Care Coordination

Zenova's Population Health Services: Proactive Care for Healthier Communities

Service Description

At Zenova, we believe that proactive, data-driven healthcare is the key to improving the health and well-being of incarcerated individuals. Our Population Health Services are designed to empower Federally Qualified Health Centers (FQHCs), Community Health Centers, and correctional facilities to achieve precisely that. We offer a comprehensive suite of integrated services, including Care Coordination, Care Management, and robust Data Analytics, working in concert to create a healthier environment for all.

Care Coordination: Seamless Transitions, Continuous Care

Effective healthcare doesn’t stop at the facility walls. Our Care Coordination services ensure seamless transitions of care for inmates as they move between the correctional setting and the community. We facilitate communication and collaboration between FQHCs, correctional facilities, community providers, and other relevant stakeholders. This includes:

Discharge Planning: Developing personalized discharge plans that address individual needs, including medication management, follow-up appointments, and access to community resources.

Referral Management: Streamlining the referral process to ensure timely access to specialists and other necessary services.

Information Sharing: Securely and efficiently exchanging vital health information between providers to maintain continuity of care.

Community Linkages: Connecting inmates with community-based support services, such as housing assistance, substance abuse treatment, and mental health counseling.