Helping connect people to medical & social services needed for a healthy life.

The Dayton Regional Pathways HUB is a free program to help connect people to medical and social services they and their loved ones need most. Every Pathways HUB participant partners with a community health worker to empower them to make decisions regarding their health and well-being. A community health worker connects them to resources and services to manage risks one by one, allowing the participant to take charge and achieve a healthier life.

What is the Pathways HUB?

The Pathways HUB is a nationally certified, evidence-based methodology for identifying and addressing individually modifiable risk factors. It is an outcome-focused, pay-for-performance network for Care Coordination Agencies (CCAs) that hire and train Community Health Workers (CHWs) to reach out to those at greatest risk, identify their barriers, and assure that they are connected to medical, social, and behavioral health services. The Pathways HUB model works to provide positive outcomes to the community using a three-step process: identify the barriers, assign Pathways to provide care, and measure the results of that care.

Each barrier to health that is addressed is known as a “Pathway.” There are 20 Pathways in the HUB model. A Pathways Community HUB improves health, reduces costs, and promotes equity.

The Pathways Community HUB model was created over 20 years ago to specifically address disparities in infant mortality. Today, the Dayton Regional Pathways HUB strives to help low-income women have healthy pregnancies and babies and connects pregnant women to needed medical and social services – including food, housing, transportation, cribs, and diapers. In addition to helping pregnant women, it has expanded to include all other populations in our community.

 

11 Partner Agencies
40 CHWs Working With Clients
1 Centralized Data System

Core to the Pathways HUB model is partnering throughout the community to do this important work with clients. Interested in learning more? Contact [email protected]

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Patient Referrals

Our primary focus began by serving pregnant women and those who have recently given birth; however, we recently expanded our clientele to include the elderly population, young adults, and those with substance use disorder, particularly those who are Medicaid-eligible.

Referral sources can include client self-referrals or referrals from social service agencies or medical providers.

To make a referral to the Dayton Regional Pathways HUB, please fill out the referral form located on this page and email it to [email protected]. If you have any questions, please call the Greater Dayton Area Hospital Association at 937-424-2361 or email [email protected]

Make A Referral

Care Coordinating Agencies

Advisory Committee

Daniel Kloepfer

REEP Evaluator

The Ohio State University

Debra Thomas

Community Engagement Clinical Manager

CareSource

Frank Surico

Board Chair

Geraldine Pegues

Director of Human Services and Planning and Development for MC

Montgomery County Human Services & Planning

Jan Lepore-Jentleson

Executive Director

East End Community Services

Jennifer Wentzel

Health Commissioner

Public Health Dayton and Montgomery County

Jill Bucaro

Social Worker

Law Office of the MC Public Defender

Jocelyn Cooke

Community Health Worker

Dayton Children’s Hospital

Kelly Geers

Director of Strategic Initiatives for MC

Montgomery County

Kimberly Farrier

Director of Treatment and Supportive Services

MC-ADAMHS

Michelle Beebe

Manager of Perinatal Outreach

Kettering Health Network

Rachel Parrill

Breast and Cervical Cancer Project Coordinator

Premier Health

Robyn Lightcap

Executive Director

Learn to Earn Dayton

Lynn Foubert

Director of Premier Community Health

Premier Health

Sarah Hackenbracht

President and CEO

Greater Dayton Area Hospital Association

Sue Fralick

Director of Community Behavior Health Science

Dayton Children’s Hospital

Terra Fox-Williams

Director of Health Promotion

Public Health Dayton and Montgomery County

HUB Resources

HUB General Overview Handout
HUB Pregnancy Handout
HUB Pregnant Client Brochure
HUB Referral Form
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