About Sonoma Connect | Sonoma Unidos
Sonoma Connect | Sonoma Unidos leads the development of a local Community Information Exchange Model Network and advance a multi-pronged approach to increasing mental and physical health equity through supporting both direct services and systems changes. We convene community members, resource providers, and service providers to form systems-change-focused Action Teams to address fragmentation of resources and structural racism.
What is a Community Information Exchange (CIE) Network?
A Community Information Exchange (CIE) is a community-led ecosystem comprised of multidisciplinary network partners using a shared language, a resource database, and integrated technology platforms to deliver enhanced community care planning.
By using a CIE model we go from a reactive approach to a proactive, holistic, person-centered approach
At its core, CIE centers the community to support anti-racism and health equity.
5 Key Elements of a CIE
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2.
Network Partners:
Nonprofit, Health Centers, Managed Care Plans, Hospital Systems, Tribal, Education, Government, Behavioral Health, and others
Integrated Technology
Resource Connection Network – leveraging the technology NinePatch & interoperability
3.
4.
Shared Language
Structural Drivers of Health & ACEs
Resource Database
211 – Curated by United Way of the Wine Country
5.
Community Care Planning
Analysis of shared measures for Structural Drivers of Health
Learn More About Our Integrated Technology, The Resource Connection Network
The Resource Connection Network supports closed-loop referrals across organizations and sectors to better support community members navigate and access resources.
CIE Examples
WASHINGTON
North Central Accountable Community of Health
COLORADO
FLORIDA
CALIFORNIA
North Coast Care Connect - North Coast Care Improvement & Information Network (NCHINN)
Why Local Community Information Exchange Work is Important – CIE Benefits
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Individual
Individuals benefit from a universal, person-centered record of life events, and system interactions enable providers to proactively tailor services to individual needs. This supports healing-informed care by reducing the need for individuals to repeatedly share their experience and situation to different service providers. The CIE allows for responsive and proactive system that reduces the burden on individuals and families who may be in crisis
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Agency
Agencies can efficiently collaborate with providers across sectors using a shared language and shared outcomes to deliver comprehensive care while generating referrals through the system.
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Community
Community receives insights into broader trends to more proactively address unmet needs and barriers, as well as disparities in access to services. Data also can be used to inform local planning and funding priorities and to advocate for policy change.
Sonoma Connect Policy Background
The State and Federal Policy landscape have informed and influenced Sonoma Connect’s opportunities and functional areas of work, including:
Implementing the Resource Connection Network, a health and social integration platform leveraging the technology NinePatch to support cross-sector information exchange and closed-loop referrals
Co-creating community-led and healing-centered best practices, centering populations on the margins and communities most impacted by structural racism
Celebrating, spotlighting, and uplifting Community Health Worker workforce
Here are policy topics relevant to the work of Sonoma Connect | Sonoma Unidos:
MediCal Transformation (formerly known as CalAIM)
Why it matters: Provides long-term funding for community-based supportive services provided by Community Based Organizations and other providers. Demonstrates the growing recognition that preventing and healing trauma caused by Structural Drivers of Health impacts people’s physical and mental health outcomes. Infrastructure & capacity building dollars available through CalAIM-related grants significantly contributed to implementation of the Resource Connection Network by Sonoma County Community Based Organizations.
Child Youth Behavioral Health Initiative - Multi-Payer Fee Schedule
Why it matters: Provides long-term funding for community-based supportive services provided by Community Based Organizations and other providers. Demonstrates the need for closed-loop referral infrastructure to ensure ACE and Structural Drivers of Health screenings can be responded to and followed-up on.
Social Determinants of Health (SDOH) (Otherwise known as Structural Drivers of Health)
Why it matters: Demonstrates the growing need for closed-loop referral infrastructure to ensure Structural Drivers of Health screenings can be responded to and followed-up on.
Assembly Bill 133 & California Data Exchange (CA DxF) Framework
Why it matters: Demonstrates the growing recognition that preventing and healing trauma caused by Structural Drivers of Health impacts people’s physical and mental health outcomes. Infrastructure dollars available through CA DxF grants significantly contributed to implementation of the Resource Connection Network by Sonoma County Community Based Organizations.
Adverse Childhood Experiences
Why it matters: Demonstrates the growing recognition that preventing and healing ACEs impacts people’s physical and mental health outcomes. Demonstrates the need for closed-loop referral infrastructure to ensure ACE and Structural Drivers of Health screenings can be responded to and followed-up on.
Our Action Teams
Community Accountability
This team is focused on advancing training and the co-creation of shared Diversity, Equity, and Belonging frameworks, and healing centered engagement to address root causes of disparities.
Resource Connection Network
This team is focused on the implementation of cross-sector closed-loop referral system to support integration of cross-sector systems.
We have representation from 124 community leaders in Action Teams and Workgroups, including:
