's imperative to equip them with resources available at their fingertips, enabling them to navigate the healthcare landscape autonomously. After all, patients trust their primary care providers, and we should harness this trust. We also need to foster a culture of self-advocacy and consumer empowerment as part of a broader solution. Community agencies are champions of a healthcare system where individuals are empowered to take control of their health, supported by a network of trusted professionals. In an era of putting patients before paperwork, it is time to embrace direct access and take every bit of unnecessary administrative burden off family doctors and nurse practitioners, in the process.
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May 10, 2024
In the landscape of mental health support, a new trend is emerging: rapid access low-barrier walk-in counseling. This innovative approach is reshaping how individuals access mental health services, providing immediate support without the traditional hurdles of scheduling. At Caredove, we're witnessing the transformative power of collaboration among organizations delivering these services. Let's delve into why this trend is not just groundbreaking but essential. Immediate Suppo rt : Imagine being able to get the help you need right when you need it, without waiting weeks for an appointment. That's the promise of rapid access low-barrier walk-in counseling. It ensures that no one falls through the cracks during times of crisis. Reduced Stigma : By offering low-barrier access, we're sending a powerful message: seeking therapy for mental health concerns is not only acceptable but encouraged. This approach helps break down the stigma surrounding mental health, making support readily available and easily accessible. Increased Accessibility : Not everyone has the means to access traditional counseling services. Some regions have been able to eliminate cost barriers, thereby ensuring that everyone, regardless of financial situation, can access the support they need to thrive. Community Building : Low-barrier walk-in counseling centers can become community hubs, fostering a sense of belonging and support. Preventative Approach : By addressing mental health concerns early and proactively, these services can prevent more serious issues from developing later on. Empowerment : Rapid access low-barrier counseling empowers individuals to take charge of their mental health. By providing immediate support and resources, we're giving people the tools they need to overcome challenges and live fulfilling lives. Cost Savings : While offering these services may seem like a costly investment, it can actually save money in the long run. By addressing issues early, we can reduce the need for more expensive interventions down the line. No physician burden : Rapid access counseling requires no physician referral so does not tap the resources of overextended primary care, or present barriers for unattached patients. Progressive Approach : Embracing rapid access low-barrier walk-in counseling reflects a progressive mindset in healthcare. It's about prioritizing the well-being of all in the community. Stepped Care approach : Rapid access can operate in a stepped care model. During the session, if more specialized services are identified as necessary, individuals can be seamlessly referred to these services by their therapist. Rapid access low-barrier walk-in counseling represents a seismic shift in how we approach mental health support. By embracing collaboration, we can amplify its impact, ensuring that everyone has access to the help they need, when they need it. Together, we're not just changing lives; we're changing the conversation around mental health..
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