Pathways Agency

(PCHI® Model C-PA)

Pathways Community HUB Institute® Model Certification

Developing a Pathways Agency (PA) within a community can be an important first step to improving community-based care coordination.

STEP 1

Standards

Review Agency Standards

STEP 3

Implement PCHI® Model

Once your application, signed agreement, and fee has been received and reviewed by PCHI, PCHI will execute the agreement and provide access to all Pathways Community HUB Institute Model materials. Materials include the PCHI Model 21 Standard Pathways, data collection tools, Pathways to Wellness Learning Modules, Outcome-Based contracting templates, and information about available PCHI Model and CLAS training to begin implementing your Pathways Agency.

PCHI will schedule an orientation call to provide an overview of the Standards and certification process and select Review Cycle. You will be given access to box.com to begin uploading documents supporting the 18 Standards.

STEP 4

Complete Standards Documentation

Please notify us when you have completed all 18 Standards. A PCHI Reviewer will review and confirm that the PA has met all 18 Standards. PA may need to provide additional documentation or clarification to achieve this. If it is determined that the PA cannot meet the PA Standards, then the PA will be offered technical assistance.

STEP 5

Pathways Agency Improvement Action Plan

A Pathways Agency Improvement Action Plan is created for all PAs that pursue certification. The Action Plan is not limited just to deficiencies but provides an opportunity to identify areas that the PA could enhance. The Reviewer communicates with the PA Director and reaches agreement about the areas in need of improvement and a time frame for resolving needed improvements. The Action Plan is then signed, and the plan is updated based on the approved time frame.

Based on the review/assessment process and the status of the PA Improvement Action Plan, the Reviewer recommends whether the PA is eligible for further review and consideration by the Evaluation Review Panel (ERP) or whether further technical assistance is needed to improve PA compliance with the Standards.

STEP 6

Certification

Applications that are forwarded for certification are reviewed by the external Evaluation Review Panel (ERP). The ERP is authorized by PCHI to make certification decisions. The ERP reviews the documentation and meets to vote to determine: 1) Approval/ Disapproval of Certification Status and 2) Designation Level (Provisional, Level 1, or Level 2).

Level I Certification Designation is granted when a PA demonstrates compliance with 90% or more of the certification requirements.