- Find: Identify those at greatest risk
- Treat: Ensure that they receive needed evidence-based health and social services
- Measure: Document and evaluate benchmarks and final outcomes.
This infrastructure, termed Community "HUB,"promotes "... a system of collaboration, accountability, and improved outcomes."
Community Care Coordination Learning Network. Connecting those at risk to care: a guide to building a community "HUB" to promote a system of collaboration, accountability, and improved outcomes. Rockville, MD: Agency for Healthcare Research and Quality (AHRQ); September 2010. AHRQ Publication No.09(10)-0088.