Welcome to Life Care, an initiative of Churches In One Accord.

Life Care brings coordinated care to your home, connecting clinical professionals, community support workers, and the everyday resources that help you live well.

For someone managing an ongoing health condition, care must continue beyond the medical appointment. Symptoms need monitoring. Medications and care instructions need attention. Changes need to reach the right clinical professional. Life Care connects referred participants with clinical personnel who review their check-ins, monitor progress, and coordinate follow-up according to their medical plan of care.

But following that plan also depends on what happens at home.

You may need nutritious meals but have an empty refrigerator. You may have an appointment but no transportation. You may struggle with clothing, stable shelter, healthcare insurance, or enough income to pay essential monthly bills.

These conditions are called social determinants of health, or S D O H: the everyday conditions and resources that affect your health and quality of life. Health is shaped by much more than medical care. Food, housing, transportation, financial stability, and daily habits all matter.

Life Care brings clinical connections and community support together, addressing medical needs and daily living needs through one coordinated effort.

That effort begins with referral and enrollment. The team documents your clinical baseline and your community support needs. Clinical personnel guide your medical plan of care. Community support workers coordinate your support plan and connect you with appropriate resources.

Through mobile connectivity, you complete daily check-ins: how you feel, the measurements requested in your care plan, and concerns that need attention. Your app keeps clinical information and community support information organized, so each concern can reach the appropriate person.

Community support workers and clinical personnel conduct weekly checkups within their respective roles. They review changes, check progress, follow up on unresolved needs, and coordinate the next steps. Clinical concerns go to clinical professionals. Practical needs receive community support follow-up.

Monthly longitudinal monitoring and reporting brings those daily and weekly records together. Longitudinal means following your progress over time. The team reviews what improved, what remains unresolved, and what needs a new response.

The deliverables are practical: a medical plan of care, a community support plan, daily check-in records, documented weekly follow-up, coordinated referrals, and monthly progress reports.

Through Life Care's coordinated collaborations, an identified need becomes an opportunity for action: help connecting with food, clothing, shelter, transportation, insurance, or resources for essential expenses. The team follows up to learn whether the connection worked.

The goal is a better quality of life at home, with fewer avoidable crises. Life Care aims to reduce avoidable 911 calls, emergency medical service use, emergency department visits, urgent care encounters, and hospital utilization.

We will measure those changes alongside access to essential resources and completion of follow-up. Earlier attention and coordinated support can help address problems before they become crises and reduce preventable costs.

A little coordinated care from people in your community can go a long way.

For individuals and families, ask about referral and participation. Stay connected with a team that helps organize your next steps.

For physicians, clinical practices, hospitals, and health systems, refer appropriate participants and collaborate on care that continues between appointments.

For emergency medical service organizations, collaborate to connect appropriate individuals with ongoing clinical and community support.

For insurers, government agencies, and funders, support a coordinated approach that measures service delivery, participant progress, and healthcare utilization.

For community organizations, churches, food, housing, transportation, and workforce providers, help turn identified needs into practical assistance.

For businesses, donors, and volunteers, contribute resources, time, and skills that strengthen care at home.

To ask about participation, volunteer, or discuss a collaboration, visit churches in one accord dot org and select Connect. Email info at C four G D dot org, or call two zero two, six four two, four two one five.

Life Care begins with a person, connects a team, and follows through.

Life Care. An initiative of Churches In One Accord. Bringing coordinated care to your home.