Pathways is designed to reduce unmet needs, address health inequities, and improve the overall health of the residents of Bernalillo County. It focuses on positive health outcomes by utilizing community health navigators as care coordinators who connect at-risk residents to resources and follow their progress toward improved health outcomes. Meaningful outcomes for the clients are reached by following a step-by-step approach (Pathways). While individual clients attain improved health, common systems issues are also brought to light and result in stronger service coordination.
Since the idea of bringing a Pathways Program to Bernalillo County was born in 2007, the planning has followed a community-based participatory planning process with multiple organizations to determine program goals and gain their interest. Examples of this process include:
At the closure of this collaborative planning process in January 2009, a project design team was formed, comprised of thePathways program manager, Pathways committee members of the former Health Sciences Center Community Advisory Council (CAC), , members of the Pathways Working Group, and a technical advisor from the UNM Health Sciences Center (HSC). Their charge was to finalize the program design and develop the Request for Proposal (RFP).
Since the initial roll out of the program in 2009, the Hub has coordinated standing monthly meetings with the Navigators where opportunities for continued community input is not only solicited, but encouraged. The Navigators have made numerous suggestions and recommendations on how to improve the program based on their front line experiences, and as a result, the Hub continually works on improving the model to meet the needs of the residents of Bernalillo County.